Video & Transcript Research : 'waiver programs'

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MN

Minnesota 2025-2026 Regular Session

Child Committee Meeting - 2025-04-02

Children and Families Finance and Policy

Transcript Highlights:
  • They already have a program similar to this or the very program. Is that correct?
  • Yes, they have a program, the Transit Assistance Program, that exists today.
  • The structure of the program is just like the compensation support program.
  • The program.
  • program.
MN

Minnesota 2025-2026 Regular Session

House Children and Families Finance and Policy Committee 4/2/25

Children and Families Finance and Policy

Transcript Highlights:
  • They already have a program similar to this, or the very program—is that correct?
  • Yes, they have a program—the transit assistance program—that exists today.
  • The structure of the program is just like the compensation support program.
  • It's a very expensive program.
  • It's a very expensive program.
TX

Texas 89th Regular

Criminal Justice Apr 1st, 2025

Criminal Justice

Transcript Highlights:
  • They will be hotels and restaurants. and the judge has granted have gone to that program, and it is a
  • There is a separate program. for female offenders as well.
  • And so the youthful offender program at the Ellis unit is for the male offenders.
  • In fact, TDCJ's biannual biannual rehabilitative program evaluations which assess program outcomes by
  • comparing rates of program participants and indicate that quote substance use disorder programs like
Summary: The Senate Committee on Criminal Justice convened to address pressing issues surrounding oil field crime and safety on Texas highways. The meeting was initiated by Chair Flores, who emphasized the need for improved tools to combat repeat offenders having committed intoxicated driving, alongside tackling oil field theft that has escalated due to organized criminal activities. The committee heard public testimonies and engaged with various stakeholders, including law enforcement and industry representatives, who highlighted the complexities and dangers associated with these crimes. Notably, a significant focus was placed on Senate Bill 1320, which aims to establish a dedicated unit within the Department of Public Safety to investigate and address thefts specific to the oil and gas industry. This initiative seeks to strengthen coordination among various law enforcement agencies and improve training for local officers to combat these sophisticated theft operations more effectively.
TX
Transcript Highlights:
  • Do they have to go to that program?
  • There is a separate program for female offenders as well.
  • And so the youthful offender program at the LSU unit is for male offenders.
  • In fact, TDCJ's biannual rehabilitative program evaluations, which assess program outcomes by comparing
  • recidivism rates of program participants, indicate that substance use disorder programs like PRSAP are
Summary: The committee heard and advanced several criminal justice bills, with most of the discussion focused on oilfield theft, DWI enforcement, juvenile justice, reentry licensing, jail transparency, and court/judicial standards. SB 1320 would create a DPS oilfield theft unit headquartered in the Permian Basin; supporters from industry, law enforcement, and a district attorney described increasingly sophisticated, organized theft tied to cartels and multi-jurisdictional criminal networks, while DPS said it currently has only two officers working the issue. The committee voted SB 1320 out unanimously and placed it on the local and uncontested calendar. SB 826, which would enhance DWI committed in a school zone to a state jail felony, also passed unanimously after brief explanation and no testimony. SB 1171, adding juvenile justice OIG peace officers to Schedule C salary, was reported favorably on a committee substitute, and SB 1080, which would allow incarcerated people to obtain occupational licenses effective upon release, also passed on a committee substitute after testimony from formerly incarcerated advocates and reentry supporters. The committee also considered several bills aimed at tougher DWI penalties. SB 476 would increase intoxication manslaughter penalties when the offender violates an ignition interlock restriction; the bill was supported by the author, victims’ family members, Galveston officials, and law enforcement, but opposed by the Texas Civil Rights Project, which argued treatment and prevention would be more effective. After discussion about possible amendments, the bill was left pending. SB 745 would create a new first-degree felony option for intoxication manslaughter involving multiple deaths, and it was reported favorably after testimony from a prosecutor supporting the need for a stronger sentencing option. SB 2320 would broadly increase penalties for DWI offenses, including first-time DWI, DWI with an open container, high-BAC DWI, and repeat offenses; it was supported by a grieving family member and a sheriff, and the committee voted it out favorably. On juvenile justice, SB 1727 would expand tools to address assaults on staff at Texas Juvenile Justice Department facilities by lowering the age for transfer to adult prison in some cases, allowing earlier transfer of determinate-sentence youth, and restricting release when a criminal case is pending. Juvenile probation officials supported the bill as a public safety and victim-rights measure, while the Texas Civil Rights Project opposed it, arguing it would send children to inappropriate adult facilities and conflict with juvenile justice principles; the bill was left pending. SB 1437 would expand the juvenile justice do-not-hire registry to include non-certified positions, and it passed unanimously after supporters said it would help close loopholes that allow predators to move between child-serving jobs. SB 2289, requiring counties that house inmates out of state to report that information and any deaths to the Texas Commission on Jail Standards, also passed unanimously. Finally, SB 989, requiring criminal background checks for court personnel who determine bail, and SB 664, establishing statewide qualifications and oversight for magistrates and associate judges, were explained and discussed as transparency and public-safety measures, with SB 989 reported favorably and SB 664 under committee consideration at the end of the transcript.
TX

Texas 89th 2nd C.S.

State Affairs Mar 19th, 2025

State Affairs

Transcript Highlights:
  • Importantly, this grant program protects the state's investment by acting as a reimbursement program
  • Included, you know, um, low income discount program, a program for emergencies and disconnects, consumer
  • Uh, have that fund work with TDHCA which receives some federal money for weatherization programs.
  • The Federal Low Income Home Energy Assistance Program, LIHEAP, serves only 4.5%.
  • And you know, that's exactly why we need a program like this uh as soon as possible, um.
TX

Texas 89th Regular

State Affairs - Part 1 Mar 19th, 2025

State Affairs

Transcript Highlights:
  • certainly that would be adults that are in charge there saying you know this material. is part of our program
  • and so we feel like this bill would allow the comptroller and state agencies to implement policy. programs
  • It's more of an educational program saying, you can do this. Please don't hesitate.
US
Transcript Highlights:
  • space as commander of the Crew 10 continues Washington's rich contribution to our nation's space program
  • it's important to understand that the Turtle Rescue Act, led by Senator Markey, establishes a grant program
Summary: The Senate Committee on Commerce, Science, and Transportation held an important meeting where they discussed various bills aimed at addressing pressing issues like consumer protection, technology, and environmental management. Chairman Cruz opened the meeting by emphasizing the role of subpoenas in ensuring accountability and oversight, highlighting a recent compliance from several parties following such threats. The meeting progressed to consider several bills, including the Romance Scam Prevention Act championed by Senator Blackburn, which seeks to protect vulnerable populations from online dating scams that have resulted in enormous financial losses, particularly among seniors. The committee also nominated Michael Kratios for the Office of Science and Technology Policy and Mark Medder for the Federal Trade Commission, underscoring the significance of leadership in fostering innovation and consumer protection in technology sectors.
US
Transcript Highlights:
  • We do have a comprehensive outreach program that does include a survivor's element.
  • We have a program right now that could save the VA $20-30 billion a month, but nobody will talk to us
  • I presume we all want veterans to be able to take advantage of the programs that Congress has passed
  • Chairman, so my wife went through this program.
  • There's potential for adding inconsistency and the VA staff working on the program.
Summary: During the meeting, various members engaged in extensive discussions surrounding 15 proposed bills related to veterans' affairs. Notably, concerns regarding recent VA workforce changes sparked debates, particularly about potential cuts and their implications for veterans' care and benefits. Chairman Moran emphasized the need for thoughtful reforms and coordination with stakeholders, urging responsible measures to prevent negatively impacting service delivery. The meeting highlighted a significant bipartisan effort to enhance veterans' access to essential health services, particularly in light of recent challenges faced by the VA workforce. Senator Blumenthal's assertions about the urgent plight of veterans due to cuts in personnel drew strong reactions, showcasing the deep concern among committee members regarding the current state of veteran services.
NH

New Hampshire 2025 Regular Session

House Finance Division III (03/10/2025)

Transcript Highlights:
  • And then, on the previous bullet about the waiver, I understand the waiver.
  • So, you know, last term we put a lot of emphasis on these rates, but just at the waiver program as its
  • programs.
  • <01:19:33.440> uh<01:19:33.679> as<01:19:33.880> of waiver programs do you have
  • uh as of waiver programs do you have uh as of this<01:19:34.440> point<01:19:34.920> say
Keywords: 928, house, all
Summary: The Division of Long-Term Supports and Services presented its budget and program overview as part of the Department of Health and Human Services operating budget review. Leadership described the division’s three bureaus—Aging and Adult Services, Developmental Services, and Family-Centered Services—and explained that the division provides guidance, technical assistance, quality monitoring, and contracted provider oversight across the lifespan. Members also discussed staffing, with reported vacancy rates of 4% in Aging and Adult Services, 15% in Developmental Services, and 6% in Family-Centered Services; the division said the higher BDS vacancy rate is partly due to the small number of authorized positions. The governor’s budget had left eight positions unfunded in the division, including three in Aging and Adult Services and five in BDS. A major topic was the division’s roadmap initiatives, especially building a system of care for healthy aging and strengthening developmental disabilities systems through a new reimbursement rate structure. The division said it contracted with an actuary to study DD service costs and found rates had not been reviewed since 2017 and were significantly below actual costs and other states’ rates, contributing to provider shortages even when services are authorized. Members asked about the impact on service delivery and whether rates would need to rise overall; the division said its strategy is to focus on lower-cost services that help people remain in the community. The division also reported waiver enrollment figures, including about 4,161 people on the Choices for Independence waiver, 3,688 average nursing facility residents, 5,061 people on the DD waiver, 228 on the acquired brain disorder waiver, and 488 children on the in-home support waiver, while noting there is no funding waitlist but provider availability remains a constraint. The division highlighted IT modernization as a major accomplishment, especially moving Adult Protective Services and Developmental Services into the New Heights system. Officials said these changes improve case-note access, data retrieval, service authorization tracking, and transparency for providers, and they asked for future oversight discussion focused on IT leverage. Members noted that New Heights maintenance is budgeted in the Office of the Commissioner under class 27 and suggested better transparency on system costs and benefits. The division also reported that it closed out a long-running CMS corrective action plan for BDS on July 1, 2023, and said it is now focused on strengthening the system rather than compliance alone. Other discussion covered the Aging and Adult Services bureau’s name change from Elderly and Adult Services to Adult and Aging Services, intended to avoid negative connotations and better reflect preventative services. The bureau described Adult Protective Services trends involving scams, financial exploitation, self-neglect, and isolation, and explained that it administers the CFI waiver, determines medical eligibility for nursing facility level of care, and braids funding from Medicaid, state funds, Older Americans Act money, Social Service Block Grants, and other grants. Members asked about waiver growth targets and federal consequences if enrollment remains below projections; the division said it would explain the shortfall in a future waiver amendment and did not anticipate a federal penalty. The meeting ended without any votes or formal actions taken.
ND

North Dakota 2026 1st Special Session

Tribal and State Relations Committee May 13th, 2026

Tribal and State Relations Committee

Transcript Highlights:
  • So all of our programs, regardless of whether it's a certificate or degree program, include Dakota culture
  • have access to an opioid treatment program.
  • The waiver established, what year?
  • IMD waivers are not a difficult thing to do.
  • IMD waivers are not a difficult thing to do.
Summary: The committee met at Spirit Lake Tribe and heard an extended discussion with Spirit Lake tribal leaders and program directors about government-to-government relations with the state. Chairwoman Street and others outlined a number of concerns and requests, including taxation of tribal and trust lands, state school support for non-beneficiary students, homelessness services, Indian-managed health care, gaming/e-tabs, the Feather Alert system, industrial farming near waterways, tourism and cultural issues, and the need for more consistent tribal consultation. Committee members responded that many of these issues had previously been passed along without direct action, and several members emphasized the committee’s role in education, communication, and preparing possible legislation or resolutions for the next session. Tribal representatives also offered to provide training on treaties, IHS 638, and compact services to help legislators better understand tribal jurisdiction and billing issues. A major portion of the meeting focused on Spirit Lake Fish and Wildlife concerns, especially jurisdictional “gray areas” around hunting and fishing on the reservation, recognition of tribal licenses, and the boundary of the reservation around Spirit Lake/Devils Lake. Tribal officials said they wanted a co-stewardship agreement or MOU with the state to clarify jurisdiction, improve cooperation, and address invasive species and aquatic nuisance species. Committee members discussed whether to draft legislation or a resolution directing the executive branch and state agencies to negotiate such an agreement, and they asked for further input from the North Dakota Game and Fish Department at a future meeting. The committee also discussed county involvement in land status changes and trust land issues, with Spirit Lake leaders describing a past Benson County resolution that tried to block fee-to-trust transfers and saying it was later rescinded. The committee then heard from Benson County tax equalization director Randy Thompson, who explained how the county values land and handles tax-exempt, inundated, and fee-to-trust parcels. Members asked about the impact of tax-exempt lands on county services and discussed prior legislation that helped counties with large tax-exempt bases. The committee also received a presentation from Dr. Steven Smith of Sisseton Wahpeton College, who described the college’s programs, economic impact, and funding needs, including support for non-beneficiary students and workforce training. Members asked about expanding tribal college education into correctional settings, and Smith said the idea was worth exploring through the tribal college system. Finally, HHS interim medical services director Christoph Framing presented remotely on 1115 Medicaid waivers and the IMD exclusion, explaining current state funding mechanisms for inpatient and residential behavioral health services and the bill draft directing HHS to pursue a waiver for IMD payments.
CA
Transcript Highlights:
  • Let me highlight how we're looking at the evaluation of these programs... ...under the CalAIM waiver.
  • If you could direct your comment towards either CalAIM or the HCBA waiver programs and keep it to 30
  • The HCBA waiver has been great, but it needs to be increased in order to keep these programs going.
  • The HCPO8 waiver program has allowed me to transition from...
  • The HCPO8 waiver program has allowed me to transition from a congregate into living in the community.
Summary: The committee heard a budget oversight hearing on the Department of Health Care Services, focusing first on the overall Medi-Cal budget and a March General Fund loan to cover a current-year shortfall. DHCS said the 2025-26 budget proposal totals $193.4 billion, with Medi-Cal projected at $188.1 billion total funds and $42.1 billion General Fund, driven by higher enrollment, pharmacy costs, managed care growth, and costs tied to eligibility expansions and the COVID-era redetermination unwinding. The department said the $3.44 billion loan was needed to manage cash flow and ensure timely payments to providers and plans, while the LAO noted Medi-Cal’s cash-basis budgeting creates volatility and that more detailed estimates would come with the May Revision. Members discussed federal Medicaid threats, the need for transparency on cost drivers, and the impact of pharmacy spending, long-term care, and immigration-related coverage expansions. The second major topic was family health programs, including California Children’s Services, the continuous coverage unwinding, and opioid settlement fund spending. DHCS described CCS funding methodology changes, ongoing county stakeholder work, and a delayed rollout of CCS monitoring and oversight until July 1, 2025, while county representatives and advocates argued the program is underfunded and asked for more technical assistance and a delay in implementation. On the unwinding, the department explained that federal redetermination flexibilities helped maintain coverage after the pandemic, but the Governor’s budget proposes ending them at the end of June 2025; advocates urged making the flexibilities permanent to avoid coverage losses. For opioid settlement funds, DHCS and Finance said the budget increases funding for naloxone distribution while reducing other harm-reduction spending based on updated settlement revenues, prompting criticism from members and public commenters who argued the change would weaken effective harm-reduction programs. The hearing also included an update on Proposition 35 implementation. DHCS said the voter-approved measure continuously appropriates MCO tax revenues beginning in 2025, with up to $4.6 billion annually available for specified Medi-Cal and provider investments in 2025 and 2026, but implementation depends on consultation with the required stakeholder advisory committee. The department and LAO noted uncertainty about future federal rules affecting the MCO tax after 2026. Public testimony largely supported maintaining Medi-Cal expansions, protecting immigrant coverage, preserving harm-reduction funding, and increasing support for community health workers, pediatric dental care, and CCS county administration. No votes were taken during the portion of the hearing provided.
ND

North Dakota 2025-2026 Regular Session

Tribal and State Relations Committee May 13th, 2026

Transcript Highlights:
  • So all of our programs, regardless if it's a certificate or degree program, include Dakota culture, language
  • have access to an opioid treatment program.
  • The waiver established, what year?
  • IMD waivers are not a difficult thing to do.
  • It directs the department to apply for a waiver.
Summary: The committee met at Spirit Lake Tribe and first heard welcoming remarks and introductions from tribal leaders and program directors. Chairwoman Street and other tribal representatives outlined a range of concerns and requests for state action, including taxation of reservation lands, support for non-beneficiary students at the tribal school, homelessness funding, Indian-managed health care, gaming and e-tabs, Feather Alert improvements, industrial farming near waterways, tourism, and better state-tribal consultation. Committee members responded that the meeting was intended to improve understanding and communication, and several members suggested future legislation or resolutions could be used to advance some of the issues. The tribe also offered to provide training on treaties, IHS 638, and compact services to legislators and staff. A major portion of the discussion focused on Spirit Lake fish and wildlife jurisdiction and the lake boundary. Tribal representatives asked for an MOU or co-stewardship agreement with the state to clarify hunting and fishing rights, recognize tribal licenses, and reduce recurring disputes over “gray areas” on the reservation and lake. Committee members discussed whether to draft a bill or resolution directing the executive branch and state agencies to negotiate such an agreement, and asked that North Dakota Game and Fish be invited to a future meeting. Related concerns included aquatic nuisance species prevention, with both sides agreeing that more aggressive boat inspection and cleaning measures would be beneficial. The committee also discussed taxation and county relations. Tribal leaders raised concerns about county resistance to fee-to-trust transfers and about property and vehicle taxation affecting members living on or near reservation lands. Committee members and tribal counsel reviewed federal treaty principles and court cases, and one member noted that the committee had previously taken no formal action on similar issues. Later, Benson County’s tax equalization director explained how the county values taxable land, handles inundated land applications, and tracks land coming off the tax rolls when the tribe repurchases acreage. The discussion ended with a presentation from the president of Sisseton Wahpeton College, who described the college’s programs, economic impact, and funding needs, followed by an HHS presentation on 1115 Medicaid waivers and the IMD exclusion as the committee moved to its next topic.
NM

New Mexico 2025 Regular Session

IC - Legislative Health and Human Services Jun 27th, 2025

Legislative Health & Human Services Committee

Transcript Highlights:
  • Um, he and his family are new to New Mexico and applied for the DD waiver program.
  • We are looking at all waiver programs and all services, uh, for that rate study.
  • Um, right now there are no direct cuts to the DD waiver services program. Being proposed.
  • I didn't travel with the DD waiver. I did travel with the FIT programs.
  • And is that DD and is that just in the waiver program, or is it in HCA?
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 2/18/26

Human Services Finance and Policy

Transcript Highlights:
  • The second section says the commissioner shall not terminate any Medicaid program waiver or benefit enacted
  • So if we are giving the commissioner the authority to terminate any program or waiver or benefit based
  • So if we are giving the commissioner the authority to terminate any program or waiver or benefit based
  • So if we are giving the commissioner the authority to terminate any program or waiver or benefit based
  • amendment, which is our waivers such as the DD waiver or the CADI waiver.
Bills: HF3379
KY

Kentucky 2026 Regular Session

Interim Joint Committee on Families and Children.(6-17-26)

Families & Children

Transcript Highlights:
  • This is a quick look at our Kentucky 1915(c) waiver programs.
  • Kentucky 7 1915 C waiver programs. Kentucky 7 1915 C waiver programs.
  • > do<01:09:29.400> require Again, these waiver programs do require Again, these waiver
  • This is because waiver eligibility is tied to participation in the waiver program.
  • the waiver program. the waiver program.
Keywords: 958, all
KY
Transcript Highlights:
  • ,<00:03:59.440> standardize across waivers, standardize across waivers, standardize waiver
  • waiver.
  • So, this child waiver the child waiver.
  • . waiver. waiver.
  • . waiver. waiver.
Keywords: 958, all
Summary: The Medicaid Oversight and Advisory Board met on September 24, 2025, approved the minutes from the September 9 meeting, and then continued its discussion of Medicaid waivers with Leslie Hoffman and Carmen Hancock from the Department for Medicaid Services. Members asked for updates on the 2024 waiver waitlist management assessment recommendations, including aligning waiver policies, standardizing applications and waitlist placement, and modernizing data systems. DMS said that work is being done jointly with Aging and Independent Living and Behavioral Health/Developmental and Intellectual Disabilities through task forces, that ARPA spending delayed action, and that implementation timelines extend through March 2027. The board also reviewed per-member waiver cost averages for fiscal years 2023 through 2025 for ABI, ABI long-term care, HCBS, Model II, Michelle P, and SCL. DMS emphasized these figures were benefit-only averages based on paid claims, not full waiver costs, and explained that true budget neutrality is calculated on an aggregate basis against institutional care comparisons approved by CMS. DMS said all six waivers remain in compliance with budget neutrality and that the most recent 18-month lag review for FY 2022 and FY 2023 found costs at or below institutional care. Members also asked about unused waiver slots; DMS said slots generally cannot be reallocated mid-year if they have been used, except in cases such as death or reserved capacity, because CMS treats participants as unduplicated for the waiver year. A major portion of the meeting focused on the new child waiver created under House Bill 6. Legislators questioned whether the waiver’s design, including the exclusion of participant-directed services and the emphasis on high-acuity children with behavioral health, DCBS, or juvenile justice involvement, matched the bill’s intent to keep children at home. DMS said it used the $14.7 million appropriated for FY 2026 to develop the program, that there is no priority list, and that the waiver is intended to serve the highest-acuity children while also addressing residential needs for those sleeping in offices or placed out of state. Members also raised concerns about the rapid growth of the HCBS waiting list and asked for more detail on age and timing patterns, which DMS said it would provide later. Finally, DMS gave average processing times from application to eligibility determination and from approval to service start, and said the overall average from application to services beginning was about 80 days, while members requested follow-up information on the Carewise assessment contract and related costs.
NH

New Hampshire 2025 Regular Session

House Health, Human Services and Elderly Affairs (10/01/2025)

Health, Human Services & Elderly Affairs

Transcript Highlights:
  • When we set up the first program federally, it was a about a seven-figure investment in starting a waiver
  • When we set up the first program federally, it was a about a seven-figure investment in starting a waiver
  • Um waiver comes with getting a waiver.
  • um has waiver in law. um has waiver in law.
  • We want this program, but we're not asking anybody to submit a waiver.
Keywords: 1189, house, all
MN

Minnesota 2025 1st Special Session

House Human Services Finance and Policy Committee 2/12/25

Human Services Finance and Policy

Transcript Highlights:
  • Our disability waiver programs are incredibly complex, from their funding to the complex needs of the
  • Our disability waiver programs are incredibly complex, from their funding to the complex needs of the
  • Our disability waiver programs are incredibly complex, from their funding to the complex needs of the
  • Our disability waiver programs are incredibly complex, from their funding to the complex needs of the
  • especially in the area of waiver especially in the area of waiver programs<00:53:38.079> or
Keywords: 1183, house
AR

Arkansas 2026 1st Special Session

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Jun 18th, 2026

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Transcript Highlights:
  • So that was the focus of our, quote unquote, welfare programming in Utah and why the TANF program, and
  • I'll always maintain this, is a critical program to be part of your workforce... ...is a critical program
  • They're not seen as workforce programs. ...being seen as welfare programs.
  • And in Utah, 1991 is when our waiver program started.”
  • If states take advantage of that waiver authority and those waivers are granted and you get well underway
Keywords: 1204, all
Summary: The meeting focused on the state’s “one door/no wrong door” workforce and social services modernization effort, with consultants Mason Bishop and Cameron Christie presenting recommendations. They argued that Arkansas should shift from fragmented programs and multiple access points to a more integrated system that promotes upward mobility, longer labor force attachment, better employer access to talent, greater efficiency, and faster adaptation to changes such as AI and economic shocks. They described the current system as overly siloed, with separate offices, portals, and funding streams that force job seekers and employers to navigate multiple doors and bureaucratic handoffs. The consultants emphasized that Arkansas should treat workforce and safety-net programs more like a coordinated franchise model, with a single point of access, one team, and integrated governance, service delivery, and financial administration. They discussed federal workforce waivers already submitted, a possible cost-allocation plan with the federal Office of Management and Budget, and a potential benefits-cliff pilot. They also said Arkansas Launch is a useful tool but not a full service-delivery system. Members asked how the proposal would affect DHS offices, local workforce boards, TANF, and disability-related services, and the consultants said TANF should be viewed as a workforce program and that Arkansas could consider co-locating or integrating staff, or even merging agencies as Utah did. Committee members repeatedly cited Utah as a model, noting its high workforce participation and lower reliance on Medicaid and SNAP, and asked whether Arkansas could use TANF and other programs to cross-train DHS workers and make county offices more work-focused. The consultants explained Utah’s 1990s reforms, later audits showing improved customer service, and the role of cost allocation in blending funds behind the scenes. They also addressed federal flexibility and said current waiver efforts are a fallback after a broader federal pilot proposal did not advance. The meeting ended with a request to continue examining case management, specifically whether Arkansas should case-manage people rather than programs, and the chair adjourned the meeting.