Video & Transcript : 'direct care services' :
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CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 4 on Climate Crisis, Resources, Energy, and Transportation Apr 22nd, 2026
Transcript Highlights:
- is we’re slowing down delivering the service, and the service was tied directly to that.
- and we're not delivering the service because we cut those positions. fees for a service and we're not
- or what we're doing is we're slowing down delivering the service and the service was tied directly to
- forward in this direction.
- And also, Director of the Department of General Services, so when General Services is involved in projects
FL
Florida 2025 Regular Session
December 2, 2025 - 01:00 PM
Transcript Highlights:
- KNOW THAT YOU MENTIONED HMO, SERVICE CONTRACTS, LIMITED BENEFITS AND PREPAID SERVICES IN THAT SECTION
- I WANT TO BE TAKEN CARE OF.
- I WANT NURSES DOCTORS HEALTHCARE WORKERS WE WANT THEM TO TAKE CARE OF US. WHO WILL TAKE CARE OF US?
- WE INTEGRATE ALL THESE TOUCH POINTS INTO OUR SERVICE PLATFORM AND IT IS BECAUSE GOLD STANDARD CARE IS
- WE HAVE A SOURCE OF MEDICARE AND TO CARE SOURCE OF MEDICAID AND CARE SOURCE OF MEDICARE ADVANTAGE.
AL
Alabama 2025 Regular Session
Alabama Senate Banking and Insurance Committee Mar 19th, 2025
Banking and Insurance
Transcript Highlights:
- It's called a fee, but it's a... ...a service.
- , and we appreciate his service and his commitments.
- Please vote yes today so that every single Alabamian retains access to care and the unique services that
- We love our community, and we are proud to care for it.
- I love what I do; I want to keep caring for my patients.
Committee:
Senate Banking and Insurance
AZ
Arizona 2026 Regular Session
02/16/2026 - House Health & Human Services #1
Transcript Highlights:
- The special committee on health and human services is called to order.
- It's about safety, it's about dignity of care, continuum of care.
- Let me be very clear: the care provided in private homes by my caregivers is not different from care
- For urgent health care services, a health care services plan or its utilization review agent must notify
- For non-urgent health care services, the health care services plan or review agent must notify the provider
Summary:
The committee first took up House Bill 2307, as amended, which would require the Department of Health Services to contract with out-of-state secure mental health facilities when Arizona beds are unavailable for certain involuntary commitment cases involving defendants found dangerous and incompetent. The sponsor and supporters framed it as an emergency stopgap to prevent individuals who are deemed non-restorable from being released because Arizona lacks secure behavioral health beds, while opponents argued it would raise due process, disability rights, family access, and cost concerns, and questioned whether the state could even implement such interstate placements. After debate, the committee adopted the strike-everything amendment and advanced HB 2307 on a 6-5 due pass vote.
The committee then heard House Bill 2083, which updates diabetes-related coverage language in health plans to include newer devices and supplies such as continuous glucose monitors, insulin pumps, and smart insulin pens. Supporters said the bill modernizes outdated statutes and improves access and outcomes for people with diabetes, while an insurer representative offered soft opposition, warning that writing these items into statute could create a state mandate and potential cost exposure, especially if the language is read to include GLP-1 medications. The committee adopted the strike-everything amendment and moved HB 2083 forward on an 11-1 due pass vote.
Next, House Bill 2673 was heard, addressing mental health screening and treatment for incarcerated people. The sponsor said the bill was being reworked into a study committee concept after stakeholder feedback, but the underlying proposal would require prompt evaluation of prisoners showing mental disorder symptoms and faster referral for treatment. A family member testified about her son’s severe deterioration in jail and death, while an attorney opposed the bill as overbroad and legally problematic. Despite the sponsor’s indication that the bill would become a study committee, the committee voted 12-0 to give HB 2673 a due pass recommendation. The committee also advanced House Bill 2923, which revises timelines, procedures, and notice requirements for judicial review of court-ordered mental health treatment; supporters said it clarifies outdated language and improves communication with families, while opponents argued it shifts burdens onto patients and could prolong confinement. HB 2923 also received a 12-0 due pass vote.
MO
Missouri 2026 Regular Session
2026 Legislative Session - Day Sixty Four - Wednesday, May 6
Missouri House Floor Meeting
Transcript Highlights:
- To take care of those kids.
- DMH is a provider, so our state hospitals provide health care services.
- So our state hospitals, you know, we provide health care services.
- So for us, disability services and foster care services are job creators for my city.
- We talk about how much we care about kids and how much we care about the future of education.
Summary:
The House convened with prayer, the Pledge of Allegiance, approval of the prior day’s journal by roll call, and a long series of special guest introductions recognizing family members, interns, public servants, nonprofit leaders, students, and a park ranger honored for life-saving actions. Committee reports and Senate messages followed, including Senate nonconcurrence on numerous amendments to Senate Bill 1421 and the appointment of a conference committee on another bill.
The main floor action centered on budget conference committee reports, especially House Bill 2002 on public education. Members debated whether the conference version fully funded the foundation formula, with supporters arguing it maintained record-level funding and opponents saying it left schools about $190 million short and relied on uncertain funding sources such as blind pension, lottery, and possible ARPA dollars. After a substitute motion to send the bill back to conference was defeated, the House adopted the conference report 83-68 and then third-read and passed House Bill 2002 by the same margin. The House then took up House Bill 2003 on higher education, where members discussed a move toward a future performance-based funding model while keeping current funding flat; the conference report passed 119-28 and the bill was third-read and passed 109-32.
The chamber next considered House Bill 2004, covering the Departments of Revenue and Transportation. Debate focused on transportation funding, rural roads, and a small local safety project in Lebanon that had already been addressed by MoDOT. The conference report was adopted 128-21 and the bill was third-read and passed 127-27. Finally, the House began debate on House Bill 2005 for the Office of Administration and IT-related functions, with the sponsor and supporters emphasizing IT accountability, the Movers project, and the transfer of some staff to DSS; the transcript ends during discussion of that bill.
WA
Washington 2025-2026 Regular Session
House Finance Jan 13th, 2026
Transcript Highlights:
- These services may include educational, health, nutritional, and social services, as well as recreational
- These services may include educational, health, nutritional, and social services, as well as recreational
- Yes, it's service-related disabilities.
- And then the other one is health care and social assistance.
- care.
Summary:
House Finance met in work session on January 13, 2026, beginning with the introduction of new member Rep. Janice Zahn and a reminder about short-session amendment deadlines. The committee then heard JLARC’s 2025 tax preference performance reviews, covering nine preferences. JLARC recommended continuing several preferences, including natural gas transportation fuel exemptions, reduced B&O rates for travel agents and tour operators, a property tax exemption for nonprofit low-income housing developers, a property tax exemption for multipurpose senior centers, a sales and use tax remittance for disabled veteran adapted housing, a trade convention attendance nexus exemption, a B&O exemption for agricultural fertilizer and seed sales, and a hazardous substance tax exemption for certain pesticides. JLARC also recommended allowing unused silicon smelter-related preferences to expire. Members asked about legislative intent, data limitations, and how performance metrics should be tied more clearly to policy objectives; committee leaders and JLARC staff discussed a new standardized rubric for future tax preference performance statements and fiscal note review. The committee also noted that bills related to some of the reviewed preferences were already introduced.
For the low-income housing exemption, JLARC said nonprofit developers were building homes as intended but that the current spending-based metric did not fully reflect the policy goal, and it recommended the legislature decide whether to continue or modify the preference. For multipurpose senior centers, JLARC said the exemption met its inferred objective and recommended continuation, with possible consideration of making it permanent. For the disabled veteran adapted housing remittance, JLARC said few eligible veterans were claiming the benefit and recommended continuation with changes to improve access and consultation with the Department of Veterans Affairs. On the trade convention attendance exemption, JLARC said use was unknown but the preference likely helped keep Washington competitive with other states and recommended continuation, though members questioned the lack of direct evidence and the administrative-burden rationale.
The committee then received an update from the Economic and Revenue Forecast Council. The forecast showed the U.S. economy slowing but still growing, with Washington expected to have modest growth, weak employment gains, continued personal income growth, and slow construction. ERFC said tariffs and trade policy remained the biggest risks, inflation was expected to stay elevated in the near term, and the Federal Reserve had cut rates three times in 2025 with two more cuts projected in 2026. State revenues were up $105 million in the current biennium compared with the November forecast, but down $185 million in the next biennium, with growth driven in part by recent legislative changes and improved estate tax collections. Members asked about sector-specific employment trends, the impact of high-income households on retail sales, and how state revenues compare with personal income over time. The meeting adjourned after the forecast presentation.
CT
Connecticut 2026 Regular Session
Medical Assistance Program Oversight Council Care Management Committee June 10th Meeting Jun 10th, 2026
Transcript Highlights:
- So I understand being careful.
- Yeah, just... ...are directed to take certain actions.
- It's in the right direction, but it still causes more chaos for you all.
- It's a lot of issues that will come up with that service.
- You know, be able to participate fully in the service. Thank you, Benita.
Summary:
The Care Management Committee met to receive a status update on the DSS/CHN PCMH program and to discuss implementation of HR1, especially the new medical frailty requirements. CHN reported the PCMH program remained steady at 124 practices and 553 sites, with 54.6% of the HUSKY population attributed to PCMH providers, and noted ongoing recruitment, provider turnover, and recent practice consolidations/acquisitions that will shift some sites to Yale and Hartford HealthCare. CHN also reported strong quality improvement engagement for 2026, with 83% of contacted PCMHs engaged, and said preliminary 2025 results showed improvement across measures.
The bulk of the meeting focused on DSS’s response to the June 1 CMS interim final rule on HR1. DSS explained that it had been building a medical frailty definition based on diagnosis codes and comparisons with other states’ approaches, but the new federal rule adds a requirement that the condition significantly impair a person’s ability to work or comply with community engagement requirements. DSS said it is still evaluating how to combine claims-based data with the new federal overlay, may submit comments to CMS during the open comment period through July 31, and is considering options such as self-attestation, especially given CMS’s allowance of self-attestation for calendar year 2027. Committee members raised concerns about the rule’s complexity, possible legal challenges, the need for a good-faith waiver or implementation delay, and the risk of noncompliance if the state gets the process wrong.
Members also pressed DSS for broader outreach, clearer public communication, training, and better reporting on implementation impacts and costs. DSS said it is developing a website, webinars, and a communications plan, and is working with community-based organizations, community health workers, and administrative services organizations to reach potentially affected members. DSS said it is also building a Medicaid pre-screener to help people determine whether they may be subject to work requirements. In the PCMH Plus discussion, DSS said it was not yet ready to present the 2024 quality data but would try to bring the Wave 3, Year 5 results and related quality/shared savings information to the July 8 meeting, along with the regular PCMH update and another HR1 update. The committee also discussed future agenda items including community health worker reimbursement, peer support services, and the inmate medical program.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health Apr 21st, 2025
Transcript Highlights:
- services that link patients to care.
- The current, arbitrary, immediate pause on funds is a direct threat to California's health care infrastructure
- How do they get care? Care will... Care will still happen; it will just take longer.
- services, any kind of sexual and reproductive health care, this go around they really are targeting
- These two direct CDC grants support infectious disease mitigation and laboratory services.
Summary:
The subcommittee held an oversight hearing on federal actions affecting California’s public health and family planning systems, focusing first on the freeze to Title X family planning funds and then on broader CDC/public health grant terminations. Chair and members described the cuts as abrupt, harmful, and likely to create major gaps in disease surveillance, vaccination, contraception, STI testing, and other preventive services, while also criticizing the federal administration’s explanation that the actions were tied to DEI or civil-rights compliance. The chair thanked Attorney General Bonta for legal action and said the hearing was intended to document the real-world impacts and inform state budget responses.
Witnesses from Essential Access Health, Planned Parenthood Affiliates of California, a Central Coast clinic, and other providers said California’s Title X network serves more than half a million low-income patients annually and relies on the funds for staffing, outreach, training, mobile and school-based clinics, and confidential care. They warned that the freeze has already forced reserve spending, delayed services, and could lead to layoffs, reduced hours, longer waits, and fewer appointments, especially for sexual and reproductive health care. Public comment included support for a proposed state backfill of Title X losses, with advocates emphasizing impacts on low-income, LGBTQ+, and communities of color.
On the public health side, CDPH, county health officials, and local health officers testified that the CDC’s rescission of $11.4 billion in grants would affect California by an estimated $840 million and threaten lab capacity, immunization programs, health disparities work, and data systems such as CalConnect and vaccine registries. Sacramento County and others described how the grants supported outbreak response, sequencing, community vaccination clinics, and equity-focused partnerships, and said terminations had already led to canceled appointments, stopped contracts, and layoffs. Several speakers urged the Legislature to preserve and expand state “future of public health” funding and to backfill federal losses, while public commenters from HIV, immunization, labor, and county organizations echoed concerns about workforce losses and worsening health outcomes.
TX
Texas 89th 2nd C.S.
S/C on Telecommunications & Broadband Mar 31st, 2025
S/C on Telecommunications & Broadband
Transcript Highlights:
- We serve 2300 access lines and 8900 broadband services across 2000 square miles of non-contiguous service
- They're very directional.
- we care about.
- We care about the economic development of our communities, the education, the healthcare services that
- I really don't care what the rates are.
Committee:
House S/C on Telecommunications & Broadband
TX
Transcript Highlights:
- The idea is to direct it. There's TLR here, and then Joe Madison.
- It doesn't have to appoint an agent for service of process.
- Service. Thank you, Senator Blanco. Thank you, Senator.
- enhance patient care across the state and expand care, allowing us to see more Texas patients.
- level of care.
Bills:
HB111
Committee:
Senate Business & Commerce
WA
Washington 2025-2026 Regular Session
House Appropriations Feb 9th, 2026
Transcript Highlights:
- the definition of child care employer.
- care is healthy, with the intended purpose of access to health care for every Washingtonian.
- our health care is healthy, with the intended purpose of access to health care for every Washingtonian
- Dumping services and treatment, I've always maintained that we should be doing services and treatment
- Services do not equal safe homes.
Summary:
The committee first received staff briefings on amendments for a series of bills, including measures on child care workforce standards, homelessness programs, community preservation authorities, domestic violence survivor relief, public defense funding, student behavioral health supports, water system ownership changes, nonprofit health carrier surplus assessments, 340B drug pricing reporting, Secretary of State filing fees, step housing, campaign security reimbursements, digital equity programs, a Boys and Men’s Commission, a waste-to-energy facility’s Climate Commitment Act obligations, 6PPD tire substitutes, and an early education scholarship. Staff described the policy changes and, where available, the expected fiscal effects of each proposed substitute or line amendment. The committee then went into caucus before returning for executive session.
In executive session, the committee voted out House Bill 1073, then adopted a Couture line amendment to House Bill 1128 exempting private K-12 schools with licensed child care programs from the child care employer definition before reporting the bill out as Second Substitute House Bill 1128. House Bill 1316, 1408, 1591, 1592, 1634, 1906, 1960, 2073, 2145, 2248, 2266, 2301, 2333, and 2365 were also reported from committee, with several amendments adopted along the way. Notable actions included adopting an emergency clause for House Bill 1408, rejecting proposed amendments to House Bill 1591 that would have narrowed relief for survivors and removed retroactivity, adopting a narrower amendment to House Bill 1592’s public defense funding formula, and adopting a substitute to House Bill 2145 that limited 340B reporting to hospitals.
The committee also debated and rejected several amendments to the step housing bill, House Bill 2266, including proposals for larger school/daycare buffers, more local oversight, and broader local government authority; the bill still advanced on a 16-13 vote. House Bill 2073, which requires nonprofit health carriers to contribute surplus funds to Cascade Care Savings, advanced over concerns about using one-time money for an ongoing program. House Bill 2248 advanced after an amendment redirected annual license fee deposits to the state treasury rather than the Secretary of State’s revolving fund. House Bill 2333 was narrowed to allow use of campaign funds for personal security reimbursements, and House Bill 2365 advanced with some amendments adopted and others rejected as the committee began discussing additional digital equity oversight provisions.
MO
Transcript Highlights:
- But why would we want DESE to take care of such things? Why not social services instead of DESE?
- We do not want a disruption in service or a flow of revenue and support to these child care providers
- or have child care?
- I have child care.
- That's for those kids in protective service. Otherwise, it's the same child care subsidy program.
Committee:
House Budget
Summary:
The committee first heard the Office of the Governor’s FY 2027 budget request from Adam Gresham. He explained the office’s staffing and noted a $500,000 core reduction, along with a reallocation of three positions and about $168,000 from the governor’s office to the mansion operating fund to better reflect where those employees work. Members asked about the National Guard emergency line, which Gresham said had already spent about $63,457 in FY 2026 and could be used again for disaster activations, though he did not expect to use the full $4 million. He also said the agricultural resiliency transfer fund had not been used and had no current transfer plans. Several members commented on the size of the governor’s cut and whether the judiciary and other offices were also being asked to reduce budgets. No votes were taken.
The committee then moved to the Department of Elementary and Secondary Education’s Office of Childhood and early childhood-related budget items. DESE staff described funding for the Office of Childhood, MoQPK child care provider grants, LEA pre-K grants, early childhood special education, Parents as Teachers, First Steps, preschool coordination, after-school programs, and child care subsidy. Members asked extensively about the MoQPK grants, including why Head Start providers were eligible, how curriculum approval works, and what safeguards exist against fraud or improper payments. DESE said it conducts physical inspections, desk reviews, payment-system checks, and investigations as needed, and that it had not had findings in this area. Some members questioned whether DESE or DSS was the right home for early childhood programs, while others defended the partnership and the role of early educators in identifying child needs.
A major portion of the discussion focused on early childhood special education and the child care subsidy program. DESE explained that First Steps serves children birth to age three, while early childhood special education covers ages three to five and is driven by IEP eligibility; members asked for more data on diagnoses, trends, and how many children come off IEPs. The committee also discussed the child care subsidy budget and the governor’s proposed shift to paying providers based on authorization and at the beginning of the month. DESE said the change is being piloted, that a wait list is expected to begin around March 1, and that a May rollout is being considered, but only if software testing and fiscal projections show the system is sustainable. Members expressed frustration that promised changes had been delayed and that providers had been told different timelines, while DESE said the delay was driven by software issues, fiscal caution, and the need to avoid repeating prior payment problems. The hearing ended with the committee in recess before later resuming discussion of the subsidy program; no final votes or actions were taken in the portion provided.
AR
Transcript Highlights:
- Taking care of police, everything.
- services would be cut first if $150 million is now taken off the top?
- You know, if you look at the language in the direction, and direction and details, it's like, you know
- So we need to be careful, and it's and Under $300 million. So we need to be careful.
- I'd like to direct this to Representative McNair.
Committee:
All HOUSE RULES
Summary:
The committee first considered House Resolution 1016, which would have allowed introduction of a bill by Representative Richmond addressing disclosure and restrictions for certain real-estate arrangements where buyers purchase interests in entities rather than direct ownership of property. Richmond said the measure was aimed at transparency, consumer protection, and preventing private tribunals or discriminatory practices, while several members questioned whether it would affect homeowners associations, hunting clubs, arbitration clauses, or duplicate existing law. After discussion, the committee voted down the resolution.
House Resolution 1006, sponsored by Representative Schultz, proposed increasing the Homestead Tax Credit by $75, from $600 to $675, using a fund created by Amendment 79 and supported by sales tax revenue. Schultz argued the fund could support the increase now and that families needed relief amid high prices. The committee approved the resolution. The committee then heard House Resolution 1007, presented by Senator King and Representative Eaton, which sought to change how turnback funds are distributed to counties, with a focus on giving counties more predictable annual funding for roads, jails, water, sewer, public safety, and other infrastructure. Members raised concerns about taking $150 million off the top of sales tax revenue and about whether the bill should be handled through budget language instead; the resolution failed.
House Resolution 1008, by Representative Wooten and Senator King, would have amended the LEARNS education program to reduce costs, limit or change eligibility, and add performance-based requirements and reporting for certain school-choice funding. Supporters said the program was financially unsustainable and needed accountability, while opponents argued the proposal would create larger problems and that the issue should be handled in the regular session. The resolution failed after a point of order prevented reading a supporting letter into the record. Finally, House Resolution 1009 and House Resolution 1013, both tied to Senator Bryant’s proposals on local control over crypto mines and data centers, were discussed together with testimony about water use, energy demand, and local opposition; both failed. House Resolution 1015, which would have amended the IDEA economic-development bill to remove eminent domain authority and address board accountability, also failed after members said more concerns remained to be worked out.
WA
Washington 2025-2026 Regular Session
House Health Care & Wellness Jan 21st, 2026
Transcript Highlights:
- The second requirement of the bill requires that any advertisements for health care services that name
- patient medical care... ...insurance premiums go to actual direct patient medical care, not excessive
- Additionally, providers of community-based care and in-home care services may not discriminate or retaliate
- professions to provide care and services for the people in Washington.
- And inter-facility transports are a big part of that rural health care service.
Summary:
The committee held public hearings on House Bill 2261, which would require health care providers to wear badges showing name, credential, and relevant degrees, require similar disclosure in advertising, and restrict use of the title “physician surgeon” to certain physicians and osteopathic physicians. Supporters, including the Washington State Medical Association and patient advocates, said the bill would improve transparency and informed consent. Opponents from nurse, naturopathic, and adult family home groups argued it was overly broad, burdensome, confusing, and could harm access to care or residential home settings; several also said existing disciplinary laws already address misrepresentation. No vote was taken on HB 2261 during the hearing.
The committee also heard House Bill 2283, which would raise the medical loss ratio for fully insured individual, small group, and large group health plans to 90 percent. Supporters, including small business, patient, and physician groups, said the bill would push more premium dollars toward patient care and lower costs or increase rebates. Insurers and the Office of the Insurance Commissioner warned it could destabilize the market, reduce flexibility for administrative services, and lead to carrier exits, though OIC said it was working on amendments. The bill was not voted on in the hearing.
House Bill 2425, an agency-request bill on nurse delegation, would broaden what tasks registered nurses may delegate, remove some setting and training restrictions, expand emergency medication authority, and adjust liability and retaliation protections. The Board of Nursing, long-term care providers, and skilled nursing/assisted living representatives supported the bill as a modernization that could ease workforce shortages and improve care access, while the Washington State Association for Justice opposed the immunity provisions and raised patient safety concerns. The hearing ended without a vote on HB 2425.
In executive session, the committee advanced several bills. HB 2110, with an amendment clarifying ambulance staffing and RN scope, passed 18-0 with one excused. HB 2113 passed 18-0 with one excused. HB 2122, as amended to require hospitals to offer flu vaccines with several flexibility and critical-access-hospital exemptions, passed 15-3 with one excused. HB 2152, as amended to require certain facilities to allow medical cannabis use for qualifying terminal patients and to add related exemptions and protections, passed 17-1 with one excused. The meeting then adjourned.
TX
Transcript Highlights:
- I don't care if they're a supplier. Doesn't matter. I don't care if they're a supplier.
- The question is directed to Bucy.
- I need to be careful here. But no.
- We do have an ancillary service that's being dispatchable, reliability reserve service, right?
- We have ancillary services for ers and fast frequency and now dispatchable reliability reserve service
Committee:
Senate Business & Commerce
Summary:
The Senate Committee on Business and Commerce convened to discuss critical infrastructure and supply chain integrity, particularly focusing on Texas's power grid and associated vulnerabilities. The meeting highlighted Texas's recent ranking as 10th in electricity affordability, emphasizing the state's commitment to maintaining a reliable and resilient electric grid. New committee members introduced themselves, and the agenda included testimony from ERCOT and the Public Utility Commission regarding the implementation of the Lone Star Infrastructure Protection Act, which aims to mitigate risks posed by foreign entities to the power grid.
Chad Sealy from ERCOT presented updates on the attestation process for market participants, revealing that over 1,500 entities had submitted attestations regarding their corporate structures and affiliations with designated foreign countries. Concerns were raised about the adequacy of the current vetting process, particularly regarding indirect relationships with foreign adversaries. Testimonies from the PUC and the Attorney General's office underscored the challenges of enforcing compliance and the need for improved legislative measures to enhance oversight and security.
The committee also heard from experts, including Dr. Emma Stewart from Idaho National Laboratory, who discussed the evolving threats to the grid from foreign adversaries and the importance of securing communication systems. Recommendations included prioritizing inspections of critical components and enhancing collaboration with national laboratories to address vulnerabilities. The discussion concluded with an acknowledgment of the balance needed between ensuring grid security and maintaining affordability for consumers.
ND
North Dakota 2026 1st Special Session
Legislative Task Force on Government Efficiency Jun 30th, 2026
Legislative Task Force on Government Efficiency
Transcript Highlights:
- And then they got this little project of looking at the child care system.
- And, uh, And then they got this little project of looking at the child care system.
- Representative Weisz worked in human services along with Senator Hogan for years.
- I think it's leadership if it's Human Services.
- You mentioned the child care report.
Summary:
The task force first approved the March 25, 2026 minutes as amended, including a correction removing language that suggested the auditor’s office would contract with a security vendor. Members then moved to a bill draft on concessions (LC 27.0161.00000), which would raise the competitive solicitation threshold from $25,000 to $50,000, allow requests for proposals in addition to bids, clarify that proceeds go to the entity’s operating fund or general fund, and make other technical updates. OMB explained the draft and answered questions about scope, fragmentation, vendor restrictions, school districts, and whether concession proceeds could be directed to nonprofits; OMB said the draft could be refined further, including clarifying covered entities and contract length. No vote was taken on the draft during the discussion.
OMB also reported on other survey items. It said a proposal to broadly allow agencies to create pre-qualified architect/engineering/land surveying vendor pools would not move forward, because the existing authority is working well for the agencies that already have it. On legal notices, OMB said it has been working with the North Dakota Newspaper Association on modernization, including an ADA-compliant online notice system and possible statutory updates to reflect changing technology and notice definitions. On click-through agreements for routine IT purchases, OMB and the Attorney General’s office said policy clarification—not statutory change—was enough, and the $20,000 threshold was intended to distinguish low-dollar adhesive contracts from purchases where terms can be negotiated.
The committee also heard that OMB and the Center for Distance Education had resolved questions about alternate procurements and food/beverage expenditures through existing policy, so no statutory changes were needed there. North Dakota University System representatives gave a brief update on ongoing collaboration with OMB on statutory efficiency ideas, including concessions and surplus property. Finally, the task force discussed a draft on requirements for new or expanded spending programs, which would require agencies to identify purpose, expected benefits, alternatives, success measures, and full implementation costs, and would require reporting on outcomes over time. Members debated whether OMB or Legislative Council should collect and report the information, how to use the new program evaluators, whether real-time dashboards should be used, and how to choose which programs to evaluate; staff from Legislative Council said they would work with OMB and the auditor’s office to revise the draft and process.
ID
Idaho 2026 Regular Session
Agenda Feb 5th, 2026
Transcript Highlights:
- On the left, you see Transportation Services with 161 FTP.
- I've included the direct investments, since that is funding that is directed within the Treasurer's fund
- goes into the Teckham Debt Service Fund.
- The debt service goes into the Teckham Debt Service Fund, and it is a similar story with the Garvey funds
- goes into the Garvey Debt Service Fund.
Summary:
The committee heard a budget presentation on the Idaho Transportation Department from Legislative Services analyst Brooke Dupree and then from Director Scott Stokes. The presentation outlined ITD’s four divisions and major funding sources, including the State Highway Fund, Aeronautics Fund, and the Transportation Expansion Congestion Mitigation (TECK) and Garvey bonding programs. The analyst also reviewed appropriation trends, noting the effect of reappropriations and the continuous appropriation of the Strategic Initiatives Program Fund, and compared the department’s request with the governor’s recommendation.
ITD’s requested enhancements included $15.5 million for deferred maintenance on state buildings, funding for State Highway 16 operations and maintenance, $4.9 million for roadside tree removal, $4.7 million for new equipment, a $275 million general fund transfer for safety, capacity, road, and bridge work, and smaller requests for airport improvements and aeronautics maintenance. Members asked about the Highway 16 funding, the continuous appropriation language, the impact of the governor’s decision not to recommend the $275 million transfer, and the department’s equipment and maintenance priorities. The director explained that much of the work is contracted, that the agency is prioritizing pavement and bridge condition, and that the department is prepared to move projects quickly if funding returns.
In questioning, legislators also raised concerns about the reduction in strategic initiatives funding, the department’s workforce retention, the State Street property project, and why ITD remains on its existing finance system rather than fully transitioning to LUMA. Stokes said the State Street project has had modest spending so far, with about $41 million appropriated and an estimated total cost of $60 million to $70 million, and that the agency is still housed at the Chinden campus. He also said workforce retention has improved somewhat after prior pay adjustments, and that the LUMA decision was driven by federal reimbursement and system integration concerns. The committee took no vote on the budget in this segment and adjourned with notice that rescissions, cash transfers, and statewide decisions would be taken up the next day.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 1 on Education Mar 5th, 2026
Transcript Highlights:
- , and if student services have been affected.
- The direct admissions program was launched recently.
- Each of these programs serves an important function in California health care.
- Unfortunately, many areas of the state are lacking sufficient health care professionals to ensure services
- And so basic needs services are incredibly critical.
Summary:
The Senate Budget Subcommittee on Education held its first 2026 hearing on higher education, focusing on UC and CSU system updates, student housing, enrollment, and core operations. In opening remarks, the chair noted recent state fiscal stress, the prior rejection of proposed UC/CSU cuts, and the Governor’s proposed 5% ongoing compact increases. UC President James B. Milliken and CSU Chancellor Mildred Garcia described the systems’ public value, research and workforce roles, and the impact of federal actions on grants, financial aid, and campus operations. Both also emphasized Title IX and civil rights efforts; CSU said it had implemented nearly all state auditor recommendations and was on track to finish the remaining one, while UC highlighted its systemwide civil rights and Title IX offices. Both leaders said federal investigations, grant cancellations, and litigation demands were consuming staff time and money, with UC reporting more than 200 grants lost or affected and CSU citing more than $161 million in lost grants and more than 1,600 grants affected overall.
The committee then heard on student housing. Finance and LAO staff said the Governor’s budget made no major new housing proposal but continued support for the Higher Education Student Housing Grant Program. CSU reported 12 supported projects that will add about 5,047 beds, most below market rate, with four already open and seven more expected this year; it also said it has about 68,000 beds systemwide, a 92% occupancy rate, and ongoing emergency housing support. UC said the program has supported seven UC projects and two joint community college projects, adding more than 7,000 beds total, but nearly 10,000 UC students were on housing waitlists at the start of fall 2025. UC asked for additional state support, including possible bond funding and a statutory change to allow UC participation in public-private partnership housing projects. Members discussed rapid rehousing, student homelessness, faculty and staff housing, and community college housing partnerships, with both systems describing existing emergency beds and support services.
On enrollment, LAO recommended maintaining UC’s 2026-27 resident undergraduate target, funding enrollment growth separately from base increases, pausing the nonresident reduction plan, and holding UC flat in 2027-28. For CSU, LAO recommended revising the 2026-27 target downward to reflect current projections, funding growth separately, and holding 2027-28 flat. CSU said it had rebounded from COVID declines, now exceeds its funded target by about 3,000 FTE, and is shifting about $89 million and 10,000 FTE spots from lower-demand campuses to higher-demand ones while developing turnaround plans for seven campuses with sustained enrollment declines, including Sonoma State. CSU also described direct admissions, transfer success pathways, and new degree programs aimed at workforce needs. UC said it had surpassed its compact enrollment goals, planned to add 2,721 California undergraduates in 2026-27, and was seeking $5.5 million for health professional programs. Members raised concerns about underprepared freshmen, K-12 alignment, nonresident caps at UC San Diego, deferred maintenance, ROTC access, and the need for stronger turnaround plans and teacher preparation pipelines. The final item on core operations addressed the Governor’s proposal to defer 3% base funding again, moving the one-time deferral to 2027-28 and allowing short-term zero-interest loans to cover it.
CA
Transcript Highlights:
- AB 1770 is attempting to make the process of binding arbitration and health care service plans fair to
- 1770 is attempting to make the process of binding arbitration and health care service plans fair to
- This bill mandates that the Attorney General oversees health care service plans to ensure they comply
- I mean, if we're protecting reproductive care services, we should be protecting houses of worship.
- Protective care services, we should be protecting houses of worship and all houses of worship.
Committee:
House Judiciary
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 04/02/25
Health and Human Services
Transcript Highlights:
- are moved to another hospital or campus, or if maternity and newborn care services are discontinued,
- Teachers, child care workers, health care workers, law enforcement, and social service professionals
- , the patient must delay this care and be referred for physical therapy for the service that chiropractors
- , the patient must delay this care and be referred for physical therapy for the service that chiropractors
- , the patient must delay this care and be referred for physical therapy for the service that chiropractors
Committee:
Senate Health and Human Services