Transcript Highlights:

• They can mean interrupted treatment, preventable disease flares, and, in some cases, avoidable trips
• local funds to offer critical programs and safety net services to all of our residents.
• As cities and counties, we know our residents and their needs best, and we design programs to respond
• Finally, suicide prevention and crisis hotlines operate anonymously by design and callers frequently
• Please help restore a fair and balanced process between plans and providers that prevents an easy-to-fix

Summary: The Senate Health Committee heard several bills focused on health care access, research funding, consumer protection, and insurance administration. SB 895 by Sen. Wiener would create the California Foundation for Science and Health Research and place a bond measure on the November 2026 ballot to support scientific and health research in California; supporters from UC, labor, and patient groups said it would protect jobs, public health, and the state’s research leadership amid federal funding cuts, while the committee later voted 6-0 to pass it as amended and re-refer it to Natural Resources and Water. SB 944 would make acupuncture a permanent Medi-Cal benefit regardless of federal matching funds; acupuncture providers, patients, health systems, and API community advocates testified in strong support, and the committee voted 6-0 to pass it as amended and re-refer it to Appropriations. The committee also considered SB 987, which would create a California Health Access Fund to capture state savings if federal Medicaid changes under H.R. 1 reduce Medi-Cal enrollment and redirect those funds to care for people who lose coverage and to reimburse safety-net providers. Support came from disability, consumer, family physician, emergency physician, hospital, and reproductive health groups; members discussed prioritizing indigent care, prevention, and safety-net needs, and the bill was moved on a unanimous vote to Appropriations. SB 964 would let a licensed provider adjust the dose or frequency of an already covered medication up to two times without prior authorization when clinically appropriate, with Crohn’s and Colitis advocates describing delays that harmed patients and insurers warning about safety and cost concerns; after committee discussion about off-label use and clinical safeguards, the bill passed 11-0 and was sent to Appropriations. Later, SB 1099 clarified local governments’ authority to provide state or local public benefits to all residents under PRWORA, with city and county counsel and local officials saying it would preserve flexibility for homeless outreach, street medicine, crisis lines, and other low-barrier services; it passed 11-0 and was re-referred to Human Services. SB 1033 would require protein product manufacturers to test for heavy metals and disclose results, prompted by Consumer Reports findings and supported by consumer, health, and women’s health groups; industry witnesses asked for narrower scope and source-level testing, and the committee voted 11-0 to pass it as amended and send it to Environmental Quality. The committee then began SB 1049, which would give providers a 90-day window after a plan’s latest action to correct certain claim errors and prevent denials based solely on missed filing deadlines; the author said it would address honest billing mistakes and recoupments, and the bill was introduced with support from medical groups and ongoing discussions with health plans.

Transcript Highlights:

• This is really important for potential public health interventions when there are outbreaks of vaccine-preventable
• to prevent illness and to prevent death.
• opportunity to encourage the use of vaccines and appropriate medical resources to prevent pandemics
• We found out now has been from sanitation and cleanliness and indoor plumbing and all those things, and
• You know, and I’m alive here today for some of the interventions that have been offered to me, right?

Summary: The House Committee on Health and Welfare met on April 23 and first disposed of several items without hearing them, including HB 1093 and HB 1145, and voluntarily deferring HB 946. The committee then quickly reported HB 1095 favorably without objection. That bill would require nursing facilities to have fuel or another alternative power generation source to maintain power, and supporters said it preserves existing backup-power safety requirements while giving facilities more flexibility as technology changes. The committee then took up HB 926, which concerns vaccination status and admission to public buildings and seeks to prohibit medical mandates. After adopting an amendment set and additional changes clarifying exclusions for licensed health care providers and facilities, medical masks, and child welfare/school-related provisions, the committee heard testimony both for and against the bill. Supporters framed it as a civil-liberties measure limiting vaccine-card requirements for public buildings, while opponents warned it could interfere with public health measures, school immunization rules, and the ability of health care facilities to protect patients. The bill was reported favorably on an 8-4 vote. HB 1220, a cleanup bill for the Louisiana State Board of Medical Examiners, was then reported favorably after a technical amendment set. HB 1227, which would require complaints involving medical judgment to be reviewed by a three-physician panel before formal disciplinary action, drew extensive testimony from a physician sponsor, a doctor describing his disciplinary experience, and the board’s executive director, who said the board already uses practicing physicians, nurses, and experts in its process and warned the proposed panel system could be impractical because physicians are difficult to recruit for such reviews. At the sponsor’s request, the committee voluntarily deferred HB 1227 for further work. Finally, the committee reported HB 1217 favorably with amendments to a pharmacy benefit manager transparency bill, after supporters said it would expose hidden pricing and rebate practices and opponents argued some provisions were duplicative or unnecessary. HB 1028, setting minimum Medicaid reimbursement rates for non-emergency medical transportation, was reported favorably and referred to Appropriations after supporters described the need for higher rates and members discussed funding. The committee also reported HB 1185 favorably, with amendments preserving the existing Rural Hospital Preservation Act while extending similar protections to additional rural-lookalike hospitals, and adopted HCR 76 to continue the Health Inequities and Disparities in Rural Areas Task Force for another year.

Transcript Highlights:

• blind program, and our supported employment program.
• This program supports 800 children with early intervention strategies to prevent out-of-home placements
• programs and coaching.
• money... a residential placement prevention program kind of what's happening within that and again where
• I have great pride in our fraud detection, prevention, and recovery programs.

Summary: The Joint Committee on Ways and Means held an FY27 Health and Human Services budget hearing in Mattapan, hosted at the Boston Public Library branch. Chairs Lydia Edwards and Russell Holmes, along with Rep. Brandy Fluker-Reid, emphasized the significance of holding the first Ways and Means hearing ever in Mattapan and highlighted the importance of bringing state budget deliberations into a majority-Black neighborhood. Several legislators introduced themselves as they joined, and the committee noted that public testimony was not part of the format, though agencies were invited to discuss priorities and challenges. MassAbility opened the agency testimony. Leadership described the agency’s mission to support people with disabilities through employment, training, home and community life services, and disability determination. They said Governor Healey’s FY27 budget funds MassAbility at $93.3 million, a 1% reduction from FY26, and explained that the agency is responding to federal funding uncertainty and shifting program needs by redesigning services internally. Members questioned a proposed $1.3 million reduction to the Home Care Program, staffing changes, and whether services could be maintained with fewer resources. MassAbility said it was reviewing data on who uses the program, that it does not provide nursing or personal care, and that it is working with a transition plan and a working group. The agency also discussed federal uncertainty around vocational rehabilitation funding and said it had received delayed federal awards but remained in contact with national associations and federal partners. The testimony included a personal story from a participant, Joshua Corcoran, to illustrate the impact of services. The Massachusetts Commission for the Deaf and Hard of Hearing testified next, requesting $11.27 million, about a 6% increase over FY26. The commission said it serves about 1.4 million residents and focuses on communication access in health care, courts, public safety, and other public systems. It highlighted interpreter and captioner workforce shortages, a mentorship program to expand the provider pool, and a modernized referral platform funded through capital contingency money. Members asked about interpreter availability, after-hours emergency coverage, ASL access for students and families, and training for police and emergency responders. The commission said staffing remains limited, especially for after-hours services, but that it is expanding training, school outreach, and partnerships with DCF and other agencies. The Massachusetts Commission for the Blind then presented its FY27 budget request of $30.8 million. The commissioner said the agency serves nearly 9,000 legally blind residents, provides training and peer support, and placed 190 consumers in competitive integrated employment this year. It also described services for older adults, vocational rehabilitation, and the Turning 22 program for young adults with additional disabilities. Members raised concerns about a 7% cut from the prior year and asked how the agency could maintain services; the commissioner said the agency had no waiting list, had trimmed overhead, and could manage the budget through internal efficiencies and strong partnerships. The Office for Refugees and Immigrants closed the session, describing expanded legal and support services for immigrants and refugees, including Know Your Rights trainings, the Massachusetts Access to Counsel Initiative, citizenship and financial literacy programs, and the Family Welcome Center in Mattapan. Members asked about federal funding losses and the structure of the new legal services program; ORI said FY26 funding is stable but FY27 federal cuts remain uncertain, and that the legal program uses a centralized intake system with priority for emergencies and first-come, first-served access.

Transcript Highlights:

• Prevention Services, Community Prevention and Treatment Programs, line item appropriation.
• The tobacco education funds and the prevention, early detection, and treatment fund consist of revenues
• Birth defects monitoring and prevention program, 14.6 FTE.
• Birth defects monitoring and prevention program, 14.6 FTE.
• The Tobacco Education Programs Fund and the Prevention, Early Detection, and Treatment Fund consist of

Keywords: 981, all

Transcript Highlights:

• blind program, and our supported employment program.
• This program supports 800 children with early intervention strategies to prevent out-of-home placements
• And if you could talk a little bit about the DESE-DDS placement prevention program, a residential placement
• And if you could talk a little bit about the DESE-DDS placement prevention program, a residential placement
• I have great pride in our fraud detection, prevention, and recovery programs.

Keywords: 995, all

Summary: The hearing was a FY27 budget session on Health and Human Services held in Mattapan, hosted by the Joint Committee on Ways and Means. Opening remarks from Senator Lydia Edwards, Representative Brandy Fluker-Reed, Representative Russell Holmes, and Boston Public Library President David Leonard emphasized the significance of holding the first Ways and Means hearing in Mattapan, the importance of community access, and the role of libraries as human services institutions. Committee members and attendees introduced themselves before agency testimony began. MassAbility testified first, describing its mission to support people with disabilities through employment, independent living, and disability determination services. The agency highlighted federal funding uncertainty, a modest FY27 budget reduction, and a proposed reworking of its home care program, which it said is outdated and should better target those most in need. Members questioned the home care cut, staffing reductions, and federal coordination. MassAbility also shared a participant story about recovery and community support to illustrate the impact of its services. The Massachusetts Commission for the Deaf and Hard of Hearing then presented its FY27 request, focusing on interpreter and captioning access, workforce development, emergency communication, aging-related hearing loss, and transition services for deaf and hard-of-hearing youth. Members asked about interpreter shortages, after-hours emergency coverage, ASL education, and community training; the commission said it is expanding mentorship and referral systems but still faces staffing and vendor challenges. The Massachusetts Commission for the Blind followed with a $30.8 million request, describing services for nearly 9,000 consumers, peer support groups, vocational rehabilitation, and Turning 22 services, while noting federal funding uncertainty and a 7% budget cut. Members raised concerns about maintaining services with fewer resources, and the commissioner said the agency had trimmed overhead and could manage the proposal. The Office for Refugees and Immigrants closed the segment, outlining expanded legal, housing, workforce, citizenship, and financial literacy supports for immigrants and refugees, including Know Your Rights trainings, legal defense initiatives, and the Massachusetts Access to Counsel Initiative. Members discussed the effects of federal policy changes, the loss of refugee resettlement funding, and the need for state support to fill gaps. No votes were taken in the portion provided; the hearing consisted of agency presentations and committee questioning.

Transcript Highlights:

• They had no out-of-pocket cost, and they have no out-of-pocket cost in these programs for the entire
• Louisiana government-sponsored health plans currently use these programs and save millions of dollars
• I currently use these programs and save millions of dollars every year.
• And I said, yes, ask if they're going to put an accumulator or maximizer program in their plans.
• And it is unfair that that co-pay assistance program, which would be designed to benefit my children,

Bills: HB591, HB765, HB826, HB870, HB938, HB1151, HB1162, HB1176, HB1196, HB1236, HB1241

Keywords: family leave, insurance, paid leave, employment benefits, caregiver support, liability insurance, coverage defenses, direct action, judgment enforcement, legal procedures, insurance referrals, compensation, non-licensed agents, consumer protection, insurance products, HB 870, Act 907, Louisiana insurance, health insurance, prescription drugs

Transcript Highlights:

• program between 2035 and 2050.
• , and it amends some program terminology.
• First, under the lead and cookware program and beginning January 1, 2027, cookware containing lead that
• Safer Products Program. on 2031 and then at the early or the latest 2031 and then whoever qualifies
• First, under lead and cookware program and beginning January 1st of 2027, cookware containing lead that

Bills: SB6124, SB6171, SB6284, SB5609, SB6172, SB6246, SB5932, SB6269, SB6223, SB5975

Keywords: appliance affordability, cost index, energy efficiency, consumer protection, Washington state, energy facilities, large energy consumers, regulation, environment, sustainability, artificial intelligence, data privacy, technological impacts, cultural resources, land use, environmental policy, exemptions, state laws, Washington climate policy, greenhouse gas

Transcript Highlights:

• My husband John and I are Texas catfish farmers, and we run and rent sawhorse in Southeast Texas.
• It's not that we're trying to prevent you from doing that research and all of that.
• clinical trials and so on and so forth.
• We've seen data breaches at research hospitals, and really this bill does not. prevent the use of your
• However, the separately running programs are more costly and inefficient.

Bills: SB315, SB584, SB1228, SB1484, SB1860, SB1802

Keywords: DNA privacy, genetic privacy, genetic testing, genetic material, DNA ownership, property right in DNA, genetic consent, biological sample, genomics, genetic data, HIPAA, health information privacy, health care provider, research ethics, human subjects research, law enforcement DNA, forensic DNA, paternity testing, medical examiner, genetic discrimination

Transcript Highlights:

• Chairman and members.
• and I think this bill addresses that, and I would close.
• Be quiet and then you answer, and then you'll be quiet and he'll ask another question.
• Conflicting court orders could have been avoided, and his father most likely would have been prevented
• State and the government code used to regulate. membership dues and it no longer does that, and actually

Bills: HB4922, HB4713, HB4256, HB872, HB1571, HB4266, HB4559, SB251, SB441, SB1719

Keywords: healthcare liability, emergency medical care, standard of proof, negligence, legal reforms, Texas General Arbitration Act, arbitration, binding arbitration, statute of limitations, limitations period, tolling, Civil Practice and Remedies Code, Section 16.073, alternative dispute resolution, ADR, civil procedure, lawsuit filing, court jurisdiction, Judiciary & Civil Jurisprudence, procedural law

Transcript Highlights:

• And I recognize what you say about the book and about not discriminating and dealing with property and
• And finally, the substitute expands reporting metrics, adding data points like housing exits. program
• provide quality programming and services.
• Bill would prevent a parent from providing consent for her teenager to check out sex and the single Christian
• However, programs like Obama's ConnectED and many other local programs invest heavily to expand access

Bills: HB256, HCR19, SB2101, SB2334, SB2633, SB2637, SB2713, SB2781, SB2782, SB3059, HB1130

Keywords: severe weather, adaptation plan, vulnerability assessment, environmental protection, state agencies, federal agents, transparency, law enforcement, identification, public trust, immigration enforcement, HCR 19, Texas concurrent resolution, federal immigration enforcement, masked agents, facial coverings, visible identification, uniforms, badges, name tags

Transcript Highlights:

• Bot technology, which is defined as a program designed to mimic human behavior and content, presents
• We're not early on this, and I do think it's an important thing to give attention to.
• We believe in work and opportunity and must prevent associations from becoming political speech gatekeepers
• It benefits Republicans, Democrats, and independents alike. prevents any single group from capturing
• remains, and it's preventing professionals from engaging in free speech freedoms as Americans.

Bills: SB2101, SB2334, SB2633, SB2637, SB2713, SB2781, SB2782, SB3059, HB1130, HB256, HCR19

Keywords: minors, sexually explicit materials, public libraries, age verification, civil penalties, library collection review, alcohol storage, airline permits, beverage regulations, airport, commercial flights, alcoholic beverages, local option election, zoning regulations, municipality control, land use, state law, social media, bot accounts, misinformation

Transcript Highlights:

• Some are in bids already, very firm numbers, and some are early planning.
• , very firm numbers, and some are early<00:09:07.360><c> planning.
• pound of intervention, and this does exactly that.
• Uh, I just, again, an ounce of prevention is worth a pound of intervention.
• ><c> programs,</c><01:13:48.080><c> and</c> state operated treatment programs, and state operated treatment

Bills: HF333, HF2712, HF1064, HF1069, HF1113, HF2207, HF204, HF2867, HF2924, HF746, HF1530, HF2587, HF1078

Keywords: HF333, Duluth, Lot D, redevelopment, capital investment, bonding bill, state bonds, bond proceeds, public infrastructure, seawall repair, utility connections, demolition, debris removal, transportation improvements, site preparation, soil correction, economic development, DEED, capital appropriation, general obligation bonds

Transcript Highlights:

• This program includes wholesalers as eligible entities to apply to the program, and wholesalers are responsible
• It strengthens public-private partnerships, broadens access to early intervention services, and seeks
• And targeting dads is awesome, and I hear all of those, and those are great, great programs, right?
• And that's kind of the point, is to make sure that we're not growing government programs and spending
• Assistance Program, and the Targeted Appraisal Review Program.

Bills: HB249, HB 1186, HB2313, HB2408, HB2508, HB2730, HB2974, HB3045, HB3232, HB3336, HB3710, HB4044, HB4236, HJR133, HB249

Keywords: ad valorem taxes, property taxes, homestead exemption, disabled veterans, senior citizens, tax payments, installment payments, municipal tax revenue, hotel, convention center, tax code, economic development, local government, municipality, tax revenue, qualified projects, municipal taxation, hotel project, municipality funding, veteran

Transcript Highlights:

• and wineries.
• I am a Texas farmer and producer; my family and I own and run a small family vineyard.
• We've gone and done the wine tours and the brown water tours and all that kind of stuff, but...
• It's been a very successful program around the state. And I'd be happy to answer any questions.
• And as Mr.

Bills: HB589, HB705, HB1842, HB1874, HB2349, HB2614, HB2827, HB3012, HB3214, HB3308, HB3385, HB3529

Keywords: cosmetology, licensure, interstate compact, state regulations, public safety, workforce mobility, charitable raffles, nonprofit, wildlife conservation, ticket sales, fundraising, master electrician, electrical work, occupational licensing, work scope, Texas law, Texas Real Estate Commission, TREC, real estate broker, sales agent

Transcript Highlights:

• And for it to be considered going to local and consent, and if there’s any question, I close.
• We would have a hearing on it like this and you could come and testify against it and lobby members against
• and Oregon.
• These include social services, ministerial services, indigent health care, educational programs, and
• And it will force Rio Concho and communities like it to raise rates, cut back on services, and deny aid

Bills: HB 103, HB 1256, HB1587, HB1632, HB2027, HB2525, HJR88, HJR138, HB103

Keywords: taxing unit, bond database, local government, transparency, civil penalty, education reform, funding allocation, school infrastructure, teacher recruitment, student achievement, tax exemption, water conservation, graywater systems, rainwater harvesting, ad valorem taxation, county commissioners, HB 1587, Texas sales tax holiday, back-to-school tax holiday, clothing tax exemption

Transcript Highlights:

• Girls suffer too; 90% of girls get postmenopausal bowel and bladder problems by the early 20s.
• And in that poll, it was real: 69% of respondents preferred allowing voters to drop off early ballots
• It's called the Voters First Act, and it will expand early voting to the weekend and Monday before the
• We require all counties that send automated early ballot tracking and curing updates via text and email
• We require all counties that sent automated early ballot tracking and curing updates via text and email

Summary: The committee first took up SB 1066, which would allow the Attorney General or a county attorney to sue researchers for knowingly or recklessly publishing fraudulent scientific research, and would let injured parties recover damages. The sponsor and a supporting witness argued the bill would create personal accountability for deliberate research fraud and cited examples of retracted or manipulated studies; opponents warned that peer review and existing scientific processes already address bad research and that the bill could chill research and speech. The committee later passed SB 1066 on a 4-3 vote. The committee then heard SB 1015, which would impose strict personal liability on providers who perform gender transition procedures on minors for later detransition costs and related injuries. Supporters, including the sponsor, a doctor, a detransitioner, and a parent, said the bill would protect children, create accountability, and help families seek redress for irreversible harm. Opponents from the ACLU and others argued the measure discriminates against transgender patients, would likely chill care by making providers uninsurable, and could function as a backdoor ban; the committee nevertheless advanced the bill on a 4-3 vote. SB 1049, as amended, limited spousal maintenance to four years and adjusted eligibility and guideline factors. The sponsor and a family law attorney said the bill would curb overly long awards and better account for assets and income, while the Judicial Council explained the existing guideline work and noted the new calculator was intended to add uniformity; one senator objected that the cap was arbitrary and ignored case-specific context. The committee adopted the amendment and passed the bill 4-2. The committee also unanimously passed SB 1189, allowing campaign funds to be used for candidate and family security, and SB 1133, eliminating a duplicate financial disclosure filing for candidates who already filed an annual statement. Finally, the committee heard SB 1081, which would bar a DCS attorney from appearing before a judge after appearing before that judge in any of the attorney’s previous five DCS cases, and advanced it 4-3 after debate over judicial familiarity and rural-court impacts. The committee also heard SCR 1001, a proposed constitutional referral to end early voting the Friday before the election, require proof of citizenship and government ID, and restrict mail ballots to voters who affirmatively request them; supporters framed it as an election-integrity measure, while ADOT testified neutrally but warned that free IDs could cost tens of millions in lost revenue and affect road funding. The transcript ends during testimony on SCR 1001, before any vote on that measure.

Transcript Highlights:

• the Youth Tobacco and Vapor Prevention Account.
• This program has changed communities and changed lives.
• This program has proven its value time and time again.
• Investing $10 million in cessation and prevention programs, reaching those who need it most, will amplify
• Simultaneously, we've dramatically disinvested our prevention and cessation program, allowing youth smoking

Keywords: 904, all

Transcript Highlights:

• And so, we're Courses whose course program is greater than 120 credits.
• assistance from the Soldiers and Airmen Assistance Program.
• A cybersecurity program commensurate with its size and complexity.
• It also directs the State School Board to adopt rules to implement and enforce the screening and intervention
• cause, expands VPK Summer Bridge eligibility, and aligns math and reading interventions with the student's

Summary: The committee first confirmed six appointees on a single roll-call vote, then took up a series of bills, many of them on land use, housing, public safety, child welfare, education, and professional licensing. Early debate centered on CS/SB 208, which would require development fees to better reflect review costs and impose objective compatibility findings for residential projects. An amendment folded in additional housing-related provisions, including manufactured housing and a study of urban development boundaries, prompting extended discussion about Miami-Dade’s Everglades protection area and local control. A late-filed rural-boundary amendment was withdrawn. The bill was reported favorably after support from business, housing, and advocacy groups, with some senators voicing district-specific concerns. The committee then approved CS/CS/SB 686 on agricultural enclaves after amendments added conservation easement, wildlife corridor, and critical state concern protections, plus a further Everglades-related amendment. Members discussed balancing smart growth, infrastructure costs, and protecting environmentally sensitive areas. Other land-use and growth bills also advanced, including CS/SB 1434 on infill redevelopment, CS/SB 1138 on qualified contractor pre-application review, and SB 218 limiting the reach of prior hurricane recovery zoning protections in counties not affected by the 2024 storms. SB 1474 on biosolids management was amended to reduce the distance threshold for land application restrictions and delay the effective date, and SB 1708 on veterinary licensure by endorsement removed a three-year recent-practice requirement to address shortages. Several public safety, health, and family-related measures also passed. CS/CS/SB 436 expanded felony battery enhancement to include resisting an officer with violence and certain law-enforcement battery offenses. SB 830 extended public-records protections to county and city administrators and related family information. CS/CS/CS/SB 600 revised bail bond rules, and an amendment preserved the current treatment of charitable bail funds and nonprofits; the committee heard testimony from The Bail Project and others on both sides. CS/SB 914 expanded dry-needling supervision options for occupational therapists, CS/SB 1092 clarified podiatric use of certain cellular/tissue products, and SB 1504 and SB 1718 updated insurance licensing and educator certification pathways. On the education side, CS/CS/SB 7038 made broad postsecondary changes, including tuition waivers, residency clarification, and licensure rules, while CS/SB 186 required seizure-response training and action plans in schools. The committee also advanced multiple child welfare and health bills. CS/CS/CS/SB 560 streamlined psychotropic medication procedures for children in state custody and added youth-voice and insurance-review provisions. CS/CS/CS/SB 902 combined several Department of Health changes, including medical marijuana distance rules, autism microcredential eligibility, a neurofibromatosis grant program, and NICU nutrition information. SB 1002 expanded child welfare definitions to address parental drug abuse and neglect, and SB 1708 eased endorsement licensure for out-of-state veterinarians. Most bills were reported favorably on roll-call votes, with several amendments adopted along the way and limited opposition or abstentions noted on some measures.

Transcript Highlights:

• ><c> kids</c><00:09:51.000><c> and</c> early intervention services for kids and early intervention services
• um and prevents some people connotation um and prevents some people who<00:22:16.159><c> are</c><00:22
• into programs and services to make the quality programming and nursing facilities better. indicates
• into programs and services to make the quality programming and nursing facilities better.
• Do you want to talk about recreation and early intervention while she's coming up with the numbers?

Keywords: 928, house, all

Summary: The Division of Long-Term Supports and Services presented its budget and program overview as part of the Department of Health and Human Services operating budget review. Leadership described the division’s three bureaus—Aging and Adult Services, Developmental Services, and Family-Centered Services—and explained that the division provides guidance, technical assistance, quality monitoring, and contracted provider oversight across the lifespan. Members also discussed staffing, with reported vacancy rates of 4% in Aging and Adult Services, 15% in Developmental Services, and 6% in Family-Centered Services; the division said the higher BDS vacancy rate is partly due to the small number of authorized positions. The governor’s budget had left eight positions unfunded in the division, including three in Aging and Adult Services and five in BDS. A major topic was the division’s roadmap initiatives, especially building a system of care for healthy aging and strengthening developmental disabilities systems through a new reimbursement rate structure. The division said it contracted with an actuary to study DD service costs and found rates had not been reviewed since 2017 and were significantly below actual costs and other states’ rates, contributing to provider shortages even when services are authorized. Members asked about the impact on service delivery and whether rates would need to rise overall; the division said its strategy is to focus on lower-cost services that help people remain in the community. The division also reported waiver enrollment figures, including about 4,161 people on the Choices for Independence waiver, 3,688 average nursing facility residents, 5,061 people on the DD waiver, 228 on the acquired brain disorder waiver, and 488 children on the in-home support waiver, while noting there is no funding waitlist but provider availability remains a constraint. The division highlighted IT modernization as a major accomplishment, especially moving Adult Protective Services and Developmental Services into the New Heights system. Officials said these changes improve case-note access, data retrieval, service authorization tracking, and transparency for providers, and they asked for future oversight discussion focused on IT leverage. Members noted that New Heights maintenance is budgeted in the Office of the Commissioner under class 27 and suggested better transparency on system costs and benefits. The division also reported that it closed out a long-running CMS corrective action plan for BDS on July 1, 2023, and said it is now focused on strengthening the system rather than compliance alone. Other discussion covered the Aging and Adult Services bureau’s name change from Elderly and Adult Services to Adult and Aging Services, intended to avoid negative connotations and better reflect preventative services. The bureau described Adult Protective Services trends involving scams, financial exploitation, self-neglect, and isolation, and explained that it administers the CFI waiver, determines medical eligibility for nursing facility level of care, and braids funding from Medicaid, state funds, Older Americans Act money, Social Service Block Grants, and other grants. Members asked about waiver growth targets and federal consequences if enrollment remains below projections; the division said it would explain the shortfall in a future waiver amendment and did not anticipate a federal penalty. The meeting ended without any votes or formal actions taken.

Transcript Highlights:

• They're preventive, and there is no co-pay for those, or there shouldn't be.
• shelters and programs to actually run.
• currently lacks a unified vision and sufficient investments in research-based prevention and intervention
• juvenile justice systems around prevention and data-driven solutions.
• And while they can't vote, it appeared a lot of times I was in a special program, and we do a lot of

Keywords: 996, all