Transcript Highlights:

• Grant number three is to the Arkansas Foundation for Medical Care.
• Gary, Director of the Arkansas Division of Emergency Management.
• This is for fund management, Amendment 11 to an existing contract.
• This is for pharmacy benefits management services.
• It's for therapeutic foster care. 109 is with CET of Arkansas, also therapeutic foster care. 110 is with

Summary: The committee met to review a supplemental agenda item, procurement rule revisions, methods of finance, discretionary grants, contracts, reports, and a member disclosure. The supplemental agenda was accepted, and the Office of State Procurement’s rule revisions were approved after Jessica Patterson explained they were driven by 2025 legislative changes, including Act 782, CASO Consulting recommendations, and updates to sole source, bid, protest, and debarment provisions. The methods of finance and discretionary grants were also approved, covering a range of university capital projects, health and human services grants, historic preservation awards, and tobacco prevention and cessation programs. The committee then reviewed RFQs and six ratifications. The ratifications included a Workforce Connections payment to ACT WorkKeys for services provided during a contract gap, a Department of Health ratification for water-leak repairs, a large Department of Public Safety ratification for Motorola’s Arkansas Wireless Information Network upgrade, a Veterans Affairs HVAC ratification, an ADFA medical services ratification, and a UA Little Rock painting contract ratification. Members questioned the Public Safety ratification at length about why the expired Motorola contract was not caught sooner and why it took months after discovery to come forward; agency officials said the work was tied to bond funding and was not tracked in ASIS, and the chair urged agencies to develop better monitoring procedures. The committee approved a large slate of construction, intergovernmental, out-of-state, and in-state contracts, including many recurring service agreements for DHS, higher education institutions, corrections, health agencies, and state support functions. Several members asked about specific contracts, including aerial application services for correctional farms and a Southern Arkansas University custodial contract, and staff or agency representatives provided brief explanations. The meeting concluded with review of reports and approval of a member disclosure involving Representative Andrew Collins’ investment interest in a company leasing property to Arkansas Rehabilitation Services.

Transcript Highlights:

• For the substance use levels of care. You can go to the next slide.
• the lower levels of care up near the top of the screen and the higher levels of care, the more intense
• on the left to higher level of care on the right.
• , which is the IOP level of care.
• That's just continuity of care. Melissa. Thank you.

Keywords: 962, all

Summary: The meeting opened with approval of the April minutes and brief administrative updates, including notice that House Bill 5447 had passed both chambers of the General Assembly. Speakers reflected on the bill’s key provisions, which include eating-disorder working groups, an evidence-based screening requirement for school-based health centers beginning July 1, 2027, and a DSS-led feasibility process to explore an inpatient psychiatric facility for young adults ages 14 to 21. New staff introductions were also made for the Behavioral Health Advocate’s office and the TCB team. A major portion of the meeting focused on marketing and outreach for urgent crisis centers (UCCs) and the broader youth crisis continuum. Daydream Communications presented research showing low public awareness of UCCs but strong interest once families learn about them, with parents wanting specialized, compassionate care, clear expectations, insurance clarity, and bilingual support. United Way described its parallel work on a statewide crisis continuum marketing toolkit, using the SAMHSA framework of “someone to talk to, someone to respond, and somewhere safe to go,” and outlined plans to distribute consistent messaging through websites, social media, flyers, and community venues. Members emphasized coordinating with existing platforms and ensuring the marketing reflects the actual experience at UCC sites. DCF then presented on adolescent substance use services, citing data showing high need and low treatment access among Connecticut youth. The department reviewed its ASAM-based continuum, SBIRT efforts in outpatient psychiatric clinics, medication-assisted treatment access, and statewide services such as MST, MST emerging adults, STRIDE, multidimensional family therapy, youth recovery supports, and the AIM matching tool. A new young people peer support program was highlighted, with referrals accepted from families, hospitals, community providers, DCF, youth diversion, and the judicial branch. Questions addressed parent consent, peer matching, and whether the AIM tool could be linked through 211. The meeting concluded with an update from the Connecticut Suicide Advisory Board and its regional boards and grant-funded initiatives. Presenters reviewed the state suicide prevention plan, regional coalition work, postvention response, lethal means safety efforts, and the 988 capacity improvement grant that supports Connecticut’s centralized 988 contact center at United Way. They also shared youth suicide risk data from the Connecticut Youth Risk Behavior Survey, noting recent declines in reported suicidal ideation and attempts, and provided resources for training and materials. No formal votes were taken beyond the approval of the April minutes.

Transcript Highlights:

• prevents unnecessary foster care prevents unnecessary foster care placements<00:01:55.360> of
• compliance with federal child care compliance with federal child care regulations<00:02:07.399><
• recordkeeping system for the child care recordkeeping system for the child care assistance<00:04
• c> can Management management system that can Management management system that can accommodate<00
• State law provides that child care programs located in a child care access equity area are those that

Keywords: 1187, senate, all

Summary: The Health and Human Services committee heard a presentation from Department of Children, Youth, and Families Commissioner Tiki Brown on the department’s 2025 budget and transition plans. Brown said the governor’s budget pairs targeted reductions with modest investments, resulting in net general fund savings, while preserving core safety-net programs. Major proposals included funding for program integrity, modernization of the child welfare SSIS system, compliance changes for the Child Care Assistance Program (CCAP), operating adjustments, and a transition account reallocation as the new department continues moving programs from other agencies through July 1, 2025. A large portion of the discussion focused on CCAP fraud prevention and oversight. Brown and Assistant Commissioner Diane Hy explained that the proposed statewide electronic attendance recordkeeping system would replace retroactive paper-based attendance reporting with more timely data, making it harder to falsify attendance and claim payments improperly. Brown also said the department is working with the Department of Human Services Office of Inspector General and other partners on compliance and fraud controls. Senators pressed for more detail on current enforcement, whether payments can be withheld for violations, and whether recent media reports showed gaps in oversight; Brown said payments can be stopped for false attendance records, suspended or revoked licenses, or fraud allegations, but not for health and safety violations alone. The committee also reviewed other budget-neutral policy changes, including expanding permanency support services for relative foster care and tribal equivalents, strengthening tribal child welfare grants, updating TEACH scholarship rules for early childhood educators, and adjusting the Great Start Compensation Support Payment Program to create a special revenue fund and extend a 10% payment increase to tribally licensed programs and programs on tribal reservation land. Brown also described a $1.5 million annual reduction to restorative practices grants, leaving a smaller ongoing base. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• <00:08:07.160> rest spent on managed care and and the rest spent on managed care and and the
• managed care where MCOs paid for through managed care where MCOs set<00:09:16.680> their<00:09
• And it accountability for managed care accountability for managed care organizations. organizations.
• we<00:18:50.480> have managed care organizations that we have managed care organizations
• managed care, and HCBS. managed care, and HCBS.

Keywords: 1187, senate, all

Transcript Highlights:

• really manage their initiatives, how they manage the prioritization of their work, and how they manage
• really manage their initiatives, how they manage the prioritization of their work, and how they manage
• care organizations, our managed care program, is covered through a waiver.
• waivers which for example our Managed waivers which for example our Managed Care<00:59:16.000>
• :59:17.960> Care Care organizations our our Managed Care Care organizations our our Managed Care

Keywords: 928, house, all

Summary: The committee convened an informational Division 3 Finance hearing focused on DHHS programmatic issues rather than budget line items. The chair emphasized that members should avoid questions requiring dollar figures and noted that the coming budget cycle would likely be difficult because revenues are expected to be tighter. Commissioner Lori Weaver said the department wanted to use the session to explain its functions at a high level, with more detailed presentations to follow, and to collect questions for later responses. Weaver outlined DHHS’s mission of supporting optimal health for state residents and described the department’s three main responsibilities: protection and prevention, client service delivery, and regulatory oversight. She said DHHS has eight divisions, a $3.6 billion total budget, about $1.217 billion in general funds, roughly a quarter of state positions, and personnel costs that are less than 11% of the budget. She also noted a recent hiring freeze, explained that the department did not request new positions except where required by law, and said vacancy rates had improved from 22% to 14% over the last two years but could rise again because of attrition and the hiring freeze. Weaver and CFO Nathan White then discussed why the DHHS budget is complex, explaining that it is built from multiple funding sources and is shaped by assumptions made months before the fiscal year begins, actual service demand, and cost allocation rules used to draw down federal funds. White highlighted maintenance-of-effort requirements, including TANF, where state spending is needed to secure federal matching funds and shortfalls can trigger penalties. At the committee’s request, DHHS agreed to provide a simplified historical accounting of TANF contributions to show how the match is assembled across positions, contracts, and other factors. The department also reviewed its roadmap, which Weaver described as a framework developed with staff and stakeholders around three themes: culture, community, and customer service. She highlighted priorities such as Mission Zero to end emergency department boarding, expanding access to community-based and residential behavioral health services, reducing reliance on institutional care, improving contract management with nonprofit and provider partners, using data dashboards to guide decisions, and investing in workforce stability and culture. No votes were taken; the main action was DHHS’s commitment to provide additional follow-up materials, including the TANF contribution breakdown.

Transcript Highlights:

• have the person who managed care, you have the person who managed the<00:10:10.800> agency<00
• <00:23:52.640> care<00:23:52.880> organizations like DHS and managed care organizations
• <01:03:01.599> care Human Services or from managed care Human Services or from managed care
• Um you know managed care organizations.
• just<02:10:08.320> the managed care organizations, not just the managed care organizations

Bills: HF3043, HF2891

Keywords: public safety, illegal remunerations, healthcare fraud, grants, criminal penalties, state law, grants management, state employees training, certification, monitoring grants, accountability, grant fraud, 1183, house

Transcript Highlights:

• We also bargain two health care agreements: the state employee health care agreement, PEBB, and the K
• We also bargain two health care agreements: the state employee health care agreement, PEBB, and the K
• care benefit.
• human resource managers, budget managers, and risk and litigation managers.
• I do have a caveat here that for non-state employees, so those child care, adult home care providers,

Keywords: 904, all

Summary: The Joint Committee on Employment Relations met on May 8, 2026, to receive updates on upcoming collective bargaining for the 2027–29 biennium. OFM’s Jenny Sheehan reviewed the state workforce, noting that most employees are represented, the workforce remains constrained by hiring limits and civil service rules, and bargaining goals include financially feasible agreements, maintaining labor relations, supporting an inclusive workplace, and addressing issues such as AI use, leave, and immigration-related workplace protections. She also outlined the bargaining calendar, the role of the June revenue forecast in determining what compensation proposals can be funded, and the need to reach tentative agreements by September 2026 for October 1 submission and legislative consideration. She described recent bargaining themes from unions, including limits on AI, expanded leave, access to union members in hybrid workplaces, and classification changes, and she summarized prior-cycle costs, including about $1.2 billion in general funds and $1.7 billion in total funds for 2025–27 awards, excluding the delayed WPEA agreements that were later funded after a return to bargaining. The committee then heard from Western Washington University and the University of Washington on higher education bargaining. Western described its locally bargained contracts, the importance of re-opener clauses tied to state budget decisions, and concerns about the instability of the state “fund split,” which shifts compensation costs between state funds and tuition revenue. Western also emphasized that student employees are increasingly central to retention and urged inclusion of student compensation in the wage base. UW similarly described its large and diverse workforce, the split between RCW 41.56 and 41.80 bargaining frameworks, and the reliance on state funding, tuition, and other revenue sources to cover compensation increases. UW highlighted the financial strain of the fund split, the lack of state funding for academic student employee compensation, and the impact of rising ASE costs on class sizes and the university’s teaching and research missions. OFM also presented on Washington Management Service bargaining, explaining that only certain WMS employees are covered, that bargaining began in 2024, and that current agreements include addenda for WMS-specific provisions. The presentation noted that WMS bargaining is still limited in scope, with only a few represented units, and that compensation bargaining generally covers band minimums and maximums rather than all salary levels. Finally, OFM reviewed interest arbitration rules for certain state employee groups, explaining that arbitration is available for some essential-service and statutorily covered employees, that arbitrators decide disputed contract language based on statutory criteria, and that awards still must be found financially feasible by OFM. Committee members asked about PFML treatment, the timing of arbitration, and the budget pressures facing bargaining, and the meeting adjourned without any votes or formal actions.

Transcript Highlights:

• long-term care uh to quality of care in long-term care settings settings settings uh<00:01:08.640>
• rather than delivering care rather than delivering care um<00:01:22.720> drives<00:01:23.320
• <00:02:13.760> about, that we love and care about, that we love and care about, uh,<00:02:
• that now the management company that now management<00:48:21.600> manages<00:48:22.000> the
• <00:48:22.840> Is management manages the Rosemount. Is management manages the Rosemount.

Keywords: 1187, senate, all

Transcript Highlights:

• It's Representative Nors' bill exempting assisted living providers from direct care staff compensation
• All of these sections update statutes to account for the new Direct Care and Treatment agency.
• These sections add Direct Care and Treatment and the Direct Care and Treatment executive board, or chief
• <00:09:51.360> and for purposes of case management and for purposes of case management and
• Children's Mental Health case management Children's Mental Health case management service<00:10:

Keywords: 1183, house

Transcript Highlights:

• We also oversee the managed care contracts.
• We also oversee the managed portions. We also oversee the managed care<00:45:37.000> contracts.
• <00:45:38.200> Managed<00:45:38.520> care care contracts.
• Managed care care contracts.
• And looking at the basic care services, around 80% is spent through managed care.

Keywords: 1187, senate, all

Transcript Highlights:

• process and technical management.
• Health care, health care support is, again, short term and long term... ...health care, health care support
• We case manage them into some type of career.
• Some of our, you know, TANF programs, child care.
• We need a full-time person to do that, to manage the social media, to manage getting documents out to

Keywords: 908, all

Summary: The Leadership Division of the Budget Section approved the prior meeting minutes and then received an update from Senator Jonathan Sickler on the Cash Management Board’s interim work under House Bill 1278. He said the board has reviewed state cash, investments, and liquidity across agencies and concluded the state’s overall mix of long-term and short-term assets is appropriate, with about $35 billion in total liquid assets and investments and roughly 89% in longer-term investments. He highlighted process improvements already underway, including replacing more than 500 six-month CDs with a special-rate savings account to reduce administrative work, and said the board sees opportunities to improve forecasting, automation, and statewide coordination. Members asked about whether the CD change would increase returns, how the Legacy Fund transfer for the homestead tax relief bill affected earnings, and whether more state cash could be consolidated or better managed through BND; Sickler and BND staff said those issues are being studied and may lead to legislation for the 2027 session. Representative Nathan Toman then updated the committee on the Task Force on Government Efficiency. He said the group has focused less on cutting dollars and more on defining metrics and asking how the legislature knows whether programs are working. The task force is pushing a standard set of questions for new or expanding programs—who is affected, expected outcomes, alternatives, how success will be measured, and full funding—and OMB has agreed to require those answers in future budget requests. Members discussed possible use of dashboards, program evaluators, AI tools, and possible rule or statutory changes to require performance measurement. Toman said the task force will continue meeting with agencies such as the courts, university system, auditor, HHS, Commerce, and ITD to identify workflow bottlenecks and potential efficiencies. Phil Davis of Job Service North Dakota gave a workforce update, reporting that North Dakota’s unemployment rate is 2.5% and labor force participation is about 68.7%, both well above national performance. He described Job Service’s 15 workforce programs, including H-2A housing inspections for foreign agricultural workers, the job placement partnership program with DOCR, WOTC, and other federal and state workforce efforts. Davis said the agency served more than 11,000 individuals in 2025, operates nine workforce centers, and tracks outcomes through quarterly and annual reporting. In response to questions, he said job openings data reflect only positions in the system and may understate actual hiring needs, that child care and other assistance programs could be better tied to employment outcomes, and that the DOCR partnership has shown strong results with lower recidivism and higher earnings. He also said the H-2A inspection workload is growing quickly and additional staffing or less frequent federal inspection requirements could help. Allen Knutson then presented S&P Global’s updated revenue forecast. He said oil prices have risen sharply since the prior month’s outlook, improving the state’s near-term revenue picture, though the economy remains volatile and agriculture is facing weaker commodity prices. Based on the updated forecast, total major tax revenues for the current biennium are projected to be about $89 million above the legislative forecast, and the next biennium could be about $500 million higher, though that estimate is preliminary and may change. He also walked through an alternate oil-price scenario showing significantly higher oil and gas collections and a larger Strategic Investment Fund balance if prices remain elevated. Members asked whether another forecast should be requested once oil markets stabilize and about tribal allocation changes in the alternative scenario; Knutson said additional updates are possible through OMB and future forecast cycles.

Transcript Highlights:

• miscarriage management, due to the widening maternity and abortion care deserts in our state.
• Of Painted Brain and also Alan Richards, the vice president of Enhanced Care Management for the Amity
• I'm the vice president of Enhanced Care Management Services for Amity Foundation, here in support of
• I fully recognize the critical nature of our peers to be able to support enhanced care management and
• County, where we operate as a fully delegated subcontracted managed care plan.

Keywords: 988, house, all

Transcript Highlights:

• We've moved behavioral services into managed care. They've built risk.
• We've moved behavioral services into managed care.
• care plans deliver accessible, high-quality care while responsibly managing public dollars.
• Michael Cantenz, representing Pharmaceutical Care Management Association.
• When Medicare managed care was created, I was present at the creation.

Summary: The committee first heard Senate Bill 1414 by Sen. Polsky on congenital cytomegalovirus (CMV) education. The bill would require the Department of Health, working with medical experts, to create and distribute CMV educational materials to expectant and new parents or caregivers through hospitals, birth centers, and OB/GYN practices. An amendment removed a section that would have required instruction for medical professionals, and the amended bill was reported favorably as a committee substitute. The committee then took up a block of confirmations. Appointees on tabs 2 through 7 were recommended favorably in one vote, and Chavon Harris was separately confirmed as Secretary of the Agency for Health Care Administration after extensive questioning. Senators praised her leadership and experience, while others raised concerns about Medicaid redeterminations, the state’s CORE modernization project, Hope Florida, and a DCF anti-marijuana ad campaign; Harris said she would follow up on some issues and defended the agency’s work on transparency, managed care oversight, and access to care. Her confirmation was recommended favorably, with Sen. Berman noting opposition. Several health-related bills were then heard and advanced. SB 186 by Sen. Garcia expanded epilepsy training requirements for school personnel, including charter school bus drivers, and was reported favorably. SB 902 by Sen. Garcia, after amendments narrowing dental workforce provisions and allowing certain seizure rescue medication delegation to family home health aides, was reported favorably; testimony focused on medical marijuana regulation, practitioner accountability, and concerns about park and child-care proximity restrictions. SB 196 by Sen. Sharif created a uterine fibroid research database with privacy protections and was reported favorably after emotional testimony from a patient and supporters. SB 688 by Sen. Rodriguez would reestablish licensure of naturopathic doctors; it drew both support and skepticism about diagnosis and treatment boundaries, but was reported favorably. SB 1574, Maddie’s Law, would add biliary atresia screening to newborn screening and was strongly supported by parents describing a delayed diagnosis; it was reported favorably. SB 878 on clinical laboratory personnel, SB 1092 on podiatric medicine and certain cellular/tissue-based products, and SB 1032 on medical marijuana registry timelines and veteran fee waivers were also reported favorably, while SB 1032 drew debate over longer renewal/supply periods. The committee then began SB 1760 on Medicaid oversight and program transparency, with the sponsor describing the bill’s creation of a joint legislative oversight committee and a legislative actuary.

Transcript Highlights:

• It requires that all health care facilities and management service organizations report to the Green
• Health care facilities and management service organizations that had private equity group or hedge fund
• A health care facility or management service organization that knowingly fails to report is liable
• Board post a report on its website about the information reported by health care facilities and management
• care costs. care costs.

Keywords: 926, house, all

Summary: The House began with routine business, including referral of Senate Bill 211 on motor vehicle inspections to the Transportation Committee and Senate Bill 298 creating the Vermont Voting Rights Act to the Committee on Government Operations and Military Affairs. The chamber also referred House bills reported by Ways and Means to Appropriations, including H. 211 on data brokers and personal information and H. 931 on miscellaneous education law changes. JRH9, a joint resolution urging the American Speech-Language-Hearing Association to reconsider its opposition to rapid prompting method communication instruction for students with apraxia of speech or autism, was read and referred to Human Services. Several announcements followed, including a welcome to members of the Vermont chapter of the American Physical Therapy Association, a reminder about an education reform meeting, and a correction regarding a prior reference to S. 138 of 2023 and the working group on student protections from harassment and discrimination in schools. The House also recognized guests in the gallery, including Donnie Kanovsky, who was described as a proponent of JRH9. The Speaker announced that H. 606 on firearms procedures, H. 642 on youthful offender proceedings, and later H. 585 would be bumped to later in the calendar. The House then took up H. 537, the right to grow vegetable gardens. The committee explained the bill would protect vegetable gardening in common interest communities and rental housing, while allowing reasonable restrictions and landlord or association oversight; witnesses included a South Burlington resident, HOA and landlord representatives, and legislative counsel. The committee reported an 8-0-0 vote, the House adopted the committee amendment, and ordered third reading. The chamber then passed H. 171 on Attorney General investigations into a law enforcement officer’s use of a firearm and H. 519 allowing Randolph police officers to enroll in Group C of the state retirement system. The House also passed H. 536 on toxic heavy metals in baby food products after extended debate over whether infant formula should be included. Supporters said the bill would help parents make informed choices and noted the amendment was intended to align with federal action; opponents argued formula-specific federal work was still underway and urged waiting. The chamber then passed H. 550 on gender equity in correctional facilities, H. 733 on franchise agreements, H. 775 on housing production tools, H. 887 on crime victim status under the Fair Employment Practices Act, H. 917 on military affairs, and H. 921 on alcoholic beverages. Action on H. 930 addressing chronic absenteeism was postponed one legislative day, and H. 942 on miscellaneous agricultural subjects began second reading with the committee outlining sections on water quality training, non-sewage waste management, and unit pricing.

Transcript Highlights:

• You took care of it all. committee. Terrific. You took care of it all. Fantastic.
• She cared about the community. She cared about that neighborhood.
• She cared about a community. She cared about that neighborhood.
• state lands are managed.
• state lands are managed.

Keywords: 995, all

Summary: The hearing covered several environment and natural resources bills focused on natural and working lands, forest protection, municipal reforestation, trail accessibility, and a park naming bill. Representative Moschino and Senator Comerford described the natural and working lands bill as part of the state’s climate roadmap, arguing that protecting these lands supports carbon sequestration, resilience, biodiversity, and helps prevent development pressure on the least expensive land. Senator Comerford also testified on a separate bill to expand access to trails for people of all abilities, saying it would build on the administration’s Trails for All initiative and create a permanent advisory structure and trust fund. Representative Consolvo and family members testified in support of H. 4259 to name the tennis courts at Wether Park in Roslindale after Kim O’Connell, describing her long community service and activism. A large portion of the hearing focused on H. 952 and H. 953, bills to protect watershed and state forest lands as parks or reserves. Supporters, including environmental advocates, scientists, and organizations such as Standing Trees, Sierra Club, The Nature Conservancy, and the Massachusetts Forest Alliance’s opponents, debated whether state forests and watershed lands should be permanently reserved from logging and other active management. Supporters said the bills would improve carbon storage, water quality, biodiversity, flood and drought resilience, and would protect large acreages of public land at no cost. Opponents, including the Massachusetts Forest Alliance, argued that sustainable forest management and a mix of reserves and managed forests are needed for climate, water quality, wildfire prevention, rural jobs, and carbon outcomes, and urged the committee to allow the administration’s existing reserve process to continue. The committee also heard extensive testimony on the municipal reforestation bill, H. 1013/S. 553, which would create a statewide program, advisory council, and trust fund to support urban tree planting and maintenance. Municipal officials and advocates from Wellesley, Cambridge, Boston, the Mystic River watershed, and other communities said urban trees are critical for cooling, stormwater control, air quality, public health, and equity, especially in environmental justice neighborhoods with low canopy cover and high heat. Several witnesses emphasized that consistent funding is needed because trees take years to mature and many municipalities lack staff or watering capacity. Some witnesses asked that the bill be funded at $100 million and tied to the Mass Ready Act or environmental bond funding. No votes or final committee actions were taken during the hearing.

Transcript Highlights:

• Our facility managers are taking better care of their investments.
• They have energy managers or teams of energy management on site.
• of energy management.
• managers on staff.
• We also know which districts have an energy management team versus just an energy manager.

Transcript Highlights:

• Last Wednesday night, the Department of Managed Health Care, DMHC, sent amendments, which rewrite the
• And that's why the hospital... ...takes away their flexibility to manage the care for their patients
• Fundamentally, though, we believe that arbitrary... ...between the Department of Managed Health Care
• Medi-Cal recipients receiving their care through a managed care system, it is critical that we ensure
• When Medi-Cal managed care plans either lack in-network providers or fail to offer timely appointments

Summary: The Assembly Health Committee heard several bills focused on health care access, oversight, and affordability. The first major item was SB 306 by Senator Becker, a prior authorization reform bill. Becker and supporters, including the California Medical Association and California Hospital Association, argued that prior authorization delays care, adds administrative burden, and can lead to serious patient harm. The bill was substantially amended late in the process to have DMHC and CDI identify services and drugs to exempt from prior authorization based on utilization data, with safeguards for fraud, waste, abuse, and patient safety. Health plans and insurers opposed the measure as written, saying prior authorization remains an important utilization-management tool and raising concerns about the 90% threshold, drug inclusion, and how modifications are counted. The committee also heard SB 35 by Senator Umberg, which would let cities or counties inspect unlicensed sober living homes if DHCS does not act promptly on complaints. Supporters said the bill would address weak enforcement and protect residents, while one behavioral health directors group opposed it unless amended. Members generally supported the measure, citing problems with unlicensed facilities and the need for local enforcement backup. The committee then heard SB 62, which would codify California’s updated essential health benefits benchmark if approved by the federal government. Senator Wiener said the package would add hearing aids, durable medical equipment, and infertility treatment including IVF, acknowledging that premiums could rise but arguing the benefits were worth it. Health Access California and other advocates supported the bill, while the California Family Council opposed it. The committee also took up SB 596 by Senator Menjivar, which would tighten the rules for hospitals claiming an on-call list as a defense to nurse staffing ratio penalties. Supporters, including nurses and SEIU, said hospitals have used vague or ineffective on-call practices to avoid accountability and that the bill would improve enforcement and patient safety. Hospital groups opposed it, arguing that staffing is highly dynamic, that hospitals need flexibility to manage acuity and emergencies, and that the bill could increase costs and interfere with collective bargaining arrangements. Finally, the committee heard SB 40 by Senator Wiener, the Insulin Affordability Act, which would cap insulin copays at $35 for a 30-day supply and restrict step therapy unless a plan covers at least one insulin in each drug type. Supporters, including physicians, diabetes advocates, nurses, students, and patient groups, said insulin is life-saving and too often unaffordable, forcing patients to ration or choose between medication and basic needs. There was no formal opposition testimony, though one member questioned why insulin remains so expensive. The committee also began discussion of SB 363, but the transcript cuts off before that bill’s full presentation or any action on the measures. No votes are recorded in the portion provided, and several bills were noted as consent items earlier in the hearing.

Transcript Highlights:

• Access and Information, and the Department of Managed Health Care.
• In this budget proposal, the Department of Managed Health Care would replace the current registration
• item with the Department of Managed Health Care.
• Mary Watanabe, Director of the Department of Managed Health Care.
• So, they'd be funded through both the Department of Managed Health Care and HCAI, through special funds

Keywords: 988, house, all

Transcript Highlights:

• > exceptions managed care organizations on exceptions managed care organizations on exceptions to
• So, case managers within counties or lead agencies, including managed care plans in the case of an elderly
• ><00:37:31.200> case<00:37:31.359> of<00:37:31.440> an managed care plans in the
• case of an managed care plans in the case of an elderly<00:37:32.000> waiver<00:37:32.800>
• > a role, managed care organizations play a role, managed care organizations play a role.<01:18

Keywords: 1183, house

Transcript Highlights:

• a change in acuity within the managed care program.
• Managed care: we've had to update our managed care contracts since the November forecast due to an adjustment
• <00:10:23.600> to increase Managed Care uh we've had to increase Managed Care uh we've had
• > account our Managed Care contracts to account our Managed Care contracts to account for<00:12:11.000
• and compassionate care to help them manage their condition.

Keywords: 1187, senate, all