Video & Transcript : 'provider network' :
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CA
California 2025-2026 Regular Session
Senate Emergency Management Committee Jun 23rd, 2026
Transcript Highlights:
- As the Assemblymember stated, I'm here to provide expert testimony.
- Last year, the federal government eliminated press three in the LGBTQ sub-network of 988, cutting off
- Our legacy system does provide 911 services, but it is an outdated system.
- To allow for failover, transitioning from one network to another if issues arise.
- Together, these three systems form a delicate ecosystem and support network for Californians, with 2-
Summary:
The committee heard presentations on several emergency-management-related bills. AB 1749 would prohibit drones from knowingly or recklessly interfering with wildfire suppression or other emergency response airspace and authorize civil enforcement with penalties up to $75,000 per violation. AB 1540 would restore the 988 “press 3” option for LGBTQ+ suicide prevention, with the author and supporters describing it as a needed crisis lifeline; opponents argued the bill was unnecessary and criticized the Trevor Project. AB 1805 would overhaul oversight of the state’s troubled next-generation 911 project by strengthening the advisory board, requiring quarterly reports, and mandating an independent technical evaluation and audit. AB 1832 would create a statewide 2-1-1 support fund and a community needs dashboard to expand and stabilize 2-1-1 services. AB 2543 would require EV charging operators to develop emergency management plans and identify backup power or charging options during disasters, with opponents arguing it singled out one industry and could slow deployment.
Testimony was largely in support of AB 1540, AB 1805, and AB 1832, with many public agencies, behavioral health groups, fire organizations, and local governments backing the measures. AB 1540 drew emotional testimony from a parent who lost a child to suicide, while AB 1805 received support from police chiefs, dispatchers, and the Legislative Analyst’s Office, which discussed the need for an independent technical review of regional versus statewide 911 system options. AB 1832 supporters emphasized that 2-1-1 helps divert non-emergency calls from 911 and provides critical disaster information and referrals. AB 2543 drew opposition from EV charging companies and industry groups, who said the bill imposed unique obligations on private operators and did not address all fuel types.
After debate, the committee voted to advance all of the measures. AB 1540 was sent to Senate Health, AB 1749 to Senate Judiciary, AB 1805 to Senate Privacy, Digital Technology, and Consumer Protection, AB 1832 to Senate Energy, Utilities and Communications, and AB 2543 to Senate Energy, Utilities and Communications with amendments to be taken in the next committee. The consent item, AB 1836, was also approved. Final recorded votes were overwhelmingly in favor, with AB 2543 receiving the most opposition but still passing the committee.
LA
Transcript Highlights:
- HB 324 provides relative to judicial salaries.
- of those networks of pharmacies.
- to help promote and sustain that network.
- We have a motion... ...support, provide information if requested.
- Congress to provide some additional clarification on the ARPA dollars.
Summary:
The Senate Finance Committee met with eight members present and deferred HB 127. It then considered a series of bills, most of which were reported favorably without opposition. HB 22 revised COLA rules for the clerks of court retirement system, allowing more frequent COLAs when the system is better funded; HB 324 made judicial stipends permanent and added future COLAs subject to available funding; HB 233 increased jury mileage reimbursement; HB 47 reorganized assessor retirement COLA statutes; HB 533 allowed St. Tammany Parish to transfer unused witness-fee account balances to the 22nd Judicial District Court; HB 980 adjusted eligibility for the Firemen’s Supplemental Pay Board; HCR 45 urged Congress to clarify ARPA deadlines for water projects; HB 559 increased court costs in the 4th Judicial District; HB 290 recreated the Department of Treasury and related entities in statute; and HB 382 addressed Joint Legislative Committee on the Budget review authority over Group Benefits plans. The committee also reported HB 1157 favorably, creating a financing bank mechanism for infrastructure projects, and HB 575 favorably, giving youth aging out of foster care preferred access to surplus state vehicles through the Louisiana Property Assistance Agency.
Several measures drew more discussion. HB 1236, dealing with pharmacy benefit managers and professional dispensing fees, prompted extensive testimony from the sponsor, the Legislative Fiscal Office, the Department of Insurance, independent pharmacies, and PBM representatives. Supporters said it clarifies and strengthens enforcement of existing PBM law and protects independent pharmacies; opponents argued the bill’s requirement that PBMs bear dispensing-fee costs would be difficult to implement and could raise premiums. The sponsor said he would work on amendments, including clarifying language and a delayed effective date, and the bill was nevertheless moved favorably. SB 25, on registrar of voters compensation, was amended to a revised pay structure and then reported favorably. HB 47 and HB 533 were also presented as funding and administrative cleanups for retirement and court-related accounts, with local support noted.
The committee also heard HB 233 on jury duty mileage reimbursement, which the sponsor said updates a 1961 rate and would be funded locally at an estimated average increase of about $4,000 per judicial district. HB 324 on judicial salaries was described as self-funded by the judiciary and subject to available funding, with no budget impact. HB 575 on foster youth transportation was presented as a non-appropriation measure aimed at helping youth aging out of foster care by giving them preferred access to surplus vehicles. HB 382, which concerns the Joint Legislative Committee on the Budget’s role in approving Group Benefits plans, was reported favorably with little discussion. The meeting ended after a motion to adjourn.
FL
Florida 2025 Regular Session
Transportation Feb 11th, 2025
Transcript Highlights:
- It provides with the population growth that we experience.
- So our roadway networks, ours are already stretched to capacity.
- Yeah. >> Just to continue to provide support.
- Our transportation network is truly driving a lot of economic value.
- And thank you for your comments and provide in that view.
WA
Transcript Highlights:
- I'm the network manager for the Pierce County Early Childhood Network, or PCECN.
- Behavioral health providers, inpatient discharge planners, housing providers, MCOs, and young adults
- This program provides critical and stabilizing support for him.
- We represent assisted living and skilled nursing providers.
- We also treat and provide wraparound services to the parents or dyad.
Bills:
SB5998
Keywords:
fiscal appropriations, budget, state funding, financial management, operating expenses, 904, all
ID
Idaho 2026 Regular Session
Agenda Jan 28th, 2026
Transcript Highlights:
- network in each of the 44 counties, Field support in each judicial district, installing a state network
- the term of service and if he or she provides written notice to the Supreme Court.
- Again, we're required to provide sufficient staffing to serve all these children.
- Again, we're required to provide sufficient staffing to serve all these children.
- There are services that they provide.
Summary:
The Senate Finance and House Appropriations committee reviewed the Judicial Branch budget, beginning with the Court Operations division. Legislative staff outlined the branch’s structure, recent spending trends, technology upgrades funded with ARPA dollars, and FY26/FY27 budget changes, including judicial compensation increases, added judges in several districts, and a late request for $800,700 from a dedicated fund to cover senior magistrate retirement and purchase-of-service costs. Court officials explained that the retirement request was driven by an unusual number of magistrate retirements announced too late to include in the original budget, and they also described the impact of declining federal support and the need to shift some treatment-court and technology costs to other funding sources. Members asked about the holdback, the court’s cloud and network modernization, the purpose of senior judge purchase-of-service payments, and the effect of treatment courts on public safety and incarceration; no vote was taken.
The committee then heard the Second Judicial District CASA/Guardian ad Litem request for $77,900 in general funds. The program said the money would support a trainer/recruiter/data supervisor position, required office and record space, annual financial review, and liability insurance, citing rural service needs, declining VOCA and grant funding, and the need to recruit and support volunteers across a large district. The executive director described the program’s statutory role in child protection cases and said fundraising now covers about 30% of the budget, taking time away from direct services. Members asked about the decline in VOCA funds, the number of children served, and examples of the program’s impact; the director gave a detailed success story about helping a family reunify. The hearing ended with no recorded appropriation action, and the chair adjourned the meeting until the next day.
WA
Washington 2025-2026 Regular Session
Senate Ways & Means Feb 23rd, 2026
Transcript Highlights:
- Please come forward and provide your testimony. We're out of order now.
- I'm the network manager for the Pierce County Early Childhood Network, or PCECN.
- Behavioral health providers, inpatient discharge planners, housing providers, MCOs, and young adults
- This program provides critical and stabilizing support for him.
- We represent assisted living and skilled nursing providers.
Summary:
The committee held a public hearing on the Senate operating budget proposal, beginning with a staff briefing from James Kettle. He described the budget as built on relatively flat revenue after multiple forecast updates, with substantial mandatory cost growth, especially in Health Care Authority, DSHS, and DCYF. He highlighted major policy-level additions and savings, including large tort liability costs, continued support for long-term services, reductions tied to child care and K-12 items, several assumed revenue bills, and major transfers from reserves and other accounts. Kettle also noted the four-year outlook remained positive overall, with about $1 billion ending fund balance in the final year and roughly $3 billion in total reserves. A committee member asked about a diagram showing the loss of federal funds, and staff said they would follow up.
Public testimony then focused first on K-12 education, where school leaders, teachers, OSPI, PTA, and rural district representatives largely opposed the proposed cuts to local effort assistance, transition to kindergarten, bus depreciation, and related school funding items. Many argued the reductions would disproportionately harm rural and property-poor districts and weaken early learning access, while several students and educators spoke in favor of career and technical education and IT Academy funding. The committee also heard support for wildfire prevention funding from the Commissioner of Public Lands, who thanked the Senate for restoring those dollars but raised concerns about recreation program reductions.
Higher education testimony was mixed but generally supportive of the Senate proposal compared with the governor’s budget. Community and technical college leaders warned that the budget still shifts compensation costs to tuition and reduces Running Start funding, while university representatives from Western, Eastern, Central, WSU, and UW thanked the committee for avoiding deeper cuts. Private vocational college students and administrators urged extension of Washington College Grant eligibility for students already enrolled, and others asked to preserve IT Academy and related certification funding. In early learning, child care and advocacy groups praised the decision not to cap Working Connections Child Care but warned that child care and transition to kindergarten still bear a disproportionate share of cuts; they also requested continued support for Dolly Parton Imagination Library and Pierce County early childhood programs, including Family Connects.
The hearing continued with testimony on employee compensation, mental health, and human services. State employee and retiree groups supported the budget’s COLA and wildfire funding but objected to cuts in retiree health benefits. Behavioral health and public safety advocates supported mentoring, Trueblood-related funding, crisis stabilization, and the Recovery Navigator Program, while others opposed reductions to those programs and to community-based recovery services. In human services, witnesses thanked the committee for funding victim services, child welfare supports, health homes, adult day care, community health centers, energy assistance, and disability services, while urging the committee to avoid further reductions to skilled nursing, case management, and recovery navigation. No votes were taken during the hearing.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 5 on State Administration Mar 17th, 2026
Transcript Highlights:
- Do you provide anything for small businesses facing potential eviction?
- Hate Resource Line and Network, which are department-administered, and through the Community Conflict
- Hate Resource Network and hotline.
- I don't have a specific answer for you about the rapid response networks, but I can get that to you.
- So we just wanted to, you know, stand as a network of 2-1-1s across the state in support of the Civil
HI
Hawaii 2025 Regular Session
HSH Public Hearing - Thu Feb 6, 2025 @ 10:00 AM HST
Human Services & Homelessness
Transcript Highlights:
- Services Network is Judy Services Network is Judy Here<00:14:55.920><c> Am</c><00:14:56.920><c> uh</c
- </c> Frontline uh Outreach staff we provide Frontline uh Outreach staff we provide homelessness<00:17
- </c> Hawaii um Hawaii Youth Services Network Hawaii um Hawaii Youth Services Network Institute<00:20:
- Hawaii uh the Statewide network with a Hawaii uh the Statewide network with a couple<00:36:22.920><c>
- couple Hawaii children's Action Network couple Hawaii children's Action Network speaks<00:36:25.839><
Summary:
The House Committee on Human Services and Homelessness met on February 6, 2025, and heard testimony on several measures. HB 44, which would appropriate funds to the Department of Human Services to work with community-based organizations on social services needs, drew broad support from nonprofit providers and coalitions that said contracts and reimbursement rates have not kept pace with the actual cost of services, leaving agencies unable to retain staff or meet demand. DHS said it supported the bill’s intent but asked for clarification because the language was broad and did not specify which organizations or how funds should be allocated. Committee members and the bill’s introducer discussed how to make the measure more specific and equitable, including whether to set a percentage increase, use a baseline date, and direct DHS to distribute funds among different program areas; the True Cost Coalition and DHS agreed to follow up in writing with proposed language and a funding number.
The committee then heard HB 1349, which would authorize Medicaid/CHIP coverage for income-qualified pregnant persons and children regardless of immigration status. Supporters, including the Legal Clinic, Aloha Care, and the Hawaiʻi Coalition for Immigrant Rights, said the bill would improve prenatal and child health, reduce the chilling effect of immigration enforcement on care-seeking, and help prevent premature or underweight births by ensuring earlier access to providers. DHS provided comments and the committee asked where the measure would fit in the budget; the department identified the relevant budget code. Written testimony in support came from multiple advocacy and health organizations and dozens of individuals.
Finally, the committee heard HB 613, which would appropriate funds to DHS for emergency shelter and services for unaccompanied homeless youth. The Office of the Public Defender, the Statewide Office of Homelessness and Housing Solutions, the Office of Youth Services, Rise, the Hawaiʻi State LGBTQ+ Commission, and others supported the bill, emphasizing youth homelessness, the need for coordinated shelter and outreach, and the high share of LGBTQ+ youth among homeless minors. OYS asked that the committee consider funding its existing Safe Spaces pilot rather than creating a new program, while DHS said it supported the intent but wanted clarification because multiple department programs could be implicated. No votes were taken during the hearing; the chair instead requested follow-up language and funding information for HB 44 and continued the measures for further consideration.
HI
Hawaii 2025 Regular Session
HHS, HHS DEFER, HHS DEFER, HHS DEFER, HHS-HRE Public Hearings 02-12-2025
Transcript Highlights:
- Next we have Nene Cole, Hawaii Children's Action Network, in support; Hawaii Youth Services Network,
- </c> Cole Hawaii children's Action Network Cole Hawaii children's Action Network and<00:04:18.959><c>
- Energy Justice Network providing comments. Um, is that you, Mike, on Zoom? This is me, Mahala.
- Energy Justice Network providing comments. Um, is that you, Mike, on Zoom? This is me, Mahala.
- </c><00:33:37.519><c> providing</c> energy Justice Network providing energy Justice Network providing
Summary:
The Health and Human Services Committee heard testimony on several measures related to child welfare, health care access, overdose response, disability services, and waste management. For SB 710 on child welfare, the Department of Human Services, the Office of Wellness and Resilience, the Attorney General’s office, and multiple advocacy groups testified in support, with the Governor’s office noting support but deferring to the Attorney General on implementation because of separation-of-powers concerns. For SB 952 on child welfare services, DHS, the Governor’s office, and child- and trauma-informed care advocates supported the bill, saying it would help families access services, provide basic material support, and reduce strain on the child welfare system. SB 954 on a home health services rate study also drew support, including from DHS, the Hawaii Healthcare Association, and a public testifier who said the study would help ensure funds reach low-income, disabled, and kupuna recipients. SB 957 on overdose prevention received support from the Department of Health and the Attorney General, who said overdose prevention centers are evidence-based but raised federal-law concerns and recommended amendments; the Hawaii Health and Harm Reduction Center and others also testified in support.
The committee then moved to the 1:00 regular calendar and heard SB 850 on disability health disparity, which was supported by the Executive Office on Aging, the Hawaii State Council on Developmental Disabilities, the Hawaii Disability Rights Center, self-advocates, and others. Testimony emphasized that a disparity study could improve workforce development, training, and services for people with disabilities. SB 838 on continuous glucose monitoring drew support from health agencies and advocates, with testimony stressing that monitors can be critical for some diabetes patients. SB 829 on health care was supported by the Department of Health and health care stakeholders, who said it would help rotating physicians serve neighbor islands without local hospital privileges and align with CMS rules. SB 446 on waste management drew mixed testimony: the Department of Health and several public entities provided comments, the County of Maui opposed, and environmental advocates urged stronger aquifer protections and limits on ash reuse.
During decision making, the committee adopted recommendations to pass SB 298, SB 322, SB 299, SB 450, SB 451, SB 949, SB 710, SB 957, SB 69, and SD 952 with various amendments, including technical changes, blank appropriations, and defective dates. SB 323, SB 324, SB 712, SB 950, SB 954, and SB 959 were deferred, largely because companion House measures were moving or similar Senate measures had already passed. The chair also announced recesses to find quorum and noted that some bills from the earlier Monday calendar were being deferred to avoid duplication.
CO
Colorado 2026 Regular Session
Colorado House 2026 Legislative Day 049 Mar 4th, 2026
Colorado House Floor Meeting
Transcript Highlights:
- and, in connection therewith, efforts to enhance provider participation in health care provider networks
- I've also heard from behavioral health providers who want to be in network with insurance carriers, but
- after they apply to be in network, they don't hear back for months, and then those providers are unable
- behavioral health providers who want to be<02:12:55.440><c> in</c><02:12:55.599><c> network</c><02:12
- </c><02:15:14.719><c> and</c><02:15:14.880><c> network</c> ...behavioral health providers and network
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health Apr 21st, 2025
Transcript Highlights:
- California's Title X network is the largest and most diverse network in the country.
- However, the provider it hurts does provide abortion care. That's one provider, right?
- That's only one set of providers, but there's a host of other providers, right?
- So it hurts a network of providers, a wide range of providers.
- Thank you so much for providing this opportunity.
Summary:
The subcommittee held an oversight hearing on federal actions affecting California’s public health and family planning systems, focusing first on the freeze to Title X family planning funds and then on broader CDC/public health grant terminations. Chair and members described the cuts as abrupt, harmful, and likely to create major gaps in disease surveillance, vaccination, contraception, STI testing, and other preventive services, while also criticizing the federal administration’s explanation that the actions were tied to DEI or civil-rights compliance. The chair thanked Attorney General Bonta for legal action and said the hearing was intended to document the real-world impacts and inform state budget responses.
Witnesses from Essential Access Health, Planned Parenthood Affiliates of California, a Central Coast clinic, and other providers said California’s Title X network serves more than half a million low-income patients annually and relies on the funds for staffing, outreach, training, mobile and school-based clinics, and confidential care. They warned that the freeze has already forced reserve spending, delayed services, and could lead to layoffs, reduced hours, longer waits, and fewer appointments, especially for sexual and reproductive health care. Public comment included support for a proposed state backfill of Title X losses, with advocates emphasizing impacts on low-income, LGBTQ+, and communities of color.
On the public health side, CDPH, county health officials, and local health officers testified that the CDC’s rescission of $11.4 billion in grants would affect California by an estimated $840 million and threaten lab capacity, immunization programs, health disparities work, and data systems such as CalConnect and vaccine registries. Sacramento County and others described how the grants supported outbreak response, sequencing, community vaccination clinics, and equity-focused partnerships, and said terminations had already led to canceled appointments, stopped contracts, and layoffs. Several speakers urged the Legislature to preserve and expand state “future of public health” funding and to backfill federal losses, while public commenters from HIV, immunization, labor, and county organizations echoed concerns about workforce losses and worsening health outcomes.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 4 on State Administration and General Government Apr 9th, 2026
Transcript Highlights:
- We will provide an opportunity for public comment following the conclusion of the discussion item list
- We believe that we are fulfilling the mandate, and that includes providing those reports and providing
- These are networked organizations that are doing this.
- These are organized criminal networks.
- It provides a stable market to small farmers and it feeds families.
Summary:
The subcommittee heard a series of Department of Food and Agriculture budget proposals, beginning with ongoing funding and trailer bill language for the Farm to School program and related climate-smart agriculture work. CDFA described the program’s goals of linking California producers with schools, expanding access to local and nutritious food, and supporting underserved farmers through technical assistance and outreach. The LAO recommended rejecting the proposal as presented because of the state’s budget condition and suggested that some activities might instead be supported through Proposition 98. Members questioned whether the program is reaching the schools and communities with the greatest need, how grants are scored, and whether the proposal’s goals are measurable enough to justify ongoing funding. The item was held open.
The committee also discussed CDFA’s climate bond expenditure plan, which would allocate remaining Proposition 4 funds to existing programs such as SWEEP, Healthy Soils, urban agriculture, fairground emergency response upgrades, and invasive species work, as well as new or developing programs including year-round certified farmers markets, mobile farmers markets, regional farm equipment sharing, and tribal food sovereignty. CDFA said the funds would be released in stages based on program readiness, with audits and performance metrics tied to each program. The LAO found the plan reasonable and consistent with bond requirements. Members asked about audit responsibility, performance tracking, and whether the bond programs should be front-loaded or spread over a longer period.
A third CDFA item addressed the elimination of vacant positions under prior budget reductions. CDFA and the Department of Finance explained that the positions were selected because they had been vacant for long periods or were hard to fill, and that departments identified the positions based on their own operational knowledge. The LAO supported retaining the special-fund positions and suggested the General Fund positions be weighed on their merits. Members raised concerns about the impact on core functions such as audits, investigations, milk marketing, and grape pricing reports, and asked for follow-up on how the department determined which positions could be removed. The committee then heard a CDFA IT proposal to add funding and four positions for information technology operations; the LAO had no concerns, and members discussed cybersecurity, legacy systems, and future risks such as AI and quantum threats.
The committee took public comment and then voted to approve items 9 through 13, which included CDFA dog importation certificates, livestock carcass disposal, Gambling Control Commission IT support and tribal grant funding, and an ABC district office relocation. The hearing then moved to the Department of Cannabis Control, which presented a request to strengthen enforcement against the illicit cannabis market by adding a North State field office in Redding and three non-sworn support positions. DCC said the illicit market remains far larger than the legal market, with a large backlog of cases and significant public safety and environmental concerns. Finance supported the targeted expansion, the LAO had no comment, and members asked about regional coverage, officer safety, and whether a larger, more transformational enforcement effort might be warranted in the future.
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 03/10/26
Health and Human Services
Transcript Highlights:
- the providers.
- </c><00:10:44.959><c> network</c><00:10:45.440><c> because</c><00:10:45.760><c> that's</c> to broad provider
- network because that's to broad provider network because that's what<00:10:46.240><c> people</c><00:
- Patients cannot pay out of network for providers that we may refer to procedures or medications.
- by the MCOs and guaranteeing access to providers through leveraging commercial networks.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services Feb 26th, 2026
Transcript Highlights:
- The Department of Social Services provides us a contract to provide accounting, human resources, legal
- Did want to provide comments on CDPH IT systems.
- So we urge continuity and sustained investments in provider networks. Thank you.
- I'm Andy Stone with the HIV Advocacy Network.
- I'm Andy Stone with the HIV Advocacy Network.
Summary:
The committee heard a series of budget and oversight presentations from CalHHS-related departments and agencies. CalHHS opened with a broad overview of its 2026-27 budget and priorities, including behavioral health, housing and human services integration, children and youth services, and aging/disability supports. OICR then presented its budget and its SB 823 realignment report on youth formerly committed to DJJ, saying county implementation varies widely but that the state has not seen evidence of net widening in the available data. OICR recommended climate surveys, youth advisory councils, stronger behavioral health and education programming in secure youth treatment facilities, better transitional planning, and improved longitudinal data systems. The agency also described a Title II federal grant transition problem, saying it cannot yet pay some subrecipients for prior work and is awaiting federal action on retroactive spending authority and an administrative funding adjustment. The Ombudsperson division requested two additional positions to address a growing complaint workload and access issues with counties over youth meetings, records, and grievance files; LAO raised no policy objection but noted the ongoing General Fund cost.
The State Council on Developmental Disabilities requested $730,000 General Fund ongoing to cover the gap between federal limits on administrative overhead and the actual cost of an interagency agreement with the Department of Social Services. EMSA presented its department overview and several proposals, including a delayed AB 716 ambulance rate report, a $2.6 million request to replace aging disaster-response vehicles, a $250,000 security architecture assessment, and four positions plus ongoing General Fund for HR, enforcement, and legal workload. Members questioned the delay in the AB 716 report, the optics and timing of the vehicle replacement request, and whether EMSA was doing enough to prevent future staffing and enforcement problems. LAO repeatedly noted the ongoing General Fund implications of EMSA’s requests.
The Department of Community Services and Development sought reappropriation of unspent Greenhouse Gas Reduction Fund money for the Low-Income Weatherization Program and described a Proposition 4-funded continuation of the farmworker housing component, which would require a new statewide administrator and program design process. The Department of Rehabilitation requested authority to draw an additional $60 million in federal funds annually and add 54 positions to meet sharply increased Vocational Rehabilitation caseloads; LAO had no concerns. Child Support Services proposed restoring a prior reduction to local child support agency funding and reported higher federal performance incentives, while also presenting a supplemental report on full pass-through of child support collections to CalWORKs families, estimating about $150 million annually for full pass-through or about $80 million for a state/county-only approach, plus automation costs. Members questioned why funding should rise when caseloads are declining, and whether the policy could be made cost-neutral. CDPH closed the hearing with an overview of its $5.1 billion budget and its state of public health report, highlighting record-low mortality and higher life expectancy, but also rising overdose deaths among ages 25-44, persistent maternal and infant mortality disparities, and the need for stable public health and emergency-response capacity; no votes were taken during the hearing.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services Feb 26th, 2026
Transcript Highlights:
- Social Services provides us a contract with them to provide accounting, human resources, legal, IT, and
- Issue six, to provide an overview of our first BCP.
- So we urge continuity and sustained investments in provider networks. Thank you.
- I'm Andy Stone with the HIV Advocacy Network.
- I'm Andy Stone with the HIV Advocacy Network.
Summary:
The hearing began with an overview of the California Health and Human Services Agency, which described its 2026-27 budget, major departments, and strategic priorities, including behavioral health, housing and human services integration, children and youth, and aging/disability services. The agency also explained a technical CalHHS/CalHires budget adjustment tied to HR1 compliance and eligibility system work. No LAO concerns were raised on that item.
The committee then heard from the Office of Youth and Community Restoration on its budget, its SB 823 realignment report, and related issues. OYCR said county-based realignment has generally succeeded but outcomes and readiness vary widely, and it recommended more climate surveys, youth advisory councils, stronger behavioral management, better programming, improved transition planning, and integrated longitudinal data systems. Members pressed OYCR on “net widening,” county-by-county trends, and the gap between the detailed recommendations discussed in hearing and the more general recommendations in the public report. OYCR also described problems with federal Title II grant timing and a pending $14 million administrative funding adjustment, and discussed implementation of the juvenile justice realignment block grant formula. The Ombudsperson division separately requested two new positions due to rising complaints, site visits, and records-access disputes with counties; LAO noted the proposal would create ongoing General Fund costs.
Several other departments presented budget change proposals. The State Council on Developmental Disabilities requested $730,000 General Fund ongoing to cover an interagency administrative support gap with DSS; LAO had no concerns. EMSA presented its department overview, said its AB 716 ambulance-rate report has been delayed after resources were reduced, and requested funding for disaster-response vehicle replacement, IT security assessment work, and additional HR/legal staff; members questioned delays, compliance, and the ongoing General Fund impact. The Department of Community Services and Development sought reappropriation of LIWIP funds and explained a new Proposition 4 process for continuing the farmworker housing component. The Department of Rehabilitation requested authority for $60 million in additional federal funds and 54 positions to meet growing vocational rehabilitation demand, with no General Fund impact.
The Department of Child Support Services presented its budget and a supplemental report on full pass-through of child support collections. Members questioned why local agency funding was being restored despite declining caseloads, and staff explained that staffing costs have risen faster than caseload declines and that additional funding is needed to maintain service levels. The supplemental report estimated full pass-through would cost about $150 million General Fund annually, or about $80 million for a state-and-county portion, with $3 million to $5 million in automation costs. Finally, the Department of Public Health gave a broad overview of its $5.1 billion budget and its State of Public Health report, highlighting improved mortality and life expectancy, declining overdose deaths and STI rates, persistent racial and regional disparities, and increasing public health emergency demands. CDPH also warned that federal funding threats and policy changes are creating major uncertainty for state and local public health systems.
FL
Transcript Highlights:
- The amendment clarifies that a health care provider or practitioner is not obligated to provide patient
- providers during state holidays. ...standards to ensure Medicaid enrollees have access to network providers
- Additionally, the bill requires such health care providers to provide patients with an informed consent
- We are serving as the home health aide, and it requires that they provide validation, that AHCA provide
- I had to find a private out of network doctor that was I had to find a private out-of-network doctor
Summary:
The Health Policy Committee met with a quorum and took up a long agenda of health care, Medicaid, and patient-access measures, along with confirmation votes. The committee first reconsidered and amended SB 1606 on patient access to records, clarifying portal obligations, deleting a section affecting nursing home facility records, and setting a January 1, 2026 effective date; the bill then passed favorably as a committee substitute. The committee also recommended confirmation of a block of appointees and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after Harris testified about priorities including financial accountability, managed care oversight, transparency, and quality improvement. Senators asked about audit findings and Medicaid managed care performance, and several witnesses and committee members voiced support for her appointment.
The committee then advanced a series of bills, most of them with amendments, including claims bills SB 28 and SB 22 for South Broward Hospital District settlements, SB 772 on undesignated glucagon in schools, SB 998 on death certification by physician assistants and APRNs, SB 1412 on home health administration flexibility, SB 1800 creating a Parkinson’s disease research consortium at USF, SB 306 on managed care network access during holidays and after hours, SB 1768 on stem cell therapies by physicians, SB 1602 on pediatric readiness in emergency departments, SB 1156 on the home health aide program for medically fragile children, SB 1490 on Children’s Medical Services and managed care administration, and SB 1182 on Medicaid coverage of continuous glucose monitors. Most of these bills received support from industry, advocacy, or provider groups and were reported favorably as committee substitutes.
The most debated measure was SB 1270, a broad strike-all amendment combining provisions on mRNA vaccine documentation, vaccination-status protections in the Patient Bill of Rights, medical marijuana reporting and background-screening definitions, compact language, and volunteer immunity. The committee heard extensive testimony both for and against the vaccine-related provisions, including concerns about discrimination, patient safety, provider discretion, and medical liability. After additional technical amendments and a time-certain motion, the bill passed favorably as a committee substitute, with Senators Davis and Osgood voting no and Senator Harrell expressing a weak yes. At the end of the meeting, senators recorded their votes on selected tabs, and the committee adjourned.
CA
California 2025-2026 Regular Session
Assembly Communications and Conveyance Committee Jun 23rd, 2025
Communications and Conveyance
Transcript Highlights:
- Public comment may be provided at this time.
- Services or broadband internet service providers.
- Additionally, the commitment to deploy modern networks required by the caller of last resort seeking
- Over 95% of our California customers have already transitioned to modern networks.
- by other providers or have no population.
TX
Transcript Highlights:
- FirstNet, which I think is an emergency secure network operated by AT&T, can provide that. ...emergency
- We provide incentive capital.
- We also provide... provide the River Forecast Center information from the National Weather Service.
- Network build-out.
- It's also the lack of connectivity between those systems to other networks to provide wide area coverage
FL
Florida 2026 Regular Session
Children, Families, and Elder Affairs Nov 4th, 2025
Children, Families, and Elder Affairs
Transcript Highlights:
- These are the staff that provide the medical evaluations and consultations.
- We provide services to approximately 22,000 to 23,000 kids per year.
- In my role as medical lead, I provide education to community partners.
- The 26 members of the Florida Network are all on contract with us.”
- “Sure, and on the handout that I provided, there is a color-coded map.
Summary:
The Senate Committee on Children, Families, and Elder Affairs held a panel discussion on Florida’s child protection teams (CPTs), child advocacy centers (CACs), and the related roles of DCF, DOH, and law enforcement. Testimony from DCF, the Department of Health, a local CAC director, the Florida Network of Children’s Advocacy Centers, a Pinellas County CPT nurse practitioner, and a Jacksonville sheriff’s sergeant described how the system is intended to work: hotline reports are screened by DCF, mandatory referrals are sent to CPT, forensic interviews and medical exams are coordinated through CPT/CACs, and multidisciplinary teams share findings with law enforcement and prosecutors. Speakers emphasized the value of co-location, telemedicine, multidisciplinary staffings, and trauma-informed practices to reduce repeated interviews and improve child safety and case outcomes.
Committee members focused heavily on communication breakdowns, staffing shortages, and delays in response times. Senators raised Jordan’s Law and asked what had been done to improve coordination among DCF, CPT, and law enforcement. Several members questioned whether the promised 24-hour response standard is being met in practice, citing reports of delayed referrals, delayed forensic interviews, and bottlenecks that can affect medical evaluations and criminal investigations. Law enforcement testimony from Jacksonville described cases where CPT interviews were scheduled one to two weeks out and reports were not received for weeks, while DCF acknowledged average CPI caseloads of about 12 investigations and turnover commonly occurring within 12 to 18 months.
The panel also discussed access gaps and funding concerns. The Florida Network of CACs said Florida has 26 member centers, with some counties lacking CAC coverage and some centers having closed due to funding challenges. Speakers said CACs are voluntary but critical for integrated services, and that workforce shortages in medical and mental health providers limit expansion. DCF and DOH representatives said they would provide follow-up information on the number of CPT medical staff and other requested data. No bills were voted on; the meeting ended with committee members requesting additional information and recommendations for statutory and budgetary changes, and the committee adjourned.
MO
Transcript Highlights:
- , or if such treatment is being provided, continue such care with the current provider or another provider
- Best efforts shall be made to provide, or if such treatment is being provided, continue such care with
- the current provider or another provider, if such provider Continue such care with a current provider
- or another provider if such provider is not available.
- In looking at a provider, and I should say a medical device provider called Health Arc, what their pricing
Summary:
The committee first met in executive session and adopted a House committee substitute combining House Bills 1850 and 1975, which was then voted do pass by a 16-0 roll call. The substitute was described as incorporating federal PBM-related transparency and audit provisions, including requirements intended to ensure fair audits, greater transparency for employers and patients, and protections for pharmacies so they are not reimbursed below drug cost and receive a fair fee. Members said the package was a compromise and a needed step because pharmacies are closing.
The committee then heard House Bills 2318 and 2368, related to artificial intelligence and mental health. The sponsors said the bills are aimed at truth in advertising, barring AI platforms from marketing themselves as mental health professionals or therapy providers, while not banning AI use in health care generally. Testimony from supporters emphasized concerns about minors and adults relying on chatbots for mental health guidance and the need to protect consumers from misleading claims. The committee adopted an amendment adding social workers to the bill string, rolled it into a substitute, and voted the combined House committee substitute do pass 14-0.
Next, House Bill 3313, described as an AOT bill from the prior week, was voted do pass 14-0 without discussion. House Bill 2745 was then amended and passed 14-0; the sponsor explained the changes would require a prompt physical exam for children entering foster care, allow a physician or nurse practitioner to perform it, try to continue existing developmental, behavioral, or emotional care when possible, and require biological parental consent before updating vaccines at the initial visit. House Bill 2463 also received a substitute to close a loophole involving referral payments when a prospective resident or legal representative cancels a contract, and the committee voted the substitute do pass 14-0.
The committee also heard House Concurrent Resolution 28, which would designate the last full week of April as Infertility Awareness Week in Missouri. The sponsor linked the resolution to broader efforts to expand fertility access, and supporters, including a patient sharing her infertility experience, spoke about the emotional and physical toll of infertility and the value of awareness. Finally, House Bill 2979, the Rural Missouri Rural Doctors Act, drew extensive testimony. The sponsor and supporters argued it would limit physician non-compete agreements to one year and five miles for nonprofit employers to improve rural access and physician mobility, while opponents from hospitals and health systems said the bill would weaken recruitment, hurt financially stressed rural hospitals, and create uneven treatment between nonprofit and for-profit employers. No vote was taken on HB 2979 in the portion provided.