Video & Transcript : 'uncompensated care' :
Page 236 of 500
NH
Transcript Highlights:
- /c> Um that take care of Um that take care of All right.<00:27:05.200><c> That's</c><00:27:05.440><c>
- This is the child<03:15:16.640><c> care</c> child care child care workforce workforce workforce fund.
- </c> properties of the childc care properties of the childc care development<03:15:33.760><c> fund,</
- </c> teacher, eight children get child care. teacher, eight children get child care.
- </c> those were onetime ARPA funds or CARES those were onetime ARPA funds or CARES Act<03:20:32.239><
Committee:
Senate Finance
NH
Transcript Highlights:
- Take care.
- So I do care myself to give me the ability to participate in the case I need to provide care for my son
- So I do care myself to give me the ability to participate in the case I need to provide care for my son
- Okay, so I do care myself to give me the ability to participate in the case I need to provide care for
- </c><00:57:26.200><c> care</c><00:57:26.559><c> before</c> levels of mental health care care before levels
Committee:
Senate Judiciary
CA
California 2025-2026 Regular Session
Assembly Judiciary Committee Apr 14th, 2026
Transcript Highlights:
- Medical care for many disabilities can be prohibitively expensive.
- Insurance coverage for this care allows more people with disabilities to afford the care they need to
- Section 1557 of the Affordable Care Act includes protections against discrimination in health care coverage
- . ...of the Affordable Care Act includes protections against discrimination in health care coverage.
- I do care about it.
Summary:
The committee heard several immigration-, health-, food access-, and tribal-rights-related bills. AB 1725 would require disclosure of oil wells near homes and sensitive sites and stronger methane monitoring; supporters described health and safety harms in communities near wells, while apartment, realtor, building, and chamber representatives opposed or sought amendments, arguing the bill should better target the responsible industry and fit existing disclosure processes. AB 1650 would require privately rented or leased vehicles used by government agencies for enforcement to be clearly identifiable and equipped with safety lighting; supporters, including immigrant-rights advocates and local officials, said unmarked vehicles create fear and confusion during ICE operations, while the chamber sought clarification and noted exemptions for ordinary undercover law enforcement. AB 1857 would prohibit grocery restrictive covenants that keep new supermarkets from opening after a store closes, with supporters framing it as a food-access and anti-hunger measure; grocers and retailers raised concerns but said amendments addressed many issues, and the committee moved the bill forward as amended to Appropriations on a recorded vote, with all members present voting aye except one absent member and the bill placed on call.
The committee also heard AB 1876, which would codify federal health-care nondiscrimination protections in state law. Supporters from Equality California, Disability Rights California, Planned Parenthood, and other health groups said it would preserve coverage protections for LGBTQ people, people with disabilities, and other protected classes amid federal rollbacks; opponents argued it would entrench gender-affirming-care standards and criticized the underlying medical framework. The bill passed to Appropriations on a recorded vote, with most members voting aye and one no vote, and was placed on call. AB 1908 would allow public entities to use judgment obligation bonds to finance self-funded victim compensation funds; Los Angeles County said the bill would fill a financing gap for faster compensation, and the committee advanced it on a recorded vote and placed it on call. AB 1881, the California Indian Freedom Act of 2026, would protect California tribes’ access to sacred sites and traditional practices on state public lands and require meaningful consultation; it drew extensive support from tribal leaders and Native organizations, while cities, counties, utilities, builders, and business groups were opposed unless amended, largely seeking clarification and narrowing. The bill was amended to focus on state public lands and passed to Appropriations on a recorded vote, then placed on call.
Later, AB 2465 would bar businesses that profit from private detention facilities or contract with immigration-enforcement agencies from receiving state grants, loans, or tax credits and create an immigrant resilience fund. Supporters said the state should not subsidize businesses tied to immigration raids and detention; opponents, including the chamber, bankers, and contractors, raised vagueness and scope concerns, especially over what contracts would be covered. Members said they supported the concept but wanted the bill tightened, and it passed to Revenue and Taxation on a recorded vote with one no vote and was placed on call. The committee then heard AB 2662, which would create a formal state process to monitor and report on federal immigration enforcement actions and their impacts; supporters from legal aid and health centers said raids have chilled access to work, schools, clinics, and naturalization, and the bill was presented as a modest accountability measure. The transcript cuts off before any vote on AB 2662. The committee also approved a consent calendar of several bills and resolutions, sending some to Appropriations and others to the floor.
CA
California 2025-2026 Regular Session
Assembly Floor Session Jun 2nd, 2025
California House Floor Meeting
Transcript Highlights:
- Assembly Bill 563 by Assemblymember Jackson, an act relating to child care.
- Telehealth access, utilization, quality of care, clinical outcomes, preventative care to ensure Californians
- California is facing a reproductive and maternity care crisis.
- care costs, but it is vastly underutilized.
- if they cannot afford care themselves.
CA
California 2025-2026 Regular Session
Senate Labor, Public Employment and Retirement Committee Apr 22nd, 2026
Transcript Highlights:
- You care deeply about the people that came here to testify. I represent 500,000 of them.
- The toll is enormous: over $40 billion a year in health care costs and lost productivity.
- On top of that, now they are subsidizing health care gaps for profitable employers.
- For too long, working people have relied on Medi-Cal for care. Why?
- For too long, working people have relied on Medi-Cal for care, excuse me. Why?
Summary:
The committee heard SB 921, which would create a tax credit to help agricultural employers offset overtime wage costs for farmworkers. Senator Grove and supporters, including farmworkers, the California Farm Bureau, Western Growers, and other agricultural groups, argued that California’s ag overtime law has reduced take-home pay by limiting hours and that the credit would help employers continue offering overtime while putting more money back into workers’ paychecks. Opponents, including the California Federation of Labor Unions and CRLA Foundation, argued the bill would subsidize employers for complying with the law, shift costs to taxpayers, and set a precedent for industry-specific carve-outs. The bill was held in subcommittee and taken up later when more members arrived.
The committee then considered SB 1083, a follow-up to last year’s school employee misconduct database law. Senator Perez said the bill would add due process protections for classified school employees by requiring an administrative law judge review before placement in the statewide egregious misconduct database, require notice when an employee leaves during an investigation, and extend vetting to some contractors and non-permanent workers. Supporters, including the California School Employees Association and California Federation of Teachers, said the bill balances student safety with fairness for employees who could be wrongly accused. Opponents, including school business officials, joint powers authorities, administrators, and school employers, warned the bill could delay investigations, create conflicting timelines, and weaken child-safety protections. The committee approved SB 1083 on a 3-0 vote and sent it to Appropriations.
SB 1089, authored by Senator Richardson, would require CalPERS health plans to cover GLP-1 medications for chronic weight management and direct CalRx to help make the drugs more affordable. The senator described the bill as a response to personal experience with coverage denials and high out-of-pocket costs, and said broader access could improve health outcomes and reduce long-term costs. The American Diabetes Association and other medical groups supported the measure, citing diabetes prevention and treatment benefits, while a pharmaceutical industry representative said there were still concerns but noted ongoing discussions. The committee passed SB 1089 4-0 to Appropriations. The committee also approved the consent calendar.
The committee next heard SB 954, which would revise last year’s CEQA exemption for advanced manufacturing by narrowing the definition and adding environmental, tribal, labor, and community protections, including prevailing wage, skilled-and-trained workforce requirements, and review for projects near disadvantaged communities. Support came from labor unions, environmental groups, and community organizations, which said the bill would restore oversight and prevent harmful projects from bypassing CEQA. Business groups and chambers of commerce opposed, arguing the bill would make the exemption too restrictive, discourage investment, and worsen California’s manufacturing job losses. The bill passed 3-1 to Appropriations. Finally, the committee began hearing SB 1299, which would codify training and certification standards for fire sprinkler fitters after a court decision invalidated prior regulations on procedural grounds; the author and supporters said the bill is needed to protect public safety and ensure qualified installation of fire suppression systems.
CA
California 2025-2026 Regular Session
Senate Appropriations Committee Jun 29th, 2026
Transcript Highlights:
- changes to veterinary statutes, reducing staffing shortages in California shelters and making veterinary care
- By making veterinary care more accessible, AB 1999 will reduce the number of sick and unwanted animals
- and state governments spend over about $400 million annually on operating animal shelters, animal care
- we create a very important role in the community in serving the needs of persons who cannot reach care
- our businesses but criminalization and extended costs of criminalizing us for providing decades of care
Summary:
The Senate Committee on Appropriations met with a quorum present and heard a large suspense-file agenda, noting that most authors waived presentation and the Department of Finance had no comments on the bills. The committee reminded witnesses to focus on fiscal issues. AB 1999 by Assembly Member Kalra, presented by Senator Grayson, drew support from the California Veterinary Medical Association, the Veterinary Medical Board, and Social Compassion in Legislation; it was described as a measure to ease veterinary staffing shortages and improve access to care. The committee voted 6-0 to send AB 1999 to the Senate floor and placed it on call for additional members to add on.
The remaining measures were largely taken up without presentation, testimony, or committee questions and were moved to the suspense file without objection. Bills sent to suspense included SB 1096 and numerous Assembly Bills such as AB 308, AB 441, AB 2640, AB 805, AB 1871, AB 2176, AB 2206, AB 2436, AB 907, AB 2002, AB 1048, AB 1049, AB 2251, AB 1116, AB 1836, AB 1149, AB 1552, AB 1153, AB 1969, AB 1996, AB 1301, AB 1359, AB 1961, AB 2756, AB 2765, AB 2769, AB 1382, AB 1567, AB 1574, AB 1576, AB 1598, AB 1602, AB 1983, AB 1628, AB 1630, AB 1980, AB 1645, AB 1662, AB 1694, AB 1703, AB 1715, AB 2720, AB 1721, AB 2060, AB 2440, AB 1734, AB 2081, AB 1741, AB 2592, AB 1743, AB 1755, AB 1759, AB 1932, AB 1763, AB 1916, AB 1789, AB 2241, AB 1813, AB 1906, AB 1981, AB 1907, AB 1925, AB 2122, AB 2038, AB 2157, AB 2270, AB 2339, AB 2524, AB 2633, AB 2660, and AB 2664.
A few measures drew brief public testimony on fiscal impacts or policy-related cost concerns. AB 1116 prompted opposition testimony from the Secretary of State’s office, which said the bill would create significant cybersecurity and operational challenges and could cost up to $10 million in one-time implementation costs, plus ongoing expenses. AB 1382 received support from Social Compassion in Legislation, which argued it would help address shelter costs and pet overpopulation. AB 2081 was supported by a sponsor representative who said the Medi-Cal waiver proposal was cost-effective and that budget funding had been included for administrative costs. AB 1703 drew opposition testimony from a group of internationally trained practitioners who said the bill would unfairly target their work and shift costs to counties. The committee took no further action beyond moving the suspense-file candidates to suspense and adjourning after the agenda was completed.
FL
Florida 2026 Regular Session
Children, Families, and Elder Affairs Feb 10th, 2026
Children, Families, and Elder Affairs
Transcript Highlights:
- Providers in the child welfare and child-caring space have been raising concerns about the increase in
- It requires OIR to collaborate with DCF and community-based care lead agencies to review data from the
- The state has experienced a 47% reduction in the number of children entering out-of-home care.
- As a health care provider, I've been dealing with the DCF system for over 34 years, and I see there is
- My name is Christy Lee, and I worked in Florida's foster care system for 19 years.
Committee:
Senate Children, Families, and Elder Affairs
Summary:
The Committee on Children, Families, and Elder Affairs considered three bills and a confirmation. On SB 1600, the committee adopted a strike-all amendment and a technical amendment that shifted the bill from creating an accreditation process to requiring the Office of Insurance Regulation, DCF, and community-based care lead agencies to study liability insurance coverage and availability in the child welfare sector and report findings to the legislature by January 1, 2027; the bill also included enforcement provisions for failure to provide requested information. Support was noted from child and family advocacy groups, and the committee reported the bill favorably.
The committee also heard CS for SB 556, which would allow students with disabilities to satisfy a physical education graduation requirement through participation in Special Olympics, if included in the student’s IEP, and would clarify that two years of marching band participation can satisfy both PE and fine arts credit. Special Olympics Florida, families, and other supporters testified in favor, emphasizing flexibility, access, and recognition of rigorous activity. The bill was reported favorably. The committee then considered CS for SB 794, which requires background screening for employees of residential facilities and day training programs serving people with developmental disabilities and directs a review of waiver support coordination, including quality, consistency, access, competencies, recruitment and retention, caseloads, and geographic gaps in services. An amendment to conform to the House version was adopted, and the bill was reported favorably.
Members then questioned Secretary Taylor Hatch regarding her confirmation as Secretary of the Department of Children and Families. Senators raised concerns about child welfare system performance, parent notification and rights, CBC funding formulas, managing entities, opioid settlement spending, peer support expansion, and technology/interoperability improvements. Hatch described DCF’s recent data and initiatives, including reductions in out-of-home care entries, youth advisory efforts, missing children recovery operations, expanded behavioral health capacity, and technology upgrades for benefits processing. Public comment included support from family and provider organizations and concerns from a former foster care worker about medical misdiagnosis cases. The committee voted to recommend Hatch’s confirmation favorably, with Chair Grall voting no, and adjourned after allowing Senator Sharief to be recorded as voting in favor of SB 1600.
AZ
Transcript Highlights:
- Um— Health care they need.
- , K-12 public education, health care, community colleges, and universities.
- We're talking about addressing the need for child care. Community colleges and universities.
- We're talking about addressing the need for child care, waitlist care for our seniors, and making sure
- When you do your 2026 taxes, we’ll give you a special worksheet to take care of your 2025 taxes.
Committee:
Senate Senate Finance Committee of Reference
Summary:
The Senate Finance Committee took up SB 1638, a federal tax conformity bill that updates Arizona’s tax code to the Internal Revenue Code as of January 1, 2026 and incorporates several H.R. 1-related changes, including subtractions for tips, overtime, seniors, and auto loan interest, plus changes to the standard deduction and charitable contribution deduction. Committee members and staff discussed two amendments: a chair’s clarifying amendment on retroactivity and foreign dividend language, and a more substantive Epstein amendment that would remove the broader conformity provisions and charitable deduction changes while limiting the standard deduction change to tax year 2025. The committee also discussed whether the bill would align Arizona with Department of Revenue forms and how much of the conformity package affected corporate versus individual taxpayers.
Public testimony was split. Supporters, including the Arizona Tax Research Association and the National Federation of Independent Business, argued the bill was needed quickly to reduce filing-season confusion, keep Arizona aligned with DOR’s posted forms, and preserve business expensing provisions that help small businesses invest and hire. Opponents, including the Arizona Center for Economic Progress, argued the bill would significantly reduce state revenue, primarily benefit corporations and higher-income taxpayers, and worsen the state’s budget outlook; they also questioned the value of provisions such as SALT conformity, foreign dividend changes, and the tip/overtime subtractions. Committee members debated the fiscal impact, the policy merits of immediate expensing and conformity, and whether taxpayers would need amended returns if the bill changed after filing season.
The committee adopted the chair’s clarifying amendment and rejected the Epstein amendment. It then voted to report SB 1638 as amended with a do-pass recommendation. The bill passed the committee by about 4-3, with members explaining their votes along lines of taxpayer certainty and conformity versus concerns about revenue loss and budget balance.
AZ
Transcript Highlights:
- Thank you for your opinion, and I'll offer mine as well, um— Health care they need.
- , K-12 public education, health care, community colleges, and universities.
- We're talking about addressing the need for child care. ...community colleges and universities.
- We're talking about addressing the need for child care, waitlist care for our seniors, and making sure
- When you do your 2026 taxes, we'll give you a special worksheet to take care of your 2025 taxes.
Bills:
SB1638
Committees:
Senate Finance , Senate Senate Finance Committee of Reference
NM
Transcript Highlights:
- I always wonder why some days people. care about what we do, and other days there's no one here.
- See whether they care whether their bills get through this committee or not. Yes, ma'am.
- So they sometimes. deleted care and affected the quality of care that not only patients receive but families
- They all have different types of programs that deal with patient care.
- We have a high school that is entirely focused on health care professions.
Committees:
Senate Senate Education , Senate House Education
Keywords:
graduate scholarship, higher education funding, New Mexico, appropriation, financial aid, education, documentary, historical figure, Padre Antonio Jose Martinez, Northern New Mexico State School, SB179, Senate Bill 179, UNM, University of New Mexico, medical Spanish, Spanish-language curriculum, health sciences, health professions education, language access, bilingual healthcare
WA
Washington 2025-2026 Regular Session
JT Business, Financial Services & Trade w/State Government & Tribal Relations Aug 11th, 2025 at 02:00 pm
Transcript Highlights:
- They were first to get the housing, first to get the medical care, first to be honored.
- It does many things, goes and does medical care for our elders, and goes out and checks on them.
- We go and do medical care for our elders, go out and check on them.
- We give clothing and personal care items to people in need.
- It is open to any adult who needs cancer care.
Summary:
The joint Senate Business, Financial Services and Trade Committee and House State Government and Tribal Relations Committee held a public hearing on a restated amendment to the Puyallup Tribe of Indians’ gaming compact. Washington State Gambling Commission staff explained the Indian Gaming Regulatory Act framework, the compact amendment process, and the role of the commission and ex officio legislators. They said the Puyallup compact, originally signed in 1996, has been amended several times and is now being fully restated to align with current gaming operations and regulations.
Puyallup Tribal representatives described how gaming revenue has supported tribal government, cultural preservation, housing, education, elder services, health care, youth programs, environmental protection, and charitable giving. They emphasized the tribe’s economic development efforts, including businesses, construction, manufacturing, a port partnership, and responsible gaming programs at Emerald Queen Casinos. The tribe and commission also highlighted commitments to self-exclusion, signage, training, emergency access, and community services, while noting that the compact removes some old contribution provisions but does not change the tribe’s voluntary charitable work.
Commission staff summarized key compact changes, including authorization for electronic table games, extension of credit, removal of per-facility limits, higher wager limits, a stepped increase in player terminal allocations, and new licensing/eligibility/registration and definition appendices. Members asked about how compact negotiations work and what determines the state’s interests; staff said negotiations are guided by the governor’s office, commissioners, and ex officio feedback. No public testimony was offered, and no vote was taken at the hearing. The commission will take public comment and vote at its Thursday meeting on whether to forward the compact to the governor or return it for further negotiation.
WA
Washington 2025-2026 Regular Session
JT Business, Financial Services & Trade w/State Government & Tribal Relations Aug 11th, 2025
Transcript Highlights:
- It does many things, goes and does medical care for our elders, go out and check on them.
- Goes and does medical care for our elders, go out and check on them.
- We give clothing and personal care items to people in need.
- to good health care, such as our medical, dental, and mental health services.
- It is open to any adult who needs cancer care.
Summary:
A joint hearing of the Senate Business, Financial Services and Trade Committee and the House State Government and Tribal Relations Committee was held on an amendment to the Puyallup Tribe of Indians Gaming Compact. The Washington State Gambling Commission and Puyallup Tribal representatives described the compact as a restatement of the tribe’s 1996 agreement, updated to reflect prior amendments and current gaming operations. Commission staff outlined several changes, including authorization for electronic table games, extension of credit with customer-protection safeguards, removal of per-facility limits, changes to wager limits, a stepped increase in the tribe’s player-terminal allocation, and new licensing/eligibility/registration and definitions appendices. They also noted added provisions on responsible gaming, non-smoking areas if smoking is offered, emergency-services access, and community commitments.
Puyallup Tribal leaders gave extensive testimony on how gaming revenue has supported tribal self-governance, cultural preservation, education, housing, health care, elder services, youth programs, environmental protection, and charitable giving. They said gaming revenue has funded tribal facilities, a school, a longhouse, housing projects, a funeral home, health and behavioral health services, substance-use treatment, and donations to nonprofits and local public health efforts. Tribal economic development staff also described diversification efforts funded by gaming, including businesses in hospitality, fuel, construction, manufacturing, logistics, and a planned terminal partnership with the Northwest Seaport Alliance. The casino CEO emphasized responsible gaming, compliance, self-exclusion tools, staff training, and a problem-gambling campaign.
Committee members asked about the compact negotiation process and the state’s interests. Gambling Commission staff explained that compact changes are negotiated under the Indian Gaming Regulatory Act, with the governor’s office, commissioners, and ex officio members providing policy input, and that the current hearing was required within 30 days of completion of the state process. Staff said the commission would hold a public meeting on Thursday to take comment and then vote whether to forward the restated compact to the governor or return it for further negotiation. No public testimony was signed up at the hearing, and no vote was taken by the legislative committees.
CA
California 2025-2026 Regular Session
Assembly Appropriations Committee May 14th, 2025
Appropriations
Transcript Highlights:
- AB 260 is an important proposal to protect and safeguard safe and legal reproductive health care here
- California's child care subsidy program is a critical support for working families.
- But under current law, families can lose access to subsidized care due to gaps in eligibility rules.
- If a parent is not actively working or in training, they can lose their care.
- Even if they on pregnancy leave, caring for a family member, or searching for employment.
Committee:
House Appropriations
TX
Transcript Highlights:
- support, the mother could also be reimbursed for her share of the reasonable and necessary health care
- expenses, including prenatal and postnatal child care.
- It would further provide women the tools they need to care for their children and choose life.
- For single Texas, natal care is approximately $20,000 per mother.
- Family member guardians often care for persons with Alzheimer's disease and dementia.
Committee:
Senate Jurisprudence
Summary:
The committee first adopted its rules, which were distributed in the same form as the prior session’s rules. Members then took up several bills, beginning with SB 711, an HOA/condominium association bill that would extend and conform property-owner protections to condominium associations; the bill’s author and a Community Associations Institute representative testified in support, and the bill was left pending. SB 942 would allow child support and certain prenatal/postnatal medical expenses to be calculated from the date of conception rather than birth; it drew supportive testimony from the Texas Public Policy Foundation and the Attorney General’s Child Support Division, and was also left pending after testimony. SB 1448, an estates and probate cleanup bill, would require transfer of original wills by qualified delivery, add notice and electronic-order requirements for statutory probate courts, and make other clarifications; it received supportive testimony from the Texas Real Estate and Probate Institute and was left pending.
The committee also heard SB 1403, the Attorney General’s Title IV-D child support modernization bill, which updates notice, review, remote-hearing, and administrative-process provisions and clarifies several enforcement and evidence rules; the AG’s office testified that it would improve efficiency, and the bill remained pending. SB 1404 would allow courts to require an email address in final SAPCR orders when other contact information is nondisclosed and clarify service and judgment requirements; the Attorney General’s office described it as a good-government measure, and it was left pending. SB 1559 would require transfer of protective orders into divorce or custody cases to avoid conflicting orders; family-law practitioners and a family court judge testified that it would resolve longstanding conflicts identified by multiple courts of appeals, and the bill remained pending.
Finally, the committee considered SB 746, a guardianship bill that would address conflicts of interest in guardianship proceedings, allow guardian ad litem appointment earlier in the process, and require timely court action on annual guardianship reports and accounts; a committee substitute would remove some provisions and extend a reporting deadline from 20 to 30 days. TREP supported the bill, and one practitioner suggested requiring courts to state reasons when rejecting annual accounts. SB 1536 would require dementia and Alzheimer’s training for certain family guardians, with a committee substitute narrowing the scope and reducing the training time from three hours to one; the Alzheimer’s Association supported the measure and the substitute, and the bill was left pending. No bills were voted out of committee during the meeting.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 2 on Human Services Apr 15th, 2026
Transcript Highlights:
- Protect our health, care, and services. Don't let these cuts go into effect.
- services for consumers at full cost to the state if no other source of health care is available.
- It's the second largest health care system in California in Santa Clara County.
- I don't care whether it's 10. I don't care if it's 15. Twenty starts to get a little shaky, right?
- We want to make sure our grievance process is one that takes care of everyone's needs.
Summary:
The Assembly Budget Subcommittee on Human Services heard testimony on Department of Developmental Services (DDS) and related budget and trailer bill proposals, with a major focus on the impacts of H.R. 1 on people with intellectual and developmental disabilities (IDD). DDS and the Department of Social Services (DSS) said H.R. 1 could affect Medi-Cal and CalFresh access, but that people with disabilities and caregivers are exempt from the work requirements; the administration is working on data matching and automation through the statewide eligibility system to identify exemptions, with June 1, 2026 as the implementation date for CalFresh changes. Witnesses and advocates warned that any loss of Medi-Cal could create fiscal pressure on regional centers and households, while public commenters described the real-life consequences of losing services. Committee members repeatedly expressed concern about cost shifts to counties and asked for harm-mitigation strategies before the May Revision.
The committee also reviewed the governor’s IHSS-related proposals. DSS said the budget would set a baseline for authorized hours, align IHSS disenrollment/reinstatement with Medi-Cal eligibility processes, and eliminate the IHSS backup provider system, while emphasizing that individual service hours would still be based on assessed need. DDS said if a person loses IHSS or Medi-Cal, regional centers may have to step in as payer of last resort for some services, potentially at higher state cost. Members and the Legislative Analyst’s Office questioned whether counties could absorb the proposed shifts without reducing services, and asked for more detail on implementation, data quality controls, and how regional centers could help families navigate disruptions.
A separate trailer bill on DDS rate reform and the Quality Incentive Program drew mixed reactions. DDS proposed extending a contract exemption and delaying final rate reform regulations to 2030, saying the changes are budget-neutral and needed for implementation. DDS reported that about 81% of providers had completed the current Quality Incentive Program requirements, but providers and advocates argued the 90-10 structure can function like a penalty and may destabilize services if providers lose 10% of funding. Committee members asked for clearer assistance to providers, possible flexibility for good-faith efforts, and a redlined version of the language before the May Revision.
The committee also heard DDS’s proposed trailer bill on regional center governance and provider capacity. DDS said the language would consolidate regional center contracts and performance measures, strengthen board training and oversight, require consumer advisory committees, expand independent legal support, raise the threshold for board approval of contracts, and remove barriers such as physical-office requirements and duplicate vendorization. DDS said the goal is to improve accountability and efficiency while preserving person-centered services, and members indicated they wanted further refinement and stakeholder input before moving forward.
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 03/18/26
Health and Human Services
Transcript Highlights:
- </c><00:10:24.920><c> who</c><00:10:25.080><c> cares</c> big deal, and I don't care who cares big deal
- , and I don't care who cares more<00:10:25.720><c> or</c><00:10:25.800><c> not,</c><00:10:26.120><c>
- all the time in the health care administration.
- </c><00:51:03.680><c> They</c> in the health care administration.
- They in the health care administration.
Committee:
Senate Health and Human Services
MN
Minnesota 2025-2026 Regular Session
House debate on MN emergency powers bill Feb 28th, 2025
Minnesota House Floor Meeting
Transcript Highlights:
- , health care, and housing, and I'd ask for a no vote.
- , health care, and housing, and I'd ask for a no vote.
- , health care, and housing, and I'd ask for a no vote.
- , health care, and housing, and I'd ask for a no vote.
- , health care, and housing, and I'd ask for a no vote.
TX
Transcript Highlights:
- Chair: ...for health care costs for health care. Thank you. All right.
- Is that the supplemental for UTMB care?
- Speaker: ...for UTMB care.
- We all have to be very, very careful with that.
- We all have to be very, very careful with that.
Bills:
SB 1
Committee:
Senate Finance
NM
Transcript Highlights:
- in the Executive recommendation for Managed Care Rates.
- care rate increases.
- On line 289, $48 million to pilot a child care assistance affordability pilot to subsidize child care
- The 400 is a cutoff to get care at all, right?
- by growing the child care workforce.
Committees:
Senate Senate Finance , Senate House Appropriations & Finance
NH
Transcript Highlights:
- Uh, a healthc care provider. wording. Uh, a healthc care provider.
- And do I care? Well, I guess I care, but would I deny them their right to free speech?
- And do I care? Well, I guess I care, but would I deny them their right to free speech?
- And do I do I care? Well, I guess I care, but would I deny them their right to free speech?
- . care. care.
Committee:
House Judiciary