Video & Transcript Research : 'foster placement'

Page 20 of 288
AR

Arkansas 2026 Regular Session

JOINT BUDGET COMMITTEE Mar 5th, 2026

JOINT BUDGET COMMITTEE

Transcript Highlights:
  • The appropriation that’s listed on line two is for payments for foster care placements of children who
  • How many children do we currently have in the foster care system?
  • as private, like private license placement agencies, growing foster homes, that kind of thing is the
  • placement contracts for kids in foster care.
  • Foster care. Placement child’s placed a month. A month later, it’s taken away.
Summary: The committee heard budget presentations and took executive recommendations on several Department of Human Services divisions, including Aging, Adult and Behavioral Health Services; Children and Family Services; County Operations; Developmental Disability Services; and Medical Services, with most divisions showing little or no significant change in total appropriations. Staff and agency witnesses repeatedly explained that many large appropriations are maintained for flexibility, federal matching requirements, or contingency needs, even when actual spending is much lower than the authorized amount. Members also raised concerns about staffing vacancies, long-vacant budgeted positions, and the use of excess appropriation authority across DHS. In Aging, Adult and Behavioral Health, members questioned federal funding levels for mental health and substance abuse grants, the status of senior centers and Meals on Wheels, the Medicaid tobacco settlement program, community alcohol safety grants, and the veterans mental health grant. Agency officials said federal block grants are largely committed, that senior center funding had been delayed by shutdown timing but was now back on track, that the tobacco settlement program had been moved internally within DHS, and that the veterans mental health appropriation remains unfunded. Senators also criticized the adequacy of support for seniors and asked for more detail on how transportation, meal services, and local contributions are funded. In Children and Family Services, members asked about rising appropriation levels, foster care and adoption subsidies, professional fees, the number of children in foster care, and the Children’s Trust Fund. DHS said increases reflect added flexibility for residential treatment, adoption subsidies, and prevention services, while the foster care population has remained fairly steady at about 3,400 children. The Children’s Trust Fund was described as supporting primary prevention programs such as Baby and Me and community schools, and members asked whether it could be administratively combined with other efforts. Questions also covered TANF subgrants, with DHS explaining that it had reduced outside subgrants after discovering over-obligation and was rebuilding reserves. In County Operations, members focused on the summer EBT program, SNAP employment and training, the farmer’s market program, and the state’s TANF reserve position. DHS said summer EBT is still being funded through temporary appropriations because it is a newer program, SNAP employment and training is largely federally funded and may expand under a pending policy change, and TANF reserves were drawn down after prior over-obligation but are now being stabilized. In Developmental Disability Services, members asked about vacancies, human development center staffing, facility construction funds, and the Booneville work program, and DHS said the program has reopened and staffing recruitment continues. In Medical Services, members asked about FMAP, the Our Kids B CHIP program, school-based Medicaid reimbursements, nursing home distress funds, and several large appropriation lines that far exceed actual spending; DHS said these are maintained for claims payment, nursing home receivership contingencies, and other flexibility needs. Each division reviewed was adopted by executive recommendation after questions concluded.
MN

Minnesota 2025 1st Special Session

Committee on Health and Human Services - 03/13/25

Health and Human Services

Transcript Highlights:
  • He came into our lives at age 6 as an emergency foster care placement in the middle of the night.
  • He's been awaiting placement since mid-September.
  • The full process of establishing community placement is improved.
  • Foster Care” to relay the fact that children are accessing treatment.
  • Instead of “out-of-home placement,” we want to use the term “residential treatment” or “Therapeutic Foster
Keywords: 1187, senate, all
MN

Minnesota 2025 1st Special Session

House Children and Families Finance and Policy Committee 4/8/25

Children and Families Finance and Policy

Transcript Highlights:
  • with uh relative foster care payments. with uh relative foster care payments.
  • <00:11:02.480> youth line 1469 is the office of foster youth line 1469 is the office of foster
  • I am a foster youth outreach and engagement specialist for the Office of the Foster Youth Ombudsperson
  • Thank you for your time. treatment center, foster family, out of treatment center, foster family, out
  • And because created by and for fosters.
Bills: HF2436
AL

Alabama 2025 Regular Session

Alabama House Children and Senior Advocacy Committee Mar 19th, 2025

Children and Senior Advocacy

Transcript Highlights:
  • And I while they were in foster care.
  • of foster care when it's not necessary.
  • in foster care. know is that no child stays in foster care without a judicial order.
  • So, it takes a judge to keep a child in foster care.
  • When you look at the foster care parent and the foster children, the foster care parent and the foster
Bills: SB140, HB235, HB276, HB317, HB340
FL

Florida 2025 Regular Session

House in Session Apr 9th, 2025

Florida House Floor Meeting

Transcript Highlights:
  • The amazing group of youth who have aged out of foster care.
  • There truly is a concern on advanced placement and dual enrollment classes.
  • You are not competitive unless you can take the Advanced Placement classes.
  • CS for CS HB 9 family foster home streamlines the Licensure application process for licensed foster parents
  • This will help reduce delays for experienced foster parents, ensuring care for children in foster care
AR

Arkansas 2026 1st Special Session

ALC-CLAIMS REVIEW/LITIGATION REPORTS OVERSIGHT Mar 16th, 2026

ALC-CLAIMS REVIEW/LITIGATION REPORTS OVERSIGHT

Transcript Highlights:
  • The Claims Commission allowed the claim and referred it for review and placement on an appropriation
  • The Claims Commission allowed the claim and referred it for review and placement on an appropriation
  • The Claims Commission allowed the claim and referred it for review and placement on an appropriation
  • The Claims Commission allowed the claim and referred it for review and placement on an appropriation
  • The commission then referred the award to the General Assembly for review, approval, and placement on
Summary: The committee first reviewed litigation reports from the Department of Labor and Licensing involving wage claims brought under the Arkansas Minimum Wage Act. Members questioned the department’s authority, jurisdiction, use of attorney fees and costs, and whether defendants had to be licensed. The department explained it has long enforced wage and overtime laws, that the claims were small-dollar cases handled by investigators and counsel, and that one case had been paid and dismissed while others were unresolved or had service issues. The committee voted to review or batch-file the labor cases after discussion. The University of Arkansas System then reported three pending lawsuits: an age- and race-discrimination claim by a tenured professor that was resolved early; an ADA/FMLA retaliation claim by a former employee that survived in part on a motion to dismiss and was moving into discovery; and a Section 1983 claim against a UAMS sergeant arising from a parking-ticket dispute, with the university explaining that only punitive damages could create personal exposure for the officer. The committee reviewed each report and voted to accept them. The Department of Finance and Administration presented a proposed tax settlement reducing a sales-and-use tax assessment from about $48,000 to $20,000 and waiving interest and penalties, which the committee approved for review. The Claims Commission then presented several claims: an unpaid salary differential for a Department of Health employee, reissued warrants, unpaid DHS bills, and multiple negotiated settlements involving ATRS, UAMS, Arkansas State Police, and ARDOT. Members approved or affirmed most of these items, including a $65,000 settlement in the Tetronics/ATRS matter, a $150,000 medical-negligence settlement, and several vehicle-accident settlements. The most extended debate involved a tax-delinquent property sale claim by Sharon Greer and relatives. The claimant argued they were not properly notified and sought the $4,200 excess from the 2009 sale. Land Commissioner counsel explained the excess had escheated to the county after the statutory claim period expired, while members debated sovereign immunity, standing, heirs, and whether the committee could or should award money anyway. The committee ultimately chose to hold the matter over for further review in a future joint session rather than decide it immediately. The committee also heard appeals from dismissed claims, including a UAMS medical-negligence claim, a land-sale notice claim, a pothole claim against ARDOT, and a judicial-immunity claim against the Court of Appeals; most dismissals were affirmed, and the Simpson matter was held over for additional review after the claimant testified.
TX

Texas 89th Regular

Health and Human Services Apr 30th, 2025

Health & Human Services

Transcript Highlights:
  • , are some of our most vulnerable children in the foster care system.
  • care changes placement, they lose six months of academic progress.
  • The grandfather was told These children were removed and placed into foster care.
  • being fostered at 12, 13, and 14 years old.
  • We have children aging out of foster care without a high school diploma or a GED.
Summary: The committee met with a quorum and announced it would vote on pending bills at 10:30, with public testimony limited to two minutes. It first took up Senate Bill 905, a TDLR cleanup bill on licensing regulation of speech-language pathologists and audiologists. Senator Zafferini said the committee substitute would streamline advisory board consultation, remove obsolete provisional licenses, and allow any licensed physician to authorize hearing instruments for minors; the substitute was adopted and the bill left pending. The committee then heard House Bill 451, which would require universal screening for commercial sexual exploitation risk for children in DFPS conservatorship and youth under TJJD jurisdiction. The author and witnesses from Children at Risk, the Fort Bend Anti-Trafficking Collective, and Texas CASA supported the bill as a prevention tool with existing infrastructure and training; the committee adopted the substitute and left the bill pending. The committee next considered Senate Bill 466, which would clarify that families may request a fetal death certificate at any gestational age, while keeping existing filing requirements for physicians. A constituent father testified about losing his 11-week-old daughter and being told he could not obtain a certificate, which he said prevented funeral arrangements; the substitute was adopted and the bill left pending. Senate Bill 2311 followed, requiring residential treatment centers to have a written agreement with the school that will educate resident children before becoming operational. The author cited a local dispute where an RTC and school district lacked communication, and witnesses from Texas CASA and Disability Rights Texas supported clearer educational planning while suggesting the Education Code may need conforming changes; the bill was left pending. The committee then heard Senate Bill 2826, known as Alyssa’s Law, which would create a statewide education program on medical child abuse for medical students, health care professionals, and CPS caseworkers. The author and Sheriff Bill Weyburn described Alyssa’s case as involving repeated unnecessary surgeries and argued the bill would improve awareness and early identification, while several witnesses and members raised concerns about false accusations, impacts on medically fragile children, and the need for scientific, peer-reviewed training and safeguards. After extensive discussion, the chair left the bill pending. The committee also heard House Bill 136, which would add certified lactation consultants as Medicaid providers to expand breastfeeding support; witnesses from lactation and nutrition fields said the bill would improve access, maternal and infant health, and long-term savings, and the bill was left pending. Finally, the committee took up Senate Bill 2805, a surprise-billing/arbitration measure that would clarify provider identifiers and shift arbitration costs to the losing party. The author said the substitute was a legislative counsel draft with no substantive difference, and witnesses from the Texas Medical Association, Texas Society of Anesthesiologists, and U.S. Anesthesia Partners supported the bill as a modest improvement that would reduce administrative confusion and make arbitration fairer without weakening patient protections. Members discussed how arbitration costs affect settlement behavior and how to define the “winner” in close cases. The bill was heard but not voted out during this segment.
TX

Texas 89th Regular

Senate Session Mar 25th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • And number 25 for best career job and placement services in the United States.
  • We've talked about the foster care system for years and how expensive it is.
  • Effective placement of a child. Yes.
  • Kinship placements at a higher rate.
  • Senate Bill 2286 by Miles, relating to the creation of an oversight advisory council on foster care placement
Bills: SCR8, SCR25, SB1, SB14, SB24, SB213, SB251, SB315, SB371, SB378, SB379, SB406, SB413, SB472, SB487, SB502, SB502, SB509, SB513, SB513, SB565, SB565, SB583, SB608, SB621, SB650, SB686, SB686, SB707, SB710, SB710, SB761, SB761, SB810, SB815, SB840, SB856, SB875, SB875, SB896, SB896, SB916, SB925, SB958, SB958, SB961, SB965, SB965, SB973, SB973, SB987, SB990, SB995, SB1018, SB1019, SB1146, SB1146, SB1198, SB1252, SB1252, SB1253, SB1253, SB1330, SB1343, SB1362, SB1499, SB1499, SB1532, SB1532, SB1547, SB1547, SB1555, SB1596, SB1596, SJR36, SJR12, SJR57, SCR25, SCR22, SCR12, SCR8, SB565, SB765, SB62, SB666, SB707, SB888, SB687, SB847, SB1248, SB14, SB1006, SB504, SB925, SB995, SB857, SB305, SB296, SB284, SB815, SB1379, SB1497, SB1499, SB1498, SB241, SB304, SB621, SB1023, SB1024, SB686, SB112, SB371, SB204, SB609, SB670, SB502, SB850, SB854, SB413, SB1555, SB1362, SB1346, SB1033, SB1220, SB1073, SB810, SB987, SB1539, SB447, SB875, SB406, SB985, SB965, SB1119, SB1505, SB24, SB1194, SB1253, SB1215, SB1532, SB1302, SB856, SB650, SB583, SB673, SB213, SB681, SB1172, SB1252, SB378, SB1343, SB608, SB487, SB955, SB957, SB988, SB990, SB1019, SB1021, SB1120, SB251, SB958, SB761, SB1, SB541, SB315, SB379, SB1018, SB1737, SB266, SB1415, SB1527, SB125, SB599, SB1330, SB53, SB916, SB896, SB1352, SB973, SB785, SB710, SB472, SB1450, SB1502, SB1566, SB414, SB1062, SB1547, SB961, SB1038, SB513, SB578, SB711, SB746, SB942, SB1404, SB1448, SB1738, SB108, SB8, SB318, SB507, SB533, SB689, SB1026, SB1349, SB1355, SB1433, SB1434, SB1596, SB1403, SB1198, SB1146, SB763, SB667, SB1059, SB617, SB1567, SB503, SB1, SB1555, SR233, SR307, SR310, SR318, SR319, SCR25, SJR72, SJR73, SJR75, SJR77, SJR79, SJR80, SJR81, SJR82, SB2198, SB2201, SB2202, SB2203, SB2204, SB2205, SB2206, SB2207, SB2208, SB2209, SB2210, SB2211, SB2213, SB2214, SB2215, SB2216, SB2217, SB2218, SB2219, SB2220, SB2221, SB2222, SB2223, SB2224, SB2225, SB2226, SB2227, SB2228, SB2229, SB2231, SB2232, SB2233, SB2234, SB2235, SB2236, SB2237, SB2238, SB2239, SB2240, SB2241, SB2242, SB2243, SB2244, SB2245, SB2246, SB2247, SB2248, SB2249, SB2250, SB2251, SB2252, SB2253, SB2254, SB2255, SB2256, SB2257, SB2258, SB2259, SB2260, SB2261, SB2262, SB2263, SB2264, SB2265, SB2266, SB2267, SB2268, SB2269, SB2270, SB2271, SB2272, SB2273, SB2274, SB2275, SB2276, SB2277, SB2278, SB2279, SB2280, SB2281, SB2282, SB2283, SB2284, SB2285, SB2286, SB2287, SB2288, SB2289, SB2290, SB2291, SB2292, SB2293, SB2294, SB2295, SB2296, SB2297, SB2298, SB2299, SB2300, SB2301, SB2302, SB2303, SB2304, SB2305, SB2306, SB2307, SB2308, SB2309, SB2310, SB2311, SB2313, SB2314, SB2315, SB2316, SB2317, SB2318, SB2319, SB2320, SB2321, SB2322, SB2323, SB2324, SB2325, SB2326, SB2327, SB2328, SB2329, SB2330, SB2331, SB2333, SB2334, SB2335, SB2336, SB2337, SB2338, SB2339, SB2340, SB2341, SB2342, SB2343, SB2344, SB2346, SB2347, SB2348, SB2349, SB2350, SB2351, SB2352, SB2353, SB2354, SB2355, SB2356, SB2357, SB2358, SB2359, SB2360, SB2361, SB2362, SB2363, SB2364, SB2365, SB2366, SB2367, SB2368, SB2369, SB2370, SB2371, SB2372, SB2373, SB2374, SB2375, SB2376, SB2377, SB2378, SB2379, SB2380, SB2381, SB2382, SB2383, SB2384, SB2385, SB2386, SB2387, SB2388, SB2389, SB2390, SB2391, SB2393, SB2394, SB2395, SB2396, SB2397, SB2398, SB2399, SB2400, SB2401, SB2402, SB2403, SB2404, SB2405, SB2406, SB2410, SB2411, SB2412, SB2413, SB2414, SB2415, SB2416, SB2417, SB2418, SB2419, SB2420, SB2421, SB2422, SB2423, SB2424, SB2426, SB2427, SB2428, SB2429, SB2430, SB2431, SB2432, SB2433, SB2434, SB2435, SB2436, SB2437, SB2438, SB2439, SB2440, SB2441, SB2442, SB2443, SB2444, SB2445, SB2446, SB2447, SB2448, SB2449, SB2450, SB2451, SB2452, SB2453, SB2454, SB2455, SB2456, SB2457, SB2458, SB2459, SB2460, SJR72, SJR73, SJR75, SJR77, SJR79, SJR80, SJR81, SJR82, SB2198, SB2201, SB2202, SB2203, SB2204, SB2205, SB2206, SB2207, SB2208, SB2209, SB2210, SB2211, SB2213, SB2214, SB2215, SB2216, SB2217, SB2218, SB2219, SB2220, SB2221, SB2222, SB2223, SB2224, SB2225, SB2226, SB2227, SB2228, SB2229, SB2231, SB2232, SB2233, SB2234, SB2235, SB2236, SB2237, SB2238, SB2239, SB2240, SB2241, SB2242, SB2243, SB2244, SB2245, SB2246, SB2247, SB2248, SB2249, SB2250, SB2251, SB2252, SB2253, SB2254, SB2255, SB2256, SB2257, SB2258, SB2259, SB2260, SB2261, SB2262, SB2263, SB2264, SB2265, SB2266, SB2267, SB2268, SB2269, SB2270, SB2271, SB2272, SB2273, SB2274, SB2275, SB2276, SB2277, SB2278, SB2279, SB2280, SB2281, SB2282, SB2283, SB2284, SB2285, SB2286, SB2287, SB2288, SB2289, SB2290, SB2291, SB2292, SB2293, SB2294, SB2295, SB2296, SB2297, SB2298, SB2299, SB2300, SB2301, SB2302, SB2303, SB2304, SB2305, SB2306, SB2307, SB2308, SB2309, SB2310, SB2311, SB2313, SB2314, SB2315, SB2316, SB2317, SB2318, SB2319, SB2320, SB2321, SB2322, SB2323, SB2324, SB2325, SB2326, SB2327, SB2328, SB2329, SB2330, SB2331, SB2333, SB2334, SB2335, SB2336, SB2337, SB2338, SB2339, SB2340, SB2341, SB2342, SB2343, SB2344, SB2346, SB2347, SB2348, SB2349, SB2350, SB2351, SB2352, SB2353, SB2354, SB2355, SB2356, SB2357, SB2358, SB2359, SB2360, SB2361, SB2362, SB2363, SB2364, SB2365, SB2366, SB2367, SB2368, SB2369, SB2370, SB2371, SB2372, SB2373, SB2374, SB2375, SB2376, SB2377, SB2378, SB2379, SB2380, SB2381, SB2382, SB2383, SB2384, SB2385, SB2386, SB2387, SB2388, SB2389, SB2390, SB2391, SB2393, SB2394, SB2395, SB2396, SB2397, SB2398, SB2399, SB2400, SB2401, SB2402, SB2403, SB2404, SB2405, SB2406, SB2410, SB2411, SB2412, SB2413, SB2414, SB2415, SB2416, SB2417, SB2418, SB2419, SB2420, SB2421, SB2422, SB2423, SB2424, SB2426, SB2427, SB2428, SB2429, SB2430, SB2431, SB2432, SB2433, SB2434, SB2435, SB2436, SB2437, SB2438, SB2439, SB2440, SB2441, SB2442, SB2443, SB2444, SB2445, SB2446, SB2447, SB2448, SB2449, SB2450, SB2451, SB2452, SB2453, SB2454, SB2455, SB2456, SB2457, SB2458, SB2459, SB2460
KY
Transcript Highlights:
  • paid leave for birth, adoption or foster paid leave for birth, adoption or foster parent.<00:04:
  • And this is for childbirth, foster care, adoption, or for medical needs.
  • We experience life events, births, adoptions, foster placements, medical emergencies, and the list goes
  • <00:18:04.320> placements,<00:18:05.039> medical adoptions, foster placements, medical
  • adoptions, foster placements, medical emergencies,<00:18:06.480> and<00:18:06.720> the
Keywords: 958, all
Summary: The committee met with a quorum, approved the minutes, and then took up several administrative regulations. The first was an Office of the Attorney General regulation creating an online submission process for an annual certification report to replace prior quarterly notarized certification forms; there were no amendments or questions. The main discussion centered on Personnel Cabinet regulations 101 KAR 2:034, 2:102, 3:015, and 3:045, which include staff-suggested technical amendments and address state employee compensation and leave. The compensation provisions clarify salary and rehiring/demotion rules, increase critical position premiums from one to three, and update weekend premium and ACE award practices. The leave provisions would provide up to six weeks of paid leave per 10-year interval for birth, adoption, foster placement, or a serious health condition, and allow one paid adverse-weather day per year with supervisor approval. Staff explained that annual and sick leave already accrue and roll over, and that the new six-week benefit was intended as an additional enhancement tied to the 10-year and 20-year sick-leave milestones.
TX
Transcript Highlights:
  • The foster parents were very happy and grateful.
  • Individuals are preventing children from going into the foster care system.
  • I come before you today as a product of the Texas foster care system.
  • If you look in the packet, the very first one is my daughter's foster dad.
  • in foster care, are specifically prioritized.
Bills: SB1, SB 1
KY
Transcript Highlights:
  • a basis for terminating adoption petitions, terminating parental rights, or petitions involving placement
  • <00:02:46.800> of<00:02:46.959> children<00:02:47.680> at uh involving placement
  • of children at uh involving placement of children at this<00:02:47.959> time<00:02:48.120>
  • I talked to other foster parents who've had issues, and it just seems like when you're asking people
  • <00:17:15.480> parents prior I talked to other foster parents prior I talked to other foster
Summary: The committee first took up Senate Bill 26, presented by Senator Brandon Storm, Family Court Judge Marcus Vanover, and Crystal Adams on behalf of the Kentucky Judicial Commission on Mental Health. The bill would ensure Kentucky complies with the ADA by prohibiting disability alone from being used to terminate adoption petitions, parental rights, or child-placement petitions. Testimony cited Kentucky Supreme Court and Court of Appeals cases involving parents with intellectual or developmental disabilities and national data showing high removal rates for parents with psychiatric, intellectual, or physical disabilities. The committee approved the bill 15-0 with favorable expression. The committee then heard Senate Bill 85 from Senator Steve Meredith and State Auditor Allison Ball, which continues the transition of the Office of the Ombudsman from the Cabinet for Health and Family Services to the Auditor’s office. Testimony focused on completing the transfer by clarifying access to the ITWIST database, ensuring complaints go directly to the Ombudsman, adding whistleblower protections, and making the office a separate office within the Auditor’s office for efficiency. Members asked about the prior conflict of interest when the Ombudsman was housed within CHFS, the database access dispute and lawsuit, and whether the office still remained independent. The bill passed with favorable expression after some members voted pass. Finally, the committee considered House Bill 805, with Representative Nick Wilson and Representative Sarah Stalker explaining a committee substitute and amendment. The bill would set timelines for the Cabinet to physically locate children reported at immediate safety risk and require annual kinship-care reporting to be automatically provided to the legislature and posted publicly. Wilson said the bill also cleans up language from last year’s House Bill 271, including changing “threats” to “risks” in the safety-plan definition and other terminology fixes. The committee adopted the substitute and amendment and advanced the bill with favorable expression.
FL

Florida 2026 Regular Session

Children, Families, and Elder Affairs Jan 14th, 2025

Children, Families, and Elder Affairs

Transcript Highlights:
  • What was done is we took census counts for all the different types of placements you had.
  • Old kids cost more than three-year-old kids from a foster care group home standpoint, right?
  • I dealt with the foster care system and kids for about 30 years, and a lot of the reimbursements and
  • So many of these children in the foster care system are very ill.
  • So when they were doing the calculations for what they were going to reimburse a foster care parent to
Summary: The committee heard a presentation from Dr. Kelly O’Dare on first responder behavioral health access, peer support, and suicide prevention. She described UCF Restores, the Second Alarm Project, and related partnerships that provide culturally competent treatment, peer training, clinician education, disaster response support, and behavioral health navigation. She cited survey and state data showing significant rates of sleep problems, anxiety, depression, substance use, and suicide among Florida first responders, and said evidence-based treatment has helped many patients recover, including a reported 76% who no longer met PTSD diagnostic criteria after treatment. Senators asked about measuring outcomes, peer support standards, and whether the state should create more consistent statewide requirements; O’Dare said peer support training must be specialized, linked to higher levels of care, and supported by sustainable funding and statewide coordination. The committee also heard from a public commenter who supported the work and emphasized the need for adequate resources and peer support infrastructure. The committee then received a Department of Children and Families presentation from Casey Penn on the proposed funding methodology for community-based care lead agencies under HB 7089. Penn explained that the new model is intended to be actuarially based, reimbursement-oriented, and more transparent than prior funding approaches, using historical expenditures, standardized reporting, and two main tiers: Tier 1 for largely fixed administrative and operational costs, and Tier 2 for direct child-serving costs based on per-child-per-month blended rates. He said the model includes a 2% risk corridor for Tier 2, hold-harmless funding in the first year, and optional Tier 3 performance incentives, with an estimated additional state appropriation need after offsets. Senators raised concerns about prevention, historical inequities, reasonableness of costs, administrative overhead, blended state and federal funds, adoption subsidies, high-acuity placements, and disaster-related disruptions. Penn said some of those issues could be addressed in future iterations as the child welfare information system is modernized, and he agreed to provide written responses to committee questions. Representatives of the Florida Coalition for Children and CBCs responded that the model is a major improvement but urged additional safeguards, including an administrative cap, clearer separation of direct and indirect costs, and better treatment of federal and pass-through funds. They argued that the system already has oversight and that deficits reflect insufficient appropriations rather than excess spending, while also noting that higher-acuity children and regional differences can drive costs. No votes were taken on either topic, and the meeting ended with committee staff introductions and adjournment.
MN

Minnesota 2025 1st Special Session

House Human Services Finance and Policy Committee 3/5/25

Human Services Finance and Policy

Transcript Highlights:
  • In addition, there are 22 private child foster care licensing and placement agencies that provide fee-based
  • foster care licensing and placement foster care licensing and placement agencies<00:18:54.280>
  • agencies that provide fee based foster agencies that provide fee based foster care<00:18:56.720>
  • as well as out- of Home placements as well as Foster<00:19:25.640> and<00:19:25.840> kinship
  • child care providers and child foster child care providers and child foster care<00:37:21.599>
Keywords: 1183, house
HI

Hawaii 2025 Regular Session

HHS Informational Briefing 04-09-2025

Hawaii Senate Floor Meeting

Transcript Highlights:
  • So I was a foster emergency foster parent. Okay.
  • However, there are times when we have a high percentage of family foster placements where they're related
  • <00:47:39.200> placements<00:47:39.680> where of family foster placements where of
  • family foster placements where they're<00:47:40.240> related<00:47:41.200> to<00:47:41.680
  • of foster parents and training of foster of foster parents and training of foster parents<01:24:
Keywords: 912, senate, all
HI

Hawaii 2025 Regular Session

PBS Info Briefing - Mon Oct 6, 2025 @ 10:00 AM HST

Hawaii House Floor Meeting

Transcript Highlights:
  • >> I represent District 32, Moanalua, Red Hill, Halawa, Lower Aiea, Pearl Ridge, Aloha Stadium, Foster
  • Halava, Lower A, Pur Ridge, Aloa Hill, Halava, Lower A, Pur Ridge, Aloa Stadium,<00:07:29.120> Foster
  • <00:07:29.599> Village, Stadium, Foster Village, Stadium, Foster Village, >> and<00:
  • And so, the need is awaiting placement. And so, the need is certainly<00:42:32.480> there.
  • And so the most challenging pathway is someone who needs long-term nursing care placement.
Keywords: 910, house, all
Summary: The Committee on Public Safety held an informational briefing on best practices for medical or compassionate release programs used by correctional systems nationwide and how Hawaii’s current approach compares. Kristen Johnson of the Hawaii Correctional System Oversight Commission introduced Molly Crane of Families for Justice Reform, noting that the commission, the Department of Corrections and Rehabilitation, and the Hawaii Paroling Authority have all been involved in developing proposed legislation, though the bill itself was written by community advocate Bob Merse. Crane described FAM’s work on justice reform and said the group has studied compassionate release programs across the country, including federal reforms, to help Hawaii align with best practices. Crane argued that compassionate release is intended for people who are too ill or cognitively impaired to pose a public-safety risk and who are often the most expensive and resource-intensive people to incarcerate. She said Hawaii is the only state without a compassionate release statute and currently relies on an agency policy, which she described as complex and slow. She cited examples of severe medical cases in custody, including people with advanced dementia, multiple sclerosis, kidney failure, and hospice needs, and said the burden on correctional medical staff, overtime, off-site transport, and specialized care can consume a disproportionate share of staff time and state resources. She also said the recidivism rate for this population is under 1 percent, citing Vera Institute research. Members asked about the source of the recidivism figure, how a statute would streamline the process, and why the issue had not advanced in the past. Crane said the proposed bill would reduce layers in the process by moving cases from the medical director to the director and then to the Hawaii Paroling Authority, with a target timeline of about 30 business days from petition to hearing. Johnson said prior efforts failed in part because the agencies most affected were not included early in drafting and revision, and she said one attempt was vetoed, another was removed in conference committee, and another passed one chamber but did not advance. Johnson also explained that incarcerated people’s medical care is paid entirely by the Department of Corrections and Rehabilitation, with no private insurance or Medicaid/Medicare coverage while incarcerated, making severe cases a direct burden on state funds. No votes or formal actions were taken because the briefing was informational only.
FL

Florida 2025 Regular Session

November 5, 2025 - 03:30 PM

Transcript Highlights:
  • This bill also consolidates and streamlines the processes for involuntary inpatient placement and outpatient
  • placement by eliminating those separate judicial processes and instead referring solely to involuntary
  • from the Commission on Mental Health and Substance Use Disorder to create regional collaboratives to foster
  • from the Commission on Mental Health and Substitute Disorder to create regional collaboratives to foster
  • Previously, they would send children home from a Baker Act crisis, waiting for placement and maybe on
Summary: The Human Services Subcommittee met to receive an update from the Florida Department of Children and Families on implementation of House Bill 7021, which revised the Baker Act and Marchman Act and was funded with a $50 million appropriation. Deputy Assistant Secretary Bill Hardin reported that the department has updated reference guides, training, administrative rules, and forms; launched regional behavioral health collaboratives; and created the Office of Children’s Behavioral Health Ombudsman. He said early data show continued declines in Baker Act use, high diversion rates from involuntary examinations through 988, mobile response teams, and care coordination, along with generally positive provider feedback on changes such as allowing psychiatric nurses to initiate emergency treatment orders and clarifying the 72-hour examination period. Hardin also described Marchman Act changes, including a streamlined petition process, remote testimony, improved discharge planning, and a new annual data report. He said the department has completed or is completing multiple training courses for providers and law enforcement, and has adopted or is finalizing numerous rules and forms. He reported that the regional collaboratives are identifying common statewide needs such as service capacity, resource sharing, funding flexibility, and peer support, while the ombudsman office is handling complaints and helping families navigate services. Members asked about whether the current funding is sufficient, future budget needs, outreach for the new ombudsman office, and services for juveniles. Hardin said DCF has posted legislative budget requests for additional forensic FACT services and short-term residential treatment beds, including children’s beds, and noted the ombudsman office is staffed with two FTEs and supported through existing complaint-management and regional systems. He said outreach is being done through regional collaboratives and coordination with other agencies, especially the Department of Education, and that juvenile transport and placement issues have improved with the new law. No votes were taken, and the meeting adjourned after the presentation and questions.
MA
Transcript Highlights:
  • They foster social engagement and strengthen emotional and physical well-being.
  • In the end, we were able to work with Gary to find him a long-term nursing facility placement.
  • In the end, we were able to work with Gary to find him a long-term nursing facility placement.
  • The shortest placement was 10 months.
  • Commonwealth's average cost of a nursing home placement.
Keywords: 995, all
Summary: The committee heard testimony on several aging-related bills, with most speakers focusing on housing stability, home-based services, and care transitions. Representative Badger and a commissioner testified in support of H4039, which would create a universal breakfast and lunch program at senior centers funded through a new Senior Breakfast and Lunch Fund, arguing it would reduce food insecurity and social isolation among older adults. Representative Lipper-Garabedian and multiple providers then supported H780/S495, the hospital-to-home partnership program, describing how embedded aging-services liaisons help older patients transition safely from hospitals to home, reduce readmissions, and avoid nursing facility placement; witnesses from Mystic Valley Elder Services and Mass Aging Access cited pilot results, including hundreds of patients served and examples of substantial cost savings and successful discharge planning. The committee also took testimony on S478, which would require continuing care retirement communities to disclose entrance-fee refund policies more clearly at enrollment. Senator Lovely and LeadingAge Massachusetts said the bill would improve transparency for residents and families, while a consumer witness said her family experienced delays and confusion in getting a refund after her mother left a CCRC. Members noted the issue is also being examined by a special commission on CCRCs. A large portion of the hearing focused on S475, a statewide bridge subsidy program for older adults facing housing instability. Advocates from the Massachusetts Coalition for the Homeless, Western Massachusetts, Somerville, Northampton, East Hampton, Old Colony Elder Services, and Somerville’s Office of Housing Stability described rising senior homelessness, long waitlists for subsidized housing, and cases where short-term rental assistance kept older adults housed while they waited for permanent housing. Somerville witnesses said the pilot program helped nine households remain housed and that some participants have since moved into permanent housing. Members asked about wait times, program design, and how to prioritize applicants; witnesses emphasized flexibility, emergency risk, and the need for a statewide expansion. The hearing also included testimony on S465, an ALS bill that would expand home care access regardless of age and bar the use of quality-adjusted life-year metrics in coverage decisions, with the sponsor and ALS Association arguing the measure would reduce discriminatory treatment and better center patient care. No votes were taken during the hearing.
CA
Transcript Highlights:
  • Obviously, supporting our foster youth is incredibly important.
  • But they've got to be pretty top-notch students, even the ones who are from foster kids.
  • So at the interview process, this is when it comes out that they are fostered?
  • So at the interview process, this is when it comes out that they are fostered?
  • In order to get into the first comes out that they are fostered?
Keywords: 987, senate, all
TX
Transcript Highlights:
  • This is our Region 6 transition center for youth exiting the state foster care system and former foster
  • placement in an SSLC.
  • Jason Berry: The very next day, just now because we're doing host home to avoid placement in a group
  • This is our Region 6 Transition Center for youth exiting the state foster care system and former foster
  • placement in an SSLC.
Bills: SB1, SB 1
FL

Florida 2025 Regular Session

March 19, 2025 - 01:00 PM

Transcript Highlights:
  • We need adequate placements for children with serious behavioral problems, and there...
  • We need adequate placements for children with serious behavioral problems and those who have been victims
  • With specially trained foster parents, DCF will determine the compensation for these foster parents as
  • In closing, HB 1127 addresses critical gaps in our child welfare system by launching a treatment foster
  • I just wanted to say, as a foster mom and a mentor of many foster children for over 17 years, I'm very
Summary: The Health Care Budget Subcommittee took up two bills and then continued oversight discussions with APD and AHCA. CS/HB 27, the Social Work Licensure Interstate Compact, was presented as a way to let Florida social workers practice in other compact states and vice versa; AARP, the Florida Chamber, and NASW Florida supported it, and the bill passed favorably. HB 1127, a child welfare bill, would create a treatment foster care pilot for children with high behavioral needs, improve DCF data collection on commercially sexually exploited children, and expand recruitment for protective investigators and case managers; the bill also passed favorably after brief supportive testimony. The committee then questioned APD at length about the iBudget waiver waitlist, enrollment pace, spending projections, and provider capacity. APD said it had sent more than 1,100 interest letters in categories 3, 4, and 5, enrolled 1,124 people so far this year, and expects to spend about 96.4% of its waiver appropriation, leaving roughly $82 million unspent. Members pressed APD on why prior discussions suggested more reserve was needed, how long the SANS process takes, whether category 6 could be expanded, and whether the agency has enough waiver support coordinators and direct support providers. APD said it has about 1,061 waiver support coordinators statewide, adequate capacity for current enrollees, but would need further analysis if the legislature directed a much larger enrollment increase. Members also asked about outreach, annual maintenance of the waitlist, portability for military families, and whether communication efforts should be privatized. Finally, AHCA walked the committee through the 2023 Achieved Savings Rebate (ASR) report for Aetna and explained how the report is used for financial monitoring, rebate calculations, and transparency. AHCA said the ASR is separate from the medical loss ratio (MLR) calculation, though both are reviewed, and that Florida uses the ASR mechanism rather than an MLR remittance requirement to recover funds from plans. Members asked about related-party disclosures, CVS/Caremark relationships, expanded benefits, encounter data, network adequacy penalties, denials and appeals reporting, interest earned on capitation payments, and whether rate increases were reaching providers. AHCA and the outside auditors said they review the plans’ reported data, reconcile it to underlying records, and can assess liquidated damages for network adequacy violations; several members requested follow-up data on rebates, interest, provider capacity, and related-party reporting.