Video & Transcript Research : 'referral process'
Page 25 of 500
AR
Arkansas 2026 1st Special Session
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Jun 15th, 2026
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE
Transcript Highlights:
- The referral process, and we'll talk about that here in a little bit as well, you know, we're trying
- He said they still have work to do on the referral process.
- process.
- But I think at the end of the day, you know, our referral process needs to be strengthened across those
- finish out the process.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Nov 6th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- It shows the process that we're engaging in with the state of New Mexico and the other states in this
- Weapons offenses were the most serious charge for 4% of referrals in 2025. I know the color...
- YFD referral to divert those young people away from the juvenile justice system.
- OSI has spearheaded a new audit process to ensure.
- process for enforcement.
MN
Minnesota 2025-2026 Regular Session
Republican Caucus Members Present Bill Package Addressing Waste, Fraud and Abuse - 02/12/25
Minnesota Senate Floor Meeting
Transcript Highlights:
- It needs to be scaled to also include lesser degrees of offenses and create a process for referrals within
- It needs to be scaled to also include lesser degrees of offenses and create a process for referrals within
- It needs to be scaled to also include lesser degrees of offenses and create a process for referrals within
- It needs to be scaled to also include lesser degrees of offenses and create a process for referrals within
- It needs to be scaled to also include lesser degrees of offenses and create a process for referrals within
AZ
Arizona 2026 Regular Session
03/11/2026 - House Federalism, Military Affairs & Elections
Federalism, Military Affairs & Elections
Transcript Highlights:
- This is going to be an investigative referral packet covering...
- This is going to be an investigative referral packet covering voter registration anomalies from March
- The referral packet that does go to the Department of Justice will have unredacted information in it.
- You can sign on to the referral, or you can choose not to.
- You can sign on to the referral, or you can choose not to.
Keywords:
elections, voting systems, vote tabulation, election security, internet connectivity, offline voting, chain of custody, polling place equipment, counting center, central counting center, election management system, EMS gateway, tabulation equipment, secretary of state, certification, decertification, HAVA, Help America Vote Act, ballot images, audit logs
Summary:
The Committee on Federal and Military Affairs and Elections heard a lengthy presentation on an investigative referral concerning alleged voter registration anomalies in Arizona from March 2023 onward. The chair described examples involving out-of-state residents, deceased registrants, military voters, duplicate or mismatched registrations, and registrations tied to Service Arizona, ACCESS, third-party vendors, and NGOs. Members also discussed alleged mismatches between county recorder data and Secretary of State reports, possible issues with automatic voter registration, and concerns about public records compliance. At the end of the presentation, members were asked whether they wanted to sign onto a criminal referral to the Department of Homeland Security and the Department of Justice; several declined, while others agreed, and the committee proceeded after correcting a signature-block issue.
The committee then considered Senate Bill 1259, which would allow certain protected individuals to use an alternate mailing address and attest to their residential address on candidate and financial disclosure filings. After questions about residency verification and confidentiality, the bill received a do pass recommendation by a 6-1 vote. Senate Bill 1281, dealing with state land department procedures for covered federal designations and notification of land takings, was heard next; after opposition testimony from the Sierra Club Grand Canyon Chapter, it passed 4-3.
Senate Bill 1037, concerning election equipment security and internet connectivity, drew substantial debate. A Marquez strike-everything amendment that would have shifted the bill toward voting centers, ERIC participation, early voting changes, and election funding failed on a 4-3 vote. The underlying bill then failed to receive a do pass recommendation on a 3-3-1 vote. Finally, Senate Bill 1040, which would make voter registration rolls publicly accessible online and downloadable, passed 4-3 after questions about what information would remain redacted and concerns about public access to voter data.
MN
Transcript Highlights:
- <00:11:38.839>
and bypass our normal committee process and bypass our normal committee process - abiding by the processes that we have set up.
- abiding by the processes that we have set up.
- abiding by the processes that we have set up.
- bill referral on the first reading. bill referral on the first reading.
Summary:
The Senate opened with prayer, a roll call, and confirmation that a quorum was present, then moved to committee reports. The main floor debate centered on a Rules Committee report involving the referral of a sports betting bill. Senator Rasmussen and others argued the bill should go first to the State and Local Government Committee because gambling falls within that committee’s jurisdiction, while Senator Franzen, Senator Klein, and others defended the Rules Committee’s 6-2 decision to send it to Commerce, emphasizing committee discretion and past referral practice. After clarification that the vote was only on adopting the committee report, the Senate rejected the report by a vote of 22-44.
The Senate then handled second readings of a slate of Senate and House bills and introduced two new Senate files: SF 4759, eliminating Cesar Chavez Day, referred to State and Local Government, and SF 4760, changing employment/occupation rules related to criminal convictions, referred to Judiciary and Public Safety. In motions and resolutions, several bills were re-referred with little or no opposition: SF 2689 was moved from State and Local Government to Judiciary and Public Safety but failed on a 30-35 vote; SF 4194 was moved from Taxes to Health and Human Services; SF 4274 was moved from Judiciary and Public Safety to Transportation; SF 4332 was moved from Environment, Climate, and Legacy to Agriculture, Veterans, Broadband, and Rural Development; and SF 4592 was moved from Judiciary and Public Safety to Jobs and Economic Development. SF 4455 was also given a second reading and placed on General Orders. The session ended as the Senate moved into special orders.
AZ
Arizona 2026 Regular Session
07/08/2026 - Legislative Council
Transcript Highlights:
- Members, on this process, any questions initially? Okay. Thank you, Steve. Mr.
- I think it is very important that we clarify the waiver process because...
- The fact is that, in order to do so, this referral has to... ...that, in order to do so, this referral
- Chair, that the voter should just go read the actual language of the referral.
- I'm going to ask Steve Primick to explain the appointment process. Yes, Mr.
TX
Texas 89th 2nd C.S.
Senate Committee on Health and Human Services Apr 8th, 2026
Health & Human Services
Transcript Highlights:
- We get referrals from all types of referral bases. So it can be a broad spectrum of referrals.
- We processed 1,100 referrals, opened 145 new cases. We presented 90 cases for prosecution.
- We processed 1,100 referrals, opened 145 new cases. We presented 90 cases for prosecution.
- Of course, they do have due process in that process.
- Of course, they do have due process in that process.
NM
New Mexico 2025 Regular Session
IC - Courts, Corrections and Justice Nov 6th, 2025
Courts, Corrections & Justice Committee
Transcript Highlights:
- . process is.
- As far as informing what will come, that goes through... the commission process.
- Additionally, there were also some procurement process delays as well.
- So on page five, there's a precipitous drop in Referrals.
- Referrals are from law enforcement. So these are the report data that we have.
NH
New Hampshire 2026 Regular Session
Commission to Study Costs of Special Education (06/02/2026)
Transcript Highlights:
- And I think that goes back to the DHS bid process, the best interest determination process.
- best interest bid process, the best interest determination<00:28:33.440>
process. - It's also the referral to the area agencies. It's not just the referral to the VR.
- referral to Voke Rehab. Um and it is. referral to Voke Rehab. Um and it is.
- >> referral first. >> referral first.
Summary:
The commission met to approve the May 18, 2026 minutes and then focused on how SB 57’s special education cost study should inform HB 1099, which creates a separate study committee on residential placements and related education costs. Members discussed sending the commission’s minutes and findings to that new committee, noting the short timeline for its work and the need to be specific about unresolved issues so the new group does not duplicate the same questions.
A major topic was the cost and responsibility for students placed at Spalding and similar residential programs, especially transportation and whether costs are paid through the Department of Education’s episode-of-treatment (EOT) fund, local districts, DHS, or Medicaid. Staff explained that for students with disabilities, EOT funds cover special education and transportation costs tied to the placement, while students without disabilities are handled through DHS care-management and best-interest meetings. Members raised concerns about whether some students at Spalding are receiving no schooling, whether transportation costs are substantial, and whether Medicaid reimbursement could offset some expenses.
The commission also discussed confusion over district responsibility when students placed in residential programs attend school in another district, using Winnisquam as an example. Several members said the receiving district was not notified that DHHS-approved programs could bring in additional students and costs, and they suggested DHHS or its care-management entity should notify both the district of residence and the receiving district when a program is approved. The group agreed this notification issue, along with transportation funding, privacy concerns in Medicaid-to-schools billing, and the distinction between special education placements, EOT placements, and other voluntary residential placements, should be passed to the HB 1099 study committee for further work.
TX
Texas 89th Regular
Senate Committee on Health and Human Services (Part II) Apr 9th, 2025
Health & Human Services
Transcript Highlights:
- It was an extended stakeholder process, and there was a cause and effect action that was removed in the
- It is after an extensive stakeholder process and consideration by all of the authors on this bill that
- We believe that Oklahoma's approach balances a more flexible pricing arrangement for referral agencies
- We also think that Texas should establish an upper limit on how long a referral agency can hold on to
- When a family uses a referral agency, they are trusting that they are getting all of the information
Bills:
SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069
Keywords:
school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity
AR
Arkansas 2026 Regular Session
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Jun 15th, 2026
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE
Transcript Highlights:
- The referral process, and we'll talk about that here in a little bit as well, you know, we're trying
- process.
- But I think at the end of the day, our referral process needs to be strengthened across those divisions
- So this process, when it works, is a very good process, and it’s a hand-up.
- process, and finish out the process.
Summary:
The meeting focused on Arkansas’s proposed workforce system overhaul, including a combined WIOA/Perkins state plan and a package of federal waiver requests intended to consolidate workforce governance, reduce administrative costs, and redirect more funding to training and supportive services. Commerce officials said the plan would replace the current structure of 10 local workforce boards and more than 200 board members with a single statewide board and one administrative entity, while keeping local offices open and using regional business councils to preserve employer and local input. They said the state has already reduced Commerce headcount and operating costs, and that the changes would improve coordination with higher education, adult education, vocational rehabilitation, DHS, and Arkansas Industry Connect.
Much of the discussion centered on the waiver package, especially the proposal to make the state board function as the local board, allow more flexible movement of funds across regions, eliminate the WIOA “last dollar” requirement for training and supportive services, create affiliate sites instead of requiring every area to maintain a comprehensive center, and relax the 14 youth program element requirement. Officials said the State Board of Workforce Development approved the waiver package 11-3 before it was submitted to the U.S. Department of Labor, and that implementation would begin only after federal approval and a closeout process, likely taking up to a year. They also described plans to streamline referrals and data sharing, expand mobile and virtual services, and use a more centralized model to improve customer service and employer engagement.
Members raised repeated concerns about rural representation, local control, board composition, and whether jobs and relationships would be lost if local boards were eliminated. Commerce officials responded that local offices would remain open, some current staff could be rehired by the state, and regional business councils would help ensure local employer voice. Several members also questioned how the funding was being used, citing audit findings that only about $1.8 million to $1.9 million of roughly $14 million to $15 million in federal workforce funds had gone to training and supportive services. Officials said the reorganization could increase annual training spending to roughly $6 million to $7 million by reducing overhead, one-stop operator contracts, and board administration. The committee also discussed how the changes might support workforce training facilities, apprenticeships, child care and transportation assistance, and employer-driven training in fields such as manufacturing, health care, technology, and welding.
The Division of Higher Education also briefed members on Workforce Pell. Officials explained that the new federal program would extend Pell eligibility to short-term programs, but only within narrow limits, such as 150 to 599 clock hours and 8 to 15 weeks of instruction, with additional completion and employment benchmarks. They said Arkansas is working with colleges and universities to identify programs that fit the criteria and that the governor has designated the Division of Higher Education to lead implementation. No votes were taken by the committee during this portion of the meeting.
TX
Transcript Highlights:
- We get numerous referrals from hospitals, we get numerous referrals from nursing homes.
- We get referrals from all types of referral bases. So it can be a broad spectrum of referrals.
- We processed 1100 referrals, opened 145 new cases. We presented 90 cases for prosecution.
- And that does start the process of license revocation. Of course, they do have due process.
- So speed of processing. >> It's speed. So speed of processing.
Summary:
The Senate Committee on Health and Human Services convened to discuss interim charges regarding fraud, waste, and abuse in Texas human services, particularly focusing on Medicaid and childcare programs. The meeting highlighted the importance of preventing misuse of taxpayer funds, with testimony from various stakeholders emphasizing the need for increased oversight and accountability in these programs. Key points included the alarming rise in healthcare fraud in other states, the necessity for Texas to enhance its fraud prevention measures, and the potential financial repercussions of failing to meet federal compliance standards.
Several committee members expressed concerns about the impact of fraud on vulnerable populations, particularly those relying on Medicaid services. Testimonies from experts underscored the effectiveness of Texas's Office of Inspector General (OIG) in combating fraud, yet pointed out existing vulnerabilities, such as inconsistent enforcement and the need for better data sharing among agencies. The discussion also touched on the challenges faced by hospice care providers, with a significant increase in the number of hospices in Texas raising concerns about quality and oversight.
The committee heard from various witnesses, including representatives from health plans and advocacy organizations, who provided insights into the complexities of managing Medicaid and the importance of maintaining program integrity. The meeting concluded with a commitment to further explore legislative solutions to enhance oversight and ensure that resources are directed to those in genuine need.
AZ
Transcript Highlights:
- because this is a constitutional ballot referral.
- And this isn't a bill about speeding up the tabulation process.
- It's four years later, and we're still trying to sneak it into a ballot referral.
- Because of sloppy election process. That's not a theory. It's a fact.
- They're not part of the counting process.
Summary:
The Senate opened with prayer, the Pledge of Allegiance, roll call, and routine journal and calendar actions, including referral of a gubernatorial nomination and several bills. The chamber then resolved into Committee of the Whole to consider four measures: SB 1038 on election conduct and cast vote records, SB 1133 on nominating procedures and candidate financial disclosures, SB 1247 on assisted living centers, and SCR 1001, a constitutional election-requirements referral. Each measure received committee amendments and was reported out do pass, with SB 1133 and SB 1247 treated as emergency measures.
Most of the debate centered on SCR 1001. Supporters said it would speed election results, strengthen election security, require proof of identity, and preserve legislative authority over election procedures. Opponents argued it would reduce access to voting by changing mail-ballot rules, eliminating the active early voting list, limiting Election Day ballot drop-offs, and potentially creating long lines and confusion, with disproportionate impacts on rural voters, voters of color, and people with disabilities. The Senate adopted the Committee of the Whole report and then took third-reading votes.
On final passage, SB 1038 passed 17-9-1, SB 1133 passed 23-6-1, SB 1247 passed 28-1-1, and SCR 1001 passed 17-12-1. Senators explained votes on both sides, with supporters emphasizing integrity and faster tabulation and opponents warning of disenfranchisement and reduced mail voting. The Senate also passed SB 1172 and SB 1175 by 28-1-1 each, then announced upcoming committee meetings and adjourned until the next day.
KY
Kentucky 2025 Regular Session
Budget Review Subcommittee on Health and Family Service (9-17-25)
Transcript Highlights:
- Your Allen County example. >> How did that referral process happen to come to you in the first place
- Back to your Allen County example. >> How did that referral process happen to come to you in the first
- How did that referral process happen to come to you in the first place from being in the hospital for
- when it comes to reimbursement process. when it comes to reimbursement process.
- go through a customiz type of a process go through a customiz type of a process and<00:31:03.279
Summary:
The Budget Review Subcommittee on Health and Family Services heard a presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults with serious mental illness who do not qualify for nursing home care but need structured support, medication assistance, meals, housekeeping, transportation, and supervision. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and rely on a state supplementation rate of about $50.70 per day, which they argued no longer covers operating costs because of rising food, labor, insurance, and maintenance expenses.
The presenters said the sector has shrunk significantly over time, citing a drop from 64 homes in 2002 to 34 today among the homes serving this population, with 30 closures over 23 years and two more closures since August. They argued that the closures have contributed to homelessness, hospital overcrowding, and longer stays in psychiatric hospitals, and they gave examples of residents who had spent many months in hospitals before stabilizing in a personal care home. One provider also described spending more than $800,000 on capital improvements after acquiring Kentucky facilities and said reimbursement is too low to sustain safe operations. They asked for an incremental reimbursement increase over two years and said they have also proposed an assisted-living model for people with mental illness.
Members asked about staffing, reimbursement, and the number of people still needing placement. The presenters said there is no requirement for licensed or certified staff in these facilities, though some homes use medication technicians and occasional LPNs. They estimated they are currently serving about 2,000 residents and said they receive roughly 30 referrals for every one person admitted, with many referrals involving people whose needs exceed the personal care home level. Senator Meredith and Representative Fleming said any funding request would need documentation of savings and corresponding budget offsets, while Representative Duval expressed support and asked about possible staffing and program improvements. The witnesses also compared Kentucky’s flat-rate reimbursement to a more individualized reimbursement model in Minnesota, saying a needs-based system would better match staffing and reduce hospitalizations.
MN
Minnesota 2025-2026 Regular Session
House Judiciary Finance and Civil Law Committee 3/13/25
Judiciary Finance and Civil Law
Transcript Highlights:
- entitled to the money there's a process entitled to the money there's a process for<00:07:30.479
- completely stop the foreclosure process completely stop the foreclosure process or<00:09:03.120>
- <00:10:40.399>
that here are very fine-tuned processes that here are very fine-tuned processes - >
lenders <00:12:16.560>can a more fair process so that lenders can a more fair process - oldfashioned but a lot of our referral oldfashioned but a lot of our referral is<00:48:25.559>
Keywords:
mortgage foreclosure, redemption, foreclosure surplus, sheriff's sale, junior lienholder, mortgagor, homeowner protections, loss mitigation, dual tracking, foreclosure redemption period, certificate of redemption, certificate of sale, sheriff, county recorder, registrar of titles, homeownership center, lien priority, real property, foreclosure by advertisement, surplus funds
NH
New Hampshire 2025 Regular Session
Commission to Study Costs of Special Education (12/19/2025)
Transcript Highlights:
- <00:18:20.799>
requirements processes requirements processes requirements and<00:18:22.799> - > aid<00:36:12.880>
and <00:36:13.119>I've process special education aid and I've process - <00:39:57.119>
and that for their own processes and that for their own processes and procedures - ,<00:51:53.920>
dropout things like referral rates, dropout things like referral rates, dropout - see decreased referrals. see decreased referrals.
Summary:
The commission met to review and amend the minutes from its previous meeting, correcting the date, several spelling and wording errors, and clarifying references to a scholarship fund and a member’s title. The minutes were then approved as amended, with some members abstaining because they were not present at the prior meeting. The chair then turned to the commission’s work plan under SB 57, emphasizing the need to prioritize the statutory topics and identify which issues require additional research, documentation, and possible spreadsheets.
Members discussed a broad range of special education cost drivers and policy questions, including student referral rates, why students are classified as other health impaired, whether referrals increased after COVID school closures, intervention processes before referral, the cost of services required under IEPs and 504 plans, differences between federal law, state law, and DOE rules, reporting of special education costs, out-of-district and residential placements, district sharing of resources, dispute resolution, graduation rates, and adult learning outcomes. Several members raised concerns that school environments, mental health, bullying, and possible overidentification may be contributing to rising special education numbers and costs, while others cautioned that some reported district percentages may be inflated or unclear because of how the data are counted.
A major portion of the meeting focused on HB 742, which would eliminate prorated special education aid when state appropriations are insufficient and require the governor to draw a warrant to cover shortfalls. Representative Ames explained that the bill had been recommended for interim study because the commission is already examining special education costing, and he highlighted the gap between FY24 special education costs of about $977.1 million and state aid of $33.9 million for catastrophic aid, $67.4 million for differentiated aid, and $50.8 million in federal IDEA funds, leaving local districts to cover about $825.1 million. He argued the commission should ultimately make clear that both the federal government and the state should contribute more.
The Department of Education, through Melissa White, answered questions about data and oversight. She said special education counts come from IEPs entered into the state system using SASIDs, that DOE monitors districts through both desk audits and on-site visits, and that billing is checked against the services listed in each student’s IEP. She also said DOE’s special education work is largely federally funded, with roughly $56.7 million received through IDEA this year and about $49.1 million flowing through to LEAs, while the department retains a small amount for administration and statewide support activities. Members also discussed how adequacy calculations use special education counts from the state system and how those figures are reported.
AR
Arkansas 2026 1st Special Session
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Jun 15th, 2026
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE
Transcript Highlights:
- The referral process, and we'll talk about that here in a little bit as well, you know, we're trying
- The referral process, and we'll talk about that here in a little bit as well, you know, we're trying
- referral process in terms of serving members, which allows us to move closer to that no wrong door model
- process.
- But I think at the end of the day, our referral process needs to be strengthened across those divisions
Summary:
The meeting focused on Arkansas’s workforce development reorganization and a set of federal waiver requests intended to consolidate and streamline the state’s WIOA system. Commerce officials said the department has already centralized shared services, split the old workforce agency into reemployment and Arkansas Workforce Connections, and submitted a combined WIOA/Perkins state plan. They described nine waiver requests, including replacing local workforce boards with a single statewide board, creating one planning and accountability structure, allowing more flexible movement of funds across regions, easing the “last-dollar” requirement for training and supportive services, reducing required youth program elements, and allowing affiliate sites instead of mandatory comprehensive centers. Officials said the goal is to reduce administrative costs and redirect more money to training, supportive services, and employer-driven programs.
Legislators raised concerns about rural representation, local employer relationships, and whether local offices would close. Commerce officials said local offices would remain open, some current staff could be rehired, and regional business councils would preserve local employer input. They said the current system is fragmented and expensive, with roughly $14 million in federal workforce funds flowing through local boards but only about $1.9 million spent on training and supportive services last year; they argued the reorganization could raise training spending to about $6 million to $7 million annually. Questions also addressed board composition, performance accountability, and how funds could be shifted between regions when needs change. The State Board of Workforce Development had approved the waiver package 11-3 before it was submitted to the U.S. Department of Labor.
Members also discussed workforce access for people with disabilities, child care and transportation supports, and the role of Arkansas Launch, apprenticeships, and career and technical education. Officials said vocational rehabilitation now has better access to the state job board and that referrals and data-sharing with DHS and other partners still need improvement. Several legislators emphasized the need for training to align more closely with employer demand, especially in manufacturing, technology, health care, and rural areas. The committee also heard a brief overview of Workforce Pell, with staff explaining that the new federal short-term Pell option has narrow eligibility rules and may not fit many existing programs, including some CDL and CNA programs.
NM
New Mexico 2026 Regular Session
IC - Legislative Finance Apr 27th, 2026
Transcript Highlights:
- My second question is about the COG process for the GROW funds.
- That's a process that's already underway between agencies.
- Require a referral and just sort of let schools.
- system to document internal and cross-agency referrals, etc.
- Chair, my understanding is that a closed loop referral The system allows the referrer to see whether
NH
New Hampshire 2025 Regular Session
House Finance Division III (02/27/2025)
Transcript Highlights:
- It's interesting because when you say referral, it's not just a referral; it's a screening assessment
- c> do how many referrals how many referrals do how many referrals how many referrals do you<01:01
- it's not just okay a say referral it's not just okay a referral<01:01:41.760>
it's <01:01:42.039 - <03:45:44.319>
because it's a pretty rigorous process because it's a pretty rigorous process - <05:03:31.440>
in there is that active um process in there is that active um process in helping
Summary:
The House Finance Committee’s Division 3 held a public work session on the Behavioral Health budget on February 27, 2025. The chair opened by explaining the schedule, materials, and deadlines for the budget process, and noted there would be no motions or votes in the division that day. Division of Behavioral Health Director Ktia Fox and DHHS CFO Nathan White then walked the committee through the division’s mission, structure, and budget materials, describing the division’s four bureaus: Mental Health Services, Children’s Behavioral Health, Drug and Alcohol Services, and Homeless Services, along with the policy unit. They emphasized the division’s role in oversight, technical assistance, quality assurance, contracting, and the continuum of care from prevention and early intervention through crisis and residential services.
Much of the discussion focused on major programs and funding lines, including the 988 Lifeline contract with Headrest, a technical assistance contract with UNH, Medicaid pass-through payments to New Hampshire Hospital and Glencliff, crisis response services, cold-weather homeless responses, housing supports, and the children’s system of care. Members asked about the UNH contract, the 988 program, crisis stabilization centers, and the peer certification program; Fox explained that the peer certification is a training-and-credentialing pathway for people with lived experience to enter community-based behavioral health work, not a volunteer program. The committee also discussed the “Choose Love” program, which Fox said was created after the Sandy Hook tragedy to build resilience and strength-based emotional regulation in schools and communities.
On the children’s side, Fox described the system of care account as the place where many contracted services are budgeted, including community mental health centers, care management entities, rapid response services, and residential programs. Members asked about temporary staffing, and Fox said roughly $500,000 in temporary staff costs shown in the current year would not be spent next year because the money came from a nonlapsing appropriation in HB 1573 for oversight of children’s residential services. She also said provider rate increases were a prioritized need but were not funded in the governor’s current budget, and that the Children’s Behavioral Health Resource Center was not funded, resulting in about a $1 million reduction. The session ended while the division was still moving through the children’s behavioral health slides, including questions about the Fast Forward high-fidelity wraparound program and medication management.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Children, Families and Persons with Disabilities Jun 21st, 2026 at 01:00 pm
Joint Committee on Children, Families and Persons with Disabilities
Transcript Highlights:
- How are we keeping them involved in this process?
- And like with any court process, that can take several weeks. Thanks.
- And so that's how the process currently works now.
- If there's any other questions about the CRA process or what have you.
- Through the years, our advisory board has helped us develop strategies to strengthen our referral process
Summary:
The Joint Committee on Children, Families, and Persons with Disabilities held a hybrid hearing on a series of child welfare bills focused on DCF, foster care, mandated reporting, educational records, and family support. Chair Kennedy and Chair Livingstone opened with accessibility and testimony rules, then heard testimony on bills including S.127 on expanding mandated reporters, S.107/H.235 on a Foster Children’s Bill of Rights, S.106/H.228 on transferring foster care review from DCF to the Office of the Child Advocate, H.258/S.125 on an electronic backpack for foster children’s educational records, H.205 on kinship foster care background checks, H.246/H.266 on minimizing trauma in care and protection cases, and S.159 on support for families after sudden unexpected infant death.
Supporters of the mandated reporter bill, led by Sen. Feeney and Foxborough advocates, described a local model that trains all adults who work with children and argued the state should scale that approach statewide to improve recognition and reporting of abuse. Testimony on the foster care bills emphasized the need for clearer rights, better notice to children and attorneys, stronger remedies, and independent oversight. Advocates, youth with lived experience, and legal organizations described placement instability, delayed notifications, abuse in care, poor educational continuity, and the need for rights around safety, family contact, culture, language, and access to records. Several witnesses urged that the Foster Children’s Bill of Rights include enforceable court remedies, not just reporting requirements.
On the oversight bill, supporters argued DCF should not review its own foster care system and pointed to poor outcomes, high placement instability, and recent investigative reporting as evidence for moving review responsibilities to the Office of the Child Advocate. On the electronic backpack bill, testimony focused on the need for real-time data sharing and a centralized system so schools can receive foster students’ records quickly and support continuity. On the trauma-minimization bill, Rep. Miskin framed the proposal as a set of practical changes to reduce harm during removals and court involvement. On the SUID bill, Sen. Lovely said families should be given information about available grief and support resources after an infant death. No votes were taken during the hearing; the committee primarily received testimony and questions.