Hi there, I'm Natalie from Social Busy Bee, your partner in the exciting world of Instagram growth. I've discovered something phenomenal for skyrocketing your Instagram popularity and I'm thrilled to share it with you! Social Growth Engine introduces a groundbreaking service that takes your Instagram engagement to new heights. It's effortless: - Zero in on producing unforgettable content. - Extremely budget-friendly at a mere $36/month. - Completely safe (no password needed), incredibly powerful, and Instagram's best friend. I've experienced remarkable results firsthand, and I'm sure you will too! Amplify your Instagram presence right now: http://get.socialbuzzzy.com/instagram_booster Best wishes, Natalie at Social Busy Bee"

Hi I am writing to you on behalf of The Well Connection UK, a media and publishing company. We could easily get virginia.gov featured in various publications such as magazines, online blogs and news sites. This would undoubtedly help virginia.gov with publicity, reputation, domain authority and organic search engine rankings. We have a wide range of options including completely free collaborations, sponsored posts, guest posts and banner ads. If this sounds of interest, please reach out to the senior business development manager, Anita at info@thewellconnection.co.uk and whatsapp +447395206515 (GMT) Kind regards Clifton Junior Outreach Assistant

United Methodist Family Services (UMS) supports HB 27, establishing a kinship foster care prevention program. This legislation will provide a much needed framework to promote increased kinship placements across the Commonwealth when a child cannot safely stay with their parent/guardians. It is imperative that we support relatives financially as well as establishing the legal framework for foster care prevention. This will provide access to relative support maintenance payments and the framework for local departments to make these placements more often, easily and in better support of families and also encourage legal permanency if returning to parent/guardians is not possible. Nationally, VA is out of step with kinship placements in foster care and this legislation will help move the Commonwealth in the right direction which will allow for better outcomes for our young people who have experienced abuse, neglect and trauma by allowing for stronger cultural connections, reducing placement disruptions and trauma.

With regard to HB27, I am in full support of this program. I am a local child welfare worker in the Richmond area. I work with kinship foster parents on a daily basis. For many families, the difference between foster care placement and custody transfer is simply the financial assistance afforded to them by becoming kinship foster parents. As you all are aware, there is a workforce crisis in child welfare. More kids entering foster care when many of these families and children can be served outside of foster care services save for the financial benefits contributes to higher caseloads. Children rarely leave foster care unscathed by any type of trauma. This program would reduce the foster care workers' workload, the unnecessary delays on permanency caused by Court timelines, and the undue trauma that youth in foster care face simply by being in the foster care system EVEN if they are placed with relatives. The impact statement for HB27 only captures the number of families currently served through In-Home services who would qualify for this plan. The Impact Statement fails to mention the hundreds to thousands of children and families who are in foster care with kinship foster parents who could otherwise be served through the Parental Child Safety Placement Program to avoid foster care altogether. That said, the impact of this program is much greater than the already stated data. Regarding HB 1313, Virginia's youth who aged out of foster care should be served for as long as the Commonwealth will allow. I am supportive of the age range for Fostering Futures be raised to 23. Many youth lose their footing between the ages of 18-20. By the time they are ready to return to Fostering Futures, they are closer to their 21st birthday and losing the support Fostering Futures offers them, and sometimes these youth are worse off than when they turned 18 in terms of readiness to support themselves. To have 2 additional years between 21 to 23 when they have experienced sometimes the lowest point in their lives and are truly ready to begin their adult life would make a profound difference in the outcomes for former foster youth. Please support this age amendment!

Since the pandemic, the foster care system has been in crisis after crisis. During the pandemic the children were sitting in isolation for 14 days at a time to confirm they were not carrying the corona virus. The isolation exasperated the mental health of those living and working in the foster care system. Virginia saw 65% of the foster homes close and end their license and we have not seen foster homes replace them. The Kinship Bills will open hundreds of homes for the youth suffering in foster care, and the best part is these are homes with individuals that know and love this child. Local DSS offices and placement facilities were short staffed and experiencing high rates of burnout. Youth were (and sometimes still are) living in temporary situations (such as DSS offices, Hotel rooms, shelters, etc.) until a foster home, group home or other permanent living situation can be found. Keep in mind that this was not just a Virginia problem, it was happening nationally. Since August many class action lawsuits have been brought against Child Protection Agencies for failing to provide quality services and meet requirements. California (Los Angelus County) is being sued for individuals in extended foster care being homeless. Organ, New York and Texas have similar actions around inadequate or unsafe housing arrangements. Virginia has an opportunity to reconcile the effects of the foster care crises by extending fostering futures to the age of 23. There are many concerns about the cost of extending foster care services. There is an opportunity to define the case management and qualifying expenses in the future. But these services are needed now, these young adults do not have good credit or someone to co-sign on a car loan, rental apartments or anything else. These youth have been living in crisis the last 4 years and preparing to do it without a safety net has been the last thing on the minds of social workers and youth themselves. The proof is in the National Youth in Transition Database (NYTD) results reflecting only 36% of youth received independent living skills support. Many of the localities are not meeting federal and state requirements for supporting individuals between the ages of 14 and 21 in teaching and preparing them for adulthood. When you are thinking about this big cost, I would like to remind you that 80% of individuals being trafficked are from foster care, one out of 5 individuals in jail/prisons are from foster care, 50% of individuals homeless are from foster care. The foster care system teaches individuals they do not need people to help them, they need systems and often spend a majority of their lives with economic assistance supporting them. The extension of fostering futures, more homes within families and support in getting vehicles can help increase the success rates of youth leaving foster care and decrease the cost to Virginia for the youth’s lifetimes. Please improve foster care by approving the kinship bills, extending support services till 23, and approving the budget to get them behind the wheel and off to a good start in their journey to becoming happy healthy adults!

Voices for Virginia's Children Strongly supports HB27 and HB 1313

Comments Document

The attached document contains comment on HB27 and HB1313 providing support and asking the House Appropriations Committee to pass and fund both of these bills, which will invest in the lives of Virginia's most vulnerable children and youth.

Kinship caregivers have the potential to significantly reduce the level of trauma experienced when a child is removed from their home. When someone takes a child into their home, their financial obligations increase. Current financial aid for kinship caregivers is very limited and all have extensive requirements. If passed, this will allow kinship caregivers to be eligible to receive the same payment as foster parents, removing a huge barrier.

Children's Home Society of Virginia supports establishing a Kinship as Foster Care Prevention program. Entering the foster care system is a traumatic event in any child's life. When there is an appropriate, safe, kinship placement option that would prevent a child from entering foster care, it would reduce the amount of trauma a child has to endure by ensuring permanent connections with that child's community are maintained and fostered. This can have lifelongB effects on a child. We thank Delegate Callsen for bringing this bill and hope you all will vote in support of it.

vote yes support all health care professionals

Hi there, I'm Natalie from Social Busy Bee, your partner in the exciting world of Instagram growth. I've discovered something phenomenal for skyrocketing your Instagram popularity and I'm thrilled to share it with you! Social Growth Engine introduces a groundbreaking service that takes your Instagram engagement to new heights. It's effortless: - Zero in on producing unforgettable content. - Extremely budget-friendly at a mere $36/month. - Completely safe (no password needed), incredibly powerful, and Instagram's best friend. I've experienced remarkable results firsthand, and I'm sure you will too! Amplify your Instagram presence right now: http://get.socialbuzzzy.com/instagram_booster Best wishes, Natalie at Social Busy Bee"

Hi I am writing to you on behalf of The Well Connection UK, a media and publishing company. We could easily get virginia.gov featured in various publications such as magazines, online blogs and news sites. This would undoubtedly help virginia.gov with publicity, reputation, domain authority and organic search engine rankings. We have a wide range of options including completely free collaborations, sponsored posts, guest posts and banner ads. If this sounds of interest, please reach out to the senior business development manager, Anita at info@thewellconnection.co.uk and whatsapp +447395206515 (GMT) Kind regards Clifton Junior Outreach Assistant

Please vote in favor of this legislation. So many folks, just in this county alone have been diagnosed positive for Alpha Gal. Listing it as a reportable disease is a next step toward greater understanding and acceptance of the syndrome, therefore one step closer to consideration for greater research for prevention and treatment.

As a Virginia resident who has suffered from Alpha-gal syndrome (AGS) for over 24 years, I would like to register my strong support for HB 93 and urge its passage in the General Assembly. AGS is a tick-borne disease that causes a serious allergy to a sugar in mammal meat and mammal products (including many medicines). AGS is spread through the bite of a lone star tick. Shortly after moving to VA, where I immediately fell in love with hiking in the Shenandoah Mountains, I began to suffer unexplained bouts of severe hives. Allergists had no answers. Next came episodes of severe gastrointestinal distress and mysterious drops of blood pressure that send me to the ER. Eventually, the reactions got worse and I ended up taking my first ambulance ride to the ER in the middle of the night, in and out of consciousness from anaphylaxis. Eight years after my first reaction, I finally had a tentative diagnosis. Testing would eventually show that I was severely allergic to mammal meat. Several years later, after another very scary and cold January ride in an ambulance to the ER, I discovered I could also not tolerate dairy due to AGS. Navigating menus and ingredient lists is a constant battle, but my worst fear is being in an accident, ending up in the ER unconscious, and being administered one of many drugs that are made with mammal ingredients. A single dose of heparin, a very common blood thinner, could put me into severe anaphylaxis or even kill me. Thankfully, I am not as sensitive to minor amounts of mammal as some in the AGS patient community who suffer reactions even to the fumes of cooking mammal. I tell you all of this to emphasize that AGS is a life-altering, and even life-threatening, condition. As not just an allergy, but also a tick-borne disease, targeted public health education in hot spot areas can help prevent the disease from spreading. The Centers for Disease Control, which is encouraging states to report, has stated that “the prevalence of this condition is largely unknown.” They describe “a critical need” for “improved surveillance to aid public health decision-making.” This is especially important in Virginia. If surveillance is not improved, it will be hard to justify additional federal resources, even though VA is an AGS hot spot. Currently, most federal tick-borne disease funding is dedicated to preventing Lyme disease. However, 95% of tick encounters in VA involve lone star ticks – ticks not thought by the CDC to carry Lyme. Therefore, determining the true prevalence of AGS in VA could be key to increasing the allocation of resources, not just for healthcare provider education on AGS, but also for public health outreach related to tick bite prevention in general. Out of the 6 ER visits I have had with AGS reactions, only once did the doctor have a working understanding of AGS. Increased healthcare provider education might mean that my medic alert bracelet would be enough to save me (and many other Virginians with AGS) if I were admitted to the hospital in an emergency. A better understanding of the prevalence of the disease could also ensure Virginians are diagnosed sooner, something that might help save their lives. Finally, it would be an enormous public benefit if we could prevent more people from getting AGS in the first place by targeting resources to public education on tick bite avoidance. HB93 is an important public health measure for Virginia, and I urge you to vote yes.

As Cofounders of Two Alpha Gals, we have been helping others navigate the complexities of living with alpha-gal syndrome (AGS) since 2019, and we strongly support HB93. In addition to living with AGS ourselves, we have unique insight into the direct impact of the condition on the community through our mentorship program. A primary cause of concern for patients living with AGS is lack of knowledge among healthcare providers. In July 2023, the CDC reported that in a nationwide survey of healthcare providers, 42% were unaware of AGS, and another 35% were not confident in their ability to diagnose or manage patients with AGS. The passing of HB93 would provide a vehicle for cohesive and comprehensive education among healthcare providers in Virginia and is a foundational step toward directly improving the wellbeing of Virginians impacted by AGS. Because the number of cases continues to increase, it is critical to pass HB93 in order to determine the immediate effect of AGS on Virginians. Sincerely, Debbie Nichols and Candice Matthis, Two Alpha Gals LLC, www.TwoAlphaGals.com

As a board-certified practicing allergist and immunologist for over 20 years who regularly evaluates alpha-gal allergy patients, I completely disagree with the potential requirement to report alpha-gal allergy to the CDC or state registry. The reporting of medical conditions was started to prevent and control the spread of infectious diseases including poliomyelitis or later determining the source of foodborne illness outbreaks. This reporting was also extended to potential toxic or occupational sources of illnesses. Alpha-gal allergy is delayed reactivity to mammalian meat triggered in some people by tick bites. It is an allergy, not a communicable or infectious disease such as is Lyme disease. I agree that there is low awareness of alpha-gal allergy and more research is needed, but making it reportable is not the best approach. By the logic of the bill’s proponents, we should report every noninfectious disease where there is low awareness. We could also require bee sting or tree nut anaphylaxis to be reported. This would flood the CDC with additional disease reports and dilute the focus on infectious diseases. Reporting alpha-gal syndrome is unnecessary, unhelpful and a waste of public resources. Please do not pass this bill and allow the reporting system to focus on communicable and infectious diseases.

Comments Document

As a Director of the Alpha-gal Syndrome Awareness Campaign--a volunteer effort involving hundreds of people affected by alpha-gal syndrome, including Virginians--and creator of the Alpha-gal Information website--the most comprehensive resource on alpha-gal syndrome (AGS)-- I would like to register my strong support for HB 93. Passage of HB 93 would meet an urgent need for surveillance of alpha-gal syndrome (AGS), an emerging, tick-borne condition characterized by potentially life-threatening allergic reactions to a sugar found in mammals and products derived from mammals. The CDC reports that AGS is a growing clinical and public health concern, and state-level surveillance is a “critical need” to determine its true prevalence and trends in its expansion. This information is vital for public health decision-making. Importantly, passage of HB 93 would also serve as a mechanism to educate the scores of healthcare providers who remain unaware of AGS. Virginia is an AGS hotspot. Over 20% of residents in some areas of the state have the allergic antibodies (IgE) to alpha-gal associated with AGS, and up to 9% of these individuals may have full-blown AGS. A recent study found that more than 2% of a cohort from central Virginia had AGS. Other estimates suggest that up to 3% of people in the hardest hit areas may be affected. The CDC encourages states to report cases of AGS and has laid the groundwork for states to make AGS reporting mandatory. In September 2023 Arkansas became the first state to make AGS a mandatory, reportable health condition. Other states in high prevalence regions are expected to follow suit. By passing HB 93, you can make a lasting impact on the health and well-being of thousands of Virginians. This legislation presents a pathway to document the true prevalence of AGS and monitor its expansion, which is needed to facilitate and fund public health measures addressing this issue. Sincerely, Sharon Forsyth Alpha-gal Syndrome Awareness Campaign https://alphagalinformation.org/

I have Alpha-gal Syndrome. It's an allergy to mammal meats, products, and by-products. It can be life threatening, as reactions can present as anaphylaxis. Please pass HB 93 and make this tick-borne disease reportable to the CDC, so tracking of cases and it's spread can be evidenced. There is very little knowledge of this in the medical community, and resources and research are limited. By putting a quantitative spotlight on Alpha-gal Syndrome we have a better chance, as a state, to build valuable resources, advance medical knowledge, and unite agencies that should be working on this together to mitigate the spread and help those afflicted. Thank you

VACo supports sustainable funding for Part C Early Intervention, and supports rates that address the costs of providing these critically important services.

HB177 - Department of Medical Assistance Services; reimbursement rates for Early Intervention Program for Infants and Toddlers with Disabilities; work group; report. The Virginia Association of Community Services Boards (VACSB) is Actively Supporting SB177. For Early Intervention, it is critical that the reimbursement rate is increased on a periodic basis. Rates that are regularly reviewed to ensure adequacy are key to maintaining and developing a strong network of providers for services. Without an adequate rate providers cannot sustain the offering of that service. Part C Early Intervention Programs provide services for infants and toddlers (from birth until age 3) with developmental delays and disabilities. Services provided during the first three years of a child’s life have the greatest impact on that child’s health and developmental trajectory and are critical in eliminating or reducing later disabling conditions and service costs. This results in a decreased need for special education services in the later school years. As well, Early Intervention is part of a continuum of early childhood intervention programs that provide significant return on investment. Every $1 invested in these programs mean an average of $9 saved later through: • Reduced criminal justice involvement • Reduced need for public assistance programs later in life • Fewer children repeating a school year

My name is Michael Gordon. I am a recovering addict. My clean date is 06/06/2008. I writing this letter because it my duty as a health professional to bring to the table how important it is that we change the barrier crime law. I have spent countless hours and days working with other addicts who trying to find their pathway into recovery. The frontlines are thin because the people whom society deemed unworthy because of some past mistakes cannot work in the field that they could do the greatest good. I did not know when I received my sentence in 1990 for distribution of crack cocaine. I would be serving a life time sentence. Luck for me I don’t have a barrier crime, yet today after getting my GED, going to college and graduating with honors. I still can live in certain areas or have certain jobs. I went from the crack house to the White House and still that not enough for Virginia to forgive me of my past mistakes. We need more people who has made a deep commitment to change to share their experiences with others who are suffering!!

Re: HB241 - McQuinn There are increasing numbers of children residing in the Commonwealth surviving with medical complexity. Children with Medical Complexity (CMC) are increasing due to improved outcomes for premature infants and conditions that rely on technology outside of the hospital environment. Due to the shortage of home nursing in the Commonwealth, this leaves parents with the difficult decision of deciding if they can continue in the workforce to support their family or remain home to take care of their dependent child. Daycares are not set up to care for these children and lack licensed professionals that are able to provide tube feedings, oxygen, medication treatments and developmentally appropriate play and therapy services. Other states have taken this problem on in order to provide daycares that are licensed, thereby allowing parents to continue to be employed and rely less on social supports to ensure the well-being of their family.

Hi there, I'm Natalie from Social Busy Bee, your partner in the exciting world of Instagram growth. I've discovered something phenomenal for skyrocketing your Instagram popularity and I'm thrilled to share it with you! Social Growth Engine introduces a groundbreaking service that takes your Instagram engagement to new heights. It's effortless: - Zero in on producing unforgettable content. - Extremely budget-friendly at a mere $36/month. - Completely safe (no password needed), incredibly powerful, and Instagram's best friend. I've experienced remarkable results firsthand, and I'm sure you will too! Amplify your Instagram presence right now: http://get.socialbuzzzy.com/instagram_booster Best wishes, Natalie at Social Busy Bee"

Hi I am writing to you on behalf of The Well Connection UK, a media and publishing company. We could easily get virginia.gov featured in various publications such as magazines, online blogs and news sites. This would undoubtedly help virginia.gov with publicity, reputation, domain authority and organic search engine rankings. We have a wide range of options including completely free collaborations, sponsored posts, guest posts and banner ads. If this sounds of interest, please reach out to the senior business development manager, Anita at info@thewellconnection.co.uk and whatsapp +447395206515 (GMT) Kind regards Clifton Junior Outreach Assistant

I am a sickle cell caregiver to my son. I fully support all bills that brings awareness and support to this painful disease. I support HB252 where there needs to be a statewide registry. No sickle cell patient should feel judged or labeled as drug seeking which is the reason I support HB257. My son has been admitted two times in 6 months. Each time has been stressful but a plan was put in pace both times and the care was great for him. As an adult, I fear his care may not be a great due to the labels that come with disease by some medical professionals. I feel these bills are a great start leading us in the right direction. We need sickle cell patients to know that they matter and will get the care they deserve. I support HB820, as well as HB255.

To the honorable members of the Health and Human Services Committee I am Robin Whitley the co-Convener for Hampton Roads of the Black Women’s Roundtable VA. We support issues that surround Black Women and Black Girls. Sickle Cell Anemia is prevalent among members in my paternal familial lineage. I was raised to believe I carried a Sickle cell trait but fortunately I do not. So many babies are born to women with this debilitating disease , when in fact with education, tracking, resources and research we can significantly reduce the number. I support HB 252 to develop a statewide registry to help build a database of individuals with SCD and match them with resources, screenings, generate data for funding and implement useful tools and programs. I also support HB255 There has to be a way to screen people to determine if they carry a sickle cell trait and annual physical exams are a good way to start with consent and an option to opt out. Likewise, I strongly support HB 820 to keep up with medical advancements and cutting edge technology and treatments for Sickle Cell Anemia to give assurance to all those diagnosed who should be on a state registry. HB257 is needed for adults who are going through crisis and may not have medical insurance or come to an ER for treatment as are often labeled as drug seeking. Finally, Sickle Cell Anemia is a painful disease but we can work together to make a huge impact. Please support these bills and thank you for considering my written statement.

Hi there, I'm Natalie from Social Busy Bee, your partner in the exciting world of Instagram growth. I've discovered something phenomenal for skyrocketing your Instagram popularity and I'm thrilled to share it with you! Social Growth Engine introduces a groundbreaking service that takes your Instagram engagement to new heights. It's effortless: - Zero in on producing unforgettable content. - Extremely budget-friendly at a mere $36/month. - Completely safe (no password needed), incredibly powerful, and Instagram's best friend. I've experienced remarkable results firsthand, and I'm sure you will too! Amplify your Instagram presence right now: http://get.socialbuzzzy.com/instagram_booster Best wishes, Natalie at Social Busy Bee"

Hi I am writing to you on behalf of The Well Connection UK, a media and publishing company. We could easily get virginia.gov featured in various publications such as magazines, online blogs and news sites. This would undoubtedly help virginia.gov with publicity, reputation, domain authority and organic search engine rankings. We have a wide range of options including completely free collaborations, sponsored posts, guest posts and banner ads. If this sounds of interest, please reach out to the senior business development manager, Anita at info@thewellconnection.co.uk and whatsapp +447395206515 (GMT) Kind regards Clifton Junior Outreach Assistant

Hi there, I'm Natalie from Social Busy Bee, your partner in the exciting world of Instagram growth. I've discovered something phenomenal for skyrocketing your Instagram popularity and I'm thrilled to share it with you! Social Growth Engine introduces a groundbreaking service that takes your Instagram engagement to new heights. It's effortless: - Zero in on producing unforgettable content. - Extremely budget-friendly at a mere $36/month. - Completely safe (no password needed), incredibly powerful, and Instagram's best friend. I've experienced remarkable results firsthand, and I'm sure you will too! Amplify your Instagram presence right now: http://get.socialbuzzzy.com/instagram_booster Best wishes, Natalie at Social Busy Bee"

Hi I am writing to you on behalf of The Well Connection UK, a media and publishing company. We could easily get virginia.gov featured in various publications such as magazines, online blogs and news sites. This would undoubtedly help virginia.gov with publicity, reputation, domain authority and organic search engine rankings. We have a wide range of options including completely free collaborations, sponsored posts, guest posts and banner ads. If this sounds of interest, please reach out to the senior business development manager, Anita at info@thewellconnection.co.uk and whatsapp +447395206515 (GMT) Kind regards Clifton Junior Outreach Assistant

Dear, I hope this message finds you well. I represent motor-import.com, a trusted and reliable partner for individuals and businesses seeking cost-effective solutions for importing both used and new cars from around the world. We specialize in offering comprehensive services, including shipping, customs clearance, and delivery, to make global car buying a hassle-free and economical experience. Why Choose Motor-Import? Competitive Pricing: At Motor-Import, we are committed to helping our customers save money. We understand that purchasing a car locally can often come with a hefty price tag. Our services are designed to provide a cost-effective alternative, making it possible for you to acquire your dream vehicle for less. Global Network: With our extensive network of contacts and partners worldwide, we can source vehicles from a variety of locations, ensuring you have access to a wide range of options. Whether you're interested in a specific make and model or hunting for unique vehicles, we have you covered. Expertise in Customs: Navigating the complexities of international customs regulations can be a daunting task. Our experienced team specializes in customs clearance, ensuring that your vehicle is imported legally and without any unexpected delays or costs. Secure Shipping: We prioritize the safety of your investment. Our shipping solutions are designed to protect your vehicle during transit, ensuring it arrives in the same condition it left its origin. Reliable Delivery: We pride ourselves on timely and secure deliveries. You can trust us to get your car to your doorstep or preferred location promptly. Visit our website at Motor-Import Website to learn more about our services and explore the testimonials from our satisfied customers. If you have any questions or are interested in starting the process of importing your desired vehicle, please don't hesitate to reach out to us at contact@motor-import.com. Our team is ready to assist you in finding the best car import solution to suit your needs and budget. Say goodbye to overpriced local car dealerships and hello to affordable and convenient global car sourcing with Motor-Import. We look forward to helping you import your dream car at a price that's both competitive and satisfying. Best regards,

We support violence prevention services and the funding of research into gun violence prevention.

As a member of Virginia Moms for Change, I support violence prevention services and the funding of research into gun violence prevention.

Hi, my name is Katie Long from Henrico County, I’m a volunteer from Moms Demand Action, and I support these bills.

I'm a volunteer with Moms Demand Action for Gun Sense in America, and I support this bill.

Comments Document

The Health Alliance for Violence Intervention (HAVI) is proud to support House Bill 622 to provide medical assistance services through the creation of a violence prevention benefit. This bill would promote the physical and psychological recovery for survivors of community violence and create a safer Virginia. The HAVI represents over 50 hospital-based violence intervention programs (HVIPs) across the United States. We are proud to support programs throughout the commonwealth as partners of the Virginia Hospital-based Violence Intervention Program Collaborative. HAVI member programs provide services to violently injured patients in both health care and community settings. HVIPs vary in the specifics of their design and scope, but typically include immediate intervention in the hospital or emergency department after an injury, followed by intensive, community-based care for approximately one year after discharge. Without intervention, these patients are at high risk for future repeat injuries, retaliatory violence, and mental health consequences such as post-traumatic stress disorder. Research shows HVIPs are effective in reducing patients’ risk of repeat injury, as well as addressing critical needs such as mental health, alcohol and substance misuse, and a variety of other patient-centered outcomes. One randomized control published in the Journal of Trauma found that participants were 84% less likely to return to the hospital with a repeat injury and four times less likely to be convicted of a violent crime. Research shows that Medicaid is the main payer of the medical costs of firearm violence. With that in mind, HB 622 is likely to result in net savings for Virginia’s Medicaid program. Given the high medical costs of treating firearm injuries, this bill would save the commonwealth money if just a small number of shootings are prevented. With or without action, Virginia’s Medicaid program is expected to remain the single largest payer for health care expenses following firearm injuries, highlighting the importance of implementing a preventive strategy. For these reasons, the HAVI respectfully asks for your support of HB 622. Please see the attached pdf for further details describing our support.

Hi there, I'm Natalie from Social Busy Bee, your partner in the exciting world of Instagram growth. I've discovered something phenomenal for skyrocketing your Instagram popularity and I'm thrilled to share it with you! Social Growth Engine introduces a groundbreaking service that takes your Instagram engagement to new heights. It's effortless: - Zero in on producing unforgettable content. - Extremely budget-friendly at a mere $36/month. - Completely safe (no password needed), incredibly powerful, and Instagram's best friend. I've experienced remarkable results firsthand, and I'm sure you will too! Amplify your Instagram presence right now: http://get.socialbuzzzy.com/instagram_booster Best wishes, Natalie at Social Busy Bee"

Hi I am writing to you on behalf of The Well Connection UK, a media and publishing company. We could easily get virginia.gov featured in various publications such as magazines, online blogs and news sites. This would undoubtedly help virginia.gov with publicity, reputation, domain authority and organic search engine rankings. We have a wide range of options including completely free collaborations, sponsored posts, guest posts and banner ads. If this sounds of interest, please reach out to the senior business development manager, Anita at info@thewellconnection.co.uk and whatsapp +447395206515 (GMT) Kind regards Clifton Junior Outreach Assistant

Dear, I hope this message finds you well. I represent motor-import.com, a trusted and reliable partner for individuals and businesses seeking cost-effective solutions for importing both used and new cars from around the world. We specialize in offering comprehensive services, including shipping, customs clearance, and delivery, to make global car buying a hassle-free and economical experience. Why Choose Motor-Import? Competitive Pricing: At Motor-Import, we are committed to helping our customers save money. We understand that purchasing a car locally can often come with a hefty price tag. Our services are designed to provide a cost-effective alternative, making it possible for you to acquire your dream vehicle for less. Global Network: With our extensive network of contacts and partners worldwide, we can source vehicles from a variety of locations, ensuring you have access to a wide range of options. Whether you're interested in a specific make and model or hunting for unique vehicles, we have you covered. Expertise in Customs: Navigating the complexities of international customs regulations can be a daunting task. Our experienced team specializes in customs clearance, ensuring that your vehicle is imported legally and without any unexpected delays or costs. Secure Shipping: We prioritize the safety of your investment. Our shipping solutions are designed to protect your vehicle during transit, ensuring it arrives in the same condition it left its origin. Reliable Delivery: We pride ourselves on timely and secure deliveries. You can trust us to get your car to your doorstep or preferred location promptly. Visit our website at Motor-Import Website to learn more about our services and explore the testimonials from our satisfied customers. If you have any questions or are interested in starting the process of importing your desired vehicle, please don't hesitate to reach out to us at contact@motor-import.com. Our team is ready to assist you in finding the best car import solution to suit your needs and budget. Say goodbye to overpriced local car dealerships and hello to affordable and convenient global car sourcing with Motor-Import. We look forward to helping you import your dream car at a price that's both competitive and satisfying. Best regards,

My name is Michael Gordon. I am a recovering addict. My clean date is 06/06/2008. I writing this letter because it my duty as a health professional to bring to the table how important it is that we change the barrier crime law. I have spent countless hours and days working with other addicts who trying to find their pathway into recovery. The frontlines are thin because the people whom society deemed unworthy because of some past mistakes cannot work in the field that they could do the greatest good. I did not know when I received my sentence in 1990 for distribution of crack cocaine. I would be serving a life time sentence. Luck for me I don’t have a barrier crime, yet today after getting my GED, going to college and graduating with honors. I still can live in certain areas or have certain jobs. I went from the crack house to the White House and still that not enough for Virginia to forgive me of my past mistakes. We need more people who has made a deep commitment to change to share their experiences with others who are suffering!!

I support HB831. This bill will provide needed support to increase quality and equitable healthcare. It will also help those that may doubt whether maternal morbidity is a significant issue see with real numbers that it is.

My name is Michael Gordon. I am a recovering addict. My clean date is 06/06/2008. I writing this letter because it my duty as a health professional to bring to the table how important it is that we change the barrier crime law. I have spent countless hours and days working with other addicts who trying to find their pathway into recovery. The frontlines are thin because the people whom society deemed unworthy because of some past mistakes cannot work in the field that they could do the greatest good. I did not know when I received my sentence in 1990 for distribution of crack cocaine. I would be serving a life time sentence. Luck for me I don’t have a barrier crime, yet today after getting my GED, going to college and graduating with honors. I still can live in certain areas or have certain jobs. I went from the crack house to the White House and still that not enough for Virginia to forgive me of my past mistakes. We need more people who has made a deep commitment to change to share their experiences with others who are suffering!!

The National Shattering the Silence Coalition is a non-partisan volunteer organization of peers and families of adults with Serious Mental Illness (SMI). Our Virginia legislative advocacy strongly supports the "core" components of mental health service delivery as defined in this bill and its passage for individuals with psychiatric illnesses such as Schizophrenia, Schizoaffective Disorder, Bipolar Disorder, Major Depression, and neurocognitive disorders with psychotic features, such as Post-ICU Syndrome (PICS). Our organization supports special needs Medicaid 1115 SMI waiver funding in support of these "at risk" populations requiring intensive care in specialty clinics, such as the proposed neurocognitive specialty clinic, in the home and in the community.

Hamkae Center supports HB 970 because it crucially addresses barriers to healthcare that our community members face due to immigration status. This bill matters to Asian Americans because more than 40K Asian Americans in Virginia are uninsured or underinsured, and half of them have non-citizen immigration statuses. Affordable healthcare was one of the top 3 issues Asian American voters in Virginia identified as important. This bill is a cost-saving measure that will ensure our children have the preventative care they need to live full, healthy lives for the rest of their lives.

It is important that Virginia create a welcoming space for families to flourish. Children are our communities greatest joy. Access to healthcare for children is an important step in making sure we have healthy and well cared for children in our Commonwealth. The Virginia Coalition for Immigrant Rights and our forty-five members urge you to vote yes on HB970, and give deserving children a healthy start in life.

It is important that Virginia create a welcoming space for families to flourish. Children are our communities greatest joy. Access to healthcare for children is an important step in making sure we have healthy and well cared for children in our Commonwealth. The Virginia Coalition for Immigrant Rights and our forty-five members urge you to vote yes on HB970, and give deserving children a healthy start in life.

Thank you for the opportunity to provide comments, the American Lung Association in Virginia is pleased to strongly support Cover all Kids, House Bill 970. The Lung Association believes that every child in Virginia should have access to affordable and comprehensive health coverage. House Bill 970 would get us closer to that reality by creating a health coverage program available to all children in Virginia, regardless of immigration status. This policy change would offer a new and affordable health coverage option to almost 1 in 10 (10.2%) uninsured children in Virginia. Virginia has approximately 88,500 children who do not have health coverage, ranking 25th in the nation for the percentage of children who do not have health insurance and 11th in the highest total number of uninsured children. In Virginia, 9,000 undocumented children from families with low income are uninsured with another 4,000 likely underinsured. House Bill 970 would provide these 13,000 children the health coverage they need. Virginia should join 11 other states and the District of Columbia who currently uses or plans to use state-only funds to cover income-eligible children in Medicaid/CHIP who are otherwise ineligible due to immigration status. This program would mirror Virginia Medicaid/FAMIS enrollment, eligibility processes, and income eligibility levels and benefits would include behavioral health, dental, and preventative care services. The Lung Association strongly supports this bill as a way of increasing access to healthcare for all Virginians. Please vote YES on HB 970 to make sure that all children, have access to affordable, accessible, adequate health coverage. If you have any questions or need additional information, please feel free to reach out to me. Aleks Casper aleks.casper@lung.org

My name is Dr Christine Page-Lopez, I am an associate medical director at Neighborhood Health, a community health center in Northern VA and am a practicing pediatrician. I represent the Virginia chapter of the American Academy of Pediatrics as well as the countless pediatric patients of mine that do not have health insurance. For the past 10 years I have been a pediatrician to a largely immigrant patient population who live in poverty. I have seen firsthand the challenges that the lack of health insurance has on my patients and their families. My uninsured patients have poorer health outcomes and unmet health care needs. Their lack of health insurance also --restricts access to well childcare and preventive health services, including routine vaccines. --and is associated with poor management of acute and chronic medical conditions, which then can lead to increased use of emergency rooms and hospitalizations. Ultimately those who are uninsured often delay or go without needed care, which can lead to worse health outcomes over the long term. This includes medical, dental and mental health problems. By providing this unique group of infants, children and adolescents with health insurance, Virginia can improve their medical, dental, mental health and educational outcomes for their childhood and adult lives.

My name is Michael Gordon. I am a recovering addict. My clean date is 06/06/2008. I writing this letter because it my duty as a health professional to bring to the table how important it is that we change the barrier crime law. I have spent countless hours and days working with other addicts who trying to find their pathway into recovery. The frontlines are thin because the people whom society deemed unworthy because of some past mistakes cannot work in the field that they could do the greatest good. I did not know when I received my sentence in 1990 for distribution of crack cocaine. I would be serving a life time sentence. Luck for me I don’t have a barrier crime, yet today after getting my GED, going to college and graduating with honors. I still can live in certain areas or have certain jobs. I went from the crack house to the White House and still that not enough for Virginia to forgive me of my past mistakes. We need more people who has made a deep commitment to change to share their experiences with others who are suffering!!

This is an important bill to help some of the most vulnerable children in Virginia.

Thank you so much for passing this bill. This bill will help take care of thousands of children, leading improvement in school performance, better careers, less loss of work time for their parents. Our country stands for Justice for all and this is basic human right. It will also keep the emergency rooms more available for true emergencies. Let’s take care of the ones who come to our country because it is not safe in their country. In addition I would like to add that though it is important to help the asylum seekers, it is more important to help not create this situation for them in the first place. US is the biggest arms and weapons manufacturer and supplier, so every conflict happening in other countries is prolonged by our arms dealers. Let’s work towards reducing conflicts rather than increasing casualties, starting with Gaza and Ukraine. Thank you delegate Tran for proposing this bill. I am all for it.

I am asking the Delegates to support HB970. It is an important Bill that if passed will help in closing the coverage gap and ensuring healthcare access for some of the most vulnerable children in Virginia. If you value human life and believe our Commonwealth should value a culture of life, please support this bill. Thanks.

As a longtime supporter of Medicare For All, I firmly believe that healthcare is a human right that should be guaranteed to *all* - regardless of income or age or immigration status. Sadly, we are not likely to see action at the federal level on universal healthcare any time soon. This is why measures like HB970 at the state level are so important in closing the coverage gap and ensuring healthcare access for some of the most vulnerable children in Virginia. If legislators believe our Commonwealth should value a culture of life, please demonstrate it by supporting this bill.

ChildSavers is a 100-year-old, Richmond-based nonprofit. Our mission is to guide our community’s children through life’s critical moments with trauma-informed youth mental health and child development services. As a behavioral health provider on the frontlines of the youth mental health crisis, we are laser-focused on ensuring children get the mental health care they need to build resilience and healing. 90% of the children we see in our clinic are Medicaid members, meaning they face some of the most difficult socioeconomic challenges. As the demographics in our region change rapidly, we are seeing more and more children without insurance coverage. Their families face the extra burden of attempting to pay for care out-of-pocket while coping with the child’s behavioral health concerns. We believe in the right of every child to access the healthcare they need to thrive. For this reason, we ask the committee to vote in favor of HB970 and extend coverage to an additional 13,000 children and youth in the Commonwealth. Cover All Kids.

Delegates: I am asking for your support of House Bill No. 1426 which establishes a Dynamic Benefit Adjustment System of public assistance benefits. This system would appy to all public assistance programs which is a tremendous gesture in support of children, families and disabled individuals. I serve on the Foodbank of Southeastern Virginia and the Eastern Shore's Advocacy Program and I cannot think of anything better to advocate for than House Bill 1426. Please pass this bill and move it forward. Thank you. Sandra Brandt, Virginia Beach on behalf of Food Banks and STEP-UP, Incorporated who work with individuals who need food everyday.

Comments Document

Chair Train and Members of the Health and Human Service – Social Services Committee: My name is Aleks Casper, and I am the Director of Advocacy for the American Lung Association in Virginia. Thank you for the opportunity to provide comments, we are pleased to support House Bill 970. The Lung Association believes that every child in Virginia should have access to affordable and comprehensive health coverage. House Bill 970 would get us closer to that reality by creating a health coverage program available to all children in Virginia, regardless of immigration status. This policy change would offer a new and affordable health coverage option to almost 1 in 10 (10.2%) uninsured children in Virginia. Virginia has approximately 88,500 children who do not have health coverage, ranking 25th in the nation for the percentage of children who do not have health insurance and 11th in the highest total number of uninsured children. In Virginia, 9,000 undocumented children from families with low income are uninsured with another 4,000 likely underinsured. Federal law prohibits children with an undocumented immigration status from accessing health coverage through Medicaid, the Children’s Health Insurance Program (CHIP), and the Affordable Care Act (ACA) marketplace. Virginia should join 11 other states and the District of Columbia who currently uses or plans to use state-only funds to cover income-eligible children in Medicaid/CHIP who are otherwise ineligible due to immigration status. This program would mirror Virginia Medicaid/FAMIS enrollment, eligibility processes, and income eligibility levels and benefits would include behavioral health, dental, and preventative care services. The Lung Association strongly supports this bill as a way of increasing access to healthcare for all Virginians. Please vote yes on HB 970 to make sure that all children, have access to affordable, accessible, adequate health coverage. If you have any questions or need additional information, please feel free to reach out to me and aleks.casper@lung.org. Thank you for the opportunity to provide comments.

Bring our 12 Virginians home from Braintree Manor in Braintree, Massachusetts! My husband Eric Fletcher, has suffered negligence and abuse there for 16 years. DMAS places are victims there and forgets about them. DMAS has never visited the facility in 16 years. I have shown proof to DMAS of the abuse and neglect my husband and others have suffered. I've witnessed first hand as well. We need a TBI unit in Virginia!!! Be compassionate, vote yes for Bill 1064. I'm Exhausted from an Exhausted System! Kathleen Fletcher 7577291729

Bring our 12 Virginians home from Braintree Manor in Braintree, Massachusetts! My husband Eric Fletcher, has suffered negligence and abuse there for 16 years. DMAS places are victims there and forgets about them. DMAS has never visited the facility in 16 years. I have shown proof to DMAS of the abuse and neglect my husband and others have suffered. I’ve witnessed first hand as well. We need a TBI unit in Virginia!!! Be compassionate, vote yes for Bill 1064. I’m exhausted from an exhausted system!! Kathleen Fletcher 7577291729

The existence of an asset limit for any government assistance program is counter productive as it results in those requiring assistance to forgo the basic means of learning to help themselves through personal savings. Assistance programs should encourage people to save their money and become self reliant when possible, not punish them for acting responsibly. Without this reform, such programs become a trap for the poor in a needless cycle of neediness. I urge this committee to raise or remove all asset limit requirements.

Very important to vote. Thank you.

Very important to vote. Thank you.

I am in support of passing HB1313. Virginia ranks amongst the 3 worst states for outcomes for youth aging out of foster care. I work daily with youth in foster care who are both in the Fostering Futures program and those who have "aged out" of the program. Participation in the Fostering Futures Program reduces the risk of homelessness, early pregnancy, trafficking, unemployment, and food insecurity. Increasing the eligibility age to 23 will give these youth the support they need to avoid these pitfalls and learn the skills required to become productive members of our community. Expanding the age requirements will save the state money and prevent devastating outcomes for our youth.

I am the Executive Director and Founder of Connect With a Wish. We are a nonprofit organization benefitting local youth in the Hampton Roads area from birth to 25 yrs. In the past 5 years we have expanded and added programs to serve the aging out population as the need is great and increasing. 20% of these young adults are homeless at the time they age out of foster care. 18 months after their 21st bday that number jumps to 40%. While in foster care under the age of 21 the priority is often Safety and placement. This in itself is often consuming . The direction and support of Independent living skills often has to take a back seat to crisis. This in conjunction with with the fact that our youth have experienced varies levels of trauma delaying their levels of maturity. For those reasons and others our youth are not equipped to succeed at 21 yrs old. Increasing the age to 23 yrs for youth aging out of foster care will give these young adults more time to work with their social workers, organization and supports to better prepare them to live independently. This will increase their chances of becoming productive members of our community. This is why I am in full support of HB1313 Thank you to Delegate Anne Ferrell Tata for bringing this to light.

With regard to HB27, I am in full support of this program. I am a local child welfare worker in the Richmond area. I work with kinship foster parents on a daily basis. For many families, the difference between foster care placement and custody transfer is simply the financial assistance afforded to them by becoming kinship foster parents. As you all are aware, there is a workforce crisis in child welfare. More kids entering foster care when many of these families and children can be served outside of foster care services save for the financial benefits contributes to higher caseloads. Children rarely leave foster care unscathed by any type of trauma. This program would reduce the foster care workers' workload, the unnecessary delays on permanency caused by Court timelines, and the undue trauma that youth in foster care face simply by being in the foster care system EVEN if they are placed with relatives. The impact statement for HB27 only captures the number of families currently served through In-Home services who would qualify for this plan. The Impact Statement fails to mention the hundreds to thousands of children and families who are in foster care with kinship foster parents who could otherwise be served through the Parental Child Safety Placement Program to avoid foster care altogether. That said, the impact of this program is much greater than the already stated data. Regarding HB 1313, Virginia's youth who aged out of foster care should be served for as long as the Commonwealth will allow. I am supportive of the age range for Fostering Futures be raised to 23. Many youth lose their footing between the ages of 18-20. By the time they are ready to return to Fostering Futures, they are closer to their 21st birthday and losing the support Fostering Futures offers them, and sometimes these youth are worse off than when they turned 18 in terms of readiness to support themselves. To have 2 additional years between 21 to 23 when they have experienced sometimes the lowest point in their lives and are truly ready to begin their adult life would make a profound difference in the outcomes for former foster youth. Please support this age amendment!

Since the pandemic, the foster care system has been in crisis after crisis. During the pandemic the children were sitting in isolation for 14 days at a time to confirm they were not carrying the corona virus. The isolation exasperated the mental health of those living and working in the foster care system. Virginia saw 65% of the foster homes close and end their license and we have not seen foster homes replace them. The Kinship Bills will open hundreds of homes for the youth suffering in foster care, and the best part is these are homes with individuals that know and love this child. Local DSS offices and placement facilities were short staffed and experiencing high rates of burnout. Youth were (and sometimes still are) living in temporary situations (such as DSS offices, Hotel rooms, shelters, etc.) until a foster home, group home or other permanent living situation can be found. Keep in mind that this was not just a Virginia problem, it was happening nationally. Since August many class action lawsuits have been brought against Child Protection Agencies for failing to provide quality services and meet requirements. California (Los Angelus County) is being sued for individuals in extended foster care being homeless. Organ, New York and Texas have similar actions around inadequate or unsafe housing arrangements. Virginia has an opportunity to reconcile the effects of the foster care crises by extending fostering futures to the age of 23. There are many concerns about the cost of extending foster care services. There is an opportunity to define the case management and qualifying expenses in the future. But these services are needed now, these young adults do not have good credit or someone to co-sign on a car loan, rental apartments or anything else. These youth have been living in crisis the last 4 years and preparing to do it without a safety net has been the last thing on the minds of social workers and youth themselves. The proof is in the National Youth in Transition Database (NYTD) results reflecting only 36% of youth received independent living skills support. Many of the localities are not meeting federal and state requirements for supporting individuals between the ages of 14 and 21 in teaching and preparing them for adulthood. When you are thinking about this big cost, I would like to remind you that 80% of individuals being trafficked are from foster care, one out of 5 individuals in jail/prisons are from foster care, 50% of individuals homeless are from foster care. The foster care system teaches individuals they do not need people to help them, they need systems and often spend a majority of their lives with economic assistance supporting them. The extension of fostering futures, more homes within families and support in getting vehicles can help increase the success rates of youth leaving foster care and decrease the cost to Virginia for the youth’s lifetimes. Please improve foster care by approving the kinship bills, extending support services till 23, and approving the budget to get them behind the wheel and off to a good start in their journey to becoming happy healthy adults!

Voices for Virginia's Children Strongly supports HB27 and HB 1313

Comments Document

The attached document contains comment on HB27 and HB1313 providing support and asking the House Appropriations Committee to pass and fund both of these bills, which will invest in the lives of Virginia's most vulnerable children and youth.

I am in full support of extending the eligibility age of the fostering futures program to 23 year. I have seen many young adults in foster care fall off the proverbial cliff at 21 when support is halted, even among those who have everything going for them. The issue is that youth over 18 in foster care (or fostering futures) have no one to turn to when life's challenges approach - small bumps in the road can turn in to catastrophic events and there is no family to serve as a safety net. Expanding the eligibility age to 23 year will help disconnected youth become more stabilized before they are reliant solely on themselves, which will hopefully improve the tragic statistics for youth aging out of foster care. This extended age eligibly will also provide foster youth the time needed to finish a 4 year degree before support is ended. The reality is, that older foster youth need all the assistance they can get, because far too many of them become homeless, incarcerated, or deceased before their 24th birthdays. After severing their family connections, we owe them the extended assistance to achieve a healthy transition to productive adulthood.

We are counting on your leadership to support HB 1313. This bill gives young people participating and working hard in the fostering futures program enough time to accomplish their goals in order to reach their fullest potential! Vote yes for this common sense legislation!

My name is Michael Gordon. I am a recovering addict. My clean date is 06/06/2008. I writing this letter because it my duty as a health professional to bring to the table how important it is that we change the barrier crime law. I have spent countless hours and days working with other addicts who trying to find their pathway into recovery. The frontlines are thin because the people whom society deemed unworthy because of some past mistakes cannot work in the field that they could do the greatest good. I did not know when I received my sentence in 1990 for distribution of crack cocaine. I would be serving a life time sentence. Luck for me I don’t have a barrier crime, yet today after getting my GED, going to college and graduating with honors. I still can live in certain areas or have certain jobs. I went from the crack house to the White House and still that not enough for Virginia to forgive me of my past mistakes. We need more people who has made a deep commitment to change to share their experiences with others who are suffering!!

Please allow and increase the age to 23 to allow greater resources and opportunities for the foster youth. Take a stance to make a difference and help those who have come from difficult circumstances. This can make a huge difference.

Increasing the age of fostering futures is imperative to the youth who are involved through no fault of their own. While youth aging out of foster care face multifaceted challenges, the lack of housing is a basic survival need that is often unmet. The current housing crisis is one that impacts a wide population, but foster youth continue to face homelessness at a higher rate than most. This is likely a direct reflection of the fracture of the relationship and support of their birth family and a result of their displacement through circumstances outside of their control. It has been widely recognized and adopted into policy/practice that youth aging out of foster care are qualified for Medicaid up to that age of 26 years old due to the fact most health insurances allow guardians to keep their children on their health insurance. If we can recognize this health-related gap then it is only logical and best practice to weigh the same logic to their housing needs. We are the guardians of these youth even if they have aged out of foster care. They are deserving of safe shelter which is the exact commitment that was made on their behalf when they were removed from their birth families and guardians. This investment in them is a logical high return of investment for preventing a cycle of homelessness and more children entering the foster care system.

My name is Alison Fagan and I am the Connect to Careers Program Manager at Connect With a Wish. I assist and guide the Independent Living and Fostering Futures young adults in foster care into the workforce with the help of five support services/goals. I am in full support of this bill.

I am writing today in strong support of Delegate Anne Ferrell Tata and HB1313. At our organization we work daily with this population and see the need to expand the age of Fostering Futures to age 23. Our organization kept in budget from 2016- 2021 under $1,000 for emergency homelessness for those who have aged out of care. In 2022 we spent $15,150 in 2023 we spent $25,601. None of which we had in budget. At age 21 young adults who have various levels of trauma and have little to no supports are just not ready to Independently live. The statistics show with %20 homeless at the time of aging out. That number increases to %40 18 months after turning 21. These numbers hit home for VA as we are ranked 48th in the United States when it comes to how many young adults we have who are not adopted or have a secure support. We need to do better to provide the change needed to enable these young adults to age out and become productive members of our community. VA can be the change!

The Federation of Virginia Food Banks supports HB1426. The benefits cliff creates a poverty trap where the risks and gains of working become disincentives and barriers to self-sufficiency and economic mobility. This bill is a needed step to ensure that as beneficiaries' earned income increases, the reduction in benefits is balanced and equitable, promoting self-sufficiency while avoiding abrupt and significant drops in assistance.

My name is Michael Gordon. I am a recovering addict. My clean date is 06/06/2008. I writing this letter because it my duty as a health professional to bring to the table how important it is that we change the barrier crime law. I have spent countless hours and days working with other addicts who trying to find their pathway into recovery. The frontlines are thin because the people whom society deemed unworthy because of some past mistakes cannot work in the field that they could do the greatest good. I did not know when I received my sentence in 1990 for distribution of crack cocaine. I would be serving a life time sentence. Luck for me I don’t have a barrier crime, yet today after getting my GED, going to college and graduating with honors. I still can live in certain areas or have certain jobs. I went from the crack house to the White House and still that not enough for Virginia to forgive me of my past mistakes. We need more people who has made a deep commitment to change to share their experiences with others who are suffering!!

I am writing to express my support for the proposed bill introducing a Dynamic Benefit Adjustment System. This approach will benefit our community in that it would allow people to seek better opportunities without losing wages. We must incentivize families to climb out of poverty, without penalizing them. .

A single parent gets a job making minimum wage, accepts benefits to support their family. Some time later, they earn a promotion now making just enough to no longer qualify for the same beneficial programs but not enough to make ends meet without that support. Throughout my career I have encountered numerous situations where a person declines a promotion because they would no longer qualify for the much-needed assistance they and/or their family relies on for support. What message are we then sending? Certainly not the right one for humanity as a whole. Take that same scenario, look at it from the viewpoint of the child. We are teaching them that obtaining better jobs will cause their family to struggle. Dynamic support must be provided for individuals and families to encourage one's growth and end the cycle we often see in families. This bill would not only provide the support for but change the narrative as well.

I am writing to express my support for the proposed bill introducing a Dynamic Benefit Adjustment System. This approach will benefit our community in that it would allow people to seek better opportunities without losing wages. Further, it will help individuals reach a state of self-sufficiency for the long haul.

On behalf of the Capital Area Food Bank, I am writing in strong support of HB1426. In FY23, the Capital Area Food Bank distributed more than 17,000,000 meals to our neighbors in need in northern Virginia and witnessed the effects the sunsetting of pandemic-era benefits programs had on our region. Because the emergency benefits were retracted all at once, rather than gradually over a period of time, many in our community were forced to skip meals or seek out free food distributions to keep food on the table. That same benefits cliff concept can apply when income fluctuates, creating a system where a small boost in income can lead to a total loss of the benefits that are relied on to make ends meet. We know from our own research that food insecure individuals in our service area rely on government benefits to cover nearly 20% of their monthly food budgets, so a sudden loss of these benefits would be devastating. HB1426 would create a nimbler benefits system that does not penalize recipients for seeking out higher-paying jobs or pursuing opportunities that could improve the economic prospects for themselves and their families. Allowing recipients to make more gradual adjustments to their budgets as their income increases will improve economic self-sufficiency and remove a significant roadblock for those seeking to advance their careers.

Delegates: I am asking for your support of House Bill No. 1426 which establishes a Dynamic Benefit Adjustment System of public assistance benefits. This system would appy to all public assistance programs which is a tremendous gesture in support of children, families and disabled individuals. I serve on the Foodbank of Southeastern Virginia and the Eastern Shore's Advocacy Program and I cannot think of anything better to advocate for than House Bill 1426. Please pass this bill and move it forward. Thank you. Sandra Brandt, Virginia Beach on behalf of Food Banks and STEP-UP, Incorporated who work with individuals who need food everyday.

As a former social worker and current Qualified Mental Health Professional, I have seen the need for this bill firsthand. Most people don't desire to be beholden to the federal benefits programs to which they subscribe to meet their and their families' needs. They want to "get off the system," but doing so immediately jeopardizes their ability to provide for themselves and their families because of the immediate and cutting reduction in benefits seen when they begin to earn a living wage or are working toward that. Often, earning a few dollars more leads to reductions in benefits that cost them hundreds or thousands of dollars in food and healthcare expenses. In situations where choices have to be made between necessities such as rent and transportation, tough decisions must be made leaving tax-paying citizens hungry or without the medicine and medical attention vital to their survival. In the end, this costs more in exacerbated health conditions, lost wages, poor nutrition and other societal ills. Over the past two years, the Foodbank of Southeastern Virginia and the Eastern Shore has seen an increase in food insecurity (hunger) of 400% in its service area. Please help our neighbors in this community by passing this bill. Thank you.

Goodwill of Central and Coastal Virginia and the Virginia Goodwill Network understand the significant negative impact of the benefits cliff on our associates and on our ability to hire, train, and promote those who may lose the entirety of their benefits as they start to make higher weekly wages. Collectively, Goodwill employs more than 3,300 Virginians. Our mission is changing lives-helping people help themselves through the power of work. The benefits cliff is a significant impediment to economic mobility and disproportionately impacts organizations like ours that employ those with barriers to traditional employment. We seek associates that are intellectually or developmentally disabled, formerly incarcerated, and those who are at great risk of homelessness. Our job training initiatives, internal promotion ability, and placement of our associates in careers outside of Goodwill supports increased economic mobility. However, those who still need some portion of state or federal benefits as they start to earn more are at a high risk of falling off the benefits cliff and having to quit employment; thereby stymying their economic mobility. We believe this initiative helps bring this issue to light and provides a solution to ameliorate the benefits cliff issue.

I am writing to express my enthusiastic support for the proposed bill introducing a Dynamic Benefit Adjustment System. This innovative approach to public assistance is a commendable step towards creating a more responsive and equitable system for beneficiaries. The key provision of the bill, establishing a Dynamic Benefit Adjustment System for the gradual reduction of public assistance benefits in response to increases in beneficiaries' earned income, reflects a forward-thinking approach to addressing the evolving needs of individuals and families relying on public assistance programs. This approach ensures that as beneficiaries' earned income increases, the reduction in benefits is balanced and equitable, promoting self-sufficiency while avoiding abrupt and significant drops in assistance. I particularly appreciate the section that outlines the automatic adjustment of income thresholds based on a formula considering the state's minimum wage, inflation rates, and cost of living indexes. This mechanism ensures that eligibility criteria stay relevant and responsive to economic conditions, providing a fair and dynamic framework for individuals seeking assistance. The commitment of the Department of Social Services to regularly review and adjust the formula based on empirical evidence and economic factors demonstrates a dedication to the effectiveness of the Dynamic Benefit Adjustment System. This adaptive approach is crucial in addressing the changing landscape of economic conditions and ensures that the system remains a viable and supportive resource for those in need. Moreover, the provisions for oversight and reporting to the General Assembly and safeguards to protect beneficiaries during economic downturns or unusual circumstances showcase a comprehensive and responsible approach to implementing the Dynamic Benefit Adjustment System. In conclusion, this bill represents a positive step forward in enhancing public assistance programs' efficiency, fairness, and effectiveness. I urge you to lend your support to this important initiative that aims to create a system that not only provides assistance but also encourages and supports individuals in their journey towards self-sufficiency. Thank you for your attention to this matter, and I look forward to witnessing the positive impact that the Dynamic Benefit Adjustment System can have on our community.

I am writing to urge you to pass HB1426. It would be a tremendous gesture in support of children, families, and disabled individuals in our service area to increase support for benfits cliff reform. As a foodbank employee, I see people from all walks of life coming to the Foodbank because they are desperate for food to help them out until their next EBT is available. We as a society need to do better in supporting our children and disabled individuals. I have a personal friend who is not able to work due to a chronic condition, CVS. She suffers every month because she isn't able to purchase enough food on the small stipend she gets each month. Stress on very hard on CVS patients and when she stresses over meals she ends up in the emergency room which leads to additional stress. If we can eliminate hunger for people, it will help free up resources in other areas down the road. Please pass HB1476. Thank you.

The passing of this Bill will be a huge win for families working to support their families through career advancement opportunities. Individuals will no longer have to contemplate if their income gains associated with a higher-paying career outweigh the loss of public assistance. From a private sector viewpoint, we could see business grow as more individuals seek career development. Those in the public sector can effectively work with individuals and families.

In strong support of children, families, and disabled individuals, please move HB1426 forward out of committee. As a mom of two adult children with Down syndrome who wants them to have fulfilling and productive lives, their access to needed services and resources becomes more difficult every day. The eligibility systems need to be more nimble and flexible in the given economy that we now live in. Inflation and other cost increases on housing, food, transportation, and the like only favor the wealthy. In fairness, this bill will allow a more equitable approach.

On behalf of the Foodbank of Southeastern VA and the Eastern Shore, I enthusiastically endorse House Bill 1426. As an organization that delivers over 20,000,000 pounds of food to those in need, we often see the negative effects of the benefit cliff. Citizens should not be penalized financially for advancing their careers or obtaining a new job. The ability to taper benefits gradually will help our neighbors to reach greater heights without costing their personal budget. The proposed bill would allow people to continue to seek better opportunities without the possibility of lost wages. This benefit helps residents achieve self-sufficiency faster and for the long-term; further reducing dependence on the public welfare system in the future. Thank you for your consideration. Chris Tan President and CEO Foodbank of Southeastern VA and the Eastern Shore

The benefits cliff is defined as the point on the economic mobility path where those dependent on governmental benefits and entitlements increase income but not enough to cover the additional expenses associated with the loss of benefits. The benefits cliff emerged as an unanticipated consequence of implementing the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA), commonly referred to as Welfare to Work, the welfare reform legislation aimed to reduce dependency on government assistance and to increase self-sufficiency. Low income families often qualify for benefits that help to cover the cost of basic necessities, such as housing assistance, SNAP (food stamps) and subsidized childcare. The “Cliff Effect” occurs when families begin to lose benefits as their earnings increase. In most cases, the loss in benefits equates to significantly more than the increase in earnings. The result is that families earn more without improving their financial situation. Significant attention must be given to identifying the point where work pays off. The benefits cliff creates a poverty trap where the risks and gains of working become disincentives and barriers to self-sufficiency and economic mobility. The goal is to engage in revitalization efforts that index the assistance, so beneficiaries become eligible and prepared to cross the benefits cliff and become economically self-sufficient.