Video & Transcript : 'direct care' :

Page 283 of 500
NM

New Mexico 2025 Regular Session

IC - Courts, Corrections and Justice Sep 23rd, 2025

Courts, Corrections & Justice Committee

Transcript Highlights:
  • They are directly supervising the inmates under our care.
  • The psychiatric care housing is $462.13 a day per person.
  • They can still be under PSU care, as the graph shows.
  • We do have options in the psychiatric care unit.
  • And that's how we model our care coordination. Around them.
UT

Utah 2025 Regular Session

Law Enforcement and Criminal Justice Interim Committee - November 19, 2025

Law Enforcement and Criminal Justice Interim Committee

Transcript Highlights:
  • We'll get that taken care of early in this session. Thank you, Senator.
  • Jumping into direct supervision, the last thing we'll talk about on the direct supervision front: I won't
  • In the Bear unit, we are actively using direct supervision. We have altered.
  • In the female part of the prison, we are using direct supervision.
  • Direct...
Keywords: 985, all
ID

Idaho 2026 Regular Session

Agenda Mar 12th, 2026

Transcript Highlights:
  • is often denial of care.
  • Children in foster care are among the most vulnerable individuals.
  • under the care and supervision of the state.
  • The KC National Foster Care Alumni Study, which surveyed adults who had spent time in foster care, found
  • abuse or neglect while they were in care.
Summary: The committee first approved the minutes from February 12, 16, and 17, 2026. It then heard House Bill 593, a Department of Environmental Quality cleanup bill tied to the DOGE Task Force review. Senator Semmelroth explained that the bill removes obsolete references and repeals outdated provisions related to the state hazardous waste management planning committee and the Big Payette Lake Water Quality Act council. After brief support from a Republic Services representative and DEQ’s hazardous waste bureau chief, the committee voted to send HB 593 to the floor with a do pass recommendation. Next, the committee heard House Bill 714, which repeals the Hazardous Waste Siting Act and consolidates hazardous waste siting provisions into the Hazardous Waste Management Act. Senator Burkey said the bill streamlines Idaho’s hazardous waste laws while preserving safety, public notice, hearings, and expert review. Republic Services and DEQ testified in support, describing the measure as protective, efficient, and the product of stakeholder review. The committee then voted to send HB 714 to the floor with a do pass recommendation. The committee also considered House Bill 788, a pilot program intended to reduce Medicaid prior authorization burdens for certain medical professionals who precept medical students in high-need specialties. Representative Wheeler said the goal is to increase preceptorships by giving eligible providers a temporary “gold card” exemption, and he asked for a sunset date of July 1, 2030. The Idaho Freedom Foundation testified in opposition, arguing prior authorization is a cost-control tool and that the bill could raise Medicaid costs. The committee voted to send HB 788 to amending orders, with several senators recorded as no. Finally, the committee heard House Bill 724, which would establish foster child safety rights, require written notice of those rights, and direct courts and the Department of Health and Welfare to consider safety in placement and visitation decisions. Representative Wheeler said the bill responds to concerns from foster parents and aims to ensure children in state custody have clear protections. Multiple foster parents, a child psychologist, and a former foster youth testified in support, describing serious safety failures and arguing that children need clearer rights and more complete information before reunification or placement decisions. The committee voted to send HB 724 to the floor with a do pass recommendation, and the meeting adjourned.
HI

Hawaii 2026 Regular Session

JHA Public Hearing - Wed Mar 18, 2026 @ 2:00 PM HST

Judiciary & Hawaiian Affairs

Transcript Highlights:
  • </c><00:57:41.040><c> of</c> out, they're not able to take care of out, they're not able to take care
  • </c><01:02:30.080><c> for</c> these individuals who cannot care for these individuals who cannot care
  • </c> move in the right direction today. move in the right direction today.
  • </c> can look to is Seattle with direct can look to is Seattle with direct contributions<02:25:56.480
  • </c><02:29:58.440><c> or</c> foreign shareholder actually directs or foreign shareholder actually directs
Keywords: 910, house, all
Summary: The committee heard testimony on Senate Bill 3123, which would treat free tuition or school-conditioned enrollment at private educational institutions as a conditional gift rather than a contractual obligation unless otherwise agreed in writing. The Office of the Governor supported the bill, and Kamehameha Schools and the Hawaii Association of Independent Schools strongly backed it, saying it would protect donor intent, preserve school-ohana relationships, and help maintain tuition assistance and educational access for families. A committee member commented favorably on the unity among school organizations, and there were no objections raised before the committee moved on. The committee then took up Senate Bill 2438, which creates a civil cause of action for interference with constitutional and statutory rights through threats, intimidation, or coercion, with private and government enforcement options and protections for constitutionally protected speech. Testifiers from the Community Alliance on Prisons and a know-your-rights educator supported the measure as a civil rights protection grounded in the Hawaii Constitution. No opposition testimony was presented during the hearing, and the measure appeared to receive general support from those who testified. Finally, the committee heard Senate Bill 3142, which establishes offenses for dangerous and habitual dangerous intoxication and allows civil protective custody and emergency examination in lieu of arrest in certain cases. The Attorney General, Department of Corrections and Rehabilitation, Department of Health, and Department of Human Services supported the bill as a treatment-oriented diversion tool for people who are dangerously intoxicated and at risk to themselves or the public. The Office of the Public Defender opposed the measure, warning it could expand police discretion, burden emergency rooms, and function as a loss of liberty without sufficient treatment resources, while committee members questioned whether the bill would simply cycle people through emergency rooms and back onto the street. No vote or final action was taken in the portion provided; the chair said decision-making would occur at the end of the agenda.
FL

Florida 2026 5th Special Session

Regulated Industries Jan 27th, 2026

Transcript Highlights:
  • Either A, all doors and windows that provide direct access to the exterior of the dwelling where that
  • body of water exists need to be equipped with an exit alarm, or all doors providing direct access to
  • And this is a really cool example of what can happen when you do that and you care.
  • It sets escalating administrative penalties for violations and directs fine revenue toward enforcement
  • Careful, a lot of sharks, sign up there in those waters.
Summary: The Committee on Regulated Industries met and reported several bills favorably. SB 530 on state lotteries was presented with two technical amendments and passed as amended. The bill revises Department of Lottery powers and duties, updates bid/proposal information requirements, adds definitions related to ball machines, and gives the department more flexibility to purchase rather than lease machines. SB 204 also passed favorably; it increases penalties for illegal slot machine operations to a third-degree felony and creates a process for veteran service organizations to seek binding declaratory statements from the Gaming Commission about whether a machine is lawful. Testimony on SB 204 included support from Florida Gaming and soft opposition from a veteran organization that wanted clearer language and more cooperation on electronic bingo-type games. The committee then took up a combined proposed committee substitute merging SB 658 and SB 608 on water safety requirements for rental and residential properties. The merged bill requires certain rental properties near water bodies or with swimming pools to have specified safety devices, such as exit alarms, self-closing/self-latching locks, pool fences, pool covers, or pool alarms, and allows DBPR enforcement for vacation rentals. Supporters emphasized the bill’s goal of preventing child drownings, citing Florida’s high number of fatal drownings and the disproportionate impact on young children and children with autism. The combined bill was reported favorably. SB 980 on nicotine dispensing devices was amended with a delete-all amendment creating the Florida Agegate Act. The substitute bill restricts advertising, promotion, and display of non-FDA-approved nicotine devices in retail settings accessible to those under 21, sets escalating penalties, directs fine revenue to enforcement and youth prevention, and authorizes inspections and warrantless searches tied to retail permits. Members discussed whether the bill would effectively curb illegal and counterfeit products and how enforcement would work; the sponsor said the measure is intended to reduce youth access in light of limited enforcement resources. The bill passed favorably. SB 1708 on veterinary licensure by endorsement also passed, removing a three-year out-of-state practice requirement for licensed veterinarians while keeping other qualifications intact to help address veterinary shortages. Finally, SB 680 on electric vehicle charging taxation passed with a strike-all amendment creating a sales tax exemption for electricity sold to EV charging station operators and transferred to consumers, provided it is separately metered and properly documented. The committee adjourned after noting additional support forms and inviting members to a later K-12 speech and debate bill presentation.
KY
Transcript Highlights:
  • requires the Cabinet for Health and Family Services to allow applicants for the Kentucky Employee Child Care
  • The additional piece that I'm bringing to the table is for kids who might already be in foster care.
  • So currently, as it stands right now, in statute, if you are a young person who is aged out of care and
  • employee child care assistance program to<00:01:41.399><c> access</c><00:01:42.240><c> View</c><00:01
  • </c><00:08:32.919><c> at</c> chairman I have a question directed at chairman I have a question directed
Summary: The committee met with a quorum and first adopted a Senate committee substitute covering House Bills 718 and 194, then heard testimony on House Bill 508, House Bill 805, and the committee substitute for Senate Bill 111. HB 508 would let applicants for the Kentucky Employee Child Care Assistance Program view and download the required agreement and submit it by mail, email, or online, codifying a change the Cabinet for Health and Family Services had already agreed to make. The child-protection portion of the committee substitute would require animal control officers to receive training to identify child abuse and neglect, with the sponsor saying the training materials would be provided at no cost to local governments. For HB 805, the sponsor said the committee substitute mainly cleans up last year’s juvenile justice legislation, including changing “plaintiff” to “victim,” narrowing language on confidentiality of juvenile records when information is disclosed in a civil suit, and changing a status offender provision from mandatory to discretionary charging for escape when absent without leave from a DJJ facility. The bill also incorporates “Baby Maya’s Bill,” requiring the Cabinet to physically locate a child within a set time and, in certain cases involving prior removals, contact law enforcement if the child cannot be found. A committee member asked whether the changes would affect public access to records for juveniles transferred to circuit court on felony charges, and the sponsor said they would not. The committee then voted on HB 805 as amended by the committee substitute and passed it 7-0 with favorable expression. A title amendment was also adopted. After brief thanks and comments from members, the committee adjourned.
MO

Missouri 2026 Regular Session

Health and Mental Health Mar 5th, 2026 at 08:00 am

Health and Mental Health

Transcript Highlights:
  • It has the potential to revolutionize health care, but there are also risks.
  • As we know, foster care reform is an ongoing conversation.
  • care system.
  • It's also, we hope, going to help stabilize foster care placements.
  • It's also, we hope, going to help stabilize foster care placements.
Keywords: 959, house, all
MO

Missouri 2026 Regular Session

General Laws Feb 25th, 2026

General Laws

Transcript Highlights:
  • We're not giving them health care. We're not giving them food. And it's really an...
  • We're not giving them health care. We're not giving them food.
  • So the executive order directed them to get to work on this right now.
  • And I think it’s food, housing, home energy, and child care.
  • ...food, housing, home energy, and child care.
Keywords: 959, house, all
MN

Minnesota 2025-2026 Regular Session

Conference Committee on HF2431 5/13/25

Transcript Highlights:
  • And if they're taking care of a working.
  • Take that into effect, like child care, diapers, transportation, housing.
  • Uh, the added Senate language adds a few directions on how this is to be applied.
  • </c> the entire appropriation from child care the entire appropriation from child care and<01:31:45.120
  • </c><01:35:48.800><c> on</c> grant program that gives direction on grant program that gives direction
Keywords: 919, house, all
Summary: The Higher Education Conference Committee reviewed differences among the Governor’s, House, and Senate proposals for state grant parameter changes and their effects on state grant spending, North Star Promise spending, and average student awards. Nonpartisan staff explained that the proposals use different combinations of parameter changes, with the Governor’s and Senate plans modeled to avoid or minimize rationing, while the House plan would require rationing to balance the program. Staff reported projected biennium balances of a positive $29.836 million for the Governor’s proposal, a negative $60.758 million for the House proposal without rationing, a positive $994,000 for the House proposal with rationing, and a positive $3.623 million for the Senate proposal; North Star Promise balances also varied, with the Senate showing a positive balance and the Governor and House with rationing showing negative balances. Staff also said the Senate proposal would extend availability of the state grant appropriation and suspend surplus procedures through fiscal year 2029, allowing the balance to carry forward. The committee then focused on the House-only tuition and fee cap provision, which would limit the tuition recognized for state grant purposes for four-year programs to the University of Minnesota Twin Cities level, with 1% annual increases in fiscal years 2026 and 2027. House members said the cap was intended to address rising tuition, especially at the University of Minnesota, and to produce savings in the state grant program. The governor’s office confirmed the provision was not included in the Governor’s bill. Representatives from the University of Minnesota and the Minnesota Private College Council opposed the cap, arguing it would reduce awards for low-income students and shift costs to students rather than address underlying tuition pressures; they also said it could discourage enrollment at higher-cost institutions. Supporters from Minnesota State argued the cap would improve fairness because students at lower-tuition institutions are effectively capped lower, while students at more expensive institutions receive larger awards, and they said the legislature should intervene in a variable that has grown substantially over time. Committee members questioned how the cap would work and whether it was tied to the Twin Cities campus rate. Testifiers clarified that the state grant formula is tied to the University of Minnesota level, but because Minnesota State institutions are below that level, the cap effectively limits their students to their own lower tuition while allowing higher awards at the University of Minnesota and private colleges. No formal vote or final action was taken in the portion of the meeting provided; the chair indicated the committee would continue with item-by-item review of the remaining parameter changes and hear additional testimony from agencies and institutions.
TX

Texas 89th 2nd C.S.

Public Education Apr 22nd, 2025

Public Education

Transcript Highlights:
  • implements three of the Governor's healthcare workforce task force recommendations, those being directing
  • Secondly, directs Coordinating Board and TEA to identify current educational laboratory resources and
  • And clarifying change as well as the amount the legislature has appropriated to go to TRS Active Care
  • The term includes rhetorical and physical acts of anti-Semitism directed towards Jewish or non-Jewish
  • Am I allowed to direct my questions to Representative Bryant?
Bills: HB178
MN

Minnesota 2025-2026 Regular Session

Committee on Human Services - 03/23/26

Human Services

Transcript Highlights:
  • Um, but um, so we're just adding observation and direction, coordinated care conference, family training
  • , adding observation and direction, coordinated<00:47:22.560><c> care</c><00:47:22.800><c> conference
  • ,</c><00:47:23.280><c> family</c> coordinated care conference, family coordinated care conference, family
  • a</c><00:58:04.240><c> recommendation</c> We direct DHS develop a recommendation We direct DHS develop
  • </c><01:36:15.360><c> homes,</c> assisted living, boarding care homes, assisted living, boarding care
Keywords: 1187, senate, all
NH
Transcript Highlights:
  • Please know you're automatically enrolled, and that's part of the direct admit process.
  • Please know you're automatically enrolled, and that's part of the direct admit process.
  • The two systems are also working on a direct admit program with the high schools.
  • </c><00:39:06.640><c> um</c> Point them in the right direction um Point them in the right direction um
  • </c><00:56:38.280><c> is</c> we're going to go this direction is we're going to go this direction is
Keywords: 1189, house, all
Summary: The Public Higher Education Study Committee held an organizational meeting and received an update from the university and community college systems on implementation of recommendations from the governor’s higher education task force. The systems said the task force report contained about 40 recommendations, and they have focused first on operational items while continuing to work on larger policy issues, including better alignment of public higher education with workforce and economic development needs. The committee also discussed reporting requirements under the amended law and whether quarterly reports are required or whether annual updates are sufficient unless the committee requests more. A major topic was expanding Early College and dual-enrollment opportunities. The chancellors reported strong growth in Early College participation, significant student and family savings, and state scholarship support that they described as producing a strong return on investment. They said the goal is to build clearer pathways so students can earn college credit, reduce debt, and stay in New Hampshire for postsecondary education. They also noted ongoing work to simplify admissions and transfer processes, including about 100 transfer pathways between the systems, direct-admit efforts for community college and university students, and continued development of transfer equivalency tools. Members pressed the systems and the Department of Education on direct outreach to high school students, especially juniors, so students would know they are eligible for direct admission and other opportunities. The main obstacle discussed was access to student contact information, with officials saying the issue may involve contract limits with the College Board and possibly statutory constraints on sharing data. Department of Education staff said they are meeting with the systems and vendors to determine what changes are needed. Committee members urged faster action so students and families can receive letters or other notices about in-state options, affordability programs such as Granite Guarantee, and pathways to community college and university enrollment.
NM

New Mexico 2025 Regular Session

IC - Legislative Finance May 14th, 2025

Transcript Highlights:
  • And the question is, what is the calendar for early childhood care at Western?
  • Doesn't care about the guy building it, but takes care of the university or whoever's building that public
  • So your direction we'll definitely continue working with them on that front.
  • They don't want to shovel it, they don't care as long as they're getting water.
  • We've got the needs for sure, and I know wastewater's got to be taken care of too.
MN

Minnesota 2025-2026 Regular Session

Committee on Housing and Homelessness Prevention - 04/14/26

Housing and Homelessness Prevention

Transcript Highlights:
  • The direct financial assistance through FHPAP can help to stabilize a household.
  • I testified before you earlier in session about the continuum of care system and the ways in which it
  • The entire continuum of care system in Minnesota is balancing and spinning, trying to navigate which
  • Because they do care, and there is bipartisan support and concern on both sides.
  • I'll direct the changes to subdivision three.
Keywords: 1187, senate, all
KY

Kentucky 2026 Regular Session

House Legislative Session Day 35 (2-26-26) - Reupload

Kentucky House Floor Meeting

Transcript Highlights:
  • </c> care of our kids as the collective hour. care of our kids as the collective hour.
  • </c> who are in foster care um are taken care who are in foster care um are taken care of<01:45:28.719
  • </c> care.
  • The fact remains that health care care.
  • </c> care has outgrown the current facility. care has outgrown the current facility.
Summary: The House convened with 97 members present, declared a quorum, approved excusing absent members, and suspended the rules to allow co-sponsorships and vote modifications. The journal for February 25, 2026 was approved. The clerk also reported that the Senate had passed Senate Bills 98 and 122 and requested concurrence. The House then received second-reading reports on a range of bills, including measures on prison educational programs, respiratory care, dietitians, wildlife depredation, temporary structures, military families, civil rights, local boards of education, light pollution, controlled-substance prescribing licenses, youth health services, class sizes for exceptional children, the athletic trainer compact, limited commercial driver’s licenses, and Senate Bill 145 relating to the Department of Agriculture and Alcohol Beverage Control. Committee reports moved several bills forward, including the main budget bills House Bill 500 and House Bill 504, along with measures on workforce investment, data centers, domestic violence, guardians ad litem, domestic relations, health delivery and “food is medicine” initiatives, state personnel, open records, and fish and wildlife resources. House Bill 500 and House Bill 504 were taken from the Rules Committee and placed on the orders of the day. House Bill 500, the executive branch budget bill, was then taken up for third reading and explanation. Members presented extensive floor explanations of House Bill 500 and House Committee Substitute 1, describing it as a “good first draft” of the executive budget. Supporters said the proposal emphasizes restrained spending growth, base reductions with exemptions for key areas, employee salary increments, and deposits to the Budget Reserve Trust Fund for future one-time investments. They highlighted funding for K-12 education, postsecondary aid and workforce training, Medicaid and behavioral health, public health infrastructure, pensions, veterans, public safety, economic development, tourism, and state technology and facility maintenance. The budget substitute was adopted by voice vote, and the discussion continued with detailed descriptions of the bill’s provisions; no final passage vote was shown in the excerpt.
NH

New Hampshire 2026 Regular Session

Senate Health and Human Services (01/14/2026)

Health and Human Services

Transcript Highlights:
  • </c> as their health care. as their health care.
  • </c> managed care market. managed care market.
  • Child care stable care for their kids.
  • So just to look to caring caring for.
  • </c> level of care. level of care.
Keywords: 1191, senate, all
ND
Transcript Highlights:
  • Or are they, they don't care?
  • I care about you.” We’ve also talked about the number two of the real mental health care issues.
  • It’s replacing real mental health care.
  • There's more, but those are kind of the direct ones.
  • Everything is trending in the wrong direction.
Summary: The committee met at Minot State and approved the prior minutes. The main focus of the meeting was a legislative study on artificial intelligence, especially protections for children from AI-generated sexual exploitation and chatbot harms, along with possible statutory responses. Legislative Council staff reviewed North Dakota and federal law on CSAM, deepfakes, obscenity, age verification, and recent federal and state actions. Members discussed whether North Dakota’s 2025 laws on minors and harmful sexual material should be compared with newer court-approved approaches, and staff agreed to circulate additional comparison material before the next meeting. State Superintendent Levi Bachmeier then outlined how AI is affecting K-12 education. He emphasized safety, family partnership, and keeping teachers central, while warning against both doing nothing and overregulating so heavily that students lose access to useful tools. He said digital literacy should be embedded across subjects rather than taught as a standalone AI class, and suggested guardrails such as requiring basic instruction before one-to-one device use, limiting passive use at the elementary level, and giving parents more transparency about device activity. Members asked about balancing local control with state guidance, and Bachmeier said the state should set reasonable guardrails, use performance data to tailor oversight, and draw on higher education, K-12 experts, and private-sector support. Special Agent Hellseth of North Dakota BCI described AI-driven child exploitation cases and said the problem is already happening in the state. He reported 2,698 cyber tips in 2025 and explained that AI is being used to create explicit images from ordinary photos, impersonate children and adults, facilitate extortion and bullying, and accelerate grooming. He said investigators must treat reports as real until proven otherwise, but AI also helps law enforcement analyze large volumes of data and identify synthetic images. He urged stronger company accountability, better reporting and safeguards, more victim services, training, forensic tools, and public education. Members asked about false accusations, compliance, and federal reporting rules, and he said existing federal law requires reporting but does not make companies proactive enough. The committee did not take final legislative action, but members indicated the testimony would inform a comprehensive bill draft for a future meeting.
CA
Transcript Highlights:
  • So I think to the Take care of this problem.
  • In 2025, 523... direct loans while enrolled part-time.
  • Riverside County is also where we piloted our direct admissions program.
  • Funding increases should be directed toward instruction and direct student support, not administration
  • Funding increases should be directed toward instruction and direct student support, not administrator
Summary: The Senate Budget Subcommittee on Education heard updates on higher education issues, beginning with California State University’s turnaround plans for seven campuses with enrollment declines. CSU said overall enrollment is growing systemwide, but some campuses, especially in Northern California, face structural declines tied to demographics and community college pipelines. The plans focus on reengaging stopped-out and adult learners, expanding partnerships and guaranteed admissions, improving retention and student support, and reducing costs through program suspensions, hiring freezes, shared services, and procurement consolidation. The Legislative Analyst’s Office said the strategies were reasonable but urged regular legislative updates, and the Department of Finance had no additional comments. Committee members emphasized the need for implementation oversight, written updates, and attention to student outreach, financial aid, and privacy concerns around AI tools used in recruitment. The committee then reviewed the Bureau for Private Postsecondary Education’s request for a $10 million General Fund appropriation to repay litigation-related borrowing. Department of Consumer Affairs and bureau staff said the bureau has a long-standing structural deficit, has already cut positions and shifted some costs, and that the General Fund backfill would reduce future fee increases on institutions. The LAO opposed the request, arguing the bureau can cover near-term costs with its existing loan and that litigation costs should remain the responsibility of the regulated entities through fees. Finance supported the one-time backfill as a unique situation that would lower fee increases and avoid passing litigation costs on to schools and students. Members asked about preventing a repeat of the problem, and bureau staff said they are pursuing fee increases through the sunset review and have strengthened internal policies and disability accommodation practices. The subcommittee also heard a broad update on Cal Grant funding and student aid. The California Student Aid Commission, UC, CSU, and the community colleges described Cal Grant as essential to affordability, but the LAO noted spending has grown faster than historical averages and said the state likely lacks capacity for major expansion in the near term. The segments highlighted the importance of state aid in covering tuition and living costs, and raised concerns about federal changes to student loans and Pell Grants, especially the elimination of Grad PLUS for some graduate students and limits on part-time borrowing. Committee members pressed for data on students who are eligible but not served by current Cal Grant rules, including adult learners and students affected by age and merit restrictions, and asked for analysis of phased-in implementation of the Cal Grant Equity Framework. Finance said full implementation would cost hundreds of millions of dollars and that affordability remains part of the state’s multi-year compact with the segments. Finally, the committee began discussion of the Middle Class Scholarship Program. CSAC and the UC and CSU said the program is a key part of affordability and debt reduction, especially after the 2022 reforms that expanded awards to total cost of attendance and improved administration. They warned that cutting funding by more than half would reduce award coverage from 35% to 17.5% of cost of attendance and could affect enrollment and persistence, particularly for middle-income students who do not qualify for other need-based aid. The segments also noted that recent administrative changes have reduced award revisions and campus workload, but that data exchange and award volatility remain challenges.
CA
Transcript Highlights:
  • Food is health care.
  • We've offered this care since the 1960s. We've offered this care since the 1960s.
  • indigent health care.
  • to medical care through community-based care management.
  • And gain timely access to medical care through community-based care management.
Summary: The Senate Budget and Fiscal Review Subcommittee held an oversight hearing on the impacts of H.R. 1 on California’s safety net, focusing on Medi-Cal and CalFresh. The chair and vice chair framed the issue as a major federal disruption that would reduce benefits and shift costs to the state, counties, hospitals, and other local systems. The first panel included the Legislative Analyst’s Office, the Department of Finance, the UC Berkeley Labor Center, and the Food Research and Action Center, each describing projected enrollment losses, higher state and county costs, and implementation challenges. The LAO outlined H.R. 1’s main changes: new and expanded work requirements, more frequent eligibility redeterminations, restrictions on certain non-citizen eligibility, and financing changes affecting provider taxes and federal matching rates. The LAO estimated that 1 to 2 million people could be disenrolled from Medi-Cal and more than 600,000 could lose CalFresh, with additional costs from reduced federal support and possible state and county administrative burdens. The Department of Finance said the Governor’s budget includes about $1.4 billion General Fund in 2026-27 to respond to H.R. 1, with larger out-year reductions in federal funds and projected Medi-Cal caseload losses of up to 2 million by 2029-30. The UC Berkeley Labor Center projected up to 3 million Californians could lose full-scope Medi-Cal by 2028 when H.R. 1 is combined with state budget changes, while noting the state could choose policies that would reduce some of those losses. The Food Research and Action Center warned that CalFresh cuts and time limits would increase hunger, worsen health outcomes, and strain local economies and emergency systems. Members questioned the witnesses about procedural disenrollments, regional variation, the overall growth in Medi-Cal spending, the future of the MCO tax, the CalFresh error rate, and the downstream effects on hospitals and county indigent care. Several senators argued that the federal law was driven by tax cuts for high-income earners and would disproportionately harm low-income Californians, immigrants, and communities of color. Administration witnesses said some impacts are still being analyzed, that counties and departments are working on implementation, and that the Legislature may need to use statute, reporting, and oversight tools as federal guidance develops. No votes or formal actions were taken during this portion of the hearing.
CA
Transcript Highlights:
  • When such a substantial share of limited statewide resources must be directed to a single county, it
  • There's a matter of being able to take care of the whole state and make sure we're... ...able to take
  • care of the whole state and make sure we have the same judicial system throughout the state.
  • So we're trying to take care of the ones that are ahead of them first so we can get to them.
  • It is supposed not to just take care of just the urgent needs.
Summary: The Senate Budget Subcommittee on Corrections, Public Safety, Judiciary, Labor, and Transportation held a hearing focused on courthouse facility funding and the Governor’s budget proposals for the judicial branch. The Legislative Analyst’s Office outlined the state’s courthouse funding structure, including the Trial Court Facilities Act, the main facility funds, the fixed county facility payment, and the heavy reliance on General Fund backfill. LAO also explained that the state’s construction funds were depleted after large transfers and declining fine-and-fee revenue, leaving a backlog of roughly 80 construction projects and more than 22,000 deferred maintenance projects statewide. Members and witnesses discussed the long timelines for capital projects, the need for reassessments, and the impact of inflation, CEQA, and site acquisition delays. Judicial branch representatives, including Justice Hill, Judge Moorman, and Judge Tapia, testified that courthouses across the state face serious seismic, ADA, security, and maintenance problems. They described cost-cutting efforts in design and construction, but emphasized that many facilities are aging and unsafe, with examples from Los Angeles, Compton, Ukiah, and other courts involving flooding, elevator failures, asbestos issues, and closures that disrupted thousands of cases. Judge Moorman highlighted the Ukiah courthouse replacement as an example of a project that is on time and on budget and would improve access, safety, and community services. Judge Tapia stressed that deferred maintenance in Los Angeles County alone exceeds $1.4 billion and argued that preventive maintenance is fiscally prudent because emergency repairs and closures are more costly. Committee members pressed the panel on how priorities are set, whether caseload and population growth are adequately reflected, how quickly projects can be accelerated, and what level of funding would actually meet statewide needs. The Department of Finance and Judicial Council staff explained that the county contribution is fixed and not inflation-adjusted, that acquisitions require willing sellers and can be delayed by CEQA and market conditions, and that the Judicial Council’s prioritization process was based on 2019 criteria that may need updating. LAO cautioned that any new General Fund commitment would require tradeoffs with other state priorities and suggested the Legislature decide what level of funding it is willing to support. The committee also reviewed the Governor’s budget proposals for courthouse facilities, which include backfill for the construction fund, selected new construction and judgeship-related projects, and major facility modifications such as the Orange County Central Justice Center and relocation of Los Angeles courtrooms from the Spring Federal Building.