Transcript Highlights:

• And we will also be doing the presentation of our budget.
• As you look at the budget, the total budget for higher education, including the local funds, is $11.5
• And this will be allocated through the funding model.
• And you may be able to answer it through the budget and not.
• Our budget request for this year. So wink, wink.

Summary: The committee first heard a confirmation from UCF trustee reappointee Mr. Christie, who described his background in medical devices and prior board service and said he wanted to help UCF strengthen its financial foundation, workforce alignment, and engineering and technology pipeline. Members asked about UCF’s direction, and he emphasized the university’s role in producing engineers and supporting Florida’s space and technology sectors. The committee then moved to the higher education budget for fiscal year 2025-26, which was presented as an $11.5 billion total budget including local funds and focused heavily on workforce education, nursing, agriculture technology, tutoring, student aid, and university initiatives. Chair Harrell highlighted increases for school district workforce education, Florida College System operations, career and technical education grants, the GATE program, nursing education through USF’s Florida Center for Nursing, UF/IFAS rural and agricultural programs, UCF’s Community School Grant Program, UF’s literacy and tutoring initiatives, autism and neurodevelopment services, full funding for major scholarship programs, and $250 million for state universities through the Board of Governors. Senator Davis asked about line grant flexibility, and Harrell said a conforming bill would address the details. The budget proposal was adopted as a recommendation to the full Appropriations Committee, with staff authorized to make technical corrections. The committee then took up a series of confirmations, beginning with Florida State University reappointee Peter Collins, who emphasized his long FSU ties, leadership on the board, and goal of keeping FSU on a path toward top-10 status and AAU membership. Rebecca Matthews, a new University of West Florida appointee, discussed her education-related volunteer work, Florida Education Foundation service, and interest in supporting UWF’s continued excellence; senators questioned her on Title IX and she said she would support student protections and compliance. Rachel Moyah, another UWF appointee, highlighted her education, school board experience, and priorities of student safety, fiscal discipline, and workforce readiness; she also said she would comply with Title IX and other applicable rules. Ashley Ross, also nominated to UWF, said she would focus on university advancement, military ties, cybersecurity, civil engineering, and strong governance, and agreed that Title IX protections should be preserved and advanced. The most extensive questioning came during the confirmation of Adam Kessel, a UWF appointee and Heritage Foundation fellow, who was asked about prior writings on privatizing public universities, his comments about the GI Bill, and his views on free speech and Project 2025. Kessel said he did not recommend privatizing Florida universities, clarified that his comments about the GI Bill and over-enrollment were about broader higher education policy, and said he supports veterans and the GI Bill. He described his higher education work as focused on civic education, accreditation, student success, tenure, and free speech, and said trustees should improve campus culture through policies, training, and institutional neutrality. Public testimony on UWF was sharply divided: former UWF leaders and community members warned that the new slate of trustees and their vote to make Scott Yenor chair had chilled donations, enrollment, and community trust, while a James Madison Institute representative praised Kessel’s scholarship and thoughtful approach. The committee also heard from FAMU reappointment Belvin Perry, who cited his judicial career and board service and said his goal is to support student success, retain strong faculty and staff, and help FAMU continue rising in national standing. Finally, the committee began hearing from remote appointees, including UCF nominee Mark Philburn, who emphasized his construction, affordable housing, and higher education board experience, and FSU nominee Peter Jones, who described his finance and investment background and long service to FSU boards and committees. The last nominee heard before the transcript ended was Florida Gulf Coast appointee Paul Applegarth, whose audio issues delayed his remarks; he began by noting his prior federal confirmation, military service, and GI Bill-supported education.

Transcript Highlights:

• handle the human services budget handle the human services budget conversation<00:18:07.320>
• and if so, which budget bills?
• The budget, my understanding of the budget process, supplemental budget process, right?
• budget bills, and if so, which<00:31:02.960> budget<00:31:03.280> bills?
• > budget process supplemental budget budget process supplemental budget process,<00:31:39.760> right

Keywords: 1187, senate, all

Transcript Highlights:

• governor's budget and the house budget. governor's budget and the house budget.
• /c><00:21:30.880> and<00:21:31.440> the budget to the house budget and the budget to the
• budget.
• budget recommended budget and governor's budget recommended budget and the<00:58:58.000> house
• Shared with you is allocated in the DAS operating budget, but it would need to be moved over to Fish

Keywords: 1191, senate, all

Transcript Highlights:

• Uh affect the current bienium budget.
• bianium budget. bianium budget.
• contained within the budget. contained within the budget.
• fiscal impact because the state budget fiscal impact because the state budget for<01:59:07.440><
• assumed the same allocation structure. assumed the same allocation structure.

Keywords: 1189, house, all

Transcript Highlights:

• House Bill 951, which is the budget.
• So, we vote on our budgets.
• Some things that are reflected in the budget are in this bill.
• The committee of conference report for the FY27 budget at conference report for the FY27 budget at H951
• We could never have put this budget together without you.

Keywords: 926, house, all

Transcript Highlights:

• based on the award that we were budget based on the award that we were allocated.<03:58:46.800> Uh
• <03:58:58.160> allocation<03:58:58.800> which detail on the budget allocation which
• detail on the budget allocation which could<03:58:59.279> have<03:58:59.439> some<03:58
• able to adjust those budget allocations. able to adjust those budget allocations.
• allocations that we've proposed<04:01:10.239> in<04:01:10.399> the<04:01:10.560> budget

Keywords: 916, all

Transcript Highlights:

• , not on budget.
• , not on budget.
• that budget.
• that budget.
• that budget.

Keywords: 912, senate, all

Summary: The committee met on February 4, 2025, for decision making on previously heard measures, then later held hearings on additional bills. Early action focused on several measures that were amended and advanced, including SB 161 on state project exemptions from county permitting, which was heavily revised to allow programmatic or project-specific agreements with counties, require public reporting of exempted projects, and create a working group to study broader permitting and construction coordination issues. The committee also advanced SB 635 on energy efficiency with changes shifting survey leadership to the Hawaii State Energy Office, SB 700 on resilience hubs after narrowing it to focus on emergency-service-capable hubs and removing distributed energy language, SB 869 on community outreach boards with a technical amendment, SB 1081 on a legislative budget office by converting it to a feasibility study, SB 711 on gubernatorial appointments with a salary threshold change, SB 405 on neighborhood board agendas with a committee-report note about OIP concerns, SB 381 with privacy issues deferred to Judiciary, SB 2 as a two-year pilot for fruit tree planting in selected districts, SB 239 on disaster preparedness with sheltering revisions, and SB 998 as introduced with a cost estimate for site selection work. Several measures were deferred or not advanced, including SB 615, which was deferred indefinitely, SB 1132, which the chair said would be set aside in favor of another childcare bill, and SB 111, which was not taken up further because of confusion during an earlier hearing. During the later hearing portion, SB 1175 on procurement drew testimony from the State Procurement Office, which supported the bill but corrected its estimated database revision cost from $7,500 to $30,000; the Department of Transportation also appeared, while the General Contractors Association submitted opposition. Committee members questioned whether the past-performance database should include more detailed quality information and whether a one-year post-completion review would be useful, but no amendment was adopted at that time. SB 1587 on retainage received written support from the Subcontractors Association of Hawaii and no opposition in the room. SB 1543 on government accountability, which would require justification for outside consultants and cap consultant spending, drew opposition from the American Council of Engineering Companies of Hawaii, which argued it could slow procurement, reduce flexibility, and worsen delays given existing vacancies and limited in-house expertise. The Public First Law Center supported the related transparency bill discussed in the hearing, arguing it would close a loophole by making contractor-created records used in government functions subject to disclosure under UIPA, while the Attorney General’s office opposed it. The transcript ends with that testimony still underway, and no final vote is shown for the later hearing bills.

Transcript Highlights:

• It functions like a long-term water budget.
• It's basically your annual groundwater budget.
• And they show that all of the net budget would change.
• , what's allotted in the budget.
• In the entire budget for future pumping has been eaten up.

Summary: The committee held a hearing on high-capacity groundwater wells proposed in Anderson, Henderson, and Houston counties, with members framing the issue as one of local water supply, fairness, and the need to modernize groundwater law while protecting private property rights. Opening remarks focused on the scale of the proposed Redtown Ranch and Pine Bliss projects, the potential export of tens of thousands of acre-feet of groundwater annually, and concerns that the applications lacked sufficient technical detail and could harm nearby landowners, cities, agriculture, and manufacturing. Members also noted the broader context of the recent flooding tragedy in central Texas and the Legislature’s intent to address water-related loss of life in the upcoming special session. Witnesses from the Texas Alliance of Groundwater Districts and the Texas Water Development Board explained the current groundwater management framework. They described groundwater conservation districts as the state’s preferred management method, the role of groundwater management areas and desired future conditions, and how the Water Development Board uses those conditions to calculate modeled available groundwater. They emphasized that districts rely on local data, monitoring wells, and planning processes, but that information is often more limited in areas without a district, where the rule of capture applies. Members pressed witnesses on recharge rates, export permits, subsidence, the effect of pumping on nearby wells, the age and real-time availability of model data, and whether the proposed project would exceed modeled available groundwater in some counties. TCEQ explained its limited oversight role over groundwater conservation districts, including inquiries, compliance actions, and, in extreme cases, dissolution authority. Water Development Board staff also outlined funding programs, saying the New Water Supply for Texas Fund is limited to projects such as brackish desalination, reuse, ASR, and other new-supply projects, and does not fund fresh groundwater exports alone. They said the project at issue had not applied for board funding. A water lawyer then testified on the rule of capture, ownership in place, and district regulation, arguing that districts must use permitting and other tools to manage production within modeled available groundwater and that the Legislature could consider additional authority over groundwater exports under current law.

Transcript Highlights:

• The Minnesota Housing Finance budget is 0.3% of our state general fund budget.
• is 0.3% of our state general fund budget is 0.3% of our state general fund budget.<00:03:22.240>
• Um and when you look at the budget.
• Thank you. assistance, and 25% to be allocated to assistance, and 25% to be allocated to Bring<00:07:
• This is their largest budget item, and every year that number grows.

Keywords: 919, house, all

Summary: The committee heard House File 3279, the “Our Future Starts at Home” constitutional amendment, which would ask voters to approve a 3/8 of 1% statewide sales tax increase to create a dedicated housing revenue stream. Chair Howard said the proposal is intended to address Minnesota’s housing shortage through predictable, long-term funding, estimated at about $400 million annually for 25 years, and would be administered through a council that would fund housing vouchers, rental and supportive housing, and affordable homeownership. Supportive testimony came from coalition and nonprofit advocates, including Nelima Sitati Munene, Ben Helvick Anderson, Dakota Morgan, and Chris Berggren. They argued that Minnesota’s housing crisis requires permanent, sustained investment rather than one-time grants, and said the amendment could produce thousands of vouchers, supportive housing units, rental units, and starter homes over time. Testifiers also emphasized the need for community voice and lived-experience representation in how funds are distributed, and described the bill as a way to prevent homelessness and stabilize families statewide. Several members raised concerns that the proposal would add another regressive tax burden on residents already struggling with affordability. Representatives Johnson, Nash, Dotseth, and Myers argued that sales taxes hit lower-income Minnesotans hardest and said the state should focus more on zoning, regulatory reform, and other cost reductions instead of new taxes. Chair Howard responded that housing costs themselves are already highly regressive and that both policy reform and public investment are needed. The bill was laid over and no vote was taken.

Transcript Highlights:

• That was not budgeted."
• We are working with OMB on our cost allocation, so that is not cost allocating correctly, which is why
• As you remember, the total budget for the project was $70 million, so we are on budget.
• As you remember, the total budget for the project was $70 million, so we are on budget.
• We are moving forward. total budget for the project was $70 million. So we are on budget.

Keywords: 908, all

Summary: The committee was called to order, the roll was taken, and the March 18 minutes were approved. Members then received several project and program updates, beginning with CHI St. Alexius’s behavioral health buildouts in Bismarck, Williston, and Grand Forks. St. Alexius reported that the Bismarck project remains on track for June 2027 completion, with demolition underway and final design work nearing completion. Williston reported construction is progressing, staffing recruitment is underway for psychiatrists and other staff, and an air handler replacement is creating a roughly $750,000 unbudgeted barrier that will slightly delay the timeline. Grand Forks reported its expansion is about 30% complete, with no major barriers beyond weather, and leaders said the project should be substantially complete in the first quarter of 2027. The Department of Health and Human Services then presented a series of budget and program updates. Donna Ockland explained several recent line-item transfers as technical corrections that net to zero and do not require new spending, then reviewed salaries, wages, and FTE counts, noting the department remains within its authorized staffing levels. Pat Rainer followed with an update on the Rural Health Transformation Program, saying 12 opportunities have been posted, 422 applications received, and $8.4 million obligated so far, with a goal of obligating the full $199 million by September. He described grants for workforce retention, rural rotations and housing, community gardens, school wellness, behavioral health promotion, safety net services, equipment, technology, EMS, and other initiatives, emphasizing that the program is intended to be transformational and tied to metrics. Members asked extensive questions about how rural eligibility is defined, how grants will support both rural facilities and hub hospitals, and how future years of funding will build on current awards. The committee also heard an update on certified community behavioral health clinics from Elena Zeller, who said North Dakota has been accepted as a demonstration state, implementation is underway in Williston, North Central/Minot, Fargo, and Dickinson, and care coordination and service counts are increasing. Rebecca Askins then reviewed SNAP payment error rates, saying the 2025 rate was finalized at 9.89%, with the state aiming to get below 6% through policy updates, training, data tools, and a quality assurance team. Members pressed her on the causes of the error rate, the role of the SPACES software system, and the need for accountability and improvements. Finally, Dirk Wilkie reported the state laboratory project reached substantial completion on June 12 and is on budget at about $69.95 million, though a service elevator had to be redesigned because it was too small for equipment.

Transcript Highlights:

• So I think we have one more budget section. Agenda.
• That was not budgeted.
• We are working with OMB on our cost allocation, so that is not cost allocating correctly, which is why
• We actually have to submit ...a budget to CMS in August.
• As you remember, the total budget for the project was $70 million, so we are on budget.

Summary: The committee met with a quorum, approved the March 18 minutes, and then received a series of updates on major health-related projects and programs. CHI St. Alexius representatives reported progress on behavioral health buildouts in Bismarck, Williston, and Grand Forks, including demolition and construction milestones, staffing plans, and timelines. The Bismarck project remains on track for completion in June 2027 with about $346,500 spent to date. Williston reported construction underway, a $750,000 unbudgeted air handler replacement, active recruitment for psychiatrists and other staff, and a projected substantial completion in early 2027. Grand Forks reported about 30% completion, weather-tight status expected in August, and continued staffing ramp-up as the facility expands from its current 24-bed operation. The Department of Health and Human Services then reviewed a set of technical line-item transfers, emphasizing that they were administrative corrections with no net change in funding. The department also walked through the Salaries and Wages Block Grant and FTE counts, noting overall staffing remained within appropriated limits and that behavioral health staffing had increased. Members asked about vacancies, consultant use, and the mix of in-state versus out-of-state expertise for the Rural Health Transformation Program. HHS said it had posted 12 funding opportunities, received 422 applications, obligated $8.4 million so far, hired 26 people, and was preparing additional grant rounds and a CMS budget submission. The department said the program is structured around workforce, prevention/healthy living, care closer to home, and technology/data, with ongoing stakeholder engagement and community forums. The committee also heard on the certified community behavioral health clinic implementation plan, SNAP payment error rates, and the state laboratory project. HHS said CCBHC certification is being implemented in four regions—Williston, Minot/North Central, Fargo/Southeast, and Dickinson/Badlands—with care coordination expanding and baseline data still being collected. On SNAP, the department reported a 2025 payment error rate of 9.89%, acknowledged cost impacts under HR1, and said it is using training, system changes, and pre-authorization quality checks to reduce errors toward a 6% target over the next 6 to 12 months. Finally, Public Health reported the state laboratory reached substantial completion on June 12, with total costs at $69.95 million of the $70 million budget, though a service elevator issue will require a new lift to be added using contingency funds.

Transcript Highlights:

• Earlier in my career, I served at the White House Office of Management and Budget and the U.S.
• I'll take a stab at it for starters because I think there's a component of general budget pressure and
• A lot of our day job is working on the operating side of the budget, watching revenues come in.
• The gravel roads we cover out of our operating budget, which...
• The gravel roads we cover out of our operating budget, which Roads.

Keywords: 995, all

Summary: The committee heard testimony on House Bill 4987, the administration’s transportation bond bill centered on Chapter 90 roadway funding and related capital programs. Administration officials described the bill as a roughly $5.5 billion package that would continue $300 million per year for Chapter 90 over four years, with part of the funding distributed by the traditional formula and an additional $100 million based solely on road miles to better support rural and smaller communities. They also highlighted authorizations for municipal pavement work, Shared Streets and Spaces grants, accelerated bridge and pavement repairs, MBTA rail modernization and reliability, housing-related transportation improvements, and a new DCR-focused PRISM program for parkways and related infrastructure. Officials emphasized that the bill is financed through the Commonwealth Transportation Fund and Fair Share revenues, and said it would help municipalities plan more predictably, speed project delivery, and support housing, safety, and climate goals. Committee members and witnesses discussed the bill’s broader scope beyond traditional Chapter 90, especially the $200 million for transportation projects that support housing development and the $200 million for MBTA modernization and rail reliability. Members asked about the rationale for a four-year authorization amid fiscal uncertainty, federal funding volatility, and the status of commuter rail electrification. Administration officials responded that the capital authorization is backed by dedicated transportation revenues rather than the operating budget, and said multi-year certainty helps cities and towns make better long-term repair decisions. They also said the MBTA’s rail modernization funds would support locomotive procurements, including battery-electric and Tier 4 diesel locomotives, as part of a longer-term regional rail and electrification strategy. Municipal officials and regional advocates strongly supported the bill. The Massachusetts Municipal Association, along with town and city officials from Sherborn, Conway, and Yarmouth, said the increased Chapter 90 funding and road-mile-based distribution are especially important for small and rural communities with limited local revenue capacity, and that multi-year funding would let them bundle projects, bid at better prices, and address backlogs more proactively. A Better City and MAPC also supported the bill but urged the committee to treat it like a traditional bond bill by adding policy provisions and considering new transportation revenue tools, such as TNC fee changes, road pricing, parking taxes, and other mechanisms. The committee took no vote during the hearing and adjourned after testimony concluded.

Transcript Highlights:

• Those revenues and balance our budget.
• In history, and that represents billions of dollars in impact to our districts and commitment as a budget
• It's really where people talk about the budget being a moral document, and this is that.
• So it's definitely considered new spending in our budget.
• And many of the school districts are saying that it's because of deficit budgets they've had to pay,

Bills: HB2

Keywords: disaster preparedness, emergency management, flooding, mass fatality, mass casualty, fatality tracking, body recovery, autopsy, justice of the peace, medical examiner, county judge, sheriff, mayor, emergency coordinator, emergency manager license, volunteer management system, volunteer registration, criminal history check, background check, Texas Division of Emergency Management

Summary: The Senate Education K-16 Committee met to consider HB 2, the major school finance bill, with the chair explaining that the committee substitute would provide about $8 billion in new public education funding. The bill was described as including permanent teacher compensation increases, expanded teacher incentive allotment funding, support for early literacy and numeracy, teacher certification and residency pathways, special education funding, career and technical education, school safety dollars, and facilities support for charter schools. The committee adopted the committee substitute without objection after roll was called and a quorum was present. Members questioned the bill’s structure, especially the balance between across-the-board teacher pay and the teacher incentive allotment, the treatment of uncertified teachers, and differences in requirements between traditional public schools and charter schools. Senator Menendez and Senator West raised concerns about equity, charter-school parity, facilities funding, inflation, and whether the bill should include more support for fine arts and extracurricular programs. The chair responded that the bill was designed to direct most new money to traditional public schools while also preserving flexibility and that charter-school and public-school alignment would need further work. Invited witnesses Dr. Imelda De La Rosa and Val Acri testified in support of the bill, emphasizing that the Teacher Incentive Allotment helps recruit and retain teachers in rural districts and supports mentorship and certification pathways. Public witnesses also supported the bill but urged more funding for fine arts, local flexibility, and full restoration of House-proposed funding levels. Dr. Josh Jones supported year-long teacher residencies, Dr. Philip Morgan asked for more local control and restoration of fine arts funding, Rich Saina supported the bill but warned about hold-harmless reductions, and Dr. Greg Poole supported the bill while asking for flexibility for high-performing districts that already pay high salaries. After the invited testimony and some public testimony, the committee recessed subject to the call of the chair so members could attend the Senate floor.

Transcript Highlights:

• finance um works with our budget finance um works with our budget formulation<01:11:20.600> uh
• That's slightly higher than the current budget, but when we prepared the agency's budget request back
• That's slightly higher than the current budget, but when we prepared the agency's budget request back
• keep those revenues uh as uh budgeted keep those revenues uh as uh budgeted for<01:50:28.280>
• allocated amount.

Keywords: 928, house, all

Summary: The Department of Safety presented an overview of highway fund and unrestricted revenue collections, focusing on the Division of Administration, the Road Toll Bureau, and the Division of Motor Vehicles. Amy Newbery explained that the main unrestricted funding sources are highway funds and general funds, with highway fund revenue of about $263 million in FY 2024 and a FY 2025 projection of $261.2 million. She said revenue growth has been modest and has not kept pace with costs, creating structural deficits that required general fund transfers of $50 million in FY 2022-23 and another $10 million in FY 2024-25 to balance the fund. Jennifer Hall described Road Toll operations, including motor fuel tax collection at the distributor level, compliance enforcement, and licensing for fuel distributors, transporters, IFTA carriers, and oil discharge/pollution control. Members asked about IFTA, dyed-fuel enforcement, the possibility of using the state forensic lab for dyed-fuel testing, and whether audit positions had been filled; the department said it recently hired a part-time fuel enforcement officer, still uses IRS testing, could explore lab testing, and had no audit vacancies. Hall also discussed factors affecting fuel-tax revenue, including gas prices, crude oil forecasts, weather, tourism, GDP, and inflation, and said FY 2024 road toll revenue was $127.5 million, above plan, with FY 2025 projected at $127.71 million. The committee then turned to DMV-related revenues. Newbery said motor vehicle registration revenue was $93.1 million in FY 2024 and is projected at $90.4 million in FY 2025, with the state share going directly to the highway fund. Members asked about the state/town fee split, the five-year registration cycle dip, the distribution of registration revenue by vehicle weight category, and the impact of electric-vehicle surcharges; the department said the five-year dip is still occurring and will fade over time, and it would follow up on the weight-category breakdown. The presentation also noted that driver-license revenues have stabilized, inspection revenues remain steady, plea-by-mail revenue was added to the highway fund in FY 2024, and general fund revenues tied to the department are relatively small and have declined as some functions moved to OPLC. No votes or formal actions were taken.

Transcript Highlights:

• to set a certain budget in actuarial science.
• Actuaries work very hard to not be budget-driven.
• So there's a Budget in actuarial science.
• That's a budget-neutral allocation. Okay. I've alluded to this a little bit.
• They review budgets. They are unrestricting funds depending on projects.

Keywords: 907, all

Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.

Transcript Highlights:

• The cost—it's in the budget from the 2025 Budget Act: $69.3 million.
• constraints due to H.R. 1 to balance their budgets.
• With respect to the department's budget, the proposed budget for fiscal year 2026-27 totals $3.2 billion
• With respect to the department's budget, the proposed budget for fiscal year 2026-27 totals $3.2 billion
• Presenting two of our infrastructure budget change proposals, as well as two budget bill items we have

Summary: The hearing focused first on behavioral health, especially serious mental illness and anosognosia, a condition described by witnesses as a neurological symptom that prevents people from recognizing they are ill. The chair framed the issue around families cycling through emergency rooms, jails, conservatorships, and short-term stabilization without lasting treatment, and warned that federal changes under H.R. 1 could reduce Medi-Cal funding and worsen access. Dawn Marie Anderson gave a personal account of her son’s long history of psychosis, homelessness, arrests, repeated jail and state hospital stays, and eventual stability when he received sustained medication and coordinated support. She argued that the system often treats the problem as criminal rather than medical and that voluntary programs and short-term services are not enough for people who lack insight into their illness. Other panelists, including representatives from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association, agreed that anosognosia is not denial or noncompliance and said the system needs long-term, coordinated care, including assertive community treatment, mobile crisis, supportive housing, medication support, and stronger handoffs between county and managed care systems. They said CalAIM and other reforms have improved some coordination, but significant gaps remain, especially for people with serious mental illness, for those in jail or locked settings, and for people with private insurance, which witnesses said often offers little meaningful coverage for early psychosis or intensive behavioral health services. Several witnesses urged the Legislature to protect Medi-Cal, shore up county safety-net services, and invest in training and family engagement. The committee then turned to the Children and Youth Behavioral Health Initiative, with a focus on the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, saying the platforms provide free, culturally responsive, early-intervention support statewide and help connect users to higher levels of care when needed. On the fee schedule, DHCS said more than 500 LEAs, colleges, universities, and school-linked providers are participating, 181 LEAs have submitted claims, and $9.6 million has been reimbursed to date, with 41,556 students represented in claims. The chair and several members criticized the pace of implementation and the amount of money spent relative to reimbursement levels, saying the Legislature had requested data earlier and that the return on investment still appeared low. DHCS responded that many claims are still being submitted, that 70% of denials are correctable, that $400 million in capacity grants has been distributed locally, and that reimbursement is increasing rapidly as more districts come online. Public comment included a rural county behavioral health director who said private insurance denials leave counties with significant uncompensated work, especially for unlicensed staff providing case management and mobile crisis services.

Transcript Highlights:

• and hospital budget hospital budgets and hospital budget review.<00:15:25.519> 9455 review. 9455
• For fiscal year 27, hospital budgets For fiscal year 27, hospital budgets allows<00:15:50.639>
• Their budget process, and comes down with their budget orders and decides how much of hospital budgets
• <01:09:22.239> Um hospital budget review. Um hospital budget review.
• budget process has not been completed. budget process has not been completed.

Keywords: 926, house, all

Summary: The House took up S. 190, a health care cost-containment bill relating to the Green Mountain Care Board, reference-based pricing, and a study of a public employee health benefit authority. The House first suspended rules to take the bill from the notice calendar, then heard committee reports from Health Care, Ways and Means, and Appropriations. The Health Care committee chair described the bill as a strike-all amendment intended to carry out Act 68’s hospital reference-based pricing timeline, saying it would let the Green Mountain Care Board begin implementation for fiscal year 2027, expand reference-based pricing to qualified health plans and the Vermont Education Health Insurance program, and address hospital pricing transparency, outsourcing, and critical access hospital Medicare outpatient cost-sharing issues. Supporters argued the bill would lower insurance costs, help reduce property taxes, and improve hospital sustainability by reducing the need for hospitals to limit access as they approach revenue caps. The Ways and Means committee said the bill could reduce education spending by lowering health care costs for school employees and reported the bill favorably on a 7-4 vote. The Appropriations committee said it reviewed the bill and an amendment, and noted that much of the detailed language would be changed by the appropriations amendment; it also discussed a possible state innovation waiver under the Affordable Care Act. The Health Care committee reported its strike-all amendment favorably on a 10-0 vote. The bill’s provisions were described in detail, including requiring hospitals and insurers to express rates as a percentage of Medicare, setting a path toward national median hospital prices by 2030, limiting certain reimbursements for QHP and VHI plans, requiring a report on hospital outsourcing and provider tax impacts, and creating a public health system performance tool if funding is available. The speaker also noted that the bill would not affect critical access hospitals or Vermont’s Medicare-dependent hospital in the reimbursement cap provisions, and that critical access hospitals were already working with the Green Mountain Care Board on solutions to Medicare outpatient cost-sharing concerns.

Transcript Highlights:

• But just to be clear, it has not went through the budget process for design.
• I'm the budget director for the Justice and Public Safety Cabinet.
• Norton to talk about the estimate for the operational budget from year to year.
• But how we arrived at that budget is we took a look at two things.
• year 2026, we had $20 million allocated year 2026, we had $20 million allocated uh<00:45:27.040>

Keywords: The original version of this live stream dropped before the meeting was technically finished. This is the complete copy pulled from back up sources., 958, all

Summary: The committee met to hear updates from the Department of Juvenile Justice and the Department of Corrections on two related issues: a proposed high-acuity juvenile mental health treatment facility and medical services contracts, including the impact of Wellpath’s bankruptcy proceedings. At the start, the chair agreed to hear the Department of Corrections first so members could get context on the medical contract before turning to DJJ’s proposal. DOC officials said Wellpath, the department’s comprehensive medical and mental health provider since 2013, was awarded its current contract through a 2021 procurement process. They reported that Wellpath’s Chapter 11 reorganization plan had been confirmed and that the company had transitioned ownership to lenders, but had not yet fully completed the bankruptcy process. DOC said there had been no service lapses, no reduction in care, and no known impact on Kentucky vendors or hospitals, and that DOC staff meet with Wellpath almost weekly. Members asked whether the committee had been kept informed and whether the bankruptcy could affect future services or subcontractors. DJJ then presented its concept for a high-acuity facility, explaining that the project is still in the preliminary programming and conceptual stage and has not yet entered the formal design phase with DECA. Officials said the proposal in the capital plan would create a 24-bed facility, with 16 clinical beds and 8 assessment/stabilization beds, to serve justice-involved youth with serious mental health needs. They said the facility would need to separate males and females and high- and low-risk youth, and that current placements often require sending youth out of state to places such as Pennsylvania, Michigan, Georgia, Arkansas, and Texas. Staff said the goal is to centralize treatment, improve safety, and reduce the need for fragmented or out-of-state placements. Committee members questioned the cost estimates, staffing needs, and whether the facility was justified given the small number of youth currently placed out of state. DJJ said the operational estimate includes an unknown medical-contract component and that the number of youth needing the facility can fluctuate because of surges in the juvenile population. Officials also said they had consulted with South Carolina, which is developing a similar facility, and noted that renovating existing facilities was considered but could be more expensive or impractical than building a separate site. No votes or formal actions were taken during the discussion.

Transcript Highlights:

• Well, Senator, I worked with the budget chair.
• The budget chair and myself worked.
• like a resolution than budget language.
• I just allocated differently.
• I think we're entering some tough budget times.

Summary: The meeting was a lengthy conference committee review of multiple budget bills, with most of the discussion focused on House Bill 2 and related education funding. Members walked through numerous fund switches and appropriations tied to the foundation formula, blind pension, Capital Commission, Lottery Proceeds, and Classroom Trust funds. Several members urged fully funding the foundation formula or getting as close as possible, while others defended the compromise approach as a way to close the gap with available revenue. The committee also settled a number of education-related items, including child care grants, career ladder, school safety training, assessment pilots, Title I reallocation, parents as teachers language, child care subsidy language, and flex percentages on selected lines. The committee agreed to sign the House Bill 2 conference report after resolving the listed positions and language compromises. The committee then moved through House Bill 3 on higher education, agreeing to most Senate positions and a conference proposal directing the department to develop a new higher education funding model by December 1, 2026. Several members raised concerns about the timeline and whether the model would preserve separate funding buckets for two-year and four-year institutions, but the proposal was retained. House Bill 2004, covering transportation, was also reviewed, with compromises on items such as safety operations, low-volume roads, port funding, and several flex percentages. Members discussed the use of Capital Commission dollars and the status of road and port projects, and the bill was advanced with the agreed positions. House Bill 5, dealing with information technology and administration, generated substantial debate over a new Senate-added language proposal for OA/ITSD. Several members objected that the language was overly prescriptive, resembled a resolution, and could steer the state toward a specific cloud-computing direction or vendor; others said it was intended to create accountability and a plan for better oversight of IT spending. The committee left some items open briefly, then returned with a shorter conference proposal and agreed to distribute it. House Bill 7, House Bill 8, House Bill 9, and House Bill 2010 were also handled, with a mix of Senate, House, and compromise positions on public safety, veterans, agriculture, economic development, and behavioral health items. The committee recessed several times and repeatedly instructed members to sign the conference reports after the agreed changes were read into the record.

Transcript Highlights:

• The budget is fundamentally one pot of money. How are we going to allocate it?
• I understand the budget. I care. I understand the budget.
• It won't help our budget. It amendment. It won't help our budget.
• the state budget.
• in the state in the state budget. in the state in the state budget.

Keywords: 981, all