Video & Transcript Research : 'waiver programs'

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MN
Transcript Highlights:
  • working on applying for public programs working on applying for public programs or<00:15:45.760>
  • That should be get on elderly waiver.
  • home, they can switch to elderly waiver home, they can switch to elderly waiver when<00:20:57.679
  • suddenly there aren't any elderly waiver suddenly there aren't any elderly waiver beds<00:21:09.520
  • This also fulfills DHS's need for data for their waiver payments.
Keywords: 1187, senate, all
NH

New Hampshire 2026 Regular Session

Senate Finance (01/13/2026)

Finance

Transcript Highlights:
  • program, or in better clarification, a waiver saying that, you know, obviously if we give this money
  • program, or in better clarification, a waiver saying that, you know, obviously if we give this money
  • waivers from grants.
  • waivers from grants.
  • waivers from grants.
Keywords: 1191, senate, all
KY
Transcript Highlights:
  • The committee substitute exempts changes to the Medicaid Program necessitated by requirements imposed
  • Hospitals from the exemption from the requirement that changes to the Medicaid Program be authorized
  • 205.5371 shall be a mandatory community engagement waiver program.
  • program.
  • long-term Managed Care in the waiver long-term Managed Care in the waiver program<00:03:38.239><
Summary: The Appropriations and Revenue Committee met to consider House Bill 695 and first adopted a committee substitute. The substitute made a number of Medicaid-related changes, including adding the Medicaid Oversight Advisory Board, exempting federally required Medicaid changes from needing separate General Assembly authorization, revising the treatment of University Hospitals payment programs, clarifying that the community engagement program is mandatory, moving the Medicaid pharmaceutical rebate fund to the Cabinet for Health and Family Services, and narrowing reporting requirements. It also removed provisions on Medicaid coverage for psychoeducational services and replaced them with reporting on behavioral health and substance use disorder service utilization and expenditures. The substitute further added language allowing the Medicaid program to be administered through fee-for-service, managed care, or other federally permitted delivery systems, incorporated the Medicaid Oversight and Advisory Bill, authorized a state plan amendment if needed, and made entities that failed to comply with prior Medicaid managed care reporting requirements ineligible for new MCO contracts. It also shifted responsibility for a behavioral health and substance use disorder treatment scorecard from MCOs to the Department for Medicaid Services. The sponsor noted that all language related to long-term managed care in the waiver program had been removed. After the explanation, Senator Richardson moved to adopt the substitute and Senator Nunn seconded. The committee then voted to pass the measure favorably; the transcript reflects a roll call with no nays and the bill reported out with favorable expression.
AR
Transcript Highlights:
  • Specifically, the AR Choices Program, the Living Choices Program.
  • These are two HCBS waiver services and the PACE program, Program for All-Inclusive Care for the Elderly
  • Specifically, the AR Choices Program, the Living Choices Program.
  • These are two HCBS Waiver Services and the PACE program, program for all-inclusive care for the elderly
  • programs.
Summary: The committee approved the December 8 minutes and referred items C1 and C2 to the labor and environment subcommittees, adopting the chair’s recommendations. The main substantive item was a DHS rule package revising the State Plan Personal Care Manual and the Arkansas Independent Assessment (ARIA) Manual. DHS said the revisions would repeal and replace the current manuals with streamlined versions, remove overlapping language, implement Act 853 by shifting licensure/certification for personal care agencies to the Department of Health, lengthen personal care prior authorizations from six months to one year, and keep the 64-hour monthly cap. For ARIA, DHS said it would remove references to state plan personal care, clarify telehealth and in-person assessments, and add/update sections for PASS, AR Choices, Living Choices, and PACE. DHS argued the current independent assessment process is costly and not controlling utilization, citing a 95% approval rate, annual spending of more than $212 million on personal care for about 17,000 people, and an estimated $6.173 million in savings from eliminating the Optum assessment and reducing prior-authorization frequency. Agency witnesses said the new process would reinsert primary care practitioner involvement, use standardized evaluation and prescription forms, and rely on personal care provider nurses for the assessment step, with training already available through an AFMC contract. Several members questioned whether PCPs should be used as gatekeepers, whether the change would delay services, and whether the savings estimate accounted for training or provider burden. Some members also raised concerns about conflicts of interest, the workload on physicians, and whether the agency had adequately worked with the existing vendor to improve the current system. The discussion became contentious, with Senator Irvin and others strongly opposing the proposal as inconsistent with the earlier independent-assessment approach and urging DHS to slow down and work with legislators. Other members asked for clarification on how the new process would work for new applicants and whether it would affect waiver or PASS participants; DHS said the rule would not apply to PASS and should not delay services. At the end of the hearing, the chair offered DHS the option to pull the rule down and work off-record with legislators on a revised proposal, and DHS agreed. The meeting then adjourned without further business or a final vote on the rule.
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Wednesday, June 4, 2025)

US Federal House Floor Meeting

Transcript Highlights:
  • assistance program that we call SNAP. assistance program that we call SNAP.
  • programs, funding for treatment programs, funding for recovery services, and the efficacy of these programs
  • the programs.
  • On the section 115 waivers, they are important to the Medicaid program, and states are the laboratories
  • Section 115 waivers provide key state flexibility to test new authorities and ideas in the Medicaid program
KY

Kentucky 2026 Regular Session

House Legislative Session Day 10 (1-20-26)

Kentucky House Floor Meeting

Transcript Highlights:
  • Uh, gentlemen, has the cabinet already started withdrawing their waiver request?
  • I believe there's another waiver, but this just basically ensures that they go ahead and do that.
  • <00:15:31.440> And submittals in terms of this waiver.
  • And submittals in terms of this waiver. And with<00:15:31.760> that<00:15:32.000> Mr.
  • withdrawing their wa their uh waiver withdrawing their wa their uh waiver request?
Summary: The House convened with prayer, the Pledge of Allegiance, and a roll call showing 95 members present. Members approved the prior journal, suspended rules to allow co-sponsorships and vote modifications, and received committee reports advancing House Bill 96 on the Postsecondary Education Working Group and House Bills 34 and 214 on veterans-related benefits. The chamber then considered and passed House Bill 184, which concerns health savings account qualified insurance plans and would delay certain state cost-sharing limits until the federal IRS minimum deductible is met. The bill passed 94-0, and the motion to reconsider was tabled. The House also passed House Bill 265, dealing with regulatory authorizations by the Commissioner of Insurance. The sponsor explained that the bill creates a statutory dissolution process for self-insured workers’ compensation pools and removes the Department of Insurance’s approval role for new pools in response to past insolvency problems. That bill passed 95-0, and the clincher was applied. The chamber then adopted House Joint Resolution 24, as amended by House Committee Substitute 1 and a title amendment, by an 87-1 vote. The resolution directs the Cabinet for Health and Family Services to withdraw a Medicaid 1115A waiver application related to mandatory community engagement requirements, with supporters saying the request is no longer needed under current federal law. Later, the House honored Dr. Martin Luther King Jr. through House Resolution 5, which recounted his civil rights legacy and Kentucky’s civil rights history; the resolution was adopted without objection. Members also announced upcoming committee meetings, withdrew House Bill 292, and received a long list of new bill introductions covering topics including nicotine products, elections, opioid antagonists, local purchasing, vital records, inheritance tax, state parks, unemployment benefits, civic education, psychologists, the Court of Justice, citizenship requirements for elected officials, attorney privacy in criminal cases, sex crimes, and audiology. The Committee on Committees then referred and reassigned numerous bills to standing committees, named new ranking minority members, and appointed an impeachment committee. The House recessed briefly for committee meetings and then adjourned until 2 p.m. on Wednesday, January 21, 2026.
LA

Louisiana 2026 Regular Session

Health and Welfare May 12th, 2026

Health and Welfare

Transcript Highlights:
  • We had asked for the rotisserie chicken waiver. That's exactly what I'm saying.
  • FNS has not made a decision on any of those waivers to date.
  • I don't know if they'll ever approve that waiver for us, but it is still pending. Okay.
  • So the EHDI program oversees that process.
  • So the EHDI program oversees that process.
Summary: The House Committee on Health and Welfare met on May 12 and considered a wide range of health, social services, and licensing measures. Early in the meeting, the committee reported favorably HCR 98, which asks the Louisiana Department of Health to study whether SNAP recipients should be allowed to use benefits for grocery delivery fees. The author said the proposal would not change SNAP rules directly, but would examine access issues for elderly, disabled, rural, and transportation-limited residents. The committee also advanced SB 273, a hospice patient-protection bill requiring documentation of hydration, nutrition, and care decisions in inpatient licensed facilities where hospice is provided, with LDH oversight and enforcement authority; members discussed how responsibility is shared between facilities and outside hospice providers, and adopted technical amendments. The committee then approved SB 415, creating the Empower Louisiana Food Purchase Program, a privately funded charitable food-card program intended to let nonprofits distribute food-only cards to people in need. Members and the author discussed whether the cards would be reloadable, which retailers could accept them, and whether prepared foods could be included; LDH said the program could use all SNAP-authorized retailers, and the bill was reported favorably with amendments. SB 437, a cleanup bill for judicially referred residential substance abuse treatment facilities, was also reported favorably with amendments after LDH clarified that facilities providing treatment must be licensed, while residences only housing individuals would not be. SB 451, updating newborn hearing screening terminology and reporting requirements, was reported favorably after testimony that the bill would strengthen early detection and follow-up for deaf or hard-of-hearing children. Later, the committee advanced SB 426, which modernizes the addictive disorder regulatory authority and creates a formal peer support specialist licensing pathway. Supporters said the bill would strengthen the behavioral health workforce, improve accountability, and create a progression from peer support to higher credentials; the committee adopted technical and transition amendments and reported the bill favorably with amendments. SB 236, requiring LDH annual reviews and reports on kidney disease treatment services in Medicaid, was also reported favorably with amendments. Additional measures approved included SB 39, allowing provisional licenses for massage therapy graduates; SB 190, which tightens oversight of poor-performing nursing facilities in the CMS Special Focus Facility Program and sets an 18-month improvement timeline; SB 124, allowing hospitals within the same health system to share peer review records without waiving privilege; HR 174, urging study of fenbendazole as a possible cancer treatment; SB 270, allowing terminally ill patients to use medical marijuana in health care facilities; SB 359, changing terms for certain Morehouse Parish hospital district commissioners; and HR 194, requesting de-identified school visual acuity screening data for research. The committee adjourned after reporting all measures favorably, several with amendments.
CA
Transcript Highlights:
  • The statewide program is fairly new compared to the district programs.
  • When you mentioned DCAP, the statewide program is one component of the DCAP program.
  • , the ZAP program.
  • So we have a pilot program, $3 million in the e-bike program.
  • SAFER, FPIP, agricultural waste programs, and methane reduction programs.
Summary: The committee hearing focused heavily on CARB’s broad trailer bill request for regulatory fee authority. Finance and CARB argued the proposal would let CARB develop fees to recover reasonable costs for implementing and enforcing regulations, while the LAO recommended rejection because the authority was too broad, could apply to an entire division of code, and would delegate core legislative taxing/fee-setting power without enough guardrails. Members from both parties raised concerns about the breadth of the authority, accountability, affordability impacts, and whether the Legislature would be put in an up-or-down position after CARB had already developed regulations. CARB responded that fees would still go through a budget change proposal and legislative approval before collection, and cited existing examples such as transport refrigeration units and commercial harborcraft fees. The committee then reviewed CARB’s request for permanent resources to implement SB 905 on carbon capture, utilization, storage, and carbon dioxide removal. CARB said the Legislature had previously authorized limited-term positions and funding, but it had struggled to recruit and retain staff with specialized regulatory and technical expertise, and that the work had included pre-rulemaking contracts, technology review, and permit-related preparation. Members questioned the pace of work, the use of limited-term positions, and whether additional permitting authority would be needed. CARB said it hoped to begin rulemaking later in the year if permanent resources were approved. Members also discussed the cap-and-trade spending plan, noting lower-than-expected auction revenues but higher interest earnings, and the need to monitor the Greenhouse Gas Reduction Fund and possible May Revision changes. The committee then heard overviews of the zero-emission vehicle package, the Community Air Protection Program, demand-side grid support, and e-bike incentives. CARB described ongoing investments in community-based transportation equity, drayage trucks, harbor craft, and other clean technology demonstrations, while members pressed on affordability, program duplication, and whether enough funding was being directed to incentive programs. No formal votes were taken during the portion provided, and the chair repeatedly indicated that the hearing was intended to surface concerns for later budget negotiations.
MN

Minnesota 2025-2026 Regular Session

Committee on Human Services - 02/23/26

Human Services

Transcript Highlights:
  • program?
  • Minnesota when they are under a waiver Minnesota when they are under a waiver program?
  • that<00:45:40.240> the programs, many other programs that the programs, many other programs
  • The new program. I familiar with that? The new program.
  • Services provided under waivers.
Keywords: 1187, senate, all
MA
Transcript Highlights:
  • Person program.
  • cost savings of the program, and how Congress was really ruining the program because they weren't providing
  • a long-term extension of that program.
  • Joe referenced the Money Follows the Person program.
  • So that's a very important program. It's now called, in Massachusetts, the Moving Forward program.
Keywords: 995, all
Summary: The Massachusetts Commission on the Status of Persons with Disabilities’ Long-Term Services and Supports and Health Equity Subcommittee met to hear a presentation from the Lurie Institute for Disability Policy at Brandeis University. Monica Mitra introduced the institute’s work on disability health equity and long-term services and supports, and staff described several research centers focused on community living policy, disability and pregnancy, and parents with disabilities. The presentation emphasized participatory research, accessible dissemination, and the connection between health equity and access to home- and community-based services. Joe Caldwell discussed the Community Living Policy Center’s work on Medicaid HCBS, the direct care workforce crisis, housing, and policy advocacy, including efforts related to the Money Follows the Person program and the Medicaid access rule’s interested parties advisory group. Sid Pickern highlighted a workforce study interviewing direct care workers, a forthcoming policy brief on the access rule, and housing research including Massachusetts’ Alternative Housing Voucher Program. Teresa Nguyen described the Community Living Equity Center’s focus on disparities in community living for people of color, especially a study on self-direction and community living outcomes, and asked for help recruiting participants. Lauren Bixby demonstrated the community living data dashboard, which compares adults who need LTSS with those receiving Medicaid LTSS using ACS and TMSIS data. She explained that the dashboard can be filtered by state and demographics, but noted major race and ethnicity data gaps for Massachusetts and other states. Commissioners praised the dashboard and the institute’s work, asked questions about data sources and the 1115 waiver, and discussed possible connections to the Health Equity Compact. No votes were taken; the meeting ended with an invitation for follow-up, including a forthcoming direct care workforce brief and the institute’s October 28 lecture.
KY
Transcript Highlights:
  • > to<01:03:01.280> earn<01:03:01.440> a program or vocational program to earn a program
  • psychiatry residency programs. psychiatry residency programs.
  • We've spoken previously about the proposed child waiver, the 1915(c) child waiver.
  • , the 1915 C child waiver.
  • Um, and waiver, the 1915 C child waiver.
Keywords: 958, all
Summary: The committee approved the October 22, 2025 minutes and then heard a presentation from the Child Fatality and Near Fatality External Review Panel on accidental ingestion of illegal drug products by children. Panel members said pediatric ingestions have become the most common case type they review, with the highest-risk children ages one to four, and that fatal cases have increased in recent years. They reported that the substances most often involved are fentanyl, cannabinoids including THC products, methamphetamine, and increasingly xylazine; they also noted a decline in buprenorphine-related ingestions, which they viewed as a positive trend. The panel used several case examples to highlight recurring problems in investigations and medical response, including delayed DCBS involvement, failure to administer Narcan, inadequate drug testing, lack of child abuse team involvement, and limited or absent law enforcement investigation. They said law enforcement issues are especially common in pediatric ingestion cases and are concentrated in Jefferson County and the Bluegrass/KIPA regions. One example involved a one-year-old who died from fentanyl and Benadryl intoxication; another involved a two-year-old who died after ingesting multiple substances; and a third involved a four-year-old with near-fatal THC gummy ingestion where delayed treatment worsened the child’s condition. They also described a 10-month-old THC ingestion case that resulted in a criminal abuse conviction, which they presented as an example without missed investigative opportunities. Committee members discussed possible policy responses, including creating a more specific criminal child abuse offense or clarifying existing abuse and neglect definitions to cover unsafe access to illegal drugs, while preserving room for true accidents and prescribed medications. Members also raised the need for statewide standardization in reporting, investigation, and medical response, and suggested the panel should be able to call in agencies such as law enforcement, DCBS, judges, and hospitals for closed-session review of selected cases. The panel chair said they were already pursuing meetings with LMPD and would provide Jefferson County-specific breakdowns, and members expressed interest in additional data and agency follow-up before considering legislation.
ND
Transcript Highlights:
  • He received both the cultural diversity tuition waiver and a presidential waiver to come here as a freshman
  • Those programs enrolled 152 students at the time.
  • program, a biostatistical core.
  • Obviously, you have a terrific program here.
  • Obviously, you have a terrific program here.
Summary: The committee met at NDSU and approved the April 9 minutes. The main purpose of the meeting was an informational presentation from NDSU President David Stewart and university leaders on the university’s priorities, including enrollment, student success, research, commercialization, and use of New Horizons funding. Stewart emphasized a “One NDSU” approach, thanked legislators for past support, and said the university will focus on recruitment and retention, a new strategic plan, and growing research and tech transfer while serving North Dakota’s workforce needs. University leaders said NDSU is using tuition waivers more strategically and will work to reduce them over time through scholarship optimization. Provost Sherry Vale described academic portfolio reviews, program closures or consolidations, strategic hiring, and workload policies aimed at aligning resources with demand. They also highlighted student outcomes, including high completion rates, strong employment placement, and NDSU’s role in producing a large share of the state’s engineers, nurses, and agriculture graduates. Several students testified about how NDSU’s mentoring, internships, research, and support services helped them succeed. The committee also heard from partners on New Horizons-related collaborations: Gateway to Science described K-12 STEM outreach in rural and tribal areas, and Sanford Research discussed joint research efforts, including COBRE-related work, obesity and GLP-1 studies, and a joint biostatistics hire. Later speakers highlighted Governor’s School and NDSU’s research and commercialization efforts, including growth in research expenditures and invention disclosures. No additional votes or formal actions were taken beyond approving the minutes.
CA

California 2025-2026 Regular Session

Senate Housing Committee Apr 21st, 2026

Housing

Transcript Highlights:
  • We have long supported transit programs.
  • infrastructure needs and jointly apply to the program.
  • the Moore program, so invite your sign-on.
  • The liability waivers and HCD’s processing time, right?
  • The liability waivers in HDD's processing time, right?
Summary: The committee heard AB 736, a proposed $10 billion Affordable Housing Bond Act of 2026, with Assembly Member Buffy Wicks and numerous housing, local government, labor, and advocacy groups testifying in strong support. Supporters said the bond would fund multifamily housing, permanent supportive housing, homeownership, preservation, farmworker, tribal, and other programs, and argued that the state needs new capital because prior bond funds are exhausted and many shovel-ready projects are waiting. Habitat for Humanity California opposed the bill unless it was amended to dedicate 10% of bond proceeds to Cal Home for affordable homeownership, and several senators said they supported the bond but wanted Cal Home strengthened. The committee voted do pass to Senate Appropriations, with the measure placed on call for absent members. The committee also heard SB 1361 by Senator Durazo, which would limit local governments from using SB 79 transit-oriented housing requirements as a reason to stall or condition planned transit projects. Los Angeles Metro, the Building Trades, and several cities and advocacy groups supported the bill, saying it would protect transit investments, jobs, and federal funding from opposition tied to future density around transit stops. Several groups that had initially opposed or been concerned about the bill, including West Hollywood, Streets for All, Greenbelt Alliance, California YIMBY, and the Bay Area Council, withdrew opposition or moved to neutral after amendments. The committee approved the bill as amended to Senate Local Government, with the measure also placed on call. Senator Grayson presented SB 1003, creating an Infrastructure Partnership Financing Program to help local governments and developers fund infrastructure needed for infill housing, and SB 1014, which would require local agencies to provide early, good-faith estimates and itemized lists of required on-site and off-site improvements for housing projects. Both bills were supported by housing advocates, Habitat for Humanity, SPUR, and industry groups, who said the measures would reduce uncertainty, late fees, and project delays. The committee advanced both bills as amended to Senate Appropriations, placing them on call. The committee also took up SB 908, which streamlines energy-code-compliant window replacement and limits aesthetic review, especially for residential replacements; it passed as amended to Appropriations after support from affordable housing and green building groups and no opposition. Later, Senator Allen presented SB 1092 and SB 1093 on mobile home park preservation and post-disaster protections. SB 1092 would give residents notice and an opportunity to make a competing bid when a park owner intends to sell, with supporters arguing it would help preserve unsubsidized affordable housing and protect displaced residents, while park owner representatives argued it would devalue properties, create litigation risk, and interfere with market transactions. SB 1093 would require more communication, access, and consideration of rebuilding or closure after disasters, and would restore certain resident reimbursement rights; supporters cited the Palisades fire and survey data showing residents lacked information and access, while opponents said the bill imposed onerous timelines, liability issues, and penalties and could force owners into rebuilding or compensation assumptions they disputed. Both bills were discussed at length, but the transcript ends before final recorded votes on them.
NM

New Mexico 2026 Regular Session

House - Appropriations and Finance Jan 13th, 2026 at 01:35 pm

House Appropriations & Finance

Transcript Highlights:
  • Remarkable program.
  • or move from program to program.
  • We can spend that program income on our Vocational Rehabilitation Program, on our Older Blind Program
  • The normal rule is that you have to spend program income on the program that generated the program income
  • program is a general fund-funded program that's separate from the DD waiver, but we do all of the DD
Keywords: 996, all
AZ

Arizona 2026 Regular Session

02/11/2026 - House Floor Session

Arizona House Floor Meeting

Transcript Highlights:
  • The intent of the program is to help people when they are struggling.
  • WIC program.
  • Biasiucci, there's nothing wrong with the program.
  • Biasiucci, there's nothing wrong with the program.
  • These programs protect children who have nowhere else to turn.
Keywords: 1182, all
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 4/8/25

Human Services Finance and Policy

Transcript Highlights:
  • Uh, every session we adjust because of the programs that we run based on focused program, so that we
  • Uh, every session we adjust because of the programs that we run based on focused program, so that we
  • adjustments on the disability waiver adjustments on the disability waiver rate<00:03:54.319>
  • into the Medicaid program through fees. into the Medicaid program through fees.
  • already um changing the program already um changing the program requirements,<00:07:00.560> so
Bills: HF2995, HF2434
WA

Washington 2025-2026 Regular Session

Joint Legislative Executive Committee on Planning for Aging and Disability Issues Jun 18th, 2025

Joint Legislative Executive Committee on Planning for Aging and Disability Issues

Transcript Highlights:
  • In 2024, the legislature made the program portable, meaning that if workers pay into the program for
  • So it makes the program, it fulfills the promise of the program, such that anyone who pays into WAC Cares
  • and, of course, a WACares state-run program.
  • entry system or a COPS waiver, most people refer Or a Community Options Program Entry System, or a COPS
  • The third program is peer bridgers.
Summary: The committee met for what was described as its final meeting, with members and staff reflecting on the work of the Joint Legislative Executive Committee on Aging and Long-Term Care and noting that future work would likely shift to standing health and wellness committees. The meeting began with introductions and then moved into updates on major initiatives that originated from the committee, including Washington Cares, the Dementia Action Collaborative, and Medicaid long-term care programs. Presenters emphasized that these efforts were developed through long-term legislative-executive collaboration and were intended to help Washington prepare for the state’s aging population. On Washington Cares, DSHS described the program’s development from a 2014 research effort to its 2019 enactment, premium collection beginning in 2023, portability improvements in 2024, and 2025 changes including a grandfathered opt-out fix and a framework for supplemental private long-term care insurance. The agency said benefits are expected to go fully live next summer, with a pilot of up to 400 applicants planned for next January. On dementia policy, the Dementia Action Collaborative reported on the state dementia plan, Project ECHO training for providers, and pilot dementia-capable community programs at area agencies on aging, citing preliminary results that about 85% of family caregivers said services helped people remain at home. DSHS also reviewed Medicaid Transformation Project initiatives, including Medicaid Alternative Care, Tailored Supports for Older Adults, presumptive eligibility, and health-related social needs benefits such as rental assistance, nutrition support, and home modifications. The committee then heard an emerging issues panel from ombuds and disability advocates. Patricia Hunter of the long-term care ombuds program raised concerns about staffing shortages, resident rights, surveillance technology, private equity ownership of facilities, and illegal discharges or evictions. Betty Sweeterman of the Developmental Disabilities Ombuds discussed people stuck in hospitals without medical need, gaps in behavioral health services for people with developmental disabilities, and the need for better workforce training. Todd Carlyle of Disability Rights Washington urged expansion and bundling of community supports such as PACT, GOSH, and peer bridgers to reduce repeated institutionalization and support discharge from inpatient psychiatric settings. Provider and labor panels followed, with nursing home, assisted living, supported living, and union representatives all emphasizing workforce shortages, low wages, Medicaid rate inadequacy, case management bottlenecks, behavioral health complexity, and the need for more flexible care models and stronger accountability for rate increases. No formal votes were taken; the meeting ended with public comment on manufactured housing and closing remarks thanking staff and participants for the committee’s work.
KY
Transcript Highlights:
  • alternative testing methods and waivers used<00:03:37.640> during<00:03:37.959> the<00
  • , those decisions needed to go waivers, those decisions needed to go through<00:03:51.720> the
  • or alternative tests were null, waivers or alternative tests were null, void,<00:04:04.400> and
  • <00:21:31.680> and AG's opinion because the waiver and AG's opinion because the waiver and
  • , a great program, a great program, but<00:30:57.800> it<00:30:57.960> is<00:30:58.120
Keywords: 958, all
Summary: The subcommittee considered an emergency regulation from the Kentucky Board of Optometric Examiners, 201 KAR 5021E, along with a staff amendment to conform the text to KRS Chapter 13A. The regulation was described as implementing an Attorney General opinion and a review of optometrists licensed during the 2020–2023 period when alternative testing and waivers were used during the COVID-19 era. The board explained that the rule requires affected licensees to complete specified examinations or an alternative certification before renewing in 2027, and that it now removes the OEBC Canadian exam as a future pathway while preserving recognition of OEBC results submitted during the period when that option was in effect. The staff amendment was approved without objection. Testimony was sharply divided. Board representatives and the Attorney General’s office said the regulation is needed to protect public health and to bring the licensure review into the formal administrative process. They said the NBEO Part 3 exam is the nationally recognized hands-on clinical licensure test, while the American Board of Optometry certification is a post-licensure credential for already licensed practitioners and is not a substitute for initial licensure testing. They also said no other state uses the ABOC certification for licensure, and that the board’s approach balances fairness, due process, and public protection. Opponents argued the regulation would allow individuals who were improperly licensed to continue practicing without meeting the same standards as other Kentucky optometrists. A representative from the Kentucky School for the Blind Charitable Foundation described cases of alleged inadequate care and urged the committee to require full national board passage before independent practice. Representatives from ARBO and NBEO said the emergency regulation is not justified as an emergency, does not adequately address public safety or fiscal impacts, and exceeds the board’s authority by creating a renewal path for licensees whose initial licensure was challenged. They emphasized that NBEO Part 3 is a practical, hands-on exam and that the ABOC certification is not designed or validated for initial licensure. The committee asked several questions about the differences between the exams, and no final vote on the regulation itself was described in the transcript beyond approval of the staff amendment.
MN

Minnesota 2025-2026 Regular Session

Securing Human Services - Senator Jim Abeler Jun 9th, 2025

Minnesota Senate Floor Meeting

Transcript Highlights:
  • It focuses on program integrity and efficiency.
  • It focuses on program integrity and efficiency.
  • It focuses on program integrity and efficiency.
  • We give them a elderly waiver people in.
  • <00:13:01.519> over on on our on the on the programs over on on our on the on the programs
Keywords: 1187, senate, all
NY

New York 2025-2026 Regular Session

Senate Standing Committee on Finance - 05/19/2026

Finance

Transcript Highlights:
  • relation to establishing the New York State Youth and Agriculture Entrepreneurship Summer Employment Program
  • So the bill does contain waivers for any issue in terms of reductions that would impact food safety or
  • So, and those waivers have been sort of expanded, lengthened in the most recent print. I'd also...
  • I believe in the bill there's also still a waiver.
  • I believe in the bill there's also still a waiver.
Keywords: 993, senate, all
Summary: The New York State Senate Finance Committee met with Senator John Liu presiding for Chair Liz Krueger, joined by members of the majority and minority. The committee considered a broad agenda of bills covering agriculture, public health, technology, taxation, corrections, education, housing, transportation, and civil rights. Among the measures discussed were a youth agriculture entrepreneurship summer employment program, a Bronx asthma study commission, a statewide multi-factor authentication requirement for governmental entities, a tax on noise emissions from certain helicopter and seaplane flights, a requirement that state events serving alcohol include New York-produced alcohol, a veterans and service members alternative resolution program, packaging reduction and recycling infrastructure legislation, limits on certain debt-collection practices involving foreign sovereign debt, commissary rules in correctional institutions, school energy performance contract recovery periods, a senior rent cap tied to income, a dental health demonstration project, farm succession planning, Operation SNUG gun violence prevention grants, expanded breast cancer screening coverage, direct Medicaid billing for creative arts therapists, a vacant storefront registry, academic credit for volunteer firefighters and EMTs, a plan to expand wheelchair-accessible vehicles outside New York City, STAR exemption notification, restrictions on certain tropical hardwoods in state contracts, a PSC guidebook on gas and electric rate making, gender-affirming care coverage and anti-discrimination provisions, and state leave for Civil Air Patrol members on airport-assigned missions. Most of the meeting focused on the packaging reduction and recycling infrastructure bill, which drew extended debate. Supporters said the bill had been revised after months of discussion with industry, included waivers for food safety and federal-law conflicts, and could save local governments money through producer responsibility funding. Opponents argued it would raise costs, harm food packaging flexibility, threaten food safety, and hurt manufacturers and small businesses, citing examples from dairy, meat, and coffee businesses. The sponsor’s representative said the bill had been updated and that some small businesses would be exempt, while acknowledging not all concerns were resolved. The committee also discussed the fiscal impact, with testimony that upfront state costs would be reimbursed and localities could see savings. Several other bills prompted brief policy discussion, including the helicopter/seaplane noise tax, where staff explained it would be assessed per ticket or up to $200 per flight and exempt quieter aircraft meeting DOT standards, and the sovereign debt/claims bill, where a senator warned it could drive financial activity out of New York. The committee also heard concerns about the packaging bill’s effect on New York food manufacturers and the availability of waivers. After discussion, the committee voted to report the bills; the transcript indicates the measures passed, generally with some members recorded as without recommendation or opposed, and all listed bills were moved to the floor before the meeting adjourned.