Transcript Highlights:

• of the creation of the Department of Children, Youth, and Families, or DCF, provide the agency's vision
• We are investing in the vision and mission that Minnesota is a state where all children can and do thrive
• For example, both the Early Childhood Family Education and Health and Developmental Screening programs
• programs are entirely um state screening programs are entirely um state funded<00:15:39.079> DCF<
• So in state fiscal year 2026, nearly 54,000 children are expected to receive a screening through that

Keywords: 1183, house

Transcript Highlights:

• Allison's going to talk in a minute about screenings.
• So on the screen, these are some of our main contributors.
• As you can see on the screen, he's on the computer, he's on the phone.
• So on the screen, these are some of our main contributors.
• As you can see on the screen, he's on the computer, he's on the phone.

Summary: The committee met to approve prior minutes and then heard a presentation from Dr. Ramona Danielson on adverse childhood experiences (ACEs), focusing on the economic and public-system impacts in North Dakota. She explained that ACEs are a population-level measure, not a diagnostic tool for individuals, and said higher ACE exposure is consistently associated with more chronic illness, mental health challenges, child welfare involvement, justice-system contact, and reduced workforce participation. She emphasized that precise dollar estimates are difficult because of the many interacting factors across a person’s life course, but said the direction of the impact is clear and that evidence-based prevention and protective factors can reduce harm. Members asked about definitions of a “healthy family,” same-sex couples, divorce, substance abuse, historical trends in ACEs, and the role of positive childhood experiences and home visiting. The committee then heard from Allison Mahoney and Missy Barranco about evidence-based home visiting programs in North Dakota, including Healthy Families, Early Head Start, Nurse-Family Partnership, and Parents as Teachers. They described home visiting as voluntary, relationship-based, and tailored to family needs, with referrals coming from hospitals, WIC, human service zones, pregnancy navigators, self-referrals, and other community sources. A parent, Abby, shared that home visiting helped her family after premature births and NICU stays by providing support with postpartum mental health, breastfeeding, developmental screenings, referrals, and parenting guidance. The presenters said the programs are funded through a mix of federal MIECHV/Title IV-E dollars, Medicaid targeted case management, state and tribal funds, philanthropy, charitable gaming, and grants, and they noted that current funding is fragmented and insufficient to serve all eligible families statewide. Members discussed whether the state should expand or better fund these services and how to improve outreach and referrals. Later, the committee received a memorandum on artificial intelligence and sexual exploitation, followed by a presentation from a BCI special agent on how AI is already affecting child exploitation investigations in North Dakota. The memo and testimony described AI-generated child sexual abuse material, deepfakes, sextortion, and risks posed by chatbots, along with relevant federal and state law and recent executive orders. The agent said North Dakota saw 2,698 cyber tips in 2025, the highest on record, and that investigators are increasingly encountering AI-assisted exploitation that is harder to detect and verify. Members discussed the need for child-safety protections, the limits of executive orders, and broader concerns about AI undermining critical thinking and spreading misinformation. No votes were taken on the AI materials during the portion provided, and the committee recessed briefly after the report.

Transcript Highlights:

• Composed of 11 members, the board is appointed by the governor from candidate screen by the candidate
• Composed of 11 members, the board is appointed by the governor from candidate screen by the candidate
• Composed of 11 members, the board is appointed by the governor from candidate screen by the candidate
• So, um, I believe that you have that innovative vision that will be able to kind of branch out.
• So, um, I believe that you have that innovative vision that will be able to kind of branch out.

Keywords: 912, senate, all

Transcript Highlights:

• <01:14:22.679> and is standardization and screening and is standardization and screening and
• Chair, yes: two screenings and then additional screenings as medically necessary.
• Maternal mental health screening to be conducted during pregnancy, at least one additional screen to
• amendment that requires the screening amendment that requires the screening done<01:31:28.440>
• <01:32:05.639> Mr produce these screenings Mr produce these screenings Mr hudle<01:32:08.600

Keywords: 1187, senate, all

Transcript Highlights:

• Would you mind just expanding and share your vision for the committee?
• This is about clarifying the mission alignment and a common vision for the future, input on that theme
• There's full screen now. Thank you. Good afternoon, Chair Sickler, members of the committee.
• There's full screen now. Thank you. Good afternoon, Chair Sickler, members of the committee.
• So it's a vision for the campuses to look at where they should be putting their resources in to have

Summary: The Higher Education Institutions Committee met at NDSU and heard an extensive presentation from President David Cook/President Stewart and NDSU leadership on the university’s priorities, including enrollment, student success, research growth, and use of New Horizons funding. Leaders emphasized NDSU’s land-grant mission, its role in workforce development, and its goal of becoming more distinctive through strategic planning, recruitment and retention, commercialization, and partnerships. They highlighted that NDSU awarded 2,370 degrees in 2025, produces a large share of the state’s engineering, nursing, and agriculture graduates, and reported strong outcomes for graduates staying and working in North Dakota. They also noted enrollment headwinds, competition from other institutions, and the need to manage tuition waivers more carefully through a scholarship optimization effort. Provost Sherry Vale outlined academic stewardship efforts, including review or consolidation of low-producing programs, strategic hiring tied to institutional priorities, faculty workload policy changes, and expanded online and regional offerings. She said the university is using New Horizons dollars to strengthen advising, student support, and programs in engineering, agriculture, and health. NDSU leaders also described new or expanded academic offerings such as robotics and automation, artificial intelligence, material science and engineering, nuclear engineering certificates, accelerated nursing, nurse practitioner certificates, a Master of Health Administration, and a clinical research master’s program with Sanford Health. They stressed that these investments are intended to improve student completion, meet workforce needs, and increase return on public investment. The committee also heard testimony from students and recent graduates who described the value of NDSU’s education, mentorship, internships, research opportunities, and support services. Alyssa Hodges spoke about pharmacy education, public health work, and campus support as a parent and student; Ethan Blessy described engineering coursework, internships with Marvin, and career preparation; and Aiden Freolic discussed neuroscience research, federally funded projects, and plans for graduate study. Their testimony was followed by presentations on partnerships with Gateway to Science for K-12 STEM outreach and with Sanford Research on biomedical research, clinical trials, obesity research, and a joint biostatistics hire. NDSU also highlighted systemwide shared services, Governor’s School programming, and research growth, including a reported 8% increase in research expenditures from $199 million to $215 million. No bill votes were taken; the meeting was informational and featured presentations, testimony, and discussion of future planning and partnerships.

Transcript Highlights:

• Yeah, it is not showing on the screen. Let's 1 second. Let me see if it shows up. 1 minute.
• House Bill 1625, Public Health Newborn Screening Program Fees and Core Conditions.
• <01:20:01.320> committee screening committee screening committee uh<01:20:02.640> that<
• ,<01:30:12.680> favorable cardiovascular pre-screening, favorable cardiovascular pre-screening
• process for a school use screen students prior to participation in interscholastic sports.

Keywords: House streaming session for Saturday, March 21, 2026, 957, house, all

Summary: The House convened with 126 members present, heard the prayer, approved the previous day’s journal, and then took up a series of Senate messages and committee reports. Senate bills on consent calendars 21 and 22 were read the first time and referred to committees. The House then adopted favorable reports, often without amendment, on a wide range of bills including workers’ compensation evaluation procedures (HB 1325), a state shark designation (HB 97), several local alcoholic beverages measures, commemorative months for Muslim American Heritage and Jewish American Heritage (HB 661), and local license commissioner changes in Anne Arundel, Worcester, Harford, Baltimore City, and Prince George’s counties. Several bills were amended before being ordered printed for third reading. HB 121 (Baltimore County alcohol sales) was amended to change the sponsor to the Baltimore County delegation. HB 1335 on Department of Information Technology workforce recruitment and retention was amended to convert the measure into a study and recommendations report. HB 1037 on PSC oversight of broadband and VoIP was similarly amended from direct oversight to a study and report. HB 1164 on water and sewage rate consolidation and limited-income mechanisms was amended to remove rate-consolidation provisions, require a PSC study, and delay implementation. HB 1381 on stopping or parking in bike lanes added exceptions for emergency, transit, disability pickup/drop-off, disabled vehicles, loading/unloading, and construction or maintenance; HB 1504 prioritized sidewalk and bicycle pathway projects near highways with complete streets or Vision Zero policies; HB 912 adjusted community cat trap-neuter-return rules; and HB 969 clarified electric vehicle charging billing and service fees. The most extended debate centered on HB 639, the Transportation Aviation Passenger Health and Safety Act. After amendments turned it into a reporting measure for fixed-base operators and aviation service companies regarding flights carrying detained individuals, warrants, refueling, and emergency-response documentation, members questioned its practical operation, safety implications, and possible federal preemption issues. The floor leader explained the bill as amended was intended to gather information for Maryland safety and emergency planning. On motion of the committee chair, the House agreed to special order HB 639 until the end of the session for further clarification. The House also amended and advanced HB 1063 on hunting management, including deer damage permits and Sunday hunting rules, and heard a brief statement from an Eastern Shore delegate about the Rural Caucus’s approach to offering amendments rather than opposing bills outright. The session ended with HB 972, creating the Maryland Fair and Agricultural Education Promise Fund, amended to rename the bill in honor of the late Delegate Charles Otto and to replace lottery funding with an annual appropriation; the House adopted the amendments and the favorable report.

Transcript Highlights:

• House Bill 1193 by Representatives Martinez and Lindsay and Senator Wallace, concerning vision tests
• for pre concerning vision tests for pre kindergarten<01:40:17.600> students.
• Uh, members, here in Colorado, current law requires that school districts test the vision of students
• So, replacing the word sight with vision.
• Um, I received my first pair of glasses in elementary school after receiving a vision screening at school

Keywords: 981, all

Summary: The Senate convened with a quorum, approved the journal, and received committee and House messages before moving into third reading and final passage on several bills. Early action included passage of House Bill 1318, which concerns traffic safety near schools; Senator Cutter offered and the chamber adopted a third-reading amendment naming it the Liam Stewart School Zone Act in honor of a child killed in a traffic accident near a school. The bill then passed 33-1. The chamber also passed Senate Bill 134 on payment card network fees, and laid over Senate Bill 17 until April 30. The Senate then considered Senate Bill 45 on workforce development opportunities in Colorado’s nuclear sector, Senate Bill 91 on excluding certain printed news deliverers from employee definitions under labor law, Senate Bill 114 on spirituous liquor manufacturer sales rooms, Senate Bill 162 on releasing healthcare test results to patients, Senate Bill 23 on school finance, Senate Bill 93 on workers’ compensation coverage compliance, Senate Bill 155 on homeowners insurance availability, Senate Bill 146 on restricting single-use food service ware, and Senate Bill 156 on State Workforce Development Council practices. Most of these bills passed, with recorded opposition on several measures: SB 91 passed 26-8, SB 114 passed 31-3, SB 162 passed 29-5, SB 93 passed 19-15, SB 155 passed 22-12, SB 146 passed 20-14, and SB 156 passed 32-2. SB 23, the school finance act, drew broad support and passed 34-0 after multiple senators emphasized education funding priorities and constitutional obligations. During debate, senators highlighted policy rationales and personal stories. On SB 162, Senator Weissman explained his no vote as a patient-autonomy concern despite acknowledging the bill’s earnest intent. On SB 23, supporters said the bill preserved and strengthened K-12 funding, while one senator argued schools should do better on safety and teacher pay. On SB 155, supporters said the homeowners insurance bill could help change market direction and improve affordability. On SB 156, Senator Marchman described the bill’s focus on out-of-school youth and the need to connect young people who are not in education, employment, or training with workforce supports. The Senate also began special-order second reading of consent-calendar bills, adopted the committee reports, and advanced House Bill 1313 on affordable housing fund requirements with amendments related to Prop 123 implementation and stakeholder processes.

Transcript Highlights:

• Grant them continued vision for the good that is possible and the wisdom and skill to accomplish it.
• include revision of the dental student loan repayment program, a new requirement for newborns be screened
• include revision of the dental student loan repayment program a new requirement for newborns be screened
• infant revision of the dental student loan repayment program, a new requirement for newborns be screened

Summary: The Senate convened with a quorum, opening with prayer, the Pledge of Allegiance, and a series of recognitions for interns, staff, and guests. Members also honored a retiring Senate staffer and a wounded veteran, then moved into returning House messages and special order bills. Several measures were taken up and either concurred in or sent back to the House, with multiple unanimous or near-unanimous votes on noncontroversial bills. Among the bills addressed were SB 118 on recreational vehicle park assessments, SB 572 on ethics for public officers and employees, and HB 991 on election integrity. SB 118 and SB 572 were amended to reflect House changes and passed 38-0. HB 991 drew extensive debate over voter registration and identification requirements, with opponents arguing it would burden students, seniors, disabled voters, and others, while supporters said it would strengthen election security and streamline verification; it passed 27-12. The chamber also approved bills on historic cemeteries, chickee regulation, habitual traffic offender designation, military affairs, and a Department of Health package. The Department of Health bill (SB 902/HB 733) was the subject of detailed amendment work, including changes to medical marijuana rules, NICU educational materials, Early Steps, dental loan repayment, and pediatric trauma center designation. The Senate adopted an amendment to the amendment and then passed the bill 37-0. Other measures included a funeral services bill, which the Senate refused to concur in because the House strike-all would redefine cremation to include composting, and a veterans-related bill that was temporarily postponed. The Senate also recessed briefly, then returned to continue the calendar and additional recognitions.

Transcript Highlights:

• Fingers crossed, we're working, although we won't be able to project on the screens today.
• You have to be screened to get in.
• One, it requires expert or universal screening for substance exposure.
• We have a very strong and simple vision that all New Mexico families and young children are thriving,

Transcript Highlights:

• service provider, Recovery Innovations, has been a proud partner with LDH in helping implement that vision
• service provider recovery innovations has been a proud partner with LDH in helping implement that vision
• It would prioritize maternal mental health screening, transportation assistance, doulas, telehealth,
• It would prioritize maternal mental health screening, transportation assistance, doulas, telehealth,

Summary: The committee first heard SB 145, which would require adult residential care providers, especially assisted living centers, to have generators or other backup power arrangements and to submit preparedness plans to LDH. After technical amendments and testimony from the sponsor, LDH, and the assisted living industry clarifying the bill’s scope and cost concerns, the committee adopted the amendments and reported the bill favorably. It then took up SB 433, which would require Medicaid coverage of medically necessary FDA-approved weight loss drugs, including GLP-1 medications, subject to appropriations and fiscally sustainable coverage criteria; the bill was reported favorably after discussion of current Medicaid coverage and costs. The committee also approved SB 52, which requires better coordination between DCFS and LDH so SNAP and Medicaid benefits can follow children more quickly when they are removed from or returned to a home. Technical amendments changed reporting deadlines and required written notice, and the bill was reported favorably. SB 4 on public water fluoridation was amended to allow local governments or voters to opt out through a petition and election process, with support from the Louisiana Dental Association and others after compromise language was adopted; it was reported favorably with amendments. SB 152, which would prohibit the sale of cultured or lab-grown food products for human consumption, was also reported favorably with amendments after brief testimony in support and opposition. The committee next approved SCR 37, which asks the Surgeon General to review Louisiana’s informed consent laws and report back on any gaps, after discussion that the existing medical disclosure panel had not met since 2018. It then considered SB 194, a public assistance bill aligning Louisiana Medicaid and SNAP rules with recent federal changes on non-citizen eligibility and tightening Medicaid’s reasonable opportunity period for citizenship verification. After extensive debate over immigration, emergency care, and whether the bill could harm eligible applicants or rural hospitals, the committee adopted an amendment allowing LDH discretion for emergency health care services and reported the bill favorably by an 8-3 vote. Finally, HCR 113 created a task force to study gestational carrier agreements and assisted reproductive regulation; after debate over surrogacy, ethics, and referral to Civil Law, the committee rejected the referral motion and then reported the resolution favorably, and the meeting moved on to SB 333 on child-in-need-of-care proceedings and legal representation funding.

Transcript Highlights:

• but we'd meet it at the property line, but we also have a toxicology division that sets, affects screening
• I'm going to talk a little bit about the original Camp Longhorn and the vision, but if you can see that
• So the original campus Longhorn was started with a vision by my dad, Tex Robertson, in 1939 with one
• Yeah, I was borrowing your screen. That's fine.

Bills: HB1520, HB1525, HB1530, HB1535, HB2068, HB2091, HB2347, HB2372, HB2805, HB2815, HB2867, HB3154, HB3482, HB3483, HB3663, HB3781, HB3901, HB3915, HB4135, HB4153, HB4158, HB4329, HB4331

Keywords: Angelina and Neches River Authority, river authority, Sunset Advisory Commission, Texas Sunset Act, Special District Local Laws Code, local government, natural resources, board of directors, director training, board governance, public testimony, open meetings, public information, conflict of interest, ethics, complaint system, general manager, board president, staggered terms, removal of director

Transcript Highlights:

• That's a hot topic right now about how much screen time and things like that.
• Alison's going to talk in a minute about screenings.
• So we do some screenings, which Allison's going to dig into more, education and coaching.
• So on the screen, these are some of our main contributors.
• As you can see on the screen, he's on the computer, he's on the phone.

Keywords: 908, all

Transcript Highlights:

• The difference between identification screening for something like a student with a disability versus
• This bill would require sending home information to parents 30 days after screening three times a year
• This bill would require sending home information to parents 30 days after screening three times a year
• As a speech therapist, I do screenings. They're required, right?
• And I look forward to the kind of vision with you about it.

Summary: The committee continued hearing testimony on Senate Bill 2252, which would expand early literacy and numeracy screening, parent notification, intervention supports, and teacher training, including math academies and early childhood supports. Supporters from Texas 2036, Good Reason Houston, Texas Business Leadership Council, and several parents argued that early identification of skill gaps, clearer data for families, and stronger teacher preparation would improve student outcomes, workforce readiness, and long-term earnings. They cited low math proficiency statewide, the importance of early intervention, and examples of districts using screeners and data dashboards to guide instruction and resource allocation. One witness also highlighted home visiting as a family-support model, while another urged more funding for pre-K partnerships and stronger support for parents with reading materials and guidance. A district special education administrator testified neutrally, saying the bill reflects practices already used in her district but expressing concern that it could reduce local control and teacher discretion by standardizing screening and tying it to funding. A Texas Classroom Teachers Association representative supported the intent but warned that mandatory math academies and intervention academies could burden teachers if implemented like prior reading academies, and a substitute teacher/teacher-of-the-year witness asked for clearer protections around special education information and pay for alternative certification candidates. After public testimony closed, SB 2252 was left pending. The committee then took up Senate Bill 2253, as substituted, which would phase out routine hiring of uncertified teachers over time, require parent notification when a teacher is uncertified, and expand high-quality preparation pathways such as university programs, residencies, improved alternative certification, and grow-your-own programs. Senator Creighton said the bill responds to the rise in uncertified teachers and aims to strengthen the teacher pipeline with more structured preparation, mentorship, and oversight by SBEC. Invited testimony strongly supported the measure: a Texas Tech researcher said uncertified teachers and fast-track programs are associated with significant learning losses, while year-long residencies and mentored pathways produce stronger outcomes and higher earnings for students. Leaders from Dallas College and Sam Houston State University described successful residency and grow-your-own models, high completion and retention rates, and the need for paid residencies and stipends so candidates can afford to enter the profession. Committee members asked about the difference between mentorship and residency, the cost-effectiveness of paid residencies, retention incentives, and how to scale the model statewide. The committee also adopted the substitute for SB 2253 and later paused to vote out several other bills, including SB 1191, SB 1786, SB 226, SB 326, SB 570, SB 870, SB 991, SB 60, SB 365, SB 1401, and SB 1067, all of which were reported favorably, many with unanimous votes and some placed on the local and uncontested calendar.

Transcript Highlights:

• DCT's new vision, a Minnesota where everyone receives the behavioral health services they need.
• DCT's new vision, a Minnesota where everyone receives the behavioral health services they need.
• DCT's new vision, a Minnesota where everyone receives the behavioral health services they need.
• <01:05:23.119> the<01:05:23.359> benefits<01:05:23.680> of<01:05:23.920> screening
• <01:05:24.240> for Promote the benefits of screening for Promote the benefits of screening

Bills: HF2434

Keywords: healthcare, personal care assistance, worker retention, disability services, state funding, 1183, house

Transcript Highlights:

• And you can see on the screen that about every year that they complete that apprenticeship program, they're
• And you can see on the screen that about every year that they complete that apprenticeship program, they're
• And you can see on the screen that about every year that they complete that apprenticeship program, they're
• Along with the wages, we also offer great benefits to our members as well: full health, dental, and vision
• Along with the wages, we also offer great benefits to our members as well: full health, dental, and vision

Keywords: Meeting Start: 00:00:04 Attendance Roll Call: 00:00:29 Approval of Minutes: 00:01:50 Kentucky Buy American Act: 00:02:08 Earn As You Learn: KY Building Trades Apprenticeship: 00:30:42 Worker Misclassification in the Construction Industry: 01:02:00 Investing in KY’s Future Workforce Through the Good Business Initiative: 01:20:44 Adjournment: 01:28:28, 958, all

Summary: The committee met on October 23, 2025, approved the September minutes, and heard testimony on a proposed “Kentucky by America” procurement preference bill. Representative Patrick Flannery described the concept as giving preference in public construction and public works contracts to iron, steel, aluminum, and other manufactured goods made in the United States, while emphasizing he wanted to avoid excessive taxpayer costs and was open to changes. Chad Connley of the United Steelworkers and Dustin Reinsteller of the Kentucky State AFL-CIO supported the idea, arguing it would strengthen domestic manufacturing, keep tax dollars in the local economy, and support jobs; Connley said the bill would include waivers for items not made domestically and noted Kentucky has opted out of the GPA trade agreement. Mike Buckington of Metals Innovation Initiative, testifying virtually, also supported the concept and said Kentucky’s metals sector has seen significant investment and can supply most construction needs, while stressing supply-chain reliability and national security concerns. Members generally expressed support but raised questions about implementation. Representative Branscum asked who would grant waivers and how contractors would know the rules during bidding; Flannery said he was open to revising the language and process. Representative Gentry supported the concept but said the bill would likely need editing to avoid harming businesses or markets. Senator Nun suggested aligning the bill’s definition of a U.S. good with industry country-of-origin standards to make compliance easier. Representative KC Carney asked for data on the impact of similar laws in other states, and Connley said he could provide numbers later but did not have them on hand. Senator Boswell supported the concept and asked about the cost threshold for waivers; Connley said the federal standard is a 25% cost increase, while the prior Kentucky version used 10%, and that the threshold is a key detail. The committee then shifted to an informational presentation on building trade apprenticeships. Eric Elie of the Kentucky State Pipe Trades Association, Nick Brown of Plumbers and Pipefitters Local 502, and retired IBEW training director Steve Willinghurst explained how union apprenticeship programs work. Brown described earn-while-you-learn training, with apprentices placed on jobs by signatory contractors and attending classes two nights a week for five years. He outlined the work of plumbers, pipefitters, welders, and HVACR technicians, emphasizing that these trades support construction, industrial facilities, distilleries, and other critical infrastructure. No votes or formal actions were taken on the policy topics beyond approval of the prior minutes.

Transcript Highlights:

• The vision at one point was that Hampstead Hospital and the new YDC would have a symbiotic relationship
• I'm driving on a little bit longer<02:18:49.960> um longer um longer um the<02:18:51.800> vision
• 53.160> point<02:18:54.080> uh<02:18:54.280> was<02:18:54.639> that the vision
• at one point uh was that the vision at one point uh was that Hamstead<02:18:55.679> hospital<
• <02:19:13.359> this<02:19:13.559> new<02:19:14.160> contract I think the vision

Keywords: 928, house, all

Summary: Division 3 opened a work session focused on direct care agencies, with the chair saying the day would center on the Veterans Home and other state hospitals and homes. Members first discussed the upcoming Finance Committee process, including how many bills would be assigned to Division 3, whether they would appear on the House calendar, and how much time would be allowed for each bill. The chair said the division would likely spend about an hour on each bill, then return for a second day of review before making recommendations. Staff later identified three bills expected on the calendar: House Bills 704, 751, and 54. Members also raised a question about the use of educational trust fund money in the budget, but that issue was deferred. The main presentation came from Kim McKay, commandant of the New Hampshire Veterans Home, who described the facility as a long-term care intermediate facility serving eligible veterans. She said the home is licensed for 250 beds, budgeted for 225 veterans, and currently has 135 residents with four more scheduled to arrive. McKay highlighted improvements over the last two years, including a reduction in the admission wait list from more than a year to about three to six months, the creation of an LNA training program, energy-saving and Wi-Fi upgrades, and a new electronic learning management system that will provide mandatory training and continuing education units for staff. She said the home’s long-term goal is to return to a 225-bed census, but staffing remains the biggest hurdle. Members asked about admissions, wait times, staffing, vacancies, and the home’s use of contract nurses. McKay explained that the wait time is measured from the initial application date, not from a completed packet, and that staff now help families gather records and paperwork more quickly. She said the home averages about 45 deaths per year, residents stay about 2.5 years on average, and the vacancy rate is around 35 percent, though some positions are intentionally held open until census grows. She attributed staffing shortages largely to retention problems, citing higher private-sector pay, bonuses, and more flexible hours, and said the home has a handful of contract nurses, mainly on second shift. On finances, she said pharmacy services are contracted, the VA reimburses some medication costs based on disability, and the home is pursuing federal changes to cover high-cost medications and catastrophic disability cases. The discussion also covered the home’s off-book donation account, which is overseen by the state and transferred into the state system when funds are spent.

Transcript Highlights:

• And then kind of total staffing by each ADRC, so I have a vision of a virtual health care system to where
• And then kind of total staffing by each ADRC, so I have a vision of a virtual health care system to where
• And then kind of total staffing by each ADRC, so I have a vision of a virtual health care system to where
• as far as, I think that was an allocation in HB 2 as well, to make sure that adults are getting screened
• screened in the importance<01:12:01.320> of<01:12:01.679> you<01:12:01.840> know

Keywords: 928, house, all

Summary: The Division of Long-Term Supports and Services presented its budget and program overview as part of the Department of Health and Human Services operating budget review. Leadership described the division’s three bureaus—Aging and Adult Services, Developmental Services, and Family-Centered Services—and explained that the division provides guidance, technical assistance, quality monitoring, and contracted provider oversight across the lifespan. Members also discussed staffing, with reported vacancy rates of 4% in Aging and Adult Services, 15% in Developmental Services, and 6% in Family-Centered Services; the division said the higher BDS vacancy rate is partly due to the small number of authorized positions. The governor’s budget had left eight positions unfunded in the division, including three in Aging and Adult Services and five in BDS. A major topic was the division’s roadmap initiatives, especially building a system of care for healthy aging and strengthening developmental disabilities systems through a new reimbursement rate structure. The division said it contracted with an actuary to study DD service costs and found rates had not been reviewed since 2017 and were significantly below actual costs and other states’ rates, contributing to provider shortages even when services are authorized. Members asked about the impact on service delivery and whether rates would need to rise overall; the division said its strategy is to focus on lower-cost services that help people remain in the community. The division also reported waiver enrollment figures, including about 4,161 people on the Choices for Independence waiver, 3,688 average nursing facility residents, 5,061 people on the DD waiver, 228 on the acquired brain disorder waiver, and 488 children on the in-home support waiver, while noting there is no funding waitlist but provider availability remains a constraint. The division highlighted IT modernization as a major accomplishment, especially moving Adult Protective Services and Developmental Services into the New Heights system. Officials said these changes improve case-note access, data retrieval, service authorization tracking, and transparency for providers, and they asked for future oversight discussion focused on IT leverage. Members noted that New Heights maintenance is budgeted in the Office of the Commissioner under class 27 and suggested better transparency on system costs and benefits. The division also reported that it closed out a long-running CMS corrective action plan for BDS on July 1, 2023, and said it is now focused on strengthening the system rather than compliance alone. Other discussion covered the Aging and Adult Services bureau’s name change from Elderly and Adult Services to Adult and Aging Services, intended to avoid negative connotations and better reflect preventative services. The bureau described Adult Protective Services trends involving scams, financial exploitation, self-neglect, and isolation, and explained that it administers the CFI waiver, determines medical eligibility for nursing facility level of care, and braids funding from Medicaid, state funds, Older Americans Act money, Social Service Block Grants, and other grants. Members asked about waiver growth targets and federal consequences if enrollment remains below projections; the division said it would explain the shortfall in a future waiver amendment and did not anticipate a federal penalty. The meeting ended without any votes or formal actions taken.

Transcript Highlights:

• property tax system that highlights certain components of the system and those are namely on your screen
• MAAO's vision is to be recognized as a statewide leader in assessment education, mass appraisal training
• is to be recognized as 1949 Mao's vision is to be recognized as a<01:14:16.880> Statewide<01:
• As you can see on your screen, we've simplified basically an example of a shift.
• <01:16:48.280> we've as you can see on your screen we've as you can see on your screen we've

Keywords: 1187, senate, all

Transcript Highlights:

• thing at the state level and undermining our ability to provide STI testing and treatment, cancer screenings
• thing at the state level and undermining our ability to provide STI testing and treatment, cancer screenings
• thing at the state level and undermining our ability to provide STI testing and treatment, cancer screenings
• , wellness and preventative health care. ...including birth control, cancer screenings, wellness and
• Also on behalf of Vision and Compromiso, the statewide network of promoters and community health workers

Summary: The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56. DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement. The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.

Transcript Highlights:

• Sorry, oh, my screen went away. Hold on a second.
• The vision has been called. All those in favor of the previous question? I'd already called. Okay.

Keywords: 994, senate, all