Video & Transcript : 'benefits limitations' :
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CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 7 on Accountability and Oversight Mar 11th, 2026
Transcript Highlights:
- The time limit rules limit CalFresh eligibility to three months in any 36-month period unless an individual
- Of note, H.R. 1 also changed the criteria for states to qualify for a waiver of the time limit, limiting
- As a result, more Californians will be subject to the time limit and at risk of losing CalFresh benefits
- The time limit on June 1, 2026.
- And we do about 45 of them a year related to the time limit.
ND
North Dakota 2025-2026 Regular Session
House Floor Session Apr 16th, 2025 at 12:30 pm
North Dakota House Floor Meeting
Transcript Highlights:
- There are three primary benefits to this bill.
- The second primary benefit of moving to the non-grandfathered plan is that it expands benefits to all
- We have provided this benefit since 1979, and in two recent state employee benefits surveys, fully paid
- , not lower benefits, but better benefits.
- Well, one reason is benefits.
Summary:
The House convened with prayer, roll call, and a quorum present, then took up several procedural motions, including suspending House rules for three legislative days and replacing conference committee members on Senate Bill 2282 and SCR 4007. The chamber also recognized visiting student groups from Grafton/Pleasant Valley and Shiloh School. Later, the House agreed to several conference committee reports and moved a number of measures through final passage or final disposition.
House Bill 1428, which would have created a sales tax exemption for clothing sold by thrift stores or nonprofit corporations, drew extensive debate over tax policy, revenue loss, and possible conflicts with streamlined sales tax rules. Supporters argued it would help lower-income shoppers and nonprofit thrift stores, while opponents said it created an unfair advantage and could reduce state and local revenue. The conference report was adopted, but the bill ultimately failed on final vote, 37-54. House Bill 1440, relating to cigar lounges, was amended in conference and then passed 75-17. House Bill 1460, concerning adult foster care for private-pay adults, electronic monitoring, and a legislative study, was also adopted and passed overwhelmingly, 91-1.
The House then passed Senate Bill 2224, which revises gaming commission structure and gaming stamp requirements, adds Attorney General enforcement provisions, and includes a $25,000 general fund appropriation, by a vote of 88-0. Senate Bill 2327, which expands uses of the agriculture diversification and development fund and appropriates $15 million to it, passed 74-17 after a member was excused from voting due to a personal interest. Senate Bill 2267, creating a regulatory framework for on-site wastewater treatment systems and shifting licensing authority to the Department of Environmental Quality, passed 82-10, and Senate Bill 2276, addressing joint water resource boards for cross-county projects, passed 90-1.
The most contentious debate centered on Senate Bill 2160, which would move the state employee health plan from grandfathered status to a non-grandfathered ACA-compliant plan and appropriate about $6.6 million for the transition. Supporters said it would give the PERS board more flexibility, expand preventive and other benefits, and potentially slow premium growth without charging employees premiums. Opponents warned it could raise out-of-pocket costs, add mandated benefits, and shift costs to employees, while also arguing the bill had not been adequately studied. After extended debate, the House passed SB 2160 by a vote of 55-37. The chamber also concurred in Senate amendments to House Bill 1318, a pesticide labeling bill, and placed it on final passage, but the transcript ends before the final vote on that measure.
LA
Transcript Highlights:
- His family is receiving no benefits.
- His family's receiving no benefits.
- His family is receiving no benefits.
- His family's receiving no benefits.
- We cannot limit the number of temporary restraining order extensions, but not limit also the request
Summary:
The committee first considered HB 446 by Rep. Boyer, a constitutional amendment to set eligible dates for local bond and tax elections. Staff said it would amend Article 6, Section 22, could not be done statutorily, and was scheduled for November 3, 2026 to maximize turnout. The committee adopted the 6.8A report and reported the bill without amendments.
Members then took up several constitutional amendments and civil law measures, including HB 244 on constitutional conventions, HB 214 on a property tax exemption for rehabilitated blighted or derelict property, HB 514 on an additional senior homestead-style ad valorem exemption, HB 27 on how non-recurring state monies may be applied to retirement system unfunded liabilities, and HB 225 on gubernatorial term limits. HB 244 and HB 225 were amended before being reported, while HB 214, HB 514, and HB 27 were reported favorably without amendments. The committee also adopted SB 127, which allows limited curator donations on behalf of interdicted persons and narrows forced heirship in certain disability-related estate planning situations.
The committee approved HB 1043, as amended, to raise the civil jurisdictional amount for the First and Second Parish Courts of Jefferson Parish from $20,000 to $35,000. It also approved HB 473 by substitute on custody and child support, with the substitute preserving language that physical custody should be shared equally unless the court finds that infeasible or not in the child’s best interest. HB 71, which extends certain self-defense liability protections to registered armed private security officers, drew opposition over training and public safety concerns but was reported favorably after a roll call vote of 8 yeas and 1 nay.
The committee also advanced HB 1082, which would require the Municipal Police Employees’ Retirement System to sue municipalities in the local parish rather than East Baton Rouge when it is the plaintiff. Supporters said the current venue rule burdens small towns with travel and litigation costs; opponents argued Article 84 provides a consistent statewide venue and that the litigation is largely about municipalities failing to enroll officers properly. Finally, the committee heard extensive testimony on HB 306, which concerns court costs and fees in domestic abuse cases; members worked through a concept amendment to restore “reasonable” attorney’s fees and add court-approved evaluation and expert witness fees, and the discussion continued with testimony about federal grant compliance and victim protections.
WA
Washington 2025-2026 Regular Session
Joint Legislative Executive Committee on Planning for Aging and Disability Issues Jun 18th, 2025
Joint Legislative Executive Committee on Planning for Aging and Disability Issues
Transcript Highlights:
- And next summer, in July, our benefits go fully live.
- And that benefit amount is adjusted automatically for inflation over time.
- And next summer, in July, our benefits go fully live. Next slide, please.
- Just to give you an idea, some of the services that are covered in that limited benefit package are some
- Combined with AI, technologies can be a benefit to care workers.
Summary:
The committee met for what was described as its final meeting, with members and staff reflecting on the work of the Joint Legislative Executive Committee on Aging and Long-Term Care and noting that future work would likely shift to standing health and wellness committees. The meeting began with introductions and then moved into updates on major initiatives that originated from the committee, including Washington Cares, the Dementia Action Collaborative, and Medicaid long-term care programs. Presenters emphasized that these efforts were developed through long-term legislative-executive collaboration and were intended to help Washington prepare for the state’s aging population.
On Washington Cares, DSHS described the program’s development from a 2014 research effort to its 2019 enactment, premium collection beginning in 2023, portability improvements in 2024, and 2025 changes including a grandfathered opt-out fix and a framework for supplemental private long-term care insurance. The agency said benefits are expected to go fully live next summer, with a pilot of up to 400 applicants planned for next January. On dementia policy, the Dementia Action Collaborative reported on the state dementia plan, Project ECHO training for providers, and pilot dementia-capable community programs at area agencies on aging, citing preliminary results that about 85% of family caregivers said services helped people remain at home. DSHS also reviewed Medicaid Transformation Project initiatives, including Medicaid Alternative Care, Tailored Supports for Older Adults, presumptive eligibility, and health-related social needs benefits such as rental assistance, nutrition support, and home modifications.
The committee then heard an emerging issues panel from ombuds and disability advocates. Patricia Hunter of the long-term care ombuds program raised concerns about staffing shortages, resident rights, surveillance technology, private equity ownership of facilities, and illegal discharges or evictions. Betty Sweeterman of the Developmental Disabilities Ombuds discussed people stuck in hospitals without medical need, gaps in behavioral health services for people with developmental disabilities, and the need for better workforce training. Todd Carlyle of Disability Rights Washington urged expansion and bundling of community supports such as PACT, GOSH, and peer bridgers to reduce repeated institutionalization and support discharge from inpatient psychiatric settings. Provider and labor panels followed, with nursing home, assisted living, supported living, and union representatives all emphasizing workforce shortages, low wages, Medicaid rate inadequacy, case management bottlenecks, behavioral health complexity, and the need for more flexible care models and stronger accountability for rate increases. No formal votes were taken; the meeting ended with public comment on manufactured housing and closing remarks thanking staff and participants for the committee’s work.
ND
North Dakota 2026 1st Special Session
Administrative Rules Committee Jun 11th, 2026 at 10:00 am
Administrative Rules Committee
Transcript Highlights:
- A 200-foot depth would be a practical limit.
- House Bill 1146, which we called the Defined Benefit Plan Cleanup Bill.
- from defined benefit for the regular state employees?
- There are two draft bills that are in front of employee benefits that employee benefits has taken jurisdiction
- , and the annual limit for an organization to basically their prize limit went from $40,000 to $50,000
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Revenue Jun 21st, 2026 at 01:00 pm
Joint Committee on Revenue
Transcript Highlights:
- For today’s hearing, we ask that you please limit your oral testimony to three minutes.
- The bill would require income and credit limits to be indexed to cost of living, but most importantly
- House bill 3198 and Act would ensure that more people receive the benefits.
- But Boston is heavily benefited from that community done.
- But most needs to help me benefit from that of the community done.
Summary:
The Joint Committee on Revenue held a hearing on bills related to senior and disability property tax relief, with a focus on helping older adults and people with disabilities remain in their homes. Testimony supported H. 3968, which would make certain senior and disability property tax exemptions permanent so eligible residents would not have to refile annually, and H. 3198, which would expand the senior circuit breaker tax credit by indexing income and credit limits to cost of living and raising the home valuation cap from $1.1 million to $1.5 million. Representative Scanlan also testified in favor of several additional bills, including a local option motor vehicle excise tax exemption for low-income seniors and veterans, a local property tax cap for low-income seniors, an expanded senior property tax exemption, and a senior property tax deferral program designed to be revenue neutral over time.
Witnesses from the City of Boston, the Massachusetts Municipal Association, and the Massachusetts Association of Assessing Officers generally supported local-option property tax relief measures and said they would help seniors age in place while giving municipalities flexibility. Committee members raised concerns about possible abuse or fraud if exemptions became permanent, and about how assessors would verify continued eligibility without annual reapplication. Supporters responded that eligibility could still be tied to real estate transactions and other documentation, and that the current annual filing requirement causes many eligible seniors to miss out on benefits. Mass Senior Action Council members testified that many seniors are struggling with rising property taxes, insurance, and other costs, and urged broader reforms such as freezing assessed values, improving outreach, strengthening the work-off program, and allowing more flexible payment or deferral options. No votes were taken; the hearing concluded after testimony and questions.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services Apr 9th, 2026
Transcript Highlights:
- So it's our behavioral health scholarship programs that, prior to BH Connect, were limited.
- However, we're limited in the number of cycles that we can offer.
- SB 41 is the pharmacy benefit manager bill.
- And just as context, The limited-term positions previously approved.
- This will help reduce food waste, benefit consumer health, and prevent misleading labeling.
MN
Transcript Highlights:
- And some with higher limits, some with lower limits.
- And some with higher limits, some with lower limits.
- c> limits.
- So, I think 15 some with lower limits.
- c> employers</c><00:14:53.880><c> means</c> Limiting PFML to larger employers means Limiting PFML to
CA
KY
Kentucky 2025 Regular Session
Senate Standing Committee on State & Local Government (3-3-25) - Reupload
Transcript Highlights:
- </c> use annual leave in their final benefit use annual leave in their final benefit calculations<00:
- </c><00:13:55.040><c> calculation</c> added to the final benefit calculation added to the final benefit
- </c> districts accountable for for benefits districts accountable for for benefits offered<00:15:19.519
- :15:22.360><c> and</c> offered Beyond TRS coverage limits and offered Beyond TRS coverage limits and
- aren't reduced that benefits aren't aren't reduced that benefits aren't impaired<00:32:26.320><c> and
Keywords:
Meeting Start: 00:44
Attendance Roll Call: 00:55
SB 193 (Sen. Girdler): 01:53
SB 9 (Sen. Higdon): 03:22
SB 257 (Sen. Tichenor): 34:14
Adjournment: 50:57, 958, all
Summary:
The Senate Standing Committee on State and Local Government first took up Senate Bill 193, a simple measure described as restoring wallet cards for jailers to carry when they are outside the jail. The sponsor noted the fiscal impact was essentially zero, there were no questions, and the committee approved the bill 9-0 for passage to the Senate floor.
The committee then heard Senate Bill 9, sponsored by Senator Higdon, which would change how the Teachers Retirement System (TRS) treats sick leave, personal leave, and annual leave in retirement calculations. The sponsor argued the bill is intended to address TRS’s financial challenges by standardizing leave rules statewide, limiting TRS retirement credit to 10 sick days and 2 personal days per year, preventing annual leave from being rolled into sick leave, requiring districts to pay the actuarial cost for any leave beyond the cap, and adding reporting and oversight requirements for participating agencies. He also said the bill would add 30 days of maternity leave, allow voluntary district contributions for tier four teachers, and direct the state auditor to audit TRS and report on agencies.
Committee members asked about how overages would be audited and billed, the cost of a sick day, and how the bill would interact with local leave policies, including paid parental leave in some districts. The sponsor clarified that existing accumulated leave would not be affected, that the bill applies going forward, and that districts could still offer more leave but would bear the added cost. Members also discussed whether the maternity leave language set a cap or a minimum, and one senator noted the bill was intended to preserve personal days while stopping annual leave from being converted into pension credit. No vote on Senate Bill 9 was shown in the transcript excerpt.
FL
Transcript Highlights:
- Because of all the benefits, the many benefits, of this bill—to animals who will benefit, pet parents
- For policy limits, we settle, fortunately, most of the cases less than policy limits.
- , sovereign immunity limits.
- But if I'm a parent and my resources are limited, my options for choice are limited.
- With the bill, without this amendment, we limit choice. We don't limit the choice.
Bills:
S0036, S0620, S0796, S0934, S1080, S1096, S1366, S1536, S1548, S1580, S1588, S1620, S1756, S7034, S7044
Keywords:
nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, candidate qualifying, federal office, election integrity, regulatory compliance, political candidacy, veterinary medicine, telehealth, veterinary professional associate, animal health, public safety, access to veterinary services, payment bond exemption, Habitat for Humanity, Florida Forever Act, land acquisition
Summary:
The committee first took up SB 354, the “Blue Ribbon Projects” bill, which creates a framework for large planned communities on at least 15,000 contiguous acres with 60% reserved area and a streamlined local review process. Senator McLean presented the bill and a strike-all amendment, and members raised concerns about local control, conservation enforceability, data centers, concurrency, multi-county projects, and whether reserve lands could later be converted. Audubon Florida and 1,000 Friends of Florida opposed the bill, arguing the conservation protections were not permanent enough and that the reserve areas could be changed later; small-county representatives also worried about tax-base impacts. Supporters argued the bill would better manage growth, preserve green space, and provide a more orderly alternative to sprawl. After debate, the committee voted to report the bill favorably.
The committee then approved SB 620 on candidate qualifying, which requires candidates for federal, state, county, district, judiciary, school, and school board offices to disclose any non-U.S. citizenship. Amendments added disclosure about whether federal candidates intend to trade stock if elected and adjusted 2026 congressional qualifying procedures in the event of redistricting, including a new qualifying window and petition rules. The bill was reported favorably after brief support from a member of the public and discussion about candidate vetting. The committee also reported favorably CS/CS/CS/SB 1452, a Department of Financial Services bill with amendments addressing My Safe Florida Home notices, condo pilot eligibility, firefighter hiring, unclaimed property, and related financial-services provisions.
Next, the committee approved CS/CS/SB 1620, a school board members’ bill of rights. A substitute amendment narrowed the bill to access to records, fiscal transparency, and nondisclosure agreements, while preserving board members’ rights to timely documents, budget information, and public comment, and setting deadlines for records requests. Superintendents and a school board member testified in support, saying the bill clarifies roles and prevents board members from being frozen out. The committee also passed CS/HB 245, which replaces the term “child pornography” with “child sexual abuse material”; one senator supported the terminology change but warned about preserving legal precedent and avoiding appellate issues. The committee then reported favorably SB 1548, an update to the Live Local affordable housing law expanding eligible sites and clarifying setbacks, airport proximity, and fair-housing protections.
Finally, the committee took up the veterinary medicine bill creating veterinary professional associates. The bill allows trained master’s-level VPAs to perform limited veterinary services under a veterinarian’s supervision, and an amendment tightened the standard to immediate supervision on premises. Supporters said the measure would expand access to care, especially in rural areas with vet shortages, while opponents argued it added unnecessary regulation. After testimony from veterinary educators and others, the bill continued with support expressed by committee members, including praise for the direct-supervision amendment.
MO
FL
Florida 2025 Regular Session
December 2, 2025 - 03:30 PM
Transcript Highlights:
- for those that are under the 110% Medicare limit.
- Medicare limit and 4 on the right are under the 110% Medicare limit in that the 4 on the right are under
- Generally households are required to renew their snap benefits every 6 months.
- These are activities such as but not limited to electronic benefit transfer, which is the administrative
- And we have only just got this discuss the snap benefit.
WA
Transcript Highlights:
- ESSB 6262 concerns increasing the maximum weight of certain vehicles subject to transportation benefit
- By way of background, a transportation benefit district is a special purpose taxing district that may
- Currently there are about 54 cities that do implement transportation benefit district fees.
- decreases the limit at intersections, increases the limit but to no greater than 60 miles per hour, or
- decreases the limit but to no less than 20 miles per hour except for in shared streets.
NM
New Mexico 2025 Regular Session
IC - Water and Natural Resources Aug 19th, 2025
Water & Natural Resources Committee
Transcript Highlights:
- So, we looked at two types of benefits: the economic benefits as well as non-market social benefits.
- We agree that that limit shouldn't be there.
- was only for city limits.
- Madam Chair, Representative there are limits based on overall capacity, and there are also limits based
- There are many benefits of these newer codes.
TX
Transcript Highlights:
- Flexible and react more quickly to meeting their needs, we all can benefit. Thank you.
- I didn't see where in the bill it was limited to county officials.
- all 50 states, and you'll see where Texas is one of eight that has zero limitations.
- limited to $5,500 per election cycle. ...per donor.
- $200 limits for legislative candidates.
Bills:
HB1951, HB2715, HB3092, HB3237, HB3278, HB3511, HB3592, HB3675, HB3778, HB3782, HB3826, HB3970, HB4016, HB4049, HB4341, HB4344, HB4406, HB4427
Keywords:
collective bargaining, public works, government contracts, labor agreements, state funding, removal from office, political subdivisions, local government, judicial proceedings, administrative judicial region, electric transmission, public convenience, landowner consent, utility regulation, energy infrastructure, energy consumption, higher education, governmental entities, sustainability, electricity reduction
MN
Transcript Highlights:
- </c><00:03:13.080><c> 10%</c><00:03:13.480><c> are</c> for education benefits 10% are for education benefits
- Participation should be limited to 11th and 12th graders.
- Participation should be limited to 11th and 12th graders.
- Participation should be limited to 11th and 12th graders.
- Very limiting to schools.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 7 on Accountability and Oversight Mar 11th, 2026
Transcript Highlights:
- The time limit rules limit CalFresh eligibility to three months in any 36-month period unless an individual
- Of note, H.R. 1 also changed the criteria for states to qualify for a waiver of the time limit, limiting
- As a result, more Californians will be subject to the time limit and at risk of losing CalFresh benefits
- The time limit on June 1, 2026.
- benefits.
Summary:
The Assembly Budget Subcommittee on Accountability and Oversight held a hearing on how H.R. 1’s new federal work and community engagement rules will affect Medi-Cal and CalFresh, especially for Californians with behavioral health needs, people experiencing homelessness, and justice-involved individuals. The Legislative Analyst’s Office outlined the scope of the changes, including Medi-Cal work requirements beginning in January 2027 and CalFresh changes beginning in June 2026, and estimated large potential coverage losses if people cannot document exemptions or comply with reporting rules. State departments said they are still awaiting some federal guidance but are already building implementation plans, data matching, outreach campaigns, and system changes to reduce disruption and automatically identify exemptions where possible.
Department of Health Care Services and Department of Social Services officials described efforts to use existing data, CalSAWS, and cross-program coordination to streamline exemption screening, including for medical frailty, serious mental illness, substance use disorders, and student status. They said outreach will include text messaging, webinars, county training, and community-based partners, while also acknowledging that many people will still need direct worker contact. County representatives stressed that the new rules will create major administrative burdens, require significant new staffing, and could lead to coverage loss if counties are not adequately funded. They urged the Legislature to release the $20 million in current-year General Fund for CalFresh implementation and to consider a much larger county augmentation next year.
Assembly members pressed the administration on outreach strategy, county funding, consistency across counties, and how to avoid harming eligible people through overly aggressive implementation. They also asked about coordination with universities, CDCR, and community-based organizations, and about how exemptions would be documented for mental health and substance use conditions. Department officials said they are working with counties, education institutions, and correctional agencies, and that they are trying to align Medi-Cal and CalFresh rules where possible, but not all federal definitions match. Public commenters from legal aid, counties, labor, and public hospitals warned that work requirements do not increase employment, will worsen food insecurity and health outcomes, and will strain county systems unless the state provides more funding and support.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 2 on Human Services Apr 30th, 2025
Transcript Highlights:
- So why might people not cross-enroll into other benefits?
- This can be exacerbated for programs that scale the benefit amount based on income.
- There are limitations to how data can be used.
- So. organizations that assist customers within Benefits Cal.
- CSBG... ...is relatively limited compared to other state and federal programs.
Summary:
The Assembly Budget Subcommittee on Human Services heard an overview of efforts to streamline access to safety net programs and move toward more automatic, person-centered enrollment. CDSS, DHCS, and CalHHS described current cross-enrollment between Medi-Cal, CalFresh, and CalWORKs, including data showing high overlap among programs and a text-message outreach pilot that increased CalWORKs applications and enrollments but reached only a small share of potentially eligible people. Witnesses emphasized barriers such as differing federal eligibility rules, data-sharing limits, privacy concerns, and the need for better technology, consent management, and stakeholder engagement. Members pressed the administration on how to institutionalize these efforts across administrations and asked for concrete budgetary and regulatory steps to support “no wrong door” enrollment and automatic referrals.
The committee also reviewed several chair priorities. On the proposed foster care multi-agency office, CDSS said existing coordination structures already address much of the intended work and asked to verify prior fiscal scoring. On the Employment First Office, CalHHS explained that the office’s $1 million budget was eliminated in the 2024-25 budget as part of deficit reductions, while noting that employment for people with intellectual and developmental disabilities remains an administration priority through existing departmental coordination. For the food insecurity proposal, CDSS said it could provide technical assistance but would need new data-sharing agreements, could not separately calculate a CFAP participation rate with current data, and would likely need until July 1, 2027, plus ongoing staffing, to complete the requested report. The mandated reporter proposal drew support for reform, with CDSS estimating low-millions in one-time training costs and ongoing costs in the hundreds of thousands.
The subcommittee also discussed a guaranteed income proposal. CalHHS suggested drafting new statutory language and considering a county-administered model rather than a state-run competitive grant process to reduce administrative burden, while members and public commenters urged support for AB 661 and a study of a permanent statewide guaranteed income program. Public testimony also supported automatic enrollment, community-supporting mandated reporting reforms, and cash assistance for fire recovery. In the final items, CSD described how local nonprofit partners helped during the Los Angeles fires with food, housing vouchers, transportation, and emergency energy assistance, and explained that LIHEAP and CSBG remain important but limited tools for disaster response. CSD also said recent federal staffing cuts and possible future federal budget threats could affect LIHEAP and CSBG administration, though no immediate service disruptions had occurred and additional LIHEAP funds were expected to be released soon.
CA
California 2025-2026 Regular Session
Joint Hearing Budget Subcommittee No. 2 on Human Services and Budget Subcommittee No. 1 on Health Apr 9th, 2025
Transcript Highlights:
- So let's talk about health benefits.
- Consumers are adamant that providers have decent wages, medical benefits, and auxiliary benefits.
- There is widespread variation in wages, medical benefits, and auxiliary benefits across the state.
- There is widespread variation in wages, medical benefits, and auxiliary benefits across the state.
- because each benefit, you need all of those things.
Summary:
The joint Assembly Budget Subcommittee hearing focused first on long-term services and supports for older adults, especially the “forgotten/overlooked middle” who earn too much for Medi-Cal but cannot afford private long-term care. Administration witnesses from DHCS, the Department of Aging, and Social Services described Medicare’s limited long-term care coverage, Medi-Cal’s role, the elimination of the Medi-Cal asset test, and ongoing state studies and listening sessions on financing options. Testimony from advocates and researchers emphasized rising homelessness among older adults, the need for better navigation and coordination across health, aging, housing, and social service systems, and short-term policy steps such as share-of-cost reform, housing stability supports, and protecting home- and community-based services. Members highlighted the need for a coordinated, no-wrong-door approach and asked for the most impactful budget investments to address affordability and homelessness risk.
The second major topic was the Community-Based Adult Services (CBAS) program. CDA reported that CBAS helps participants remain in the community, that 304 centers operate statewide serving about 42,000 people, and that demand is stable but access gaps remain in some regions. DHCS explained that a 2024 rate increase authorized by SB 159 became inoperative after Proposition 35, and that a separate 10% rate change on the fee schedule was the result of a DHCS system error; the department said it would not require recoupment, though managed care plans may act under their contracts. CBAS providers and advocates warned that reimbursement rates have not kept pace with costs, that several centers have closed, and that clawbacks could trigger more closures. They requested $74.8 million ongoing General Fund to close part of the rate gap and preserve the program, while members expressed concern about closures and the cost savings of keeping people out of more expensive institutional care.
The hearing then moved to In-Home Supportive Services (IHSS) and statewide collective bargaining. CDSS reviewed provider recruitment and retention efforts, including electronic timesheets, direct deposit, and the now-completed IHSS Career Pathways program, which trained more than 59,000 providers. CDSS also summarized its AB 102 workgroup report on statewide versus regional bargaining, saying the final report would be sent to the Legislature soon and that statewide bargaining appeared more viable than regional bargaining, though it would require clear statutory scope and major fiscal changes. The department estimated that each $1 per hour statewide wage increase would cost at least $1.3 billion to $1.5 billion annually. Labor advocates argued that IHSS wages, benefits, and training are too inconsistent across counties and called for statewide bargaining, consumer participation, and ongoing state funding. County representatives supported stronger wages but cautioned that counties need protection from new costs and administrative burdens, and consumer advocates warned that moving bargaining to the state could weaken local consumer control and the program’s consumer-driven structure.