Video & Transcript Research : 'collaborative care'

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ND
Transcript Highlights:
  • Sufficient child care capacity is crucial for economic success.
  • And the North Dakota Development Fund has active loans with 43 child care businesses that care for 3,754
  • available for child care?
  • Internally, we're refining By collaborating with partners and adopting new technologies.
  • We also need to do a better job of sharing program success and encourage collaboration...
Keywords: 908, all
Summary: The Budget Section’s Commerce and Legal Services Division met to review the Department of Commerce base budget for the 2027-29 biennium and to receive an update on Commerce programs. Legislative Council staff first walked the committee through the “blue sheet” base budget summary, explaining the major line items, the large share of federal grant authority in Commerce’s budget, and the continuing appropriations that support several Commerce funds. Members asked how grant funding is coordinated across agencies, and staff said collaboration varies by program but is strong in areas like UAS and LIHEAP. Commerce Commissioner Chris Schilken then presented on current activities, focusing heavily on grant administration, transparency, and economic development programs. Members questioned how grant applicants are selected, whether Commerce tracks applications and return on investment, and how long grant awards take to reach recipients. The commissioner said Commerce uses scoring criteria, outside reviewers, a minimum 30-day application window, and typically completes awards within two to three months. A lengthy exchange followed over whether Commerce should open some grants only to intended recipients versus running competitive application processes; Commerce said it follows best-practice grantmaking and that its attorney in the Attorney General’s office approved that approach. Commerce also highlighted the North Dakota Development Fund, citing long-term investment and job creation results, examples such as Red Trail Energy, Packet Digital, Valiance, Corvent Medical, child care loans, and the Automate ND program. Members asked about acceptable failures, lessons learned, regional economic development coordination, and the expansion of the fund into non-primary sectors. Workforce Director Katie Ralston Howell then outlined a statewide workforce ecosystem review, a new governor’s workforce sub-cabinet, and three task forces focused on simplifying entry, warm handoffs, and data integration. She discussed the in-demand occupations list, Workforce Pell, apprenticeships, and efforts to better connect students with employers and higher education. Commerce also briefly reviewed housing programs and a new housing sub-cabinet. No votes were taken; the committee simply received testimony, asked questions, and adjourned after setting up the next meeting to hear the Attorney General budget in June.
NM

New Mexico 2025 Regular Session

IC - Indian Affairs Aug 14th, 2025

House Government, Elections & Indian Affairs

Transcript Highlights:
  • It was just the two of us taking care of her, and we needed respite care.
  • I don't care where it's from. I don't care what jurisdiction it is.
  • I don't care if it's sovereign land; State Police does not care.
  • I don't care what jurisdiction it is; I don't care if it's sovereign land.
  • State Police does not care.
HI
Transcript Highlights:
  • That's what studies call them when they study how first responders get care.
  • in that chain of care in that chain of care before<00:11:07.880> the<00:11:08.040> ambulance
  • Matt Perleberg, on behalf of Holomua Collaborative.
  • , Hawaii Workforce Funders Collaborative, Hawaii Workforce Funders Collaborative, in<00:27:05.520
  • corporation creating a collaborative corporation creating a collaborative working<00:34:00.520><
Bills: HCR112
MN

Minnesota 2025-2026 Regular Session

Committee on Human Services - 04/13/26

Human Services

Transcript Highlights:
  • managed care, and HCBS. managed care, and HCBS.
  • care home care nursing workforce care home care nursing workforce shortage<01:25:21.520> in
  • care.
  • would collaborate. would collaborate.
  • collaborate. No. collaborate. No.
Keywords: 1187, senate, all
TX

Texas 89th 2nd C.S.

Higher Education Apr 8th, 2025

Higher Education

Transcript Highlights:
  • Tarleton State is uniquely positioned to respond to the primary care and rural health care shortages
  • Access to health care, particularly access to a primary care physician, should not be aspirational.
  • Well, in rural health care, we are master collaborators.
  • We don't just talk about ecosystems... health care. We are master collaborators.
  • It's the need for perpetual care. And so having the physicians in place to provide... ...care.
Bills: HB42, HB125
Summary: The Committee on Higher Education met to hear several bills and first corrected the minutes from its April 1, 2025 meeting to reflect that a committee substitute for HB 271 had been adopted before the bill was reported favorably. The committee then heard HB 3326, which would help Texas higher education employees, especially adjunct faculty, qualify for federal Public Service Loan Forgiveness by counting classroom hours toward full-time status, requiring institutions to verify employment within 60 days, and requiring annual notice to eligible employees. No witnesses testified against the bill, and it was left pending. Members then heard HB 2853, authorizing UTEP to phase in a student union fee increase to fund demolition and reconstruction of its aging student union. Representative Perez and UTEP student and university witnesses said the current facility is outdated and insufficient for a campus of more than 25,000 students, while some members raised concerns about the size of the fee increase and its impact on low-income students. UTEP representatives said most students receive aid, the fee would be phased in over time, and the project was student-approved; the bill was left pending. The committee also heard HB 4066, a one-line bill to abolish the Texas Research Incentive Program after the state cleared its backlog of matching obligations, with the author saying the program was no longer needed in light of newer research funding approaches. The bill was left pending. The committee spent substantial time on HB 125, which would create the Tarleton State University College of Osteopathic Medicine. Supporters, including Tarleton leadership, the founding dean, a rural hospital CEO, and a feasibility consultant, argued the school would address severe rural physician shortages by recruiting Texas and rural students, training them in rural settings, and developing new residency slots rather than competing for existing ones. Members asked about affordability, residency placement, and whether the school would draw students from rural Texas; Tarleton said it would seek to keep tuition and debt low, had already raised private donations, and would request $25 million in state support over the biennium. The bill was left pending. Finally, the committee heard HB 42, which would increase the annual Higher Education Fund appropriation and adjust its allocation methodology. The chair and university witnesses described rising deferred maintenance, inflation, cybersecurity needs, and enrollment growth at HEAF-eligible institutions, with witnesses from Texas Tech, Sam Houston State, and UNT saying the additional funding would help address aging facilities and technology needs. After testimony, the committee left HB 42 pending and recessed.
LA

Louisiana 2026 Regular Session

House of Representatives May 31st, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • Shasou to urge and request the Board of Examiners for Speech-Language Pathology and Audiology, in collaboration
  • of economics, as they speak to this issue, I do believe that Orleans Parish is still richly taken care
  • We're going to work on language that would make sure that our local governments are taken care of.
  • H.R. 120 creates and establishes the PACE task force to prioritize access, care, and education on GLP
CA
Transcript Highlights:
  • High food, housing, child care, and health care costs, combined with wages that are too low, are pushing
  • Some community colleges have very robust health care clinics.
  • But I definitely invite that kind of collaboration.
  • But I definitely invite that kind of collaboration.
  • entire health care system.
Summary: The joint informational hearing focused on CalFresh enrollment, food insecurity in California, the recent federal shutdown’s disruption of SNAP benefits, and the long-term effects of H.R. 1 on eligibility, benefits, and state and county costs. Opening remarks emphasized that millions of Californians rely on CalFresh, that the shutdown briefly delayed benefits for the first time in the program’s history, and that state and local governments, including Alameda County, stepped in with emergency food aid and funding. Members also framed the issue as both a hunger and affordability problem, with several noting that California’s agricultural abundance contrasts sharply with persistent food insecurity. The first panel presented research and advocacy perspectives on food hardship. PPIC’s Tess Thorman described food insecurity rates, disparities affecting households with children and Black and Latino households, and the role of nutrition programs in reducing poverty. Nourish California’s Betzabel Estudio argued that hunger is a policy choice and highlighted campaigns to expand state-funded food assistance for immigrants, support reentry populations, and continue the CalFresh fruit-and-vegetable incentive program. The California Association of Food Banks’ Josh Wright said food banks are seeing sustained high demand, lower federal food supplies, and cannot replace CalFresh, while urging more state support for food purchasing, school meals, and SunBucks. The second panel reviewed CalFresh operations and participation. The California Department of Social Services reported that CalFresh participation has risen over the past decade, with the state closing much of the participation gap through outreach, simplified applications, and demonstration projects such as the Elderly Simplified Application Project and a minimum nutrition benefit pilot. Alameda County Social Services described local caseloads, application trends, and emergency food distributions during the shutdown, while also warning that H.R. 1’s work requirements, immigrant eligibility restrictions, and possible cost-sharing could reduce enrollment. A student CalFresh ambassador testified about the burdensome application and recertification process and urged more funding for campus basic-needs centers and outreach to reduce stigma and administrative friction. In the final panel, county, food bank, and policy witnesses described the shutdown response and the expected impact of H.R. 1. Alameda County Community Food Bank and the County Welfare Directors Association said counties, food banks, and community partners mobilized emergency funds, pop-up pantries, and food purchasing to bridge the shutdown gap, but warned that hundreds of thousands of Californians could lose benefits under the new federal rules. The California Budget and Policy Center began outlining the scale of federal cuts, noting that H.R. 1 will significantly reduce SNAP funding and shift costs to states. No votes or formal committee actions were taken; the hearing was informational and concluded with discussion of possible state responses, including backfilling benefits, preserving outreach funding, and improving administrative systems to protect enrollment.
WA

Washington 2025-2026 Regular Session

Joint Select Committee on Health Care and Behavioral Health Oversight Nov 5th, 2025

Joint Select Committee on Health Care and Behavioral Health Oversight

Transcript Highlights:
  • And we look forward to working in collaboration with you.
  • critical moment where we find ourselves in health care.
  • And we look forward to work in a collaboration with you.
  • Primary care, rural health care transformation—tremendous amount.
  • I mentioned the multidisciplinary care team earlier.
Summary: The committee met to hear introductory briefings from the Department of Health and the Health Care Authority on agency priorities, federal changes, and implementation challenges. Secretary of Health Dennis Worsham said his department’s listening tour is focused on strengthening governmental public health, improving health care quality and access, and responding to federal funding disruptions and the shutdown’s effects on programs such as WIC. HCA Director Ryan Moran said the agency is prioritizing coverage preservation, oversight of major contracts, affordability, behavioral health integration, rural health transformation, and internal agency operations. Members asked about licensure delays; Worsham said the backlog had been reduced from about four months to six weeks and should be caught up by January 1, with possible further process changes if needed. A major portion of the meeting focused on H.R. 1 and its Medicaid-related implementation. Governor’s health policy advisor Caitlin Stafford, HCA staff, and interim Medicaid Director Trinity Wilson said the state is working with DSHS, the Health Benefit Exchange, tribes, and other partners to prepare for eligibility changes, work requirements, and six-month redeterminations. They said the state expects up to 30,000 Apple Health enrollees could lose coverage under the law’s non-citizen eligibility changes, and that the work requirement/redetermination provisions could affect about 620,000 adults, with roughly 80,000 also enrolled in SNAP. HCA said it hopes to automate most verification, but about 15% to 20% of cases may require manual review, with technology costs estimated at up to $30 million. Staff also said they are trying to keep H.R. 1 implementation mostly in budget language rather than statute, and that communication and navigator support will be important to minimize confusion and coverage loss. The committee also received an update on the Rural Health Transformation Program created in H.R. 1. HCA said Washington submitted its application to CMS on November 5 after extensive stakeholder engagement, including more than 310 written comments, webinars, and tribal consultation. The application centers on six initiatives: rural hospital innovation, community care and prevention, tribal investments, technology and data, workforce development, and rural behavioral health. HCA said the state is likely to receive less than the full $200 million annual amount assumed in the federal program, and that an advisory committee may be created to help guide spending over the five-year program. Members asked about palliative care, small business impacts, and communication with enrollees; HCA said it expects to share outreach toolkits and that no 2026 statutory changes are currently anticipated, though that could change. The final panels covered organ donation and transplant services. Department of Health staff explained the 2023 “Lights and Sirens” law for organ transport vehicles, including licensing, driver qualifications, insurance requirements, and use of emergency lanes and traffic preemption; the department said one company is currently licensed and there have been no complaints. LifeCenter Northwest described the organ procurement process, the legal framework under the Uniform Anatomical Gift Act, and the rarity and complexity of deceased donation, noting Washington has seen strong growth in donation and transplants over the past decade. University of Washington Medical Center staff then outlined its transplant programs for kidney, liver, heart, lung, pancreas, and multi-organ transplants, describing the multidisciplinary evaluation and waitlist process and the coordination required with donor organizations and hospitals.
MN

Minnesota 2025 1st Special Session

Working Group on Omnibus Health and Human Services Bill - 06/08/25

Minnesota Senate Floor Meeting

Transcript Highlights:
  • Line 364 for MA and Minnesota Care.
  • coverage for traditional healthc care coverage for traditional healthc care practices. practices
  • public private permanency collaborative public private permanency collaborative services<00:15:44.399
  • <00:32:19.679> agreements<00:32:20.240> between collaborative agreements between collaborative
  • Um, and increases and delays in care.
Keywords: 1187, senate, all
MN

Minnesota 2025-2026 Regular Session

House Higher Education Finance and Policy Committee 2/25/25

Higher Education Finance and Policy

Transcript Highlights:
  • care, containing health care costs and improving the quality of health care services to all Minnesotans
  • 00:32:04.600> and Care uh containing health care costs and Care uh containing health care costs
  • lack timely, essential services through direct care education and collaboration with local providers
  • lack timely, essential services through direct care education and collaboration with local providers
  • lack timely, essential services through direct care education and collaboration with local providers
Keywords: 1183, house
NH

New Hampshire 2025 Regular Session

House Health, Human Services and Elderly Affairs (01/16/2025)

Health, Human Services & Elderly Affairs

Transcript Highlights:
  • not getting it languishing away in care not getting it languishing away in care if<00:23:19.159>
  • <00:28:08.279> services uh receive preventative care services uh receive preventative care
  • care in the community.
  • long-term care.
  • long-term care.
Keywords: 1189, house, all
NM
Transcript Highlights:
  • I collaborate with our academic advisors, financial aid office, and veteran resource centers to help
  • We also collaborate with the Veterans Upward Bound Program.
  • And we just started a master's program. ...and through a collaboration with Albuquerque to offer the
  • And two, how do you interact or help them with seeking support or access to VA health care?
  • Because once you have veterans on a care of their DAV or VFW.
HI

Hawaii 2025 Regular Session

HWN-WTL Public Hearing 02-11-2025

Hawaiian Affairs

Transcript Highlights:
  • <00:17:08.959> maala kulana to ensure its proper care maala kulana to ensure its proper care
  • care for by an org with a constitutional care for by an org with a constitutional duty<00:18:03.280><
  • 6E, so they all work collaboratively together.
  • <00:37:04.680> of then yeah so they will take care of then yeah so they will take care of
  • <00:44:11.920> and uh dlnr expends on the care and uh dlnr expends on the care and maintenance
Keywords: 912, senate, all
Summary: The joint hearing focused on Senate Bill 4, which would transfer stewardship of Mauna ʻAla from the Department of Land and Natural Resources to the Office of Hawaiian Affairs. Committee chairs opened the meeting with housekeeping and noted the hearing was live-streamed, with a two-minute limit for testimony. Director Don Chang of the Board of Land and Natural Resources said DLNR had been working with OHA and had agreed to transfer certain lands subject to due diligence, including Kahana Valley and a parcel in Waimānalo, but urged the committee to finalize those mutually agreed parcels before taking on something new. He also described the current arrangement at Mauna ʻAla as a collaborative one involving the state and the royal trusts, with the state handling routine maintenance and the trusts contributing to larger repairs and improvements on a project-by-project basis rather than through direct annual appropriations. Testimony was mixed. Supporters argued that OHA is better positioned to steward the site because of its cultural mission, Native Hawaiian governance, and ability to protect sacred places with greater cultural competency and accountability. Several speakers emphasized that Mauna ʻAla is not a state park and should be cared for by those with direct cultural ties and experience, and some cited OHA’s recent financial reforms and partnerships as reasons for confidence. Others, including representatives of the Daughters and Sons of the Hawaiian Warriors Makakoa, opposed the bill, citing concerns about OHA’s past financial management, transparency, and the need for more public information and testimony before any transfer. One testifier also argued the land transfer itself was unlawful and rooted in the history of the overthrow and annexation. Members and testifiers also discussed the historical role of the royal trusts and family caretakers at Mauna ʻAla, with one descendant describing a long family stewardship and supporting OHA only if amended language preserved checks and balances and protected iwi and burial grounds. Another speaker said the family recognized James Mayo as kahu of Mauna ʻAla and supported the bill because prior DLNR efforts had not sufficiently protected traditional and customary rights. The hearing ended after public testimony and committee questions, with no vote or final action taken in the portion provided.
MN

Minnesota 2025 1st Special Session

House Floor Session 5/5/25 - Part 2

Minnesota House Floor Meeting

Transcript Highlights:
  • This is the collaborative care bill that DHS has been pushing for a number of years.
  • Basically, it provides collaborative care psychiatric services to adults and kids in a collaborative
  • <00:53:11.680> care<00:53:11.920> psychiatric collaborative care psychiatric collaborative
  • care psychiatric collaborative<00:53:13.119> care<00:53:13.280> is<00:53:13.520> a<
  • care is a way that we can collaborative care is a way that we can provide<00:53:14.880> mental
Keywords: 1183, house
KY
Transcript Highlights:
  • Handle with Care uh July the 31st. Handle with Care uh July the 31st.
  • <00:47:50.160> crisis Handle with Care is a crisis Handle with Care is a crisis intervention
  • unique needs of every juvenile in care unique needs of every juvenile in care and<00:47:55.520><
  • <00:53:53.280> to to use with handle with care to to use with handle with care to deescalate
  • we can collaborate uh continue the<01:05:28.000> excellent<01:05:28.400> collaboration
Summary: The Juvenile Justice Oversight Council approved the minutes from its November 8, 2024 meeting and welcomed new member Representative Nick Wilson. The council also heard an update from the Administrative Office of the Courts on a school attendance awareness campaign aimed at reducing truancy referrals to court, and a member requested a future, more detailed presentation on truancy trends. The council then received an update from the Juvenile Justice Advisory Board from Dr. David Frink and Elsie Berger. They described the board’s membership, meeting schedule, public access, annual report and three-year plan, and its role in helping Kentucky remain compliant with federal juvenile justice requirements so the state can receive Title II funding. They said the board reviews grant applications for community-based services, substance use, and early intervention programs, with about $584,000 in federal funds this year and a little over $600,000 expected next year. Members asked about participation, board vacancies, and how to engage with the board, and the presenters emphasized the importance of statewide representation and community input. The Department of Juvenile Justice then provided a broader update through Commissioner Randy White and Deputy Secretary Mona Wamik. White said DJJ is under an ongoing U.S. Department of Justice investigation focused on conditions in detention facilities, including use of force, isolation, abuse, mental health care, and special education, and said the department has cooperated with repeated information requests and site visits. He also reviewed recent legislative and administrative changes, including 2023 Senate Bill 162, regional detention planning, facility segregation requirements, staffing and salary investments, improved staffing levels, reduced mental health vacancies, and training efforts related to security threat groups. He said DJJ has made progress but continues to work on staffing, safety, and facility improvements.
MA

Massachusetts 2025-2026 Regular Session

LGBT Aging Commission Jun 21st, 2026 at 11:00 am

Transcript Highlights:
  • Research on HIV care tailored for Black women.
  • Care, cultural humility, integrity, and resilience.
  • So we have collaboration, commitment. As they come up.
  • So: empowerment, openness, collaboration, and commitment.
  • Take care. Thank you. Bye.
Keywords: 995, all
Summary: The Massachusetts Commission on LGBTQ Aging opened its March quarterly meeting by welcoming Alison Bauer as its first full-time director, effective March 30. Bauer briefly introduced her background in law, social work, public health, state government, philanthropy, and teaching, and said she planned to meet one-on-one with each commissioner. The commission then approved the December quarterly meeting minutes by motion and vote. The main portion of the meeting was a workshop led by Adriana Boulin on diversity, equity, inclusion, power, belonging, and intersectionality. Boulin defined key terms, guided participants through reflection exercises on personal values and conditions that support or undermine power, and discussed the history of intersectionality. Commissioners and guests shared examples of DEI work, including listening sessions, inclusive trainings, equitable hiring, LGBTQ+ aging advocacy, and community programs. Participants also reflected on how the commission has felt powerful, citing the strategic plan, the hiring of an executive director, the website, listening sessions, and passage of the LGBTQI+ and HIV long-term care bill of rights. The group then focused on how to apply an equity lens to the commission’s strategic priorities, especially improving representation and inclusion. Commissioners discussed the need for more racial, ethnic, trans, immigrant, and other marginalized representation, as well as barriers such as recruitment challenges, the size of the commission, and CORI/background-check concerns for some governor-appointed seats. They also explored whether an advisory board or expanded outreach to community organizations could help broaden participation. No formal votes or final actions were taken beyond approving the minutes, but the meeting ended with agreement to continue the equity work and with the next quarterly meeting scheduled for June.
WA
Transcript Highlights:
  • Third is a look at the Quality Home Care Initiative, commonly referred to as Initiative 1163.
  • In other words, are the elderly folks and those with disabilities who are in long-term care receiving
  • In Washington, we provide many of our services through the managed care model, as do many other states
  • of care.
  • of care, that are relevant to that discussion.
Summary: The committee meeting began with a brief explanation of the renamed Joint Legislative Audit Review Committee subcommittee, now called the Committee to Hear SAO Performance Audits, and a presentation from the State Auditor’s Office on its current biennium performance audit work plan. The auditor described how topics are selected from a large pool of potential audits and highlighted several ongoing or planned audits, including the Liquor and Cannabis Board, oversight of authorized entities serving students with disabilities, the Quality Home Care Initiative, Medicaid managed care versus fee-for-service costs, the Housing Commission tenant ownership follow-up, DSHS vendor payment patterns, implementation of the Since Time Memorial curriculum, and the Washington State ferry system. Members asked about coordination with JLARC to avoid duplication, and the auditor said the offices exchange work plans, monthly updates, and quarterly coordination meetings. The committee then heard the State Auditor’s performance audit on how charter schools identify and support at-risk students. Auditors reviewed four charter schools—Catalyst Public Schools, Innovation High School, Pinnacles Prep, and Rainier Prep—and focused on English language learners, homeless students, and special education students. The audit found the schools met nearly all legal requirements reviewed, with only one area where two schools partially met a language-access requirement. The schools also used several promising practices, including small-group instruction, culturally responsive environments, and multi-tiered systems of support, though the auditors recommended better documentation of procedures to improve consistency. Families interviewed generally reported positive experiences, while noting resource constraints. Committee members asked about how the four schools were selected, whether the audit compared charter populations to home districts, and how MTSS requirements applied to the schools reviewed. The State Auditor’s Office said the sample was chosen for geographic diversity, student population characteristics, and representation from both authorizers, and that K-2 MTSS requirements were not evaluated because they applied to only one school. Representatives from the Charter School Commission and charter school advocates responded positively, emphasizing technical assistance, collaboration, and sharing best practices across schools. Two public testifiers also supported the report and said it highlighted effective practices that could be expanded across charter and traditional public schools.
ND

North Dakota 2026 1st Special Session

Legislative Task Force on Government Efficiency Jun 30th, 2026

Legislative Task Force on Government Efficiency

Transcript Highlights:
  • And then they got this little project of looking at the child care system.
  • And, uh, And then they got this little project of looking at the child care system.
  • Gallion said about, you know, working collaboratively, I think that's possible.
  • Gallion said about, you know, working collaboratively, I think that's possible.
  • You mentioned the child care report.
Summary: The task force first approved the March 25, 2026 minutes as amended, including a correction removing language that suggested the auditor’s office would contract with a security vendor. Members then moved to a bill draft on concessions (LC 27.0161.00000), which would raise the competitive solicitation threshold from $25,000 to $50,000, allow requests for proposals in addition to bids, clarify that proceeds go to the entity’s operating fund or general fund, and make other technical updates. OMB explained the draft and answered questions about scope, fragmentation, vendor restrictions, school districts, and whether concession proceeds could be directed to nonprofits; OMB said the draft could be refined further, including clarifying covered entities and contract length. No vote was taken on the draft during the discussion. OMB also reported on other survey items. It said a proposal to broadly allow agencies to create pre-qualified architect/engineering/land surveying vendor pools would not move forward, because the existing authority is working well for the agencies that already have it. On legal notices, OMB said it has been working with the North Dakota Newspaper Association on modernization, including an ADA-compliant online notice system and possible statutory updates to reflect changing technology and notice definitions. On click-through agreements for routine IT purchases, OMB and the Attorney General’s office said policy clarification—not statutory change—was enough, and the $20,000 threshold was intended to distinguish low-dollar adhesive contracts from purchases where terms can be negotiated. The committee also heard that OMB and the Center for Distance Education had resolved questions about alternate procurements and food/beverage expenditures through existing policy, so no statutory changes were needed there. North Dakota University System representatives gave a brief update on ongoing collaboration with OMB on statutory efficiency ideas, including concessions and surplus property. Finally, the task force discussed a draft on requirements for new or expanded spending programs, which would require agencies to identify purpose, expected benefits, alternatives, success measures, and full implementation costs, and would require reporting on outcomes over time. Members debated whether OMB or Legislative Council should collect and report the information, how to use the new program evaluators, whether real-time dashboards should be used, and how to choose which programs to evaluate; staff from Legislative Council said they would work with OMB and the auditor’s office to revise the draft and process.
CA
Transcript Highlights:
  • Thank you. to have control over who manages their care.
  • Communication, any collaboration on this item.
  • of the people that they care about.
  • You have to make sure that you have care lined up.
  • getting preventative health care.
Summary: The Assembly Budget Subcommittee on Human Services held a hearing on developmental services, rehabilitation, and related supports, with no votes taken. The first major topic was the Master Plan for Developmental Services. Administration officials described a year-long, community-driven process that included a steering committee, work groups, and statewide engagement sessions, and said the final draft would be released that Friday with about 170 recommendations. The Department of Developmental Services said the plan would inform future work, but did not offer a detailed implementation roadmap. The LAO said the plan contains significant policy and budget implications, may require statutory changes, and needs further analysis to turn recommendations into actionable proposals. Advocates and regional center representatives urged the Legislature and administration to avoid letting the plan sit on a shelf, called for prioritization and ongoing stakeholder oversight, and emphasized the need to address equity, workforce, service coordination, and cross-system collaboration. The chair said he wanted to work with the LAO on trailer bill language and future reporting to create a clearer path forward. The second topic was the Office of Employment First and competitive integrated employment. Administration witnesses said California has ended subminimum wage under SB 639, but that moving people into competitive integrated employment remains a major priority. They described existing efforts such as DDS’s coordinated career pathways pilot, paid internships, job development services, benefits counseling, and DOR’s career counseling and referral services, along with pilot projects in San Diego and Orange County. The State Council on Developmental Disabilities and advocates argued that employment outcomes have remained stuck at roughly 15% and that a dedicated Employment First Office is needed to coordinate across agencies, align goals, and improve outcomes. The LAO recommended regular legislative oversight on people transitioning out of subminimum wage and asked for technical assistance on coordinated career pathways. The chair criticized the administration’s decision to effectively eliminate funding for the office, requested a detailed implementation timeline and quarterly transition reports, and said the committee would continue pressing for the office to be implemented. The final issue was respite services, utilization trends, and access. DDS reported that in-home respite use and spending have risen sharply over several years, with about 150,000 people using respite in 2023-24 and expenditures reaching about $1 billion. Officials said access depends on families knowing the service exists, service coordinators identifying need, and having enough providers, especially in rural and linguistically diverse communities. The San Diego Regional Center said utilization generally mirrors statewide trends, but access is stronger in some areas, such as Imperial County, where families often prefer family-directed or agency-supported models that allow them to hire trusted workers. Committee members emphasized the importance of respite for family health and caregiver well-being, asked whether service coordinators are asking practical questions about sleep and stress, and discussed the need for better identification of complex behavioral and medical needs. DDS said a standardized family support tool and updated IPP process are intended to improve consistency, transparency, and person-centered assessment for respite and related services.