Video & Transcript : 'provider network' :

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AZ

Arizona 2026 Regular Session

06/01/2026 - Joint Legislative Audit Committee

Joint Legislative Audit Committee

Transcript Highlights:
  • One example would be looking closer at the provider level to determine when a provider is requesting
  • The provider or the department does have a responsibility to monitor its providers, but I don't have
  • If they are not, they're going to a provider that is actually providing services for eligible child care
  • They underreported paying one provider by $32 million, and one provider by $32 million, and they overreported
  • You did attend eight meetings and provided 14 of the requested documents, but only six of them were provided
Summary: The committee first heard an update on Topok Elementary School District’s long-running noncompliance with Arizona’s Uniform System of Financial Records. The Auditor General’s office explained the USFR noncompliance process and reported that Topok had made substantial progress, correcting many deficiencies in areas such as open meeting law, procurement, payroll, attendance reporting, property control, and information technology. The district’s superintendent and staff described the corrective actions they had taken, the use of outside consultants, and their plan to maintain compliance through stronger leadership, training, and consistent procedures. Members praised the district’s progress and asked about the remaining deficiencies and the status of the 3% state-aid withholding, which the Auditor General said would be addressed by the State Board of Education. The committee then considered a request for a fourth school safety special audit, tied to concerns raised by Representative Martinez about Phoenix Union High School District and school violence response practices. The Auditor General said the proposed audit would be a new topic focused on policies and procedures for responding to credible threats of violence and allegations of staff misconduct affecting student safety, and could include Phoenix Union in the sample. Representative Martinez described a fatal 2024 shooting, weapons incidents, and concerns about district oversight. The committee approved the motion 10-0. Next, staff presented the fiscal years 2027-2028 school district performance audit schedule, describing 26 randomly selected school districts and career and technical education districts, plus 84 planned follow-ups. The Auditor General said the schedule is intended to shorten the average time between audits and that the school audits division is now fully staffed. Members asked about county coverage and the inclusion of ESA accountability, but the schedule was ultimately presented for review rather than approval. The committee also heard a detailed federal compliance audit presentation on the Child Care and Development Fund (CCDF) administered by DES. The Auditor General reported repeated findings involving missing provider documentation, questioned costs, and FFATA reporting errors, including a 2024 sample that led to questioning $2.88 million in costs. The office recommended stronger documentation, record retention, reporting procedures, and staff training; DES concurred and said it would correct the findings in 2026. Members discussed the limits of the single-audit scope, the possibility of a broader special audit, and the federal government’s recent actions on CCDF oversight in other states. Finally, the committee considered and discussed a special audit request for CCDF that would broaden review to provider oversight, licensing, site visits, and billing accuracy across multiple state agencies, with estimated costs of $547,000 to $625,000 and a projected report date of July 31, 2027.
WA

Washington 2025-2026 Regular Session

House Health Care & Wellness Feb 4th, 2026 at 01:30 pm

Health Care & Wellness

Transcript Highlights:
  • It's provided for the following. more than one agency.
  • respite provider for another family in need.
  • Two individual PCCs cannot provide PCCA services.
  • So to be provided where the child resides, to gap-fill services.
  • Providing a backup when nursing is not available.
Bills: HB2402 , HB2555 , HB2599 , HB2685
CA
Transcript Highlights:
  • “We provide 24-7 nursing, primary care.
  • This would entail working with the Coleman Court to allow providers from out of state to provide services
  • I actually know an individual who provides...
  • That hopefully provides some context. Okay. Mr.
  • So if you could provide us more of that detail.
Summary: The Senate Budget Subcommittee heard presentations from the Office of the Inspector General (OIG), California Correctional Health Care Services (CCHCS), the California Advancing and Innovating Medi-Cal (CalAIM) program, and the Coleman mental health receivership. The hearing focused on correctional health care, reentry, aging incarcerated populations, and the state’s progress toward compliance in the Plata and Coleman receiverships. Members also discussed the OIG’s intake complaint workload and medical inspection findings, as well as broader questions about staffing, vacancies, and the cost of court oversight. The OIG requested $275,000 General Fund for two permanent positions in its intake processing unit, citing a sharp rise in complaints from 3,200 in 2022 to 7,860 in 2025. OIG officials said complaints are categorized by issue and prison, prioritized by urgency, and generally responded to within 30 days, but they do not track complaint “validity” rates. The medical inspection unit reported that in cycle seven, case review performance was generally adequate while policy compliance was often inadequate; the lowest-scoring areas included emergency services, medication management, and health care environment. Members asked for more detailed reporting on complaint types, priority levels, and systemic issues. CCHCS described rising health care costs driven by an aging prison population, staffing vacancies, and contract medical expenses. Officials said more than 80% of the budget is personal services, and they are using hiring events, social media outreach, and expanded classifications to reduce vacancies. CalAIM officials reported early implementation success in pre-release and reentry services, including 89% Medi-Cal activation at release, 87% assigned managed care plans, 88% reentry care plans, and 59% warm handoffs, with about 169,000 claims submitted and $14.7 million reimbursed. The LAO noted that the Plata medical receivership has increased per-person costs and that the state should continue oversight while seeking ways to reduce vacancies and expand federal reimbursement opportunities. For the Coleman mental health receivership, the receiver’s office requested $33.9 million from the Mental Health Special Deposit Fund, including $8.2 million for receiver office staffing and $25.3 million to make court-ordered bonus payments permanent. The LAO supported continued oversight but recommended additional steps to address vacancies, including greater out-of-state recruitment, expanded telemental health, and possible consolidation of mental health services. The LAO also recommended reducing the telemental health staffing request and monitoring its effects. Members questioned the long-term cost of receiverships, the pace of compliance, and whether more detailed benchmarks and staffing data should be provided. No formal votes were taken during the portion of the hearing provided.
LA

Louisiana 2026 Regular Session

Commerce Apr 7th, 2026

Commerce, Consumer Protection, and International Affairs

Transcript Highlights:
  • , to provide for criminal background checks, to provide for licensing fees, to provide for license validity
  • to provide for firm licensing, to provide for application procedures, to provide for duties of the State
  • Fire Marshal, to provide for licensing fees, to provide for prohibited acts, to provide for cease and
  • , to provide for fees, to provide for penalties, to provide boiler installation procedures...” “...to
  • provide for fees, to provide for penalties, to provide boiler installation procedures, to provide for
Summary: The committee met on April 7, 2026, and first handled several fire marshal-related bills. HB 917, a licensing and regulatory cleanup for life safety and property protection work, was amended with technical changes and reported favorably. HB 565 clarified that the State Fire Marshal, rather than local authorities, would handle fire safety inspections for early learning and child daycare centers; members adopted an amendment limiting the standards to state or federal codes and addressing ventilation and suppression requirements for small facilities, and the bill was reported favorably with amendments. The committee then took up HB 937, which would shift amusement ride setup inspections back to the State Fire Marshal, require licensing and insurance for rides and inspectors, and repeal provisions related to inflatable amusement devices. The author and fire marshal cited a serious festival ride accident in Pointe Coupee Parish as the impetus, and members discussed inspection timing, insurance costs, and whether background checks or public inspection certificates should be required. After technical and agreed-upon amendments, the bill was reported favorably. HB 799, a boiler inspection consolidation bill, was presented as a cleanup measure that would centralize boiler regulation under the fire marshal and rely on licensed inspectors meeting national standards. Stakeholders from industry and the fire marshal’s office described it as an efficiency and safety measure, and the committee adopted a substantive amendment on shutdown procedures and licensing details before reporting the bill favorably. HB 461, which would have allowed parishes and municipalities to adopt fortified roof standards, drew extensive testimony both for and against; supporters argued it could improve resilience and lower insurance costs, while opponents warned it would undermine Louisiana’s uniform building code, add cost, and create inconsistency. The author ultimately moved to voluntarily defer the bill. Finally, the committee began HB 977, a bill on minors’ use of applications that would require age verification, parental consent, and app store/developer safeguards. An amendment clarified definitions, consent rules, data-sharing limits, and a good-faith compliance defense. Members raised concerns about the 45-day cure period, the lack of a private right of action, and whether app stores would become gatekeepers, but the bill remained pending at the end of the excerpt.
WV

West Virginia 2026 Regular Session

WV Senate Health and Human Resources Committee in Session Mar 10th, 2026 at 01:10 pm

Health and Human Resources

Transcript Highlights:
  • The proposed bill removes providing intellectual disability services and providing personal care services
  • There weren't enough services being provided.
  • I am a Medicaid personal care provider.
  • That means other entities are free to provide, apply to be a provider agency.
  • That means other entities are free to provide, apply to be a provider agency.
Keywords: 994, senate, all
ID

Idaho 2026 Regular Session

Legislative Session Day 24 Feb 4th, 2026

Idaho House Floor Meeting

Transcript Highlights:
  • for action by the Attorney General, to provide for violations, to provide for defenses, to provide for
  • for action by the Attorney General to provide for violations, to provide for defenses, to provide for
  • exclusions from liability, to provide for interpretation. provide for violations, to provide for defenses
  • , to provide for exclusions, to provide for interpretation, and to provide for exclusions, and declaring
  • It'll provide some money.
Summary: The House convened with 65 members present, approved the journal, and received Senate Bill 1221, which was referred to the Commerce and Human Resources Committee. Committee reports moved several bills forward, including House Bills 502, 512, 494, 531, and 542, while House Bill 570 was re-referred to Judiciary, Rules and Administration. The House also introduced a number of new bills and resolutions, including measures on justifiable homicide, copyright/piracy repeals, court-rule review, LLC formation, short-term rentals, unauthorized workers, inspection requirements, the FAST Act, rangeland improvement, virtual education, income tax changes, the parental choice tax credit, indigent eligibility, patient immigration status, and a constitutional amendment on state-owned land. House Concurrent Resolution 26 supporting wildlife crossings was filed for printing. On the floor, House Concurrent Resolution 24 honoring the firefighters and engineer affected by the Coeur d'Alene brush fire incident passed 68-0, and House Bill 515 on school notification procedures for serious bullying incidents passed 68-0 after debate over whether it should also apply to private schools. House Bill 511, which would raise the cap on fire protection charges in the wildland-urban interface, passed 46-22. House Joint Memorial 9, urging Congress to reaffirm FLPMA for federal land exchanges, passed 69-0. House Bill 518, authorizing the Attorney General to take on human trafficking investigations and prosecutions when requested by local law enforcement, passed 68-0 with support from members who said it would strengthen anti-trafficking efforts. The House then returned House Bill 522 to committee due to a clerical error after the sponsor described it as a drone-restriction bill aimed at prison security. House Joint Memorial 10, supporting the use of natural sugar in school meal programs and aligning with the MAHA movement, passed by voice vote. House Bill 504, aimed at stopping lottery syndicates from bulk-buying tickets, passed 62-6. Announcements followed on legislative receptions, an ICAC presentation, Disability Advocacy Day, a Medicaid listening session, and committee meetings, and the House adjourned until 11 a.m. Thursday, February 5, 2026.
CA
Transcript Highlights:
  • We may provide some funding to UCLA.
  • It also provides a one-time increase...
  • So we provide these services Graduation, so we provide these services.
  • UC Davis provides a Master of Business Analytics on our campus.
  • Gabrielle Chavez with UDW, representing over 225,000 home care providers and child care providers, in
Summary: The subcommittee heard May Revision proposals for higher education, beginning with the Bureau for Private Postsecondary Education. Finance proposed a one-time $10 million General Fund backfill to repay a special fund loan used to cover litigation costs, plus provisional language to allow budget flexibility for a remaining legal expense and to repay the loan without interest. The LAO opposed shifting the litigation costs to the General Fund and raised legal concerns about waiving interest on the loan, noting that special fund loans have historically been repaid with interest. Members asked about the litigation amount and the estimated interest savings, which Finance said would be about $245,000. The committee then discussed University of California funding, including the Governor’s proposed compact funding and a $1.5 million one-time increase for the First Star foster youth program at UC campuses. UC said the program has strong outcomes at UCLA, including a 100% college-going rate and high college completion rates, and that the new funding would expand the program to additional campuses and eventually be self-supporting through fundraising. The LAO recommended rejecting the proposal, arguing that UC already has overlapping outreach programs, including the Early Academic Outreach Program, and that the new initiative would duplicate existing services. Several senators questioned whether the state should expand a new program instead of strengthening existing ones, while UC and Finance emphasized the program’s focus on foster youth and its high success rates. For the California Community Colleges, Finance outlined the May Revision’s increase to the Student-Centered Funding Formula COLA from 2.41% to 4.31%, along with enrollment growth funding, categorical COLAs, deferred maintenance, and other ongoing and one-time investments. The Chancellor’s Office supported the flexible “super COLA” approach and asked for more enrollment growth funding, arguing that many districts are already above current targets and that unfunded growth restricts access. The LAO recommended funding at least the statutory COLA, redirecting some ongoing funds to enrollment growth or one-time priorities, and rejecting the $9.7 million Adult Learner Demonstration Project because districts already have incentives to do similar work. Senators pressed Finance and the Chancellor’s Office on the use of COLA funds to cover the new paid pregnancy disability leave requirement, the impact on hold-harmless and basic-aid districts, and whether the state should fund actual enrollment growth rather than a flat COLA. The committee also reviewed California Student Aid Commission proposals, including adjustments to Cal Grant and Middle Class Scholarship funding, continued Golden State Teacher Grant funding, and implementation of the federal Workforce Pell program. Finance said the Middle Class Scholarship changes reflected updated caseload estimates and that the higher 35% unmet-need level had been one-time funding, while CSAC urged continued support and noted the importance of financial aid for student success. The LAO recommended rejecting additional Golden State Teacher Grant funding as not well-targeted and urged caution on Workforce Pell trailer bill language, citing uncertainty about federal rules, ongoing administrative workload, and the need for clearer implementation planning. Members also raised concerns about declining CADAA applications and the need to better promote state aid for undocumented and mixed-status students. No votes were taken during the transcripted portion, and the committee moved through the agenda items with questions and testimony.
FL

Florida 2025 Regular Session

January 14, 2025 - 03:30 PM

Transcript Highlights:
  • We provide services to adults with disabilities and youth ages 14 through 21, providing pre-employment
  • We provide services to adults with disabilities in youth ages 14 through 21 and providing pre-employment
  • The client is then provided information on providers in their area so they can make an informed choice
  • I mentioned earlier the youth that we provide services to, youth ages 14 through 21. ...that we provide
  • We provide technical assistance and advice on providing workforce accommodations, on-the-job training
Summary: The Higher Education Budget Subcommittee met for an introductory overview of the higher education programs under its jurisdiction. After roll call and member introductions, Chair Busatta outlined that the subcommittee oversees programs in the Department of Education and the State University System, including vocational rehabilitation, blind services, private postsecondary licensure, student financial aid, career and adult education, the Florida College System, and the Board of Governors. The chair and staff also noted that these areas represent roughly $9 billion in current-year funding. Officials from the Department of Education presented on several programs. Vocational Rehabilitation Director Kelly Rogers described services for adults and youth with disabilities, including pre-employment transition services, job coaching, assistive technology, and employer support; she said the program served more than 55,000 people last year, has no wait list, and reported a return of $7.61 to the economy for every $1 invested. Division of Blind Services Director Robert Doyle explained services from birth through older adulthood, including early intervention, school-age support, vocational rehabilitation, independent living, the Business Enterprise Program for blind vendors, and the Braille and Talking Book Library; he said the division serves about 12,000 people annually and also has no wait list, though some community rehab providers may have one. Tiffany Hurst of the Commission for Independent Education described licensure and consumer protection for independent postsecondary institutions, reporting oversight of about 1,100 institutions and 721 non-degree schools, along with enforcement actions against unlicensed operators. Sean Haskin of Student Financial Assistance reviewed 22 scholarship and grant programs totaling about $1 billion for more than 200,000 students, including Bright Futures, Benacquisto, need-based grants, EASE, EASE Plus, veterans’ scholarships, dual enrollment reimbursement, first responder scholarships, and the Ocoee and Rosewood scholarships. Members asked about surplus funds, marketing, Bright Futures eligibility requirements, and whether EASE awards had changed; Haskin said any unused funds are reverted to the Legislature, that the department markets through schools and the Florida Lottery, and that EASE remained at $3,500 per FTE for the last two fiscal years. Several members raised concerns that students and parents may not learn about aid programs early enough, especially in economically disadvantaged communities. Chancellor Kevin O’Farrell then presented on Career and Adult Education, highlighting record participation in career and technical education, adult education, and apprenticeship. He said about 800,000 secondary students and 480,000 postsecondary students are in CTE, adult education serves about 183,000 learners, and apprenticeship/pre-apprenticeship programs include more than 22,000 participants. He also described the workforce development fund, Perkins, WIOA Title II, the Pathways to Career Opportunities Grant, workforce capitalization grants, CAPE performance funding, and the Pipeline nursing initiative, noting strong NCLEX outcomes and expanded outreach through the Get There, Your Way, Future of Work Florida, and Zello platforms. Kathy Hebda began the Florida College System presentation by emphasizing open access, workforce preparation, statewide reach, and strong enrollment and completion growth, including more than 672,000 students, over 131,000 degrees and certificates, and significant dual enrollment savings for students and families.
MN

Minnesota 2025-2026 Regular Session

House Transportation Finance and Policy Committee 2/18/26

Transportation Finance and Policy

Transcript Highlights:
  • at not providing direction but providing<00:20:38.720><c> important</c><00:20:39.200><c> questions</
  • It also provides national address.
  • And that varies provider to provider as shown in the table.
  • </c> providers uh as to the the percentage. providers uh as to the the percentage.
  • they have to provide service.
Keywords: 1183, house
FL

Florida 2026 Regular Session

Children, Families, and Elder Affairs Apr 1st, 2025

Children, Families, and Elder Affairs

Transcript Highlights:
  • This provider capacity issue and the need for expansion of service providers is an issue whether it be
  • This provider capacity issue and the need for expansion of service providers is an issue whether it be
  • We also have a provider capacity issue, but we also have a quality provider capacity issue.
  • to school districts, private providers that provide services through the managing entity to school districts
  • to school districts, private providers that provide services through the managing entity to school districts
Summary: The committee heard and advanced several bills related to children, families, elder affairs, mental health, disability services, and child care. SB 1050 on the Agency for Persons with Disabilities was amended and reported favorably after discussion of expanding the voluntary IDD managed care pilot statewide, improving transparency on the APD wait list, creating a statewide family care council, addressing transition services for youth leaving foster care, and seeking federal approval for an adult pathways waiver. Testimony from providers and a parent emphasized workforce capacity, county-level identification of clients, Medicaid delays, and the importance of keeping the pilot voluntary; the bill passed with support and some discussion about possible future clarifications on services and Medicaid eligibility. The committee also passed SB 1310, which directs OPPAGA to evaluate student mental health outcomes tied to school mental health assistance funding, and members discussed the need for better data, coordination with managing entities, and avoiding duplication of services. SB 976 on court-appointed social investigators was amended and approved, with the sponsor describing due process protections and fee-shifting provisions for parents challenging court-appointed psychologists. SB 886, creating a crisis care coordination team pilot in Volusia and Polk counties to reduce Baker Act recidivism and improve follow-up care, was reported favorably after the sponsor described its law enforcement and community provider partnerships and an independent evaluation requirement. Later, SB 614 on child care facility and program background screening requirements was amended and passed; the bill requires a public educational webpage explaining Level 2 screening, the clearinghouse, disqualifying offenses, exemptions, and related job listings and timelines. Finally, SB 276 on sheltering or aiding unmarried minors was approved; it increases the offense from a first-degree misdemeanor to a third-degree felony, creates a presumption regarding knowledge of the minor’s age, and adds a defense when the conduct was necessary to protect the minor from danger. All bills considered were reported favorably, and the committee adjourned at the end of the meeting.
LA

Louisiana 2026 Regular Session

Insurance Mar 18th, 2026

Insurance

Transcript Highlights:
  • , to provide for effectiveness, and to provide for related matters.
  • rating factors, to provide for exceptions, to provide for effectiveness, and to provide for related
  • This instrument provides relative to the Department of Insurance, including provisions to provide for
  • provide for notice requirements in the standard fire policy, and to provide for related matters.
  • Sometimes people will provide verification from their provider that they have insurance.
Committee: House Insurance
Keywords: 965, house, all
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 7th, 2025 at 09:30 am

Appropriations - Human Resources Division

Transcript Highlights:
  • You decide who those services are provided by, but if that goes away, or if the service provider isn't
  • The building should be unbundled from services, which are provided separately by providers.
  • Provide it back, or do you provide some sort of direction from the department and the providers about
  • Providers to design this.
  • I tell you providers always want to Provide care to individuals.
Bills: SB2015
Summary: The Senate Appropriations Human Resources division met with a quorum and spent much of the meeting on a proposed “medical home” concept for people with significant disabilities and medical needs. Matt Schwartz described the need for small, community-based homes so adults like his daughter could live in a least-restrictive setting without losing housing if service providers change. Architect Jeff Eubel presented a conceptual budget for one roughly 5,000-square-foot facility for four residents, explaining that the design would likely include four large sleeping units, common space, support areas, and medical infrastructure such as emergency power, oxygen, sprinklers, and accessibility features. Committee members and George Sink, joining by phone, raised questions about layout, zoning, ownership, staffing, and whether families would actually move loved ones into such facilities if they were far from home. The department said the concept was not in the governor’s budget and identified staff who could continue discussions; the committee did not take final action and instead discussed refining the language with interested members. The committee then turned to amendments related to long-term care and behavioral health funding. One amendment would reduce a planned $4 million general fund incentive payment and instead create a withhold-based quality program for nursing facilities, to be developed collaboratively by the department and providers and reported to Legislative Management by September 2026. The department said it could live with the language but preferred the governor’s timing; several senators questioned whether the committee should be directing an operational policy change and whether the study would simply delay implementation. No vote was taken, and the amendment was set aside for later consideration. A second amendment would clarify use of an existing $2 million general fund item for behavioral health services in nursing homes and basic care facilities, directing it toward training, technical assistance, consultation, and direct patient care for residents with medically based behavioral health disorders. Members noted the funding was already in the bill and discussed it in the context of other budget items, but again deferred action. The committee also clarified that a separate $750,000 juvenile justice diversion appropriation in House Bill 1425 was distinct from a similar amount in the budget and should likely remain in that separate bill. The chair indicated a goal of having amendments ready by the end of the week, and the committee recessed without final votes on the discussed items.
WA

Washington 2025-2026 Regular Session

House Civil Rights & Judiciary Jan 27th, 2026

Transcript Highlights:
  • It's about providing additional notification requirements. It's about providing transparency.
  • It's about providing additional notification requirements. It's about providing transparency.
  • It provides information to families. It provides broader transparency.
  • It provides information to families. It provides broader transparency.
  • It provides broader transparency.
Summary: The Civil Rights and Judiciary Committee heard testimony on several bills. House Bill 2445, requested by the Attorney General, would curb “probate for profit” schemes by extending the waiting period before a “suitable person” can be appointed, limiting non-intervention powers and repeat appointments, tightening venue rules, and restricting self-dealing by estate administrators. The sponsor and Attorney General’s Office described cases in which strangers used probate loopholes to control estates, sell property, and profit from heirs; the Northwest Justice Project and other witnesses strongly supported the bill. Members raised questions about whether the bill would complicate probate for laypeople and about the timeline changes, and the sponsor said she was open to amendments. No vote was taken. The committee also heard House Bill 2386, which would replace a statutory garnishment answer form with a form developed by the Washington Pattern Forms Committee or a substantially similar form. The sponsor and a district court judge said the current form causes calculation errors, especially for fluctuating wages, and that the change would make garnishments more accurate and transparent. A collectors’ association supported updating the form but asked for a longer implementation period and flexibility for employers to use their own forms; the judge said a rollout period would not be a problem. The bill was heard but not voted on. House Bill 2585 would create a Washington State False Claims Act modeled on the federal act, allowing the Attorney General and private relators to pursue fraud against state programs, with treble damages, civil penalties, and whistleblower protections. Supporters said it would recover stolen public dollars and deter fraud in areas such as wages, housing, education, and environmental programs. Contractors warned that the bill could sweep in good-faith construction change orders, and a wireless industry group asked for a tax exemption; the Attorney General’s Office said it supported the concept but would provide technical and substantive feedback. The bill was heard without action. Finally, House Bill 2590 would exempt limited equity cooperatives from the Washington Uniform Common Interest Ownership Act unless they elect coverage, while keeping the tax exemption framework for those cooperatives. The sponsor and housing advocates said WUCIOA imposes requirements that do not fit cooperative ownership and can hinder permanently affordable housing, while lenders already impose appropriate reserve and governance standards. Witnesses from cooperative development organizations and community land trusts supported the bill, and committee members asked about resale limits, reserve obligations, and who benefits from appreciation. The hearing concluded without a vote. The committee also heard House Bill 2453, which would allow board-certified psychiatric pharmacists to participate in certain involuntary treatment proceedings and provide concurring medical opinions for involuntary medication under less restrictive alternative orders. Supporters said it would improve workforce capacity and continuity of care; opponents argued it could weaken civil-liberty protections and that pharmacists lack authority for diagnosis and treatment. The hearing ended with no final action on the bill.
CA
Transcript Highlights:
  • We may provide some funding to UCLA.
  • So we provide these services... ...graduation, so we provide these services.
  • The May Revision provides much needed relief with the law.
  • UC Davis provides a master's of business analytics on our campus.
  • Gabrielle Chavez with UDW, representing over 225,000 home care providers and child care providers, is
Keywords: 987, senate, all
WY

Wyoming 2026 Regular Session

Select Committee on School Finance Recalibration, June 24, 2026 - PM

Select Committee on School Finance Recalibration

Transcript Highlights:
  • The reduced versus the free, or providing reimbursement either to provide 100% universal meals or the
  • Options: providing staffing for a reimbursement approach or providing universal meals.
  • If you look at that leftmost column, the fewer meals provided, the fewer meals you can provide in an
  • Many meals you're providing to students. So are you providing one meal to all students?
  • you're providing benefits.
Keywords: 916, all
LA

Louisiana 2026 Regular Session

Health and Welfare Mar 25th, 2026

Health and Welfare

Transcript Highlights:
  • It provides relative to the Department of Children and Family Services, including provisions to provide
  • It provides relative to prescriptions to provide for civil and criminal immunity for the distribution
  • This bill is not about punishing good providers. Good providers are already doing the right thing.
  • , to provide for an effective date, and to provide for related matters.
  • So I go to a licensed provider. He... So I go to a licensed provider.
Summary: The committee met on March 25 and first took up HB 199, which would extend Louisiana’s nursing home moratorium. Chairman Miller amended the bill to shorten the extension from five years to four, moving the termination date to July 1, 2031. Rep. Barault argued the state faces a growing bed-capacity problem and proposed an amendment to exempt St. Tammany Parish; Rep. Cruz offered a substitute to reduce the extension to three years. The Nursing Home Association said it had negotiated in good faith and supported the four-year compromise, while the Pelican Institute opposed the moratorium as anti-competitive. A St. Tammany resident testified that her mother faced a long wait for placement and that more local beds are needed. The three-year substitute and the St. Tammany exemption both failed, and HB 199 was reported favorably with the four-year amendment. The committee then favorably reported HB 223 to recreate the Department of Children and Family Services for four more years, with Secretary Rebecca Harris saying the department’s recent reorganization has allowed it to focus more directly on child safety and child welfare. Members discussed planned reforms such as differentiated response, stronger community-based care, and the transfer of TANF to Louisiana Works in 2027. HB 907, which grants civil and criminal immunity for the use or distribution of expired naloxone or other opioid antagonists, also passed with technical amendments; public health officials and members emphasized that expired naloxone remains effective enough to save lives and should still be used in emergencies. HB 535, which streamlines hospital-based acknowledgements of paternity by allowing notarization without two witnesses, was reported favorably after Woman’s Hospital testified that the change would speed up paternity establishment, child support enforcement, and the addition of fathers to birth certificates. HB 554, which would increase penalties for violations at health care facilities and require LDH reporting, drew testimony from a family member describing serious care failures and from LDH, which said it already has caps on fines and that the bill would not change those caps. Rep. Jackson amended the bill to require LDH to publish fines assessed and collected and to list facilities with repeated immediate jeopardy or actual harm deficiencies, but the bill was then voluntarily deferred for a week to allow further discussion with the department. The committee also reported HB 224, a largely technical update to the Children’s Code recommended by the Louisiana State Law Institute, HB 246, which updates membership of the Children’s Cabinet Advisory Board and related bodies, and HB 405, which updates the name of the national acupuncture certifying organization. HB 222, requiring Medicaid coverage for certain dental procedures when needed to clear patients for other medically necessary treatment, was reported favorably despite a fiscal note. Finally, HB 235 on sewer systems generated extensive discussion: Rep. Fontenot described rising sewer rates, poor maintenance, and sewage overflows in his district, and argued for allowing property owners to install private sewer treatment systems in certain circumstances. Members raised concerns about local control, PSC rate-setting, and whether local governments should have more authority over sewer service decisions; the bill was still under discussion when the transcript ended.
LA

Louisiana 2026 Regular Session

Health and Welfare May 19th, 2026

Health and Welfare

Transcript Highlights:
  • Department of Health; to provide for waivers; to provide for rulemaking; to provide for duties of the
  • for penalties, to provide for rules and regulations, to provide for certain exemptions, to provide for
  • for penalties, to provide for rules and regulations, to provide for certain exemptions, to provide for
  • team, to provide for a multidisciplinary investigative team, to provide for forensic reviews, to provide
  • to provide for implementation and provide for related matters.
Summary: The committee first heard SB 145, which would require adult residential care providers, especially assisted living centers, to have generators or other backup power arrangements and to submit preparedness plans to LDH. After technical amendments and testimony from the sponsor, LDH, and the assisted living industry clarifying the bill’s scope and cost concerns, the committee adopted the amendments and reported the bill favorably. It then took up SB 433, which would require Medicaid coverage of medically necessary FDA-approved weight loss drugs, including GLP-1 medications, subject to appropriations and fiscally sustainable coverage criteria; the bill was reported favorably after discussion of current Medicaid coverage and costs. The committee also approved SB 52, which requires better coordination between DCFS and LDH so SNAP and Medicaid benefits can follow children more quickly when they are removed from or returned to a home. Technical amendments changed reporting deadlines and required written notice, and the bill was reported favorably. SB 4 on public water fluoridation was amended to allow local governments or voters to opt out through a petition and election process, with support from the Louisiana Dental Association and others after compromise language was adopted; it was reported favorably with amendments. SB 152, which would prohibit the sale of cultured or lab-grown food products for human consumption, was also reported favorably with amendments after brief testimony in support and opposition. The committee next approved SCR 37, which asks the Surgeon General to review Louisiana’s informed consent laws and report back on any gaps, after discussion that the existing medical disclosure panel had not met since 2018. It then considered SB 194, a public assistance bill aligning Louisiana Medicaid and SNAP rules with recent federal changes on non-citizen eligibility and tightening Medicaid’s reasonable opportunity period for citizenship verification. After extensive debate over immigration, emergency care, and whether the bill could harm eligible applicants or rural hospitals, the committee adopted an amendment allowing LDH discretion for emergency health care services and reported the bill favorably by an 8-3 vote. Finally, HCR 113 created a task force to study gestational carrier agreements and assisted reproductive regulation; after debate over surrogacy, ethics, and referral to Civil Law, the committee rejected the referral motion and then reported the resolution favorably, and the meeting moved on to SB 333 on child-in-need-of-care proceedings and legal representation funding.
SC

South Carolina 2025-2026 Regular Session

Healthcare and Regulatory Subcommittee Jun 24th, 2026

Transcript Highlights:
  • Our area supervisors provide supervision, leadership, and guidance to the staff who are providing these
  • They provide supported employment services, and they provide job coach assistance for our consumers who
  • So one thing is providing supervision to those area supervisors, and while providing that supervision
  • They provide CDL truck driver training. ARC Labs provides welding training.
  • We provided the same services.
Keywords: 977, all
Summary: The committee met to receive a detailed financial operations presentation from the South Carolina Vocational Rehabilitation (VR) agency, with staff walking members through funding sources, budgeting, accounts receivable, accounts payable, and grants management. Sabrina Walker explained VR’s blended funding structure, including federal grants, state appropriations, program income, and interagency contracts, and emphasized that state funds are essential to meeting the federal match and maintenance-of-effort requirements. Members asked repeatedly about transparency, audit controls, and the risk that state cuts could reduce federal drawdowns; staff responded that all reports reconcile back to the SCEIS accounting system, are subject to state audits and internal reviews, and that even modest state reductions could significantly reduce total available funding. The committee also discussed pre-employment transition services for students with disabilities, with staff confirming services are offered through school districts, charters, and private schools, and that contracts are monitored for performance and compliance. The presentation then shifted to budgeting and internal controls. Walker described a zero-based departmental budgeting process, monthly monitoring reports, contingency reserves for unexpected expenses, and a formal annual cycle that culminates in board approval. Members asked about facilities tracking, culture, and how the agency maintains accountability; staff said facilities staff inspect buildings and equipment, supervisors justify line-item requests, and the process has become smoother over time as departments learned the system. Cynthia Johnson followed with an accounts receivable overview, describing invoicing, receipting, aging, customer verification, year-end reporting, and the use of cross-training, shared email inboxes, and spreadsheets as checks and balances. She also explained work training center billing, interdepartmental transfers, and the revolving fund used to issue consumer checks more quickly than standard vendor payments. Olivia Perez presented accounts payable operations, including invoice processing through SCEIS and OnBase, the three-way match, travel reimbursements, revolving fund checks, State Treasury Office interactions, and handling of reversals, rejections, and levy notices. She reported that AP processed 67,723 SCEIS payments, 13,670 case management system invoices, 3,379 travel reimbursements, and 15,693 revolving fund checks in fiscal year 2025, with only 70 payment rejections. The final portion of the meeting covered Grants and Funds Management, where Walker explained federal reporting, drawdowns, payroll allocation, asset tracking, lease and IT contract reviews, cost allocation, and closing packages. She noted upcoming system changes such as S/4HANA, Workiva, and SC Pro, but said the agency is receiving training and feedback opportunities. No formal votes or legislative actions were taken during the presentation portion beyond approval of the prior minutes and a brief recess.
FL

Florida 2025 Regular Session

January 14, 2025 - 03:30 PM

Transcript Highlights:
  • The legislation requires two providers, contracted providers for child welfare, child protection services
  • As a provider agency, providers have to fulfill all of the same statutory requirements through their
  • , which I thought was interesting because you have a more rural provider and an urban provider.
  • more of a rule provider and an urban.
  • There is a tremendous need for providers who serve higher acuity youth. tremendous need for providers
Summary: The Human Services Subcommittee held its first meeting of the term and heard introductory remarks from the chair, vice chair, ranking member, and members, who broadly described their interest in child welfare, mental health, aging services, homelessness, and agency accountability. The chair then outlined the subcommittee’s jurisdiction, including child welfare, mental health and substance abuse safety net services, domestic violence, developmental disabilities, elder services, and child support, and introduced the Department of Children and Families (DCF) as the first agency panel for the term. DCF presented an implementation update on HB 7089, a 2024 law aimed at increasing accountability and transparency for community-based care (CBC) lead agencies that deliver most child welfare services under contract. The department said the bill was prompted by forensic examinations that found problems such as noncompetitive procurement, related-party transactions, excessive executive compensation, and weak financial oversight. DCF described new contract requirements and monitoring tools covering board governance and annual training, conflict-of-interest disclosures, financial penalties for noncompliance, fidelity bond requirements, limits on direct service provision by lead agencies, related-party procurement rules, procurement thresholds, real-property approvals, compensation caps, expanded public reporting, and a new Future of Child Protection and Funding Work Group. DCF reported that some lead agencies had completed required board training, others were still on schedule, and two agencies exceeding the direct-service threshold had been referred to the Auditor General. Members asked DCF about the reasons for the bill, the impact on children, the work group’s regional representation, aging-out youth, the Embrace Families transition, board training requirements, and whether enforcement actions had been taken. DCF said the bill was intended to protect funds for children and families and improve oversight, and clarified that the Central Florida lead agency contract was awarded through competitive procurement rather than an absorption. DCF also said the board training was designed to be meaningful but not overly burdensome, with timing left partly to lead agencies as they implement the new requirements. The committee then heard from two CBC leaders, who generally supported the accountability goals of HB 7089 and said their agencies had already addressed most of the new governance and disclosure requirements. They reported that board training had been completed or was being scheduled, but both agencies said the fidelity bond requirement has been difficult or impossible to obtain in the market as written, though they were able to secure the separate performance bond. The CBC witnesses also warned that recruiting providers is increasingly difficult, especially for higher-acuity children and group-home placements, due to limited provider supply, regulatory burden, insurance costs, and rising risk. They said these pressures are contributing to budget deficits in some areas and urged lawmakers to consider the funding model, insurance and indemnification issues, and the risk of overregulation reducing provider participation.
CA
Transcript Highlights:
  • It provides a greater flexibility in terms of providing cash. to victims that other programs do and so
  • At the time we recommended providing funding for to staff the new building and then only providing the
  • I think the only thing that we might add is when you're considering how long to provide funding, providing
  • Just because you provide the funding on a limited term basis doesn't mean that you're not going to provide
  • service providers funded by Cal OES.
Keywords: 988, house, all