Video & Transcript Research : 'dementia services program'
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TX
Texas 89th Regular
Senate Committee on Health and Human Services Mar 11th, 2025
Health & Human Services
Transcript Highlights:
- The Medicaid program was fee for service.
- These Health and Human Services programs are a public... private partnership.
- , the food stamp program.
- Texas Health and Human Services programs.
- Two, we return those dollars back. to the program to provide services for those citizens who are the
TX
Texas 89th 2nd C.S.
S/C on Academic & Career-Oriented Education Mar 27th, 2025
S/C on Academic & Career-Oriented Education
Transcript Highlights:
- of their coursework online from a centralized district program.
- and services from the Health and Human Services Commission, the Texas Education Agency, and the Texas
- It's important to note this isn't evaluating the need for the services, more services or whatever.
- Specifically, our preschool and pre-K program.
- as well as a childcare service.
Bills:
HB117
FL
Florida 2025 Regular Session
October 8, 2025 - 10:30 AM
Transcript Highlights:
- the state directed payment program is meeting the the quality metrics that the program is designed to
- under the Medicaid program.
- and other long-term care services.
- existing programs with those funds.
- build upon those programs and also for for new initiatives, a new programs to really improve access with
MN
Transcript Highlights:
- Those are both going down as well as the travel for home-based services programs.
- Those are both going down as well as the travel for home-based services programs.
- Those are both going down as well as the travel for home-based services programs.
- travel for home-based services programs.
- <00:34:57.760>
program facilities maintenance program program facilities maintenance program
TX
Transcript Highlights:
- HB 300 by Wilson relating to the scholarships under the Texas Armed Service Scholarship Program for the
- A 2422 by Goodwin relating to the seller's disclosure regarding water services for the water rights and
- to the basic allotment and guaranteed yield in the Foundation school program, including an adjustment
- for the Committee on Human Services.
- on Human Services.
MN
Transcript Highlights:
- > fund<00:55:10.119>
is program the community service fund is program the community service - This program is to support these students to maybe not be able to qualify for special education services
- This program is to support these students to maybe not be able to qualify for special education services
- Program called ADSIS, or Alternative Delivery of Specialized Instructional Services.
- This program is to support these students to maybe not be able to qualify for special education services
Summary:
The Senate Education Finance Committee met on January 21 with a quorum present for the first meeting of the 2025 biennium. The co-chairs described the temporary power-sharing arrangement in the tied Senate, introduced committee staff and pages, and had members briefly introduce themselves and share what subject they would teach. After the introductions, the committee moved to a presentation from State Demographer Susan Brower.
Brower reviewed Minnesota’s school-age population trends and projections, noting that the state had just under 1 million children ages 5 to 17 in 2023 and that, for the first time, the older adult population exceeded the school-age population. She said the school-age population is concentrated in the Twin Cities metro and other regional centers, and projected an overall decline of about 5% over the next 15 to 20 years, driven mainly by declining birth rates and long-running net outmigration of young adults. She also explained that growth is expected in some areas, especially along the I-94 corridor north of the metro, while northern regions are projected to see the largest declines. She clarified for members that her figures measure resident children, not school enrollment, and that boundary changes are not reflected in the district-level data.
The presentation also covered demographic change among students. Brower said about 35% of Minnesota children ages 5 to 17 are children of color, with growing multiracial populations and increasing linguistic diversity. She reported that about 20% of school-age children have at least one foreign-born parent, and about 18% of enrolled students speak a language other than English at home, with Spanish, Somali, and Hmong the largest home languages. She also discussed child poverty, saying Minnesota’s rate is just under 10%, below the national rate of about 15%, and that poverty is concentrated in Minneapolis-St. Paul, some first-ring suburbs, and parts of northern Minnesota, including districts with larger Native populations. Members asked questions about whether the projections accounted for migration and whether open enrollment affected the figures; Brower said the data reflect where children live, not where they attend school, and that the projections are based on recent migration and birth patterns, with future changes more likely to come from international immigration than from domestic migration.
MN
Transcript Highlights:
- services reimbursement rates should be. services reimbursement rates should be.
- Um, these programs directed payments.
- and human services. and human services.
- We are a small nonprofit ambulance service that services Lake County, Minnesota, and also portions of
- A company called 4C this program.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Monday, April 7, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- VA's decision to phase out Veterans Affairs Service Purchase Program, or VASP, is an important step by
- Veterans Affairs Service Purchase Veterans Affairs Service Purchase Program<04:32:27.520>
or <04 - Since the inception of the Veterans Affairs Servicing Purchase Program, or VASP, in May of 2024, over
- Since the inception of the Veterans Affairs Servicing Purchase Program, or VASP, in May of 2024, over
- Many parents are concerned about disruptions to programs and services that ensure that the 7.5 million
MN
Transcript Highlights:
- . services. services.
- with an agency, facility, or services with an agency, facility, or program.<00:49:58.200>
This <01:30:39.280>- . services. services.
- RPAMN vehemently opposes fraud in our human services programs and strongly supports the law enforcement
programs human services programs human services programs and<01:30:40.840><
NH
New Hampshire 2025 Regular Session
House Finance Division II (01/29/2025)
Transcript Highlights:
- which policing services or cops program which policing services or cops program which help<02:43:
- Page 26 are key programs and services. What funds the fire fund?
- and servic down page 26 are Key Programs and servic down what<02:57:53.319>
funds <02:57:53.680 - Page 26 are key programs and services, including specialized firefighter and Emergency Medical Services
- Page 29 highlights the key programs and services provided by the division, showcasing its comprehensive
Summary:
The Division 2 Finance Committee heard an overview and budget presentation from New Hampshire Fish and Game, led by new Executive Director Stephanie Simi and Business Division Chief Kathy Leonti. The agency described its mission to conserve and manage fish, wildlife, and marine resources, and emphasized growing pressures from disease, climate impacts, habitat change, and increased public demand. Simi said the department is largely funded by hunting and fishing license revenue and federal grants, is reviewing staffing and internal processes, and faces critical needs including permanent funding for environmental review staff, infrastructure and IT modernization, and possible service reductions if additional support is not found.
Members asked about specific program and policy issues, including chronic wasting disease in deer, hemorrhagic disease in rabbits and hares, moose population decline, and a proposed bait-disease bill. The department said it is actively monitoring diseases and did not see a need for the bait bill at this time. Legislators also discussed the Hike Safe program, which the department said has grown from an expected $100,000 annually to more than $300,000, and a possible boating version of that program, which the department said remains under consideration but would involve complex logistics and multiple agencies. Questions were also raised about rescue costs, out-of-state hikers, and whether boat registrations could be used as a revenue source; Fish and Game said boat registration is handled by the Department of Safety, though the department receives $5 per registered boat for the public boat access program.
The budget discussion focused on revenue projections, use of unrestricted Fish and Game funds, and dependence on federal reimbursements. Leonti said the department met the governor’s general fund target but not the Fish and Game fund target without using surplus unrestricted funds, leaving only about $100,000 in the fund by the end of the biennium. She said the budget uses more than $18 million in Fish and Game funds annually against about $14 million in unrestricted revenue, and that five of 193 full-time positions remain unfunded. The department warned that if federal grants were halted, it could cost about $5 million over five months and force the Fish and Game fund to cover the gap. Committee members also requested that future presentations be sent electronically in advance, and the department agreed to do so.
NM
New Mexico 2025 Regular Session
IC - Legislative Education Study Nov 19th, 2025
Transcript Highlights:
- under each program.
- Mississippi has two programs, Ohio has five programs, and Wisconsin has four programs.
- Florida has two programs, and Tennessee has two programs.
- There are some voucher programs, ESA programs, tax credit scholars, and other scholarship programs across
- With respect to ESA programs, some data around what program funds are being used for.
OK
Oklahoma 2026 Regular Session
Rethinking Paying Subminimal Wage to Persons with Disabilities Task Force Apr 24th, 2026
Transcript Highlights:
- We talked to program managers over programs that support 14(c), or who provide supports for individuals
- So if someone came into a program and decided that they wanted to go ahead and start that program, that
- , they do have technical assistant programs for VR programs that can address some of these issues as
- Some of them went into, you know, different services throughout their service system.
- services.
Summary:
The meeting was a 14(c) Task Force hearing focused on employment experiences of Oklahomans with disabilities and the state’s use of subminimum wage. Numerous self-advocates and workers testified about their jobs, accommodations, pay, transportation barriers, and the importance of community integration. Several speakers described positive experiences in competitive or community jobs, while others recounted being underused, fired without explanation, or paid by piece rate or minimum wage in sheltered or enclave settings. Many emphasized that fair pay, independence, ABLE accounts, and supportive employers matter to them, and several said they want future careers, promotions, or even to own businesses and help others with disabilities find work.
Task force members discussed recurring themes from the testimony: transportation as a major barrier, the importance of community and self-advocacy, employer misconceptions and stigma, the need for better transition services from school to work, and the difficulty families face navigating benefits and employment systems. Members also raised concerns about people being fired without explanation and about the need for meaningful options for those not ready for competitive employment. Suggestions included more employer education, reverse job fairs, job coaching, benefits planning, better coordination between DDS and DRS, and stronger transition supports in schools and through programs like Project SEARCH.
Staff then presented research on how other states have phased out or eliminated 14(c) certificates. Examples included Kansas, Illinois, Indiana, Oregon, Pennsylvania, and Washington, with common approaches such as phase-out timelines, technical assistance, provider transition plans, and support for competitive integrated employment. The presenters noted that Oklahoma still has 40 entities using 14(c), most of them DDS providers, but many providers are already moving away from it. Members discussed potential unintended consequences, the need for a clear timeline, the possibility of blending or braiding services, and whether Oklahoma should create a more one-stop, employer-friendly system. No votes were taken, and the group agreed to continue gathering information and return in June to begin shaping priorities and possible policy directions.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 6 on Public Safety Mar 3rd, 2025
Transcript Highlights:
- programs.
- But again, and trying to maintain rehabilitate programs and healthcare services and all those other essential
- programs, the reentry programs. programs, and all these rehabilitative programs, that agreement to not
- So those programs I would.
- programs from.
NM
New Mexico 2026 Regular Session
House - Appropriations and Finance Jan 15th, 2026 at 01:32 pm
House Appropriations & Finance
Transcript Highlights:
- And why do we service debt?
- Turning to program support, we Can see the total differences are mostly in the personal services and
- That's the State Procurement Services Program, also called the State Purchasing Division of the Department
- State Printing Services.
- So that transfer out of the Risk Management Program into Program support is significantly lower in the
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 7 on Accountability and Oversight Mar 11th, 2025
Transcript Highlights:
- , as well as many of the programs that California runs through DHCS, Many of the programs that California
- There are exits to programs.
- We clearly need more supportive services, more treatment and recovery-focused services.
- We clearly need more supportive services, more treatment and recovery focused services.
- They shouldn't grow up in our programs.
Summary:
The Assembly Budget Subcommittee on Accountability and Oversight held a hearing on California’s homelessness funding, focusing on the Homeless Housing Assistance and Prevention (HAP) Grant and the Encampment Resolution Grant Program. HCD described new accountability requirements, including regional action plans, stronger reporting and expenditure conditions, housing-element compliance, encampment response plans, and public dashboards that track fiscal spending, service outcomes, and encampment resolution status. Officials said the goal is to use the data to identify underperforming grantees, provide technical assistance, and, if needed, withhold or reallocate funds.
Local officials from San Diego, Fresno, and Santa Cruz said the programs have helped expand shelter, outreach, and permanent housing, and that state dollars have leveraged local and federal resources. Mayor Todd Gloria said San Diego has used HAP to expand shelter and safe sleeping options, reduce downtown encampments, and increase housing production, but argued the state’s new accountability website is too high-level and does not fully reflect countywide conditions, behavioral health outcomes, or the role of continuum-of-care partners. Fresno officials said HAP and other state funds helped the city add shelter beds and reduce homelessness, while Santa Cruz emphasized that state funding helped build local coordination and draw in federal vouchers.
Members pressed the panel on whether HAP is actually reducing homelessness, what the best success metrics should be, and whether the state is getting full, usable data from grantees and subcontractors. Several members asked for more granular jurisdiction-level reporting, better tracking of nonprofit spending, and clearer measures beyond point-in-time counts and “people served.” HCD said it is still improving HMIS participation and data quality, but can already show outcomes such as exits to permanent housing and returns to homelessness. The hearing ended with broad agreement that transparency is important, but disagreement remained over the best measures of success and how much emphasis should be placed on housing, prevention, shelter, and treatment.
TX
Texas 89th 2nd C.S.
Homeland Security, Public Safety & Veterans' Affairs Apr 23rd, 2025
Homeland Security, Public Safety & Veterans' Affairs
Transcript Highlights:
- I use this program, which is an optional program. It's not an automatic program.
- So not only is this program shown to be counterproductive, it is duplicative of the services that are
- Our role is limited to the service provision, shelter services, non-residential services, and community
- And instead it's free service, free service. Oh, no, no. Yay, back the blue.
- And instead it's free service. Free service. Oh, no, no, you can't get paid.
Summary:
The committee heard testimony on several public safety, criminal justice, and regulatory bills. HB 4995 would create a training and certification program allowing licensed physicians and certain EMS personnel assigned to tactical units to carry firearms during high-risk deployments, with supporters saying it would let tactical medical staff protect themselves while providing immediate care; the bill was left pending. HB 2609 would repeal the failure-to-appear-or-pay/OmniBase license-hold program, with the author and advocates arguing it creates compounding debt and unnecessary barriers to driving, while judges and municipal court representatives said the program is a voluntary, cost-effective tool that improves court appearances and reduces warrants; the bill was also left pending. HB 4879 would create a grant program to help local law enforcement pay for lab testing of suspected hemp/Delta-9 THC substances, and HB 5436 would let licensed auto recyclers buy certain untitled vehicles for scrap or parts to curb illegal sales, VIN cloning, and chop shops; both measures were left pending after brief testimony in support.
The committee also heard HB 1777, which would require a discrete designation on driver’s licenses and state IDs for people required to register as sex offenders. The author and supporters argued the marker would help law enforcement and businesses quickly identify potentially dangerous offenders and prevent harm, while opponents called it a stigmatizing “scarlet letter” that would increase harassment, family harm, and reintegration barriers. The bill was left pending. HB 4155 would create a two-year Family Violence Criminal Homicide Prevention Task Force in the Governor’s Office to study family violence homicides, gather stakeholders, and recommend policy changes; the author, HHSC, the Texas Council on Family Violence, and a survivor testified in support, and the bill was left pending.
The committee also heard HB 4514, which would authorize DPS to use facial image verification, with consent and privacy safeguards, to help businesses confirm identities and combat fraud; supporters from the lumber and identity-verification industries said it would reduce theft and fraud, and the bill was left pending. Finally, HB 5139 would clarify that peace officers and jailers are justified in using less lethal force weapons when acting within training and official duties; law enforcement groups supported the measure as a way to encourage use of less lethal tools without fear of prosecution, and testimony was underway when the transcript ended.
NH
New Hampshire 2026 Regular Session
Joint Legislative Performance Audit Oversight Committee (02/06/2026)
Transcript Highlights:
- Services. Services.
- about the special education program. about the special education program.
- program audit. program audit.
- . program. program.
- and Human Services. and Human Services.
Summary:
The Legislative Performance Audit and Oversight Committee approved the November 7 minutes with three abstentions and then received status updates on several ongoing audits. Audit staff reported that the special education oversight audit was in report-writing, with 34 of 71 observations completed and a draft expected in the second quarter and a final report in the summer. The education freedom accounts audit had 22 of 41 observations completed, with a draft also expected in the second quarter and a final report in the summer. The Doorway program audit had 5 of 13 observations completed, with a draft expected by the end of February and a final report by April or May.
The committee then discussed possible new oversight topics, prompted by concerns about fraud in other states and the need to ensure New Hampshire programs are not vulnerable. Members suggested hearing from DHS officials, contract administrators, and possibly the Department of Justice Medicaid fraud unit about SNAP and other programs, as well as reviewing staffing levels in HHS contract management. There was also discussion of whether to revisit the Bureau of Elderly and Adult Services, though members noted that prior work on that area had been suspended because of litigation.
A representative from HHS, Teresa Narrow, briefed the committee on the Bureau of Developmental Services. She said the state had been in compliance with CMS since July 1, 2023 after resolving issues tied to a system redesign and billing changes, and that provider-side billing problems had also been fixed. She also described three existing bodies involved in developmental disability housing oversight, including the Council on Housing Stability, the ABLE Housing Task Force, and a legislative study committee created by HB 168 in 2024. Committee members asked for her notes to be shared.
The committee spent substantial time debating whether to pursue a new special education audit at the school-district level. Members discussed the need to examine why some districts have much higher special education rates and costs than others, and whether a statistically selected sample of schools could be used. Audit staff said no new audits could begin until about May or June and that only a couple of auditors would then be available. Members also noted that a legislative study committee is already working on special education and may issue a report later this year, and the committee appeared to leave the school-level audit idea as a potential future item rather than taking immediate action.
TX
Transcript Highlights:
- HB 300 by Wilson-Early. to the scholarships under the Texas Armed Services Scholarship Program for the
- HB 2465 by Reynolds relating to funding the agriculture programs in.
- Refer to the Committee on Human Services.
- Committee on Human Services, HB 2574 by Harrison.
- Driving Texas Families Program for the Committee on Public Health.
UT
Utah 2025 Regular Session
Health and Human Services Interim Committee - November 19, 2025
Health and Human Services Interim Committee
Transcript Highlights:
- Welcome to the Health and Human Services Interim Committee meeting.
- , mental health services, and all of that.
- of Correctional Health Care Services.
- And so they have interpreted that to mean their medical services.
- Who is leading our Rural Health Transformation Program efforts.
FL
Transcript Highlights:
- So, but our boards drive decision-making and choice of program services.
- and programs.
- services?
- How about finance services?
- We have to stop and look at programs first. Is that program economically feasible?
Summary:
The Senate Education Pre-K-12 Committee met to discuss the needs of rural school districts and the role of Florida’s three regional education consortia: the Panhandle Area Education Consortium, Northeast Florida Educational Consortium, and Heartland Educational Consortium. Executive directors and several rural superintendents described the consortia as member-led organizations that provide shared services, professional learning, leadership development, grant support, cooperative purchasing, risk management, IT/cybersecurity help, and back-office assistance that small districts could not afford to provide on their own. They emphasized that rural districts are often very small, have limited staff, and must still meet the same state reporting and compliance requirements as large urban systems.
Testimony focused heavily on teacher recruitment and retention, alternative certification, and the difficulty of staffing specialized roles such as CFOs, MIS directors, IT staff, and content-area teachers. Superintendents said many new hires are career changers or alternatively certified teachers who need consortium-supported training, and several argued for more flexibility in funding so districts can raise salaries and compete with neighboring districts and nearby states. Members also asked about the impact of declining enrollment, homeschooling, and voucher-related school choice; superintendents said those trends are reducing FTE and creating budget instability, while also requiring districts to right-size staff and programs.
Several speakers described the financial strain on rural districts, including rising insurance costs, transportation costs, and the challenge of forecasting budgets when enrollment changes after the school year begins. One superintendent recounted major hurricane damage and said consortium risk-management support was essential to recovery. Others said the consortia help districts pool resources for property and health insurance, payroll, student data systems, and procurement, and that this shared approach saves money and improves services. No votes or formal committee actions were taken during the meeting.