Video & Transcript : 'expanded access' :
Page 52 of 500
VT
Transcript Highlights:
- Perhaps most importantly for Vermont, expanded scope strengthens rural access.
- Perhaps most importantly for Vermont, expanded scope strengthens rural access.
- </c><01:59:25.199><c> the</c> will expand access and yet ignore the will expand access and yet ignore
- </c> a hope that this will expand access. a hope that this will expand access.
- </c> evidence that this is going to expand evidence that this is going to expand access<02:01:05.360>
CA
California 2025-2026 Regular Session
Joint Hearing Budget Subcommittee No. 2 on Human Services and Budget Subcommittee No. 3 on Education Finance Apr 23rd, 2025
Transcript Highlights:
- I look forward to hearing how we are doing and expanding these preschool access and choices and the quality
- California also continues to expand targeted access to three-year-old children from low-income families
- California has taken important steps to expand preschool access.
- California has taken important steps to expand preschool access.
- In closing, while TK has expanded access for families with low incomes, enrollment trends for three-
Summary:
The hearing focused on California’s early learning and care system, including the Master Plan for Early Learning and Care, universal preschool access, and the state’s transitional kindergarten (TK) expansion. Administration officials said California has made progress toward universal TK for all four-year-olds and expanded access for low-income three-year-olds, children with disabilities, and some two-year-olds in state preschool. The Department of Social Services highlighted ongoing work on quality improvement and a single rate structure, while the Department of Education emphasized continued investments in UPK infrastructure, inclusion, and teacher development. Testimony from advocacy groups stressed that access remains uneven, especially for infants, toddlers, and three-year-olds, and that federal threats to Head Start could significantly disrupt services in California.
Witnesses and committee members discussed several policy recommendations for preschool and state preschool programs, including consolidating part-day and full-day contracts, simplifying eligibility priorities, eliminating some family and licensing fees, allowing self-attestation of income, making the two-year-old preschool option permanent, and basing funding on enrollment and the true cost of care. A parent from Contra Costa described losing child care after moving counties for safety reasons, illustrating delays and fragmentation in the system. Providers in public comment argued that reimbursement rates are too low and that better pay and retirement and health benefits are needed to stabilize the workforce.
The second panel addressed the governor’s January budget proposal to fully implement universal TK and reduce TK class ratios from 12:1 to 10:1. The Department of Finance said the budget would add about $2.4 billion to serve all eligible four-year-olds and $1.5 billion for the lower ratio. The Legislative Analyst’s Office said its enrollment and cost estimates were lower than the administration’s and projected the ratio change would cost less than proposed. The Department of Education and the Learning Policy Institute reported that TK enrollment and staffing have grown, most districts now offer TK, and many are on track to meet new teacher requirements, but facilities, staffing, and expanded learning remain challenges. Committee members raised concerns about access at all school sites, the need for more full-day options, and the risk that TK expansion could crowd out CSPP and Head Start space.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 1 on Education Apr 30th, 2026
Transcript Highlights:
- in future years to expand or sustain the model locally.
- They unlock potential, expand access, and create real pathways for students.
- On community schools, we encourage a system of investment to support existing sites and expand access
- access to new communities ensuring long-term success and stability.
- Let's expand our focus. Once again, this is not optional.
Summary:
The Senate Budget Subcommittee on Education heard the Governor’s proposals for universal school meals, the Expanded Learning Opportunities Program (ELOP), and community schools. On universal meals, the Department of Education supported continued funding for the Universal School Meals Program and a fourth round of Kitchen Infrastructure and Training Grants, citing meal-count growth, improved meal service, and the need to offset federal uncertainty, inflation, and reduced direct certification tied to immigration-related policy changes. The LAO recommended rejecting another kitchen grant round, arguing prior rounds are still being spent and the state has not clearly defined unmet need. Members also raised concerns about the state’s ability to backfill federal meal funding and about how federal requirements affect programs like Summer EBT/SUN Bucks. Public commenters largely supported school meals and kitchen investments, with some urging support for plant-based milk options and continued infrastructure funding.
For ELOP, the Department of Finance proposed $4.7 billion ongoing Proposition 98 funding, including $62.4 million to set a minimum Tier 2 rate of $1,800 per pupil. The LAO recommended going further and fully fixing the Tier 2 rate, saying rate uncertainty complicates district planning. CDE supported the proposal and said the program has improved attendance and academic outcomes, while noting new CalPADS reporting will provide more data soon. Senators discussed whether ELOP should remain a standalone program or be folded into LCFF, and whether the state should require stronger outcome reporting. Public testimony generally backed stabilizing Tier 2 funding, but some speakers urged more support for older youth and more timely, user-friendly reporting.
On community schools, the administration proposed $1 billion ongoing Proposition 98 funding to expand the model to thousands more schools and to support existing grantees, along with stronger technical assistance, statewide alignment, and an accreditation/self-certification framework. The LAO recommended continuing the current one-time grant approach instead of creating a new ongoing categorical program, warning about reduced flexibility, administrative burden, and the state’s capacity to support a much larger cohort. CDE supported the ongoing investment but asked for additional county office and technical assistance funding. Senators and public commenters were broadly supportive of community schools, emphasizing improved attendance, graduation, and student engagement, while also debating accountability, accreditation, and whether non-classroom-based charter schools should be eligible. Public testimony strongly favored ongoing funding and highlighted community schools’ role in mental health, family engagement, and wraparound supports.
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Committee 2/17/25
Health Finance and Policy
Transcript Highlights:
- I urge the committee to oppose HF 27 and focus on solutions that expand access, not create new barriers
- I urge the committee to oppose HF 27 and focus on solutions that expand access, not create new barriers
- </c> 27 and focus on solutions that expand 27 and focus on solutions that expand access<01:31:47.520>
- So I ask that the committee oppose HF 27 and find ways to expand public health insurance access, not
- So I ask that the committee oppose HF 27 and find ways to expand public health insurance access, not
Committee:
House Health Finance and Policy
Keywords:
undocumented immigrants, state funding, MinnesotaCare, scholarship ineligibility, state assistance, permit to carry, concealed carry, handgun permit, firearm permit, pistol training, sheriff, application process, electronic filing, mail application, fax submission, certified mail, certified delivery, gun rights, Second Amendment, firearms regulation
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 1 on Education Apr 23rd, 2026
Transcript Highlights:
- While these dual enrollment programs are different, they all share the same goal of expanding access
- This is essential to expanding equitable access to dual enrollment programs and supporting long-term
- Today is essential to expanding equitable access to dual enrollment programs and supporting long-term
- College and Career Access Pathways, or CCAP, is especially impactful because it intentionally expands
- Today is essential to expanding equitable access to dual enrollment programs and supporting long-term
MN
Transcript Highlights:
- Expanding entry to midwifery can help to increase access to more maternal health providers and maternal
- Expanding midwifery access is a priority, a proven cost-effective strategy that improves maternal health
- States that have expanded midwifery access have lowered their cesarean and preterm delivery rates.
- This would also help expand access to high-quality, culturally competent midwifery care in our state.
- Bills like the certified midwife bill that expand health care access are not only beneficial for the
Committee:
House Health Finance and Policy
AR
Arkansas 2026 Regular Session
ALZHEIMER'S DISEASE AND DEMENTIA ADVISORY COUNCIL Aug 25th, 2026
ALZHEIMER'S DISEASE AND DEMENTIA ADVISORY COUNCIL
Transcript Highlights:
- access to treatment sites?
- And then, in addition, just expanding access to caregiver education that's more programmatic that the
- nonprofits are partnering to do, and then expand access to dementia resource centers.
- It is our hope that we expand that model across the state so that, again, people have access to these
- Of the FDA-approved amyloid therapies that we're seeing across Arkansas payers, trying to expand access
Summary:
The Alzheimer’s Disease and Dementia Advisory Council met to approve the August 12 minutes and then reviewed an updated Arkansas state plan for dementia. David Cook of the Alzheimer’s Association explained that the plan reflects newer research and treatments, and the council discussed adding objectives related to insurance coverage for diagnostics and therapies, access to specialists, provider education, and the use of biomarker testing. Members also raised concerns about low reimbursement rates, hospital financial strain, and the need to recruit and train more neurologists and advanced practice providers, especially in rural areas. The council approved the general outline of the state plan, with objectives to be refined later.
The meeting then moved through proposed priority areas for the next state plan: dementia risk reduction and brain health, caregiver support, access to diagnostics and treatment, and access to quality care. Testimony emphasized integrating brain health messaging into existing public health efforts, reducing stigma by framing outreach around “brain health,” expanding education in underserved communities including Marshallese speakers, and improving referral networks and dementia resource centers. Members also discussed the need for more caregiver respite support, broader caregiver navigation services, and possible future legislation to strengthen those programs.
Under access and quality of care, participants discussed gaps in Medicaid and other payer coverage, the need for rural telehealth and specialist networks, and the importance of training first responders, home care workers, and other direct care staff. Concerns were raised that some training requirements apply only to licensed providers, leaving private-pay home care outside the same standards. The council also reviewed membership participation and discussed possible changes to the statute to replace inactive members. No additional votes were taken beyond approving the state plan outline, and the council scheduled its next meeting for September 22 at 10 a.m. to focus on finalizing the state plan before the October 1 report deadline.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Revenue Jun 21st, 2026 at 10:30 am
Joint Committee on Revenue
Transcript Highlights:
- We expanded it.
- Expanding the state's EITC to 50 percent...
- It will also expand eligibility for the EITC so more workers can access the credit, including immigrant
- It will also expand eligibility for the EITC so more workers can access the credit, including immigrant
- It creates a permanent family caregiving advisory council, and it expands access to prescription medications
Committee:
Joint Joint Committee on Revenue
Summary:
The Joint Committee on Revenue held a public hearing focused largely on tax-credit proposals tied to children, families, caregivers, child care, health care workforce development, and public health. A major portion of the hearing concerned bills to expand the state earned income tax credit and child and family tax credit, including H. 3073/S. 1957 and S. 1975. Testimony from advocacy groups, legal services, tax assistance organizations, and health providers supported increasing the EITC match from 40% to 50% of the federal credit, expanding eligibility to immigrant and mixed-status ITIN filers, larger families, younger and older workers, and SSI recipients, and raising the child and family tax credit to $600 per child with inflation adjustments and possible advance payments. Witnesses said these changes would reduce poverty, improve health and educational outcomes, and help families meet basic expenses; committee members asked questions about ITIN filers and expressed support for the policy goals.
The committee also heard extensive testimony on S. 1938/H. 3159, An Act Supporting Family Caregivers. Speakers described the scale of unpaid caregiving in Massachusetts and supported a package that would create a refundable tax credit, respite vouchers, workplace and housing protections, unemployment insurance access for those who leave work to care for relatives, a permanent advisory council, and a provision allowing spouses to be paid caregivers under MassHealth. Several witnesses shared personal caregiving experiences, and committee members responded favorably, noting the emotional and financial strain on caregivers and the importance of supporting them as Medicaid and long-term care systems face pressure.
Additional bills discussed included H. 3174 on a child and dependent care tax credit, which was presented as a way to offset the high cost of child care; H. 3197/S. 2019 to improve the financial security of family child care providers through a tax credit; H. 3218/S. 1960 to create tax credits for health care preceptors to address workforce shortages; S. 2064 to establish a living organ donor tax credit; S. 2034 to promote healthy alternatives to sugary drinks through a tiered tax; H. 3015 to create a tax-return checkoff for the YMCA Youth and Government Program; and several public testimony ideas including vaccination, literacy, and grade-improvement tax credits. No votes or formal committee actions were taken during the hearing, which ended after all testimony was heard.
MN
Minnesota 2025-2026 Regular Session
House health panel hears HF1010 3/26/25
Minnesota House Floor Meeting
Transcript Highlights:
- Expanding entry to midwifery can help to increase access to more maternal health providers and maternal
- Expanding midwifery access is a proven cost-effective strategy that improves maternal health outcomes
- Expanding midwifery access is a proven cost-effective strategy that improves maternal health outcomes
- States that have expanded midwifery access have lowered their cesarean and preterm delivery rates.
- This would also help expand access to high-quality, culturally competent midwifery care in our state.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 2 on Resources, Environmental Protection and Energy Feb 26th, 2026
Transcript Highlights:
- I'm proud to say that 57% plus of our state parks are under co-management or tribal access, expanded
- Since 2019, the department has made significant investments to expand access to the outdoors.
- In 2019, the department has made significant investments to expand access to the outdoors and address
- reduced cost barriers and expanded equitable park access across the state, including the California
- access.
MN
Minnesota 2025-2026 Regular Session
Meeting Minnesota's Healthcare Needs / Relieving Undue Medical Debt / Encouraging New Volunteers Mar 30th, 2025
Minnesota Senate Floor Meeting
Transcript Highlights:
- Um, and it's expanding the diversity in our workforce.
- Again, it's a it's continues to expand.
- </c> program to to expand to other program to to expand to other communities<00:13:24.000><c> across<
- People have access to the care that they need.
- </c><00:21:23.600><c> to</c> Making sure that people have access to Making sure that people have access
MN
Minnesota 2025-2026 Regular Session
Committee on Jobs and Economic Development - 03/16/26
Jobs and Economic Development
Transcript Highlights:
- </c><00:04:28.720><c> strengthening</c> can expand access to 80%. strengthening can expand access to
- Um, it also expands some of our healthcare access programs.
- Um, it also expands some of our healthcare access programs.
- Um, it also expands some of our healthcare access programs.
- Um, it also expands some of our healthcare access programs.
Committee:
Senate Jobs and Economic Development
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Financial Services Jun 21st, 2026 at 10:30 am
Joint Committee on Financial Services
Transcript Highlights:
- It is time to expand access to midwifery care and ensure that birth centers are accessible to all families
- It is time to expand access to mid with free care and ensure that birth centers are accessible to all
- I look forward to CPMs bringing our community care roots into birth centers and expanding access to this
- This bill ensures that the progress Massachusetts made toward expanding access to midwifery care can
- The progress Massachusetts made toward expanding access to midwifery care can become sustainable, equitable
Committee:
Joint Joint Committee on Financial Services
Summary:
The committee held a public hearing with testimony on several health care bills, with most of the discussion focused on primary care access, community health center reimbursement, midwifery and birth centers, telehealth, hospital-at-home, direct primary care, and trans-inclusive health care access. Chair Feeney and Chair Murphy opened by noting the large number of signups and asking testifiers to keep remarks brief because of time constraints. Legislators and witnesses repeatedly emphasized that Massachusetts’ primary care system is under strain and that federal policy changes and reimbursement gaps are worsening financial pressure on providers.
On community health centers, Representative Blay, Senator Lovely, Michael Curry, Bethany Keeley, Jag Deep Trevetti, Sean Cahill, and Christina Severin all supported H. 1096/S. 711, which would require commercial insurers to pay federally qualified health centers at least the MassHealth prospective payment system rate. They argued that commercial plans currently reimburse health centers below Medicaid rates, threatening sustainability, staffing, and access, especially as federal cuts and coverage losses could increase uncompensated care. Testifiers said the bill would stabilize health centers, protect primary care access, and not cost the state money.
A second major topic was H. 1117/S. 784 on sustaining birth centers and the midwifery workforce. Senator Lovely, Senator Miranda, Emily Anesta, Rebecca Orden, Catherine Rushworth, Nishira Burrill, Joel Sutherland, Rachel Blessington, Joelle Ward, and others described the 2024 maternal health omnibus as an important first step, but said birth centers and midwives still face low reimbursement, workforce shortages, and financial instability. They urged reimbursement parity, a workforce development fund, and support for freestanding birth centers, citing improved outcomes, lower C-section rates, better patient experience, and racial equity in maternal health. Several speakers shared personal birth stories and said the bill would help preserve and expand birth options in communities like Roxbury, Worcester, and the North Shore.
The committee also heard support for H. 1343 on direct primary care from Dr. Garofalo, Dr. Altman, Dr. Nair, Stephanie Cameron, Dr. Haley Moke-Blessed, and others, who said current insurance rules force patients to use a separate in-network primary care doctor for referrals and sometimes prevent physicians from dispensing medications. They argued the bill would reduce delays, administrative burden, and costs while improving continuity of care. In addition, Dr. Miklides and Sue Stempeck supported H. 1141 on hospital-at-home parity, saying the model has strong outcomes and should be reimbursed at the same rate as brick-and-mortar hospital care. Heather Myers and Katrina Cook testified on telehealth and digital health equity, urging broader coverage for asynchronous care, remote monitoring, interpreter services, and digital literacy supports. SEIU Local 509 supported H. 1188/S. 681 on trans-inclusive health care access, saying it would remove arbitrary insurance barriers to gender-affirming care. No votes or committee actions were taken during the hearing.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services Apr 23rd, 2026
Transcript Highlights:
- In fiscal year 21-22, the Governor and Legislature agreed to expand access to subsidized child care by
- Yet our neighbors in New Mexico prove that expanding access to child care does the opposite.
- Yet our neighbors in New Mexico prove that expanding access to child care does the opposite.
- It will rapidly expand access to habeas relief by building a coordinated mentor network and legal advocates
- Therefore, protecting and expanding funding is vital to ensure that these services remain accessible
Summary:
The committee heard a lengthy budget hearing focused on child care, child welfare, and immigration-related services, with most of the discussion centered on child care funding, slot utilization, and rate reform. Department of Social Services officials said the Governor’s budget would provide $6.8 billion for child care programs in 2026-27, including $11.5 million in Prop. 64 funds for mini-grants to licensed facilities affected by 2025 disasters. They also described federal CCDF and Prop. 64 revenue reductions that would reduce general child care funding by about 4,176 slots, while emphasizing that the cuts should not affect currently enrolled children. The LAO supported aligning spending with lower revenues and asked for more detail on the disaster grant program. Members questioned why so many awarded slots remain uncontracted or unfilled, and DSS said delays are largely due to providers building new infrastructure, licensing, staffing, and enrollment work. One senator criticized the repeated explanation, argued unspent funds revert to the General Fund instead of being redirected to child care, and urged shifting more funding from contract slots to vouchers and increasing flexibility for infrastructure and expansion costs. DSS said it is exploring more flexibility, better readiness screening, and quicker redistribution of relinquished slots. The committee also discussed the Emergency Child Care Bridge program, with DSS saying it can redistribute funds among counties to avoid disenrolling children.
A second panel addressed the state’s broader commitment to expand child care and move toward a single rate structure. DSS reported that since 2021-22 nearly 125,000 new slots have been awarded across CCTR, CAPP, CMAP, and the Emergency Child Care Bridge program, bringing monthly service levels to more than 366,700 children. The department and CDE described progress on rate reform, including completion of the alternative methodology and joint recommendations from the labor-management committee on a single-rate framework. County and provider testimony emphasized persistent unmet need, especially for infant and toddler care, and argued that current reimbursement disparities between CDSS-funded programs and state preschool create inequities and discourage expansion. Stanislaus County Office of Education said rate differences can materially affect local program revenue and staffing, while Parent Voices California described the child care system as difficult to navigate and inequitable, especially for Black families and survivors of domestic violence. The California Budget and Policy Center argued that only a small share of eligible children are served, that Universal TK has concentrated investment in school-based settings, and that providers are still paid far below the cost of care. Members pressed the administration for deadlines on automation and implementation of the single-rate structure, and DSS said some work can proceed before collective bargaining concludes, though policy decisions are still needed.
The committee also reviewed several trailer bill proposals. For the COLA, DSS proposed applying the 2026-27 increase through cost-of-care-plus payments, but acknowledged it had inadvertently excluded CalWORKs Child Care and the Emergency Child Care Bridge from the initial calculation; the LAO recommended making the COLA increase uniform across child care and state preschool programs. On the alternative methodology survey, DSS proposed replacing the market rate survey with the federally approved alternative methodology and aligning the timing with the federal CCDF state plan cycle. On licensed family child care homes, DSS proposed limiting temporary absences to 20% of monthly care hours and allowing more flexibility for medical appointments, jury duty, training, and union activities. On excessive unexplained absences, DSS proposed a statutory definition to align state policy with federal rules allowing disenrollment after 30 days of unexplained absences. The committee also discussed a proposal to require contractors to collect family fees directly so the full voucher value reaches providers, with DSS saying it is working with Riverside County on implementation and CDE asking that the same policy apply to state preschool. Finally, the committee reviewed an Early Childhood Policy Council reappropriation and reporting proposal, with DSS explaining that prior funds were underused because participation costs are hard to estimate and that additional staffing and contractor support would be needed for the expanded annual report requirements.
CA
California 2025-2026 Regular Session
Assembly Higher Education Committee Jun 23rd, 2026
Transcript Highlights:
- Since our 2021 report, Shut Out: The Need to Increase Access to the UC and CSU, we have elevated expanding
- Since our 2021 report shut out the need to increase access to the UC and CSU, we have elevated expanding
- But it would be difficult for us to, of course, expand our access to, like, pre-licensure nursing where
- By expanding access, this will ensure that...
- By expanding access, this will ensure that more students have access to these critical resources.
Summary:
The Assembly Higher Education Committee heard several Senate measures focused on community college procurement, higher education access, and student support. SB 1154 by Senator Reyes would allow community college districts to use best-value procurement for public works projects over $1 million. Supporters, including San Bernardino Valley College, the San Bernardino Community College District, labor groups, and several districts, said it would improve delivery of complex facilities and align community colleges with other education systems. Opponents, including the Associated General Contractors, argued the bill’s skilled-and-trained workforce requirements and labor-compliance scoring would narrow the bidder pool and raise costs. The committee passed the bill to the Assembly Floor on a due-pass vote, with some members voting no or not recorded.
SB 1255, also by Senator Reyes, would create a California Hispanic-serving institution designation. Supporters from HACU, the CSU Chancellor’s Office, UC, community colleges, and other education organizations said the designation would recognize campuses that serve large numbers of Latino and low-income students and strengthen accountability and student success. The committee approved the bill as amended and re-referred it to Appropriations, with one no vote. SB 1328, presented on behalf of Senator Cervantes, would require LGBTQ+ points of contact at satellite or branch campuses of CSU and community colleges, either through designated staff or regular office hours. Testimony emphasized gaps in access at remote centers and the need for confidential support; one member raised concerns about staffing, costs, and whether existing systems could meet the need remotely. The bill was passed as amended and sent to Appropriations.
The committee also considered SB 960 by Senator Cabaldon, which would expand the circumstances under which community colleges could offer bachelor’s degrees in response to unmet workforce needs, especially where CSU programs are impacted or not realistically accessible locally. Supporters said the bill would help meet workforce demand and expand access for place-bound and adult learners. CSU and faculty representatives opposed unless amended, urging stronger partnership requirements, clearer workforce-need standards, and safeguards around duplication and Prop 98 funding. Members discussed impaction, regional access, and the role of partnerships; the bill was passed as amended and re-referred to Appropriations. Finally, SB 632 by Senator Otagan would extend the California College Promise fee waiver to part-time community college students enrolled in nine units. Supporters said many students cannot attend full time because of work, caregiving, and living costs, and the bill would better reflect student realities; the transcript ends during testimony on this measure, before any vote is shown.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services Apr 23rd, 2026
Transcript Highlights:
- In fiscal year 21-22, the governor and legislature agreed to expand access to subsidized child care by
- Yet our neighbors in New Mexico prove that expanding access to child care does the opposite.
- Quebec saw 75% fewer single parents on public assistance by expanding child care access.
- It will rapidly expand access to habeas relief by building a coordinated mentor network of legal advocates
- It will rapidly expand access to habeas relief by building a coordinated mentor network of legal advocates
Summary:
The committee heard an extensive Department of Social Services presentation on child care budget issues, including the Governor’s proposed 2026-27 budget, federal CCDF changes, Prop. 64 revenue adjustments, and a one-time $11.5 million disaster-related infrastructure grant for licensed child care facilities affected by 2025 declared disasters. DSS said federal formula updates and lower Prop. 64 revenues would reduce funding and could result in about 4,176 CCTR slots being reduced, but the department said it was working to avoid impacts to currently enrolled children. The LAO supported aligning general child care funding with lower revenues and asked for more detail on the disaster grant. Members pressed DSS and Finance on why reductions were not being backfilled and why so many awarded slots remain uncontracted or unused; DSS said delays are largely due to providers building new infrastructure, licensing, staffing, and enrollment challenges, and that some unspent funds revert to the General Fund. The committee also discussed whether some contract dollars should be shifted to vouchers and whether more flexibility should be allowed for infrastructure and expansion costs.
A second panel focused on the state’s commitment to expand child care and on rate reform. DSS reported that nearly 125,000 new slots have been awarded since 2021-22, but speakers from Stanislaus County Office of Education, Parent Voices California, and the California Budget and Policy Center argued that unmet need remains large and that the system still leaves many families without access. Stanislaus County described a large local shortage of infant and toddler care and said reimbursement disparities between child care programs and state preschool create disincentives for providers. Parent Voices gave testimony about the burdens and instability families face when trying to access care, especially for survivors and low-income parents, and called for a universal, publicly funded system. The Budget Center said only about 16% of eligible children were enrolled in 2024, urged expansion across the mixed delivery system rather than concentrating investment in TK, and called for faster rate reform and new revenue. LAO estimated that bringing certain CCTR adjustment factors up to CSPP levels would cost $88 million to $131 million ongoing. Members and witnesses discussed the single rate structure, automation needs, and the need for deadlines and a ramp-up plan; DSS said the goal is to eliminate disparities, but that policy decisions are still needed before automation can proceed.
The committee then reviewed several trailer bill proposals. DSS outlined a 2026-27 COLA proposal that would apply a 2.41% increase through cost-of-care-plus payments, though the department said it had inadvertently excluded CalWORKs Child Care and the Emergency Child Care Bridge Program and would revise the proposal; LAO recommended making the COLA methodology uniform across programs. DSS also proposed replacing the market rate survey with the federally approved alternative methodology on a triennial schedule, limiting temporary absences in family child care homes to 20% of monthly hours, defining excessive unexplained absences as more than 30 days in a year, and aligning family fee deductions with new federal requirements so providers receive the full voucher value. Members generally supported the temporary absence change and asked about implementation timing for the family fee deduction, with DSS saying it was in contact with Riverside County. The committee also heard a brief update on the Early Childhood Policy Council reappropriation, which would extend unused funds through June 30, 2028 because prior costs came in higher than expected.
CA
California 2025-2026 Regular Session
Assembly Higher Education Committee Jun 23rd, 2026
Higher Education
Transcript Highlights:
- Since our 2021 report, Shut Out, the need to increase access to the UC and CSU, we have elevated expanding
- Since our 2021 report shut out the need to increase access to the UC and CSU, we have elevated expanding
- But it would be difficult for us to expand our access to pre-licensure nursing, where you would do four
- SB 632 will help us fully realize the California College Promise by expanding access to part-time students
- By expanding access, this will ensure that more students have access to these critical resources.
Committee:
House Higher Education
MN
Minnesota 2025-2026 Regular Session
Human services panel hears HF2143 3/26/25
Minnesota House Floor Meeting
Transcript Highlights:
- And then if you look at section two, it expands access to mental health case management in several important
- </c> smartphones, laptops or internet access. smartphones, laptops or internet access.
- expands access to mental section two, it expands access to mental health<00:02:21.360><c> case</c><00
- </c> sustaining it to provide timely access sustaining it to provide timely access to<00:09:45.600><c
- </c> managers uh support people to access managers uh support people to access medical<00:18:50.320><
MO
Missouri 2026 Regular Session
Joint Committee on Administrative Rules Jun 12th, 2026 at 10:00 am
Joint Committee on Administrative Rules
Transcript Highlights:
- to access the Missouri PDMP.
- access.
- Is that on a case-by-case access, a patient-by-patient access, or is it a once you have access, as long
- Expanding access across these licensed clinicians would more evenly distribute workloads among all licensed
- She asked whether the committee should continue using rulemaking authority to expand access as these
HI
Transcript Highlights:
- </c><00:10:05.000><c> to</c> population and the limited access to population and the limited access to
- Mahalo for your time. of schools don't have access to funds of schools don't have access to funds for
- </c><01:10:28.800><c> our</c> $159,000 to continue and expand our $159,000 to continue and expand our
- We are ensuring that we can continue this valuable work well into the future and also expand access to
- We are ensuring that we can continue this valuable work well into the future and also expand access to
Summary:
The joint Ways and Means and Finance informational briefing on grants and aids was held February 14 and was organized as a high-volume public testimony session with strict procedures: no Q&A, one representative per applicant, one minute per testimony, in-person testimony first, and then Zoom participants. The chairs also announced a recess at 11:00 a.m. for floor sessions and a reconvening at 1:00 p.m. Testimony was heard first from neighbor island applicants, then Oʻahu applicants, with members repeatedly directing speakers to line up and keep remarks brief.
Neighbor island testimony focused on a wide range of capital and operating requests. Health and community projects included Hawaii Island Community Health Center’s workforce housing in Kau, Wuli Hawaiian Homestead Association’s learning center and predevelopment work, Rescue Tube Foundation’s beach rescue tube expansion, Puna Community Medical Center’s planned hospital/ER campus, Maui Humane Society’s free veterinary care after the wildfires, Hawaiʻi Care Choices’ palliative care readiness, and the Lyman Museum’s HVAC replacement. Other requests included the Maui Advanced Manufacturing Alliance’s Pāʻia Mill redevelopment, Laua 2020’s preschool and learning lab, Mālama Aina’s USDA-compliant meat processing facility, the Hawaiian Lifeguard Association’s water safety programs, Kaha P Organization’s agriculture education support, Ohana Arts’ youth performance project, Friends of the Children’s Justice Center’s emergency closet, EOA Pacific’s Marshall Islands teacher training, and the Central Pacific Youth Athletic Club’s new facility.
Oʻahu testimony included the YWCA Oʻahu/Pythink Center’s renovation of Juliet M. Atherton Hall and its community kitchen, West Oʻahu Community Health Center’s wildfire protection and security needs, the Early School’s playground improvements, Surfing the Nations’ food distribution center expansion, and Sounding Joy Music Therapy’s weekly services for people with disabilities. Speakers generally emphasized community benefit, workforce development, health access, food security, disaster recovery, and support for children, seniors, and underserved populations. No votes or formal committee actions were taken during the briefing.