Video & Transcript Research : 'functional needs'

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NH

New Hampshire 2026 Regular Session

House Criminal Justice and Public Safety (01/22/2026)

Criminal Justice and Public Safety

Transcript Highlights:
  • that they need? that they need?
  • So, we need to work on that. >> Yeah, we need to sort through that.
  • I think one of the things we need to do is we need to stand up for ourselves, and we need to make sure
  • to we need to make sure and and we need to we need to make sure that<04:29:41.359> the<04:29:
  • Uh, and these are things that we need to take care of and we need to address.
Keywords: 1189, house, all
MN

Minnesota 2025 1st Special Session

Committee on State and Local Government - 02/27/25

State and Local Government

Transcript Highlights:
  • in it but it is something where we need in it but it is something where we need to<00:14:08.279>
  • So there's nothing I don't think we need to do now, but it's something that we need to be cognizant of
  • District can effectively carry out its essential functions and better serve the needs of residents.
  • District can effectively carry out its essential functions and better serve the needs of residents.
  • The board needs to meet on a regular basis.
Keywords: 1187, senate, all
NH

New Hampshire 2026 Regular Session

Senate Health and Human Services (04/01/2026)

Health and Human Services

Transcript Highlights:
  • I didn't come here to testify on this bill, but I need you to be aware that we need doctors to be free
  • Handcuffs need to come off You decide. Handcuffs need to come off the<00:50:40.200> doctors.
  • We need treatment centers.
  • We need I'm in support of this bill. We need treatment<01:12:58.840> centers.
  • function now sits around 50 to 55%. function now sits around 50 to 55%.
Keywords: 1191, senate, all
TX
Transcript Highlights:
  • It would close at a title company and would function bank-wise exactly like any stick-built house, and
  • to the motor vehicle record would be beneficial, especially for the vehicle storage facilities who need
  • possible just to handle this with a sticker, so that... ...that the impounding entity knows that they need
  • active military member either as an owner of the vehicle or... or in the vehicle; however, they may need
  • Torres's disability. ...from exposure to those toxic tar pits impeded the basic work functions that he
FL

Florida 2026 Regular Session

Health Policy Jan 20th, 2026

Health Policy

Transcript Highlights:
  • But every kid needs to learn how to swim in Florida.
  • We need to make it a priority and we need to do better for our children, and I fully support this bill
  • We need to make it a priority and we need to do better for our children, and I fully support this bill
  • I'll provide more detail on these functions shortly.
  • I would need to check and see if that is included.
Bills: S0428, S0606, S0192, S0162, S0340
Summary: The Senate Health Policy Committee met with a quorum and took up several health-related bills, with a strong focus on drowning prevention and patient safety. SB 428 by Senator Yarborough would expand Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7. Supporters, including a pediatric emergency physician and YMCA leadership, cited Florida’s high child drowning rates and argued that swim lessons reduce risk and should be available to more children. Senator Harrell noted the need to consider increasing the program’s funding as eligibility expands. The bill was reported favorably. The committee also heard SB 606 by Senator Smith, which adds drowning prevention and safe bathing education to postpartum materials provided by hospitals, birthing centers, and, after amendment, no longer home birth providers. A parent who lost a child to drowning testified in support, and senators emphasized the preventability of such deaths. The bill, as amended, was reported favorably as a committee substitute. SB 340 by Senator Harrell would require nursing students to complete a two-hour human trafficking course before licensure; after a strike-all amendment shifted the requirement from nursing programs to the students themselves, the bill received support from advocates and was reported favorably as a committee substitute. The committee also considered SB 162 by Senator Davis, which would require hospitals and ambulatory surgical centers to adopt policies for using smoke evacuation systems during procedures that generate surgical smoke. The sponsor said the equipment is relatively inexpensive and already common in many facilities, while opponents and some senators questioned the medical evidence, enforcement, and possible impacts on rural and smaller facilities. Despite those concerns, the bill was reported favorably, with some members voting no. SB 192, presented by Senator Trumbull on behalf of Senator Martin, would remove the $1,500 cap on advances chiropractic physicians may collect for examinations or treatment; the Florida Chiropractic Society supported the change as pro-small-business, and the bill was reported favorably. The committee also received an OPAGA presentation comparing Florida’s health care practitioner regulation system with other states, focusing on board autonomy, rulemaking oversight, board composition, appointments, term limits, and funding mechanisms.
NM

New Mexico 2025 Regular Session

IC - Radioactive and Hazardous Materials Dec 8th, 2025 at 09:45 am

Radioactive & Hazardous Materials Committee

Transcript Highlights:
  • Is that something that we need?
  • , and it does have that function.
  • Obsolescence of those parts, but some of it also doesn't perform the function that it needs to.
  • And so we need to get a new piece of equipment in there to perform the function, particularly to be rated
  • If they go back to the switching function, they will need to show that those monitors can actually do
Keywords: 996, all
FL

Florida 2026 Regular Session

Children, Families, and Elder Affairs Feb 4th, 2025

Children, Families, and Elder Affairs

Transcript Highlights:
  • We're also looking to strengthen our workforce and give them the tools they need to bring efficiencies
  • There was. that need further assistance, that's what this module served as purpose for.
  • that need to be modernized and then release them.
  • And I need a little more clarity on that, if you don't mind. Okay, yeah.
  • Similar theme: we needed to establish the platform on which we were going to build the system.
Summary: The Committee on Children, Families, and Elder Affairs received a Department of Children and Families update from CIO Cole Sousa on three major technology modernization efforts: ACCESS, CWIS, and FASMS. For ACCESS, he described the six-year, $205 million project to replace the aging eligibility system used for SNAP, TANF, and Medicaid applications, noting completed releases such as the MyACCESS portal, document management, partner portal, workload management, and client registration modules. He said the system now supports mobile applications, multi-factor authentication, and bot detection, and that the next budget request is $36.625 million to continue moving workers off the mainframe, modernize notices, and complete more worker-portal functions. Members asked about performance data, interoperability with other systems, and the relationship to the FX project and APD; Sousa said API-based real-time exchanges are the goal and that current average case processing time is about 30 days, though he would provide a more exact figure later. The committee then heard about CWIS, a four-year, $75 million child welfare modernization project. Sousa said phase one is complete, including hotline intake, investigations, mandatory reporter, youth, parent, and mobile portals, along with mobile field tools, e-signatures, and customizable dashboards. Current work is focused on case management, assessment and safety planning, licensure, and placement modules, with collaboration from community-based care providers through advisory sessions. For the next fiscal year, DCF is requesting $28 million and expects to finish development by summer and launch in September, while continuing change management and training. Senators pressed on interoperability with ACCESS, FX, and FASMS, the use of a single unique identifier, and whether CBCs would be required to use the statewide system; Sousa said the department’s goal is one statewide system, with licensing costs absorbed by the state and no plan for dual systems after go-live. Finally, Sousa gave a brief update on FASMS, the financial and services accountability system used by managing entities. He said it remains in maintenance mode while DCF prioritizes ACCESS and CWIS, and that modernization of FASMS is still being planned with partner agencies. He estimated current maintenance costs at about $1.3 million and suggested a future modernization could cost roughly $5 million to $7 million, though no firm timeline has been set. The committee expressed support for using data and interoperable systems to improve decision-making, and the meeting adjourned without any votes or formal actions beyond adjournment.
MN

Minnesota 2025-2026 Regular Session

House Public Safety Finance and Policy Committee 3/18/25

Public Safety Finance and Policy

Transcript Highlights:
  • They need to get these services.
  • that we need to do uh vital group it's a that we need to do uh vital group it's a it's<00:59:33.000><
  • So we need to have this available. They need to know about it.
  • to know about it available they need to know about it they<01:11:03.159> need<01:11:03.360>
  • <01:11:20.360> thank that they need thank that they need thank you<01:11:22.280> any
NH

New Hampshire 2025 Regular Session

House Finance Division I (03/17/2025)

Transcript Highlights:
  • therefore would they need some therefore would they need some responsibility<00:16:18.440> right
  • Dees said they only needed one of those positions when they were looking at the functions, so they had
  • they're all these permitting functions they're all these permitting functions yes<00:30:03.480><
  • Exactly, but those positions are needed to do these functions for permitting, so that would be 2 through
  • And so, uh, we need the money.
Keywords: 928, house, all
Summary: The committee first took up a House Bill 2 amendment to remove a bail-related section that had already passed in another bill and was now considered duplicative. Members discussed the earlier change to how bail commissioners are reimbursed, concerns that the Judiciary was losing money collecting the fees, and whether the magistrate-related language would still be needed. They noted the bill had already crossed over to the Senate, that the section was obsolete, and that any remaining issue about magistrates’ five-year terms might need to be raised with the Criminal Justice Committee. Amendment 997H, deleting section one, was moved, seconded, and adopted unanimously. The committee then reviewed a package of HB 1 position transfers involving the Department of Environmental Services, Fish and Game, and the Department of Natural and Cultural Resources. Staff explained that several positions were being shuffled to correct position numbers and align permitting functions, including one Fish and Game position moving back to Fish and Game, one DEES position remaining funded after ARPA money ends, and adjustments to hours for permitting and environmental services positions. Members discussed whether the Fish and Game position had been intended to be temporary, but ultimately agreed to accept the first four Environmental Services items and the last two Natural and Cultural Resources items as a package; that motion passed unanimously. They then also accepted sections 2 through 8 of HB 1 with the related amendments and footnote language. The committee next turned to dredge-and-fill fee changes in section 11, where one member objected to a 50% fee increase for seasonal docks, arguing it could discourage permitted work and might apply to repairs that only require notification. Staff said the increase was intended to help cover the cost of additional positions in future biennia, but members decided to hold that section for more information, including how many seasonal dock repair fees are actually collected. Finally, the committee began discussing HB 215 and a proposed tipping-fee/surcharge structure to make a solid waste accounting unit self-funded, with members saying the fee could offset about $2.9 million in general fund costs and support the grant program, but no final action was taken on that item in the portion of the meeting provided.
WA

Washington 2025-2026 Regular Session

Joint Transportation Committee Jun 23rd, 2026 at 09:00 am

Transportation

Transcript Highlights:
  • The communities that need them the most.
  • are, the amount of funding that cities have, what they need, and focusing on... ...the needs, the amount
  • Do we need to get on DOT a little more about that?
  • Our 311 system needs to know this information.
  • So that's really kind of what drove the need.
Keywords: 904, all
FL

Florida 2025 Regular Session

November 19, 2025 - 01:30 PM

Transcript Highlights:
  • I actually don't like the conditions that need to be met to remove strict liability.
  • It is incumbent upon the purchaser to do their due diligence and inherit the risk as a function of that
  • And so the point of this is, if you're going to bring litigation, you need to have some science that
  • Just as a function of an excavator removing phosphate rock, it is assumed that you have liability.
  • I think that question's been answered, but Representative McClure, you can clarify if you need to.
Summary: The State Affairs Committee opened with a tribute to the late Representative Joe Casello, with remarks from the chair and Ranking Member Eskamani honoring his service, especially his advocacy for first responders, veterans, and working people. The committee then turned to its only bill, HB 167, which would remove strict liability for certain previously mined phosphate lands if the landowner notifies the county and requests a Department of Health radiation survey. The sponsor said the bill is intended to create a voluntary process, add data about the land, and provide notice through the public record and title process. Members asked extensive questions about who pays for the surveys, how notice would reach future buyers, whether the bill affects renters or construction workers, and whether it would impact pending lawsuits. The sponsor said the landowner would pay for the survey needed to remove strict liability, plaintiffs would pay for surveys in litigation, the bill does not address OSHA or rental disclosures, and it would not apply retroactively to current cases because the complaint must include a survey. Supporters argued the bill simply replaces automatic liability with recorded notice and due diligence, while opponents said it could leave families and renters without adequate warning and should include stronger disclosure protections. Public testimony was in support from the Florida Chamber of Commerce, Associated Industries of Florida, and one individual. After debate, the committee voted 18-8 to report HB 167 favorably.
MN

Minnesota 2025-2026 Regular Session

House Republican Press Conference 3/24/25

Transcript Highlights:
  • <00:04:56.400> to still missing. and we really need to still missing. and we really need to
  • This is not just we need more it.
  • why we need a culture change. Thank you. why we need a culture change. Thank you.
  • You need to know how to recognize fraud. You need to know how to do closeout reports.
  • good uh it uh uh and you shouldn't need good uh it uh uh and you shouldn't need all<00:24:54.480
Keywords: 919, house, all
Summary: House Fraud Prevention and State Agency Oversight Committee Chair Kristen Robbins opened by criticizing the governor’s fraud package as too focused on new spending and staffing, and not enough on culture change, accountability, eligibility rules, and an enterprise-wide IT/data strategy. She said the committee had heard a good overview from multiple commissioners, but she remained concerned that piecemeal technology investments and added staff would not address the root causes of fraud. Robbins also said she would introduce a bill based on issues raised in committee, including requiring grants management staff to complete Office of Grants Management training and certification. A major action announced was the launch of a new whistleblower portal at mnfraud.com, which legislators said will let people submit basic fraud allegations, after which staff will follow up and forward matters to the Office of the Legislative Auditor, BCA, law enforcement, or the attorney general as appropriate. Members noted that the Office of the Legislative Auditor already has a separate reporting portal, and there was a question about why the new site does not allow anonymous reporting; Robbins said contact information is needed so staff can follow up. She also said the portal is intended to centralize and triage reports from agency workers, service recipients, and providers. Republican members said the governor’s proposal still misses key pieces. Vice Chair Anderson argued the package mostly adds staff to agencies that failed to catch or act on fraud, and said Minnesota needs a statewide independent inspector general with authority outside agencies and a stronger whistleblower system. Representative Marion Rarick said the proposed criminal penalty increases are too small compared with federal penalties and criticized the package for adding only one forensic auditor at the BCA while DHS receives many more positions. She also argued that agency managers should face sanctions when fraud occurs under their watch and said the state needs a culture where employees can be rewarded for good work but also held accountable for failures. Members discussed several other ideas, including creating new crimes for kickbacks and theft of public funds, requiring fraud fiscal notes, improving data sharing and eligibility verification, and using better IT so systems can talk to each other. There was also discussion of whether government services should rely less on nonprofits and private contractors; one member said fraud often follows a particular business model rather than the sector itself, while another suggested capping salaries of top nonprofit executives receiving government funds. The committee also noted that the governor’s fraud package is being presented as a package but will likely move as separate provisions through different omnibus bills.
CA
Transcript Highlights:
  • But no, no disagreement that there's a significant need that remains.
  • California needs a more effective agency to align regulatory functions with consumer protections to ensure
  • California needs a more effective agency to align regulatory functions with consumer protections to ensure
  • Beback; we think that the system probably, it should, it needs to—one-stop shop needs to include not
  • We need these dollars to continue to move forward in housing Californians.
Summary: The Assembly Subcommittee on State Administration held a budget hearing focused heavily on housing, homelessness, and related administrative proposals. HCD reported that California housing production has increased, with 2023 completions up 13% from 2022 and entitlement and construction timelines improving, while members and advocates criticized the Governor’s January budget for zeroing out or sharply reducing several housing programs. Public testimony urged funding for affordable housing production, preservation, youth housing, CalHome, LIHTC, HAP, and related programs, and several speakers argued the state should not pull back after recent progress. A major policy item was trailer bill language to allow HCD to access “excess equity” in existing affordable housing projects and recycle those funds into new or preserved housing. HCD and the LAO said the proposal could unlock tens or hundreds of millions of dollars, but members wanted guardrails and clearer statutory direction to ensure the funds stay within the intended housing purposes. The committee also discussed encampment resolution funding; HCD said the proposal would shift expenditure deadlines to the date of award rather than appropriation, while the LAO raised concerns about limited outcome data and urged the Legislature to use upcoming reporting before deciding on future funding. The hearing also covered HCD trailer bills to consolidate default reserve funds into a centralized continuously appropriated account and to clarify reporting requirements for early rounds of the Homeless Housing, Assistance and Prevention program. HCD requested funding to implement chaptered legislation, including a new tribal housing program and reporting-related bills, and also sought extensions for certain reappropriations, including Homekey and REAP 2 deadlines. Public commenters and regional agencies supported flexibility for REAP 2 timing and other housing-related adjustments. Finally, the Business, Consumer Services and Housing Agency presented the Governor’s reorganization proposal to split the current agency into a Housing and Homelessness Agency and a Consumer Protection Agency. The administration said the change would improve focus, efficiency, and coordination, but the LAO and several members questioned whether it would truly save money or improve accountability, especially given the need for new leadership, possible staffing changes, and the fact that the plan had not yet been formally submitted for review. No votes were taken during the hearing.
WY

Wyoming 2026 Regular Session

Senate Judiciary Committee, February 12, 2026

Judiciary

Transcript Highlights:
  • For example, we need industry.
  • on their unique needs and concerns. on their unique needs and concerns.
  • So we are management functions.
  • So, we started to think, well, we need some sort of organization to perform the functions that the National
  • I have my own perspective of what I think we need, which is to perform the functions that I'm responsible
Bills: SF0045, SF0058, SF0067
MN

Minnesota 2025-2026 Regular Session

High Subsidy Transit Routes report 2/18/26

Minnesota House Floor Meeting

Transcript Highlights:
  • Sometimes you don't need to do anything to reduce the subsidy.
  • I think we really need taxpayers money.
  • You got to question, do you even need You got to question, do you even need more<00:47:44.880>
  • <00:56:40.400> of speed and that has both the function of speed and that has both the function
  • like five minutes briefly before we need like five minutes briefly before we need to<01:03:10.960
Keywords: 919, house, all
Summary: The committee heard a Met Council report from Charles Carlson on high-subsidy transit route analysis required by the transportation bill. Carlson explained that the study uses per-passenger operating subsidy, compares routes by type and service day, and is intended to help providers improve cost-effectiveness while recognizing transit’s importance for access, affordability, safety, and the region’s economy. He noted that routes more than 60% above peer averages are considered the highest-subsidy tier, and that the report also estimates the cost of Metro Mobility associated with those routes. Members asked several questions about why contracted service can cost less than directly operated service, whether contracting affects wages, union membership, or service quality, and why the Met Council targets about 20% of regular route service for contracting. Carlson said contracted service can be cheaper because of lower overhead and other market factors, that the council sets minimum wage and service-quality requirements in contracts, and that customers should not notice a quality difference. He also said the 20% target is meant to balance cost-effective service, geography, and a mix of providers, and that some routes may become more cost-effective with more frequent service depending on local demand. Carlson reported that in 2024, 206 of 264 routes met guidelines, 16 were in the lowest intervention tier, 14 in the middle tier, and 28 were in the highest-subsidy tier. He said the regional share of high-subsidy service was about 4.1%, but the share varied widely by provider, with some at 0% and others much higher. He estimated that discontinuing the highest-subsidy routes would save about $23 million annually and up to $72 million in capital costs. For Metro Mobility, he said the cost associated with trips tied to high-subsidy routes rose from about $368,000 in 2023 to about $6.1 million in 2024, largely because the mix of routes triggering federally mandated paratransit service changed, especially in the Shakopee area.
KY
Transcript Highlights:
  • <00:19:41.799> in general fund dollars that are needed in general fund dollars that are needed
  • We had needs that were met immediately.
  • We had needs that were met immediately.
  • We had needs that were met immediately.
  • <01:00:13.440> of educating our community on the needs of educating our community on the needs
Summary: The concurrent House-Senate meeting opened with a roll call and then received a briefing from Kentucky Emergency Management and the Transportation Cabinet on the February storms and flooding. Officials described the event as ongoing and statewide in scope, beginning in western counties and then heavily affecting Eastern Kentucky, including major impacts in Perry, Letcher, Clay, Bell, Martin, Pike, and other counties. They reported widespread power and water outages, nearly 600 people initially sheltered, more than 1,500 water rescues, over 250 National Guard members activated, and substantial mutual aid from other states and FEMA. They also said 73 counties had declared emergencies, 23 fatalities had been confirmed at that point, and individual assistance had already distributed $5.5 million to residents after the federal declaration was signed. The administration emphasized that recovery needs were still being assessed but were already significant. Kentucky Emergency Management said public assistance estimates were about $58 million and rising, with about 2,005 homes and 272 businesses inspected so far. Debris removal was identified as a major issue, and officials said they had requested Category A federal assistance for debris in four counties while continuing to seek more as assessments continued. They also noted that disaster recovery centers were opening and that teams were going door to door in affected areas. On transportation, KYTC reported 39 counties affected, a peak of 355 road closures reduced to 49, 18 damaged bridges, 94 bridges with debris on them, and 579 roadway damages, while continuing to clear roads and move supplies such as water, food, blankets, and heaters. Secretary Hicks then asked lawmakers to consider additional funding mechanisms. He said the current $50 million emergency cap in the budget was likely to be exhausted, with $21.5 million already allocated, and proposed either lifting the cap or creating a new “safe fund” for this disaster, similar to prior funds used after the western Kentucky tornadoes and the 2022 eastern Kentucky floods. He said the state could redirect about $25 million from an unused western Kentucky economic development allocation and about $20 million from an eastern Kentucky transportation allocation, for a total of $45 million, to help with this response. Members and officials also discussed debris disposal, with the Pike County landfill expansion identified as a possible site to receive some of the debris and reduce costs. Representative Fugate thanked the agencies for their response and described severe local impacts, including water outages, road slides, damaged water treatment plants, and heavy debris in homes and driveways.
MN

Minnesota 2025 1st Special Session

House Workforce, Labor, and Economic Development Finance and Policy Committee 2/13/25 - Part 1

Workforce, Labor, and Economic Development Finance and Policy

Transcript Highlights:
  • <00:08:43.320> and employers about basic functionality and employers about basic functionality
  • this additionally more clarity is needed this additionally more clarity is needed on<00:42:25.280
  • My business needs this program in order to compete on a level playing field, and we need it urgently.
  • They need you to protect it.
  • I needed this program back in 2020 as much as it is needed in 2026.
Keywords: 1183, house
WA

Washington 2025-2026 Regular Session

Joint Transportation Committee Nov 20th, 2025

Joint Transportation Committee

Transcript Highlights:
  • We just need to figure out how.
  • We just need to figure out how.
  • where the infrastructure can function normally, and what enhancements need to be made.
  • And you need your arms, you need your legs, you need to get there as fast as you can to that export facility
  • , because that boat needs...
Summary: The committee first heard an update on the Joint Transportation Committee study of transportation impacts if the Lower Snake River dams were removed. WSDOT and Jacobs described the study’s phases, including current work on geology, infrastructure risk, and a total logistics cost model. They explained that the study is examining how freight now moved by barge—especially wheat, fertilizer, and wood—could shift to rail and roads, and they outlined several scenarios ranging from no-dam future conditions to new unit-train terminals, short-line rail options, and a combined “many solutions” scenario. Members asked about irrigation, impacts in Idaho and Oregon, port capacity, emissions, competition, EV trucks, and whether the model could estimate transportation effects if grain volumes decline. The presenters said the study assumes current production levels continue, does not model irrigation changes or broader farm-economics impacts, but does account for transloading costs and can estimate transportation impacts under different volume assumptions. WSU’s independent review team said the model has improved substantially but still needed refinement, especially in routing, road data, and spatial detail, and that stakeholder engagement had been strong though delayed by model development. No votes were taken. The committee then received a presentation on the alternative sidewalk funding study. Staff and consultants said the study is exploring ways local governments could sustainably fund sidewalk maintenance, repair, and new construction, using a statewide survey, interviews, national research, and case studies in eight jurisdictions. They noted sidewalks are important for pedestrian safety and connectivity, but there is no dedicated funding source in Washington, and existing grants and local revenue tools are highly competitive or limited. The consultants highlighted sidewalk fees or utility-style charges as the most promising option to study, while a parcel tax was largely set aside because of state property-tax uniformity concerns. Members asked whether the study would duplicate existing funding or add to current taxes, and how a sidewalk fee would be collected; the consultants said the goal is to expand local options, not mandate adoption, and that fees would likely be billed through utilities rather than property taxes. A preliminary draft report is due December 15, with a final report due in mid-June. Next, staff gave a brief update on the ocean-going vessels study, which is examining shore power and emissions rules for vessels at berth. The presenter explained that federal Clean Air Act rules and California waiver authority create legal limits on how far Washington can go if it wants to adopt similar standards, and that deviations from California’s approach can increase litigation risk. The report will summarize stakeholder outreach and will be presented in draft form at the next JTC meeting. Finally, county engineers from Chelan and Douglas counties began a presentation on county transportation challenges, with the association’s director emphasizing collaboration with state agencies and local partners on issues such as fish passage barriers and infrastructure needs. The county presentation was only beginning when the transcript ended, and no committee action or votes were recorded.
TX

Texas 89th Regular

Appropriations - S/C on Articles I, IV, & V Feb 25th, 2025

Appropriations - S/C on Articles I, IV, & V

Transcript Highlights:
  • We don't have facilities, we don't need a lot of computer systems and things like that.
  • The bottom line desperately in need of more funding.
  • So I can't emphasize the importance of needing help. And Ms.
  • Tucker, when she comes up, she will talk. about the need for not only what we need, but there are other
  • more than one. we need to help.
Keywords: 1184, house, all
CA
Transcript Highlights:
  • or ADL needs.
  • needs.
  • Your needs.
  • We did not have requests to help the county with any of their functional needs around payroll or other
  • county functions for IHSS, and they didn't need support from us on doing direct outreach, but they were
Summary: The joint Assembly Budget Subcommittee hearing focused first on long-term services and supports for older adults, especially the “forgotten/overlooked middle” who earn too much for Medi-Cal but cannot afford private long-term care. Administration witnesses from DHCS, the Department of Aging, and Social Services described Medicare’s limited long-term care coverage, Medi-Cal’s role, the elimination of the Medi-Cal asset test, and ongoing state studies and listening sessions on financing options. Testimony from advocates and researchers emphasized rising homelessness among older adults, the need for better navigation and coordination across health, aging, housing, and social service systems, and short-term policy steps such as share-of-cost reform, housing stability supports, and protecting home- and community-based services. Members highlighted the need for a coordinated, no-wrong-door approach and asked for the most impactful budget investments to address affordability and homelessness risk. The second major topic was the Community-Based Adult Services (CBAS) program. CDA reported that CBAS helps participants remain in the community, that 304 centers operate statewide serving about 42,000 people, and that demand is stable but access gaps remain in some regions. DHCS explained that a 2024 rate increase authorized by SB 159 became inoperative after Proposition 35, and that a separate 10% rate change on the fee schedule was the result of a DHCS system error; the department said it would not require recoupment, though managed care plans may act under their contracts. CBAS providers and advocates warned that reimbursement rates have not kept pace with costs, that several centers have closed, and that clawbacks could trigger more closures. They requested $74.8 million ongoing General Fund to close part of the rate gap and preserve the program, while members expressed concern about closures and the cost savings of keeping people out of more expensive institutional care. The hearing then moved to In-Home Supportive Services (IHSS) and statewide collective bargaining. CDSS reviewed provider recruitment and retention efforts, including electronic timesheets, direct deposit, and the now-completed IHSS Career Pathways program, which trained more than 59,000 providers. CDSS also summarized its AB 102 workgroup report on statewide versus regional bargaining, saying the final report would be sent to the Legislature soon and that statewide bargaining appeared more viable than regional bargaining, though it would require clear statutory scope and major fiscal changes. The department estimated that each $1 per hour statewide wage increase would cost at least $1.3 billion to $1.5 billion annually. Labor advocates argued that IHSS wages, benefits, and training are too inconsistent across counties and called for statewide bargaining, consumer participation, and ongoing state funding. County representatives supported stronger wages but cautioned that counties need protection from new costs and administrative burdens, and consumer advocates warned that moving bargaining to the state could weaken local consumer control and the program’s consumer-driven structure.