Transcript Highlights:

• And community college partnerships?
• because that, the community involvement, the community colleges, are trying to do the same thing.
• And community college partnerships?
• because that, the community involvement, the community colleges, that forward because that the community
• with community college students as they're working their way through community college, and I'm really

Summary: The subcommittee heard opening remarks and updates from UC President James Milliken and CSU Chancellor Mildred Garcia on the state of higher education, including federal funding losses, civil rights/Title IX compliance, enrollment, housing, and budget needs. Both leaders emphasized the value of UC and CSU to California’s workforce, research, and economic mobility, while warning that federal grant cancellations, investigations, and changes to student aid are creating major financial and operational strain. UC reported losing or having at risk more than 1,600 grants and over $1 billion in research activity, while CSU said it had lost more than 200 grants totaling about $161 million, including minority-serving institution grants that affected student support programs. Both systems said they are investing in civil rights services and trying to limit the release of personally identifiable information in response to federal requests. The committee then reviewed the higher education student housing grant program. Finance and Legislative Analyst’s Office staff said the governor’s budget does not include major new changes but continues support for the program. CSU reported 12 approved projects that will add about 5,047 beds, with roughly 75% below market rate, and said it has about 68,000 beds systemwide, a 92% occupancy rate, and ongoing housing insecurity among students. UC said its housing projects have added more than 7,000 beds when reduced-rent and regular-rent units are combined, but nearly 10,000 students were on housing wait lists at the start of fall 2025. Both systems described rapid rehousing efforts, emergency beds, and partnerships with community colleges, and UC noted several joint housing projects, including at Riverside, Merced, and Santa Cruz. Members discussed whether future housing bonds and use of surplus school sites could help expand capacity. In the enrollment section, the LAO recommended maintaining UC’s 2026-27 resident undergraduate target, funding enrollment growth separately from base increases, pausing the nonresident reduction plan at the three highest-demand UC campuses, and holding UC enrollment flat in 2027-28. For CSU, the LAO recommended revising the 2026-27 enrollment expectation downward to reflect updated projections, while also funding enrollment growth separately and holding enrollment flat in 2027-28. CSU said it has rebounded from pandemic-era declines, is above its funded target by about 3,000 FTE, and is shifting about $89 million and 10,000 FTE from lower-demand campuses to higher-demand ones while developing turnaround plans for seven campuses with sustained enrollment declines, including Sonoma State. UC said it has already exceeded its compact enrollment goals and is planning continued growth, but that sustaining it depends on ongoing state support. Members raised concerns about campus-specific enrollment declines, nonresident caps at UC San Diego, and the need for stronger turnaround plans and teacher preparation pathways. The final section covered core operations and deferred payments: Finance said the governor proposes another one-year deferral of about $129.7 million for UC and $143.8 million for CSU, and the LAO recommended retiring the deferrals when one-time funds are available. CSU described rising compensation, financial aid, utilities, insurance, and deferred maintenance costs, and said it is pursuing cost-saving measures such as procurement alignment, campus integration, and shared administrative services.

Transcript Highlights:

• If you give the ability for community members to do what we do best, for community-based organizations
• Nah, we need to invest in community people for the community so we can save the community, right?
• So I feel like I can make a difference in my community for sure, because I know my community needs.
• I want to know about other communities, different communities, different cities, different states.
• It prioritizes the community first.

Transcript Highlights:

• But what I do know from the research that I do is, in communities, it is very important for community
• who inform their communities.
• , to engage communities.
• Native communities.
• It touches all our communities.

Summary: The committee heard a work session on voting access on tribal lands, beginning with a presentation from Dr. Chelsea Jones of the Brennan Center. She described barriers affecting Native voters and voters on tribal lands, including long travel distances to polling places and drop boxes, nontraditional addresses, unreliable postal service, language access, and limited broadband. Citing research, she said turnout on tribal lands trails turnout off tribal lands by about 10 percentage points nationally and about 10% in Washington, with larger gaps in some convenience voting measures. Members asked about the meaning of “lost votes,” the role of tribal leadership and community trust, and whether outreach by election officials and candidates could help; Dr. Jones emphasized that the study measured missed voting opportunities, not missing ballots, and that partnerships with trusted community leaders are important. The University of Washington Elections Database then presented data on voter registration, turnout, signature challenges, curing, and ballot rejection for voters whose addresses fall within tribal reservation boundaries. The presenters said registration on reservations increased from about 107,000 in 2010 to 137,000 in 2024, turnout on reservations remained about 8 to 9 percentage points lower than outside reservations in recent general elections, and signature-challenge and rejection rates were generally low but somewhat higher in off-year elections. They reported that about 60% to two-thirds of signature-challenged ballots are cured, with cure rates similar inside and outside reservations, and that late return is the most common reason for primary ballot rejection while signature mismatch is the leading cause in general elections. A question was raised about USPS postmarking issues and how those might affect future data; the presenters said they plan to track return method and cure timing more closely. The committee also received an overview of the Governor’s Office of Indian Affairs. Staff reviewed the office’s history, the Centennial Accord, the Millennium Agreement, and related state-tribal frameworks, and GOIA Director Tim Rainan described the office’s role as a bridge between the state and tribal governments, including consultation, policy coordination, training, and convening work groups. He said GOIA now has six positions, is part of the governor’s executive cabinet, and is working on a statewide tribal relations training module and consultation handbook. In response to a question, he said tribal voting is not a major topic at the Centennial Accord but is discussed more extensively through ATNI. The committee then shifted to contracting equity, hearing from WSDOT, DES, OMWBE, and the Office of Equity. WSDOT described its race-neutral small business and veteran goals, mentorship and support programs, and its response to the federal suspension of the DBE program; DES discussed statewide contracting spend, the EDGE pilot for small construction firms, and efforts to improve procurement access; OMWBE reported growth in certified firms and about $371 million in state spend with certified firms in the most recent year, while noting ongoing impacts from federal DBE changes; and the Office of Equity outlined its broader work on agency consultation, dashboards, and systems change. No votes were taken.

Transcript Highlights:

• So they are utilizing a train-the-trainer module so that communities and community organizations have
• Um, community solar, there were some questions about the details of community solar.
• I'm here to speak in support of Community Solar and the Community Energy Development Block Grant.
• Climate change impacts low-income communities and frontline communities.
• to the Community Benefits Fund.

Committee: House Water & Natural Resources Committee

Transcript Highlights:

• I think it changed juvenile community corrections to juvenile community connections and had to do with
• for the program in that community.
• . a community as opposed to a convict.
• to just juvenile community corrections.
• This would help to centralize that communication.

Committee: House House Judiciary

Transcript Highlights:

• The court conducted several region-based conversations with community members, and they brought community
• And so a lot of this is for us talking to communities, understanding the communities, getting feedback
• partnerships and problem solving and moving people from institutions to the community. community.
• You know, 90 days before they're moving back to the community, but after they move out into the community
• Community Restored Justice won the bid.

Summary: The Special Commission on Correctional Consolidation and Collaboration met to approve the May 5 minutes and hear a presentation from the Massachusetts Probation Service. The minutes were approved unanimously, with a request that a member’s closing remarks be added to the record. The commission also noted online participants and confirmed quorum before moving to the presentation. Probation leaders described the agency’s role as the state’s largest post-release supervision system and emphasized its focus on reentry, accountability, and reducing technical violations. They outlined the from-and-after sentencing structure, dual supervision with parole, and efforts to reduce revocations and non-criminal violations. Members asked about racial and ethnic disparity work, and probation said that effort is funded through the trial court and state budget, not federal grants. The presentation highlighted community engagement, simplified and translated probation conditions, workforce diversification, and training aimed at improving trust and access for court users. A major portion of the discussion focused on Community Justice Support Centers, evidence-based programming, and shared services such as housing, MassHealth enrollment, transportation, and behavioral health referrals. Probation said the centers are underutilized but have shown improved outcomes in non-randomized studies, with lower recidivism among participants compared with similar probationers. Members discussed mental health access, veterans identification, medication-assisted treatment, and the importance of state IDs and driver’s licenses for successful reentry. The commission also heard about housing supports, including transitional and sober housing, and a statewide behavioral health initiative for justice-involved individuals. The meeting ended with plans for the next session on July 11 and a motion to adjourn, which passed.

Transcript Highlights:

• </c><00:14:44.720><c> Uh</c> Community Association in support. Uh Community Association in support.
• :14:46.800><c> Health</c> National Association of Community Health National Association of Community
• Community equity, and social justice.
• </c><00:15:59.120><c> strong</c> community rooted leadership and strong community rooted leadership and
• </c> members be community health workers. members be community health workers.

Committee: House Health

Summary: The Committee on Health met on April 11, 2025, and heard testimony on a series of Senate concurrent and Senate resolution measures focused on health system oversight, workforce standards, and access to care. Topics included an auditor study on mandated insurance coverage for intravenous ketamine therapy for depression (SCR 8 SD1), a working group on prior authorization reform (STR 10 SD2), a task force on minimum professional standards for community health worker training (STR 16 SD1), a pharmacy benefit manager reform working group (SCR 69 SD1), a pharmacy reimbursement working group (STR 70 SD1), an aeromedical services working group (STR 86 SD1), a catchment-water feasibility study for business use (STR 118 SD1), an auditor study on mandatory coverage for continuous glucose monitors (STR 120 SD1), and a resolution encouraging reduced use of disposable surgical equipment and more sustainable health care practices (STR 194 SD1). Testimony was generally supportive across the measures, with several agencies and organizations noting the need to address complex health policy issues and improve access, transparency, and sustainability. For STR 16 SD1, community health worker advocates strongly supported the resolution but asked for amendments to include the Hawaii Community Health Worker Association on the task force and to require that at least half of the task force members be community health workers. For the PBM-related measures, SHPDA said it was willing to convene the work group and described the issue as complex, while the Pharmaceutical Care Management Association asked that PBMs be included in the working group. For STR 10 SD2, SHPDA supported the effort to reduce prior authorization burdens and said the process is a "black box" that needs reform; the chair later noted the administration’s commitment to the issue. For STR 86 SD1, the Department of Health supported the aeromed working group, and the chair proposed a House Draft 1 with technical changes and added representation from independent provider operators. In decision making, the committee adopted the chair’s recommendations on all measures considered. SCR 8 SD1 was passed as is. STR 10 SD2 was deferred. STR 16 SD1, STR 70 SD1, STR 118 SD1, STR 120 SD1, and STR 194 SD1 were passed as is. SCR 69 SD1 was passed with amendments, and STR 86 SD1 was passed with amendments. The meeting concluded with adjournment after all votes were taken.

Transcript Highlights:

• , advocacy community, business community, and consumers regarding policy and program development, identifying
• , advocacy community, business community, and consumers regarding policy and program development, identifying
• So community action in North Dakota—community action is actually part of a national movement.
• In community action, and again, we're In community action, and again, we're statewide.
• So I was asked to touch on the Community Services Block Grant, not to be confused with the Community

Committee: Joint Human Services

Summary: The Human Services Committee met in interim session and first approved the previous meeting minutes before receiving a series of presentations on homelessness and housing stability. Jennifer Henderson of the North Dakota Housing Finance Agency updated members on the new Interagency Council on Homelessness, describing its executive-order mandate to review resources, gather input from stakeholders, identify gaps, and develop recommendations. She said the council’s first work is building a statewide program matrix of existing homeless services and funding sources, with attention to youth, tribal communities, and other vulnerable populations. Members raised concerns about youth homelessness, homeless veterans, and how the council will stay focused on a practical framework rather than getting lost in details. The committee also discussed possible connections to the rural health transformation grant and agreed to continue the topic later in the spring. Beth Olson of Presentation Partners in Housing described the organization’s housing-first model in Cass County and Clay County, including homeless prevention/diversion, housing navigation, and Cooper House, a 42-unit permanent supportive housing building in Fargo. She said the organization focuses on people with long-term and chronic homelessness, many with mental health, addiction, health, domestic violence, and Indigenous identity-related barriers, and reported strong outcomes: 85 of 86 people housed in 2025, 91% still housed after one year, and major reductions in emergency room use, ambulance rides, jail stays, detox days, and shelter use. She also explained that state funding has grown from a small share of the budget to about $1.1 million in state-connected funding for fiscal 2026, largely through contracts tied to supportive services. Members asked about vouchers, rent contributions at Cooper House, length of stay, and whether similar projects could be expanded elsewhere. Andrea Olson of the Community Action Partnership of North Dakota outlined statewide homeless and housing-related services delivered through six community action agencies in all 53 counties. She explained the Community Services Block Grant structure, said housing was identified as the top need in the most recent statewide needs assessment, and described programs including Supportive Services for Veteran Families, North Dakota Homeless Grant services, and Home ARP supportive services. She emphasized that the end of North Dakota Rent Help has increased pressure on the system, that the current $2 million annual homeless grant is far smaller than prior rent-help assistance, and that community action is using case management and financial assistance to move households toward self-sufficiency. Members asked about funding formulas, rural service delivery, and coordination with Presentation Partners to avoid duplication. YouthWorks then began a presentation on youth homelessness, describing services for ages 12 to 24, the special needs of youth and former foster youth, and the organization’s use of federal and state funds to support transitional housing, emergency shelter, maternity housing, and diversion services.

Transcript Highlights:

• Homelessness is a problem in communities all over; it's not just confined to rural communities or urban
• communities like mine.
• And yes, the makeup of the board has membership from rural communities and the larger communities.
• of communities, because this is a community issue, do we have a preponderance of communities that are
• of communities, because this is a community issue, do we have a preponderance of communities coming

Bills: HB4420 , HB3974 , HB3016 , HB3062 , HB3021 , HB3145 , HB4128 , HB3131 , HB3015 , HB3472 , HB3453 , HB1638 , HB4126 , HB2696 , HB2710 , HB3552 , HB3031 , HB3544 , HB3521 , HB4490 , HB4488 , HB1746 , HJR1069 , HB4428 , HB4429 , HB1170 , HB3538 , HB4124 , HB3904 , HB4106 , HB2999 , HB3982 , HJR1077 , HB3464 , HB2588 , HB3462 , HB4440 , HB3674 , HB3345 , HJR1067 , HB4326 , HB4331 , HB4337 , HB4338 , HB4359 , HB4392 , HB3557 , HJR1076 , HB4003 , HB3495 , HB3497 , HB3501 , HB3505 , HB3749 , HB3011 , HB4336 , HB4346 , HJR1087 , HB3240 , HB3647 , HB3796 , HB3969 , HB3972 , HB3983 , HB3984 , HB3989 , HB3383 , HB3130 , HB4358 , HB3327 , HJR1055 , HB3386 , HJR1089 , HB3087 , HB2970 , HB3314 , HB4129 , HB4199

Summary: The House began with a quorum call and several introductions, including Wagner Student Council, Heartland Homeschool educators, Northwest Technology Center leadership students, Leadership Oklahoma Class 37, and guests from domestic violence and sexual assault service providers. The chamber then took up House Bill 3131 on homeless shelter standards. The bill, as amended, would set baseline health, safety, sanitation, incident reporting, and fiscal transparency standards for shelters receiving state-administered federal funds, with a limited board to help write rules and local officials notified of issues. Supporters said it was aimed mainly at smaller communities lacking resources, while opponents argued it added state oversight without collaboration or funding and could burden nonprofits and faith-based shelters. The bill passed 65-31. Members then passed several other measures: House Bill 3015 authorizing Service Oklahoma to issue and manage electronic credentials; House Bill 3472 on environment and natural resources; House Bill 3453 on eminent domain, shifting the burden of proof in court to the condemning authority while carving out utilities and oil and gas; House Bill 1638 expanding the Governmental Tort Claims Act definition of public trust to include trusts overseeing county jail facilities; House Bill 4128 on Game and Fish, adjusting bear hunting rules in selected eastern counties; and House Bill 4126 limiting liability for motocross and similar recreational tracks. House Bill 2710 created a 15-member committee to review future statewide radio system needs, and House Bill 2696, an open records bill for school district security and cybersecurity information, was amended and passed. House Bill 3552, giving child care providers flexibility to bridge subsidy reimbursement and tuition rates, also passed, though its emergency clause failed. Later, House Bill 3031 was amended to create a workforce development fund in the Department of Commerce and passed, but its emergency clause failed. House Bill 3544 was narrowed to regulate social AI companions and protect minors from harmful interactions, and passed unanimously. House Bill 3521 modernized money transmission law, updated fees, and added rules for digital asset kiosks. House Bill 4488 established a standardized appraisal process for first-party motor vehicle damage disputes under insurance law. House Bill 1746 allowed juvenile detention facilities for high-risk youth to adopt safety plans. Finally, House Joint Resolution 1069 updated constitutional county boundary language and county-seat references, including adding Cotton County to the Constitution and making other boundary cleanup changes; it passed 74-14. The House then recessed.

Transcript Highlights:

• Protection Program while also maintaining the safety of the community.
• It's a community protection program.
• It is a Community Protection Program, and we still need to protect the community, and these services
• It updates the DDA's new name to Home and Community Living Administration.
• The community may not understand... ...with the disabled community.

Bills: HB2510 , SGA9305

Committee: Senate Human Services

Keywords: community custody, probation, Department of Corrections, DOC supervision, Washington criminal law, sentencing, felony supervision, risk assessment, sex offense, serious violent offense, domestic violence, repetitive domestic violence, failure to register, sex offender registration, dangerous mentally ill offender, indeterminate sentence, parole, conditional commutation, gross misdemeanor, misdemeanor

Transcript Highlights:

• We also have a ground lease model to sustain affordable housing in our community.
• We also have a ground lease model to sustain affordable housing in our community.
• Who can no longer afford to live in that community, this gives them an opportunity to stay in the community
• The faith communities are embedded in their communities.
• I would like to share an example of what can happen to the larger community when a faith community takes

Bills: HB1717 , HB1859

Committee: House Finance

Keywords: affordable housing, sales tax, housing programs, tax incentives, economic development, religious organizations, development, housing opportunities, land use

Transcript Highlights:

• be back in the communities?
• , they need to feel connected to those communities.
• Community violence intervention programs save lives.
• The Healthy Community Initiative's Crime Community Crime Intervention and Prevention Project works directly
• members to sustain safe communities.

Committee: House Public Safety Finance and Policy

Transcript Highlights:

• , celebrated by a wide diaspora of the South Asian community.
• was very small at the time in the community I lived in.
• It was a time when we could be celebrating in community together with a community I felt deeply connected
• , but the people who come and work in our communities.
• with the Rural Community Assistance Corporation.

Summary: The Governmental Organization Committee heard a series of bills on holidays, procurement, public safety, and business regulation. AB 268 would add Diwali as an official state holiday and allow schools and state workers limited flexibility to observe it; supporters described it as a recognition of California’s large South Asian and Hindu communities, and there was no opposition. AB 770 would define “customary maintenance” for outdoor advertising displays to clarify what repairs and reinforcements are allowed; the bill was presented as a safety and consistency measure for the billboard industry. AB 783 would authorize the Department of General Services to negotiate bulk pricing for construction materials to help disaster-affected communities rebuild more affordably, with supporters from the housing and building sectors and some members raising concerns about state contracting, storage, and implementation. AB 381 would update state procurement rules to better prevent human trafficking and forced labor in supply chains, aligning state policy with federal standards and drawing support from anti-trafficking advocates, labor, and local government representatives. AB 668 would extend drink-spiking prevention measures to music festivals by requiring test strips, drink lids, and reporting procedures; supporters emphasized victim safety and underreporting, while venue operators opposed the bill unless amended, citing feasibility and cost concerns. AB 880 would require prompt payment and indirect cost coverage for nonprofits contracting with the state, with broad nonprofit support and no opposition. AB 989 would make California Native American Day a paid holiday, with tribal and allied support. AB 592 would extend and expand temporary outdoor dining and alcohol service flexibilities for restaurants, with strong support from restaurant and business groups and opposition from alcohol policy advocates who preferred a narrower or permanent grandfathering approach. Most bills advanced on committee votes, generally on party-line or broad bipartisan support. AB 770 was moved to Appropriations, AB 783 was passed as amended to the Assembly Committee on Emergency Management, AB 381 was sent to Labor, AB 668 and AB 880 were sent to Appropriations, AB 989 was sent to Public Employees and Retirement, and AB 592 was sent to Health. The committee also took up a consent calendar containing several additional bills, which was approved. The hearing ended with the roll left open for additional votes and adjournment at 3:17 p.m.

Transcript Highlights:

• This bill will allow communication to successfully occur.
• So communication is lost once again. I have three examples. So communication is lost once again.
• Communication Access Services is not an option.
• Communication Accent Services is not an option.
• I hope this isn't on behalf of the entire community.

Committee: House General Laws

Transcript Highlights:

• Whether it involved, whether it had certain impacts to the various communities, right?
• GoServe can consists of the Office of Community Partnerships and Strategic Communications, California
• Partnerships and Strategic Communications.
• Partnerships and Strategic Communications, OCPSC, to provide grant funding to community-based organizations
• and economic conditions of these communities.

Transcript Highlights:

• It is a true win-win for the community.
• engagement, and community building.
• to urban communities, which are largely exempt from placement right now. ...on rural communities as
• It is injuring our communities.
• to the entire community.

Summary: The committee heard a large public safety agenda and began by announcing several bills off calendar and limiting testimony to two witnesses per side. The first major item was AB 2698, which would authorize local governments to create youth court diversion programs for first-time juvenile offenders. The author and supporters, including Bakersfield Police Department representatives and a student participant, described the program as restorative, record-clearing, and successful in Bakersfield. Opponents argued it was not true diversion because it occurs after adjudication, could widen system involvement, and should instead be replaced by pre-arrest community-based diversion. The bill was moved on a due pass motion to Appropriations, but remained on call with some members not voting. The committee also adopted a consent calendar of ten bills without opposition. The committee then heard AB 1959, which would create a narrow exception allowing resentencing in adult court for certain violent juvenile offenders in a case arising from the Santana High School shooting. The author, San Diego County District Attorney Summer Stephan, and a survivor/city councilmember argued the bill would close a loophole that could lead to resentencing and early release despite parole denials. Several organizations registered opposition or opposed unless amended, but many noted they were reviewing the amended version. The bill was moved due pass as amended to Appropriations and remained on call. AB 1628, extending California’s safe surrender window for newborns from 72 hours to 30 days, drew broad support from the author, firefighters, medical and child welfare groups, and no opposition; it was moved due pass to Human Services and remained on call. The committee also approved AB 1974, which authorizes law enforcement agencies to create voluntary temporary firearm storage programs. The author and supporters from San Francisco law enforcement, Giffords, and gun safety groups said the bill would expand safe storage options during crises and in custody disputes; there was no opposition, and it passed due pass as amended. AB 2297, requiring restitution in diversion cases, drew support from the author, district attorneys, and victims’ advocates, while opponents argued it was duplicative, could burden low-income participants, and might undermine diversion success. After discussion about restitution law and ability to pay, the bill passed due pass. Finally, AB 2438, which would require people sentenced to more than six years to serve in state prison rather than county jail, drew support from the author and Riverside County Sheriff Bianco, who said realignment had overcrowded county jails and strained resources. Opponents warned it could worsen state prison overcrowding and conflict with realignment’s purpose. The chair recommended no, and the bill was moved due pass and re-refer to Appropriations, remaining on call.

Transcript Highlights:

• The system is broken and it's failing our community.
• Community members have repeatedly demanded transparency.
• Community Colleges Reserve Fund Oversight.
• community organizations getting involved.
• Letters only went to the STEM community.

Summary: The committee heard several audit requests and related testimony. The first major item was an audit of Coachella Valley Unified School District’s contract and fiscal management. The author and supporters described long-standing fiscal mismanagement, large budget shortfalls, layoffs, contracting concerns, and questions about the district’s foundation and use of public funds. District representatives and the Riverside County Office of Education said the district is already under fiscal oversight, has a stabilization plan, and is working to reduce deficits and improve student outcomes. After extensive debate and public comment, the motion to approve the audit was put on call because the committee did not have the required votes from both houses at that moment. The committee then approved an audit of East Bay transit agencies in Alameda and Contra Costa counties. Senator Wahab argued the region’s many overlapping transit agencies create fragmentation, duplication, and inefficiency, especially amid a fiscal cliff and possible future tax increases. Transit agencies and labor representatives opposed the audit, saying the agencies already undergo multiple audits, serve distinct local needs, and are implementing regional coordination efforts. After testimony from agency leaders and public commenters, the committee voted to approve the audit. The next item was an audit of California Community Colleges’ unrestricted reserves. Senator Archuleta and supporting faculty representatives said reserves have grown substantially and may be diverting resources from student services, instruction, and workforce programs. They argued there is little oversight when reserves become too high. The Chancellor’s Office and Calbright College were invited to respond, and the audit objectives focused on reserve growth, reasons for high balances, oversight by the Chancellor’s Office, and effects on students and staff. The transcript cuts off during the Chancellor’s Office response, so the final committee action on this item is not shown.

Transcript Highlights:

• The state should also partner with and invest in community health workers and community-based organizations
• While there is some availability of community health worker support, community health workers cannot
• The other thing that I think has been a major draw is our community engagement and community integration
• Now, I can tell you that community integration, the power of community, has really accentuated just the
• Now, I can tell you that the community integration, the power of community has really accentuate the,

Committee: House Health

Transcript Highlights:

• Designed with a community engagement framework, our robust community advisory board composed of doula
• And we really think about that in terms of home, school, and community.
• And at a time when our president is both criminalizing care to the LGBTQ community, adolescent community
• specifically, and how we have a child... ...to the LGBTQ community, adolescent community specifically
• How do we advise all our different communities?

Committee: Joint Joint Committee on Public Health

Summary: The Joint Committee on Public Health held an introductory informational hearing for the new session, with Chairs Marjorie Decker and Senator Michael Driscoll outlining the committee’s scope and emphasizing the impact of the federal landscape on Massachusetts public health. They noted the hearing would focus on testimony from agencies and advocates, with short testimony limits due to the hybrid format. No votes were taken; the meeting was for briefing and discussion of priorities. Commissioner Robbie Goldstein of the Department of Public Health described the department’s budget and federal funding, warning that recent CDC grant terminations could cut nearly $100 million and affect lab testing, surveillance, vaccines, and community engagement. He highlighted DPH priorities including racial equity, maternal health, substance use and child welfare coordination, emergency preparedness, data transparency, and public hospital quality. MassHealth Assistant Secretary Michael Levine discussed MassHealth’s role covering about 2 million residents and its priorities in health equity, behavioral health, primary care, member independence, and customer service, while noting the agency relies heavily on federal Medicaid dollars and would face major strain from federal cuts. Several advocacy and provider groups focused on reproductive health and maternal health. Planned Parenthood warned of threats to Title X, 340B savings, and other federal funding, and supported a bill to eliminate parental consent and judicial bypass for abortion care for young people. Reproductive Equity Now urged stronger shield-law protections and changes to Massachusetts’ later-abortion framework. Dr. Indyamaka Anugaka called for full implementation of the maternal health law, better reimbursement for doulas and midwives, stronger data collection, and support for full-spectrum pregnancy care coverage. The Health Policy Commission said new maternal health and primary care task forces would begin work soon. Mental health and health system access were also major themes. The Mass Medical Society urged action on vaccine hesitancy, removal of non-medical school vaccine exemptions, and primary care reform. The Massachusetts Association for Mental Health and the Children’s Mental Health Campaign opposed proposed cuts to DMH and substance use services, called for more school-based supports, and raised concerns about inpatient capacity, including a unit serving LGBTQ youth. The Massachusetts Nurses Association and 1199 SEIU warned that staffing shortages, low wages, workplace violence, hospital closures, and possible Medicaid cuts threaten patient care and the health care workforce. The Betsy Lehman Center also urged investment in automated patient-safety monitoring to reduce harm and costs.

Transcript Highlights:

• </c> focusing on wellness, having community focusing on wellness, having community health<00:12:06.000
• </c> community- based? community- based?
• </c> &gt;&gt; It is written to be community- based. &gt;&gt; It is written to be community- based.
• </c> the community and be in a waiver. Okay? the community and be in a waiver. Okay?
• So, Home and Community Based, Michelle P, or Supports for Community Living, SCCL.

Summary: The Medicaid Oversight Advisory Board’s fourth meeting focused primarily on a presentation from University of Kentucky and University of Louisville health leaders about the state university directed payment program. Mark Birdwhistle and Ken Marshall described the program as a long-running, value-based Medicaid arrangement that began in 2019, uses university-provided matching funds rather than provider taxes, and ties a portion of payments to quality outcomes. They said the program has improved measures such as tobacco cessation, diabetes control, depression screening, and cancer screening, while supporting access to specialty care, medical education, and workforce training. They also emphasized that Kentucky’s model is nationally notable and has helped improve health rankings and generate cost savings. A major topic was the federal reconciliation bill signed July 4, which the presenters said will reduce directed payments by 10% annually for 10 years beginning in 2028. UL Health estimated a first-year loss of about $75 million and a cumulative loss of about $600 million over the decade; UK estimated about $100 million in the first year, for a combined first-year impact of roughly $175 million. Both speakers warned the cuts could affect access to care, training capacity, and the sustainability of Kentucky’s value-based model, though they expressed hope that congressional action could alter or delay the changes. They also noted that 340B drug pricing changes could further strain already thin operating margins, but did not provide exact figures during the meeting. Committee members responded positively to the program’s reported outcomes and the institutions’ role in Kentucky health care. Senator Berg praised the quality of care and shared a personal example of being advised to stay at UofL for breast cancer treatment. Representative Moer highlighted Kentucky’s strong cancer-control score and asked for more explanation of the value-based payment structure; the presenters said the system is built around ongoing measurement, accountability, and collaboration with the Cabinet for Health and Family Services. No votes or formal actions were taken beyond approving the amended August 27 minutes by voice vote.