Transcript Highlights:

• HE SET OUT ON A MISSION TO ASSESS GAPS IN SERVICES AND KNOWLEDGES, KNOWLEDGE VETERANS TO THE SERVICES
• WE PROVIDE ESSENTIAL SERVICES, SOCIAL SERVICES TO REGIONAL POPULATION 55 YEARS.
• OUR SERVICES INCLUDE INDIVIDUAL CASE MANAGEMENT WAS GOING TO TRAINING, PROVISION OF WRAPAROUND SERVICES
• SPOUSES RECEIVE PRIORITY OF SERVICE SO THAT MEANS ANYTHING TO VETERAN SEEK SERVICE THEY GO DIRECTLY
• SERVICES.

Transcript Highlights:

• A national leader in Environmental Services, Republic Services, proudly calls Legislative District for
• Health and human services. SB 1149: DCS periodic review hearings. Health and human services.
• Health and human services. SB 1172: DCS, MCSA hotline, multiple reports. Health and human services.
• Health and human services. SB 1174: DCS, METT case history. Health and human services.
• Health and human services. SB 1149: DCS periodic review hearings. Health and human services.

Summary: The Senate opened with prayer and the Pledge of Allegiance, then established attendance, approved the prior journal, and welcomed several guests, including the Doctor of the Day, a student shadowing a senator, representatives from Republic Services, and visitors from Copper Valley Energy. Senators also announced administrative deadlines, including extensions for opening Senate folders and for Senate bill introduction preparation, with the bill introduction deadline set for February 2. The main floor business was the reading and reference of a large number of Senate bills and resolutions across many subject areas, including education, government, appropriations, natural resources, health and human services, finance, judiciary and elections, and military affairs and border security. The calendar also included second-reading placement for another large group of bills covering topics such as firearms, behavioral health, family courts, insurance, water, taxation, public safety, and elections. No substantive debate or votes on the merits of the measures occurred during this portion beyond the procedural reading and referral of the bills. Standing committee reports were accepted without being read, and committee announcements were made for upcoming meetings of Government, Health and Human Services, Regulatory Affairs and Government Efficiency, Education, Judiciary and Elections, and Public Safety. The Senate then adjourned on motion until Wednesday, January 21, 2026, at 1:15 p.m.

Transcript Highlights:

• A national leader in environmental services, Republic Services proudly calls Legislative District 4 home
• SB 1195, appropriation, legal assistance services aid.
• SB 1212, 1229, early voting advocacy, emergency service.
• SB 1113, services of possess evaluate agencies.
• SB 1113, services to possess evaluate agencies.

Transcript Highlights:

• services necessarily fit within the covered service definition.
• services necessarily fit within the covered service definition.
• OT can order OT services and services.
• So services like if the child services.
• ,</c><02:18:10.080><c> student</c><02:18:10.479><c> services</c> educational services, student services

Summary: The subcommittee opened its second meeting on House Bill 742, which would require catastrophic special education aid to be drawn from the education trust fund, and discussed whether to also examine differentiated aid within the adequacy formula. The chair said the committee had previously heard from HHS/Medicaid officials and now wanted to hear from local special education directors about how the aid system works in practice, including billing, training, data collection, and whether districts handle claims consistently. Members also referenced Arkansas as a possible comparison state and said they hoped to develop ideas by November to address the current funding process. Committee members focused on the current special education aid thresholds and the impact of proration. The chair described the existing formula as requiring districts to absorb costs up to 3.5 times the state average per student, with the state paying 80% from 3.5 times through 10 times and paying above that, and said FY25 appropriated about $34 million while actual claims were about $50.1 million, leaving roughly a $16 million shortfall that caused proration. Members also raised the possibility of lowering the threshold to 2.5 times and asked how that would affect the number of eligible students and costs. Another member asked about how districts decide whether services are education-related or medical-related and how Medicaid or private insurance reimbursement affects later state aid claims. District representatives from Boothby Therapy Services, Bedford, and Guilford introduced themselves and described their roles. Guilford’s director said the district tracks students with paraprofessional support, nurses, transportation, or specialized programming, uses a data system to log every service touchpoint, and tries to maximize both Medicaid and special education aid; she said a lower threshold would likely capture all students with paras or nurses and that rising staffing and service costs would increase the number of students over the cap. Bedford’s assistant director said the district uses a different system, tracks roughly 60 to 80 students a year, and pursues Medicaid and special education aid simultaneously but does not pursue private insurance if it would affect FAPE; she said reducing the threshold to 2.5 times would likely double the number of qualifying students. Members asked follow-up questions about software, data entry, and how districts decide whether to bill Medicaid or seek state catastrophic aid, and the directors explained that their systems log services by staff type and student, with some districts using the same data for both Medicaid and state reimbursement claims.

Transcript Highlights:

• Those three services together, those three baskets of services, account for about 80% of the growth we've
• , and social services.
• I realized that they provide valuable services, education, and on and on to the local ambulance services
• Other services and other reductions would have resulted in a direct reduction in service to individuals
• that are currently receiving those services from the department, and those are services that are not

Committee: Joint Joint Committee on Ways and Means

Transcript Highlights:

• The state general fund program has a limited service menu.
• and important services in the traditional waiver.
• The services are 100% Medicaid-required.
• Currently, there is no impact on funding for home and community-based services. community-based services
• , and all that, you get services.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• These services allow me to live independently and also work a full-time job.
• We'll be taking up Tab 5, SB 1630 on aging and disability services by Senator Grall.
• This amendment is titled more broadly as substance abuse services.
• And with that, customer service, a culture of customer service, is something that I am working really
• How do we stack up as far as providing customer service? But customer service starts with me.

Bills: S1002 , S1016 , S1030 , S1594 , S1630

Committee: Senate Children, Families, and Elder Affairs

Summary: The committee considered several bills affecting children, disability services, aging, recovery residences, and foster youth benefits. SB 1016 codified the working people with disabilities program for Medicaid waiver recipients, with amendments removing automatic enrollment and improving information sharing between agencies; advocates testified that the program helps people with developmental disabilities work while keeping needed care, though they raised implementation and training concerns. The bill was reported favorably. SB 1002, as amended, clarified that evidence of acute or chronic parental drug abuse can constitute harm or neglect in child welfare cases and allow court intervention and treatment requirements; it was also reported favorably. SB 1594 would preserve veterans’ benefits for foster youth for postsecondary education or aftercare rather than using them as reimbursement to the agency, and it passed favorably. SB 1630 modernized aging and long-term care statutes, expanded emergency service authority, updated oversight of area agencies on aging and guardianship, and permanently established the Florida Alzheimer’s Center of Excellence; after two amendments, it was reported favorably. SB 1030, on recovery residences/substance abuse services, was amended with a substitute that narrowed transfer definitions, sped licensure for existing providers adding levels of care, and limited credentialing entities’ access to resident records; members noted it remained a work in progress, but it was reported favorably. The committee also held confirmation hearings. Robert Astellos, nominated as Director of the Agency for Persons with Disabilities, described efforts to reduce the pre-enrollment list, improve transparency and customer service, expand family involvement, and streamline agency processes; multiple advocacy groups appeared in support, and the committee recommended his confirmation. The committee then unanimously recommended confirmation of the appointees on tabs 7 through 10. The meeting concluded with adjournment.

Transcript Highlights:

• , from here, out to the Public Service Commission.
• Are you familiar with Section 131 of the Social Services Law?
• It takes that off of the social services districts.
• So this puts the onus back onto the social services districts.
• SERVICES DISTRICTS.

Summary: The Senate convened, approved the prior journal, and then took up a series of utility and public service bills and resolutions. A resolution sponsored by Senator Scarcella-Spanton designating April 9, 2026, as Yellow Ribbon Day was adopted after remarks honoring veterans, active-duty service members, and their families. The chamber then moved through several Public Service Law measures focused on utility affordability, consumer protections, and PSC procedures, with some bills laid aside and others advanced. Among the bills passed were measures by Senators Mayer, Cleare, Hinchey, Comrie, and Parker. Debate on the Mayer bill centered on limiting utility expenses and fees recoverable in rate cases; supporters said it was part of a broader package to reform PSC practices, while opponents argued it would not lower current bills and had been softened from earlier versions. The Webb bill creating a residential utility usage monitoring program drew extended debate over whether it would meaningfully reduce costs, who would pay for the program, and whether it could lead to government monitoring of household usage; supporters said it would give consumers more control and transparency, while critics said it would not lower rates. The Gonzalez bill, which would add consumer protections during PSC investigations and delay shutoffs in certain circumstances, also passed after questions about whether it applied to rate cases, with the sponsor saying rate cases were explicitly excluded. Several members explained their votes, with supporters emphasizing affordability, transparency, and consumer protection, and opponents arguing the package would not address immediate rate relief and could burden ratepayers or encourage nonpayment. Senator Tedisco and others criticized PSC appointments and state energy policy, while Democratic sponsors argued the bills were part of a longer-term effort to reform utility regulation and address climate and affordability concerns. The chamber restored multiple bills to the non-controversial calendar before final votes, and the recorded results showed passage of the major utility bills by substantial margins, along with one amendment appeal being ruled nongermane and rejected.

Transcript Highlights:

• CalAIM, it's: we have $1 million from HAP for our operations, and then on a client-by-client basis and service-by-service
• It only includes those who seek services and are accessing services, and it excludes tribal homelessness
• and victim service programs.
• Excuse me, victim service programs.
• their clients who are accessing housing or services.

Summary: The Senate Budget and Fiscal Review Subcommittee 4 met to hear an oversight discussion focused on homelessness, including the state of homelessness in California, state data systems, and the Homeless Housing, Assistance, and Prevention (HAP) program. In opening remarks, the chair emphasized accountability and the need to focus on families and people at the bottom rung, while the vice chair argued that homelessness and affordability problems stem from policy choices and the state should give counties more flexibility rather than top-down mandates. The committee also announced that the one scheduled vote would be postponed and public comment would be taken later. Dr. Ryan Finnegan of UC Berkeley’s Turner Center presented recent homelessness data, saying California’s homelessness remains high at about 187,000 people in the 2024 point-in-time count, with most still unsheltered, though the unsheltered share has declined somewhat. He explained differences between point-in-time counts and the state’s Homeless Data Integration System (HDIS), noted progress in shelter, permanent supportive housing, rapid rehousing, and interim housing capacity, and highlighted declines in youth and veteran homelessness. He also described persistent racial disparities, the large number of chronically homeless people, and risks from federal changes and possible reductions to programs such as Emergency Housing Vouchers and Continuum of Care funding. Members questioned the causes of recent trends, the role of Housing First, Proposition 47, Martin v. Boise, and how funding streams such as HAP and CalAIM are layered together. The California Interagency Council on Homelessness then outlined its data systems and AB 799 implementation. Staff explained that HDIS aggregates HMIS data from all 44 continuums of care and is used to measure outcomes, disparities, and program effectiveness statewide. They said HAP 4 was cost-effective under the State Auditor’s methodology, and that new AB 799 dashboards will provide more public-facing fiscal and outcome reporting by June 2027. Members asked whether the system can better distinguish which interventions work, how self-sufficiency will be measured, how fraud is detected, and whether the council can meet the auditor’s concerns on time. Cal ICH said it has met prior statutory deadlines, that program outcome data already exist, and that fiscal reporting will be built through a web-based tool and aligned with existing departmental reporting systems.

Transcript Highlights:

• Recovery support services are different.
• It's called Recovery Support Services, and I think it's in those situations that recovery support services
• What they need is recovery support services.
• All of those were for HIV care services.
• We services.

Summary: The task force heard extensive testimony on recovery support, harm reduction, and community-based care. Dan Haniken of Into Action described his own recovery from addiction and incarceration and argued that treatment alone is not enough; he said recovery housing, peer support, employment, accountability, and stable housing are what help people stay sober and avoid relapse. Members asked about funding, housing shortages, transportation, treatment courts, and support for medication-assisted treatment (MAT). Haniken said Into Action relies on a braided mix of federal, state, county, city, foundation, and private funding, and that recovery housing needs longer-term support than many current funding streams provide. He also said Missouri should expand recovery housing, peer recovery support, and recovery community centers, and improve awareness and access to MAT in recovery settings and after incarceration. Matt Cushman, a community paramedic with Raytown Fire Protection District, urged Missouri to expand harm reduction, including syringe service programs and broader access to clean needles and drug-checking tools. He argued that stigma and abstinence-only approaches keep many people from seeking help, and said harm reduction reduces disease transmission, overdose deaths, hospitalizations, and other harms while creating pathways to recovery. He cited naloxone distribution as a successful example and said similar strategies should be decriminalized and expanded. Members asked about naloxone access, community paramedicine funding, and whether safe consumption sites should be considered; Cushman said syringe exchange should be a near-term priority, while safe consumption sites are a longer-term policy question. Representatives from Ozarks Medical Center/COMC and Four Rivers Community Health Center focused on the need to reimburse peer support specialists and community health workers, especially in rural and underserved areas. COMC’s Monet Lehman shared her trauma and recovery story and described her jail reentry work, helping incarcerated people with housing, benefits, IDs, employment, MAT, and community supports before release. Four Rivers said its care coordinators and CHWs provide wraparound services such as transportation, housing help, Medicaid enrollment, clothing, and same-day MAT access. Members and staff discussed confusion over reimbursement rules, noting that CCBHCs can bill for peer services through Medicaid while FQHCs generally cannot, and that CHWs are often funded through grants rather than reimbursement. No votes were taken; the meeting consisted of testimony and member questions, with several requests for follow-up information on funding, transportation, and reimbursement rules.

Transcript Highlights:

• And these are selected services.
• The speaker continues explaining the selection of services. They are selected services.
• banking services.
• same services are not taxed.
• payment services and Loan Servicing payment services and stuff<01:26:44.840><c> like</c><01:26:45.000

Summary: The committee took up House File 2437, the governor’s proposed tax bill, and first adopted the A25-Z42 amendment to put the bill in the desired shape. Commissioner Paul Marquardt of the Department of Revenue then presented the bill as part of Governor Walz and Lieutenant Governor Flanagan’s budget, describing it as a response to budget pressures that would make the tax system more fair and stable while supporting economic development and jobs. Marquardt walked through the bill’s major provisions. These included sustainable aviation fuel policy, repeal of K-12 education credit assignment, elimination of the political contribution refund, expansion of the research and development credit, short-line railroad infrastructure modernization, changes to the state airport fund levy, replacement of attachments and appearances with distribution systems, a narrow personal property tax exception for low-income housing tenants, reduced aquatic invasive species aid, and a 34% reduction in PILT payments. He then focused on the sales tax article, saying it would lower the statewide rate by 0.75% while expanding the base to selected professional services such as accounting, banking, brokerage, and legal services, with business-to-business transactions exempt. He said the proposal would be effective for sales and purchases after September 30, 2025, and estimated a first-year rate-cut impact of about $99 million versus $215 million from the service expansion, while arguing that most households would see a net tax cut. He also noted other changes such as landlord penalty adjustments, a 30% reduction in sustainable aviation fuel incentive payments, repeal of local government cannabis aid, and repeal of the tax filing modernization account. Public testimony began with Kyle Playford of the Financial Planning Association of Minnesota, who strongly opposed the proposed sales tax on professional services, especially financial planning. He argued that financial planning is an essential service for retirement, investment, and long-term financial security, and said the tax would raise costs for consumers, reduce access for middle-class families, small business owners, and retirees, and put Minnesota firms at a competitive disadvantage. The chair then indicated that additional public testimony would continue before member questions.

Transcript Highlights:

• services manager.
• services manager.
• , and employment services.
• , and employment services.
• , and employment services.

Committee: House Children and Families Finance and Policy

Transcript Highlights:

• There are dozens of Catholic service providers currently providing holistic, case-managed services in
• It passed through human services.
• living services, as a stage of service in CBC.
• Services and provide foster care services such as Depelchin, Buckner, and Catholic Charities.
• Services Committee.

Bills: SB397 , SB481 , SB596 , SB760 , SB855 , SB1195 , SB1196 , SB1233 , SB1257 , SB1318 , SB1368 , SB1388 , SB1398 , SB1524 , SB1558 , SB1589 , SB1677 , SB1792 , SB2034

Committee: Senate Health & Human Services

Transcript Highlights:

• He'll be discussing the topic of family court services and some of the services and financial support
• with the family court services office.
• If they're not employed, they're performing community service.
• So, sir, thank you for your service in the military, but also your service here in the courts.
• Thank you for your service in the military, but also your service here in the courts.

Committee: House Judiciary, Rules and Administration

Transcript Highlights:

• Of behavioral health services.
• wraparound services.
• We have had a lot of discussion about peer-to-peer services and peer services.
• Abrasion on our customer service.
• So, cutting—I agreed with cutting services. Suicide services are so important.

Committee: House House Appropriations & Finance

Transcript Highlights:

• </c><00:25:06.320><c> because</c> service or billing for services because service or billing for services
• assisted living services.
• </c> uh services program. uh services program. &gt;&gt; Good<01:14:51.760><c> afternoon.
• </c> can bill Medicaid for those services. can bill Medicaid for those services.
• </c> are services that are currently covered. are services that are currently covered.

Summary: The Medicaid Oversight Board met on March 9 with a quorum present and no minutes to approve. The chair reordered the agenda to hear House Bill 689 first. Representative Amy Neighbors presented HB 689, which would authorize Kentucky to seek CMS approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning January 1, 2026, with retroactive payments for that year. She said the bill is intended to improve access to care in rural and underserved areas, support workforce retention, and generate about $29 million annually in federal Medicaid funds without using general fund dollars. Representatives from Owensboro Health and St. Elizabeth Healthcare testified in support, describing staffing and subsidy pressures, lower Medicaid and Medicare reimbursement, and the importance of the program for maintaining access and quality in rural and safety-net settings. Committee members noted the bill had already passed the House Health Services Committee unanimously and discussed broader concerns about Kentucky’s low reimbursement rates and the need to consider other systems not covered by the proposal. The board then heard Senate Bill 2011 from Senator Donald Douglas and Cody Hunt of the Kentucky Medical Association. The bill would address a Medicaid coding issue by ensuring that coverage limits do not reduce payment to fewer than two evaluation and management service units per provider, per patient, per day. Douglas argued the current one-visit, one-issue limitation forces multiple visits, increases no-shows, and prevents providers from treating the whole patient. Hunt explained that the bill is meant to correct a longstanding regulation that limited E&M services to one per physician per recipient per date of service, which can prevent providers from coding additional medically necessary work during the same visit. He said DMS has already filed a regulatory amendment to fix the problem, but a statutory change is still needed to prevent the issue from returning. He also said the bill is not intended to change reimbursement policy, only coding rules, and that MCO payment practices vary. Members generally supported the concept. Senator Berg asked about fiscal impact and private-payer billing; Hunt said there should be no fiscal impact because the bill does not change payment policy, only coding. Representative Moore said the proposal could reduce costs and improve convenience by avoiding extra visits. Chairman Meredith said the bill illustrated problems with fee-for-service care and supported moving toward a more holistic delivery model. Dr. Schuster raised a drafting concern about the bill summary language, and Hunt responded that the regulatory amendment should address the issue generally for providers. No votes were taken on either bill during this portion of the meeting.

Transcript Highlights:

• while on service.
• while on service.
• while on service.
• while on service.
• I'm the adult services manager at Rice County Community Services.

Committee: Senate Human Services

Transcript Highlights:

• services for all of those individuals.
• We've concentrated services in just a few counties.
• We don't want to see any cuts to DD services.
• It maintains current staffing levels and service levels.
• Thank you so much for your service. Thank you. Rashi.

Bills: HB2289

Committee: House Appropriations

Keywords: appropriations, budget, fiscal matters, state spending, general fund, supplemental budget, biennial budget, substitute bill, public defense, civil legal aid, courts, judicial branch, homelessness, supportive housing, affordable housing, behavioral health, juvenile rehabilitation, youth services, child welfare, foster care

Transcript Highlights:

• Protocol Services.
• We actually provide after-hours services for core service agencies throughout New Mexico.
• New Mexico CORE service agencies that provide 24/7 services, their clientele will call their number.
• That was said, yes, that the services did not decrease when the tribe took over services.
• The services decreased because of a lack of oversight from the Indian Health Service.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• at a higher rate than non-Medicaid units of services.
• There are some services, depending on the hospital type and the service delivered, some services are
• or Medicaid services?
• We provide services for our multilingual patients.
• care and some services for undocumented immigrants.

Summary: The joint informational hearing focused first on the impacts of H.R. 1 on Medi-Cal and California’s health care system. Department of Health Care Services Director Michelle Bass outlined provisions including work requirements, semiannual redeterminations, reduced retroactive coverage, new cost-sharing, limits on provider taxes and state-directed payments, reduced federal matching for emergency services for some immigrants, restrictions on lawful immigrant coverage, and a one-year ban on Medicaid funding for certain abortion providers. She said the law could put tens of billions of federal dollars at risk, with estimates of up to 3 million members losing coverage from work requirements, about 400,000 from more frequent redeterminations, and major pressure on hospitals, clinics, and rural providers. She also noted the state is considering implementation timelines, possible delays, and planning for communications, county systems, and a rural health transformation fund. Testimony from Planned Parenthood Affiliates of California, the California Hospital Association, and the Western Center on Law and Poverty echoed those concerns. Planned Parenthood said the federal defunding provision would immediately threaten access to reproductive health care, with possible clinic closures, reduced hours, and workforce cuts if injunctions are lifted; it estimated about $305 million in annual federal matching funds are at stake in California. The hospital association warned that reduced provider taxes and state-directed payments could cut hospital revenue by an estimated $66 billion to $128 billion over 10 years, risking service reductions and closures, especially in rural areas. The Western Center argued the changes would reverse ACA-era coverage gains, increase churn and administrative burden, and disproportionately harm working poor people and those experiencing homelessness. Committee members asked about implementation, notification, state mitigation options, and the effect on hospitals and patients; no votes were taken. The second panel addressed community health impacts of recent immigration enforcement actions. CHIRLA described raids as a public health crisis that creates fear, trauma, family separation, and avoidance of health care. Los Angeles County Department of Health Services reported declines in emergency, urgent care, and clinic visits in immigrant-heavy areas after enforcement actions, and said it has responded with multilingual outreach, patient navigation, telehealth, and assurances that patient information remains protected. The Children’s Partnership said enforcement also disrupts children’s access to early childhood education and schools, citing increased absences and fear among families, and urged stronger protections, legal services, and funding for child care and school-based supports. Members asked for more data on visit declines, the effects on children and families, and how to reduce the chilling effect on care-seeking and benefit enrollment.