Transcript Highlights:

• We consider law enforcement a valued component of the behavioral health system of care.
• Responsive behavioral health care system for Floridians.
• Marchman Act, Minors in the Baker Act, and Long-Term Care in the Baker Act.
• All of those are important cogs in the system of care.
• The lower the level of care, the less expensive it is for the system.

Summary: The Human Services Subcommittee met to receive an update from the Florida Department of Children and Families on implementation of House Bill 7021, which revised the Baker Act and Marchman Act and was funded with a $50 million appropriation. Deputy Assistant Secretary Bill Hardin reported that the department has updated reference guides, training, administrative rules, and forms; launched regional behavioral health collaboratives; and created the Office of Children’s Behavioral Health Ombudsman. He said early data show continued declines in Baker Act use, high diversion rates from involuntary examinations through 988, mobile response teams, and care coordination, along with generally positive provider feedback on changes such as allowing psychiatric nurses to initiate emergency treatment orders and clarifying the 72-hour examination period. Hardin also described Marchman Act changes, including a streamlined petition process, remote testimony, improved discharge planning, and a new annual data report. He said the department has completed or is completing multiple training courses for providers and law enforcement, and has adopted or is finalizing numerous rules and forms. He reported that the regional collaboratives are identifying common statewide needs such as service capacity, resource sharing, funding flexibility, and peer support, while the ombudsman office is handling complaints and helping families navigate services. Members asked about whether the current funding is sufficient, future budget needs, outreach for the new ombudsman office, and services for juveniles. Hardin said DCF has posted legislative budget requests for additional forensic FACT services and short-term residential treatment beds, including children’s beds, and noted the ombudsman office is staffed with two FTEs and supported through existing complaint-management and regional systems. He said outreach is being done through regional collaboratives and coordination with other agencies, especially the Department of Education, and that juvenile transport and placement issues have improved with the new law. No votes were taken, and the meeting adjourned after the presentation and questions.

Transcript Highlights:

• Given the significant impacts of changes in our health care system and how those impact the quality of
• We improve survival rates and reduce long-term health care costs associated with late-stage cancer treatments
• adherence to their medications, this legislation can lead to better outcomes for patients and lower long-term
• This legislation can lead to better outcomes for patients and lower long-term costs for our health care
• While these coupons often lower or eliminate the patient's copays in the short term, in the long term

Committee: Senate Health

Keywords: 987, senate, all

Transcript Highlights:

• Good morning and welcome to the January 22nd Senate Health and Long-Term Care Committee.
• I would like to thank the Senate Health and Long-Term Care Committee for hearing this testimony.
• as we all know, as our state's long-term care program, the law care program benefits begin for our very
• first individual Long-term care program benefits begin for our very first individual in the state this
• And we'll turn to Senator Karen Kaiser, who's longtime chair of the Senate Health and Long-Term Care

Summary: The committee first met in executive session and advanced Senate Bills 6102 and 6103 with due-pass recommendations to the Rules Committee, and referred Senate Bill 6194 to the Ways and Means Committee without recommendation. SB 6102 would align the Ambulance Transport Fund quality assurance fee with federal regulations, SB 6103 would make payments for rural emergency hospital services subject to appropriation, and SB 6194 would allow cost-based Medicaid payments for rural hospitals on federally recognized Indian reservations under specified conditions. The committee then held public hearings on several bills. SB 6183 would require health plans, beginning in 2027, to cover FDA-approved HIV antiviral drugs without prior authorization, step therapy, or other utilization management, with one therapeutic-equivalent exception for prevention drugs. The prime sponsor and one testifier supported the bill as a way to reduce barriers to timely HIV treatment and prevention; sign-in testimony showed 53 pro, 58 con, and one other. SB 5985 would create an online endometriosis resource center, require Department of Health training modules, and direct OSPI to include menstrual health and endometriosis awareness in school standards. The sponsor and multiple patients and clinicians testified in support, emphasizing long diagnostic delays and the need for earlier education; sign-in testimony showed 36 pro, 56 con, and 92 not testifying. SB 6019 would revise home care rate statutes to clarify how Medicaid home care agency rates are set, cap administrative portions at 20%, and require verification that funds are spent as required. The sponsor, labor, and provider representatives supported it as a technical fix to preserve pay parity, while sign-in testimony showed 46 pro and 57 con. SB 6161 would direct the Department of Health to include dementia risk-reduction information in public and provider materials when appropriate and to consult experts; supporters said it could help reduce cognitive decline and align with the state Alzheimer’s plan, while sign-in testimony showed 61 pro and 62 con. Finally, SB 6210 would authorize the Health Benefit Exchange to add a new certification criterion for marketplace plans to address affordability and access, including possible requirements tied to county availability, plan differentiation, and metal-level offerings. The prime sponsor, the Exchange, AARP, and patient advocates supported it as a response to rising premiums and limited choices, especially in rural or single-carrier counties; insurers, brokers, and some carriers opposed it, warning it could reduce competition, create uncertainty, and raise costs. The Office of the Insurance Commissioner supported the bill with a requested amendment to avoid premature disclosure of proposed rates.

Transcript Highlights:

• Health and post-acute care facilities, which include long-term care hospitals, inpatient...
• Health and post-acute care facilities, which include long-term care hospitals, inpatient rehabilitation
• So I feel it's really critical that the state is... living in long-term care settings.
• I am the Massachusetts State Long-Term Care Ombudsman.
• Sixty-two percent of residents require MassHealth assistance for long-term care, having first depleted

Committee: Joint Joint Committee on Health Care Financing

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing focused largely on senior long-term care issues, family caregiving, post-acute care access, and direct care workforce pay. Testimony strongly supported bills to raise the personal needs allowance for nursing home and rest home residents (including H. 1411, S. 482, and related bills), with speakers from Mass Senior Action, Dignity Alliance, nursing home residents, providers, and former state officials arguing that the current $72.80 monthly allowance has been unchanged since 2008 and is inadequate for basic items like clothing, toiletries, haircuts, and transportation. Witnesses also backed bills to increase MassHealth asset and income limits for seniors and to stop counting life insurance as cash, describing the current rules as outdated and harmful to low-income elders. The committee also heard testimony on bills allowing family members, including spouses and guardians, to be paid caregivers (H. 1394/S. 886), with supporters saying this would help families keep loved ones at home and reduce reliance on costly institutional care. Another set of bills (H. 1412/S. 903) drew support from a physician who said clearer MassHealth communication and improved post-acute care determination processes would help reduce delays and backlogs for patients awaiting skilled nursing, rehabilitation, or other post-acute placement. Several speakers emphasized that better home- and community-based care can prevent hospital readmissions and support independence. A major portion of the hearing focused on S. 877, which would establish an enhanced care worker minimum wage of $25 per hour, indexed to inflation, for certain home care and human services workers. Union representatives and direct care workers from SEIU Local 509, 1199 SEIU, and the AFL-CIO described severe staffing shortages, burnout, low wages, and high turnover across home care, mental health, disability services, and crisis response. They argued that higher pay is necessary to recruit and retain workers and to stabilize services for vulnerable residents. Committee members asked about costs, comparisons with other states, and whether non-wage incentives could help, but witnesses repeatedly said wages were the central issue. The hearing concluded after all registered testimony was heard, with the committee noting it would continue accepting written testimony and then adjourning.

Transcript Highlights:

• Survivors urgently need pathways out of shelter and to stable long-term housing.
• Most importantly, it creates a pathway to long-term sustainable housing.
• Thank you in advance for your commitment to expanding long-term housing solutions, and we will submit
• Thank you in advance for your commitment to expanding long-term housing solutions.
• This threatens the long-term affordability of their community.

Committee: Joint Joint Committee on Housing

Keywords: 995, all

Summary: The Joint Committee on Housing held a hybrid hearing on a broad slate of housing and homelessness bills. Chairs Rich Haggerty and Julian Cyr opened by noting the committee’s focus on EOHLC programs such as RAFT, MRVP, and HomeBASE, and several members and advocates emphasized the urgency of the state’s homelessness crisis, including rising family homelessness and the need for earlier intervention, more stable subsidies, and stronger long-term housing tools. A major theme was homelessness prevention and rehousing. Multiple witnesses supported bills to codify and strengthen RAFT and HomeBASE, arguing that assistance should be available earlier in a crisis rather than only after a notice to quit or imminent loss of housing. Testimony from legal services, homelessness coalitions, social workers, municipal housing staff, and tenant advocates said the programs help families avoid eviction and shelter, but need more flexibility, higher benefit caps, and permanent statutory protection. Several speakers also urged support for codifying the Massachusetts Rental Voucher Program (MRVP), describing it as a critical long-term subsidy for low-income households and older adults, and warning that codification would protect the program from future budget or policy changes. The committee also heard testimony on housing stability for older adults, affordable homes for people with disabilities, supportive housing, housing cooperatives, home sharing, local preference, and reentry housing for returning citizens. Advocates for older adults described a Somerville bridge subsidy pilot that helped stabilize seniors while they waited for permanent housing, and urged statewide expansion. Supporters of supportive housing called for an interagency board to streamline funding and development, while cooperative housing proponents backed creation of a Massachusetts Center for Housing Cooperatives and a dedicated funding reserve. A bill to secure housing for returning citizens drew support from reentry providers and Senator Adam Gomez, who said stable housing is essential to successful reintegration. No votes were taken during the hearing; witnesses generally asked the committee to report the bills favorably, and some members asked follow-up questions on data and program details.

Transcript Highlights:

• </c><00:03:37.879><c> Housing</c> long-term care issues and also Housing long-term care issues and also
• </c> interest to this committee long-term interest to this committee long-term care<00:20:11.159><c>
• care facilities long-term care waivers care facilities long-term care waivers and<00:20:13.880><c> elderly
• </c> MA this slide shows uh program long-term MA this slide shows uh program long-term care<00:32:58.120
• /c><00:35:40.560><c> serves</c><00:35:41.119><c> as</c> long-term care um this office serves as long-term

Committee: House Human Services Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• In other words, this is a major structural change we are making to a long-existing child care system.
• I will turn... child care system.
• for healthy child care system.
• At a time of tough choices, child care stands apart, and it delivers immediate relief and long-term results
• At a time of tough choices, child care stands apart and it delivers immediate relief and long term results

Summary: The committee heard a lengthy budget hearing focused on child care, child welfare, and immigration-related services, with most of the discussion centered on child care funding, slot utilization, and rate reform. Department of Social Services officials said the Governor’s budget would provide $6.8 billion for child care programs in 2026-27, including $11.5 million in Prop. 64 funds for mini-grants to licensed facilities affected by 2025 disasters. They also described federal CCDF and Prop. 64 revenue reductions that would reduce general child care funding by about 4,176 slots, while emphasizing that the cuts should not affect currently enrolled children. The LAO supported aligning spending with lower revenues and asked for more detail on the disaster grant program. Members questioned why so many awarded slots remain uncontracted or unfilled, and DSS said delays are largely due to providers building new infrastructure, licensing, staffing, and enrollment work. One senator criticized the repeated explanation, argued unspent funds revert to the General Fund instead of being redirected to child care, and urged shifting more funding from contract slots to vouchers and increasing flexibility for infrastructure and expansion costs. DSS said it is exploring more flexibility, better readiness screening, and quicker redistribution of relinquished slots. The committee also discussed the Emergency Child Care Bridge program, with DSS saying it can redistribute funds among counties to avoid disenrolling children. A second panel addressed the state’s broader commitment to expand child care and move toward a single rate structure. DSS reported that since 2021-22 nearly 125,000 new slots have been awarded across CCTR, CAPP, CMAP, and the Emergency Child Care Bridge program, bringing monthly service levels to more than 366,700 children. The department and CDE described progress on rate reform, including completion of the alternative methodology and joint recommendations from the labor-management committee on a single-rate framework. County and provider testimony emphasized persistent unmet need, especially for infant and toddler care, and argued that current reimbursement disparities between CDSS-funded programs and state preschool create inequities and discourage expansion. Stanislaus County Office of Education said rate differences can materially affect local program revenue and staffing, while Parent Voices California described the child care system as difficult to navigate and inequitable, especially for Black families and survivors of domestic violence. The California Budget and Policy Center argued that only a small share of eligible children are served, that Universal TK has concentrated investment in school-based settings, and that providers are still paid far below the cost of care. Members pressed the administration for deadlines on automation and implementation of the single-rate structure, and DSS said some work can proceed before collective bargaining concludes, though policy decisions are still needed. The committee also reviewed several trailer bill proposals. For the COLA, DSS proposed applying the 2026-27 increase through cost-of-care-plus payments, but acknowledged it had inadvertently excluded CalWORKs Child Care and the Emergency Child Care Bridge from the initial calculation; the LAO recommended making the COLA increase uniform across child care and state preschool programs. On the alternative methodology survey, DSS proposed replacing the market rate survey with the federally approved alternative methodology and aligning the timing with the federal CCDF state plan cycle. On licensed family child care homes, DSS proposed limiting temporary absences to 20% of monthly care hours and allowing more flexibility for medical appointments, jury duty, training, and union activities. On excessive unexplained absences, DSS proposed a statutory definition to align state policy with federal rules allowing disenrollment after 30 days of unexplained absences. The committee also discussed a proposal to require contractors to collect family fees directly so the full voucher value reaches providers, with DSS saying it is working with Riverside County on implementation and CDE asking that the same policy apply to state preschool. Finally, the committee reviewed an Early Childhood Policy Council reappropriation and reporting proposal, with DSS explaining that prior funds were underused because participation costs are hard to estimate and that additional staffing and contractor support would be needed for the expanded annual report requirements.

Transcript Highlights:

• Expanding access not only saves lives, but it also reduces long-term health care costs by preventing
• , and also it just supports their long-term...
• The complex systems they need to navigate, and also it just supports their long-term stability.
• It is not going to shake the foundations of our health care system.
• It's not going to fix the long-term issues that we have.

Committee: House Health

Keywords: 988, house, all

Transcript Highlights:

• in the community who've typically been reserved for long-term custodial care.
• term supports that will help them long.
• We seek those reductions because that actually leads to. to long-term safety.
• And it also correlates with long term educational results. mental health, employability, all of those
• And that's what can be achieved if we can keep kids out of the juvenile justice system long term and

Bills: HB31 , HB3360

Committee: House S/C on Juvenile Justice

Keywords: juvenile justice, community supervision, felony offenses, treatment of children, juvenile facilities, chemical dispensing device, solitary confinement, rehabilitation, criminal proceedings, delinquency, 1184, house, all

Transcript Highlights:

• </c><00:26:37.120><c> services</c><00:26:37.520><c> and</c> of looking at the long-term services and
• of looking at the long-term services and support.<00:26:38.400><c> And</c><00:26:38.559><c> a</c><00:
• c><00:27:43.520><c> as</c><00:27:43.760><c> a</c><00:27:43.919><c> result</c> long-term care that it
• isn't as a result long-term care that it isn't as a result of<00:27:44.640><c> a</c><00:27:44.880><c>
• </c> national uh uh expert and long-term national uh uh expert and long-term services<00:31:37.760><c

Keywords: 928, house, all

Summary: The committee met on December 19, 2025, approved the draft minutes from the November 21 regular meeting, and received a DHS commissioners update. Patricia Tilly reported on the state’s rural health transformation application, saying CMS had provided only one question and positive feedback, that the final federal award amount was still pending, and that DHS was preparing an accept-and-expend item for fiscal review using an up-to amount. She also said the new Hampstead YDC facility remains on track, with substantive construction expected by late summer 2026 and move-in likely in early January 2027. In response to questions, she confirmed the playground/outdoor activity area had been in the original design and was added when funding became available. Henry Litman, Medicaid director, discussed the Senate Bill 248 study committee report on palliative and hospice care. He explained the distinction between palliative care, which can be provided while a patient still seeks curative treatment, and hospice care, which involves electing not to pursue curative services. He said the committee’s work pointed to a need for better education for providers and the public, and described ongoing conversations with the Foundation for Healthy Communities and Home Health and Hospice about developing materials and possibly addressing how palliative services are bundled. He also said the study committee itself did not generate future legislation, though members could pursue it separately. Litman then answered questions about Medicaid eligibility and long-term services and supports, including delays in processing, the backlog from pandemic-era redeterminations, and efforts to speed reviews. He said the department is using temporary staffing funded in part by last session’s legislation, working with the New Hampshire Healthcare Association, counties, and UNH Law to streamline policy and training, and relying more on electronic asset verification while still guarding against improper asset transfers. He emphasized the goal of balancing faster access to benefits with compliance and fraud prevention. Robert Rodler followed with the annual tuition waiver update for children in foster care or guardianship. He reported 82 applicants and 65 waivers granted, including 35 for USNH schools and 30 for the community college system, and noted a correction would be issued for inaccurate continuing/new student figures in the report. Senator Gray said he intends to pursue a separate budget appropriation for these tuition waiver costs in the future so the funding would be clearly identified and easier to track. No additional votes were taken beyond approval of the minutes.

Transcript Highlights:

• ... ...access to treatment services for a comprehensive system of care.
• that responds to both immediate crises and long-term recovery.
• and long-term residential, Florida Medicaid just doesn't cover.
• of care and system pressures in local community areas.
• We also then partnered with FICW, who will be doing that long-term evaluation and providing that long-term

Summary: The subcommittee heard two Department of Children and Families implementation updates on measures passed in prior sessions. First, DCF reviewed House Bill 633, which increased oversight of behavioral health managing entities through biennial independent audits, standardized claims-based reporting, and new monthly outcome dashboards. The department said it had awarded the inaugural audit to Ernst & Young, found no significant waste, fraud, or abuse, but identified process risks involving financial controls, claims validation, data access, and system access controls. DCF also described its transition to standardized behavioral health coding and said the new public dashboard of 11 measures is posted on its website, though members asked for easier access and for hard copies of the audit report. Members asked about how the department distinguishes Medicaid-covered services from department-funded services, how duplicate payment risks are being addressed, and whether the new reporting and audit requirements would improve oversight without disrupting services. DCF said it is the payer of last resort for uninsured or underinsured individuals, that some overlap with Medicaid is expected because Medicaid does not cover all behavioral health services, and that new claims edits and cross-checks are being built into the system. The department also said it had not found significant negative feedback from providers and that the new requirements are intended to improve transparency and accountability. DCF then updated the committee on Senate Bill 7012, covering human trafficking data collection, domestic violence center certification, limited background-screening exemptions, expanded recruitment for child welfare staff, subcontractor liability protections, a four-year treatment foster care pilot, case management efficiency recommendations, and a statewide study of residential bed capacity for child victims of commercial sexual exploitation. The department said several items are already complete or underway, including limited exemptions in the screening clearinghouse, while others are in procurement or rulemaking. It identified Circuits 4 and 12 as the treatment foster care pilot sites and said the pilot will launch in January 2026. Members questioned recruitment metrics, pilot timing, and report deadlines; the department said final reports are expected by January and that some dates were flexible because of procurement and implementation timelines. The meeting ended after the presentations and questions, and the subcommittee adjourned.

Transcript Highlights:

• everything that they need in order to not cycle right back into the crisis... ...care system or the
• term in terms of people dropping out of the workforce and in terms of... ...save money in the long term
• Stuber to shine a light on this full ecosystem of care coming out of our behavioral health system, as
• So people that are doing long-term direct support with individuals who, for the most part, are experiencing
• coordinating programs similar to the one I have the privilege of doing now, but also as a person that's in long-term

Summary: The Community Safety Committee held an interim work session on crisis response, with members and witnesses discussing how Washington can better integrate 911, 988, mobile crisis, co-response, and alternative response models for behavioral health crises in public spaces. Travis Parker opened with an overview of the Sequential Intercept Model and the crisis care continuum, emphasizing early intervention, 988 access, regional coordination, navigators and peer support, and the need for sustainable braided funding. Several Washington witnesses then described current programs and system gaps, including the growth of co-response teams, the importance of integrating 911 and 988 rather than treating them as competing systems, and the need to reduce unnecessary emergency room use and improve first responder wellness and training. City, fire, and crisis-system representatives described local challenges and reforms. Kim Hendrickson of Poulsbo said most crisis calls still come through 911 and urged better coordination among field-based teams, more behavioral health training for fire/EMS, and more alternatives to ER transport. Laura Pippen, a designated crisis responder, described a strained involuntary treatment system, fewer DCRs statewide, difficulty getting law enforcement support for transports, and limited facility capacity, especially for substance use disorder. Jennifer Stuber and South County Fire’s Keith Sharp highlighted workforce training, a crisis responder certificate program, and first responder wellness efforts. Research witnesses Evan Lauder and James Pine said the evidence is still developing but generally supports on-scene resolution, reduced ED transport and detention in some models, and the importance of clear dispatch protocols, coordination, and ongoing evaluation. Dispatch and program operators then gave examples of how systems are working in practice. Katie Myers of Washington APCO/NENA said 911 remains essential, but needs evidence-based triage protocols, liability protections, and additional funding if it is expected to take on more crisis-response responsibilities. Whatcom County described embedding a “community connector” in the 911 center to coordinate alternative response, while ValleyCom reported that its 988 diversion pilot transferred 2,165 calls with 98% resolved through 988/211 without returning to 911. National examples included Denver’s STAR program, Albuquerque’s Community Safety Department, and Atlanta’s PAD initiative, each showing different ways to route low-acuity or behavioral-health-related calls away from police and toward clinicians, peers, or civilian responders. The session ended with Washington examples continuing, including Whatcom County’s alternative response team, underscoring the committee’s interest in refining and expanding integrated crisis response systems in the next session.

Transcript Highlights:

• We do not impose support to employees facing long-term illness.
• Filling long-term teacher vacancies can mean a revolving door of substitutes for students, which reduces
• Long-term absences also create challenges for existing staff covering their own workload, as well as
• These are folks that are long-term lifers. They're going to be faculty for a long time.
• These are folks that are long-term lifers. They're going to be faculty for a long time.

Committee: House Public Employment and Retirement

Keywords: 988, house, all

Transcript Highlights:

• And so I just I I wanted to make sure that for like the long-term care providers that this addresses
• And so I just I I wanted to make sure that for like the long-term care providers that this addresses
• And so I just I I wanted to make sure that for like the long-term care providers that this addresses
• ><c> behalf</c><00:19:21.120><c> of</c> long-term care here today on behalf of long-term care here today
• bit of an long-term care, it's a little bit of an awkward<00:30:53.600><c> fit.

Keywords: 1187, senate, all

Transcript Highlights:

• Or how they can be more collaborative long-term in helping the system be more efficient and more effective
• A high percentage of those folks are in long-term care, so they're not oftentimes seeking services to
• are effectively integrated into our nation's health care system.
• coordination across systems and levels of care.
• Strengthening care coordination across systems and levels of care.

Summary: The committee first heard an update on North Dakota’s Interagency Council on Homelessness and Continuum of Care funding. Jennifer Henderson of the North Dakota Housing Finance Agency reported that homelessness remains driven by tight housing markets, low incomes, rising rents, and barriers to rental assistance, public benefits, and disability determinations. She said the state’s one-time North Dakota Homeless Grant is serving all regions but reaches far fewer households than the former Rent Help program, and that aging homelessness, shelter staffing shortages, and limited affordable units are growing concerns. Members discussed the need for more housing supply, better coordination with Health and Human Services, landlord engagement, reentry housing, and possible continued one-time funding for the $10 million Homeless Grant and $25 million Housing Incentive Fund. Henderson also warned that federal Continuum of Care funding is uncertain, with HUD expected to issue a new notice June 1 and possible shifts away from permanent supportive housing toward transitional housing and other models. The committee then took testimony on accessibility of government services for people who are blind, visually impaired, deaf, or hard of hearing. Paul Olson of North Dakota Vision Services School for the Blind described the school’s services for infants, children, and adults, including screenings, mobility training, assistive technology, and outreach across the state. He said the agency works closely with Vocational Rehabilitation and is also involved in improving website and document accessibility, especially for PDF materials. Public testimony highlighted barriers such as inaccessible CAPTCHA systems, online forms, driver’s license requirements on job applications, and limited transportation in rural areas. A deaf resident urged broader use of video remote interpreting and video relay services, along with training so people know how to use them effectively. Finally, Kay Larson presented the final report on the child care provider licensing study. The report recommended streamlining North Dakota’s child care licensing structure into three provider types plus a preschool designation, while preserving health and safety standards and maintaining eligibility for child care assistance. The committee discussed simplifying training and qualification rules, revising ratio and group-size requirements, and adjusting age bands for infants and toddlers. The report also noted that some changes would require statutory amendments and later administrative rule changes, with a transition period likely extending through 2029. No formal votes were taken in the transcript, but the committee accepted the updates and scheduled follow-up presentations for a later meeting.

Transcript Highlights:

• However, the long-term impact of this cut is the effective elimination of all commission grant programs
• The long-term impact is essentially a total elimination of the commission's grant-making ability beyond
• And additionally, our peer respite: we need to be able to divert people, not into long-term treatment
• And additionally, our peer respite, we need to be able to divert people not into long-term treatment.
• Next item is long-term care staffing.

Summary: The Assembly Budget Subcommittee on Health held an informational hearing on the Governor’s May Revision, focusing first on the Commission on Behavioral Health, then EMSA, and then the California Department of Public Health (CDPH). The Department of Finance said the state faces a third consecutive deficit and that the May Revision includes difficult trade-offs, including proposed eliminations or reversions of some behavioral health and public health funds. The LAO echoed concern about the structural deficit and said it was still awaiting some budget details before offering a full analysis. For the Commission on Behavioral Health, Finance proposed eliminating $20 million in Mental Health Wellness Act funds, arguing the money would help offset General Fund costs and noting future Proposition 1 innovation funding. The commission strongly opposed the cut, saying it would eliminate or delay launch-ready grants for early childhood supports, full-service partnerships, and peer respite, and would eventually end ongoing grant programming. Several advocates and commissioners testified that the funds support underserved communities and that Proposition 1 is not a substitute for the existing programs. The chair asked Finance to look for alternatives, but no vote was taken. EMSA presented mostly technical budget adjustments: increased authority for the California Poison Control System, a correction to EMSIS funding, and a reappropriation for enterprise services and data management. CDPH then reviewed a broader set of May Revision proposals, including reversions from the California Reducing Disparities Project, workforce development, STD prevention, hepatitis C prevention, hospice, and extreme heat funding, as well as a new generative AI pilot for health facility survey reporting. Members raised concerns about cuts to CRDP and gender health equity programs, especially because many grants are mid-contract and serve underserved communities; CDPH said the reversions were part of solving the deficit and that CRDP had been successful, while also clarifying that abortion.ca.gov would not be eliminated. Public comment was overwhelmingly opposed to the CRDP and related cuts, with many speakers describing the programs as life-saving and cost-effective. No formal votes or actions were taken during the hearing.

Transcript Highlights:

• Expanding access not only saves lives, but it also reduces long-term health care costs by preventing
• Jason Sullivan Halper, in California Long-Term Care Ombudsman Association, in strong support.
• I'm the director of the California Long-Term Care Ombudsman Association, or Calcoa, a proud co-sponsor
• Unlawful, unnecessary, and unsafe evictions are the most common and urgent issues long-term care 2135
• Unlawful, unnecessary, and unsafe evictions are the most common and urgent issues long-term care.

Committee: Senate Health

Keywords: 987, senate, all

Transcript Highlights:

• </c> it is under $1 million and the long-term it is under $1 million and the long-term care<03:36:55.439
• The office of long-term care ombudsman is specifically just for those who reside in long-term care facilities
• </c><03:37:44.239><c> care</c> department the office of long-term care department the office of long-term
• </c><03:37:47.920><c> care</c> for those who reside in long-term care for those who reside in long-term
• long affordable long-term day have any long affordable long-term day uh<03:56:25.880><c> care</c><03

Keywords: 1189, house, all

Summary: House Finance Division III convened a work session on the DHHS budget, with the chair noting there would be no votes and that the committee would spend the day hearing from the commissioner’s office. Nathan White, DHHS Chief Financial Officer, opened with the Division of Finance/Office of Business Operations, explaining that the unit supports the department through daily financial management, AP/AR, audit work, expense projections, transfers, and procurement functions such as contracts, amendments, RFPs/RFAs, and grants management. He also described the division’s revenue and reporting work, including federal draws, CMS-64 reporting, and the public assistance cost allocation plan, and said the department had centralized rate-setting work and a small team handling Medicaid rate analysis and nursing facility rebase work. Members asked about vacancies, turnover, and budget changes. White said the division had 18 positions unfunded in the governor’s budget, reducing personal services from about $10.8 million to $9.9 million, and estimated the division’s vacancy rate at about 11 percent, below the department average. He said turnover was relatively low, with one retirement at the manager level and higher turnover mainly at lower AP-level positions. He also explained that some budget lines reflected reallocations rather than new spending, including fringe benefits centralized elsewhere and an EBT card contract moved into this unit because the staff member overseeing it works in Finance. When asked about a rent/lease increase, he said it was due to higher copier leasing costs under a statewide DAS contract. White highlighted several management and technology improvements. He said a business intelligence tool procured in 2022, using Salesforce and Excel-based data, helped DHHS better track federal revenue and maintenance-of-effort spending, reducing FY24 General Fund lapse by about 70 percent and federal/other revenue lapse by 88 percent compared with FY23; he warned that the tool is not funded in the current budget. He also described Lean Six Sigma efforts in the contracts team, training for vendors and nonprofits on procurement and indirect cost rules, and a Finance Academy to standardize policies and procedures. On the contracts side, he said the department uses Smartsheet for project management and DocuSign for electronic signatures, which cut contract execution time dramatically, but noted DocuSign is also not funded in the governor’s budget. The session ended as the committee prepared to move on to the Employee Assistance Program presentation.

Transcript Highlights:

• And so the board hasn't hired or selected this long-term CEO.
• And so the board hasn't hired or selected this long-term CEO.
• And so the board hasn't hired or selected this long-term CEO.
• </c> selected this you know kind of long-term selected this you know kind of long-term CEO<00:09:50.160
• </c><01:20:45.880><c> and</c> Medicare Medicaid basic care and Medicare Medicaid basic care and long-term

Committee: Senate Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• federal commitment and state commitment to resourcing a full system of care from outreach to shelter
• I do believe people can't successfully transition from the streets into permanent long-term housing.
• I do believe people can't successfully transition from the streets into permanent long-term housing.
• And certainly long-term investment is very helpful.
• There are other systems of care as well, the health care systems, criminal justice systems, that have

Summary: The Assembly Budget Subcommittee on Accountability and Oversight held a hearing on California’s homelessness funding, focusing on the Homeless Housing Assistance and Prevention (HAP) Grant and the Encampment Resolution Grant Program. HCD described new accountability requirements, including regional action plans, stronger reporting and expenditure conditions, housing-element compliance, encampment response plans, and public dashboards that track fiscal spending, service outcomes, and encampment resolution status. Officials said the goal is to use the data to identify underperforming grantees, provide technical assistance, and, if needed, withhold or reallocate funds. Local officials from San Diego, Fresno, and Santa Cruz said the programs have helped expand shelter, outreach, and permanent housing, and that state dollars have leveraged local and federal resources. Mayor Todd Gloria said San Diego has used HAP to expand shelter and safe sleeping options, reduce downtown encampments, and increase housing production, but argued the state’s new accountability website is too high-level and does not fully reflect countywide conditions, behavioral health outcomes, or the role of continuum-of-care partners. Fresno officials said HAP and other state funds helped the city add shelter beds and reduce homelessness, while Santa Cruz emphasized that state funding helped build local coordination and draw in federal vouchers. Members pressed the panel on whether HAP is actually reducing homelessness, what the best success metrics should be, and whether the state is getting full, usable data from grantees and subcontractors. Several members asked for more granular jurisdiction-level reporting, better tracking of nonprofit spending, and clearer measures beyond point-in-time counts and “people served.” HCD said it is still improving HMIS participation and data quality, but can already show outcomes such as exits to permanent housing and returns to homelessness. The hearing ended with broad agreement that transparency is important, but disagreement remained over the best measures of success and how much emphasis should be placed on housing, prevention, shelter, and treatment.