Transcript Highlights:

• Rates of burnout in health care fields were at record highs before the COVID pandemic.
• Rates of burnout are at an all-time high in medicine. It is a real problem with real consequences.
• This bill seeks a reimbursement rate for home-based treatment at about $750 per infant.
• This bill establishes a two-code rate methodology that supplements the current reimbursement.
• Requiring medical assistance to cover this service at a sustainable rate is critical.

Bills: HF2779 , HF1645 , HF1885 , HF1289 , HF1534 , HF2707 , HF1675 , HF3046

Committee: House Health Finance and Policy

Keywords: health care transparency, ownership disclosure, control reporting, health care consolidation, private equity, management services organization, MSO, provider organization, health insurer, pharmacy benefit manager, hospital system, affiliate reporting, financial disclosure, public reporting, market concentration, horizontal consolidation, vertical consolidation, health care ownership, corporate practice, health care regulation

Transcript Highlights:

• rate for the past 36 years.
• rate for the past 36 years.
• Right now, we have an elevated rate because of these access issues.
• For 20 years before the pandemic, our rate was 3% to 5%.
• When staffing meets the needs of families, error rates are low.

Committee: Joint Joint Committee on Revenue

Keywords: 995, all

Summary: The Joint Committee on Revenue, chaired by Senator James Eldridge and Representative Adrian Madaro, opened its hearing with a moment of silence for the late Lowell State Senator Ed Kennedy and reviewed hearing procedures and deadlines. The committee then took testimony on several corporate tax bills, including S. 2033/H. 3110 on offshore tax avoidance, H. 3248 on a manufacturing tax exemption, H. 3057 on a tiered corporate minimum tax, and S. 2041 on a corporate tax haven blacklist, along with a separate business interest deduction bill. No votes were taken during the hearing. Supporters of S. 2033/H. 3110, including labor unions, health care workers, educators, public health advocates, seniors, and several legislators, argued that Massachusetts needs new revenue to offset federal cuts to Medicaid, SNAP, health care, education, and other services. They said the bill would raise roughly $400 million annually by increasing the share of offshore profits included in the state tax base from 5% to 50%, and they framed it as a fairness measure that would require large multinational corporations to pay more while leaving most local businesses and workers unaffected. Testimony emphasized risks to MassHealth, PCA services, adult dental care, hospitals, schools, and public health programs if new revenue is not raised. Opponents, including the Mass Taxpayers Foundation and the Council on State Taxation, argued the proposal is poor tax policy and likely unconstitutional because it would tax foreign-source income without allowing foreign tax credits or a comparable apportionment method. They said Massachusetts should take a broader, coordinated approach to federal tax changes rather than a standalone bill, and warned of litigation risk and possible double taxation. Supporters such as MassBudget and former tax counsel Don Griswold countered that the bill is a reasonable rough-justice approach, consistent with federal and neighboring-state treatment, and that it would primarily affect a small number of very large multinationals. On S. 2041, the Global Business Alliance opposed the proposed tax haven blacklist, while supporting a separate bill allowing business interest deductibility.

Transcript Highlights:

• Our unemployment rate is low, but our chronic unemployment rate is over 8%.
• H.J.R. 1053 would require county clerks to calculate this revenue-neutral rate.
• And the other is about the rate of growth. And I look at this as a rate of growth idea.
• So when we adjust these rate of growth down, the valuations are still going up.
• So when we adjust these rate of growth down, the valuations are still going up.

Summary: The committee heard and advanced a series of bills and resolutions, many involving taxes, education funding, health policy, and election rules. Representative Newton’s HB 1823, on the Oklahoma Housing Finance Agency’s home-building activities, passed 10-0. Speaker Hilbert’s HB 2425, which would align Oklahoma election dates more closely with Texas and move some elections to March, passed 9-2 after debate about turnout and accountability. HB 4440, requiring Medicaid work requirements to track federal law, passed 10-2 amid discussion of chronic unemployment and the limits of changing Medicaid expansion because it is in the Constitution. HJR 1087, a major proposal to restructure the T-SET tobacco settlement trust and redirect funds toward higher education and related uses, passed 12-0 after extensive debate over venture capital investing, public health spending, and whether the trust should be modernized. The committee also took up several property-tax measures. HJR 1053 would create a revenue-neutral ad valorem framework, requiring local approval for increases beyond prior-year levels; it passed 9-2. HJR 1054 would exempt business inventory from ad valorem taxation, and after questions about scope and possible abuse it passed 9-2. HJR 1044 would lower the annual cap on growth in assessed value for homestead and agricultural property from 3% to 2%; it passed 9-2. HB 4145 would raise the homestead exemption from $1,000 to $7,000 and passed 9-1. HJR 1081 would freeze ad valorem taxes for qualifying seniors and passed 8-1. The committee also advanced HB 3891, a county commissioner pay bill, after title was struck and members discussed its impact on small counties; it passed 9-2. Other measures included HB 1770, directing an elk population study by Oklahoma State University, which passed 11-0; HB 1675, requiring youth camps to complete site-specific hazardous assessments, which passed 11-0; HB 3627, allowing the State Committee of Blind Vendors to meet by video conference due to quorum issues, which passed 11-0; HB 3472, expanding tire-recycling fund eligibility, which passed 10-1; and HB 1225, barring changes to the biological sex designation on birth certificates, which passed 8-2 after debate over medical, legal, and equal-protection concerns. The committee also advanced HJR 1019, a heavily amended proposal concerning party nominations for general elections, after striking title and narrowing the scope to federal, state, and county races; it passed 8-1 with two not voting. HB 3462, updating plumbing licensing law and aligning exam standards with other trades, passed 9-0 after title was struck to accommodate further negotiations.

Transcript Highlights:

• So in 2022, it looks like the earlier rates were $123 a month.
• Nevada noted that there was no noticeable change in rates.
• Right now, the rates undergo very heavy actuarial analysis and they're subject to rate review and standards
• Have we looked at those to see if there's a higher rate?
• , and rate transparency reports for each carrier are also available.

Summary: The committee first heard Senate Bill 21, as amended, which would create an annual birthday-based open enrollment period for Medicare supplement policyholders age 65 and older, allowing them to switch to equal or lesser coverage without medical underwriting. The Aging and Long-Term Services Department and the Office of Superintendent of Insurance supported the bill as a consumer protection measure for seniors who are locked into rising premiums, while AHIP opposed it, warning it could raise premiums for existing policyholders. The League of Women Voters and AARP supported the measure. After debate over premium impacts and market stability, the committee voted 6-4 to give SB 21 a due pass. The committee then considered Senate Bill 20, dealing with prior authorization for medications used to treat serious mental illness. An amendment to change the bill from limiting prior authorization to once every three years to once every 12 months was debated; insurers supported the annual review, while nursing, disability, and mental health advocates argued that more frequent prior authorization would add burden and delay care. The committee tabled the amendment 5-4, then passed the unamended bill on a do pass vote. Testimony emphasized that the bill would not change how often patients see their doctors, only how often insurers can require prior authorization. Next, Senate Bill 101 was heard, which repeals the delayed sunset of the Health Care Delivery and Access Act so the hospital provider tax can continue. Sponsors and the Health Care Authority said the program has generated substantial federal matching funds and supports hospitals, especially rural facilities. AARP, Health Action New Mexico, the Greater Albuquerque Chamber of Commerce, and the New Mexico Hospital Association supported the bill. Committee members asked about how funds are distributed and reported; the agency said distributions are based on Medicaid discharges and hospitals must report on spending. The bill received a do pass. The committee also approved House Memorial 52, which requests a study group on health insurance premium affordability for working families and small employers. Supporters from Blue Cross and Blue Shield and AHIP said the memorial would help identify cost drivers and improve transparency. The committee then passed House Bill 132, as amended, creating a workers’ compensation presumption for certain occupational conditions affecting police officers. Supporters from labor, state police, OSI, and business groups said it would help recruitment, retention, and recovery, while members discussed the removal of back pain from the presumption and the reinstatement of PTSD. Finally, the committee began hearing Senate Bill 14, which expands the state’s health professional loan repayment program and creates a broader advisory structure to address workforce shortages. The bill would cover physicians and many other health professions, with a large appropriation and special provisions for part-time service and loan repayment terms. The sponsor described it as a competitive recruitment tool, and numerous health care, labor, and consumer groups testified in support. The sponsor also described a proposed amendment to reallocate physician funds to other eligible health professionals if there are not enough qualified physician applicants, but the committee was preparing to move on when the transcript ended.

Transcript Highlights:

• Within each class, the rate must be the same; however, it may differ among classes.
• So that would be the same rate as the other tobacco products tax.
• So you said the rates for solid waste disposal is going up, so the ratepayers are paying more.
• So that's why we've seen a lot of rate increases that Margo was talking about as well. Great.
• Having different tax rates for the same products also requires more work for the state.

Summary: The committee heard briefings, sponsor presentations, and public testimony on several finance bills. HB 2038 would impose an additional B&O tax on businesses operating social media platforms beginning in 2027 and create a youth behavioral health account funded by the tax. The sponsor argued the bill would help address youth mental health harms linked to social media and support implementation of the Washington Thriving plan. Supporters in testimony, including youth advocates and some public health voices, said social media contributes to youth anxiety and addiction and that the revenue should be used for behavioral health services. Opponents, including technology and business groups, argued the tax unfairly singles out one sector, could be passed on to consumers, and may violate federal internet tax law. The hearing on HB 2038 was suspended and later reopened for public testimony; no vote was taken. HB 2297 would create tax incentives for grocery stores in underserved communities, including local B&O preferences, a sales tax exemption for security services, a 30-year property tax exemption program, a B&O tax credit, and a B&O exemption for certain locally owned or employee-owned stores. The sponsor and supporters said the bill is intended to preserve and attract grocery stores in food deserts, especially after recent store closures, and to help communities with limited transportation and access to healthy food. County representatives supported the goal but raised concern about the bill’s sales tax exemption and its effect on local revenues. Public testimony was largely supportive, with advocates, local officials, grocers, and residents describing grocery stores as essential community infrastructure. No action was taken. HB 2382 would raise cigarette taxes by $2 per pack, restructure vapor and other tobacco product taxes, and dedicate portions of the revenue to a time-sensitive emergency system, tobacco enforcement, and the foundational public health services account. The sponsor said the bill would generate needed revenue, support cancer research funding, and strengthen public health and enforcement. Supporters said higher tobacco taxes reduce use and help cover long-term health costs, while some public health witnesses supported the revenue but suggested directing more funds to existing tobacco prevention accounts. Opponents from retail and industry groups argued the proposal is regressive, could increase illicit sales and cross-border purchasing, and would hurt small businesses and low-income consumers. The committee also heard HB 2487, a Department of Revenue request bill that would narrow the B&O exemption for insurers to clarify that it applies only to premium income subject to insurance premium tax, and apply the change retroactively to 2019. The sponsor and supporters said the bill closes a loophole created by a recent Supreme Court ruling and preserves tax equity, while insurers and business groups objected to the retroactive application, warning of higher premiums and unfair taxation. Finally, HB 2018 would increase the solid waste tax by 0.5% per year for five years and direct the new revenue to a local government solid waste assistance account for county and city waste management plans. County officials supported the bill as a way to stabilize funding for solid waste systems, and testimony emphasized rising disposal and infrastructure costs. No votes were taken on any of the bills during the hearing.

Transcript Highlights:

• companies from Washington State would pay that higher rate in Oregon.
• companies from Washington State would pay that higher rate in Oregon.
• Currently, the Health Care Authority determines the quality assurance fee rate annually, and the rate
• Beginning July 1, 2026, the annual quality assurance fee rate will be the rate in effect as of July 4
• , 2025, and HCA is required to calculate the add-on rate annually.

Bills: SB5845 , SB5916 , SB6102 , SB6071 , SB6103 , SB6159 , SB5877 , SB5967 , SB5904 , SB5915 , SB6025

Committee: Senate Health & Long-Term Care

Keywords: health insurance, health carrier, insurance carrier, prompt pay, timely payment, claims processing, clean claim, remittance advice, provider reimbursement, hospital billing, medical billing, prior authorization, claims denial, interest on late claims, administrative penalty, Washington insurance commissioner, RCW 48, public employees benefits board, school employees benefits board, Medicaid managed care

Transcript Highlights:

• fund to artificially lower the rate.
• A note about the phrase buying the rate down.
• </c> we're still going to be buying the rate we're still going to be buying the rate down<00:22:12.960
• When we say we're buying the rate down.
• And I don't have to tell any of you the rate at which education spending is going, like the rate of other

Keywords: 927, senate, all

Transcript Highlights:

• Yeah, when you look at the accountability ratings, like in your district, y'all did very well.
• As long as an assessment is the dominant factor in school rates...
• About the fact that we don't factor in these other components that impact that rating, and that rating
• F-rated. I can tell you.
• There's a campus not too far from here that has just been rated an F after...

Bills: HB8

Committee: House Public Education

Keywords: HB 8, Texas public school accountability, school accountability, public school transparency, STAAR, state assessments, instructionally supportive assessment program, Student Success Tool, Texas Education Agency, TEA, accountability ratings, A-F ratings, through-year assessment, benchmark testing, norm-referenced assessment, college career military readiness, CCMR, local accountability plan, school district performance, campus turnaround

Transcript Highlights:

• We offer competitive interest rates, ranging from two to four percent.
• Also, attrition rates in early retirement play a factor.
• As pointed out on the panel, California has the highest rate of retention.
• It would have set rates on providers—specifically, it would have established the rates that providers
• Being targeted with a growth rate lower than other hospitals and lower than the inflation rate will seriously

Keywords: 988, house, all

Transcript Highlights:

• African-American graduation rate of about 40%.
• Our overall graduation rate was 82%.
• African-American graduation rate of about 40%.
• Our overall graduation rate was 82%.
• My rates went up. I have about 200-something people on insurance. You know why my rates went up?

Committee: Senate Education Pre-K - 12

Summary: The Senate Education Pre-K-12 Committee met to discuss the needs of rural school districts and the role of Florida’s three regional education consortia: the Panhandle Area Education Consortium, Northeast Florida Educational Consortium, and Heartland Educational Consortium. Executive directors and several rural superintendents described the consortia as member-led organizations that provide shared services, professional learning, leadership development, grant support, cooperative purchasing, risk management, IT/cybersecurity help, and back-office assistance that small districts could not afford to provide on their own. They emphasized that rural districts are often very small, have limited staff, and must still meet the same state reporting and compliance requirements as large urban systems. Testimony focused heavily on teacher recruitment and retention, alternative certification, and the difficulty of staffing specialized roles such as CFOs, MIS directors, IT staff, and content-area teachers. Superintendents said many new hires are career changers or alternatively certified teachers who need consortium-supported training, and several argued for more flexibility in funding so districts can raise salaries and compete with neighboring districts and nearby states. Members also asked about the impact of declining enrollment, homeschooling, and voucher-related school choice; superintendents said those trends are reducing FTE and creating budget instability, while also requiring districts to right-size staff and programs. Several speakers described the financial strain on rural districts, including rising insurance costs, transportation costs, and the challenge of forecasting budgets when enrollment changes after the school year begins. One superintendent recounted major hurricane damage and said consortium risk-management support was essential to recovery. Others said the consortia help districts pool resources for property and health insurance, payroll, student data systems, and procurement, and that this shared approach saves money and improves services. No votes or formal committee actions were taken during the meeting.

Transcript Highlights:

• rate setting, the rate is set in no rate setting, the rate is set in statute<00:13:36.240><c> and</c
• </c> energy service rate was uh 22.6 6 cents. energy service rate was uh 22.6 6 cents.
• </c> other rate payers, we'd look pretty bad. other rate payers, we'd look pretty bad.
• There's no rates in here. All right. There's no rates in this<02:14:47.040><c> bill.
• </c> generators and not by the rate payers. generators and not by the rate payers.

Committee: House Science, Technology and Energy

Keywords: 1189, house, all

Transcript Highlights:

• Utility rates are going up...
• An increase in gas prices, utility rates are going up, garbage rates, electricity rates are going up,
• The maximum millage rate determines what millage rate can be levied by a government with a majority vote
• This bill aligns the maximum millage rate with the rollback rate.
• The rollback rate is, The rollback rate is the millage rate that would provide a taxing authority with

Keywords: 999, senate, all

Transcript Highlights:

• So our rates have actually gone up beyond what other rates are that are dealing with cities as well as
• , they're looking at much higher rate increases, much higher rate increases this year.
• I understand utilization rates in pools.
• That city looks for the best rates every year to hold down costs.
• That city looks for the best rates every year to hold down costs.

Keywords: 989, all

Transcript Highlights:

• increasing to the 85th percentile of market rates in 2027, as was expected.
• There's a proposal to delay rebases for the assisted living facilities and nursing home rates.
• This holds that increase flat at the increase rate from 2026.
• The next is a preferential B&O rate.
• The next is a preferential BNO rate.

Bills: SB5998

Committee: Senate Ways & Means

Keywords: fiscal appropriations, budget, state funding, financial management, operating expenses, 904, all

Transcript Highlights:

• </c> participation rate. participation rate.
• They apply a classification rate.
• Our lowest tax rate in the state of Minnesota, 5.35%, is higher than the highest tax rate in 30 other
• Our lowest tax rate in the state of Minnesota, 5.35%, is higher than the highest tax rate in 30 other
• Our lowest tax rate in the state of Minnesota, 5.35%, is higher than the highest tax rate in 30 other

Bills: HF4621 , HF4123 , HF4616 , HF1183

Committee: House Taxes

Keywords: child tax credit, financial assistance, low-income families, state revenue, tax policy, net investment income, taxation, business income, self-employment, tax increase, wealth tax, fairness, public services, high-income earners, economic equity, Internal Revenue Code, employee classification, federal law, Minnesota statutes, 1183

Transcript Highlights:

• One was increase rates to taxpayers or increase rates to everyone served by this facility.
• One was increase rates to taxpayers or increase rates to everyone served by this facility.
• One was increase rates to taxpayers or increase rates to everyone served by this facility.
• One was increase rates to taxpayers or increase rates to everyone served by this facility.
• One was increase rates to taxpayers or increase rates to everyone served by this facility.

Committee: House Rules and Legislative Administration

Keywords: 1183, house

Transcript Highlights:

• And, you know, when those were put in place, the rates weren't, in some cases, 100% of market rate.
• And, you know, when those were put in place, the rates weren't, in some cases, 100% of market rate.
• and not a minimum funding rate, employer rate, contribution rate, which is currently 32%.
• rate would be.
• That does speak to the rate, which is the current rate. Now, admittedly, it's a cap.

Committee: House Budget

Summary: The committee heard extended discussion of the chair’s House budget substitute, especially House Bill 2 for elementary and secondary education and House Bill 3 for higher education. The chair said the operating budget leaves roughly $300 million in reserve, explained several cuts and restorations, and described proposed changes to child care, including cutting enhancement payments and keeping attendance-based rather than enrollment-based subsidy payments. Representative Fogle objected to the child care cuts and the proposed language limiting the department’s move to prospective payment and enrollment-based reimbursement; State Budget Director Dan Hogg testified that the governor’s office still intended to move to payment on enrollment in May if the budget language did not block it, while prospective payment remained under review because of federal funding concerns. The chair also explained a restriction on Parents as Teachers services for children already in public pre-K, and members debated whether that would reduce duplication or improperly limit services. The chair further proposed a new competitive Title I innovation grant program funded by a reallocation of some Title I dollars, with questions raised about what services would be reduced to offset it. The bulk of the meeting focused on a major higher education funding overhaul in House Bill 3. The chair and vice chair proposed replacing the current base-plus model with an FTE-based formula that would distribute the same overall state funding according to student credit hours, with community colleges funded on a 12-hour FTE, four-year undergraduate students on a 15-hour FTE, and graduate enrollment discussed as a separate issue. They said the goal was to make funding follow students rather than institutions and to reduce long-standing disparities between schools. Several members supported the idea as overdue and more transparent, while others warned it was being done too quickly and could harm institutions with high-cost programs, research missions, or smaller enrollments. Concerns were raised about possible closures, accreditation problems, and unintended effects on workforce programs such as nursing, engineering, and technical training. The chair and vice chair said there was no intent to force consolidation, but acknowledged that some institutions would gain and others would lose under the new model. Members also questioned how the formula would treat research and doctoral funding, especially at the University of Missouri, and whether graduate programs were properly counted. The chair said some special-purpose lines were retained, but a large portion of MU’s research and doctoral funding was folded into the broader pool and redistributed through the FTE model. Several members asked for clarification on whether graduate hours were counted at nine credits, and the chair said he was not certain and would seek follow-up from staff or the department. Community college representatives were discussed as having unanimously opposed the recommendation, and the chair noted that the institutions were briefed only shortly before the hearing. No votes were taken during the exchange, and the committee appeared to be gathering testimony and concerns ahead of markup and future action on the budget bills.

Transcript Highlights:

• We built a team of a dozen people and grew a network of rating companies from just a handful to more
• qualify for the electric discount rate, but only less than 150,000 were enrolled.
• And they... ...you know, there's a rate case that is ongoing currently at the DPU.
• So what I'm saying is about a $198 million of a $342 million rate increase ask is in... ...million rate
• If I have no energy efficiency and I am only receiving a gas rate increase and being locked into this

Committee: Senate Senate Committee on Climate Change and Global Warming

Summary: The hearing focused on the value of Mass Save, with committee members and witnesses largely emphasizing that the program lowers energy bills, reduces peak demand, supports climate goals, and delivers benefits beyond direct participants. The chair opened by noting Mass Save’s long-term savings, its role in weatherization and heat pump deployment, and recent statutory changes directing the program toward emissions reductions, low- and moderate-income households, and fossil-fuel restrictions. Elizabeth Mahoney of the Department of Energy Resources said the program has evolved to broaden access and control costs, citing large weatherization totals, heat pump installations, avoided emissions, and budget controls that removed $500 million from the approved plan. She also said the governor’s proposal to have only electric utilities administer Mass Save was intended to reduce administrative and procurement costs, and she explained that outreach to low- and moderate-income communities is counted within marketing spending. Several witnesses addressed the program’s workforce and business impacts. Dave Betcher of Abode Energy Management and Rick Taglienti of Rogers Insulation said Mass Save sustains small businesses, contractors, and thousands of jobs by creating stable demand for energy-efficiency work, while warning that sharp budget cuts would lead to layoffs and discourage investment in training, equipment, and hiring. Committee members pressed them on who administers the program, and both said the program administrators and utilities collaborate, with day-to-day contractor oversight and customer work largely delegated to private vendors and community partners. Other witnesses, including Brian Biot and James Collins of the low-income network, described the “quarterbacking” model used for income-eligible customers, where community action agencies provide full project management, technical support, and wraparound services to help households access fuel assistance, discount rates, weatherization, and electrification measures. A major theme was cost-effectiveness and system-wide savings. Anna Johnson of ACEEE and Kyle Murray of Acadia Center said Mass Save returns more than it costs, reduces peak demand, and lowers prices for all ratepayers, including those who do not participate directly. They cited avoided costs in the billions, strong state rankings, and examples of peak-hour savings that avoid expensive generation and infrastructure. Amy Boyd-Rabin of the Environmental League of Massachusetts argued that energy efficiency is the cheapest way to achieve greenhouse gas reductions and that cutting the program would force more expensive power plants to run. Bronte Payne of Sunrun and Ben Sondaga of Highland Electric Fleets highlighted Connected Solutions, a Mass Save-funded virtual power plant program, saying it saves ratepayers money and can use home batteries and electric school buses to reduce peak demand and support grid reliability. Equity and affordable housing witnesses, including Mary Wampo and Barney Heath, said Mass Save has become more responsive to renters, low-income households, and designated equity communities, while also helping affordable housing projects meet passive house and electrification standards; no votes or formal actions were taken during the hearing.

Transcript Highlights:

• The SNAP rates, too: in Minnesota, in terms of a SNAP error rate, we are kind of right in the middle
• Somebody will going to pay higher rates.
• The SNAP rates too, we have in we can.
• ,</c> Minnesota in terms of a SNAP error rate, Minnesota in terms of a SNAP error rate, we<00:13:00.960
• So we're going rates, they get a pass.

Keywords: 918, senate, all

Summary: Senate DFL senators discussed the Health and Human Services supplemental budget on the floor, framing it as a response to federal HR 1 and related Trump administration policies that they said shift costs to states, counties, hospitals, and families. Senators Liz Bolden, Lindsey Port, Erin Murphy, Alice Mann, and Rob Kupec argued the bill is needed to backfill cuts to Medicaid and SNAP, stabilize hospitals, and prevent property tax increases and service disruptions. They said the package totals about $700 million, with more than $250 million aimed at hospital support and roughly $300 million to help counties absorb food-support cost shifts. Members described the federal changes as adding red tape and work-reporting requirements that would cause eligible people to lose coverage, with estimates cited of more than 150,000 Minnesotans losing Medicaid and about 62,000 losing individual-market coverage due to higher premiums. They also said counties would face new administrative burdens and hiring needs, and that rural hospitals, safety-net providers, and EMS systems would see more uncompensated care. One senator noted Dakota County could face an additional $11 million next year and property tax increases, while another said Minnesota hospitals could see charity care rise by more than $269 million next year. The discussion also covered specific funding in the bill, including $300 million for hospital stabilization, with $150 million for HCMC, nearly $115 million for other hospital stabilization grants, almost $18 million for community safety-net providers, and $15 million for rural EMS uncompensated care. Senators said these funds are short-term measures, not long-term fixes, and that if the state did nothing, the health care system and SNAP administration could collapse. They said they do not expect Republican support in the Senate and suggested longer-term options could include federal changes after the next election or state-level tax changes on the ultra-wealthy. No vote outcome was stated in the excerpt, but the senators indicated the bill would move forward with DFL support.

Transcript Highlights:

• And lastly, reducing our vacancy rates.
• When I started in the role, our vacancy rate was over 20%. It is now down to 8.9%.
• You're right that we have seen in those areas a large increase in customer rates.
• I think that Florida...” “...increase in customer rates.
• So it's a government-granted monopoly, and government sets the rates.

Committee: Senate Ethics and Elections

Summary: The committee met to consider a large slate of appointments, with the main discussion centered on the confirmation of Chavon Harris as Secretary of the Agency for Health Care Administration (AHCA). Harris testified about her background in state service and outlined agency priorities including Medicaid financial accountability, transparency, managed care oversight, behavioral health redesign, rural health access, workforce recruitment, and use of technology and AI. Senators questioned her extensively about the Hope Florida/Medicaid settlement controversy, opioid settlement-funded advertising campaigns tied to marijuana prevention and the 2024 Amendment 3 election, public records compliance, abortion reporting and enforcement under the Heartbeat Protection Act, managed care denials, value-based purchasing, and Medicaid funding pressures. After debate, the committee voted to recommend her confirmation, with Senator Polsky voting no. The committee then considered Anna Ortega and Robert Payne for the Florida Public Service Commission. Ortega, a current PSC commissioner and former staff advisor, discussed utility regulation, data center load issues, ratepayer protections, transparency in PSC decisions, and lessons from other states. Payne, a former legislator and longtime utility co-op employee, emphasized his technical background and the need to balance utility returns with consumer affordability. Both nominees were confirmed by unanimous or near-unanimous votes and recommended favorably to the full Senate. Next, the committee heard from Jeffrey Aaron for reappointment to the Public Employees Relations Commission. Aaron described PERC’s role in public-sector labor disputes and said his work had been upheld in appellate courts without reversal. Senators questioned him about his law firm’s state contracts, his role as chairman of Attorney General James Uthmeier’s PAC, and his connection to the Hope Florida Foundation matter; he declined to discuss the pending investigation. Public testimony included opposition from Florida Voice for the Unborn. The committee nevertheless recommended his confirmation, with several no votes. Finally, the committee approved the remaining appointees on tabs 5 through 46 in a single vote, postponing Dr. John Littell and DCF Secretary Hatch, and then adjourned.