Video & Transcript Research : 'developmental programs'

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NH

New Hampshire 2025 Regular Session

House Finance Division I (02/24/2025)

Transcript Highlights:
  • But this is a federal program. It's a federal program.
  • It varies by program.
  • It varies by program.
  • programs.
  • What does that program do?
Keywords: 928, house, all
Summary: The committee first heard the Banking Department’s fiscal year 2026-2027 budget presentation from Commissioner Amelia Galeri. She described the department as a self-funded consumer protection regulator overseeing two main areas: the Banking Trust Division, which supervises state-chartered banks, credit unions, and trust companies, and the Consumer Credit Division, which oversees more than 7,000 licensees including mortgage and money transmitter businesses. She said the department’s budget is about 86% salaries and benefits, with 53 positions all filled, and explained that the agency funds itself through fees, fines, and end-of-year assessments on regulated entities. Galeri said the department is facing workload growth from several directions: continued growth in the trust industry, increased fintech supervision, and a new requirement to regularly examine auto dealers that take finance applications, which adds about 300 exams over two fiscal years. She said the department was directed to flat-fund its budget based on 2025 levels but was allowed to increase travel and training. To stay within that limit, she said the department reduced office space, went paperless, converted administrative and licensing positions into examiner positions, and expects to defund an embedded DOJ database administrator position once a new SharePoint system is fully implemented. Members asked about how the department’s revenue and assessments work, including whether fees were increasing and how much existing banks would pay. Galeri said fees are not being raised, most banks pay little or no fines, and assessments are based largely on asset size, with trust companies paying the bulk. She also explained that fines are set by statute, generally capped at $2,500 per violation for consumer credit entities, and said she would not recommend increasing that cap. The committee then voted to accept the Banking Department’s budget proposal as presented in HQ1, with a motion and second and no discussion. The transcript then moved to the Department of Energy budget. Commissioner Jared Chakin and Chief of Operations Lenny Radio discussed federal program funding, including LIHEAP fuel assistance and weatherization. They said the apparent drop in fuel assistance funding from FY 2024 actuals to the budgeted amount is due to the loss of ARPA and CARES Act supplemental funds, while weatherization remains a federally constrained program with a waiting list and limited flexibility. Members also asked about a proposed transfer from the renewable energy fund; staff said the transfer would still allow the department to carry out its statutory duties for the year, though the committee deferred deeper discussion until House Bill 2.
HI

Hawaii 2025 Regular Session

HSH Public Hearing - Thu Apr 10, 2025 @ 11:30 AM HST

Human Services & Homelessness

Transcript Highlights:
  • STR73 SD1, uh, requesting the Office of Wellness and Resilience to develop a report to address the developmental
  • Okay, next up we have the Hawaii State Council on Developmental Disabilities uh in person in support.
  • c> Council<00:15:03.279> on the Hawaii State Council on the Hawaii State Council on Developmental
  • Disabilities uh in person Developmental Disabilities uh in person in<00:15:06.480> support.
  • I am an intern at the Hawaii Council on Developmental Disabilities.
Keywords: 910, house, all
Summary: The committee heard STR 73 SD1, which requests the Office of Wellness and Resilience to develop a report on the developmental needs of children born during the COVID-19 pandemic. The Office of Wellness and Resilience testified in support, saying it was eager to work with local researchers on evidence-based, community-informed recommendations. Support also came from a Zoom testifier, the Department of Education, and the Hawaii Community Foundation. The testifier emphasized the need for trauma-informed supports for children who were ages zero to five during COVID, especially in communities also affected by the Kilauea eruption and the Maui wildfires. Members discussed the long-term impacts of the pandemic and natural disasters on children, and one member said they would support the measure but vote with reservations because they wanted the phrase “climate crisis” changed to “natural disasters.” The committee adopted the chair’s recommendation to pass the resolution as is, with some members noting reservations. The committee then took up SCR 239 SD1, which asks DAGS, DLNR, and the City and County of Honolulu Department of Parks and Recreation to provide universal changing accommodations in state and county facilities and parks. DAGS submitted comments, DLNR State Parks testified that it supported the intent but raised concerns about the cost and feasibility of retrofitting existing facilities, noting it has 73 comfort stations statewide, ongoing vandalism and maintenance issues, and possible ADA space conflicts. The Hawaii State Council on Developmental Disabilities and the Hawaii Disability Rights Center supported the measure, with testimony stressing that accessible changing facilities are important for independence and equity for people with disabilities. In response to questions, DLNR said it had not received complaints about the lack of such infrastructure and that any future installations should be considered in new designs rather than existing facilities. After discussion, the chair moved to defer the resolution, citing budget and implementation concerns and suggesting the issue be revisited in the future with a revised approach and possible needs assessment. The committee agreed to defer SCR 239 SD1 and then adjourned.
CA

California 2025-2026 Regular Session

Assembly Business and Professions Committee Jul 1st, 2025

Business and Professions

Transcript Highlights:
  • required insurance coverage for behavioral health treatment for individuals with autism and pervasive developmental
  • She was diagnosed as severely developmentally delayed, nonverbal, and on the autism spectrum.
  • Two DCA programs going under sunset review.
  • It's staff's understanding that once these two programs increase or eliminate their reserve caps, CSLB
  • will be one of only two DCA programs going under sunset review.
Keywords: 988, house, all
HI
Transcript Highlights:
  • Okay, so when did this program start?
  • in the operation High Hawaii uh program in the operation High Hawaii uh program that<00:18:19.880
  • Okay, so you just heard the Wiki Wiki program, the Operations HIRE Hawaii program.
  • hire Hawaii program you know operations hire Hawaii program you know there's<00:22:33.159> these<
  • <00:28:40.279> and president for academic programs and president for academic programs and
Keywords: 910, house, all
FL

Florida 2026 Regular Session

Appropriations Committee on Pre-K - 12 Education Jan 15th, 2025

Appropriations Committee on Pre-K - 12 Education

Transcript Highlights:
  • , what is the purpose of the program?
  • Number two, what specific services are provided by the program? purpose of the program?
  • Non-FEFP programs: so you have some other pre-K through 12 programs that are not the FEFP, New Worlds
  • Non-FEFP programs: so you have some other pre-K through 12 programs that are not the FEFP, New Worlds
  • Non-FEFP programs: so you have some other pre-K through 12 programs that are not the FEFP, New Worlds
Summary: The committee held its first meeting and received an overview of the Pre-K-12 education appropriations jurisdiction and base budget. Staff explained that education funding is driven largely by enrollment and per-student formulas, with most money coming from state and local sources. The presentation highlighted the major budget areas: early learning, the Florida Education Finance Program (FEFP), non-FEFP K-12 programs, federal programs, and the State Board of Education. Members asked about instructional materials funding and how scholarship students who return to public schools are counted and funded; staff explained that instructional materials remain in the base and that funding depends on survey timing, with districts ultimately funded through the enrollment count process. The committee then reviewed federal IDEA funding for students with disabilities. Department of Education officials explained how IDEA Part B funds are split between state set-asides and local educational agencies, and noted that Florida ranked fourth nationally in total IDEA Part B funding and received a 95% state determination for meeting IDEA requirements. They also described the bureau’s responsibilities, including monitoring, dispute resolution, instructional support, and the Hope Florida unit for ages 3 to 5. Members asked for more information on student performance outcomes and how the state measures success beyond compliance, and the department agreed to provide follow-up data. The final major topic was the Florida Diagnostic and Learning Resources System (FDLRS), including associate centers, multidisciplinary centers, and specialized centers for deaf/hard of hearing and visually impaired students. Presenters described services such as child find, family support, assessments, professional learning, accessible instructional materials, and technical assistance. Committee members focused on whether families and schools have equal access to services across the state, how IEP disputes and reevaluations are handled, and whether more support is needed for parents, teachers, and rural districts. FDLRS representatives said they do not write IEPs but help connect families to districts, provide training and assessments, and support compliance and data collection; they also emphasized staffing and resource needs, especially for low-incidence disabilities and multilingual family outreach.
CO

Colorado 2026 Regular Session

Colorado House 2026 Legislative Day 108 Part 2 May 2nd, 2026

Colorado House Floor Meeting

Transcript Highlights:
  • <00:28:02.240> disabilities<00:28:03.080> who health or developmental disabilities
  • who health or developmental disabilities who are<00:28:03.280> found<00:28:03.720> incompetent
  • c> Um, at a higher level, we are talking about traumatic brain injuries, those intellectual or developmental
  • > just<01:03:46.800> is,<01:03:47.000> and<01:03:47.120> I'm a costly uh program
  • It just is, and I'm a costly uh program.
Keywords: 981, all
Summary: The House first took a call of the House, locked the doors, and then raised the call after members were counted. The chamber then considered Senate Bill 149, concerning pathways for individuals with mental health disorders and an appropriation, along with House Bill 1307 being set as a special order. A recorded vote adopted the motion to make SB 149 and HB 1307 special orders, 50 ayes, 5 noes, and 10 excused. The House adopted the Appropriations and Judiciary committee reports on SB 149. Appropriations explained that its amendment corrected earlier deficiencies and left the fiscal note at roughly $30 million. Judiciary described an amendment resolving overlap with HB 1343 by moving a cash fund and electronic reporting provisions into SB 149. Members then debated the bill’s fiscal note and capacity estimates, with one member questioning whether the projected beds and costs would meet the need; sponsors responded that the bill is based on fiscal analysis, that capacity will be built over time through hardened facilities, new beds, and contracted beds, and that the issue should be monitored in future budgets. On the floor, the bill’s sponsors and supporters described SB 149 as a major reform to create a constitutional pathway for civil commitment and treatment of defendants found incompetent to stand trial and unlikely to be restored, especially in serious violent or sexual offense cases. They emphasized due process protections, counsel, hearings, judicial oversight, least restrictive placement, and treatment rather than punishment, while citing public safety concerns and victim cases. The House then adopted a series of mostly technical and conforming amendments, including changes to definitions, agency references, reporting and placement language, HIPAA-related disclosure language, and terminology such as replacing treatment references with restoration services. After the amendments, one member raised concerns about stakeholder positions, noting many groups were listed as “amend” rather than “support,” and the sponsor replied that the bill had broad stakeholder involvement and that amend positions reflected the complexity of the measure rather than opposition.
HI

Hawaii 2025 Regular Session

ECD Public Hearing - Thu Apr 17, 2025 @ 10:30 AM HST

Economic Development & Technology

Transcript Highlights:
  • I'm an intern at the Hawaii State Council on Developmental Disabilities, here from my boss, Drew Barles
  • Hawaii State Council on Developmental Hawaii State Council on Developmental Disabilities<00:45:23.119
  • 00:49:27.680> gaming purpose then is to research gaming purpose then is to research gaming programs
  • and<00:49:28.559> experiences<00:49:29.040> of<00:49:29.200> legalized programs
  • and experiences of legalized programs and experiences of legalized gambling<00:49:30.079> states,
Keywords: 910, house, all
Summary: The Economic Development Technology Committee met on April 17, 2025, to hear STR 121, a resolution to form a working group to explore legalized gaming in Hawaii. Supporters, including DBED, labor representatives, and some industry interests, argued the measure would allow the state to gather more information, consider economic growth, job creation, investment, and tax revenue, and include a range of viewpoints before any final policy decision. Several supporters emphasized that a working group would help ensure informed decision-making and community input. Opponents argued that legalized gambling would disproportionately harm low-income residents and Native Hawaiians, increase addiction and related social harms, and bring crime, corruption, and human trafficking. Some cited examples from other states, illegal game rooms in Hawaii, and concerns that gambling revenue would be limited while social costs would be high. Others said the conversation should be led by local communities rather than industry stakeholders, and one testifier requested community representation on any working group for a potential stadium-area project. The committee also heard from witnesses who framed the measure as a way to address money leaving the state and to create a regulated alternative to illegal gambling. No vote or final action on STR 121 was taken during the hearing, and the chair noted the committee would need to adjourn in time for floor session if the hearing ran long.
OK

Oklahoma 2026 Regular Session

Appropriations and Budget Health Subcommittee Jan 22nd, 2026 at 09:30 am

A&B Health Subcommittee

Transcript Highlights:
  • services, and research programs.
  • and developmental disabilities.
  • That program got absorbed into one of our other programs, so it's covered in other ways.
  • However, it varies by program.
  • and other teaching programs.
Keywords: 914, all
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on the Judiciary Jun 21st, 2026 at 01:00 pm

Joint Committee on the Judiciary

Transcript Highlights:
  • We recognize that an effective diversion program can hold youth accountable and direct them to services
  • , which provides high-quality, evidence-based diversion programming.
  • In fact, in 2024, 50% of the cases referred to the program were for assault and battery.
  • And the success rate of the program is quite high, with 88% of youth completing the program in 2024.
  • So this means that the NYDP stands available as a real... ...the program in 2024.
Keywords: 995, all
Summary: The committee hearing began with opening remarks from the House and Senate chairs outlining procedures for a large public hearing with more than 100 witnesses on 64 legislative proposals. They explained time limits, rules for in-person and virtual testimony, written testimony procedures, and the committee’s reporting deadline. Testimony then moved through a series of juvenile justice, child protection, and civil liberties bills, with witnesses generally urging favorable reports or, in one case, opposing expanded juvenile court transparency and child advocate access to records. Several witnesses supported bills aimed at juvenile justice reform. Representative Hendricks backed H. 1744 to prevent child labor exploitation and trafficking, citing federal findings of child labor in seafood processing and calling for stronger penalties and a ban on minors working in such facilities. Senator Gomez supported S. 1131 and S. 1121 to reduce juvenile fees, fines, restitution burdens, and bail-related costs, arguing they worsen racial and economic disparities. Senator Crean and other advocates supported S. 1051/H. 1695 to expand juvenile diversion eligibility, while multiple witnesses from juvenile justice and immigrant advocacy groups supported H. 1657/S. 1058 to expand juvenile expungement and to limit sharing juvenile fingerprints with federal authorities, describing recent ICE detentions of Chelsea students and the resulting fear in immigrant communities. Witnesses also supported H. 1918/S. 1240 to narrow the youthful offender statute, raising the minimum age and reducing mandatory adult-style penalties for youth. The committee also heard testimony on child safety and bodily autonomy bills. Middlesex District Attorney Marion Ryan supported H. 1752 to protect children left in extreme temperatures, explaining it would create civil penalties, allow emergency responders to remove children from cars without liability, and add criminal penalties when serious injury results. Representative Thurber and Senator O’Connor testified for H. 2011/S. 1227, a bill prohibiting coercion or mandates for health-related interventions, including vaccinations, and allowing legal remedies for violations. Senator Jalen supported S. 1136/H. 1847 to prevent false confessions by requiring recording of interrogations and banning deceptive tactics, and several innocence-project and legal-services witnesses described wrongful convictions tied to false confessions and coercive interrogations. Another major topic was H. 1626, which would require age verification for pornographic content and launch an education campaign about online sexual exploitation; Representative Cruz and survivor Udoz Wallace testified in support, describing nonconsensual image sharing and deepfake harms. Not all testimony was supportive. The Committee for Public Counsel Services opposed S. 1035, which would increase transparency in juvenile court proceedings, and H. 1689, which would expand the child advocate’s access to confidential juvenile records, arguing both would undermine privacy and trauma-informed protections for children and families. No votes or formal committee actions were taken during the portion of the hearing provided; the session consisted of opening remarks and public testimony on the listed bills.
TX

Texas 89th Regular

Health and Human Services Apr 8th, 2025

Health & Human Services

Transcript Highlights:
  • We urge... ...for adults, children, and individuals with developmental disabilities.
  • The USDA, which runs the grading program, specifically says it is not a food safety program.
  • The other aspect of it is, under the grading program, you would be under TDA's licensing.
  • And there were 23 families in that program.
  • We have seen a collusion between reimbursements of government programs and programs instigated by hospitals
Summary: The committee first took up several pending bills and reported them favorably: SB 968, SB 636 as substituted, SB 1137, and SB 1138 as substituted. Each was advanced by roll call vote, and the committee also recommended the approved bills for the local and uncontested calendar. The chair then moved to the posted agenda and heard SB 719, a mental health bed-capacity study bill by Senator Eckhart, with a committee substitute that refined the data collection to distinguish state and non-state beds, child and adult beds, include two point-in-time counts, and capture jail diversion data. Testimony on SB 719 was largely supportive from Integral Care, NAMI Texas, and the Children’s Hospital Association of Texas, all of whom said Texas needs better data on inpatient psychiatric capacity, workforce needs, and future demand. Several witnesses described long waits for beds, especially for forensic restoration, and argued the study would help target future investments. Senator Perry and others noted the state has already made major investments in new beds and urged the bill to account for beds already coming online; the committee ultimately withdrew the substitute and left SB 719 pending after public testimony closed. The committee then heard SB 1864, which would allow small egg producers to sell ungraded eggs more broadly, including to restaurants and retailers, with the substitute increasing the weekly sales threshold and addressing sanitation and labeling. Supporters said grading is about size, not safety, and that the bill would help small farms reach new markets; opponents from the Texas Poultry Federation argued grading and candling help identify cracks and defects that can affect safety and quality. The committee adopted the substitute and left the bill pending. It also heard SB 1467, requiring DSHS to share death record information with hospitals for record accuracy and quality review, and SB 912, which would modernize continuing education tracking for health licensing agencies; both bills drew supportive testimony and were left pending. Finally, the committee heard SB 2023, which would create an HHSC grant program to help counties pay for indigent burial costs, with county representatives testifying in support.
MN

Minnesota 2025 1st Special Session

House Education Policy Committee 1/21/25

Education Policy

Transcript Highlights:
  • providers and the actual and the program providers and the actual and the programs<00:42:00.520>
  • um a teacher programs themselves um a teacher preparation<00:42:02.720> program<00:42:03.119>
  • districts and preparation program districts and preparation program providers<00:43:07.400> so
  • There's kindergarten through grade 12 programming as well as transitions programming.
  • well as grade 12 programming as well as transitions<00:48:33.680> programming<00:48:34.240>
Keywords: 1183, house
Summary: The Education Policy Committee met for its first hearing of 2025 and began with member and staff introductions, along with opening remarks from Chair Peggy Bennett about her first time chairing the committee. Members briefly described their districts and backgrounds, and the chair also reviewed committee rules and procedures, including deadlines for bill requests, amendments, testifiers, and handouts. Nonpartisan House Research then provided an extensive overview of the committee’s jurisdiction and the education code. The presentation covered the Department of Education’s duties, including supervision of public schools, rulemaking under legislative authority, state and federal education funding and compliance, standards and assessments, accountability systems, student discipline, and model policies. It also discussed related entities such as PELSB, the Board of School Administrators, the Perpich Center, regional centers of excellence, Compass, MTSS, and the READ Act. The committee asked questions about zoning for school sites and about teacher licensure changes, including the tiered licensure system and recent adjustments affecting special education teachers and standards of effective practice. No bills were heard and no votes were taken. The meeting was primarily organizational and informational, focused on orienting members to the committee’s work and the structure of Minnesota’s education policy system.
TX

Texas 89th 2nd C.S.

S/C on Family & Fiduciary Relationships Apr 28th, 2025

S/C on Family & Fiduciary Relationships

Transcript Highlights:
  • That comes down to kinship benefits that may come down to a PCA program which you'll hear about in a
  • Um, so Texas COASA is a statewide membership organization for the 74 local COASA programs across Texas
  • Uh, the child has an intellectual or developmental disability that causes the child to be incapable of
  • So are we talking if Under a 504 program in school or they're behind in school or like to what degree
  • Of developmental harm. These abductions are not isolated incidents.
Bills: HCR 10
CA
Transcript Highlights:
  • Need to connect to our programs.
  • another program.
  • for Immigrants, Foster Care Kinship Guardianship Assistance Program, Adoption Assistance Program, Refugee
  • The federal program CSD...
  • The programs are not entitlement programs, and the funding California receives is limited compared to
Keywords: 988, house, all
HI

Hawaii 2025 Regular Session

GVO Public Hearing 03-25-2025

Government Operations

Transcript Highlights:
  • My name is Sam Gorum, and I'm an intern at the Hawaii State Council on Developmental Disabilities here
  • intern at the Hawaii State<00:04:18.479> Council<00:04:18.720> on<00:04:18.880> Developmental
  • State Council on Developmental State Council on Developmental Disabilities<00:04:20.479> here
  • or individuals with<00:05:20.479> intellectual<00:05:21.039> and<00:05:21.280> developmental
  • with intellectual and developmental with intellectual and developmental disabilities.<00:05:22.800
Keywords: 912, senate, all
Summary: The Government Operations Committee heard Governor’s Message 663, reappointing Corey Schaefer to the 911 Board for a term ending June 30, 2026. Schaefer described his telecommunications background and five years of service on the board, including recent election as chair. There was no opposition, and the committee recommended advise and consent; the recommendation was adopted with one member excused. The committee then took up a resolution asking the Comptroller and DAGS to work with the Hawaii State Public Library System to identify rural and underserved communities needing better telecommunications access for participation in the legislative process. Testimony from library and disability advocates supported the goal, but members raised concerns that the measure was too broad and unclear about the actual problem, whether libraries already had sufficient broadband and equipment, and whether the focus should be on public access and education rather than DAGS. The committee deferred the measure to Thursday for a revised draft. Members also heard a resolution urging all state departments to partner with the Office of Wellness and Resilience on data-sharing agreements. The office and several advocacy groups supported the measure as part of trauma-informed state efforts, but members expressed strong privacy and HIPAA concerns and questioned what data would be shared, for what purpose, and how it would be protected. The committee deferred that measure as well so the office could work with the chair on narrower language. Finally, the committee considered a resolution urging boards and commissions to conduct annual performance reviews of executive directors or equivalent exempt positions. With only one individual testifying in support, the committee recommended a Senate draft to clarify that the measure applies to civil service exempt positions, and the recommendation was adopted.
CA
Transcript Highlights:
  • Is it affecting them developmentally?
  • Is it affecting them developmentally?
  • And again, this was an unprecedented program for us.
  • We launched the program by redirecting interest funds from our Community Air Protection Program, $2.7
  • We also started a water quality monitoring program.
Summary: The joint Senate and Assembly Environmental Quality/Environmental Safety and Toxic Materials informational hearing focused on the Tijuana River Valley sewage crisis, with members from both parties emphasizing that the problem is long-running, cross-border, and severe enough to require federal, state, local, and binational action. Opening remarks described the crisis as an environmental and public health emergency affecting beaches, air and water quality, marine life, tourism, and residents’ quality of life in South Bay communities. Assembly Member Boerner and Senator Jones both stressed the need for continued funding and cooperation, while Senator Padilla said the issue is underappreciated because of where it occurs but has major public health, economic, and educational consequences. Congressman Mike Levin’s office reported more than $650 million in federal funding secured for infrastructure and cleanup, along with federal legislation and requests for CDC and EPA involvement. Supervisor Paloma Aguirre gave a detailed overview of county efforts and the scope of the crisis, citing decades of sewage flows from Tijuana, nearly four years of beach closures, and the county’s expanded water-quality monitoring. She said the county is pursuing warning signs, an air purifier distribution program, an epidemiological study, soil testing, an economic impact study, and a feasibility analysis to remove the “hot spot” near Saturn Boulevard, which she described as a key local source of airborne pollution. She also pointed to binational funding for treatment plant upgrades and said the county is seeking state support, including from Proposition 4 cross-border river funds, to expand relief and mitigation efforts. Scripps researchers Dr. Sarah Giddings and Dr. Kimberly Prather presented scientific findings on water and air transport. Giddings described a high-resolution forecast model that predicts wastewater movement and beach closure risk up to five days ahead, using real-time observations and showing about 72% accuracy against county measurements. Prather said the main exposure route is through air, not just water, and reported that turbulence at the river hot spot aerosolizes pollutants, with hydrogen sulfide and other gases spiking at night and dropping when river flow is diverted. She said the team has identified thousands of gases and linked measurements closely to odor complaints, while also noting that air purifiers can reduce indoor exposure but are not a permanent solution. Dr. Paula Stigler Granados added that community health surveys and CDC assessments show widespread symptoms, sleep disruption, anxiety, and daily life impacts, especially during nighttime odor events. She said her team has found more than 900 contaminants in river water and 106 chemicals uniquely associated with the Saturn Boulevard hot spot, with passive air sampling showing similar chemical fingerprints in nearby homes. The panel discussion ended with questions about standards and accountability, and witnesses and legislators agreed that the crisis requires updated air-quality standards, more health research, and continued coordination to reduce exposure and address the source of pollution.
KY
Transcript Highlights:
  • You can see that the individuals served in these programs either have a physical disability or a developmental
  • general overview of the Medicaid Program general overview of the Medicaid Program how<00:02:30.200
  • <00:02:31.760> that how we are the largest program that how we are the largest program that
  • <00:03:53.079> we children's health insurance program we children's health insurance program
  • And as of the Medicaid program, again, the Medicaid program is going to be 60 years old this year.
Keywords: 958, all
Summary: The Budget Review Subcommittee on Health and Family Services met with a quorum still coming together and first handled roll call and minutes. The main presentation came from the Department for Medicaid Services, with Commissioner Lisa Lee and CFO Steve Beckle giving an overview of Kentucky Medicaid, its federal-state financing structure, and the department’s 1915(c) home- and community-based waiver programs. They explained FMAP funding levels for traditional Medicaid, administration, IT, expansion adults, and CHIP, and noted the size of the program, including more than 600,000 Kentucky children eligible for Medicaid or CHIP, about 485,000 expansion adults, over 69,000 enrolled providers, and $18.5 billion in 2024 expenditures. A major focus was the waiver system, including the acquired brain injury waivers, model waiver, independence waiver, Michelle P. waiver, and Supports for Community Living waiver. The department said these waivers are intended to keep people with physical or developmental disabilities in home and community settings rather than facilities, and that many services are not covered by Medicare or commercial insurance. Officials described participant-directed services, interagency administration, and eligibility rules, including that some waiver programs use the child’s income only rather than family income. They also reported an unduplicated waiver wait list of 13,930 people and said the General Assembly had added waiver slots in the last budget, including 650 ABI slots and 1,275 more to be allocated July 1, 2025. The department also discussed a waiver rate study conducted by Guidehouse, explaining that CMS requires a defensible rate methodology because there is no Medicare or commercial benchmark for many waiver services. They said the study used cost and wage surveys, provider and stakeholder input, and aimed to improve transparency, provider stability, and rate parity. Officials reviewed prior COVID-era Appendix K rate increases and budget-driven increases, and said the budget ultimately funded rates at about 70% of the benchmark study, while preserving higher existing rates where needed so no provider would be cut. They highlighted larger differences in behavioral support and case management rates, and said a public report is available. Members asked several questions about the potential impact of federal FMAP changes, especially possible reductions in the enhanced match for expansion adults and Medicaid IT/admin activities. DMS said any FMAP reduction would require more state general fund dollars, estimating about $75 million for each 1% drop in the expansion match, while impacts on administrative IT funding would depend on the systems being built or implemented in a given year. Members also pressed for clarification on waiver wait-list procedures, funded versus filled slots, and what happens when someone on the wait list is later found ineligible. DMS said people on the wait list may not yet have been assessed, can be reevaluated if conditions change, and are still eligible for regular Medicaid state-plan services if they qualify, even if they are waiting for waiver services.
HI
Transcript Highlights:
  • <00:16:43.519> disabilities<00:16:44.120> in on developmental disabilities in on developmental
  • individuals with the developmental individuals with the developmental disability<00:17:13.919>
  • This product also helps the state programs.
  • This product also helps the state programs.
  • Immigration proceedings program within Immigration proceedings program within the<00:48:12.599> Judiciary
Keywords: 910, house, all
Summary: The joint Commerce and Consumer Protection and Judiciary and Hawaiian Affairs committees heard HB 756 HD1, a measure on flavored tobacco products. Supporters included the Attorney General, Department of Health, Hawaii State Council on Developmental Disabilities, youth advocates, public health groups, and Kaiser Permanente. They argued flavored tobacco and menthol are used to attract and addict young people, cited rising youth and young adult vaping rates, and pointed to public health harms and evidence from other states that flavor restrictions reduced e-cigarette sales. The Attorney General requested oral amendments to correct a statutory reference, repeal a county preemption provision so counties could enact stricter flavor bans, and restore appropriations, positions, and the original effective date. Opponents, including retail and wholesale businesses, argued the bill would hurt small businesses and state tax revenue, push sales to the black market, and remove a harm-reduction option for adult smokers; they urged stronger enforcement instead of a ban. After testimony, the committees took up amendments and recommendations. The chair proposed correcting the statutory citation to HRS 26-38, adopting a Department of Health amendment on disposal of electronic smoking devices and e-liquids as hazardous waste, and noting the appropriations, FTE, and effective date in the committee report. Members then voted to pass HB 756 HD1 with amendments in both committees, with the Judiciary and Hawaiian Affairs committee recording one member as supporting with reservations. The transcript then moved to HB 806, relating to fireworks, which would appropriate funds for the Department of Law Enforcement to conduct sting operations on Oʻahu to enforce fireworks laws. The Department of Law Enforcement and Honolulu Police Department supported the bill, saying undercover enforcement is costly and additional funding is needed. A community testifier also supported stronger enforcement, citing illegal aerial fireworks, noise, and impacts on pets and kupuna. No final vote on HB 806 was shown in the excerpt. The Judiciary and Hawaiian Affairs committee also heard HB 438, which would create a Due Process in Immigration Proceedings Program to provide legal representation in immigration court for income-qualified individuals. Support came from civil rights, legal aid, ACLU, and law school clinic representatives, who said counsel is needed to ensure due process and fair access to justice, especially because immigration proceedings can lead to deportation and family separation. Opposition testifiers argued taxpayer-funded counsel for people in immigration proceedings is inappropriate, unlawful, or unfair to citizens and legal residents. One law school representative suggested a technical amendment to broaden language about training and education. The excerpt ends before a final vote on HB 438 is shown.
HI

Hawaii 2025 Regular Session

HHS-AEN, HHS-HOU, HHS Public Hearings 03-12-2025

Health and Human Services

Transcript Highlights:
  • One is concern about moving money from one intent to another program.
  • Next, we have Dainty Boles, Hawaii State Council on Developmental Disabilities, in support.
  • Chair, Vice Chair, and members of the committee, yes, IHS is in strong support of this program.
  • I know they have this program and return to home program, yes, but don't...
  • I know they have this program and return to home program, yes, but don't...
Keywords: 912, senate, all
Summary: The joint hearing covered several bills focused on environmental protection and wastewater management. HB 26 HD 2, relating to environmental protection, drew support from the Department of Health, Reworld, and Energy Justice Network. Supporters said it would preserve existing standards for waste-to-energy facilities, including H-Power, even if federal EPA rules are weakened, while Energy Justice Network urged the state to go further and require stronger pollution controls on older burners at the plant. HB 734 and HB 735, both relating to wastewater systems, received broad support from state agencies, county representatives, realtors, environmental groups, and others. Testimony emphasized reducing the cost of cesspool upgrades, updating rules, and improving coordination between the Department of Health, counties, and the University of Hawaiʻi. Members raised concerns about whether some areas, such as Ewa, should be treated differently if they are not near aquifers or the ocean, but the department said the existing prioritization process already considered statewide conditions and that cesspools generally still affect water resources. On HB 735, the committee discussed the current bedroom-based limits for individual wastewater systems and whether the bill would allow more flexibility for housing configurations, with the department explaining the limits are tied to density and system capacity. HB 879, relating to cesspool conversions, was also supported by the Department of Health, Department of Hawaiian Home Lands, and several advocacy groups. Testimony said the bill would help low- and moderate-income homeowners in priority areas by increasing grant assistance for cesspool upgrades, but the Department of Health noted it would need three full-time positions to administer the program. Members asked for clarification on the grant amount and staffing costs, and the department indicated the grant cap should remain at $20,000 unless changed. HB 918, relating to labeling of non-flushable wipes, drew support from wastewater and industry groups, including the Association of Nonwoven Fabrics Industry, which said similar laws have passed in other states and that the bill reflects cooperation between manufacturers and wastewater officials. The Department of Health and county officials supported the concept but said enforcement and outreach would require additional staff, and senators questioned whether the state could effectively enforce the labeling requirement without a national standard.
MA
Transcript Highlights:
  • We also don't list transitional programs.
  • , some of which have funding through federal programs as well.
  • And Department of Developmental Services.
  • So a lot of great programs.
  • I know Charlie is part of one of their working groups with the PCA program.
Keywords: 995, all
Summary: The Long-Term Services and Supports and Health Equity Subcommittee met with a presentation from Housing Navigator Massachusetts. Staff described the nonprofit’s mission to improve access to affordable housing through a free, 24/7 search tool and public data dashboards. They explained how the site distinguishes between rent-based-on-income units and fixed below-market rent units, how mobile vouchers such as AHVP and Section 8 interact with those listings, and what types of housing are included or excluded from the database. They also reviewed accessibility filters, supportive housing resources, and related state programs such as EOHLC resources and RAFT. Committee members asked about the organization’s funding, the availability of voucher programs, and whether the site tracks demand for accessible units or wait lists over time. Housing Navigator said it is primarily supported through the state, works closely with the Executive Office of Housing and Livable Communities, and does not collect personal application data because it is not part of the application process. Staff said accessible units appear to be in high demand, but they do not have direct data on how many people are waiting or how many applications result from site visits. They also said they are working to improve data sharing, more frequent updates, and future research tools. Members discussed ways to increase public awareness of Housing Navigator, including sharing a one-page fact sheet or infographic through disability organizations, local disability commissions, independent living centers, and the Massachusetts Office on Disability. The subcommittee also briefly discussed future goals, including inviting MassHealth to a January meeting, seeking regular updates on federal Medicare and Medicaid developments, reviewing the annual report’s recommendations, and possibly planning a future health equity event. The meeting ended with the introduction of new commission member Victoria Gill and a motion to adjourn, which was approved unanimously.
TX

Texas 89th Regular

Human Services Mar 18th, 2025

Human Services

Transcript Highlights:
  • issues related to the level level of care that we provide for individuals with intellectual and developmental
  • That a person caring for an individual with an intellectual or developmental disability cannot take a
  • Care Waiver Program as an individual with IDD. Leroy Paz. July 30th 2018.
  • Some examples could be natural supplements for ADHD or depression. program, diet adjustments, equine
  • Texas CASA is the statewide membership organization for the local 74 CASA programs across the state.