Video & Transcript : 'direct care services' :
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CA
California 2025-2026 Regular Session
Senate Governmental Organization Committee Apr 14th, 2026
Transcript Highlights:
- For example, I had a health care member reach out and say, we provide nursing services to people being
- , legal services.
- , medical care, care, medical service, medical care service funding, anything to do with the funds that
- Take care of the detainees, whether it's food or medical services.
- Thank you. take care of the detainees, whether it's food or medical services.
Summary:
The committee heard several bills focused largely on regulatory oversight, food insecurity, state symbols, immigration-related funding, and ethnic media outreach. SB 885 and SB 986 would require major regulations with estimated economic impacts over $50 million to come back to the Legislature for review; supporters said this would restore accountability and help address affordability, while opponents warned it would delay health, safety, and worker protections. SB 1025 would create an Office of Food Security and Affordability to coordinate food programs across state departments, expand outreach, run a hunger hotline, and analyze service gaps; members generally supported the goal but urged stronger reporting and oversight language. SB 1214 would designate the Western monarch as California’s state butterfly, and SB 1178 would designate the California yellow jacket as the state wasp, with testimony emphasizing conservation, ecology, and agricultural benefits. SB 1286 would recognize the California sea lion as the state pinniped, with supporters citing its role as a sentinel species and conservation success story. SB 1171 would make private entities that contract with ICE ineligible for state-funded grants or loans; supporters framed it as a response to ICE conduct, while opponents raised concerns about unintended impacts on contractors providing essential services and possible federal retaliation. SB 1358 would create the Ethnic and Community Media Equity Act to improve state advertising and outreach to ethnic and community media through a database and contracting requirements, with supporters arguing it would improve effectiveness and reach underserved communities.
Several bills were advanced on committee votes, many with roll calls held open for absent members. SB 885, SB 986, SB 1025, SB 1214, SB 1178, SB 1286, and SB 1171 all received motions to do pass, with some members noting support but also urging amendments or guardrails, especially on timing, reporting, and oversight. The committee also took up a consent calendar of multiple items after quorum was established.
WY
Wyoming 2026 Regular Session
Select Committee on School Finance Recalibration, January 22, 2026 - PM
Select Committee on School Finance Recalibration
Transcript Highlights:
- > health</c> care, primary care, mental health care, primary care, mental health visits,<02:46:56.640
- </c> mental health services are not an extra. mental health services are not an extra.
- We care about those kids. We care about the friends of our kids.
- </c><03:30:54.720><c> We</c><03:30:54.960><c> do</c><03:30:55.120><c> care.</c> do care.
- We do care. do care. We do care.
ID
Transcript Highlights:
- It's what it's what any small direct consumer producer would do.
- You just don't care.
- That's my career, so I'll be careful what I say.
- For generations, Idaho ranch and families have cared for this land.
- For generations, Idaho ranch and families have cared for this land.
Committee:
Senate Agricultural Affairs
Summary:
The Senate Agricultural Committee opened by welcoming a new page, Isabella Frasheiser of Weiser High School, who described her FFA, school leadership, and agricultural background. The committee then approved the February 10, 2026 minutes without objection.
The main item was Senate Bill 1283, presented by Senator Todd Lakey. The bill would create a framework for small-scale direct-to-consumer agricultural and homemade food sales, including cottage foods, farm stands, cooperative markets, and certain meat sales, with labeling, recordkeeping, and educational-material requirements. Supporters from Farm Bureau, Fair Idaho, and producers argued it would reduce burdens, expand local food access, help small farms, and improve market opportunities. Food Northwest and health district representatives raised concerns about food safety, labeling, lack of competency testing, limited remediation options, and possible liability changes. After discussion, the committee voted to send SB 1283 to the floor with a due pass recommendation.
The committee then received an Idaho Beef Council update from J.W. Wood and Jody Mink. They described the council’s checkoff-funded promotion, education, research, consumer outreach, BQA training, Spanish-language materials, a national “Prime Rib and Prom” campaign, and the Idaho Beef Counts food assistance program. No formal action was taken on that presentation, and the committee adjourned after concluding its agenda.
WA
Washington 2025-2026 Regular Session
House Education Jan 12th, 2026
Transcript Highlights:
- Why should I care? Sure. Yeah.
- So safety care, we also use that. I hear at Auburn use that.
- The next one is we also adopted Safety Care. For three years now.
- You can direct your responses to our staff.
- Their behavior plan included self-directed breaks in a dedicated space.
Summary:
The House Education Committee held a work session on reducing restraint and eliminating isolation in schools, then moved into a public hearing on House Bill 1795 and its proposed substitute. Chair Sharon Santos reviewed committee procedures and emphasized the short session timeline, then framed the discussion as part of a longer-running effort to address student restraint and isolation. Representative Callan, the bill sponsor, said the committee’s pilot and demonstration sites would help identify both benefits and implementation challenges for legislation.
OSPI Acting Director of Policy and Legislative Affairs Misha Cherniski presented an update on the state’s demonstration project, saying it is in its third year and has $2 million per year in the current budget for fiscal years 2026 and 2027. He described intensive, targeted, and universal supports, including grants to pilot and demonstration districts, a technical assistance manual, and statewide professional learning. He reported that 68% of project sites saw reductions in restraint and isolation compared with the prior year, and said OSPI’s immediate policy recommendations are to extend prohibitions on dangerous restraints such as prone, supine, wall, mechanical, chemical, and noxious spray restraints, and to clarify the definition of “imminent likelihood of serious harm.” Committee members asked for more detailed disaggregated data by race, ethnicity, grade level, incident type, and sample size, and raised questions about authorized entities, student movement, and whether data captures incidents in nonpublic settings.
Representatives from Auburn, Bainbridge Island, and Concrete school districts described how the grant-funded work has affected their districts. Auburn reported major reductions in isolation after removing its last isolation room, expanding behavior supports, and training staff through multiple professional development options; the district said the biggest challenge has been shifting staff mindset and navigating delayed access to vendors and grant systems. Bainbridge Island said it has used grant funds for universal staff training, administrator training, social-emotional MTSS work, and partnerships with multiple providers; it reported zero isolations and sharply reduced restraints, while noting the need to monitor nonpublic agencies closely. Concrete, a much smaller district, said the grant allowed it to hire a part-time BCBA, adopt Safety-Care training, and use OSPI’s manual and tracking tools, but staffing shortages and limited substitute coverage make it hard to attend demonstration sites or training in person.
During the public hearing, the substitute bill was summarized as prohibiting certain restraints, banning isolation as a planned intervention, narrowing the definition of serious harm, and extending requirements to other providers of public educational services, while preserving lawful duties of school resource officers. Proponents included disability advocates, the Washington Education Association, and public school employees, who said the bill would reduce trauma and align practice with student safety and dignity. A parent testified about a child harmed by a room that was later used for involuntary confinement. A representative from a specialized learning center testified in opposition, arguing that a complete elimination of isolation for younger students could increase danger in some settings, that medical-provider requirements could be difficult to meet, and that specialized providers need broader exemptions. No vote was taken in the portion of the meeting provided.
NY
New York 2025-2026 Regular Session
New York State Senate Session - 06/04/2026
New York Senate Floor Meeting
Transcript Highlights:
- Because care is work, and care workers deserve rights.
- BECAUSE, CARE WORK, BECAUSE CARE IS WORK AND CARE WORKERS DESERVE RIGHTS.
- And few workers embody the work of service and care more than domestic workers.
- and expense of human services and veterans community services.
- of human services and veterans community services.
Summary:
The Senate met on June 3, 2026, approved the prior day’s journal, and then moved through a long list of discharge motions and substitutions to place many bills on the third reading calendar. The chamber also adopted Resolution J.2314 honoring the New York chapter of the National Domestic Workers Alliance, with remarks emphasizing domestic workers’ role in care work, labor organizing, and protections such as paid sick leave and family leave. Another adopted resolution, J.2298, mourned labor and social justice advocate Minerva Solla, with senators highlighting her work with 1199, the Young Lords, Puerto Rican solidarity efforts, and women’s organizing. A third resolution recognized Olympic curler Daniel Casper for representing the United States at the 2026 Winter Games.
The Senate then confirmed a large slate of judicial and executive nominations. It accepted the Judiciary Committee report and confirmed four interim Supreme Court justices, seven Court of Claims judges, and 21 reappointments/extensions by a vote of 44-12. The Finance Committee report was also accepted, and the Senate confirmed a broad set of appointments to state boards and authorities, including the MTA, State Commission of Correction, Power Authority, NYSERDA, Financial Control Board, public health councils, SUNY and Cornell boards, gaming and bridge authorities, and others. One notable confirmation was Alexander Dockery to the State Commission of Correction; supporters called it the first time a formerly incarcerated person had been confirmed to that commission, while Senator Murray criticized the practice of voting on large nomination blocks rather than individually.
The chamber then took up and passed many bills, mostly by wide margins, covering labor, health, education, transportation, public service, criminal justice, municipal, tax, insurance, and environmental topics. Several members explained their votes on major measures: Senator Ramos supported a bill modernizing temporary disability benefits and another protecting construction workers from lost pay when jobs are canceled; Senator Baskin spoke about a correction bill tied to the death of India Cummings; Senator Skoufis described a family-court custody bill intended to prioritize child safety; Senator Mayer backed a proposal to reimburse parents of medically fragile children for providing care; and Senator Hinchey defended a bill requiring employers to report AI-related job impacts, while Senator Borrello opposed it as burdensome. Most bills were passed, some were laid aside, and the session concluded with multiple roll-call votes and confirmations before adjournment-related business.
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.
NH
New Hampshire 2026 Regular Session
House Finance Division III (02/13/2026)
Transcript Highlights:
- uh directly for uh uh child's for direct uh directly for uh uh child's child<02:18:53.280><c> care</
- They are considered direct care positions.
- They are considered direct care process.
- They are considered direct care positions.<03:45:11.840><c> So</c><03:45:12.399><c> uh</c><03:45:12.479
- We have CPSWs providing direct care.
Summary:
The House Finance Division 3 work session opened on February 13, 2026, with the chair outlining the committee’s advisory role and the possible motions available under House Rule 45. The committee then took up House Bill 1569, concerning the Philbrook Center/state hospital campus property, and heard extensive testimony from Commissioner Charlie Arlinghouse. He explained that the property is currently one parcel and state law prevents subdivision unless a separate Senate bill, identified as SB 572, is enacted to fix the legal issue. He said HB 2 directed the sale of the property but did not address subdivision or marketing details, and he characterized the $5 million revenue estimate as speculative. He also said the state would first offer the property to the city or county, which he viewed as the most practical buyer and potential partner for any subdivision work.
Members asked whether the building should be retained for transitional housing or sold, what would happen after July 1, 2026, and whether other vacant state buildings could absorb the current occupants. Arlinghouse said there are no firm plans for the building if it is not sold, and that HHS would remain until a sale occurs. He described the building as not especially historic or attractive and noted plumbing issues, while also acknowledging HHS’s view that it could serve as transitional housing. He said there is no reserve stock of office space, that the state already rents substantial office space in Concord, and that some nearby state buildings are either under renovation or only partially usable. He also said the Executive Council would have to approve any sale and that moving costs are usually not budgeted in advance, leaving the using agency to absorb them.
Several members raised concerns about relying on asset sales to balance the budget, citing past examples where projected real estate revenue did not materialize on schedule. Arlinghouse agreed that one-time revenue should generally be used for one-time expenses, but said the state sometimes has legitimate reasons to sell assets and that such decisions depend on the state’s needs. He estimated the state rents roughly 100,000 square feet of office space in Concord at about $25 per square foot, and said he would provide a more exact figure later. In response to a question about whether the state should include a right of first refusal if the property is later resold, he said that idea had not been considered but could make sense, especially if the buyer is the city or county. No votes were taken during this portion of the work session.
NM
New Mexico 2025 Regular Session
IC - Federal Funding Stabilization Subcommittee Jul 1st, 2025
Federal Funding Stabilization Subcommittee
Transcript Highlights:
- of the Health Care Authority.
- Congratulations on your anniversary for your service to the state and thank you for that service.
- It's much bigger than the direct number as far as the overall that we are taking care of the most vulnerable
- They're essentially paying themselves for what is real work of child care or elderly care.
- Care or disabled care within their own households.
AR
Transcript Highlights:
- They may be doing a different type of service, I guess.
- But direct pay is limited.
- Direct pay, I believe, is currently behind about a month or so.
- Direct pay, I believe, is currently behind about a month or so.
- I don't care what it is, so you might pay for the sins of others.
Committee:
All ALC-ADMINISTRATIVE RULES
Summary:
The Administrative Rules Subcommittee reviewed a long agenda of agency rules, with most items approved without objection after brief presentations and no public comment. Early items included Department of Energy and Environment rules on landfill post-closure trust fund spending thresholds and liquefied petroleum gas standards, DFA’s electronic odometer disclosure rule, and several Department of Health rules covering ionizing radiation, mobile home and RV parks, lead-based paint, counseling board revisions, hearing instrument dispensers, athletic training, dental examiners, nursing, pharmacy, medical board, speech-language pathology and audiology, radiologic technology, massage therapy, community health workers, doula certification, and cosmetology/body art. Most of these changes were described as updates to match recent acts, federal standards, compact participation, fee adjustments, or cleanup/clarification, and the committee repeatedly approved them without objection.
A substantial portion of the meeting focused on the Arkansas State Board of Nursing’s broad set of rule changes implementing multiple 2025 acts. Those changes included creating a dialysis patient care technician registry, updating contact information requirements, expanding APRN authority to delegate certain tasks, clarifying death certificate and pronouncement authority, allowing substitution of therapeutically equivalent medications, permitting purchase of compounded products, and updating certified medication assistant rules and training standards. Members asked detailed questions about the meaning of therapeutically equivalent substitutions, delegation limits, compounded products, and how often medication lists would be updated; the board said it would review rules annually and use future rulemaking as needed. The committee also approved new nursing rules for declaratory orders and the new dialysis registry.
The Department of Education’s rules drew the most discussion, especially the Arkansas Children’s Educational Freedom Account Program. The department said the revisions, based on Act 920 of 2025, were intended to add guardrails, clarify eligible expenses, and streamline approvals. Changes included defining core educational expenses, limiting sports-related spending, adding an intentional misuse standard, restricting certain technology purchases and requiring extra justification over $1,000, capping carryover funds at $8,500, and creating a reconsideration process for denied expenses. Members raised concerns about oversight, appeal timelines, sports equipment, provider credentialing, and whether the rules were too restrictive; department officials said the rules were meant to protect taxpayer funds while preserving flexibility, and they noted the program had received extensive public comment. The committee also approved Education rules for scholarships, residency classification, teacher programs, accelerated learning, and graduate medical education, as well as Labor and Licensing rules on wage and hour standards, boiler rules, motor vehicle commission requirements, professional wrestling regulation, appraiser qualifications, and military recruiting incentives.
AR
Transcript Highlights:
- What about the actual care that they're getting?
- The inmate care and custody line item that you see in this division, the residential services programs
- And then the non-tax revenue receipts is their phone service. The residential services program.
- services for departments.
- services for departments.
Committee:
All JOINT BUDGET COMMITTEE
Summary:
The committee first adopted revised JBC rules, which staff said were updated to reflect legislation passed in the 2025 session. It then heard a presentation from DFA Secretary Jim Hudson on the governor’s proposed balanced budget for FY27, with no action taken. Hudson said the budget reflects three priorities: limiting state-government growth, continuing investments in education, and advancing income-tax cuts. He highlighted increases for education funding through EFAs, pay-plan costs for Corrections, DPS, and the Attorney General, higher education productivity funding, drug task forces, a Corrections medical contract, the governor’s 1033 initiative, SNAP error-rate reduction efforts, and an additional $100 million set aside for Medicaid sustainability. Committee members questioned the size of the tax cuts, the balance requirement, public education funding, Medicaid trust-fund levels, EFA funding, and the expected impact of new SNAP cost-sharing rules.
The Division of Higher Education then presented its productivity-based funding recommendations. Officials said institutions were 2.61% more productive overall, with funding changes driven by a statutory formula that rewards degree production, underserved populations, and high-demand fields. Members asked about declines at UA Little Rock, the formula’s multipliers, the role of the Arkansas Access Act and a new return-on-investment metric, and how two-year colleges are adjusted for size. The committee also reviewed special items and approved two letters: one authorizing 17 net personnel changes across nine institutions, and another adding special language for North Arkansas College’s entry into the University of Arkansas system. The committee then adopted the Higher Education Coordinating Board’s recommendations for all institutions.
A lengthy portion of the meeting focused on the University of Arkansas system, especially Fayetteville’s athletics funding and the broader impact of the House/NIL settlement. Chancellor Charles Robinson and system officials explained that the board had waived a longstanding campus transfer and directed the university to provide an additional $6 million to athletics, with some costs likely to be passed through to students but partially offset by existing budget growth. Members debated whether the university should prioritize academics or athletics, how the transfer originated, and whether the athletic changes would affect affordability. The committee also discussed the 1890 extension program at UAPB and the Division of Agriculture’s land-grant funding. UAPB officials said the state match is intended to be one-to-one, that the current recommendation aligns appropriation with actual spending, and that a $2 million set-aside remains available if needed. The Division of Agriculture later clarified that its Smith-Lever extension and Hatch research funds are part of the UA system’s separate budget and that the state matched about $6.2 million in federal extension funding last year.
The committee then moved to the Department of Corrections. It approved G1, transferring 51 positions to the secretary’s office to activate a recidivism program, with an estimated cost of about $4 million. Staff then began walking through the department’s FY27 budget, noting an increase of about $8 million for administration and shared services, including a $170,000 sex-offender assessment appropriation moved under Act 723 of 2025 and roughly $6 million more for medical contracts. Questions on the Corrections budget had just begun when the transcript ended.
CO
Colorado 2026 Regular Session
Colorado House 2026 Legislative Day 114 May 8th, 2026
Colorado House Floor Meeting
Transcript Highlights:
- These nurses provide direct care to the people of Colorado in hospitals, long-term care facilities, primary
- These nurses provide direct care PhDs.
- These nurses provide direct care to<00:48:55.839><c> the</c><00:48:56.000><c> people</c><00:48:56.160
- Do you think that we should further defund your hospitals and health care services to pay for roads?
- Do you think that we should further defund your hospitals and health care services to pay for roads?
CA
California 2025-2026 Regular Session
Assembly Higher Education Committee Jul 8th, 2025
Transcript Highlights:
- California faces significant maternal health care challenges.
- I'm very aware of the drastic need for access to midwives as our team engages through direct services
- So the kind of care that midwives provide, you know, is quite unique.
- I think if you do care about these kids, you would withdraw your bill.
- Due pass to the Human Services Committee. Patel, aye. Celeste Rodriguez, aye.
Summary:
The Assembly Higher Education Committee heard several Senate measures focused on student access, workforce needs, and institutional stability. Senator Laird presented SJR 4, which urges the federal government to restore NIH funding cuts and protect California’s research universities; UC testified in support and there was no opposition. Senator Ashby presented SB 761, the CalFresh for Students Act, to connect Cal Grant applicants with potential CalFresh eligibility and expand qualifying programs; the bill drew broad support from higher education, student, anti-hunger, and county groups, with members sharing personal experiences with food insecurity and no opposition.
Senator Cabaldon presented SB 520 to create a California Nurse Midwifery Education Fund for a new master’s-level nurse midwifery program, citing maternal health disparities and provider shortages, especially in rural and Central Valley communities. Supporters from the California Nurse Midwives Association and the Black Wellness and Prosperity Center emphasized workforce shortages and maternal mortality; one member raised concerns about the bill’s use of inclusive language, but the bill was otherwise well received. Cabaldon also presented SB 640, which would create a statewide direct admissions process to CSU for eligible high school seniors using existing data systems; supporters said it would reduce barriers, improve equity, and help declining-enrollment campuses, while members raised questions about special education students, rural access, dual enrollment, and measuring effectiveness. The committee voted SB 640 out on a 6-0 roll call.
Cabaldon’s SB 744 would preserve California students’ access to enrollment and financial aid if a federally recognized accrediting agency loses approval, by treating affected institutions as accredited for state purposes; the bill drew no public testimony and advanced on a 4-2 roll call. Senator Cortese’s SB 494 would require classified school employees’ disciplinary appeals to be heard by an administrative law judge, matching protections already available to teachers and community college faculty; labor groups supported the bill, while school districts and administrators opposed it over cost, local control, and implementation concerns. The committee also heard SB 550, a revised pilot to allow San Jose State and a nonprofit, state-accredited law school to jointly develop a public law school pathway; supporters argued it would expand affordable legal education and public-interest careers, while UC and independent colleges opposed it as inconsistent with the Master Plan. Members debated access, jurisdiction, funding, and bar pass rates, and the bill advanced on a 4-2 roll call to the Judiciary Committee.
CA
California 2025-2026 Regular Session
Assembly Housing and Community Development Committee Jun 24th, 2026
Transcript Highlights:
- Results in duplicated and inconsistent services.
- Families seeking assistance must navigate multiple agencies and service providers, each directing them
- Families seeking assistance must navigate multiple agencies and service providers, each directing them
- Too few wraparound services, we call them full service partnerships, are being offered to people languishing
- particular in homeless services.
Summary:
The committee heard several housing-related bills, beginning with SB 1003, which would create pro-housing enhanced infrastructure financing districts to help local governments fund infrastructure needed for housing developments. The author and supporters argued that infrastructure costs often prevent projects from penciling out, while the chair expressed support and said the bill would be taken up later when quorum was available. SB 1014 followed, proposing new disclosure requirements for local jurisdictions to provide good-faith estimates of on-site and off-site improvements within 30 days of application, with supporters saying it would reduce late surprises and opposition from several cities citing implementation concerns with the 30-day timelines.
The committee then took up SB 802, a Sacramento-region bill requiring a joint powers authority to coordinate housing and homelessness services. Senator Ashby and former Mayor Darrell Steinberg argued that Sacramento’s fragmented system has failed for years and that a JPA would improve accountability, coordination, and use of state funds. The bill drew broad support from local officials, service providers, business groups, and advocates, while some county and city representatives registered opposition or neutral concerns about state-mandated local governance. Several committee members said they were persuaded by the need for regional coordination, though some raised concerns about local control; the chair noted the bill would be moved when quorum allowed.
The committee also heard SB 1092 and SB 1093, both focused on mobile home park residents after disasters or park sales. SB 1092 would give residents a right of first opportunity to match a sale offer for a park, with supporters saying it protects vulnerable seniors and preserves affordable housing, while park owners and their representatives argued it would devalue property and raise constitutional and financing concerns. SB 1093 would require more transparent communication, access to property, and consideration of rebuilding or closure after a disaster; supporters cited the long uncertainty faced by Palisades residents, while opponents warned about liability, safety, and burdensome review requirements. Members split along similar lines, with some emphasizing property rights and market impacts and others stressing the need to protect residents and preserve scarce affordable housing.
ND
North Dakota 2025-2026 Regular Session
Senate Appropriations - Human Resources Division Apr 2nd, 2025 at 02:00 pm
Appropriations - Human Resources Division
Transcript Highlights:
- Behavioral health services for nursing homes and basic care facilities, $2 million. Mr.
- patient care to individuals, Consultation, and direct patient care to individuals residing in nursing
- Illness is such that they only really need to be in care with these treatment and these services for
- of care of children's behavioral health services for youth with a serious mental illness.
- Well, 45% of our budget is medical services, and then you add long-term care in there too, and that increases
Summary:
The HR division continued work on the behavioral health budget, with members revisiting several funding items and generally agreeing to hold provider inflation increases until the full division picture is clearer. They tentatively supported additional funding for Community Connect and Free Through Recovery, as well as increases for the drug court program and peer support, while clarifying that some items were already in the House version and others were one-time or grant-related expenditures.
The committee spent considerable time on a proposed $2 million behavioral health services program for nursing homes and basic care facilities. Senator Mathern brought revised language to describe a capitated payment model for training, consultation, and direct patient care for residents with medically based behavioral disorders and disruptive behaviors. Some members remained skeptical and wanted to see the amendment before deciding, but the discussion centered on whether the funding would help nursing homes accept patients who otherwise end up in state hospitals or acute care settings.
Members also discussed several one-time funding items, including electronic health record and legacy system upgrades, network redundancy for the state hospital, partial hospitalization/intensive day treatment expansion, and a bathroom remodel at the Southeast Human Service Center. The committee restored the bathroom project to the original $972,000 estimate after concerns that the House reduction would not cover the needed ADA and plumbing work. They also debated a $12.96 million behavioral health facility grant for Altru in Grand Forks, with some members opposing it and others supporting it as a regional service expansion, but ultimately set it aside for later consideration.
The meeting ended with staff flagging other sections of the bill, including the opioid settlement advisory language, the state hospital steering committee, behavioral health education grants, and the system of care grant. The chair announced that medical services would be taken up the next day, and members agreed to adjourn after planning to revisit unresolved behavioral health items and vote on the held bill later.
ID
Idaho 2026 Regular Session
Agenda Jan 14th, 2026
Transcript Highlights:
- And so there's a fund shift going that direction.
- You see the unbilled services rate going down.
- to be reimbursed for those centralized services payments.
- of some of those services as we pay out?
- I'm a budget and policy analyst with Legislative Services.
Summary:
The committee received a broad budget overview from Legislative Services staff on the state’s fiscal position, focusing on the general fund, structural balance, cash reconciliation, and the governor’s budget recommendations for fiscal years 2026 and 2027. Staff explained that projected revenues are below the current budgeted level, creating a need for either budget reductions or the use of cash balances and reserve funds to maintain balance. They reviewed major drivers of spending growth over recent years, including Medicaid expansion, public schools, the State Public Defender, IT services, and water resources, and noted that these statutory and ongoing obligations are crowding out other spending. Members also discussed the governor’s proposed use of interest earnings and reserve balances from several funds, the Budget Stabilization Fund cap, and the policy question of whether changes to fund interest allocations would require legislation or could be handled through appropriation language.
The committee also reviewed current-year adjustments, including supplementals, rescissions, deficiency warrants, and the governor’s proposed holdbacks. Specific items discussed included public school enrollment adjustments, the proposed rescission of Empowering Parents funding, Medicaid growth and provider rate changes, Department of Corrections costs tied to inmate placement and medical services, invasive species treatment funding, and a possible tax conformity impact tied to federal law changes. Members asked about fire suppression deficiency funding, the use of reserve balances, and the difference between current-law and governor-recommended spending levels. Staff emphasized that the governor’s budget relies on short-term money and reserve transfers to smooth the current deficit, while the legislature must decide whether to follow that approach or make deeper structural changes.
Later, staff provided an overview of the budget hearing process and the Legislative Budget Book, explaining the standard reports, agency organization charts, fund analyses, performance measures, and five-year snapshots that committees will use during hearings. Another presentation clarified the difference between deficiency warrants and supplemental appropriations, noting that deficiency warrants cover certain last-year expenses authorized by statute, while supplementals adjust the current-year appropriation and can apply to general, dedicated, or federal funds. The committee then heard a detailed presentation on state health insurance costs, including rising medical claims, reserve balances, the 80/20 employee-employer cost split, and projected FY 2027 premium increases. Members asked about school district participation in the state plan, the role of the insurance carrier contract, and whether broader participation could lower costs. No votes were taken during the meeting, and the committee adjourned after the presentations and questions.
FL
Florida 2025 Regular Session
March 5, 2025 - 10:15 AM
Transcript Highlights:
- In addition to these core workforce development programs, local boards also provide direct services under
- Again, Adrian alluded to a lot of the different services.
- So that means they've completed their services with us.
- But we are also looking at those who are participating in services from blind services or vocational
- , which are great services that you have.
Summary:
The subcommittee met to receive an informational presentation from CareerSource Florida President and CEO Adrian Johnson, joined by Anthony Gagliano of CareerSource Suncoast, on the structure, funding, and services of Florida’s workforce development system. Johnson explained that CareerSource serves job seekers and businesses through 21 local workforce development boards and nearly 100 career centers, using federal and state funding streams such as WIOA, Wagner-Peyser, SNAP Employment and Training, and TANF. She described services including case management, training, wraparound supports, job matching, rapid response for layoffs and disasters, and business services such as recruitment, customized training, and on-the-job training. She also highlighted the REACH Act’s role in consolidating local boards from 24 to 21, creating the Master Credential List and Credential Review Committee, and implementing performance-based letter grades for local boards.
Members asked detailed questions about funding formulas, letter grade metrics, apprenticeships, youth services, small business access, and the demand occupation list. Johnson said federal allocations are driven largely by unemployment and poverty formulas, which has reduced Florida’s WIOA funding by about $27 million over four years because of the state’s low unemployment rate. She explained the letter grades measure outcomes such as increased earnings, reduced public assistance, employment and training outcomes, work-based learning, business engagement, and service to individuals in certain programs, and said the system is being reviewed for possible changes, including removing extra credit and adjusting weights. On youth services, she said Florida has a waiver allowing a 50/50 split between in-school and out-of-school youth funding, and that local partnerships drive outreach. On the demand occupation list, she said it is based on state labor market data and projections, but local boards can submit evidence of local demand when data does not reflect conditions in their area.
A substantial portion of the discussion focused on apprenticeships and workforce training grants. Johnson and Gagliano described apprenticeship navigators funded by the $7.75 million apprenticeship expansion allocation, which help employers navigate registration and expand apprenticeships into nontraditional fields such as IT, health care, education, and hospitality. Gagliano gave examples from CareerSource Suncoast and said navigators helped employers move faster through registration and develop programs with local education providers. Johnson also discussed Incumbent Worker Training Grants and Quick Response Training Grants, noting recent awards of nearly $3 million to 69 businesses and $6.5 million to 24 businesses, respectively, and said these programs are targeted toward high-skill, high-wage occupations and priority industries. The meeting ended with no votes or formal action; the chair thanked the presenters, invited follow-up questions, and adjourned the meeting without objection.
WA
Washington 2025-2026 Regular Session
House Labor & Workplace Standards Dec 5th, 2025
Transcript Highlights:
- Forest Service that reported probable elevated risk for lung cancer.
- Wind directions probably determine how much of it reaches them.
- And we talk about access to care, and these are folks who give care or keep workplaces safe from chemical
- Richards, Insurance Services Director Ismailio Maidati, Workforce Services Director, and Josh Dye from
- This will result in demand for our resource room services, one-on-one services for impacted individuals
Summary:
The committee heard a report on the Underground Economy Task Force in Washington’s construction industry. Labor and Industries said the task force, created by a 2024 budget proviso, met 11 times and developed consensus recommendations to improve enforcement against worker misclassification, unregistered contractors, and unpaid taxes and premiums. Consensus items included defining and regulating construction labor providers, improving interagency data sharing, increasing penalties for repeat offenders, expanding L&I authority over successor accountability, reviewing agency penalty rules, and exploring tracking of cash payments. Majority-but-not-consensus ideas included posting subcontractor notices at job sites, setting an independent-contractor threshold that would trigger L&I review, holding direct contractors liable for unpaid wages owed by subcontractors, and reviewing reporting requirements. Testifiers from labor, business, and the Attorney General’s Office generally supported stronger enforcement and transparency, while business representatives cautioned against overregulation and said any new rules should avoid burdening legitimate contractors or restricting lawful cash payments and independent contracting. L&I said the final report would be distributed by December 31 and the task force work group would be reconvened.
The committee then reviewed the wage recovery work group report. L&I explained current wage complaint procedures and said the work group, made up of labor and business representatives, reached five consensus recommendations: allow L&I to prioritize wage complaints strategically, permit aggregation of related complaints, raise the minimum penalty under the Wage Payment Act from $1,000 to $1,500 and create a penalty matrix, improve employer awareness with materials for new hires, and establish a wage recovery fund. The fund would be seeded by penalties, would not require new employer assessments, and would allow limited early payments to eligible workers facing hardship, with a proposed cap of $2,500 and a later review of the program. Business and labor representatives both supported the overall framework, though business raised concerns about fraud safeguards and recovery of funds if a claim is later found invalid.
Members also received an overview of Washington’s apprenticeship system. L&I described the state’s apprenticeship agency structure, the Washington State Apprenticeship and Training Council, and the difference between Washington’s state apprenticeship standards and the federal Office of Apprenticeship system. The presentation highlighted current participation levels, program approval and objection processes, and strong post-completion outcomes, including median annual earnings above $100,000 and an estimated $7.80 return for every public dollar invested. Committee members asked about how apprentices apply, how sponsors work with L&I, and whether recurring objections could be addressed earlier in the process.
Finally, the committee heard updates on wildland firefighter respiratory protection, federal cuts to NIOSH, and economic and federal policy impacts on unemployment insurance and workforce services. L&I said wildland firefighters face significant smoke exposure and cancer risk, but current rules do not require respiratory protection for that work because of technical and operational challenges; the agency is watching efforts in other jurisdictions and at the federal level. On NIOSH, L&I warned that federal staffing and grant cuts could weaken occupational safety research, training pipelines, and programs affecting Washington workers, including firefighter cancer tracking and Hanford exposure assessments. ESD reported rising UI claims, a stable unemployment rate, and pressure on the trust fund, while also describing technology and process changes that have improved claims handling. ESD also said HR1 will significantly increase demand on WorkSource services through new work-search requirements for SNAP and Medicaid recipients, creating an unfunded mandate that the agency is preparing to implement with partner agencies.
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 3/5/25
Human Services Finance and Policy
Transcript Highlights:
- </c><00:12:43.000><c> make</c> services uh programs and services make services uh programs and services
- foster care licensing services, and the OIG is responsible for establishing the licensing standards
- c> the</c><00:18:59.000><c> oig</c><00:18:59.640><c> is</c> care licensing services and the oig is care
- These include teachers, child care providers, health care workers, law enforcement, and social services
- The majority of our members are culturally specific service providers who deliver essential care to some
Committee:
House Human Services Finance and Policy
KY
Kentucky 2026 Regular Session
Administrative Regulation Review Subcommittee (5-12-26)
Transcript Highlights:
- Morris, if you don't care, said, Dr.
- The opinion directed the licensure.
- </c> I work with students who need services I work with students who need services after<00:13:27.080
- ,</c> >> John Johnson, Office of Legal Services, >> John Johnson, Office of Legal Services
- </c> individual receiving the services? individual receiving the services?
Summary:
The subcommittee considered an emergency regulation from the Kentucky Board of Optometric Examiners, 201 KAR 5021E, along with a staff amendment to conform the text to KRS Chapter 13A. The regulation was described as implementing an Attorney General opinion and a review of optometrists licensed during the 2020–2023 period when alternative testing and waivers were used during the COVID-19 era. The board explained that the rule requires affected licensees to complete specified examinations or an alternative certification before renewing in 2027, and that it now removes the OEBC Canadian exam as a future pathway while preserving recognition of OEBC results submitted during the period when that option was in effect. The staff amendment was approved without objection.
Testimony was sharply divided. Board representatives and the Attorney General’s office said the regulation is needed to protect public health and to bring the licensure review into the formal administrative process. They said the NBEO Part 3 exam is the nationally recognized hands-on clinical licensure test, while the American Board of Optometry certification is a post-licensure credential for already licensed practitioners and is not a substitute for initial licensure testing. They also said no other state uses the ABOC certification for licensure, and that the board’s approach balances fairness, due process, and public protection.
Opponents argued the regulation would allow individuals who were improperly licensed to continue practicing without meeting the same standards as other Kentucky optometrists. A representative from the Kentucky School for the Blind Charitable Foundation described cases of alleged inadequate care and urged the committee to require full national board passage before independent practice. Representatives from ARBO and NBEO said the emergency regulation is not justified as an emergency, does not adequately address public safety or fiscal impacts, and exceeds the board’s authority by creating a renewal path for licensees whose initial licensure was challenged. They emphasized that NBEO Part 3 is a practical, hands-on exam and that the ABOC certification is not designed or validated for initial licensure. The committee asked several questions about the differences between the exams, and no final vote on the regulation itself was described in the transcript beyond approval of the staff amendment.
MN
Minnesota 2025-2026 Regular Session
Conference Committee on H.F. 2115 - Human Services Omnibus - Part 2 - 05/14/25
Transcript Highlights:
- It's just that it's not allowing binding arbitration as a condition of receiving care and housing services
- of of receiving care and and housing<00:03:12.400><c> services.
- services? services?
- We're going to House Article 3, Direct Care and Treatment. Yes, Mr. Chair.
- </c> We're going to House Article 3, Direct We're going to House Article 3, Direct Care<00:50:39.680>