Video & Transcript Research : 'Home and Community-Based Services'

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MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 2/26/25

Human Services Finance and Policy

Transcript Highlights:
  • services, which includes the home health aide, rehab therapy, and skilled nursing visit services, as
  • Rehab therapy and skilled nursing visit services, as well as the home care nursing services.
  • services and various home care services and activities<00:10:44.279><c> that</c><00:10:44.519><c> impact
  • ’s own home, through a variety of services including 24-hour daily services and unit-based services provided
  • a four-person community residential setting to an individual’s own home, and through a variety of services
Bills: HF729, HF728
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 3/4/26

Human Services Finance and Policy

Transcript Highlights:
  • reforms that are desperately needed to improve our system of providing home and community-based services
  • reforms that are desperately needed to improve our system of providing home and community-based services
  • reforms that are desperately needed to improve our system of providing home and community-based services
  • Improve our system of providing home and community-based services.
  • home and community-based services and waiver management.
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 3/13/25

Human Services Finance and Policy

Transcript Highlights:
  • and community-based services.
  • and community-based services.
  • and community-based services.
  • home and the services that support them.
  • home and the services that support them.
OK

Oklahoma 2026 Regular Session

Appropriations and Budget Human Services Subcommittee Feb 9th, 2026 at 10:30 am

A&B Human Services Subcommittee

Transcript Highlights:
  • We have home and community-based services, which is at the Department of Human Services.
  • Home and community-based services cost about $22,000 per individual.
  • These programs, home and community-based services and PACE, are underutilized because no one knows about
  • We know that if we provide better information, more people will choose home and community-based services
  • us in a policymaking capacity can see what is being invested in home and community-based services and
MN

Minnesota 2025-2026 Regular Session

House Health Finance and Policy Committee 3/4/26

Health Finance and Policy

Transcript Highlights:
  • </c><00:09:03.360><c> community</c> are Medicaid work and community are Medicaid work and community engagement
  • </c><00:19:15.520><c> community</c> implementation of work and community implementation of work and community
  • and Georgia have had experience actually implementing work and community engagement requirements, and
  • </c><00:27:15.760><c> community</c> implementing work and community implementing work and community engagement
  • Thank you. systems, and to communities. Now, as systems, and to communities.
Bills: HF3439, HF3763
WA

Washington 2025-2026 Regular Session

Senate Human Services Jan 19th, 2026 at 01:30 pm

Human Services

Transcript Highlights:
  • employment, and community access services.
  • the new home and community living administration.
  • employment, and community access services.
  • I'm the Assistant Secretary in the Department of Social and Health Services for the Home and Community
  • : Home and Community Living, and Behavioral Health and Habilitation.
Summary: The Senate Human Services Committee heard four bills. SB 6024, sponsored by Senator Gildon, would streamline DSHS oversight of community residential service providers by limiting routine reviews to no more than one annual review per subject area, combining reviews when possible, and requiring better document sharing within the department to reduce duplicate requests. The sponsor and provider witnesses said the bill would reduce redundant audits and paperwork so providers can spend more time on direct client care. SB 6063, a DSHS request bill sponsored by Senator Bateman, would update statutes to reflect DSHS’s recent reorganization and rename references to the new administrations; testimony described it as a technical, no-cost cleanup measure. The committee also heard a proposed substitute for SB 5681, sponsored by Senator Cortez, which would lower from 21 to 20 the age at which people with intellectual and developmental disabilities may access employment and community inclusion services, and would rename community access as community inclusion. Senator Cortez and multiple advocates, educators, and service providers testified that earlier access would help young adults avoid a service gap after school, support transition to work, and improve long-term independence; the substitute was explained as changing the original bill’s proposed age from 19 to 20. SB 6036, sponsored by Senator Kaufman and requested by DSHS, would create a narrow exemption from adult family home licensure for certain foster care or kinship caregivers who continue caring for former foster youth who are the only unrelated adults in the home. Senator Kaufman and DSHS said the bill would preserve stability and continuity of care for youth aging out of foster care while maintaining safeguards, and DSHS testified in support. No votes were taken; the chair closed each hearing after testimony, and announced upcoming executive sessions and future hearings.
MN

Minnesota 2025-2026 Regular Session

House Environment and Natural Resources Finance and Policy Committee 2/20/25

Environment and Natural Resources Finance and Policy

Transcript Highlights:
  • </c> committee or community and I think would committee or community and I think would just<00:14:15.120
  • planning and implementation of resilience plans and then good governance and service to all Minnesotans
  • planning and implementation of resilience plans and then good governance and service to all Minnesotans
  • with different community communicating with different community members<00:51:50.319><c> and</c><00:
  • </c><01:24:04.960><c> now</c> years and uh she um has been home now years and uh she um has been home
Bills: HF276, HF413, HF411
WA

Washington 2025-2026 Regular Session

House Health Care & Wellness Jan 21st, 2026 at 01:30 pm

Health Care & Wellness

Transcript Highlights:
  • Additionally, providers of community-based care and in-home care,... to evaluate the stability of the
  • Additionally, providers of community-based care and in-home care, ...from liability.
  • Additionally, providers of community-based care and in-home care services may not discriminate or retaliate
  • We want to have good medical services in rural communities and all communities.
  • We want to have good medical services in rural communities and all communities.
Summary: The House Health Care and Wellness Committee held public hearings on House Bills 2261, 2283, and 2425, then took executive action on House Bills 2110, 2113, 2122, and 2152. HB 2261 would require health care providers to wear badges showing name, credential, and degree initials, require similar disclosures in advertising, and restrict use of the title “physician surgeon”; supporters framed it as a patient transparency measure, while many providers and associations opposed it as burdensome, confusing, and harmful to access, especially for adult family homes and solo practices. HB 2283 would raise the medical loss ratio for fully insured plans to 90%; supporters said it would direct more premium dollars to care and lower costs, while insurers warned it could destabilize markets and reduce flexibility for administrative services. HB 2425 would modernize nurse delegation rules, expand what tasks can be delegated, and broaden liability protections; supporters said it would reduce barriers and help address workforce shortages, while opponents raised patient safety and accountability concerns. During executive session, the committee advanced all four bills. HB 2110, allowing certain nurses without EMT certification to provide care on inter-facility specialty care transport, was amended and reported out with a due pass recommendation. HB 2113, which addresses radiological technicians performing IV contrast procedures under certain supervision arrangements, was reported out without amendment. HB 2122, requiring hospitals to offer flu vaccines under specified conditions, was amended three times and then reported out. HB 2152, requiring certain facilities to allow medical cannabis use by qualifying patients with terminal conditions, was amended to include exemptions and policy details, including naming it Ryan’s Law, and was then reported out as amended. The committee adjourned after these votes.
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 4/1/25

Human Services Finance and Policy

Transcript Highlights:
  • </c> Services literally Cuts nursing homes Services literally Cuts nursing homes and and and what<01:
  • operational costs of assisted living settings, unlike traditional home and community-based services
  • ><c> based</c> and a community-led competency based and a community-led competency based review<01:45
  • We’re a home and community-based service provider throughout Minnesota, and I’m here today to offer my
  • and Community Based adequate Home and Community Based supports<01:48:42.880><c> aren't</c><01:48:43.360
TX

Texas 89th 2nd C.S.

Human Services Apr 8th, 2025

Human Services

Transcript Highlights:
  • residents, and it would have jeopardized the tort claims protections for assisted living communities
  • Our services are free to families and our advisors provide personal guidance based on personal care needs
  • Their compensation is not based on, um, the compensation received from the community.
  • SSCCs enter into performance-based contracts with DFPS as a part of the community-based care model.
  • So, so is that how you define high quality service? Yes, performance-based contracts.
TX

Texas 89th Regular

Human Services Apr 8th, 2025

Human Services

Transcript Highlights:
  • TLA represents assisted living and senior living communities with members located across the state.
  • residents, and it would have jeopardized the tort claims protections for assisted living communities
  • Our services are free to find. ...and our advisors provide personal guidance based on individual care
  • SSCCs enter into performance-based contracts with DFPS. as a part of the community-based care model.
  • for delivering quality services as they agreed to do for our kids and families.
TX

Texas 89th Regular

Human Services Apr 8th, 2025

Human Services

Transcript Highlights:
  • However, in June of 2024, HHSC's legal department determined that the law only applies to home and community
  • and community support service agencies to be covered by this bill.
  • of communication from the Department of Family and Protective Services.
  • This communication is regarding group homes and residential neighborhoods.
  • I do represent all of the community health services centers and federally qualified health centers in
HI

Hawaii 2026 Regular Session

HSH Public Hearing - Tue Mar 24, 2026 @ 10:00 AM HST

Human Services & Homelessness

Transcript Highlights:
  • c> places</c> community based organizations or places community based organizations or places that<00
  • </c> Moving on to our next bill, SB 3324 SD1, which appropriates funds for Medicaid home and community-based
  • We at the department are seeing a growing demand for these community-based care homes that allow our
  • </c> We at the department are seeing a growing demand for these community-based care homes that allow
  • SB 3324 SD 1, which is increasing rates for our Medicaid home- and community-based care.
Summary: The committee heard testimony on several measures related to criminal procedure, homelessness, family resilience, Medicaid-funded services, and school Medicaid reimbursement. On SB 2479 SD2, the Judiciary testified in neutral opposition with concerns that the bill could require imprisonment even for probation-eligible defendants, expand sentence reconsideration in ways that could undermine finality for victims, conflict with existing sentencing statutes, and require additional judicial resources. The Office of the Public Defender supported the bill’s intent but asked for language changes so people serving sentences could raise the new evidence in Rule 40 petitions and so probation would remain available in appropriate felony cases. Written testimony also included opposition from several county prosecutors and police, and support from the Office of Hawaiian Affairs. The chair later deferred SB 2479 SD2, citing unintended consequences and problems with the bill. For SB 2557 SD1, which would require annual reporting by the State Office on Homelessness and Housing Solutions, the office said it supported the intent but noted it already produces annual and quarterly reports, that some requested data is already available, and that staffing and cost constraints could make the new reporting burdensome. The State Council on Mental Health supported the measure and suggested narrowing the reporting language to data on individuals with serious mental illness or co-occurring behavioral health conditions, to the extent practicable and in collaboration with relevant agencies. A committee member asked about the availability of point-in-time count data, and the office explained that some figures may not be available every year and may need to be generated through HMIS. Dr. Jack Lewin testified in support, saying the data would be useful for understanding health care costs. The committee passed SB 2557 SD1 with amendments, including a deferral of the effective date. The committee also heard SB 2861 SD2 and SB 3204 SD1, both family resilience pilot program measures. For SB 2861 SD2, the Office of Wellness and Resilience and DHS supported the bill but requested amendments to clarify that the office’s role is planning and advisory, that DHS is a key partner, and that federal compliance safeguards are included. The chair raised concerns about overlap with DHS’s existing Ka Ohana program and asked for language to avoid redundancy while allowing the bill to cover other at-risk children; decision-making was deferred to the next hearing. For SB 3204 SD1, which would create a peer-navigator-based family resilience pilot, the Office of Wellness and Resilience and DHS supported the measure, with the office requesting a two-year pilot period, and both agencies and several advocacy groups submitted support. The committee discussed funding, the proposed five peer navigators, and whether the pilot should be limited to one or two geographic areas; no final action was taken in the portion provided. The committee also heard and supported SB 3324 SD1 on Medicaid home and community-based services, with the Department of Health emphasizing caregiver shortages and the cost-effectiveness of community care, and SB 3325 SD1 HD1 on public school Medicaid reimbursement, where DOE and the Attorney General requested clarifying amendments to reporting language and position titles.
TX

Texas 89th 2nd C.S.

Human Services Mar 18th, 2025

Human Services

Transcript Highlights:
  • and services for the deafblind community and clients through the vocational rehab program.
  • It's the pilot program is only for our area or this area, and it, and it's, uh, to allow for a community-based
  • One Accord partners with local leaders and service providers and families in West Texas to develop community-based
  • Who believe that we can do better, um, and that brings us to community-based care.
  • um and what might need to be done differently in a rural community to help community-based care be successful
TX

Texas 89th 2nd C.S.

Human Services May 13th, 2025

Human Services

Transcript Highlights:
  • When we request the case file, and who requests the case file with community-based care and SSCCs coming
  • When we request the case file and who requests the case file with community-based care and SSCCs coming
  • CCRCs are adding services like memory care, hospice, and home-based services, but many are reducing nursing
  • home or skilled nursing services at each location.
  • There is an oversaturation of group homes being placed in communities, and they're not licensed.
Summary: The Committee on Human Services met with a quorum and first voted out Senate Bill 1589, relating to contract requirements between a single-source continuum contractor and DFPS. The motion to report the bill favorably to the full House with a recommendation that it do pass and be printed prevailed on a 7-0 vote. The committee then heard Senate Bill 500, which would set deadlines for providing foster care adoption records, including health, social, educational, and genetic history reports, to speed adoptions. The bill’s author and witnesses from Addie’s Hope Social Services supported it, saying delays in redacted files can take months, slow permanency for children, and increase costs to the state. Members asked about redactions and sibling/family information, and witnesses explained the bill would mainly speed the preliminary file used to decide whether to proceed with placement. SB 500 was left pending. Members also heard Senate Bill 1266, which would require regular reevaluation of the Medicaid provider support team and add written notice of provider disenrollment at least 30 days in advance. There were no witnesses, no questions, and the bill was left pending. Senate Bill 1522, concerning continuing care retirement communities, was then laid out and supported by LeadingAge Texas and counsel, who said it updates outdated definitions, clarifies licensing and disclosure rules, and strengthens consumer protections for seniors. It was also left pending. After a brief recess, the committee heard Senate Bill 1137, which would prohibit group home consultants from referring people to unlicensed or unpermitted group homes except in limited circumstances, require disclosure of complaints, and create a Class B misdemeanor for violations. Members discussed whether consultants are regulated and noted concerns about unlicensed referral practices. The bill was left pending, and the committee adjourned after completing its agenda.
TX

Texas 89th 2nd C.S.

Human Services Apr 1st, 2025

Human Services

Transcript Highlights:
  • And in fact if they request it or we have communication and they ask us questions, we absolutely should
  • been indicted and they may have spent the last 10 months in jail and maybe they have lost their home
  • So the Texas Health and Texas Health and Human Services Commission has confirmed.
  • Human Service Commission interprets usual and customary charges to include membership-based discount
  • Priscilla Pria, Health and Human Services Commission, and you are neutral, you're on the bill.
WA

Washington 2025-2026 Regular Session

House Health Care & Wellness Jan 30th, 2026 at 08:00 am

Health Care & Wellness

Transcript Highlights:
  • Hospitals have to perform charity care and Medicaid and provide services to Medicaid patients; that is
  • I'm speaking on behalf of Avexia, IV Nutrition and Wellness, a Washington-based wellness and medical
  • to the patient, a community-based or system-based advocate, or the patient's guardian.
  • , the patient's representative, the patient's attorney, and the community-based or system-based advocates
  • payments, and a carrier's payments for quality improvement, risk mitigation, and other incentive-based
Summary: The House Health Care and Wellness Committee held public hearings on House Bill 2545, which would direct the Department of Health to create rules allowing elective percutaneous coronary interventions (PCIs) at ambulatory surgical facilities, and House Bill 2613, which would add quality-assurance requirements for compounded drugs using bulk drug substances. On HB 2545, supporters including ambulatory surgery center representatives, cardiologists, and the prime sponsor argued the bill would improve access, reduce wait times, and lower costs while maintaining safety through patient selection and existing accreditation standards. Opponents from the hospital association argued that shifting PCI volume away from hospitals could undermine provider proficiency and the financial support hospitals use to maintain emergency cardiac services, and suggested the issue should be studied further. On HB 2613, the prime sponsor and several supporters said the bill was intended to address unsafe, large-scale compounding—especially weight-loss drugs—by requiring stronger sourcing, testing, and documentation of ingredients. Opponents from pharmacy, medical, hospital, clinic, and compounding groups argued the bill was overbroad, could restrict access to legitimate compounded medications, increase costs and delays, and in some cases conflict with existing federal and state compounding rules; some also urged narrowing the bill to focus on GLP-1 weight-loss products and exempt hospitals, nursing homes, and animal compounding. The sponsor of HB 2613 said amendments were being developed to narrow the scope and clarify the bill before executive session. In executive session, the committee considered six bills and then took final action on seven measures. It adopted amendments and advanced HB 1496, which limits fees for certain electronically stored health care information and changes attorney-fee provisions under the Uniform Health Care Information Act; HB 2283, which raises the medical loss ratio target for health plans to 90% with a delayed implementation date and added reporting authority for the insurance commissioner; HB 2425, which revises nurse delegation rules and delays implementation to 2028; and HB 2577, which clarifies hospital inspection timing and allows Department of Health flexibility in using CMS surveys as equivalent inspections. The committee also advanced HB 2155, addressing non-human entities using nursing titles; HB 2340, relating to substance use disorder monitoring program provisions for nursing assistants; and HB 2437, concerning Department of Health opioid treatment accreditation activities and associated fee authority. Votes were largely bipartisan, though several members voted no or without recommendation on some bills, especially HB 2283 and HB 2437. The meeting ended with all seven bills reported out of committee with due pass recommendations.
MN

Minnesota 2025-2026 Regular Session

House Health Finance and Policy Committee 3/23/26

Health Finance and Policy

Transcript Highlights:
  • :02:55.040><c> improve</c><00:02:55.360><c> service</c> and it this will improve service and it this
  • He and his support team are learning the skills they need to keep him in his home and community.
  • </c> children at home and this child had children at home and this child had assaulted<00:31:12.080><
  • </c><00:31:51.519><c> Serving</c> him in his home and community.
  • Serving him in his home and community.
WA

Washington 2025-2026 Regular Session

House Early Learning & Human Services Jan 13th, 2026 at 01:30 pm

Early Learning & Human Services

Transcript Highlights:
  • Examples of community residential services are group homes and group training homes, which are provider-leased
  • it gets sent to Home and Community Services.
  • Is it going to Home and Community Services? Is it going to residential services?
  • and whatever right but is it going to BHA is it going to DBA is it going to home and community services
  • is it going to residential service going to BHA, is it going to DDA, is it going to home and community
Summary: The Early Learning and Human Services Committee held its first 2026 hearings and heard four bills. HB 2185 would expand the Homeless Youth Advisory Committee to include more members with lived experience of homelessness or involvement in publicly funded systems, including adults over 25 and youth or young adults under 25. The sponsor and testifiers from homeless youth advocacy organizations said the change would broaden representation, improve guidance to the Office of Homeless Youth, and better reflect the needs of disproportionately affected populations; the bill was well received and the hearing was closed without opposition. HB 2319 would rename Washington’s residential habilitation centers by removing the word “school” from their statutory names. Staff and the sponsor said the change is purely terminological and does not affect operations or funding, but would reduce confusion because the facilities do not provide schooling and are not children’s institutions. Testifiers from The Arc of Washington, Disability Rights Washington, and self-advocates supported the bill as a needed update to reflect current services and avoid misinformation. The committee then heard HB 2230, which would limit DSHS to one annual routine review per community residential service provider in specified areas and require better coordination and document sharing to reduce duplicative audits and site visits. The sponsor and provider witnesses described repeated overlapping inspections as burdensome and said streamlining would let staff focus more on client care; the bill drew support, though some members asked about oversight and the need to preserve safety monitoring. The final bill, HB 2200, would direct JLARC to review safety and stability outcomes across developmental disabilities residential settings from 2022-2025 and require DSHS to create a public dashboard comparing emergency calls, ER boarding, placement terminations, and staff retention across state-operated and contracted settings. The sponsor argued the system lacks comparable data for most people served in community settings and that the bill would create transparency and help identify what works. Supporters, including state employee representatives, disability rights advocates, and a professional guardian, said the data would help families, policymakers, and providers make informed decisions. Some provider testimony raised concerns that raw numbers could be misleading without adjusting for population size or acuity and that the bill could add cost or reporting burden, but the sponsor said the goal was to make existing information accessible and comparable. The committee closed the hearing on HB 2200 and adjourned after announcing caucus locations.
TX

Texas 89th 2nd C.S.

Human Services Apr 29th, 2025

Human Services

Transcript Highlights:
  • Health and Human Services Commission.
  • My mom, her and her home girls, they always talk about the senior community they all want to live in
  • welfare and juvenile justice systems and communities it serves.
  • human services programs and 211 services.
  • And their, their services and costs go exponentially exponentially high.