Video & Transcript : 'access to services' :
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CA
California 2025-2026 Regular Session
Joint Hearing Budget Subcommittee No. 3 on Education Finance and Higher Education Dec 8th, 2025
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.
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
CA
California 2025-2026 Regular Session
Assembly Floor Session Jun 4th, 2025
California House Floor Meeting
Transcript Highlights:
- But we have to let our veterans know that the work and the service that they've dedicated to.
- Goods and services will decrease from 180 days to 90 days, reconstructive services will decrease from
- Speaker, I rise today to present AB 1530, a bill requiring California Office of Emergency Services to
- This bill would ensure that low income families have access to basic service that most of us take for
- This bill is about access to justice.
NH
New Hampshire 2025 Regular Session
Committee to Study Long-Term Managed Care (09/15/2025)
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
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.
NH
New Hampshire 2026 Regular Session
Senate Health and Human Services (02/11/2026)
Health and Human Services
Transcript Highlights:
- protected for them to be able to access these services.
- </c> um to be able to access these services. um to be able to access these services.
- who are paying to access these services.
- </c> paying to access these services. paying to access these services.
- access to these services<02:56:05.680><c> sooner.
MN
Minnesota 2025-2026 Regular Session
House Higher Education Finance and Policy Committee 3/11/25
Higher Education Finance and Policy
Transcript Highlights:
- </c><00:04:20.160><c> to</c> not even campus security had access to not even campus security had access
- access to paid Library would do addition access to paid Library resources<00:26:00.399><c> that</c><
- to expand access and shared is needed to expand access and support<00:31:04.960><c> they</c><00:31:05.080
- </c> services that students can access um services that students can access um many<00:35:58.359><c>
- so</c><01:19:27.400><c> student</c> or services to our students so student or services to our students
WA
Washington 2025-2026 Regular Session
House Appropriations Jan 12th, 2026
Transcript Highlights:
- continue to provide the same services to individuals.
- But the budget does make some targeted investments to retain services and access for the 500 highest-acuity
- to housing and improving our access to affordable housing.
- We don't want to see any cuts to DD services.
- We don't want to see any cuts to DD services.
Summary:
The House Appropriations Committee opened with committee guidelines for the 2026 session, including limits on testimony, amendment deadlines, confidentiality expectations, and professionalism rules. Chair Ormsby also reviewed housekeeping for the public hearing, noting the meeting was recorded and live streamed, and that testimony would be limited to one minute because of the large number of sign-ups. The committee then began its work session on Governor Ferguson’s proposed 2026 supplemental operating budget, presented by OFM Director Katie Chapman, who outlined the state’s fiscal pressures: higher caseloads in major programs, a revenue forecast decline of about $390 million, federal policy changes tied to H.R. 1, inflation, and a relatively small ending fund balance. She said the governor’s budget solves about a $2.3 billion shortfall through nearly $800 million in spending reductions, revenue shifts, fund transfers, use of about $1 billion from the Budget Stabilization Account, and some tax preference changes, while also making targeted investments in areas such as child welfare, behavioral health, wildfire response, housing, and IT modernization. Chapman also explained that the proposal does not fully balance over the four-year outlook under the state’s statutory assumptions, but said the governor relied on the budget-balance law’s exception tied to BSA use and low employment growth. A question from Rep. Connors about credit ratings was answered with the view that the impact is difficult to predict and that Washington’s strong pension funding and balanced-budget framework remain positives.
The public hearing drew testimony from state officials and many advocates, most of whom opposed specific cuts or fund shifts in the governor’s proposal. Secretary of State Steve Hobbs objected to proposed sweeps from the corporations and charities fund and the library archives account, citing prior cuts, layoffs, cyberattack-related costs, and the need to upgrade aging systems. Commissioner of Public Lands Dave Upthegrove urged restoration of wildfire prevention funding, saying the proposed amount was still $30 million short of the commitment in House Bill 1168 and that underfunding would increase suppression costs and risk to communities. Many education witnesses opposed reductions to Working Connections Child Care, transition to kindergarten, local effort assistance, Running Start, and higher education across-the-board cuts, arguing they would harm access, equity, and workforce development. Higher education leaders from community colleges, the University of Washington, Western Washington University, and Evergreen State College described staffing cuts, program reductions, and pressure on student services, while K-12 groups and OSPI said the budget would deepen existing funding gaps.
A large portion of testimony focused on human services, health, housing, and civil legal aid. Child welfare and youth-serving organizations supported some targeted investments but opposed cuts to child care, child welfare network administration, and youth programs; advocates for foster youth, homeless youth, and mentoring programs asked for continued or increased funding. Health care and long-term care providers warned that proposed Medicaid and rate changes would reduce access for seniors, people with disabilities, and safety-net patients, while Planned Parenthood and abortion access advocates urged full restoration of the Abortion Access Project and related reimbursements. Housing and legal aid witnesses backed the governor’s proposed right-to-counsel funding but asked for more support, and homelessness advocates sought contingency funding for federal housing programs. Crime victim and domestic violence service providers repeatedly said the proposed $12 million was far short of the roughly $21.38 million needed to avoid service cuts and closures. Other testimony addressed the Climate Commitment Account shift for the Working Families Tax Credit, with environmental advocates opposing the diversion of CCA dollars and workforce advocates supporting the governor’s economic security and employment programs. No votes or formal committee action were taken during the hearing portion described in the transcript.
HI
Hawaii 2025 Regular Session
HSH Public Hearing - Thu Apr 10, 2025 @ 11:30 AM HST
Human Services & Homelessness
Transcript Highlights:
- Just kind of highlighting the fact that accessible facilities are essential to ensuring independence
- Like I said earlier, we have to maintain certain widths for accessible access for wheelchairs and whatnot
- Like I said earlier, we have to maintain certain widths for accessible access for wheelchairs and whatnot
- me about trying to increase equitable access across the state for these facilities.
- You know, we have a responsibility to provide equal access.
Summary:
The committee heard STR 73 SD1, which requests the Office of Wellness and Resilience to develop a report on the developmental needs of children born during the COVID-19 pandemic. The Office of Wellness and Resilience testified in support, saying it was eager to work with local researchers on evidence-based, community-informed recommendations. Support also came from a Zoom testifier, the Department of Education, and the Hawaii Community Foundation. The testifier emphasized the need for trauma-informed supports for children who were ages zero to five during COVID, especially in communities also affected by the Kilauea eruption and the Maui wildfires. Members discussed the long-term impacts of the pandemic and natural disasters on children, and one member said they would support the measure but vote with reservations because they wanted the phrase “climate crisis” changed to “natural disasters.” The committee adopted the chair’s recommendation to pass the resolution as is, with some members noting reservations.
The committee then took up SCR 239 SD1, which asks DAGS, DLNR, and the City and County of Honolulu Department of Parks and Recreation to provide universal changing accommodations in state and county facilities and parks. DAGS submitted comments, DLNR State Parks testified that it supported the intent but raised concerns about the cost and feasibility of retrofitting existing facilities, noting it has 73 comfort stations statewide, ongoing vandalism and maintenance issues, and possible ADA space conflicts. The Hawaii State Council on Developmental Disabilities and the Hawaii Disability Rights Center supported the measure, with testimony stressing that accessible changing facilities are important for independence and equity for people with disabilities. In response to questions, DLNR said it had not received complaints about the lack of such infrastructure and that any future installations should be considered in new designs rather than existing facilities. After discussion, the chair moved to defer the resolution, citing budget and implementation concerns and suggesting the issue be revisited in the future with a revised approach and possible needs assessment. The committee agreed to defer SCR 239 SD1 and then adjourned.
FL
Florida 2026 5th Special Session
FL House Floor Session - 2025-04-30 (10:00AM Session)
Florida House Floor Meeting
Transcript Highlights:
- Members, this bill accelerates access to vital services to Florida's most vulnerable populations.
- care have access to the services they need.
- offered by the pilot program, has immediate access to the very needed services.
- to the table to be able to provide those services.
- Leaving people on the wait list and not having them be able to access the services.
Summary:
The Florida Senate opened with prayer, the Pledge of Allegiance, and several recognitions, including interns, Denim Day awareness for sexual assault survivors, a resolution honoring Vietnam veterans exposed to Agent Orange, and a memorial proclamation for former Senator Karen Johnson Gendron. The chamber then moved to special-order bills, with senators also briefly discussing the session’s pace and thanking staff and colleagues for their work.
The first major bill, on driving and boating offenses, was amended and passed 37-0. As amended, it increases penalties for repeat DUI/BUI manslaughter and vehicular homicide/vessel homicide offenses, and adds notice requirements and misdemeanor penalties for refusing lawful breath or urine tests. Senators also passed SB 306 on Medicaid providers 37-0, requiring Medicaid managed care plans to offer more after-hours and holiday access and ensuring more primary care appointment availability outside regular business hours.
The Senate then passed a major condominium and cooperative associations bill, also 37-0, after extensive debate and multiple amendments. The measure extends deadlines for structural integrity reserve studies, adds flexibility for reserve funding and budgeting, tightens rules for managers and inspectors, limits certain requirements to buildings of three or more habitable stories, and extends the rescission period for condo purchases. Senators from both parties praised the bill’s sponsors for years of work responding to post-Surfside safety and affordability concerns.
The longest and most contentious item was SB 7016/HB 1205 on constitutional amendment petition procedures. Sponsors said the bill responds to fraud and abuse in the citizen initiative process by tightening circulator rules, requiring faster submission of signed petitions, adding voter notification, increasing penalties, and shifting costs to sponsors. Opponents argued it would burden volunteers and make it harder for citizens to qualify initiatives. The chamber adopted a series of amendments, including changes to the petition-circulator threshold, volunteer protections, submission timing, invalid-signature investigation thresholds, and notice/cure provisions, while debate continued over whether the overall package would protect election integrity or suppress citizen-led amendments.
ND
North Dakota 2026 1st Special Session
Government Finance Transportation Study Subcommittee Mar 19th, 2026
Transcript Highlights:
- In addition to our fixed-route services, Cities Area Transit operates ADA complementary paratransit service
- access to transit while still maintaining reasonable travel times.
- In 2017, the paratransit service hours were reduced to 5:30 a.m. to midnight, Monday through Saturday
- from 5:30 a.m. to midnight, and seven hours of service on Sundays, operating from 7:30 a.m. to 2:30
- getting access to the areas in the community where people want to go.
Summary:
The Government Finance Transportation Study committee heard detailed presentations from transit officials in Grand Forks, Bismarck/Mandan (Bisman Transit), and Fargo about fixed-route and paratransit service. Grand Forks described Cities Area Transit’s routes, fare structure, ridership recovery after COVID, fleet replacement needs, and rising costs, noting fares cover only a portion of expenses and that the system relies on local, state, federal, and university funding. Bisman Transit outlined its history, service hours, route structure, recent expansion of hours, fare levels, ridership growth, funding sources including mill levies, federal grants, and new local sales tax revenue, and major challenges such as aging buses, driver recruitment, and the need for more stable operating support. Fargo’s representative briefly reinforced the importance of public transit and asked the committee to consider additional funding for urban fixed-route systems.
AR
Arkansas 2026 1st Special Session
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Mar 16th, 2026
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE
Transcript Highlights:
- And in addition to the regular fee-for-service payments, we do make hospital access payments.
- it costs to provide the services to Medicaid fee-for-service versus how much the hospital would have
- it costs to provide the services to Medicaid fee-for-service versus how much the hospital would have
- it costs to provide the services to Medicaid fee for service versus how much the hospital would have
- We need all other providers to do what they need to do to enhance services and access for patients of
Summary:
The subcommittee met to review Department of Human Services hospital payments in Arkansas Medicaid, with DHS Secretary Janet Mann and Deputy Secretary Misty Eubanks presenting first, followed by Arkansas Hospital Association Executive Vice President Jody Ann Tritt and a brief comment from Arkansas Children’s. DHS outlined the main hospital payment streams: fee-for-service per diem payments, upper payment limit (UPL) supplemental payments, cost settlements, and smaller payments such as graduate medical education and disproportionate share hospital funds. Members asked for plain-language explanations of cost settlements, why per diem rates vary by hospital type, and why UPL applies to private hospitals. DHS said cost settlements and UPL are mechanisms to help offset Medicaid underpayment, with SFY 2025 hospital payments totaling hundreds of millions of dollars and no general revenue used for supplemental payments beyond the state share funded through hospital assessments and related financing structures.
Committee members focused heavily on whether Arkansas hospitals are adequately reimbursed and why rural hospitals struggle. Tritt explained that critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals operate under different federal and state rules, and said lower per diem rates for some facilities help with cash flow and later cost settlement adjustments. She said Arkansas hospitals are under financial strain, citing a negative patient services margin statewide and noting that Medicaid, Medicare, and commercial payers all contribute to the problem. She also said the association had just authorized a statewide survey of hospital finances and costs, which she expected would take about a year to complete.
A major theme was commercial insurance reimbursement. Tritt argued Arkansas hospitals are paid far less than hospitals in neighboring states even though premiums are similar, and said administrative burdens, prior authorizations, and denials add to the problem. She said hospitals receive about 52 to 53 cents on the dollar for Medicaid costs without UPL and about 78 cents with UPL, still below cost. Members also discussed Medicare wage index issues, Medicare Advantage, and whether hospitals could use technology or alternative arrangements to improve finances. No votes were taken on the hospital presentation.
At the end of the meeting, DHS provided a brief update on Living Choices and assisted living reimbursement. Officials said one assisted living facility, Pillars of the Community in Crossett, had announced closure, with nine waiver clients being transitioned to other settings. DHS said the current cost reporting period was underway and that a new rate study could be ready for review before the end of the fiscal year if reports were submitted on time. Members also asked about the broader waiver plan, and DHS said the next waiver iteration would likely be brought back to the committee in the summer.
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 2/19/25
Human Services Finance and Policy
Transcript Highlights:
- </c><00:04:06.120><c> and</c> site to provide Adult Day services and site to provide Adult Day services
- I also think that in Greater Minnesota, finding access to the licensed clinical components of the service
- ><c> services</c><00:57:08.440><c> for</c> accessing all those services for accessing all those services
- There was a very sincere and legitimate worry that people wouldn't be able to access hospital services
- to access Hospital<01:05:31.720><c> Services</c><01:05:32.319><c> r</c><01:05:32.680><c> large</c><01
MN
Minnesota 2025-2026 Regular Session
Rehabilitative mental health service providers 3/4/26
Minnesota House Floor Meeting
Transcript Highlights:
- access to needed mental health services across our state.
- access to needed mental health services across our state.
- access to needed mental health services across our state.
- access to needed mental health services across our state.
- access to needed mental health services across our state.
AR
Arkansas 2026 Regular Session
REVENUE & TAXATION- HOUSE May 4th, 2026
REVENUE & TAXATION- HOUSE SALES, USE, MISC. TAXES & EXEMPTIONS SUBCOM.
Transcript Highlights:
- who need access to quality early learning.
- who need access to quality early learning.
- take his meds, to brush his teeth, to access his modified van, to drive him where he needs to go, and
- to access those places when he gets there.
- brush his teeth, to access his modified van, to drive him where he needs to go, and to access those
Summary:
The committee heard House Bill 1001, sponsored by Representative Les Eaves, which would lower the individual income tax rate to 3.7% retroactive to the current year and reduce the corporate rate to 4.1% beginning in 2027. Eaves argued the bill continues Arkansas’s recent tax-cut strategy, would provide broad relief to working families, and would keep the state competitive while preserving future surpluses rather than cutting existing services. He and Representative Bray emphasized that prior tax cuts have benefited taxpayers and supported economic growth.
Several opponents testified against the bill, including representatives from Arkansas Appleseed, Arkansas Advocates for Children and Families, a pastor, and individuals speaking about disability services and food insecurity. They argued Arkansas cannot afford further revenue reductions given needs in public education, early childhood care, Medicaid and food assistance, rural hospitals, and supported living services. Witnesses said the tax cut would disproportionately benefit higher earners while providing little or no relief to lower- and middle-income families, and urged the committee to prioritize public investments over tax cuts.
After debate, the committee adopted a motion to limit witness testimony to five minutes each. Representative Eaves closed on the bill and moved to pass it. Following discussion, the committee voted to pass HB 1001, and the meeting adjourned.
CA
California 2025-2026 Regular Session
Senate Education Committee Mar 25th, 2026
Transcript Highlights:
- But actually, the point is to make sure that the students have access to the highest quality food that
- points of access to complete their work efficiently.
- points of access to complete their work efficiently.
- No unauthorized people should be able to access that point.
- Just to clarify, this bill specifically goes to the access award amount under the Cal Grant B portion
Summary:
The Senate Education Committee heard several bills related to school nutrition, campus safety, college financial aid, and UC contracting ethics. SB 1058 by Senator McNerney would remove price as the primary factor in school nutrition procurement grants, allowing districts more flexibility to prioritize quality, local sourcing, cultural responsiveness, and healthier meals. Supporters from school nutrition and education groups said it would help districts better serve students and local farmers without increasing state costs. After questions about vendor selection and safeguards against favoritism, the bill was moved do pass and later approved 7-0.
SB 1140 by Senator Ashby, sponsored by the California Federation of Teachers, would require school safety plans to address access control during construction, maintenance, and repair projects. Supporters said the bill closes a gap that can leave gates or doors unsecured and could help prevent unauthorized access to campuses. There was no opposition, and the committee approved the bill unanimously. SB 959 was also taken up on consent and passed.
SB 1006 by Senator Padilla would raise the Cal Grant B Access Award and tie future increases to inflation using the California Consumer Price Index. Supporters said the current award has lost most of its value and does not cover basic needs like housing, food, transportation, and books, affecting hundreds of thousands of students. Members discussed the fiscal impact and the need to keep aid aligned with rising costs; the bill was moved forward and later approved 7-0. SB 1141 by Senator Wahab would bar UC contracts with businesses that pay UC executives or where executives serve in paid roles, aiming to prevent conflicts of interest. UC and the Chamber of Commerce opposed the bill as too broad and potentially disruptive to operations, while supporters argued existing rules are insufficient because many contracting decisions happen outside public view. After extended debate over recusal, transparency, and the scope of the restrictions, the committee passed the bill 4-2 and then finalized all bills on the agenda before adjourning.
NH
New Hampshire 2025 Regular Session
Senate Health and Human Services (02/06/2025)
Health and Human Services
Transcript Highlights:
- no access to...
- no access to...
- So what you want to do is change it so hospitalized people have access to the services.
- Uh, I would skip out on a cup of coffee to make sure everyone has access to the services they need.
- Uh, I would skip out on a cup of coffee to make sure everyone has access to the services they need.
MN
Transcript Highlights:
- It simply streamlines access to a service that has already been approved.
- It simply streamlines access to a service that has already been approved.
- It simply streamlines access to a service that has already been approved.
- It simply streamlines access to a service that has already been approved.
- It simply streamlines access to a service that has already been approved.
FL
Florida 2025 Regular Session
January 15, 2025 - 03:30 PM
Transcript Highlights:
- Medicaid fee schedule to provide services on private-duty nursing services.
- , I'm going to now lose my access to the service.
- from accessing these services.
- So the child already has to need PDN services.
- ensure that she has access to the medical services that she needs.
Summary:
The subcommittee held its first meeting of the 2025-2026 term, took attendance, confirmed a quorum, and heard introductory remarks from members and staff. Chair Anderson outlined the subcommittee’s jurisdiction over access and affordability issues, including health facility regulation, insurance, Medicaid, CHIP, and state employee health coverage. The main agenda item was an update on implementation of HB 391, which created a family home health aide program for medically fragile children. Representative Tramont, the bill sponsor, explained that the law was intended to let trained family caregivers be paid through Medicaid to care for their children, reduce reliance on private duty nursing, and relieve families. He and several members expressed frustration that implementation had taken nearly two years and that families still faced barriers.
Deputy Secretary Brian Meyer of AHCA and Bridget Royce of DCF said the program was implemented October 1, 2024, with billing available, but no home health agencies had yet launched the required 80-hour training program and no claims had been paid. They described the program’s requirements, including agency employment, background screening, training, a $25-per-hour Medicaid rate paid to the agency, and an annual assessment report. A major issue discussed was that income earned by family caregivers counts toward Medicaid eligibility and could cause families to lose coverage. AHCA and DCF outlined two possible fixes that would require CMS approval: disregarding the income for eligibility purposes or treating the child as a family of one. Members and public witnesses strongly urged changes to avoid forcing families to choose between income and coverage. Several providers said they had begun preparing training programs, but asked for clearer approval processes and more patient-specific training requirements.
The committee then heard extensive public testimony from parents and caregivers of medically fragile children, who described the financial, emotional, and logistical strain of caring for children with severe disabilities and argued that the bill should be expanded to include Florida KidCare families and others in the coverage gap. They also raised concerns about the eight-hour-per-day limit, low pay, and the need for simpler rules and direct support. Home health providers and associations supported the concept but asked for modifications, including more targeted training and clearer implementation guidance. The meeting then shifted to a second agenda item on the Andrew John Anderson Rapid Whole Genome Sequencing Program, which was funded in the 2023 budget. Deputy Secretary Meyer said the program has been implemented since January 1, 2024, but utilization has been lower than expected, with only about 60 claims paid and many denials occurring through managed care. Public testimony from a lab, a hospital, and a pediatric rare disease expert said the program is clinically valuable and cost-saving, but managed care billing barriers, prior authorization issues, and DRG-related denials are limiting access; they urged direct billing to Medicaid and possible expansion to all newborns.
CA
California 2025-2026 Regular Session
Senate Floor Session Feb 9th, 2026
California Senate Floor Meeting
Transcript Highlights:
- But let me be clear, access to safe and legal abortion services is a human right and an integral part
- Closures mean more distance to life-saving care and treatment and less access to services that keep people
- Closures mean more distance to life-saving care and treatment and less access to services that keep people
- healthy, ...saving care and treatment and less access to services that keep people healthy and thriving
- services for our constituents to access.
Summary:
The Senate opened with roll call, prayer, and the Pledge of Allegiance, then moved through privileges of the floor to recognize several guests, including the St. Mary’s High School football team from Stockton for winning the 2025 state championship, Black-owned businesses honored by the California Legislative Black Caucus and California Black Chamber of Commerce, and students and guests visiting the Capitol. The Rules Committee reported Senate Resolution 77 to third reading, and the Senate approved the journals and proceeded to the daily file.
The chamber then confirmed Tyler Sadwith as Chief Deputy Director for Health Care Programs at the Department of Health Care Services by a 33-0 vote. The main floor action was on Senate Resolution 77, which condemned racist and dehumanizing imagery shared by President Donald Trump depicting former President Barack Obama and former First Lady Michelle Obama. Numerous senators from multiple caucuses spoke in support, framing the post as racist, dangerous, and part of a broader pattern of dehumanization; one Republican senator objected to the resolution’s language and process but said racism should be condemned. SR 77 was adopted on a 28-0 vote.
The Senate then took up SB 106, a budget bill to create a one-time $90 million grant program to support family planning providers after federal cuts under H.R. 1 reduced reimbursements to Planned Parenthood and similar clinics. Supporters said the measure would preserve access to reproductive and preventive health care, especially in rural and underserved areas, while opponents criticized the bill for secrecy, no-bid contracting, and prioritizing abortion-related services over other budget needs such as rural hospitals and developmental disability services. After debate, the Assembly amendments were concurred in by a 26-9 vote.
At the end of the session, the Senate moved to adjournment in memory, with Senator Choi offering a remembrance for Mitzi Ortiz, the city manager of Aliso Viejo, who died on December 22, 2025.
ID
Transcript Highlights:
- They're going to make you, if you've got access to surface irrigation water.
- I left my civil service career eventually to return to my agricultural roots.
- We worked closely with the Designed to help fund access, yes.
- Ray, just looking at your resume and your commitment to public service, it's just so impressive.
- National estimates project up to 50,000 new jobs from expanded timber and mineral access.