Video & Transcript : 'roadside assistance' :

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FL

Florida 2025 Regular Session

January 14, 2025 - 03:30 PM

Transcript Highlights:
  • Number 10: We have 179 residents who have received temporary housing assistance due to the storms.
  • Last year, we asked for assistance, especially with debris removal on non-county maintained publicly
  • That assistance is marvelous.
  • I just said we need to have assistance with infrastructure.
  • And I am very grateful for DOT's assistance. Don't get me wrong.
WA

Washington 2025-2026 Regular Session

Senate Ways & Means Jan 12th, 2026 at 04:00 pm

Ways & Means

Transcript Highlights:
  • help make us whole and to support funding for essential services like health care, food, energy assistance
  • We ask that you not support the $75 million sweep from the Public Works Assistance Account and keep the
  • It's important to remember the Public Works Assistance Account funds a low-interest loan program that's
  • account, commonly referred to. the transfer of $75 million from the Public Works Assistance Account,
  • It's important to remember the Public Works Assistance Account funds a low-interest loan program that's
Bills: SB6003
Committee: Senate Ways & Means
WA

Washington 2025-2026 Regular Session

Senate Ways & Means Jan 12th, 2026

Transcript Highlights:
  • help make us whole and to support funding for essential services like health care, food, energy assistance
  • that they will need some $31 billion over the next 20 years, and they rely on the Public Works Assistance
  • We ask that you not support the $75 million sweep from the Public Works Assistance account and keep the
  • It's important to remember the Public Works Assistance account funds a low-interest loan program that's
  • It's important to remember the Public Works Assistance Account funds a low-interest loan program that's
Summary: The Ways and Means Committee held its first meeting of the 2026 session to hear Governor Ferguson’s proposed supplemental capital budget from OFM. Budget staff said the proposal uses nearly all of the roughly $400 million in available bond capacity, leaving about $5.4 million unused, and includes additional funding from the Common School Construction account, the Climate Commitment Account, and federal funds. OFM described housing as the largest priority, with $237 million total, including $225 million for the Housing Trust Fund for affordable rental housing, homeownership, preservation, and manufactured home community acquisition; it also highlighted urgent state facility needs, climate and clean energy investments, natural resource projects, and education funding for school seismic safety, small district and tribal compact school modernization, lead pipe remediation, and higher education preservation projects. Committee members asked about the timing of housing production, and OFM said the proposed supplemental projects would not be completed within the biennium. Public testimony in the housing section strongly supported the governor’s housing investments, especially the Housing Trust Fund, manufactured housing preservation, and homeownership programs, while several speakers asked for larger appropriations for workforce housing, community land trusts, right-to-counsel, and specific local projects such as Thrive Center Tacoma, Alliance Place, Casa Mia, and Native and immigrant community facilities. One testifier criticized overall state tax policy, but the chair clarified that the capital budget is bonded and does not directly raise taxes. Testimony on K-12 education generally supported the proposed funding for small school modernization, seismic safety, and Healthy Kids, Healthy Schools lead remediation, with rural districts emphasizing the importance of planning and construction grants for aging facilities. Higher education witnesses supported preservation and deferred maintenance funding but asked for additional support for projects at Cascadia College, WSU Spokane, UW’s decarbonization work, and other campus infrastructure needs. Natural resources testimony backed Salmon Recovery Funding Board and community forest investments, while asking for more funding for ranked RCO projects. In the final section, local governments and utilities opposed a proposed $75 million transfer from the Public Works Assistance account to the operating budget, warning it would reduce infrastructure lending capacity; other speakers supported the Washington State Green Bank, public works financing, and several local economic development and utility projects. No votes or formal committee action were taken at the meeting.
NM

New Mexico 2025 Regular Session

Other - PSCOC Dec 11th, 2025

Public School Capital Outlay Oversight Task Force

Transcript Highlights:
  • We are asking for the membership rate for the Lease Assistance Award to increase per statute.
  • This change and increase to Lease Assistance Awards will greatly help schools and kids.
  • The Lease Assistance Award will help pay for rent and lease obligations for these schools.
  • Item 5A in your books this morning is the FY26 Lease Assistance Awards.
  • This is an action item to approve the FY26 Lease Assistance Awards today.
TX

Texas 89th Regular

Human Services Apr 29th, 2025

Human Services

Transcript Highlights:
  • While receiving care, the woman repeatedly pressed the button for assistance.
  • The first woman, Johnson, did not have access to an ombudsman to assist her in her time of need.
  • And to uphold the trust and accountability within our public assistance framework, a new subsection,
  • that help people fill out applications for Medicaid, for the Supplemental Nutrition Assistance Program
  • HB 2734 is a vital measure to safeguard the Integrity of our public assistance programs.
FL

Florida 2025 Regular Session

February 5, 2025 - 03:00 PM

Transcript Highlights:
  • The Recovery Bureau works to maximize disaster assistance to eligible public entities, individuals and
  • families through the means of various state and federal disaster assistance programs.
  • What many don't realize is that this process, as I have, Disaster assistance programs.
  • So we're providing that technical assistance.
  • What we do without their partnership, help, and assistance.
Summary: The Natural Resources and Disaster Subcommittee met to continue its review of hurricane impacts and state response. The committee first heard from the Florida Division of Emergency Management, which described its four core functions—preparedness, response, recovery, and mitigation—and highlighted its 24/7 State Watch Office, regional training efforts, and disaster assistance work. Deputy Executive Director Keith Pruitt detailed the state’s 2024 storm response, including Hurricanes Debby, Helene, and Milton, citing large-scale mission support, flood-control deployments, meal and water distribution, power restoration, debris removal, and billions in disaster funding and mitigation dollars. He also discussed debris management challenges and recommended that local governments update and exercise debris plans and maintain contingency contracts.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Education Mar 24th, 2026

Joint Committee on Education

Transcript Highlights:
  • The purpose of today's hearing is to gather input and testimony to assist us with our deliberations on
  • legislation that affects career... ...to assist us with our deliberations on legislation that affects
  • Aaron Perkins, Assistant Superintendent of Schools.
  • Successful completion means they can work as certified nursing assistants in healthcare settings.
  • I'm Erin Perkins, the assistant superintendent.
Summary: The Joint Committee on Education held an informational hearing at Quincy Public Schools focused on career and technical education (CTE) and related legislation. Committee members said the visit was intended to gather input for ongoing statewide efforts to expand awareness and access to CTE, especially in middle school, improve equipment and facilities, and strengthen coordination with workforce partners. Quincy administrators described the district’s CTE system, including 15 Chapter 74 programs at Quincy High School and four at North Quincy High School, enrollment of about 1,360 students, updated DESE-aligned frameworks, safety practices, business electives, and funding supported by the district budget plus state, federal, and local grants. Presenters highlighted work-based learning, industry credentials, and partnerships with employers, unions, Quincy College, MassHire, and advisory committees. Examples included co-op placements, internships, clinical placements, Military Mondays, Credit for Life, Skills Capital and Perkins-funded equipment upgrades, and a planned engineering Chapter 74 application at North Quincy. Assistant Superintendent Aaron Perkins also outlined the district’s MyCAP college-and-career planning initiative and its goal of creating a vertically aligned readiness model beginning in the middle grades. Students Ellie Crump, Emily Infantino, and Alexander Liu testified about their pathways in welding, early education and care, and healthcare technology, describing hands-on learning, certifications, clinical or shop experiences, and postsecondary plans. Committee members praised Quincy as a model for integrating CTE with general education and said the testimony would inform future legislation. No votes were taken; the hearing concluded with a motion to adjourn and unanimous agreement.
HI

Hawaii 2026 Regular Session

EIG-HHS-HOU, HOU-HHS, HOU DEFER Public Hearings 03-19-2026

Energy and Intergovernmental Affairs

Transcript Highlights:
  • </c><00:05:23.880><c> certain</c> project under HHFDC to assist certain project under HHFDC to assist
  • and exercise the right of assistance and exercise the right of first<00:05:41.160><c> offer,</c><00:
  • We have a housing assistance program that counsels seniors about housing and more, and just the seniors
  • We have a housing assistance program that counsels seniors about housing and more, and just the seniors
  • We have a housing assistance program that counsels seniors about housing and more, and just the seniors
Bills: HB1700
Summary: The joint committees on Housing and Health and Human Services, along with related committees, heard and later took action on three housing bills. HB 1700 HD1, relating to housing and expedited permitting, received support from disability advocates, including the Hawaii State Council on Developmental Disabilities and a self-advocate who said faster permitting would help people with disabilities access more independent living options. The chairs said they would add amendments to ensure expedited permitting would not compromise ADA or Fair Housing Act protections and to require reporting on the number, type, and geographic distribution of projects so the program could be evaluated over time. The measure was recommended and adopted with amendments by the participating committees. HB 1777 HD2, which would require tenant protections for residents displaced by HHFDC-supported redevelopment projects, drew support from HHFDC, the Office of Hawaiian Affairs, Parents and Children Together, and numerous other organizations. Testimony emphasized the need for a right of first offer, replacement housing payments, relocation information, and tracking procedures to reduce displacement harms, especially for Native Hawaiian and public housing residents. In decision-making, the committees amended the bill to incorporate the Senate companion measure, rename the working group as the tenant protection working group, broaden its duties, and include a $75,000 appropriation for working group expenses. The committees also noted concerns about unequal treatment between tenants in publicly supported projects and private redevelopments, and referenced the KPT low-rise redevelopment as an example where required relocation assistance still did not proceed smoothly. The bill was recommended and adopted with amendments. HB 1975 HD1, relating to kupuna housing, would repeal the sunset on the state rent supplement program for kupuna, appropriate funds to HPHA, and add positions to support the program. HPHA, the Executive Office on Aging, OHA, Catholic Charities Hawaii, AARP Hawaii, Aloha Independent Living Hawaii, and others testified in support, with Catholic Charities describing how the subsidy helped a senior remain housed through major medical issues. The committees later recommended passage with amendments, including a technical correction to the number of positions and a date fix, and the recommendation was adopted.
MO

Missouri 2026 Regular Session

Corrections and Public Institutions Mar 2nd, 2026 at 12:00 pm

Corrections and Public Institutions

Transcript Highlights:
  • So this legislation, we’re hoping to be able to assist with addressing these issues as they arise.
  • Local law enforcement requests assistance from the current Office of Investigations.
  • Local law enforcement request assistance from the current office of investigations.
  • The mother was needing lots of assistance. And they got into it as a family.
  • The mother was needing lots of assistance. And they got into it as a family.
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 2/26/26

Human Services Finance and Policy

Transcript Highlights:
  • 53.200><c> from</c> Medical assistance fraud steals from Medical assistance fraud steals from hardworking
  • </c> of penalties for medical assistance of penalties for medical assistance fraud<00:34:40.240><c> over
  • 34:45.839><c> prison</c> brings medical assistance fraud prison brings medical assistance fraud prison
  • That Medicaid assistance fraud statute.
  • It assistance were actually delivered.
Bills: HF3423 , HF2354 , HF3634
MN

Minnesota 2025-2026 Regular Session

House Workforce, Labor, and Economic Development Finance and Policy Committee 3/27/25

Workforce, Labor, and Economic Development Finance and Policy

Transcript Highlights:
  • The Small Business Assistance Partnership Program has been helping small businesses in Minnesota succeed
  • business assistance partnership program has<00:03:29.360><c> been</c><00:03:29.519><c> help</c><00:03
  • </c><00:03:58.200><c> to</c><00:03:58.439><c> entrepreneurs</c> technical assistance to entrepreneurs
  • technical assistance to entrepreneurs and<00:03:59.439><c> small</c><00:03:59.920><c> business</c><00
  • I urge you to support House File 1965 and the Small Business Assistance Partnership Program.
Bills: HF1538 , HF1965 , HF2251 , HF2838
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Ways and Means Mar 9th, 2026

Joint Committee on Ways and Means

Transcript Highlights:
  • I'll last touch on the Department of Unemployment Assistance.
  • Secretary Jones: Our Department of Unemployment Assistance is federally funded.
  • This program was previously funded within the emergency assistance line item.
  • and helping them get stabilized through rental assistance.
  • And so thank you so much for the assistance with your office on those.
Summary: The hearing in Barnstable opened with remarks from the House and Senate co-chairs about the importance of holding Ways and Means budget hearings on the Cape, especially given the region’s seasonal economy and infrastructure needs. The committee then heard testimony from Labor and Workforce Development Secretary Lauren Jones on the governor’s FY27 budget proposal. She highlighted funding for workforce programs including the Workforce Competitiveness Trust Fund, Career Technical Initiative, registered apprenticeship, YouthWorks, reentry workforce programs, and services for young adults with disabilities. She also discussed MassHire career centers, the MassHire Innovation Project, and the Department of Unemployment Assistance modernization effort, noting improved call wait times and claims processing, but acknowledging continued challenges and federal funding uncertainty. Members asked about job-seeker barriers such as child care, housing, and transportation; domestic outmigration of young workers; youth work permits; unemployment insurance costs and the COVID assessment on employers; and the state’s unemployment rate and UI trust fund solvency. Jones and Undersecretary Josh Cutler explained the difference between workforce training funds and the unemployment trust fund, described the statewide trigger that extends unemployment benefits from 26 to 30 weeks when regional unemployment averages 5.2 percent, and said the administration is reviewing the trust fund with labor and business stakeholders. They also said the administration is trying to preserve front-line DUA staffing while shifting resources to customer service and adjudication, including a Friday adjudication pilot and seasonal hires. Senators and representatives also pressed the administration on regional equity in workforce funding, especially for Hampshire Franklin MassHire, which was described as serving a large rural area with fewer resources than other regions. Administration officials said they are reviewing MassHire funding formulas and modernizing the system with a policy committee and state workforce board input, but did not offer an immediate fix. The committee also heard that early childhood education apprenticeships are expanding quickly, with state funding leveraged to secure federal grants and support new Grow Awards. The hearing then moved to the Executive Office of Economic Development, where Secretary Eric Paley outlined House 2 proposals for economic development, including support for the Community One Stop for Growth, rural economic development, workforce partnerships, life sciences, advanced manufacturing, AI, small business assistance, tourism, and tax incentives. Undersecretary Leila D’Amilia followed with testimony on consumer affairs and business regulation, describing funding for consumer protection, banking oversight, occupational licensure, and public safety inspections.
NH
Transcript Highlights:
  • You know, assistance is so important.
  • , but most importantly, the assistance, but most importantly, the technical<00:15:39.320><c> assistance
  • </c> for for technical assistance as well. for for technical assistance as well.
  • So, not only did he get financial assistance from the payments, but he got some financial assistance
  • </c> assistance and the technical assistance assistance and the technical assistance have<00:31:10.120
Summary: The meeting began with introductions and approval of the previous minutes, including a small amendment clarifying a note about “leakage” in a prior presentation. The committee then heard a presentation from Sarah Hall of the American Forest Foundation on the Family Forest Carbon Program, which she described as a voluntary carbon and forest management program for smaller landowners. She said the program provides annual payments and technical assistance, requires a forest management plan within two years, and is designed to support improved forest management while still allowing compatible uses such as recreation, hunting, and some harvesting. Hall emphasized that the program is intended as one tool among many and is not a fit for every property. She said most enrolled landowners did not previously have a forest management plan or work with a forester, and that the program helps bring “unengaged” landowners into active management. She also said the program is compatible with current use and other commitments on a case-by-case basis, and that landowners retain ownership of their land and timber rights while AFF holds the carbon rights for the contract term. She highlighted examples of landowners using the program to support taxes, family ownership, wildlife habitat, timber stand improvement, and continued recreational or business uses. Committee members asked about registry compliance in New Hampshire and the relationship between carbon markets and the program. Hall responded that AFF handles registry administration for landowners and would follow up on the specific registry count raised by a member. She explained that the program is funded through a mix of carbon market revenue, philanthropy, and grants, and that carbon credits are generated through landscape-level methodology and monitored using randomly selected plots compared with FIA data. She also noted that consulting foresters are key partners in the program and that AFF has paid more than $3 million to consultants nationwide.
MN
Transcript Highlights:
  • </c> assistant for the veteran subcommittee. assistant for the veteran subcommittee.
  • With me in my office, I have an administrative assistant as well as one assistant CVSO who carries all
  • With me in my office, I have an administrative assistant as well as one assistant CVSO who carries all
  • And they improve assistant programs.
  • </c> Veterans of America for that assistance. Veterans of America for that assistance.
Summary: The subcommittee opened its first meeting of the session with member introductions and a statement from the chair that veterans issues would remain distinct and receive separate attention. The first item was an update on the Minnesota Military and Veterans Museum at Camp Ripley from Executive Director Randall Dietrich. He said the museum has operated for nearly 50 years, has outgrown its current space, and is building a new 40,000-square-foot facility with $32 million in state support plus several million more in private funding. He described construction progress, planned exhibits including restored military artifacts and the USS Ward gun, and said the museum is scheduled to open on September 12. In response to Senator Kunish, Dietrich said the museum is actively incorporating stories and flags representing women, tribal nations, and other underrepresented groups, including 11 tribal flags at the entrance, and is working to integrate those stories throughout the galleries rather than isolating them. The committee then received an update from the Minnesota Department of Veterans Affairs on the veterans suicide prevention plan from Rachel Johnson, Veterans Committee Health Director, with John Kelly later answering questions on department impacts. Johnson said the plan is a coordinated statewide framework built with legislative support, expanding regional coordinators, veteran health navigators, data analytics, and community partnerships, including a suicide mortality review pilot in Hennepin County. She said Minnesota loses about 100 veterans a year to suicide, that firearms remain the primary mechanism, and that prevention must address community connection, economic stability, and access to care, not just clinical treatment. She also said the plan aligns with state and federal strategies and is intended as a living roadmap. In response to questions, Johnson said the department is exploring data-sharing policy issues, has not seen a direct financial impact from federal VA staffing changes, and is tracking federal proposals affecting VA advisory groups. She also said 988 data is available in general but more Minnesota-specific data on the veteran option is still being gathered. Members asked follow-up questions about trends in veteran suicide, the role of families in identifying warning signs, and the Hennepin County mortality review pilot. Johnson said the annual number has remained around 100 for about 15 years, with a dip in 2024 and a return to that level in 2025, and that the Hennepin County pilot was chosen because it offers a manageable geography and existing coalition work, with an initial review expected by May or June. The final item began a presentation from the Minnesota Association of County Veteran Service Officers. Legislative chair Larry Fonder said the group’s priorities are protecting veterans from fraud and modernizing the property tax benefit for disabled veterans, but the presentation would focus on educating the committee about the role, training, certification, and accountability of county veteran service officers. President Tom Anderson, the Winona County VSO and a Navy veteran, began describing his background and office staffing when the transcript ended.
KY
Transcript Highlights:
  • child care assistance partnership and moves that funding to the child care assistance initiatives that
  • child care assistance Employee child care assistance partnership<00:50:42.040><c> uh</c><00:50:42.280
  • </c> for the employee child care assistance for the employee child care assistance partnership<00:50:
  • </c><00:50:50.520><c> initiatives</c> the child care assistance initiatives the child care assistance
  • <00:51:24.600><c> partnership</c> assistance partnership assistance partnership and<00:51:26.520><c>
Summary: The Free Conference Committee on the 2026 General Assembly budget met to reconcile differences between the House and Senate versions of House Bill 500. Leaders opened by thanking the other chamber’s work, asking members to turn microphones on and off to avoid feedback, and stressing the need to clearly note decision points so both chambers record the same actions. Staff then walked through the bill page by page, explaining that the committee was comparing only House and Senate differences, not the governor’s proposed budget. The discussion covered a wide range of appropriations and language items, including next generation non-911 services, school safety reporting tools, restored funding for brain injury, epilepsy, veteran service, homeless veterans, and rocket docket programs, debt service changes, rural infrastructure, disaster aid caps, Attorney General and Medicaid fraud funding, agriculture and county fair grants, auditor and pension-related appropriations, school facilities and SEEK funding, and numerous education programs. Members also discussed charter-related funding such as Star Academy, Dolly Parton Imagination Library, school resource officers, school-based mental health providers, AP/IB exams, Governor’s Scholars and Entrepreneurs, and several pilot or initiative programs in economic development, energy, and labor. Several items were described as technical corrections or restorations of language and funding, while others reflected differences in amounts or how funds would be distributed. There were several questions and comments from members about wording such as “implement and carry out,” the absence of the governor’s budget from the comparison document, and whether SEEK funding should be tied to teacher raises. The chair and other members emphasized that the committee’s role was to reconcile the two chambers’ budgets, not to adopt the governor’s proposal. Members also raised concerns about opioid settlement funds and the Dolly Parton Imagination Library match rate, with one senator urging restoration of the House language. No final vote or formal action was taken in the portion provided; the meeting primarily consisted of explanation, questions, and discussion of proposed budget differences.
FL

Florida 2026 4th Special Session

January 20, 2026 - 10:30 AM

Transcript Highlights:
  • House Bill 569, Forensic Client, APD, assists those with developmental disabilities who have been convicted
  • We have a presentation today on our Supplemental Nutrition Assistance Program.
  • As Assistant Secretary, you are recognized to present on DCF's SNAP program whenever you’re ready.
  • SNAP is an income-based food assistance program for... low-income households.
  • When Assistant Secretary Royster was here in October, she had the monthly result.
CA

California 2025-2026 Regular Session

Senate Human Services Committee Jan 12th, 2026

Human Services

Transcript Highlights:
  • If the committee assistant can please call the roll. File Item 1, SB 299.
  • And if the committee assistant can please call the roll. File Item 2, SB 557.
  • If the committee assistant can please call the roll. File item one, SB 299.
  • Madam Committee Assistant, File Item 1, SB 299.
  • If the committee assistant could go through the agenda: File Item 1, SB 299.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Veterans and Federal Affairs Jun 21st, 2026 at 01:00 pm

Joint Committee on Veterans and Federal Affairs

Transcript Highlights:
  • It’s related to Chapter 60 municipal veterans assistance funds.
  • Nursing homes, assisted living homes, okay? These are all places that...
  • Nursing homes, assisted living homes, okay? These are all places that...
  • Nursing homes, assisted living homes, okay?
  • I’m the assistant manager of Northeastern States.
Summary: The Joint Committee on Veterans and Federal Affairs held its second public hearing of the 2025–26 session, with opening remarks from Chairs John Velis and Joe McGonagle outlining testimony on 20 House bills and 18 Senate bills. The hearing covered a wide range of veterans issues, including municipal veterans assistance funds, pension equity, expanding the Office of the Veterans Advocate, veterans service officer staffing, disability benefits eligibility, service dogs, POW tax relief, courtesy parking spaces, women veterans and motherhood, and workforce-related licensing and employment measures. Chairs emphasized the hybrid format, three-minute testimony limit, and written testimony process. Several bills drew support focused on expanding services and access. Representative Arena-DeRosa spoke for bills to broaden municipal veterans assistance funds to cover housing and legal expenses and to study enhanced pension equity for veterans, citing burn pit exposure and shorter life expectancy among veterans. Senator Fattman, Representative Peas, and Veterans Advocate Bob Notch supported bills expanding the Office of the Veterans Advocate to include active-duty service members and their families, arguing it would improve transition support, coordination with state agencies, and retention of military talent in Massachusetts. Representative Arriaga backed a bill to incentivize municipalities to provide full-time or regional veterans service officers and another to study the impact of combat on women veterans and motherhood. Representative Moulton/another sponsor also sought to exempt veterans’ disability payments from income calculations for other state benefits, and Representative Hong and Senator Scanlan supported a state service dog program, POW income tax relief, and courtesy retail parking spaces for veterans. Testimony also focused on workforce and claims-assistance issues. The Military Officers Association of America and James Keene urged passage of bills waiving duplicative education requirements so qualified veterans and military medics can become licensed practical nurses, arguing it would help address health care shortages and recognize military training. Brave Veterans Inc. called for a Veterans Research Trust Fund to protect data and program evaluation work during budget cuts. On claims assistance, one witness supported criminal penalties for unaccredited agents who charge veterans for VA claims help, while a private consulting firm opposed the bill, arguing it would restrict lawful speech and veterans’ choice and that existing federal and HERO Act safeguards already address abuses. The VFW strongly opposed paid claims consulting, said its accredited service officers provide free help statewide, and urged more public awareness of existing free services. No votes or final committee actions were taken during the hearing.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Health Care Financing Jun 21st, 2026 at 10:00 am

Joint Committee on Health Care Financing

Transcript Highlights:
  • In addition to Luke's full-time care, I now assist my mother with grocery shopping, laundry, medical
  • In addition to Luke's full-time care, I now assist my mother with grocery shopping, laundry, medical
  • There are assistive technology devices, applications, and online ABA therapy services.
  • And you needed that assistance. We all deserve that.
  • These staff assist with everyday tasks like preparing food, cleaning Susan's house, and assisting Susan
Summary: The Joint Committee on Health Care Financing held a public hearing focused on two broad sets of issues: home- and community-based care, and school-based Medicaid reimbursement. In the morning session, legislators and advocates testified on bills affecting children and disabled enrollees, including proposals to clarify rate-setting for home health and home care services (H. 767/S. 870), allow family members and spouses to be paid caregivers under MassHealth (H. 1394/S. 886 and related bills), extend MassHealth coverage for applied behavior analysis and other therapies beyond age 21 for adults with autism and developmental disabilities (H. 1351/S. 871), and protect medically fragile children by improving access to continuous skilled nursing. In the later portion of the hearing, testimony shifted to a bill to improve MassHealth reimbursement for schools (S. 862), with speakers describing the school mental health crisis and the need to reinvest Medicaid funds directly into school health services. Witnesses on the home care rate-setting bill said current reimbursement methods are opaque and outdated, contributing to workforce shortages, unfilled shifts, long waitlists, and patients remaining in hospitals longer than necessary. Home care providers and trade groups argued the bill would not set rates directly but would require more transparent methodology and fuller consideration of real costs such as wages, benefits, taxes, training, and technology. On caregiver bills, many family members and provider organizations described the financial and emotional strain of caring for disabled or medically fragile relatives, especially when parents, spouses, or guardians are barred from being paid caregivers. They argued the bills would recognize existing unpaid care, help families remain at home, and reduce reliance on more expensive institutional care. Advocates for adult ABA coverage said services remain medically necessary after age 21 and that ending coverage at that age creates an inequitable “cliff” for MassHealth members compared with those with private insurance. For the PACE/community care bill, elder law attorneys and PACE advocates said current MassHealth income rules force some older adults with modestly higher incomes to spend down to $542 per month, making community living unrealistic and pushing people toward nursing homes. They supported changing the eligibility structure to a premium-based approach that would allow more people to remain in the community. On the school Medicaid bill, advocates said schools are providing effective, preventive mental health care, but reimbursement currently flows to municipalities rather than directly back to school health budgets, limiting districts’ ability to hire and retain staff. No votes were taken during the hearing; the committee heard testimony and several witnesses requested favorable reports on the bills.
LA

Louisiana 2026 Regular Session

Health and Welfare Apr 28th, 2026

Health and Welfare

Transcript Highlights:
  • We have 130-plus assisted living facilities in Louisiana, and this bill was heard.
  • Residents in the assisted living communities live in private apartments, some cook independently, and
  • I have Kevin Hayes with me, who represents the assisted living facilities.
  • Relative to psychedelic assisted therapy, to establish psychedelic. by Senator McMath.
  • Relative to psychedelic-assisted therapy, to establish psychedelic-assisted therapy initiative within
Summary: The House Committee on Health and Welfare met on April 28 with a quorum and took up several Senate bills, beginning with SB 113 on the local health care provider participation program in Calcasieu Parish. The committee adopted a technical amendment and heard that the bill would shift the local sponsor from the parish to the city if needed by a June 1 deadline. After brief discussion and no opposition, SB 113 was reported favorably with amendments. The committee then approved SB 23, which exempts certain assisted living facilities licensed by LDH from the definition of food service establishment, and SB 150, which would allow LDH to scan and electronically store vital records supporting documents and return originals to citizens. SB 221 also advanced after testimony that it would allow EMS providers to be reimbursed by Medicaid for emergency responses where treatment is provided on scene but the patient is not transported. Members discussed that the bill could reduce unnecessary ER use and likely would require some rulemaking, but it was reported favorably. A major portion of the meeting focused on SB 404, a broad vision benefit plan reform bill. Supporters, including optometrists, said the measure would improve transparency, patient choice, and access to eye care by limiting restrictive plan practices; opponents from the vision care plan industry argued it was an unprecedented, provider-driven overhaul that could raise costs and reduce flexibility. After extensive testimony and an agreed amendment clarifying network participation, the committee reported SB 404 favorably with amendments. The committee also reported SB 32 favorably with amendments after emotional testimony from parents and advocates about perinatal bereavement care, cooling devices, and training for hospitals to give grieving families more time and dignity after infant loss. Finally, the committee heard SB 43, which would create a psychedelic-assisted therapy initiative within LDH for clinical research and treatment involving ibogaine and psilocybin, with testimony from veterans, researchers, and advocates describing potential benefits for PTSD, substance use, and traumatic brain injury. The bill was reported favorably with amendments and set to pass a courtesy sheet. The committee then began SB 253, a bill regulating peptides and compounding pharmacies, adopted technical amendments clarifying provider liability, and continued discussion as the transcript ended.