Video & Transcript : 'wrecker service' :

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ND

North Dakota 2026 1st Special Session

Legislative Audit and Fiscal Review Committee Mar 24th, 2026 at 10:00 am

Legislative Audit and Fiscal Review Committee

Transcript Highlights:
  • or security services.
  • We've met with the Higher Learning Commission about shared services and the levels of shared services
  • We also have a collaborative services agreement that is intended to be a system-wide standard service
  • Are we done with Health and Human Services?” “Are we done with Health and Human Services?”
  • They can't use food service funds.
WA

Washington 2025-2026 Regular Session

House Appropriations Feb 6th, 2026 at 10:30 am

Appropriations

Transcript Highlights:
  • If families cannot afford service or lose service when federal subsidies are disrupted, those investments
  • guaranteed victim services.
  • I'm the policy director of Columbia Legal Services.
  • , and cybersecurity software or services.
  • services organizations, known as BHAOs.
NH

New Hampshire 2025 Regular Session

Senate Finance (03/18/2025)

Finance

Transcript Highlights:
  • services.
  • Only hospitals offer inpatient services, so nobody else is offering those services.
  • services.
  • services.
  • services.
Committee: Senate Finance
NM

New Mexico 2026 Regular Session

House - Chamber Meeting Feb 4th, 2026

New Mexico House Floor Meeting

Transcript Highlights:
  • Speaker, gentlemen, social service should the county decide on a new service that they want to provide
  • that is considered a social service, Mr.
  • Speaker, gentleman, social service should the county decide on a new service that they want to provide
  • that is considered a social service, Mr.
  • What are the services, and what are those social services that would be related to direct or indirect
Bills: HB95 , HB111 , HJR1 , HM7 , HM17 , HM4 , HM22 , HM3 , HM11 , HM14 , HM15 , HM21 , HM34 , HB2 , HB32 , HB33 , HB61 , HJM2 , HM23 , HM24 , HM26
Summary: The House convened with quorum, offered an invocation and pledges, and then moved through a series of memorials, recognitions, and announcements. House Memorial 49, declaring February 4, 2026 UNM Day, was taken from the Speaker’s table, explained, and debated at length. Members from both parties and several guests praised the University of New Mexico for its role in education, health care, research, public service, and workforce development, with special recognition of President Garnett Stokes, interim provost Barbara Rodriguez, and Health Sciences leaders and students. The memorial highlighted UNM’s enrollment, degrees awarded, scholarship support, patent activity, and the UNM Hospital and Health Sciences Center. It passed 70-0. House Memorial 48, declaring February 4, 2026 Valencia County Day, was also brought forward and passed unanimously. Supporters described Valencia County’s history, culture, economic growth, and traditions, including the annual matanza, Route 66 heritage, and major employers and development projects. Members from the county and local officials were recognized, and the memorial emphasized both historic communities and current business and infrastructure expansion. House Memorial 50, declaring Lincoln County Day, was introduced by title and placed on the Speaker’s table, but not taken up for final passage during this segment. The chamber also recognized the Artesia Bulldogs football team for winning another state championship, Del Norte High School’s class of 1966 on its 60th anniversary, and a number of guests tied to nursing, education, and local community service. Several members used announcements to highlight nurses, school programs, and local events, including a Legislative Sportsman’s Caucus invitation and a reminder that the day was the final day to file bills with the clerk. The session closed with continued announcements and guest introductions, reflecting a day focused heavily on community recognition and celebratory memorials rather than substantive legislation beyond the memorial votes.
AR

Arkansas 2026 1st Special Session

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Jun 15th, 2026

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Transcript Highlights:
  • Vocational rehab services, or Rehabilitation Services Administration, is currently within the Department
  • Having those after-hours service delivery options would be great. Improved customer service.
  • Having those after-hours delivery service delivery, We agree. services and they can't find time to make
  • Oh, those are the supportive services. That's kind of the supportive services pieces.
  • And then effectively service this individual.
Summary: The meeting focused on Arkansas’s workforce development reorganization and a set of federal waiver requests intended to consolidate and streamline the state’s WIOA system. Commerce officials said the department has already centralized shared services, split the old workforce agency into reemployment and Arkansas Workforce Connections, and submitted a combined WIOA/Perkins state plan. They described nine waiver requests, including replacing local workforce boards with a single statewide board, creating one planning and accountability structure, allowing more flexible movement of funds across regions, easing the “last-dollar” requirement for training and supportive services, reducing required youth program elements, and allowing affiliate sites instead of mandatory comprehensive centers. Officials said the goal is to reduce administrative costs and redirect more money to training, supportive services, and employer-driven programs. Legislators raised concerns about rural representation, local employer relationships, and whether local offices would close. Commerce officials said local offices would remain open, some current staff could be rehired, and regional business councils would preserve local employer input. They said the current system is fragmented and expensive, with roughly $14 million in federal workforce funds flowing through local boards but only about $1.9 million spent on training and supportive services last year; they argued the reorganization could raise training spending to about $6 million to $7 million annually. Questions also addressed board composition, performance accountability, and how funds could be shifted between regions when needs change. The State Board of Workforce Development had approved the waiver package 11-3 before it was submitted to the U.S. Department of Labor. Members also discussed workforce access for people with disabilities, child care and transportation supports, and the role of Arkansas Launch, apprenticeships, and career and technical education. Officials said vocational rehabilitation now has better access to the state job board and that referrals and data-sharing with DHS and other partners still need improvement. Several legislators emphasized the need for training to align more closely with employer demand, especially in manufacturing, technology, health care, and rural areas. The committee also heard a brief overview of Workforce Pell, with staff explaining that the new federal short-term Pell option has narrow eligibility rules and may not fit many existing programs, including some CDL and CNA programs.
NM

New Mexico 2026 Regular Session

IC - Legislative Finance Apr 27th, 2026

Transcript Highlights:
  • We're already working with Legislative Council Service.
  • Care services are being provided at higher costs.
  • services.
  • Are we set up to provide services? Who's providing those services?
  • now are provided services.
ID

Idaho 2026 Regular Session

Jan 27th, 2026

Transcript Highlights:
  • I am a budget and policy analyst with the Legislative Services Office.
  • employment services to the Division of Medicaid.
  • I’m a budget and policy analyst with Legislative Services Office.
  • I’m a budget and policy analyst with Legislative Services Office.
  • It’s comprised of four programs: physical health services, laboratory services, suicide prevention and
Summary: The Joint Finance-Appropriations Committee heard budget presentations from Legislative Services analyst Morgan Poloni and Department of Health and Welfare Director Juliet Sharon on the Division of Early Learning and Development, the Division of Public Health Services, and Family and Community Partnerships. Major topics included the Idaho Child Care Program (ICCP), the Idaho Home Visiting Program, the Idaho Immunization Assessment Fund, HIV and hepatitis prevention, ARPA-funded public health projects, kinship navigation services, and proposed agency reorganizations and transfer authority changes. Poloni explained that several divisions were recently reorganized, making year-to-year comparisons difficult, and outlined the governor’s and agency’s FY 2027 requests, including additional federal and dedicated funds for child care capacity, public health programs, and prevention services.
FL

Florida 2025 Regular Session

March 5, 2025 - 10:15 AM

Transcript Highlights:
  • Through these services, we assisted more than 116,000 Floridians.
  • Again, Adrian alluded to a lot of the different services.
  • So that means they've completed their services with us.
  • But we are also looking at those who are participating in services from blind services or vocational
  • , which are great services that you have.
Summary: The subcommittee met to receive an informational presentation from CareerSource Florida President and CEO Adrian Johnson, joined by Anthony Gagliano of CareerSource Suncoast, on the structure, funding, and services of Florida’s workforce development system. Johnson explained that CareerSource serves job seekers and businesses through 21 local workforce development boards and nearly 100 career centers, using federal and state funding streams such as WIOA, Wagner-Peyser, SNAP Employment and Training, and TANF. She described services including case management, training, wraparound supports, job matching, rapid response for layoffs and disasters, and business services such as recruitment, customized training, and on-the-job training. She also highlighted the REACH Act’s role in consolidating local boards from 24 to 21, creating the Master Credential List and Credential Review Committee, and implementing performance-based letter grades for local boards. Members asked detailed questions about funding formulas, letter grade metrics, apprenticeships, youth services, small business access, and the demand occupation list. Johnson said federal allocations are driven largely by unemployment and poverty formulas, which has reduced Florida’s WIOA funding by about $27 million over four years because of the state’s low unemployment rate. She explained the letter grades measure outcomes such as increased earnings, reduced public assistance, employment and training outcomes, work-based learning, business engagement, and service to individuals in certain programs, and said the system is being reviewed for possible changes, including removing extra credit and adjusting weights. On youth services, she said Florida has a waiver allowing a 50/50 split between in-school and out-of-school youth funding, and that local partnerships drive outreach. On the demand occupation list, she said it is based on state labor market data and projections, but local boards can submit evidence of local demand when data does not reflect conditions in their area. A substantial portion of the discussion focused on apprenticeships and workforce training grants. Johnson and Gagliano described apprenticeship navigators funded by the $7.75 million apprenticeship expansion allocation, which help employers navigate registration and expand apprenticeships into nontraditional fields such as IT, health care, education, and hospitality. Gagliano gave examples from CareerSource Suncoast and said navigators helped employers move faster through registration and develop programs with local education providers. Johnson also discussed Incumbent Worker Training Grants and Quick Response Training Grants, noting recent awards of nearly $3 million to 69 businesses and $6.5 million to 24 businesses, respectively, and said these programs are targeted toward high-skill, high-wage occupations and priority industries. The meeting ended with no votes or formal action; the chair thanked the presenters, invited follow-up questions, and adjourned the meeting without objection.
CA
Transcript Highlights:
  • We are strong supporters of home and community-based services.
  • I'm here to speak on legal services funding.
  • Kate Morrison with Maxim Health Care Services.
  • Kate Morrison with Maxim Health Care Services.
  • Budget Subcommittee No. 3 on Health and Human Services is adjourned.
Summary: The Senate Budget Subcommittee No. 3 on Human Services held its final hearing on the budget, with the chair framing the Senate’s plan as a counterproposal that rejected major cuts and preserved revenues. Public comment was overwhelmingly supportive of the subcommittee’s actions, especially on Medi-Cal, IHSS, PACE, behavioral health, child care, CalFresh outreach, immigrant legal services, and long-term care. Testimony from disability, aging, county, health plan, provider, labor, and advocacy groups urged the committee to keep rejecting asset tests, immigrant coverage reductions, IHSS cost shifts, PACE rate cuts, and behavioral health reductions, while supporting mobile crisis, 988, Title IV-E workforce funding, and the “Be Home Soon California” proposal to expand home- and community-based care. Several speakers also pressed for additional or related funding and policy changes, including county alternatives for people losing Medi-Cal under federal HR1-related changes, more support for public hospitals and indigent care, CalFresh and Cal Food investments, child care slots and COLAs, dental rate cut delays, and expanded immigration legal and food assistance. Others thanked the committee for restoring or preserving funding for behavioral health innovation and advocacy grants, public health IT and disease investigation, diaper banks, hearing aids for children, and distressed hospital loans. The committee also heard concerns about fee-for-service shifts, outpatient dialysis coverage, and other implementation details, with some groups asking for trailer bill language or guardrails. After public comment, the subcommittee took three votes on large blocks of budget items. The first block of consent items passed 3-0, the second block passed 2-1, and the final block passed 2-0, with the chair announcing that the items were approved and out of committee. The hearing then adjourned.
CA
Transcript Highlights:
  • service professionals, and qualified autism service paraprofessionals from the Health and Safety Code
  • services here in California in strong support.
  • This can inadvertently create harmful roadblocks to accessing critical services.
  • Expanding access to effective autism service services in California depends on recognizing all qualified
  • Oh, this is a member services in the 1,100 for business and the rule right now.
Summary: The Assembly Business and Professions Committee heard several measures, including SB 402 by Senator Valadares, which would move existing qualification requirements for qualified autism service providers and related professionals from the Health and Safety Code and Insurance Code into the Business and Professions Code without changing the standards. Supporters said it was a technical cleanup that would improve consistency and legislative oversight, while an opponent argued the bill was unnecessary and could create access issues; another witness urged inclusion of the QABA credentialing board. The committee approved SB 402 on a due pass motion to the Committee on Health. The committee also heard SB 378 by Senator Wiener, aimed at online platforms that facilitate sales of illicit cannabis and intoxicating hemp products. Supporters, including labor, local government, and cannabis industry representatives, said the bill would help protect consumers, minors, legal businesses, and tax revenue by creating accountability for online marketplaces. Opponents from the hemp industry and TechNet argued the bill was overly broad, could sweep in legitimate platforms and payment services, and should better distinguish bad actors from compliant hemp businesses; members discussed implementation, enforcement through a private right of action, and coordination with AB 8. The committee passed SB 378 to the Committee on Privacy and Consumer Protection. Senator Arreguín presented SB 779, which would establish minimum enforcement fines for Contractors State License Board citations where minimums are currently very low or absent, and would raise the board’s reserve cap from six months to 12 months. The sponsor said the changes would better match penalties to violations and help support consumer protection and board operations during economic downturns. There was no opposition, and the committee approved SB 779 as amended to the Committee on Appropriations. The committee also approved the consent calendar, which included SB 344 and AB 652, both sent to Appropriations. SB 508 was not heard because it had been pulled by the author.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Transportation Jun 21st, 2026 at 01:00 pm

Joint Committee on Transportation

Transcript Highlights:
  • Providing rapid transit service to Roslindale Square would benefit Providing rapid transit service to
  • But there's so many different services, and there's so many different ways of obtaining those services
  • and the way those services are funded.
  • But there's so many different services and there's so many different ways of obtaining those services
  • and the way those services are funded.
Summary: The committee heard testimony on a wide range of transportation bills focused on rural microtransit, commuter rail fares and service, rail electrification, climate alignment, and safety. Several speakers supported H. 4054 and related microtransit proposals, arguing that rural communities need stable, permanent funding for services like the Tri-Town Connector and Quaboag Connector, which have strong ridership, high satisfaction, and measurable economic and health benefits. Testimony also supported a commission bill to study microtransit funding and definitions, with witnesses emphasizing that current grant programs are helpful but short-term and insufficient for long-term service planning. A major theme was commuter rail equity and expansion. Boston-area officials and advocates backed bills to make all Boston commuter rail stations Zone 1A, citing large fare disparities between nearby stations in Hyde Park, Roslindale, and Readville. Related testimony supported studying an Orange Line extension from Forest Hills to Roslindale Square and expanding The Ride to Foxborough, as well as restoring commuter rail service to Cape Cod via Middleborough to Buzzards Bay and beyond. Speakers said these projects would improve access, reduce car dependence, and better serve neighborhoods and regions that currently face limited rapid transit options. Multiple panels urged action on electrification and climate-focused transportation planning, including H. 3726, the Freedom to Move Act, and bills to electrify commuter rail, buses, school buses, and public fleets. Advocates from environmental, transit, and public health groups said transportation is the state’s largest emissions source and argued that statutory goals, coordinated planning, and streamlined permitting are needed to speed decarbonization while improving safety, affordability, and reliability. The committee also heard support for a bill to streamline rail electrification permitting, a bill to exempt certain transit projects from MEPA review, and a bill to improve commuter rail pedestrian safety with gates, fencing, and warning devices at at-grade crossings. No votes were taken during the hearing.
WA
Transcript Highlights:
  • Health Services, and University Recreation.
  • , conduct, disability services, and our civil rights compliance team. ...conduct, disability services
  • It seems like you've got a lot of great services here.
  • Student supportive services.
  • Second, our colleges are widening the front door to services.
Summary: The committee spent much of the meeting hearing presentations on student mental health supports at Central Washington University, Washington State University, the University of Washington, and the State Board of Community and Technical Colleges. CWU described high levels of student distress, loneliness, anxiety, depression, suicidal ideation, and basic-needs insecurity, along with a campus-wide holistic well-being model that includes behavioral intervention teams, emergency aid, peer outreach, community partnerships, and a collegiate recovery community. WSU emphasized loneliness, common presenting concerns such as anxiety, depression, PTSD, and relationship distress, and the role of housing and residence life, resident advisors, living-learning communities, and coordinated crisis response in identifying and supporting students. UW highlighted prevention and support programs through LiveWell, including alcohol and other drug consultations, confidential advocacy, suicide intervention, student needs navigation, peer health educators, and peer wellness coaches. The community and technical college system reported persistent access barriers, especially for students ages 18 to 24 and those facing housing or food insecurity, and said the legislature-funded mental health pilot at four colleges expanded counseling access, telehealth, and referral pathways, while broader system efforts focus on awareness, telehealth, basic-needs supports, and workforce training in behavioral health fields. Members asked each panel how they gather student feedback, and the institutions said they use surveys, evaluations, and ongoing outreach to students in services. Questions also focused on substance-use and recovery resources, Greek life outreach, and whether colleges have enough licensed mental health staff versus academic advisors; the community college board said not all colleges have licensed mental health providers on staff, and some rely on community contracts or telehealth. The committee also discussed whether counseling services are increasing because of post-pandemic effects or because students are more willing to seek help, with presenters saying both factors likely play a role. The committee then shifted to artificial intelligence in higher education. Washington State University, the University of Washington, Western Washington University, and the community and technical college system described campus AI task forces, governance structures, and efforts to set policies for students, faculty, and staff. Presenters said institutions are requiring course-level AI use statements, promoting ethical and transparent use, expanding access to approved tools such as Microsoft Copilot, and using AI for teaching, research, advising, and administrative support while guarding privacy, equity, and academic integrity. Members raised concerns about deepfakes, bias, student monitoring, and whether AI should be used to screen applications or evaluate student work; presenters said human review remains essential and that some institutions prohibit AI use in hiring or admissions screening. The final presentation, from OSPI, described the statewide rollout of the School Links high school and beyond plan platform under 2023 legislation, saying it will standardize career and college planning across K-12, provide better data and student guidance, and connect students to postsecondary pathways and employers; OSPI said the rollout is underway but current funding only extends through June 30, 2026.
OR
Transcript Highlights:
  • Blue bar is the member service, so how much of the money is actually going to member services compared
  • Blue bar is the member service, so how much of the money is actually going to member services compared
  • It's not that the services for that member are much lower.
  • I do not know any significant changes in service.
  • You know, you showed a couple examples where the money will be used for providing services, in-home services
Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.
CA
Transcript Highlights:
  • system at their lender or servicer.
  • So again, forbearance request issues, issues dealing with customer service at their lender or servicer
  • So in our case, for a non-bank servicer, as the borrower is in forbearance, the servicer must front those
  • So in our case for a non-bank servicer, the non-bank servicer, as the borrower is in forbearance, the
  • Require lenders servicing these loans to provide audits. take a look at that, require lenders servicing
Summary: The Assembly Banking and Finance Committee held an outcomes review of AB 238, the wildfire mortgage forbearance law, focused on how the law has worked for survivors of the Eaton and Palisades fires. Chair Valencia and Assemblymember Harabedian said the hearing was intended to hear directly from survivors, assess whether the law is being implemented as intended, and identify fixes. Several survivors described losing homes, facing long rebuild timelines, and struggling with insurers, housing costs, and mortgage servicers. Many said they encountered confusion, inconsistent information, requests for financial documentation, lump-sum repayment demands, credit reporting problems, or loan modifications that they viewed as undermining the law’s purpose. Some urged clearer consumer education, a consumer bill of rights, and an extension of forbearance relief; one witness specifically advocated for AB 1847 to extend forbearance to 36 months. DFPI Chief Deputy Commissioner Suzanne Martindale said the department had received about 300 wildfire-related consumer complaints, mostly about mortgage forbearance, and that more than 91% had been resolved in the consumer’s favor. She said the department works with both state-licensed and federally regulated institutions, but its authority is limited when national banks are involved, so it often uses outreach and direct contact with lenders and federal partners to resolve complaints. She also described recurring complaint themes such as difficulty obtaining forbearance, customer-service breakdowns, withholding of insurance funds, and non-interest-bearing impound accounts. Committee members pressed DFPI on which institutions were noncompliant, what enforcement tools were available, and how much data the state could collect and make public. Representatives of the California Bankers Association and California Mortgage Bankers Association said lenders had provided early disaster relief and were working to comply with AB 238, but emphasized that mortgage servicing is constrained by federal law, investor requirements, and secondary-market guidelines. They argued that forbearance is temporary relief, not forgiveness, and warned that extending it without a clear repayment path can create future payment shock or larger debt burdens. They also said many servicers use disaster protocols tied to federal declarations and that clearer communication is needed. In response to committee concerns, the mortgage bankers said they would continue working with the Legislature and federal agencies, but could not promise changes beyond investor and agency rules. No votes or formal committee actions were taken during the hearing.
TX

Texas 89th Regular

Pensions, Investments & Financial Services Mar 24th, 2025

Pensions, Investments & Financial Services

Transcript Highlights:
  • Looking at the components of the tax rate, how much is being used for current services versus net services
  • Like I said, we are a money service business.
  • other things that other services charge.
  • So typically, most services that involve tipping are for a service, right? Yeah, yeah, or whatever.
  • Go towards funding all of those other services.
Bills: HB1453 , HB1718 , HB2043 , HB2207 , HB2798
MN

Minnesota 2025-2026 Regular Session

Committee on Health and Human Services - Part 2 - 03/17/26

Health and Human Services

Transcript Highlights:
  • </c> service costs. service costs.
  • </c> Human Services. Human Services.
  • manual for disability waiver services manual for disability waiver services. services. services.
  • Services. Services.
  • </c> services as high risk. services as high risk.
KY
Transcript Highlights:
  • </c> participant-directed services. participant-directed services.
  • </c> day that services start. day that services start.
  • service service fee<01:21:06.880><c> schedule.
  • , in the fee-for-service fee-for-service, in the fee-for-service world, world, world, there<01:36:54.120
  • ><c> services</c> outpatient services outpatient services and<01:47:43.440><c> that</c><01:47:43.560>
Summary: The Medicaid Oversight and Advisory Board met on September 24, 2025, approved the minutes from the September 9 meeting, and then continued its discussion of Medicaid waivers with Leslie Hoffman and Carmen Hancock from the Department for Medicaid Services. Members asked for updates on the 2024 waiver waitlist management assessment recommendations, including aligning waiver policies, standardizing applications and waitlist placement, and modernizing data systems. DMS said that work is being done jointly with Aging and Independent Living and Behavioral Health/Developmental and Intellectual Disabilities through task forces, that ARPA spending delayed action, and that implementation timelines extend through March 2027. The board also reviewed per-member waiver cost averages for fiscal years 2023 through 2025 for ABI, ABI long-term care, HCBS, Model II, Michelle P, and SCL. DMS emphasized these figures were benefit-only averages based on paid claims, not full waiver costs, and explained that true budget neutrality is calculated on an aggregate basis against institutional care comparisons approved by CMS. DMS said all six waivers remain in compliance with budget neutrality and that the most recent 18-month lag review for FY 2022 and FY 2023 found costs at or below institutional care. Members also asked about unused waiver slots; DMS said slots generally cannot be reallocated mid-year if they have been used, except in cases such as death or reserved capacity, because CMS treats participants as unduplicated for the waiver year. A major portion of the meeting focused on the new child waiver created under House Bill 6. Legislators questioned whether the waiver’s design, including the exclusion of participant-directed services and the emphasis on high-acuity children with behavioral health, DCBS, or juvenile justice involvement, matched the bill’s intent to keep children at home. DMS said it used the $14.7 million appropriated for FY 2026 to develop the program, that there is no priority list, and that the waiver is intended to serve the highest-acuity children while also addressing residential needs for those sleeping in offices or placed out of state. Members also raised concerns about the rapid growth of the HCBS waiting list and asked for more detail on age and timing patterns, which DMS said it would provide later. Finally, DMS gave average processing times from application to eligibility determination and from approval to service start, and said the overall average from application to services beginning was about 80 days, while members requested follow-up information on the Carewise assessment contract and related costs.
TX
Transcript Highlights:
  • I've learned this with the National Park Service.
  • personnel for their years of service.
  • advocacy, outreach, and direct services.
  • The second step is they provide the services.
  • and how those services were provided.
Bills: SB1 , SB 1
Committee: Senate Finance
CA

California 2025-2026 Regular Session

Senate Health Committee Jun 3rd, 2026

Transcript Highlights:
  • AB 2233 does not expand benefits or mandate new services.
  • As a result, he will likely go without services during that week, not because funding is unavailable
  • I work with a single mother raising two children, both authorized to receive ABA services.
  • Thank you for your time and your service to the people of the state. Thank you.
  • At the Gender Health Center, we provide low-barrier services to all communities.
Summary: The Senate Committee on Health met in Room 2100 and first handled its consent calendar, which included several bills and resolutions with amendments. The committee established a quorum, approved the consent calendar 6-0, and placed it on call. AB 2233 by Assemblymember Taw was then heard; the bill would clarify that authorized ABA therapy for autistic patients should remain usable across the authorization period rather than being effectively reduced by weekly utilization caps. Supporters, including behavior analysts, family advocates, and health organizations, described missed sessions caused by provider shortages, scheduling conflicts, and family disruptions. Health plans and insurers initially expressed fraud and utilization-management concerns but said they would remove opposition after the amendments preserved utilization management. The committee voted 7-0 to pass AB 2233 as amended and re-refer it to Appropriations, placing it on call. The committee next heard AB 96 by Assemblymember Jackson, which would remove the high school diploma or equivalent requirement for Medi-Cal peer support specialist certification. Supporters from county behavioral health agencies, nonprofits, and local governments argued that lived experience, communication, empathy, and cultural competency are the key qualifications for peer work, and that the current education requirement excludes capable candidates and worsens workforce shortages. One opposition witness from the California Consortium of Addiction Programs and Professionals raised concerns, but the bill’s proponents explained that peer certification still requires 80 hours of training, testing, and recertification on core competencies. The committee voted 7-0 to pass AB 96 and re-refer it to Appropriations, placing it on call. AB 1876, the Fair Care for All Act by Assemblymember Addis, was then heard. The bill would codify federal nondiscrimination protections into state law to ensure people are not excluded from health care coverage or services based on a protected class. Support came from transgender health advocates, psychologists, county and state health groups, and other organizations, who said the bill would help protect access to gender-affirming and other medically necessary care. Opposition testimony argued the bill would force coverage of sex-rejecting interventions and weaken insurer safeguards, while the author responded that the measure simply mirrors existing federal nondiscrimination law and does not expand coverage. The committee voted 7-1 to pass AB 1876 and re-refer it to Judiciary, placing it on call. After the roll was reopened for absent members, the committee also finalized votes on the earlier bills and adjourned after concluding its business.
CA

California 2025-2026 Regular Session

Senate Military and Veterans Affairs Committee Apr 20th, 2026

Military and Veterans Affairs

Transcript Highlights:
  • It is a recognition of service-connected injuries and loss of earning capacity.
  • David West, California Association of County Veterans Services Officers, in support.
  • Thank you for your service.
  • officer, a county veteran service officer.
  • I also serve as the Nevada County Veterans Service Officer.
Summary: The committee heard several veterans-related bills. SB 888 would exclude VA service-connected disability compensation from household income when determining eligibility for the low-income disabled veterans’ property tax exemption. Support came from veterans organizations, county veterans services groups, and local officials; there was no opposition, and the bill was approved and sent to Appropriations. SB 1040 would create a state-local matching program for veterans’ cemetery maintenance endowments, with the state matching private or local deposits up to $250,000 per cemetery per year. It drew support from veterans groups and county representatives and was also approved and sent to Appropriations. The committee also considered SB 1407, which would exempt military retirement pay and surviving spouse military retirement benefits from state income tax. The author and supporters argued it would help retain military retirees in California and support the workforce and economy. The bill received broad support from veterans organizations, county officials, and labor representatives, with no opposition, and was moved to Appropriations, with the roll held open and later completed. SB 1034 would streamline access to disabled veteran parking placards for veterans rated 100% permanent and total, and SB 1201, the No Hungry Heroes Act, would seek federal waivers and other changes to protect vulnerable veterans from CalFresh/SNAP cuts and ensure referrals to county veterans service officers. Both bills had support from veterans advocates and food banks, no opposition, and were approved to Appropriations. Finally, SB 1354 would prohibit out-of-state military personnel from entering California to perform military or law enforcement functions without the governor’s permission, while preserving Title 10 activations and mutual aid arrangements. The author and the California Public Defenders Association framed it as a safeguard for state authority and civil rights; there was no opposition, and it was sent to Public Safety. After the main votes, the committee later completed the held rolls and reported the bills out, then adjourned after thanking veterans and attendees.