Transcript Highlights:

• We care about you.
• We care about you.
• We care about you.
• Nobody cares. to a different company. Nobody cares.
• Nobody cares. know that. Just let it go. Nobody cares.

Keywords: 1187, senate, all

Transcript Highlights:

• still child care deserts.
• Le Petit Papillon provides care for my middle child, and after-school care for my eldest.
• I don't care for an office. I don't care for the space. I don't care to decorate.
• As such, community care licensing plays an important role in this situation because it needed to basically
• In some cases, placements temporarily reverted back to the basic level of care rate while the receiving

Summary: The hearing covered several child welfare, human services, tribal housing, child care, and long-term care bills. SB 1099 would clarify local governments’ authority to provide state or local public benefits to all residents under PRWORA; SB 1190 would regulate private youth transport services by requiring permits, background checks, training, and bans on blindfolds, hoods, restraints, and overnight pickups; SB 1322 would streamline tribal access to Community Care Expansion housing grants and better align the process with tribal sovereignty; SB 1109 would require an annual license renewal review for STRTPs with five or more Type A citations in a year; SB 1234 would require fentanyl testing in juvenile dependency cases when a court finds a risk of fentanyl use; SB 991 would require DSS to identify the specific type of abuse on its public licensing database; SB 1200 would redefine “infant” for family child care ratio purposes as under 18 months; and SB 1345 would strengthen foster youth rights regarding access to and dignified transport of personal belongings. The committee also approved a consent calendar including SB 534, SB 1410, and SB 1421. Testimony was largely in support of the measures, often from authors, advocates, county officials, and people with lived experience. Supporters of SB 1190 described traumatic youth transport practices and argued for basic safety standards. SB 1322 supporters said tribal grantees face unnecessary delays and collateral demands that conflict with sovereignty. SB 1109 drew support from county probation officers who cited repeated serious violations and public safety concerns at STRTPs, while the chair ultimately opposed the bill as duplicative of existing CDSS authority. SB 1234 drew emotional support from a grandparent who lost a child to fentanyl, but also opposition from the Drug Policy Alliance and a dependency attorney, who argued the bill was redundant, vague, and could create biased or unnecessary testing; amendments were accepted to narrow the standard. SB 991 supporters said the public needs more specific information about abuse findings, SB 1200 supporters said the change would expand infant care capacity and help working families, and SB 1345 supporters said foster youth deserve dignity rather than having belongings packed in trash bags. Votes were taken after quorum was established. SB 991, SB 1200, SB 1345, SB 1190, SB 1234, SB 1322, and SB 1099 were all reported out of committee, most on unanimous or near-unanimous votes; SB 1234 passed 6-0 as amended to Appropriations, and SB 1099 later had a vote change recorded, ending 5-1. SB 1109 did not advance after the motion failed for lack of a second, and it was held in committee. The committee then adjourned and transitioned into an oversight hearing reviewing the outcomes of AB 2247 (placement stability and notice protections for foster youth) and AB 2496, with presenters discussing how the earlier foster youth placement law has changed practice and the importance of dignity, notice, and youth voice in placement decisions.

Transcript Highlights:

• I started my health care career 40 years ago in the long-term care industry.
• pharmacy. managed care organizations uh as a managed care organizations uh as a provider.<00:11:52.240
• managed care, uh, our managed care managed care, uh, our managed care system<00:33:31.279> has
• <00:36:18.400> It's non-benefit things basically. It's non-benefit things basically.
• care services are covered by Medicaid. care services are covered by Medicaid.

Keywords: Call to Order and Roll Call – 00:00:00 Introduction of Board Members – 00:02:04 Overview of the Purpose and Goals of the Medicaid Oversight and Advisory Board – 00:12:46 Medicaid Legislative Update - 00:20:26 Discussion of Next Steps and Future Meeting Dates – 01:04:06 Adjournment – 01:06:37, 958, all

Summary: The first meeting of the Medicaid Oversight Advisory Board opened with Chair Ken Fleming and Co-Chair Rocky Adams welcoming members, explaining the board’s purpose, and introducing the diverse membership of legislators, providers, advocates, and state officials. Fleming said the board would meet monthly, allow public comment at the end of meetings, and operate transparently with materials posted online and distributed in advance. Both chairs emphasized that the board’s work would focus on improving Medicaid outcomes, efficiency, and oversight, while preparing for possible federal changes and avoiding premature assumptions about what Congress may do. Members then gave brief introductions describing their backgrounds in medicine, nursing, hospital administration, behavioral health, insurance, budgeting, pharmacy, and Medicaid administration. Several noted direct experience with Medicaid populations or managed care, including the Department for Medicaid Services commissioner, health plan representatives, hospital and clinic leaders, and legislators with health care backgrounds. The board also heard from Stephanie Bates of the LRC Office of Health Data Analytics, who said her office supports the General Assembly with health-related data, policy, and research and would serve as a resource to the board. Bates then began a presentation on Medicaid basics, explaining that House Bill 695 created the board and that the presentation would cover eligibility, enrollment, covered benefits, waivers, managed care, the budget, and the federal reconciliation bill. She described Medicaid eligibility as complex, noted that Kentucky had more than 1.4 million enrollees, and explained enrollment churn and the unwinding of pandemic-era continuous coverage. She also outlined mandatory and optional Medicaid benefits, the requirement that services be medically necessary and provided by enrolled providers, and the main waiver types used in Kentucky, including 1115, 1915(b), and 1915(c) waivers. No votes or formal actions were taken at this meeting beyond organizational setup and receiving the initial informational presentation.

Transcript Highlights:

• We have over 6,500 licensed child care providers that offer four types of licenses: child care centers
• care of those four-week-old babies.
• For a child care facility, I believe basic land use requirements should be made transparent before an
• care for up to 130 children.
• Next up and last for this section of child care facility, citing Julie German-Murray, child care provider

Summary: The committee held a work session on form-based codes, child care facility siting, and street standards/frontage improvements. On form-based codes, Commerce’s Dave Anderson explained that these codes emphasize building form, orientation, and the public realm more than traditional use and density tables, and that they are typically applied in specific districts rather than citywide or statewide. Lacey’s Vanessa Dolby described the city’s Woodland District code, developed through community charrettes, fiscal and market analysis, and subdistrict-specific standards to create a walkable downtown. She said the approach has helped produce a more desirable built environment and more flexibility in permitted uses, but also noted it can be less user-friendly for applicants and still requires some use restrictions; both presenters said a hybrid approach is often best. The committee then heard from DCYF and multiple providers about barriers to opening child care facilities. DCYF officials said Washington has more than 6,500 licensed providers and that a new pre-licensing support team is helping applicants navigate licensing, but local zoning, building, fire, parking, utility, and occupancy requirements still create delays and confusion. Testifiers described long permitting timelines, inconsistent local interpretations, costly upgrades, and utility hookup delays; one Yakima provider said county requirements, a floodplain-related elevation certificate, and a private well issue stopped her in-home child care proposal, while others described traffic impact fees, parking mandates, and zoning barriers that made projects infeasible. Enterprise Community Partners highlighted examples of successful local reforms, including fee waivers, expedited permitting, and zoning changes in several cities, and DCYF said it is working toward a 2026 action plan and a resource guide for providers. In the final section, planners and developers discussed how street standards and frontage improvement requirements can undermine infill and middle housing. Poulsbo’s planning manager said current standards were designed for greenfield subdivisions and often force costly curb, gutter, sidewalk, stormwater, and utility upgrades on small infill sites, sometimes adding tens of thousands of dollars and causing projects to be abandoned. A Seattle-based developer made similar points about small middle-housing projects being burdened by frontage work, curb ramps, buried standards, and EV-ready parking requirements that can trigger expensive undergrounding. Committee members asked about possible state-level changes, including whether child care should be treated as an essential public facility and whether parking requirements had already been reduced; one senator noted that minimum parking requirements for child care facilities were eliminated in prior legislation, with implementation phased in over the next few years.

Transcript Highlights:

• is<00:24:33.440> is that is the basic uh basic revenue is is that is the basic uh basic revenue
• basic uh basic share pupil funding that basic uh basic share and<00:25:06.240> then<00:25:06.400
• caring in the school-age summer child care.
• caring in the school-age summer child care.
• and fortifies access to care.

Keywords: 1187, senate, all

Transcript Highlights:

• Care feel So, everybody just make Ms. Care feel welcome.
• Locations include central, western, and acute injury care. and acute injury care.
• high quality care. high quality care.
• This ultimately leads to limiting access to care and options for care.
• Limited care, this will limit care by pushing independent medical groups towards refusing to accept patients

Keywords: Meeting Start 00:00:00 Call to Order and Roll Call 00:00:11 Discussion HB 527 00:02:29 Vote HB 527 00:08:02 Discussion HB 627 00:09:09 Vote HB 627 00:24:29 Discussion HB 355 00:25:59 Vote HB 355 00:34:28 Discussion HB 568 00:35:18 Vote HB 568 01:12:10, 958, all

Summary: The committee first took up House Bill 527, a cleanup bill related to insurance matters and the Strengthen Kentucky Homes program. The committee substitute removed language that would have repealed the workers’ compensation deductible range, added a one-time grant/reimbursement provision for contractor fortified-roofing certifications, and added an emergency clause. The Department of Insurance said the bill also updates licensing language, addresses issues with unlicensed pharmacy benefit managers, and supports contractor training tied to the roof grant program. The commissioner noted the program is set to go live March 1 and asked members to inform constituents about possible roof grants of up to $10,000. House Bill 527 received a favorable report after the committee adopted the substitute and title amendment by voice vote and then approved the bill on a roll call vote. The committee then heard House Bill 627, a PIP reform bill. The sponsor and State Farm’s legislative agent said the substitute clarified language so the Attorney General can prosecute insurance fraud and reflected negotiations with hospitals, the Kentucky Hospital Association, the Kentucky Justice Association, chiropractors, and physical therapists. The bill would apply the workers’ comp fee schedule to most PIP claims, require bills within 180 days, prohibit balance billing and credit impairment, raise funeral benefits to $5,000 and weekly wage benefits to $500, require an annual fraud report, and give the Attorney General concurrent jurisdiction over insurance fraud cases. A physician testifying in opposition argued the bill would cut reimbursement for non-hospital providers, shift costs to hospitals and other payers, reduce access to care, and create an uneven playing field that favors hospitals. Committee members asked about the lack of a PIP fee schedule and the effect of the workers’ comp schedule relative to Medicare and commercial insurance. After debate, the committee adopted the substitute and then passed House Bill 627 with favorable expression on a roll call vote, with one member voting no. The committee also considered House Bill 355 on real estate appraisers. The sponsor said the bill would restore an independent board, allow evaluations under federal guidelines, and move Kentucky from a voluntary to a mandatory appraisal state. Testimony from insurance and appraisal representatives said the bill would require licensure for real property damage appraisers, exempt insurance agents and claims adjusters licensed under the insurance code, and create clearer standards and oversight. Members asked about the cost of an executive director and whether the board could sustain itself through fees; the sponsor said the board had historically been self-sustaining. The committee adopted the substitute and then gave House Bill 355 a favorable report by roll call vote. Finally, the committee began House Bill 568, which would prohibit new public adjuster licenses while allowing current licensees to renew. The sponsor said the bill responds to ongoing complaints and investigations in the industry and noted that most licensed public adjusters in Kentucky are not residents of the state. The transcript cuts off as the bill’s presentation was beginning.

Transcript Highlights:

• In Ohio, as an example, it's basically a thou-shalt and thou-shalt-not type of thing.
• Do they sign off and just basically acknowledge it?
• do they sign off and they just basically do they sign off and they just basically acknowledge<00
• <01:05:10.760> means is null and void which basically means is null and void which basically
• plaintiff who you know is basically plaintiff who you know is basically looking<01:06:52.279>

Keywords: 928, house, all

Summary: The committee held a public hearing on HB 733-FN, a bill on third-party litigation financing (TPLF). Representative Cole, the prime sponsor, described TPLF as outside investors financing lawsuits in which they have no personal stake, arguing that the practice is largely unregulated, can involve foreign entities, and contributes to litigation abuse, higher insurance costs, and what he called a “tort tax.” He said the bill is modeled on an NCOIL proposal and would require disclosure of TPLF agreements, with specific references to foreign-entity restrictions, consumer-protection guardrails, and reporting requirements. He also noted a few technical fixes to the draft, including adding the word “knowingly” and restoring a section that had been omitted. Committee members questioned how the bill’s foreign-entity language would work, including whether a governor or the Department of Safety would designate countries of concern, and whether the bill would bar foreign parties from using litigation funding. Cole and others clarified that the bill was intended as a reporting measure, not a ban on litigation funding itself, and that the goal was to disclose who is funding lawsuits and to what extent. Representative Sal asked whether the bill would prevent a litigant from getting outside financing; Cole answered no, emphasizing disclosure rather than prohibition. Brandon Grat of the Attorney General’s Consumer Protection and Antitrust Bureau testified that the bill’s enforcement provisions were too limited. He said the draft appears to give the Attorney General only a civil-penalty remedy, likely too small to deter violations, and not the broader Consumer Protection Act tools such as injunctions, restitution, or investigation authority. He also raised concerns about whether the Attorney General or Insurance Department would have proper jurisdiction, given that the product may be financial or insurance-related. Insurance Commissioner DJ Benton Court said the department sees possible benefits from transparency because disclosure of litigation funding could help insurers assess risk, improve underwriting, and potentially ease hard-market pressures, especially for nonprofits and child care providers. He also said the bill’s language likely needs further work to clarify agency authority and suggested involving the Attorney General, Insurance Department, and banking regulators. Opposition testimony came from the New Hampshire Trial Lawyers Association. Marissa Chase and Samantha Hering argued the bill is one-sided because it requires disclosure only on the plaintiff side and not from defendants or insurers. They said New Hampshire already has court rules and discovery procedures that cover relevant disclosures, making the bill unnecessary, and questioned whether the existence of a funding contract is even relevant in litigation. The hearing ended with the committee continuing to discuss possible revisions and enforcement options, but no vote or final action was taken in the transcript.

Transcript Highlights:

• It is one of the biggest and it's a fixed cost that, you know, that we basically have to pay.
• It is one of the biggest and it's a fixed cost that, you know, that we basically have to pay.
• It is one of the biggest and it's a fixed cost that, you know, that we basically have to pay.
• It is one of the biggest and it's a fixed cost that, you know, that we basically have to pay.
• It is one of the biggest and it's a fixed cost that, you know, that we basically have to pay.

Keywords: 910, house, all

Transcript Highlights:

• . care. care.
• At Medica, our members in MSHO and the special needs basic care are 90% reporting that they're satisfied
• care, are 90% are reporting needs basic care, are 90% are reporting that<01:17:34.680> they're
• health care through managed care today. health care through managed care today. 1.6<01:29:40.040
• received care. received care.

Keywords: 919, house, all

Summary: The committee first took up House File 3939, a bill to support a Helping Paws service-dog litter named in honor of Gilbert and the Hortman family. Testimony from Helping Paws and service-dog graduate Angie Foley described the organization’s work, the significance of the “Guided by Gilbert” litter, and how the funding would help train dogs that provide independence and support to people with disabilities, veterans, and others. Members from both parties spoke warmly about Speaker Hortman’s connection to the organization and Gilbert, and the bill was laid over for possible inclusion. The committee then considered House File 3769, the Department of Corrections’ technical omnibus bill, with an A1 amendment adopted to clarify tuberculosis testing language. The bill updates TB screening procedures in correctional facilities, including how refusals are handled, and adds Quantiferon Gold Plus testing as an option alongside existing methods. Members discussed whether the bill would create costs for counties and jails, with some noting added testing and segregation costs and others arguing the changes would improve accuracy and reduce time in restrictive housing. The bill, as amended, was recommended to the general register. House File 3978 was next, a technical cleanup bill for a provider wellness program created last year. The bill expands eligibility and confidentiality protections from physicians to all health care providers, while supporters said the program is meant to address burnout and mental health strain in the workforce and does not require new money. Some members questioned whether the change was redundant or would broaden the program without additional funding, but the Minnesota Medical Association testified that the program is separate from insurance and was intended to serve all providers. The bill was recommended to the general register. Finally, the committee began House File 3476, which Rep. Liebling described as a cleanup bill related to Minnesota’s Medicaid managed care system and public program oversight. She argued that the state spends billions through managed care organizations and that the system has never been proven better than direct payment, setting up a broader discussion of the bill’s purpose and the state’s oversight of public health care spending.

Transcript Highlights:

• <00:13:00.079> allows basic information and even allows basic information and even allows
• state care. state care.
• Foster care is a voluntary licensed responsibility when caring for medically fragile children.
• <00:55:53.520> licensed Foster care is a voluntary licensed Foster care is a voluntary licensed
• <00:55:59.839> that expect that basic precautions that expect that basic precautions that

Keywords: 1191, senate, all

Transcript Highlights:

• Medicare Advantage is network-area specific managed care.
• Network-area specific managed care.
• Do we really care about the details of that relationship between those people?
• Do we really care about the details of that relationship between those people?
• <02:50:54.600> about might care about might care about it<02:50:56.479> that's<02:50

Keywords: 928, house, all

Summary: The subcommittee first reviewed its schedule, noting that 13 bills were being executed the next day and that additional subcommittee work would be scheduled around Town Meeting Day and the following session days. The chair explained that the committee would not meet on Town Meeting Day, would handle the remaining bills on the next available subcommittee day, and would continue any unfinished items later in the month. The committee then took up House Bill 774, which concerned Medicare-related coverage issues. Members discussed the bill’s purpose and the differences between Medicare standard and Medicare Advantage, with one member saying the proposal was informative but did not offer a workable solution. The committee also moved to inexpedient to legislate on House Bill 185, and the motion passed on a 6-0 vote. House Bill 241, relating to alternatives to opioids, was retained for further work. Members said the bill raised concerns about insurers effectively practicing medicine and about the lack of evidence on the efficacy of some alternative treatments, while also noting that chiropractic coverage mandates already exist in statute. The committee voted to retain the bill, with the motion passing 6-0. The most extended discussion was on House Bill 648, which would expand insurance coverage for glucose monitoring. Testimony and committee comments focused on whether coverage should be tied to insulin use or instead to a physician’s medical judgment, the role of continuous glucose monitoring for people with type 2 diabetes who are not on insulin, and the potential cost impact. An insurance department fiscal analyst said the original $22-per-member estimate was based on the unamended bill and that the amended version would require updated analysis; members agreed to retain the bill to narrow the eligible population and revisit the language later.

Transcript Highlights:

• deeply about wanting to make sure that we are doing our basic need to I know that you care deeply about
• Those are all the result of patient care activities that fall, I think, in our basic minds, under the
• category of patient care.
• , and access to care.
• is free care, or for discount care, which of course is a discount.

Summary: The Assembly Health Committee heard a long agenda of health bills focused on access to preventive care, behavioral health, hospital services, and patient safety. Early items included AB 554, which would expand and protect access to HIV prevention drugs like PrEP, including injectable forms and coverage protections; supporters said it would shore up access amid federal threats, while insurers opposed it as a costly benefit mandate. AB 577 would limit insurer and PBM practices that steer medications away from physician offices and require more transparency and patient consent; doctors and patient advocates supported it, while health plans and insurers warned it could raise drug costs and disrupt specialty pharmacy networks. AB 546 would require coverage for portable HEPA purifiers for vulnerable enrollees during declared emergencies, especially wildfire smoke events, with support from air quality and public health groups and opposition from insurers concerned about benefit expansion and cost. The committee also heard AB 224, which would codify California’s updated essential health benefits benchmark plan after a public review process, adding infertility treatment, hearing aids, and durable medical equipment if approved by CMS for the 2027 plan year. DMHC said the state had completed the review and needed legislation to meet federal timing, and the measure drew broad support. AB 1032 would require plans and insurers to reimburse up to 12 additional behavioral health visits for enrollees in wildfire-affected counties for a limited period after an emergency; supporters argued it would fill gaps in trauma care after disasters, while insurers said existing parity and continuity-of-care rules already address the issue and that the bill could create inequities. AB 849 would require trained chaperones for sensitive ultrasound exams and training on how to observe and intervene; it was backed by a survivor and patient advocates, with hospitals and health districts raising staffing concerns. Later, AB 1196 would direct the Department of Public Health to update outdated rules requiring three surgeons for certain heart surgeries using cardiopulmonary bypass; supporters said the rule no longer reflects modern practice and strains staffing, while cardiology representatives had no formal opposition but wanted to review amendments. AB 1113 would codify a right to wear a mask for health reasons in public spaces, with support from disability and public health groups. AB 1386 sought to add perinatal care to the list of basic hospital services, prompting testimony about maternity ward closures, workforce shortages, and rural access; the author said the bill would be amended further and that the committee would need to revisit timelines and implementation details. The committee also heard AB 1429, which would address Kaiser’s repeated mental health parity violations and improve access to behavioral health care, though the transcript cuts off before any action on that bill is shown. Several bills were moved with motions and seconds, but many were held for quorum; AB 1196, AB 1113, and AB 1386 were among the measures advanced to a roll call or held on call, and the committee repeatedly noted that final votes would occur when quorum was available.

Transcript Highlights:

• Like why you would care about that?
• struggling to care for our families. struggling to care for our families.
• to get what for care. to get what for care.
• <01:59:09.640> Um care costs. It simply costs a lot. Um care costs.
• Health care is a human right, and everyone should have access to the care that they need.

Keywords: 1187, senate, all

Transcript Highlights:

• So basically what the committee substitute does is this is an honorary bill, um, and so it just says
• And during his placement in foster care, he had a younger sibling born.
• and this is basically for foster uh<00:03:15.159> care<00:03:15.720> parents<00:03:16.040
• uh care parents or foster children parents<00:03:18.360> and<00:03:18.560> it's<00:03:
• Kristen Breeden I'm the out of Home Care Kristen Breeden I'm the out of Home Care branch<00:15:26.040

Keywords: 00:00 Call to Order/Roll Call 01:32 Discussion on 25RS HB 164 10:07 Roll Call Vote on 25RS HB 164 11:30 Discussion on 25RS HB 242 13:09 Roll Call Vote on 25RS HB 242 15:08 Consideration of Referred Administrative Regulations 17:37 Adjournment, 958, all

Summary: The House Standing Committee on Families and Children held its first meeting of 2025, with the chair welcoming new members and Vice Chair Wilson. After roll call, the committee took up House Bill 164, sponsored by Representative Wesley, which concerns an honorary adoption situation. The committee adopted a House committee substitute clarifying that any survivor benefits or inheritance would not go to honorary adoptive parents, and heard emotional testimony from Caitlyn Rollins about fostering and adopting a child who later died before a scheduled adoption date. Members discussed the bill’s purpose as providing closure and ensuring legal parentage is recognized in life and death, while also noting a possible drafting issue about whether all listed conditions must be met. The committee agreed to address that concern through a possible House floor amendment, and HB 164 passed favorably 16-0. The committee then heard House Bill 242, sponsored by Representative Sam, and testimony from child welfare researcher Matthew Walden. The bill is intended to increase transparency in Kentucky’s child welfare system by making program data available to researchers while protecting privacy. With no questions from members, the bill passed the committee favorably by a 16-0 vote. Finally, the committee reviewed referred administrative regulations and considered agency amendment 490 related to adoption assistance and Title IV-E adoption assistance. CHFS representatives explained that the amendment removes a civil determination requirement from certain sections because the cabinet cannot make such determinations and already relies on substantiations and other safety checks. The committee approved the agency amendment by voice vote, then concluded its review of the remaining regulations without further action. The next meeting was announced for February 20, 2025, and the committee adjourned.

Transcript Highlights:

• Basically, you know, do the work.
• There was a statute passed many, many years ago that basically says that they can request… That basically
• They're putting these together in August, basically.
• This is basically a fund correction.
• Oh, so this is basically state match for Medicaid? Yes.

Keywords: 959, house, all

Transcript Highlights:

• High food, housing, child care, and health care costs, combined with wages that are too low, are pushing
• Basic needs are, by definition, essential.
• Some community colleges have very robust health care clinics.
• Some community colleges have very robust health care clinics; others have basically a shoebox or a closet-sized
• entire health care system.

Summary: The joint informational hearing focused on CalFresh enrollment, food insecurity in California, the recent federal shutdown’s disruption of SNAP benefits, and the long-term effects of H.R. 1 on eligibility, benefits, and state and county costs. Opening remarks emphasized that millions of Californians rely on CalFresh, that the shutdown briefly delayed benefits for the first time in the program’s history, and that state and local governments, including Alameda County, stepped in with emergency food aid and funding. Members also framed the issue as both a hunger and affordability problem, with several noting that California’s agricultural abundance contrasts sharply with persistent food insecurity. The first panel presented research and advocacy perspectives on food hardship. PPIC’s Tess Thorman described food insecurity rates, disparities affecting households with children and Black and Latino households, and the role of nutrition programs in reducing poverty. Nourish California’s Betzabel Estudio argued that hunger is a policy choice and highlighted campaigns to expand state-funded food assistance for immigrants, support reentry populations, and continue the CalFresh fruit-and-vegetable incentive program. The California Association of Food Banks’ Josh Wright said food banks are seeing sustained high demand, lower federal food supplies, and cannot replace CalFresh, while urging more state support for food purchasing, school meals, and SunBucks. The second panel reviewed CalFresh operations and participation. The California Department of Social Services reported that CalFresh participation has risen over the past decade, with the state closing much of the participation gap through outreach, simplified applications, and demonstration projects such as the Elderly Simplified Application Project and a minimum nutrition benefit pilot. Alameda County Social Services described local caseloads, application trends, and emergency food distributions during the shutdown, while also warning that H.R. 1’s work requirements, immigrant eligibility restrictions, and possible cost-sharing could reduce enrollment. A student CalFresh ambassador testified about the burdensome application and recertification process and urged more funding for campus basic-needs centers and outreach to reduce stigma and administrative friction. In the final panel, county, food bank, and policy witnesses described the shutdown response and the expected impact of H.R. 1. Alameda County Community Food Bank and the County Welfare Directors Association said counties, food banks, and community partners mobilized emergency funds, pop-up pantries, and food purchasing to bridge the shutdown gap, but warned that hundreds of thousands of Californians could lose benefits under the new federal rules. The California Budget and Policy Center began outlining the scale of federal cuts, noting that H.R. 1 will significantly reduce SNAP funding and shift costs to states. No votes or formal committee actions were taken; the hearing was informational and concluded with discussion of possible state responses, including backfilling benefits, preserving outreach funding, and improving administrative systems to protect enrollment.

Transcript Highlights:

• and care coordination.
• and care coordination.
• <00:18:50.440> crises, respond to future health care crises, respond to future health care
• accessing care.
• additional barriers to accessing care. additional barriers to accessing care.

Keywords: 912, senate, all

Summary: The committee opened its Health and Human Services calendar, noted quorum, and first took up HB 194. The chair explained amendments to add an exemption for a person invited by a patient to attend a birth outside an accredited birth facility when no compensation is involved, remove a date reference in section 9, and accept Department of Health amendments. Members raised no objections, and the committee voted to pass HB 194 with amendments. The committee then heard HB 139 on insurance, with the Attorney General flagging possible unlawful delegation issues and suggesting clarifying language, while the Insurance Division stood on written testimony. A number of health organizations and advocates, including HMSA, Hawaii Association of Health Plans, oncology and fertility groups, testified in support. HB 613 on homeless youth drew broad support from state agencies, counties, youth advocates, and community groups; testimony emphasized the need for permanent safe spaces and more attention to unaccompanied minors, with one witness asking for clarity on funding and shelter capacity. HB 71 on a tax credit for family caregivers drew support from AARP, Alzheimer’s and children’s advocates, and several individuals, while the Tax Foundation raised concerns about blank provisions and the cost-effectiveness of administering a small credit. The Department of Taxation said a prior version with a $5,000 nonrefundable credit would have cost the general fund about $397.4 million. HB 716 on health care technology support received strong support from SHPDA, OHIN, and many provider groups, who described it as a one-time investment of roughly $20–25 million to connect rural and neighbor island providers to electronic health records; members questioned how the grant program would be allocated. HB 799 on physician hospital privileges also drew mixed testimony: supporters said it would align Hawaii with updated CMS rules and improve access, especially on Maui, while Maui Health and some members worried it could reduce on-call coverage and hospital safety, leading to discussion of a possible report and sunset date.

Transcript Highlights:

• <00:04:37.560> and motans will receive primary care and motans will receive primary care and
• health plan or Minnesota for the basic health plan or Minnesota care<00:13:57.160> is<00:13:57.320
• care.
• It's more expensive to pay nurses just to provide that basic care.
• Care, but affordable child care, housing, and other needs.

Keywords: 1183, house

Transcript Highlights:

• This bill is pretty basic.
• The health care landscape is evolving.
• We provide registered dietitian services in long-term care, senior living, post-acute care, including
• In long-term care and post-acute care settings, nutrition is not optional.
• Yes, where are the health care professionals?

Keywords: 959, house, all

Transcript Highlights:

• <00:28:09.440> I'm Tuesday then and we'll basically I'm Tuesday then and we'll basically I'm
• And I can't imagine any state denying care to somebody who needs care.
• the Department that require us to care the Department that require us to care for<01:54:27.920><
• <01:55:12.159> I care to somebody who needs care I care to somebody who needs care I there's
• <02:08:05.040> to<02:08:05.320> talk care to talk care to talk about<02:08:08.400> I'm

Keywords: 928, house, all

Summary: The committee first recessed briefly, then took up HB 570, the prescription drug affordability board (PDAB). The chair and several members discussed the House amendment to repeal the board, which removed the fiscal note. The main concern raised was that the PDAB had not yet produced a clear business case showing value for the taxpayer investment, despite several years of work and four annual reports. Supporters of the repeal said the board’s recent report was largely redundant and that the board should either demonstrate a strong return on investment or be shut down; others cautioned against discarding the program too quickly and urged more time to refine the mission and legislative language. No vote was taken, and the committee appeared to agree to retain the bill for further work, with the possibility of revisiting it in a formal executive session on Tuesday. Members also shifted into discussion of HB 2, beginning with Section 85 on opioid abatement trust fund dollars for shelter programs. Department of Health and Human Services officials explained that the provision would provide $10 million from the opioid abatement trust fund, replacing general funds in the governor’s budget, while also noting an additional $2.5 million prioritized needs request for shelter care that was already fully funded. Committee members asked about shelter bed capacity, job placement efforts, and the remaining balance in the opioid fund; DHHS said there are 934 contracted beds and that case management includes help with housing and employment. Officials also said the current proposed budget includes another $1 million later in HB 2 from the opioid fund. The committee then began discussion of Sections 86 through 87, which would preserve the department’s ability to transfer funds between personnel lines. DHHS said the provision is operationally critical and that losing it would make it extremely difficult to manage the department, though it would not have a direct fiscal impact. The next item introduced was Section 88, extending a suspension related to eligibility for services until July 1, 2027; DHHS indicated that if the suspension were not continued, it would likely increase expenditures for Community Mental Health Centers and potentially others. No votes were taken during this portion of the meeting.