Video & Transcript Research : 'HCBS'
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MN
ND
North Dakota 2026 1st Special Session
Human Services Committee Feb 11th, 2026 at 09:00 am
Human Services
Transcript Highlights:
- would pay for the housing, like assisted living, and then if they needed extra services, they'd use HCBS
- The primary concern of the group is the federal HCBS settings rule and the heightened scrutiny that moving
- using some of those funds to help the basic care facilities come into alignment with that federal HCBS
Summary:
The Human Services Committee met in interim session and first approved the previous meeting minutes before receiving a series of presentations on homelessness and housing stability. Jennifer Henderson of the North Dakota Housing Finance Agency updated members on the new Interagency Council on Homelessness, describing its executive-order mandate to review resources, gather input from stakeholders, identify gaps, and develop recommendations. She said the council’s first work is building a statewide program matrix of existing homeless services and funding sources, with attention to youth, tribal communities, and other vulnerable populations. Members raised concerns about youth homelessness, homeless veterans, and how the council will stay focused on a practical framework rather than getting lost in details. The committee also discussed possible connections to the rural health transformation grant and agreed to continue the topic later in the spring.
Beth Olson of Presentation Partners in Housing described the organization’s housing-first model in Cass County and Clay County, including homeless prevention/diversion, housing navigation, and Cooper House, a 42-unit permanent supportive housing building in Fargo. She said the organization focuses on people with long-term and chronic homelessness, many with mental health, addiction, health, domestic violence, and Indigenous identity-related barriers, and reported strong outcomes: 85 of 86 people housed in 2025, 91% still housed after one year, and major reductions in emergency room use, ambulance rides, jail stays, detox days, and shelter use. She also explained that state funding has grown from a small share of the budget to about $1.1 million in state-connected funding for fiscal 2026, largely through contracts tied to supportive services. Members asked about vouchers, rent contributions at Cooper House, length of stay, and whether similar projects could be expanded elsewhere.
Andrea Olson of the Community Action Partnership of North Dakota outlined statewide homeless and housing-related services delivered through six community action agencies in all 53 counties. She explained the Community Services Block Grant structure, said housing was identified as the top need in the most recent statewide needs assessment, and described programs including Supportive Services for Veteran Families, North Dakota Homeless Grant services, and Home ARP supportive services. She emphasized that the end of North Dakota Rent Help has increased pressure on the system, that the current $2 million annual homeless grant is far smaller than prior rent-help assistance, and that community action is using case management and financial assistance to move households toward self-sufficiency. Members asked about funding formulas, rural service delivery, and coordination with Presentation Partners to avoid duplication. YouthWorks then began a presentation on youth homelessness, describing services for ages 12 to 24, the special needs of youth and former foster youth, and the organization’s use of federal and state funds to support transitional housing, emergency shelter, maternity housing, and diversion services.
AR
Arkansas 2026 1st Special Session
ALZHEIMER'S DISEASE AND DEMENTIA ADVISORY COUNCIL Jul 9th, 2026
ALZHEIMER'S DISEASE AND DEMENTIA ADVISORY COUNCIL
MA
Massachusetts 2025-2026 Regular Session
Formal House Session 103 Jun 21st, 2026 at 11:00 am
Massachusetts House Floor Meeting
Transcript Highlights:
- We also have a number of home and community-based service waivers, or HCBS waivers, to help keep MassHealth
Summary:
The House opened with routine ceremonial business, including the Pledge of Allegiance and adoption of several resolutions, such as congratulations to the Williamsburg Grange on its 125th anniversary and to Fire Captain Melissa Blodgett on her retirement. The chamber also concurred in a Senate petition to establish a sick leave bank for a Bristol County Sheriff’s Department employee and suspended Joint Rule 12 to advance local petitions, including one involving the Dalton Fire District and another renaming a Chelmsford bridge.
The main floor action centered on several Ways and Means bills. The House advanced a bill amending laws relative to individuals with disabilities, replacing outdated and offensive terminology in the General Laws with person-first language; members spoke at length in support, emphasizing dignity, inclusion, and the bill’s non-substantive nature. The bill was engrossed by a roll call vote, 152-0. The House also took up and engrossed a bill to improve Massachusetts home care, which would create a licensing and oversight framework for private-pay home care agencies, establish standards for contracts, background checks, training, insurance, and consumer protections, and create advisory committees to guide implementation. An amendment establishing a Family Caregiver Commission was adopted 154-0, and the bill itself was then engrossed 153-1.
In addition, the House passed or engrossed several other measures, including a bill authorizing the Massachusetts Water Resources Authority to provide sewer services to land in Sharon, a sick leave bank bill for a Trial Court employee, a Marblehead parking fines bill, a Hingham municipal property bill for a center for active living, and a Taunton bill allowing continued employment of Police Chief Edward J. Walsh. The chamber also handled numerous calendar items, holding or passing over many while advancing a few. The session ended with a special adjournment in memory of former Representative George L. Sacco Jr., and the House adjourned to meet the next day at 11 a.m. in informal session.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services May 28th, 2026
Transcript Highlights:
- We know that HCBS saves money, and that's where we should be investing as we look forward.
Summary:
The Senate Budget Subcommittee No. 3 on Human Services held its final hearing on the budget, with the chair framing the Senate’s plan as a counterproposal that rejected major cuts and preserved revenues. Public comment was overwhelmingly supportive of the subcommittee’s actions, with advocates, counties, providers, and community groups thanking members for rejecting or delaying proposed cuts to Medi-Cal asset limits, immigrant coverage and premiums, IHSS, PACE, APS, behavioral health advocacy and innovation grants, mobile crisis services, and certain dental and provider payment reductions. Speakers also urged additional funding or trailer bill changes for county eligibility work, public hospitals, indigent care, CalFresh outreach and food benefits, child care slots and COLAs, legal services for immigrants, and long-term services and supports.
A major theme was the Senate’s “Be Home Soon” proposal, which many disability, aging, home care, and health care organizations praised as a way to shift care from institutions to home- and community-based settings. Testimony also supported restoring or maintaining funding for behavioral health programs, including 988/mobile crisis infrastructure, community advocacy contracts, and Title IV-E workforce funding. Several county and provider groups asked the committee to consider alternative proposals related to H.R. 1 impacts, Medi-Cal coverage losses, and county indigent care costs, while others requested continued work on public hospital support, CFAP expansion, and implementation details for child care and IHSS.
The subcommittee then took three votes on grouped budget items. The first consent block, covering a large set of items, passed 3-0. The second block passed 2-1, with Senator Grove voting no. The final block passed 3-0. The hearing concluded with the chair stating the subcommittee had done its part and adjourning the meeting.
FL
Florida 2026 5th Special Session
Children, Families, and Elder Affairs Jan 27th, 2026
Transcript Highlights:
- This amendment facilitates the sharing of Medicaid and HCBS enrollment information between ACA and DCF
Summary:
The Committee on Children, Families, and Elder Affairs heard and advanced several bills and confirmations. SB 1016, on medical assistance eligibility for working persons with disabilities, was amended to remove automatic enrollment and to improve information sharing between AHCA and DCF; supporters said the bill codifies an existing program that helps developmentally disabled adults work without losing Medicaid coverage, and the committee reported the bill favorably. SB 1002, on temporary custody of minor children, was amended to focus on substance abuse as a pathway for court intervention when parental drug abuse creates ongoing risk to a child, and it was also reported favorably. SB 1594, on veteran benefit payments for minor clients in foster care, would ensure military benefits accessed for foster youth are preserved for post-secondary education or aftercare rather than used as reimbursement to agencies; it passed favorably without amendment.
The committee also considered SB 1630 on aging and disability services, a broad modernization bill covering long-term care screening, emergency continuity of care, area agency oversight, Alzheimer’s services, home care, and guardianship reforms. Two amendments were adopted, including one on competitive procurement and another allowing area agencies on aging to directly provide core services during emergencies with department approval. Supporters emphasized caregiver navigation, dementia training, and service continuity, and the bill was reported favorably. SB 1030 on substance abuse services/recovery residences was taken up with a substitute amendment that narrowed transfer definitions, required faster licensure action for existing providers adding levels of care, and limited credentialing entities’ access to resident medical records; stakeholders said further work was needed, but the committee still reported the bill favorably.
The committee also heard the nomination of Robert Astellos to lead the Agency for Persons with Disabilities. He outlined priorities including reducing the pre-enrollment list, improving transparency and family involvement, strengthening customer service, and streamlining agency processes. Several disability and provider organizations appeared in support, and the committee voted to recommend his confirmation. The committee then recommended confirmation of the appointees on tabs 7 through 10 by a single favorable vote, and adjourned at the end of the meeting.
AR
Arkansas 2026 Regular Session
ALZHEIMER'S DISEASE AND DEMENTIA ADVISORY COUNCIL Jul 9th, 2026
ALZHEIMER'S DISEASE AND DEMENTIA ADVISORY COUNCIL
Transcript Highlights:
- let's say just supporting access and quality of care, working with our long-term care partners and our HCBS
Summary:
The Arkansas Alzheimer’s Disease and Dementia Advisory Council met with legislative members and agency, advocacy, and provider representatives present. The council adopted its rules and procedures, approved the prior meeting minutes, and authorized the co-chairs to approve special expenses. Members then heard an extensive update on the state Alzheimer’s plan and current developments in diagnosis, treatment, research, caregiving, and workforce issues.
David Cook of the Alzheimer’s Association described major changes since the first state plan, including the growth of blood-based biomarkers, broader access to amyloid PET scans, and the availability of disease-slowing treatments such as Leqembi and Kisunla. He emphasized that Arkansas still faces major barriers in rural areas, including limited provider awareness, insurance coverage concerns, shortages of specialists, and long wait times for memory care and infusion services. He also highlighted caregiver burden, the need for better education and care navigation, and new efforts such as a dementia resource center pilot with UAMS, respite grants, and workforce training. Members discussed the importance of public education on brain health, diet, exercise, and risk reduction, as well as the need to collaborate with chronic disease partners and improve outreach to primary care providers.
The council approved four proposed focus areas for the next state plan: advancing risk reduction, brain health, early detection and diagnosis; strengthening family caregiver support; improving access to diagnostics and treatment; and supporting access and quality of care, including workforce training and crisis response. Members also discussed possible legislative or statutory changes to keep the council active and engaged, and they agreed to pursue a future meeting in August, tentatively August 12 in Hot Springs, with additional meetings under consideration for later in the month. The meeting adjourned after no further business.
HI
Hawaii 2025 Regular Session
EDT-WTL, EDT-AEN, EDT Public Hearings 03-18-2025
Economic Development and Tourism
Transcript Highlights:
- :04:45.840>
executive <00:04:46.320>director <00:04:46.639>of <00:04:46.759>HCB - <00:04:47.560>
we committee executive director of HCB we committee executive director of HCB
Summary:
The Senate Committee on Economic Development and Tourism and on Water and Land heard testimony on HB 504, a measure relating to environmental stewardship and funding for natural resource protection and restoration. Supporters included multiple state agencies and advocacy groups, such as DLNR, HTA, Hawaiʻi Ocean Legislative Task Force, Resources Legacy Fund, the Hawaiʻi Climate Action Coalition, and others, who said the bill would create dedicated funding for environmental, climate, and cultural resource needs and help address wildfire, flood, coastal storm, and tourism-related impacts. Several witnesses emphasized that Hawaiʻi’s environmental funding gap is large and that visitor contributions should be directed to stewardship and restoration. Some supporters also urged that the measure be applied equitably across all visitor accommodations and related uses, including cruise ship cabins and state rooms, while a few suggested amendments to broaden coverage or create a working group for implementation.
Opposition and concerns focused largely on the bill’s tax structure and legal/administrative issues. The Department of Budget and Finance and the Tax Foundation questioned the reimbursable general obligation bond special fund in part two, suggesting it be converted to a regular special fund or deleted. The Attorney General’s office said part two may violate the single-subject rule in the state constitution and recommended deleting it. The Department of Taxation said the proposed points-and-miles language would be difficult to audit and enforce, and Expedia and others said the proposed tax treatment of loyalty points and certain payment forms would be operationally difficult. Industry witnesses also warned the bill could raise costs in a high-tax destination and asked for more marketing support if the tax is increased. The committee also heard concerns that a new tax on cruise ship cabins could raise federal preemption issues.
The chair noted the testimony count as 23 in support, 179 in opposition, and one with comments. No vote was taken in the portion provided, and the hearing ended with questions from senators and agency responses about possible amendments, enforcement, and constitutional concerns.
MN
KY
Kentucky 2025 Regular Session
House Standing Committee BR Sub. on Health & Family Services (2-12-25)
Transcript Highlights:
- And I think I'm dealing mainly in my mind with HCBS at this point.
- And I think I'm dealing mainly in my mind with HCBS at this point.
Summary:
The Budget Review Subcommittee on Health and Family Services held its first meeting and received an overview from the Department for Medicaid Services on Medicaid’s behavioral health and substance use disorder services. Commissioner Lisa Lee and CFO Steve Beal said Kentucky Medicaid serves about 1.4 million members, including over half of Kentucky children, with 485,000 expansion members, more than 69,000 enrolled providers, and total fiscal year 2024 expenditures of $18.5 billion. They said Kentucky covers a broad range of behavioral health services, and behavioral health provider enrollment has grown from a little over 4,500 in 2019 to nearly 8,000 in 2024. They also described how Medicaid spending and utilization are tracked through claims and encounter data, with most members served through managed care organizations.
Members focused on sharp increases in certain behavioral health billing codes, especially peer-to-peer services, and asked about reimbursement, utilization review, and whether the growth reflected increased need or expanded coverage. DMS said the rise was partly tied to combining facility and nonfacility behavioral health fee schedules in 2023, choosing the higher reimbursement rate to avoid cuts, and that the department has seen an uptick in peer-to-peer services. In response to concerns about overutilization, DMS said it mailed a letter to behavioral health providers, is considering limits and prior authorizations for some services, and plans to create a standardized monthly behavioral health report to monitor trends consistently and identify when controls may be needed.
Lawmakers also asked whether the provider network is sufficient and whether access is adequate, especially for children. DMS said provider enrollment has expanded because behavioral health services were added to Medicaid in 2014 and because demand increased after COVID, but acknowledged studies showing children have less access than adults and said that would be an area of focus. The department said managed care organizations are required to ensure access to needed services and that current trends indicate access is available, though one member disagreed and said workforce shortages remain a major concern. Another member asked about non-emergency medical transportation spending, and DMS explained that it is handled through a capitated arrangement administered by the Transportation Cabinet rather than directly by the managed care organizations.
AR
Transcript Highlights:
- And FYI, it is the only HCB, yes, in the entire nation.
Summary:
The committee first approved the minutes from November 17 by motion and voice vote. It then heard a presentation from Arkansas State University on its inclusive postsecondary education programs, HOWL and ATLAS, led by Dr. Kristen Johnson and Shane Broadway. The programs serve students with intellectual and developmental disabilities, including autism, by providing on-campus living, academic support, life-skills training, financial literacy, internships, employment support, and community integration. Johnson explained that HOWL is a comprehensive transition program that does not lead to a degree but is eligible for financial aid, while ATLAS is degree-seeking and provides additional supports. She reported strong outcomes, including high goal attainment and a majority of graduates working full time, and emphasized that the programs are designed to help students build autonomous adult lives.
Members asked about recruitment, eligibility, costs, school outreach, business partnerships, and transition planning. Johnson said the programs have done extensive outreach through IEP meetings, transition symposia, email blasts, and school visits, but that awareness remains a challenge. She identified major roadblocks as business concerns about liability, fragmented collaboration, and difficulty navigating funding streams such as vocational rehabilitation and Medicaid. She also said more coordinated statewide communication and coalition-building are needed, and noted that ASU is helping launch a state alliance for similar programs, with new programs opening at ASU Mountain Home and the University of Arkansas Pine Bluff.
The committee then heard from the University of Central Arkansas about Project Ascend, a new low-sensory living-learning community for neurodiverse students in Hughes Hall. Dr. Debbie Daly and Jeremy Gillum described it as a voluntary, self-identified program focused on community building, belonging, and retention rather than remediation or degree planning. The program has hosted a few low-sensory social events and plans to expand outreach through campus tours, orientation, and targeted communications. Members asked about recruitment, participation, success measures, and how to avoid duplicating ASU’s efforts; UCA said it is still in its infancy and will measure success mainly through participation, retention, and student engagement. The meeting ended with general support from members, discussion of collaboration across institutions and agencies, and adjournment of the task force.
MN
Transcript Highlights:
- most important part of this legislation is trying to identify the 20% increase in AMRTC forensic and HCBS
- most important part of this legislation is trying to identify the 20% increase in AMRTC forensic and HCBS
- most important part of this legislation is trying to identify the 20% increase in AMRTC forensic and HCBS
- most important part of this legislation is trying to identify the 20% increase in AMRTC forensic and HCBS
- it was in the panel report, and we're looking to see those kind of changes. ...AMRTC forensic and HCBS
TX
Texas 89th 2nd C.S.
Senate Committee on Health and Human Services Apr 8th, 2026
Health & Human Services
Transcript Highlights:
- Policymakers should consider implementing clinically appropriate limits for high-risk services, including HCBS
- Policy that you're recommending, your materials assert that there are no limits on HCBS services, the
- I want to go down the line on no limits on daily services for HCBS or paid family caregivers—what other
- And that's why, and I would actually say we have a pretty good system for HCBS.
MN
Minnesota 2025 1st Special Session
Working Group on Omnibus Human Services Bill - 06/05/25
Minnesota Senate Floor Meeting
Transcript Highlights:
- This is a governor's proposal under the Department of Health to reduce HCBS employee scholarship grants
- under the Department of Health to reduce under the Department of Health to reduce um<00:37:36.400>
HCBS - > employee<00:37:37.920>
employee <00:37:38.320>grant <00:37:38.800>uh um HCBS - employee employee grant uh um HCBS employee employee grant uh scholarship<00:37:39.680>
grants
Summary:
Members met to review a budget bill agreement using a nonpartisan spreadsheet and summary materials. Chairs and members thanked fiscal, research, revisers, and agency staff for the collaborative process, noting the bill had been difficult and that the final product reflected compromise. The chair also said only minor technical changes were expected before final enactment, and the spreadsheet walkthrough was then turned over to fiscal staff.
Fiscal staff explained that the agreement met the overall budget target and walked through major human services provisions. Key items included nursing facility payment changes, including a phased PDPM change, APS inflation, modified single-bed incentives, and a CPI-U capped payment cap; a nursing facility surcharge; workforce standards board rule costs; continuation of certain nursing facility property tax rates; regulation of for-profit acquisitions of nursing homes and assisted living facilities; repurposing assisted living special project funds; funding the SEIU self-directed worker agreement; CFSS reimbursement in acute care hospital settings; and multiple disability waiver rate and authorization changes, including CPI-U inflation caps, waiver authorization reforms, and a waiver reimagined advisory task force.
The agreement also included family residential service rate increases, a temporary extension of customized living disproportionate share payments, tribal eligibility for targeted case management, positive supports training changes, out-of-home respite modifications, swimming lessons as an allowable service for certain children with disabilities, a provisional EID provider license, and program integrity services funded by licensing fee increases. Additional provisions covered MinnChoices studies and assumed savings, behavioral health fund changes, substance use disorder treatment billing and rate changes, supportive recovery housing, housing support supplemental rates for specific providers, disability determinations, enteral nutrition payment timing, temporary funding for Boundary Waters Care Center, several one-time human services grants, senior nutrition funding, and grant reductions and extensions. No formal vote was described in the transcript; the discussion focused on explaining the agreement and its fiscal effects.
MN
Minnesota 2025 1st Special Session
House Human Services Finance and Policy Committee 4/9/25
Human Services Finance and Policy
Transcript Highlights:
- Section 7, also from the governor's budget bill, contains technical changes and also requires unlicensed HCBS
- 59.600>
also <00:29:59.919>requires <00:30:00.399>unlicensed <00:30:01.399>HCBS - and also requires unlicensed HCBS and also requires unlicensed HCBS housing housing housing stabilization
Bills:
HF2434
NH
New Hampshire 2026 Regular Session
JLCAR Administrative Rules (05/15/2026)
Transcript Highlights:
- FNG um there's a reference twice in FNG um there's a reference twice in FNG to<00:18:44.680>
HCBS - <00:18:45.880>
regulations to HCBS regulations to HCBS regulations and<00:18:47.920>I<
Summary:
The committee first handled routine business, approving the minutes and consent calendar, then moved to the regular calendar of administrative rules. Department of Energy rule 25-220 was postponed until June at the sponsor’s request so stakeholders would have more time to review revised language. Several Department of Health and Human Services Medicaid-related rules were then considered, including 25-240, 25-265, and 26-33, each of which drew staff comments mainly about expired rule provisions and the agencies’ reliance on federal law, the Medicaid state plan, or other manuals. The committee approved those rules after brief questions, with the agencies stating they were already operating under the relevant federal or state-plan authority and, in one case, that rulemaking was underway to update an expired citation.
The most extended discussion was on HHS Bureau of Aging rule 25-304, which had an amended conditional approval request. Staff explained the amendments clarified how case management agencies accept or deny cases, how telehealth participation is evaluated, and that the department sets the timing for accepting or denying cases under its existing authority. Staff also noted a separate issue about whether reimbursement rates must be in rule, but said the agency had long interpreted the statute to allow its approach and that any change would likely require legislation rather than committee objection.
A provider representative testified against parts of the rule, arguing the case management agencies should not be required to accept referrals before contacting the participant, that telehealth decisions for other providers should remain with those providers, and that the quality-management section was duplicative and burdensome. Committee members questioned whether the telehealth language merely allowed case managers to say a service fit the client’s plan or instead gave them authority over another provider’s delivery method. The agency responded that case managers may determine what services an individual needs, but should not control how another licensed provider delivers those services. The discussion continued with no final action shown in the excerpt.
AR
Transcript Highlights:
- one-stop shop where you can access both the behavioral health side and then also the CES traditional IDD HCBS
Summary:
The meeting opened with routine business, including approval of the January 13, 2026 minutes, and a brief recognition of Autism Awareness Month. The task force then heard a presentation from the University of Arkansas College of Education and Health Professions on two student support programs: the Empower Program for non-degree-seeking students ages 18–24 with mild intellectual disabilities, and the Autism Support Program for degree-seeking students with autism. Speakers described academic coaching, peer and career coaching, residential supports, person-centered planning, internships, and scholarship/fee structures, noting that both programs charge a $5,000 per-semester fee and rely on scholarships and fundraising to offset costs. Members asked about dorm arrangements, individualized plans, and how students transition in and out of supports; presenters explained that Empower students remain in the program throughout, while Autism Support Program students may enter or leave services as needed.
The committee next heard from Pulaski Technical College’s 3D program, a three-year transition and post-secondary program for students with intellectual and developmental disabilities focused on culinary, baking, and hospitality training. Presenters outlined integrated classes with traditional students, faded support over time, internships, and outcomes such as 97 students enrolled since the program began, 57 graduates, strong completion rates, and many graduates obtaining and retaining jobs in the food service industry. Members asked about how success is measured, why rates are not 100 percent, the role of integrated classes, tuition, and community partnerships; staff explained that grading includes technical and professional skills, tuition is $5,700 per semester, and scholarships such as GETS and FAFSA help reduce costs. They also noted plans to expand offerings and pursue accreditation through the Inclusive Higher Education Accreditation Council.
Finally, the task force received a presentation from SLS Community, a Fayetteville nonprofit serving neurodivergent adults through residential supports, supported employment, community activities, and advocacy. Leaders described a long-term vision tied to the Cato Springs mixed-use development, where housing, jobs, clinical services, and community amenities would be integrated in a “live, work, play” model. They discussed a residential program, a new vocational program called Program Forge, community events, and the challenges of the “services cliff” after age 21, especially for adults with complex support needs. Members and parents spoke about the importance of trained direct support professionals, ABA-based supports, and the need for better funding and service models for adults. The meeting ended with announcements about upcoming autism-related events and a request for future discussion on task force appointments and broader issues around ABA oversight and misuse.
AZ
Arizona 2026 Regular Session
03/18/2026 - Senate Health and Human Services
Health and Human Services
Transcript Highlights:
- and the president of the Elderly and Physically Disabled Providers Alliance, representing 95% of the HCBS
Keywords:
orders of protection, domestic violence, court procedures, legal guardian, enforcement, healthcare, licensed health aides, scope of practice, ventilator care, training standards, medical freedom, healthcare mandates, employment requirements, public health, government regulation, elderly, physical disabilities, Arizona Health Care Cost Containment System, home and community based services, funding increase
Summary:
The committee first heard a presentation from Central Arizona Shelter Services (CASS) on homelessness in Maricopa County and CASS programs for single adults, families, and older adults. The witness described rising homelessness, especially among older adults, and said recent declines were linked to American Rescue Plan Act funding for shelters and flexible rental assistance. Members asked about CASS partnerships with mutual aid and service organizations; the witness described collaborations for food, banking, haircuts, digital access, and behavioral health. No vote was taken on this presentation.
The committee then considered HB 2248, the Arizona Medical Freedom Act, which would bar businesses, schools, and government entities from denying services or employment based on medical interventions and limit employer medical requirements, with a school outbreak amendment adopted. Proponents framed the bill as protecting bodily autonomy and informed consent, while opponents argued it would weaken employers’ ability to control communicable diseases and protect public health. The committee adopted the amendment and advanced the bill on a 4-3 vote. It also advanced HB 2906, requiring one oral and maxillofacial surgeon on the State Board of Dental Examiners, and HB 2189, directing the Nursing Board to implement rules for licensed health aides performing routine ventilator care; both passed with amendments and strong support from sponsors and board representatives.
Later, the committee approved HB 2403, appropriating $2.5 million in FY2027 for home- and community-based services providers serving elderly and physically disabled Arizonans. Supporters said the funding would help retain caregivers and reduce more expensive hospital or facility care. The committee also passed several continuation bills, including HB 2731 for the Physician Assistants Board, HB 2730 for the Occupational Therapy Board, and HB 2729 for the Nursing Board, all on largely party-line or near-unanimous votes after testimony from board staff emphasizing public protection and oversight.
The committee then took up HB 2728, a DES continuation bill that also incorporated nine previously vetoed policy bills affecting SNAP, unemployment, and related benefits. Opponents argued it would make access to essential benefits harder and turn a routine continuation bill into a vehicle for controversial policy changes; supporters said it was needed for oversight and program integrity. The bill advanced on a 4-3 vote. Finally, the committee approved HB 2048, a strike-everything amendment requiring AHCCCS to treat a new non-opioid pain medication no more restrictively than opioids in utilization controls, and ACR 2058, which would require a comprehensive Medicaid claims audit funded by recoveries. Both measures drew support from sponsors and some personal testimony, while opponents warned about cost, duplication of oversight, and incentives that could bias audits; each advanced on 4-3 votes. The committee then adjourned.
FL
Florida 2026 4th Special Session
January 14, 2026 - 08:00 AM
Transcript Highlights:
- The support Medicaid, home and community-based services, hcbs waiver programs and related services.
MN