Video & Transcript : 'transitional living services' :
Page 327 of 500
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 4 on Climate Crisis, Resources, Energy, and Transportation Apr 23rd, 2025
Transcript Highlights:
- Forest Service.
- I personally had a house in Laguna Beach for a while, and I worried I live there.
- When I meet communities throughout the state, people will say, 'I don't live in a forest.
- As a society, we’ve always had difficulty paying for fire services, but...
- We can’t keep living the way we’ve lived and expect a different outcome.
Summary:
The hearing focused on California wildfire resilience, with the first panel discussing statewide funding, policy, and strategic priorities, and the second panel shifting to home hardening and defensible space. The LAO outlined the state’s wildfire risk, the large increase in resilience spending in recent years, and the fact that most funding has been one-time rather than ongoing. Testimony emphasized that wildfire risk varies greatly by region, that the state must balance response spending with prevention, and that success should be measured more carefully than by acres treated alone. Witnesses also noted the importance of local, federal, utility, and Proposition 4 funding sources, as well as the need for long-term maintenance and strategic prioritization rather than scattered projects.
Cal Fire leadership and other witnesses stressed that California’s wildfire problem is not uniform: forested areas, chaparral, and wildland-urban interface communities require different strategies. In Northern California and forested watersheds, speakers emphasized fuels reduction, prescribed and cultural burning, strategic fuel breaks, watershed protection, and maintaining forest health. In Southern California, testimony focused on wind-driven fires, ember intrusion, ignition prevention along roads and power lines, and the limits of large-scale vegetation clearing. Several witnesses argued that the state should invest where it can leverage local and regional partnerships, support capacity-building programs like Regional Forest and Fire Capacity, and improve data systems to track treatment effectiveness and project outcomes.
Members repeatedly pressed witnesses on how to prioritize limited funds, asking what should be done more of, less of, and first. The chair argued that protecting homes and communities through hardening and defensible space should be a major priority, especially near structures, while also acknowledging the need for broader landscape work and watershed protection. There was discussion of incentives such as insurance discounts, property tax treatment, and community certification for hardened homes, along with the need for multiple payers rather than relying on the state alone. Cal Fire reported new and expanding data tools, including treatment trackers, defensible space inspection dashboards, and a fuels treatment effectiveness program that evaluates whether nearby treatments affected wildfire behavior. No votes were taken because the hearing was informational only.
HI
Hawaii 2026 Regular Session
EEP-TOU Joint Public Hearing - Thu Feb 12, 2026 @ 9:30 AM HST
Energy & Environmental Protection
Transcript Highlights:
- </c><01:14:23.600><c> rate</c> a cost of service rate a cost of service rate and<01:14:25.840><c> uh<
- </c> back alternative is the cost of service back alternative is the cost of service rate<01:15:05.920
- </c> locked into that cost of service locked into that cost of service paradigm.<01:18:44.640><c> It<
- </c> proceed under a rate uh cost service. proceed under a rate uh cost service.
- The cash back won't cover services.
Bills:
HB1617
Committee:
House Energy & Environmental Protection
Keywords:
carbon emissions, tax credit, fossil fuel, agriculture, food security, environmental tax, greenhouse gas, 910, house, all
Summary:
The committees heard testimony on HB 1949, which would create a public dashboard for the green fee to improve transparency and accountability. Testimony from the Climate Change Mitigation and Adaptation Commission, the Office of Planning and Sustainable Development, and many community and conservation groups was generally supportive, with several speakers urging that the governor’s project recommendations remain largely intact and that community-driven projects continue to guide spending. One amendment was suggested to place the dashboard at the Department of Budget and Finance for fiscal expertise, while other testimony favored keeping it with the commission. Members asked about procurement, ETS involvement, recurring hosting costs, and whether the dashboard could be funded from green fee revenues; the commission said it could work with ETS and that green fee funds could reasonably be used. The committees then voted to pass HB 1949 with amendments.
The committees also heard HB 2618, which would require the governor to submit a separate bill for amounts tied to any increase in the transient accommodations tax and, in later discussion, was expanded into a broader restructuring of future green fee allocations. Testimony from the Climate Change Mitigation and Adaptation Commission, Hawaii Reef and Ocean Coalition, and others supported the bill and emphasized the value of more predictable, dedicated funding for conservation and climate-related work. During decision-making, the chair described amendments creating several special funds under DLNR, including a watershed biodiversity and wildfire risk reduction fund, an aquatic resources conservation fund, a coastal restoration fund, a cesspool conversion revolving loan fund, and a green fee special fund for remaining revenues, with recommended amounts discussed for some of the funds. The committees voted to pass HB 2618 with amendments.
The hearing then moved to HB 1644, a consumer protection measure for residential solar sales that would require compliance with consumer protection laws, licensing or contractor affiliation for sellers, and a standardized disclosure form. Testimony in support came from the Hawaii Green Infrastructure Authority, DCCA’s Office of Consumer Protection, Kauai Island Utility Cooperative, the Hawaii Solar Energy Association, and several solar companies and individuals. Supporters said the bill would address complaints about third-party sales practices and improve disclosure, especially around financing. The committee then began hearing HB 2243, which would require electric utilities to provide public, electronic customer bill impact analyses and annual reports to the Public Utilities Commission; the Division of Consumer Advocacy and the PUC offered comments supporting the measure’s intent.
ID
Transcript Highlights:
- Will be the memorial service for Mayor Hoggabum.
- But the Senate will be at ease while we make the transition.
- We lived in District 15 when we were from the time I went to kindergarten and I still live in the same
- These are all things that we should expect as property owners, things that help us live independent lives
- and healthy lives and have healthy families.
Summary:
The Senate convened with a quorum present, approved the journal, and moved through routine orders, including committee reports and messages from the House. Several bills and resolutions were introduced, referred to committees, or advanced on the calendar. The Senate then resolved into the Committee of the Whole to consider a series of House bills, adopting amendments to measures including House Bills 629, 678, 522, 810, 684, 561, and 860, and reporting them back as amended without recommendation. The committee also reported progress on House Bills 613, 526, 670, and 549, which retained their place on the calendar.
On third reading, the Senate passed Senate Bill 1294 on newborn hearing screenings after sponsor testimony emphasized early intervention, support from audiologists and deaf/hard-of-hearing advocates, and no fiscal impact. The chamber also passed Senate Bills 1353 and 1354, both housing bills expanding state standards for twin homes, duplexes, and accessory dwelling units in cities over 10,000; supporters framed them as property-rights and affordability measures, while opponents argued they weakened local control, increased infrastructure and parking burdens, and could benefit investors more than families. Senate Bill 1389, providing liability protection for property owners who allow polling places on their premises, passed unanimously after discussion about balancing voter access with premises liability.
The Senate also passed Senate Bill 1391, a technical fix preserving surveyors’ lawful entry authority for property and right-of-way work, and House Bill 727, which revises video voyeurism/extortion provisions to address AI-generated or threatened dissemination of intimate images and adds enhanced penalties when minors are involved. Finally, the Senate passed House Bill 542, the “Stop the Harms from Addictive Social Media Act,” after extensive debate over whether it protects children from addictive platform features or improperly shifts responsibility and creates surveillance and enforcement problems; the bill’s supporters argued it targets harmful platform design and parental control, while opponents raised concerns about legacy accounts, privacy, enforceability, and state overreach. Several roll-call votes were taken, with most measures passing by substantial margins, including unanimous passage of Senate Bill 1389 and 35-0 passage of House Bill 727.
MO
Missouri 2026 Regular Session
Higher Education and Workforce Development Apr 7th, 2026
Higher Education and Workforce Development
Transcript Highlights:
- And transitional degrees.
- But those services are vital. And lastly, there's a thing called targeted case management.
- But those services are vital. And lastly, there's a thing called targeted case management.
- But those services are vital. And lastly, there's a thing called targeted case management.
- Are underutilized and thereby may not be essential, or jobs that don't pay a living wage, perhaps.
Summary:
The Committee on Higher Education and Workforce Development heard two bills. House Bill 3221, sponsored by Rep. Castile, would bar state funds from supporting higher education degree programs that the federal government designates as low-earning, with the Coordinating Board for Higher Education reviewing the federal list and reporting impacts. The sponsor framed it as taxpayer accountability and return on investment, while many committee members and witnesses argued it was premature, lacked data, and could harm essential but lower-paid fields such as education, social work, early childhood education, counseling, and the arts. Supporters said the bill would mirror federal policy and affect only a small number of programs; opponents warned it could discourage universities from offering needed programs and would not account for long-term career outcomes or transferable skills. No vote was taken, and the sponsor said the bill was still a work in progress.
Testimony in support of HB 3221 came from a lobbyist for FGA Action and others who said federal law is already moving in this direction and cited a small number of affected programs. Opposition came from representatives of independent colleges, community colleges, and other witnesses who said the federal rules are still being developed, the earnings test is based on a limited snapshot, and some low-wage programs serve important workforce needs or lead to later advancement. Several members asked for more information on the federal list, the number and demographics of affected students, and possible unintended consequences for rural schools and workforce development.
The committee then heard House Bill 3416, sponsored by Rep. Bosley, which would create the Strengthening HBCUs Fund and direct a portion of gaming and classroom trust revenues to Lincoln University and Harris-Stowe State University for capital improvements and related support. The sponsor said the bill is intended to address historic underfunding of HBCUs and align Missouri with similar efforts in other states and at the federal level. Lincoln University President John Mosley testified in support, describing recent growth, major campus projects, and the need for additional infrastructure funding without increasing debt. Committee members asked about the funding amounts, whether Lincoln receives any special state support, and how the money would be distributed. No opposition testimony was heard, and the committee adjourned after the HB 3416 hearing without taking a vote.
WA
Transcript Highlights:
- with Disabilities Education Act, or IDEA, governs the provision of special education and related services
- with Disabilities Education Act, or IDEA, governs the provision of special education and related services
- School surveillance technology is defined to mean any technology, service, or system used to monitor,
- I'm a parent of a child who has received special education services in Washington and a constituent of
- I'm the parent of two sons who received special education services throughout their educations.
Bills:
SB6278
Committee:
House Education
Keywords:
teacher preparation, principal preparation, educator preparation, alternative route certification, teacher certification, principal certification, Washington Professional Educator Standards Board, PESB, field placement, student teacher, residency, mentoring, school district partnerships, K-12 education, preK-12, high-need schools, Title I, special education, English language learner, rural schools
MO
Missouri 2026 Regular Session
Elementary and Secondary Education Feb 18th, 2026
Elementary and Secondary Education
Transcript Highlights:
- So we're talking about a population that is looking to better their lives.
- , add services, or significantly alter the level of support that is being provided.
- We're going to transition now into public testimony on this House bill.
- We're going to transition now into public testimony or this House bill.
- It's not a related service. They're listed under supports for personnel.
Committee:
House Elementary and Secondary Education
Summary:
The committee heard testimony on House Bill 3239, which would make the Missouri Workforce Diploma Program permanent and move it into the MoCAP framework. Representative Hurlbert and supporters said the program has helped about 1,200 adults earn diplomas, mostly women with children, and that it improves employment and health coverage outcomes. Members raised concerns about funding, the use of the foundation formula, and how the program differs from existing adult education options. Supporters said it is tuition-free, pay-for-performance, and intended for adults with a short path to graduation; no vote was taken on the bill.
The committee then took up House Bills 2335 and 2230/2978 in executive session. HB 2335, dealing with teacher training, was amended and then given a do pass recommendation by a 19-0 vote. HB 2230 and 2978, as amended, were also approved do pass by an 18-1 vote after extensive discussion of the Student Screen Time Standards Act, including limits on screen time, a new advisory council, and a related cursive-writing amendment. Members generally supported the direction of the substitute, while some raised questions about local control, implementation, and the role of experts.
Later, Representatives Irwin and Steinhoff presented House Bills 2913 and 3228, which would provide legal protection for teachers who intervene in violent situations to protect students or themselves. Supporters said the bills would reduce fear of liability and encourage reasonable intervention, while committee members and witnesses discussed possible limits, training, whether the protection should extend to other school staff, and how the proposal interacts with existing discipline and restraint rules. Public testimony was largely supportive, with school and teacher groups asking for clearer definitions and coordination with federal law; no vote was taken. The committee also heard House Bill 2304, which would require parental consent before major changes to a child’s special education placement or services. The sponsor and advocates said it strengthens parent involvement and collaboration, while members questioned delays, due process, safety exceptions, and the effect on school operations. Testimony from advocates and parents supported the bill, and the hearing concluded without action.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 2 on Resources, Environmental Protection and Energy Mar 19th, 2026
Transcript Highlights:
- reuse, and recycling of California's resources, environmental education, disaster recovery, and the transition
- The transition to a circular economy doesn't happen automatically.
- communities live in.
- We rely on community engagement and lived experience to inform our policies and our actions.
- Our meetings are all hybrid and with Spanish-language interpretive services.
Summary:
The Senate Budget Subcommittee No. 2 on Resources, Environmental Protection and Energy heard budget overviews and several budget change proposals from CalRecycle, CalEPA, and DTSC. CalRecycle outlined its proposed 2026-27 budget of 987 positions and $1.9 billion, and members focused on edible food recovery funding under SB 1383, beverage container recycling fees and infrastructure under SB 1013, plastic packaging reduction under SB 54, and composting implementation under SB 279. CalRecycle said edible food recovery has recovered more than 300 million meals but lacks ongoing funding, explained that beverage container processing fees are set by statute and reflect higher recycling costs for difficult-to-recycle materials, and noted that SB 54 implementation will include a pollution prevention mitigation fund for legacy plastic cleanup. The committee also discussed the need for more composting capacity and the role of volunteer cleanup groups, while public commenters urged continued funding for food recovery, composting, and landfill response.
CalEPA presented its department overview and a proposal to strengthen landfill response and enforcement, emphasizing climate, air quality, water, and cleanup priorities. Secretary Garcia described the agency’s work on methane monitoring, toxics reduction, drinking water compliance, Exide cleanup, pesticide alternatives, and implementation of AB 617, while also noting the agency’s response to federal rollbacks. Members pressed CalEPA on landfill fires and subsurface elevated temperature events, especially at Chiquita Canyon, asking about authority, scientific resources, and when intervention should occur. CalEPA said it has authority to respond but needs more coordinated technical and enforcement capacity, and later presented a $5.1 million, 12-position multi-agency proposal involving CalEPA, CalRecycle, DTSC, and the Water Board to address current landfill events and improve future prevention and response.
DTSC and the Board of Environmental Safety presented several proposals tied to reform implementation, hazardous waste oversight, and emerging waste streams. DTSC reported progress in clearing its permit backlog, advancing safer consumer products regulations, and continuing Exide cleanup, while seeking additional resources for cost recovery and enforcement, PFAS work, recycling infrastructure for solar panels and lithium batteries, and a new statewide planning division to implement the hazardous waste management plan and consolidate reporting systems. The Board of Environmental Safety described its oversight role, public meetings, permit appeals process, and fee-setting authority, and said its priorities include permit appeals, hazardous waste plan oversight, and performance metrics. Members questioned whether DTSC was creating too many new subdivisions, but the department said the new structure is needed to handle growing workload and modernize regulation. Public testimony generally supported the landfill proposal, DTSC consumer product enforcement, water board staffing, and continued funding for food recovery and composting programs.
CA
California 2025-2026 Regular Session
Senate Environmental Quality Committee Apr 22nd, 2026
Environmental Quality
Transcript Highlights:
- mimicking the power of the sun, combining atoms to produce clean energy, and does not produce long-lived
- Thank you. ...and does not produce long-lived radioactive waste.
- Clean hydrogen can be used to transition existing power infrastructure into clean energy infrastructure
- And it'll also help transition the natural gas industry to clean as well.
- housing for East Bay residents and a whole new hub with commercial, light industrial, so people can live
Committee:
Senate Environmental Quality
TX
Transcript Highlights:
- The liability for land surveying services in or in connection with certain construction or service.
- normal lives.
- I lived this reality for 6 months.
- All they ask in return is for their service. All they ask in return for their service.
- healthier lives.
Committee:
Senate State Affairs
Keywords:
Texas Education Code, public schools, school district, open-enrollment charter school, teacher speech, employee speech, biological sex, pronouns, gender identity, retaliation, discipline, workplace protections, school personnel, education policy, LGBTQ, transgender, charter schools, SB 965, religious speech, prayer
MN
Transcript Highlights:
- . service. service.
- </c> maintain services. maintain services.
- </c> living facilities. living facilities.
- the transition.
- heard in Human Service Health and Human<02:46:47.920><c> Services.
Committee:
Senate Human Services
CA
California 2025-2026 Regular Session
Assembly Floor Session May 4th, 2026
California House Floor Meeting
Transcript Highlights:
- Many of these students live in one state and work in another.
- In the first ...to protect lives, property, and natural resources.
- healthy and dignified lives, and the evidence is undeniable.
- As a mother, and services compared to their white counterparts.
- are, and at the same time, all of our lives.
WA
Washington 2025-2026 Regular Session
House Environment & Energy Jan 12th, 2026 at 01:30 pm
Environment & Energy
Transcript Highlights:
- I'm in charge of the climate and energy transition office.
- Utilities can charge customers for the cost of service work on such devices.
- Utilities may also have a device removed if it inhibits service or their ability to read the meter.
- Utilities can charge customers for the cost of service work on such devices.
- Utility may also have a device removed if it inhibits service or their ability to read the meter.
Committee:
House Environment & Energy
FL
Florida 2026 5th Special Session
Children, Families, and Elder Affairs Jan 27th, 2026
Transcript Highlights:
- These services allow me to live independently and also work a full-time job.
- These services allow me to live independently and also work a full-time job.
- costly to the state than paying for our home and community-based waiver services to live independently
- their lives to the fullest extent.
- And with that, customer service, a culture of customer service, is something that I am working really
Summary:
The Committee on Children, Families, and Elder Affairs heard and advanced several bills and confirmations. SB 1016, on medical assistance eligibility for working persons with disabilities, was amended to remove automatic enrollment and to improve information sharing between AHCA and DCF; supporters said the bill codifies an existing program that helps developmentally disabled adults work without losing Medicaid coverage, and the committee reported the bill favorably. SB 1002, on temporary custody of minor children, was amended to focus on substance abuse as a pathway for court intervention when parental drug abuse creates ongoing risk to a child, and it was also reported favorably. SB 1594, on veteran benefit payments for minor clients in foster care, would ensure military benefits accessed for foster youth are preserved for post-secondary education or aftercare rather than used as reimbursement to agencies; it passed favorably without amendment.
The committee also considered SB 1630 on aging and disability services, a broad modernization bill covering long-term care screening, emergency continuity of care, area agency oversight, Alzheimer’s services, home care, and guardianship reforms. Two amendments were adopted, including one on competitive procurement and another allowing area agencies on aging to directly provide core services during emergencies with department approval. Supporters emphasized caregiver navigation, dementia training, and service continuity, and the bill was reported favorably. SB 1030 on substance abuse services/recovery residences was taken up with a substitute amendment that narrowed transfer definitions, required faster licensure action for existing providers adding levels of care, and limited credentialing entities’ access to resident medical records; stakeholders said further work was needed, but the committee still reported the bill favorably.
The committee also heard the nomination of Robert Astellos to lead the Agency for Persons with Disabilities. He outlined priorities including reducing the pre-enrollment list, improving transparency and family involvement, strengthening customer service, and streamlining agency processes. Several disability and provider organizations appeared in support, and the committee voted to recommend his confirmation. The committee then recommended confirmation of the appointees on tabs 7 through 10 by a single favorable vote, and adjourned at the end of the meeting.
FL
Transcript Highlights:
- The bill allows the Department of Motor Vehicles to issue an out-of-service order.
- when the minor transitions out of foster care.
- We have Victoria Zep, Family Support Services, waving in support. Is there debate on the bill?
- many others living with sickle cell disease.
- , and housing services for children in these areas.
Committee:
Senate Fiscal Policy
US
US Federal 2025-2026 Regular Session
Business meeting to consider the nomination of Douglas Collins, of Georgia, to be Secretary of Veterans Affairs. Jan 23rd, 2025
Senate Veterans' Affairs
Transcript Highlights:
- I think we can work together with the new Secretary to improve the lives of veterans and their families
- will be, I welcome the opportunity to work and advocate with him in the administration to improve services
- Let me just point out that we have asked the transition team and now the administration to further define
Committee:
Senate Senate Veterans' Affairs
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Thursday, May 8, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- As she transitions to her new role at the Savannah Historic Initiatives, we thank her for her service
- Forest Service.
- their lives.
- </c><03:35:11.920><c> Trump's</c> just trying to live their lives.
- Trump's just trying to live their lives.
HI
Hawaii 2026 Regular Session
JHA Public Hearing - Tue Apr 7, 2026 @ 2:00 PM HST
Judiciary & Hawaiian Affairs
Transcript Highlights:
- SO HHH, State Office of Housing and Human Services.
- Housing and Homeless Services.
- Housing and Homeless Services. Housing and Homeless Services.
- </c><00:26:41.440><c> back</c> if needed, um linkage to services back if needed, um linkage to services
- </c><01:22:56.560><c> in</c> of enterprise technology services in of enterprise technology services in
Committee:
House Judiciary & Hawaiian Affairs
Summary:
The committee heard a series of resolutions and a few bills, with testimony largely in support across the agenda. Early measures included HCR 15/HR 17 supporting Kamehameha Schools’ admissions policy, and HCR 22/HR 22 urging Congress to pass federal kidney disease legislation; both drew support and no opposition. The committee also heard HCR 146 HD1/HR 138 HD1 on “excited delirium,” with testimony from advocates urging the resolutions be broadened to include related terms such as hyperactive delirium and agitated delirium, and from family members and disability-rights advocates describing the issue as harmful pseudoscience tied to police-custody deaths and calling for a ban on the term and better mental-health responses.
The committee then took up HCR 123/HR 115 on creating a coordinated support and stabilization task force for Native Hawaiians experiencing homelessness or extreme low income. Department of Hawaiian Home Lands testified in support, describing its transitional housing work and saying collaboration and data-sharing with the state homelessness office would help beneficiaries and others; members questioned whether existing entities already do similar work and whether the proposal would extend beyond beneficiaries. HCR 32/HR 32, which asks the governor’s senior advisor on mental health and the justice system to develop a plan to increase access to Hawaii State Hospital for certain criminal defendants, drew support from the Department of Health, the governor’s office, and disability-rights advocates, who emphasized coordinated planning, diversion from arrest when appropriate, and matching people to the right level of care.
Additional resolutions addressed a range of policy issues: renaming Leeward Community College to Puloulou Community College (with no testimony), creating an ʻōlelo Hawaiʻi pathway under the Niʻihau dialect at UH (UH noted existing courses already cover the dialect but not a degree pathway), moving to a demerit-point driver licensing system (support only), and coordinating transportation infrastructure planning for Hawaiian home lands (DHHL supported the measure and said an expired DOT memorandum of understanding had covered related collaboration). The committee also heard support for expanding DHHL financial literacy and homeownership-preparedness programs, a resolution asking the Hawaii Civil Rights Commission to examine algorithmic discrimination, and a resolution urging the Oahu Metropolitan Planning Advisory Committee to follow its rules, comply with the Sunshine Law, review its executive director, and strengthen accountability; the last measure drew 11 written supports and no opposition. No final votes or decisions were taken in the portion provided, as the hearing focused on testimony and questions.
FL
Florida 2026 Regular Session
Appropriations Committee on Criminal and Civil Justice Jan 28th, 2026
Appropriations Committee on Criminal and Civil Justice
Transcript Highlights:
- You're living in their house.' So they would throw her out into the street.
- We obviously, you can see, work there with Homeland Security, FBI, our Marshal Service, Secret Service
- No, we live in a broken world. We have broken systems.
- No, we live in a broken world.
- No, we live in a broken world. We have broken systems.
OR
Oregon 2026 Regular Session
House Interim Committee On Health Care 06/16/2026 2:30 PM
Transcript Highlights:
- Blue bar is the member service, so how much of the money is actually going to member services compared
- Blue bar is the member service, so how much of the money is actually going to member services compared
- It's not that the services for that member are much lower.
- I do not know any significant changes in service.
- You know, you showed a couple examples where the money will be used for providing services, in-home services
Summary:
The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits.
CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs.
The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.
NH
Transcript Highlights:
- </c><00:34:57.200><c> and</c><00:34:57.359><c> PR</c> outside for our services and PR outside for our
- services and PR we<00:34:58.400><c> were</c><00:34:58.599><c> charged</c><00:34:58.960><c> fees</c><
- But as our state Supreme Court has often said, we don't live in a system of pure majority rule.
- But as our state Supreme Court has often said, we don't live in a system of pure majority rule.
- But as our state Supreme Court has often said, we don't live in a system of pure majority rule.
Committee:
Senate Judiciary