Transcript Highlights:

• But in terms of paid services, we have about 44,000 individuals that receive a paid service.
• , and DD, or long-term care services.
• The rest are receiving services under home and community services.
• We've cuts to HCBS service.
• It cuts pediatric therapy services and visiting nurse services. Complex kids.

Summary: The committee heard testimony on the effects of H.R. 1 on Washington’s Medicaid, developmental disability, long-term care, and food assistance systems, followed by a separate discussion of juvenile rehabilitation caseloads and placement capacity. DSHS officials said HR1 could affect home equity rules, immigration-related eligibility, work requirements for some expansion-population enrollees, and provider taxes, while also creating a future opportunity for a new 1915(c) waiver. Advocates and providers warned that any state response that cuts home and community-based services would worsen already thin provider networks, increase waiting lists, push more people into hospitals or out-of-state placements, and strain families and workers. A pediatric behavioral health expert and a supported living provider said Medicaid reimbursement is already too low and further reductions would threaten outpatient, residential, and inpatient services for people with intellectual and developmental disabilities and severe behavioral needs. The committee then turned to SNAP and the state food assistance program. DSHS said HR1 would tighten work requirements and exemptions, end some immigrant eligibility for the federal program, eliminate the SNAP education program, raise state administrative costs, and eventually require Washington to share in benefit costs based on its error rate. Officials estimated large numbers of residents could lose or see reduced benefits, with significant added state costs. Anti-hunger advocates, a food bank director, and a SNAP recipient described the program as essential for low-income families, seniors, and people with disabilities, and said the changes would increase paperwork, reduce benefits, and worsen food insecurity while also harming local food economies. Testimony emphasized that food banks cannot replace SNAP and that work requirements may be difficult to meet for caregivers, people with disabilities, and those facing child care or transportation barriers. In the juvenile justice portion, the Caseload Forecast Council presented the JR forecast, which is currently mostly flat through the end of the biennium but expected to grow modestly over the longer term. Members discussed how policy choices, including the 2019 JR-25 law, have increased lengths of stay for adult-sentenced youth in JR, while diversion and other reforms have affected regular JR trends. A court researcher explained the data available to help forecast admissions and noted ongoing efforts to improve data sharing with JR, AOC, and county systems, though staffing and system-lag issues limit how quickly data can be produced. Juvenile court administrators and DCYF officials described the community-based juvenile justice continuum, rising complexity in the JR population, overcrowding at Green Hill and placement constraints at Echo Glen and Harbor Heights, and the need for more flexible community transition and mental health capacity. No votes were taken.

Transcript Highlights:

• . financial services.
• provided to service.
• Issue 4830 by Phelan related regulation of service contractors and service contract providers and administrators
• The 2-1-1 service provider. for the Texas Information and Referral Network for commenting on human services
• facilities or for the Committee on Human Services.

Bills: HB9 , HB22 , HB908 , HB1392

Transcript Highlights:

• </c><00:03:48.319><c> and</c> long-term services and long-term services and supports.<00:03:50.319><c
• c><00:03:59.360><c> to</c><00:03:59.799><c> provide</c> services parents are allowed to provide services
• </c> community support services. community support services.
• </c><00:12:18.399><c> coordination</c> add um treatment service coordination add um treatment service
• </c> victims with services and housing. victims with services and housing.

Bills: HF2115 , HF2276 , HF1644 , HF99 , HF2068 , HF2707 , HF2704 , HF2406 , HF1674 , HF1579

Committee: House Human Services Finance and Policy

Transcript Highlights:

• </c><00:02:33.240><c> are</c> much-needed and necessary services are much-needed and necessary services
• </c> can still get the services they need. can still get the services they need.
• </c> service without a replacement ready. service without a replacement ready.
• . service. service.
• services versus just scattered services services versus just um<00:21:14.000><c> you</c><00:21:14.080

Transcript Highlights:

• I think running a 24-7 crisis line is a unique service delivery model, and it's a service delivery model
• And unfortunately, because this is a new service to the state, but it's not a new service to us.
• Because this is a new service to the state, but it's not a new service to us.
• health crisis services.
• health crisis services.

Transcript Highlights:

• closing additional services.
• closing additional services.
• c> and</c><00:29:41.399><c> are</c> Services are specialty services and are Services are specialty services
• Physician services is a category under federal law of services that they cover.
• human services.

Committee: Senate Health and Human Services

Transcript Highlights:

• gender-affirming care services.
• These services include an initial needs assessment with linkage to appropriate long-term services and
• Aging services, HIV care, primary care, behavioral, Aging services, HIV care, primary care, behavioral
• So if you think about, for example, the service... Services they need.
• Something like the navigation services or legal services that he was mentioning?

Summary: The committee held an inaugural hearing on the health care and support needs of older LGBTQ Californians, with members and witnesses emphasizing that this population has made major gains in rights and longevity but still faces discrimination, isolation, economic insecurity, and gaps in services. Opening remarks highlighted concerns about older LGBTQ people entering nursing homes and feeling forced back into the closet, as well as the growing number of Californians aging with HIV. The hearing was structured into three panels, with public testimony considered if time allowed. The first panel focused on the overall health and support landscape. Justice in Aging described survey findings showing discrimination, poor health, difficulty with errands, and economic insecurity among older LGBTQ Californians, and warned that federal Medicaid cuts and broader federal actions could worsen access to home- and community-based services and culturally competent care. CalHHS and the Department of Aging described the Master Plan for Aging, the first statewide LGBTQIA older adult survey, and efforts to support gender-affirming care, PACE, care management, and community supports. Witnesses stressed the need for better outreach, data collection, and a “no wrong door” approach so people can more easily find and access services. The chair and senators pressed the departments on how survey findings are being translated into concrete action and how state agencies are coordinating across silos. The second panel addressed health care for seniors living with HIV. A longtime survivor described severe financial and benefits consequences from a federal clawback and argued that California needs stronger legal, navigation, and housing supports, including HIV-specific housing funding. The Department of Aging reported on implementation of SB 258, saying it has educated area agencies on aging, added HIV data to planning tools, and found that 20 of 33 area agencies identified HIV as a target population, with 16 including specific strategies. The Office of AIDS outlined Project Cornerstone, Ryan White, ADAP, HOPWA, a Medi-Cal waiver, and PrEP-AP, noting these programs serve thousands of older clients and that local case managers are expected to coordinate whole-person care. Case managers and advocates said housing, food, transportation, mental health, and premium assistance remain major needs, and senators asked whether future ADAP rebate funds could support navigation, housing, and other gap-filling services. The final panel turned to transgender, gender nonconforming, and intersex seniors. The Department of Social Services described protections under SB 219, including nondiscrimination notices, resident rights postings, required records for preferred names and pronouns, and annual inspections of licensed facilities. The Department of Public Health and a TransLatin Coalition leader were introduced to discuss additional supports for TGI seniors. Across the hearing, members repeatedly returned to the themes of visibility, coordination, and implementation, asking departments to follow up on how they will better connect services, improve outreach, and ensure that existing laws and programs are actually reaching the people they are meant to serve.

Transcript Highlights:

• Last year, Navy Region Northwest Fire and Emergency Services responded to 2,769 total calls for service
• Last year, Navy Region Northwest Fire and Emergency Services responded to 2,769 total calls for service
• We have services, both at the active duty as well as the VA, that often assume the service member is
• We have services, both at the active duty as well as the VA that often assume the service member is the
• We have case management services. We have telehealth services.

Summary: The committee heard updates from Joint Base Lewis-McChord, Navy Region Northwest, Fairchild Air Force Base, the Coast Guard, state licensing agencies, the Professional Educator Standards Board, the Washington National Guard, and a veterans behavioral health presenter. Across the military briefings, common themes were readiness, infrastructure, and quality-of-life issues for service members and families, especially child care, housing, food insecurity, medical and dental access, and military spouse employment. JBLM highlighted its role in Indo-Pacific readiness, ongoing PFAS cleanup, 212 new family housing units under construction, efforts to expand child care, and continued work to keep the Lewis Army Museum open. Navy Region Northwest discussed its major installations and economic impact, the Shipyard Infrastructure Optimization Plan, future carrier and submarine homeporting needs, and asked the legislature to continue support for licensure compacts, educational stability for military children, housing, and medical access. Fairchild emphasized its tanker and survival missions, child care shortages, food insecurity, aging housing, and concerns about wind turbine development near flight paths, while the Coast Guard focused on rebuilding Base Seattle for new icebreakers and on rural access to housing, medical care, and child care at dispersed stations like Neah Bay. Members repeatedly raised food insecurity and asked for follow-up on solutions. JBLM and Fairchild both described increased demand for food assistance during the shutdown, and committee members noted progress in getting mobile food vans onto JBLM. The presenters also praised state action on military spouse licensure and child care, including Senate Bill 5545 and related compact and portability efforts. The Department of Licensing reported about 9,000 self-identified military members or spouses licensed, with average time-to-license just under nine days, and said applications are prioritized when military status is self-identified. The Department of Health said its military-to-civilian crosswalk now covers more than 35 health professions, that temporary practice permits and expedited processing are in place, and that 1,300 credentials were issued to military spouses and domestic partners and 129 to military-trained health professionals in the last fiscal year, all within 30 days. The Professional Educator Standards Board explained that military spouses and service members can receive expedited teacher certification with reduced documentation, and that they are moved to the front of the review queue when they self-identify. Members asked about verification, and staff said the process relies on attestation with investigatory safeguards if needed. The Washington National Guard briefed on its dual state and federal mission, the impact of the recent shutdown on nearly 700 employees who worked without pay, and policy and budget requests including youth academy protections, alignment of the Washington Code of Military Justice with the UCMJ, making Civil Air Patrol a division of the Military Department, 911 funding, disaster assistance, and capital funding for headquarters and readiness facilities. The Guard also warned about drone threats and said it wants authority to identify, track, and monitor suspicious drones. A veterans behavioral health presenter, an Army combat veteran and clinical social worker, described high suicide risk, barriers to care, and the need for more culturally competent services, especially for women veterans and caregivers. He said Washington veterans’ suicide rate remains above the national average and emphasized that childcare, transportation, and provider shortages can prevent timely treatment. Members generally responded supportively throughout, asked for follow-up on food security and other issues, and encouraged agencies to bring forward legislative ideas for future sessions.

Transcript Highlights:

• that direct service is the ones that are doing direct service, right, different than the coalition,
• You know, to state what exactly direct services entails, including that direct service is the ones that
• ways in certain types of services.
• Is it based on services, the quantity of services done last year historically?
• It's the amount of services and the category of services that are provided in a specific 24-hour period

Summary: The committee held a panel discussion on Florida’s domestic violence system, focusing on the roles of the state, the federally designated coalition, direct-service providers, and law enforcement. Members reviewed the history of the system after the dissolution of the former coalition in 2020, the creation of the Florida Partnership to End Domestic Violence, DCF’s Office of Domestic Violence, and the current contract structure involving Women in Distress and its subcontractors for hotline and legal services. Panelists also discussed the 2024 lethality assessment law, the workgroup’s conclusion that the evidence-based Maryland tool could not be used because of copyright and cost issues, and the state’s current use of statutory questions instead. DCF and FDLE described the statewide certification and funding framework, including more than $60 million in domestic violence funding for fiscal year 2025-26 and the requirement that law enforcement complete lethality-assessment training by October 1, 2026. Testimony highlighted both collaboration and conflict. Florida Partnership to End Domestic Violence and Women in Distress described overlapping training and technical-assistance roles, but disagreed sharply about the quality of their relationship with DCF and whether the current structure is duplicative. DCF said it maintains communication with both the coalition and the centers and emphasized that the coalition is federally required, while the coalition argued that the department has obstructed its work. Women in Distress and Hope Villages stressed direct services, prevention, and the need for more housing, staffing, and funding, especially in rural areas. They also described programs in schools, hospitals, and child welfare settings, and noted that children exposed to domestic violence often need specialized services. Members asked about funding flows, certification, rural coverage, the number of centers, and the lethality assessment rollout. DCF said the 41 certified centers serve all 67 counties and that no new applications have been received in about 15 years. FDLE reported that 46 of roughly 400 law enforcement agencies had completed the lethality-assessment training and attestation, with the statutory deadline still ahead. Panelists said domestic violence appears to be increasing, citing higher hotline demand, shelter occupancy, and local case numbers, while also noting that statewide crime data remains outdated. The discussion ended with calls for better coordination, clearer implementation of statutes, more funding, and possible legislative fixes to improve data collection, training, and service delivery.

Transcript Highlights:

• rare to provide for private insurance to cover the same services.
• rare to provide for private insurance to cover the same services.
• rare to provide for private insurance to cover the same services.
• rare to provide for private insurance to cover the same services.
• </c> these critical cost saving Services these critical cost saving Services provided<00:10:46.800><c

Transcript Highlights:

• If they request to have the services continued, the health plan cannot reduce the services as it plays
• services in certain geographical areas.
• For institutional care services, approximately 71,000 individuals were there for hospice services and
• 6,504 for iBudget waiver services, and approximately 38,181 for home and community-based services, approximately
• ;&nbsp; 399 SERVICES AND APPROXIMATELY 38 TO 181 AND FOR HOME&nbsp; AND COMMUNITY BASED SERVICES APPROXIMATELY

Summary: The Health Facilities Subcommittee met to receive implementation updates from the Agency for Health Care Administration on three bills passed in prior sessions. First, Deputy Secretary Brian Meyer reported on the transfer of the Children’s Medical Services managed care plan from the Department of Health to AHCA under HB 1085. He said the move was administrative only, with no change to enrollment, providers, services, or clinical eligibility functions, and that it was intended to create efficiencies by aligning procurement and shifting staff resources between agencies. Members then questioned AHCA about reports of reductions in private duty nursing and therapy services for medically fragile children, including concerns about appeals, provider credentialing, and whether families were losing services or being transitioned appropriately. AHCA said it was reviewing denials, monitoring the plan, and using contractual remedies while focusing on maintaining access for members. The committee also reviewed implementation of a bill creating permanent Medicaid eligibility for individuals with permanent disabilities. AHCA staff explained that the agency had submitted a federal 1115 waiver request after public comment and stakeholder meetings, but CMS had indicated it did not anticipate approving the requested authority. Members pressed AHCA on why the waiver was submitted later than the bill’s directive date and on whether the delay was avoidable. AHCA said the waiver was complex and required review, drafting, and public input, and noted that DCF already has a specialized unit to help with redeterminations while the agencies work on operational changes. The committee discussed the practical impact on families who struggle with annual eligibility renewals and the need for clearer communication and faster follow-up from the agency. Finally, AHCA presented on the home health aide program for medically fragile children and related Medicaid eligibility changes. The agency described the 2023 law that created a family caregiver provider type and the 2025 changes that increased the hourly rate, expanded hours, reduced training requirements, and removed caregiver earnings from Medicaid eligibility calculations, subject to federal approval. AHCA said it had completed state public comment, submitted the waiver amendment to CMS, and was awaiting federal action. Members raised concerns that some families may have enrolled or begun work before the eligibility fix was in place and may have lost benefits, especially in Broward County. AHCA said it would work with affected families and plans, review outreach through DCF and the health plans, and continue rulemaking, system updates, and provider training. The meeting ended with the chair noting that the committee had received the updates and adjourned without objection.

Transcript Highlights:

• The purpose of the bill is to require the Department of Human Services to create an ALS services program
• The proposed bill removes providing intellectual disability services and providing personal care services
• Yeah, so personal care services are in-home care services.
• So it's a very needed service.
• and told you is true that we provide meal services and other services to seniors to help them stay in

Summary: The committee met, approved the March 5, 2026 minutes, and then took up several health- and human-services-related bills. House Bill 5086, concerning peer support programs for covered caregivers, was explained as creating training and testimonial privilege protections; the committee adopted an amendment clarifying that boards may still require participation in a board-designated professional health program, and then reported the bill to the full Senate with the recommendation that it do pass. House Bill 5004, an educational bill on PANS and PANDAS, was supported by the sponsor, who described his family’s experience and the importance of earlier diagnosis; it was reported to the Senate without amendment. House Bill 5327, which would require the Department of Human Services to create an ALS services program, also received supportive testimony from the sponsor and members, but the transcript reflects the bill being reported as House Bill 537; it was moved forward without amendment. The committee then considered House Bill 5096, which would remove personal care and intellectual/developmental disability waiver services from certificate-of-need review. The sponsor argued the change would reduce regulatory burden and expand access, while a county aging-program director testified that certificate-of-need revenues help fund senior meals and services and that eliminating the requirement would reduce important support for aging providers. After a division vote, the motion to report the bill failed 3-9. House Bill 4695, allowing PEIA patients to switch to an alternative medically appropriate covered treatment without new prior authorization if it costs no more than the original treatment, was explained as carrying an estimated $13 million annual cost to PEIA and was reported to the Senate. The committee also advanced House Bill 5582, enacting the Respiratory Care Interstate Compact, after discussion of a committee amendment removing a new-background-check-at-initial-licensure provision; the amendment was adopted and the bill was reported. Another House Bill 5582, concerning the TANF drug screening program, was described as removing the sunset date and allowing oral fluid testing in addition to urine samples; it too was reported. Finally, House Bill 5466 renamed the batterer intervention program as an abuse intervention program and allowed live synchronous virtual delivery with an in-person option; the sponsor said the change would expand access statewide, and the bill was reported to the Senate. The committee then adjourned.

Transcript Highlights:

• CARE SERVICES AND ADULT COMPANION SERVICES AND SELECTED NURSING SERVICES.
• WE CAN PROVIDE MEDICAL SERVICES, WE CAN PROVIDE LONG-TERM CARE SERVICES ANYWHERE IN THE STATE.
• SO WE SELECTED SOME SERVICES.
• , DEEPENED SERVICES INCLUDING MEDICAL SERVICES THE FIRST GROUP.
• OR IS THE MAJORITY OF THE STILL FEE-FOR-SERVICE. VERSUS FEE-FOR-SERVICE IN THIS PILOT AS WELL?

Transcript Highlights:

• by KW because the lawsuit has changed directions now, and the new services under that service array
• to go and get those services elsewhere.
• services.
• at that time, and we didn't do it. services.
• Like I said, we're not removing this service.

Committee: Senate Health and Welfare

Transcript Highlights:

• So, welcome to the Senate Human Services Committee for this Monday, January 19th.
• Examples of community residential services businesses include adult family homes, supported living services
• Community access services, with some exceptions.
• By starting DDCS services at 20, we can prevent this service cliff.
• through the developmental disabilities community services.

Summary: The Senate Human Services Committee heard several Department of Social and Health Services-related bills. Senate Bill 6024, sponsored by Senator Gildon, would streamline oversight of community residential service providers by limiting DSHS to one annual routine review per subject area when possible, requiring better document sharing within the department, and preserving investigations tied to complaints, incidents, mortality reviews, and other legally required oversight. Supporters said the bill would reduce duplicative audits and paperwork so providers can spend more time on direct client services. No vote was taken during the hearing. The committee also heard Senate Bill 6063, an agency-request bill sponsored by Senator Bateman and supported by DSHS Secretary Angela Ramirez, to update statutes to reflect DSHS’s recent reorganization into the Home and Community Living Administration and the Behavioral Health and Habilitation Administration. Testimony described the measure as a technical cleanup with no fiscal impact. In addition, Senate Bill 6036, sponsored by Senator Kaufman, would exempt certain former foster parents and kinship caregivers from adult family home licensure when they continue caring for a former foster youth who is now an adult and the only unrelated adult in the home. DSHS supported the bill as a narrow way to preserve continuity and stability for vulnerable young adults. The committee spent the most time on Senate Bill 5681, sponsored by Senator Cortez, as amended in a proposed substitute. The bill would lower the age for people with intellectual and developmental disabilities to access employment and community inclusion services from 21 to 20, and rename community access as community inclusion. Senator Cortez and multiple advocates, educators, and service providers argued that earlier access would reduce service gaps, support transition from school to work, and help young adults maintain employment. Staff explained that the substitute changed the eligibility age from the original bill’s 19 to 20. No final action was taken; the chair closed the hearings and announced upcoming executive sessions on previously heard bills.

Transcript Highlights:

• , and the services of oral surgeons, the dental services of oral surgeons.
• , and the services of oral surgeons, the dental services of oral surgeons.
• The problem we have is that it says oral surgeons’ services, dental services.
• I was one of those people who delivered services, oral surgery services,” “who delivered services, oral
• Special needs services for adults and oral surgeons' dental services for adults.

Committee: All ALC-ADMINISTRATIVE RULES

Summary: The Arkansas Administrative Rules Subcommittee met to review a large set of agency rules and reports. Early items were routine filings: emergency-rule reports, subcommittee review reports, and administrative directive reports were filed without objection. One rule from the Department of Agriculture on maternal health providers and remote monitoring was noted as pulled by the agency and not considered. The committee then reviewed and approved several Agriculture rules, including repeal of equine ID-chip rules after Act 703 of 2025, updates to finance rules adding a new water and sewer treatment facilities grant and consolidating revolving-fund rules, and a pesticide rule creating a Class J pesticide category for feral hog toxicant use. It also approved a Commerce/Insurance rule removing duplicative workers’ compensation plan provisions, and a Corrections rule creating a unified visitation rule for correctional facilities and community correction centers. A member asked about prison visitation hours during COVID, and staff said they would check on that. The committee next approved multiple Department of Human Services rules. These included marketing rules for provider-led organizations under Act 301 of 2025, a comprehensive revision of the DCFS policy manual, changes to Medicaid eligibility to include fictive kin placements and to expand ABLE account eligibility under Act 875, presumptive eligibility changes for pregnant women to align with federal rules, and a follow-up SNAP/TEA/Work Pays rule with updated work requirements, mandatory employment and training, alien eligibility changes, and job-search requirements for certain applicants. DHS also presented a rule implementing federal coverage for certain incarcerated youth before and after release, and the committee approved it. Another DHS rule updated nurse aide training requirements to match federal CNA hour standards and moved criminal-records-check procedures to the agency website. The most extended discussion involved DHS Division of Medical Services’ dental rate rule under Act 1025. The agency explained that it was increasing pediatric dental rates and certain oral-surgery-related rates, but not orthodontic rates or a broader special-needs benefit limit because CMS would not approve a diagnosis-based limit. Members debated whether the statutory language was intended to cover general dentists performing oral surgery procedures, with legislators, the Dental Association, and DHS discussing legislative intent, fiscal impact, and whether a future fix or emergency rule might be needed. Despite the disagreement, the committee approved the rule. The committee also approved other DHS medical rules: adverse-decision appeal changes and prior-authorization posting requirements, an increased RSV administration fee for children, expanded emergency treat/triage/transport ambulance authority, and clinic-based physical and occupational therapy coverage. Later, the committee approved permanent rules for the new state insurance program under Shared Administrative Services, procurement rule revisions recommended after an ACASO review, and commodity-management rule updates including a new revenue distribution model. Under Act 595 of 2021, the committee granted two Department of Commerce/Insurance requests to be excluded from rulemaking requirements: one for Act 772 on forced organ harvesting, and one for restorative reproductive medicine, with the department saying it would promulgate rules later when clinical guidelines are available. Finally, the committee accepted a recommendation to keep and extend the Department of Education, Division of Career and Technical Education rules, filed outstanding rulemaking updates, and adjourned without further business.

Transcript Highlights:

• gender-affirming care services.
• These services include an initial needs assessment with linkage to appropriate long-term services and
• So if you think about, for example, the service... Services they need.
• Something like the navigation services or legal services that he was mentioning?
• These services include personal care like dressing, grooming, and bathing; domestic and related services

Summary: The Select Committee on Older LGBTQ Californians held an inaugural hearing focused on the health care and support landscape for older LGBTQ Californians, including people aging with HIV and transgender, gender non-conforming, and intersex seniors. Opening remarks emphasized the long history of discrimination faced by older LGBTQ adults, the growth of the aging LGBTQ population, and the need to translate existing state commitments into concrete services. Senators highlighted concerns about nursing home vulnerability, the aging of people living with HIV, and the impact of federal actions and Medicaid cuts on California’s safety net. The first panel featured Justice in Aging, CalHHS, the Department of Aging, and the Aging and HIV Institute. Testimony described widespread inequities, including discrimination, social isolation, economic insecurity, and gaps in culturally competent care. State officials outlined the Master Plan for Aging, the first statewide survey of LGBTQIA older adults, gender-affirming care protections in Medi-Cal, and efforts to improve coordination across departments. Advocates argued the state has been too slow to respond to federal threats and that services are often hard to find or fragmented. Committee members pressed the departments on how survey findings are being turned into action, how rural and underserved communities are being reached, and whether more formal stakeholder coordination or “no wrong door” access systems are needed. The second panel focused on seniors living with HIV. A long-term survivor gave emotional testimony about the “survivorship penalty,” loss of benefits, housing insecurity, and the need for legal and navigation support, housing assistance, and protection from outdated disability standards. The Department of Aging reported on implementation of SB 258, which added HIV status to the definition of greatest social need for area agencies on aging; it said 20 of 33 area plans now identify HIV as a target population and many include specific strategies, such as LGBTQIA mental health connections programs. The Office of AIDS described Project Cornerstone, Ryan White, ADAP, HOPWA, the Medi-Cal waiver, and PrEP-AP, noting these programs serve thousands of older clients and rely on whole-person case management. Case management testimony underscored persistent needs for medication subsidies, transportation, food, and housing. Committee members questioned how ADAP rebate funds might be used, how SB 258 is enforced across local agencies, and how to reduce administrative barriers and auto-connect eligible people to benefits. The final panel began with the Department of Social Services outlining protections for TGI seniors in licensed care facilities, including SB 219’s nondiscrimination requirements and related provider notices and resident rights materials. The hearing remained focused on identifying service gaps, improving coordination across aging, health, and social service systems, and ensuring state programs better reflect the lived experience of older LGBTQ Californians.

Transcript Highlights:

• the Department of Social Services.
• We included here the new services that we are covering and the services that are covered within the maternity
• Shelly Nolan from the Department of Social Services, who will provide an update on women's health services
• And I oversee women's services and problem gambling services for the Department of Mental Health and
• Addiction Services.

Summary: The meeting focused on maternal health and behavioral health services for pregnant and postpartum people in Connecticut. Dr. Fatmata Williams of DSS gave an update on the Husky maternity payment bundle, explaining that it was created in response to worsening maternal and neonatal outcomes and racial disparities. She said the bundle, launched in 2025, shifts payment away from fee-for-service toward prospective case rates, quality measures, and shared savings, while covering services such as doulas and maintaining access to behavioral health and other non-pregnancy-related care outside the bundle. She noted 26 maternity practices are participating, quarterly quality reports have been distributed, reconciliation is planned for 2026, and DSS is considering refinements such as adding newborns, revisiting shared losses, and possibly expanding to FQHCs after further stakeholder review. Shelly Nolan of DMHAS then described the state’s women’s services and recovery continuum, including pregnant and parenting treatment programs, women’s recovery support programs, community transition support with rent subsidies, the Proud program, REACH navigation, recovery houses, and outpatient services. She emphasized that many programs are under capacity and that DMHAS uses a no-wrong-door approach, real-time bed availability, technical assistance, and training to improve access. She also reviewed initiatives tied to substance-exposed pregnancies and safe sleep, secure storage, naloxone distribution, reproductive health integration, breastfeeding support, and upcoming conferences and trainings. She said the department works closely with DCF and community partners to reduce stigma and improve family-centered care. Beth Garrigan presented on the Access Mental Health and Substance Use for Moms program, a statewide consultation service for providers serving pregnant and postpartum individuals up to 12 months after delivery. She said the program offers real-time psychiatric consultation, referral support, and one-time face-to-face assessments, and has provided more than 4,300 consultations and resource/referral support to over 700 individuals since 2022. Members and legislators praised the service and discussed how it helps providers connect patients to care, follow up on referrals, and address barriers such as fit, stigma, and workflow. No votes were taken; the meeting ended with plans for the next meeting on June 8 and a request for Dr. Williams’ slides to be posted online.

Transcript Highlights:

• Cities Area Transit provides both fixed-route bus service and complementary paratransit service within
• service demands.
• Has the service ever partnered with, say, a veteran service organization?
• City Commission approved service changes for both the Cat Bus and our paratransit services.
• This is a local service.

Summary: The committee met as a study subcommittee on fixed-route public transportation and first approved the December 11 minutes. It then heard detailed presentations from transit leaders in Grand Forks, Bismarck/Mandan, and Fargo about their systems, including route structures, paratransit service, ridership trends, fare changes, funding sources, fleet replacement needs, and operational challenges. Grand Forks described Cities Area Transit’s 17 routes, university shuttle service, expanded paratransit coverage, a 2025 fare increase, and rising costs for labor, fuel, parts, and new buses. Bismarck/Mandan’s Bisman Transit outlined its fixed-route and paratransit operations, recent service expansions approved for April 1, fare structure, ridership recovery since COVID, and major funding streams including mill levies, federal grants, and new local sales tax revenue. Fargo’s MATBUS representative emphasized the importance of continued state support for urban fixed-route transit. Members asked extensive questions about cost per ride, fare increases, school transportation, veteran service partnerships, app-based ticketing, local funding formulas, and whether ride-share or microtransit could replace fixed routes. Transit officials said fixed-route service remains essential because it provides reliable capacity, supports jobs and access to services, and preserves federal funding tied to public transit operations. They also said paratransit is costly but necessary for riders with disabilities, and that vehicle and maintenance costs have risen sharply. Minot’s transit superintendent added context on the state’s existing transit aid formula, explaining that it is weighted more toward rural and paratransit providers and that urban fixed-route systems are seeking a separate, dedicated funding source rather than changes to the current formula. The committee also heard public testimony from North Dakota Protection & Advocacy supporting both fixed-route and paratransit service for disabled riders, and from Minot staff on refurbished buses, CDL driver recruitment, and why the agency is not pursuing full electric buses. Near the end, members discussed whether to recommend additional state funding for the four urban fixed-route systems. A motion passed to have Legislative Council prepare a summary of the subcommittee’s activities for inclusion in the Government Finance Committee’s report to Legislative Management. Members then continued discussing possible recommendations, including a separate funding source for urban fixed-route transit and whether the four urban systems should meet to develop a proposed amount.

Transcript Highlights:

• programs and services.
• Just because a vendor offers a service, if we choose not to accept that service, that doesn't relieve
• Just because a vendor offers a service, if we choose not to accept that service, that doesn't relieve
• , moving everything to a shared service.
• , moving everything to a shared service.

Committee: All ARKANSAS LEGISLATIVE COUNCIL (ALC)

Summary: The meeting began with a quorum call, prayer, and approval of the previous minutes. Members then adopted a resolution honoring Lori McDonald of the Department of Human Services for nearly 28 years of state service, with remarks praising her legislative work, constituent services, leadership, and emergency response roles. McDonald thanked the committee, and the Senate also presented her with a citation, flag, and commemorative coin. The committee received the May 2026 revenue report, which showed gross adjusted collections of $7.76 billion year-to-date, up 4.4% from the prior year, and a projected surplus of $585.8 million. The executive subcommittee report was adopted, covering emergency rules for DHS and the Department of Education, school district waiver requests, committee fund allocations, cancellation of the July ALC meeting, and authorization for subcommittees to meet in July on urgent matters. The administrative rules report was also adopted after members noted that most rules were approved, with a few pulled by agencies or held. Members then heard a lengthy exchange on the Arkansas Education Department’s ClassWallet contract and delays in expense review for education savings account payments. Department officials said they were meeting regularly with ClassWallet, enforcing contract standards, keeping some reviews in-house, and adding staff and technology improvements to speed processing while maintaining oversight. The committee also adopted reports from Game and Fish and State Police, Hospital/Medicaid/Developmental Disabilities, Lottery Oversight, Occupational Licensing Review, Peer Review, Review, State Insurance Programs Oversight, and Personnel, including a Department of Commerce reallocation tied to a broader shared-services realignment. Under review of communications, members filed several retirement system investment items as reviewed, approved rural community grant funding, gave favorable advice for state park additions, approved special maintenance funding for state parks, and filed Office of State Technology service-rate changes as reviewed. The meeting concluded with no new business and adjournment.