Transcript Highlights:

• Ethics Committee of the health facility Ethics Committee of the health facility has<00:15:30.959
• <00:25:47.320> I'm clinic or a particular facility I'm clinic or a particular facility I'm
• <01:04:20.960> we of reproductive Health Care access we of reproductive Health Care access
• <03:20:57.600> to<03:20:58.160> Justice access to justice is access to Justice access
• civil court access to justice is access civil court access to justice is access to<03:21:26.439>

Keywords: 928, house, all

Summary: The committee heard testimony on House Bill 232, which would protect health care workers’ conscience rights in connection with certain procedures, especially abortion and sterilization, and also referenced contraception. The prime sponsor, Rep. Mark Pearson, said the bill is meant to prevent medical professionals from being forced to participate in procedures that violate their beliefs, while still prohibiting discrimination against patients based on protected characteristics. He said the measure was intended to help retain health care workers in New Hampshire and noted he had added an amendment to address concerns about people taking jobs only to later refuse duties, as well as emergency situations where a provider is the only one available. Committee members raised concerns about how broadly the bill and amendment were written. Questions focused on whether the protections could apply to non-physician staff such as schedulers, receptionists, or pharmacy employees; whether a provider could refuse to schedule, refer, or otherwise assist with services; and how “emergency” would be determined in practice. Several members also questioned whether the bill could affect access to contraception, including pharmacy sales and procedures such as tubal ligation, and whether the language was clear enough to prevent confusion or unintended refusals of care. Pearson said the bill was not intended to allow refusal of emergency care or general patient discrimination, and he acknowledged some language could be tweaked. Rep. Paige Boerman, a maternal-child health nurse, testified in opposition, saying she had seen pharmacists question prescriptions related to miscarriage care and that the bill could create barriers to contraception and other reproductive health services. She warned that the lack of a disclosure requirement and the broad definitions could create risks, especially in rural areas with limited providers. She also pointed to problems she said had occurred in other states, arguing the bill could lead to delayed care in emergencies. The hearing ended after questions and discussion; no vote or final action was taken in the portion provided.

Transcript Highlights:

• venue, you're actually opening up access venue, you're actually opening up access uh<00:26:12.880
• professional fees and accessibility professional fees and accessibility programming<00:42:48.160
• ,<00:48:30.240> what<00:48:30.480> facilities affects your facilities, what facilities
• affects your facilities, what facilities we're<00:48:31.040> going<00:48:31.119> to<00
• So, before we can remove the car rental facility, we have to build a new car rental facility.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Economic Development and Tourism met to hear presentations on a proposed downtown Lexington Arts Center. Visit Lex opened by framing the projects as regional economic development efforts that could support tourism, quality of life, and workforce attraction and retention. NextStage Development Corp. and ATG Entertainment then described a proposed $120 million project featuring a 2,500-seat performing arts center and a 20,000-square-foot visual arts gallery, with plans for up to 180 events a year, over 300,000 annual visitors, and an opening target of 2029. The presenters said the project would be funded through a $30 million state request, $30 million from ATG Entertainment, and $60 million raised by the nonprofit through philanthropy and other financing sources. They cited a feasibility study by Sound Diplomacy and compared the proposal to the Durham Performing Arts Center, arguing that similar venues have driven downtown revitalization, tourism, and economic activity in other cities. They also said the venue would include community access, school partnerships, subsidized tickets, and revenue returned to the nonprofit for grants and arts programming. Members asked about the total cost, the funding mix, whether the city of Lexington would contribute, and the building’s design. The presenters said they are in contact with city officials and are seeking city support, but have not yet hired an architect or begun conceptual design. They said the design process will involve community input and should fit Lexington’s historic downtown character. Representative Whitten asked whether the project would compete with Louisville; the presenters responded that their market analysis suggests the venue would serve audiences from Lexington, eastern Kentucky, and surrounding areas who are unlikely to travel to Louisville or Cincinnati, making the project complementary rather than competitive.

Transcript Highlights:

• earned harvest to the facilities.
• So you do have facilities for two people.
• But the biggest challenge is, I think access to records, access to any of the information.
• The utility operators' offices have the facilities we need to conduct our meetings, and these facilities
• said no longer can you meet in our facility.

Transcript Highlights:

• This is a close to 58,000 square foot facility serving grades 9 through 12. The enrollment is 300.
• There are 87,000 square foot facilities serving pre-K through 5th grade.
• these facilities, then they bring that data back to our uh fab manager.
• It is on our website and it is considered the facilities assessment database, OK. Um, Mr.
• I, I live outside of Cuba, New Mexico, and we're doing a, a pre-K facility up there, um.

Transcript Highlights:

• We need access to safe, affordable housing as part of our college facilities and modernized classrooms
• We need access to safe, affordable housing as part of our college facilities and the modernized classrooms
• and career access for all students.
• So I want to commend promote college access and career access for all students.
• This bill is about access to justice.

Summary: The Assembly convened with a quorum call, prayer, and Pledge of Allegiance, then moved through a long daily file of bills. Early procedural motions included a failed attempt to suspend the rules for AB 1219, followed by consideration of numerous measures on housing, veterans, education, elections, energy, wildfire prevention, public safety, and consumer affordability. Several bills drew bipartisan support and passed overwhelmingly, including AB 878 on safety accommodations for survivors of violence, AB 948 on school district facility maintenance, AB 81 and AB 88 on veterans’ mental health and student aid, AB 640 on school board fiscal training, AB 660 on housing permit timelines, AB 1048 on workers’ compensation billing disputes, AB 1119 on dual credentialing, AB 1172 on inhalable anti-seizure medication access, AB 1227 on wildfire prevention, AB 1285 and AB 696 on lithium-ion battery safety, AB 1417 on offshore wind transparency, AB 1530 on disaster recovery assistance, and AB 353 on affordable home internet. Some measures drew opposition or more divided votes, including AB 704 on sealing certain misdemeanor records, AB 1249 on early voting access, AB 1280 on thermal energy incentives, AB 1448 on offshore oil protections, AB 380 on price gouging, AB 402 on Cal Grant increases, AB 1074 on CalWORKs reunification, and AB 1084 on expedited gender-change and name-change court orders. The Assembly also granted reconsideration on AB 435, a child passenger safety bill, and passed it after debate on the five-step safety-seat standard. The floor debate featured recurring themes of affordability, housing, wildfire preparedness, election access, veterans’ services, and public safety. Supporters of the election bill AB 1249 argued it would simply add a Saturday early-voting option in non-VCA counties, while opponents raised concerns about verification and county staffing. AB 30, authorizing E15 gasoline in California, was presented as an urgency measure to lower fuel costs and passed unanimously on the urgency and the bill. AB 1466 on groundwater disputes was also taken up, with the author arguing it would reduce frivolous litigation and better represent all water users; the vote was 42 ayes and 17 noes. After completing the file, the Assembly recessed for lunch, later returned, and continued with additional file items, with many measures passing on strong bipartisan votes.

Transcript Highlights:

• for our seniors. ...access to care for our seniors.
• how many of these facilities?
• across 1,200 facilities currently in the state right now.
• It could be, depending on what the facility offers.
• Are these daycare centers babysitting facilities?

Keywords: 996, all

Transcript Highlights:

• On our testifiers list, we have Kirby Shaw from the Disability and Communication Access Board.
• We do have our facility access coordinator here with us as well to answer any questions on the accessibility
• , parks, some are recreational facilities, parks, some are recreational facilities, some<00:03:30.799
• Disability and Communication Access Disability and Communication Access Board<00:08:22.879> amendments
• <00:11:14.959> to for state buildings and facilities to for state buildings and facilities

Keywords: 912, senate, all

Summary: The joint committees on Energy and Intergovernmental Affairs and Health and Human Services heard Senate Concurrent Resolution 58 and Senate Resolution 42, which urge counties to install special-needs recreational playground equipment in parks and playgrounds. Testimony came from the Disability and Communication Access Board, the Hawaii State Council on Developmental Disabilities, the Disability Rights Center, Autism Moms of Kona, and a Pacific Disability Center representative, all supporting the resolutions. Several testifiers asked that the term “special needs” be replaced with “access and functional needs,” and one requested language broadening the measure to explicitly include developmentally and intellectually disabled youth. A committee member also discussed the need for inclusion and the benefits of accessible play for all children. After questions, the chairs said they would adopt amendments from the Disability and Communication Access Board, Autism Moms of Kona, and Tina Marie Kira, along with technical, non-substantive changes. Both committees then voted to recommend passage of SCR 58 and SR 42 with amendments, with members voting aye and some excused. The committees then heard Senate Concurrent Resolution 163 and Senate Resolution 132, which request counties to adopt flexible setback requirements for state buildings and facilities to improve land use efficiency and public service delivery. Testimony in support came from the Grassroots Institute and the Department of Accounting and General Services. The chairs moved the resolutions forward with technical, non-substantive amendments, and both committees adopted recommendations to pass SCR 163 and SR 132 with amendments before adjourning.

Transcript Highlights:

• Do you have access to those resources?
• Welcome Manor is a wonderful treatment facility in Garden City.
• <00:24:25.240> so for 20 of the beds in our facility so for 20 of the beds in our facility
• <00:51:44.160> to will be that people will have access to will be that people will have access
• <01:35:53.040> that times the funding in a facility that times the funding in a facility that

Keywords: 1183, house

Transcript Highlights:

• bill and your constituents to access primary care.
• , and modernizing our facilities.
• It is time to expand access to midwifery care and ensure that birth centers are accessible to all families
• It is time to expand access to mid with free care and ensure that birth centers are accessible to all
• to them, who doesn't have access to them, and how can we get them access?

Keywords: 995, all

Summary: The committee held a public hearing with testimony on several health care bills, with most of the discussion focused on primary care access, community health center reimbursement, midwifery and birth centers, telehealth, hospital-at-home, direct primary care, and trans-inclusive health care access. Chair Feeney and Chair Murphy opened by noting the large number of signups and asking testifiers to keep remarks brief because of time constraints. Legislators and witnesses repeatedly emphasized that Massachusetts’ primary care system is under strain and that federal policy changes and reimbursement gaps are worsening financial pressure on providers. On community health centers, Representative Blay, Senator Lovely, Michael Curry, Bethany Keeley, Jag Deep Trevetti, Sean Cahill, and Christina Severin all supported H. 1096/S. 711, which would require commercial insurers to pay federally qualified health centers at least the MassHealth prospective payment system rate. They argued that commercial plans currently reimburse health centers below Medicaid rates, threatening sustainability, staffing, and access, especially as federal cuts and coverage losses could increase uncompensated care. Testifiers said the bill would stabilize health centers, protect primary care access, and not cost the state money. A second major topic was H. 1117/S. 784 on sustaining birth centers and the midwifery workforce. Senator Lovely, Senator Miranda, Emily Anesta, Rebecca Orden, Catherine Rushworth, Nishira Burrill, Joel Sutherland, Rachel Blessington, Joelle Ward, and others described the 2024 maternal health omnibus as an important first step, but said birth centers and midwives still face low reimbursement, workforce shortages, and financial instability. They urged reimbursement parity, a workforce development fund, and support for freestanding birth centers, citing improved outcomes, lower C-section rates, better patient experience, and racial equity in maternal health. Several speakers shared personal birth stories and said the bill would help preserve and expand birth options in communities like Roxbury, Worcester, and the North Shore. The committee also heard support for H. 1343 on direct primary care from Dr. Garofalo, Dr. Altman, Dr. Nair, Stephanie Cameron, Dr. Haley Moke-Blessed, and others, who said current insurance rules force patients to use a separate in-network primary care doctor for referrals and sometimes prevent physicians from dispensing medications. They argued the bill would reduce delays, administrative burden, and costs while improving continuity of care. In addition, Dr. Miklides and Sue Stempeck supported H. 1141 on hospital-at-home parity, saying the model has strong outcomes and should be reimbursed at the same rate as brick-and-mortar hospital care. Heather Myers and Katrina Cook testified on telehealth and digital health equity, urging broader coverage for asynchronous care, remote monitoring, interpreter services, and digital literacy supports. SEIU Local 509 supported H. 1188/S. 681 on trans-inclusive health care access, saying it would remove arbitrary insurance barriers to gender-affirming care. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• facilities, which then leads to sort of the.
• . ...Public School Facilities Authority to include myself.
• We have facilities that are commensurate with that.
• We have some cost-effective facilities.
• It's hard to say, but we do need a new facility.

Transcript Highlights:

• One, for the people that access and use those recharging facilities, do they pay for the electricity,
• Next program is what we call ZAP, Zero Emissions Access.
• Next program is what we call ZAP, Zero Emissions Access Program.
• Next program is what we call ZAP, zero emissions access.
• Next program is what we call ZAP, Zero Emissions Access Program.

Summary: The House Transportation Committee held a work session focused on Climate Commitment Act transportation spending and electrification programs. Staff first reviewed overall CCA transportation allocations, saying about $2.2 billion has been allocated over three biennia, with major categories including public transportation, active transportation, ferry electrification, zero-emission vehicle programs, rail/ports, and planning. Members asked for additional breakdowns comparing CCA dollars with total program costs across categories. The Department of Ecology presented on the zero-emission school bus grant program. Ecology said the program was codified in 2024 and supports the transition from diesel to electric school buses, including buses, charging infrastructure, and training. For 2025-27, Ecology received $38.3 million in CCA funding; $21.4 million is already obligated or spent, replacing 91 diesel buses in 28 districts, with the rest to be awarded by the end of the biennium. Members asked about cost parity, exemptions for rural and extracurricular routes, health data, and whether the funding covers chargers as well as buses. Ecology said OSPI is developing the parity formula and exemptions are available when electric buses cannot meet district needs. The Department of Commerce described its clean transportation role, including EV rebates, tribal charging and electric boat projects, and the EV Coordinating Council. Commerce said its rebate program was designed to lower monthly costs and prioritize low-income households, with 89% of recipients saying the rebate was essential to their purchase. It also reported strong demand for charging grants, progress on tribal projects, and concerns about utility interconnection timelines, vandalism, and range anxiety. The Department of Enterprise Services reported on state agency EVSE projects, saying it has completed 82 sites with 567 Level 2 ports and 46 DC fast chargers, and that current projects will add 152 more Level 2 ports; members asked about replacing aging chargers and the state’s EV fleet purchasing mix. WSDOT closed with updates on charging, transit, and port electrification. It said its corridor charging program has awarded 23 sites this biennium, with 13 in overburdened communities and five tribal sites, and that the Washington Zero Emission Incentive Program opened with $112 million for vouchers for zero-emission commercial vehicles and equipment. WSDOT also described transit grants, including bus and bus facility funding, commute trip reduction, paratransit, tribal transit, and zero-emissions access car-share projects. The rail freight and ports division reported $89.8 million for port electrification projects, including shore power and drayage trucks, but noted only about 10% has been spent so far because projects are still in design and permitting. Members raised concerns about funding gaps, supply-chain delays, utility capacity, and whether the programs are sufficient to meet broader electrification needs.

Transcript Highlights:

• operation and maintenance of a facility operation and maintenance of a facility own<00:02:00.119
• But also, as part of that, facilities are required to upgrade.
• The visitors' player facilities.
• Way, currently they do not assist with the facility standards.
• <00:32:04.840> have future of St Paul these facilities have future of St Paul these facilities

Keywords: 1183, house

Transcript Highlights:

• Diana Douglas with Health Access California.
• Diana Douglas with Health Access California, in support.
• Diana Douglas with Health Access California, in support.
• Access to covered services is a persistent problem.
• Diana Douglas, with Health Access California, in support.

Summary: The Assembly Health Committee heard several bills focused on health care access, oversight, and affordability. The first major item was SB 306 by Senator Becker, a prior authorization reform bill. Becker and supporters, including the California Medical Association and California Hospital Association, argued that prior authorization delays care, adds administrative burden, and can lead to serious patient harm. The bill was substantially amended late in the process to have DMHC and CDI identify services and drugs to exempt from prior authorization based on utilization data, with safeguards for fraud, waste, abuse, and patient safety. Health plans and insurers opposed the measure as written, saying prior authorization remains an important utilization-management tool and raising concerns about the 90% threshold, drug inclusion, and how modifications are counted. The committee also heard SB 35 by Senator Umberg, which would let cities or counties inspect unlicensed sober living homes if DHCS does not act promptly on complaints. Supporters said the bill would address weak enforcement and protect residents, while one behavioral health directors group opposed it unless amended. Members generally supported the measure, citing problems with unlicensed facilities and the need for local enforcement backup. The committee then heard SB 62, which would codify California’s updated essential health benefits benchmark if approved by the federal government. Senator Wiener said the package would add hearing aids, durable medical equipment, and infertility treatment including IVF, acknowledging that premiums could rise but arguing the benefits were worth it. Health Access California and other advocates supported the bill, while the California Family Council opposed it. The committee also took up SB 596 by Senator Menjivar, which would tighten the rules for hospitals claiming an on-call list as a defense to nurse staffing ratio penalties. Supporters, including nurses and SEIU, said hospitals have used vague or ineffective on-call practices to avoid accountability and that the bill would improve enforcement and patient safety. Hospital groups opposed it, arguing that staffing is highly dynamic, that hospitals need flexibility to manage acuity and emergencies, and that the bill could increase costs and interfere with collective bargaining arrangements. Finally, the committee heard SB 40 by Senator Wiener, the Insulin Affordability Act, which would cap insulin copays at $35 for a 30-day supply and restrict step therapy unless a plan covers at least one insulin in each drug type. Supporters, including physicians, diabetes advocates, nurses, students, and patient groups, said insulin is life-saving and too often unaffordable, forcing patients to ration or choose between medication and basic needs. There was no formal opposition testimony, though one member questioned why insulin remains so expensive. The committee also began discussion of SB 363, but the transcript cuts off before that bill’s full presentation or any action on the measures. No votes are recorded in the portion provided, and several bills were noted as consent items earlier in the hearing.

Transcript Highlights:

• Our facilities were not safe.
• facilities and opening up the facility facilities and opening up the facility in<00:22:46.760>
• able to um have access to these dollars. able to um have access to these dollars.
• Uh 2.6 million for the facilities.
• difficult to access. difficult to access.

Keywords: 958, all

Summary: The Commission on Race and Access to Opportunity met and first heard a presentation from Johnny Cole III, president and CEO of the African American Forum in Lexington. Cole described the organization’s 30-plus year history, its signature events and programs, and its mission to promote African American arts, culture, education, and community development. He said the group has reached more than 60,000 people through events and more than 90,000 students through its arts partnership work, and estimated its programs have generated about $4.5 million in local economic impact. He also outlined a proposed legacy project in Lexington’s First Council District that would include a facility, culinary kitchen, food court, mobile truck, and expanded communications and internship opportunities, and said the organization was seeking a $3 million state request to help purchase a building and expand its mission. The committee then discussed a juvenile justice funding proposal presented by Senator Catoria Herring. Herring said the bill would create a juvenile justice fund for prevention, early intervention, alternatives to detention, re-entry, and wraparound services, with money coming from state appropriations, gifts, grants, and federal funds. She said the proposal was based on her experience in juvenile justice and on concerns that the state has invested heavily in detention facilities but not enough in upstream services. She cited recent facility spending and said the bill would seek $9 million. Members asked how the fund would work, who could apply, and how it would be overseen; Herring said she envisioned a grant program open to local governments, law enforcement, nonprofits, and school districts, with reporting requirements and oversight through the juvenile justice system. No vote was taken, and the discussion ended with general support and a suggestion to adjust the request amount to a round $9 million figure.

Transcript Highlights:

• enrollment, the implementation of the screeners for reading difficulties, special education, school facilities
• While these dual enrollment programs are different, they all share the same goal of expanding access
• Overall, this proposed investment and these policy changes will help schools increase access to college
• I myself was not awarded any access to funding while I was in school to become a teacher.
• I had to do my student teaching without any access to funds.

Summary: The Senate Budget Subcommittee on Education heard the Governor’s proposals on dual enrollment, reading difficulty screeners, special education, school facilities, and Commission on Teacher Credentialing programs. On dual enrollment, the Department of Finance described a $100 million one-time Proposition 98 investment to expand the Dual Enrollment Opportunities Grant Program, along with changes to make regional occupational centers eligible, add funding for justice-involved youth, prioritize higher-need LEAs, support teacher professional development, and reduce daily instructional minute requirements for some dual enrollment students. The LAO recommended rejecting the new funding as not clearly addressing implementation barriers, while CDE supported the proposal and suggested reserving $10 million for technical assistance. Committee members and public commenters generally supported the expansion, with some asking for technical assistance and broader access, including adult dual enrollment. The committee also reviewed a $40 million one-time Proposition 98 proposal for reading difficulty screener implementation and related trailer bill language that would require screening after 91 school days for kindergarten and 46 school days for grades 1-2. Finance said the timing was intended to reduce over-identification and align with evidence from preliminary data; the LAO recommended rejecting the funding and redirecting it to a discretionary block grant. CDE supported the funding and the general approach but acknowledged the need for local support and training. Several committee members and public witnesses raised concerns that the proposed timing restrictions were too rigid and could delay early intervention, while others supported the delay as a way to improve accuracy and avoid misidentification. For special education, Finance proposed ongoing Proposition 98 increases to adjust for COLA and enrollment changes and to raise the statewide special education base rate to $99 per ADA, equalizing rates across SELPAs. The LAO said the proposal should be adopted but estimated it could be funded for less than the Governor’s figure. CDE and multiple local education representatives strongly supported the increase, citing rising special education enrollment, cost pressures, and large local funding gaps. The committee also heard a brief overview of the school facilities proposal, which continues $1.5 billion in Proposition 2 bond funding for the School Facility Program; OPSC reported significant remaining bond authority but also substantial pending demand, and explained that natural disaster school rebuilding draws from the broader new construction and modernization pools. Finally, the committee reviewed Commission on Teacher Credentialing proposals, including the already-funded $300 million Student Teacher Stipend Program, new state operations resources for misconduct investigations and grant administration, and a $250 million one-time continuation of the Teacher Residency Grant Program. CTC said its grants management system is ready and that it expects better data tracking; public testimony broadly supported the educator workforce investments and urged continued funding for the Golden State Teacher Grant Program and additional support for rural and leadership pipeline programs. No votes were taken, and the hearing adjourned after public testimony.

Transcript Highlights:

• We know this will address some of the issues raised by the providers and will improve access to care.
• , the facility... ...via the legislative appropriations each year to cover the expenses at the facilities
• the agency is currently providing in our forensic facilities in Chattahoochee and Marianna.
• Our four facilities still use paper records, and so we want to catch up with the rest of health care
• And we don't have enough facilities to accommodate everyone. And so I really was glad to see that.

Summary: The Appropriations Committee on Health and Human Services heard presentations on the governor’s proposed fiscal year 2026-2027 budget for the health and human services agencies. Kendall Kelly outlined the overall HHS budget at $48.5 billion, with AHCA accounting for the largest share, and agency heads then highlighted major proposals for Medicaid behavioral health redesign, APD waiver enrollment and facility needs, DCF child welfare, opioid, and mental health investments, DOEA funding for Alzheimer’s, home care, and community services, DOH funding for cancer research, public health initiatives, and lab capacity, and VA funding for facility improvements, cybersecurity, and medication management. Several members praised specific proposals, including increased reimbursement for private duty nursing, Alzheimer’s supports, and the Florida FIRST blood-in-ambulance initiative. Senators also questioned the proposed changes to the AIDS Drug Assistance Program (ADAP), with the Surgeon General explaining that the department expects a reduction in covered patients from about 30,000 to about 20,000 because of funding pressures tied to rebates, federal changes, and premium tax credit issues. Public testimony strongly criticized the ADAP changes, citing lack of transparency and warning that many patients could lose access to medications. Other questions focused on the Office of Minority Health and Health Equity, DCF’s substance abuse and mental health data dashboard, Kids Care/CHIP expansion implementation, APD bed and facility planning, and the FX Medicaid technology project. DCF said about $7 million is set aside for the dashboard system, and AHCA said the governor’s budget includes $124.4 million for FX maintenance and continued module development, with $13.5 million to begin claims processing work. The committee did not take a substantive vote on the budget presentations and adjourned after questions and public testimony.

Transcript Highlights:

• have expressed a want to maintain access have expressed a want to maintain access to<00:23:35.440
• participation um and also for uh access participation um and also for uh access to<00:41:17.599>
• . facilities. facilities.
• . facilities. facilities.
• You know, our our facility was facility.

Keywords: 918, senate, all

Summary: The Select Subcommittee first took up adoption of three previously prepared nonpartisan committee summary reports dated October 15, November 13, and November 21. Senator Rasmusson objected to the lack of advance notice about the day’s testifiers and criticized the practice of having nonpartisan staff summarize what he described as a partisan agenda. The chair responded that the committee’s purpose is to gather information, not hear bills, and that the summaries were intended as neutral resources for the Senate. Senator Coopek moved adoption, the motion was opposed by Rasmusson and another member, and the motion passed. The committee then turned to the day’s hearing on federal impacts on Minnesota, with the chair focusing on federal funding threats and the effect of congressional budget actions on health care, especially in greater Minnesota. The first presentation came from the Minnesota Department of Health on the state’s rural health transformation work. Assistant Commissioner Carol Broom introduced the team and described the rural hospital transformation program as a major opportunity to invest in rural health, while acknowledging longstanding challenges such as demographics, transportation barriers, and the financing of care. Nitha Moibi outlined the state’s rural health chart book and data showing an aging population, workforce shortages, and many health professional shortage areas, and described proposed strategies including workforce pipelines, bridge payments for low-volume birth hospitals, telehealth access points, mental health urgent care, and chronic disease prevention. Acting Assistant Commissioner Anna Ashby of the Minnesota Management and Budget office explained the state’s application to CMS for the Rural Health Transformation Program, which was created in federal law and awarded Minnesota just over $193 million for federal fiscal year 2026. She said the application was shaped by public comments, stakeholder meetings, and legislative outreach, and included initiatives on preventive care, workforce, care access, behavioral health, and provider financial stability. She also reviewed implementation constraints, including a January 30 revised budget deadline, limits on administrative spending, restrictions on using funds to offset Medicaid losses, and the need to show measurable progress to remain eligible for future funding. The presentation noted that most year-one funding would go to rural hospitals, with additional support for federally qualified health centers, community mental health centers, tribal partners, and technical assistance.

Transcript Highlights:

• It's designed to ensure that all children, especially those with disabilities, can access high-quality
• Families are still struggling to access care, and we cannot afford any delays.
• Patel's question earlier, unfortunately she's not here to hear this, but in regards to facilities, In
• We've also had similar issues regarding our facilities, where our facilities agreements, usages are being
• looked at Regarding our facilities, our facilities agreements and usages are being looked at through

Summary: The committee took up issue number seven, Child Care Rate Reform Transition Plan, and heard a presentation from the LAO on an eight-part transition plan for the period before implementation of the alternative methodology-based child care rate system. The plan would provide interim rate increases to existing regional market rates and standard reimbursement rates beginning January 1 of the budget year, keep the higher of SRR or ARMR as the single rate, annualize cost-of-care supplements, update hold-harmless language, eliminate the private market cap, authorize one-time systems transition funding with JLBC approval, and require annual reporting on parent co-pays. Members asked about the timeline and public/legislative feedback process, and administration staff said they were working toward the July 1, 2025 deadline while continuing stakeholder engagement through the rate and quality advisory process. Public comment was overwhelmingly focused on child care and early learning funding. Providers, county offices, advocacy groups, and education organizations urged the Legislature to move quickly on the alternative rate methodology, provide interim relief through a cost-of-living adjustment, reimburse based on enrollment rather than attendance, and preserve health and retirement benefits and workforce stability. Many speakers also pressed for funding to expand the promised 200,000 child care slots, warning that waitlists remain long and providers are under financial strain. Several commenters supported maintaining or extending grants and technical assistance for transitional kindergarten, inclusive early education, and mixed-delivery early learning programs. A separate set of comments addressed the Inclusive Early Education Expansion Program, with Sacramento County education officials and others urging a statewide plan that would extend support to the 20 counties not currently receiving grants, especially rural areas. Other speakers raised concerns about facilities and staffing impacts from TK expansion, the need for consistent eligibility rules across subsidized programs, and the importance of statewide systems-level funding. The chair thanked the LAO, administration, and public commenters, said the item would remain open until after the May Revision, and adjourned the meeting.

Transcript Highlights:

• Chairman, can you list out what facilities, what healthcare facilities are providing gender affirming
• How does someone get access to that private information?
• I think How does someone get access to that private information?
• Again, this is talking about the facilities.
• It doesn't say that you can't have those conversations in a private facility.

Bills: HB3057, HB3130, HB3310, HB3314, HB3985, HB4113, HB4486

Keywords: government reporting, information technology, child welfare, environmental policy, state agency compliance, gender transition, minors, health services, punitive damages, parental rights, health care providers, purchasing, compliance, state employees, longevity pay, contract management, marijuana tax, public service impact tax, county funding, voter approval

Transcript Highlights:

• and maintenance in uh of that facility and maintenance in uh of that facility there<00:43:49.319
• There's a lot of people that don't have access, can't have transportation, no access to medical care
• can't have transportation no access can't have transportation no access<03:03:13.880> to<03:03
• And so trying to find an opportunity to have people access and gain access to these vaccines is going
• And so trying to find an opportunity to have people access and gain access to these vaccines is going

Keywords: 910, house, all