Transcript Highlights:

• That is the providers.
• I any new provider categories that don't already have any provider taxes and for not.
• The freeze on new provider.
• provider taxes.
• We do have a provider. We do Florida does not do that. We do have a provider.

Transcript Highlights:

• For anyone providing testimony, please provide your name and who you're with to make sure we have that
• These are all practicing providers, and we were able to have one member attend today, and that is Providers
• In 2025, we had over 23,000 providers... In 2025, we had over 23,000 providers access the system.
• But the rule being interpreted and the definitions of health care providers, other health care providers
• provide care for the patient.

Keywords: 959, house, all

Transcript Highlights:

• It's about providing additional notification requirements. It's about providing transparency.
• It's about providing additional notification requirements. It's about providing transparency.
• It provides information to families. It provides broader transparency.
• It provides information to families. It provides broader transparency.
• It provides broader transparency.

Summary: The Civil Rights and Judiciary Committee heard testimony on several bills. House Bill 2445, requested by the Attorney General, would curb “probate for profit” schemes by extending the waiting period before a “suitable person” can be appointed, limiting non-intervention powers and repeat appointments, tightening venue rules, and restricting self-dealing by estate administrators. The sponsor and Attorney General’s Office described cases in which strangers used probate loopholes to control estates, sell property, and profit from heirs; the Northwest Justice Project and other witnesses strongly supported the bill. Members raised questions about whether the bill would complicate probate for laypeople and about the timeline changes, and the sponsor said she was open to amendments. No vote was taken. The committee also heard House Bill 2386, which would replace a statutory garnishment answer form with a form developed by the Washington Pattern Forms Committee or a substantially similar form. The sponsor and a district court judge said the current form causes calculation errors, especially for fluctuating wages, and that the change would make garnishments more accurate and transparent. A collectors’ association supported updating the form but asked for a longer implementation period and flexibility for employers to use their own forms; the judge said a rollout period would not be a problem. The bill was heard but not voted on. House Bill 2585 would create a Washington State False Claims Act modeled on the federal act, allowing the Attorney General and private relators to pursue fraud against state programs, with treble damages, civil penalties, and whistleblower protections. Supporters said it would recover stolen public dollars and deter fraud in areas such as wages, housing, education, and environmental programs. Contractors warned that the bill could sweep in good-faith construction change orders, and a wireless industry group asked for a tax exemption; the Attorney General’s Office said it supported the concept but would provide technical and substantive feedback. The bill was heard without action. Finally, House Bill 2590 would exempt limited equity cooperatives from the Washington Uniform Common Interest Ownership Act unless they elect coverage, while keeping the tax exemption framework for those cooperatives. The sponsor and housing advocates said WUCIOA imposes requirements that do not fit cooperative ownership and can hinder permanently affordable housing, while lenders already impose appropriate reserve and governance standards. Witnesses from cooperative development organizations and community land trusts supported the bill, and committee members asked about resale limits, reserve obligations, and who benefits from appreciation. The hearing concluded without a vote. The committee also heard House Bill 2453, which would allow board-certified psychiatric pharmacists to participate in certain involuntary treatment proceedings and provide concurring medical opinions for involuntary medication under less restrictive alternative orders. Supporters said it would improve workforce capacity and continuity of care; opponents argued it could weaken civil-liberty protections and that pharmacists lack authority for diagnosis and treatment. The hearing ended with no final action on the bill.

Transcript Highlights:

• However, the provider it hurts does provide abortion care. That's one provider, right?
• That's only one set of providers, but there's a host of other providers, right?
• So it hurts a network of providers, a wide range of providers.
• , also able to provide additional community clinics.
• Thank you so much for providing this opportunity.

Summary: The subcommittee held an oversight hearing on federal actions affecting California’s public health and family planning systems, focusing first on the freeze to Title X family planning funds and then on broader CDC/public health grant terminations. Chair and members described the cuts as abrupt, harmful, and likely to create major gaps in disease surveillance, vaccination, contraception, STI testing, and other preventive services, while also criticizing the federal administration’s explanation that the actions were tied to DEI or civil-rights compliance. The chair thanked Attorney General Bonta for legal action and said the hearing was intended to document the real-world impacts and inform state budget responses. Witnesses from Essential Access Health, Planned Parenthood Affiliates of California, a Central Coast clinic, and other providers said California’s Title X network serves more than half a million low-income patients annually and relies on the funds for staffing, outreach, training, mobile and school-based clinics, and confidential care. They warned that the freeze has already forced reserve spending, delayed services, and could lead to layoffs, reduced hours, longer waits, and fewer appointments, especially for sexual and reproductive health care. Public comment included support for a proposed state backfill of Title X losses, with advocates emphasizing impacts on low-income, LGBTQ+, and communities of color. On the public health side, CDPH, county health officials, and local health officers testified that the CDC’s rescission of $11.4 billion in grants would affect California by an estimated $840 million and threaten lab capacity, immunization programs, health disparities work, and data systems such as CalConnect and vaccine registries. Sacramento County and others described how the grants supported outbreak response, sequencing, community vaccination clinics, and equity-focused partnerships, and said terminations had already led to canceled appointments, stopped contracts, and layoffs. Several speakers urged the Legislature to preserve and expand state “future of public health” funding and to backfill federal losses, while public commenters from HIV, immunization, labor, and county organizations echoed concerns about workforce losses and worsening health outcomes.

Transcript Highlights:

• Let's recognize the care already being provided.
• financial support to families already providing unpaid care.
• Providers submit an action.
• So let me just provide that example.
• So let me just provide that example. So we have Mr.

Keywords: 995, all

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

Transcript Highlights:

• of providers around the state and the variety of services each one of us provides is significant and
• We 100% of providers provided the information to Myers and Stauffer, and the rate study actually came
• Most providers, I would say, I would think that all providers would actually be okay with that.
• We provided that to them.
• We provided that to them.

Keywords: 989, all

Transcript Highlights:

• Most providers do not fully pass on 340B savings.
• Until then, manufacturers must provide 340B pricing at the point of sale.
• provide even more services to, populations.
• provide even more services to, ...dispensed to the insured patients help these providers provide even
• In 2024, we provided $2.1 billion in charity care and Medicaid underpayments.

Bills: HB2145, HB1828, HB2155, HB2437

Keywords: 340B drug pricing, healthcare access, patient rights, discounted medications, manufacturer limitations, health professions, plasma donation, physician substitutes, medical regulation, nursing titles, healthcare, regulation, professional standards, licensure, accreditation, opioid treatment, health services, fee authority, public health, 904

Transcript Highlights:

• The reduced versus the free, or providing reimbursement either to provide 100% universal meals or the
• Options: providing staffing for a reimbursement approach or providing universal meals.
• If you look at that leftmost column, the fewer meals provided, the fewer meals you can provide in an
• Many meals you're providing to students. So are you providing one meal to all students?
• you're providing benefits.

Keywords: 916, all

Transcript Highlights:

• It provides relative to the Department of Children and Family Services, including provisions to provide
• It provides relative to prescriptions to provide for civil and criminal immunity for the distribution
• This bill is not about punishing good providers. Good providers are already doing the right thing.
• , to provide for an effective date, and to provide for related matters.
• So I go to a licensed provider. He... So I go to a licensed provider.

Summary: The committee met on March 25 and first took up HB 199, which would extend Louisiana’s nursing home moratorium. Chairman Miller amended the bill to shorten the extension from five years to four, moving the termination date to July 1, 2031. Rep. Barault argued the state faces a growing bed-capacity problem and proposed an amendment to exempt St. Tammany Parish; Rep. Cruz offered a substitute to reduce the extension to three years. The Nursing Home Association said it had negotiated in good faith and supported the four-year compromise, while the Pelican Institute opposed the moratorium as anti-competitive. A St. Tammany resident testified that her mother faced a long wait for placement and that more local beds are needed. The three-year substitute and the St. Tammany exemption both failed, and HB 199 was reported favorably with the four-year amendment. The committee then favorably reported HB 223 to recreate the Department of Children and Family Services for four more years, with Secretary Rebecca Harris saying the department’s recent reorganization has allowed it to focus more directly on child safety and child welfare. Members discussed planned reforms such as differentiated response, stronger community-based care, and the transfer of TANF to Louisiana Works in 2027. HB 907, which grants civil and criminal immunity for the use or distribution of expired naloxone or other opioid antagonists, also passed with technical amendments; public health officials and members emphasized that expired naloxone remains effective enough to save lives and should still be used in emergencies. HB 535, which streamlines hospital-based acknowledgements of paternity by allowing notarization without two witnesses, was reported favorably after Woman’s Hospital testified that the change would speed up paternity establishment, child support enforcement, and the addition of fathers to birth certificates. HB 554, which would increase penalties for violations at health care facilities and require LDH reporting, drew testimony from a family member describing serious care failures and from LDH, which said it already has caps on fines and that the bill would not change those caps. Rep. Jackson amended the bill to require LDH to publish fines assessed and collected and to list facilities with repeated immediate jeopardy or actual harm deficiencies, but the bill was then voluntarily deferred for a week to allow further discussion with the department. The committee also reported HB 224, a largely technical update to the Children’s Code recommended by the Louisiana State Law Institute, HB 246, which updates membership of the Children’s Cabinet Advisory Board and related bodies, and HB 405, which updates the name of the national acupuncture certifying organization. HB 222, requiring Medicaid coverage for certain dental procedures when needed to clear patients for other medically necessary treatment, was reported favorably despite a fiscal note. Finally, HB 235 on sewer systems generated extensive discussion: Rep. Fontenot described rising sewer rates, poor maintenance, and sewage overflows in his district, and argued for allowing property owners to install private sewer treatment systems in certain circumstances. Members raised concerns about local control, PSC rate-setting, and whether local governments should have more authority over sewer service decisions; the bill was still under discussion when the transcript ended.

Transcript Highlights:

• the same services that they're providing today.
• provider shortages in rural communities.
• This program provides remote education to primary care providers on how to best diagnose and treat patients
• Providers across the state are still reeling from this, because as you know well, Providers across the
• The Public Works Board provides funding to cities, counties, and special purpose districts to provide

Summary: The Senate Ways and Means Committee heard an overview from OFM Director Katie Chapman See on Governor Ferguson’s 2026 supplemental budget proposal. She said the budget was built in response to higher caseloads and inflation, a roughly $390 million revenue forecast drop, new federal costs tied to H.R. 1, and a relatively small ending fund balance. The proposal would increase near general fund spending by about $1.1 billion and solve an estimated $2.3 billion two-year gap through about $800 million in reductions, revenue shifts and tax preference changes, use of other funds, and about $1 billion from the budget stabilization account. She also noted the budget is balanced over two years but not fully over four years under the state’s outlook rules. Chapman See highlighted reductions in Working Connections Child Care, including a soft cap on enrollment and holding subsidy rates at the 75th percentile, delays to long-term care and developmental disability-related changes, and across-the-board reductions to higher education and administrative spending. She also described investments in wildfire suppression and preparedness, affordability programs like utility rebates and home energy assistance, housing-related planning and permitting support, One Washington IT replacement, behavioral health workforce programs, and continued support for some K-12 initiatives such as ninth grade success and homeless student stability. In response to questions, she said some proposed cuts were based on the governor’s subjective judgment about what was critically necessary, that current child care enrollees would not be cut off immediately, and that the budget would maintain services for about 500 highest-acuity Medicaid clients who lost eligibility under federal changes. Public testimony was largely critical of the proposed cuts in K-12, early learning, and higher education. School officials, educators, nurses, and advocacy groups opposed reductions to Transition to Kindergarten, Local Effort Assistance, Running Start, MSOC, school leadership and support grants, and higher education funding, arguing the cuts would worsen existing funding gaps and harm student outcomes. Several witnesses supported restoring or maintaining funding for ninth grade success, Treehouse’s foster youth graduation program, homeless student stability, and Science on Wheels. In early learning, child care providers and advocates opposed the Working Connections cap and subsidy-rate reduction, warning it would reduce access and destabilize providers. In higher education, campus leaders and labor representatives opposed across-the-board cuts and fund shifts, while some institutions and advocates supported targeted investments such as behavioral health workforce programs and DigiPen aid restoration. In human services, Planned Parenthood advocates praised restored abortion access funding and Medicaid reimbursements. The committee took no votes or final action in the transcript provided.

Transcript Highlights:

• Department of Health; to provide for waivers; to provide for rulemaking; to provide for duties of the
• for penalties, to provide for rules and regulations, to provide for certain exemptions, to provide for
• for penalties, to provide for rules and regulations, to provide for certain exemptions, to provide for
• team, to provide for a multidisciplinary investigative team, to provide for forensic reviews, to provide
• to provide for implementation and provide for related matters.

Summary: The committee first heard SB 145, which would require adult residential care providers, especially assisted living centers, to have generators or other backup power arrangements and to submit preparedness plans to LDH. After technical amendments and testimony from the sponsor, LDH, and the assisted living industry clarifying the bill’s scope and cost concerns, the committee adopted the amendments and reported the bill favorably. It then took up SB 433, which would require Medicaid coverage of medically necessary FDA-approved weight loss drugs, including GLP-1 medications, subject to appropriations and fiscally sustainable coverage criteria; the bill was reported favorably after discussion of current Medicaid coverage and costs. The committee also approved SB 52, which requires better coordination between DCFS and LDH so SNAP and Medicaid benefits can follow children more quickly when they are removed from or returned to a home. Technical amendments changed reporting deadlines and required written notice, and the bill was reported favorably. SB 4 on public water fluoridation was amended to allow local governments or voters to opt out through a petition and election process, with support from the Louisiana Dental Association and others after compromise language was adopted; it was reported favorably with amendments. SB 152, which would prohibit the sale of cultured or lab-grown food products for human consumption, was also reported favorably with amendments after brief testimony in support and opposition. The committee next approved SCR 37, which asks the Surgeon General to review Louisiana’s informed consent laws and report back on any gaps, after discussion that the existing medical disclosure panel had not met since 2018. It then considered SB 194, a public assistance bill aligning Louisiana Medicaid and SNAP rules with recent federal changes on non-citizen eligibility and tightening Medicaid’s reasonable opportunity period for citizenship verification. After extensive debate over immigration, emergency care, and whether the bill could harm eligible applicants or rural hospitals, the committee adopted an amendment allowing LDH discretion for emergency health care services and reported the bill favorably by an 8-3 vote. Finally, HCR 113 created a task force to study gestational carrier agreements and assisted reproductive regulation; after debate over surrogacy, ethics, and referral to Civil Law, the committee rejected the referral motion and then reported the resolution favorably, and the meeting moved on to SB 333 on child-in-need-of-care proceedings and legal representation funding.

Transcript Highlights:

• c> state that you know they providers work state that you know they providers work in<00:22:33.159><c
• </c> would plan to work with um providers would plan to work with um providers about<00:29:51.240><c>
• </c><00:31:01.039><c> this</c> materials that had to be provided this materials that had to be provided
• </c><00:43:56.319><c> safety</c> set of parameters that provide safety set of parameters that provide
• It makes it difficult for them to provide the kind of technical assistance that providers are looking

Keywords: 1187, senate, all

Transcript Highlights:

• ><c> an</c> This section also provides an This section also provides an association<00:12:41.680><c>
• ><c> penalties</c> Those sections provide for penalties Those sections provide for penalties that<00:
• It has a reporting piece, and it requires medical providers and facilities to provide detailed financial
• It has a reporting piece, and it requires medical providers and facilities to provide detailed financial
• </c><01:13:37.880><c> the</c> service organization must provide the service organization must provide

Keywords: 926, house, all

Transcript Highlights:

• And we know that providers are not going to be able to provide the same level of service because of HR
• And we're happy to provide the qualifications of the coaches. They are health care providers.
• This compassionate care that they're providing, This compassionate care that they're providing is also
• So respectfully, providers urge the Legislature to provide stable and ongoing funding for 988 operations
• As a mobile crisis provider... ...provides ongoing behavioral health care across California.

Summary: The hearing focused first on behavioral health, especially serious mental illness and anosognosia, a condition described by witnesses as a neurological symptom that prevents people from recognizing they are ill. The chair framed the issue around families cycling through emergency rooms, jails, conservatorships, and short-term stabilization without lasting treatment, and warned that federal changes under H.R. 1 could reduce Medi-Cal funding and worsen access. Dawn Marie Anderson gave a personal account of her son’s long history of psychosis, homelessness, arrests, repeated jail and state hospital stays, and eventual stability when he received sustained medication and coordinated support. She argued that the system often treats the problem as criminal rather than medical and that voluntary programs and short-term services are not enough for people who lack insight into their illness. Other panelists, including representatives from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association, agreed that anosognosia is not denial or noncompliance and said the system needs long-term, coordinated care, including assertive community treatment, mobile crisis, supportive housing, medication support, and stronger handoffs between county and managed care systems. They said CalAIM and other reforms have improved some coordination, but significant gaps remain, especially for people with serious mental illness, for those in jail or locked settings, and for people with private insurance, which witnesses said often offers little meaningful coverage for early psychosis or intensive behavioral health services. Several witnesses urged the Legislature to protect Medi-Cal, shore up county safety-net services, and invest in training and family engagement. The committee then turned to the Children and Youth Behavioral Health Initiative, with a focus on the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, saying the platforms provide free, culturally responsive, early-intervention support statewide and help connect users to higher levels of care when needed. On the fee schedule, DHCS said more than 500 LEAs, colleges, universities, and school-linked providers are participating, 181 LEAs have submitted claims, and $9.6 million has been reimbursed to date, with 41,556 students represented in claims. The chair and several members criticized the pace of implementation and the amount of money spent relative to reimbursement levels, saying the Legislature had requested data earlier and that the return on investment still appeared low. DHCS responded that many claims are still being submitted, that 70% of denials are correctable, that $400 million in capacity grants has been distributed locally, and that reimbursement is increasing rapidly as more districts come online. Public comment included a rural county behavioral health director who said private insurance denials leave counties with significant uncompensated work, especially for unlicensed staff providing case management and mobile crisis services.

Transcript Highlights:

• eliminate the need for multiple regional providers and custom interfaces between those providers.
• We are not a regional Provider.
• We do provide, and it's important, I think, to know that we do provide the statewide services for text
• So we're not just the backup provider. We're also providing statewide level services.
• So we're not just the backup provider. We're also providing statewide level services.

Keywords: 988, house, all

Transcript Highlights:

• You could barely get any providers until I got a call back.
• But I had trouble finding the providers.
• When violence against health care providers is on the rise, home care providers are uniquely vulnerable
• When violence against health care providers is on the rise, home care providers are uniquely vulnerable
• These providers deserve to be cared for and supported while providing care and support to some of the

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hybrid hearing on a wide range of bills focused on patient safety, workforce development, health equity, and access to care. A major portion of the hearing centered on H. 2362/S. 1491, which would require health care providers to offer trained chaperones for sensitive exams. Sponsors and supporters said the bill is a common-sense safeguard prompted by cases of physician sexual abuse, and survivors gave emotional testimony describing grooming, isolation, and abuse during exams when no chaperone was present. Support also came from a health services researcher, a physician, and a RAINN representative, all arguing that trained chaperones and clearer documentation would improve transparency and protect patients. Committee members asked about clarifying who may serve as a chaperone and whether the bill would apply to other clinicians such as PTs and OTs. The committee also heard testimony on H. 2401/S. 1485, which would require explicit informed consent for certain educational exams performed on unconscious patients. The bill’s supporters said patients should know in advance if students or physicians will conduct non-medically necessary exams while they are under anesthesia, and that the measure would protect survivors from retraumatization. The hearing then moved to H. 2537, a primary care access bill. Health Care for All, the Massachusetts Medical Society, pediatric and internal medicine physicians, and a patient advocate described long waits, provider shortages, and difficulty finding primary care, especially for low-income people and people of color. They supported the bill’s proposed primary care spending target, payment reforms, Medicaid graduate medical education funding, and a commercial payment floor for health centers. Another set of bills addressed workforce and safety issues. H. 2397/S. 1593 would establish a nursing workforce center; nursing leaders said Massachusetts should make the current workforce council permanent to support data collection, apprenticeships, and long-term planning for the state’s largest health care workforce. H. 2396/S. 1535 would require safe patient handling and mobility programs in health facilities; nurses described serious injuries from lifting patients and said better equipment and programs would reduce staff injuries and improve patient outcomes. H. 2501/S. 1505 on LGBTQ+ health disparities drew support from a medical student and Doctors for America, who urged collection of sexual orientation and gender identity data to improve care and school outcomes. Finally, H. 2448/S. 1522 on patient safety and equitable access to care drew strong support from nursing organizations and individual nurses who described unsafe staffing, burnout, and patient harm, while the Massachusetts Association of Behavioral Health Systems opposed the bill as redundant for psychiatric facilities already regulated by the Department of Mental Health.

Transcript Highlights:

• goes back to should we provide parameters of reporting outcome on that?
• To provide integrated services and expanded learning to students in the community.
• Thank you for your opportunity to provide comment.
• County overseeing 500 youth service providers.
• County overseeing 500 youth service providers. Today, only about 2% of the 5 billion. providers.

Summary: The Senate Budget Subcommittee on Education heard the Governor’s proposals on universal school meals, the Expanded Learning Opportunities Program (ELOP), and community schools, with the Kitchen Infrastructure and Training Grants Program also discussed. For universal meals, the Department of Education supported continued investment, citing high student meal need, reported gains in meal participation and service efficiency from prior kitchen grants, and concerns that federal changes and underreporting could affect funding. The Department of Finance outlined $1.8 billion Proposition 98 General Fund for universal meals and an additional $100 million for a fourth round of kitchen grants, while the LAO recommended rejecting the new kitchen grant round because prior rounds are still being spent and the allowable uses are broad. Members raised questions about federal matching requirements, Summer EBT, and whether immigration-related federal policy changes could reduce meal counts and state/federal reimbursements. For ELOP, the Department of Finance described $4.7 billion ongoing Proposition 98 General Fund plus $62.4 million to set a minimum Tier 2 rate of $1,800 per pupil. The LAO recommended modifying the proposal to fully fix Tier 2 at the current $1,579 rate and tie future changes to program requirements, while CDE supported the Governor’s approach and said the added stability would help districts plan. Committee discussion focused on whether ELOP should remain a standalone before- and after-school program or be folded into LCFF, with some members and witnesses arguing for more local flexibility and clearer outcome measures, while others emphasized the value of guaranteed expanded learning access, especially for elementary students and working families. CDE noted new CalPADS reporting will provide more data beginning with the 2025-26 school year. For community schools, the Governor proposed $1 billion ongoing Proposition 98 General Fund to expand the model to thousands more schools and sustain existing ones, along with stronger technical assistance and future accreditation/self-certification. The LAO recommended continuing the current one-time grant approach instead of creating a new ongoing categorical program, citing concerns about scalability, administrative burden, and the need for earlier planning and clearer accreditation timelines if ongoing funding is adopted. CDE strongly supported the ongoing investment, saying community schools have improved attendance, suspensions, and achievement, and that technical assistance and county office support are essential for expansion. Members and public commenters largely supported community schools, with some urging stronger accountability, more support for county offices and MTSS, and debate over whether non-classroom-based charter schools should be excluded from eligibility. No formal votes were taken in the portion provided; the committee heard testimony and moved through the agenda items and public comment.

Transcript Highlights:

• The legislation requires two providers, contracted providers for child welfare, child protection services
• As a provider agency, providers have to fulfill all of the same statutory requirements through their
• , which I thought was interesting because you have a more rural provider and an urban provider.
• more of a rule provider and an urban.
• There is a tremendous need for providers who serve higher acuity youth. tremendous need for providers

Summary: The Human Services Subcommittee held its first meeting of the term and heard introductory remarks from the chair, vice chair, ranking member, and members, who broadly described their interest in child welfare, mental health, aging services, homelessness, and agency accountability. The chair then outlined the subcommittee’s jurisdiction, including child welfare, mental health and substance abuse safety net services, domestic violence, developmental disabilities, elder services, and child support, and introduced the Department of Children and Families (DCF) as the first agency panel for the term. DCF presented an implementation update on HB 7089, a 2024 law aimed at increasing accountability and transparency for community-based care (CBC) lead agencies that deliver most child welfare services under contract. The department said the bill was prompted by forensic examinations that found problems such as noncompetitive procurement, related-party transactions, excessive executive compensation, and weak financial oversight. DCF described new contract requirements and monitoring tools covering board governance and annual training, conflict-of-interest disclosures, financial penalties for noncompliance, fidelity bond requirements, limits on direct service provision by lead agencies, related-party procurement rules, procurement thresholds, real-property approvals, compensation caps, expanded public reporting, and a new Future of Child Protection and Funding Work Group. DCF reported that some lead agencies had completed required board training, others were still on schedule, and two agencies exceeding the direct-service threshold had been referred to the Auditor General. Members asked DCF about the reasons for the bill, the impact on children, the work group’s regional representation, aging-out youth, the Embrace Families transition, board training requirements, and whether enforcement actions had been taken. DCF said the bill was intended to protect funds for children and families and improve oversight, and clarified that the Central Florida lead agency contract was awarded through competitive procurement rather than an absorption. DCF also said the board training was designed to be meaningful but not overly burdensome, with timing left partly to lead agencies as they implement the new requirements. The committee then heard from two CBC leaders, who generally supported the accountability goals of HB 7089 and said their agencies had already addressed most of the new governance and disclosure requirements. They reported that board training had been completed or was being scheduled, but both agencies said the fidelity bond requirement has been difficult or impossible to obtain in the market as written, though they were able to secure the separate performance bond. The CBC witnesses also warned that recruiting providers is increasingly difficult, especially for higher-acuity children and group-home placements, due to limited provider supply, regulatory burden, insurance costs, and rising risk. They said these pressures are contributing to budget deficits in some areas and urged lawmakers to consider the funding model, insurance and indemnification issues, and the risk of overregulation reducing provider participation.

Transcript Highlights:

• Lord, for those discouraged today, give hope; for those tempted, provide a way of escape.
• For those discouraged today, give hope; for those tempted, provide a way of escape.
• Provide rest for the body and refreshment for their spirit.
• relative to contradictory bail hearings and provide for certain offenses.
• It provides relative to electronic access to videotaped statements.

Keywords: 974, senate, all

Transcript Highlights:

• care providers licensed or otherwise legally authorized to provide that may include but are not limited
• The significant number of providers around the state and the variety of services each one of us provides
• We 100% of providers provided the information to Myers and Stauffer, and the rate study actually came
• There are a lot of different HCBS providers, and they're proposing doing it to all the provider types
• We provided that to them.

Summary: The committee first heard House Bill 754, which would add physical therapists to Idaho’s direct primary care statute so they can enter direct payment agreements with patients without those arrangements being treated as insurance contracts. The sponsor and supporters said the bill would improve access, especially for patients who need frequent therapy or live in underserved areas, and emphasized that it would not expand physical therapists’ scope of practice. One member objected that the bill’s wording could blur the definition of primary care and create scope confusion. After testimony from a physical therapy association representative and a small business health care provider, the committee voted to send the bill to the floor with a do-pass recommendation, with several members recording no votes. The committee then took up House Bill 724, which would add and clarify safety-related rights for children in foster care, including safe placement, access to medical and forensic exams after abuse disclosures, basic necessities, and consideration of safety in visitation and placement decisions. The sponsor said the bill is a narrow child-safety measure that does not alter parental rights or removal standards, while foster parents, a psychologist, former foster youth, and others testified in support with accounts of abuse, unsafe placements, and inadequate oversight. Some members raised concerns about enumerating rights in statute and about broad language that could have unintended future consequences; a substitute motion to send the bill to amending order failed on a roll call vote, and the original motion to send the bill to the floor with a do-pass recommendation passed. Finally, the committee heard House Bill 759, a budget-related measure to reduce Medicaid residential habilitation funding and require a new audit/rate study of home and community-based services. The sponsor said the reduction reflects a governor’s budget recommendation and that the audit would help determine appropriate rates and spending. Providers and family members of people with disabilities testified that the bill was too vague, that prior rate studies were not fully followed, and that any reductions could harm staffing and services; they asked for clearer standards, collaboration, and assurance that rate-study results would actually be used. A motion to hold the bill until a later date was offered, but the sponsor opposed delaying the budget item and the committee continued discussion toward a floor recommendation.