Video & Transcript Research : 'dementia services program'

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MN

Minnesota 2025-2026 Regular Session

Committee on Human Services - 01/29/25

Human Services

Transcript Highlights:
  • <00:58:28.920> and<00:58:29.079> services<00:58:29.559> if um maintaining programs
  • and services if um maintaining programs and services if at<00:58:29.799> all<00:58:30.079>
  • Additionally, PACE programs have a physical plant, a place to provide typically adult day services, but
  • services, as well as an adult daycare model, which we have incorporated into our program.
  • We can really bring services to folks in rural areas in a way that other programs can.
Keywords: 1187, senate, all
ND

North Dakota 2026 1st Special Session

Tribal and State Relations Committee Apr 13th, 2026 at 01:00 pm

Tribal and State Relations Committee

Transcript Highlights:
  • I am the director of the services practice area at the National Health Law Program.
  • services.
  • services.
  • But we administer those programs, Homestead Tax Credit Program, Disabled Veteran Program.
  • We administer those programs, Homestead Tax Credit Program, Disabled Veteran Program.
Keywords: 908, all
MN

Minnesota 2025 1st Special Session

Senate Floor Session - 05/14/25

Minnesota Senate Floor Meeting

Transcript Highlights:
  • In the area of human services programs, we strengthen program integrity by investing in better detection
  • In the area of human services programs, we strengthen program integrity by investing in better detection
  • They are accessing care, and it is a fee-for-service program.
  • We have limited service program.
  • It is a fee-for-service product or fee-for-service program, and we will pay the claims as they come in
Keywords: 1187, senate, all
MN

Minnesota 2025-2026 Regular Session

Committee on Jobs and Economic Development - 03/18/26

Jobs and Economic Development

Transcript Highlights:
  • Getting to Work grant program.
  • So, this is a great program.
  • program, or is this separate?
  • our program. our program.
  • It's an excellent program that does do wrap-around<00:31:04.040> services,<00:31:05.000> but
Keywords: 1187, senate, all
AR

Arkansas 2026 1st Special Session

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Feb 19th, 2026

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Transcript Highlights:
  • There are programs through WIOA.
  • We would be looking for, like, an obituary or a program from the service. So you do, you do?
  • more hours a month, that they're doing work program participation in a work program or training program
  • , educational program, or doing community service.
  • People inside of state government all run programs, and everybody loves their program.
Summary: The subcommittee received a brief DHS update on the Living Choices Assisted Living Waiver reimbursement rate process, with Secretary Janet Mann reporting that the new cost reporting period began in January and that DHS has begun provider and contractor conference calls as the process moves forward. The bulk of the meeting focused on DHS’s overview of TANF and, especially, SNAP changes under the federal One Big Beautiful Bill. Mary Franklin explained new SNAP work requirements for adults ages 18 to 64 who are not otherwise exempt, including the three-month time limit in a 36-month period unless they meet an 80-hour monthly work, volunteer, education, or training requirement. She also reviewed exemptions, noted that some prior exemptions were removed while new tribal-related exemptions were added, and described SNAP Employment and Training providers, budgets, service areas, participant characteristics, and outcomes. Members asked about how mandatory referrals will work, whether funding and vendors are sufficient, how cross-program participation is tracked, how verification and recertification will be handled, and how error rates and sanctions will be managed. DHS said mandatory participants will be referred directly to providers, verification will occur at application and recertification, interviews can be by phone, and the department will return with more information on error-rate mitigation and other requested data. DHS then outlined upcoming Medicaid community engagement requirements for the ARHOME population under the same federal law, which must be implemented by January 1, 2027. The department said it is preparing policy, system changes, data matching, communications, and an outbound customer-service verification process, with a soft launch planned for July to help identify who would meet the requirement or need to provide more information. Members raised concerns about notice, local versus centralized decision-making, and how clients will document work, school, caregiving, or medical exemptions. The meeting concluded with broader discussion of the Alliance for Opportunity audit and a shared emphasis on using SNAP, Medicaid, TANF, and workforce programs together to improve outcomes, expand training options, and better connect Arkansans to education and employment opportunities. The committee also discussed extending the audit contract at a future meeting and adjourned without taking any formal vote in the transcript provided.
FL

Florida 2026 Regular Session

Commerce and Tourism Feb 11th, 2025

Commerce and Tourism

Transcript Highlights:
  • As far as the Capital Projects Fund program, we have three programs within it.
  • For the Digital Capacity Program, this is a program similar to the Digital Connectivity Program where
  • programs.
  • Digital Capacity Grant Program.
  • Is that in relation to the BEAD program, and that's where you'll finish, I guess, servicing those counties
Summary: The Committee on Commerce and Tourism met briefly and first announced that Senate Bill 232 by Senator Rodriguez was temporarily postponed at the sponsor’s request. The main item was a presentation from Leo Garcia of the Office of Broadband on Florida’s broadband programs, current deployment progress, and upcoming funding opportunities. Garcia said the office is administering multiple grant programs that have awarded hundreds of millions of dollars for broadband infrastructure, community facilities, and digital device access, with a focus on rural areas, workforce development, and digital literacy. He also described the state’s strategic plan and partnerships with local governments, ISPs, workforce boards, community colleges, and community action agencies. Garcia explained that Florida has already deployed over 1,100 miles of fiber and enabled about 4,300 connections, and said the remaining unserved and underserved locations should drop significantly by the end of 2026 before the BEAD program addresses the rest. He said BEAD is a fully federal program for Florida, providing $1.16 billion from NTIA, with most of it reserved for infrastructure and additional amounts for workforce training and cybersecurity/digital literacy. He noted that Florida is prioritizing fiber but will also use fixed wireless or satellite where fiber is not cost-effective or feasible. He also said the office is seeking additional spending authority for the Digital Capacity Grant Program. Members asked about county coverage, especially Duval County, and Garcia said Duval and Monroe had not yet received funds because they currently have limited unserved or underserved areas, but they are expected to be addressed through BEAD and related workforce and literacy efforts. Senator Davis raised permitting delays as a major challenge, and Garcia said the office is exploring ways to help local communities process permits more quickly. Senator Wright asked about competition with satellite-based broadband providers, and Garcia said the state is technology-agnostic but prioritizes fiber for reliability. There were no public comments, no votes or formal actions taken, and the meeting adjourned.
WA

Washington 2025-2026 Regular Session

Senate Human Services Sep 30th, 2025

Transcript Highlights:
  • The department is offering services through this way. Okay, but someone is offering services.
  • There were also some contracted services.
  • Parent Child Assistance Program is a phenomenal program, zero to three.
  • .. ...the history and conditions, the services they are receiving, or the gaps in services, interventions
  • the programs.
Summary: The Senate Human Services Committee held a work session on child welfare dependency, focusing on implementation of HB 1227 (Keeping Families Together) and SB 6109 (the fentanyl response bill), along with related data and system updates. DCYF first reviewed the dependency process, explaining intake, shelter care, fact-finding, disposition, and review hearings, and emphasized that removal standards are separate from service provision and that children may be in-home or out-of-home at different stages. DCYF said 1227 raised the removal threshold to imminent physical harm and strengthened kin placement, with nearly 60% of children now placed with relatives or suitable others. The department also said 6109 directs courts to give great weight to fentanyl’s lethality and added legal liaisons to support staff in court preparation. DCYF presented data showing that entries into out-of-home care declined after 1227 but rose again after 6109, returning close to pre-1227 levels. The agency also reported a sharp increase in reviewable critical incidents in 2022-2025, especially near-fatalities, which it linked to the opioid and fentanyl crisis, parental stress, and system complexity. DCYF said it has responded with statewide Safe Child Councils, staff consultations, hotspot monitoring, and additional training, and noted that some contracted services authorized under 6109 were not implemented because of fiscal constraints. Senators asked about where children are in the process, who participates in court, the timing of data releases, age breakdowns, and geographic hotspots. Advocates and lived-experience witnesses from LCYC and a family intervention clinic argued that 1227 has not prevented courts from removing children when necessary and said the law appropriately requires the state to show a causal link between home conditions and risk. They said 6109 appropriately highlights fentanyl’s danger, but stressed that the larger issue is lack of prevention and treatment resources, inconsistent county-by-county practice, and insufficient supports such as inpatient beds, family treatment, housing, transportation, and third-party safety plan participants. A parent ally described how early support, peer guidance, and kin placement helped her achieve recovery and stability after losing parental rights in an earlier case. The committee also heard an update on SB 6068 from the Administrative Office of the Courts and K Implementation and Evaluation. The report identified 15 dimensions of relational permanency and child well-being, found that some data already exist while other measures need development, and recommended a phased data collection plan, a restored data-sharing agreement between AOC and DCYF, and a standing cross-agency work group. AOC said its dependency data system lapsed when the prior agreement expired in June 2025 and needs to be rebuilt. The meeting also included a brief update on bridge housing for youth exiting inpatient treatment, with presenters saying two programs are now open, one in King County and one in Spokane, and a short introduction to juvenile rehabilitation capacity updates before the transcript ended.
TX

Texas 89th 2nd C.S.

Insurance Apr 9th, 2025

Insurance

Transcript Highlights:
  • That's why he showed up to us for mental health services, which the 340B program helps us provide.
  • Program as well.
  • Every aspect of this program.
  • Under this program.
  • They're providing the services because. This program was set up to benefit those folks.
TX

Texas 89th Regular

Appropriations Feb 19th, 2025

Appropriations

Transcript Highlights:
  • program.
  • The last area is seaport connectivity program that program has been around for a while.
  • kind of specialty programs to address. lead service line replacement, as well as addressing emerging
  • There's no corresponding lead service line replacement program. within the Clean Water SRF.
  • We used two programs. One, the Water Loan Assistance Program.
Keywords: 1184, house, all
CA
Transcript Highlights:
  • The segments already do this for their self-support programs, for their housing programs.
  • that could impact the program.
  • We continue To expand our student programs and services, additional infrastructure will be necessary
  • We are the pilot program that was being described earlier, so we are in service to our 23 school districts
  • This program is not optional.
Keywords: 988, house, all
MN
Transcript Highlights:
  • to talk about human services fraud.
  • <00:04:41.199> It Services or DHS. What did you find? It Services or DHS.
  • a co-chair of the Senate Human Services a co-chair of the Senate Human Services Committee<00:04:
  • programs that benefit from state funding, like disability services or nursing homes, are seeing cuts
  • plate for our solar pollinator programs. plate for our solar pollinator programs.
Keywords: 1187, senate, all
KY
Transcript Highlights:
  • Department of Medicaid Services. Department of Medicaid Services.
  • for the Medicaid program. for the Medicaid program.
  • Medicaid program.
  • when it comes to the program. when it comes to the program.
  • advocacy and with the USDA Food and Nutrition Service in the SNAP program.
Keywords: 958, all
Summary: The committee met with a quorum to consider the Senate Committee Substitute for House Bill 2, a major Medicaid bill. Members first adopted the substitute and then adopted Amendment 9770. The bill was described as a lengthy rewrite aimed at aligning Kentucky Medicaid policy with federal requirements under HR 1, while also preserving program integrity and addressing due process concerns. Senators and staff repeatedly emphasized that the measure was the product of extensive meetings with providers, associations, and work groups. The sponsor’s section-by-section summary highlighted several key changes: delaying and reducing cost-sharing requirements; pushing eligibility redetermination deadlines to the federal date; restoring some flexibility for hardship waivers; allowing self-attestation as a last resort; modifying MCO audit provisions; clarifying non-emergency medical transport GPS costs; expanding waiver attestation authority to nurse practitioners and licensed psychologists; adding qualified aliens to waiver eligibility to comply with federal law; requiring Medicaid data sharing with the oversight board; limiting changes to Medicaid benefits without General Assembly authorization; narrowing the prescription drug exclusion to drugs prescribed primarily for weight loss; and delaying the dental ASO transition until 2029. The substitute also deleted a proposed auditor review requirement and retained an emergency clause. Committee discussion focused heavily on the policy and fiscal implications of the cost-sharing and recertification provisions. Senators raised concerns about whether the co-pays would be effective or simply shift costs to providers, whether the recertification process would burden the Cabinet and cause eligible people to lose coverage, and how the bill would affect people transitioning from Medicaid into work. Supporters said the lower cost-sharing amounts were intended to encourage appropriate use of care, protect providers, and comply with federal law, and they noted that the Medicaid Oversight and Advisory Board would help shape future changes. A public witness, Maggie Chisholm, gave emotional testimony about her daughter’s experience with a Medicaid waiver and argued that policy delays and administrative disconnects can harm vulnerable families. No final vote on the bill itself was recorded in the excerpt, but the substitute and amendment were adopted and testimony continued.
WY

Wyoming 2026 Regular Session

Joint Appropriations Committee, June 22, 2026 - AM

Appropriations

Transcript Highlights:
  • CFP program.
  • a service that could be... ...public service, a service that could be used by the general public.
  • They were not eligible for funding through the MRG program because that is not an essential public service
  • This was a catalog of all of the existing programs and services that the Business Council runs.
  • Uh, the state trade and export program is Uh, the state trade and export program is a program by the
Keywords: 916, all
NM
Transcript Highlights:
  • Besides providing library services, they tend to provide early childhood education, after-school programs
  • The Hatch Library during their summer reading program has a children's entrepreneurship program where
  • And then you've expanded to offer all these other services and programs.
  • . ...big programs like SNAP or WIC or the Farmers Market programs or New Mexico grown.
  • , health care services, To a host of things, not just food, but other services, health care services,
Summary: The committee heard a lengthy presentation from the New Mexico Rural Library Initiative in support of fully funding the rural library endowment with an additional $29.5 million. The presenters described rural libraries as essential community infrastructure that provide not only books and internet access, but also early childhood programs, adult education, workforce support, telehealth, disaster response, and civic meeting space. They argued that the endowment would provide stable annual support for staffing and operations, help sustain libraries in very small towns and tribal communities, and support new or developing libraries. Members asked about eligibility, county coverage, how funds are distributed, and whether the state tracks broader outcomes such as job placements or certifications; the presenters said the State Library administers the funds and that the initiative itself is a nonprofit capacity-building organization, not the fund manager. Some members raised concerns about whether an endowment is the best long-term model versus recurring annual appropriations, and about the need for better reporting and state-library involvement. The committee then heard from food bank leaders Jill Dixon and Katie Anderson about food security and its economic impact. They said New Mexico’s five food banks and more than 500 partner agencies serve all 33 counties, distribute over 45 million meals, and rely mostly on philanthropy, with some state and local support. They emphasized that SNAP is a major economic driver, supporting grocery access, jobs, and local spending, and that recent legislative growth funding helped food banks respond to a surge in demand during a SNAP disruption. They also highlighted food banks as community hubs that can connect people to health care, job training, and other services, including through clinic referrals and closed-loop systems. In response to questions, they said food access gaps remain in some rural areas, that clients can generally seek food at other distribution sites without barriers, and that longer-term solutions should include more grocery access, healthy corner stores, and stronger broadband and health care infrastructure. The final presentations came from the Gallup-McKinley County Chamber of Commerce and the Artesia Chamber of Commerce. Gallup-McKinley described a shrinking workforce, youth outmigration, crime, health care shortages, malpractice costs, and gross receipts tax burdens as major barriers to rural economic growth, and urged action on workforce pipelines, housing, public safety, malpractice reform, and tax/regulatory changes. Artesia highlighted its murals, library, sports tradition, oil and gas, agriculture, federal training center, and refinery, while also noting workforce shortages, health care recruitment challenges, housing constraints, and the need for quality-of-life investments and more flexible regulation. The committee also briefly heard a bill presentation proposing a New Mexico-Ireland Trade Commission to promote bilateral trade and investment, especially in technology, agriculture, and energy sectors. No votes were taken because quorum was not reached, and the endorsement item was not acted on.
MN
Transcript Highlights:
  • So this is costs to our hospitals, counties, sort of partners at administering human services programs
  • <00:22:56.960> programs<00:22:58.080> as administering human services programs as administering
  • human services programs as well<00:22:58.480> as<00:22:58.640> some<00:22:58.880> impacts
  • But losses for non-forecast programs drive losses in services, which create budget pressures but don't
  • But losses for non-forecast programs drive losses in services, which create budget pressures but don't
Keywords: 918, senate, all
Summary: The Senate Rules and Administration Select Subcommittee on Federal Impacts on Minnesotans and Economic Stability met on February 20, 2026, to hear from Minnesota Management and Budget State Budget Director Anna Mingi about federal funding changes affecting the state budget. Before testimony began, Senator Rasmusson objected to a draft committee report that had been prepared in advance of the hearing, arguing it was inappropriate to summarize testimony before it occurred. The chair responded that nonpartisan staff had prepared the draft from Mingi’s submitted presentation and could revise it after the hearing if needed. Director Mingi explained that federal dollars make up more than one-third of state spending and support about 650 federal awards totaling over $23 billion this year, with more than $15 billion supporting state entitlement programs. She said the federal funding environment had changed significantly since January 2025 through executive orders, pauses, terminations, new grant conditions, delayed awards, and the July 2025 passage of H.R. 1, the federal reconciliation bill. Her main focus was H.R. 1’s effects on health care and food assistance, including work requirements for some adults, changes to eligibility for legal non-citizens, limits on retroactive Medicaid coverage and directed payments, new limits on provider taxes, and SNAP changes that shift some benefit and administrative costs to the state and counties. She estimated H.R. 1 would reduce federal funds to state-administered programs by about $327 million in the current biennium and $1.6 billion in the next, with additional costs to hospitals, counties, and other partners beyond the budget horizon. Members asked follow-up questions about whether the estimates were relative to the forecast and whether federal Medicaid funding would still rise over time. Mingi said the estimates were based on the November forecast baseline and that Medicaid federal dollars would likely continue growing overall, though the law still creates significant losses relative to prior projections. Senator Rasmusson emphasized that point in remarks to the committee. The discussion then shifted to federal grant pauses and cancellations: MMB’s tracker showed about six awards on hold totaling roughly $491 million, 13 confirmed cancellations across areas including clean energy, education, food assistance, and public health, and additional threatened or litigated cuts not included in those totals. Mingi identified two canceled violence-prevention-related grants, including a FEMA public safety grant and a justice reinvestment grant, and noted that CDC had recently moved to cancel or seek cancellation of several Minnesota public health grants, including a $65 million public health infrastructure award.
TX

Texas 89th Regular

Public Education Apr 8th, 2025

Public Education

Transcript Highlights:
  • that include but are not limited to parent support training, respite services, day programs, crisis
  • TEA oversees the early childhood education programs, TWC oversees the The Child Care Service Programs
  • program in TWC, child care licensing in the health and human services. and public pre-K and early childhood
  • So it's complicated for the people providing these. services and programs, and it is significantly more
  • . services, and families receiving these services.
TX

Texas 89th Regular

Economic Development May 5th, 2025

Economic Development

Transcript Highlights:
  • its vocational rehab programs.
  • people across multiple programs.
  • So the RESEA programs, it provides sort of more intensive employment services to unemployment insurance
  • workforce development and vocational rehabilitation service programs.
  • Subsidized child care program.
MN

Minnesota 2025 1st Special Session

Committee on Education Finance - 02/05/25

Education Finance

Transcript Highlights:
  • Meg mentioned the City Connect program, which is a social work program, so that position that we funded
  • He said the funding provided for them helps with nursing services and counseling services. for things
  • So I strongly ask you to think critically and carefully about the elimination of these programs and services
  • <01:36:20.560> would programs and services that they would programs and services that they
  • special education services.
Keywords: 1187, senate, all
Summary: The Education Finance Committee met on February 5, 2025, to hear testimony from representatives of Minnesota’s Catholic and other nonpublic schools, focused on state nonpublic pupil aid, transportation, counseling, nursing, and related support programs. Meg Forette of the Archdiocese of St. Paul and Minneapolis argued that Catholic schools serve more than 30,000 students across many districts, educate a diverse population, and achieve strong academic results while operating at far lower per-student costs than public schools. She urged lawmakers to reject proposed cuts to nonpublic funding, saying they would be inequitable and harmful to lower-income families, and also raised concerns about state teacher-licensing requirements conflicting with Catholic values. Trisha Menshu, principal of St. John Paul II Catholic School in Northeast Minneapolis, described a student body with high levels of poverty, learning needs, and academic gaps, and said state-funded nurse and guidance-counseling services are essential to keeping students safe, healthy, and on track for high school. She said the school absorbs many costs itself, including medical supplies and significant staff time, and credited the support programs with helping students make strong academic growth and graduate on time. In response to a senator’s question, she clarified that the school uses the nursing aid for limited nurse time and pays other medical-related costs from operating funds, with no billing back to public school districts. Committee members asked follow-up questions about the relationship between teacher licensing and Catholic values, and about how medical needs for nonpublic students are funded. Forette said the concern was not with welcoming all students but with how DEI-related trainings and language are presented in ways that conflict with Catholic teaching. The committee then moved on to the next testifier, Andrew Hiliker of Stella Maris Academy in Duluth, who began by describing his school’s growth and the state’s role in supporting all students, regardless of school choice.
MA

Massachusetts 2025-2026 Regular Session

Senate Committee on Climate Change and Global Warming Jun 21st, 2026 at 10:30 am

Senate Committee on Climate Change and Global Warming

Transcript Highlights:
  • Save program.
  • are running the program.
  • But the PAs run the program.
  • programs.
  • power plant program.
Keywords: 995, all
Summary: The committee held a hearing on the value of Mass Save, with opening remarks emphasizing that despite past criticisms the program has delivered major energy, cost, climate, and equity benefits. The chair cited large avoided system costs, strong benefit-cost ratios, and recent legislative changes that set emissions goals, restricted fossil-fuel equipment incentives, and increased focus on low- and moderate-income households. Department of Energy Resources Commissioner Elizabeth Mahoney testified that Mass Save has weatherized hundreds of thousands of homes, reduced bills, avoided emissions, and that the current plan includes budget controls after the DPU ordered $500 million removed from the approved budget. She said the governor’s proposal to have only electric utilities administer the program was intended to reduce administrative costs and align with current implementation trends. Members questioned Mahoney about what counts as marketing and administration, and she said the category includes traditional advertising as well as community-based outreach, customer resource centers, and other customer engagement work, much of it in low- and moderate-income communities. She said administrative and marketing costs are under 5% of the budget, while more than 80% goes to incentives and direct program delivery. Several witnesses then focused on workforce and contractor impacts. Dave Betcher of Abode Energy Management and Rick Taglienti of Rogers Insulation said Mass Save sustains small businesses, creates careers, and supports thousands of jobs; both warned that budget cuts would reduce hiring, training, and work in homes and businesses. They also described a broad ecosystem of suppliers, trainers, and service providers that depends on stable program funding. Other witnesses addressed cost-effectiveness, affordability, and emissions. Anna Johnson of ACEEE said Massachusetts remains a national leader, with Mass Save returning about $2.80 per dollar invested, reducing peak demand, and lowering bills for participants, especially through weatherization and heat pumps. Kyle Murray of Acadia Center said the program is statutorily required to be cost-effective and has avoided billions in supply and infrastructure costs for all ratepayers, including nonparticipants, by lowering overall demand and peak prices. Amy Boyd-Rabin of the Environmental League of Massachusetts argued that efficiency is the cheapest way to meet climate targets and that cutting the budget would force more expensive power generation. The hearing also featured testimony on equity and housing: Mary Wampo described historic under-service to renter-heavy and lower-income communities and said recent reforms, including designated equity communities and performance incentives tied to equity, are helping correct that imbalance; Brian Biot and James Collins of LEAN/ABCD described low-income delivery systems and wraparound services; Barney Heath and John Nannari said Mass Save incentives are essential to affordable housing, passive house construction, and keeping projects on time and on budget. The final witnesses highlighted Connected Solutions and electrification: Sunrun’s Bronte Payne said the virtual power plant program saved more than it cost and helps avoid peaker plants and grid upgrades, and Highland Electric Fleets’ Ben Sondaga said electric school buses can provide similar grid benefits while lowering transportation costs for districts.
MO

Missouri 2026 Regular Session

Budget Jan 15th, 2026 at 08:15 am

Budget

Transcript Highlights:
  • Is it a state insurance program? What is that safety net program? So these are not state programs.
  • These are actually programs... So these are not state programs.
  • What is that safety net program? So these are not state programs.
  • Page 204 is the Relay Missouri program and equipment distribution program.
  • and program integrity.
Keywords: 959, house, all