Video & Transcript : 'Arizona Long Term Care System' :
Page 273 of 500
WY
Wyoming 2026 Regular Session
Joint Travel, Recreation, Wildlife & Cultural Resources, May 27, 2026 - PM
Travel, Recreation, Wildlife & Cultural Resources
Transcript Highlights:
- Is anyone neutral as as Senator term.
- able to take better care of those land<00:32:43.039><c> owners.
- Now, we've had a home run the last couple years, but it's a long-term strategy that accomplishes two
- Now, we've had a home run the last couple years, but it's a long-term strategy.
- </c><01:01:01.359><c> of</c> what we can maybe do in terms of what we can maybe do in terms of information
MN
CO
Colorado 2026 Regular Session
Colorado House 2026 Legislative Day 101 Apr 24th, 2026
Colorado House Floor Meeting
Transcript Highlights:
- Children enter the foster care system through no fault of their own.
- Children enter the foster care system through no fault of their own.
- Children enter the foster care system through no fault of their own.
- Children enter the foster care system through no fault of their own.
- Long-term<02:50:19.920><c> academic</c><02:50:20.479><c> and</c><02:50:20.640><c> emotional</c> Long-term
NH
New Hampshire 2025 Regular Session
House Education Funding (01/30/2025)
Transcript Highlights:
- </c> fact that we know it will in the long fact that we know it will in the long term<01:30:46.400><c
- It leads to the problem in districts where they don't have the money to put in place a good long-term
- solution so the state's good long-term solution so the state's failure<02:08:32.320><c> to</c><02:08
- For too long, he said, the education funding system has been unpredictable, creating challenges for both
- For too long, the education funding system has been unpredictable, creating challenges for both school
Summary:
The hearing focused on HB 563, which would revise the education funding formula for pupils receiving special education services by replacing the current single special education amount with three differentiated categories. Representative Rick Ladd, the prime sponsor, said the bill largely tracks a House-passed version from the prior session with minor figure adjustments, and explained that the proposal uses projected FY26 amounts for three categories based on time in general education versus more intensive placements. He also noted that the bill does not address catastrophic aid directly, but that special education aid, CAT aid, and proration all remain issues for later work sessions.
Ladd and supporters argued that weighted categories better reflect actual costs and are more sustainable than treating all IEPs the same. Representative Margaret Drye said the approach was one of the best ideas from the education funding subcommittee and urged the committee to support differentiated aid. Representative Ames asked how the category amounts were derived, and Ladd said Category A follows the FY26 base, Category B is a higher weight, and Category C is a still higher weight for more intensive services, though he acknowledged the exact multipliers were developed earlier and could be revisited. He also said the committee would continue discussing whether the weights are appropriate and how they interact with CAT aid.
Testimony from Bonnie Dunham strongly opposed the bill. She argued that funding based on placement rather than actual service need would create incentives to move students into more restrictive settings, could stigmatize children with labels such as "Category C," and would undermine the least restrictive environment requirements under federal special education law. She described her son’s experience in inclusive settings as beneficial and said the bill would have penalized the district for serving him there. In response to questions, she said schools and parents should base funding on the child’s actual needs and costs, not on placement, and urged the committee to recommend the bill inexpedient to legislate.
HI
Transcript Highlights:
- So this is both a compassionate and fiscally responsible bill, reducing the long-term health care costs
- So this is both a compassionate and fiscally responsible bill, reducing the long-term health care costs
- It does not establish measurable reduction benchmarks or long-term population management systems.
- </c> long-term population management systems. long-term population management systems.
- </c> address root causes and reduce long-term address root causes and reduce long-term inflow,<01:45:
Bills:
HB1183 , HB1656 , HB1658 , HB1661 , HB1663 , HB1664 , HB1859 , HB2116 , HB2271 , HB2276 , HB2335 , HB2360 , HB2387 , HB2472 , HB1805 , HB2469 , HB1815 , HB1860 , HB2117 , HB2118 , HB2437 , HB2438 , HB2604 , HB1590 , HB2156 , HB2268
Committee:
House Finance
Keywords:
retirement, pension, law enforcement, public safety, Hawaii Revised Statutes, indebtedness, salary recovery, employee compensation, deductions, financial management, collective bargaining, employee relations, impasse procedures, arbitration, public employment, HB1661, cafeteria plan, Section 125, Internal Revenue Code, flexible spending account
TX
Transcript Highlights:
- Thank you for hanging around this long. It's been a long day.
- You did a fantastic job, and I appreciate you waiting so long today to do this.
- Disturbingly, the criminal justice system often perpetuates this cycle of abuse.
- I know it's been a long day.
- They cannot afford to stay with the district as long as they would like.
Bills:
SB614 , SB872 , SB1199 , SB1212 , SB1278 , SB1573 , SB1588 , SB1602 , SB1660 , SB1704 , SB1723 , SB1833 , SB1858 , SB1946 , SB2009 , SB2146 , SB2177 , SB2373 , SB2460 , SB2785
Committee:
Senate Criminal Justice
Keywords:
forensic science, capital writs, criminal justice, case review, Texas Forensic Science Commission, SB 872, burglary of a vehicle, vehicle burglary, theft of a firearm, stolen gun, firearm theft, Penal Code Section 30.04, third-degree felony, Class A misdemeanor, criminal penalty enhancement, gun theft, vehicle break-in, property crime, sentencing enhancement, Texas criminal law
TX
Transcript Highlights:
- Thank you for hanging around this long. It's been a long day.
- Before I get started, for the record, I'm OK with 250 or 500 as long as neither delays the bill from
- This bill is another effort to expand statewide data collection in the judicial system.
- I know it's been a long day.
- Uh, they cannot afford to stay with the district attorney's office too long.
Bills:
SB 614 , SB 872 , SB 1199 , SB 1212 , SB 1278 , SB 1573 , SB 1588 , SB 1602 , SB 1660 , SB 1704 , SB 1723 , SB 1833 , SB 1858 , SB 1946 , SB 2009 , SB 2146 , SB 2177 , SB 2373 , SB 2460 , SB 2785
Committee:
Senate Criminal Justice
Keywords:
forensic science, capital writs, criminal justice, case review, Texas Forensic Science Commission, SB 872, burglary of a vehicle, vehicle burglary, theft of a firearm, stolen gun, firearm theft, Penal Code Section 30.04, third-degree felony, Class A misdemeanor, criminal penalty enhancement, gun theft, vehicle break-in, property crime, sentencing enhancement, Texas criminal law
MN
Minnesota 2025-2026 Regular Session
House Judiciary Finance and Civil Law Committee 3/25/25
Judiciary Finance and Civil Law
Transcript Highlights:
- The better way is presented to you today in the form of long-term revenue-generating solutions.
- Please take the step forward with us in creating long-term sustainable funding streams that reduce our
- </c> to you today in the form of long-term to you today in the form of long-term Revenue<00:18:35.440
- </c> side of implementing these long-term side of implementing these long-term Solutions<00:18:47.039
- <00:18:56.120><c> sustainable</c><00:18:56.600><c> funding</c><00:18:56.880><c> streams</c> long-term
Committee:
House Judiciary Finance and Civil Law
Keywords:
veterans, benefit services, accreditation, consumer protection, civil penalties, disclosure requirements, HF102, Sibley County Road 166, Freedom Drive, Arlington, Sibley County, Minnesota transportation bonds, bonding bill, capital investment, road extension, highway access, intersection improvements, right-of-way acquisition, water main, sewer improvements
CO
Colorado 2026 Regular Session
Colorado House 2026 Legislative Day 092 Apr 16th, 2026
Colorado House Floor Meeting
AL
Transcript Highlights:
- This is fundamentally about ego to get my system in versus somebody else's system.
- That goes to the sympathy and the care. Don't you care about all of that?
- I'm saying I care about them, put them over there in your accountability. I care.
- It has nothing to do about my caring and not caring for people.
- Secretary, call the long roll. Secretary, call the long roll. Secretary, call the long roll. Mr.
Bills:
SJR 18 , SCR 5 , SCR 13 , SCR 25 , SB 3 , SB 6 , SB 10 , SB 11 , SB 12 , SB 13 , SB 15 , SB 17 , SB 18 , SB 35 , SB 388 , SB 412 , SB 441 , SB 495 , SB 666 , SB 687 , SB 706 , SB 740 , SB 815 , SB 842 , SB 917 , SB 925 , SB 995 , SB 1006 , SB 1281 , SB 1300 , SB 1379 , SB 1451 , SB 1902 , SJR 36 , SJR 18 , SJR 12 , SCR 13 , SCR 25 , SCR 5 , SCR 22 , SB 565 , SB 372 , SB 495 , SB 842 , SB 765 , SB 62 , SB 19 , SB 18 , SB 666 , SB 707 , SB 888 , SB 687 , SB 706 , SB 847 , SB 290 , SB 11 , SB 10 , SB 13 , SB 412 , SB 441 , SB 1248 , SB 740 , SB 14 , SB 1006 , SB 504 , SB 917 , SB 925 , SB 388 , SB 1902 , SB 1121 , SB 995 , SB 857 , SB 305 , SB 296 , SB 284 , SB 35 , SB 6 , SB 815 , SB 3 , SB 1281 , SB 1379 , SB 1300 , SB 1497 , SB 1499 , SB 1498 , SB 1451 , SB 1061 , SB 15 , SB 65 , SB 241 , SB 304 , SB 402 , SB 499 , SB 621 , SB 974 , SB 1023 , SB 1024 , SB 1025 , SB 1106 , SB 686 , SB 112 , SB 371 , SB 204 , SB 400 , SB 609 , SB 1447 , SB 670 , SB 502 , SB 427 , SB 850 , SB 854 , SB 413 , SB 1555 , SB 1362 , SB 1346 , SB 1033 , SB 1220 , SB 1073 , SB 810 , SB 987 , SB 1539 , SB 893 , SB 447 , SB 875 , SB 406 , SB 509 , SB 985 , SB 965 , SB 17 , SB 1119 , SB 1505 , SB 12 , SB 24 , SB 57 , SB 1194 , SB 1253 , SB 1215 , SB 1532 , SB 1268 , SCR 12 , SCR 24 , SB 1302 , SB 856 , SB 650 , SB 583 , SB 673 , SB 840 , SJR 18 , SB 11 , SB 441 , SB 10 , SB 18 , SB 412 , SB 495 , SR 238 , SR 264 , SR 266 , SR 267 , SR 268 , SR 270 , SR 271 , SR 272 , SR 278 , SB 1169 , SB 1169
Keywords:
capital gains, taxation, constitutional amendment, state revenue, individual investment, SCR 5, Senate Concurrent Resolution 5, Texas School for the Deaf, TSD, Robert Rives, gymnasium naming, building naming, honorary resolution, commemorative resolution, deaf education, hard of hearing, Gallaudet University, alumni hall of fame, football coach, school facility naming
HI
Hawaii 2026 Regular Session
WAM-LBT, WAM Informational Briefings 01-20-2026
Hawaii Senate Floor Meeting
Transcript Highlights:
- So based on the chair's instructions, is the intent long-term, if you were to get funding, to convert
- if you were to get funding to long-term if you were to get funding to convert<00:12:04.480><c> this<
- >> So, Department of Health has the highest number of long-term vacancies, and its total vacancy rate
- vacancies and its number of long-term vacancies and its total<00:34:12.000><c> vacancy</c><00:34:12.560
- um stability and provide the long-term um stability and um<02:29:45.439><c> essential</c><02:29:45.840
Bills:
SB1 , SB4 , SB6 , SB9 , SB16 , SB17 , SB20 , SB22 , SB28 , SB29 , SB36 , SB41 , SB45 , SB77 , SB85 , SB87 , SB96 , SB98 , SB110 , SB126 , SB139 , SB143 , SB164 , SB167 , SB171 , SB186 , SB188 , SB195 , SB197 , SB198 , SB204 , SB205 , SB206 , SB207 , SB209 , SB210 , SB211 , SB217 , SB219 , SB220 , SB225 , SB231 , SB237 , SB238 , SB241 , SB244 , SB246 , SB247 , SB272 , SB294 , SB315 , SB346 , SB364 , SB366 , SB367 , SB386 , SB392 , SB403 , SB415 , SB427 , SB431 , SB437 , SB457 , SB459 , SB469 , SB471 , SB478 , SB484 , SB489 , SB502 , SB503 , SB507 , SB508 , SB510 , SB516 , SB517 , SB518 , SB519 , SB521 , SB535 , SB543 , SB550 , SB564 , SB568 , SB570 , SB575 , SB577 , SB578 , SB590 , SB607 , SB616 , SB621 , SB634 , SB644 , SB647 , SB649 , SB652 , SB655 , SB656 , SB663
Keywords:
agricultural lands, foreign ownership, state agriculture policy, real estate regulation, land conservation, SB4, Royal Mausoleum, Mauna Ala, Office of Hawaiian Affairs, OHA, Department of Land and Natural Resources, DLNR, stewardship, Hawaiian affairs, cemetery, burial site, ancestral remains, cultural preservation, state land management, agency transfer
WY
Wyoming 2026 Regular Session
House Travel, Recreation, Wildlife & Cultural Resources, February 12, 2026
Travel, Recreation, Wildlife & Cultural Resources
Transcript Highlights:
- So I think uh it is a very long time.
- I will tell everyone I have not been around long enough to enter into that conversation.
- Um, that's why we have great representatives and great people that care about our state.
- I will tell everyone I have not been around long enough to enter into that conversation.
- I think you'd have to define that term, and it would get confusing.
Keywords:
right to repair, digital electronics, consumer protection, embedded software, manufacturers, repair providers, tools and documentation, anti-theft measures, blockchain, financial technology, digital innovation, economic development, select committee, trespass, hunting, land use, public access, wildlife, 916, all
IA
Bills:
HF2393 , HF2052 , HF2218 , HF2307 , HF2003 , HF2366 , HSB725 , HF2078 , HSB554 , HSB676 , HSB717 , HF2270 , HSB718 , HF2306 , HSB746 , HF332 , HF460 , HSB680 , HF2051 , HSB677 , HF2187 , HSB719 , HF2123 , HF2451 , HF621 , HSB608 , HSB683 , HSB735
Committee:
Joint Education
Keywords:
education savings account, general fund, school districts, funding flexibility, teacher salary, professional development, preschool, education, community-based providers, instruction, school district agreements, special education, classroom cameras, video surveillance, school safety, student privacy, FERPA, Iowa school districts, charter schools, innovation zone schools
TX
Texas 89th 2nd C.S.
Senate SessionThe Senate of the 89th Legislature, First Called Session, adjourns sine die. Aug 15th, 2025
Texas Senate Floor Meeting
Bills:
SB 2 , SB 3 , SB 4 , SB 5 , SB 6 , SB 7 , SB 8 , SB 9 , SB 10 , SB 11 , SB 12 , SB 13 , SB 14 , SB 15 , SB 16 , SB 17 , SB 18 , SB 34
Keywords:
flash flood, flood warning, outdoor warning siren, emergency alert, disaster preparedness, flood mitigation, Hill Country floods, Texas Water Development Board, municipalities, counties, local government mandate, public safety, grant program, backup power, weather siren, emergency management, flood-prone area, warning system, redistricting, election
NH
New Hampshire 2025 Regular Session
House Labor, Industrial and Rehabilitative Services (01/22/2025)
Labor, Industrial and Rehabilitative Services
Transcript Highlights:
- It's my fourth term. I served on this committee the last two terms.
- It's my fourth term. I served on this committee the last two terms.
- teens, but when you factor in 150% turnover, that wage is completely useless if you cannot rely on long-term
- </c><03:26:42.520><c> can't</c><03:26:43.040><c> rely</c><03:26:43.479><c> on</c><03:26:44.040><c> long-term
- </c> if you can't rely on long-term if you can't rely on long-term employment<03:26:45.720><c> with</
OK
Oklahoma 2026 Regular Session
Senate Legislative Session Mar 16th, 2026 at 01:30 pm
Oklahoma Senate Floor Meeting
Transcript Highlights:
- Those wishing to change their vote, Senator Standridge, Heinz, Thompson, Jett, do you care to vote?
- Those wishing to change their vote, Senator Peterson, you care to vote?
- Senator Jett, you care to vote?
Bills:
SB44 , SB546 , SB1213 , SB1256 , SB1287 , SB1443 , SB1644 , SB1653 , SB1716 , SB1209 , SB1826 , SB1919 , SB1930 , SB1976 , SB2028 , SB2067 , SB2072 , SB2117 , SB710 , SB1477 , SB1405
Keywords:
sales tax exemption, nonprofit organizations, contractors, charitable purposes, state law, SB1213, earned credits, inmate credits, good time, sentence reduction, Department of Corrections, DOC, prison reform, corrections policy, inmate classification, class levels, rehabilitation credits, achievement credits, vocational training, educational credits
OK
Oklahoma 2026 Regular Session
Senate Legislative Session Mar 16th, 2026
Oklahoma Senate Floor Meeting
Transcript Highlights:
- Kelly serves as a hospitalist physician at the VA Medical Center, providing comprehensive care to medical
- Through clinical care, mentorship, and advocacy, Dr.
- Clinical care, mentorship, and advocacy, Dr.
- Who are taking advantage of our system.
- Senators Jett, Standridge, Burns, Devers, Prasino, Green, do you care to vote?
Bills:
SB44 , SB546 , SB1213 , SB1256 , SB1287 , SB1443 , SB1644 , SB1653 , SB1716 , SB1209 , SB1826 , SB1919 , SB1930 , SB1976 , SB2028 , SB2067 , SB2072 , SB2117 , SB710 , SB1477 , SB1405
Keywords:
sales tax exemption, nonprofit organizations, contractors, charitable purposes, state law, SB1213, earned credits, inmate credits, good time, sentence reduction, Department of Corrections, DOC, prison reform, corrections policy, inmate classification, class levels, rehabilitation credits, achievement credits, vocational training, educational credits
Summary:
The Senate convened with a quorum, offered the daily prayer and pledges, introduced the Doctor of the Day, and welcomed several student and guest groups to the gallery. The chamber also laid over a few agenda items before moving through a long general order calendar of bills, most of them explained briefly by their authors and then advanced without objection to final passage.
Measures passed included SB 44 on extending sales tax exemption treatment to contractors working for certain exempt entities; SB 546 on biometric data and controlled dangerous substance-related changes; SB 1213 on Department of Corrections inmate credit levels; SB 1256 requiring ignition interlock devices for repeat DUI bond situations; SB 1287 on abstractor licensing eligibility; SB 1443 on anesthetist physical status modifiers with an amendment excluding Medicaid plans; SB 1644 adding a reportable disease; SB 1653 joining the occupational therapy licensure compact; SB 1716 updating security breach notification rules and limiting class actions; SB 1826 removing a sunset from the local development and enterprise zone incentive leverage act; SB 1919 increasing the Tourism Development Act cap; SB 1930 on produced water handling and compensation; SB 1976 creating a tiered surety plan for small producers and then being adopted as an emergency; SB 2028 on raw milk advertising and labeling, also passed as an emergency; SB 2067 on financial institutions helping protect vulnerable adults from scams; SB 2072 on deed fraud and title theft; SB 2117 on contaminated grain authority and emergency treatment; SB 710 on teacher pathway pilot flexibility; SB 1477 restricting concurrent enrollment to traditional high school students and passed as an emergency; and SB 1405 reauthorizing the wildlife diversity income tax checkoff.
The only bill to draw notable floor debate was SB 1209, which was reconsidered after initially failing, sent back to general order, and then passed 26-18. Supporters said it would reduce delays in eviction proceedings by excluding Sundays and holidays from summons timing, while opponents argued it would mainly help tenants who are already behind and burden small landlords. Senator Pugh later noted a personal-interest abstention on that vote. Several other bills passed with recorded votes ranging from narrow to unanimous, and some were designated emergency measures after final passage.
The Senate concluded with announcements about upcoming events, including a reception, a visit from the Christian Employer Association, and the Bible reading marathon, and then adjourned until Tuesday, March 17 at 9:00 a.m.
TX
Transcript Highlights:
- We will have a very long day. We want you to get your...
- That alone tells us how broken and vulnerable this system is.
- of legal and rightful legislation in order to consider whether or not this practice would help the long-term
- Bill on our system. So we'll change that.
- And I don't care if it's the SBOE, the county commissioners, or even the board, as long as they understand
Bills:
HB4 , HB54 , HB775 , HB850 , HB 1122 , HB 1249 , HB1405 , HB2336 , HB2757 , HB3372 , HB3622 , HB4442 , HB4687 , HB4893 , HB5089 , HB5515 , HB5606 , SB10 , SB24 , HB1573 , HB3369 , HB4 , HB54 , SB 10 , SB 24
Committee:
House Public Education
Keywords:
non-human behaviors, education, Texas schools, policy, regulation, funding, teacher salaries, school districts, state budget, non-enrolled students, University Interscholastic League, participation, eligibility standards, school participation, academic standards, Texas education, interscholastic league, extracurricular activities, academic proficiency, AED
CA
California 2025-2026 Regular Session
Joint Hearing Budget Subcommittee No. 2 on Human Services and Budget Subcommittee No. 1 on Health Apr 9th, 2025
Transcript Highlights:
- limitations when it comes to long-term care.
- Which is private long-term care insurance.
- the long term by having this system in place?
- To support the Long-Term Care Ombudsman Program.
- I am the Acting State Long-Term Care Ombudsman, and I'm here to represent the California Long-Term Care
Summary:
The joint Assembly Budget Subcommittee hearing focused first on long-term services and supports for older adults, especially the “forgotten/overlooked middle” who earn too much for Medi-Cal but cannot afford private long-term care. Administration witnesses from DHCS, the Department of Aging, and Social Services described Medicare’s limited long-term care coverage, Medi-Cal’s role, the elimination of the Medi-Cal asset test, and ongoing state studies and listening sessions on financing options. Testimony from advocates and researchers emphasized rising homelessness among older adults, the need for better navigation and coordination across health, aging, housing, and social service systems, and short-term policy steps such as share-of-cost reform, housing stability supports, and protecting home- and community-based services. Members highlighted the need for a coordinated, no-wrong-door approach and asked for the most impactful budget investments to address affordability and homelessness risk.
The second major topic was the Community-Based Adult Services (CBAS) program. CDA reported that CBAS helps participants remain in the community, that 304 centers operate statewide serving about 42,000 people, and that demand is stable but access gaps remain in some regions. DHCS explained that a 2024 rate increase authorized by SB 159 became inoperative after Proposition 35, and that a separate 10% rate change on the fee schedule was the result of a DHCS system error; the department said it would not require recoupment, though managed care plans may act under their contracts. CBAS providers and advocates warned that reimbursement rates have not kept pace with costs, that several centers have closed, and that clawbacks could trigger more closures. They requested $74.8 million ongoing General Fund to close part of the rate gap and preserve the program, while members expressed concern about closures and the cost savings of keeping people out of more expensive institutional care.
The hearing then moved to In-Home Supportive Services (IHSS) and statewide collective bargaining. CDSS reviewed provider recruitment and retention efforts, including electronic timesheets, direct deposit, and the now-completed IHSS Career Pathways program, which trained more than 59,000 providers. CDSS also summarized its AB 102 workgroup report on statewide versus regional bargaining, saying the final report would be sent to the Legislature soon and that statewide bargaining appeared more viable than regional bargaining, though it would require clear statutory scope and major fiscal changes. The department estimated that each $1 per hour statewide wage increase would cost at least $1.3 billion to $1.5 billion annually. Labor advocates argued that IHSS wages, benefits, and training are too inconsistent across counties and called for statewide bargaining, consumer participation, and ongoing state funding. County representatives supported stronger wages but cautioned that counties need protection from new costs and administrative burdens, and consumer advocates warned that moving bargaining to the state could weaken local consumer control and the program’s consumer-driven structure.
WA
Washington 2025-2026 Regular Session
Joint Legislative Executive Committee on Planning for Aging and Disability Issues Jun 18th, 2025
Joint Legislative Executive Committee on Planning for Aging and Disability Issues
Transcript Highlights:
- I am Patricia Hunter, state long-term care ombuds.
- Long-term care homes have been using tech for many years.
- We are destroying our long-term care system. ...and maintenance budgets and out of staffing.
- We are destroying our long-term care system and eroding our social compact through Medicare and Medicaid
- The workforce shortage in long-term care persists.
Summary:
The committee met for what was described as its final meeting, with members and staff reflecting on the work of the Joint Legislative Executive Committee on Aging and Long-Term Care and noting that future work would likely shift to standing health and wellness committees. The meeting began with introductions and then moved into updates on major initiatives that originated from the committee, including Washington Cares, the Dementia Action Collaborative, and Medicaid long-term care programs. Presenters emphasized that these efforts were developed through long-term legislative-executive collaboration and were intended to help Washington prepare for the state’s aging population.
On Washington Cares, DSHS described the program’s development from a 2014 research effort to its 2019 enactment, premium collection beginning in 2023, portability improvements in 2024, and 2025 changes including a grandfathered opt-out fix and a framework for supplemental private long-term care insurance. The agency said benefits are expected to go fully live next summer, with a pilot of up to 400 applicants planned for next January. On dementia policy, the Dementia Action Collaborative reported on the state dementia plan, Project ECHO training for providers, and pilot dementia-capable community programs at area agencies on aging, citing preliminary results that about 85% of family caregivers said services helped people remain at home. DSHS also reviewed Medicaid Transformation Project initiatives, including Medicaid Alternative Care, Tailored Supports for Older Adults, presumptive eligibility, and health-related social needs benefits such as rental assistance, nutrition support, and home modifications.
The committee then heard an emerging issues panel from ombuds and disability advocates. Patricia Hunter of the long-term care ombuds program raised concerns about staffing shortages, resident rights, surveillance technology, private equity ownership of facilities, and illegal discharges or evictions. Betty Sweeterman of the Developmental Disabilities Ombuds discussed people stuck in hospitals without medical need, gaps in behavioral health services for people with developmental disabilities, and the need for better workforce training. Todd Carlyle of Disability Rights Washington urged expansion and bundling of community supports such as PACT, GOSH, and peer bridgers to reduce repeated institutionalization and support discharge from inpatient psychiatric settings. Provider and labor panels followed, with nursing home, assisted living, supported living, and union representatives all emphasizing workforce shortages, low wages, Medicaid rate inadequacy, case management bottlenecks, behavioral health complexity, and the need for more flexible care models and stronger accountability for rate increases. No formal votes were taken; the meeting ended with public comment on manufactured housing and closing remarks thanking staff and participants for the committee’s work.