Transcript Highlights:

• impact on whether or not the state also has a percent of benefit cost share in the benefits which have
• Benefits also vary widely, ranging from primary care and preventive services only to extensive benefits
• of a temporary or permanent disability benefit.
• benefit.
• And there is a significant economic benefit to California of receiving those benefits.

Summary: The Budget Subcommittee on Health and Human Services heard an overview of the expected California budget and program impacts from H.R. 1, including changes to Medi-Cal and CalFresh eligibility, redeterminations, work requirements, immigration-related coverage rules, retroactive coverage limits, and reductions in federal matching for certain services and provider financing mechanisms. DHCS and CDSS described implementation plans focused on automation, data matching, clearer communications, county training, and outreach, while noting that many federal details are still pending. The Legislative Analyst’s Office also reviewed how H.R. 1 could increase pressure on county indigent care systems, explaining the history of county responsibility under Section 17000, 1991 realignment, and AB 85, and warning that counties may face large increases in uninsured residents seeking care without corresponding funding flexibility. An independent policy expert urged consideration of a more standardized statewide approach to indigent care and raised questions about governance, benefits, and financing. Department witnesses estimated substantial coverage losses and fiscal effects: DHCS projected major Medi-Cal disenrollment tied to work requirements, six-month renewals, narrowed immigrant eligibility, and reduced retroactive coverage, while CDSS estimated large CalFresh benefit losses and a significant increase in administrative workload and payment accuracy pressure. Members questioned how exemptions would work for older adults, people experiencing homelessness, undocumented residents, and cash workers, and asked about the effect on the CalFresh Minimum Nutrition Benefit Pilot and on county administrative funding. Officials said they would use available data and self-attestation where possible, but acknowledged that many cases would require manual screening and that the county workload estimates remain in dispute. They also said the state is still evaluating the impact of H.R. 1 on provider taxes and state-directed payments, which could create additional budget pressure. County representatives from Los Angeles, Santa Clara, Tulare, and San Bernardino described major local consequences if H.R. 1 is implemented as written. They warned of higher uninsured rates, more strain on emergency rooms and public hospitals, increased homelessness and food insecurity, and a likely need to rebuild or expand county indigent care programs that were largely scaled back after the ACA. Counties said they are already freezing hiring, cutting positions, reducing overtime, deferring spending, and launching outreach and coordination efforts with managed care plans and community partners, but argued that these steps are not enough without additional state support. Several counties backed the California County Welfare Directors Association’s request for $373 million in General Fund support for eligibility work and asked for a CalFresh match waiver to soften the new county share of administrative costs; Los Angeles and Santa Clara also emphasized that their local revenue measures would not close the projected gaps. No votes or formal actions were taken in the portion provided.

Transcript Highlights:

• Right now, it's more difficult for disabled veterans to get a parking placard than disabled non-veteran
• are disabled.
• Total means the veteran is disabled at the 100% level and compensated at the maximum VA disability rate
• disabled veterans face.
• How is it that a disabled veteran who has documentation from the VA that he's 100% disabled just can't

Summary: The Senate Transportation Committee heard several bills focused on local transportation funding, roadway safety, e-bike regulation, veterans’ parking access, high-speed rail reporting, autonomous vehicle oversight, and wildlife-vehicle collision planning. SB 1408 would authorize Contra Costa County to place a countywide transportation sales tax measure on the ballot; supporters said it would continue funding highways, transit, bike/pedestrian projects, and paratransit, while CalTax opposed it over affordability and tax burden concerns. SB 990 would allow targeted Caltrans business-logo signage for Ridgecrest along Highway 395; supporters framed it as a rural safety and economic access measure, and there was no opposition. SB 1167 would tighten consumer protections by clarifying what qualifies as a legal e-bike and requiring clearer labeling and disclosures; supporters included bicycle advocates, medical groups, local governments, and auto clubs, while no opposition testified. SB 1034 would make it easier for disabled veterans rated permanent and total by the VA to obtain disabled parking placards, with strong support from veterans’ organizations and no opposition. SB 1177 would require the High-Speed Rail Project Update report to continue including additional information on revenue options, timelines, and international comparisons; the City of Burbank opposed, while the sponsor argued the bill preserves a historical record and transparency. SB 1246 would impose new remote-operations, response-time, and manual override requirements on autonomous vehicles; first responders and labor groups supported it, industry and business groups opposed it as duplicative of recently enacted law and DMV rules, and the committee discussed possible amendments and coordination issues. The committee also considered SB 1279, which would extend Long Beach’s speed camera pilot to Pacific Coast Highway; supporters cited fatal crash data and pedestrian safety, while the CHP association moved from opposition to neutral after discussions. The committee then took up SB 1250, a planning bill to integrate wildlife-vehicle collision mitigation into transportation planning, with the author emphasizing targeted crossings and fencing at known hotspots. Several consent items were approved on a 10-0 vote, and SB 1246 was reported out 7-2, while other bills were held on call pending quorum or later action.

Transcript Highlights:

• Medicaid benefit.
• receive their federal SSI benefits.
• And many of those clients benefit from these services.
• And many of those clients benefit from these services.
• Thank you for not cutting deeply into disability sources.

Summary: The House Appropriations Committee held a public hearing on proposed substitute House Bill 2289, the House operating budget. Budget staff Mary Monroe gave a detailed overview of the proposal’s near general fund outlook, reserve levels, major revenue assumptions, and major spending and savings items. She highlighted assumed revenue from capital gains and a proposed “millionaires tax,” a transfer from the budget stabilization account, administrative reductions across agencies, and several major policy shifts, including changes affecting Working Connections Child Care, K-12 education, higher education, long-term care, behavioral health, wildfire response, and state employee compensation. Members then asked questions, including about the higher education building account/operating fee swap and its interaction with the capital budget and Climate Commitment Act funds. The committee also announced amendment deadlines for the budget process. The bulk of the meeting was public testimony, with many speakers generally supporting or opposing specific parts of the budget. Supportive testimony praised funding for wildfire prevention, public health, reproductive health, civil legal aid, the Poison Center, some higher education institutions, and certain disability and child welfare services. Many speakers urged restoration or protection of funding for K-12 education, especially transition to kindergarten, local effort assistance, bus depreciation, and Running Start; others opposed cuts to child care, early learning, public defense, long-term care, adult day and home care services, occupational/physical/speech therapy for Medicaid patients, and community and technical colleges. Several local government, health, and nonprofit representatives also asked the committee to preserve public works, homelessness, energy assistance, environmental justice, and recovery/diversion programs, while some business and public safety groups sought continued funding for organized retail crime prevention and related initiatives. No votes were taken during the hearing. The committee recessed briefly and later resumed with virtual testimony, where additional witnesses repeated concerns about education cuts, long-term care, health care access, disability services, dispute resolution, early childhood programs, and the need for ongoing or increased funding in those areas.

Transcript Highlights:

• , and despite years of contribution, they are unable to access federal Social Security benefits.
• In fact, due to my migratory status, I do not qualify for the retirement benefits to which I've been
• As you know, millions of people don't have any... ...retirement benefits.
• The majority of the lives lost were older adults and people living with disabilities.
• could have greatly benefited from AAAs and ADRCs being present in the emergency shelters.

Summary: The Assembly Aging and Long-Term Care Committee met on April 22, established a quorum, and adopted its 2023-24 committee rules. The hearing then considered five bills focused on aging, long-term care, immigrant seniors, nutrition, and emergency preparedness. AB 450 would create a task force to study the needs of undocumented Californians age 55 and older; supporters from CHIRLA and other advocates described barriers to housing, health care, retirement, and digital access, while members raised questions about eligibility and process. The bill was approved on a due pass motion and re-referred to the Committee on Human Services. AB 508 would require residential care facilities for the elderly to disclose staffing information upon request at admission and when rates increase. The author and supporters argued that staffing levels are closely tied to quality of care and that families need transparency to make informed choices; a witness described her father’s death in an understaffed facility. Assisted living industry representatives opposed the bill as burdensome but said they were continuing discussions with the author. The committee adopted amendments and passed the bill to Appropriations. AB 1476 would allow senior congregate meal programs to continue offering to-go meals, a practice expanded during the pandemic. Supporters said the option improved access for homebound and food-insecure seniors and helped bring people into senior centers; there was no opposition, and the bill passed to Appropriations. AB 1068 would create a working group on evacuation and sheltering needs for older adults and people with disabilities in long-term care during disasters, and AB 1069 would ensure area agencies on aging and aging/disability resource programs have access to emergency shelters to provide services. Both measures drew broad support from aging, disability, and advocacy groups, with testimony citing recent fires and evacuations, and both were approved and re-referred to the Committee on Emergency Management. The committee also left rolls open for additional members to add votes before adjournment.

Transcript Highlights:

• the premium for that benefit.
• Because this benefit provides full compensation during this disability leave, we're anticipating that
• Okay, so I'm trying to remember from when my wife went on disability because she had no other benefit
• So I'm trying to remember from when my wife went on disability because she had no other benefit after
• Although a school could choose to provide a different disability benefit for administrators than they

Transcript Highlights:

• Total benefits across those two populations CalFresh benefits.
• To your comments, the power of CalFresh benefits is that those benefits are spent almost all in the month
• We lost our CalFresh benefits. We lost our medical coverage. We lost our CalFresh benefits.
• As essential as CalFresh benefits are to the food economy, any disruption in benefits has a significant
• This work includes the CalFresh Minimum Benefit Nutrition Benefit Pilot Program that is in effect now

Summary: The committee held its second hearing on CalFresh enrollment and nutrition, focused on the effects of H.R. 1 on eligibility, administration, and food access in California. The Legislative Analyst’s Office and the Department of Social Services outlined major federal changes: expanded work requirements for able-bodied adults without dependents, narrowed eligibility for certain lawfully present non-citizens, and new state and county cost-sharing for both administrative and benefit costs. Officials said about 665,000 Californians could lose benefits under the work requirement, roughly 72,000 non-citizens could lose eligibility, and California could face hundreds of millions to billions in new costs depending on error rates and implementation details. DSS described its mitigation efforts, including county guidance, trainings, automation, outreach materials, and coordination with workforce programs, while county representatives argued the workload is larger than current funding assumptions and that staffing and training needs are urgent. Members also heard from a CalFresh recipient, Lauren Keltz, who described how benefits helped her family during her daughter’s medical crisis and how a clerical error led to the loss of food, health, and cash assistance, contributing to homelessness and food insecurity. Her testimony was used to underscore the consequences of administrative errors and benefit disruptions. Grocery and agriculture representatives said CalFresh is not only an anti-hunger program but also a major economic driver, with benefits spent locally at grocery stores, farmers markets, and farm stands. They warned that cuts would reduce demand for fresh food, hurt independent grocers and small farmers, and increase reliance on food banks, while urging continued support for market match and farm-to-food-bank programs. In the second panel, advocates and local administrators emphasized the human and operational impacts of the federal changes. The California Immigrant Policy Center called for expanding the state-funded California Food Assistance Program to cover more immigrants excluded by H.R. 1. A San Francisco eligibility worker and a San Diego county administrator said the new rules will add substantial casework, require more client outreach and exemption screening, and strain already limited staffing. Justice in Aging stressed that CalFresh is a key anti-hunger tool for older adults and people with disabilities, especially as housing and health costs rise, and supported outreach funding for seniors. Throughout the hearing, members discussed the need for state funding, better automation, and stronger county and community partnerships to reduce disenrollment and protect access to food.

Transcript Highlights:

• If they're getting unemployment benefits or they've applied for unemployment benefits, if they're going
• We verify if someone is disabled.
• We verify if someone is disabled.
• We verify if someone is disabled.
• We verify if someone is disabled.

Committee: All ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Summary: The subcommittee first recognized the Arkansas Community Colleges Leadership Institute and received a brief DHS update on the Living Choices Assisted Living Waiver reimbursement process, including that the new cost-reporting period began in January and provider/contractor calls are underway. The main presentation then focused on SNAP and TANF, with DHS describing federal changes under the One Big Beautiful Bill that tighten SNAP work requirements for adults ages 18 to 64 without certain exemptions, remove some prior exemptions, and add new federal definitions for Native American populations. DHS also reviewed SNAP Employment and Training providers, their service areas, projected budgets, participant characteristics, and outcomes, noting that the program is currently voluntary but will shift toward mandatory participation for those subject to the new rules. Members asked detailed questions about how mandatory participation will be implemented, how referrals will be made, what other training options exist, how verification of work, volunteering, disability, and exemptions will be handled, and whether DHS has enough funding and provider capacity. DHS said it will conduct verbal and written notices during eligibility interviews, make direct referrals to providers, use six-month recertifications and documentation from employers or volunteer organizations, and apply sanctions for noncompliance after determining whether a good cause exists. Members also requested additional data, including age breakdowns of at-risk SNAP recipients, provider-level outcomes and costs, and information on other training programs such as WIOA. The committee then moved to Medicaid community engagement requirements for ARHOME, which DHS said are also required by the same federal law and must be implemented by January 1, 2027. DHS said it is preparing policy, system changes, communications, and a customer-service/outbound verification vendor, and plans a soft launch beginning in July to help clients understand what would be required if the rule were already in effect. Members raised concerns about timing, local versus central decision-making, and how clients in rural areas will be notified and assisted. The meeting concluded with broader discussion of the committee’s workforce-development goals, the recently released Alliance for Opportunity audit, and interest in continuing the contract with that group to help guide future reforms.

Transcript Highlights:

• are developmentally and intellectually disabled.
• There are a intellectually disabled.
• And then reinforcing our disabilities.
• Um, I'm in support of Disability Center.
• So we all benefit from the same thing.

Committee: Senate Energy and Intergovernmental Affairs

Summary: The joint committees on Energy and Intergovernmental Affairs and Health and Human Services heard Senate Concurrent Resolution 58 and Senate Resolution 42, which urge counties to install special-needs recreational playground equipment in parks and playgrounds. Testimony came from the Disability and Communication Access Board, the Hawaii State Council on Developmental Disabilities, the Disability Rights Center, Autism Moms of Kona, and a Pacific Disability Center representative, all supporting the resolutions. Several testifiers asked that the term “special needs” be replaced with “access and functional needs,” and one requested language broadening the measure to explicitly include developmentally and intellectually disabled youth. A committee member also discussed the need for inclusion and the benefits of accessible play for all children. After questions, the chairs said they would adopt amendments from the Disability and Communication Access Board, Autism Moms of Kona, and Tina Marie Kira, along with technical, non-substantive changes. Both committees then voted to recommend passage of SCR 58 and SR 42 with amendments, with members voting aye and some excused. The committees then heard Senate Concurrent Resolution 163 and Senate Resolution 132, which request counties to adopt flexible setback requirements for state buildings and facilities to improve land use efficiency and public service delivery. Testimony in support came from the Grassroots Institute and the Department of Accounting and General Services. The chairs moved the resolutions forward with technical, non-substantive amendments, and both committees adopted recommendations to pass SCR 163 and SR 132 with amendments before adjourning.

Transcript Highlights:

• This bill provides a full property tax exemption for disabled veterans.
• Roughly 380,000 veterans in California live with service-connected disabilities.
• That California already provides generous benefits to disabled veterans as a reason not to expand them
• also helping other eligible disabled veterans receiving the benefit of the 100%.
• State law provides unemployment insurance benefits to military families to help them...

Summary: The Senate Committee on Military and Veterans Affairs met on June 22 with several members initially absent, so the committee began as a subcommittee and later established a quorum. The committee first heard AB 1775, which would provide California support for transgender service members and veterans affected by a federal executive order requiring their separation from service. The author and witnesses described the policy as discriminatory and destabilizing, and supporters from civil rights and LGBTQ+ organizations urged passage. No opposition testimony was offered, and the chair and members expressed support for helping affected veterans with discharge upgrades, housing assistance, and expedited professional licensing. The committee then heard AB 2022, which expands the disabled veterans property tax exemption by creating a full exemption for certain totally disabled veterans meeting income limits and a 50% exemption for others, while preserving existing benefits. The author, a disabled Marine veteran, and multiple veterans’ organizations testified that the measure would help veterans remain in their homes and keep them in California; a Gold Star spouse also spoke in support. The bill was moved on a due pass motion to the Committee on Appropriations, with the roll held open until additional members arrived, and the consent calendar was later approved 4-0. Next, the committee heard AB 2054, which updates the definition of covered active duty for paid family leave purposes so military families can qualify when service members are deployed, activated for emergencies such as wildfires, or sent to extended training. Supporters, including Department of Defense and veterans’ representatives, said the bill reflects modern military service and protects families during disruptions. The committee also heard AB 2531, which would expand an existing uncompensated care grant program so veterans denied abortion care through the federal VA system can access support, and would add abortion resource information to CalVet materials. Support came from Planned Parenthood, the California Medical Association, the Lieutenant Governor’s office, and others; one member of the public raised concerns about coercion but did not clearly oppose the bill. All three bills were advanced on due pass motions to Appropriations, and the meeting adjourned after the final votes.

Transcript Highlights:

• guidance, administrative backlogs, and in some cases as little as 24 hours' notice before pay and benefits
• This bill provides a full property tax exemption for veterans who are 100% disabled by the VA, or who
• Roughly 380,000 veterans in California live with service-connected disabilities.
• That California already provides generous benefits to disabled veterans as a reason not to expand them
• also helping other eligible disabled veterans receiving the benefit of the 100%.

Committee: Senate Military and Veterans Affairs

Transcript Highlights:

• encourage people with disabilities to be able to work.
• encourage people with disabilities to be able to work.
• As you could imagine, folks with disabilities sometimes have higher costs associated with, you know,
• Like even with our state employees, people have been talking about, For all benefits, right?
• So I think across the country, these discussions are happening whether you're disabled or not.

Committee: Senate Health and Welfare

Transcript Highlights:

• We're a nonprofit serving clients with intellectual and developmental disabilities.
• AB 1329 makes the necessary reforms to the Subsequent Injury Benefit Trust Fund.
• It has since been expanded to apply to all disabled workers.
• The fund then carries the risk and obligations for any subsequent injuries to disabled workers.
• It doesn't add additional workers' compensation benefits.

Summary: The Assembly Committee on Insurance met as a subcommittee and heard several bills related to workers’ compensation, insurance access, climate resilience, and farmworker protections. AB 815 would prevent social service workers who use personal vehicles to transport clients from being misclassified as commercial or for-hire drivers under personal auto policies; supporters said the current practice leads to unaffordable premiums and denied claims, while no opposition testified. AB 1329 would revise the Subsequent Injury Benefit Trust Fund to reduce litigation and medical-legal costs and lower employer assessments; insurers and business groups opposed unless amended, citing concerns about eligibility standards and the QME process, but the bill advanced after amendments were discussed. AB 1048 would allow disputed unauthorized payment reductions for medical providers to be reviewed through independent bill review; supporters framed it as a transparency measure, while opposition argued IBR is the wrong forum and existing contract dispute processes should control, though the bill also passed. AB 1236 would create a Department of Insurance grant program for climate and sustainability risk-reduction projects, with broad support from the department, environmental groups, and insurers, and it passed unanimously. The committee also heard AB 1336, the Farmworker Heat Illness Prevention Act, which would create a rebuttable presumption that a heat-related injury arose out of employment when an agricultural employer fails to comply with heat illness prevention standards. Supporters, including United Farm Workers, argued the bill would help protect farmworkers amid extreme heat and enforcement gaps; opponents from the workers’ compensation and agricultural sectors said the measure improperly uses the compensation system to enforce OSHA rules and could create unclear adjudication and delay issues. Members discussed Cal/OSHA enforcement limits, undocumented workers’ reluctance to report violations, and the relationship between the bill and existing workers’ compensation procedures. Despite opposition, AB 1336 passed on a divided vote. The committee also took up a consent calendar including AB 1125, AB 1293, and AB 1398, which were approved together. Roll calls were held open and later completed, and the bills that advanced were sent to the Committee on Appropriations. The meeting concluded with the committee adjourning after final votes were recorded.

Transcript Highlights:

• House Bill 657 relates to disabled veterans and exempts disabled veterans from the State's vehicle weight
• So that's the benefit-cost analysis that I would make.
• <01:27:26.520><c> it</c><01:27:26.639><c> can</c><01:27:26.800><c> be</c> disabled it can be disabled
• </c><01:27:39.159><c> cost</c> like that so that's the benefit cost like that so that's the benefit cost
• </c><01:27:56.840><c> veterans</c> know the most severely disabled veterans know the most severely disabled

Committee: House Public Safety

Summary: The Committee on Public Safety heard testimony on several bills. HB 628 HD1, relating to education, would reinstate a prior law allowing veterans whose high school education was interrupted by wartime to receive a diploma. Testimony was generally supportive from the Office of Veterans Services, the Department of Education, the Hawaii Military Affairs Council, and an individual testifier, with one person in opposition. The committee later recommended passage of HB 628 HD1 as is, and the motion was adopted. The committee also heard HB 1158 HD1 and HB 1159 HD1, both relating to commercial harbors. HB 1158 HD1 concerns firefighting at commercial harbors and drew support from the Department of Transportation; the committee recommended passage as is and adopted the recommendation. HB 1159 HD1 would require masters or persons in charge of vessels to comply with a Harbor Master’s order to evacuate a commercial harbor during emergencies. Testimony included support from Hawaii Emergency Management Agency, the Department of Transportation, and comments from the Hawaii Harbor Users Group. Members raised concerns about small boat operators and safety, and the committee passed the bill with reservations. The committee then discussed HB 1262, relating to the Emergency and Budget Reserve Fund, and HB 1296, relating to the major disaster fund. Supporters of HB 1262 included the Climate Advisory Team and AARP Hawaii, while the Department of Budget and Finance cautioned about duplication of benefits with federal disaster aid and the need to preserve the fund’s primary purpose. Members questioned how the bill would interact with federal assistance and whether the fund could be used more broadly; no vote was taken, and the bill was deferred to decision-making. On HB 1296, HEMA and Budget and Finance opposed the measure, citing the need for flexibility in emergencies and concerns that added reporting requirements could hinder response efforts, while the Tax Foundation of Hawaii noted the major disaster fund is much smaller than the EBF. The committee likewise deferred HB 1296 to decision-making, and the meeting adjourned.

Transcript Highlights:

• that more people receive the benefits.
• that more people receive the benefits.
• House bill 3198 and Act would ensure that more people receive the benefits.
• But Boston is heavily benefited from that community done.
• But most needs to help me benefit from that of the community done.

Committee: Joint Joint Committee on Revenue

Summary: The Joint Committee on Revenue held a hearing on bills related to senior and disability property tax relief, with a focus on helping older adults and people with disabilities remain in their homes. Testimony supported H. 3968, which would make certain senior and disability property tax exemptions permanent so eligible residents would not have to refile annually, and H. 3198, which would expand the senior circuit breaker tax credit by indexing income and credit limits to cost of living and raising the home valuation cap from $1.1 million to $1.5 million. Representative Scanlan also testified in favor of several additional bills, including a local option motor vehicle excise tax exemption for low-income seniors and veterans, a local property tax cap for low-income seniors, an expanded senior property tax exemption, and a senior property tax deferral program designed to be revenue neutral over time. Witnesses from the City of Boston, the Massachusetts Municipal Association, and the Massachusetts Association of Assessing Officers generally supported local-option property tax relief measures and said they would help seniors age in place while giving municipalities flexibility. Committee members raised concerns about possible abuse or fraud if exemptions became permanent, and about how assessors would verify continued eligibility without annual reapplication. Supporters responded that eligibility could still be tied to real estate transactions and other documentation, and that the current annual filing requirement causes many eligible seniors to miss out on benefits. Mass Senior Action Council members testified that many seniors are struggling with rising property taxes, insurance, and other costs, and urged broader reforms such as freezing assessed values, improving outreach, strengthening the work-off program, and allowing more flexible payment or deferral options. No votes were taken; the hearing concluded after testimony and questions.

Transcript Highlights:

• She also is the mom of two children with developmental disabilities.
• And those extras come in the form of enhanced benefits.
• And the enhanced benefits that are offered are in each of those categories of services and benefits that
• Categories of services and benefits that I mentioned previously.
• And then this is my question about the expanded benefits.

Summary: The Health and Human Services Committee received an overview of Florida’s intellectual and developmental disabilities (IDD) managed care pilot, created by legislation in 2023 to test whether a managed care model could integrate Medicaid medical services with iBudget waiver home- and community-based services for adults in pre-enrollment categories. AHCA explained the existing system, the pilot’s scope in Regions D and I, and the rollout timeline, including federal approval, contract execution with Florida Community Care, and the October 2024 go-live. Officials reported that, as of early February, 370 individuals had been sent for onboarding and 168 more were in queue, with about $35.8 million of the appropriation remaining. APD also clarified the difference between the pre-enrollment categories and the waiver waitlist, and noted that crisis cases can be enrolled more quickly depending on eligibility and funding. Florida Community Care described the pilot as a comprehensive managed care model offering medical, long-term care, and iBudget services, plus enhanced benefits such as bed-hold days, caregiver transportation, and help with legal guardianship costs. The plan said it uses one care coordinator, a 1:18 coordinator ratio, a face-to-face assessment within five days of enrollment, and 180 days of continuity of care for existing providers. The company emphasized that it is recruiting providers by offering higher rates than some iBudget rates, lower administrative burden, and network adequacy incentives, while APD said it continues to monitor provider supply and demand and recruit across service types and regions. Members repeatedly questioned whether the pilot’s costs, provider rates, and service levels were truly comparable to the iBudget system, and AHCA and APD said it was too early to draw firm conclusions because claims data are still lagging. Committee members also raised concerns about communication, enrollment delays, provider shortages, and whether the pilot could scale statewide. APD said it has used letters, phone calls, texts, emails, and community meetings to reach eligible individuals, and that some delays stem from required assessments, Medicaid eligibility checks, and level-of-care determinations. Several members asked for more detailed comparisons of costs and provider reimbursement between the pilot and iBudget, and APD said it would provide additional data. Public testimony at the end was strongly critical of managed care, with a participant and his mother describing poor service, transportation failures, and loss of control under prior managed care arrangements, and urging the committee not to expand such a model without safeguards. No votes or formal committee action were taken before adjournment.

Transcript Highlights:

• disabilities is that I see that if we disabilities is that I see that if we could<00:17:48.799><c> take
• ><c> and</c><00:25:59.399><c> complex</c> physical disabilities and complex physical disabilities and
• </c> developmental disabilities developmental disabilities and<00:31:29.200><c> um</c><00:31:29.440><
• </c> Pockets there are some amazing benefits Pockets there are some amazing benefits to<00:39:31.160>
• </c> ensure that people with disabilities ensure that people with disabilities would<00:42:06.480><c>

Summary: The committee held a public hearing on HB 530, a bill to increase funding for New Hampshire’s Affordable Housing Fund. Representative Jessica Lontine, the sponsor, described the state’s housing crisis, citing high rents, low vacancy, and the lack of affordable units. She said the bill would double the annual transfer-tax deposit into the fund from $5 million to $10 million, and she later presented an amendment to hold the Education Trust Fund harmless by directing the housing-fund deposit from remaining revenue after that trust fund is funded. She also explained a prospective appropriation idea tied to a possible future sale of the Laconia State School property, with the goal of supporting community housing for people with intellectual and developmental disabilities. Much of the testimony focused on the shortage of accessible and supportive housing for people with disabilities and aging family caregivers. Lontine, Ben Saul of Visions for Creative Housing Solutions, Lori McIntosh of Our Place NH, and Maddie Mandelbaum all described the difficulty families face in planning for adult children with disabilities as parents age or die. They emphasized that many people need not only affordable housing but accessible, supportive settings, and they argued that state investment would help nonprofit providers build such housing and prevent homelessness or inappropriate institutional placement. Several witnesses also noted that existing projects rely on capital funding and that operating revenues are limited because residents often depend on SSI and Medicaid. Committee members asked questions about the fiscal impact of the bill and amendment, including whether the proposal would shift money from the general fund or education trust fund and whether the Finance Committee should have final say over spending priorities. Lontine said she understood those concerns but argued that housing should be prioritized. Housing Action New Hampshire’s Tom Duroza also testified in support of the bill, saying the state’s housing shortage is driving record prices and vacancy rates below 1%, and that the Affordable Housing Fund has leveraged more than $500 million in private investment and helped build thousands of rental homes. He said his organization supported the underlying bill but had not yet reviewed the amendment. No vote or final action was taken at the hearing.

Transcript Highlights:

• Anyone who currently is on duty disability as of the date of enactment on this has no change in benefits
• Anyone who currently is on duty disability as of the date of enactment on this has no change in benefits
• given a five-year window of disability benefits and five years of insurance, meaning that you would
• Anyone who currently is on duty disability as of the date of enactment on this has no change in benefits
• given a five-year window of disability benefits and five years of insurance, meaning that you would

Bills: SF2884 , HF1889

Committee: House Ways and Means

Transcript Highlights:

• We'll bring up the director as well as Disability Voices United.
• I hadn't seen it until recently about aging in disabilities.
• I hadn't seen it until recently about aging in disabilities.
• This would dismantle decades of progress in disability rights.
• While Section 504 and the Americans with Disabilities Act both prohibit disability discrimination, Section

Summary: The Assembly Budget Subcommittee on Human Services held a hearing on developmental services, rehabilitation, and related supports, with no votes taken. The first major topic was the Master Plan for Developmental Services. Administration officials described a year-long, community-driven process that included a steering committee, work groups, and statewide engagement sessions, and said the final draft would be released that Friday with about 170 recommendations. The Department of Developmental Services said the plan would inform future work, but did not offer a detailed implementation roadmap. The LAO said the plan contains significant policy and budget implications, may require statutory changes, and needs further analysis to turn recommendations into actionable proposals. Advocates and regional center representatives urged the Legislature and administration to avoid letting the plan sit on a shelf, called for prioritization and ongoing stakeholder oversight, and emphasized the need to address equity, workforce, service coordination, and cross-system collaboration. The chair said he wanted to work with the LAO on trailer bill language and future reporting to create a clearer path forward. The second topic was the Office of Employment First and competitive integrated employment. Administration witnesses said California has ended subminimum wage under SB 639, but that moving people into competitive integrated employment remains a major priority. They described existing efforts such as DDS’s coordinated career pathways pilot, paid internships, job development services, benefits counseling, and DOR’s career counseling and referral services, along with pilot projects in San Diego and Orange County. The State Council on Developmental Disabilities and advocates argued that employment outcomes have remained stuck at roughly 15% and that a dedicated Employment First Office is needed to coordinate across agencies, align goals, and improve outcomes. The LAO recommended regular legislative oversight on people transitioning out of subminimum wage and asked for technical assistance on coordinated career pathways. The chair criticized the administration’s decision to effectively eliminate funding for the office, requested a detailed implementation timeline and quarterly transition reports, and said the committee would continue pressing for the office to be implemented. The final issue was respite services, utilization trends, and access. DDS reported that in-home respite use and spending have risen sharply over several years, with about 150,000 people using respite in 2023-24 and expenditures reaching about $1 billion. Officials said access depends on families knowing the service exists, service coordinators identifying need, and having enough providers, especially in rural and linguistically diverse communities. The San Diego Regional Center said utilization generally mirrors statewide trends, but access is stronger in some areas, such as Imperial County, where families often prefer family-directed or agency-supported models that allow them to hire trusted workers. Committee members emphasized the importance of respite for family health and caregiver well-being, asked whether service coordinators are asking practical questions about sleep and stress, and discussed the need for better identification of complex behavioral and medical needs. DDS said a standardized family support tool and updated IPP process are intended to improve consistency, transparency, and person-centered assessment for respite and related services.

Transcript Highlights:

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Transcript Highlights:

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Summary: The subcommittee opened its first meeting of the session with member introductions and a statement from the chair that veterans issues would remain distinct and receive separate attention. The first item was an update on the Minnesota Military and Veterans Museum at Camp Ripley from Executive Director Randall Dietrich. He said the museum has operated for nearly 50 years, has outgrown its current space, and is building a new 40,000-square-foot facility with $32 million in state support plus several million more in private funding. He described construction progress, planned exhibits including restored military artifacts and the USS Ward gun, and said the museum is scheduled to open on September 12. In response to Senator Kunish, Dietrich said the museum is actively incorporating stories and flags representing women, tribal nations, and other underrepresented groups, including 11 tribal flags at the entrance, and is working to integrate those stories throughout the galleries rather than isolating them. The committee then received an update from the Minnesota Department of Veterans Affairs on the veterans suicide prevention plan from Rachel Johnson, Veterans Committee Health Director, with John Kelly later answering questions on department impacts. Johnson said the plan is a coordinated statewide framework built with legislative support, expanding regional coordinators, veteran health navigators, data analytics, and community partnerships, including a suicide mortality review pilot in Hennepin County. She said Minnesota loses about 100 veterans a year to suicide, that firearms remain the primary mechanism, and that prevention must address community connection, economic stability, and access to care, not just clinical treatment. She also said the plan aligns with state and federal strategies and is intended as a living roadmap. In response to questions, Johnson said the department is exploring data-sharing policy issues, has not seen a direct financial impact from federal VA staffing changes, and is tracking federal proposals affecting VA advisory groups. She also said 988 data is available in general but more Minnesota-specific data on the veteran option is still being gathered. Members asked follow-up questions about trends in veteran suicide, the role of families in identifying warning signs, and the Hennepin County mortality review pilot. Johnson said the annual number has remained around 100 for about 15 years, with a dip in 2024 and a return to that level in 2025, and that the Hennepin County pilot was chosen because it offers a manageable geography and existing coalition work, with an initial review expected by May or June. The final item began a presentation from the Minnesota Association of County Veteran Service Officers. Legislative chair Larry Fonder said the group’s priorities are protecting veterans from fraud and modernizing the property tax benefit for disabled veterans, but the presentation would focus on educating the committee about the role, training, certification, and accountability of county veteran service officers. President Tom Anderson, the Winona County VSO and a Navy veteran, began describing his background and office staffing when the transcript ended.