Video & Transcript : 'Arizona Long Term Care System' :

Page 308 of 500
TX
Transcript Highlights:
  • Specifically, how would you structure long-term incentives to ...
  • We want to look at long-term disability. and what we're identifying there.
  • It's a long-term commitment. It would make no sense for us to pass legislation that tanks that.
  • So, we're here for the teachers, and we're here to make this fund long-term, forever.
  • One is now a nurse serving in a critical role in our state's health care system.
Bills: SB1 , SB 1
Committee: Senate Finance
WA

Washington 2025-2026 Regular Session

Senate Transportation Feb 24th, 2026 at 04:00 pm

Transportation

Transcript Highlights:
  • The transportation bonds are issued to fund transportation capital projects that have a long-term lifespan
  • This budget approach stewards safe-state dollars, maximizing near-term investment over the long term.
  • Business has always been a long-term supporter of maintenance and preservation investments.
  • Business has always been a long-term supporter of maintenance and preservation investments.
  • We need to start to make a long-term commitment to it.
Bills: SB6225 , SB6005 , SB6354
WA

Washington 2025-2026 Regular Session

House Education Jan 26th, 2026 at 01:30 pm

Education

Transcript Highlights:
  • The model for the Education Ombuds actually is the Long-Term Care Ombuds Office, which I was able to
  • If you've ever had a loved one who is in a long-term care facility, especially as they are older, you
  • I was able to see how the long-term care ombuds advocated very specifically for the residents, sometimes
  • I was able to see how the long-term care ombuds advocated very specifically for the residents, sometimes
  • What did not translate, however, from the long-term care ombuds to the education ombuds due to very strong
Bills: HB2440 , HB2551 , HB2593
Committee: House Education
FL

Florida 2026 4th Special Session

February 18, 2026 - 08:00 AM

Transcript Highlights:
  • They make the public think that our system is completely broken and that we don't care for our children
  • One of my passions is kids in the foster care system and kids who are aging out of the system.
  • So a kid who is in the foster care system, they're already going to enough as it is when they're being
  • and also those who are aging out of the foster care system.
  • list for long-term care services using a. based prioritization system, clarifies the role of aging and
ID

Idaho 2026 Regular Session

Agenda Jan 22nd, 2026

Transcript Highlights:
  • And then, as I mentioned, the long-term services and supports for nursing facilities in the dually eligible
  • And then, as I mentioned, the long-term services and supports for nursing facilities in the dually eligible
  • of Justice that indicated that they had determined Idaho is violating the ADA by administering its long-term
  • care system in a way that unnecessarily segregates individuals with physical disabilities in nursing
  • State-directed payment is just the term that's used for upper payment limits in managed care.
Keywords: 989, all
Summary: The committee heard a budget presentation on the Division of Medicaid within the Department of Health and Welfare, including an overview of the division’s five programs, staffing, spending trends, and the large share of the budget that goes to trust and benefit payments. Ms. Williamson explained the difference between ongoing and one-time enhancements, the role of population forecast adjustments, and why the fiscal year 2026 and 2027 numbers change significantly. Members asked about the growth in the budget, the FMAP match rate, the impact of provider rate changes, and the shift of some positions into Medicaid from other divisions after last year’s reorganization. A major topic was House Bill 345 and related budget changes, including the hospital assessment fund alignment, the 4% provider rate reduction, and the effect on Medicaid expansion and other populations. The committee discussed the decline in expansion enrollment, rising costs in traditional Medicaid populations, and the governor’s recommendation to offset part of the 2027 increase with additional reductions. Members raised concerns about access to care, especially for dental, behavioral health, developmental disability, and home- and community-based services, while the deputy director said the department is trying to contain costs through prior authorization, fraud and abuse work, and policy changes. The committee also focused on the MMIS replacement project, which is in year four of a five-year procurement and is funded through dedicated and federal dollars tied to milestones. Another significant item was estate recovery, where the department requested funding to replace an outdated case management system and add contractor support to address a backlog of roughly 20,000 cases; members questioned the return on investment and asked for more detail on the software and staffing split. The deputy director also explained the federally qualified health center reconciliation issue, saying the state had not been properly paying change-in-scope amounts and is now using a new process with interim payments and later reconciliation. In addition, lawmakers asked about program integrity staffing, the use of AI, and whether the department could better target fraud, waste, and abuse investigations. The deputy director said the department is reviewing AI use cautiously and sees opportunities for it in claims review and anomaly detection, but emphasized that the current request is for dedicated receipt authority rather than general funds. No formal votes were taken in the excerpt, but the committee received the presentation, asked extensive questions, and was told that some follow-up information would be provided later.
MN

Minnesota 2025-2026 Regular Session

Human Committee Meeting - 2025-04-02

Human Services Finance and Policy

Transcript Highlights:
  • Today, that number is 53,000, which is displacing people into long-term care settings.
  • My name is Nicole Mattson with Care Providers of Minnesota. here today with the Long-Term Care Imperative
  • As we've stated previously in this committee, the long-term care sector is facing persistent workforce
  • Good morning, Madam Chair, members of the committee for the record. also with the Long-Term Care Imperative
  • Pariche Rudina, Office of Ombudsman for Long-Term Care.
MN

Minnesota 2025-2026 Regular Session

House Health Finance and Policy Committee 4/2/25 - Part 1

Health Finance and Policy

Transcript Highlights:
  • There are plenty of this long-term ECG.
  • I see that in this long-term savings.
  • Let's drop the middlemen in our system and go to a system where we just pay for care.
  • for people as they try to navigate our complex health care system.
  • </c> and our patients need a long-term and our patients need a long-term solution<01:16:47.679><c> and
Keywords: 1183, house
ND
Transcript Highlights:
  • These investments will enhance tourism infrastructure, elevate visitor experience, and support long-term
  • hand, when public funding becomes too large a share of the capitalization stack, the likelihood of long-term
  • Some show long-term realized success, and some show the kind of promising growth-stage company the fund
  • Question on the child care loan program: What is the term and, normally, what is the term and the interest
  • The draft list also includes short-, mid-, and long-term employment, wage outcomes, job retention rate
Keywords: 908, all
Summary: The Budget Section’s Commerce and Legal Services Division met to review the Department of Commerce base budget for the 2027-29 biennium and to receive an update on Commerce programs. Legislative Council staff first walked the committee through the “blue sheet” base budget summary, explaining the major line items, the large share of federal grant authority in Commerce’s budget, and the continuing appropriations that support several Commerce funds. Members asked how grant funding is coordinated across agencies, and staff said collaboration varies by program but is strong in areas like UAS and LIHEAP. Commerce Commissioner Chris Schilken then presented on current activities, focusing heavily on grant administration, transparency, and economic development programs. Members questioned how grant applicants are selected, whether Commerce tracks applications and return on investment, and how long grant awards take to reach recipients. The commissioner said Commerce uses scoring criteria, outside reviewers, a minimum 30-day application window, and typically completes awards within two to three months. A lengthy exchange followed over whether Commerce should open some grants only to intended recipients versus running competitive application processes; Commerce said it follows best-practice grantmaking and that its attorney in the Attorney General’s office approved that approach. Commerce also highlighted the North Dakota Development Fund, citing long-term investment and job creation results, examples such as Red Trail Energy, Packet Digital, Valiance, Corvent Medical, child care loans, and the Automate ND program. Members asked about acceptable failures, lessons learned, regional economic development coordination, and the expansion of the fund into non-primary sectors. Workforce Director Katie Ralston Howell then outlined a statewide workforce ecosystem review, a new governor’s workforce sub-cabinet, and three task forces focused on simplifying entry, warm handoffs, and data integration. She discussed the in-demand occupations list, Workforce Pell, apprenticeships, and efforts to better connect students with employers and higher education. Commerce also briefly reviewed housing programs and a new housing sub-cabinet. No votes were taken; the committee simply received testimony, asked questions, and adjourned after setting up the next meeting to hear the Attorney General budget in June.
KY
Transcript Highlights:
  • </c><00:02:34.319><c> care</c> certification surveys of long-term care certification surveys of long-term
  • </c><00:03:17.840><c> care</c> status of the long-term care status of the long-term care certification
  • </c><00:03:55.840><c> care</c> and update of our long-term care and update of our long-term care certification
  • include long-term care nursing homes.
  • facilities to include of health care facilities to include long-term<00:04:34.160><c> care</c><00:04
Keywords: 958, all
Summary: The Budget Review Subcommittee on Health and Human Services met to review budget items carved out in the prior session budget, including long-term care surveyor contracts, funding for local health departments, and expansion of the central laboratory. The committee approved the June 4 minutes and then heard an update from the Office of Inspector General’s Division of Health Care on long-term care certification surveys and complaint investigations. Officials said the $1 million annual appropriation for contracted survey work, along with salary increases and other resources, helped the state reduce its backlog. They reported that Kentucky completed 101 long-term care certification surveys in fiscal year 2024, up from 28 in fiscal year 2023, and had completed 186 surveys by July 7, 2025, with a goal of 40 to 50 more before the end of fiscal year 2025. Outstanding complaints fell from 1,565 at the end of fiscal year 2024 to 695 by July 7, 2025, and outstanding priority-one or immediate-jeopardy complaints were reduced to zero. Members asked about the definition of priority-one cases, survey timing, the number of facilities still overdue, vacancy rates, federal funding reliance, and the use of contract surveyors. Officials said priority-one cases involve serious harm or high risk of harm, that surveys are required within a 12- to 15.7-month window, and that the agency now has 40 contract surveyors and an outside team option. Several members praised the progress but warned that delays in surveys can endanger residents and urged continued funding and monitoring. The committee then began hearing from Mike Tuggle of the Department of Public Health on the Public Health Transformation Initiative, with Tuggle noting the legislation’s importance to public health financing. The transcript cuts off as he began his remarks.
NM

New Mexico 2026 Regular Session

House - Health and Human Services Feb 9th, 2026 at 08:38 am

House Health & Human Services

Transcript Highlights:
  • Hospital systems or the, you know, the larger structures in health care, it's been about individual health
  • The League of Women Voters in New Mexico supports a health care system that provides a comprehensive
  • These reviews would also consider impacts on premiums here in New Mexico and out-of-pocket costs, long-term
  • , this bill would also require reviews to consider not only premium impacts, but also utilization, long-term
  • In terms of the Affordable Care Act, there's something called defrayal.
Keywords: 996, all
KY
Transcript Highlights:
  • The personal care homes offer a much lower-cost alternative to emergency rooms, long-term acute care
  • Uh, $36,000 a year in Kentucky in the jail system, $6,600 in personal care.
  • Uh, you can see the majority of that spend is in the long-term care setting.
  • </c><00:47:48.480><c> And</c><00:47:48.640><c> what</c><00:47:48.800><c> I</c> the long-term care setting
  • And what I the long-term care setting.
Keywords: 958, all
Summary: The Budget Review Subcommittee on Health and Family Services heard a presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults with serious mental illness who do not qualify for nursing home care but need structured support, medication assistance, meals, housekeeping, transportation, and supervision. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and rely on a state supplementation rate of about $50.70 per day, which they argued no longer covers operating costs because of rising food, labor, insurance, and maintenance expenses. The presenters said the sector has shrunk significantly over time, citing a drop from 64 homes in 2002 to 34 today among the homes serving this population, with 30 closures over 23 years and two more closures since August. They argued that the closures have contributed to homelessness, hospital overcrowding, and longer stays in psychiatric hospitals, and they gave examples of residents who had spent many months in hospitals before stabilizing in a personal care home. One provider also described spending more than $800,000 on capital improvements after acquiring Kentucky facilities and said reimbursement is too low to sustain safe operations. They asked for an incremental reimbursement increase over two years and said they have also proposed an assisted-living model for people with mental illness. Members asked about staffing, reimbursement, and the number of people still needing placement. The presenters said there is no requirement for licensed or certified staff in these facilities, though some homes use medication technicians and occasional LPNs. They estimated they are currently serving about 2,000 residents and said they receive roughly 30 referrals for every one person admitted, with many referrals involving people whose needs exceed the personal care home level. Senator Meredith and Representative Fleming said any funding request would need documentation of savings and corresponding budget offsets, while Representative Duval expressed support and asked about possible staffing and program improvements. The witnesses also compared Kentucky’s flat-rate reimbursement to a more individualized reimbursement model in Minnesota, saying a needs-based system would better match staffing and reduce hospitalizations.
MO

Missouri 2026 Regular Session

2026 Legislative Session - Day Twenty Four - Thursday, February 19

Missouri House Floor Meeting

Transcript Highlights:
  • But no terms had been discussed. There was no agreement.
  • But no terms had been discussed. There was no agreement.
  • of funding that they need to be able to take care of them.
  • Everyone in the courtroom, for the first time in a long time, would know how long the defendant has to
  • We want to take care of our babies. We want to take care of the in-betweens as well.
Summary: The House convened with prayer and the Pledge of Allegiance, approved the prior day’s journal by roll call vote, and established a quorum. Members then offered personal privilege remarks recognizing Dr. Penelope Martin Knox for Black History Month and introducing guests, including Adeline Overcast, who was made a page for the day, and visitors connected to a rural hospital in Rolla. Several bills were read for the first time, including measures on blind pension tax levies, penalties for impeding first responders, and flag display in the state capitol, and committee reports recommended passage of multiple deferred measures. The chamber then took up several bills on third reading. House Committee Substitute for HB 2596, concerning multiple employee self-insured health plans for small businesses, passed 145-0. HB 1644, dealing with franchise employment liability and joint-employer issues, passed 103-45 after debate over worker rights and franchisor liability. HB 2423, which would increase funding for the Division of Finance through higher licensing fees, passed 146-0 despite concerns about costs being passed on indirectly. House Committee Substitute for HB 2641, which aligns state law with federal restrictions on intoxicating hemp-derived products, drew extensive debate over hemp, beverages, and the impact on small businesses and consumers; it passed 109-34 with six present. Members also debated HB 2498 on juvenile justice reform, including changes to certification procedures and information sharing. Supporters argued it would improve accountability and public safety, while opponents warned it would politicize juvenile decisions, burden treatment facilities, and push more youth into the adult system. After a successful previous-question motion, the bill passed 100-44 with three present. House Committee Substitute for HB 2637 and 3155, described as a truth-in-sentencing measure that would make parole eligibility and time-served credit clearer, passed 102-45 with two present after debate over whether it effectively increased mandatory minimums. Finally, the House took up House Committee Substitute for HJR 154, a proposed constitutional amendment tied to Medicaid expansion and work requirements. Supporters framed it as encouraging work and reducing dependency, while opponents called it an attack on Medicaid expansion that would increase administrative costs and risk coverage losses for vulnerable residents. The transcript ends during the motion for the previous question on that resolution, before the final vote is shown.
CA
Transcript Highlights:
  • Long-term reliability, that sounds fancy, but have you gotten results from all those program efforts?
  • There's long-term evaluations through the IRP, through the transmission planning process.
  • CARB is in the process of collecting feedback on the overall mid- and long-term transition strategies
  • We think long-term, probably the resources would be less because we don't think you're going to want
  • uncertainty about the long-term workload.
Summary: The Senate Budget Subcommittee on Resources, Environmental Protection and Energy heard six budget-related items and took no votes, holding all items open for a future hearing. The first item concerned a climate bond expenditure plan for the California Transmission Accelerator Revolving Fund under SB 254. GoBiz, IBank, and the Department of Finance described a request for nearly $26 million and 10 limited-term positions to develop financing strategies and evaluate transmission projects, while the LAO said the proposal was broadly consistent with Prop. 4 but noted that the Legislature may want to provide more direction on program design. Senators questioned how the proposal would lower ratepayer costs, protect state funds, and ensure accountability for billion-dollar transmission projects. The second item covered trailer bill language to redirect funding among demand-side reliability programs. Finance proposed moving $22 million from the DEPA program to DSGS for summer 2026 and using CalSHAPE interest funds for ELRP or an equivalent CPUC program in 2027-28, with CEC and CPUC coordinating the transition. Senators and LAO questioned why CalSHAPE funds should not continue supporting schools, and several members argued DSGS has been more successful and should continue rather than be shifted to ELRP. CEC and CPUC explained that DSGS and ELRP serve different reliability functions and do not address public safety power shutoffs. Public commenters, including school groups and clean energy advocates, split between extending CalSHAPE for school HVAC/plumbing projects and preserving or expanding DSGS. The committee also heard on petroleum market oversight implementation under SBX1-2 and ABX2-1, with the CEC and its Division of Petroleum Market Oversight requesting additional staffing to support inventory monitoring, refinery resupply analysis, and market oversight. Senators pressed for details on investigations, refinery margins, gasoline price spikes, and the transportation fuels transition plan, while staff said the draft plan would be released soon and that DPMO’s work on branded versus unbranded gasoline remains ongoing. Finally, the CPUC presented three additional proposals: implementing AB 1207’s climate credit reforms, studying large-load/data center cost impacts under SB 57, and preparing for regional market participation under AB 825. The LAO repeatedly cautioned that some of these requests may go beyond statutory minimums and urged the Legislature to decide how much policy direction and staffing it wants to provide. Public commenters supported DPMO funding, opposed ending CalSHAPE, and strongly favored continued DSGS funding over a new ELRP structure.
CA

California 2025-2026 Regular Session

Assembly Health Committee Jul 8th, 2025

Transcript Highlights:
  • There is literally no care in Care Court.
  • courts I have to say we've come a long way and while we do see that there's still capacity in the system
  • As one of the nation's largest integrated health care organizations with a long history of adopting new
  • Physicians and health care providers have long seen implicit and structural bias, which can influence
  • system. ...because pharmacists play a critical role in the health care system, and while some people
Summary: The committee heard several health-related measures. SB 27 by Senator Umberg would revise and expand California’s CARE Court by limiting the expansion to people with bipolar I disorder with psychotic features, clarifying the definition of “clinically stabilized,” and narrowing the role of nurse practitioners and physician assistants. Supporters, including behavioral health officials and family members, said the bill would reduce dismissals and better serve people with severe illness; opponents warned the expansion would strain county staffing and housing resources and could undermine voluntary engagement. The bill passed on a do pass motion to the Committee on Public Safety. SB 503 by Senator Weber Pierson would require AI tools used in health care facilities to be identified, monitored, and mitigated for bias when used in clinical decision-making or resource allocation. The author and supporters from Kaiser Permanente and the California Medical Association said the bill would help prevent discriminatory outcomes and improve trust and safety. The committee discussed the need to clarify developer and deployer responsibilities, and the bill passed as amended to Privacy and Consumer Protection. SB 68 by Senator Menjivar would require restaurants to provide written allergen information for the top nine food allergens, with tiered flexibility for smaller establishments. The bill was supported by patients, families, nurses, and allergy organizations, who described severe reactions and the difficulty of relying on verbal disclosures alone. The California Restaurant Association opposed unless amended, seeking broader use of the national model food code and additional liability language. The bill passed as amended to Appropriations. The committee also heard SB 403 by Senator Blakespear, which would remove the sunset from the End of Life Option Act; supporters described the law as a compassionate, well-functioning option for terminally ill patients, while faith-based groups opposed it. The bill passed to Judiciary. Later, SB 41 by Senator Wiener was introduced to rein in pharmacy benefit manager practices that steer patients to mail-order pharmacies and reimburse community pharmacies below cost; community pharmacists and several health organizations testified in support, describing pharmacy closures and patient access problems.
WA

Washington 2025-2026 Regular Session

House Education Dec 4th, 2025

Transcript Highlights:
  • We talked a little bit about what are the immediate employment and what are the long-term employment
  • So the answer to are we continuing to do outreach with all players in the system of health care?
  • So the answer to are we continuing to do outreach with all players in the system of health care?
  • to build a workforce for the kind of jobs that are available right now: pay family wages and offer long-term
  • Okay, so the last finding that I wanted to touch on is looking at some of the long-term outcomes from
Summary: The House Education Committee received status updates on career and technical education (CTE), including OSPI’s work under 2024 legislation on allied health pathways and a statewide CTE task force, an update from Core Plus Maritime, and findings from an Education Northwest longitudinal study of Washington CTE access and outcomes. OSPI described development of allied health guidance such as a home care aide to nursing assistant bridge, model curricula, updated course equivalency frameworks, and coordination with health agencies and employers. It also reviewed Core Plus framework work, task force expansion under later legislation, and the timeline for recommendations due in November 2026. Committee members asked about health profession outreach, equitable access for rural districts, data updates, and employer support for local programs; OSPI said it continues to work with agency and industry partners and that local labor-market alignment varies by region. Core Plus Maritime presenters described expanding maritime career exploration into middle school through low-cost ROV curriculum, student visits to ferries and vessels, Sea Scouts partnerships, and ship-based safety and welding experiences. Industry representatives from the Northwest Marine Trade Association, American Seafoods, and Vigor Marine Group emphasized the maritime sector’s economic importance, aging workforce, and need for hands-on training to build the pipeline for family-wage jobs. A teacher from South Kitsap High School said the program gives students a clear pathway and has helped connect them to careers in shipyards, fishing, and related trades. Vigor also noted support for a student welding competition and equipment donations for a Rainier Beach shop. Dr. Sam Riggs of Education Northwest presented a longitudinal study using state data from 2013-14 through 2023-24. The study found CTE access has been relatively steady statewide, but offerings vary by school size, locale, and income, with rural and lower-income schools generally offering fewer pathways. Participation is high: nearly all students earn at least some CTE credit, and more students are accumulating multiple credits over time, though fewer go deep within a single pathway. Students who earned more CTE credits, especially within pathways such as agriculture, manufacturing, transportation, and construction, were more likely to graduate on time and later had stronger postsecondary certificate attainment and earnings. Riggs recommended addressing local barriers to participation, considering whether the CTE graduation requirement should better encourage depth while preserving flexibility, and aligning offerings more closely with labor-market needs. Committee members asked about COVID-era trends, student motivation, early workforce entry, delivery settings such as skill centers, and how to interpret the comparison groups used in the analysis.
MA

Massachusetts 2025-2026 Regular Session

Special Joint Committee on Initiative Petitions Mar 30th, 2026

Special Joint Committee on Initiative Petitions

Transcript Highlights:
  • Both short-term and long-term dividends and interest, and then we have an income surtax of 4% on incomes
  • It's the fact that we have the best health care system, best education system in the country.
  • years and in the long term.
  • access, transportation, and other necessities, but importantly not including long-term care.
  • coverage, food assistance, public transit and paratransit assistance, and home-based long-term care
Bills: H5006 , H5007
Summary: The Special Joint Committee on Initiative Petitions held a public hearing on two proposed ballot initiatives: one to reduce the state personal income tax rate from 5% to 4% over three years, and another to revise the state tax collection cap law (62F) so the cap would be based on the prior year’s actual collections plus wage-and-salary growth and would include surtax revenue. Committee chairs outlined the hearing process and noted that the measures would need additional signatures to qualify for the 2026 ballot if not enacted by the legislature. The committee’s expert witness, Doug Howgate of the Massachusetts Taxpayer Foundation, said the income tax proposal would lower the base rate in stages beginning in 2027 and would ultimately reduce state income tax collections by about $5.4 billion annually when fully implemented. He estimated savings would vary by income level, from a few hundred dollars for lower- and middle-income households to about $10,700 for taxpayers at the surtax threshold. He argued the proposal would improve tax competitiveness but would also require major budget adjustments, likely including reserve use, spending cuts, and possibly new revenue measures; he cited prior downturns and said the state’s rainy day fund is stronger than in past recessions, though spending growth and health care costs remain concerns. On the 62F proposal, he said rebasing the cap to prior-year collections would make refunds more likely, with modeled refunds totaling about $7.9 billion without the surtax and $10.1 billion with it over the last decade, and warned it could reduce stabilization fund deposits and constrain recovery after recessions. Proponents of both petitions, including representatives from Taxpayers for an Affordable Massachusetts, NFIB, Pioneer Institute, and the Mass Opportunity Alliance, argued that Massachusetts faces an affordability and competitiveness crisis and that lower taxes would help families, small businesses, job creation, and outmigration. They said the income tax cut would put about $1,300 a year back into the hands of average families, help pass-through businesses reinvest, and improve the state’s ability to compete with lower-tax states such as North Carolina. Their economist, Rebecca Paxton, presented a model projecting average annual revenue losses of about $680 million during the phase-in and a total net income tax revenue impact of $2 billion to $2.2 billion, while saying long-term revenue growth would be stronger after implementation. The hearing ended with committee questions and a brief dispute over a planned voter testimonial video, which the chairs said was not appropriate for the hearing at that point.
AR

Arkansas 2026 Regular Session

EDUCATION- HOUSE EARLY CHILDHOOD SUBCOMMITTEE Feb 17th, 2026

EDUCATION- HOUSE EARLY CHILDHOOD SUBCOMMITTEE

Transcript Highlights:
  • to speak to more money in the fiscal session because everybody adopts two-year budgets, but looking long-term
  • Is that going to be part of this, the one-year grant, in terms of systems improvement related to it?
  • But we knew we had to look at the long-term sustainability of this program and make immediate changes
  • . ...look at the long-term sustainability of this program and make immediate changes because we were
  • programs instead of relying on a federal grant that changes in every session, and we don't know the long-term
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.
CA
Transcript Highlights:
  • What that means long term is that our program is likely to become slightly less...
  • That means long term is that our program is likely to become slightly less competitive, especially with
  • The firm has a deep and long-term commitment to affordable housing because we believe that everybody
  • the company and the industry, but also gives workers a path to stability, career advancement, and long-term
  • Career advancement and long-term success.
Summary: The committee held its second hearing on housing construction innovation, focusing on factory-built and modular housing as a way to lower costs, speed delivery, and expand housing supply. The chair framed the effort as a search for practical innovation paired with land use, financing, and regulatory changes that could make housing more affordable for working families. Government witnesses from HCD, the Strategic Growth Council, and the tax credit and bond allocation agencies explained how factory-built housing is regulated, how California standards and third-party approvals work, and how state programs are trying to build regional demand and financing pipelines for modular production. Testimony from investors and developers emphasized both the promise and the risks of modular construction. JP Morgan Chase and the Housing Accelerator Fund described projects that achieved meaningful time and cost savings, but said lenders still see elevated risk because of manufacturer solvency, upfront deposits, transportation and installation issues, and the need for standardized designs and experienced teams. They urged more standardization, more local factories, better alignment between financing timelines and construction schedules, and state support such as backstops, top-loss capital, and scoring preferences in tax credit and bond programs. Several speakers noted that recent federal changes to the 4% tax credit program increased production capacity, but warned that without continued state investment the pipeline could face a future funding cliff. The workforce panel, including union contractors, factory supervisors, and labor representatives, said modular construction can support good jobs if it is paired with union labor, training, and fair standards. They described benefits for workers such as steadier schedules, less commuting, improved safety, and better work-life balance, while also stressing the need for wages, health coverage, retirement benefits, and apprenticeship opportunities. Union representatives supported a model that keeps both factory and on-site work unionized and said the industry could create more jobs overall if California builds more factories and develops a stable, long-term demand pipeline. No formal votes or actions were taken during the hearing.
NM

New Mexico 2025 Regular Session

IC - Legislative Finance Nov 17th, 2025

Transcript Highlights:
  • I think New Mexico is actually really well positioned in terms of its health care landscape.
  • What we found was that when we looked at child care systems as they expanded to 400% of the federal poverty
  • I think this was acknowledged by the LFC in terms of our IT systems, things operating more smoothly.
  • Chair, is aware that this may be coming: fully services for the aging and long-term communities and the
  • Just touch briefly on the fully funding services for the aging long-term.
MO

Missouri 2026 Regular Session

Budget Feb 9th, 2026 at 12:00 pm

Budget

Transcript Highlights:
  • With projected long-term imbalances between revenues and expenditures, the proposal includes substantial
  • Third is our long-term care ombudsman.
  • Funds are distributed using or premature placement in a long-term care facility.
  • Page 395 is Long-Term Regulation, or the QIPMO program.
  • delivery at long-term care facilities to help them improve outcomes for their residents.
Committee: House Budget
Keywords: 959, house, all