Video & Transcript Research : 'referral process'
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MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Children, Families and Persons with Disabilities Jun 21st, 2026 at 01:00 pm
Joint Committee on Children, Families and Persons with Disabilities
Transcript Highlights:
- services or CART providers, and we provide those referral services for them.
- We process disability claims for the Social Security Administration.
- We process disability claims for the Social Security Administration.
- I joined EHS to spearhead the interagency review team process.
- And so there's a process for us to do that.
Summary:
The hearing was an informational and oversight session of the Joint Committee on Children, Families, and Persons with Disabilities, with chairs and members hearing agency updates from several commissioners. The Department of Public Health’s Bureau of Family Health and Nutrition described its maternal and child health work, including home visiting, early intervention, WIC, newborn hearing screening, and cross-agency efforts on prenatal substance exposure, respite care, children’s vision, and maternal health initiatives. DPH emphasized that federal grant cuts, layoffs, and the loss of data systems such as PRAMS would weaken services and planning, and members asked about Title V funding and the impact of federal uncertainty.
The Massachusetts Commission on the Deaf and Hard of Hearing highlighted communication access services, interpreter and CART referrals, emergency after-hours support, family navigation, and independent living services. Commissioners and members discussed the shortage of ASL interpreters and the need to expand training pipelines, including partnerships with colleges and possible ASL programming for younger students. The Department of Developmental Services reported serving nearly 50,000 people and focused on youth and adult services, transition-age supports, autism services, self-direction, respite, and new high-acuity residential models. Members asked about respite availability, self-direction outcomes, and workforce shortages; DDS said it was expanding clinical capacity and provider rates while monitoring possible federal Medicaid, SNAP, and immigration-related impacts.
The Commission for the Blind described services for about 28,000 legally blind residents, most of whom are older adults, including social rehabilitation, orientation and mobility training, children’s services, assistive technology, vocational rehabilitation, and Turning 22 supports. The commissioner discussed a UMass-based effort to build the workforce pipeline for blindness services and said the agency was watching federal restructuring but had not yet seen direct cuts. MassAbility’s leadership then warned about major federal changes affecting Social Security disability determinations, including staff restructuring, office closures, and a new overpayment repayment policy, and said the agency was preparing for possible increases in claims and uncertainty around reallotment dollars that help fund services.
The Disabled Persons Protection Commission closed the hearing with an update on its abuse investigations and protective services for adults with disabilities. DPPC reported rising hotline calls and investigations, a growing caseload, its sexual assault response team, the abuser registry, and a new interagency protective services integration system funded by ARPA dollars through 2027. The agency also flagged new federal rules that could affect funding eligibility and said it may need statutory changes to comply. Members asked about funding, reporting pathways, and how complaints reach DPPC, and the commissioner said the agency uses both mandated reporting and proactive outreach to identify and respond to abuse.
WA
Washington 2025-2026 Regular Session
Senate Health & Long-Term Care Jul 22nd, 2025
Transcript Highlights:
- And so that process is currently—we are working on getting that going.
- So with respect to IMGs, yes, it's a variegated process.
- Thank you for holding our hands and guidance through these processes.
- The Doula Hub and referral system.
- This process was very intensive.
Summary:
The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed.
The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license.
The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.
MN
Transcript Highlights:
- , and we work on those stress referrals with those students.
- , and we work on those stress referrals with those students.
- , and we work on those stress referrals with those students.
- , and we work on those stress referrals with those students.
- <01:35:35.320>
to on the um through their own processes to on the um through their own processes
Keywords:
HF56, Minnesota bonding bill, capital investment, state bonds, bond proceeds fund, Hutchinson Area Transportation Services, Hutchinson, McLeod County, transportation facility, vehicle storage, equipment storage, fueling facility, temperate storage, local infrastructure, public works, general obligation bonds, education finance, school funding, state aid, appropriations
MN
Minnesota 2025-2026 Regular Session
Committee on State and Local Government - 04/09/26
State and Local Government
Transcript Highlights:
- that process and put them under here. that process and put them under here.
- Because this would only be process?
- They'll usually give a process now.
- but we still do those upon referrals but we still do those upon referrals from<01:23:18.640>
- And so, this over 300 referrals.
MN
Minnesota 2025-2026 Regular Session
Use of legislative email, phone number and office space restricted, HF4172 3/26/26
Minnesota House Floor Meeting
Transcript Highlights:
- <00:27:33.120>
and <00:27:33.240>our to be respectful of our process and our to be - Madam Chair, before you do that, could you remind us where this is—what the referral was for?
- Uh, and the referral on this specific bill is to send it to the general register.
- referral was for? referral was for?
- Uh,<00:30:02.280>
and <00:30:02.520>the <00:30:02.600>referral <00:30:03.160>
OK
Transcript Highlights:
- Bill 3942 just modifies certain aspects of our incentive evaluation process.
- We realize some processes that just aren't quite working correctly, and some new areas that come up that
- You cannot do referrals and can't have contact On behalf of a potential patient with outside entities
- Disagree because with the Referrals that can still happen and have been happening.
- So, a lot of what this is looking At is those referrals to out of state or to private care.
Keywords:
2030 census, complete count committee, census outreach, decennial census, enumeration, population count, hard-to-count populations, hard-to-enumerate areas, State Data Center, Oklahoma Census, multilingual campaign, public outreach, school-based outreach, community organizations, minority groups, ethnic minorities, language minorities, self-response rate, census awareness, federal census
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Mental Health, Substance Use and Recovery Jun 21st, 2026 at 01:00 pm
Joint Committee on Mental Health, Substance Use and Recovery
Transcript Highlights:
- Before we begin the testimony, let's just review the process and logistics for today's hearing.
- They saw a 30% decrease in specialty referrals, with about $5 million in savings.
- ...or is that a referral within the practice and collaborative care?
- If they need someone outside, they'll make that referral and facilitate it and expedite it.
- S. 1399 creates a timeline and a process.
Summary:
The Joint Committee on Mental Health, Substance Use and Recovery held a public hearing on 14 bills focused on insurance, parity, opioids, behavioral health access, and mental health system reform. Chair Mindy Domb and Vice Chair Robyn Kennedy outlined hearing procedures and noted the committee would accept written testimony. The hearing featured testimony from legislators, providers, advocates, and behavioral health organizations, with most speakers urging favorable reports on the bills they addressed.
A major topic was psychiatric collaborative care, including H. 222/S. 1390, which would raise reimbursement for collaborative care codes to at least Medicare levels and allow billing outside the MassHealth primary care subcapitation model. Supporters said the model improves access, outcomes, and cost savings by embedding behavioral health in primary care, and several witnesses described successful implementation in practices and schools. Committee members asked questions about how the model works, what specialties use it, barriers to adoption, and whether copays, deductibles, and subcapitation rules should be changed. Witnesses also supported related innovation legislation, including H. 2224, which would create a mental health innovation fund and support nontraditional trauma-healing approaches.
Other bills discussed included H. 2212, which would require prescribers to discuss opioid and pain-medication risks, alternatives, and addiction/overdose concerns with patients or guardians; H. 2232 and H. 2233, which would address equitable payment and equitable access for behavioral health providers serving MassHealth patients; and S. 1406, which would add opioid maintenance treatment information to MassPAT and allow patient-authorized access to that information. Witnesses also strongly backed S. 1399, which would set targets to increase behavioral health spending within the overall health care cost benchmark, arguing that Massachusetts underinvests in behavioral health and that greater investment could reduce emergency, hospitalization, homelessness, and criminal justice costs. No votes were taken; the hearing concluded after testimony and committee questions.
CA
California 2025-2026 Regular Session
Assembly Floor Session Jun 18th, 2026
California House Floor Meeting
Transcript Highlights:
- consent to suspend Assembly Rule 56 to allow the following committees to notice bills pending re-referral
- The following committees to notice bills pending re-referral: - Communications and Conveyance Committee
- - Judiciary Committee to notice SB 1425 (Cortese) for a hearing on Tuesday, June 23, pending re-referral
- It's clearly not a burdensome process.
- Moving on to announcements, I'm ordering the desk to remain open to process amendments.
FL
Transcript Highlights:
- If what she needs to hear is I'm sorry that she was not engaged in that process, this is it.
- This is the bill related to out-of-network referrals that we passed.
- A referral to notify their patient whether that referral is to an in-network or out-of-network provider
- DURING THE PROCESS OF APPROVING THE PROGRAM, THEY... MAY ALSO, THEY CAN LOOK AT THINGS.
- THIS IS A BILL RELATED TO REFERRALS AND OUT-OF-NETWORK REFERRALS.
ND
MN
Minnesota 2025 1st Special Session
House Veterans and Military Affairs Division 3/26/25
Veterans and Military Affairs Division
Transcript Highlights:
- investigative integrity and due process. investigative integrity and due process.
- <00:21:36.000>
for we're now unsure of that process for we're now unsure of that process for - So county veteran service officers often would fill out the core referral.
- So county veteran service officers often would fill out the core referral.
- <00:44:44.560>
that to us and in uh the RFP process that to us and in uh the RFP process that
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 2 on Human Services Apr 23rd, 2025
Transcript Highlights:
- Any thoughts on what you envision that process looking like? I can speak to the feedback piece.
- And how long do you believe that the process of engagement...
- And how long do you believe that the process of engagement and feedback would be?
- Hi, my name is Linda Sato, and I'm with the California Child Care Resource and Referral Network, supporting
- and working with local child care resource and referral programs across the state.
Summary:
The committee took up issue number seven, Child Care Rate Reform Transition Plan, and heard a presentation from the LAO on an eight-part transition plan for the period before implementation of the alternative methodology-based child care rate system. The plan would provide interim rate increases to existing regional market rates and standard reimbursement rates beginning January 1 of the budget year, keep the higher of SRR or ARMR as the single rate, annualize cost-of-care supplements, update hold-harmless language, eliminate the private market cap, authorize one-time systems transition funding with JLBC approval, and require annual reporting on parent co-pays. Members asked about the timeline and public/legislative feedback process, and administration staff said they were working toward the July 1, 2025 deadline while continuing stakeholder engagement through the rate and quality advisory process.
Public comment was overwhelmingly focused on child care and early learning funding. Providers, county offices, advocacy groups, and education organizations urged the Legislature to move quickly on the alternative rate methodology, provide interim relief through a cost-of-living adjustment, reimburse based on enrollment rather than attendance, and preserve health and retirement benefits and workforce stability. Many speakers also pressed for funding to expand the promised 200,000 child care slots, warning that waitlists remain long and providers are under financial strain. Several commenters supported maintaining or extending grants and technical assistance for transitional kindergarten, inclusive early education, and mixed-delivery early learning programs.
A separate set of comments addressed the Inclusive Early Education Expansion Program, with Sacramento County education officials and others urging a statewide plan that would extend support to the 20 counties not currently receiving grants, especially rural areas. Other speakers raised concerns about facilities and staffing impacts from TK expansion, the need for consistent eligibility rules across subsidized programs, and the importance of statewide systems-level funding. The chair thanked the LAO, administration, and public commenters, said the item would remain open until after the May Revision, and adjourned the meeting.
KY
Kentucky 2025 Regular Session
Senate Standing Committee on Families & Children (3-11-25)
Transcript Highlights:
- it's overwhelming for the processing it's overwhelming for the family<00:03:27.560>
members <00 - so you can see the amount of referrals so you can see the amount of referrals that<00:05:20.800>
- But I recognize trying to get a little bit ahead of it or slow it down the process.
- One more question before we take a vote, Senator. down the process absolutely yes so the down the process
- /c><00:08:23.400>
my is a timely process and unfortunately my is a timely process and unfortunately
Keywords:
Roll Call – 00:14
Discussion on HB 479 – 00:49
Vote on HB 479 – 09:03
Review of 921 KAR 001:400 Proposed – 09:50
Notice of Half-Year Block Grant Status Reports – 10:08, 958, all
Summary:
The committee met with a quorum, passed over House Bill 291, and took up House Bill 479, an act related to dementia training. Rep. Derek Lewis, joined by Rep. Adriel Camel and Mackenzie Wallace of the Alzheimer’s Association, explained that the bill would provide free dementia-specific training for Adult Protective Services workers and help them better recognize and respond to abuse, neglect, exploitation, and the needs of people with dementia. Testimony emphasized the personal impact of dementia on families, the difficulty of navigating diagnosis and care, and the need to connect families to services. A senator asked about the bill’s data and scope, and Wallace explained that the county-level figures reflected Adult Protective Services referrals and diagnosed cases of Alzheimer’s or other dementia among people 65 and older. She also noted broader public health efforts related to brain health and a federal grant effort tied to those issues.
Several members spoke in support, including Sen. Denine, who described his father’s recent death after a difficult period with dementia and said the training would help families and workers identify and respond to the disease earlier. After discussion, Sen. Heron moved the bill, the motion was seconded, and the committee voted 6-0 to pass House Bill 479 with favorable expression. The chair said it should pass on the Senate floor.
Afterward, the committee briefly reviewed administrative regulation 921 KAR 2:100 and found it reviewed with no questions. A child care block grant item was also presented for information only, with no questions raised. The meeting then adjourned.
TX
Texas 89th 2nd C.S.
89th Legislative Session - Second Called Session Aug 21st, 2025
Texas House Floor Meeting
Transcript Highlights:
- Following bills on first reading referral to committee, the clerk will read the bills.
- House Bill 3 is just the first step in this process.
- You apply and you go through a grant process. That's right.
- And there's This is a grant process, right? You apply and you go through a grant process.
- The following bill on first reading and referral to committee: H.B.
Keywords:
youth camps, emergency preparedness, safety standards, health regulations, camp licensing, disaster preparedness, emergency management, flooding, mass fatality, mass casualty, fatality tracking, body recovery, autopsy, justice of the peace, medical examiner, county judge, sheriff, mayor, emergency coordinator, emergency manager license
Summary:
The House convened in special session with a gubernatorial proclamation adding subjects related to penalties for legislators who absent themselves, ivermectin access, and groundwater study authority. The chamber also handled routine motions, committee scheduling, and first-reading referrals before moving to the main floor calendar focused largely on disaster response and public safety legislation. The central theme throughout the day was the July 4 flooding and related tragedies, with repeated references to families of victims and the need for stronger preparedness and prevention measures.
House Bill 1, on youth camp emergency plans and preparedness, was the most emotional and heavily amended measure. Members adopted changes requiring annual emergency plans for resident youth camps, staff training, parent notification, evacuation maps, floodplain-related disclosures, restrictions on sleeping quarters in flood-prone areas, and funding for enforcement. One proposed amendment to require air conditioning or heat in sleeping quarters failed, while another amendment on floodplain restrictions passed after debate over floodplain versus floodway language. HB 1 ultimately passed the House 136-1 on second reading and later 135-1 on final passage.
Senate Bill 2 / House Bill 2 on disaster preparedness, response, and recovery also advanced after extensive discussion. The bill creates training for justices of the peace in mass-fatality events, establishes an emergency manager licensing system, sets local succession procedures, creates a statewide volunteer management system, authorizes drone interdiction in disaster zones, expands disaster loan eligibility, and adds review and planning provisions for certain infrastructure and weather-related issues. Members debated the scope of the training, drone impacts on press coverage, volunteer registration, and infrastructure-related amendments; some proposals were adopted and others tabled or withdrawn. SB 2 passed the House 130-4 on third reading and later 132-4 on final passage.
The House also passed House Bill 3 creating the Texas Interoperability Council and a grant program for emergency communications equipment, House Bill 20 addressing disaster-related scams and fraudulent charitable solicitations, House Bill 22 expanding allowable uses of the broadband infrastructure fund for emergency communications, and Senate Bill 5 providing supplemental appropriations for disaster relief, including funds for local warning systems and weather monitoring. Each of these bills passed overwhelmingly, with only one or a few dissenting votes, and members repeatedly emphasized the need to improve coordination, communications, funding, and fraud prevention in the wake of recent disasters.
MN
Minnesota 2025-2026 Regular Session
Workforce Development Committee Meeting - 2026-04-09
Workforce, Labor, and Economic Development Finance and Policy
Transcript Highlights:
- not changed the way that that process not changed the way that that process works.<00:21:19.760>
- We examine our processes.
- We examine our processes. Happy to dive. We examine our processes.
- we use to make those criminal referrals. we use to make those criminal referrals.
- What was the thought process here? work. What was the thought process here?
Keywords:
bioindustrial facilities, economic development, renewable energy, advanced biofuels, state funding, HF2252, Minnesota bonding, volume cap, private activity bonds, tax-exempt bonds, public facility bonds, public facilities pool, unified pool, bond allocation, municipal finance, bond cap, housing bonds, residential rental projects, manufacturing bonds, enterprise zone bonds
Summary:
The committee first approved the prior day’s minutes as amended, correcting the meeting number from the 46th to the 45th meeting. It then took up House File 3217, which would restore funding for the Minnesota Bioincentive Program. Representative Kisha argued the state should honor commitments made to companies that met program requirements and had not received full reimbursement. Testifiers from the Great Plains Institute and Minnesota Biofuels Association said the program has supported bioeconomy investment, reduced greenhouse gas emissions, and generated strong economic returns, but has been underfunded, leaving unpaid claims. Members raised questions about whether the bill was retrospective and whether it should be reviewed by another committee; the bill was laid over for further consideration without a vote.
The committee then heard House File 2252, a proposal to modernize Minnesota’s private activity bond volume cap by shifting unused allocation from the small issuer/manufacturing bucket to the public facilities bucket while leaving the overall cap unchanged. The bill’s public finance testifier said the current allocation formula is outdated, housing would remain the top priority, and the change would be budget neutral. Testifiers from the Minnesota Milk Producers Association and Minnesota Biofuels Association supported the bill, saying it would better align financing with rural infrastructure, clean water, manure management, renewable natural gas, dairy processing, and low-carbon fuel projects, and could lower borrowing costs for those sectors. Members questioned whether the bill fit the committee’s jurisdiction and noted it might be more appropriate for another committee; the bill was also laid over for further consideration.
WY
Wyoming 2026 Regular Session
Senate Floor Session-Day 16, February 27, 2026-PM
Wyoming Senate Floor Meeting
Transcript Highlights:
- are you ready on your re-referrals? are you ready on your re-referrals?
- That this is a process. This is a process that goes through a step-by-step process.
- That this is a process. move forward.
- >
process. - re-referrals re-referrals and<01:40:40.480>
your <01:40:41.280>joint <01:40:41.679>
NM
New Mexico 2025 Regular Session
House - Agriculture, Acequias And Water Resources Jan 28th, 2025
House Agriculture, Acequias And Water Resources
Transcript Highlights:
- That all of these entities are going to follow is what really concerns me in this process.
- Vice Chair, just my last question generally is about the referrals.
- We have a process in place.
- So, they're two separate processes.
- So that they do not provide... that doesn't have to do with the referral to the tax committee.
MN
Transcript Highlights:
- Chair, I just want to get in the due process. I don't think it's the due process.
- Chair, I just want to get in the due process. I don't think it's the due process.
- Chair, I just want to get in the due process. I don't think it's the due process.
- It is a collaborative process.
- It's good to be back. process. So it's not just us but it's a process.
TX
Transcript Highlights:
- Garin moves to defer the reading and referral bills to the end of today's calendar.
- Members of the Speaker's desk is clear except for bill referrals.
- The following bills and resolutions on first reading and referral to committee.
- AB 942 by relating to the public school classroom safety review and the referral programs for students
- HB 968 by TOAH relating to the processes to address election irregularities providing a criminal. to
TX
Transcript Highlights:
- Senate has passed the following measures. 112 Chair moves to defer the reading and referral of bills
- We need more people like him involved in our process, in our communities.
- Thank you so much for engaging in this. process. So I have some of the leaders of Best Southwest.
- Kitzman moves the House adjourn pending the reading and referral of bills. until 10 a.m. Thursday.
- referral to committee, the clerk will read the bills and resolutions.