Transcript Highlights:

• But my question is the cost.
• So what is the cost of life? What's the cost of those lives that have already been mentioned?
• But in terms of the cost, if this is ever analyzed on just a pure cost-benefit analysis, it nets out
• Are you aware that it costs?
• It costs an inmate only $405 to file a federal lawsuit, and it costs the state between $7,000 and $10,000

Bills: HB1826, HB2854, HB3006, HB4614, HB5261, HB5639

Keywords: mental health, women's health, county jail, depression screening, criminal justice, HB 2854, Pokuaa-Flowers Act, parole, mandatory supervision, electronic monitoring, releasee, parole officer, hospital visit approval, general hospital, law enforcement notification, DSHS, Department of State Health Services, corrections, public safety, liability immunity

Transcript Highlights:

• are driving the rise in housing costs. are driving the rise in housing costs.
• costs? costs?
• costs increase, that cost effectiveness only gets better and better. >> Okay.
• it cost me.
• Spray foam costs more than cost more. Spray foam costs more than bad<00:39:48.160> insulation.

Keywords: 1183, house

Summary: Representative Mecklin moved House File 3545 to the general register and offered a DE amendment that removed the commissioner’s authority to choose a more efficient standard and removed the requirement that the 2038 residential energy code achieve a 70% reduction in annual net energy consumption compared with the 2006 energy use index. The amendment was adopted, and the bill was then discussed as amended. Mecklin said the bill was intended to address home affordability, arguing that energy code requirements add to housing costs and make it harder for younger Minnesotans to buy homes. Several testifiers opposed the bill, including representatives from the Center for Energy and the Environment, AIA Minnesota, Sierra Club, Fresh Energy, Housing First Minnesota, and ARXUS. They argued that energy codes are not a primary driver of housing costs, that stronger codes do not slow housing production, and that more efficient homes lower utility bills and improve comfort, safety, resilience, and climate outcomes. Testifiers cited studies and examples showing payback over time, including estimates that efficiency upgrades could pay for themselves in five to nine years and save homeowners tens of thousands of dollars over 30 years. The Department of Labor and Industry said it had concerns about the bill because it would move away from a more energy-efficient standard and could create unintended consequences in the code adoption process, though it said the current technical advisory group process already considers cost concerns. Members questioned the cost and savings estimates, especially the comparison between higher upfront mortgage costs and lower utility bills. Fresh Energy explained that its figures were based on Pacific Northwest National Laboratory and Slipstream analyses using a typical Minnesota home and that the savings were modeled over time. Representative Johnson expressed skepticism about the assumptions behind the savings numbers and argued that utility costs are not the main barrier to homeownership. The chair said the committee intended to take a vote on the bill that day, but the transcript ends before any final vote or disposition is shown.

Transcript Highlights:

• Are you suggesting that if there are costs and delays and you have to bear the cost, everyone in the
• So how much could a delay cost the state? The same it would cost the contractor.
• Second, the bill imposes potentially unrecoverable costs on existing assets and increases customer costs
• It's actually cheap, cheaper, costing one-fourth of the cost of a non-hardened system. system by using
• We think the addition of cost analysis to the commission's scope is vitally important, but without a

Bills: SB75, SB715, SB776, SB1299, SB1405, SB1968, SB2021, SB2077, SB2148, SB2321, SB2330, SB2411

Keywords: electric generation, reliability, ERCOT, Public Utility Commission, penalties, performance requirements, energy policy, construction contracts, compensatory damages, government delays, contractor, legislation, nonprofit donor privacy, membership lists, supporter confidentiality, volunteer privacy, association rights, public records exemption, Texas Public Information Act, government transparency

Transcript Highlights:

• The cost for this bill are minor and absorbable.
• As noted in the analysis, the cost is minor and absorbable, which I think is all of our favorite words
• It cost me $150 when it should have cost $50. Somebody's getting rich. Thank you.
• It cost me $150 when it should have cost $50. Somebody's getting rich. Thank you.
• There are negligible state costs here.

Summary: The Assembly Appropriations Committee met on May 14, 2025, for a regular order hearing with a large consent calendar and many individual bill presentations. The committee first approved numerous bills on consent, then heard a series of measures spanning reproductive health, child care eligibility, transportation, mental health diversion, county recorder fees, groundwater management, election deadlines, parking enforcement, consumer protections, housing, immigrant and student protections, and utility/CPUC oversight. Several bills were taken up only for presentation because they were on suspense, including ACA 4 on long-term housing funding, and the committee later approved a very large suspense calendar as a whole. Among the bills discussed, AB 260 would protect medication abortion access and providers; AB 904 would clarify child care subsidy eligibility during family leave or job search; AB 1014 would give Caltrans more flexibility on speed limits in rural highway segments; AB 46 would clarify judicial discretion in mental health diversion; AB 1413 and AB 929 addressed groundwater adjudication and SGMA-related protections for small community water systems and wetlands; AB 930 would count vote-by-mail ballots postmarked by Election Day and received within seven days; AB 1022 would end towing solely for unpaid parking tickets; AB 290 and AB 302 dealt with automatic payments for the California Fair Plan and medical data protections; AB 1303 would remove the need for a Social Security number for California Lifeline eligibility; and several housing bills, including AB 920, AB 956, AB 1470, AB 893, and AB 1021, sought to streamline approvals or expand housing options. AB 1318 and AB 49 focused on immigrant-serving nonprofits and keeping immigration enforcement out of schools, while AB 1532 extended telecommunications and transportation access programs and added CPUC accountability measures. Testimony was generally supportive for the bills heard, with authors and sponsors emphasizing low or absorbable fiscal impacts, consumer protection, housing production, public safety, and protections for vulnerable communities. Opposition appeared on a few measures, including concerns about ADUs, towing authority, charter school-related issues, and the scale of proposed housing funding in ACA 4. Several members also commented in support of the housing and immigrant-protection measures, and some bills were voted out with recorded no votes or not-voting members noted. After the suspense calendar was deemed approved, the committee opened public comment on bills not presented that day, heard a long list of supporters and opponents on various measures, and then adjourned.

Transcript Highlights:

• Students should not be required to enroll in classes that cost $1,650 each to learn about... personal
• And secondly, the cost assessment of courses—it provides for an avenue. I heard Mr.
• In fact, I rely on students' diversity of opinions to propel the analysis.
• It also increases costs to replace faculty senators that can no longer be involved due to the size and
• Right now, I guess the institutions themselves have to absorb the cost.

Bills: SB 37

Keywords: fetal development, education, public health curriculum, middle school, age-appropriate instruction, 1184, house, all

Transcript Highlights:

• This tells them ahead of time how far you're going and how much it will cost, and the fee would show
• <00:30:06.159> of<00:30:06.320> the can't cover the entire cost of the can't cover
• the entire cost of the electric<00:30:06.960> vehicle<00:30:07.840> and<00:30:08.080>
• of the um >> Do you know what the cost of the um share<00:30:38.960> of<00:30:39.120>
• actually mean and and what the analysis actually mean and and what the analysis is<01:06:44.799>

Keywords: 912, senate, all

Summary: The Committee on Transportation heard several bills, beginning with SB 2010, which would authorize impoundment of motor vehicles for certain alleged or committed traffic violations. The Department of Transportation supported the bill, while the Department of the Attorney General asked for clarification in section 4 on who could seek remedies and what remedies would be available. The Office of the Public Defender opposed the measure, citing unclear officer-initiated impound criteria, potential strain on judicial or administrative resources, and concerns about hardship for families and indigent owners; the Honolulu Prosecutor’s Office supported the bill with amendments, saying it should be limited to traffic offenses and could serve as an alternative to fines or imprisonment. The chair then recessed before moving to the next items. The committee next heard SB 2527 on commercial driver licensing, which would require state and county firefighters exempt from CDL requirements to be subject to an alcohol and substance abuse policy equivalent to or stronger than federal DOT standards. DOT, the Department of Human Resources Development, county officials, and the Hawaiʻi Firefighters Association all indicated support. SB 2697, which would prohibit driving on roadway shoulders except in limited circumstances, also drew DOT support, with the Attorney General, judiciary, and others submitting comments. SB 2812, requiring driver license applicants to be tested on the dangers larger vehicles pose to pedestrians and bicyclists, was supported by DOT but opposed by the Public Defender, who argued the excessive-speeding portion was too broad for first offenses and that the DUI-related language was unnecessary because DUI relicensing already requires re-examination. SB 291, clarifying that drivers whose licenses were revoked for certain alcohol-related offenses must undergo re-examination before relicensing, received DOT support. The committee then took up SB 3044, which would remove references to pedestrian countdown timers and the requirement that pedestrians begin crossing before the timer starts. DOT opposed the bill, but Hawaiʻi Appleseed supported it, arguing the current rule is confusing and can lead to citations even when pedestrians can safely cross. The Department of Health submitted late comments emphasizing the importance of pedestrian-friendly infrastructure and physical activity, and the chair noted the split in testimony. Finally, SB 2995 proposed a zero-emissions rideshare rebate program funded by a rideshare fee and administered by DOT. Earthjustice strongly supported the bill, describing it as a fee-and-rebate structure to help rideshare drivers transition to zero-emissions vehicles. A witness for Tom Yamachika suggested that if the state wants to tax ridesharing, it should amend existing tax law instead of creating a new chapter, but the bill’s supporters said DOT was better suited to administer the rebate program and that similar models exist in California and Washington. The committee also heard SB 3153, which would authorize DOT to designate airport special district zones at airports statewide to improve security and enforcement; DOT’s airports deputy director supported the measure, saying it would clarify jurisdiction and help address trespassing and hazards, and senators asked about boundaries, mapping, and coordination with the Attorney General. No votes were taken in the portion of the hearing provided.

Transcript Highlights:

• <00:09:59.519> The awards add to the uh cost. The awards add to the uh cost.
• , Um, again, rising labor costs, Um, again, rising labor costs, inflation,<00:10:54.640> labor
• , and that means the usage, the drug cost, and that means the usage, the drug cost, everything<00
• costs go up with them.
• costs go up with them. costs go up with them.

Keywords: Meeting Start 00:00:00 Call to Order and Roll Call 00:00:15 Department of Insurance Update 00:01:39 Department of Financial Institutions Update 00:37:07 Insurance Industry Update 00:54:50 Credit Union Industry Update 01:10:53, 958, all

Summary: The committee met with a quorum, approved the September 16 minutes, and then received an update from Insurance Commissioner Sharon Clark and staff on the Department of Insurance. Clark reviewed department activity, including growth in premium volume and licensing, consumer complaints and recoveries, and a rise in fraud referrals. She said the department has 66 open fraud cases and described common schemes such as staged auto accidents, inflated repair or cleanup charges, and roofing scams. She also said the department’s investigators often prepare strong cases but face reluctance from local prosecutors, especially in Fayette and Jefferson counties, to pursue them. Clark reported favorable workers’ compensation news, saying rates will decrease 9.7% next year for the 20th straight year. She contrasted that with a difficult property insurance market driven by storms, reinsurance costs, inflation, labor shortages, and litigation, but said Kentucky’s market remains relatively stable, citing the Kentucky Fair Plan’s small number of policies. She then warned of significant 2026 health insurance premium increases on the exchange: 16.1% for Molina, 23% for Anthem, and 37% for WCare, after CareSource withdrew. She said the rates were reviewed by actuaries and found fair, but that the biggest pressure point is the scheduled expiration of enhanced premium tax credits, which she said could leave about 90% of exchange enrollees facing a compounded increase. Members questioned Clark about fraud prosecution, the number of people in commercial versus public coverage, and the impact of expiring subsidies. Clark said the prosecution issue is mainly with Commonwealth attorneys and that rural counties are more cooperative than urban ones. She also said the health market is individually rated and that older enrollees would be hit harder, while the loss of tax credits could push some people out of the marketplace. One member asked about the attorney general’s recent opinion on SB 188, the PBM bill; staff said attorneys were still reviewing it. Clark closed by noting that Kentucky’s fraud and towing/storage legislation has become a model for other states.

Transcript Highlights:

• It is food costs that we spend taking care of forensics.
• It is food costs that we spend taking care of forensics.
• It is actually sound, cost-based, scaled for the cost of living, and designed to promote efficient operations
• for core services and the cost of administration.
• This particular question, in terms of their ability to reduce the cost, subsidize the costs directly

Summary: The Appropriations Committee on Health and Human Services heard a presentation on the governor’s proposed fiscal year 2026-27 budget for the health and human services silo, which totals $48.5 billion. Agency leaders outlined major requests for AHCA, APD, DCF, DOEA, DOH, and the Department of Veterans’ Affairs, including behavioral health redesign, Medicaid rate changes, developmental disability services, child welfare and opioid programs, senior services, cancer research, public health initiatives, and veterans’ facility and technology needs. The committee also received an overview of the overall state budget, which was described as $117.4 billion, up 1.1% from the current year. AHCA’s presentation focused on $71.6 million for a Medicaid behavioral health redesign, including funding for residential treatment, a serious mental illness waiver, and higher inpatient psychiatric rates for youth, plus $7.1 million to raise private duty nursing reimbursement in fee-for-service Medicaid, $2.5 million for the background screening clearinghouse, and $124.4 million for the Health Care Connection System (FX). APD requested funding to continue moving people off the pre-enrollment list and to support developmental disability centers, a new forensic facility, an electronic health record system, and higher operating costs. DCF highlighted $81.9 million for eligibility and system integrity, $187.5 million for opioid prevention and treatment, $35.5 million for community-based care lead agencies, and $72.7 million to expand behavioral health bed capacity, including 474 new beds at state hospitals. DOEA sought additional funding for Alzheimer’s services, home care, and community care for the elderly. DOH emphasized $278 million for cancer research and innovation, $5 million for food and product safety testing, $5 million for the Florida FIRST blood-on-ambulance initiative, and $5.7 million for a public lab feasibility study. Veterans Affairs requested funds for facility improvements, cybersecurity, and medication management equipment. Members asked detailed questions about several items, especially the proposed changes to the AIDS Drug Assistance Program (ADAP), which would reduce eligibility and the number of people served. Senators and public witnesses criticized the lack of transparency and urged the department to pause the changes and work with stakeholders; the Surgeon General said the issue was driven by funding constraints and federal changes, not a legal barrier, and that the agency was exploring alternatives. Questions also addressed the Office of Minority Health and Health Equity, the Kids Care/CHIP expansion implementation, the cancer research funding structure, and the timeline and cost of the FX system. Public testimony focused heavily on ADAP, with speakers warning that thousands could lose medication access and calling for community involvement and a review of the program’s finances. The committee adjourned after the presentations and questions, with no votes taken on the budget items during this meeting.

Transcript Highlights:

• surpluses now but we have some cost surpluses now but we have some cost drivers<00:03:12.000>
• <00:03:52.159> while areas that we can contain cost while areas that we can contain cost while
• Fertilizer costs are going to cost about $8 an acre for our producers on corn and soybeans because of
• The facts are that fertilizer costs are going to cost about $8 an acre for our producers on corn and
• It's the inflationary costs on the edge.

Keywords: 1183, house

Transcript Highlights:

• Gerwig: DO YOU BELIEVE THIS WILL BRING LOWER COST TO HEALTHCARE >> Rep.
• THE EXCHANGE, I WOULD ALSO SAY LOOK HOW MUCH IS COSTING THE TAXPAYERS.
• IT USED TO COST 10,000 AND EVEN – LET'S JUST SAY IT STILL COST $10,000 WHAT IS $10,000 TO A PERSON'S
• IT COST ABOUT $1000 NOW. IN HOSPITALS AND SURGICAL CENTERS.
• THERE IS A COST OF THIS.

Transcript Highlights:

• the fee. ...helped us evaluate the costs and the future of that program.
• This mandate is estimated to cost $42,000 in 2026–27 and $8,000 in 2027–28.
• What would the total cost for this project have come to? The total spent to date? Thank you.
• Yeah, the total project costs are $92 million.
• So I think it's a matter of kind of lagging costs. Okay.

Keywords: 988, house, all

Transcript Highlights:

• cost of medical care.
• cost of medical<00:41:26.160> care.
• In looking at costs associated with postsurgical pain, a recent analysis that followed two cohorts of
• In looking at costs associated with postsurgical pain, a recent analysis that followed two cohorts of
• Um, in regards to 834, um, cost sharing, there is, I believe, a cost-sharing regulation that came down

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board met with a quorum, approved the November 12 minutes by voice vote, and then heard a presentation from former Governor Ernie Fletcher and Dave Johnson on Medicaid reimbursement for substance use disorder (SUD) treatment. Fletcher argued that addiction should be treated as a chronic disease requiring a longer continuum of care, not just short residential stays, and said recovery should combine clinical treatment with social supports such as housing, transportation, employment, peer coaching, and recovery housing. He cited data on overdose trends, low treatment rates, and high costs for people with SUD, and said current reimbursement models create poor incentives and do not adequately support long-term recovery or measure outcomes well. Fletcher proposed a “carve through” model administered at the MCO level with standardized metrics, data sharing, and an independent recovery coordinator that would assess patients, coordinate care, and connect them to clinical and social recovery services. He suggested using bundled payments, shared savings, and partial risk arrangements, with recovery housing reimbursed on a PMPM or weekly basis and funded in part through existing Medicaid spending and other sources such as opioid abatement funds. He also emphasized peer support, telemedicine, criminal justice coordination, workforce and education supports, and the use of technology, including text messaging and possibly AI, to maintain long-term follow-up and identify relapse risk. Members questioned how the model would work in practice, especially the education and staffing requirements for recovery coordinators, reimbursement levels, and how many patients each coordinator or peer would serve. Fletcher said peers could be certified and would need additional training in assessments such as ASAM and recovery residence standards, but he did not give a precise salary figure, saying the market and bundled rates would determine that. He also said follow-up should continue for years, noting relapse risk over the first 18 to 24 months and that meaningful employment and ongoing peer contact help sustain recovery. No formal vote or action was taken on the substance use presentation.

Transcript Highlights:

• study, so that the analysis is the same as that cost study.
• I do think there should be some cost-based analysis that’s tied to it.
• I do think there should be some cost-based analysis that’s tied to it.
• > tied<03:17:25.960> to some cost based analysis that's tied to some cost based analysis
• last session to undertake such a cost last session to undertake such a cost analysis<03:17:35.199

Keywords: 1191, senate, all

Transcript Highlights:

• . ...analysis for numerous districts around the state, election analysis with county subtotal, polls,
• Ike is supposed to cost coming up, you know? I mean, we have drought.
• No, the questions had to do with the data analysis. Correct.
• District Hispanic population analysis.
• So is there any evidence or analysis?

Bills: HB4

Keywords: district composition, congressional election, Texas, legislature, voting districts, 997, house, all

Transcript Highlights:

• , Representative Chavez has raised the question from the analysis that CYFD has indicated that this is
• So my question to you Madam Acting Secretary, were you consulted on the cost of carrying this program
• So just to look further at this analysis under the Savag 💃 Yes, Madam Chair, members of the committee
• What is the cost to order and cover this if it's not being utilized.
• I guess, just give me the cost.

Keywords: 996, all

Transcript Highlights:

• So what is, in your opinion, a proper number for that cost-benefit analysis for these services?
• We also frequently do data analysis.
• And we also frequently do data analysis.
• If they didn't budget for that, they can't cover that cost.
• I first asked what the cost was, and the cost was too much, so I didn't put the driveway in.

Summary: The task force reviewed survey results from state agencies on potential statutory revisions, with Levi reporting 70 proposals from 20 agencies and noting that about 33 might become agency pre-file bills. Members discussed the need to share the survey more broadly within higher education and to better coordinate issues involving IT and other cross-agency functions. The task force then heard from the Office of Management and Budget on three topics: concessions, architect/engineering pre-qualification, and legal notices. OMB said the concessions law is outdated and inconsistent with current practice, and suggested a collaborative rewrite to allow best-value evaluation, raise the threshold, and standardize solicitation templates. On architect/engineering pre-qualification, OMB proposed expanding authority beyond current state-agency limits and creating uniform templates. On legal notices, OMB proposed modernizing publication requirements, exploring online and abbreviated notices, and working with newspapers and other stakeholders on technology and accessibility improvements. Members asked about where concession revenues go, whether political subdivisions must follow the same rules, and how to move from discussion to action. The task force agreed to have OMB work with Legislative Council and affected stakeholders to develop bill drafts, and the motion passed unanimously. The University of North Dakota then presented a series of proposed revisions focused on public buildings and procurement. UND asked to rework the definition of construction so routine maintenance and one-for-one replacements over $250,000 would not automatically trigger public-improvement requirements, suggested raising the threshold to $500,000, and asked for more flexibility based on project complexity and risk. UND also proposed changes to public bid advertisements to reflect electronic bidding, revisions to construction manager-at-risk selection criteria, changes to architect/engineer procurement rules, an increase in the direct-hire design threshold, and a higher legislative-consent threshold for privately funded projects. The task force supported having UND work with counsel and OMB to develop bill drafts, and that motion also passed. The Department of Public Instruction concluded with proposed cleanup to credentialing and education statutes. DPI recommended reviewing its credential categories for relevance, possibly transferring credentialing authority to the Education Standards and Practices Board, removing outdated school safety patrol language, clarifying waiver provisions, and updating dyslexia screening reporting requirements so the statute reflects current practice. Members focused mainly on whether the dyslexia reporting requirement should remain, and DPI said the screening itself would continue even if reporting language were revised. No votes were taken on DPI’s suggestions, and the task force recessed after the presentation.

Transcript Highlights:

• What's the cost to put a program there?
• What's the program cost?
• And that'll help cover some of the costs. The tech center is going to cover the rest of the costs.
• We also conducted a grantmaking analysis. We partnered for a 15 year grantmaking analysis.
• You can see the cost of each one of those cost of living adjustments in that right-hand column.

Keywords: 914, all

Transcript Highlights:

• medical examiners, chiropractic physicians, nurses, and certain hospital personnel to provide an analysis
• this section would remove any unintended burdens on initial mandatory reporters to provide medical analysis
• Additional analysis revealed that the initial injuries that led to the removal actually dated to in utero
• An additional cost judgment remains pending. That is the special claims bill.
• An additional cost judgment remains pending. That is the special claims bill.

Summary: The committee first took up CS for Senate Bill 304, which would address child protective investigations involving children with certain pre-existing genetic or medical conditions. Senator Sharif said the bill is intended to prevent children from being wrongly removed from their families when symptoms of conditions such as Ehlers-Danlos syndrome, osteogenesis imperfecta, rickets, or vitamin deficiencies are mistaken for abuse. Several parents and advocates testified in support, describing long dependency cases and removals they said were caused by misdiagnosis. The committee adopted a substitute amendment that removed language requiring certain medical personnel to provide differential-diagnosis analysis, and the bill then passed favorably with unanimous support. The committee then heard SB 1430 on post-judgment execution proceedings relating to terrorism, sponsored by Senator Collins, who described the long effort by U.S. victims of the FARC to enforce a federal judgment and recover assets. The bill would clarify procedures for terrorism-related judgments, modernize intangible asset law, and help prevent terrorists from hiding assets or blocking wire transfers. After one supportive appearance form and no debate, the bill passed favorably. The committee also approved SB 96, a local claims bill for Jacob Rogers, and SB 382, an affordable housing rent bill that was amended to define base rent and apply to certain shorter-term rental agreements entered after July 1, 2026; SB 382 drew support from housing advocates and some opposition, but passed unanimously. Several claims bills were also approved: SB 4 for Patricia Armini, SB 6 for Jose Correa, SB 28 for Darlene Engerville and J.R., SB 30 for the estate of M.N., and SB 24 for Mandy Penny Lemon, each involving injuries or damages caused by local government or hospital district negligence and each reported favorably after brief testimony and roll calls. The committee also passed SB 658 on waiver or release of liens after discussion about form language and enforceability. SB 72, which would allow campaign funds to pay certain child care expenses incurred while a candidate is actively campaigning, prompted questions about definitions and safeguards; the sponsor said the bill would require the expense to exist only because of campaign activity, and the bill was reported favorably. Finally, the committee approved SB 1142 on release of conservation easements, which would create a statewide process for releasing certain small, low-value parcels from conservation easements if mitigation credits are secured elsewhere. The bill drew support from the sponsor and a property representative, but environmental advocates and President Passidomo raised concerns about flood control, wildlife corridors, and whether the bill was too property-specific; the sponsor said he would continue working on the language. The committee also heard extensive testimony on SB 1622, which would repeal the 2018 customary use law and restore local authority over public beach access. Supporters argued the current law has privatized beaches, hurt tourism, and led to harassment and conflict, while opponents defended private property rights and warned against taking away owners’ ability to exclude others. The transcript ends during testimony on SB 1622, before a final vote is shown.

Transcript Highlights:

• <00:12:26.959> system The way our cost allocation system The way our cost allocation system
• that it cost $24 million to run this. that it cost $24 million to run this.
• It's like, well, technically it costs It's like, well, technically it costs less,<00:12:56.240><
• just want to emphasize that that cost just want to emphasize that that cost not<00:14:44.320>
• <00:18:56.799> that this fully allocated cost that this fully allocated cost that represents

Keywords: 1189, house, all

Summary: The work session was limited to House Bill 1750, a supplemental appropriation for the Department of Health and Human Services’ SNAP administration. Before testimony, Representative Terski distributed a written statement from Representative Priest for the record. Department officials Karen Heert and Nathan White then walked the committee through a chart showing SNAP participation, federal benefit dollars, and state administrative costs, emphasizing that the benefits themselves do not flow through the state budget. They explained that the reported administrative cost includes overhead and cost-allocation methods used to maximize federal reimbursement, and that the current participant count is about 75,000 with the trend steady in recent years. Members questioned whether the reported costs were stable, how much of the administrative expense was directly tied to SNAP, and whether reducing overhead would lower the need for the appropriation. The department said the cost per participant and per dollar distributed would be lower if SNAP were isolated, but that the broader allocation system also supports federal claiming across multiple programs. Officials said SNAP eligibility is redetermined every six months, that the department processes nearly 50 eligibility programs with about 250 field staff, roughly 70 unfunded positions, and a vacancy rate around 25%. They also said most errors in the program are unintentional and can come from either staff or participant mistakes, and that the department reviews errors to identify systemic fixes. The committee discussed the fiscal impact of the bill and related budget issues. DHHS said the current adjusted authorization for 2026 is about $31 million, but actual spending is expected to be closer to $25–26 million because of vacancies and unfilled positions. Members asked whether the $4.4 million shortfall identified in the fiscal note would come from the rainy day fund; staff said it would not be taken directly from that fund, but would reduce the amount available to flow into it at the end of the biennium. The committee also reviewed Senate Bill 603 FN, which was described as an alternative approach that would require DHHS to transfer funds within its existing budget rather than provide new money; officials said it would simply codify an option the department already has. No vote or final action on House Bill 1750 was taken during the portion of the meeting provided.

Transcript Highlights:

• We have not done that specific analysis.
• Sometimes on drug formularies, for example, lower-cost insulin, or sometimes only higher-cost insulin
• The generic costs a fourth of what the brand name cost, but the brand name is required by some plans.
• So we have a lot of indicators of rising cost of health care, rising costs of drugs, incidents of increased
• So we have a lot of indicators of rising cost of health care, rising costs of drugs, incidents of increased

Summary: The committee heard several health-related measures. SB 27 by Senator Umberg would revise and expand California’s CARE Court by limiting the expansion to people with bipolar I disorder with psychotic features, clarifying the definition of “clinically stabilized,” and narrowing the role of nurse practitioners and physician assistants. Supporters, including behavioral health officials and family members, said the bill would reduce dismissals and better serve people with severe illness; opponents warned the expansion would strain county staffing and housing resources and could undermine voluntary engagement. The bill passed on a do pass motion to the Committee on Public Safety. SB 503 by Senator Weber Pierson would require AI tools used in health care facilities to be identified, monitored, and mitigated for bias when used in clinical decision-making or resource allocation. The author and supporters from Kaiser Permanente and the California Medical Association said the bill would help prevent discriminatory outcomes and improve trust and safety. The committee discussed the need to clarify developer and deployer responsibilities, and the bill passed as amended to Privacy and Consumer Protection. SB 68 by Senator Menjivar would require restaurants to provide written allergen information for the top nine food allergens, with tiered flexibility for smaller establishments. The bill was supported by patients, families, nurses, and allergy organizations, who described severe reactions and the difficulty of relying on verbal disclosures alone. The California Restaurant Association opposed unless amended, seeking broader use of the national model food code and additional liability language. The bill passed as amended to Appropriations. The committee also heard SB 403 by Senator Blakespear, which would remove the sunset from the End of Life Option Act; supporters described the law as a compassionate, well-functioning option for terminally ill patients, while faith-based groups opposed it. The bill passed to Judiciary. Later, SB 41 by Senator Wiener was introduced to rein in pharmacy benefit manager practices that steer patients to mail-order pharmacies and reimburse community pharmacies below cost; community pharmacists and several health organizations testified in support, describing pharmacy closures and patient access problems.