Video & Transcript Research : 'accommodations'
Page 77 of 213
FL
FL
Florida 2025 Regular Session
FL House Floor Session - 2025-03-04 (11:00AM Session)
Florida House Floor Meeting
TX
MN
Minnesota 2025-2026 Regular Session
Conference Committee on H.F. 1141 - Omnibus Housing finance and policy provisions- 05/08/26
Transcript Highlights:
- This accommodates a later repeal of its placement within the Housing Development Fund section of law.
- c> new proposed coding of new proposed coding of um<00:13:56.880>
this <00:13:57.080>accommodates - > a<00:13:57.800>
later <00:13:58.160>repeal <00:13:58.840>of um this accommodates - a later repeal of um this accommodates a later repeal of its<00:13:59.640>
placement <00:14:00.120
Summary:
The conference committee on the housing omnibus bill began with member introductions and a staff walk-through comparing House and Senate provisions. House Research staff reviewed major policy differences affecting Minnesota Housing Finance Agency operations, including limits on how much the agency may retain from state appropriations for administrative costs, new reporting requirements, restrictions on transfers between appropriated accounts, and House-only language requiring annual expenditure of investment income from state appropriations. Senate provisions were also summarized, including tighter rules on when appropriations may be placed into Housing Development Fund bookkeeping accounts, updated operating-cost reporting, and Senate-only changes to how investment earnings may be used. Staff also described shared and differing provisions on program-money transfers, a lived-experience earnings exemption, and a long list of Senate-only policy changes, including manufactured home park tenant protections, low-income housing tax credit and bond-related changes, a task force on housing taxes and fees, and repealers affecting Housing Development Fund authority and certain older programs.
Fiscal staff then reviewed the budget impacts. The House side included one-time appropriations for workforce housing development, family homeless prevention and assistance, a Minnesota Nice Home Share pilot, and homebuyer education, along with debt service for $100 million in housing infrastructure bonds and transfers/cancellations that produced a net zero general fund impact across the budget window. The Senate side noted a fiscal note for the housing taxes and fees task force and a smaller housing infrastructure bond authorization, with corresponding debt service costs and a total Senate budget-window impact of about $1 million in general fund debt service. After the staff presentations, the committee moved to public testimony.
Commissioner Jennifer Ho of Minnesota Housing said the bill’s housing infrastructure bonds and continued support for family homeless prevention were important, and she supported the lived-experience earnings exemption, while noting concerns about the interest-earnings provisions. Testifiers from Greater Minnesota groups praised the workforce housing investments and Senate updates to the state housing tax credit and infrastructure grant program, though they suggested changes to the geographic distribution language. HOME Line urged funding for statewide tenant hotline services, citing rising demand and asking for $1 million if additional money becomes available. The Minnesota Consortium of Community Developers supported the bill’s investments and emphasized the need to pair housing development with supportive services. Housing First Minnesota praised housing infrastructure bonds and other investments but criticized the omission of the Minnesota Starter Homes Act. The Minnesota Multi Housing Association began testimony opposing certain rent-control-related provisions in the House bill. No votes or final actions were taken during the portion of the meeting provided.
MN
MD
Transcript Highlights:
- House Bill 536, Employment Discrimination, Reasonable Accommodations, Disabilities Due to Childbirth,
- discrimination,<00:58:57.520>
reasonable discrimination, reasonable discrimination, reasonable accommodations - ,<00:58:58.720>
disabilities <00:58:59.280>due <00:58:59.520>to accommodations, - disabilities due to accommodations, disabilities due to childbirth,<00:59:00.400>
menopause, <00
Summary:
The House convened with 127 members present, heard a prayer, and then recognized 2025 Maryland Blue Ribbon Schools and the Maryland Municipal League on its 90th anniversary. The Blue Ribbon resolution named Baltimore Polytechnic Institute, Diamond Elementary School, Little Flower School, Meyersville Elementary School, St. Louis School, Stoneleigh Elementary School, and Wilson Whims Elementary School, with principals introduced from the gallery. The MML resolution honored the league’s service to Maryland’s cities and towns and invited members to meet municipal officials after the floor session. The clerk also noted a second printing of the 2026 rule book due to a table-of-contents error.
The chamber then took up House Bill 80, the Residential Leases Fee Disclosures bill. Floor debate focused on what fees must be disclosed, what counts as a utility versus a fee, whether the bill applies to oral leases, and how the measure applies to landlords with four or more units. Supporters said the bill is intended to ensure tenants know all upfront fees before signing and to create a clear enforcement pathway; opponents raised concerns about penalties, affordability, and the burden on landlords. The bill passed on third reading by a vote of 95-34.
The House next considered House Bill 153, which requires air conditioning in newly constructed residential rental units and units undergoing specified substantial renovations, with the standard that habitable spaces be kept at 80 degrees or lower. Members asked whether window units would satisfy the requirement, how the bill interacts with older buildings and ongoing renovations, whether it applies retroactively, how enforcement would work, and whether it references federal refrigerant rules; the sponsor said it does not require central air and is prospective only. Supporters argued it reflects existing practice in Montgomery and Prince George’s counties and clarifies habitability standards, while opponents cited costs and concerns about older homes. The transcript ends during debate on this bill, before a final vote is recorded.
AL
Alabama 2026 1st Special Session
Alabama House Education Policy Committee Feb 25th, 2026
Education Policy
Transcript Highlights:
- This bill would also require high schools to provide reasonable accommodations for those activities.
- 29.360>
reasonable high schools to provide reasonable high schools to provide reasonable accommodations - <00:14:32.320>
I accommodations for those activities. - I accommodations for those activities.
WY
Wyoming 2026 Regular Session
House Labor, Health & Social Services Committee, February 25, 2026
Labor, Health & Social Services
Transcript Highlights:
- In order to ensure that I could do my job, I had to request ADA accommodations to allow for me to telework
- to ensure that I could do my job, I had to request<00:57:53.280>
ADA <00:57:53.760>accommodations - <00:57:54.480>
to <00:57:54.720>allow <00:57:55.040>for request ADA accommodations - to allow for request ADA accommodations to allow for me<00:57:55.359>
to <00:57:55.599>teleawwork
AZ
Arizona 2026 Regular Session
02/24/2026 - Senate Appropriations, Transportation and Technology
Appropriations, Transportation and Technology
Transcript Highlights:
- recipient over the two-year cycle and make up to $2 million available for the statewide database to accommodate
- the counties for reentry, so the counties have not yet received... for the statewide database to accommodate
- But with accommodations, people who have disabilities can be very, very productive and are very productive
- very capable and can be very productive, and what we should be doing is helping them to have the accommodations
Bills:
SB1041, SB1050, SB1131, SB1138, SB1249, SB1267, SB1272, SB1317, SB1461, SB1488, SB1504, SB1517, SB1523, SB1580, SB1582, SB1584, SB1585, SB1602, SB1630, SB1654, SB1672, SB1673, SB1718, SB1761, SB1819, SB1826, SB1827
Keywords:
electronic monitoring, nursing care, assisted living, resident rights, privacy, consent, surveillance, veterans, lifetime pass, state parks, Arizona, access, disabled veterans, cardiac arrest, defibrillators, school safety, emergency response, CPR training, Arizona education funding, automated license plate readers
Summary:
The committee first considered Senate Bill 1630, which would direct AHCCCS to seek federal approval for a home- and community-based services program for adults determined to be seriously mentally ill, with quarterly implementation updates, stakeholder input, and a cap on enrollment. The sponsor and advocates from Arizona Mad Moms argued the bill would create an assisted-living-style Medicaid option for the most disabled SMI individuals, improve continuity of care, and reduce state general fund costs by shifting some expenses to federal Medicaid funding. Access testified neutral, estimating a total fiscal impact of $27.7 million, including $5.83 million general fund, and explained the need for CMS approval. The committee adopted an amendment reducing the initial cap to 250 members, changing reporting frequency, and adjusting eligibility and expansion conditions, then passed SB 1630 as amended on a 10-0 vote.
The committee next heard Senate Bill 1131, which originally required school districts and charter schools to adopt cardiac emergency response plans and appropriated $1 million for implementation. An amendment replaced the mandate with a reporting requirement on AED counts, CPR/AED-trained staff, and whether schools have a plan, while keeping a grant component for AEDs and prioritizing rural schools. The American Heart Association supported the amended approach as a way to gather baseline data and target resources, and members discussed AED training, school preparedness, and whether the funding should favor rural or high-population schools. The committee adopted the amendment and passed SB 1131 as amended on a 9-1 vote, with Senator Kuby voting no and several members explaining concerns about funding and priorities.
The committee then took up Senate Bill 1582, which concerned the school safety interoperability fund. An amendment shifted the appropriation from the Department of Education to the Department of Administration and allocated funds to specific county sheriff offices for continuing operation and maintenance of existing interoperability systems, while narrowing the program to public safety agencies and school districts and requiring twice-yearly testing. Sheriffs, a county school superintendent, and the Arizona Sheriffs Association described the systems as useful for drills and real emergencies, improving communication between schools and first responders; one speaker noted the program had been used in drills and at least one live deployment. Some members questioned the audit findings, the focus on rural counties, and whether the program was a good use of funds, while supporters emphasized its value for school safety. The committee adopted the amendment and passed SB 1582 as amended on a 6-4 vote.
Finally, the committee began hearing Senate Bill 1504, which would change retirement rules for Tier 2 and Tier 3 public safety personnel by allowing earlier normal retirement and shortening the COLA waiting period, with an amendment exempting the changes from the statutory pre-funding requirement. Supporters from firefighter and police groups said the bill would improve recruitment and retention and let employees receive earned benefits sooner, while city, county, and taxpayer representatives warned it would add substantial unfunded liabilities and undermine the 2016 pension reforms. Actuarial testimony estimated significant costs, including tens of millions in annual or upfront impacts depending on how the change is funded, and members debated whether the amendment would shift costs onto future taxpayers or simply spread them over time. The transcript ends during continued testimony and discussion on SB 1504, before a final vote is reached.
MS
Transcript Highlights:
- I appreciate y'all accommodating me via Zoom.
- I appreciate y'all accommodating<00:51:58.720>
me <00:51:59.920>via <00:52:00.319>Zoom - <00:52:00.640>
I'm <00:52:00.880>in <00:52:01.040>in accommodating me via Zoom - I'm in in accommodating me via Zoom.
Summary:
The committee heard presentations on several Medicaid-related topics. First, a pharmacy representative discussed nonopioid pain medications as a way to reduce opioid dependence and overdose risk, emphasizing that options such as acetaminophen, NSAIDs, and topical diclofenac can be useful for pain management. She cautioned that nonopioids can still have risks and said any policy should avoid requiring patients to step through opioids before accessing safer alternatives, while still allowing reasonable step therapy among nonopioid options. The presenter said the goal is to keep patients from being pushed toward opioids by cost or insurance design.
The committee also heard emotional testimony from parents of a child with Prader-Willi syndrome, who described the condition as a rare genetic disorder that causes severe, lifelong hyperphagia and requires rigid supervision and ongoing treatment. They argued that alternative funding programs can disrupt access to medically necessary drugs such as human growth hormone, forcing families into costly and uncertain coverage gaps. They asked lawmakers to ensure insurance coverage remains stable for rare disease patients and thanked Senator Blackwell for prior support of rare disease legislation.
Next, a Livanova representative urged the committee to support higher Medicaid reimbursement for vagus nerve stimulator surgery for drug-resistant epilepsy. He said inadequate hospital reimbursement has reduced access in Mississippi, causing patients to travel long distances or go without treatment, and argued that better reimbursement would improve outcomes and save money over time. He cited studies showing seizure reductions, lower ER use, and a projected $2.8 million in five-year savings for Medicaid based on 40 patients, and asked that hospitals be reimbursed at 100% of Medicare rates for the procedure codes.
Finally, a Medicaid official gave a broad overview of hospital payment structure, including fee-for-service, managed care, MHAP, DSH, UPL, provider taxes, and related funding mechanisms. She explained that hospital payments are interrelated and have shifted over time, with major changes tied to managed care, MHAP/UPL increases, and provider taxes. At the end of the discussion, the committee was running short on time and asked her to skip ahead to the provider tax component; no votes or formal actions were taken in the portion provided.
MN
Minnesota 2025-2026 Regular Session
Legislative Budget Office Oversight Commission 1/22/26
Minnesota House Floor Meeting
Transcript Highlights:
- kind of asking for this type of analysis, and the office decided to try to do it just to sort of accommodate
- <00:14:12.079>
to <00:14:12.639>sort <00:14:12.880>of <00:14:12.959>accommodate - <00:14:13.839>
um to do it just to sort of accommodate um to do it just to sort of accommodate
Summary:
The Legislative Budget Office Oversight Commission met on January 22, 2026, with a quorum present and approved the minutes from the December 17, 2025 meeting. The main presentation was by Erikica McKeler of the National Conference of State Legislatures on dynamic fiscal notes, dynamic scoring, and how they differ from static fiscal notes. She explained that dynamic analysis tries to capture broader economic and behavioral effects of policy changes, but that most states have experimented with it only briefly, often for tax bills, and many have later scaled back or abandoned the practice because it is staff-intensive, expensive, and difficult to validate.
McKeler highlighted examples from Texas, Utah, and Arkansas. Texas requires dynamic fiscal impact statements for certain large tax or fee measures and for the biennial appropriations bill; Utah has done such analyses on request during the interim but only when staff time allows; and Arkansas recently began producing dynamic fiscal notes with thresholds and request limits. She noted that these states generally use REMI software, though Utah switched to IMPLAN for cost reasons. She also outlined common challenges, including the need for strong staff expertise, the sensitivity of results to assumptions, the expense of software licenses, and the difficulty of measuring accuracy over time.
Members then discussed whether dynamic scoring could be useful for health and human services programs where a policy may shift costs between settings rather than create a simple new expense. Senator Marty raised a Medicaid example involving home-based blue light therapy for newborns, arguing that dynamic analysis might better capture potential savings from avoiding longer hospital stays. Legislative Budget Office and Minnesota Management and Budget staff responded that such effects may be better understood as direct program substitutions rather than true dynamic effects, and emphasized the need for reliable data and caution because savings estimates could reduce appropriations if they do not materialize. The discussion also touched on whether dynamic models would capture local government impacts, but no formal action was taken beyond the approval of minutes and receipt of the presentation.
MO
Transcript Highlights:
- And there’s just accommodations that we do whenever we play softball.
- But so, I mean, we make accommodations so that we can play together when we play co-ed.
- that my cis teammates and the cis people in life that I've encountered that I have made every accommodation
- that I've put in, the love of my family, the love of my family, the... ...that I have made every accommodation
KY
Kentucky 2025 Regular Session
Budget Review Subcommittee on Transportation (9-17-25) - Reupload
Transcript Highlights:
- So we do run into that in some of the towns where we do have the need to accommodate the pedestrians
- /c><00:54:30.800>
the <00:54:31.680>need <00:54:31.920>to <00:54:32.079>accommodate - do have the the the need to accommodate do have the the the need to accommodate the<00:54:32.720
Keywords:
0:00:15 Call to Order and Roll Call
0:01:15 Maintenance Update
0:21:07 Approval of Minutes
0:21:32 Regional Offices
0:43:47 SHIFT Scoring
1:04:24 Local Assistance Road Program
1:16:41 Adjournment, 958, all
Summary:
The Budget Review Subcommittee on Transportation met without a quorum and first received a maintenance update from Kentucky Transportation Cabinet officials James Ballinger and John Moore. They described how repeated disasters, including floods, tornadoes, and ice storms, have strained routine road maintenance and forced crews to focus on emergency response, snow and ice removal, pothole patching, ditching, signal repairs, mowing, striping, sign work, and other day-to-day upkeep. They said snow and ice costs have averaged about $60 million to $61 million annually in recent years, disaster response has totaled hundreds of millions of dollars over five years, and the cabinet often must carry those costs until FEMA or FHWA reimbursement arrives. They also said maintenance work is increasingly contracted out because of staffing and resource limits, and that competitive pay is needed to retain employees and contractors for around-the-clock emergency work.
Members then discussed traffic roundabouts and other intersection designs. Senator Hickden asked about their cost savings and safety benefits compared with traffic signals, and cabinet staff said they would provide life-cycle cost figures later. They emphasized that roundabouts and related designs reduce serious injuries and fatalities, with serious injuries down roughly 70% to 80% and fatalities over 90% in their experience. Chair Douglas and others asked about roundabout sizing for trucks and farm equipment, and staff explained that designers tailor the inscribed diameter to local traffic needs and context. The committee also briefly discussed red-light running and traffic-light cameras, with members stressing the safety risks of drivers ignoring signals.
The committee adopted the minutes from the prior meeting by motion and voice vote. It then heard from Sarah Jackson and Matthew Cole on the Real ID and driver licensing transition. They said the cabinet has expanded from almost no regional offices to 35, grown driver licensing staff from 89 to 400, and now issues about 1.3 million credentials annually. They reported improvements in office capacity, queue management, staffing, and compensation, including added workstations, new or expanded offices in Louisville, Lexington, and Bardstown, and the use of contract staff. They said statewide average wait times have fallen to just under 30 minutes, and Kentucky’s Real ID adoption rate has risen to 42.9%.
Members asked follow-up questions about driver testing and CDL scheduling. The presenters said all permit and CDL testing is coordinated through Kentucky State Police, with written tests available in most regional offices and CDL testing at a smaller number of KSP locations. Senator Douglas asked when the driver testing requirements were last updated, and the presenters said that was set by KSP. The discussion ended with additional questions about which regional offices lack KSP testing presence, but no further action was taken before the transcript ended.
KY
Kentucky 2025 Regular Session
Artificial Intelligence Task Force 2025 (8-14-25) - Reupload
Transcript Highlights:
- , we've got a lot of economic demand, but we've got to make sure that we've got the capacity to accommodate
- we've got the got to make sure that we've got the capacity<01:09:50.319>
to <01:09:50.640>accommodate - /c><01:09:51.920>
um <01:09:52.480>those <01:09:52.799>demands capacity to accommodate - um those demands capacity to accommodate um those demands because<01:09:53.759>
it's <01:09:54.080
Keywords:
Meeting Start - 00:00
Roll Call – 00:15
Approval of Minutes of the July 15, 2025, Meeting 00:55
Helping Power Kentucky’s Growth – 01:25
Powering and Deploying AI – 41:00
Fueling America’s Intelligence – 56:12
Adjournment – 01:10:37, 958, all
Summary:
The Artificial Intelligence Task Force met with a quorum, adopted prior meeting minutes, and then focused on energy policy and economic development as they relate to AI and data centers. John Bevington of LG&E and KU, introduced by Caroline Clark of LG&E/KU and PPL, described the utility’s Kentucky-only service territory, vertically integrated system, 1.3 million customers, and about 7.5 gigawatts of generating capacity. He said the company has supported 76 Kentucky projects in 2024 totaling about $3 billion in announced investment and roughly 3,000 jobs, with a large share of statewide announcements occurring in its service area.
Bevington said LG&E and KU’s current project pipeline is unusually strong, totaling about 170 projects and 8.5 gigawatts of requested power, with data centers accounting for about two-thirds of that demand. He broke the pipeline into existing customer expansions, new-to-Kentucky projects, and 20 data center projects representing about 5.6 gigawatts of potential load. He highlighted a Louisville data center project by PO Development Company and Powerhouse Data Centers that has announced a 400-megawatt facility and may expand to 525 megawatts, estimating that such a project could represent about $4 billion in investment. He also explained that large data centers generally must locate near transmission lines and that utilities must conduct studies, order long-lead equipment, and secure reimbursement commitments before proceeding so other customers are not harmed.
Members asked about how Kentucky compares with other states, the size of data center projects, and whether regulatory reform is needed. Bevington said the 20 projects reflect current Kentucky interest, which he attributed in part to the state’s sales tax exemption for data centers, and noted that states like Ohio have had similar incentives for years. In response to questions from Senator Thomas, he confirmed that data centers can vary in size and said the state should have a regulatory environment that supports economic development, while emphasizing that the benefits would flow to the state, local communities, and schools rather than just the utility. He also cited national and regional data suggesting data centers generate indirect jobs and tax revenue, and said LG&E and KU are investing in transmission, reliability, solar, and gas generation projects, including proposed additional 645-megawatt natural gas units and other system upgrades, to meet expected demand.
NH
Transcript Highlights:
- So this bill, with these changes, would accommodate, I think, most of the state. beyond the scope of
- So, this bill with these changes<00:35:34.560>
would <00:35:35.119>accommodate, <00:35:35.760 - >
I <00:35:36.000>think, <00:35:36.079>most changes would accommodate, I think, - most changes would accommodate, I think, most of<00:35:36.480>
the of the of the state.<00:35:
NH
Transcript Highlights:
- So the bills try to accommodate this by defining quote commercially zoned land as quote land zoned for
- c><01:06:57.039>
bills <01:06:57.280>try <01:06:57.440>to <01:06:57.520>accommodate - <01:06:57.920>
this <01:06:58.160>by So the bills try to accommodate this by So the - bills try to accommodate this by defining<01:06:58.799>
quote <01:06:59.200>commercially
NH
New Hampshire 2025 Regular Session
House Criminal Justice and Public Safety (03/07/2025)
Criminal Justice and Public Safety
Transcript Highlights:
- Um what the amendment does is it actually just accommodates the rest of the bill.
- for<01:15:12.320>
overnight to the public for overnight to the public for overnight accommodations - 14.560>
in <01:15:14.880>any <01:15:15.199>multiple <01:15:15.679>unit accommodations - or in any multiple unit accommodations or in any multiple unit residential<01:15:16.960>
building
TX
Transcript Highlights:
- We modeled this after successful programs in other states, ensuring that our parameters accommodate the
- anxiety, and other health issues that may require additional needs for flexibility and other accommodations
- This is the ongoing effort within private schools to ensure they are accommodating to a broad range of
- Our standards have been designed to accommodate growing needs of schools and the dynamics of the students
Bills:
SB 2
MN
Minnesota 2025 1st Special Session
House Judiciary Finance and Civil Law Committee 1/21/25
Judiciary Finance and Civil Law
Transcript Highlights:
- disabilities, and the Minnesota judicial branch has had a longstanding commitment to providing accommodations
- commitment branch has had a longstanding commitment to<00:14:49.600>
providing <00:14:50.360>accommodations - <00:14:51.360>
that <00:14:51.600>ensure to providing accommodations that ensure to - providing accommodations that ensure access<00:14:52.600>
to <00:14:52.800>our <00:14:53.519
Summary:
The House Judiciary Finance and Civil Law Committee met to approve the January 16 minutes and then heard a budget presentation from State Court Administrator Jeff Shorba on behalf of the Minnesota judicial branch. Shorba described the courts’ structure, mission, and workload, noting 322 judges, about 2,800 staff, roughly 1 million district court filings annually, and a current budget of about $479 million. He emphasized the branch’s constitutional obligation to provide fair and timely access to justice and said the courts are funded almost entirely through legislative appropriations. He also highlighted recent accomplishments made possible by prior legislative funding, including eliminating the pandemic felony and gross misdemeanor backlog, expanding remote and hybrid hearings, improving courtroom technology, sustaining treatment courts, and increasing pay for interpreters and psychological examiners.
Shorba outlined the judicial branch’s 2026–27 budget request, which he said totals a 12% increase over the starting biennial base. Major requests included $77.3 million in 2026–27 and $104 million in 2028–29 for a 6% judicial salary increase and related compensation costs; $5.1 million in 2026–27 and $1.76 million in 2028–29 for digital accessibility compliance with new federal ADA rules; $4 million in 2026–27 and $800,000 in 2028–29 to modernize justice partner access to court records; $7.2 million in 2026–27 to raise pay for contract psychological examiners; and $18 million in 2026–27 to increase juror pay from $20 to $100 per day and align mileage rates with federal rates. He also discussed ongoing funding needs for interpreter services, jury costs, cybersecurity, and other statutorily required court services, saying temporary funding provided in the prior session will expire and that permanent support is needed.
Members asked questions about treatment courts, employee bargaining, and mental health competency issues. Representative Eric requested more detail on funding for newly launched and existing treatment courts, and Shorba said many treatment courts begin with federal grants before transitioning to state support after about three years. He confirmed the judicial branch negotiates its own employee contracts rather than the executive branch doing so, and said the branch has three unions plus many unrepresented employees. On mental health and competency, Shorba said the branch is focused on obtaining timely psychological evaluations and is not responsible for treatment services themselves, but acknowledged a shortage of examiners and treatment beds and said a related competency board would be testifying the following week. No votes or formal actions were taken beyond adoption of the minutes.
HI
Transcript Highlights:
- Uber and Lyft have drivers on the mainland that are specific for individual disabilities that can accommodate
- <01:13:05.120>
can individual disabilities that can individual disabilities that can accommodate - 01:13:07.120>
uh <01:13:07.280>Etc <01:13:07.880>so <01:13:08.040>I accommodate - wheelchairs uh Etc so I accommodate wheelchairs uh Etc so I think<01:13:08.320>
if <01:13:08.440
Summary:
The Committee on Health and Human Services held an informational briefing on Kupuna Care funding, distribution, utilization, and the status of program rules. The Office of Aging explained that state Kupuna Care funds are distributed using the same federally approved interstate funding formula used for Older Americans Act funds, with eight weighted factors tailored to Hawaii’s conditions: older adults, greatest economic need, low-income minority status, disability, language barriers, geographic isolation, inverse population density, and older adults living alone in poverty. The department said the formula is based on census and American Community Survey data, with current county shares listed as Kauai 7.45%, Honolulu 69.61%, Maui 11.7%, and Hawaii County 17.88%. Officials said the formula is being reviewed with current data and will need federal approval and then public hearing before final adoption.
Members questioned how the program works in practice, noting that the statute and eligibility language can sound like direct individual benefits even though services are delivered through area agencies on aging, ADRCs, and contracted providers such as meal and adult day care programs. The Office of Aging said ADRCs determine eligibility and then refer clients to authorized providers, who must meet service standards in their contracts. The chair pressed repeatedly for long-delayed rules, saying the Legislature had expected them years earlier and that clear rules are needed to ensure funds are spent properly and to avoid conflicts of interest. The department acknowledged the delay, said draft rules were written in 2023 after earlier commitments to finish sooner, and said it paused while federal Older Americans Act rules were being updated; it now expects to send the rules to the Deputy Attorney General, then out for public hearing, with a goal of completion in 2025.
The department also reported utilization data for the last two fiscal years. In 2023, it expended about 93% of its allocation and served 5,473 older adults at an average annual cost of $1,358; in 2024, it expended about 97% and served 5,520 older adults, with the average cost down by about $200, which officials said may indicate fewer services per person. Eligibility was described as age 60 or older, U.S. citizen or qualified alien, with cognitive impairment or disability and functional deficits, and the statewide profile showed many participants were homebound, living alone, or below poverty. The most-used services were transportation, case management, and home-delivered meals. The chair also asked about the former Kupuna caregiver program; officials said the programs are now combined under Kupuna Care, with most funding going to adult day care to provide respite for working caregivers.
County representatives then described local conditions, especially on Hawaii Island. Hawaii County officials said the county covers about 5,000 square miles, has about 208,000 residents, and roughly 24% are age 65 or older. They identified three main challenges: staffing shortages and retention problems among providers, shortages within the county department itself, and the loss of adult day care capacity, with only one center remaining on the island and none on the west side. They said these constraints limit service delivery even as demand grows. At the same time, they highlighted successes such as serving people in the community before they need higher levels of care, providing caregiver counseling and training through adult day care, serving 467 individuals locally, and ensuring the Resource Center answers calls from caregivers seeking help.