Video & Transcript Research : 'wellness program'

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WA

Washington 2025-2026 Regular Session

House Transportation Jun 8th, 2026

Transcript Highlights:
  • in these programs.
  • The Paratransit Special Needs Program is primarily an access program.
  • Next program is what we call ZAP, Zero Emissions Access Program.
  • Next program is what we call ZAP, Zero Emissions Access Program.
  • program.
Summary: The House Transportation Committee held a work session focused on Climate Commitment Act transportation spending and electrification programs. Staff first reviewed overall CCA transportation allocations, saying about $2.2 billion has been allocated over three biennia, with major categories including public transportation, active transportation, ferry electrification, zero-emission vehicle programs, rail/ports, and planning. Members asked for additional breakdowns comparing CCA dollars with total program costs across categories. The Department of Ecology presented on the zero-emission school bus grant program. Ecology said the program was codified in 2024 and supports the transition from diesel to electric school buses, including buses, charging infrastructure, and training. For 2025-27, Ecology received $38.3 million in CCA funding; $21.4 million is already obligated or spent, replacing 91 diesel buses in 28 districts, with the rest to be awarded by the end of the biennium. Members asked about cost parity, exemptions for rural and extracurricular routes, health data, and whether the funding covers chargers as well as buses. Ecology said OSPI is developing the parity formula and exemptions are available when electric buses cannot meet district needs. The Department of Commerce described its clean transportation role, including EV rebates, tribal charging and electric boat projects, and the EV Coordinating Council. Commerce said its rebate program was designed to lower monthly costs and prioritize low-income households, with 89% of recipients saying the rebate was essential to their purchase. It also reported strong demand for charging grants, progress on tribal projects, and concerns about utility interconnection timelines, vandalism, and range anxiety. The Department of Enterprise Services reported on state agency EVSE projects, saying it has completed 82 sites with 567 Level 2 ports and 46 DC fast chargers, and that current projects will add 152 more Level 2 ports; members asked about replacing aging chargers and the state’s EV fleet purchasing mix. WSDOT closed with updates on charging, transit, and port electrification. It said its corridor charging program has awarded 23 sites this biennium, with 13 in overburdened communities and five tribal sites, and that the Washington Zero Emission Incentive Program opened with $112 million for vouchers for zero-emission commercial vehicles and equipment. WSDOT also described transit grants, including bus and bus facility funding, commute trip reduction, paratransit, tribal transit, and zero-emissions access car-share projects. The rail freight and ports division reported $89.8 million for port electrification projects, including shore power and drayage trucks, but noted only about 10% has been spent so far because projects are still in design and permitting. Members raised concerns about funding gaps, supply-chain delays, utility capacity, and whether the programs are sufficient to meet broader electrification needs.
OR
Transcript Highlights:
  • So a couple points there: we are a loan program; we are not a grant program.
  • There's an overflow stormwater grant program, a small program that DEQ does administer.
  • We help them understand and meet the program requirements. There are several program requirements.
  • Our Clean Water State Revolving Fund programs, their programs, our Clean Water State Revolving Fund programs
  • We do have business programs. We have loan programs for businesses.
Summary: The task force met to focus on funding systems and incentive structures for a proposed regional waste infrastructure effort, including how a future WIPA framework might support solid waste planning in the Willamette Valley. Staff and members heard presentations from DEQ on the Clean Water State Revolving Fund, from Business Oregon on the Special Public Works Fund, and from Oregon State Treasury on state bonding capacity and the bond issuance process. Presenters explained how their programs are structured, how projects are scored or approved, what kinds of public entities and projects are eligible, and how interagency coordination and co-funding can work. DEQ emphasized that its revolving loan fund is driven by water-quality benefits and public-health criteria, while Business Oregon described a broader infrastructure loan program for public entities with no scoring system, and Treasury outlined the state’s debt-capacity process and the differences between general obligation and lottery bonds. Members used the presentations to discuss whether similar funding tools could support solid waste infrastructure, especially for transfer stations, regional hubs, and related facilities that may need to be built before Coffin Butte reaches the end of its lifespan. Several questions centered on whether public-private partnerships could qualify, whether equipment inside facilities could be financed, how repayment would work, and whether planning costs could be covered. DEQ and Business Oregon both said they could potentially collaborate on scoring or co-funding, but noted eligibility limits and the need for public ownership in many cases. Treasury said bond capacity is limited and competitive, especially for lottery bonds, and that project authorization generally runs on a two-year cycle, though unused authority can sometimes be reauthorized. In task force discussion, members debated whether the group should pursue a dedicated funding lane for the seven-county region rather than having local governments compete with other statewide needs. Some members stressed the importance of criteria to avoid stranded assets and to ensure funding is available when projects are ready, while others raised concerns about how cities and counties would generate revenue to repay debt during construction and early operations. The group also discussed flow control, system fees, and the need for regional collaboration among counties, cities, and haulers to create enough waste volume to support new infrastructure. Staff noted that pre-session filing materials for the legislature are due September 11, and the chair said the August meeting will focus on organizational structure and identifying partners. During public comment, Representative Kevin Mannix submitted written testimony supporting the WIPA concept and urging the task force to endorse it. Commissioner Bubba King of Yamhill County urged the task force to compare alternatives objectively and warned against adding bureaucracy before evaluating existing infrastructure and costs. Commissioners Kevin Cameron and Roger Nyquist of Marion and Linn counties described regional hub-and-spoke concepts, transfer stations, and intermodal options, emphasizing the need for planning, strategic siting, and collaboration with haulers and local governments.
ND
Transcript Highlights:
  • Also, you know, maybe we'll change our core focus, too, as well, focus on just those essential core programs
  • Well, if I could, Mr.
  • Well, my sister's very smart. Well, my sister's very smart. That's all I can say. Yeah.
  • Well, I appreciate that.
  • Well, thank you. Perfect. Thank you. And it's nice to see that. Well, thank you. Perfect.
Keywords: 908, all
Summary: The committee first approved the December 10 minutes and then received a DEQ base budget summary and agency overview. DEQ staff explained that the agency is largely federally and special funded, with major ongoing costs in salaries, operating expenses, grants, and continuing appropriations. Director Dave Glatt and accounting director Beth Jacobson highlighted core programs, the move to a new chemistry laboratory, the new state fuel inspection program, wastewater-related funding from HB 1577, and implementation of SB 2267 for on-site wastewater rules. They also noted the agency’s spending patterns, possible federal EPA cuts, and the likelihood of some fee adjustments or program changes if federal support declines. Members asked about DEQ’s travel, field offices, future staffing, and how the agency would respond to reduced federal regulation. DEQ said most staff are based in Bismarck, with field offices in Fargo, Sawyer, and Gwinner, and that travel is driven by inspections and spill response. Glatt said the agency would continue to rely on science and law, and that any future federal retrenchment could mean more state responsibility but likely not a wholesale increase in FTEs. The committee also discussed a feedlot enforcement case in the Minot area, with DEQ explaining its role in ensuring compliance, permitting, and animal-waste management standards. The Department of Health and Human Services then presented on FTE block grant reporting, TANF balances, child care transfers, and the Rural Health Transformation Program. Donna Ockland explained that no line-item transfers had occurred yet for the new rural health work, but about 33 positions were planned and some current staff time could be reimbursed through approved cost allocation. HHS also reviewed TANF’s frozen eligibility and block grant structure, the transfer of up to 30% of TANF funds to child care, and recent program changes that increased benefits and raised the income limit. Staff said the department is using TANF more strategically to support child care and other allowable uses, while still carrying over unused funds as many states do. Finally, Pat and HHS staff gave an update on the Rural Health Transformation Program, saying the first funding opportunity was being posted and that the state is on track to obligate the federal funds within the required timeline. They described priorities such as workforce retention, preceptor development, technical assistance for critical access hospitals, community wellness projects, and ambulance upgrades. Members asked about rural versus urban eligibility, immigrant recruitment, evaluation of year-two funding, and how the program would address varied local workforce needs. The meeting then shifted to an Office of Management and Budget update on the new State Hospital project, where Lindsay Ashley reported continued construction progress, updated cost information, and selected alternates, with photos and details showing work underway in multiple building sections.
FL

Florida 2026 5th Special Session

Health Policy Oct 7th, 2025

Transcript Highlights:
  • , and Clinicals in Health program, as well as an update on House Bill 121 related to KidCare eligibility
  • two programs combine what we call in Florida the Florida KidCare program.
  • entities to implement new health care screening or service programs, or to expand existing programs
  • Back to the question I started two presentations ago: the dental program and the FRAME program.
  • Program.
Summary: The committee met to receive implementation updates on recently enacted health care laws from AHCA and the Department of Health. AHCA reported on rural emergency hospitals, explaining the new Class 4 hospital designation, rule changes completed June 1, 2025, and that no Florida hospitals have yet converted, though one North Walton/DeFuniak Springs-area hospital has expressed interest. AHCA also reviewed the non-emergent care access plan requirement for hospitals with emergency departments, saying 83 plans had been received since July 1 and 63 approved, with plans emphasizing patient education, referrals to primary care or urgent care, and coordination for Medicaid managed care enrollees through the Florida HIE/ENS system. Members asked about HIE capacity, data collection, and whether the plans would identify shortages or trigger accountability measures; AHCA said it had moved to a new HIE vendor and would continue gathering data. AHCA also updated the committee on the TEACH workforce program, reporting $6.8 million in FY 2024-25 spending across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed, and said a federal 1115 workforce waiver was unlikely to move forward under CMS. On KidCare, AHCA said House Bill 121’s expansion to 300% of the federal poverty level remains blocked by federal litigation and CMS action tied to premium nonpayment rules, and members and public witnesses urged prompt implementation and asked for enrollment/disenrollment data and the rural health transformation funding outlook. Public testimony largely supported the NCAP and TEACH programs and pressed for action on KidCare. Representatives from health centers said NCAP has strengthened hospital-health center relationships and improved care coordination, including reduced recidivism in some hospitals. A Bond Community Health Center physician said TEACH is helping offset the burden of training students and could help address workforce shortages, especially in rural and underserved areas. Advocacy groups urged the committee to push for implementation of the KidCare expansion, citing children in the coverage gap and rising uninsured rates. The Department of Health then presented on several programs from the 2024-25 session. It reported on the Florida Reimbursement Assistance for Medical Education (FRAME) program, including 78 dentists and 15 dental hygienists funded under the dental track and nearly 1,300 medical professionals funded overall, with 123 dental applications and 71 funded dentists in the most recent cycle. DOH also updated the Screening and Services Grant Program, the Health Care Innovation Revolving Loan Program, the statewide telehealth maternity care program, and the swimming lesson voucher program, noting strong participation and outcomes such as reduced ER visits and improved postpartum follow-up in the maternity program. Finally, DOH said implementation of the HIV prevention drug/pharmacist dispensing law is underway, with three certification courses approved and five certifications issued. Members asked about barriers to wider use of HIV prevention drugs, more detailed maternal outcome data, and the dental workforce program report; DOH said more detailed reports would follow.
TX

Texas 89th Regular

Appropriations Feb 19th, 2025 at 10:30 am

Appropriations

Transcript Highlights:
  • It is something that we discovered as well throughout the years as the program was being applied.
  • program and a new wellness brand called Buena Vida, the good life.
  • y'all start that and how much of y'all's budget goes towards that well it is a communication program
  • Well I apologize. I'm not able to speak specifically to those two programs.
  • But there are limits to that program as well.
Summary: During this committee meeting, the focus was on discussing critical infrastructure funding, especially related to water supply and flood mitigation projects. Chairwoman Stepney and the Water Development Board presented extensive details regarding the Texas Water Fund, which included $1 billion appropriated to assist various financial programs and tackle pressing water and wastewater issues. Additionally, funding allocations aimed at compromising the state's flood risk and improving water conservation were hotly debated, emphasizing collaboration among committee members and the necessity of addressing community needs in such projects.
MN

Minnesota 2025 1st Special Session

House Commerce Finance and Policy Committee 2/19/25

Commerce Finance and Policy

Transcript Highlights:
  • <00:01:39.920> to little bit ask testifiers as well to little bit ask testifiers as well to
  • funds the state's reinsurance program funds the state's reinsurance program has<00:07:55.960>
  • particularly around how the program particularly around how the program<00:09:49.720> is<00:09
  • > for example some programs only reimburse for example some programs only reimburse for claims
  • , or the reauthorization of the program, or the reauthorization of the reinsurance program.
Keywords: 1183, house
NM

New Mexico 2026 Regular Session

Senate - Education Feb 6th, 2026 at 09:10 am

Senate Education

Transcript Highlights:
  • One of the exclusions for that MOE is if the program is a pilot program.
  • been operated through administrative regulations into a program with well-defined criteria and safeguards
  • care programs.
  • care programs.
  • care programs.
Bills: SB204, SB241, HB34
MN

Minnesota 2025-2026 Regular Session

Committee on Jobs and Economic Development - 02/26/25

Jobs and Economic Development

Transcript Highlights:
  • <00:12:14.399> um deed loan programs last year as well um deed loan programs last year as
  • Well, there's not a limit to be in the program. Like, if you start, you're like locked in there.
  • um I started with the B 5 years as well um I started with the B Pathways<01:21:11.440> program
  • She said the program has guided her into her niche, and her niche is bringing holistic wellness into
  • that you will also see on page one, the program focus, which also includes paid internships as well
Keywords: 1187, senate, all
AL

Alabama 2025 Regular Session

Alabama House Fiscal Responsibility Committee Mar 19th, 2025

Fiscal Responsibility

Transcript Highlights:
  • So when ACS goes to check on the program for children, okay, well, what about when they get that?
  • We do that as well, and like Chairman Moore said, we go about that through the process of program and
  • Well, the scholarship and loan programs were intended to provide tuition and other assistance while students
  • Well, these organizations, these boards that were managing those programs were just holding on to it.
  • How best do we improve this program or this aspect, or this component of this program?
TX
Transcript Highlights:
  • We want to thank you for your incredible support of these programs in the last biennium, as well as your
  • He is doing so well.
  • We want to thank you for your incredible support of these programs in the last biennium, as well as your
  • He is doing so well.
  • implement the program.
Bills: SB1, SB 1
CA

California 2025-2026 Regular Session

Assembly Budget Committee Jun 11th, 2025

Budget

Transcript Highlights:
  • Specifically on, as well as a $20 million area for the right grant for rehabilitative programs in CDCR
  • In the context of acknowledging cost increases to our programs that we needed to address, as well as
  • investments in the TGI Wellness Fund and the ADAP package to support programs experiencing a loss of
  • , as well as their consumers, and your commitment to preserving long-term care within the Medi-Cal program
  • A cost-effective program that maximizes climate programs and uses your funds well.
Keywords: 988, house, all
MN

Minnesota 2025-2026 Regular Session

Edfin Committee Meeting - 2025-03-27

Education Finance

Transcript Highlights:
  • Immersion programming.
  • for the program.
  • There is a secondary student pathway program as well, so it's for adults and students.
  • This may result in programming at the department not continuing, as well as the need to look at keeping
  • There are three new FTEs in that program in our Office of Inspector General, as well as our legal counsel
Bills: HF2430, HF2433
MN

Minnesota 2025 1st Special Session

House Higher Education Finance and Policy Committee 3/20/25

Higher Education Finance and Policy

Transcript Highlights:
  • We do very well on employment.
  • We do very well on employment.
  • We do very well on employment.
  • that program fund a a range of programs that program fund a a range of programs both<00:51:33.520
  • The intent of the program, and so clarifying statute there, as well as eliminating instances where North
Keywords: 1183, house
VA

Virginia 2026 Regular Session

Health and Human Services Mar 5th, 2026

Health and Human Services

Transcript Highlights:
  • May as well jump in.
  • It also runs our certificate of public need program, our COPN program.
  • Well, thank you for that.
  • like this as well.
  • That's cost to the program.
CA
Transcript Highlights:
  • These programs are the before- and after-school program at schools and the state preschool program, which
  • (questionable), voucher-based care, as well as private pay programs.
  • Well, I have to be honest.
  • The other programs didn't receive that as well. So Nina also talked about parity, right?
  • We oversee both the transitional kindergarten expansion as well as the California State Preschool Program
Summary: The Assembly Select Committee on Child Care Costs held its third hearing, focused on how transitional kindergarten (TK) fits into California’s mixed-delivery early learning system, with an emphasis on the Central Valley. Opening remarks stressed that TK and child care should complement each other, not compete, and that families need both part-day school-based options and full-day, year-round care. Committee members outlined hearing goals around aligning TK with existing programs, understanding family needs, and examining the economic impact of early learning on workforce participation and local economies. Panelists from the Legislative Analyst’s Office, Every Child California, Early Edge, Children Now, and others described TK’s rapid expansion to all four-year-olds, the growth in enrollment, and related changes to state preschool and after-school programs. Witnesses generally supported TK but warned that its expansion has shifted enrollment away from community-based providers, especially centers and family child care homes, creating financial strain, vacant classrooms, and staffing challenges. They urged stronger partnerships between school districts and community providers, more flexible licensing and facilities support, higher and more uniform reimbursement rates, permanent authority for state preschool to serve two-year-olds, and better compensation and training for educators across settings. Parents and providers testified about the importance of trusted, culturally and linguistically responsive care, the need for infant-toddler and home-based options, and the difficulty of affording child care when TK is not full-day or does not fit family schedules. Several speakers emphasized that many families still face long waits for subsidies and that reimbursement and payment delays threaten provider stability. Public comment echoed these concerns, with providers calling for true cost-of-care rates, more vouchers, support for transportation and nontraditional hours, and protection from insurance and facility costs that can force programs to close. State education officials said California’s UPK system works best when TK, state preschool, Head Start, and community-based providers are treated as a shared system, and noted that planning and implementation grants and local coordination efforts have helped build mixed-delivery partnerships. The hearing ended without formal votes or actions, but committee members indicated they would continue gathering input to inform future policy and budget decisions.
NM

New Mexico 2025 Regular Session

IC - Legislative Health and Human Services Sep 10th, 2025

Legislative Health & Human Services Committee

Transcript Highlights:
  • And the staff of the Student Success and Wellness Bureau of the Public Education Department, as well
  • with funding and program costs.
  • of the NM Grown Program as we speak.
  • Well with current staffing levels.
  • The other program that we brought up kind of simultaneously is our Assertive Community Treatment Program
MN

Minnesota 2025 1st Special Session

Committee on Housing and Homelessness Prevention - 01/21/25

Housing and Homelessness Prevention

Transcript Highlights:
  • We do this for our multifamily programs. We do it for our single-family programs.
  • We do this for our multifamily programs. We do it for our single-family programs.
  • We do this for our multifamily programs. We do it for our single-family programs.
  • as well.
  • If we have a program guide and we've issued an RFP, is the program running, or is the program not running
Keywords: 1187, senate, all
Summary: The Senate Housing and Homelessness Prevention Committee met for an organizational hearing focused on introductions, committee jurisdiction, and a presentation from Minnesota Housing Finance Agency Commissioner Jennifer Ho. Members described their priorities for the session, including addressing HOA issues, senior housing affordability, manufactured housing exploitation, first-time homebuyer access, housing and health connections, homelessness protections, downtown conversions, and expanding starter homes, ADUs, and smaller multifamily housing. Chair Port emphasized bipartisan collaboration and the committee’s focus on removing barriers to housing production and expanding homeownership. A substantial portion of the meeting was devoted to remembering Senator Carrie Dietz, with Chair Port, Senator Draheim, and Commissioner Ho each describing her deep knowledge, behind-the-scenes leadership, and role in major housing accomplishments. They highlighted her work on fire sprinkler requirements in high-rise buildings, rental housing safety, public and nonprofit housing repairs, protections against predatory investors, manufactured and workforce housing, tenant protections, down payment assistance, local affordable housing aid, homelessness services, and the Bring It Home program, which helped pave the way for Minnesota’s rental voucher program. Advocates’ letters honoring her contributions were also made available to members. Committee staff then reviewed the panel’s jurisdiction, including housing and homelessness prevention, Minnesota Housing Finance Agency oversight and budget matters, housing bond allocation authority, housing infrastructure bonds, manufactured housing, rent control, transitional housing, and homeless prevention. Chair Port said the budget overview would be held for a later hearing. Commissioner Ho introduced her staff and outlined Minnesota Housing’s mission as a statewide mission-driven financial institution that finances affordable housing, homeownership, supportive housing, homelessness prevention, and manufactured housing through partnerships with lenders, developers, service providers, tribes, and local governments. No votes or formal legislative actions were taken at this meeting.
CA
Transcript Highlights:
  • program.
  • Program.
  • Thank you very much. programs to ensure the health, wellness, and financial stability of all Californians
  • program in the country as well as potential staff layoffs among our local health departments.
  • . programs.
Keywords: 988, house, all
AZ

Arizona 2026 Regular Session

02/11/2026 - House Appropriations

Appropriations

Transcript Highlights:
  • Well, it would be $2 million a year for 10 years. Is it a six-year? Six-year program.
  • We just need more administrative support for the program to ensure that it's working well.
  • I did hear you say, 'Well, this legislature doesn't demand that accountability of this program.'
  • Then we have this idea of, well, the ESA program isn't transparent enough because we don't have all of
  • Then we have this idea of, well, the ESA program isn't transparent enough because we don't have all of
Summary: The committee first heard HB 2584, which would prohibit public funds from being used for genetic sequencing equipment made by companies owned or controlled by entities domiciled in a foreign adversary. The sponsor said the bill is intended to prevent sensitive genetic data from being sold or used against the United States. There was little public testimony, and the committee approved the bill on a 13-5 vote for a do pass recommendation. Members then considered HB 2804, a rural development and housing tax credit bill that would let the Department of Housing allocate up to $2 million per year in credits for qualifying rural affordable housing projects, with the program set to expire in 2037. Supporters, including the sponsor, the mayor of Flagstaff, and housing investors and developers, said the credit would leverage federal LIHTC dollars, attract private capital, and help finance affordable housing for seniors, veterans, and low-income residents in rural Arizona. Opponents from the Arizona Free Enterprise Club argued state LIHTC programs are inefficient, costly, and hard to oversee. The committee passed the bill 13-4. The committee also heard HB 2388, as amended, which appropriates $100,000 to the Arizona Commerce Authority to study the economic benefits of small modular reactors and data centers, with a report due by June 30, 2027. Supporters said the study could help Arizona plan for future energy and data-center growth, while opponents argued the agency already has other funding sources and should not receive additional money for the study. The amended bill passed 10-7. After a presentation from Auditor General Lindsay Perry on county treasurer procedural reviews and the Santa Cruz County embezzlement case, the committee approved HB 2352, which provides $2,385,900 in FY 2029 for the Auditor General to continue county treasurer reviews, on an 11-7 vote. The committee then unanimously approved HB 2418, as amended, which directs $600,000 to be evenly distributed among five major incident task force counties and codifies the longstanding distribution practice. Finally, the committee took up HB 2499, the first of two ESA administration bills, which would appropriate $2.6 million and 12 FTEs to the Department of Education for ESA administration and oversight beginning in FY 2027; the bill drew extended debate about ESA growth, accountability, testing, and spending oversight, but the transcript cuts off before the final vote.
NH
Transcript Highlights:
  • . well. well.
  • Both both programs. >> correct? Both both programs.
  • managing the program. managing the program.
  • . program. program.
  • We see that in the nursing home side as well, is that facilities participate in the Medicare program
Keywords: 928, house, all
Summary: The committee to study long-term managed care met to approve the prior meeting minutes, with a clarification that “OB3” referred to the “one big beautiful bill.” The minutes were then approved. Chair Jim Kofalt outlined the day’s agenda, which included testimony from the Granite State Home Health and Hospice Association, the New Hampshire Association of Counties, and later DHHS. He also noted that future meetings were expected soon and that the meetings were being livestreamed on YouTube. Granite State Home Health and Hospice Association, represented by Kellyanne Totten and Amy Moore, urged inclusive planning and a cautious, phased approach if managed care is considered. They emphasized that home care providers are not uniform, with different licensing and service models, and said any pilot should include varied provider types, rural and southern regions, and agencies of different sizes. They warned that workforce shortages, inflation, and a possible 9% CMS cut to Medicare home health payments could force agencies to reduce service areas or service types. They also said the 2023 Medicaid CFI rate increase has begun to lose its effect. In response to questions, they said the rural health transformation fund may help with planning and telehealth but likely cannot be used directly for rates or recruitment/retention. They also described the New England Home Care Nurse Residency Program, a Department of Labor grant, as a way to bring new registered nurses into home care with added training and school partnerships. The New Hampshire Association of Counties, through county nursing home administrators Craig Labore and David Ross, revisited the earlier Step Two managed care discussions from 2016-2018. They said prior consultants found the long-term services and supports system was underfunded and needed investment to stabilize providers and expand community-based care. They argued the same concerns remain today and said a managed model would jeopardize the Medicaid quality incentive payment program and, for county nursing homes, the proportionate share payment program. Their testimony was generally opposed to moving forward with managed long-term services and supports without significant additional funding and safeguards.