Video & Transcript Research : 'prerelease services'

Page 117 of 500
CA
Transcript Highlights:
  • Gigabit service underscores the same pattern.
  • Fortunately, the Department of Health Care Services and Social Services continue to remind their customers
  • Verizon doesn't offer any wireline service in California, and they offer wireline service in a number
  • basic essential service, such as food, rent, and unitities.
  • Basic essential services such as food, rent, and utilities.
Summary: The Assembly Communications and Conveyance Committee held an informational hearing on the state of broadband affordability in California. Chair Tasha Berner said the committee was examining how broadband prices, access, and affordability are affecting households, especially after the end of the federal Affordable Connectivity Program and amid concerns about federal resistance to state broadband regulation. She noted the committee’s continued interest in policy options for 2026 and referenced prior legislation, including AB 353, that would have required affordable home internet as a condition of doing business in California. Industry witnesses from U.S. Telecom and CTIA argued that broadband and wireless prices have generally fallen in real terms even as inflation and other household costs have risen, citing competition, infrastructure investment, and faster speeds as the main drivers. They said California’s higher costs are tied to permitting delays, taxes, copper theft, and legacy obligations such as COLR requirements, and they urged the Legislature to preserve market incentives, reduce fees and regulatory burdens, and support infrastructure deployment. They also discussed fixed wireless access, federal BEAD funding, and Universal Service Fund reform, arguing that more entities benefiting from networks, including tech platforms, should contribute to support programs. Consumer and public-interest witnesses presented a different view, saying California still has a serious affordability and adoption problem, especially for low-income households. Sunny McPhee of the California Emerging Technology Fund said broadband adoption has improved dramatically over time, but about 500,000 households remain offline or underconnected and many low-income households still pay above the FCC affordability benchmark. Ernesto Falcon of the CPUC Public Advocates Office said California’s market is losing its competitive edge, with prices higher than in other states and meaningful price pressure coming mainly from fiber competition at the gigabit tier. He said roughly 4.8 million Californians are limited to one gigabit option and estimated that more competition could save consumers more than $1 billion annually. Both witnesses emphasized the need for stronger transparency, targeted subsidies, and a permanent affordability solution, including extending and refining the CPUC broadband Lifeline pilot and advancing SB 716. Public commenters, including representatives from cable providers, nonprofits, and digital equity organizations, largely supported SB 716 and a permanent broadband affordability program. Several urged the committee to remove a cap on the Lifeline program, expand the CPUC pilot, and invest in digital navigators, outreach, and enrollment assistance. The hearing ended without a vote or formal action, after the chair thanked the witnesses and public commenters for their testimony.
AR

Arkansas 2026 Regular Session

ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE Jun 17th, 2026

ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE

Transcript Highlights:
  • So the services that are considered... ...it away and then come back.
  • , I mean from coupon service or whatever you call it to basic services at that point.
  • This is for our third-party administrative services.
  • We issued an RFP. ...our third-party administrative services.
  • Okay, this is the Sedgwick claims management service.
Keywords: 1204, all
NH

New Hampshire 2025 Regular Session

Senate Education (01/21/2025)

Education

Transcript Highlights:
  • <00:10:11.000> we in order to provide these Services we in order to provide these Services
  • Parents need to make sure that the services billed are the services provided.
  • <00:31:12.880> the<00:31:13.039> services build are the services build are the services
  • services, nutrition services, medication monitoring, and counseling.
  • > Services nutrition services medication Services nutrition services medication monitoring<00:43:33.040
Keywords: 1191, senate, all
MO

Missouri 2026 Regular Session

Substance Abuse Prevention and Treatment Task Force Jun 25th, 2026 at 09:00 am

Substance Abuse Prevention and Treatment Task Force

Transcript Highlights:
  • It's called recovery support services, and I think it's in those situations that recovery support services
  • Treatment and other recovery services, whether APO is the best provider for those services or whether
  • model, increasing access to mobile services, and peer recovery support services.
  • to mobile services, and peer recovery support services.
  • We services.
Keywords: 959, house, all
NH

New Hampshire 2025 Regular Session

House Education Funding (04/28/2025)

Transcript Highlights:
  • their services.
  • <00:25:20.480> an<00:25:20.799> IEP<00:25:21.440> service service an IEP service
  • > but service it may be a medical service but service it may be a medical service but at<01:14
  • Medicaid service cost the of the service Medicaid service cost the of the service cost<01:19:58.640
  • <01:22:20.000> you're service, the OT service that you're service, the OT service that you're
Keywords: 928, house, all
Summary: The subcommittee met for its third discussion on special education aid under retained bill 742, with the chair noting that no action would be taken at the meeting. The chair reviewed prior hearings on Medicaid and local special education funding shortfalls, saying the committee was trying to understand why districts are facing proration of special education aid and how to reduce unfunded costs. He raised a series of questions for the Department of Education about the Nessus system, eligibility and ineligibility, invoices and vouchers, audit procedures, reimbursement rates, out-of-state placements, and who enters data at the district level. Rebecca Fdet, director of special education services at the Department of Education, explained that Nessus is the statewide special education information system and that every child in special education must be entered into it. She said most districts use it to develop IEPs and track services, while six districts use it only as a data reporting tool. She described which fields are required, how the system connects IEP development to the financial section, and how districts submit invoices when seeking special education aid, court-ordered placement payments, or episode-of-treatment placements. She said the department reviews invoices against the IEP, pays only for allowable services, and uses a cap that notifies districts when they reach the annual limit. Members asked about who submits the information, how districts decide when to seek aid, and how costs are calculated for individual or group services. Fdet said the district, usually an administrative assistant in the SAU office, submits the documentation electronically, and districts decide when to track students for aid based on their own circumstances. She said reimbursement is based on actual costs tied to the IEP, with group services split among students, and that the department does not generally set rates for local services. The only rate-setting she described was for approved private special education providers, which submit annual cost spreadsheets for tuition rates. She also said out-of-state providers must be approved by their own state, and the department checks licensure and certification through monitoring and investigations if concerns arise. The department also described its monitoring process, called Program Approval and General Supervision Monitoring, or PAGS. Fdet said districts are reviewed on a six-year cycle, with more intensive review for districts needing assistance or intervention and fewer file requests for districts meeting requirements. She said the department can review up to 65 data points on an IEP and that districts must submit special education aid paperwork by July 31, with superintendent verification due by August 15. The meeting ended with continued questions about procurement, audit procedures, and how the department handles out-of-district and out-of-state placements.
TX

Texas 89th Regular

Senate SessionReading and Referral of Bills Feb 28th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • an insurer's responsibility to review and audit a third-party administrator, to Health and Human Services
  • of certain health information by physicians and other health care providers, to Health and Human Services
  • by a parent, guardian, or managing conservator to a child's health records, to Health and Human Services
  • to a patient of an itemized bill for health care services and supplies, to Health and Human Services
  • and Human Services.
Summary: The Senate met briefly to receive first-reading referrals of a large number of bills, resolutions, and joint resolutions. The measures covered a wide range of topics, including public education, health care, criminal justice, business regulation, transportation, water and natural resources, local government, taxation, elections, and public information. Many of the filings were by Senators Hughes, Perry, Alvarado, Creighton, Hancock, Parker, Zaffirini, Blanco, and others, and included proposals on school safety, health records and billing, election procedures, water planning, housing and rent issues, energy and environmental regulation, and criminal penalties. The chamber also read several concurrent and joint resolutions, including measures designating state symbols and local honors, a proposed constitutional amendment related to gaming by the Kickapoo Traditional Tribe of Texas, a proposal concerning special-session subjects, and resolutions on fiscal restraints and retirement obligations. No debate, testimony, or substantive action on the merits of the measures occurred in this portion of the transcript; the items were simply read and referred to committees. At the close of the proceedings, the Senate adjourned pursuant to a previously adopted motion and announced it would reconvene at 11 a.m. Tuesday, March 4.
MN

Minnesota 2025-2026 Regular Session

Human services finance bill, HF3, passes MN House during 2025 special session 6/9/25

Minnesota House Floor Meeting

Transcript Highlights:
  • Before going through the Services.
  • recuperative care services, which also requires, within the recuperative care services, habitability
  • For disability services, we instituted a long-term service and support cost savings reform work group
  • rely on weight list for the services rely on weight list for the services that<00:12:42.720>
  • of service hours per day to six hours. of service hours per day to six hours.
Keywords: 1183, house
WV
Transcript Highlights:
  • Wraparound services are provided through the Department of Human Services and in partnership with the
  • service planning and coordination process for children and Based team-oriented service planning and
  • Wraparound services integrate formal services and informal supports across systems to develop and implement
  • Rapparound services integrate formal services and informal supports across systems to develop and implement
  • And then the second... ...services in coordination with the Department of Human Services.
Keywords: 994, senate, all
Summary: The committee first approved the minutes from its prior meeting and then took up House Bill 5537, a bill to repeal several obsolete or outdated code sections. Counsel explained that the bill would remove provisions related to professional development, a behavioral interventionist pilot program, county lists of facilities for child daycare, and high school graduation rates, with a proposed amendment adding another outdated education code section from 1923. The committee adopted the amendment and reported HB 5537 to the full Senate with a recommendation that it do pass as amended. The committee then considered House Bill 4656, which would shift truancy policy toward chronic absenteeism and earlier intervention. Counsel said the committee substitute would replace punitive status-offense treatment with wraparound services, student support specialists, and a new child-in-need-of-supervision process, while also ending compulsory attendance at age 18 and removing criminal penalties for 18-year-olds. Members questioned how the new thresholds would work, including the role of attendance directors, prosecutors, judges, and the Department of Human Services, and whether the bill would change current diversion funding or court authority. Witnesses from Fayette County, Greenbrier County, and Taylor County largely opposed the bill or urged caution. The Fayette County attendance director said current truancy procedures, including school-based probation and court involvement, help secure family participation and services, and warned that removing the status offense would weaken enforcement. A Greenbrier County probation officer said diversion programs are effective and that court involvement often leads to needed services. A Taylor County juvenile prosecutor said status-offense jurisdiction gives courts meaningful leverage and flexibility, and asked that counties be allowed to keep existing approaches that work locally. After testimony, the committee voted to report HB 4656 to the full Senate without recommendation and with a recommendation that it be re-referred to the Committee on Education, then adjourned.
NH

New Hampshire 2026 Regular Session

Senate Executive Departments and Administration (02/18/2026)

Executive Departments and Administration

Transcript Highlights:
  • Services.
  • community based services that services community based services are<01:07:43.039> um<01:07:43.599
  • inadequate language services, and inadequate language services. services. services.
  • act as a hub for these services. act as a hub for these services.
  • service.
Keywords: 1191, senate, all
TX

Texas 89th Regular

Senate SessionReading and Referral of Bills Feb 24th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • by insurers and health care providers, to Health and Human Services.
  • executive council, to Health and Human Services.
  • Senate Bill 1075 by Hall, relating to excuses from grand jury service, to State Affairs.
  • to a local intellectual and developmental disability authority for services, to Education K-16.
  • by certain health benefit plan issuers to Health and Human Services.
Summary: The Senate met briefly and referred a large number of first-reading bills and resolutions to standing committees. The measures covered a wide range of topics, including hemp regulation, dementia research funding, parental rights and public education, municipal library funding, tax and local government issues, criminal justice, health care, education, transportation, natural resources, and election law. Several constitutional resolutions were also referred, including proposals related to the Dementia Prevention and Research Institute of Texas and a severance tax revenue fund. Most of the transcript consists of the reading of bill captions and committee referrals, with no substantive debate or testimony recorded. The listed measures included proposals on school uniforms, charter schools, Medicaid fraud remedies, insurance practices, occupational licensing for people with criminal convictions, water and sewer utility cybersecurity, agricultural protections, public meeting broadcasting, and various local and state governance matters. No votes were taken on the bills in this segment. The only formal action reflected was referral of the bills and resolutions to the appropriate committees, followed by adjournment of the Senate until the next scheduled meeting.
NH

New Hampshire 2025 Regular Session

House Finance (03/12/2025)

Transcript Highlights:
  • you have medical services and Mental Health<00:38:22.319> Services<00:38:23.200> allinone
  • who is providing those services.
  • We provide primary care, dental services, behavioral health services, and substance abuse services for
  • <03:38:33.120> Services<03:38:33.720> which Emergency Medical Service Services which
  • c> other and services Adult Services and other and services Adult Services and other critical<04:
Keywords: 928, house, all
Summary: The House Finance Committee opened a public hearing on House Bills 1 and 2, which concern the governor’s proposed FY 2026-2027 budget. The chair explained that the committee must fit the budget to House Ways and Means revenue, which is about $800 million below the governor’s estimate in an almost $16 billion budget. He also noted a projected current-budget overspend, the impact of recently passed legislation, possible fee updates, no new tax proposals at that time, and the importance of federal funding and Medicaid stability. Testimony was limited to three minutes, with the chair asking speakers to avoid duplication. Much of the testimony focused on Medicaid, disability services, and home- and community-based care. Speakers urged the committee to restore or protect funding for transportation, Medicaid, day programs, in-home supports, and behavioral health services. Several individuals and providers described how cuts would affect people with disabilities, medically fragile children, and families who rely on services to remain employed and avoid institutional care. A home care provider argued that a proposed 3% Medicaid cut would increase hospitalizations and costs, while a behavioral health representative asked for sustainable Medicaid rates, uncompensated care support, housing resources, and continued funding for community behavioral health clinics. Another major topic was the Group II retirement provisions in HB 2 for public safety workers. Representatives from police, fire, corrections, probation/parole, and related associations testified in support, saying prior pension changes hurt recruitment and retention, pushed experienced workers to neighboring states, and should be reversed to restore promised benefits. They argued the provisions would help keep public safety careers viable and honor commitments made to first responders. An executive counselor also warned that when the state shifts costs away from itself, local property taxpayers bear the burden, and she opposed cost shifts such as Medicaid premiums and universal vouchers. A separate speaker urged funding public schools rather than universal vouchers, arguing vouchers can leave other students behind as resources are diverted.
MN

Minnesota 2025-2026 Regular Session

Committee on Human Services - 04/08/26

Human Services

Transcript Highlights:
  • service agreements renew. service agreements renew.
  • . services. services.
  • where<00:58:28.120> the Service Corps service places where the Service Corps service places
  • ,<01:19:54.960> SUD<01:19:55.520> services, mental health services, SUD services, mental
  • get paid for their services. get paid for their services.
Keywords: 1187, senate, all
WY

Wyoming 2026 Regular Session

Select Committee on School Finance Recalibration, June 24, 2026 - PM

Select Committee on School Finance Recalibration

Transcript Highlights:
  • This is coming from the department classifying how food services can be provided, ranging from Services
  • So, food services funding comes from a So, food services funding comes from a few different sources.
  • There was also conversation that, in addition to that food service staff, you might need a food service
  • Do food service employees put put in?
  • Our food service cook lead is $17.50.
Keywords: 916, all
MN

Minnesota 2025 1st Special Session

Committee on Health and Human Services - 03/04/25

Health and Human Services

Transcript Highlights:
  • health and Department of Human Services health and Department of Human Services for<00:04:51.560
  • Reliant first on Emergency Services Reliant first on Emergency Services being<00:15:29.839> called
  • heard in human services heard in human services and<00:24:59.720> we<00:24:59.880> will
  • hospital so we can share those Services hospital so we can share those Services back<00:54:43.760
  • We also provide follow-up services to connect individuals with ongoing services to prevent future crises
Keywords: 1187, senate, all
CA
Transcript Highlights:
  • , health care services, developmental services, and the Health and Human Services Agency to support eligible
  • Health Care Services?
  • Partners coordinated to create a web of services to eliminate gaps in service delivery for families.
  • And in some cases, they use it to provide direct services, and in other cases indirect services.
  • Services Authority, Department of Health Care Access and Information, Department of Health Care Services
Summary: The Assembly Budget Subcommittee on Human Services held an informational hearing focused on the impacts of federal HR1 on CalFresh and Medi-Cal, along with related state mitigation efforts. CDSS, DHCS, DDS, county representatives, LAO, and Finance discussed automatic exemptions, data-sharing between departments, county workload, and the timing of implementation. CDSS said about two-thirds of adults ages 18 to 64 are already known to be exempt in CalFresh, and that administrative data matches could newly exempt about 200,000 of the roughly 955,000 adults potentially at risk. DHCS said Medi-Cal work requirements would begin in 2027 and the department is working to automate exemptions, including for IHSS recipients and some caregivers, while DDS said its population is expected to be covered by auto-exemptions. County welfare directors emphasized that individualized worker contact is critical, that counties need more staffing and stable funding, and that without it they expect delays, higher error rates, and reduced exemption screening capacity. Members pressed for written timelines, county-by-county impact data, and clearer guidance; the administration said it would provide follow-up materials and technical assistance. No votes were taken. The committee then heard a separate discussion on a proposed CFAP expansion or “CFAP Plus” concept to provide state-funded benefits to additional populations affected by HR1, including lawfully present non-citizens and ABODs. CDSS said implementation could not occur before October 1, 2027 because of policy and system-design constraints, and that adding unique eligibility rules would increase complexity and cost. Finance cautioned that any expansion would have General Fund impacts likely in the hundreds of millions to multiple billions. Members asked for cost estimates and technical feedback on trailer bill language, and CDSS said it would review the proposal and respond. The hearing also covered CDSS’s CalFresh strategic plan and mandated reporter training updates. CDSS said it is hiring a strategic plan lead to develop a long-term, data-informed CalFresh plan, and that the revised mandated reporter training is on track for launch in fall/winter 2026, ahead of the July 1, 2027 statutory deadline. The training will include updated content on structural racism, ICWA protections, implicit bias, and the distinction between reporting and supporting families. Members praised the work and asked for continued updates. Later panels focused on Promise Neighborhoods, Stop the Hate, and housing programs. Promise Neighborhood advocates and CDSS described the state’s prior $12 million investment, a positive evaluation showing roughly a 4-to-1 return, and a new proposal to support place-based partnerships and community schools through AB 1969. Stop the Hate grantees and CDSS reported that the program has provided direct services, prevention, and statewide coordination to millions of Californians, and urged reauthorization before funding expires; members asked for best-practice language and discussed focusing future funding on solidarity work, harm reduction, legal services, and education. Finally, CDSS presented on the CalWORKs Housing Support Program and Housing and Disability Advocacy Program, saying proposed General Fund investments of $105 million and $55 million would prevent funding cliffs and allow the programs to continue through 2026-27, while the absence of new funding would force reductions in housing assistance, subsidies, and enrollments.
KY

Kentucky 2026 Regular Session

Senate Standing Committee on Natural Resources & Energy. (3-4-26)

Natural Resources & Energy

Transcript Highlights:
  • regulated by the Kentucky Public Service regulated by the Kentucky Public Service Commission.
  • the rate payers in the service area. the rate payers in the service area.
  • states that the monopoly of service states that the monopoly of service territories<00:10:36.200
  • case in some service areas. case in some service areas.
  • Again, these utilities were granted monopolies within these service territories to service them.
Summary: The committee met with a quorum, approved the prior minutes, and first heard Senate Bill 213 from Senator Phillip Wheeler. He described the bill as a response to rising electric bills, especially in Eastern Kentucky, and said it would give the Public Service Commission more tools to push utilities toward least-cost planning, require stronger integrated resource plans, and address utility service territories, utility sales, and generation contracts. He argued that monopoly service territories are privileges granted by the Commonwealth, not irrevocable rights, and said the bill would help prevent ratepayers from bearing the cost of poor utility decisions or sale premiums. He also said the bill would allow large new loads, such as data centers, to choose alternative power sources in certain areas to encourage economic development. Members asked questions about how the bill would work, especially the section stating that service territory rights belong to the Commonwealth and the provision dealing with utility sale premiums. Senator Wheeler explained that if a utility is sold at a premium, that premium should not simply be passed on to customers, and he said the bill aims to reduce costs for ratepayers and create more competition. Several members spoke in support of the bill’s goals while noting the complexity of utility regulation. Senator West said some companies had not been responsive to concerns about rates, Senator Williams said he would pass but wanted utilities to have enough generation to serve Kentucky users, and Chair Smith said the bill was a smart approach within the legislature’s limited authority. The committee then voted to report Senate Bill 213 favorably with the expression that the same shall pass. The committee then took up Senate Bill 8 from Senator Brandon Smith, which would modernize the Public Service Commission. He said the bill and committee substitute were intended to help the PSC handle increasingly complex utility regulation, infrastructure investment, and rate cases by expanding the commission from three to five members, with three gubernatorial appointees and two appointed by the Auditor of Public Accounts. He also said the bill would adjust the threshold for PSC review of electric transmission construction from one mile to five miles, to reduce delays while preserving oversight of major projects, and would update appointment terms and other language in the substitute. Smith said the changes were meant to improve staffing and expertise at the PSC and speed transmission buildout. The discussion was still underway when the transcript ended, and no final vote on Senate Bill 8 appears in the provided excerpt.
KY
Transcript Highlights:
  • services and, you know, or worse.
  • it's a total of 300 shoppable services it's a total of 300 shoppable services and<00:49:01.720><
  • <00:49:46.520> you're for Whatever item or service you're for Whatever item or service you're
  • <00:50:57.559> but estimate in advance of services but estimate in advance of services but
  • <00:54:29.920> area conditions that of their service area conditions that of their service
Summary: The committee began by reviewing a large slate of administrative regulations and explaining that it does not approve regulations but can find them deficient and send them back for further work. Members then asked questions on several items, including EMS reciprocity, dental hygienist licensure, and interpreter licensure. The EMS board explained that reciprocity would extend to applicants from any state, not just contiguous states, because the underlying statute had been amended. On the dental regulation, staff said the changes mainly clarified licensure requirements, reinstatement fees, and that dental hygienists administering local anesthetic must do so under direct dentist supervision. The most extended discussion involved the Board of Interpreters for the Deaf and Hard of Hearing. The board chair said the main concern was that the EIPA is an educational specialty assessment, not a nationally recognized certification, yet the regulation would allow it to support full licensure. Members discussed whether that could let educational interpreters work outside their intended scope and whether a separate educational license or statutory change would be more appropriate. The board said it did not think the regulation could be fixed further at this point and suggested a statute could create a narrower educational interpreter license. After discussion, the committee voted to defer both related interpreter regulations, 201 KAR 39:030 and the companion regulation, for further work. The committee then took up two community mental health regulations, 907 KAR 1:044 and 907 KAR 5:005, which had been found deficient in Administrative Regulations. Department for Medicaid Services staff said the rules would expand and rename the mental health associate role as a behavioral health associate, making the role available in many more facilities, but would also require additional coursework or progress toward licensure. Some members and providers raised access-to-care concerns, especially for rural areas and unlicensed staff already working in the field. Staff said the proposal had been revised through work with CMHCs and licensing boards, but the committee ultimately voted to defer both regulations as well. After finishing the regulation review, the committee heard a presentation from the Kentucky Hospital Association on the ATRIP hospital rate improvement program. Hospital representatives said ATRIP is a Medicaid state-directed payment program funded through a provider tax and federal matching dollars, allowing hospitals to receive payments tied to quality measures. They reported improvements including lower Medicaid readmissions, high sepsis screening rates, reduced infections and opioid prescribing, expanded postpartum depression and suicide screening, and training for more than 1,000 people. They said the program has helped hospitals invest in staffing and quality improvement and warned that without it, many hospitals would face severe financial strain.
MN

Minnesota 2025-2026 Regular Session

House Fraud Prevention and State Agency Oversight Policy Committee 9/17/25

Fraud Prevention and State Agency Oversight Policy

Transcript Highlights:
  • stabilization services is a Medicaid<00:10:23.680> service.
  • actually you provided a less expensive service like a transition service.
  • to support services that were provided. to support services that were provided.
  • like a transi transition service like a transi transition service. service. service.
  • case management services?
Keywords: 1183, house
MN

Minnesota 2025-2026 Regular Session

Committee on Human Services - 02/10/25

Human Services

Transcript Highlights:
  • accessing this accessing the services accessing this accessing the services and<00:10:06.880>
  • <00:10:17.880> can and direction of what the service can and direction of what the service
  • <00:12:41.120> utilization<00:12:41.880> or and service utilization or and service
  • IC is a new service available to support participants and does not replace existing services on the BI
  • January 1st of 2021 IC is a new service January 1st of 2021 IC is a new service available<00:26:
Keywords: 1187, senate, all
CA
Transcript Highlights:
  • and pregnancy-related services.
  • Seniors use more services, and they use more costly services as is medically needed when you age.
  • And we are Health and Human Services, not American-only services.
  • with providing that service.
  • those particular services, yes.
Summary: The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56. DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement. The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.