Video & Transcript : 'day care' :
Page 367 of 500
ND
North Dakota 2025-2026 Regular Session
Protection and Victim Services Committee May 13th, 2026
Transcript Highlights:
- in and day out.
- But one day could be a get-out-of-jail-free card. Three years and 364 days older.
- But one day could be a get-out-of-jail-free card. Three years and 364 days older.
- “A thought that maybe you do it like a teachers’ workshop day, like a pre-education day, or maybe on
- off on that day.”
Summary:
The committee met to approve prior minutes and then heard a presentation from Dr. Ramona Danielson on adverse childhood experiences (ACEs), focusing on the economic and public-system impacts in North Dakota. She explained that ACEs are a population-level measure, not a diagnostic tool for individuals, and said higher ACE exposure is consistently associated with more chronic illness, mental health challenges, child welfare involvement, justice-system contact, and reduced workforce participation. She emphasized that precise dollar estimates are difficult because of the many interacting factors across a person’s life course, but said the direction of the impact is clear and that evidence-based prevention and protective factors can reduce harm. Members asked about definitions of a “healthy family,” same-sex couples, divorce, substance abuse, historical trends in ACEs, and the role of positive childhood experiences and home visiting.
The committee then heard from Allison Mahoney and Missy Barranco about evidence-based home visiting programs in North Dakota, including Healthy Families, Early Head Start, Nurse-Family Partnership, and Parents as Teachers. They described home visiting as voluntary, relationship-based, and tailored to family needs, with referrals coming from hospitals, WIC, human service zones, pregnancy navigators, self-referrals, and other community sources. A parent, Abby, shared that home visiting helped her family after premature births and NICU stays by providing support with postpartum mental health, breastfeeding, developmental screenings, referrals, and parenting guidance. The presenters said the programs are funded through a mix of federal MIECHV/Title IV-E dollars, Medicaid targeted case management, state and tribal funds, philanthropy, charitable gaming, and grants, and they noted that current funding is fragmented and insufficient to serve all eligible families statewide. Members discussed whether the state should expand or better fund these services and how to improve outreach and referrals.
Later, the committee received a memorandum on artificial intelligence and sexual exploitation, followed by a presentation from a BCI special agent on how AI is already affecting child exploitation investigations in North Dakota. The memo and testimony described AI-generated child sexual abuse material, deepfakes, sextortion, and risks posed by chatbots, along with relevant federal and state law and recent executive orders. The agent said North Dakota saw 2,698 cyber tips in 2025, the highest on record, and that investigators are increasingly encountering AI-assisted exploitation that is harder to detect and verify. Members discussed the need for child-safety protections, the limits of executive orders, and broader concerns about AI undermining critical thinking and spreading misinformation. No votes were taken on the AI materials during the portion provided, and the committee recessed briefly after the report.
AZ
Arizona 2026 Regular Session
02/04/2026 - House Ways & Means
House Ways & Means Committee of Reference
Transcript Highlights:
- It's been 12 days.
- I believe this is the fourth week of session, the 35th day of the year.
- I think we have 70 days, 69 days to 8/4/15, and we don't have tax before me, and we've been working on
- I think we have 70 days, 69 days to 8/4/15, and we don't have tax before me, and we've been working on
- We are clarifying that that 30-day window to waive your participation... and then the 30 days goes by
Summary:
The committee took up House Bill 2785, a major Arizona tax conformity measure that would align state law with the Internal Revenue Code as of January 1, 2026 and apply retroactively to tax year 2025. The sponsor and supporters said the bill would make Department of Revenue tax forms legal, provide certainty to taxpayers already filing under those forms, and deliver about $440 million in tax relief through provisions such as no tax on tips and overtime, a larger standard deduction, a $6,000 senior deduction, and changes to deductions and the SALT cap. Opponents argued the bill would significantly reduce state revenue, disproportionately benefit higher-income taxpayers, and should not move forward without a broader budget plan. After an amendment addressing retroactivity and foreign dividend language was adopted, the committee approved HB 2785 on a 5-4 vote.
The committee then heard several Arizona State Retirement System technical cleanup bills. HB 2089, clarifying the health insurance premium benefit subsidy, passed 9-0. HB 2090, changing the disability timeframe for long-term disability benefits, passed 8-1. HB 2092, allowing certain employees over age 65 to waive ASRS participation within 30 days of eligibility, also passed 8-1. These measures were described by staff and the sponsor as simple corrections, with little opposition.
Finally, the committee considered HB 2477, which conforms Arizona’s 529 education savings plan to federal law, expands allowable uses, and adds rules for 529-to-Roth IRA rollovers and ABLE transfers. Supporters called it a cleanup bill that would simplify administration for families, while some members raised concerns about the Roth rollover and possible use of funds transferred from ESA accounts. The bill passed 5-3 with one member voting present. The committee then adjourned.
MN
Transcript Highlights:
- I don't really care if it's 10,000. I don't really care if it's 1 in 10,000.
- It can sit in judiciary all day, but if you vote no on this amendment, that's saying that you don't care
- It can sit in judiciary all day, but if you vote no on this amendment, that's saying that you don't care
- It can sit in judiciary all day, but if you vote no on this amendment, that's saying that you don't care
- Spring forward with care. Drowsy change. Spring forward with care.
NH
Transcript Highlights:
- </c> Adolescent and young adult Health Care Adolescent and young adult Health Care in<00:05:46.000><c
- Parr spoke about, is extremely difficult to provide timely care.
- You know how to ruin my day. I didn't really mean to, but it came close.
- days a week<01:17:49.320><c> two</c><01:17:49.639><c> days</c><01:17:49.880><c> a</c><01:17:50.239><c
- </c> 57 and this ends the hearing for the day 57 and this ends the hearing for the day thank<01:27:16.880
Committee:
Senate Education
CA
California 2025-2026 Regular Session
Assembly Floor Session Jan 9th, 2025
California Assembly Floor Meeting
Transcript Highlights:
- On this National Day of Mourning for President Carter, let us be inspired to emulate this gentle, caring
- Assembly concurrent resolution 8 by Assemblymember Wallace, relative to World Desert Day.
- ACR 8 designates the second Saturday of January as World Desert Day in California.
- Recognizing this Saturday as World Desert Day is a unique day. Thank you, Assemblymember Wallace.
- I never thought that day would ever come, but here I am.
MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 3/25/25
Commerce Finance and Policy
Transcript Highlights:
- Primary care is free. If I want specialist care, the co-pay is $40.
- </c> but uh typically the uh uh um your care but uh typically the uh uh um your care is<00:03:12.080>
- ><c> co-pay</c><00:03:57.040><c> is</c> I want Specialist Care uh the co-pay is I want Specialist Care
- </c><00:04:00.519><c> last</c> $40 so if I I look at my own care last $40 so if I I look at my own care
- I don't care who puts it in place.
Committee:
House Commerce Finance and Policy
Keywords:
Medicare, health insurance, supplement policies, preexisting conditions, medical assistance, premium classification, real estate, appraisers, disciplinary actions, sanction matrix, Minnesota Statutes, continuing education, out-of-state, licensing, commerce, fraud prevention, automobile theft, law enforcement, insurance crimes, 1183
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Environment and Natural Resources Jun 21st, 2026 at 01:00 pm
Joint Committee on Environment and Natural Resources
Transcript Highlights:
- Day.
- Day.
- in and day out, is safe.
- We need plants and soil; they have been filtering and cleaning the water we need day in and day out since
- It is unlined to this day.
Summary:
The hearing covered a broad set of environmental and water-related bills, with much of the testimony focused on blue economy and circular economy proposals, drought management, drinking water safety, flood resilience, and water infrastructure funding. Supporters of bills such as H. 987 and H. 988 described grant programs for blue economy workforce development, research, small businesses, and public education about a circular economy. Other speakers backed measures on coastal erosion research, recreational boating dredging, cranberry water-right transfers, sand mining oversight, and a voucher program for home water filtration in PFAS-impacted communities. Several elected officials and advocates also urged passage of bills to require private well testing, improve school drinking water safety, and address sand mining pollution and PFAS contamination.
Water supply and drought issues drew extensive testimony. Senator Eldridge and others supported legislation to let the state, through DEP and the drought management task force, impose regional water-use restrictions during droughts and make the task force permanent in statute. Advocates from watershed groups, farms, and environmental organizations said the current town-by-town approach is inconsistent and ineffective, and they described drought impacts on rivers, farms, private wells, and wildfire risk. A related bill on private wells was supported as a way to help homeowners test and remediate contaminated wells, especially in rural areas without public water.
The committee also heard testimony on a bill to allow the Lynnfield Water District to join the MWRA, with local officials saying the move would help address PFAS and other contamination and improve supply reliability. Another major panel supported a water infrastructure funding bill, arguing that aging drinking water, wastewater, and stormwater systems need major new investment, including support for PFAS treatment, sewer rate relief, biosolids research, and regional interconnections. Members asked about costs, funding sources, and the relationship to existing revolving loan funds; witnesses said the bill would need to be paired with future bond funding and new revenue ideas. No votes were taken during the hearing, and the chairs repeatedly invited written testimony and noted the large number of speakers.
MO
Missouri 2026 Regular Session
2026 Legislative Session - Day Fifty Six - Wednesday, April 22
Missouri House Floor Meeting
Transcript Highlights:
- Happy Earth Day, Mr. Speaker—that’s today—and we’re on the eve of National Arbor Day as well.
- They are the steady hands in the middle of fast-moving days.
- Together in the later part of the day.
- And so I would want to be careful about that. Right.
- So as much as I don't really care in regards to...
Summary:
The House opened with prayer, the Pledge of Allegiance, approval of the previous day’s journal, and a long series of special guest introductions. Guests included the Tipton Lady Cardinals girls basketball state champions, FCCLA and FBLA students from several districts, legislative interns and family members, Missouri Rural Water Association members for Water Advocacy Day, Kansas City University medical students, and legislative assistants, who were formally recognized for their work supporting the chamber.
The chamber then took up committee reports and moved several measures. House Substitute for House Committee Substitute for House Bills 3068 and 3049, a broad public-safety vehicle containing multiple provisions, drew debate over its contents, including concerns about anti-trans language and a challenge that it was overly broad, but it passed 117-10 with 17 present. Senate Substitute for Senate Bill 914, dealing with lateral field soil analysis/perk testing, passed 108-34 with one present. Senate Committee Substitute for Senate Bill 1142, a Secretary of State business filing measure for series LLCs, passed 142-0.
The main floor debate centered on House Bill 1758, a daylight-saving-time trigger bill. Supporters argued it would protect Missouri from neighboring states forcing a switch to permanent standard time, preserve tourism and outdoor recreation, and reduce health and safety problems associated with changing clocks. Opponents argued Missouri should instead adopt permanent standard time, citing research on circadian rhythm, health effects, school bus safety, and the state’s prior 1974 experience with permanent daylight saving time. The discussion was extensive and bipartisan in tone, but the transcript ends before any final vote on HB 1758 is recorded.
MO
Transcript Highlights:
- The focus is patient-centered care.
- This encourages collaboration of the health care systems, and modern health care works best with multiple
- I know the concerns on coverage and care is something that I know she cares very much about.
- Is that also true in health care?
- That verification can take days or weeks. That verification can take days or weeks.
Committee:
House Insurance
NM
Transcript Highlights:
- So we'll go ahead and take care of House Bill 4.
- Chair, health care is not a privilege. It's a lifeline.
- The Health Care Affordability Fund was built to use money generated within the health care system and
- We are talking about the Health Care Affordability Fund, and we're talking about subsidizing health care
- We're subsidizing health care.
Committee:
Senate Senate Finance
KY
Kentucky 2026 Regular Session
House Standing Committee on Families and Children. (2-5-26)
Families & Children
Transcript Highlights:
- in foster care.
- </c><00:01:09.119><c> And</c> out of home care uh in foster care.
- And out of home care uh in foster care.
- So once that response is filed, that 60-day waiting period starts. period for families of 60 days.
- </c> that 60-day waiting period starts. that 60-day waiting period starts.
Committee:
House Families & Children
HI
Hawaii 2026 Regular Session
FIN Info Briefing - Mon Jan 5, 2025 @ 1:00 PM HST
Hawaii House Floor Meeting
Transcript Highlights:
- I travel to the neighbor islands for one day, right? I come back.
- Why can't that be reduced to two days?
- Think about that. reduced to two days? reduced to two days?
- </c> cherrypick with respect to health care cherrypick with respect to health care issues<00:40:00.079
- </c> to have a better system of health care to have a better system of health care within<00:45:44.400
CA
California 2025-2026 Regular Session
Assembly Floor Session Jul 10th, 2025
California House Floor Meeting
Transcript Highlights:
- Every day I go home and I drive by a Head Start.
- And every day I think to myself, thank God the lights are still on.
- for chronic health conditions, and over 76,000 children receive dental care.
- for chronic health conditions, and over 76,000 children receive dental care.
- Seeing and hearing none, the clerk will read the second day consent calendar.
Summary:
The Assembly met with a quorum present after a roll call and prayer, then proceeded through routine journal, procedural, and guest-introduction business. Members recognized several guests, including local district officials, Japanese business leaders, and students/interns, and the chamber also observed remarks about the Texas flooding tragedy during the prayer. The body then moved through the daily file, including second-reading items and concurrence votes on AB 390, which expands the slow-down/move-over law to stationary vehicles, and AB 1478, which allows retailers to absorb mattress recycling fees; both measures had Senate amendments concurred in by recorded vote.
The Assembly adopted AJR 12, a bipartisan resolution recognizing Head Start Month and urging Congress and the President to protect and increase Head Start funding. Multiple members spoke in support, emphasizing the program’s role in early education, health, nutrition, and family support, especially in rural and low-income communities; the resolution received 70 ayes and no noes after 69 co-authors were added. The chamber also adopted ACR 96, designating a portion of Highway 101 in Humboldt County as the Patty Berg Memorial Highway, and SCR 50, which calls for state review of climate adaptation and maladaptation criteria to improve climate resilience planning; both measures passed without opposition.
On the consent calendar, the Assembly added co-authors to ACR 81 and adopted the second-day consent calendar and remaining consent items, all by unanimous or near-unanimous votes. The body also approved a motion to return AB 529 from engrossing and enrolling to the Senate for further action. The session concluded with numerous adjournment-in-memory tributes, most notably for Rincon Tribal Council Chairman Bo Mazzetti and former legislative secretary George Steffes, followed by a moment of silence for each and adjournment until Monday, July 14 at 1 p.m.
FL
Florida 2026 Regular Session
FL House Floor Session - 2025-04-16 (2:00PM Session)
Florida House Floor Meeting
Transcript Highlights:
- Lord, I also know that their job today and on other days is not always easy in these times, but what
- We have two doctors of the day today. Dr.
- Under the bill, the authority must provide written notice in response to a submittal within seven days
- Must provide written notice in response to a submittal within seven days of receiving the receipt.
- Without objection, the Senate is now adjourned for the day.
Summary:
The Senate opened with a prayer, the Pledge of Allegiance, doctor and guest introductions, and then moved to the special order calendar. Early bills passed included measures on the Florida Trust Code (SB 806/HB 1173), school district reporting requirements and educator misconduct reporting (SB 1374), debt collection email communications (SB 232), service of process updates (SB 576/HB 157), public lodging and food service establishments (SB 606), lien waivers and releases (SB 658), Crime Stoppers public records exemptions (SB 710), health care licensure and foreign-country business interests (SB 768, amended), diabetes management in schools (SB 772/HB 597), platting procedures (SB 784), fentanyl testing in hospitals (SB 1346/HB 1195), third-party reservation platforms (SB 940), electronic landlord-tenant notices (SB 1164/HB 615), leaving the scene of a crash restitution (SB 1378/HB 479), background screening for athletic coaches (SB 1546), surrendered infants and infant safety devices (SB 1690/HB 791), and affordable housing/Live Local Act changes (SB 1730, amended). Several other bills were temporarily postponed, including measures on trespass, higher education, transportation services, the UCC, altered sexual depictions, firearms during emergencies, Brownfields, false reporting, health care billing, motor vehicles, utility services, and others.
Most of the debate centered on a few controversial bills. Senators debated the fentanyl testing bill in support of faster detection and life-saving treatment, and the surrendered infants bill drew opposition over safety, anonymity, and liability concerns, though supporters argued baby boxes provide a monitored safe surrender option. The affordable housing bill received an amendment and broad support as a continuation of the Live Local Act, with changes to zoning, parking, height, and litigation procedures. The day’s most contentious measure was the agriculture/consumer services package (SB 700), where senators argued over the bill’s fluoride-related preemption; opponents criticized the policy and process, while the sponsor emphasized broader agriculture, consumer protection, and FFA-related provisions. That bill passed 27-9.
Votes on the other major bills were largely bipartisan and often unanimous or near-unanimous, with several bills passing 35-37 yeas and few or no nays. The Senate also adopted a motion to immediately certify all bills passed that day to the House. The session concluded with announcements recognizing visitors, including Taiwan representatives, and remarks about a lantern-lighting observance tied to the 250th anniversary of Paul Revere’s ride, followed by adjournment until the next scheduled meeting.
KY
Kentucky 2025 Regular Session
House Standing Committee on Local Government (2-25-25)
Transcript Highlights:
- I mean, it's because I do care about the safety and the security and making sure emergency vehicles can
- </c><00:21:18.799><c> about</c><00:21:19.000><c> the</c> mean it's because I do care about the mean it's
- because I do care about the safety<00:21:19.440><c> and</c><00:21:19.559><c> the</c><00:21:19.720><c
- </c><00:21:41.400><c> not</c><00:21:41.640><c> take</c><00:21:41.840><c> more</c><00:21:42.080><c> care
- </c><00:21:42.360><c> in</c> zoning board did not take more care in zoning board did not take more care
Keywords:
Meeting Start 00:15
Roll Call 00:25
HB 403 Discussion 02:11
HB 403 Vote 03:08
HB 555 Discussion 04:55
HB 555 Vote 08:42
HB 321 Discussion 10:55
HB 321 Vote 13:22
HB 18 Discussion 15:21
HB 18 Vote 35:10
HB 85 Discussion 39:08
HB 85 Vote 46:40
HB 371 Discussion 49:22
HB 371 Vote 52:03
Adjournment 53:48, 958, all
Summary:
The House Standing Committee on Local Government met with a quorum and took up several bills, mostly focused on local planning, zoning, and municipal administration. House Bill 403, a simple measure giving coroners a six-month grace period to complete continuing education, was presented by Rep. Deanna Gordon with testimony from Madison County Coroner Jimmy Cornelson and received unanimous support. House Bill 555, a technical bill affecting audit deadlines and flexibility for small cities and certain expo center audit arrangements, was explained by JD Cheney of the Kentucky League of Cities; he said it would help about 97 cities comply with audit requirements and allow more flexibility when municipalities are making good-faith efforts. The committee approved HB 555 on a roll call vote, with one no vote from Rep. Griffee and others in favor, and reported it favorably to the House floor.
House Bill 321, also presented with JD Cheney and Rep. DJ Johnson, would expand the time for planning commission and board of adjustment members to complete orientation and continuing education, with a focus on housing supply and accessibility. Supporters said it would help recruit more members and concentrate training on land-use impacts on housing; Rep. Roarx and others discussed Louisville Metro’s planning process, while Rep. Brown and Rep. Fleming raised concerns about infrastructure and long-range planning. The committee passed HB 321 favorably after roll call, with one no vote from Rep. Griffee.
House Bill 18 drew the most extended debate. Sponsor Rep. John Hodgson said the committee substitute would create incentives for infill development in urban areas and extend a moratorium on zoning district classification changes for two more years, arguing that local elected officials should have more control over major density changes and that unelected boards were approving projects without adequate infrastructure review. Opponents, including Liam Gallagher of Americans for Prosperity Kentucky and several members, argued the bill would restrict housing development, interfere with property rights, and limit Louisville Metro’s ability to update its Land Development Code; supporters countered that the bill would not stop development but would require elected officials to weigh in and address traffic and infrastructure concerns. After discussion, the committee approved HB 18 as amended by the substitute and reported it favorably to the House floor, with several members explaining their votes and some opposing the moratorium on local zoning changes.
NH
New Hampshire 2026 Regular Session
House Health, Human Services and Elderly Affairs (03/04/2026)
Health, Human Services and Elderly Affairs
Transcript Highlights:
- </c> arrangements for child care. arrangements for child care.
- </c> costs while preserving access to care costs while preserving access to care and<00:58:39.040><c>
- It's going to be generally catastrophic health care, not routine health care.
- It's going to be generally catastrophic health care, not routine health care.
- </c> worth about $5 a day worth about $5 a day per<01:49:42.040><c> person?
HI
Transcript Highlights:
- Those transitioning from foster care.
- or a couple days later, we would not day or a couple days later, we would not be<00:40:00.079><c> able
- </c> tap the rainy day fund? tap the rainy day fund?
- </c> support, and referrals to health care support, and referrals to health care and<00:54:03.520><c>
- </c> per day in participant food redemptions. per day in participant food redemptions.
Summary:
The Senate Committee on Health and Human Services held an informational briefing on the federal shutdown’s impact on state benefits, with the main focus on SNAP. DHS Benefit, Employment and Support Services Division Administrator Scott Morish explained that SNAP serves about 86,229 households statewide, or 168,947 individuals, and averages roughly $58–60 million in monthly federal benefits. He said USDA directed states to suspend November SNAP benefits effective November 1 if the shutdown continues, while existing October balances on EBT cards remain usable and cash benefits such as TANF, General Assistance, and AABD are not affected. DHS said it has continued processing applications, recertifications, interviews, and required reporting, and has posted public guidance on its website.
Morish also reviewed other SNAP-related changes taking effect November 1 under the One Big Beautiful Bill Act, including expanded able-bodied adult work requirements and tighter non-citizen eligibility rules. He said the work requirements now extend from ages 18–54 to 18–64 and apply to additional groups previously exempt, while only lawful permanent residents, COFA residents, and Cuban or Haitian entrants will remain eligible among non-citizens. He also noted Hawaii’s ongoing SNAP benefit reduction tied to a federal calculation error in the thrifty food plan, which has lowered benefits by about $8 per person per month for the past three years.
On the state response, DHS said it is working with the Hawaii Food Bank and seeking $2 million in state funding to support it, and is also developing a Hawaii Relief Program using TANF reserve funds. The program is intended as a short-term housing and utility assistance program for families with dependent children under 300% of the federal poverty level, with up to four months of assistance. Senators questioned why rainy day funds were not being used and whether the state could directly fund EBT cards; DHS responded that the TANF approach was the fastest available option, that EBT delivery involves significant technical and administrative mechanics, and that the department is still in discussions with the vendor and other stakeholders about additional options.
AR
Arkansas 2026 Regular Session
PUBLIC HEALTH WELFARE AND LABOR COMMITTEE-SENATE AND HOUSE Jul 1st, 2026
Transcript Highlights:
- What's the cost per day projected to be at the Unity Hospital? Yes, sir.
- So we're waiting on approval from them on that bed-day rate.
- When we proposed $850 a day, that is a hospital daily rate for a hospital service.
- When we propose $850 a day, that is a hospital daily rate for a hospital service.
- care and respite care, as well as home health services.
Summary:
The committee first approved the minutes and then heard an emergency rule from the Department of Human Services on hospital-based residential treatment for adolescents with substance use disorder. Paula Stone explained that the rule would allow Medicaid reimbursement for services in a general hospital unit for ages 12 and up, with Unity Hospital in CERC expected to open the first such unit. Members asked about length of stay, cost, and capacity; Stone said stays would be determined by ASAM criteria with no fixed cap, the proposed Medicaid rate is $850 per day pending CMS approval, and the unit would have 24 beds split between boys and girls with on-site schooling.
The committee then considered a rule on electronic visit verification for in-home personal care, attendant care, respite care, and home health services. Elizabeth Pittman said the update is intended to keep the state compliant with federal EVV requirements under the 21st Century Cures Act, improve auditing and corrective action plans for providers with too many manual claims, and remove the W-9 submission requirement in favor of IRS verification. Members confirmed that federal law requires an EVV system, and Pittman noted Arkansas uses an open system that allows providers to use the state option or their own vendor.
No objections were raised to the EVV rule, which was reported as reviewed. The meeting then concluded with no further business and adjournment.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services Mar 12th, 2026
Transcript Highlights:
- care facilities.
- care facilities.
- and the solvency of the home care fund.
- We think there are additional home care organizations that will licensed home care organizations.
- Any questions from the dais? I know.
Summary:
The Budget Subcommittee on Health and Human Services heard an overview from the California Department of Aging on the state’s Master Plan for Aging, including progress at the five-year midpoint, local aging and disability action plans, HCBS gap analysis, workforce work, and stakeholder engagement. The Legislative Analyst’s Office noted the department’s budget was relatively flat but flagged federal H.R. 1 pressure on nutrition-related programs. Members discussed how H.R. 1 and broader federal and state budget pressures could affect older adults through other programs, even where the Department of Aging itself had no direct cut. The committee also heard a stakeholder request from the California Association of Area Agencies on Aging for $62.3 million to support Older Californians Act services, with Finance cautioning that any added ongoing spending would worsen out-year deficits.
The committee then reviewed several Department of Aging proposals, including HICAP modernization to add paid counselors and reduce reliance on volunteers, and senior meal program oversight for virtual congregate/to-go meals under AB 1476. Members also discussed the status of area agencies on aging in Ventura, Santa Barbara, and San Luis Obispo counties, including a new RFP process in the Central Coast and the need to protect service continuity during transitions. Finance clarified that remaining modernizing Older Californians Act nutrition funds can still be used through June 2029.
The Department of Social Services presented a series of items. These included new federal Medicaid Access Rule implementation for IHSS grievance and critical incident systems; housing and homelessness programs for CalWORKs Housing Support, HDAP, Home Safe, and Bringing Families Home, with testimony that one-time funds are expiring and service levels will likely decline; permanent position authority for housing and homelessness administration; a facility management system to replace aging licensing systems; home care services branch solvency and regulations; child care centers in multifamily housing; the Seizure Emergency Response Act; licensing during emergencies and disasters; and the Family Preparedness Plan Act. The committee also heard a detailed exchange about the Autumn Oaks facility in Tulare County, where Senator Grove raised concerns about 53 complaints and the handling of unsafe conditions; CDSS said it is reviewing the matter and has authority to take administrative action even after a license surrender. No votes were taken, and items were held open.
HI
Transcript Highlights:
- Health Care system from Hawaii<00:10:28.560><c> healthc</c><00:10:28.920><c> care</c><00:10:29.480><
- Nothing worked more days than not. I didn't care if I woke up.
- than not I uh nothing worked more days than not I didn't<01:25:28.040><c> care</c><01:25:28.239><c>
- They didn't have high-level care.
- They didn't have high-level care.
Committee:
House Health
Summary:
The Committee on Health heard testimony on several bills. On SB 1441, which would repeal the transfer of the Oahu Regional Health Care System from HHSC to the Department of Health, the Department of Health said it strongly supports the measure and requested clarifying amendments. HHSC/Oahu Region also supported the bill and said it had no objection to the department’s amendments. In response to questions, witnesses said the agencies have been working on an MOU to support transfers of long-term care patients to Leahi, with the current goal being about 10 to 15 patients, but transfers would occur only as space and staffing allow; one patient was reportedly being admitted at the time, and the process was described as slow and case-by-case.
The committee then heard SB 1443 on payment rates for state hospital patients and related Department of Health services. The hospital administrator said the bill would allow rates above Medicaid for community or foster-home placements if patients cannot be placed at Leahi or elsewhere, and would set Medicaid-level reimbursement for outside medical services used by state hospital patients. He said at least one provider was interested in offering services at that rate and that the population involved is largely non-ambulatory long-term care patients. Members asked about availability and training, and the witness said special training could be provided.
SB 1322, a broad mental health bill, drew mixed testimony. The Department of Law Enforcement supported giving crisis-intervention-trained officers more discretion to transport people to medical care instead of arresting them. The Attorney General supported the bill but recommended revisions to emergency-transport language and restoring liability protections. HHSC and Queens Hospital supported the overall goal but sought amendments to preserve the mental health emergency worker role in decision-making and to avoid negative impacts on emergency departments. The Disability Rights Center and ACLU opposed parts of the bill, arguing that it weakens due process, reduces protections in involuntary treatment and transport, and should retain a three-person treatment panel rather than reduce it to one. A Queens representative said the current program works well and reported that more than 90% of MH1 cases once went to hospitals, but that figure has dropped to about 60-70%, with about 20% now diverted to community settings or the behavioral health crisis center. No votes or final committee actions were taken in the portion provided.