Transcript Highlights:

• So for Medicaid beneficiaries, it opens up the treatment option for them to be able to get treatment
• the bill appropriates $500,000 from the state general fund and an unspecified amount from federal Medicaid
• We're seeing requests now over 600% of Medicaid, Medicare reimbursement rates as requests for increased
• So the Centers for Medicare & Medicaid Services reimburses anesthesia as well, and there is rate parity
• So if it's not related to core or the Auditor General or board reform, those bills will not be heard.

Committee: House House Health & Human Services Committee of Reference

Summary: The committee heard testimony on several health-related bills. HB 2726 would require coverage for diagnosis and treatment of mild obstructive sleep apnea, including a tongue-muscle stimulation device. The sponsor and medical witnesses said the device is a less burdensome alternative to CPAP and could improve adherence and reduce long-term complications, while Access said it already covers medically necessary sleep apnea treatment but was neutral and concerned the bill could narrow review and limit cost-effectiveness analysis. The committee adopted the Bliss amendment and then gave HB 2726 a due-pass recommendation by an 8-4 vote. HB 2435, as amended, would create a provisional licensing pathway for internationally trained physicians who meet specified ECFMG-related criteria, with supervision, fees set by the Medical Board, and automatic conversion to a full license after four years if conditions are met. Supporters argued Arizona faces severe physician shortages, especially in rural and tribal areas, and that the bill would bring in experienced doctors while preserving oversight. Opponents, including the Arizona Medical Board, said current law already allows case-by-case licensure review and warned the bill could weaken safeguards and bypass existing scrutiny. After adopting the amendment, the committee approved HB 2435 on a due-pass recommendation. HB 2958 would require Access coverage for comprehensive dental care for pregnant women age 21 and older, with a $500,000 general fund appropriation for a pilot program. The sponsor and public health witnesses said dental care during pregnancy is linked to better maternal and infant outcomes and could reduce emergency room use and complications. The committee adopted the bill and sent it out with an 11-1 due-pass recommendation. HB 2176, which sets timelines and standards for health care institution complaint investigations and dispute resolution, also received broad support from hospitals and was approved unanimously on a 12-0 due-pass recommendation. The committee then heard HB 2447, which would bar insurers from reimbursing certified registered nurse anesthetists at a lower rate than anesthesiologists for the same service. Opponents argued the bill would interfere with private contracting, ignore differences in training and liability, and likely raise costs for the state and taxpayers; supporters said anesthesia demand has outpaced reimbursement and that parity is needed to protect access, especially in rural areas. The transcript ends during testimony on HB 2447, before any vote is taken.

Transcript Highlights:

• idea of how many people showed up on November 1st and how many will be showing up later once the Medicaid
• light-touch home visiting, and build the infrastructure needed to claim and draw down even more Medicaid
• We have that to pay the Medicaid funding match for FIT services.
• And then I wanted to just share with you the wage scale and career lattice, this critical reform that
• Development Block Grant voucher, and it’s existed since the Clinton administration under welfare reform

Summary: The committee heard first from LFC staff on a brief about New Mexico’s universal child care expansion. Staff said child care assistance has clear benefits for parents and families, but LFC has not found evidence in New Mexico that it improves children’s educational outcomes; they argued pre-K is the better tool for that goal. The brief highlighted four concerns with universal access: an estimated annual cost of about $849.7 million, a sharp decline in registered homes, possible crowding out of lower-income families, and reduced access for children under age two. Staff also suggested possible mitigations such as prioritizing slots for low-income and at-risk families, reinstating sliding-scale co-pays, and tying quality improvements to workforce wages. Members raised questions about the cost estimate, funding sources, provider quality, and whether the data showed actual crowding out. Several lawmakers expressed support for child care generally but concern about the fiscal impact and whether universal access would divert resources from the families most in need. Others emphasized the importance of child care for workforce participation, rural communities, and family stability, and questioned how registered homes are counted and regulated. LFC staff clarified that the cost estimate was for child care assistance only, not the entire ECECD budget, and that the data showed declines in the share of lowest-income children and infants/toddlers served, though not causation. The ECECD secretary then presented the department’s response, saying universal child care is intended to complete a cradle-to-career system and that the department has already seen strong uptake, increased capacity, and rising workforce participation. She said 6,206 families were found eligible in the first month, the share of infants and toddlers served rose, and new provider applications and licensed slots increased after the November rollout. The department also emphasized wage increases, quality improvements, and a new wage scale/career lattice, while projecting a lower near-term cost than LFC’s estimate and requesting additional funding for child care, early pre-K, home visiting, workforce systems, and capacity-building. No votes or formal actions were taken in the portion provided; the discussion was informational and focused on questions and testimony.

Transcript Highlights:

• We would invest in Medicaid.
• Despite my young 28 years of age, I have led significant child welfare reform in the state of Idaho,
• systems of administration to talk about national rehabilitation and true systems of rehabilitation reform
• I respectfully urge lawmakers to consider reforms that prioritize child safety above reunification timelines

Committee: Senate Judiciary and Rules

Transcript Highlights:

• My portfolio is public health, health care, and behavioral health, and everything related to Medicaid
• So this amendment aims to strike a balance between changing and reforming what I think is a system that
• So what this does is that really the bill represents a meaningful reform, but it doesn't compromise community
• So what this does is that really the bill represents a meaningful reform, but it doesn't compromise community

Summary: The Senate Human Services Committee heard testimony on Senate Bill 5917, which would change how the Department of Corrections and Department of Health distribute abortion medications from state stockpiles. Staff and the bill sponsor said the measure would remove pricing restrictions, allow the medications to be donated or sold more flexibly to health care providers, and help avoid expiration of existing supplies. Supporters, including the Washington State Women’s Commission, the governor’s health policy advisor, DOH, physicians, and Pro-Choice Washington, said the bill would improve access to medication abortion and miscarriage care, especially for people facing barriers. Opponents argued it would expand state involvement in abortion, shift costs to taxpayers, and raise safety concerns. No vote was taken on the bill in the hearing portion shown. The committee also heard Senate Bill 6080, which would require written contracts before local jails accept people in federal custody and would prohibit some out-of-state transfers absent a valid judicial warrant. Senator Cleveland said the bill was prompted by a situation in Clark County and was intended to provide clarity, reimbursement, and accountability for local governments. Supporters from the Latino Community Fund, the Association of Counties, and the City of Vancouver said it would protect taxpayers and local discretion. The sheriffs’ association supported some of the bill’s goals but raised concerns about unintended consequences for routine federal arrests and wanted more clarification. The hearing on SB 6080 was then closed. The committee then heard Senate Bill 6085, which would revise the Institutional Welfare Account, formerly the incarcerated individual betterment fund, to require more input from incarcerated people and their families on how the funds are spent and to change some allowable uses. The sponsor said the bill would ensure the account reflects current needs and supports family contact, reentry, and institutional safety. Testimony was mixed: the Washington State Reentry Council supported the concept but objected to requiring legislative appropriations and to using the funds for reentry services; a Department of Corrections representative supported the intent but raised concerns about removing law library funding without replacement. After testimony, the committee moved into executive session and considered several bills and amendments, including SB 5940, SB 5945, SB 5957, and SB 5966. Multiple amendments were offered and mostly failed on SB 5940 and SB 5945, while one amendment on SB 5945 passed. The committee advanced SB 5940, SB 5957, and SB 5966 with due-pass recommendations, and the transcript ends with the committee adjourning after the final action on SB 5966.

Transcript Highlights:

• Um, I think the pre-authorization system could use quite a bit of reform.
• Uh I feel like this is a bit of reform.
• We pay for medical care with Medicaid dollars.
• </c> medical care with medic Medicaid medical care with medic Medicaid dollars. dollars. dollars.
• </c><01:16:03.360><c> over</c> worked a lot on prior oath reform over worked a lot on prior oath reform

Bills: HF357 , HF3389 , HF1434 , HF2500 , HF1606

Committee: House Commerce Finance and Policy

Transcript Highlights:

• Another point about this, which people talk about, is, well, what about the 2017 tax reforms?
• It takes advantage of national, international reforms that I will talk about in a second.
• And the key thing, again, about this reform are two, actually.
• And the key thing, again, about this reform are two, actually.
• And the key thing, again, about this reform are two, actually.

Transcript Highlights:

• amendment is simply a proactive measure. a reaction to what this House found happened with those Medicaid
• We found out that James [inaudible] inappropriately steered $10 million of Medicaid funds to his friends
• The governor and his administration have been accused of using taxpayer money, including the Medicaid
• Talk about reforms put in place by citizen-led amendments, like raising the minimum wage.
• This is not reform. It's repression. This bill calls small mistakes fraud.

Bills: HB1520 , HB1545 , HJR110 , HJR203 , HB245 , HB1465 , HB1482 , HB294 , HB793 , HB809 , HB3928 , HB334 , HB2037 , HB1973 , HB285 , HB4341 , HB4264 , HB 1043 , HB837 , HB 1234 , HB 1193 , HB 1194 , HB1646 , HB1729 , HB2498 , HB1314 , HB2295 , HB1353 , HB1531 , HB1988 , HB5398 , HB3960 , HB3923 , HB1407 , HB1764 , HB2221 , HB2214 , HB2517 , HB2518 , HB2213 , HB5008 , HB5092 , HB3421 , HB3663 , HB3748 , HB3800 , HB3756 , HB2613 , HB3782 , HB5246 , HB4344 , HB4044 , HB4066 , HB2702 , HB2807 , HB2869 , HB2898 , HB3181 , HB3250 , HB4153 , HB2091 , HB2115 , HB2542 , HB2768 , HB3349 , HB3352 , HB4406 , HB1593 , HB1899 , HB3133 , HB4432 , HB4960 , HB3214 , HB3915 , HB3508 , HB2145 , SB304 , SB608 , SB2312 , SB494 , SB530 , HB45 , HB2520 , HB35 , HB47 , HB318 , HB349 , HB554 , HB1359 , HB1373 , HB2254 , HB2259 , HB2853 , HB3073 , HB3088 , HB353 , HB355 , HB786 , HB762 , HB705 , HB932 , HB849 , HB 1119 , HB3041 , HB713 , HB3104 , HB3970 , HB4042 , HB4490 , HB1731 , HB2607 , HB3689 , HB1788 , HB1612 , HB138 , HB15 , HB1971 , HB1338 , HB2989 , HB267 , HB 1201 , HB2954 , HB5265 , HB1804 , HB5061 , HB1520 , HB1545 , HJR110 , HJR203 , HB1887 , HB1914 , HB2402 , HB2306 , HB1809 , HB2350 , HB3000 , HB3237 , HB3326 , HB3211 , HB 1056 , HB2081 , HB2187 , HB3092 , HB3308 , HB3526 , HB3750 , HB3527 , HB4219 , HB4230 , HB4290 , HB5238 , HB4804 , HB4749 , HB245 , HB1465 , HB1482 , HB294 , HB793 , HB809 , HB3928 , HB334 , HB2037 , HB1973 , HB285 , HB4341 , HB4264 , HB 1043 , HB837 , HB 1234 , HB 1193 , HB 1194 , HB1646 , HB1729 , HB2498 , HB1314 , HB2295 , HB1353 , HB1531 , HB1988 , HB5398 , HB3960 , HB3923 , HB1407 , HB1764 , HB2221 , HB2214 , HB2517 , HB2518 , HB2213 , HB5008 , HB5092 , HB3421 , HB3663 , HB3748 , HB3800 , HB3756 , HB2613 , HB3782 , HB5246 , HB4344 , HB4044 , HB4066 , HB2702 , HB2807 , HB2869 , HB2898 , HB3181 , HB3250 , HB4153 , HB2091 , HB2115 , HB2542 , HB2768 , HB3349 , HB3352 , HB4406 , HB1593 , HB1899 , HB3133 , HB4432 , HB4960 , HB3214 , HB3915 , HB3508 , HB2145 , HCR6 , HCR12 , HCR34 , HCR50 , HCR55 , HCR58 , HCR70 , HCR71 , HCR72 , HCR74 , HCR75 , HCR78 , HCR80 , HCR93 , HCR100 , HCR107 , HCR116 , HCR117 , HCR90

Keywords: Angelina and Neches River Authority, river authority, Sunset Advisory Commission, Texas Sunset Act, Special District Local Laws Code, local government, natural resources, board of directors, director training, board governance, public testimony, open meetings, public information, conflict of interest, ethics, complaint system, general manager, board president, staggered terms, removal of director

Summary: The Florida House considered multiple bills on Day 59 of the legislative session. Key legislation included CS for HB 1103 on developmental disabilities services, which expanded a pilot program statewide while maintaining current contracts. CS for SB 1730 addressed affordable housing with amendments protecting historic districts. CS for HB 443 on charter schools allowed stricter codes of conduct and virtual student athletic participation. CS for HB 209 prohibited golf courses and hotels in state parks. Lucy's Law (CS for HB 289) increased boating safety penalties and education requirements. CS for HB 1205 significantly restricted citizen ballot initiatives by requiring petition circulator registration, limiting volunteer collections to 25 signatures, adding financial impact statements, and imposing new penalties. The House also passed bills on animal cruelty databases, waste incineration restrictions, and spectrum alerts for individuals with developmental disabilities.

Transcript Highlights:

• </c> receive no reimbursement from Medicaid receive no reimbursement from Medicaid for<00:45:10.800><
• Would um tort reform mitigate some of this?
• Would um tort reform mitigate some of this?
• Would um tort reform mitigate some of this?
• Would um tort reform mitigate some of this?

Summary: The committee first approved the May 12 minutes, then deferred item 285 on the routine personal service contract green list for Western Kentucky University to the July 2026 meeting. It also noted that several deferred university contracts had been withdrawn by the institutions, and then approved the remaining agenda items without objection, including personal service contracts, amendments, memoranda of agreement, Kentucky Entertainment incentive agreements, deferred items, and corrections, except for items pulled for further review. The main pulled item was a Kentucky Administrative Office of the Courts contract supporting Fayette District Court’s juvenile treatment court through Fayette County Public Schools. Court officials explained that the program, created under Supreme Court rules in 2022, serves court-connected juveniles with mental health and related needs, operates at the courthouse, and uses a school-employed program manager funded through a pass-through arrangement with Fayette County Public Schools and the Urban County Government. They said the program has had over 100 referrals, accepted about half, and had at least 25 successful graduates, with 11 high school graduates among participants. Members asked about who pays for drug screens, family involvement, and what counts as successful completion; the officials said the Urban County Government’s Division of Youth Services pays for drug screens and services, and that parents must participate in classes and support services. The committee then approved the contract review, with some members explaining their votes in support and one member emphasizing the committee’s role in reviewing contracts in the public interest. The committee also reviewed two Auditor of Public Accounts contracts. The auditor’s representative said contract 11, with Vantage Point Solutions, will examine the Kentucky Communications Network Authority/Kentucky Wired network for $700,000, well below the $1.5 million appropriated, and that a report is expected before the 2027 regular session. Contract 12 funds a special examination of investment managers used by Kentucky’s retirement systems, prompted by a Legislative Oversight and Investigations request to assess whether investments tied to ESG factors are consistent with fiduciary duties; the representative said the retirement systems have been cooperative and that findings are expected on a similar timeline, with some flexibility built into the deadline. After questions about the Texas litigation referenced in the explanation, the committee approved both auditor contracts without objection.

Transcript Highlights:

• The first is on the H.R. 1 changes affecting older adults in Medicaid.
• So first on the Medicaid changes.
• And so we structure our comments to align with these age ranges that are defined for Medicaid.
• And so we structure our comments to align with these age ranges that are defined for Medicaid.
• They are new to Medicaid.

Summary: The joint informational hearing focused on the impact of H.R. 1 on older Californians and related county administration issues. Chair Jackson and Chair Addis opened by emphasizing California’s rapidly aging population and the need to protect seniors’ access to food, health care, housing, and in-home support services. Testimony from the Department of Social Services, Department of Health Care Services, and Department of Aging described how H.R. 1 would expand work and reporting requirements in CalFresh and Medi-Cal, increase redeterminations, and create new eligibility barriers. Witnesses and advocates warned that these changes could lead to large coverage losses, especially for adults ages 55 to 64, people experiencing homelessness, caregivers, and some immigrant groups, while also increasing administrative burden on counties. The LAO noted that many provisions do not directly apply to Californians 65 and older, but highlighted indirect effects and some direct impacts, including a new home equity limit for certain long-term care recipients and narrower immigration eligibility rules. Committee members pressed the administration and counties on how exemptions would be identified and implemented, whether data systems could automatically protect eligible people, and how outreach would reach older adults, women, LGBTQ seniors, and people with limited digital access. DHCS and CDSS said they are working to use existing data, cross-program information sharing, and human-centered communications to maximize exemptions and reduce churn, including text outreach, print and radio campaigns, and navigator support. Members also raised concerns about the need for legal aid and county eligibility workers to help people navigate complex rules, and requested updated analyses on the number of people likely to lose both Medi-Cal and CalFresh and the broader human and system impacts. No votes were taken. The second major topic was the administration’s proposal to shift some future IHSS costs to counties by establishing a statewide baseline for average authorized hours per case. CDSS said the proposal is intended to improve consistency in assessments and not reduce services, while counties and labor groups strongly opposed it, arguing that rising hours reflect real increases in need, an aging and higher-acuity caseload, and state-mandated assessment tools rather than county error. County representatives said the proposal would strain already limited local revenues, worsen the effects of H.R. 1, and could force cuts to other safety-net services. Committee members questioned the proposal’s timing and impact, but the hearing ended without action, with the chairs asking for continued updates, additional analysis, and more information before May Revision.

Transcript Highlights:

• That reform revitalized a struggling insurance line and fostered growth for medical providers.
• Back in 2003, Florida adopted a tort reform package, which included a time-limited demand reform, which
• The reforms have also produced substantial financial... job statewide.
• It deals predominantly with Missouri comparative fault reform, what I would call.
• It deals predominantly with Missouri comparative fault reform, what I would call.

Committee: House Commerce, Consumer Protection, Energy and the Environment

Summary: The committee first heard House Bill 1645, which would reduce Missouri’s general personal injury statute of limitations from five years to two years for claims after August 28, 2026, while also extending the civil statute of limitations for child sexual abuse claims from 10 years to 20 years after the victim turns 21. Representative Overcast and supporters from the insurance and business communities argued the change would improve Missouri’s business climate, lower insurance costs, and align the state with most others; opponents, including trial lawyers and victim advocates, warned that shortening the filing window would harm injured adults and sexual abuse survivors who need more time to come forward. Representative Sites supported the child sexual abuse expansion but said broader retroactivity work was still ongoing. No vote was taken in the hearing itself, but the bill drew both support and opposition testimony. The committee then heard House Bill 1610 and House Bill 2182, both of which were described as similar proposals to shorten the general civil statute of limitations, with HB 1610 moving from five years to three years and HB 2182 moving from five years to two years. Supporters repeated the same business-climate and insurance-rate arguments, while opponents repeated concerns about access to justice and the time needed to investigate complex injuries. Several witnesses from the insurance, chamber, farm bureau, railroad, and business groups testified in support, and some said they preferred two years over three. The chair noted the testimony was largely repetitive across the bills, and the hearings concluded without recorded votes in the transcript. Finally, the committee heard House Bill 2714, which would change Missouri from a pure comparative fault system to a modified comparative fault system, barring recovery if a plaintiff is found more than 50% at fault. The sponsor and supporters said the bill would make Missouri more business-friendly and more consistent with neighboring states, while opponents from the trial bar argued it would unfairly cut off recovery for injured people and that juries already apportion fault under current law. Testimony focused on how fault percentages are determined, the effect on settlements and trials, and examples such as car crashes and product liability cases. The hearing ended with continued opposition testimony and no final committee action reported in the transcript.

Transcript Highlights:

• It funds Medicaid caseload growth and provides an additional $1.8 billion to increase the base wage for
• It fully funds Medicaid and CHIP caseload growth, appropriating an additional $556.2 million in general
• Understanding that helps frame our discussions as we evaluate potential reductions or reforms.
• The balance we need to achieve in property tax reform is vital for maintaining adequate funding levels
• I believe my court is going to need some rules reforms and if we can have some discussion about that,

Bills: SB 1

Committee: Senate Finance

Transcript Highlights:

• I've been an advocate on reform and ankle bracelet monitoring... ...and I represent myself.
• I have been an advocate on reform and ankle bracelet monitoring.
• Since they, since Medicaid pretty much nationwide funds Suboxone, all of a sudden they've demonized kratom
• Since they, since Medicaid pretty much nationwide funds Suboxone, all of a sudden they've demonized kratom

Committee: House Administration of Criminal Justice

Summary: The committee heard a long agenda of criminal justice measures, with several bills and resolutions reported favorably and others rejected or deferred. Representative Baham’s HB 255, as substituted, would enhance penalties for certain felony or rioting offenses committed while wearing a mask to evade identification, with exceptions for religious, motorcycle, and medical coverings; it was reported favorably after opposition from the ACLU and support from law enforcement groups. His HB 378, as amended, narrowed a vehicle-obstruction offense to first responders and was also reported favorably. HB 1090, increasing penalties for arson of a religious building, was reported favorably with support from the Louisiana Conference of Catholic Bishops. HR 272, requesting a study of parental discipline, abuse allegations, and juvenile delinquency, was reported favorably after sponsor testimony about confusion over current law. HB 479, the “Fiscal Truth and Sentencing Act,” sought quarterly reporting on incarceration costs and sentencing impacts; despite support from the ACLU and opposition from clerks of court over an unfunded mandate, it failed on a 4-7 roll call. HR 278, asking the Attorney General to review electronic monitoring laws and make recommendations, was reported favorably after testimony from advocates and supporters of tighter oversight. HR 273, creating a task force to study work-release programs, was also reported favorably, while SB 278 was voluntarily deferred. The committee also considered several high-profile social policy measures. HB 261, by Representative Boyd, would create an exception to abortion restrictions for rape and certain sex offenses; the hearing featured extensive emotional testimony from survivors, clergy, and legislators on both sides, but the bill was rejected on a 2-10 vote. HCR 100, as amended, urged the Gaming Control Board to ensure due diligence in proposed casino acquisitions with attention to economic development, job creation, and community benefit; the amendment resolved industry concerns and the resolution was reported favorably. SB 448, concerning the Office of the State Public Defender, was amended to add procedures for expert-witness funding disputes, sealed contradictory hearings, and interlocutory review, then reported favorably. SB 135, which would redirect sports wagering revenue away from a capped sports fund and toward early childhood seats, drew opposition from university-related interests but no motion was made. Finally, HB 778 on kratom was presented as a narrower approach that would ban synthetic and semi-synthetic kratom while allowing regulated natural products; testimony included concerns about harm, business impacts, and claimed benefits for pain management and PTSD, and the discussion was still underway at the end of the transcript.

Transcript Highlights:

• This bill reinforces the financial health of the insurance market at a critical time for insurance reform
• this bill reinforces the financial health of the insurance market at a critical time for insurance reform
• I’m allowing LDH to make that number, whatever they have from Medicaid.
• 2025, No. 474, by clearly defining the professional dispensing fee and tying it to the Louisiana Medicaid

Committee: Senate Insurance

Summary: The Senate Committee on Insurance met on May 6, 2026, and first reported HB 1241 favorably. That bill, by Chairman Furman, requires insurers to check with DCFS before paying certain insurance settlements to determine whether the recipient owes delinquent child support, and to withhold and remit arrears if found. DCFS explained that Louisiana already has intercepts and other collection tools, but no current mechanism for insurance settlements. Senators raised concerns about notice to obligors and about liability if insurers fail to withhold, but the bill was advanced without objection. The committee then heard HB 870, which would require health insurers and PBMs to cover lower-cost generic or biosimilar drugs when available and to use utilization management no more restrictively on those drugs. Supporters said the bill would improve access and lower patient costs by using wholesale acquisition cost as the comparison point. Opponents, including Louisiana Blue and the AFL-CIO, argued that WAC ignores rebates and net cost, could force plans to cover higher-cost biosimilars first, and could increase premiums and disrupt ERISA and fully insured plan design. The committee adopted a technical amendment set and then a second amendment set that added notice and reporting requirements tied to net cost calculations, and HB 870 was reported favorably as amended. Several other bills were moved with little or no opposition. HB 1176, concerning Medicare Advantage coverage for integrative cancer treatments such as cold cap therapy, cryotherapy, and acupuncture, was amended to change the effective date and then reported favorably. HB 1196, dealing with colorectal cancer screening follow-up colonoscopies, was also amended and reported favorably. HB 1162, a consumer protection bill requiring DOI to verify that a contractor named on a first-party property damage check is licensed in Louisiana, was amended and reported favorably. HB 826, which modernizes insurance referral rules to allow referrals by email or website address, was reported favorably. The committee also heard HB 1151 on insurer investment limits and solvency protections, and HB 1236 on pharmacy reimbursement and copay maximizer programs; both drew substantial testimony and concern, especially over retroactivity, PBM cost allocation, and whether copay maximizers shift costs to patients, but the transcript cuts off before final action on HB 1236.

Transcript Highlights:

• They've learned to take their Medicaid. They've learned to go to their treatment.
• They've learned to take their Medicaid. They've learned to go to their treatment.
• As we know, foster care reform is an ongoing conversation.
• Mental health reform is an ongoing conversation. We have a lot of work to do.

Committee: House Health and Mental Health

Transcript Highlights:

• So I am asking you for the greater good to have some finally meaningful reform on psychedelics.
• So I am asking you for the greater good to have some finally meaningful reform on psychedelics.
• </c><01:18:37.920><c> on</c> finally have some meaningful reform on finally have some meaningful reform
• But what this bill now has in it is real psychedelic reform for the citizens of New Hampshire.
• </c><05:44:21.440><c> And</c> again is to reform the statute. And again is to reform the statute.

Transcript Highlights:

• There's over 500,000 Sacramento County residents that are enrolled in Medicaid. Thank you.
• focuses on serving individuals who lost eligibility for federal SNAP as a result of 1996 welfare reforms
• We cannot include anyone in CFAP who was not the population that was targeted in the 1996 welfare reform
• government $1.5 trillion annually, nearly identical to the size and scope of the cuts to SNAP and Medicaid
• With that, I want to acknowledge and celebrate the CalWORKs reforms included in last year's budget to

Transcript Highlights:

• There are over 500,000 Sacramento County residents who are enrolled in Medicaid. Thank you.
• focuses on serving individuals who lost eligibility for federal SNAP as a result of 1996 welfare reforms
• We cannot include anyone in CFAP who was not the population that was targeted in the 1996 welfare reform
• government $1.5 trillion annually, nearly identical to the size and scope of the cuts to SNAP and Medicaid
• With that, I want to acknowledge and celebrate the CalWORKs reforms included in last year's budget to

Summary: The Assembly Budget Subcommittee on Human Services opened its first hearing of the year with a discussion centered on CalFresh, the Department of Social Services, and related anti-poverty and immigrant services programs. Chair Jackson framed the hearing as a response to the “historic and enormous challenges” created by H.R. 1, emphasizing that the committee’s goal was to minimize harm to vulnerable Californians. No votes were taken in the hearing. The first major topic was the impact of H.R. 1 on CalFresh eligibility and administration. CDSS estimated major federal funding reductions, with hundreds of thousands of Californians potentially losing benefits under new time limits and work requirements for able-bodied adults without dependents, and additional losses among certain non-citizen groups. County welfare directors, eligibility workers, SEIU, and other advocates argued that counties are underfunded and understaffed to implement the new rules, and urged release of the previously authorized $20 million General Fund, a county match waiver, and an additional ongoing workforce investment. LAO and the Department of Finance said they were reviewing the administration’s proposals and emphasized the need to use existing data, automation, and statutory direction to reduce administrative burden and improve implementation. A second panel addressed county administrative backfill and the broader fiscal effects of H.R. 1. CDSS explained that the law shifts more administrative costs to the state and counties beginning in federal fiscal year 2027 and could also create future state benefit costs tied to payment error rates. County and food bank representatives warned that many counties will struggle to absorb the higher match and that penalties tied to payment error rates could worsen budget pressure. Members pressed Finance and CDSS for clearer timelines, written responses, and more detailed workload assumptions, while Finance said it was still analyzing the federal guidance and county resource needs. The final major topic was the California Food Assistance Program (CFAP) and possible state responses for people losing federal CalFresh eligibility. CDSS said CFAP remains limited by statute and by the federal structure it currently uses, but that the planned expansion to Californians age 55 and older regardless of immigration status remains on track for October 1, 2027, subject to funding. Immigrant advocates urged the state to fold newly excluded humanitarian immigrants into CFAP and to invest in outreach and administration, while Western Center on Law and Poverty proposed a broader state-funded anti-hunger response for people cut off by H.R. 1. LAO noted that the CFAP expansion is difficult to estimate and that further policy and technical work would be needed to assess costs and implementation options.

Transcript Highlights:

• communities by choking off federal funding for many programs, including an unprecedented hit to Medicaid
• Also want to acknowledge the important role of this body, both in passing the comprehensive reform through

Summary: The Assembly Committee on Public Employment and Retirement and the Senate Committee on Labor, Public Employment, and Retirement held a joint hearing required by law to receive an independent report from the California Actuarial Advisory Panel on CalPERS. Opening remarks emphasized CalPERS’ role in providing retirement security for about two million members and the importance of pension funding to the state budget, especially amid economic uncertainty, market volatility, federal policy changes, and concerns about future fiscal pressure. Scott Tarando, CalPERS chief actuary and a CAP member, presented on the statutory disclosure requirements in Government Code Section 2029. He explained that CalPERS’ current discount rate is 6.8%, that lower investment returns increase contribution rates and unfunded liabilities, and that the plan uses a 20-year amortization period for new unfunded liabilities. He said CAP has recommended a reasonable amortization range of 15 to 20 years and that CalPERS’ longer smoothing period helps reduce volatility in employer contributions. He also explained the timing of actuarial data: the valuation used for current contribution rates is based on the prior fiscal year’s audited data, with the next year’s rates developed later in the annual cycle. Members asked about the relationship between average employee service life and amortization, whether current market and AI-related changes could justify using more current data, whether pension benefits change when valuations are updated, and how CalPERS’ funded status has changed over time. Tarando said retiree benefits do not change based on annual valuations, that the system’s funded status has improved from roughly the mid-60% range about a decade ago to around 80% or higher more recently, and that CalPERS is monitoring possible long-term workforce effects from AI but sees no immediate need to change assumptions. Michael Cohen of CalPERS said the system complies with information requests and is independently audited annually, but there has been no formal federal review released. In public comment, a representative of county governments praised the improved funded status and PEPRA reforms. The hearing concluded with remarks reaffirming fiduciary responsibility and the importance of protecting CalPERS beneficiaries.

Transcript Highlights:

• communities by choking off federal funding for many programs, including an unprecedented hit to Medicaid
• Also want to acknowledge the important role of this body, both in passing the comprehensive reform through

Summary: The Assembly Committee on Public Employment and Retirement and the Senate Committee on Labor, Public Employment, and Retirement held a joint hearing required by law to receive an independent report from the California Actuarial Advisory Panel on CalPERS. Opening remarks emphasized CalPERS’ role in providing retirement security for roughly two million members and the importance of actuarial assumptions to state budgeting and long-term pension health. Scott Tarando, CalPERS chief actuary and a CAP member, presented the report with Michael Cohen of CalPERS’ investment office available for questions. Tarando explained the statutory disclosure requirements under Government Code Section 2029, including sensitivity analysis around CalPERS’ 6.8% discount rate, and discussed how investment return assumptions and the 20-year amortization period affect contribution rates, unfunded liabilities, and budget volatility. He said shorter amortization periods would raise near-term costs but reduce long-term interest costs, and noted that CalPERS’ current approach is intended to smooth contribution changes over time. He also described the timing of the annual valuation process, explaining that contribution rates for a given fiscal year are based on the most recently audited year-end data and are approved by the board before being used in the budget process. Members asked about the relationship between average employee service life and amortization, whether more current data could be used, the effect of AI and labor-market changes on future assumptions, whether retirees’ benefits change with annual valuations, and CalPERS’ funded status. Tarando said the average expected working lifetime is about 11 to 12 years, while CalPERS uses a 20-year amortization period; he also said retiree benefits are set at retirement and do not change based on later valuations. He estimated CalPERS’ funded status had risen from the mid-60% range about 10 years ago to around 79% at June 30 and above 80% more recently. Cohen said CalPERS had complied with federal information requests and that no formal federal review had been released. During public comment, a county association representative praised the improved funded status and PEPRA reforms. The chairs closed by reiterating fiduciary responsibility and the need to protect CalPERS’ long-term stability, and the meeting adjourned.

Transcript Highlights:

• Indivisible and lead organizer for Raising Cain's movement to protect Social Security, Medicare, and Medicaid
• Indivisible and lead organizer for Raising Cain's movement to protect Social Security, Medicare, and Medicaid
• representing LA Voice and also organizing for Raising Cain’s movement to protect Social Security, Medicare, Medicaid
• Additionally, this reform addresses a structural imbalance in the subject matter expertise.

Committee: House Revenue and Taxation