Video & Transcript : 'inflation impacts' :

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FL

Florida 2026 4th Special Session

January 28, 2026 - 01:00 PM

Transcript Highlights:
  • year, the Florida Park Service generated over $75 million in revenue and had a $3.6 billion economic impact
  • During that time frame, we saw a significant number of storms that impacted our parks.
  • We did actually take an add-in of inflator in that, assuming that there would be increased costs over
FL

Florida 2026 4th Special Session

February 4, 2026 - 09:00 AM

Transcript Highlights:
  • As you well know, this is a very impactful bill.
  • It removes a provision allowing for inflation-adjusted fees for inspection reports.
  • My understanding is it's had no impact on that type of facility.
  • HB 1285 addresses a statewide issue which has directly impacted my district.
  • So over 30% of your constituents are going to be impacted by bills such as this.
TX

Texas 89th Regular

S/C on County & Regional Government May 5th, 2025

S/C on County & Regional Government

Transcript Highlights:
  • bill mirrors local government code 147, so we already know how the law will work and the positive impact
  • To have a formally recognized voice in policy matters that directly impact public safety.
  • I think we might, but it will not keep up with inflation.
  • The program will no doubt help and impact our rural counties in a positive way as follows.
  • We believe this program will be... ...a positive impact on our rural counties that struggle to provide
CA
Transcript Highlights:
  • They can materially impact a person's ability to perform at work without support.
  • We want to make sure that we can track outcomes and maximize the impact of these important investments
  • We want to make sure that we can track outcomes and maximize the impact of these important investments
  • We want to make sure that we can track outcomes and maximize the impact of these important investments
  • And the impact goes far beyond those directly targeted.
Summary: The committee heard a series of bills focused largely on labor, education, workforce, and public employment issues. AB 65 would provide public school employees up to 14 weeks of leave with full benefits for pregnancy and pregnancy-related health issues; supporters said current rules force educators to exhaust sick leave and suffer long-term retirement penalties, while the bill’s author noted it mirrors budget trailer language. AB 1818 would change HEERA procedures for CSU bargaining by shifting certain renegotiation disputes to PERB; Teamsters and other labor groups supported it as a way to stop CSU from unilaterally refusing agreed raises, while CSU moved from opposed to neutral after amendments. AB 1940 would explicitly reference menopause, perimenopause, and postmenopause in workplace protections; supporters said it would clarify rights and improve awareness, while business opposition argued existing reasonable-accommodation law already covers these issues and warned of expanded liability. AB 1534 would add guardrails for new short-term Workforce Pell programs, including tuition caps, limits on income-share agreements, and transparency around partnerships with unaccredited entities; the author later said the bill would be amended to include private institutions. AB 1896 would bar people who participated in immigration enforcement from holding California public jobs during a specified period; supporters framed it as a public-trust measure, while police and public-safety groups opposed categorical exclusion and urged a more individualized vetting approach. AB 2300 would streamline distribution of WIOA workforce funds and reduce delays in local workforce board contracting, with supporters emphasizing faster service delivery and no reduction in accountability. AB 2223 would require CDCR to report standardized data on contracted medical and mental health staffing, vacancies, and costs, following an audit that found heavy reliance on contractors and poor transparency. AB 2483 would create a pathway and certification for formerly incarcerated firefighters to move into firefighting careers after release, with strong support from the author and witnesses who described the work as a real career path and reentry opportunity. AB 2142 would require temporary classified school employees working more than 75% of the school year to receive permanent-employee benefits and protections; school administrators and community college groups opposed it as too rigid for grant-funded and fluctuating positions. AB 2367 would require quarterly reporting from state-run health care facilities on vacancies, overtime, registry/contract staffing, and missed staffing minimums, building on state auditor recommendations; health care workers supported it as a transparency and accountability measure. Several measures were voted out of committee or placed on call. AB 1818, AB 1534, AB 2300, AB 2483, and AB 2223 all received do-pass votes to the Senate Appropriations Committee, though each was placed on call after roll call. AB 65 and AB 1940 also advanced on do-pass motions but were placed on call. AB 2142 received a do-pass vote with opposition and was placed on call. S.J.R. 15, a resolution urging Congress to protect California employers from higher federal unemployment taxes tied to the state’s UI debt, drew divided testimony: business groups supported it, while labor and some members argued California should solve the problem itself and keep the unemployment system solvent; the resolution was also placed on call. The transcript also included committee discussion about working with authors on amendments, especially for AB 1940 and AB 1534, and several members noted support or co-authorship while raising concerns about implementation details and fiscal impacts.
MN

Minnesota 2025-2026 Regular Session

Committee on Transportation - 03/26/25

Transportation

Transcript Highlights:
  • to business and one month of severe impact.
  • ><c> severe</c><00:02:03.399><c> impact.
  • This bill seek month of severe impact.
  • Months chain disruption, and inflation.
  • My business is among the first to be impacted.
NM

New Mexico 2025 Regular Session

IC - Water and Natural Resources Jul 1st, 2025

Water & Natural Resources Committee

Transcript Highlights:
  • But You don't see the impacts like you do off of a wildfire.
  • We all know inflation occurs. Road, it actually costs you 2 million. We all know inflation occurs.
  • He picks a section that he sees the most impacts already occurring.
  • Its impacts were not just immediate, but they've been long-lasting.
  • Are there plans for required climate impact risk assessment?
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Revenue Jun 21st, 2026 at 10:00 am

Joint Committee on Revenue

Transcript Highlights:
  • And this would have no impact—no impact on the farm, which is beloved and does serve the community.
  • So once accounted for inflation, fuel tax revenues continue to fall.
  • First, the gas-to-VMT tax swap would have modest impacts statewide.
  • On the top of my head, I can’t remember the specific impacts.
  • Poverty has real and material impacts on health.
Summary: The hearing opened with remarks from the co-chairs explaining committee procedures, testimony limits, submission instructions, and the new deadlines for acting on House and Senate bills. The committee then heard testimony on several bills related to agriculture, land use, environment, housing, transportation, and taxation, with legislators often taken out of turn. No votes were taken during the hearing. The first major topic was H. 3206, a bill to allow fossil fuel-free 529 college savings plans to qualify for the state tax deduction if MEFA does not offer a comparable option. Representative Steve Owens said the bill would not force MEFA or Fidelity to change existing plans, but would create a definition for fossil fuel-free funds and extend the deduction to qualifying out-of-state plans. The committee also heard strong local testimony on a Belmont home-rule petition, H. 3970, to change tax treatment for the Belmont Country Club under Chapter 61B. Belmont residents and officials argued the private golf course receives an unfair tax break that shifts costs to other taxpayers, while Senator Brownsberger and Representative Rogers supported the measure as a way to help the town recover revenue. Committee members asked about town meeting support, the club’s lack of payment in lieu of taxes, and the size of the tax savings. The committee next heard testimony on a vehicle miles traveled tax proposal, S. 1925, from Senator Barrett and economists Gilbert Metcalf and Christopher Knittel. They argued that declining gas-tax revenue and rising fuel efficiency, especially with electric vehicles, require a more stable transportation funding source; they also said a VMT tax could be designed to be revenue-neutral and mildly progressive, though members raised concerns about administration, fairness, EV disincentives, and the possibility of annual tax shocks. The largest block of testimony focused on the Ahead Act, H. 3194/S. 1973, which would double the deed excise fee and dedicate the new revenue to affordable housing and climate adaptation. Supporters from MACDC, MAPC, FICC, Boston Climate Action Network, CLF, 350 Mass, CHAPA, and a tenant advocate said the bill could generate about $300 million annually for housing production, vouchers, weatherization, resilience, and environmental justice communities, and that it links two urgent crises with a stable funding stream. The committee also heard testimony on the Conservation Land Tax Credit bills, H. 3147/S. 2083, which would raise the annual cap on the credit from $2 million to $5 million for three years and then sunset back down. Conservation groups and a landowner said the program has conserved thousands of acres and that the higher cap would reduce delays and help meet state conservation goals. Finally, the committee took testimony on the Fairness for Farm Workers bills, S. 2011/H. 3107 and S. 2012, which would extend overtime, minimum wage, breaks, and paid time off protections to farm workers and include a refundable tax credit to help farmers offset overtime costs. Senator Gomez and advocates described the bills as overdue civil rights and public health measures, citing low wages, long hours, dangerous conditions, and the racial history behind farm labor exclusions. The hearing also included testimony on H. 3240, a bill to give municipalities a local option vacancy tax on chronically vacant shopping malls, with the sponsor arguing it would help towns address blight, encourage redevelopment, and potentially create housing and tax revenue.
MO

Missouri 2026 Regular Session

Corrections and Public Institutions Apr 15th, 2026

Corrections and Public Institutions

Transcript Highlights:
  • it changes where this fee was set, and I don't know how long ago this bill was passed, but with inflation
  • I don't know how long ago this bill was passed, but with inflation changes and things that we do here
NH

New Hampshire 2025 Regular Session

House Finance (01/23/2025)

Transcript Highlights:
  • This modest investment would have an outsized impact.
  • This modest investment would have an outsized impact.
  • This modest investment would have an outsized impact.
  • </c> producers um with the priz of inflation producers um with the priz of inflation and<01:50:07.480
  • has a compounding compounding impact has a compounding impact<02:49:17.160><c> on</c><02:49:17.399><
Summary: The Finance Committee held a hearing on several bills and announced at the outset that no votes would be taken because the measures would go to divisions later. The first major bill, HB 197, would require the state to pay 7.5% of political subdivision employer pension contributions for teachers, police officers, and firefighters. Representative Mike Edgar, the prime sponsor, argued the state had repeatedly reduced and then eliminated its promised share of retirement costs, shifting the burden to municipalities and property taxpayers. He said the bill would partially restore that commitment and provide relief to local governments, businesses, and taxpayers. Several witnesses testified in support of HB 197, including Representative John Cluder, Bradford selectman Marlene Fryer, the New Hampshire Municipal Association’s Margaret Burns, and Epping representative Mark Fone. Supporters said the bill would help with property tax pressure, school budgets, and municipal hiring, and they emphasized that much of the retirement cost reflects unfunded liability decisions made at the state level rather than by local governments. Committee members questioned whether the bill would change local incentives to control costs and how it would affect hiring and compensation. Burns said the state contribution would function as property tax relief because it offsets existing municipal expenses, and she noted the state is already on a long-term schedule to pay down the retirement system’s unfunded liability. After closing the hearing on HB 197, the committee opened a hearing on HB 97, introduced by Representative Tom Buco. He said the bill would continue funding for delayed and deferred wastewater projects and help municipalities finance expensive wastewater infrastructure, which he tied to housing development and local debt planning. No action or votes were taken on either bill during the hearing.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Education Jun 21st, 2026 at 01:00 pm

Joint Committee on Education

Transcript Highlights:
  • Within my first week at MAC, the importance of an intersectional understanding of the use and impacts
  • It was immediately clear that, one, a student's identity directly impacts the likelihood that they will
  • It was immediately clear that, one, a student's identity directly impacts the likelihood that they will
  • in 2021 to 2022, Black female students were... ...clear that, one, a student's identity directly impacts
  • of Chapter 70, reimbursing districts for transportation, rural aid, mitigating the financial impact
Summary: The Joint Committee on Education held a hearing focused primarily on special education-related bills, with testimony centered on two major themes: transition planning for students aging out of school-based services at age 22, and the fiscal strain special education costs place on districts. Committee members explained hearing procedures, noted the House was in formal session, and periodically stepped out for votes while staff recorded testimony. A separate bill on special education due process was also taken up briefly, along with a bill on special education finance and another on equitable access/data reporting. On House Bill 752 and Senate Bill 313, witnesses from the Arc of Massachusetts, the Massachusetts Down Syndrome Congress, the Developmental Disabilities Council, families, self-advocates, and Senator Comerford described the “Turning 22” transition as a crisis point that often leaves families without adult placements, services, or clear communication. Testimony emphasized earlier planning, more accountability, better data collection, and a commission to improve coordination and residential placement. Several parents and advocates shared personal accounts of traumatic transitions, delayed placements, and the need for plans to begin at least a year before age 22. The committee later closed testimony on these bills after hearing from all signed-up speakers. House Bill 4217, on special education due process, drew support from Representative Sullivan-Almeida, parents, and advocates who argued that the burden of proof should shift from families to school districts. Testimony described costly legal battles, delays, and parents having to become experts in reading instruction or hire advocates and attorneys to secure services. Brody Dwyer, a 10-year-old student with dyslexia, and his mother described how evidence-based instruction helped him after years of struggle. The committee also heard testimony on House Bill 546/Senate Bill 317, which would require DESE to publish cross-tabulated data on race, disability, gender, income, and other factors; advocates said this would better expose disparities and help address the school-to-prison pipeline. Finally, on House Bill 691/Senate Bill 430, school leaders, educators, and union representatives testified that special education costs are outpacing district budgets and that increasing circuit breaker reimbursement and creating a commission to study long-term sustainability would help prevent staffing cuts and service reductions. No votes were taken during the hearing; the committee repeatedly closed testimony on individual bills as speakers finished and moved through the agenda.
OR
Transcript Highlights:
  • We've heard a lot of anecdotal impacts.
  • Generally, we're looking at actuarial impacts of these changes.
  • It's going to impact about 1,100 members, right?
  • So that's where we would expect mandates to actually impact premium.
  • So you're saying, you're saying inflation?
Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.
KY
Transcript Highlights:
  • Last year you voted 89 to 0 to adjust for inflation the funding you provide our counties for administering
  • There's been a ton of inflation the past four years, let alone the past 40 years.
  • the funding you to adjust for inflation the funding you provide<00:14:13.079><c> our</c><00:14:13.320
  • </c><00:14:34.320><c> the</c><00:14:34.519><c> past</c><00:14:34.720><c> four</c> been a ton of inflation
  • the past four been a ton of inflation the past four years<00:14:35.399><c> let</c><00:14:35.560><c>
Summary: The committee first handled House Bill 27, which would remove the prohibition on political yard signs in planned communities statewide while still allowing communities to regulate size, placement, and duration. The sponsor said the 2023 Planned Communities Act created an unintended consequence by treating similar homeowners differently based on grandfathering dates, and a legal explanation was offered that the bill would clarify the law and avoid constitutional problems. After discussion, the committee voted 15-0 to pass the bill with favorable expression. The next item was an update from the Secretary of State on the 2024 election and implementation of House Bill 53, which created prompt post-election audits. He said the audits were carried out smoothly, most found no discrepancies, and no election winners changed, though he recommended adding a specific timeline to the law. He also discussed voter-roll maintenance, saying Kentucky has removed more than 440,000 ineligible voters since 2020, and argued that federal law and limited access to federal databases remain the main obstacles to faster cleanup. Members asked about the possibility of improper removals, double voting across states, and how provisional voting works. The Secretary said anyone improperly removed can reregister, that any double-voting abuse is likely marginal but still unacceptable, and that provisional ballots are available when eligibility is in doubt and can be reviewed by the county board of elections. He also urged Congress to modernize the 1993 federal voter-registration law, improve access to death and citizenship data, and create a central interstate information-sharing system for election officials.
MS

Mississippi 2026 Regular Session

Appropriations - Room 216, 28 January, 2026; 8:15 AM

Appropriations

Transcript Highlights:
  • We're doing everything we can to do a root cause analysis about every kind of factor that impacts our
  • that that impacts our payment error<01:00:38.240><c> rate.
  • Um, the primary impact is going to be in the SNAP program, as far as I can see.
  • We thought it was going to impact our social service block grant funding, but it's not.
  • impact our youth services as well as our adult protective service.
NM

New Mexico 2025 Regular Session

IC - Legislative Finance Oct 15th, 2025

Transcript Highlights:
  • But most of the other changes will have a delayed impact when it comes to fiscal impact, except the administrative
  • There's a potential impact if this shutdown drags on to impact. cash flow for some of those agencies.
  • So, as of right now, Medicaid is not impacted.
  • Period, even after accounting for inflation.
  • Obviously, you heard this morning about the situation with the federal impacts.
CA
Transcript Highlights:
  • Many impacted service members already live here or are returning home, with significant concentrations
  • Members who have impacted and have met the challenge and challenges that will be there from the federal
  • This bill gives This bill gives support to those veterans who have been impacted negatively, have been
  • The threshold will be $83,474, and will continue to adjust annually with inflation.
  • Some have raised concerns about general fund impact as a response to oppose this bill.
Summary: The Senate Committee on Military and Veterans Affairs met on June 22 with several members initially absent, so the committee began as a subcommittee and later established a quorum. The committee first heard AB 1775, which would provide California support for transgender service members and veterans affected by a federal executive order requiring their separation from service. The author and witnesses described the policy as discriminatory and destabilizing, and supporters from civil rights and LGBTQ+ organizations urged passage. No opposition testimony was offered, and the chair and members expressed support for helping affected veterans with discharge upgrades, housing assistance, and expedited professional licensing. The committee then heard AB 2022, which expands the disabled veterans property tax exemption by creating a full exemption for certain totally disabled veterans meeting income limits and a 50% exemption for others, while preserving existing benefits. The author, a disabled Marine veteran, and multiple veterans’ organizations testified that the measure would help veterans remain in their homes and keep them in California; a Gold Star spouse also spoke in support. The bill was moved on a due pass motion to the Committee on Appropriations, with the roll held open until additional members arrived, and the consent calendar was later approved 4-0. Next, the committee heard AB 2054, which updates the definition of covered active duty for paid family leave purposes so military families can qualify when service members are deployed, activated for emergencies such as wildfires, or sent to extended training. Supporters, including Department of Defense and veterans’ representatives, said the bill reflects modern military service and protects families during disruptions. The committee also heard AB 2531, which would expand an existing uncompensated care grant program so veterans denied abortion care through the federal VA system can access support, and would add abortion resource information to CalVet materials. Support came from Planned Parenthood, the California Medical Association, the Lieutenant Governor’s office, and others; one member of the public raised concerns about coercion but did not clearly oppose the bill. All three bills were advanced on due pass motions to Appropriations, and the meeting adjourned after the final votes.
MN

Minnesota 2025-2026 Regular Session

House Commerce Finance and Policy Committee 3/5/26

Commerce Finance and Policy

Transcript Highlights:
  • Importantly, the bill has minimal fiscal impact unless the legislature decides to add new mandates in
  • </c> mandates while managing premium impacts mandates while managing premium impacts in<00:09:36.959>
  • And uh a significant uh impact would be.
  • Employers are already navigating workforce shortages, inflation, and rising health care costs.
  • , and rising health shortages, inflation, and rising health care<01:00:48.000><c> costs.
Bills: HF3388 , HF400
CA

California 2025-2026 Regular Session

Assembly Transportation Committee Jul 7th, 2025

Transcript Highlights:
  • A comprehensive state-led study is needed to evaluate the impacts of tariffs on California.
  • And so this will shed light on the economic impacts that the recent trade...
  • That's never been escalated to adjust for inflation, or that number has never been adjusted.
  • And will it impact locals?
  • Each one of them is impacted by immigration enforcement.
Summary: The Assembly Transportation Committee heard several measures, beginning with SB 86, which would extend and expand the CAEATFA sales and use tax exclusion program through 2031, raise the annual cap from $100 million to $200 million, and add fusion energy. Supporters, including the State Treasurer and industry and labor representatives, cited billions in clean-tech investment, job creation, and environmental benefits; county groups opposed the bill over local revenue losses. The committee approved SB 86 on a 12-0 roll, holding the roll open for additional members. The committee then heard SB 545, which would require Go-Biz to study economic development opportunities along the California high-speed rail corridor, including land value, development incentives, and public-private partnerships. Labor, Fresno’s mayor’s office, and other stakeholders supported the bill as a way to spur corridor development and future funding opportunities, while one business group moved from opposition to neutral after amendments. The bill passed on a 9-1 vote, with the roll held open. Members next considered SB 63, a Bay Area transit funding measure authorizing a regional revenue measure to support transit operations amid looming fiscal shortfalls. The author and witnesses described severe service cuts that could follow without new funding, while committee members raised concerns about the bill’s structure, county participation, polling, and whether other revenue options should be considered. The bill advanced on a 9-3 vote, with the roll held open, and the committee also approved SB 263, directing a state study of tariff impacts on California’s economy and supply chains, on an 11-0 vote. Finally, the committee heard SB 661, which would redirect aviation-related tax revenues back to airports for aviation purposes and bring the state into compliance with federal requirements; testimony focused on airport modernization, rural access, and allocation formulas, but no final vote was taken in the portion provided.
CA
Transcript Highlights:
  • This impact is especially significant here in our state.
  • This impact is especially significant here in our state.
  • of OCA would be if there are impacts.
  • It's going to impact the rest of the health care system.
  • We get a Very impacted with indigent people.
Summary: The Assembly Budget Subcommittee on Health began with a hearing on the impacts of H.R. 1 on California health programs, focusing first on reproductive health state investments. HCAI outlined five state-funded reproductive health programs created after Dobbs, including uncompensated care, practical support, capital and clinical infrastructure, and workforce programs. Essential Access Health and Planned Parenthood testified that these funds have served hundreds of thousands of patients, but warned that the uncompensated care program is fully awarded and needs renewal, and that Title X and Medicaid-related federal uncertainty continues to threaten access. Members questioned who the uncompensated care program serves, why Medi-Cal covers a large share of abortions, and whether Planned Parenthood could expand prenatal services; public commenters urged continued support for reproductive health access. The committee then took up long-term care services and supports, starting with the HCBA and Assisted Living Waiver programs. DHCS reported large wait lists for both programs and said enrollment is limited by workforce and provider capacity, while LAO noted that increasing slots alone may not increase access without additional programmatic changes. Members pressed the department on whether more slots should be added given the lower cost of home- and community-based care compared with skilled nursing facilities, and public testimony argued that the wait lists should be reduced and that staffing concerns do not fully explain unused capacity. The committee also heard testimony on congregate living health facilities, where providers and a patient family described the homes as critical, lower-cost alternatives to nursing facilities for younger, medically complex people. Witnesses requested short-term bridge funding, while DHCS said it is proposing to transition CLFs into a managed care benefit by January 1, 2028, which would remove caps and expand access statewide. The final long-term care topic was PACE. DHCS explained that it has paused new PACE applications and service expansions for at least two years to reassess oversight capacity and develop a statewide strategic growth framework, while existing programs continue operating. CalPACE supported the pause as a planning measure but asked for four additional state nurse positions to reduce delays in level-of-care determinations and speed enrollment for frail older adults. Members shared personal stories about how PACE has helped family members and asked how the state will meet growing demand; DHCS said stakeholder engagement will begin later in the year and that some existing applications already in process will continue. Public commenters broadly supported PACE, HCBA, and CLF funding requests. The hearing then moved to the Department of Health Care Services’ 2026-27 Medi-Cal budget and related trailer bills. DHCS said Medi-Cal spending has grown due to coverage expansions, higher acuity, rising utilization, and especially pharmacy costs, and it described proposals to extend the current skilled nursing facility financing framework for one year while the state develops a new value-based payment strategy. LAO said most recent Medi-Cal spending growth has been driven more by higher per-enrollee costs than by caseload growth, with pharmacy spending growing especially quickly, and recommended better and more timely data to analyze the drivers. Members expressed concern about the rapid rise in Medi-Cal spending and asked for more detail on the largest cost increases.
MN

Minnesota 2025-2026 Regular Session

Committee on Health and Human Services - 04/15/26

Health and Human Services

Transcript Highlights:
  • </c><01:03:38.640><c> affordability</c> options directly impacting affordability options directly impacting
  • Lewis, Associate Vice President, Advocacy and Community Impact at Greater Twin Cities United Way.
  • to other essential areas of impacts to other essential areas of local<01:15:44.440><c> government.
  • </c> food food prices to outpace inflation food food prices to outpace inflation this<01:20:40.840><c
  • for our neighbors across the impact for our neighbors across the state. state. state.
CA
Transcript Highlights:
  • This impact is especially significant here in our state.
  • This impact is especially significant here in our state.
  • of OCA would be, if there are impacts.
  • We do understand the impact.
  • It's going to impact the rest of the health care system.