Video & Transcript Research : 'directed communication'
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CA
California 2025-2026 Regular Session
Joint Hearing Senate Emergency Management Committee and Natural Resources and Water Committee May 13th, 2026
Transcript Highlights:
- And this is exactly the direction that Cal Fire Office of the State Fire Marshal's community wildfire
- The direction California is taking.
- It takes the community being... ...talking about, one house being resilient doesn't protect the community
- as a whole in the right direction.
- Senator, you put forth with us SB 90 last year trying to accomplish community protection and community
MN
Minnesota 2025-2026 Regular Session
House Workforce, Labor, and Economic Development Finance and Policy Committee 4/15/26
Workforce, Labor, and Economic Development Finance and Policy
Transcript Highlights:
- we're going in the right direction. we're going in the right direction.
- consistently in the right direction consistently in the right direction really<00:54:06.400>
- So it's critically communities.
- communities and sort of do double down. communities and sort of do double down.
- It changes communities.
Keywords:
apprenticeship, education, teacher training, grant program, labor and industry, workers' compensation, Minnesota workers' compensation, Workers' Compensation Advisory Council, reinsurance association, Workers' Compensation Reinsurance Association, WCRA, occupational disease, presumption, first responders, firefighter cancer, PTSD, post-traumatic stress disorder, police officer, paramedic, emergency medical technician
KY
Kentucky 2025 Regular Session
Medicaid Oversight and Advisory Board (9-9-25)
Transcript Highlights:
- Now, I don't think Medicaid directed Now, I don't think Medicaid directed payments<00:11:51.360>
- university directed payment program. university directed payment program.
- community- based? community- based?
- the community and be in a waiver. Okay? the community and be in a waiver. Okay?
- So, Home and Community Based, Michelle P, or Supports for Community Living, SCCL.
Summary:
The Medicaid Oversight Advisory Board’s fourth meeting focused primarily on a presentation from University of Kentucky and University of Louisville health leaders about the state university directed payment program. Mark Birdwhistle and Ken Marshall described the program as a long-running, value-based Medicaid arrangement that began in 2019, uses university-provided matching funds rather than provider taxes, and ties a portion of payments to quality outcomes. They said the program has improved measures such as tobacco cessation, diabetes control, depression screening, and cancer screening, while supporting access to specialty care, medical education, and workforce training. They also emphasized that Kentucky’s model is nationally notable and has helped improve health rankings and generate cost savings.
A major topic was the federal reconciliation bill signed July 4, which the presenters said will reduce directed payments by 10% annually for 10 years beginning in 2028. UL Health estimated a first-year loss of about $75 million and a cumulative loss of about $600 million over the decade; UK estimated about $100 million in the first year, for a combined first-year impact of roughly $175 million. Both speakers warned the cuts could affect access to care, training capacity, and the sustainability of Kentucky’s value-based model, though they expressed hope that congressional action could alter or delay the changes. They also noted that 340B drug pricing changes could further strain already thin operating margins, but did not provide exact figures during the meeting.
Committee members responded positively to the program’s reported outcomes and the institutions’ role in Kentucky health care. Senator Berg praised the quality of care and shared a personal example of being advised to stay at UofL for breast cancer treatment. Representative Moer highlighted Kentucky’s strong cancer-control score and asked for more explanation of the value-based payment structure; the presenters said the system is built around ongoing measurement, accountability, and collaboration with the Cabinet for Health and Family Services. No votes or formal actions were taken beyond approving the amended August 27 minutes by voice vote.
CA
California 2025-2026 Regular Session
Joint Hearing Assembly Health Committee and Senate Health Committee Aug 19th, 2025
Transcript Highlights:
- States with existing state-directed payments above the Medicare rates will need to reduce our state-directed
- happens, the outreach happens to the community, but that communities can... ...the outreach happens
- to the community, but that communities can speak to the counties from some of the lessons learned that
- This was brought up to me in my community around this topic about mobile visits into the community.
- John's Community Health.
Summary:
The joint informational hearing focused on the impacts of H.R. 1 on California’s Medi-Cal program and on community health effects from recent immigration enforcement actions. Committee leaders said H.R. 1 would sharply reduce federal funding, increase administrative burdens, and worsen access to care, especially for Medi-Cal enrollees, immigrant families, rural communities, and reproductive health patients. The second half of the hearing examined how ICE raids and related federal actions are creating fear, reducing clinic and emergency department use, and disrupting children’s access to schools and early childhood education.
Department of Health Care Services Director Michelle Bass outlined the main H.R. 1 provisions affecting Medi-Cal: work requirements, semiannual eligibility redeterminations, shorter retroactive coverage, new cost-sharing, limits on provider taxes and state-directed payments, reduced federal support for emergency and lawful immigrant coverage, and a one-year ban on Medicaid funding for prohibited abortion providers. She estimated millions could lose coverage, with tens of billions of dollars in federal funding at risk. Planned Parenthood Affiliates of California warned the defunding provision could force clinic closures, service reductions, and loss of access to family planning, STI testing, and cancer screenings. The California Hospital Association said the financing changes could cut hospital revenue by tens of billions over 10 years and threaten access, especially for rural and safety-net hospitals. The Western Center on Law and Poverty argued the law would increase churn, paperwork, and uninsured rates, disproportionately harming working adults and people experiencing homelessness.
Committee members asked about implementation timelines, notification systems, administrative costs, the effect on immigrant eligibility, and whether California could delay or mitigate some provisions. Bass said the state was still assessing federal guidance, planning county and provider outreach, and exploring a possible delay for work requirements and a transition period for provider-tax changes. Members also discussed how state budget actions may need to be revisited in light of H.R. 1, and how California might preserve access through state-only funding or other policy changes.
In the second panel, CHIRLA, Los Angeles County Department of Health Services, and the Children’s Partnership described the health consequences of immigration enforcement. Speakers said raids and data-sharing fears are causing anxiety, trauma, and avoidance of care, with Los Angeles County reporting declines in emergency, urgent care, and clinic visits after enforcement actions. The Children’s Partnership said school and early childhood absences are rising in some communities and that enforcement is undermining children’s emotional well-being and access to education. Members asked for more data and discussed possible state protections, telehealth, mobile care, and legal and policy responses to reduce fear and preserve access to health and education services.
WY
Wyoming 2026 Regular Session
Joint Travel, Recreation, Wildlife & Cultural Resources, May 27, 2026 - PM
Travel, Recreation, Wildlife & Cultural Resources
Transcript Highlights:
- Recognize the landowner community?
- and the landowner community.
- uh the hunting community and uh the<00:15:51.120>
landowner <00:15:51.680>community. - comments in that direction. comments in that direction.
- Do you need any more directive to look? Do you need any more directive on<01:38:33.199>
that?
CA
California 2025-2026 Regular Session
Assembly Privacy and Consumer Protection Committee May 13th, 2026
Transcript Highlights:
- is where I first found my community.”
- So when you have a situation where you have a small community, which ultimately the LGBTQ+ community
- And asks our community to pay the tab instead.
- It wasn't the community itself.
- In another study, we found that peer-led online communities can increase community cohesion and that
Summary:
The Assembly Privacy and Consumer Protection Committee held an informational hearing on the impact of social media on LGBTQ+ youth, focusing on benefits, risks, and possible safeguards. Chair members framed the discussion around the tension between protecting young people from addictive design, harassment, hate speech, exploitation, and mental health harms while preserving access to affirming resources, community, and crisis support that many LGBTQ+ youth rely on online. Members emphasized that the hearing was meant to inform future policy rather than relitigate prior bills, and several members of the LGBTQ+ Caucus attended or participated.
The first panel featured lived experience and advocacy testimony from Madi Roby of Alliance for Trans Youth Rights, Shea Gardner of LGBT Tech, and Casey Pick of the Trevor Project. Roby described social media as essential to exploring identity, finding trans language and safety information, and connecting to Trevor Project resources during a family crisis, while also acknowledging online hate and bullying. Gardner argued that lawmakers should regulate harms more precisely rather than impose broad age-based exclusions, warning that account bans and age-gating could cut off access to community, privacy-protective pseudonymity, and crisis resources. Pick testified that LGBTQ+ youth are more likely than peers to attempt suicide, that social media can be both a lifeline and a risk, and that Trevor Space and other moderated online spaces can improve mental health and reduce isolation; she also cautioned against policies that would push youth into less visible, less moderated spaces.
Committee members questioned the witnesses about algorithmic feeds, addictive design, age verification, and whether platforms should be required to do more to protect youth. Several lawmakers distinguished between personalized feeds and addictive features such as infinite scroll and autoplay, and asked for more targeted prescriptions. Witnesses generally supported stronger privacy protections, limits on data collection and use, better reporting and moderation tools, digital literacy, and design changes that reduce harmful engagement patterns without eliminating access to community. The discussion also touched on the loss of LGBTQ-specific 988 services at the national level and the importance of maintaining alternative support pathways.
The second panel presented research from Common Sense Media, UC Irvine, Hope Lab, and LGBTQ+ Health Australia. Researchers reported that LGBTQ+ youth often arrive online with higher depressive symptoms and limited in-person support, encounter homophobic and transphobic content at high rates, and may self-censor because of fear of harassment. At the same time, many said social media helps them feel less alone and find affirmation. Dr. Sean Young emphasized a harm-reduction approach, noting that online environments can be designed to support health and that policymakers should measure whether restrictions actually reduce harm or simply displace it. Dr. Amy Green echoed that social media is both harmful and supportive for LGBTQ+ youth, underscoring that the policy goal should be to make youth safer rather than less visible online.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 3 on Education Finance Apr 29th, 2026
Transcript Highlights:
- County in partnership with the 19 community colleges in L.A.
- And the pathways via the community colleges— ...in LA County, and that the pathways via the community
- So they’re going to be outreaching to community colleges, all of the communities in the areas that are
- The direct costs.
- That is the tuition only correct the direct costs.
Summary:
The committee heard testimony on three education budget items: the Expanded Learning Opportunities Program (ELOP), differentiated assistance/statewide system of support, and universal school meals plus kitchen infrastructure grants. For ELOP, the Department of Finance described the Governor’s proposal to provide $4.7 billion ongoing Proposition 98 funding and $62.4 million to set a minimum Tier 2 rate of $1,800 per pupil. The LAO recommended instead fixing the Tier 2 rate at $1,579, and committee members questioned how the rate was determined, how much funding is actually spent, and whether overlapping funding from ELOP, ACEs, and 21st Century programs is being tracked. CDE said ELOP is showing positive attendance and math outcomes, but some requested data will not be available until mid-2027; members also raised concerns about double-funding, transparency, and whether middle and high school students are being equitably served.
On differentiated assistance, CCEE outlined the statewide system of support and the various tiers of universal, targeted, supplemental, and intensive assistance. Finance explained the Governor’s proposal to replace the current DA structure with a more stable universal and targeted assistance model, funded at $131.9 million ongoing, with a three-year support cycle aligned to LCAP and ESSA timelines and broader State Board authority to revise eligibility criteria. The LAO objected to considering the proposal before the State Board finalizes the new performance criteria, and committee members expressed concern that moving to a three-year cycle could delay support for LEAs that newly fall into need mid-cycle. There was also discussion about whether the proposal would weaken subgroup-based equity guardrails or give the State Board too much discretion over who qualifies for support.
For school meals and kitchen infrastructure, Finance proposed $1.8 billion ongoing for universal meals and an additional $100 million ongoing plus $100 million one-time for a fourth round of kitchen infrastructure and training grants. The LAO recommended rejecting the new kitchen grant round because prior rounds are still being spent and the unmet need is not yet clear. CDE said prior investments have improved meal participation, efficiency, and menu variety, but many schools still lack the facilities for scratch cooking and face construction, electrical, and procurement barriers. Members asked for more data on how prior grants were used, which schools are benefiting, and whether funds could also support lower-cost food access strategies such as pantries, while noting federal restrictions on some meal-service innovations.
MN
Minnesota 2025 1st Special Session
House Human Services Finance and Policy Committee 3/25/25
Human Services Finance and Policy
Transcript Highlights:
- <00:15:02.800>
first care in DCT and in the community first care in DCT and in the community - add up to 10 civy committed community add up to 10 civy committed community hospital<00:33:52.960
- to the care they need in Community to the care they need in Community Hospitals<00:35:09.000>
- <00:48:05.359>
which returning back to the community which returning back to the community - >
and Community integrated Community run and Community integrated Community run and DCT<00:53:
Keywords:
mental health, emotional disturbance, terminology update, statutory cleanup, conforming amendments, children's mental health, serious mental illness, severe emotional disturbance, case management, residential treatment, outpatient services, crisis services, health plan coverage, antipsychotic drugs, medical assistance, Medicaid, foster care, juvenile court, school discipline, county board
NM
New Mexico 2025 Regular Session
IC - Legislative Finance Jul 23rd, 2025
Transcript Highlights:
- that direction for those areas.
- We are looking for some type of direction so that we can make sure that we can direct them in how to
- So that's actually a way to direct additional resources to those communities that we can't do through
- We're not good at following directions.
- of communities.
FL
Florida 2026 5th Special Session
Children, Families, and Elder Affairs Nov 18th, 2025
Transcript Highlights:
- We educate law enforcement within our community, hospitals within our community.
- that direct service is the ones that are doing direct service, right, different than the coalition,
- You know, to state what exactly direct services entails, including that direct service is the ones that
- support and strong community partnerships.
- So there is communication that is happening. I think if there's specific communication that Ms.
Summary:
The committee held a panel discussion on Florida’s domestic violence system, focusing on the roles of the state, the federally designated coalition, direct-service providers, and law enforcement. Members reviewed the history of the system after the dissolution of the former coalition in 2020, the creation of the Florida Partnership to End Domestic Violence, DCF’s Office of Domestic Violence, and the current contract structure involving Women in Distress and its subcontractors for hotline and legal services. Panelists also discussed the 2024 lethality assessment law, the workgroup’s conclusion that the evidence-based Maryland tool could not be used because of copyright and cost issues, and the state’s current use of statutory questions instead. DCF and FDLE described the statewide certification and funding framework, including more than $60 million in domestic violence funding for fiscal year 2025-26 and the requirement that law enforcement complete lethality-assessment training by October 1, 2026.
Testimony highlighted both collaboration and conflict. Florida Partnership to End Domestic Violence and Women in Distress described overlapping training and technical-assistance roles, but disagreed sharply about the quality of their relationship with DCF and whether the current structure is duplicative. DCF said it maintains communication with both the coalition and the centers and emphasized that the coalition is federally required, while the coalition argued that the department has obstructed its work. Women in Distress and Hope Villages stressed direct services, prevention, and the need for more housing, staffing, and funding, especially in rural areas. They also described programs in schools, hospitals, and child welfare settings, and noted that children exposed to domestic violence often need specialized services.
Members asked about funding flows, certification, rural coverage, the number of centers, and the lethality assessment rollout. DCF said the 41 certified centers serve all 67 counties and that no new applications have been received in about 15 years. FDLE reported that 46 of roughly 400 law enforcement agencies had completed the lethality-assessment training and attestation, with the statutory deadline still ahead. Panelists said domestic violence appears to be increasing, citing higher hotline demand, shelter occupancy, and local case numbers, while also noting that statewide crime data remains outdated. The discussion ended with calls for better coordination, clearer implementation of statutes, more funding, and possible legislative fixes to improve data collection, training, and service delivery.
MN
Minnesota 2025 1st Special Session
House Human Services Finance and Policy Committee 4/9/25
Human Services Finance and Policy
Transcript Highlights:
- first services and supports and consumer-directed community supports to fund the labor agreement between
- This section requires direct payments to tribal nations and urban Indian communities for traditional
- communities, and for our futures. communities, and for our futures.
- that of my peers uh with this direction. that of my peers uh with this direction.
- It's community inclusion.
Bills:
HF2434
KY
Kentucky 2025 Regular Session
Interim Joint Committee on Families and Children (7-30-25)
Transcript Highlights:
- populations living in those communities. populations living in those communities.
- The community living supports is the second, and these are intended to provide direct one-on-one assistance
- It is for community care. It is to kids. It is for community care.
- correction is received and a directed correction is received and a directed plan<01:15:57.679>
- That would have been our community.
Summary:
The committee met with a quorum and first heard brief presentations on Kentucky’s 2025 Preventive Health and Health Services Block Grant and Title V Maternal and Child Health Block Grant. Department for Public Health staff explained that the preventive health block grant provides about $2.3 million annually and supports programs such as accreditation and performance improvement, local health department grants, community health workers, prescription assistance, asthma and COPD programs, workforce development, and a sexual assault programs set-aside. They said the Title V block grant provides about $11.7 million, with 35% directed to children and youth with special health care needs and 65% to maternal and child health populations, largely through local health departments and a five-year needs assessment process.
After no questions, a motion was made and seconded to approve both block grants. The roll call vote passed 19-0, and the two block grants were approved. The committee then approved the minutes from the prior meeting.
The next item was a discussion of the child waiver created in House Bill 6. Committee members raised concerns that the proposed 1915(c) waiver did not match the legislature’s intent, which they said was to move children from the Michelle P. waiver to free slots for adults. Cabinet officials from DCBS, behavioral health, and Medicaid described the proposed “Community Health for Improved Lives and Development” waiver as a targeted home- and community-based program for children under 21 with severe behavioral health or developmental needs, including those stepping down from inpatient or residential care or at risk of out-of-home placement. They said the waiver is designed for about 100 slots, uses a standardized needs-based assessment, and includes case management, community living supports, home modifications, respite, supervised residential care, and clinical therapeutic services. Officials said the public comment period ended July 15, responses are being compiled for August submission to CMS, and the waiver is part of the broader Families First initiative.
MN
Transcript Highlights:
- With a 2-0 vote, the amendment passes. direct admissions program by the start direct admissions program
- Direct admissions creates a direct pipeline to certificate programs, associate degrees, and four-year
- Our community said, “No.
- <00:56:36.480>
But our community. But our community. - community members. community members.
NM
New Mexico 2025 Regular Session
IC - Federal Funding Stabilization Subcommittee Aug 28th, 2025
Federal Funding Stabilization Subcommittee
Transcript Highlights:
- We're not a big community; however, the community has, with the Tribal Council, the leadership.
- Just a multitude of benefits that we're able to provide to our community.
- We've got a wellness center across the river. open for our community members.
- communication on their grant.
- All of our programs in Indian communities have good details.
MO
Transcript Highlights:
- community that wants to provide that service for their partners, their community, their neighbors, so
- The system exists to protect the community.
- , whether it's a community following or a regional.
- Direct shipping is planned and takes days.
- A second is for us, or else, and direct annual, right?
Summary:
The committee first heard Senate Bill 1020, which would let the Department of Revenue contract for a Missouri license office without rebidding if no qualifying bids are received. Senator Sandy Crawford and Director of Revenue Trish Vincent said the change would help keep rural license offices open, reduce repeated bidding, and allow the department to work with local entities such as chambers, cities, counties, or other community organizations. Members asked about the current bidding process, why small offices struggle financially, and whether more services could move online. No opposition testified, and the hearing on SB 1020 was closed after no further questions.
The committee then took up House Bill 3093, which would extend Missouri’s direct-to-consumer shipping rules from wineries to local distillers and breweries. Rep. Nick Kimball and supporters argued the bill is about fairness and parity for Missouri craft producers, saying the same age-verification, labeling, and shipping restrictions already used for wine would apply, with no change to tax collection or the three-tier system. Supporters, including craft distillers and brewers, said the current law excludes Missouri businesses from a market already available to wineries and that direct shipping would help small producers reach customers and keep revenue in-state. They also said existing systems require adult signatures and ID checks, and some suggested the bill could be paired with a shipping license fee or other safeguards.
Opponents, including the Wine and Spirit Wholesalers of America, Missouri grocers, beer wholesalers, convenience stores, and Anheuser-Busch, warned that expanding direct shipping would weaken the three-tier system, increase competition from large out-of-state shippers, and create enforcement and underage-access concerns. They argued the current wine-shipping system already shows compliance problems and that allowing beer and spirits direct shipping could open Missouri consumers to broader interstate competition. Several members questioned whether the bill should instead focus on allowing Missouri producers to ship out of state or on strengthening existing controls. The committee heard extensive testimony from both sides, but no vote was taken in the transcript.
CA
California 2025-2026 Regular Session
Joint Hearing Assembly Select Committee on the Nonprofit Sector and Senate Select Committee on the Nonprofit Sector Aug 19th, 2025
Transcript Highlights:
- The nonprofit communities facing these pressures are not abstract; they impact real communities, real
- communities experiencing the disaster.
- They get the job done in their communities.
- They get the job done in their communities.
- Communities across California.
Summary:
The joint Senate and Assembly select committee hearing focused on the challenges facing California nonprofits in 2025 and possible state responses. Opening remarks emphasized the sector’s size and importance, the impact of federal funding disruptions and tax policy changes, and the need for stronger public-private partnerships, especially in disaster response and recovery. Witnesses from community foundations, food banks, Cal OES, long-term recovery groups, CalNonprofits, and nonprofit finance organizations described funding uncertainty, delayed reimbursements, reduced indirect cost coverage, staffing strain, and the effects of climate disasters and immigration-related fear on service delivery.
Testimony highlighted several policy ideas, including advance payments for state grants and contracts, prompt payment standards, sustainable indirect cost rates, contract flexibility in emergencies, streamlined registration and reporting, and a possible new Office of Nonprofit Empowerment to serve as a central point of contact and coordination within state government. Speakers also described how nonprofits and VOAD networks support wildfire response and long-term recovery, but noted that recovery groups often lack stable operating funding even when they are recognized as best practice. A food bank leader described federal food aid cuts and disruptions to deliveries, while other witnesses stressed that nonprofits are increasingly forced to use reserves, loans, or service reductions to manage cash flow gaps.
Committee members generally expressed support for the sector and asked how the state could better partner with nonprofits during both disasters and budget crises. Several members raised the possibility of incremental steps if full legislative changes are not immediately feasible, and witnesses suggested pilots, better sharing of best practices, and stronger state leadership on payment timelines. Public commenters echoed the need for better contracting practices, support for community-based organizations, and attention to nonprofit worker compensation and protections. No formal votes or committee actions were taken in the hearing, which concluded with adjournment.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Transportation Jun 21st, 2026 at 01:00 pm
Joint Committee on Transportation
Transcript Highlights:
- This bill gives communities the stability they need so desperately.
- And the community of Bourne is an MBTA community already.
- Ciccolo for her decades of volunteer service in the community.
- , greatly helping local business communities as well.
- . business communities as well.
Summary:
The committee heard testimony on a wide range of transportation bills focused on rural microtransit, commuter rail fares and service, rail electrification, climate alignment, and safety. Several speakers supported H. 4054 and related microtransit proposals, arguing that rural communities need stable, permanent funding for services like the Tri-Town Connector and Quaboag Connector, which have strong ridership, high satisfaction, and measurable economic and health benefits. Testimony also supported a commission bill to study microtransit funding and definitions, with witnesses emphasizing that current grant programs are helpful but short-term and insufficient for long-term service planning.
A major theme was commuter rail equity and expansion. Boston-area officials and advocates backed bills to make all Boston commuter rail stations Zone 1A, citing large fare disparities between nearby stations in Hyde Park, Roslindale, and Readville. Related testimony supported studying an Orange Line extension from Forest Hills to Roslindale Square and expanding The Ride to Foxborough, as well as restoring commuter rail service to Cape Cod via Middleborough to Buzzards Bay and beyond. Speakers said these projects would improve access, reduce car dependence, and better serve neighborhoods and regions that currently face limited rapid transit options.
Multiple panels urged action on electrification and climate-focused transportation planning, including H. 3726, the Freedom to Move Act, and bills to electrify commuter rail, buses, school buses, and public fleets. Advocates from environmental, transit, and public health groups said transportation is the state’s largest emissions source and argued that statutory goals, coordinated planning, and streamlined permitting are needed to speed decarbonization while improving safety, affordability, and reliability. The committee also heard support for a bill to streamline rail electrification permitting, a bill to exempt certain transit projects from MEPA review, and a bill to improve commuter rail pedestrian safety with gates, fencing, and warning devices at at-grade crossings. No votes were taken during the hearing.
NM
New Mexico 2025 Regular Session
IC - Economic and Rural Development Aug 12th, 2025
Economic & Rural Development & Policy Committee
Transcript Highlights:
- But it wasn't directed at just one company. Thank you.
- Direct jobs grew to 313 from 242.
- and what their communities want.
- We need to be directing them to the trades.
- Yes, we have these problems across the smaller communities, but the smaller communities are reacting
FL
Florida 2025 Regular Session
November 6, 2025 - 09:00 AM
Transcript Highlights:
- It directed AHCA to develop, in a conference of plan, to design the model for home and community-based
- IT DIRECTED ACHA TO DEVELOP IN A CONFERENCE OF PLAN TO DESIGN THE MODEL FOR HOME AND COMMUNITY
- community input or what have you, that pushed everything back?
- To the extent that that is communicated back, I know there is communication, but I would have to look
- Are you aware of any communications that were published within that agency?
Summary:
The Health Facilities Subcommittee met to receive implementation updates from the Agency for Health Care Administration on three bills passed in prior sessions. First, Deputy Secretary Brian Meyer reported on the transfer of the Children’s Medical Services managed care plan from the Department of Health to AHCA under HB 1085. He said the move was administrative only, with no change to enrollment, providers, services, or clinical eligibility functions, and that it was intended to create efficiencies by aligning procurement and shifting staff resources between agencies. Members then questioned AHCA about reports of reductions in private duty nursing and therapy services for medically fragile children, including concerns about appeals, provider credentialing, and whether families were losing services or being transitioned appropriately. AHCA said it was reviewing denials, monitoring the plan, and using contractual remedies while focusing on maintaining access for members.
The committee also reviewed implementation of a bill creating permanent Medicaid eligibility for individuals with permanent disabilities. AHCA staff explained that the agency had submitted a federal 1115 waiver request after public comment and stakeholder meetings, but CMS had indicated it did not anticipate approving the requested authority. Members pressed AHCA on why the waiver was submitted later than the bill’s directive date and on whether the delay was avoidable. AHCA said the waiver was complex and required review, drafting, and public input, and noted that DCF already has a specialized unit to help with redeterminations while the agencies work on operational changes. The committee discussed the practical impact on families who struggle with annual eligibility renewals and the need for clearer communication and faster follow-up from the agency.
Finally, AHCA presented on the home health aide program for medically fragile children and related Medicaid eligibility changes. The agency described the 2023 law that created a family caregiver provider type and the 2025 changes that increased the hourly rate, expanded hours, reduced training requirements, and removed caregiver earnings from Medicaid eligibility calculations, subject to federal approval. AHCA said it had completed state public comment, submitted the waiver amendment to CMS, and was awaiting federal action. Members raised concerns that some families may have enrolled or begun work before the eligibility fix was in place and may have lost benefits, especially in Broward County. AHCA said it would work with affected families and plans, review outreach through DCF and the health plans, and continue rulemaking, system updates, and provider training. The meeting ended with the chair noting that the committee had received the updates and adjourned without objection.
CA
California 2025-2026 Regular Session
Assembly Utilities and Energy Committee Apr 22nd, 2026
Transcript Highlights:
- That's why, in 2022, I introduced and we passed AB 2316, which directed the PUC to establish a new community
- the enactment of AB 2316, and this bill directed the PUC to establish a community renewable energy program
- and included specific direction.
- the enactment of AB 2316, and this bill directed the PUC to establish a community renewable energy program
- Shaw McNeil, California Community Choice Association, in support.
Summary:
The Assembly Committee on Utilities and Energy heard several bills focused on clean energy, electrification, and grid planning. AB 1813 (Ward) would revise California’s community renewable energy program to better support community solar and storage, especially for renters and low-income customers, by tying credits to avoided costs and requiring at least 51% low-income participation. Supporters said the current CPUC program is unworkable and has stalled development; utilities raised concerns about cost shifts, CCA impacts, and the bill’s late substantive amendments. The bill was discussed but no vote was recorded in the excerpt.
AB 2313 (Berman) would create a gas service line replacement alternative program allowing customers facing planned gas line replacement to instead choose electrification and receive an incentive. Supporters argued it would reduce long-term gas infrastructure costs and give customers more choice, while opponents warned it could divert money from safety-related gas replacement work, create affordability issues, and conflict with the recently approved SB 1221 pilot. Committee members pressed the author on safety, funding sources, and renter impacts; the author said the bill includes emergency replacement exemptions and is intended to lower costs for remaining ratepayers.
AB 1975 (Schultz) would require the CPUC to develop a grid utilization metric and consider expanded grid management programs to better use existing distribution infrastructure and reduce the need for costly upgrades. Supporters said better utilization could save ratepayers billions and help integrate batteries and flexible load; utilities generally opposed rigid utilization targets but were open to further discussion. The committee passed AB 1975 on a 7-0 vote to Appropriations. AB 2612, on plug-in photovoltaic systems, passed 9-0 to Appropriations after supporters said it would expand access to low-cost solar and utilities requested clarification that they would participate in the standards process.
AB 1849 (Pappin) would direct CARB to study the need for decarbonized gaseous fuels in hard-to-electrify sectors and for grid reliability. Supporters framed it as a technology-neutral assessment for sectors like industrial heat and backup power; opponents argued it was biased toward a preferred fuel pathway and duplicated existing state studies. After a lengthy exchange over the lack of a statutory definition for “decarbonized gaseous fuels,” the bill passed 10-0 to Appropriations. AB 2088 (Pappin) would authorize investor-owned utilities to own and operate thermal energy networks, with safeguards for safety, workforce, and ratepayers. Supporters described TENs as efficient, low-emission heating and cooling systems that can use geothermal energy or waste heat; the bill passed 9-0 to Appropriations.