Video & Transcript : 'wrecker service' :

Page 30 of 500
MN
Transcript Highlights:
  • , and the elimination of remote services. and behavioral services.
  • </c> waiver services. waiver services.
  • </c> services program. services program.
  • </c> the commissioner of human services. the commissioner of human services.
  • human<01:44:19.199><c> services</c> human services human services &gt;&gt; and<01:44:19.920><c> and</
Summary: The joint hearing opened with chairs explaining that the program integrity omnibus bill is a combined draft assembled from individual member bills and governor proposals, many of which had already been heard in committee. Members emphasized the compressed end-of-session timeline, said the language was not yet ready for enactment, and invited continued revisions as the bill moves next to judiciary and finance. Several speakers stressed the need for bipartisan collaboration, while also warning that the Legislature must act this session on program integrity rather than defer reforms. The fiscal staff then walked through a spreadsheet showing the bill’s overall budget effects and major provisions. The package includes DHS proposals on transforming human services, market- and receipt-based rate reform, enhanced program and payment integrity, uniform service standards, nursing facility rate changes, ICS reforms, and a repeal/redesign of housing stabilization, along with child care assistance integrity and human services redesign items in DCYF. Staff highlighted that the bill combines multiple sources, including governor proposals and member bills, and noted several items that are also in the supplemental human services budget. Committee discussion focused heavily on prepayment review, remote supports, ICS, and provider accountability. Chairs said the bill would codify prepayment review with a 60-day notice requirement after providers were caught off guard by prior rollout, and that remote supports and ICS language were placeholders or under active debate. One member argued the system needs stronger standards but cautioned against harming compliant providers, while another urged the committee to learn from good providers and warned against repeating failed implementations. Staff also reviewed thematic indexes covering billing and service delivery oversight, EVV, administrative reform, licensing and background studies, provider enrollment, sanctions, and child care provider compliance training. No formal votes were taken in the portion provided. The hearing ended with staff beginning the index walkthrough and members indicating that posted amendments would be considered as the bill advances through the remaining committees.
ID

Idaho 2026 Regular Session

Health & Welfare - 2026-03-16

Health and Welfare

Transcript Highlights:
  • by KW because the lawsuit has changed directions now, and the new services under that service array
  • to go and get those services elsewhere.
  • services.
  • at that time, and we didn't do it. services.
  • Like I said, we're not removing this service.
AR

Arkansas 2026 Regular Session

ALC-ADMINISTRATIVE RULES Jun 18th, 2026

ALC-ADMINISTRATIVE RULES

Transcript Highlights:
  • , and the services of oral surgeons, the dental services of oral surgeons.
  • , and the services of oral surgeons, the dental services of oral surgeons.
  • The problem we have is that it says oral surgeons’ services, dental services.
  • I was one of those people who delivered services, oral surgery services,” “who delivered services, oral
  • Special needs services for adults and oral surgeons' dental services for adults.
Summary: The Arkansas Administrative Rules Subcommittee met to review a large set of agency rules and reports. Early items were routine filings: emergency-rule reports, subcommittee review reports, and administrative directive reports were filed without objection. One rule from the Department of Agriculture on maternal health providers and remote monitoring was noted as pulled by the agency and not considered. The committee then reviewed and approved several Agriculture rules, including repeal of equine ID-chip rules after Act 703 of 2025, updates to finance rules adding a new water and sewer treatment facilities grant and consolidating revolving-fund rules, and a pesticide rule creating a Class J pesticide category for feral hog toxicant use. It also approved a Commerce/Insurance rule removing duplicative workers’ compensation plan provisions, and a Corrections rule creating a unified visitation rule for correctional facilities and community correction centers. A member asked about prison visitation hours during COVID, and staff said they would check on that. The committee next approved multiple Department of Human Services rules. These included marketing rules for provider-led organizations under Act 301 of 2025, a comprehensive revision of the DCFS policy manual, changes to Medicaid eligibility to include fictive kin placements and to expand ABLE account eligibility under Act 875, presumptive eligibility changes for pregnant women to align with federal rules, and a follow-up SNAP/TEA/Work Pays rule with updated work requirements, mandatory employment and training, alien eligibility changes, and job-search requirements for certain applicants. DHS also presented a rule implementing federal coverage for certain incarcerated youth before and after release, and the committee approved it. Another DHS rule updated nurse aide training requirements to match federal CNA hour standards and moved criminal-records-check procedures to the agency website. The most extended discussion involved DHS Division of Medical Services’ dental rate rule under Act 1025. The agency explained that it was increasing pediatric dental rates and certain oral-surgery-related rates, but not orthodontic rates or a broader special-needs benefit limit because CMS would not approve a diagnosis-based limit. Members debated whether the statutory language was intended to cover general dentists performing oral surgery procedures, with legislators, the Dental Association, and DHS discussing legislative intent, fiscal impact, and whether a future fix or emergency rule might be needed. Despite the disagreement, the committee approved the rule. The committee also approved other DHS medical rules: adverse-decision appeal changes and prior-authorization posting requirements, an increased RSV administration fee for children, expanded emergency treat/triage/transport ambulance authority, and clinic-based physical and occupational therapy coverage. Later, the committee approved permanent rules for the new state insurance program under Shared Administrative Services, procurement rule revisions recommended after an ACASO review, and commodity-management rule updates including a new revenue distribution model. Under Act 595 of 2021, the committee granted two Department of Commerce/Insurance requests to be excluded from rulemaking requirements: one for Act 772 on forced organ harvesting, and one for restorative reproductive medicine, with the department saying it would promulgate rules later when clinical guidelines are available. Finally, the committee accepted a recommendation to keep and extend the Department of Education, Division of Career and Technical Education rules, filed outstanding rulemaking updates, and adjourned without further business.
ND
Transcript Highlights:
  • Cities Area Transit provides both fixed-route bus service and complementary paratransit service within
  • service demands.
  • Has the service ever partnered with, say, a veteran service organization?
  • City Commission approved service changes for both the Cat Bus and our paratransit services.
  • This is a local service.
Summary: The committee met as a study subcommittee on fixed-route public transportation and first approved the December 11 minutes. It then heard detailed presentations from transit leaders in Grand Forks, Bismarck/Mandan, and Fargo about their systems, including route structures, paratransit service, ridership trends, fare changes, funding sources, fleet replacement needs, and operational challenges. Grand Forks described Cities Area Transit’s 17 routes, university shuttle service, expanded paratransit coverage, a 2025 fare increase, and rising costs for labor, fuel, parts, and new buses. Bismarck/Mandan’s Bisman Transit outlined its fixed-route and paratransit operations, recent service expansions approved for April 1, fare structure, ridership recovery since COVID, and major funding streams including mill levies, federal grants, and new local sales tax revenue. Fargo’s MATBUS representative emphasized the importance of continued state support for urban fixed-route transit. Members asked extensive questions about cost per ride, fare increases, school transportation, veteran service partnerships, app-based ticketing, local funding formulas, and whether ride-share or microtransit could replace fixed routes. Transit officials said fixed-route service remains essential because it provides reliable capacity, supports jobs and access to services, and preserves federal funding tied to public transit operations. They also said paratransit is costly but necessary for riders with disabilities, and that vehicle and maintenance costs have risen sharply. Minot’s transit superintendent added context on the state’s existing transit aid formula, explaining that it is weighted more toward rural and paratransit providers and that urban fixed-route systems are seeking a separate, dedicated funding source rather than changes to the current formula. The committee also heard public testimony from North Dakota Protection & Advocacy supporting both fixed-route and paratransit service for disabled riders, and from Minot staff on refurbished buses, CDL driver recruitment, and why the agency is not pursuing full electric buses. Near the end, members discussed whether to recommend additional state funding for the four urban fixed-route systems. A motion passed to have Legislative Council prepare a summary of the subcommittee’s activities for inclusion in the Government Finance Committee’s report to Legislative Management. Members then continued discussing possible recommendations, including a separate funding source for urban fixed-route transit and whether the four urban systems should meet to develop a proposed amount.
NH
Transcript Highlights:
  • </c> which additionally provide CFI services. which additionally provide CFI services.
  • </c> services that might be cut? services that might be cut?
  • </c> services and supports funding. services and supports funding.
  • </c> long-term services and supports in it. long-term services and supports in it.
  • </c> better services. better services.
Summary: The committee to study long-term managed care met to approve the prior meeting minutes, with a clarification that “OB3” referred to the “one big beautiful bill.” The minutes were then approved. Chair Jim Kofalt outlined the day’s agenda, which included testimony from the Granite State Home Health and Hospice Association, the New Hampshire Association of Counties, and later DHHS. He also noted that future meetings were expected soon and that the meetings were being livestreamed on YouTube. Granite State Home Health and Hospice Association, represented by Kellyanne Totten and Amy Moore, urged inclusive planning and a cautious, phased approach if managed care is considered. They emphasized that home care providers are not uniform, with different licensing and service models, and said any pilot should include varied provider types, rural and southern regions, and agencies of different sizes. They warned that workforce shortages, inflation, and a possible 9% CMS cut to Medicare home health payments could force agencies to reduce service areas or service types. They also said the 2023 Medicaid CFI rate increase has begun to lose its effect. In response to questions, they said the rural health transformation fund may help with planning and telehealth but likely cannot be used directly for rates or recruitment/retention. They also described the New England Home Care Nurse Residency Program, a Department of Labor grant, as a way to bring new registered nurses into home care with added training and school partnerships. The New Hampshire Association of Counties, through county nursing home administrators Craig Labore and David Ross, revisited the earlier Step Two managed care discussions from 2016-2018. They said prior consultants found the long-term services and supports system was underfunded and needed investment to stabilize providers and expand community-based care. They argued the same concerns remain today and said a managed model would jeopardize the Medicaid quality incentive payment program and, for county nursing homes, the proportionate share payment program. Their testimony was generally opposed to moving forward with managed long-term services and supports without significant additional funding and safeguards.
WA

Washington 2025-2026 Regular Session

Senate Human Services Jan 19th, 2026

Transcript Highlights:
  • So, welcome to the Senate Human Services Committee for this Monday, January 19th.
  • Examples of community residential services businesses include adult family homes, supported living services
  • Community access services, with some exceptions.
  • By starting DDCS services at 20, we can prevent this service cliff.
  • through the developmental disabilities community services.
Summary: The Senate Human Services Committee heard several Department of Social and Health Services-related bills. Senate Bill 6024, sponsored by Senator Gildon, would streamline oversight of community residential service providers by limiting DSHS to one annual routine review per subject area when possible, requiring better document sharing within the department, and preserving investigations tied to complaints, incidents, mortality reviews, and other legally required oversight. Supporters said the bill would reduce duplicative audits and paperwork so providers can spend more time on direct client services. No vote was taken during the hearing. The committee also heard Senate Bill 6063, an agency-request bill sponsored by Senator Bateman and supported by DSHS Secretary Angela Ramirez, to update statutes to reflect DSHS’s recent reorganization into the Home and Community Living Administration and the Behavioral Health and Habilitation Administration. Testimony described the measure as a technical cleanup with no fiscal impact. In addition, Senate Bill 6036, sponsored by Senator Kaufman, would exempt certain former foster parents and kinship caregivers from adult family home licensure when they continue caring for a former foster youth who is now an adult and the only unrelated adult in the home. DSHS supported the bill as a narrow way to preserve continuity and stability for vulnerable young adults. The committee spent the most time on Senate Bill 5681, sponsored by Senator Cortez, as amended in a proposed substitute. The bill would lower the age for people with intellectual and developmental disabilities to access employment and community inclusion services from 21 to 20, and rename community access as community inclusion. Senator Cortez and multiple advocates, educators, and service providers argued that earlier access would reduce service gaps, support transition from school to work, and help young adults maintain employment. Staff explained that the substitute changed the eligibility age from the original bill’s 19 to 20. No final action was taken; the chair closed the hearings and announced upcoming executive sessions on previously heard bills.
LA

Louisiana 2026 Regular Session

Appropriations Mar 16th, 2026

Appropriations

Transcript Highlights:
  • Operating services are about 0.5% of the department budget. Professional services are 1.5%.
  • , home and community-based services, and the deficiency HCBS services, home and community-based services
  • services for young people?
  • , 24-hour care for any behavioral health services, physical health services.
  • services, they provide service.
Summary: The committee first heard a budget presentation on LSU Health Care Services Division and Lallie Kemp Medical Center. Staff reviewed HCSD’s roughly $74.7 million budget, much of it tied to legacy obligations for former LSU hospital systems and support for Lallie Kemp. Committee members asked about prisoner care, risk management costs, declining admissions and emergency visits, and the hospital’s 340B drug program. Lallie Kemp officials explained that prisoner care serves multiple state and local facilities, that lower admissions largely reflect more patients being placed in observation status, and that the in-house 340B program provides major savings to patients and the prison system. Members also asked about care for unhoused patients and the hospital’s discharge practices, and the hospital said social services works to find placement when possible. The committee then moved to the Louisiana Department of Health budget, which was presented as just under $23.5 billion, with Medicaid making up more than 90 percent of the total. The presentation covered the Office of the Secretary, Office of Public Health, Office of Behavioral Health, Office for Citizens with Developmental Disabilities, and Medicaid. Major items included the new Rural Health Transformation Program, the transfer of several functions from DCFS to LDH under the One Door initiative, changes to SNAP administration, and large Medicaid adjustments driven by enrollment, utilization, and federal policy changes. Testimony also highlighted the statewide crisis hub and 988, the commodity food program for seniors, women’s health and maternal outcomes, and the department’s efforts to modernize technology and reorganize services. Members questioned LDH officials on a wide range of budget and policy issues, including the rural health grant, crisis services, Medicaid redeterminations, provider taxes, physician and hospital supplemental payments, nursing home rates, HCBS funding, and the impact of the federal One Big Beautiful Bill Act. LDH said the rural health grant would support workforce, technology, and care-delivery improvements; that the crisis hub and mobile crisis units are being expanded to improve access and reduce emergency room use; and that the department is working to keep the SNAP error rate below 6 percent to avoid a projected state cost increase. Officials also said they expect to return next year with additional funding requests for HCBS and other programs, while emphasizing that current budget changes are largely meant to realign funding with actual expenditures and new federal requirements. No votes or formal actions were taken in the portion provided.
CT
Transcript Highlights:
  • the Department of Social Services.
  • We included here the new services that we are covering and the services that are covered within the maternity
  • Shelly Nolan from the Department of Social Services, who will provide an update on women's health services
  • And I oversee women's services and problem gambling services for the Department of Mental Health and
  • Addiction Services.
Summary: The meeting focused on maternal health and behavioral health services for pregnant and postpartum people in Connecticut. Dr. Fatmata Williams of DSS gave an update on the Husky maternity payment bundle, explaining that it was created in response to worsening maternal and neonatal outcomes and racial disparities. She said the bundle, launched in 2025, shifts payment away from fee-for-service toward prospective case rates, quality measures, and shared savings, while covering services such as doulas and maintaining access to behavioral health and other non-pregnancy-related care outside the bundle. She noted 26 maternity practices are participating, quarterly quality reports have been distributed, reconciliation is planned for 2026, and DSS is considering refinements such as adding newborns, revisiting shared losses, and possibly expanding to FQHCs after further stakeholder review. Shelly Nolan of DMHAS then described the state’s women’s services and recovery continuum, including pregnant and parenting treatment programs, women’s recovery support programs, community transition support with rent subsidies, the Proud program, REACH navigation, recovery houses, and outpatient services. She emphasized that many programs are under capacity and that DMHAS uses a no-wrong-door approach, real-time bed availability, technical assistance, and training to improve access. She also reviewed initiatives tied to substance-exposed pregnancies and safe sleep, secure storage, naloxone distribution, reproductive health integration, breastfeeding support, and upcoming conferences and trainings. She said the department works closely with DCF and community partners to reduce stigma and improve family-centered care. Beth Garrigan presented on the Access Mental Health and Substance Use for Moms program, a statewide consultation service for providers serving pregnant and postpartum individuals up to 12 months after delivery. She said the program offers real-time psychiatric consultation, referral support, and one-time face-to-face assessments, and has provided more than 4,300 consultations and resource/referral support to over 700 individuals since 2022. Members and legislators praised the service and discussed how it helps providers connect patients to care, follow up on referrals, and address barriers such as fit, stigma, and workflow. No votes were taken; the meeting ended with plans for the next meeting on June 8 and a request for Dr. Williams’ slides to be posted online.
NH

New Hampshire 2026 Regular Session

House Science, Technology and Energy (02/03/2026)

Science, Technology and Energy

Transcript Highlights:
  • 04:07:28.720><c> service</c> service customers are default service service customers are default service
  • So, um, default service customers should pay for default service costs.
  • So, um, default service customers should pay for default service costs.
  • </c> competing on default service. competing on default service.
  • We are providing one service. They are providing a different service.
US
Transcript Highlights:
  • Military service becomes more worthwhile to pursue when the rewards of that service are valuable.
  • Thank you for your service.
  • Additionally, we encourage Congress to focus on improving the transition services for service members
  • , including service-disabled veterans.
  • Half of them are... service-disabled.
Summary: This meeting focused on veteran services, emphasizing the urgent need to address the alarming rate of unemployment and homelessness among veterans. Numerous testimonies were presented detailing the impact of mass furloughs and cutbacks at the VA on personnel, notably veterans who were serving as employees. Various representatives expressed deep concern over how these firings could drastically affect the quality of care available to those who have served the nation. There was a strong call for Congress to bolster funding for existing programs aimed at alleviating veteran homelessness and improving overall care quality, especially in mental health services.
CA
Transcript Highlights:
  • Fund account, formerly the Mental Health Services Fund.
  • Alliance of Child and Family Services.
  • for preventive mental health services.
  • I'm also a health service and policy researcher.
  • Social Service Foundation, funded by CRDP.
AR

Arkansas 2026 Regular Session

ARKANSAS LEGISLATIVE COUNCIL (ALC) Jun 19th, 2026

ARKANSAS LEGISLATIVE COUNCIL (ALC)

Transcript Highlights:
  • programs and services.
  • Just because a vendor offers a service, if we choose not to accept that service, that doesn't relieve
  • Just because a vendor offers a service, if we choose not to accept that service, that doesn't relieve
  • , moving everything to a shared service.
  • , moving everything to a shared service.
Summary: The meeting began with a quorum call, prayer, and approval of the previous minutes. Members then adopted a resolution honoring Lori McDonald of the Department of Human Services for nearly 28 years of state service, with remarks praising her legislative work, constituent services, leadership, and emergency response roles. McDonald thanked the committee, and the Senate also presented her with a citation, flag, and commemorative coin. The committee received the May 2026 revenue report, which showed gross adjusted collections of $7.76 billion year-to-date, up 4.4% from the prior year, and a projected surplus of $585.8 million. The executive subcommittee report was adopted, covering emergency rules for DHS and the Department of Education, school district waiver requests, committee fund allocations, cancellation of the July ALC meeting, and authorization for subcommittees to meet in July on urgent matters. The administrative rules report was also adopted after members noted that most rules were approved, with a few pulled by agencies or held. Members then heard a lengthy exchange on the Arkansas Education Department’s ClassWallet contract and delays in expense review for education savings account payments. Department officials said they were meeting regularly with ClassWallet, enforcing contract standards, keeping some reviews in-house, and adding staff and technology improvements to speed processing while maintaining oversight. The committee also adopted reports from Game and Fish and State Police, Hospital/Medicaid/Developmental Disabilities, Lottery Oversight, Occupational Licensing Review, Peer Review, Review, State Insurance Programs Oversight, and Personnel, including a Department of Commerce reallocation tied to a broader shared-services realignment. Under review of communications, members filed several retirement system investment items as reviewed, approved rural community grant funding, gave favorable advice for state park additions, approved special maintenance funding for state parks, and filed Office of State Technology service-rate changes as reviewed. The meeting concluded with no new business and adjournment.
MN

Minnesota 2025-2026 Regular Session

Committee on Health and Human Services - 03/25/26

Health and Human Services

Transcript Highlights:
  • </c> that provide services to seniors. that provide services to seniors.
  • </c> prevention services. prevention services.
  • </c> to services to get those. to services to get those.
  • </c> fee-for-service claims. fee-for-service claims.
  • </c> Human Services. Human Services. Madam<01:39:07.160><c> Chair.
FL

Florida 2025 Regular Session

February 11, 2025 - 09:00 AM

Transcript Highlights:
  • or any of these other managed services you have, like your document management service, I'm assuming
  • Our document management services is online.
  • Contracted services.
  • such as personal care services and home health care services.
  • They manage their services and help them to secure... ...their services.
Summary: The subcommittee heard updates on several state technology modernization efforts, beginning with the Florida Division of Emergency Management’s Enterprise Business Solution (DEMS). FDEM said DEMS is about 50% complete, with some grants and finance functions already live, and is intended to replace manual disaster and grants processing with a cloud-based system. Officials described faster reimbursement timelines after recent storms, major return-on-investment claims, and a planned final phase focused on design, testing, communications, data governance, and additional functionality. Members asked about the total cost, the role of Florida Digital Service, deliverables-based contracting, and how much of the system is live; FDEM said the project is expected to cost about $16 million to $16.8 million and finish by June 2027, with some follow-up information to be provided. The Department of Legal Affairs presented its Office of Attorney General Modernization Program, a follow-up to an earlier effort that failed after spending about $26 million. Acting Attorney General John Gard said the department has now moved to an off-the-shelf case management product, LawBase, and is in development and testing, with the Office of Statewide Prosecution already live and full implementation expected by the end of the fiscal year. The request includes funding for staff augmentation, cloud storage, the LawBase license, redundancy through a backup site in Orlando, and OnBase support. Members questioned the prior failure, the use of Florida Digital Service standards, data location and cloud migration, and the redundancy plan; Gard said lessons learned included better scoping and that the current effort is on track. The Department of Highway Safety and Motor Vehicles then updated the committee on Motorist Modernization, including the Orion system and the MyDMV portal. Officials said Phase 1 and Phase 2 have modernized driver license and motor vehicle services, with Phase 2 statewide rollout scheduled to begin in April 2025 and Phase 3 proposed at $16.5 million for dealer services, data warehouse improvements, and call center modernization. Members asked about payment options, organ donor questions, staffing, cybersecurity, cloud strategy, and the digital driver license program. The agency said the portal already allows some sanctions to be cleared online, an ACH option is being developed, the digital driver license vendor has changed with a fall go-live anticipated, and the department is using security testing and a managed security service provider. Officials also said the system is currently on an on-prem private cloud, with future workloads expected to move to public cloud where appropriate. Finally, Florida Commerce presented on the Reemployment Assistance modernization system, Reconnect, and the FLWINS workforce system. Commerce said Reconnect is hosted in the Azure Government Cloud, has reduced claim filing time, improved fraud detection, and increased appeals capacity, and now needs $4.9 million in recurring funding to cover ongoing operations, cloud hosting, licenses, and staff augmentation. Members asked about adjudication issues, wait times, fraud prevention, and whether the system stores caller identifiers; Commerce said the average wait to speak to a representative is about 18 minutes and claims are generally processed in four to six weeks. The committee then began hearing about FLWINS, which is intended to create a “no wrong door” workforce portal under the REACH Act, but the transcript cuts off before that presentation concluded.
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 2/25/26

Human Services Finance and Policy

Transcript Highlights:
  • program, establishing a moratorium on adding new service providers in the 14 high-risk services.
  • program, establishing a moratorium on adding new service providers in the 14 high-risk services.
  • program, establishing a moratorium on adding new service providers in the 14 high-risk services.
  • Um, the scope of your Services.
  • </c> of Minnesota are receiving the services. of Minnesota are receiving the services.
Bills: HF3378
HI

Hawaii 2025 Regular Session

HSH Public Hearing - Tue Feb 4, 2025 @ 9:30 AM HST

Human Services & Homelessness

Transcript Highlights:
  • </c><00:09:15.040><c> to</c> for the Department of Human Services to for the Department of Human Services
  • </c> also important is that those Services also important is that those Services help<00:10:19.560><c
  • uh the costs for our home Services uh the costs for our home health<00:10:31.440><c> services</c><00
  • :10:31.800><c> are</c><00:10:32.040><c> increasing</c> health services are increasing health services
  • Services, then it would be beyond just a lack of services.
Summary: The committee heard several Human Services measures focused on Medicaid access, long-term care benefits, home health reimbursement, SNAP administration, trauma-informed child welfare, and child abuse reporting. HP 702 would increase funding for Medicaid in-home services if federal matching funds are secured, and testimony from disability advocates supported the measure as needed to help people with disabilities cover medical expenses. HB 1477, described as a correction to a prior session’s mistake, would clarify that the monthly needs allowance for certain long-term care residents does not replace state supplemental payments and would raise the ceiling by $25 to fix the prior issue and by an additional $20 as a new benefit; DHS supported it with amendments, and the committee indicated it would amend accordingly. HB 713 would fund a DHS rate study for home health services, with the Healthcare Association of Hawaii strongly supporting it and describing rising labor costs, losses on Medicaid patients, and access concerns if agencies cannot keep serving Medicaid clients. HB 1099 would appropriate emergency funds to DHS after a USDA penalty tied to SNAP response times, with supporters including Catholic Charities Hawaii, Hawaii Public Health Institute, and others arguing the money should be reinvested in staffing and systems to improve access and avoid further penalties. HB 1079 would direct the Office of Wellness and Resilience and DHS to create trauma-informed assessments and training for Child Welfare Services staff; testimony from state offices and advocacy groups supported it, citing the Mālama ʻOhana Working Group, staff burnout, and the need for a sustainable train-the-trainer model. Finally, HB 239 would narrow when failure to provide a child’s needs constitutes abuse or neglect, but DHS raised concerns that the current wording could broaden abuse findings and leave families in poverty without a clear safety net, while the Honolulu prosecutor’s office opposed it, warning it could weaken mandatory reporting and hinder investigations of child abuse. No formal votes were taken in the portion provided, though the chair said HB 1477 would be amended and several measures were left open for further questions and testimony.
CA
Transcript Highlights:
  • Health Services Fund.
  • I have received services from... ...on behalf of Mass Social Services Foundation.
  • Social Service Foundation, funded by CRDP.
  • for preventive mental health services.
  • for preventive mental health services.
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.
NH

New Hampshire 2025 Regular Session

Senate Health and Human Services (02/06/2025)

Health and Human Services

Transcript Highlights:
  • , and other services, etc.
  • So I oversee the Bureau of Developmental Services and Adult and Aging Services.
  • </c> services and adult and Aging Services services and adult and Aging Services thank<01:42:43.599><
  • for 988 services.”
  • for 988 services.”
ND

North Dakota 2025-2026 Regular Session

Government Finance Committee Mar 19th, 2026

Transcript Highlights:
  • And then we have the social services Social services fund, which, again, is funded with a stream of oil
  • services costs.
  • service fund.
  • So, similar to what Robin just talked about with fleet services, all of our operational services are
  • Service.
Summary: The Government Finance Committee met with new leadership, approved the December 11 minutes, and received a series of informational updates on the state’s finances and related policy issues. The Office of Management and Budget reported the general fund is tracking very close to forecast, with revenues about $2 million above forecast and an estimated ending balance of about $397 million, higher than previously expected. OMB also reviewed balances in major funds, including the budget stabilization fund, legacy fund, foundation aid stabilization fund, social services fund, and strategic investment and improvements fund, and answered questions about oil tax revenues and fund management. The Tax Department provided updates on taxable sales and purchases by county and industry, noting Cass County as the largest county by taxable sales and that retail trade remains the largest industry sector. Tax Commissioner Brian Kroshus also discussed the federal One Big Beautiful Bill Act and its estimated effects on North Dakota income tax collections, explaining that the projected revenue impacts are measured against a 2025 baseline and that some provisions are temporary while others are permanent. He also reported that primary residence tax credit applications were running ahead of last year, with more than 154,000 received so far and an expectation of roughly 160,000-plus applications. The committee also heard fee-study presentations from the Department of Transportation and the Information Technology Department. DOT explained that driver’s license fees cover only about half of program costs and that the shortfall is subsidized by the highway fund, while also noting recent changes such as the blackout plate and motor vehicle excise tax distribution changes. NDIT described its internal service fund model, current billing structure, and possible future changes to simplify invoices and billing frequency. Legislative staff also updated the committee on office space needs in Bismarck-Mandan and on legislative branch space planning, and subcommittees reported progress on fixed-route transit funding and regional jail capacity, including a visit to the Burleigh-Morton detention facility and discussion of future prison bed needs. No formal votes or legislative actions beyond approving the minutes were taken, and the committee adjourned with its next meeting set for June 25.
CA
Transcript Highlights:
  • Thank you for your service. Thank you for what you've done.
  • Veterans Service Officers.
  • And thank you for your service as well, Mr. Boyd. I appreciate it.
  • called to service alongside them.
  • Here with me to provide... ...of modern-day military service.
Summary: The Senate Committee on Military and Veterans Affairs met on June 22 with several members initially absent, so the committee began as a subcommittee and later established a quorum. The committee first heard AB 1775, which would provide California support for transgender service members and veterans affected by a federal executive order requiring their separation from service. The author and witnesses described the policy as discriminatory and destabilizing, and supporters from civil rights and LGBTQ+ organizations urged passage. No opposition testimony was offered, and the chair and members expressed support for helping affected veterans with discharge upgrades, housing assistance, and expedited professional licensing. The committee then heard AB 2022, which expands the disabled veterans property tax exemption by creating a full exemption for certain totally disabled veterans meeting income limits and a 50% exemption for others, while preserving existing benefits. The author, a disabled Marine veteran, and multiple veterans’ organizations testified that the measure would help veterans remain in their homes and keep them in California; a Gold Star spouse also spoke in support. The bill was moved on a due pass motion to the Committee on Appropriations, with the roll held open until additional members arrived, and the consent calendar was later approved 4-0. Next, the committee heard AB 2054, which updates the definition of covered active duty for paid family leave purposes so military families can qualify when service members are deployed, activated for emergencies such as wildfires, or sent to extended training. Supporters, including Department of Defense and veterans’ representatives, said the bill reflects modern military service and protects families during disruptions. The committee also heard AB 2531, which would expand an existing uncompensated care grant program so veterans denied abortion care through the federal VA system can access support, and would add abortion resource information to CalVet materials. Support came from Planned Parenthood, the California Medical Association, the Lieutenant Governor’s office, and others; one member of the public raised concerns about coercion but did not clearly oppose the bill. All three bills were advanced on due pass motions to Appropriations, and the meeting adjourned after the final votes.