Transcript Highlights:

• program.
• to see how the PACE program compares to our long-term care program, for example.
• Well, the PACE program is a voluntary program for organizations to come in.
• program, so there are separate programs.
• , and the CDC program.

Summary: The Appropriations Committee on Health and Human Services heard a base budget overview for the 2025-26 fiscal year, which was presented as a $46.8 billion starting point for the silo. Staff explained that HHS accounts for about half of the state base budget and roughly 36% of general revenue, with AHCA and Medicaid making up the largest share. The committee then reviewed the PACE program for the elderly, including its eligibility, service model, growth in applications, slot funding and reversions, and the agency’s plan to move from the federal three-way agreement to a more detailed two-party contract to improve accountability, transparency, and reporting. Members raised concerns about unfilled slots, reversions, rural access, and the need for clearer return-on-investment data; the agency said it would follow up on some of those questions. The committee also heard from the Agency for Persons with Disabilities on its statewide dental program. APD described its history of appropriations, the failed January 2024 solicitation, and a new up-to-$11.5 million solicitation focused on preventive care, community partnerships, teledentistry, and coordination with other services. Members questioned overlap with Medicaid dental coverage, the effect of Medicaid unwinding on APD clients, and whether state dollars were duplicating federally supported services; APD said it tries to act as payer of last resort and that services would continue during procurement. Public testimony from an APD stakeholder and the Florida Dental Association emphasized Medicaid eligibility problems for waiver recipients, low reimbursement rates, limited access to anesthesia and hospital-based dental care, and concerns that proposed Medicaid changes could reduce access for special-needs patients. The Department of Veterans’ Affairs then presented on state veterans service officers and benefits assistance. FDVA highlighted its role in helping veterans access federal benefits, reporting about $27.9 billion in federal dollars flowing into Florida and a high return on state investment. The department said it has increased outreach, claims processing, and services, and has trained staff to identify mental health concerns through its Overwatch program. In response to questions, FDVA discussed plans to expand adult day health care at a new veterans nursing home and possibly at existing locations with additional state funding. At the end of the meeting, the committee completed its presentations and adjourned without objection.

Transcript Highlights:

• director and instructed me to build the program.
• program that teaches about disability and policy.
• We talked to program managers over programs that support 14c or who provides supports for individuals
• It was for programs such as sheltered workshops, so they're in some kind of program within the provider
• They do have technical assistance programs for VR programs that can address some of these issues as well

Keywords: 914, all

Transcript Highlights:

• <00:19:50.280> Integrity Proposal related to program Integrity Proposal related to program
• I applied for this program several times.
• <00:39:36.680> that strongly support the ebii program that strongly support the ebii program
• I mean, it's a program.
• I mean, it's a program.

Keywords: 1187, senate, all

Summary: The committee heard a presentation from DHS on its early intensive developmental and behavioral intervention (EIDBI) study and related licensing proposal. Christy Grom explained that EIDBI is a Medical Assistance state plan service for children and young adults under 21 with autism or related conditions, and that DHS’s multi-phase evaluation included standards review, community engagement, and a comparison with other states. She said the service is important but that DHS identified gaps in oversight, including stretched clinical supervision, providers affiliated with many centers, out-of-state providers, and rapid growth in enrollment that has outpaced current monitoring capacity. DHS’s main recommendation was to create a provisional license for EIDBI in Chapter 245A as an immediate step, with later work toward full licensing standards. The proposal would let DHS identify controlling individuals, disqualify ineligible people, investigate maltreatment, suspend or revoke licenses, require background studies and qualifications before service delivery, move EIDBI providers into a higher-risk category for revalidation, and make DHS the lead investigative agency for maltreatment. DHS also recommended statutory standards for supervision, caseloads, training, and documentation, while emphasizing the need to balance oversight with continued access to services. Grom said the provisional licensure proposal is part of the governor’s budget and that DHS hopes to begin implementation in 2025, with a possible full license start date in 2028. Testifiers then spoke in support of EIDBI while urging the committee to preserve access and include more community input. Ana Hagi Muhammad, a parent of three autistic children and a Somali community advocate, said EIDBI has been beneficial for her family and that community organizations serving Somali families have not been sufficiently engaged in DHS’s process. Ana Muhammad, a Black mother of a young autistic child, said ABA has helped her son with communication, self-regulation, and independence, and asked that discussions reflect the diversity of family experiences. Committee members asked testifiers to keep remarks brief and to identify which modality they use, and the chair indicated the committee would continue hearing from additional testifiers before further discussion.

Transcript Highlights:

• and Behavioral Intervention program, also known as the EIDBI program.
• and Behavioral intervention program.
• That program is also known as the E I ddi program Tyson explained that DHS oversees the administration
• Do they have other programs?
• Do they have other programs?

Transcript Highlights:

• program outcomes.
• Legalized cannabis eight years before creating a social equity program.
• Decisions about the social equity program moving forward.
• Developmental disability is defined in state law.
• appropriate and equitable services and programs.

Summary: At the May 14, 2025 JLARC meeting, members approved the January 9 minutes and adopted the 2025–27 biennial work plan with a minor typo correction. Staff reviewed the new work plan studies, including a drug take-back program fee/expenditure review due in December 2025 and a state energy performance standard compliance review due in June 2027, and noted JLARC’s recent session activity, including several bills passed related to JLARC work and recommendations. The committee then heard a preliminary cannabis market study showing Washington businesses likely produced two to three times more cannabis than retailers sold in 2023. Staff and RAND said LCB’s data systems are incomplete and unreliable, limiting regulation, tax verification, and diversion tracking; they recommended that LCB submit a plan by year-end for collecting accurate data by the end of 2026. Members and LCB discussed the long timeline for a new traceability system, the causes of missing sales and weight data, overproduction, diversion, and the social equity program’s effect on producer licenses. JLARC also presented a preliminary hospital oversight report concluding that the Department of Health is late on many hospital inspections, does not verify third-party inspection standards, does not review adverse health event correction plans, and could make hospital data more accessible. The committee discussed fee funding, language access, and inspection timing, and DOH said it would work on a strategic plan and continue coordinating with JLARC. Members also heard a preliminary report on the public records survivor exemption, which found agencies are using it but need more guidance; JLARC recommended keeping the exemption and having the Attorney General provide additional training. Finally, the committee approved the DDA processes and staffing final report for distribution, which recommended performance metrics, stronger data quality controls, and workforce planning; DDA concurred. JLARC also introduced proposed study questions for a future DCYF juvenile rehabilitation review focused on safety, security, programs, staffing, education, and contraband, and the meeting adjourned after members asked about scope and facility conditions.

Transcript Highlights:

• child health programs.
• Medicaid to schools program is another program that we administer.
• Medicaid to schools program is another program that we administer.
• Medicaid to schools program is another program that we administer.
• Medicaid to schools program is another program that we administer.

Keywords: 1189, house, all

Transcript Highlights:

• PROGRAM COMPLETELY VOLUNTARY.
• THROUGH THE PARTICIPANT DIRECTED OPTION PROGRAM UNDER THAT PROGRAM.
• BUT NEVER ENROLLED IN THE PROGRAM.
• WE ALSO CREATED A NEW WEBSITE DEDICATED TO THE PROGRAM WHICH PROVIDED INFORMATION RELATIVE TO THE PROGRAM
• JOIN THE PROGRAM BECAUSE HE GOT TO START GOING TO AN ADULT DAY TRAINING PROGRAM.

Transcript Highlights:

• Right and So, they launched this program. They've been doing it for 35 years.
• The facility is pivotal to the future of our agronomy program.
• Speaker, we have a lot of social welfare programs in the United States and just government programs in
• Of course, the senior freeze is not a welfare program But it is a government incentive program, a government
• program.

Bills: HR1051, HR1048, SB2074, SJR39, SJR47, SB1983, SB444, SB1503, SB1561, SB592, SB1501, SB1946, SB1567, SB1833, SB2026, SB904, SB2178, SB1651, SB1558, SB1565, SB1553, SB1257, SB65, SB1749, SB1242, SB1642, SB640, SB667, SB1436, SB1484, SB1562, SB1794, SB1644, SB1533, SB933, SB1555

Keywords: livestock, judging, Oklahoma State University, championship, agriculture, military children, recognition, community support, military families, April 15, pharmacy benefits managers, reimbursement, healthcare, prescription drugs, cost regulation, property valuation, tax limit, homestead, income threshold, elderly

Transcript Highlights:

• And there is a great program.
• And there is a great program.
• , and our school-age programs.
• , program type 2 family child care, and program type 3 center child care?
• to continue with the program.

Summary: The committee first approved the February 11, 2026 minutes and then received an update from the North Dakota Housing Finance Agency on the interagency council on homelessness and continuum of care funding. Testimony described rising homelessness tied to tight housing markets, low incomes, aging homelessness, barriers to rental assistance and public benefits, and limited shelter and case-management capacity. Members discussed the need for more affordable housing, continued one-time funding for the North Dakota Homeless Grant and Housing Incentive Fund, better coordination with Health and Human Services on economic assistance and human service zones, landlord engagement, recovery housing, and reentry housing. The committee also heard that federal continuum of care funding remains uncertain, with possible shifts away from permanent supportive housing and housing-first models; members asked for a future update on the impact if federal rules reduce the share available for permanent housing. The committee then took testimony on accessibility of government services for people who are blind or visually impaired. Paul Olson of North Dakota Vision Services School for the Blind described current screening and service delivery, including infant referrals, regional staff, short-term programs, and collaboration with vocational rehabilitation. He said the targeted screening system is working, recommended maintaining the current model, and noted ongoing challenges with staffing, public awareness, and accessible state websites and documents. Public testimony from a visually impaired resident and a deaf resident emphasized barriers such as CAPTCHAs, inaccessible PDFs, employment forms that screen out applicants based on driver’s license status, shortages of interpreters, and the need for video remote interpreting and video relay services, along with training for users and agencies. Finally, the committee heard a final report on the study of child care provider licensing from HHS Early Childhood Director Kay Larson. The report summarized provider input and committee discussion on simplifying North Dakota’s child care licensing structure, reducing administrative burden, and balancing that with health and safety standards. Key topics included licensing categories, child care assistance eligibility, food program sponsorship, staff qualifications, training requirements, ratios and group size, age bands, and preschool exemptions. The committee’s recommendations included streamlining to three provider types plus a preschool designation, revising ratio and age-band rules, and carrying forward certain preschool outdoor-space exemptions. Larson noted that any changes would require statutory changes, rulemaking, and a transition period before new licensing rules could take effect.

Transcript Highlights:

• Food Assistance Program.
• program features and things going on. in the program.
• We are proposing to eliminate the third and only remaining parental fee program in developmental services
• in both of those programs. programs.
• of this program.

Keywords: 988, house, all

Transcript Highlights:

• I'll note this is our last regularly scheduled program for the year.
• That means I run the antitrust program in the AG's office.
• But the DYD program, and if I'm—yes, the DYD program—not funded by Measure J.
• But we are here to work to enhance the program.
• I think, from my personal opinion, and... ...enhance the program.

Summary: The committee heard several public safety measures, with extensive testimony on firearms regulation, disability and sexual assault, mental health diversion, emergency response, and law enforcement masking. SB 704 by Senator Arreguín would require firearm barrels to be purchased through licensed dealers with a background check, as a response to the rise in ghost guns and 3D-printed firearms; supporters said barrels are a key component of untraceable guns, while opponents argued the bill burdens lawful gun owners and does little to stop criminals. SB 258 by Senator Wahab would eliminate the remaining spousal rape exception for victims unable to consent because of disability; supporters called it a needed closure of an archaic loophole, while disability-rights advocates opposed it unless amended, warning it could worsen misunderstandings about capacity to consent and harm disabled people’s autonomy. After debate, SB 258 passed the committee on a due-pass motion to Appropriations, with several members voting aye and the bill held on call. Senator Umberg presented SB 398, which closes a loophole in the law prohibiting paying or offering money or other value to induce someone to vote or register to vote; there was little opposition, and the bill passed on a due-pass motion to Appropriations and was held on call. He also presented SB 27, a CARE Court cleanup measure that would allow certain misdemeanor defendants found incompetent to stand trial to be routed into CARE Court and would expand eligibility to some people with mood disorders with psychotic features. Supporters said it would improve access to treatment and reduce unnecessary incarceration, while county behavioral health directors and disability advocates warned it could blur the line between voluntary civil treatment and coercive criminal proceedings and expand CARE Court beyond its intended scope. SB 27 passed on a due-pass motion as amended to Appropriations. The committee also heard SB 36 from Senator Umberg, a price-gouging measure tied to wildfire-related emergency conditions that also expands search-warrant authority for certain misdemeanor investigations. Public defenders opposed the search-warrant expansion as unnecessary, while a late supporter from the Los Angeles County District Attorney’s Office spoke in favor; the bill was moved on a due-pass motion as amended to Appropriations and held on call. SB 571 by Senator Arreguín would increase penalties for impersonating emergency personnel and related conduct during disasters; supporters cited post-fire looting and impersonation, while opponents argued longer sentences do not deter crime and that existing law is sufficient. The bill passed on a due-pass motion as amended to Appropriations and was held on call. Finally, Senator Wiener presented SB 627, which would prohibit law enforcement from wearing extreme masks except in limited circumstances, aimed largely at masked federal immigration enforcement operations. Supporters said masked, unidentified officers create fear and undermine trust, while law enforcement groups argued the bill wrongly sweeps in local officers, is too broad, and should instead target federal agents or impersonators. Testimony was still underway when the transcript ended, and no final committee action on SB 627 is shown here.

Transcript Highlights:

• So from their youth, it has to be from the developmental age. So you can't fake that.
• of intellectual functioning, adaptive behavior, and developmental history. ...and developmental history
• This bill would help expand that to one year, giving time to get into programs.
• Certainly, the... ...to be able to get into those programs.
• And I think that this certainly makes sure that we are getting the programs.

Keywords: 974, senate, all

Transcript Highlights:

• and the state program and how much funding was in that program, because we are looking at the methodology
• Are there any changes to the home visiting programs, the hippie program, even specifically?
• going to an ABC program.
• Do you see the HIPPY program, or programs like the home visiting type of programs, expanding upon that
• It is a great program.

Summary: The committee met to review early childhood education funding, access, and program sustainability, with Secretary Aleva and Director Ashland Abney providing updates on Arkansas’s ABC state-funded preschool program and the federal CCDF/SRA program. Members discussed the long-standing flat funding for ABC, which rose from $11 million to $14 million in 2018, compared with roughly $137 million in federal CCDF/SRA funding. Officials said ABC serves about 23,000 children, while SRA serves about 14,871 children and has a wait list of about 2,971 children. Members also asked for more data on rural versus urban access, provider types, and the number of slots and providers by region. A major topic was how to improve quality and access while aligning early childhood with K-12. Officials said the department is moving from the Better Beginnings environmental rating system toward CLASS observations, using local leads and a kindergarten-readiness strategy tied to quality improvement. Members raised concerns about deserts and islands in service availability, the cost of school-based versus community-based providers, and the need to support infant-toddler care as well as preschool. The commissioner said early learning should be part of long-term state education investment, but that simply adding money would not solve access gaps without broader structural changes. The committee also discussed recent funding changes and their effects on providers and families. Officials said a $14.741 million PDG-BFV competitive grant will support systems-building work, including local leads, workforce, data systems, and third-party CLASS observations, but it is a one-year grant and not direct service funding. Members questioned the impact of new co-pays, provider closures, and slot reallocations; officials said eight closures were tied specifically to funding changes, and that paying only for enrolled children rather than allocated slots saved about $576,000. They also discussed dual enrollment in home visiting and ABC, with officials estimating that limiting double enrollment could save about $2.4 million and potentially serve about 470 more children. The meeting ended with agreement to continue regular updates and further discussion, and the committee adjourned without a vote on legislation.

Transcript Highlights:

• . grant program.
• For self-determination programs, obviously it's quite a popular program.
• And there are other program features and things going on in the program.
• And there are other program features and things going on in the program.
• We're proposing to eliminate the third and only remaining parental fee program in developmental services

Summary: The hearing began with opening remarks on the Governor’s May Revision for child care and human services, with committee members and advocates stressing that the budget should not be balanced on the backs of low-income families, children, and providers. Legislative members and public witnesses strongly opposed the proposed suspension of the child care COLA, reductions to the Emergency Child Care Bridge Program, and the lack of codified rate reform tied to the alternative methodology. Several speakers also urged more support for providers affected by the Eaton fire and other disasters, and called for child care to be funded at the true cost of care and for additional slots to be restored. Administration, LAO, and Department of Education staff described the child care proposal as maintaining existing funding levels while adding administrative resources to prepare for federally required prospective payment changes and single-rate reform. The administration said the May Revision would suspend the 2025–26 COLA and reduce Bridge Program funding to align with utilization, while the LAO raised questions about the size and purpose of the proposed rate-reform and prospective-payment funding and recommended rejecting a Department of Technology exemption. CDE supported continued early education investments but said it would need additional resources if prospective pay were extended to state preschool, and it objected to a proposed reallocation of preschool funds for inclusive education grants. The committee then moved to the IHSS portion of the May Revision. DSS outlined five major proposals: capping provider work hours at 50 per week, eliminating IHSS for undocumented adults age 19 and older, shifting certain Community First Choice reassessment penalties to counties, reinstating the Medi-Cal asset test as a conforming IHSS reduction, and automating the termination of IHSS when Medi-Cal eligibility ends. DSS also discussed funding to implement a federal HCBS access rule and a separate reassessment of IHSS administrative methodology that found counties would need additional administrative funding. Finance said the proposals were intended to slow program growth and improve sustainability, while the LAO said it was still analyzing the package and raised concerns about implementation, county workload, and the potential loss of services. Committee members and public commenters criticized the IHSS cuts, especially the overtime cap and the elimination of services for undocumented adults and people affected by the asset test. Advocates argued that IHSS workers and recipients depend on these services, that county administration is already underfunded, and that the proposals could destabilize vulnerable consumers. The chair closed by saying the committee would continue to fight for child care and would not pause on child care, and the meeting recessed before moving on to the remaining May Revision items.

Transcript Highlights:

• , prior to the Universal Meals Program, not all schools offered breakfast programs—as well as increasing
• Breakfast programs.
• programs now more than ever.
• The KID program is critical to the success of the School Meals for All program.
• out of the literacy coaches program.

Keywords: 988, house, all

Transcript Highlights:

• For the Governor’s Council on Developmental Disabilities to continue its archiving work of developmental
• Holocaust people with developmental Holocaust people with developmental disabilities<00:58:52.760
• legislative auditor for oa's program legislative auditor for oa's program evaluation<01:37:28.719
• aggregate resources mapping program aggregate resources mapping program completed<01:43:36.480><
• <01:49:33.239> this dnr's uh budget for this program this dnr's uh budget for this program

Keywords: 1187, senate, all

Transcript Highlights:

• Well, Don program, so thank you, chair.
• and the dental hygiene programs.
• They also develop the dental therapy program.
• So if that's not a valid program, then you're probably thinking Miss 10 is about the program and hygiene
• But that's only 4 years of a dental program.

Transcript Highlights:

• Moving on to page 3, on line 222 is a program integrity infrastructure item.
• For supported decision-making programs.
• , including PCA Choice, the CFSS program.
• Funding for these programs has always received strong bipartisan support.
• Our goal is not to target programs or services.

Bills: HF2434

Keywords: healthcare, personal care assistance, worker retention, disability services, state funding

Transcript Highlights:

• <00:04:59.120> disabil for children with developmental disabil for children with developmental
• <00:06:07.280> and<00:06:07.680> medical Developmental and medical Developmental and medical
• similar to co-pay accumulator programs similar to co-pay accumulator programs set<00:45:07.520><
• adjuster program question if accumulator adjuster program existed<00:50:32.559> the<00:50:32.720
• If you look at the coupon programs for assistance programs that are often funded quite generously by

Keywords: 1191, senate, all

Transcript Highlights:

• , also known as the Blue Envelope Program that we discussed at our last interim.
• And so when we submitted that to DLS, they were like, no, we already have this program.
• , and I wondered if you might feel comfortable... ...Blue Envelope Program.
• Any of these organizations that run day support programs...
• Any of these organizations that run day support programs—day support programs are staffed by DSPs.

Keywords: Disability Commission, 976, house, all