Transcript Highlights:

• care assistance program, and funds child care assistance program, and funds legacy<00:03:16.360><c>
• using</c><00:06:02.920><c> a</c> care assistance program or CCAP using a care assistance program or CCAP
• :32:39.040><c> assistance</c><00:32:39.720><c> program.
• , economic assistance programs such as general assistance and the MSA program, and the licensing and
• assistance programs, child support, and C-CAP. the MSA program and the licensing and the MSA program

Committee: Senate Health and Human Services

Transcript Highlights:

• Decker and Senator Crichton to put the Residential Assistance for Families in Transition program, RAFT
• Last year, I was invited to the older adult bridge program. This program assisted me immensely.
• This program assisted me immensely. My income is very low.
• This is figure one from the Special Commission on Emergency Housing Assistance Program.
• , the state's largest rental assistance program.

Committee: Joint Joint Committee on Housing

Summary: The Joint Committee on Housing held a hybrid hearing on a broad slate of housing and homelessness bills. Chairs Rich Haggerty and Julian Cyr opened by noting the committee’s focus on EOHLC programs such as RAFT, MRVP, and HomeBASE, and several members and advocates emphasized the urgency of the state’s homelessness crisis, including rising family homelessness and the need for earlier intervention, more stable subsidies, and stronger long-term housing tools. A major theme was homelessness prevention and rehousing. Multiple witnesses supported bills to codify and strengthen RAFT and HomeBASE, arguing that assistance should be available earlier in a crisis rather than only after a notice to quit or imminent loss of housing. Testimony from legal services, homelessness coalitions, social workers, municipal housing staff, and tenant advocates said the programs help families avoid eviction and shelter, but need more flexibility, higher benefit caps, and permanent statutory protection. Several speakers also urged support for codifying the Massachusetts Rental Voucher Program (MRVP), describing it as a critical long-term subsidy for low-income households and older adults, and warning that codification would protect the program from future budget or policy changes. The committee also heard testimony on housing stability for older adults, affordable homes for people with disabilities, supportive housing, housing cooperatives, home sharing, local preference, and reentry housing for returning citizens. Advocates for older adults described a Somerville bridge subsidy pilot that helped stabilize seniors while they waited for permanent housing, and urged statewide expansion. Supporters of supportive housing called for an interagency board to streamline funding and development, while cooperative housing proponents backed creation of a Massachusetts Center for Housing Cooperatives and a dedicated funding reserve. A bill to secure housing for returning citizens drew support from reentry providers and Senator Adam Gomez, who said stable housing is essential to successful reintegration. No votes were taken during the hearing; witnesses generally asked the committee to report the bills favorably, and some members asked follow-up questions on data and program details.

Transcript Highlights:

• and other important housing programs. grant program to help reduce those costs grant program to help
• We will be applying to this program for funding to assist with the cost to build this road and extend
• program.
• program.
• program State programs if typically with program State programs if you<00:37:58.040><c> want</c><00:37

Committee: House Housing Finance and Policy

Transcript Highlights:

• assist with determining eligibility for the program.
• Tuition assistance programs represent 11% of the total budget for the 2024-2025 year.
• It is Florida's largest financial assistance program.
• Boyd, IV, Effective Access to Student Education Program is currently the only tuition assistance program
• The East Program accounts for 11%. assistance program provided by the Department of Education.

Summary: The Higher Education Budget Subcommittee met for an introductory overview of the higher education programs under its jurisdiction. After roll call and member introductions, Chair Busatta outlined that the subcommittee oversees programs in the Department of Education and the State University System, including vocational rehabilitation, blind services, private postsecondary licensure, student financial aid, career and adult education, the Florida College System, and the Board of Governors. The chair and staff also noted that these areas represent roughly $9 billion in current-year funding. Officials from the Department of Education presented on several programs. Vocational Rehabilitation Director Kelly Rogers described services for adults and youth with disabilities, including pre-employment transition services, job coaching, assistive technology, and employer support; she said the program served more than 55,000 people last year, has no wait list, and reported a return of $7.61 to the economy for every $1 invested. Division of Blind Services Director Robert Doyle explained services from birth through older adulthood, including early intervention, school-age support, vocational rehabilitation, independent living, the Business Enterprise Program for blind vendors, and the Braille and Talking Book Library; he said the division serves about 12,000 people annually and also has no wait list, though some community rehab providers may have one. Tiffany Hurst of the Commission for Independent Education described licensure and consumer protection for independent postsecondary institutions, reporting oversight of about 1,100 institutions and 721 non-degree schools, along with enforcement actions against unlicensed operators. Sean Haskin of Student Financial Assistance reviewed 22 scholarship and grant programs totaling about $1 billion for more than 200,000 students, including Bright Futures, Benacquisto, need-based grants, EASE, EASE Plus, veterans’ scholarships, dual enrollment reimbursement, first responder scholarships, and the Ocoee and Rosewood scholarships. Members asked about surplus funds, marketing, Bright Futures eligibility requirements, and whether EASE awards had changed; Haskin said any unused funds are reverted to the Legislature, that the department markets through schools and the Florida Lottery, and that EASE remained at $3,500 per FTE for the last two fiscal years. Several members raised concerns that students and parents may not learn about aid programs early enough, especially in economically disadvantaged communities. Chancellor Kevin O’Farrell then presented on Career and Adult Education, highlighting record participation in career and technical education, adult education, and apprenticeship. He said about 800,000 secondary students and 480,000 postsecondary students are in CTE, adult education serves about 183,000 learners, and apprenticeship/pre-apprenticeship programs include more than 22,000 participants. He also described the workforce development fund, Perkins, WIOA Title II, the Pathways to Career Opportunities Grant, workforce capitalization grants, CAPE performance funding, and the Pipeline nursing initiative, noting strong NCLEX outcomes and expanded outreach through the Get There, Your Way, Future of Work Florida, and Zello platforms. Kathy Hebda began the Florida College System presentation by emphasizing open access, workforce preparation, statewide reach, and strong enrollment and completion growth, including more than 672,000 students, over 131,000 degrees and certificates, and significant dual enrollment savings for students and families.

Transcript Highlights:

• That includes that federal rental assistance programs, including the Housing Choice Voucher, are not
• The SNAP benefits for our... ...maintenance to the existing economic assistance programs.
• I think that when you are looking at economic assistance programs, the individuals that are eligible
• Because a large portion of our respondents do not participate in assistance programs.
• On the left, we have the child care assistance program, or CCAP.

Committee: Joint Human Services Committee

Summary: The committee first approved the February 11, 2026 minutes and then received an update from the North Dakota Housing Finance Agency on the interagency council on homelessness and continuum of care funding. Testimony described rising homelessness tied to tight housing markets, low incomes, aging homelessness, barriers to rental assistance and public benefits, and limited shelter and case-management capacity. Members discussed the need for more affordable housing, continued one-time funding for the North Dakota Homeless Grant and Housing Incentive Fund, better coordination with Health and Human Services on economic assistance and human service zones, landlord engagement, recovery housing, and reentry housing. The committee also heard that federal continuum of care funding remains uncertain, with possible shifts away from permanent supportive housing and housing-first models; members asked for a future update on the impact if federal rules reduce the share available for permanent housing. The committee then took testimony on accessibility of government services for people who are blind or visually impaired. Paul Olson of North Dakota Vision Services School for the Blind described current screening and service delivery, including infant referrals, regional staff, short-term programs, and collaboration with vocational rehabilitation. He said the targeted screening system is working, recommended maintaining the current model, and noted ongoing challenges with staffing, public awareness, and accessible state websites and documents. Public testimony from a visually impaired resident and a deaf resident emphasized barriers such as CAPTCHAs, inaccessible PDFs, employment forms that screen out applicants based on driver’s license status, shortages of interpreters, and the need for video remote interpreting and video relay services, along with training for users and agencies. Finally, the committee heard a final report on the study of child care provider licensing from HHS Early Childhood Director Kay Larson. The report summarized provider input and committee discussion on simplifying North Dakota’s child care licensing structure, reducing administrative burden, and balancing that with health and safety standards. Key topics included licensing categories, child care assistance eligibility, food program sponsorship, staff qualifications, training requirements, ratios and group size, age bands, and preschool exemptions. The committee’s recommendations included streamlining to three provider types plus a preschool designation, revising ratio and age-band rules, and carrying forward certain preschool outdoor-space exemptions. Larson noted that any changes would require statutory changes, rulemaking, and a transition period before new licensing rules could take effect.

Transcript Highlights:

• The Massachusetts Assisted Living is our client.
• Regarding CMAs, frontline caregivers in assisted living provide assistance with daily living for older
• staffing, assisted living compliance reviews, assisted living staffing, assisted living compliance reviews
• in 273 assisted living residences across Massachusetts.
• . ...opposing the MAP program.

Bills: H5243 , H5376 , S3056 , S3057

Committee: Joint Joint Committee on Aging and Independence

Keywords: rest home, rest homes, medication administration, medication management, assisted living, long-term care, elder care, older adults, senior care, nursing home, resident care, self-administration, licensed facility, Chapter 111, section 71, Responsible Person, caregiver, direct care staff, care facilities, funding

Transcript Highlights:

• assistance, adoption and kinship assistance, child care support, and early childhood programs.
• Food assistance provided through the SNAP program makes up about $1.2 billion, or half of this funding
• Economic assistance for low-income families, such as food shelves and the diaper distribution program
• will transfer over the program integrity functions that will relate to the child care assistance program
• </c> relate to the child care assistance relate to the child care assistance program<00:21:26.919><c>

Committee: House Human Services Finance and Policy

Transcript Highlights:

• The Small Business Assistance Partnership Program has been helping small businesses in Minnesota succeed
• Program</c> Business Assistance Partnership Program Business Assistance Partnership Program has<00:02
• I urge you to support House File 1965 and the Small Business Assistance Partnerships Program.
• </c><00:04:58.080><c> Program,</c> Academy and Business Assistance Program, Academy and Business Assistance
• The resources from the small business assistance partnership program helped me grow my business to build

Transcript Highlights:

• assistance, adoption and kinship assistance, child care support, and early childhood programs.
• So, working through the programs, the MFIP program provides cash and food assistance for low-income families
• child care assistance program, the Great Start Compensation and Payment Program, and MIB and SNAP recipients
• </c><00:37:31.680><c> program</c> The child care assistance program provider investigations take appropriate
• ><00:50:48.319><c> the</c><00:50:48.440><c> Child</c> assistance program um or for the Child assistance

Committee: House Children and Families Finance and Policy

Transcript Highlights:

• </c><01:40:06.719><c> this</c> assistance program under this uh this assistance program under this uh
• assistance program so there is nutrition assistance program so there is a<01:40:16.280><c> requirement
• assistance assistance programs programs programs um<03:02:39.399><c> and</c><03:02:39.560><c> the</c
• assistance programs.
• > uh</c> those Assistance programs they are uh those Assistance programs they are uh responsible<03:14

Summary: The committee held a Division 3 budget work session focused on the Department of Health and Human Services’ Division of Economic Stability. Karen Hebert, the division director, and Nathan White, DHHS chief financial officer, walked members through the governor’s operating budget pages and a briefing book, explaining that the division was consolidated in 2018 and serves programs aimed at financial stability, poverty reduction, child care access, and related supports. Members repeatedly asked for clearer breakdowns of general fund spending, historical growth since consolidation, and how the division’s broad mission areas map onto specific budget lines. A major portion of the discussion centered on the Bureau of Child Development and Head Start collaboration and the child care subsidy program. Hebert said the child care scholarship/subsidy helps low- and moderate-income families access daycare so parents can work, attend school, or receive treatment, and that eligibility is based on state median income up to 85%. She reported a 45% increase in utilization, 4,032 children receiving daycare support as of the end of January, and about 15% of eligible children being served. She also described the quality improvement system “Granite Steps for Quality,” with 160 providers enrolled out of 717 licensed programs, and noted that 1,200 child care professionals added credentials in the last year. Members pressed for cost-benefit information, asking for data on how much the state pays, how many providers and children are served, and whether the department could quantify unmet need. The witnesses said some projects were funded with short-term ARPA child care dollars and that detailed cost data for specific examples, such as the Gorm Community Learning Center expansion, would need to be looked up. They also explained that the child care fund is a federal block grant with required spending set-asides of 9% for quality, 3% for infants and toddlers, and up to 5% for administration, and that unused funds remain available. The committee also reviewed slide 10’s accounting units, including that the Child Care Workforce Fund is 100% general funds and was created as a priority item under HB 2 from the 2024 session, while some other child care-related units are 100% federal funds.

Transcript Highlights:

• CalFresh, as you know, is California's version of the Supplemental Nutrition Assistance Program.
• year, is the Local Food Purchase Assistance, or Farms Together, program that operates in... ...both
• California has a powerful tool in the California Food Assistance Program, otherwise known as CFAP.
• Also, the work to, as mentioned earlier, expand eligibility for the California Food Assistance Program
• The San Diego Food Bank administers federal food programs, such as the Emergency Food Assistance Program

Summary: The committee held its second hearing on CalFresh enrollment and nutrition, focused on the effects of H.R. 1 on eligibility, administration, and food access in California. The Legislative Analyst’s Office and the Department of Social Services outlined major federal changes: expanded work requirements for able-bodied adults without dependents, narrowed eligibility for certain lawfully present non-citizens, and new state and county cost-sharing for both administrative and benefit costs. Officials said about 665,000 Californians could lose benefits under the work requirement, roughly 72,000 non-citizens could lose eligibility, and California could face hundreds of millions to billions in new costs depending on error rates and implementation details. DSS described its mitigation efforts, including county guidance, trainings, automation, outreach materials, and coordination with workforce programs, while county representatives argued the workload is larger than current funding assumptions and that staffing and training needs are urgent. Members also heard from a CalFresh recipient, Lauren Keltz, who described how benefits helped her family during her daughter’s medical crisis and how a clerical error led to the loss of food, health, and cash assistance, contributing to homelessness and food insecurity. Her testimony was used to underscore the consequences of administrative errors and benefit disruptions. Grocery and agriculture representatives said CalFresh is not only an anti-hunger program but also a major economic driver, with benefits spent locally at grocery stores, farmers markets, and farm stands. They warned that cuts would reduce demand for fresh food, hurt independent grocers and small farmers, and increase reliance on food banks, while urging continued support for market match and farm-to-food-bank programs. In the second panel, advocates and local administrators emphasized the human and operational impacts of the federal changes. The California Immigrant Policy Center called for expanding the state-funded California Food Assistance Program to cover more immigrants excluded by H.R. 1. A San Francisco eligibility worker and a San Diego county administrator said the new rules will add substantial casework, require more client outreach and exemption screening, and strain already limited staffing. Justice in Aging stressed that CalFresh is a key anti-hunger tool for older adults and people with disabilities, especially as housing and health costs rise, and supported outreach funding for seniors. Throughout the hearing, members discussed the need for state funding, better automation, and stronger county and community partnerships to reduce disenrollment and protect access to food.

Transcript Highlights:

• So, hazard mitigation grant program: we get 20% of the one-year lock-in of individual assistance obligated
• So, hazard mitigation grant program: we get 20% of the one-year lock-in of individual assistance obligated
• Hazard Mitigation Grant Program is a federal grant program designed to assist states, local governments
• You'll see here the list of those, and what these programs do is we train Floridians with skills to assist
• And when you see firsthand, you know, the folks that you're assisting through these programs, it brings

Committee: Senate Community Affairs

Summary: The Committee on Community Affairs met with a quorum present and heard two hurricane-recovery presentations focused on Florida’s response and long-term recovery efforts. Kevin Guthrie, Executive Director of the Florida Division of Emergency Management, reviewed response and recovery operations for Hurricanes Debby, Helene, and Milton, including meals, water, sheltering, search and rescue deployments, power restoration, debris removal, flood-control efforts, and generator distribution. He also described ongoing public assistance and mitigation funding, the state’s FROC system for standardizing and speeding reimbursement documentation, and the Elevate Florida residential mitigation program, which will use about $400 million to elevate or reconstruct eligible flood-insurance properties and may expand to county-run programs. Senators asked about manufactured homes, school shelter hardening, mobile home tie-downs, reimbursement for USAR teams, debris hauling, regional sheltering, and FEMA review delays; Guthrie said the state is trying to move recovery faster and more proactively, while acknowledging some limits and federal bottlenecks. The committee then heard from Justin Domer, Deputy Secretary of Community Development at Florida Commerce, on HUD Community Development Block Grant Disaster Recovery programs. He explained that Commerce administers long-term recovery funds through its Office of Long-Term Resiliency for housing, infrastructure, and economic development, with funds used as a last resort after FEMA and insurance. Domer outlined the process for the most recent $925 million allocation covering multiple disasters, including Idalia, Debby, Helene, Milton, Broward flooding, and North Florida tornadoes, and said the state currently manages about $3.4 billion in DR funds, rising to over $4 billion with the new allocation. He highlighted completed and ongoing housing programs for Hurricane Irma, Michael, and Ian, plus workforce recovery programs and subrecipient infrastructure grants. Senators asked about Broward and Fort Lauderdale funding, homeowner turnaround times, and mobile home eligibility; Domer said Broward and Fort Lauderdale will have separate HUD-directed programs, and the committee adjourned after the presentations and questions.

Transcript Highlights:

• So we looked at the participation across workforce and public assistance, or safety net programs, and
• Why do they keep talking about public assistance programs?”
• Because just on a pure resource basis, public assistance programs are resourced at a much larger level
• That's where all the public assistance programs were.
• kids kind of related to the public assistance programs.

Committee: All ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Summary: The meeting focused on a presentation by the Alliance for Opportunity on its audit of Arkansas’s workforce and public assistance systems. Rachel Barkley, Mason Bishop, and Les Ford described a fragmented structure in which workforce programs, human services programs, and education/training programs operate in silos. They cited Arkansas data showing about 202,000 prime-age adults not engaged in the workforce, more than a million people on Medicaid/CHIP, and over 10% of the population on SNAP, while noting the state’s low labor force participation rate. They also said Arkansas has built some useful infrastructure, including integrated eligibility systems and data-sharing capacity, but argued that these tools are not yet being used to create a coordinated path to work. The presenters said local workforce boards administer only a small share of workforce dollars, mainly WIOA Title I funds, and argued that one-stop centers are funded largely by WIOA and Wagner-Peyser while other programs contribute little to service delivery. They said site visits showed frontline staff often had to “Google” community resources because they lacked referral tools, and that customers and employers alike must navigate multiple doors and agencies. They emphasized that administrative costs, duplicated staffing, separate buildings, and multiple case management systems reduce the amount of money reaching training and direct services. They also noted that most training dollars were going to limited offerings such as CDL training, and that human services employment-and-training funds were largely going to administration or subgrantees rather than direct participant support. As a solution, the presenters recommended a “one door to work” model built around three areas: a consolidated administrative structure, integrated service delivery, and integrated finances. They proposed creating a single state workforce agency that could include some public assistance functions, using a statewide eligibility and intake system, expanding case management through tools like Hope Hub, and adopting a unified cost-allocation model similar to Utah’s. They said these changes could be pursued through legislation, executive action, and federal waivers, and argued that savings would come mainly from reduced management, buildings, and duplicated systems rather than frontline layoffs. Committee members asked about costs, staffing, rural access, business engagement, and whether other states had adopted similar models. The presenters pointed to Utah, Louisiana, and Virginia as examples or partial examples, and said they would provide additional data, including a final report at the end of the month and follow-up information on Utah outcomes.

Transcript Highlights:

• And that includes that federal rental assistance programs, including the Housing Choice Voucher, are
• Maintenance to the existing economic assistance programs.
• I think that when you are looking at economic assistance programs, the individuals that are eligible
• So the Child Care Assistance Program, you'll see on the bottom of page 9, the current state rates for
• On the left, we have the Child Care Assistance Program, or CCAP.

Summary: The committee first heard an update on North Dakota’s Interagency Council on Homelessness and Continuum of Care funding. Jennifer Henderson of the North Dakota Housing Finance Agency reported that homelessness remains driven by tight housing markets, low incomes, rising rents, and barriers to rental assistance, public benefits, and disability determinations. She said the state’s one-time North Dakota Homeless Grant is serving all regions but reaches far fewer households than the former Rent Help program, and that aging homelessness, shelter staffing shortages, and limited affordable units are growing concerns. Members discussed the need for more housing supply, better coordination with Health and Human Services, landlord engagement, reentry housing, and possible continued one-time funding for the $10 million Homeless Grant and $25 million Housing Incentive Fund. Henderson also warned that federal Continuum of Care funding is uncertain, with HUD expected to issue a new notice June 1 and possible shifts away from permanent supportive housing toward transitional housing and other models. The committee then took testimony on accessibility of government services for people who are blind, visually impaired, deaf, or hard of hearing. Paul Olson of North Dakota Vision Services School for the Blind described the school’s services for infants, children, and adults, including screenings, mobility training, assistive technology, and outreach across the state. He said the agency works closely with Vocational Rehabilitation and is also involved in improving website and document accessibility, especially for PDF materials. Public testimony highlighted barriers such as inaccessible CAPTCHA systems, online forms, driver’s license requirements on job applications, and limited transportation in rural areas. A deaf resident urged broader use of video remote interpreting and video relay services, along with training so people know how to use them effectively. Finally, Kay Larson presented the final report on the child care provider licensing study. The report recommended streamlining North Dakota’s child care licensing structure into three provider types plus a preschool designation, while preserving health and safety standards and maintaining eligibility for child care assistance. The committee discussed simplifying training and qualification rules, revising ratio and group-size requirements, and adjusting age bands for infants and toddlers. The report also noted that some changes would require statutory amendments and later administrative rule changes, with a transition period likely extending through 2029. No formal votes were taken in the transcript, but the committee accepted the updates and scheduled follow-up presentations for a later meeting.

Transcript Highlights:

• It establishes a one-time emergency rental assistance aid program for counties and tribal governments
• assistance programs like local homeless aid and FHPAP.
• <c> um</c> rental assistance programs like local um rental assistance programs like local um homeless
• Um, that is, uh, given to the folks who apply just like our regular rental assistance programs through
• Um, this is set up to mirror our existing programs. Rental assistance that, uh, is yes, dollars.

Bills: HF3611 , HF3659 , HF3909

Committee: Senate Taxes

Keywords: taxation, income tax, damage awards, sexual harassment, abuse claims, immigration enforcement, taxpayers, file income tax return, Minnesota-source income, tax regulations, detention facilities, gross revenues, private prisons, Minnesota law

Transcript Highlights:

• HAZARD MITIGATION GRANT PROGRAMS WE GET 20 PERCENT OF THE ONE YEAR A LOCK IN AND OF INDIVIDUAL ASSISTANCE
• IMPACTED BY HELENE AND MILTON WERE ELIGIBLE TO APPLY FOR THIS FUN PROGRAM THROUGH FLORIDA AND WE ASSISTED
• HAZARD MITIGATION PROGRAM IS A FEDERAL PROGRAM DESIGNED TO ASSIST STATES GOVERNMENTS IN CERTAIN NONPROFIT
• ORGANIZATIONS THROUGHOUT PROGRAM DESIGNED TO ASSIST STATES GOVERNMENTS IN CERTAIN NONPROFIT ORGANIZATIONS
• WHEN YOU SEE FIRST-HAND THE FOLKS ASSISTING THROUGH THESE PROGRAMS, IT BRINGS IT CLOSE TO HOME.

Transcript Highlights:

• The Massachusetts Assisted Living is our client.
• Regarding CMAs, frontline caregivers in assisted living provide assistance with daily living for older
• staffing, assisted living compliance reviews, assisted living complaint and incident investigation,
• I thank you. staffing, assisted living sort of compliance reviews, assisted living complaint and incident
• in 273 assisted living residences across Massachusetts.

Committee: Joint Joint Committee on Aging and Independence

Summary: The Joint Committee on Aging and Independence held a hearing on two assisted living bills, Senate 3057 and House 5376, which would create an Assisted Living Residence Trust Fund to support certification staffing, compliance reviews, complaint investigations, ombudsman services, public reporting, appeals, and oversight. Testimony from MassALA, AARP, and the Long-Term Care Ombudsman generally supported the bills and the dedicated funding stream, but MassALA urged amendments to expand career pathways for staff through certified medication aides and to add guardrails on the use of fines as a funding source. The Ombudsman supported the fund and emphasized the need for additional staffing to better serve the state’s assisted living residents. Committee members asked for draft amendment language, and the chairs indicated they were open to further discussion, especially on fines and CMA language. The committee then heard testimony on Senate 3056 and House 5243 regarding medication administration in rest homes. Providers, including the Massachusetts Association of Residential Care Homes, LeadingAge Massachusetts, and several rest home operators, opposed proposed Department of Public Health changes that would eliminate the long-standing “responsible person” model and move rest homes toward the Medication Administration Program (MAP). Witnesses said the current model has been used for decades, is tailored to rest homes, and is essential to affordability, staffing stability, and resident continuity of care; they warned that replacing it with MAP or nurse-only administration would raise costs, worsen workforce shortages, and could force closures or resident displacement. They asked the committee to support legislation preserving responsible persons’ authority to administer medications while improving training and oversight. Committee members asked questions about the history of the responsible person model, how medication administration works day to day, whether other states use similar systems, and whether data exist comparing medication error rates under MAP and the current model. The chairs said they were still reviewing building-code-related recommendations raised in the assisted living discussion and noted that some issues might be better addressed through a task force. The hearing concluded after testimony and questions, and the committee voted to adjourn.

Transcript Highlights:

• In 2024, the legislature made the program portable, meaning that if workers pay into the program for
• So it makes the program, it fulfills the promise of the program, such that anyone who pays into WAC CARES
• Specifically, you want to call your attention to the rental assistance... ...and expanded programs.
• Specifically, you want to call your attention to the rental assistance program that allows for up to
• The rental assistance programs will help Medicaid LTSS clients receive care in their own home.

Committee: Joint Joint Legislative Executive Committee on Planning for Aging and Disability Issues

Summary: The committee held what was described as its final meeting and began with introductions, then received updates on several long-term care and aging initiatives that originated from earlier J-LEC work. A presentation on the WA Cares Fund reviewed its development from a 2014 research project to implementation, including premium collection, expanded eligibility for near-retirees, portability, recent technical fixes, and the creation of a supplemental private insurance market. The presenter said the program is now largely in place and ready for future use, with benefits expected to go fully live next summer. The Dementia Action Collaborative also reported on its state plan, including Project ECHO dementia training, dementia-capable community pilots through area agencies on aging, and ongoing work on early detection, brain health, and caregiver support. Another DSHS presentation covered the Medicaid Transformation Project, including Medicaid Alternative Care, Tailored Supports for Older Adults, presumptive eligibility, and health-related social needs benefits such as rental assistance and nutrition support, with officials saying the waiver is likely secure until its 2028 renewal. The meeting then shifted to emerging issues from advocates and ombuds. The long-term care ombuds described persistent staffing shortages, concerns about low wages, the growing use of technology and surveillance in care settings, private equity ownership of facilities, and illegal or pressured discharges and evictions. The developmental disabilities ombuds focused on people with developmental disabilities who remain hospitalized without medical need, the need for better mental health and behavioral health access, and workforce training gaps for people serving this population. Disability Rights Washington urged more community-based supports to reduce repeated institutionalization, pointing to gaps in programs such as PACT, GOSH, and peer bridgers, and recommending those services be expanded and bundled at scale. Provider and workforce panels emphasized similar themes. Washington Health Care Association and LeadingAge Washington said assisted living and skilled nursing facilities face workforce shortages, Medicaid rates that lag behind costs, increasing client acuity, behavioral health needs, and discharge bottlenecks. They highlighted the need for more flexible care models, improved case management, and better reimbursement, including for complex behavioral health cases. Supported living providers reported high turnover, underfunding, and a successful pilot that used enhanced rates and added training to place 30 hard-to-serve individuals. SEIU 775 argued that the central problem across settings is the direct care workforce crisis, driven by low wages and inadequate benefits, and said rate increases must be tied more directly to worker compensation. DSHS closed by noting heavy reliance on federal Medicaid funding, ongoing pilots in training, transportation, remote caregiving, smart-home technology, and rental subsidies, and said future planning should shift toward a multi-sector state strategy after the committee sunsets.

Transcript Highlights:

• in</c> and assistance program or FHPAP in and assistance program or FHPAP in fiscal<00:13:50.240><c>
• </c><00:14:26.880><c> program</c> buyer downpayers assistance program buyer downpayers assistance program
• a down payment assistance program for first-time home buyers.
• c> home</c> assistance program for first-time home assistance program for first-time home buyers.<00:
• This is critically assistance program.

Committee: Senate Housing and Homelessness Prevention

Transcript Highlights:

• A huge chunk of it does go to the medical assistance program, with the corresponding estimate of the
• </c> go to the uh uh medical assistance go to the uh uh medical assistance program<00:08:38.560><c> with
• is includes emergency agent programs is includes emergency medical<00:09:46.320><c> assistance</c><00
• So on the left side of the slide, you see the medical assistance program, which is of course the state's
• </c><00:32:08.320><c> to</c> program which is a set of programs to program which is a set of programs