Video & Transcript Research : 'PCA'
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TX
Texas 89th 2nd C.S.
Senate Committee on Health and Human Services Apr 8th, 2026
Health & Human Services
Transcript Highlights:
- But our average PCA... And that was 2020 numbers. So obviously it's going up now.
- But our average PCA case is probably $5,000 to $15,000.
- And even with that, I'm still carrying 24% of my caseload of PCA fraud.
- So if I'm a PCA, I can be an individual PCA, is what you're telling me, basically, where I'm not under
- an umbrella of a massive PCA network organization.
MN
Transcript Highlights:
- How long have I been working on trying to get PCAs in hospitals? I mean, it's coming.
- I didn't do the interim one per PCA and then CFS was delayed. >> I would...
- whine about how come we can't get PCAs whine about how come we can't get PCAs now,<01:04:39.920>
- I mean, trying to get PCAs in hospitals?
- You had mentioned and the PCA agreement.
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:
- So two weeks after major surgery, I was back to work as a PCA.
- Being a PCA is hard physical work when you are in good shape: bending, lifting, bathing, feeding, not
- in 2014 I was a a baby when I was a PCA in 2014 I was a PCA<01:31:20.040>
and <01:31:20.159>- c><01:31:50.080>
hard <01:31:50.440>physical as a PCA being a PCA is hard physical as a- PCA being a PCA is hard physical work<01:31:51.119>
when <01:31:51.280>you <01:31:51.400 - c><01:31:50.080>
MN
Minnesota 2025 1st Special Session
Committee on State and Local Government - 03/13/25
State and Local Government
Transcript Highlights:
- 00:20:07.480>
the contemporaries here um and so for the contemporaries here um and so for the PCA - :20:09.440>
on <00:20:09.799>those <00:20:10.039>kinds <00:20:10.240>of PCA - to get advising on those kinds of PCA to get advising on those kinds of practical<00:20:11.159>
issues - for<00:31:40.440>
the <00:31:40.639>dir <00:31:41.080>of <00:31:41.279>pcas - for the dir of pcas that help people<00:31:42.519>
with <00:31:42.639>disabilities <00:
MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 3/5/25
Commerce Finance and Policy
Transcript Highlights:
- has taken a deep look into lead and cadmium and keys and key fobs and provided that information to PCA
- /c><00:34:32.599>
as <00:34:32.720>they <00:34:32.919>developed information to PCA - as they developed information to PCA as they developed their<00:34:33.520>
report <00:34:34.520 - <00:59:13.160>
um 3892 is subdivision 3 and the uh PCA um 3892 is subdivision 3 and the uh - It can be enforced by the PCA, Commerce, or Health.
Keywords:
lead, cadmium, consumer products, safety regulation, retail restrictions, motor sports, nonoxygenated gasoline, fuel regulations, storage requirements, racing events, HF325, flavored nitrous oxide, nitrous oxide, whippets, laughing gas, retail sales, consumer protection, misdemeanor, commerce, Minnesota Statutes chapter 325F
MA
Massachusetts 2025-2026 Regular Session
Status of Persons with Disabilities Jun 21st, 2026 at 11:00 am
Transcript Highlights:
- PCAs, for example—I live in Lawrence—and most of the PCAs I draw from are living in Lawrence.
- I remember the 2010 period we went through, and as Charlie referenced PCA, I'm pretty sure Charlie is
- As Charlie referenced PCA. PCA, I'm pretty sure Charlie is an optional coverage, by the way.
Summary:
The Massachusetts Commission on the Status of Persons with Disabilities held its quarterly meeting on September 10, with roll call, approval of the June minutes as amended, and welcoming remarks for newly appointed commissioner Rachel Caprilyan and reappointed commissioners. Chair Denise Garlick outlined plans for a statewide community hearing series, beginning with a November 4 hybrid hearing at Needham Town Hall focused on the Boston/Metro West region, and described the creation of a nonvoting advisory council to broaden the commission’s expertise across health care, transportation, housing, education, employment, business, and local disability commissions. Commissioners discussed the nomination process, the need for geographic diversity, and the goal of having the council in place by the December quarterly meeting.
The main presentation addressed proposed federal Medicaid and SNAP changes in H.R. 1, with Jennifer Bertrand of the Massachusetts Developmental Disabilities Council warning that the law could cut federal Medicaid spending by $1 trillion over 10 years, impose work requirements, require redeterminations every six months, restrict provider taxes, and reduce SNAP benefits. She said these changes could increase uninsurance, create administrative barriers, and threaten home- and community-based services, with a Massachusetts analysis projecting 141,000 to 203,000 MassHealth members could lose coverage over six months. Commissioners and attendees responded that the changes could harm people with disabilities, caregivers, and provider organizations, increase institutionalization risk, and intensify competition for limited state resources; several emphasized the need for disability groups and broader health care stakeholders to coordinate advocacy.
Subcommittee reports highlighted recent and upcoming work. The Disability Employment Subcommittee reported on a June “Strength and Support” event, an August presentation by Run the Gamut, and an upcoming MAPC/Employment First workshop in Worcester, while the Long-Term Services and Supports and Health Equity Subcommittee discussed a presentation from the Lurie Institute for Policy Research on community living dashboards and disparities in Medicaid and LTSS. Commissioners also shared announcements about upcoming events, including the Paul Spooner Generational Leisure Summit, the Disability Policy Consortium’s John Winsky Memorial Award ceremony, the Massachusetts Health Council’s annual celebration, and a September 17 hearing on insurance coverage for hearing aids. The meeting ended with congratulations to commissioner Carl Richardson for an accessibility award and a motion to adjourn, which passed.
MN
Minnesota 2025-2026 Regular Session
Fraud Committee Meeting - 2025-05-05
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- do those cases against the home care nursing agency manager, or the mental health therapist, or the PCA
- There are other areas, and you know, one thing with respect to home care services is particularly PCA
- years ago, you all put additional regulations in place on additional statutes, one being that all PCAs
- In the Home Care Nursing Agency case, nurses aren't billed in the same way that PCAs are, and they're
- I am really interested in looking at where we are doing it well with PCAs and applying it to the rest
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 4/10/25
Human Services Finance and Policy
Transcript Highlights:
- If you are getting services through the PCA or CFSS, we are making adjustments necessary to keep people
- If you are getting services through the PCA or CFSS, we are making adjustments necessary to keep people
- If you are getting services through the PCA or CFSS, we are making adjustments necessary to keep people
- If you are getting services through the PCA or CFSS, we are making adjustments necessary to keep people
Bills:
HF2434
MN
Transcript Highlights:
- that's specifically for CFSS and PCA that's specifically for CFSS and PCA services.<01:29:39.440
- rely on personal care assistance, PCA rely on personal care assistance, PCA services<01:42:00.960
- <01:42:08.560>
Now child's PCAs with little notice. Now child's PCAs with little notice. - <02:09:24.400>
They <02:09:24.560>just <02:09:24.719>moved PCA. - They just moved PCA. Now you report it.
MN
Minnesota 2025 1st Special Session
Committee on Environment, Climate and Legacy - 04/08/25
Environment, Climate, and Legacy
Transcript Highlights:
- Next page you'll see the total for PCA.
- Next page you'll see the total for PCA. Next page you'll see the total for PCA.
- the PCA, the air appropriation increase. the PCA, the air appropriation increase.
- That just reflects the movement of money from PCA to the Department of Health for some PAS work.
- That just reflects the movement of money from PCA to the Department of Health for some PAS work.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Ways and Means Jun 21st, 2026 at 11:00 am
Joint Committee on Ways and Means
Transcript Highlights:
- One is around the PCA program and the other one is about EAEDC.
- program and their PCA staff to come in and take care of them while I was home.
- And certainly the PCA program, the adult health, foster programs, are, um, By double digits.
- And certainly the PCA program, the adult health foster programs, are—we're not immune to that.
- We are not at this point prescribing any particular cuts to the PCA program.
Summary:
The joint budget hearing opened the FY27 budget process with remarks from the Senate and House Ways and Means chairs, who described the fiscal outlook as challenging because of slow revenue growth, rising health care and other costs, and uncertainty from federal policy changes. Governor Healey and Secretary of Administration and Finance Matthew Gorzkowicz then presented House 2, a $62.8 billion budget that they said grows by about 1% and does not raise taxes or fees. They emphasized affordability, fiscal discipline, protection of core services, and continued investment in education, transportation, housing, child care, health care, and public safety. The administration also discussed a separate bill to delay and phase in certain federal tax-code changes from the so-called OB3 law, especially research and experimental expense provisions, to reduce immediate budget impacts and preserve competitiveness.
A major portion of the hearing focused on education and municipal aid. The administration said House 2 provides about $7.6 billion for Chapter 70 aid, fully funds the final year of the Student Opportunity Act, increases special education circuit breaker funding, and raises rural school aid. Senators and representatives from both parties raised concerns that Chapter 70 and other aid formulas are not equitable for small, rural, and low-wealth communities and are not keeping pace with inflation, and several called for broader review of the formula and related funding streams. The governor and secretary said they are open to further discussion, pointed to additional support through rural aid, special education, transportation reimbursements, and minimum aid, and said total Student Opportunity Act investment would reach about $2.1 billion over the life of the law.
Transportation, housing, and fair share spending were also central topics. The administration said fair share revenues are being used holistically, with education-heavy spending in the operating budget and transportation-heavy spending in the supplemental budget, and estimated the overall split to date at roughly 57% education and 43% transportation. They highlighted MBTA stabilization, regional transit authority support, microtransit, fare-free regional transit, and bridge and commuter rail investments, while noting the MBTA remains a major fiscal concern. On housing, the governor stressed production, permitting reform, ADUs, down-payment assistance, and support for public housing authorities, while lawmakers pressed for more funding for local housing authorities and for ways to address out-migration, energy costs, and affordability. The governor also said the administration will not withhold fire safety grants from communities over MBTA Communities Act noncompliance and will handle such issues case by case. No votes were taken at the hearing; it was an informational presentation and question-and-answer session.
MN
Transcript Highlights:
- programs<00:46:10.559>
we <00:46:10.680>do <00:46:11.400>um home care and PCA - people elderly waiver<01:18:57.199>
relatively <01:18:57.719>steady <01:18:58.440>PCA - 01:18:58.960>
up <01:18:59.159>but <01:18:59.320>that waiver relatively steady PCA - That's why we fought to do what we did with PCA.
- That's why we fought to do what we did with PCA.
Summary:
The committee convened for an opening discussion of the 2025 Human Services session, with members emphasizing bipartisan collaboration, the committee’s mission to strengthen support systems for Minnesotans, and a focus on helping vulnerable people thrive. The chair and members welcomed new and returning senators and staff, including new pages and interim committee administration, and several members briefly introduced themselves and their backgrounds in public service and human services work.
Members identified the main issues they expect to address this session: workforce shortages in human services professions, long-term care, program integrity, and efforts to limit waste, fraud, and abuse so funding reaches people who need it most. The chair also previewed upcoming hearings on eligibility and redeterminations for people with disabilities, MnCHOICES reassessments, assisted living and provider payment delays, and updates on direct care and treatment, noting that more detailed discussion would come in later meetings.
The committee then received a budget overview from fiscal analyst Kyle Raymond. He explained the combined Health and Human Services budget area, noted jurisdiction changes tied to the creation of the Department of Children, Youth, and Families and the planned separation of Direct Care and Treatment, and said some figures may differ from the November forecast because of those shifts. He outlined the major funding sources for the budget area, including federal funds and the general fund, and said the presentation would focus on the fiscal year 2026-2027 budget the legislature will be considering.
TX
Transcript Highlights:
- We have tons of examples of people who are getting the, are signing up and being able to be a PCA.
- So obviously it's gone up now, but our average PCA case is probably $5,000 to $15,000.
- And even with that, I'm still carrying 24% of my caseload of PCA fraud.
- Those would be my recommendations on the PCA case. Thanks for being a valued partner.
- PCA is what you're telling me basically where I'm not under an umbrella of a PCA network organization
Summary:
The Senate Committee on Health and Human Services convened to discuss interim charges regarding fraud, waste, and abuse in Texas human services, particularly focusing on Medicaid and childcare programs. The meeting highlighted the importance of preventing misuse of taxpayer funds, with testimony from various stakeholders emphasizing the need for increased oversight and accountability in these programs. Key points included the alarming rise in healthcare fraud in other states, the necessity for Texas to enhance its fraud prevention measures, and the potential financial repercussions of failing to meet federal compliance standards.
Several committee members expressed concerns about the impact of fraud on vulnerable populations, particularly those relying on Medicaid services. Testimonies from experts underscored the effectiveness of Texas's Office of Inspector General (OIG) in combating fraud, yet pointed out existing vulnerabilities, such as inconsistent enforcement and the need for better data sharing among agencies. The discussion also touched on the challenges faced by hospice care providers, with a significant increase in the number of hospices in Texas raising concerns about quality and oversight.
The committee heard from various witnesses, including representatives from health plans and advocacy organizations, who provided insights into the complexities of managing Medicaid and the importance of maintaining program integrity. The meeting concluded with a commitment to further explore legislative solutions to enhance oversight and ensure that resources are directed to those in genuine need.
MN
Minnesota 2025-2026 Regular Session
Expanding and modifying Medicaid fraud provisions 2/26/26
Minnesota House Floor Meeting
Transcript Highlights:
- I know we have a few things that we wanted just to update, like the PCA mentioned, we wanted to add the
- new term that we have for the PCA, CFSS, just to make sure that it's, you know, more clarity.
- /c><00:51:43.119>
update <00:51:43.599>like <00:51:44.000>the <00:51:44.240>PCA - we wanted just to update like the PCA we wanted just to update like the PCA mentioned,<00:51:45.760
- ,<00:51:50.960>
CFSS, term that we have for the PCA, CFSS, term that we have for the PCA,
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 2/26/26
Human Services Finance and Policy
Transcript Highlights:
- I know we have a few things that we wanted just to update, like the PCA mentioned.
- We wanted to add, um, the new term that we have for the PCA, CFSS, just to make sure that it's, uh, you
- I know we have a few things that we wanted just to update, like the PCA mentioned.
- <01:24:55.360>
mentioned, <01:24:56.239>we to update like the PCA mentioned, we to - , CFSS, just to make have for the PCA, CFSS, just to make sure<01:25:03.120>
that <01:25:03.360
MA
Massachusetts 2025-2026 Regular Session
Status of Persons with Disabilities Jun 21st, 2026 at 11:00 am
Transcript Highlights:
- But I've also thought, and this is maybe not for this meeting but for another one, PCAs.
- I think a lot of people that we serve can be trained to be... ...other one, PCAs.
- I think a lot of people that we serve can be trained to be PCAs. There's a huge demand for it.
Summary:
The Workforce Support Subcommittee of the Status of Persons with Disabilities met, approved the prior November minutes, and heard a presentation from the Association of Developmental Disabilities Providers (ADDP) on its 2025 workforce metrics survey. ADDP described its membership and the survey’s scope, noting 102 of 132 members responded. The report showed continued improvement in staffing: overall vacancy rates fell from 19% in 2024 to 15% in 2025, with declines across programs such as adult long-term residential, community-based day supports, supported employment, and day rehabilitation. However, vacancies remain high, especially for licensed practical nurses and clinicians, and nearly 4,000 positions were still unfilled. Providers also reported that almost 1,800 people remain waiting for day services.
A major new focus in the survey was health insurance costs. Nearly 90% of respondents reported premium increases averaging 11%, and providers said those increases make it harder to offer competitive wages and benefits and hurt recruitment and retention. ADDP said the survey will be repeated in the fall and emphasized that while Chapter 257 investments appear to have helped reduce vacancies, rising insurance costs, immigration-related workforce pressures, and other affordability issues could threaten progress. Commissioners and presenters discussed the need to maintain gains, the importance of keeping the survey manageable while preserving historical comparisons, and the role of immigration and workforce policy in staffing stability.
The subcommittee then elected new co-chairs, unanimously approving Rachel Caprillion and Leo Sarkisian. Members discussed possible topics and speakers for the next meeting, including training and turnover, direct support professional pipelines, apprenticeships, PCA training, and workforce models from other states. Several names and organizations were suggested for outreach, including Josh Cutler, Juan Vega, JVS, HSRI, and NASDDDS. The meeting ended with a motion to adjourn, which was seconded and approved.
MN
Transcript Highlights:
- Under current law, self-directed PCAs, our community first self-directed PCAs, and our consumer-directed
- Under current law, self-directed<01:31:03.760>
PCAs, <01:31:04.560>our <01:31:04.880> - community<01:31:05.280>
first self-directed PCAs, our community first self-directed PCAs, - bill include PCA choice, the community<01:31:36.719>
for <01:31:36.960>services <01:31: - workers in PCA choice and CFSS<01:32:16.560>
budget <01:32:16.960>model <01:32:17.440><
MN
Transcript Highlights:
- pass patch something together with PCA pass patch something together with PCA Home<00:15:52.639>
- Senators, PCA to CFSS transition update.
- Senators, PCA to CFSS transition update.
- <01:19:27.840>
to <01:19:28.159>cfss will be here Senators PCA to cfss will be here - Senators PCA to cfss transition<01:19:29.920>
update <01:19:30.320>do <01:19:30.400>
MN
Transcript Highlights:
- So the additional cost would be minimal compared to the overall PCA budget.
- And you can see the PCA budget.
- It would also create an incentive for current PCAs to get additional training.
- This provides a pipeline of highly skilled and trained PCAs into the workforce.
- Senator Grunhagen. the PCA statutes. Damon pointed that out the PCA statutes.
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 3/27/25
Human Services Finance and Policy
Transcript Highlights:
- The PCA hours were restored.
- services from 5 hours a day to 30 PCA services from 5 hours a day to 30 minutes<00:54:10.160>
a first appeal in my very first PCA first appeal in my very first PCA assessment<01:00:16.880>- hours were restored if you ask the PCA hours were restored if you ask me<00:54:35.960>
that <00 - hours were restored if you ask the PCA hours were restored if you ask me<00:54:35.960>
- And I only got back half of my PCA hours, even though my needs had not changed.
Keywords:
PACE, elderly, Medicaid, health services, long-term care, community-based services, support person, healthcare, patient rights, assisted living, community support, caregiver respite, financial eligibility, Minnesota Statutes, HF1477, residential program licensing, community residential setting, small group home, licensed capacity six or fewer, rental licensing