Video & Transcript Research : 'developmental programs'
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FL
Florida 2026 Regular Session
Children, Families, and Elder Affairs Mar 19th, 2025
Children, Families, and Elder Affairs
Transcript Highlights:
- If you are in a program that is ongoing, and this is a lengthy program, I think it's like 26 weeks or
- Yes, just to follow up to that so that the program ...itself may, the entire program may be faith-based
- Our program was more than just mere words.
- These are ...programs must adhere to the program rules, which prohibit the inclusion of faith-based ideology
- These programs must adhere to the program rules, which prohibits the inclusion of faith-based ideology
Summary:
The committee met with a quorum present and took up several bills. SB 894, relating to faith-based content in batterers’ intervention programs, was explained as allowing certified programs to offer voluntary faith-based components alongside existing models. Members raised questions about how faith would be defined, whether participation would be optional, and how all faiths would be included. An amendment was adopted clarifying that faith-based activities may be offered but not required and removing language directing DCF to repeal a rule. After supportive testimony from faith-based advocates and some debate, the committee reported the bill favorably, with Senators Harrell and Garcia later recording affirmative votes.
The committee then considered SB 1240 on substance abuse and mental health care, which would assign state oversight of the 988 Lifeline, remove the annual needs assessment barrier for medication-assisted treatment licensing, and require annual continuing education for forensic evaluators. An amendment with technical conforming changes and two substantive clarifications was adopted. Members expressed support for expanded access to behavioral health services, and the bill was reported favorably.
Later, the chair presented SB 1736, which would allow direct support professionals and relatives to administer insulin in group home settings for individuals with developmental disabilities. After an amendment clarifying sliding scale insulin and related medication administration, the committee heard testimony from family advocates describing how the bill would prevent unnecessary institutionalization and reduce costs. The bill was reported favorably. The committee also passed SB 1286, which clarifies that allowing children to engage in unsupervised activities such as biking or playing outside does not by itself constitute neglect unless reckless or dangerous. After brief support testimony, that bill was also reported favorably, and the meeting adjourned.
WA
Washington 2025-2026 Regular Session
Senate Human Services Dec 5th, 2025
Transcript Highlights:
- To take a deeper dive here into these programs, the inpatient program is small, five beds.
- and Food Assistance Program.
- Such as Supplemental Nutrition Assistance Program and Food Assistance Program.
- state program.
- That program would be eliminated.
Summary:
The committee heard testimony on the effects of H.R. 1 on Washington’s Medicaid, developmental disability, long-term care, and food assistance systems, followed by a separate discussion of juvenile rehabilitation caseloads and placement capacity. DSHS officials said HR1 could affect home equity rules, immigration-related eligibility, work requirements for some expansion-population enrollees, and provider taxes, while also creating a future opportunity for a new 1915(c) waiver. Advocates and providers warned that any state response that cuts home and community-based services would worsen already thin provider networks, increase waiting lists, push more people into hospitals or out-of-state placements, and strain families and workers. A pediatric behavioral health expert and a supported living provider said Medicaid reimbursement is already too low and further reductions would threaten outpatient, residential, and inpatient services for people with intellectual and developmental disabilities and severe behavioral needs.
The committee then turned to SNAP and the state food assistance program. DSHS said HR1 would tighten work requirements and exemptions, end some immigrant eligibility for the federal program, eliminate the SNAP education program, raise state administrative costs, and eventually require Washington to share in benefit costs based on its error rate. Officials estimated large numbers of residents could lose or see reduced benefits, with significant added state costs. Anti-hunger advocates, a food bank director, and a SNAP recipient described the program as essential for low-income families, seniors, and people with disabilities, and said the changes would increase paperwork, reduce benefits, and worsen food insecurity while also harming local food economies. Testimony emphasized that food banks cannot replace SNAP and that work requirements may be difficult to meet for caregivers, people with disabilities, and those facing child care or transportation barriers.
In the juvenile justice portion, the Caseload Forecast Council presented the JR forecast, which is currently mostly flat through the end of the biennium but expected to grow modestly over the longer term. Members discussed how policy choices, including the 2019 JR-25 law, have increased lengths of stay for adult-sentenced youth in JR, while diversion and other reforms have affected regular JR trends. A court researcher explained the data available to help forecast admissions and noted ongoing efforts to improve data sharing with JR, AOC, and county systems, though staffing and system-lag issues limit how quickly data can be produced. Juvenile court administrators and DCYF officials described the community-based juvenile justice continuum, rising complexity in the JR population, overcrowding at Green Hill and placement constraints at Echo Glen and Harbor Heights, and the need for more flexible community transition and mental health capacity. No votes were taken.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Health Care Financing Jun 21st, 2026 at 10:00 am
Joint Committee on Health Care Financing
Transcript Highlights:
- Last year, there was a pilot program.
- My second and less favorable lens into these programs is as a professional.
- home- and community-based services programs is $2,901.
- and community-based services programs is $2,901.
- Our school-based Medicaid program should be a powerful tool to leverage.
Summary:
The Joint Committee on Health Care Financing held a public hearing focused on two broad sets of issues: home- and community-based care, and school-based Medicaid reimbursement. In the morning session, legislators and advocates testified on bills affecting children and disabled enrollees, including proposals to clarify rate-setting for home health and home care services (H. 767/S. 870), allow family members and spouses to be paid caregivers under MassHealth (H. 1394/S. 886 and related bills), extend MassHealth coverage for applied behavior analysis and other therapies beyond age 21 for adults with autism and developmental disabilities (H. 1351/S. 871), and protect medically fragile children by improving access to continuous skilled nursing. In the later portion of the hearing, testimony shifted to a bill to improve MassHealth reimbursement for schools (S. 862), with speakers describing the school mental health crisis and the need to reinvest Medicaid funds directly into school health services.
Witnesses on the home care rate-setting bill said current reimbursement methods are opaque and outdated, contributing to workforce shortages, unfilled shifts, long waitlists, and patients remaining in hospitals longer than necessary. Home care providers and trade groups argued the bill would not set rates directly but would require more transparent methodology and fuller consideration of real costs such as wages, benefits, taxes, training, and technology. On caregiver bills, many family members and provider organizations described the financial and emotional strain of caring for disabled or medically fragile relatives, especially when parents, spouses, or guardians are barred from being paid caregivers. They argued the bills would recognize existing unpaid care, help families remain at home, and reduce reliance on more expensive institutional care. Advocates for adult ABA coverage said services remain medically necessary after age 21 and that ending coverage at that age creates an inequitable “cliff” for MassHealth members compared with those with private insurance.
For the PACE/community care bill, elder law attorneys and PACE advocates said current MassHealth income rules force some older adults with modestly higher incomes to spend down to $542 per month, making community living unrealistic and pushing people toward nursing homes. They supported changing the eligibility structure to a premium-based approach that would allow more people to remain in the community. On the school Medicaid bill, advocates said schools are providing effective, preventive mental health care, but reimbursement currently flows to municipalities rather than directly back to school health budgets, limiting districts’ ability to hire and retain staff. No votes were taken during the hearing; the committee heard testimony and several witnesses requested favorable reports on the bills.
HI
Hawaii 2025 Regular Session
CPN-AEN, HHS-CPN, TCA-CPN, CPN DEFER, CPN, CPN Public Hearings 04-01-2025
Commerce and Consumer Protection
Transcript Highlights:
- <00:26:39.039>
disabilities council on developmental disabilities council on developmental - Well, the Developmental Disabilities Council, but I, sorry, it's a developmental disabilities division
- Well, the Developmental Disabilities Council, but I, sorry, it's a developmental disabilities division
- Well, the Developmental Disabilities Council, but I, sorry, it's a developmental disabilities division
- Well, the Developmental Disabilities Council, but I, sorry, it's a developmental disabilities division
Summary:
At a joint Senate hearing on SCR 198 and SR 178, the committees considered resolutions urging Hawaii insurers and the Hawaii Property Insurance Association to seek subrogation claims against polluters linked to worsening climate impacts and higher insurance costs. Testimony was overwhelmingly supportive, with 47 written testimonies in support and additional oral support from former Honolulu chief resilience officer Josh Tamro. The committees recommended passage with amendments, narrowing the language to refer specifically to polluters who knowingly engaged in misleading and deceptive practices about the connection between their products and climate change, along with technical non-substantive edits. Both committees adopted the amended resolutions by vote.
At a separate joint hearing on STR 226 and SR 201, which urged changes to Medicaid 1915 home and community-based services waiver eligibility criteria, supporters argued the current rules and administrative guidance were inconsistent and left some people with intellectual and developmental disabilities, including those with mental health dual diagnoses, without proper access. The Hawaii State Council on Developmental Disabilities and Hawaii Disability Rights Center supported the intent but noted factual issues and said a memo from the department addressed only part of the problem, not the mental health-related concerns. After discussion, the chair concluded the resolution was not the best vehicle and deferred it, suggesting a more comprehensive bill would be needed.
The Commerce and Consumer Protection committee also took up HB 799 HD2 SD1 on healthcare and recommended passage with amendments, including striking a written transfer-agreement requirement, shortening the sunset to June 30, 2028, removing a related timeline, and making technical corrections. In another joint hearing, SCR 222 and SR 197, which would have urged towing companies to have on-site ATMs for vehicle owners, drew opposition from the Office of Consumer Protection, which said Act 60 already requires credit and debit card acceptance and that ATMs could let companies evade the law. Members noted ongoing complaints and weak enforcement, and the chair recommended turning the issue into a task force for further study, with decision-making deferred because of quorum issues.
The committee also heard several other resolutions: STR 57 and SR 41, urging Congress to create a national reinsurance program, received only supportive testimony; STR 70 and SR 54, calling for a pharmacy reimbursement working group, also drew support; and STR 123, proposing an attorney general-led landlord-tenant working group, received comments from the Attorney General’s Office suggesting a more appropriate lead agency and noting the Legislative Reference Bureau may be better suited to assist. No final adverse action was taken on those measures during the hearing segment described.
NM
New Mexico 2026 Regular Session
House - Chamber Meeting Feb 13th, 2026 at 11:03 am
New Mexico House Floor Meeting
Transcript Highlights:
- Act, establishing the Child Care Assistance Program, providing for payments to child care facilities
- , and providing for additional appropriations to the Early Childhood Education and Care Program.
- Providing for additional appropriations to the Early Childhood Education and Care Program Fund.
- Speaker, it's a program within the office. We're going through the motions of... Mr.
- Speaker, it's a program within the office.
Bills:
HB145, HB164, HJR6, HR1, HB20, HB65, HB66, HB80, HB166, HB295, HB306, SB29, SB37, HB99, HB206, HB213, HB270, HJR5, SB104, SB193, HJM2, HJM3, HJM1, HM7, HM17, HM4, HM22, HM23, HM24, HM26, HM2, HM16, HM32, HM13, HM47, HM20, HM51, HM1, HM31, HM35, HM36, HM46, HM53, HM54, HM39, HM11, HM14, HM21, HM34, HM50
Keywords:
high-wage jobs, tax credit, job creation, New Mexico, economic development, lobbying, transparency, public records, government oversight, accountability, constitutional amendment, legislative sessions, veto override, New Mexico legislature, session length, House Resolution 1, HR1, House investigatory subcommittee, special committee, legislative investigation
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services May 7th, 2026
Transcript Highlights:
- IHSS is a vital program. It's not an optional program for those who use it.
- residual program.
- This is a growing program. This is a growing program.
- Part C programs.
- My child has a developmental disability and is in the self-determination program and has various medical
Summary:
The subcommittee heard an overview of the governor’s IHSS budget proposals and then took public testimony from the administration, LAO, county representatives, labor, consumer advocates, and an aging/disability advocacy group. The administration described IHSS as a large Medi-Cal long-term services program serving more than 900,000 recipients and proposed three changes: shifting some growth costs tied to authorized hours per case to counties, eliminating the statewide backup provider system, and aligning IHSS terminations with Medi-Cal terminations. The administration also discussed the earlier CFCO reassessment penalty change for counties and said overdue reassessments had dropped significantly.
LAO said the governor’s overall IHSS cost estimates appeared reasonable, but raised concerns about the hours-per-case cost shift, including unclear root causes for growth, limited county control over statewide averages, and uncertainty about the eventual savings. County Welfare Directors Association, SEIU, and consumer/advocacy witnesses opposed the hours cost shift, arguing counties use state tools, the proposal would pressure counties to cut services, and it could harm older adults and people with disabilities by increasing institutionalization and shifting costs elsewhere. The chair and members repeatedly questioned the rationale for the proposal, the lack of a defined baseline, and whether the current assessment tools or MOE structure should instead be revisited.
On the backup provider system, the administration said the program is underused and costly to administer relative to service spending, while LAO suggested the Legislature consider whether administrative costs could be reduced instead of eliminating it. County, labor, and consumer witnesses opposed the cut, saying the system is a critical emergency safety net even if utilization is low, especially for rural areas and people with complex needs. Members also asked about data quality, county backup systems, and whether consumers know the program exists. On the Medi-Cal/IHSS alignment proposal, the administration said automation would stop General Fund-only spending when recipients lose Medi-Cal and restore IHSS automatically when Medi-Cal is regained; LAO and others noted the proposal had been rejected before and urged better notices and safeguards. Witnesses warned that automatic termination could create gaps in care and unpaid work for providers, while the department said counties already manually terminate in some cases and that automation is ready if approved. No votes were taken in the excerpt, and the chair indicated the committee would continue with public comment and later items before a hard adjournment time.
WA
Washington 2025-2026 Regular Session
House Early Learning & Human Services Oct 14th, 2025
Transcript Highlights:
- Because we have more youth than programs can provide, there is a waitlist for some of these programs,
- I am in the urban forestry program, and I am in an apprenticeship program.
- They will get kind of like an IEP for the program. ...behavior program.
- We have an incentive program.
- Community-based program.
Summary:
The committee began with a work session on juvenile rehabilitation institution capacity, services, and staffing. DCYF Assistant Secretary Jennifer Redmond described overcrowding at Green Hill School and Echo Glen, driven by longer adult-style sentences extending past age 25, limited community placements, and small facility sizes. She said Green Hill remains above safe operating capacity, but staffing, injuries, large-scale aggression, and use-of-force incidents have improved over the past year. She also discussed Harbor Heights, a new 46-bed flex facility that had opened with 22 youth and would expand once a medical trailer arrives, as well as community transition services, vocational programming, behavior management reforms, and a request for more resources for mental health-focused facilities and staffing. Members asked about success metrics, developmental disability screening and supports, college access at Echo Glen, Mission Creek planning, and gender-responsive programming; Redmond said JR uses assessments, family involvement, and specialized living units, and that some requested funding had already been secured for returning a girls’ program at Echo Glen.
The committee then heard from Team Child and the Youth Action Coalition. Greta Schultz said youth perspectives should guide system reforms and identified key concerns: overuse of sentence extensions, underuse of community transition services, continued criminal referrals from Green Hill to Lewis County, limited family contact, inadequate mental health access, and unequal education opportunities, especially for young women at Echo Glen. Justella Gonzalez, a former system-involved youth, said her time in county and state facilities was harmful, with staff mistreatment, poor education, limited therapy access, and humiliating restraint practices; she also said girls at Echo Glen lacked the same college opportunities as boys at Green Hill. Committee members asked for follow-up on county versus state experiences and on telehealth mental health services.
The next presentation covered county-level services for youth involved or at risk of involvement with the justice system, led by juvenile court administrators Christine Simon-Smeyer and Judge Rachel Anderson. They outlined the juvenile court continuum from prevention and truancy work through diversion, detention alternatives, community supervision, and disposition alternatives, emphasizing evidence-based, trauma-informed, and restorative practices. Clark County was used as an example of a court that partners closely with schools and community providers, uses risk assessments and wraparound behavioral health probation, and offers detention alternatives without electronic home monitoring. They said most courts do not use detention for status offenses, but instead use court involvement to connect youth to services. They also described funding, noting that courts rely on a mix of state block grant and local dollars, and that recent cuts to early intervention funding reduced programming and staff hours. Members asked about detention for truancy, developmental disability identification, restorative justice practices, and the juvenile block grant.
Finally, DCYF Assistant Secretary Nicole Rose and Katie Warren of the Washington State Association of Head Start and ECAP discussed child care and early learning impacts from recent policy and budget changes. Rose said Fair Start for Kids investments had increased child care access, provider participation, and kindergarten readiness, with more than 60,000 children in Working Connections care and rising ECAP enrollment and provider capacity. She said recent reductions will raise most family copays in 2026, delay eligibility expansions, eliminate some expanded eligibility categories, reduce ECAP slots by about 3,000, delay entitlement timelines, and cut provider supports such as rate increases for centers, complex-needs grants, trauma-informed and dual-language incentives, and infant/early childhood mental health consultation. Warren emphasized ECAP’s role in family stability, workforce participation, and reducing poverty, and noted its two-generation approach to supporting both children and parents.
AR
Arkansas 2026 1st Special Session
STATE AGENCIES & GOVT'L AFFAIRS-SENATE AND HOUSE May 6th, 2026
Transcript Highlights:
- Jennifer Brisei, Director of the Division of Developmental Disability Services. Hey, good morning.
- Our division not only oversees the five human developmental centers operationally.
- This is the sole responsibility of the Division of Developmental Disability Services.
- So this is more of a program policy. Looking at that, right?
- So this is more of a program policy review that would be under the purview of DDS.
Summary:
The Joint State Agencies committee met to approve the October 8, 2025 minutes and then held an extended oversight discussion with the Department of Human Services about the death of Zachary Moore at the Southeast Arkansas Human Development Center (later clarified in testimony as the Warren facility). DHS officials described Moore’s background, said he died after being restrained in a prone position for about 13 minutes, and reported that a nurse later administered a chemical restraint before CPR was attempted. They said the agency settled with the family for $725,000, terminated 13 staff members, changed facility leadership, and brought in consultants under a directed plan of correction from the Office of Long-Term Care to review policies, retrain staff, and conduct a root-cause analysis. Later testimony clarified that the death certificate listed the manner of death as homicide and the cause as physiologic stress associated with struggle and prone restraint; committee members also noted that six people had been charged with manslaughter and neglect of a vulnerable person.
Members focused on restraint policy, staff training, chain of command during emergencies, family communication, and whether warning signs had been missed. DHS said it has written restraint protocols, annual restraint training, and a mortality review process, but acknowledged that the Warren facility had multiple failures, including use of a prone restraint, improper chemical restraint, poor supervision, inadequate communication, and problems with equipment and behavior plans. Officials said they were revising policies, creating clearer crisis-team roles, and retraining staff, and that the consultant work would be shared across the other human development centers. Several members pressed DHS on why the family had not been kept informed, why the agency was not prepared with basic facts, and whether a more formal independent audit of facilities should exist.
The committee also discussed broader staffing and funding issues across the human development centers. DHS said CNAs start at about $39,000 a year, that the centers rely heavily on float and contract staff, and that there are about 2,000 people on a waiting list for services. Members argued that low pay, turnover, and rural staffing shortages contribute to risk and asked for recruitment and retention plans, possible regional pay differentials, and more legislative support. DHS said it is drafting a systemwide retention and recruitment plan and expects to bring it to ALC, while also implementing a separate rate study for certain PASS program services in January 2027. The meeting ended after comments from Zachary Moore’s mother, Angela Stevens, who said money cannot replace her son and urged the state to ensure no other family experiences the same loss; the committee asked DHS to keep members and Ms. Stevens updated on consultant reports and recruitment efforts before adjourning.
AR
Arkansas 2026 1st Special Session
STATE AGENCIES & GOVT'L AFFAIRS-SENATE AND HOUSE May 6th, 2026
Transcript Highlights:
- Jennifer Brisei, Director of the Division of Developmental Disability Services. Hey, good morning.
- Our division not only oversees the five human developmental centers operationally.
- It’s for those specific services under the PASS program. Okay. And just refresh my memory.
- This is the sole responsibility of the Division of Developmental Disability Services.
- So this is more of a program policy review that would be under the purview of DDS.
Summary:
The Joint State Agencies committee met to approve the October 8, 2025 minutes and then held an extended hearing on the death of Zachary Moore at the Southeast Arkansas Human Development Center. DHS officials Lori McDonald, Jennifer Brise, and Melissa Weatherton described the HDC system, staffing and resident needs, and said Moore died after being held in a prone restraint for about 13 minutes, followed by a delayed chemical restraint and delayed CPR. They said the family settled a wrongful death claim for $725,000, 13 staff were terminated, the facility leadership was changed, and at least five staff had been criminally charged, with the death certificate later described as homicide and the cause of death as physiologic stress associated with struggle and prone restraint.
Members pressed DHS on why the family was not kept informed, whether there was a written restraint protocol, how staff are trained, and why the agency did not have more complete information ready for the hearing. DHS said staff receive CPI restraint training, annual restraint training is mandatory, and a consultant is reviewing policies, retraining staff, and conducting a root cause analysis under a directed plan of correction from the Office of Long-Term Care. Legislators also raised broader concerns about low pay, staffing shortages, use of float and contract staff, and a waiting list of about 2,000 people for home- and community-based care. DHS said it is working on a retention and recruitment plan and a rate report for certain PASS services, but that the PASS rate study does not cover CNA pay.
Several members said the incident reflected both a failure of restraint practice and a broader staffing and oversight problem. DHS acknowledged that prone restraint should not have been used, that the chemical restraint was given at the wrong time, and that multiple breakdowns occurred in supervision, communication, and equipment use. The committee also discussed whether there should be more regular independent audits of HDC policies, and DHS said it does not currently have a separate annual policy audit beyond existing oversight. At the end of the meeting, the committee asked DHS to keep it updated on recruitment, consultant reports, and to contact Moore’s mother about the communication she had been promised. The meeting adjourned without any additional formal action beyond approving the minutes.
FL
Florida 2026 Regular Session
Children, Families, and Elder Affairs Jan 27th, 2026
Children, Families, and Elder Affairs
Transcript Highlights:
- for developmentally disabled Floridians who receive support through Medicaid waiver programs.
- The program was created to allow developmentally disabled adults to enter the workforce without compromising
- This program in this bill is about supporting Florida's developmentally disabled as they seek inclusion
- adults with developmental disabilities in a Medicaid waiver program be automatically enrolled.
- Eligible adults with developmental disabilities in a Medicaid waiver program be automatically enrolled
Keywords:
child welfare, substance abuse, neglect, parental rights, drug exposure, Medicaid, disabilities, employment, healthcare access, income eligibility, veteran benefits, minor clients, financial assistance, education services, Department of Children and Families, Department of Health, aging services, disability assistance, long-term care, Alzheimer's support
Summary:
The committee considered several bills affecting children, disability services, aging, recovery residences, and foster youth benefits. SB 1016 codified the working people with disabilities program for Medicaid waiver recipients, with amendments removing automatic enrollment and improving information sharing between agencies; advocates testified that the program helps people with developmental disabilities work while keeping needed care, though they raised implementation and training concerns. The bill was reported favorably. SB 1002, as amended, clarified that evidence of acute or chronic parental drug abuse can constitute harm or neglect in child welfare cases and allow court intervention and treatment requirements; it was also reported favorably. SB 1594 would preserve veterans’ benefits for foster youth for postsecondary education or aftercare rather than using them as reimbursement to the agency, and it passed favorably. SB 1630 modernized aging and long-term care statutes, expanded emergency service authority, updated oversight of area agencies on aging and guardianship, and permanently established the Florida Alzheimer’s Center of Excellence; after two amendments, it was reported favorably. SB 1030, on recovery residences/substance abuse services, was amended with a substitute that narrowed transfer definitions, sped licensure for existing providers adding levels of care, and limited credentialing entities’ access to resident records; members noted it remained a work in progress, but it was reported favorably.
The committee also held confirmation hearings. Robert Astellos, nominated as Director of the Agency for Persons with Disabilities, described efforts to reduce the pre-enrollment list, improve transparency and customer service, expand family involvement, and streamline agency processes; multiple advocacy groups appeared in support, and the committee recommended his confirmation. The committee then unanimously recommended confirmation of the appointees on tabs 7 through 10. The meeting concluded with adjournment.
ND
North Dakota 2025-2026 Regular Session
House Floor Session Apr 7th, 2025 at 01:00 pm
North Dakota House Floor Meeting
Transcript Highlights:
- The Mandan High School e-sports program isn't just preparing students to be successful in the digital
- , HB 1058 is the bill that deals with the above-ground storage tank and the administration of the program
- ...for people only with intellectual and developmental disabilities and is not intended to serve youth
- disabilities... ...facilities for individuals with developmental disabilities.
- Just a reminder for those who are applying for the build program, need your applications by the end of
Summary:
The North Dakota House convened with prayer, roll call, and recognition of guests and student visitors, then moved through a long calendar of resolutions and bills. Early in the session, members honored Mandan High School’s e-sports team for state championships and recognized House Minority Leader Zachary Ista’s birthday. The House then passed HCR 3037 unanimously, urging mandatory reporting requirements for public officials, after committee support and remarks emphasizing accountability in public office.
The chamber then considered numerous Senate amendments and final-passage votes on bills covering ambulance service grants (HB 1597), Public Service Commission records and open meetings (HB 1110 and HB 1063), squatter/trespass law (HB 1305), nonconforming structures in local governments (HB 1500), academic tenure policy (HB 1437), retirement eligibility for correctional officers and state radio dispatchers (HB 1274 and HB 1419), a Medicaid dental study (HB 1567), above-ground fuel storage tank regulation (HB 1058), gaming site authorization procedures (HB 1615), an oil extraction tax incentive outside the Bakken and Three Forks formations (HB 1483), and simple assault protections for hospital workers (HB 1341). Most of these measures passed, though HB 1231, which would have created a study on early discontinuation of sex offender registration, failed on final passage.
A major point of debate was Senate Bill 2354, which would restrict student use of personal electronic devices during the school day in public and nonpublic schools, with exceptions for medical and special education needs and annual reporting on impacts. Supporters argued it would improve focus, behavior, and mental health, while opponents raised concerns about private-school regulation, logistics, liability, and duplication with a similar bill. The House passed SB 2354, and also passed SB 2112, which temporarily authorizes the Life Skills and Transition Center to serve certain non-eligible youth in crisis, despite objections that the facility should remain focused on developmental disabilities and concerns about repeating past institutional problems. The House also debated and rejected HB 1300 on legislative term limits after extensive discussion about whether the Senate’s date change altered the effect of the voter-approved measure. The session ended with announcements, committee notices, and adjournment until April 8, 2025.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 2 on Human Services May 18th, 2026
Transcript Highlights:
- pay program.
- across programs.
- programs in their area.
- What are our big program drivers?
- Very important program. Probably the most important program in the world.
Summary:
The Assembly Budget Subcommittee on Human Services held a hearing on the Governor’s May Revision, with no votes taken. The first major topic was child care and early education, where the Department of Social Services and Department of Finance outlined proposed changes to absorb federal Child Care and Development Fund and Proposition 64 revenue reductions, shift some funding between child care programs, end funding for prospective pay implementation now that the federal requirement has been rescinded, adjust the alternative payment administration structure, and fund child care infrastructure grants and a Low-Income Investment Fund contract closeout. The Legislative Analyst’s Office said the budget makes progress on the structural deficit but recommended maintaining the administration’s solution level, making reserve deposits, and avoiding new ongoing commitments; it also raised concerns about shifting reductions to the California Alternative Payment Program and about the proposed administrative-rate change. Committee members strongly criticized the proposed loss of child care slots and said they would oppose eliminating those slots, while also expressing support for child care as essential infrastructure.
The committee then reviewed California State Preschool Program proposals. Finance and CDE described reductions to the preschool COLA from 2.41% to 2.01%, removal of prospective pay funding, and increases for the QRIS block grant, audit support, and rate reform implementation. Trailer bill language would codify age-based rate categories, inclusion-rate documentation, family fee collection rules, portability, and excused absences. CDE supported the QRIS increase and some attendance and family-fee changes, but warned that aligning three- and four-year-old rates could reduce support for three-year-olds and that the budget does not fully cover enrollment growth. Members also questioned whether the preschool and child care slot reductions should be reallocated rather than terminated, and the administration said the reductions were intended to reflect current utilization and avoid harm to currently enrolled families.
The hearing then moved to CalFresh and nutrition programs. CDSS said the May Revision includes a one-time CalFood augmentation, funding to cover federal SNAP administrative cost-share pressures, and additional staffing and technical assistance to implement HR 1 changes, including the able-bodied adults without dependents time limit and new non-citizen eligibility rules. The department estimated HR 1 could cut CalFresh funding by $2.3 billion to $3.7 billion annually and affect about 500,000 people, with roughly 806,000 adults potentially subject to the time limit and about 34,000 non-citizens expected to lose eligibility once fully implemented. Members pressed for stronger harm mitigation, including a $98 million backfill to protect families from losing food benefits, and raised concerns about county workload and the “chilling effect” on immigrant participation. The final portion of the transcript began the IHSS presentation, noting a revised budget of $33.7 billion total funds and $12.8 billion General Fund, with proposed reductions tied to Medi-Cal asset-limit changes and other federal conformity items.
FL
Florida 2026 5th Special Session
Children, Families, and Elder Affairs Jan 27th, 2026
Transcript Highlights:
- for developmentally disabled Floridians who receive support through Medicaid waiver programs.
- The program was created to allow developmentally disabled adults to enter the workforce without compromising
- This program in this bill is about supporting Florida's developmentally disabled as they seek inclusion
- adults, developmentally disabled in a Medicaid waiver program, be automatically enrolled.
- The bill also... ...developmentally disabled in a Medicaid waiver program be automatically enrolled.
Summary:
The Committee on Children, Families, and Elder Affairs heard and advanced several bills and confirmations. SB 1016, on medical assistance eligibility for working persons with disabilities, was amended to remove automatic enrollment and to improve information sharing between AHCA and DCF; supporters said the bill codifies an existing program that helps developmentally disabled adults work without losing Medicaid coverage, and the committee reported the bill favorably. SB 1002, on temporary custody of minor children, was amended to focus on substance abuse as a pathway for court intervention when parental drug abuse creates ongoing risk to a child, and it was also reported favorably. SB 1594, on veteran benefit payments for minor clients in foster care, would ensure military benefits accessed for foster youth are preserved for post-secondary education or aftercare rather than used as reimbursement to agencies; it passed favorably without amendment.
The committee also considered SB 1630 on aging and disability services, a broad modernization bill covering long-term care screening, emergency continuity of care, area agency oversight, Alzheimer’s services, home care, and guardianship reforms. Two amendments were adopted, including one on competitive procurement and another allowing area agencies on aging to directly provide core services during emergencies with department approval. Supporters emphasized caregiver navigation, dementia training, and service continuity, and the bill was reported favorably. SB 1030 on substance abuse services/recovery residences was taken up with a substitute amendment that narrowed transfer definitions, required faster licensure action for existing providers adding levels of care, and limited credentialing entities’ access to resident medical records; stakeholders said further work was needed, but the committee still reported the bill favorably.
The committee also heard the nomination of Robert Astellos to lead the Agency for Persons with Disabilities. He outlined priorities including reducing the pre-enrollment list, improving transparency and family involvement, strengthening customer service, and streamlining agency processes. Several disability and provider organizations appeared in support, and the committee voted to recommend his confirmation. The committee then recommended confirmation of the appointees on tabs 7 through 10 by a single favorable vote, and adjourned at the end of the meeting.
NH
New Hampshire 2025 Regular Session
House Education Funding (01/31/2025)
Transcript Highlights:
- <00:11:20.360>
delay category is developmental delay category is developmental delay developmental - sometimes will choose developmental sometimes will choose developmental delay<00:11:36.320>
and - that is I I would say the developmental that is I I would say the developmental delay<00:11:49.079
- students within that program.
- alternative program.
Summary:
The work session focused on special education, especially the differentiated aid component and special education aid, which members noted is still often called “catastrophic aid.” The chair said the committee was trying to better understand how special education costs are growing, how districts are delivering services through SAUs or internally, and how reimbursement formulas affect local costs. Members also discussed the need for better data before making decisions on several education funding bills, and Representative Brown was tasked with capturing questions for follow-up information from the department or elsewhere.
Testimony from the state special education director, Becky Fad, centered on why student counts in various disability categories have shifted over time. She said the categories themselves have not changed much, but autism has increased because of greater understanding and identification, developmental delay has grown because it applies to children under age 10 who may not yet have a clear diagnosis, and some students previously classified under speech/language or other health impairment are now identified in more specific categories such as autism. She emphasized that the IEP is based on a child’s individual needs, so a change in category would not necessarily change services, though it may help educators support the student differently.
Members asked about whether the shifts reflect better diagnostic capability, whether the department should gather more data on the reasons for the changes, and whether autism-spectrum data could be broken down further. Fad said the department does not currently have data on the causes of the shifts or on where students fall within the autism spectrum, but that collecting and analyzing such data is on its list of priorities and a new data manager had recently been hired. She also explained that each child is counted only once on the chart by primary disability, that the IEP or eligibility team determines the primary category based on evaluations, and that any child can be referred for special education by a parent, teacher, or doctor, after which the district must meet within 15 days to decide whether to evaluate. No votes or formal actions were taken in the portion provided.
FL
Florida 2025 Regular Session
February 11, 2025 - 03:30 PM
Transcript Highlights:
- this pilot program?
- as well as in the pilot program.
- and the iBudget program.
- and the iBudget program.
- a statewide mature program.
Summary:
The Health and Human Services Committee received an overview of Florida’s intellectual and developmental disabilities (IDD) managed care pilot, created by legislation in 2023 to test whether a managed care model could integrate Medicaid medical services with iBudget waiver home- and community-based services for adults in pre-enrollment categories. AHCA explained the existing system, the pilot’s scope in Regions D and I, and the rollout timeline, including federal approval, contract execution with Florida Community Care, and the October 2024 go-live. Officials reported that, as of early February, 370 individuals had been sent for onboarding and 168 more were in queue, with about $35.8 million of the appropriation remaining. APD also clarified the difference between the pre-enrollment categories and the waiver waitlist, and noted that crisis cases can be enrolled more quickly depending on eligibility and funding.
Florida Community Care described the pilot as a comprehensive managed care model offering medical, long-term care, and iBudget services, plus enhanced benefits such as bed-hold days, caregiver transportation, and help with legal guardianship costs. The plan said it uses one care coordinator, a 1:18 coordinator ratio, a face-to-face assessment within five days of enrollment, and 180 days of continuity of care for existing providers. The company emphasized that it is recruiting providers by offering higher rates than some iBudget rates, lower administrative burden, and network adequacy incentives, while APD said it continues to monitor provider supply and demand and recruit across service types and regions. Members repeatedly questioned whether the pilot’s costs, provider rates, and service levels were truly comparable to the iBudget system, and AHCA and APD said it was too early to draw firm conclusions because claims data are still lagging.
Committee members also raised concerns about communication, enrollment delays, provider shortages, and whether the pilot could scale statewide. APD said it has used letters, phone calls, texts, emails, and community meetings to reach eligible individuals, and that some delays stem from required assessments, Medicaid eligibility checks, and level-of-care determinations. Several members asked for more detailed comparisons of costs and provider reimbursement between the pilot and iBudget, and APD said it would provide additional data. Public testimony at the end was strongly critical of managed care, with a participant and his mother describing poor service, transportation failures, and loss of control under prior managed care arrangements, and urging the committee not to expand such a model without safeguards. No votes or formal committee action were taken before adjournment.
MN
Minnesota 2025 1st Special Session
House Human Services Finance and Policy Committee 2/11/25
Human Services Finance and Policy
Transcript Highlights:
- contains all the forecasted programs contains all the forecasted programs except<00:13:16.360>
estimate for these forecasted programs estimate for these forecasted programs uh<00:15:46.959>- um including Provisions related Programs um including Provisions related to<00:37:07.440>
program - that program.
- that program.
- um including Provisions related Programs um including Provisions related to<00:37:07.440>
NH
New Hampshire 2025 Regular Session
House Finance (03/12/2025)
Transcript Highlights:
- that program.
- Please fund programs that support developmental disabilities, protect their most vulnerable.
- Please fund programs that support developmental disabilities, protect their most vulnerable.
- Please fund programs that support developmental disabilities, protect their most vulnerable.
- program.
Summary:
The House Finance Committee opened a public hearing on House Bills 1 and 2, which concern the governor’s proposed FY 2026-2027 budget. The chair explained that the committee must fit the budget to House Ways and Means revenue, which is about $800 million below the governor’s estimate in an almost $16 billion budget. He also noted a projected current-budget overspend, the impact of recently passed legislation, possible fee updates, no new tax proposals at that time, and the importance of federal funding and Medicaid stability. Testimony was limited to three minutes, with the chair asking speakers to avoid duplication.
Much of the testimony focused on Medicaid, disability services, and home- and community-based care. Speakers urged the committee to restore or protect funding for transportation, Medicaid, day programs, in-home supports, and behavioral health services. Several individuals and providers described how cuts would affect people with disabilities, medically fragile children, and families who rely on services to remain employed and avoid institutional care. A home care provider argued that a proposed 3% Medicaid cut would increase hospitalizations and costs, while a behavioral health representative asked for sustainable Medicaid rates, uncompensated care support, housing resources, and continued funding for community behavioral health clinics.
Another major topic was the Group II retirement provisions in HB 2 for public safety workers. Representatives from police, fire, corrections, probation/parole, and related associations testified in support, saying prior pension changes hurt recruitment and retention, pushed experienced workers to neighboring states, and should be reversed to restore promised benefits. They argued the provisions would help keep public safety careers viable and honor commitments made to first responders. An executive counselor also warned that when the state shifts costs away from itself, local property taxpayers bear the burden, and she opposed cost shifts such as Medicaid premiums and universal vouchers. A separate speaker urged funding public schools rather than universal vouchers, arguing vouchers can leave other students behind as resources are diverted.
CA
California 2025-2026 Regular Session
Assembly Floor Session Mar 20th, 2025
California House Floor Meeting
Transcript Highlights:
- March as Developmental Disabilities Awareness Month.
- for kids with developmental disabilities.
- This bill ignores the fundamental purpose of inmate labor programs.
- Advanced Via Individual Determination, or AVID, program.
- the program.
Summary:
The Assembly met on March 6, 2025, established a quorum, and opened with prayer, the Pledge of Allegiance, and routine procedural motions, including unanimous consent requests and a re-referral of AB 506. The chamber then moved through a series of guest introductions and second-reading items before taking up several resolutions recognizing awareness days and cultural observances.
Members adopted ACR 41 on Down Syndrome Awareness Week/Day and HR 24 on Developmental Disabilities Awareness Month after extensive bipartisan remarks focused on family experiences, inclusion, bullying, funding for services, and support for people with disabilities. The Assembly also adopted ACR 48 recognizing Women in STEM Day, ACR 49 recognizing California STEM Robotics Day, HR 18 celebrating Nauruze, and ACR 2 marking the International Day for the Elimination of Racial Discrimination. Each resolution drew co-authors and supportive comments from members across the aisle.
The body then debated and passed AB 248, which would remove the state wage cap on county jail inmate labor and allow counties more discretion; supporters framed it as local control and rehabilitation, while opponents argued it would raise costs and conflict with voter sentiment. The Assembly also passed AB 100, a budget-process measure moving a large package of bills to the Senate, and used a substituted roll call for the remaining related bills. Consent calendar items were approved, and the chamber concluded with multiple adjournments in memory, including tributes to Eric Lopez, Johnny D. Giles, and Roger Diamond, before adjourning until March 24, 2025.
AL
Alabama 2026 Regular Session
Alabama Joint General Fund Budget Hearings Jan 29th, 2026
Transcript Highlights:
- Our largest program is the developmental disabilities program, which is 59% of our budget.
- Our largest program is the developmental disabilities program, which is 59% of our budget.
- Our largest program is the developmental disabilities program, which is 59% of our budget.
- Our largest program is the developmental disabilities program, which is 59% of our budget.
- Our largest program is the developmental disabilities program, which is 59% of our budget.
NH
New Hampshire 2026 Regular Session
Joint Legislative Performance Audit Oversight Committee (02/06/2026)
Transcript Highlights:
- , And finally, with the doorway program, And finally, with the doorway program, we're<00:04:05.200
- providers, which is developmental providers, which is developmental disability<00:15:59.839>
- developmental disabilities community. developmental disabilities community.
- program audit. program audit.
- . program. program.
Summary:
The Legislative Performance Audit and Oversight Committee met to accept prior minutes and receive updates on ongoing audits. Audit staff reported progress on three education-related reviews: special education (34 of 71 observations completed, draft expected in the second quarter and final in the summer), education freedom accounts (22 of 41 observations completed, draft expected in the second quarter and final in the summer), and the doorway program (5 of 13 observations completed, draft expected by the end of February and final by April or May). No committee questions were raised on the audit status update.
The committee then discussed possible future oversight topics, beginning with SNAP and concerns about fraud and work requirements. Members suggested inviting DHS officials and contract administrators to explain program operations and compliance, and also discussed whether the Department of Justice Medicaid fraud unit or other experienced officials could provide useful context. Members noted New Hampshire’s existing oversight layers, including the Executive Council and the joint HHS oversight committee, while also expressing interest in hearing more directly from department staff about staffing and contract management capacity.
A substantial portion of the meeting focused on whether to pursue an audit of special education at the local school level. Members debated whether to wait for the ongoing statewide special education review and a legislative study commission report, or to begin scoping a local audit now so work could start sooner. Supporters argued that local-level spending, identification rates, and effectiveness vary widely by district and that an audit should examine both costs and outcomes; others cautioned that the scope would need to be manageable given limited audit staff and that the statewide report may help narrow the focus. The committee also briefly discussed a potential audit of the Bureau of Elderly and Adult Services, but no decision was made on that item.