Transcript Highlights:

• a board and commission to to operate a board and commission to provide<00:16:16.319><c> advice</c><00
• These experts scrutinize the operation of a hotel from top to bottom and make recommendations for how
• Well, I think cost was the main concern.
• So, within this act, if it's enacted, it will reduce single-use plastics right in hotel operations.
• </c> business models business operations business models business operations supporting<00:32:24.320>

Committee: House Tourism

Transcript Highlights:

• It could also be based on an assessment of changes in operating costs, which I mentioned have risen really
• On an assessment of changes in operating costs, which I mentioned have risen really quickly for operators
• are incurred or where those operating costs increase rapidly.
• costs.
• When rent increases are artificially capped but operating costs continue to rise, small owners often

Bills: H5008

Committee: Joint Special Joint Committee on Initiative Petitions

Keywords: rent control, housing stability, tenants rights, affordability crisis, consumer protection

Summary: The Special Joint Committee on Initiative Petitions held a public hearing on Initiative Petition 25-21, House Bill 508, an act to protect tenants by limiting rent increases. The chair explained the ballot process under Article 48 and outlined the hearing structure. The first witness, a Harvard Joint Center for Housing Studies researcher, described Massachusetts’ worsening rental affordability, explained how rent regulation policies are typically designed, and reviewed research suggesting rent regulation can slow rent growth and improve tenant stability, while also noting concerns about reduced supply, quality, and implementation details. She compared the proposal to other state and local rent-stabilization laws and said the measure would cap increases at the lower of CPI or 5%, exempt certain housing types, and apply to new tenants as well as current tenants because it would not allow vacancy decontrol. Supporters of the petition argued that rent stabilization is needed to address displacement and immediate affordability pressures while broader housing production continues. The proponent from Homes for All Massachusetts said the policy is a grassroots response to corporate rent hikes and cited examples of tenants facing steep increases. A tenant from Arlington described a long dispute after a building was purchased by an investment firm and rents were raised sharply, saying the experience showed how rent increases can function as eviction. A union leader said high rents are forcing workers out of the communities they serve, and two experts testified that rent stabilization can reduce displacement and provide broad, immediate benefits. Committee members asked about the proposal’s exemptions, the 10-year new-construction carveout, vacancy decontrol, and whether the policy could discourage development; supporters said the bill targets large landlords, preserves room for small owners, and should be viewed as a complement to new housing production. Opponents, including small property owners, a chamber of commerce representative, a union official, and a landlord, argued the measure would hurt small landlords, reduce investment, and slow housing production. They said operating costs such as taxes, insurance, and maintenance rise faster than the proposed cap, and warned that capping rents would lower property values and tax revenues. Several opponents emphasized that many housing providers are not large corporations but local “mom-and-pop” owners, and one said the proposal would discourage pension funds and other investors from financing new projects. Committee members pressed opponents on what alternatives they would support for affordability, and opponents pointed to increased housing production and other housing policies instead of rent control. No vote or final action was taken at the hearing.

Transcript Highlights:

• And frankly, it's about cost.
• It's driving up costs for everyone. And so that's the issue. It's driving up costs for everyone.
• It obviously costs more money.
• It's going to cost a lot of money. It's going to cost your ratepayers a lot of money.
• Bonta is very concerned about the cost of living, and we know that housing cost is... A.G.

Summary: The committee heard testimony on several bills, beginning with SB 41 by Senator Wiener, which would regulate pharmacy benefit managers by increasing transparency, banning patient steering and spread pricing, and requiring full pass-through of rebates. Supporters, including independent pharmacists and health advocates, said PBM practices are driving up drug costs and closing neighborhood pharmacies. Opponents from PBM and health plan groups argued the bill overlaps with recently enacted licensing and reporting requirements, would not lower consumer prices, and may be preempted by ERISA. Members discussed confidentiality issues, consumer savings, and the relationship between SB 41 and the new budget trailer bill; the author asked for an aye vote. The committee then took up SB 378, also by Senator Wiener, aimed at online marketplaces that advertise illegal intoxicating hemp and unlicensed cannabis products. Supporters from labor, public health, and the licensed cannabis industry said online sales are undermining regulated businesses and exposing children to unsafe products. Opponents from tech and hemp industry groups warned the bill is overbroad, could sweep in general-purpose platforms and lawful hemp wellness products, and raises Dormant Commerce Clause and First Amendment concerns. The author said he would narrow the bill, remove industrial hemp references, and address strict liability and standing issues; members largely focused on how to target illegal products without capturing lawful marketplaces. SB 243 by Senator Padilla addressed AI companion chatbots, with supporters including Common Sense Media and transparency advocates warning that these systems can be addictive, manipulative, and dangerous for minors and vulnerable users, citing studies and the death of a Florida teenager. The bill would require disclosures, anti-addiction design limits, self-harm protocols, audits, reporting, and a private right of action. Tech and business groups opposed the measure as overly broad and said its definitions could sweep in general-purpose AI tools; several members supported the goal but questioned the breadth of the definitions and the private right of action. Finally, SB 522 by Senator Wahab would extend just-cause eviction protections to rental units that were previously covered by the Tenant Protection Act but were destroyed in disasters and later rebuilt. Supporters, including Los Angeles city officials and tenant advocates, said the bill would help keep displaced renters housed after wildfires and other disasters. Apartment and realtor groups opposed it, arguing it would remove a key exemption needed to finance rebuilding and could discourage post-disaster reconstruction. Members expressed support for tenant protections in disaster areas, and the author asked for an aye vote.

Transcript Highlights:

• The estimated cost of these bonuses will be roughly $105,000.
• The estimated cost of these bonuses will be roughly $105,000.
• The cost of the department is estimated to be about $100,000. Madam Chair, that is on me.
• in the way they’re operating.
• Yeah, like statutorily, like this—they’re operating within the statute.

Committee: All ALC-PERSONNEL

Transcript Highlights:

• We believe this inhibits implementation of a full suite of cost-effective and even cost-reducing strategies
• Demand drives scale, and scale brings costs down.
• , 18 times the cost of utility solar.
• But if it is a cost savings, they are going to use it.
• But if it is a cost savings, they are going to use it.

Summary: The committee heard several bills and one resolution focused on recycling, housing affordability, air quality, coastal protection, wildfire resilience, and nuclear policy. AB 2559, by Assembly Member Ward, would require local governments to return refundable construction and demolition permit deposits if compliance documentation is submitted within three years of final inspection; supporters said it would prevent homeowners and developers from losing deposits due to mismatched local deadlines, and it passed unanimously as amended to Appropriations. AB 1704, by Assembly Member Gonzalez, would require CARB to assess the cost of lower-embodied-carbon building materials and pause the embodied-carbon program if cost parity is not reached; supporters framed it as a housing affordability safeguard, while environmental groups argued it would delay implementation of a key climate law. The bill passed on a party-line vote to Appropriations. AB 2349, by Assembly Member Solache, would create regional air quality incident response centers for emergency monitoring and coordination; it drew strong support from air district and local government representatives and passed unanimously to Appropriations. ACR 149, commemorating the 50th anniversary of the California Coastal Act and Coastal Conservancy, highlighted coastal access, habitat protection, and climate adaptation; it passed the committee, though some members voted no. AB 1960, by Assembly Member Bennett, would let Cal Fire fund community-level wildfire hardening projects through the Wildfire Prevention Grants Fund; members raised questions about funding and implementation, but it passed to Appropriations. AB 2254, the Coastal Monarchs Protection Act, would require coastal local governments to add monarch overwintering protections when updating local coastal plans; supporters cited steep monarch declines and economic benefits, while local government groups opposed the mandate as duplicative and burdensome, and it passed to Water, Parks and Wildlife. AB 2253 would restrict deceptive recycled-content claims and mass-balance accounting practices; supporters said it would protect consumers and real recyclers, while business groups argued it would conflict with recognized accounting systems and EPR programs. The transcript also included AB 1757, which would create a limited carve-out from California’s nuclear moratorium for microreactors; supporters said it could provide clean, local power and support data centers, while opponents warned of cost, waste, and safety risks. The committee ultimately rejected AB 1757 on a divided vote, then granted reconsideration, and the discussion continued without a final action shown in the excerpt.

Transcript Highlights:

• This is not a new cost but a continuation of a proven, cost-effective program.
• and it matches the total operating budget for Wilbur when we receive one.
• , and operating costs.
• In 2024, the legislature made a founding investment of $800,000 in our operation.
• Our city is aging wastewater. costs is in our residents utility bills.

Bills: SB6003

Committee: Senate Ways & Means

Keywords: capital budget, funding, infrastructure, state projects, budget allocation

Transcript Highlights:

• That's why we were supportive of the December '25 date. cost is for those peak hours every day cost is
• </c> there is going to be an increase in cost there is going to be an increase in cost to<01:10:35.000
• Those are going to be additional costs, as we know the transportation costs are enormous.
• </c> mentioned that would be a one-time cost mentioned that would be a one-time cost on<02:22:00.560>
• I don't know what the on the cost I I don't know what the costs<02:22:03.080><c> are</c><02:22:03.399

Committee: Senate Energy and Natural Resources

Transcript Highlights:

• I'm the director of federal program operations for the Office of Broadband.
• Is 20 feet of damage here going to be the equivalent cost?
• So I would imagine that that comes at a cost, an elevated cost to someone.
• Louisiana-based operations, having those protections in place as well.
• But so, just so you know, we operate 10 recycling facilities across the state.

Committee: House Commerce, Consumer Protection, and International Affairs

Summary: The House Committee on Commerce met on May 18, 2026, with a quorum present and the chair noting it was the committee’s last meeting of the session. The committee first considered Senate Bill 254, which would prohibit certain excess debit card surcharges and authorize enforcement by the Attorney General. After adopting technical amendments and a committee amendment requiring written notice before a private right of action, the bill was reported favorably as amended. The committee then took up Senate Bill 80 on broadband administration fees and GUMBO program closeout. Members questioned the proposed increase in administrative and contractor fees, the timing of project completion, and how withheld reimbursements would work for utility damage. After adopting several amendments, including cleanup language and a provision to restore the reimbursement process, the bill was reported favorably as amended, though the Louisiana Telecommunications Association voiced concerns about the withholding language and lack of a clearer fault-determination process. The committee next considered Senate Bill 469, updating the Louisiana Underground Utilities and Facilities Damage Prevention Law. Technical amendments were adopted, along with amendments clarifying that the bill’s 30-day notice to utility owner-operators is separate from existing GUMBO notice requirements and creating a rapid dispute-resolution process involving the Office of Broadband, the utility operator, and the local governing authority. Testimony from broadband and municipal stakeholders emphasized the need for quicker responses to excavation damage and better enforcement, while some witnesses raised concerns about the late amendment and the need for clearer recourse and standards. The bill was reported favorably as amended. Senate Bill 468, dealing with fuel rewards programs and fuel discount limits, was also amended to allow such discounts while capping them at $1 below the advertised price; it was reported favorably as amended. Senate Bill 131, concerning attorney’s fees and costs in professional licensing disciplinary proceedings, drew testimony from a cosmetology board representative and the Pelican Institute. Supporters argued the bill would curb incentives for boards to generate revenue through enforcement and give licensees a fairer opportunity to resolve cases; board testimony noted that some boards already have fee caps and that enforcement actions are relatively limited. After adopting an amendment clarifying when a licensee is the prevailing party, the bill was reported favorably as amended. Senate Bill 251 on critical infrastructure protection also received technical amendments and several substantive changes, including adding ports and airports to the definition of critical infrastructure, clarifying “significant access,” adding a knowledge requirement, and adjusting exemptions and enforcement timing; it was reported favorably as amended after testimony from State Armor representatives about foreign adversary threats. Finally, House Resolution 253 was introduced to create a task force to study how post-2005 building code additions and inspection requirements affect residential construction costs, with the sponsor explaining the goal was to gather industry input and return recommendations next session.

Transcript Highlights:

• But if we push the restart but not all this stuff, what would the cost be?
• And if so, what is the cost of that?
• It is not always an external cost, and sometimes the cost of doing something, it's baked into the staff
• It is not always an external cost, and sometimes the cost of doing something, it's baked into the staff
• It is not always an external cost, and sometimes the cost of doing something, it's baked into the staff

Committee: House Ways and Means

Transcript Highlights:

• operational costs.
• </c> allows for more efficient operations allows for more efficient operations reducing<00:06:54.160>
• /c><00:06:58.240><c> it</c><00:06:58.400><c> over</c> operational costs I'll now turn it over operational
• </c> maintaining safe and operational maintaining safe and operational facilities<00:08:01.080><c> but
• </c> certified will'll receive as bid costs certified will'll receive as bid costs and<00:47:19.119><

Committee: House Capital Investment

Transcript Highlights:

• You pay court costs. Those court costs today are $65 when you add them all up.
• It does say they must not operate.
• And it says that the operator must not operate a commercial English proficiency.
• So it's going through the state treasury and basically cost of operations for securities, just overhead
• The cost of living's going up. The cost of groceries are going up.

Committee: House Special Committee on Intergovernmental Affairs

Summary: The committee first heard Senate Bill 1087 from Senator Joe Nicola, which would update limited driving privileges and create a process to suspend licenses after repeated failures to appear or pay for minor moving traffic violations. Nicola said the bill was intended to improve public safety and municipal court compliance without restoring the pre-2015 system of fines and fees. Supporters, including officials from Independence, O’Fallon, and the Missouri Municipal League, argued that municipal court reform had sharply reduced citations and increased failure-to-appear rates, leaving courts with too little leverage to ensure compliance and creating safety problems for repeat offenders. They said the bill would preserve discretion, protect work and basic travel needs, and help law enforcement and courts address chronic noncompliance. Opponents, including the State Public Advocate, argued the bill would restore a cash-cow system, burden low-income residents, and create harsh consequences for missed notices or address problems. The hearing closed without a vote on SB 1087. The committee then moved into executive session and reconsidered House Bill 2288, ultimately voting to reconsider and then voting the bill due pass by a 10-5 margin. The committee also adopted a substitute and passed House Bill 3006 due pass by 13-1, passed House Bill 2289 due pass by 10-3 with one present, and passed House Bill 2906 due pass by 13-1 after adopting an amendment and rolling it into a substitute. Members discussed procedural issues about quorum and the reconsideration motion during the HB 2288 vote. Later, the committee heard House Bill 3491 from Representative Don Mayhew, which would codify English-language proficiency requirements for commercial driver’s license holders and impose penalties on drivers and motor carriers when those requirements are violated. Mayhew and a Lincoln County prosecutor described a recent Highway 61 incident involving a Minnesota CDL holder who could not communicate in English, could not identify his location, and was taken out of service after a Highway Patrol proficiency test. Supporters said the bill would mirror federal rules in state statute, improve safety, and hold both drivers and carriers accountable. Some members questioned whether the bill was redundant with federal law, whether it would be enforceable before an accident, and whether the language was too broad, especially the phrase about conversing with the general public. The prosecutor said the current tools are mostly reactive and that the bill would help remove dangerous drivers and penalize carriers, but no final action was taken on HB 3491 in the portion provided.

Transcript Highlights:

• I operate off a well. My well is contaminated.
• in every municipality in which they operate.
• , maintenance, and media replacement costs.
• to our health care system, the cost to our insurers, the cost to our municipalities, the cost to our
• The replacement cost for filter media last year was nearly $400,000, and these costs, of course, increase

Committee: Joint Joint Committee on Public Health

Summary: The Joint Committee on Public Health held a lengthy hearing to take testimony on a wide range of bills related to environmental health, PFAS, medical device chemicals, food access, lead poisoning, air quality, oral health, and school food additives. Chair Driscoll and Chair Decker emphasized that the hearing was for testimony only, no decisions would be made that day, and that written testimony could still be submitted. They also noted the high volume of speakers and asked witnesses to keep remarks brief. A major portion of the hearing focused on PFAS-related legislation, including bills to restrict PFAS in products and food packaging and to create a PFAS remediation trust fund. Municipal officials and advocates described the high costs of PFAS cleanup, especially for drinking water systems, citing Easton’s multimillion-dollar treatment investments and rate increases. Testimony from legislators and advocates argued that Massachusetts should act despite federal uncertainty, and that the state should stop PFAS at the source rather than leaving municipalities and residents to pay for remediation. The committee also heard strong support for a bill banning DEHP in medical devices, with physicians, nurses, and a bill sponsor saying the chemical can leach from IV bags and tubing and that safer alternatives already exist. The committee also heard testimony on bills to establish statewide food truck permitting, with food truck owners and a senator describing the current system as costly, duplicative, and inconsistent across municipalities. Another set of witnesses supported the “Bean New Deal,” which would expand plant-based food options in public institutions, senior nutrition programs, and WIC, citing health, equity, and cost savings. On lead poisoning, housing advocates and a representative backed bills to expand lead-safe housing requirements to all rental units, arguing the current law contributes to discrimination against families with children and leaves too much pre-1978 housing uncertified. The committee also heard support for an outdoor air pollution bill that would create an advisory committee, identify pollution hotspots, expand monitoring, and set reduction targets, with testimony from environmental justice groups, pediatricians, and legislators describing disproportionate asthma and other health harms in overburdened communities. Later testimony addressed oral health bills to create dental therapists and allow dental hygienists to administer nitrous oxide, with supporters saying the measures would expand access, reduce costs, and help underserved patients. The committee also heard testimony on a bill to prohibit harmful food dyes in competitive school foods, with parents describing behavioral and health concerns tied to synthetic dyes. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• </c> while recognizing the operational while recognizing the operational realities<01:03:06.840><c> of
• Encompassing both the cost of insurance premiums and the actual cost of care.
• </c> costs for Vermonters. costs for Vermonters.
• ><c> equally</c> The operational problems are equally The operational problems are equally serious.<01
• </c> able to front 100% of the project costs. able to front 100% of the project costs.

Transcript Highlights:

• In your construction of the bill, have you looked at what the cost...
• So I know you cite fiscal impacts, but I’m not talking about just the cost of government.
• to afford a mortgage, because all the costs of construction would be rolled in there.
• And we don’t have an eye toward cost here.
• So that’s just dealing with the cost of implementing with respect to the cost of construction.

Committee: House Emergency Management

Transcript Highlights:

• the program's ongoing operations.
• This includes personnel costs, operating expenses, and equipment.
• Issue 20: low-cost accommodations.
• We're making sure that, you know, we're working with the water operators and the reservoir operators
• costs.

Summary: The Senate Budget Subcommittee on Resources, Environmental Protection, and Energy convened for its first hearing and heard an overview from the Legislative Analyst’s Office and the Natural Resources Agency. The LAO emphasized California’s strong current revenues but warned of a structural budget problem, projected out-year deficits, and the need for a high bar on new spending. It generally supported the administration’s Proposition 4 spending plan as reasonable and consistent with bond requirements, while urging legislative oversight and caution about using special funds and adding ongoing commitments. Secretary Wade Crowfoot responded with an overview of climate, wildfire, water, coastal, and conservation challenges and highlighted progress under the Newsom administration, including clean energy growth, wildfire resilience investments, land conservation, tribal co-management, and outdoor access initiatives. He also discussed federal staffing cuts affecting California’s response capacity and said the state has had to fill gaps in flood forecasting, land management, and park access. Members then questioned the secretary about the Delta conveyance tunnel and broader water reliability issues. Crowfoot said the project remains important, is being pursued as a beneficiary-pays project, and is moving through the State Water Resources Control Board’s permitting process, while also stressing that it is only one part of a broader water strategy that includes levee strengthening, subsidence, groundwater storage, recycling, and conservation. Senators also raised concerns about permitting delays, invasive species, and the impact of position cuts on agency capacity; Crowfoot said streamlining is needed but that staffing remains essential. The committee then moved to the Department of Parks and Recreation, where Director Armando Quintero described the state park system, tribal agreements, wildfire and deferred maintenance work, and outdoor access programs such as the State Library Park Pass and Adventure Pass. The LAO recommended rejecting the proposed ongoing $6.75 million General Fund transfer for the library park pass, arguing it did not meet the high bar for new ongoing spending, but several senators strongly supported the program as a low-cost way to expand access. Members also pressed Parks on reservation system problems and campsite no-shows. Department staff said they are updating website guidance, working with the reservation vendor, and implementing new no-show and reservation-modification rules effective July 1, including penalties for repeated no-shows and immediate reopening of vacant sites. The committee then heard a low-cost accommodations proposal, which Parks said would fund planning and construction at several sites using Proposition 68, reimbursements, and donations; the LAO said it had no concerns. Finally, the new director of the Department of Fish and Wildlife, Megan Hurdle, introduced herself and outlined the department’s mission, staffing, service-based budgeting, and Proposition 4 requests, including funding for salmon genetic tagging, hatchery repairs, and public access improvements. She said the department is focused on biodiversity, permitting streamlining, law enforcement, and human-wildlife conflict prevention, and noted that the agency is still updating its service-based budgeting analysis to identify gaps and priorities.

Transcript Highlights:

• Labor costs have increased 36% since 2019, and hospitals have seen an increase in total operating expenses
• </c> operating margin of 1.6%. operating margin of 1.6%.
• Um we operate operates one hospital.
• </c><01:39:01.760><c> Can</c> operating your operating facility.
• Can operating your operating facility.

Committee: Senate Health and Human Services

Transcript Highlights:

• Just our 17 direct positions cost our department $2.6 million to operate, and we know that as we are
• So counties are left with these costs.
• And then the other part is to decrease the cost to law enforcement so that you can have a more cost-effective
• response, reducing police costs.
• response, reducing police costs.

Summary: The hearing focused on California’s 988 suicide and crisis lifeline and the broader crisis response system, with members and witnesses emphasizing both the system’s life-saving role and the risks posed by funding gaps, rising demand, and uneven local implementation. Opening remarks highlighted the personal impact of suicide and the need to strengthen crisis response so calls are answered quickly and linked to appropriate care rather than defaulting to 911, emergency rooms, or law enforcement. State officials described the AB 988 five-year implementation plan, which sets goals around public awareness, equitable access, high-quality call/chat/text response, and better integration with ongoing behavioral health services. State agencies reported progress on infrastructure, coordination, and related behavioral health investments. CalHHS said California has expanded mobile crisis teams, crisis stabilization units, and youth behavioral health supports, and is preparing additional public awareness and grant programs tied to Proposition 1. DHCS explained that 988 is funded through a federal SAMHSA grant and the AB 988 surcharge, while Medi-Cal separately funds mobile crisis services; officials said the mobile crisis benefit is active in 53 counties and that statewide expansion remains a work in progress. Cal OES described the statewide technical buildout, including network infrastructure in all 11 crisis centers, interoperability with 911, and a pilot of next-generation routing and call-handling tools. The 988 California Consortium said call volume continues to rise sharply, missed calls remain a major concern, text/chat capacity is limited, and centers need more stable funding, better reimbursement, and stronger feedback loops with the state. County and community witnesses stressed that local systems need more flexible, sustained support to match the demand. Lake County described a peer-led rural mobile crisis model that has reduced law enforcement holds and increased housing placements, but said county-run mobile crisis teams still cannot reliably access 988 surcharge dollars and face reimbursement problems from Medi-Cal and commercial plans. Santa Clara County reported strong performance metrics, rapid call answer times, and a broad continuum of mobile crisis services, but said staffing and funding are strained and commercial reimbursement remains slow. The Mental Health Association of San Francisco said the peer-run warm line complements 988 by offering non-emergency support and warm handoffs, but recent budget changes forced cuts to Spanish-language service, federation support, and hours. No formal votes or legislative actions were taken during the hearing; members mainly asked questions about surcharge levels, budget timing, coordination among agencies, data collection, and how to improve collaboration with frontline crisis centers.

Transcript Highlights:

• Operations.
• They cost about $0.36 on the dollar, whereas residential land costs about $1.15.
• Current disabled veterans' real property tax code affects the cost of taxes.
• However, they come at a significant cost to local communities.
• The cost of living across the country has exploded in the last several years.

Bills: HB485 , HB1367 , HB1370 , HB1827 , HB1879 , HB2032 , HB2133 , HB2357 , HB3581 , HB3830 , HB4060 , HB4085 , HB4270 , HB4979 , HB5217 , HB5268 , HB5478 , HJR96 , HJR97 , HJR119 , HJR195 , HJR209 , SB4 , SB23 , SJR2 , SJR85 , SB 4 , SB 23 , SJR 2

Committee: House Ways & Means

Keywords: healthcare, insurance, access, affordability, public health, emergency services district, sales tax, gas and electricity, residential use, tax exemption, emergency services, gas, electricity, HB 485, ESD, use tax, residential utilities, utility tax, local option tax, Texas Health and Safety Code

Transcript Highlights:

• The cost is approximately $1.3 billion.
• Diapers cost upwards of $100 per month...
• cost.
• We estimate a total cost of approximately $44 million to operate the program at its current scale.
• There are some costs. They're not huge.

Transcript Highlights:

• costs.
• cost shifts.
• ability to keep up with rising operational costs, leading to potential service cuts or even closures
• </c><01:36:36.320><c> costs</c><01:36:37.000><c> leading</c><01:36:37.400><c> to</c> Rising operational
• costs leading to Rising operational costs leading to potential<01:36:38.119><c> service</c><01:36:38.600

Committees: Senate Health and Human Services , Senate Human Services