Video & Transcript : 'access to services' :

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NM

New Mexico 2026 Regular Session

Senate - Health and Public Affairs Feb 16th, 2026 at 02:54 pm

Senate Health & Public Affairs

Transcript Highlights:
  • The purpose of which is to help increase the access that people in New Mexico have to health care services
  • This bill expands access to psychological services while Maintaining strong licensure and disciplinary
  • increase access to care.
  • Survivors often struggle to access timely services due to funding barriers and lack of transparency about
  • All of our youth deserve certain levels of care, access to services, and such.
Keywords: 996, all
CA
Transcript Highlights:
  • It offers supportive services and stipends that increase access to upskilling opportunities for all of
  • Lacking access to traditional banking not only means that you pay more for basic financial services,
  • The reality is workers lack access to low-cost basic financial services like direct deposit and debit
  • And while we do agree with the goals of the bill to increase access to affordable banking services for
  • good access to banking.
Summary: The committee heard several labor-related bills, with AB 1424, AB 1340, AB 288, and AB 746 all advancing on due-pass motions to Appropriations after testimony and roll calls. AB 1424 would require climate resiliency and extreme-heat protections in CDCR facilities; supporters described dangerous heat conditions for incarcerated workers and staff, while no opposition testified. AB 1340 would allow rideshare drivers to unionize and collectively bargain; drivers, labor groups, and researchers testified that app-based work is low-paid and unstable, while TechNet, Uber, Lyft, and other business groups argued the bill conflicts with Proposition 22 and could raise costs. AB 288 would let PERB step in when federal labor remedies are unavailable; supporters said it is needed because of NLRB dysfunction, while the Chamber of Commerce raised preemption and enforcement concerns. AB 746 would create an inmate cooperative program and a green reentry reserve; supporters framed it as a recidivism-reduction and reentry strategy, and there was no opposition testimony. The committee also heard AB 858, which would extend hotel and hospitality worker recall rights after declared emergencies and extend existing COVID-era protections. Hospitality workers and unions supported the bill as a way to protect jobs after pandemics, wildfires, and other disasters, while hotel, chamber, retail, restaurant, trucking, travel, and attractions groups opposed it, saying the current recall rules were meant to sunset and that the bill would create broad liabilities and hiring complications. The bill was moved to Appropriations but remained on call after the roll. AB 291, creating a credentialed educator apprenticeship program to address teacher shortages and improve diversity, drew support from education groups and stakeholders who said apprenticeships could lower preparation costs and provide better support; it was also moved to Appropriations and placed on call. Later, the committee took up AB 1104, a solar-energy bill intended to clarify that private solar customers are not “awarding bodies” and to ease certain business-to-business solar transactions while preserving prevailing wage and apprenticeship requirements for contractors. Supporters said the current interpretation has chilled commercial solar adoption and harmed jobs, while opponents from electrical workers, PG&E, and others warned about expanded “over-the-fence” power sales and the need for clearer limits. Members questioned the lack of a definition of “small,” and the bill was held without a second. The committee also heard AB 338, which seeks $50 million for Los Angeles and Ventura wildfire workforce recovery; the author and county officials described major job loss and business destruction and said the funds would support displaced workers and rebuilding, with the testimony continuing beyond the excerpt provided.
KY
Transcript Highlights:
  • </c><00:43:58.400><c> middle</c> ability to find access to other middle ability to find access to other
  • It's a public network and we feel like we should have access to it as a service provider. >> Okay.
  • </c><01:46:26.239><c> to</c> family services paid for the access to family services paid for the access
  • We want to be able to provide them services.
  • We want to be able to provide them services.
Summary: The committee first approved the July 9 minutes without objection and heard from Jay Hartz and Jonathan Harris of the Legislative Research Commission. Members asked about Capitol and legislator security in light of recent targeted shootings in other states. Hartz said LRC had removed members’ home addresses from its website, was reviewing other state-government records for similar information, and was working with the Speaker, Senate President, Kentucky State Police, and outside security experts on broader safety measures. He also said LRC is exploring commercial products to help block personal contact information from public view, but declined to name vendors publicly. Harris added that driver’s license scans at the Capitol are handled by Kentucky State Police, while LRC has a process for flagging high-volume or concerning contacts for police review. The LRC also reported that redistricting work has already begun, with census coordination underway, evaluation of redistricting software including Mapitude and open-source tools, and plans to make the same tools available to the public in the LRC library. The committee then heard from Kentucky Wired Operations Company CEO Robert Morphonius, COO Tom Snyder, and counsel Patrick Hughes about the Kentucky Wired network. They explained the corporate structure: Kentucky Wired Operations Company is a private for-profit special purpose entity that designs, builds, operates, and maintains the network; Kentucky Wired Infrastructure Company is a nonprofit instrumentality used for financing; and Open Fiber Kentucky handles commercialization of excess capacity under a wholesale agreement. They said Kentucky Wired Operations is in the operations and maintenance phase, with those obligations continuing until 2045, and that technical changes to the network generally require KCNA approval through formal change-order processes. They also said the company conducted a market test in June 2023 under Schedule 19 of its contract, considered proposals including Open Fiber and the incumbent service provider, and retained the existing provider. Members asked about KCNA’s role, procurement, network customers, and revenue. The witnesses said Quac operates outside normal state procurement because its process is governed by contract, while KCNA acts as the Commonwealth’s oversight authority and filter for changes. They identified current network users as including AOC, KCTCS, postsecondary education, and other Commonwealth agencies, with all requests routed through KCNA; they also said a separate change process for Exceliccom is in litigation. On funding, they said the operation is paid through monthly appropriations, with roughly a million dollars a month for the service provider and a couple hundred thousand for Quac’s oversight, not including debt service, which is bundled into the availability payment. The discussion ended as members began asking about responsibility for damage-related costs such as squirrel-related outages.
CA
Transcript Highlights:
  • to services or affect the ability of families to obtain care.
  • This can inadvertently create harmful roadblocks to accessing critical services.
  • Expanding access to effective autism service services in California depends on recognizing all qualified
  • The bill risks overcompliance and could chill legitimate speech and access to legal products due to the
  • It instead allows CSLB to maintain essential services by using its own resources to withstand a downturn
Summary: The Assembly Business and Professions Committee heard several measures, including SB 402 by Senator Valadares, which would move existing qualification requirements for qualified autism service providers and related professionals from the Health and Safety Code and Insurance Code into the Business and Professions Code without changing the standards. Supporters said it was a technical cleanup that would improve consistency and legislative oversight, while an opponent argued the bill was unnecessary and could create access issues; another witness urged inclusion of the QABA credentialing board. The committee approved SB 402 on a due pass motion to the Committee on Health. The committee also heard SB 378 by Senator Wiener, aimed at online platforms that facilitate sales of illicit cannabis and intoxicating hemp products. Supporters, including labor, local government, and cannabis industry representatives, said the bill would help protect consumers, minors, legal businesses, and tax revenue by creating accountability for online marketplaces. Opponents from the hemp industry and TechNet argued the bill was overly broad, could sweep in legitimate platforms and payment services, and should better distinguish bad actors from compliant hemp businesses; members discussed implementation, enforcement through a private right of action, and coordination with AB 8. The committee passed SB 378 to the Committee on Privacy and Consumer Protection. Senator Arreguín presented SB 779, which would establish minimum enforcement fines for Contractors State License Board citations where minimums are currently very low or absent, and would raise the board’s reserve cap from six months to 12 months. The sponsor said the changes would better match penalties to violations and help support consumer protection and board operations during economic downturns. There was no opposition, and the committee approved SB 779 as amended to the Committee on Appropriations. The committee also approved the consent calendar, which included SB 344 and AB 652, both sent to Appropriations. SB 508 was not heard because it had been pulled by the author.
WA

Washington 2025-2026 Regular Session

Senate Health & Long-Term Care Feb 3rd, 2026

Transcript Highlights:
  • I grew up in a rural community in Eastern Washington, a little town in Othello, where access to services
  • needs for behavioral health and access to those services, as well as even internally to government.
  • to provide pediatric transitional care services.
  • It also requires HCA to provide grant funds to ensure the availability of services to infants with a.
  • Requires HCA to provide grant funds to ensure the availability of services to infants with a history
Summary: The Senate Health and Long-Term Care Committee held confirmation hearings for Ryan Moran to lead the Health Care Authority and Dennis Worsham to serve as Secretary of Health. Moran emphasized his personal background, experience in Maryland Medicaid, and priorities of protecting coverage amid federal changes, addressing health disparities, strengthening tribal partnerships, and improving agency operations. Worsham described his long public health career in Washington, his statewide listening tour, and his focus on collaboration, science-based decision-making, accountability, workforce support, and rebuilding public trust. Senators raised questions about behavioral health, social determinants of health, communication, misinformation, and the impact of federal policy changes; both nominees said Washington should continue leading on coverage, prevention, and public health resilience. In executive session, the committee advanced several bills. It passed SB 5899, allowing qualified chiropractors to perform chiropractic diagnosis and adjustments on animals; SB 6292, creating a joint legislative-executive committee on health care financing with a substitute; SB 6182, establishing an abortion savings program, after rejecting several Christian-sponsored amendments and adopting a Bateman amendment limiting eligible organizations to DOH-contracted abortion providers or funds; SB 5947, creating the Washington Health Care Board; SJR 8206, proposing a constitutional right to affordable health care; and SB 5933, on overdose mapping information sharing, with a substitute. The committee also recommended confirmation of both gubernatorial appointments. In a second group of bills, the committee passed SB 5823 on patient advocates with a substitute requiring at least one person physically present daily in acute care settings and expanding exemptions for certain hospitals; SB 6210 on the health plan certification process with a substitute; SB 5921 on psilocybin; SB 6226 protecting audiologists’ clinical autonomy with a substitute; and SB 5924 expanding pharmacists’ prescriptive authority with a substitute. Members discussed access, affordability, rural workforce shortages, and patient safety, and the committee adjourned after completing its agenda.
CA

California 2025-2026 Regular Session

Assembly Floor Session May 21st, 2026

California House Floor Meeting

Transcript Highlights:
  • Californians can continue to have access to these financial tools they need.
  • human services to housing to homelessness and so much more, and yet we still have work to do.
  • I rise to present AB 1857, a bill to help communities restore access to grocery stores.
  • to access essential services, even when there is no expectation of improvement, like my son.
  • access to their benefits.
Summary: The Assembly met on May 7, 2026, after an initial delay caused by the absence of a quorum, then proceeded with prayer, a moment of silence for victims of a hate-motivated attack at the Islamic Center in San Diego, and the Pledge of Allegiance. The Speaker pro tempore then moved through the daily file, repeatedly urging members to be on time and at their desks as the House of Origin deadline approached. Procedural actions included dispensing with the journal, deferring some items, and moving AB 1667 to the inactive file. The bulk of the session was devoted to floor consideration of many bills, most of which passed with little or no opposition. Measures approved included bills on artificial intelligence provenance information (AB 2713), community college trustee compensation (AB 2528), transit camera enforcement and privacy (AB 1837), excess proceeds claims in taxation (AB 2705), HOA technical cleanup (AB 1892), hepatitis C treatment access (AB 1843), child care planning in local general plans (AB 1914), greenhouse energy code flexibility (AB 2200), rent-now-pay-later consumer protections (AB 2350), housing cleanup and density bonus measures (including AB 2390, AB 2480, AB 1567, AB 1751, and others), spay/neuter access (AB 2010), workforce housing financing tools (AB 2110), supportive housing and homelessness-related changes (AB 2146), mental health and health plan notification measures (AB 1598, AB 2613), student aid and education bills (AB 1534, AB 1636, AB 1669, AB 1728, AB 1784, AB 1871), public safety and criminal justice bills (AB 1546, AB 1572, AB 1872, AB 1877, AB 1932), and several health and social services measures (AB 1602, AB 1628, AB 1680, AB 1825, AB 1845, AB 1906, AB 1907, AB 1925). Most bills were described as support measures, often with bipartisan backing and no opposition, and passed by wide margins. A few bills drew more discussion, especially AB 1751, a housing/townhome bill that sparked extended debate over wages, prevailing wage, stakeholder engagement, and whether the measure could depress pay for construction trades; despite concerns and an opposition speech, it ultimately passed 44-0. AB 1793, which would allow symmetrical rounding of cash transactions to the nearest nickel in light of the penny’s phaseout, also drew light debate and passed 47-1. AB 1932, an urgency measure expanding community-based crisis response, passed with one no vote on both the urgency and the bill. Several urgency or 54-vote bills, including AB 1534 and AB 1932, required later roll calls or calls to be lifted, but all measures described in the transcript were ultimately approved.
MO

Missouri 2026 Regular Session

Health and Mental Health Apr 16th, 2026

Health and Mental Health

Transcript Highlights:
  • be able to access at the time of an emergency.
  • So it is free to the EMS agencies to get access to STARS.
  • So how much does it cost for them to have access to that STARS program? Or is it possible?
  • So how much does it cost for them to have access to that charge program? Or is it possible?
  • What are we doing to, you know, grow services or whatever?
Summary: The Committee on Health and Mental Health first met in executive session and voted House Bill 2370, House Bill 3278, and House Bill 1638 do pass. HB 2370 passed 13-9, while HB 3278 passed 15-0 and HB 1638 passed 17-0. The committee then moved into public testimony. Senate Bill 1015, sponsored by Senator Nuremberg, was presented as a measure creating a legal process for assisted outpatient treatment for adults with serious mental illness who are at risk of deterioration, hospitalization, or harm. Supporters, including the Missouri Behavioral Health Council and the Missouri Association of Public Administrators, said it would reduce hospitalization and incarceration and improve access to care. The senator and witnesses emphasized collaboration with hospitals and the Department of Mental Health, and no opposition was offered. The committee also heard a detailed presentation on the STARS program from SSM Health representatives, explaining it as a Missouri-based EMS and pediatric emergency planning system that uses physician-approved, electronic care plans for children with complex needs. Members asked about costs, access, and how the program differs from the bill discussed previously; witnesses said the program is free for EMS and emergency access, but hospitals that write plans pay implementation and subscription fees. House Bill 2903, by Representative Mayhew, would give county and district hospitals relief from certain public-entity requirements, including some Sunshine Law-related burdens, board qualifications, and financial reporting timelines, to help them compete with private hospitals. Supporters from Phelps Health said the bill would reduce administrative burden and protect proprietary information; there was no opposition. Finally, House Bill 3379, by Representative Dolan, would expand and strengthen Missouri’s employee disqualification and mandated reporting rules for abuse, neglect, and financial exploitation of vulnerable adults. The bill adds more mandated reporters, including bank personnel and first responders, creates penalties for knowingly failing to report, and requires quicker DSS follow-up to reporters. DHSS supported the bill, citing recent financial exploitation complaints, while the Missouri Bankers Association said it supports the goal but wants to work on the mandatory reporting language so banks are not exposed to liability for situations they cannot readily detect. No formal opposition was presented, and the committee adjourned after the hearing.
FL
Transcript Highlights:
  • IT IS AMAZING TO SEE HIM IN ACTION, I APPRECIATE HIS SERVICE TO NEW COLLEGE, YOU CAN HEAR HIS PASSION
  • ANTAGONIST TO EXPAND CHOICE OPTIONS AND ACCESS TO LIFE-SAVING MEDICATION AND REPEALED THE OUT-OF-STATE
  • MANY STUDENTS WHO HAVE FACED HISTORICAL BARRIERS TO ACCESS TO HIGH-QUALITY EDUCATION.
  • ADDRESSING DISPARITIES TO EDUCATIONAL ACCESS.
  • WE NEED TO SAY BLACK STUDENTS ARE STRUGGLING WITH ACCESS.
Keywords: 999, senate, all
NM

New Mexico 2026 Regular Session

House - Appropriations and Finance Jan 15th, 2026 at 01:36 pm

House Appropriations & Finance

Transcript Highlights:
  • So I'll move on to the next page with enterprise services.
  • It's the smaller ones that we need access to, and the entities To subscribe to our services, that has
  • So, you can use software as A service to send ransomware to anybody that you would like to get hit for
  • That means access to telehealth, access to education, access to employment and many opportunities.
  • or they need to find some other source of funding so they can continue to provide services to their
Keywords: 996, all
CA

California 2025-2026 Regular Session

Assembly Health Committee Jun 23rd, 2026

Transcript Highlights:
  • a judge or health care professional, to have access to the full panoply of information to be able to
  • 90 days from the date of service to correct it?
  • Our veterans deserve access to every tool available to support their recovery.
  • access that kids have to tobacco.
  • So, like I mentioned, the whole goal here is to prevent access to that, and I will continue to work with
Summary: The Assembly Health Committee heard a series of bills focused on behavioral health, cancer screening, provider reimbursement, research funding, workforce licensing, and tobacco regulation. SB 16 would require counties to maintain procedures for designating and training professionals authorized to perform 5150 evaluations and initiate involuntary holds; supporters said it would expand the pool of qualified clinicians and reduce reliance on law enforcement, while opponents raised concerns about local control and implementation. SB 1124 would require CDPH to create and post lung cancer screening eligibility signage at tobacco point-of-sale locations; supporters emphasized low screening awareness and early detection, and the bill was advanced with amendments. SB 28, a CARE Court cleanup bill, proposed an ombudsperson, reporting, electronic petitions, remote participation, and other changes to improve accountability and access; it drew both strong support and significant opposition over concerns about coercion, scope, and whether the program is working as intended, but it passed the committee as amended to Judiciary. The committee also heard SB 874, which would strengthen oversight of Medi-Cal behavioral health treatment services, including background checks for providers and a stakeholder workgroup to develop standards; it passed to Public Safety. SB 1049 would let providers resubmit corrected claims within 90 days after a plan’s denial or recoupment action when the original claim had a correctable technical defect; supporters described delayed and withheld payments harming practices, while insurers argued the bill could duplicate existing dispute processes. The bill passed to Appropriations on call. SB 1224 would create a state framework to compete for federal ARPA-H funding for emerging therapies research, with testimony from a UC Davis psychiatrist and veterans’ advocates supporting expanded research into treatments for PTSD, depression, and other conditions; it passed to Military and Veterans Affairs. Later, SB 1057 would change how the Department of Public Health evaluates conviction history for certified nurse assistants and home health aides, shifting from automatic denial toward individualized assessment based on the offense, time elapsed, and rehabilitation; it passed to Appropriations with some no votes. Finally, SB 1314, a tobacco-related bill, sought to create a 600-foot buffer around schools and day care centers for certain tobacco retailers and address related issues such as cigar lounge definitions and nitrous oxide sales; several local government and public safety groups supported it, while health organizations and business groups opposed it unless amended. The chair announced that committee amendments were being set aside for now and the bill would move forward to Business and Professions with a commitment to continue working on the language; it passed out of committee.
TX

Texas 89th Regular

Intergovernmental Affairs Apr 8th, 2025

Intergovernmental Affairs

Transcript Highlights:
  • This is particularly important for rural and underserved areas where access to behavioral health services
  • We gained access to landlords that we previously did not have access to, and we were able to work closely
  • Research shows that access to financial services and support is the most likely priority.
  • I need access to certain tools like NCIC.
  • need access to these tools.
CA
Transcript Highlights:
  • are still served, and that we can start to increase service in our rural areas.
  • One is to provide that access and ensure that... To do two things.
  • my son access to care at home.
  • take to ensure that your business is transparent and accessible for the public?
  • The statute provides safeguards while preserving public access to complementary.
Summary: The joint sunset oversight hearing reviewed five California regulatory entities: the Respiratory Care Board, the California Council for Interior Design Certification, the Speech-Language Pathology, Audiology, and Hearing Aid Dispensers Board, the Board of Occupational Therapy, and the Board of Naturopathic Medicine. Each agency described its mission, recent modernization or enforcement work, and requested continuation of its authority. Committee members focused on access to care, workforce impacts, fee structures, transparency, and whether proposed changes would improve public protection without creating unnecessary barriers. For the Respiratory Care Board, the main issues were a possible move from an associate to a bachelor’s degree for entry-level licensure, fee cleanup changes, and ongoing work on the role of LVNs in respiratory tasks. Board representatives said the degree change would better align with national trends and could support future reimbursement and professional advancement, while public commenters and some legislators warned it could worsen shortages, especially in rural and underserved areas. Much of the public testimony centered on families and facilities relying on LVNs for trach and ventilator care in congregate living health facilities, with requests to preserve or expand exemptions. The board also discussed its reserve cap and efforts to modernize licensing and enforcement systems. The interior design item drew the most debate. CCIDC leaders argued the current voluntary certification/title-act model works, that complaints have not shown public harm, and that licensure would disrupt the workforce and create barriers for experienced designers. Committee members questioned the lack of enforcement authority, transparency, and whether the model provides enough accountability or consistent plan acceptance by local jurisdictions. Public testimony was split between supporters who said the current system is flexible and effective, and critics who said the private structure lacks accountability and creates confusion, especially for commercial work and plan check acceptance. The Speech-Language Pathology, Audiology, and Hearing Aid Dispensers Board reported major modernization gains, including online licensure processing, faster application times, new continuing education audits, and updated supervision and advertising rules. Members and stakeholders discussed a proposed audiology assistant license, which the board and the California Academy of Audiology supported as a way to improve access to care and reduce workload pressures. The Occupational Therapy Board described strong enforcement and licensing performance, a new strategic plan, and a request for additional fee authority to address rising costs and reserve concerns; public testimony largely supported the board and a proposed reduction in advanced practice hand therapy training hours. The Naturopathic Medicine Board emphasized consumer protection, unlicensed practice enforcement, and consumer confusion over titles, saying most of its enforcement workload involves unlicensed activity and that stronger title protection and clearer statutory authority are needed.
FL

Florida 2025 Regular Session

November 4, 2025 - 04:30 PM

Transcript Highlights:
  • >> The Health and Human Services Committee will come to order.
  • Areas are improving access to hospitals and other healthcare providers and healthcare item serviced and
  • I access to remote care services and services get telehealth remote patient monitoring another analogies
  • Truck Services Spring advance care to the world community.
  • expand access to healthcare specifically in the rule areas.
KY

Kentucky 2026 Regular Session

House Standing Committee on Primary and Secondary Education. (2-11-26)

Primary and Secondary Education

Transcript Highlights:
  • They do not have access to the amount tied to that until that adult learner passes and completes that
  • c><00:32:01.840><c> mortar</c> have a access to a brick and mortar have a access to a brick and mortar
  • We of if we would have access to it.
  • those who need access to special education and related services.
  • </c> they are going to be getting services? they are going to be getting services?
Keywords: 958, all
MA

Massachusetts 2025-2026 Regular Session

Senate Session (Full Formal with Calendar) Jun 18th, 2026

Massachusetts Senate Floor Meeting

Transcript Highlights:
  • you access care, you have to build systemic change. ...talking about that when you access care, you
  • have and the access to people and experts that guide us.
  • graduate high school as to whether or not they have access to a doctor or access to a dentist.
  • And then they explained, well, if a child doesn't have access to a doctor, they're going to get sick
  • to equitable access to care.
Keywords: 1212, all
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Ways and Means Mar 24th, 2026

Joint Committee on Ways and Means

Transcript Highlights:
  • We need to continue to allow access.
  • We're looking specifically to ensure access to culturally responsive, trauma-informed services that are
  • It's going to have a chilling effect on survivors everywhere in accessing services and accessing our
  • It's going to go to free services and free programming.
  • to be looking to us to support our local cable access.
Keywords: 1212, all
FL

Florida 2026 Regular Session

FL House Floor Session - 2026-02-25 (10:00AM Session)

Florida House Floor Meeting

Transcript Highlights:
  • act relating to patient access to records.
  • improve access to care... ...and advanced practice registered nurse practice to improve access to care
  • This would help with a continuum of care, and it will also improve access to social work services in
  • connected to get that service. ...you have to be 100% service connected to get that service, and by
  • I want to make sure they have access to the polls and access to the supervisors and access to registration
Keywords: 998, house, all
NM

New Mexico 2025 Regular Session

IC - Land Grant Aug 14th, 2025

House Rural Development, Land Grants And Cultural Affairs

Transcript Highlights:
  • As far as handicap access, we want to restore that.
  • State Road 96 needs to be accessible to the Wi-Fi senior center.
  • They deserve access to basic services that people in the city take for granted.
  • We need to expand access to services and others.
  • And so, again, Our hope with the Health Care Delivery Access Act was to be able to grow services and
NH
Transcript Highlights:
  • Our MLTSS plans have demonstrated improved access to home and community-based services.
  • Our MLTSS plans have demonstrated improved access to home and community-based services.
  • <c> in</c> accessibility to highquality services in accessibility to highquality services in the<00:43
  • of workforce access to services is really challenging. respond to it?
  • of workforce um access to previously of workforce um access to services<00:47:03.280><c> is</c><00:47
Keywords: 928, house, all
Summary: The Committee to Study Long-Term Managed Care met to approve prior minutes and outline its schedule, with meetings set for September 24 and September 29 ahead of an October 1 report deadline. The chair said the committee would use the first two meetings to digest testimony, likely ask follow-up questions of DHS, and then work toward conclusions and a report format. The minutes from the previous meeting were approved unanimously. The main testimony came from Sharon Alexander of Amera Health, who argued in favor of moving from fee-for-service Medicaid long-term services and supports to a managed LTSS model. She described managed LTSS as a capitated, quality-driven system used in about 26 states, and said it can improve care coordination, accountability, access to home- and community-based services, and budget predictability. She cited Amera Health’s experience in Pennsylvania and Delaware, including care coordination, housing and transportation support, caregiver programs, and quality benchmarks tied to state oversight. She also said nursing facilities would remain an important option for people who need that level of care. Committee members asked about how the programs are administered, how rates are set, how care managers work, and how quality is measured. Alexander said states contract with managed care organizations at actuarially sound capitated rates, with annual contracts, reporting, and oversight. She explained that care managers typically conduct quarterly assessments and follow up after trigger events such as hospitalization, and that housing coordinators may assist with transitions to the community. On quality, she said states use CMS-related and HCBS benchmark measures covering service timeliness, care planning, transitions, and other outcomes, and that New Hampshire could build on existing metrics rather than starting from scratch. She also noted that rural areas face workforce and transportation challenges, which managed care plans try to address through technology and self-direction options.
CA
Transcript Highlights:
  • In that report, I was pleased to learn that the CSU services to producer is nearly half of California's
  • all of these services, as we do want to make the CSU and continue to have it be accessible.
  • funding, there have been shared services as to pertain to both level of expertise and resources.
  • , faculty, and staff at the campuses are still able to access services, administrative services, in a
  • I also want to thank you for the earlier statement of commitment to providing access to higher education
Summary: The joint Assembly Higher Education and Budget Subcommittee hearing focused on the future of the California State University system, with opening remarks emphasizing CSU’s major role in California’s economy, workforce, and degree production. Chairs and members said the hearing was intended to inform 2026 budget decisions and to examine three main issues: declining enrollment at some campuses, cost controls and possible consolidation, and oversight of recent state investments at campuses such as Humboldt and Sonoma. The meeting was briefly delayed by microphone and sound problems before reconvening. The first panel featured CSU Academic Senate Chair Dr. Elizabeth Boyd and Cal State Student Association Vice President Katie Karam. Boyd urged the Legislature to protect academic freedom, strengthen faculty governance, provide stable ongoing funding, end unfunded mandates, support student food and housing security, fund flexible course schedules, improve transfer systems such as ASSIST, avoid over-centralizing academic programs, protect immigrant students, and expand intersegmental collaboration. Karam said students are feeling the effects of budget shortfalls through fewer course sections, reduced advising and services, longer time to degree, and tuition pressure, and she called for transparency, meaningful student involvement in budget decisions, and sustained state investment rather than cuts that harm the student experience. The second panel covered enrollment management and included CSU Chancellor’s Office and campus administrators from Chico State, Cal State L.A., and San Diego State. Dr. Delcy Perez said CSU Forward and the new systemwide enrollment plan are aimed at expanding access, aligning programs with workforce needs, and increasing resident enrollment; she reported systemwide enrollment gains and strong application numbers, including a direct-admissions pilot that expanded from Riverside to more campuses. Campus representatives described local recruitment and retention strategies, including early outreach to high school students, community college partnerships, guaranteed admission programs, and expanded advising and student support. San Diego State highlighted record enrollment and high demand, while Cal State L.A. described efforts to recover from impaction and rebuild enrollment. Members pressed CSU officials on the accuracy of enrollment data, the gap between funded targets and actual enrollment, and the system’s reallocation formula. CSU staff explained that campuses below target will see a 5% ongoing reallocation beginning in 2026-27, with one-time reserve funding also being directed to campuses that can grow, and that fiscal health reviews have been completed for 21 of 22 campuses. Legislators also asked about turnaround plans required by the budget act; CSU said those plans are being developed and will be shared in the spring after campus consultation. No formal votes were taken.