Transcript Highlights:

• We urge your support.
• We're about to charge you with the California Alliance of Child and Family Services in support as a proud
• Jonathan Clay here on behalf of TransFamily Support Services and the Alliance for Trans Youth Rights,
• TransFamily Support Services works directly with around 2,500 families, both in San Diego and throughout
• services.

Summary: The committee heard several health-related bills, with extensive testimony on maternal health, prenatal safety, privacy, valley fever, Medi-Cal contracting, anti-discrimination protections, and health data sharing. SB 32 would require time-and-distance standards for labor and delivery units in health plan networks; the author and supporters said it would address maternity care deserts and improve access, while health plans opposed. SB 646 would require testing and public disclosure for toxic elements in prenatal vitamins; supporters emphasized fetal and maternal safety and transparency, while industry opponents warned it could confuse consumers or lead to reduced nutrient content. Both bills drew broad support from medical and public health groups, and both were advanced on party-line or near-unanimous votes after committee discussion. The committee also approved SB 313, which moves a parent’s birthplace on birth certificates into the confidential section to protect privacy, and SB 297, which directs CDPH to identify high-incidence valley fever regions and publish them for screening and awareness; valley fever experts and supporters stressed rising cases and the need for earlier diagnosis, while local health jurisdictions raised concerns about mandates. SB 324, dealing with Medi-Cal enhanced care management and community supports, would prioritize local community-based organizations and clarify contracting and data practices; it received strong support from nonprofits and community health advocates, with children’s hospitals and health plans seeking amendments, and it was sent forward after amendments were discussed. The committee then considered SB 418, which would codify ACA nondiscrimination protections in state law and allow up to a 12-month prescription supply for hormone therapy when medically necessary. Supporters framed it as protecting continuity of care for transgender patients and others using hormone therapy, including IVF and menopause patients, while opponents argued it would conflict with federal policy and promote harmful treatments. The bill passed to the next committee. Finally, SB 660 would strengthen the California Health and Human Services data exchange framework by creating governance and accountability for data sharing across health and social service entities; supporters said it would reduce duplication and improve care coordination, while some providers and hospital groups raised concerns. It was approved and sent to the Privacy and Consumer Protection Committee. The consent calendar and the other measures were also voted out, with the committee recording the required roll-call votes and sending the bills onward.

Transcript Highlights:

• Up next we have Oahu Initiative, Mariah Yosu in support, and Deo Coalition Earth also in support.
• Thank you for your support.
• Brandon Wolf, IATSE International, both in support. Pride at Work Hawaii, in support.
• Okay, and support. Okay, Deon Dison. Okay, late testimony and support.
• Hawaiʻi can support.

Keywords: 912, senate, all

Summary: The joint committees on Labor and Technology, Transportation, and Culture and the Arts heard testimony on Senate Bill 396 and Senate Bill 47, then later the Labor and Technology committee took up Senate Bill 136 and Senate Bill 1523. SB 396 drew support from the Metropolitan Planning Organization and others, with a question raised about implementation costs; the director said costs would depend on the scope of the benefit package and the transportation mode involved. The committees recommended passing SB 396 with technical amendments and added appropriation language with a blank amount, and the motion was adopted by recorded votes in both committees. SB 47, which would designate the Lunar New Year as a state holiday, received support from the Office of Collective Bargaining and several individuals, including Charlene Chun, who spoke about family traditions and cultural recognition. Members asked about the cost and whether the day would be a paid day off for state employees; the response was that observance would be subject to collective bargaining. The committees moved SB 47 forward with amendments, noting the collective bargaining and cost issues, and adopted the recommendation by vote. In the Labor and Technology committee, SB 136 on the Iron Workers Stabilization Fund drew strong support from iron workers and related supporters, who argued the bill was about safety, training, and keeping dismantling work within the ironworkers’ trade. Several other unions, including operating engineers, carpenters, laborers, and plumbers and fitters, opposed the bill as too broad and potentially infringing on their jurisdiction. The measure was not decided in the portion provided, but members discussed possible amendments and jurisdictional concerns. SB 1523, which would expand private-sector collective bargaining rights under the Hawaii Employment Relations Act to include independent contractors and others under NLRB jurisdiction, received broad labor support, including from IATSE, AFL-CIO, Hawaii Nurses Association, Unite Here Local 5, and many individual testifiers. Supporters framed it as protecting workers’ rights and strengthening labor protections, while the Hawaii Labor Relations Board warned it could significantly increase workload and require more staffing, space, and operating resources; the board estimated the bill could expand its caseload substantially and suggested an appropriation would likely be needed. The committee then moved on to the next measure, SB 1440, before the transcript ended.

Transcript Highlights:

• Let's not limit options but instead expand options and services offered by supporting these essential
• Let's not limit options but instead expand options and services offered by supporting these essential
• Let's not limit options but instead expand options and services offered by supporting these essential
• Minnesota supports more than 100,000 pregnant people, children, and infants through essential services
• The need for these services has... ...support to make informed choices.

Keywords: 1183, house

Transcript Highlights:

• That is our new state-supported service and the newest service in the Amtrak network.
• Amtrak was created by the Rail Passenger Services Act in 1970, went into service in 1971, and has been
• that had their own passenger service gave that service up.
• c><00:02:46.640> mph<00:02:47.280> there service services up to 160 mph there service services
• Customer service...

Keywords: Highways and Transportation - Room 216, January 14, 2026; 10:30 AM, 925, all

Summary: Amtrak officials Todd Stenis and Jeff Mann briefed the committee on Amtrak service in Mississippi, with a focus on the new Mardi Gras state-supported route on the Gulf Coast. They reviewed Amtrak’s national structure, including the distinction between long-distance and state-supported service under PRIIA section 209, and noted that Mississippi is served by the City of New Orleans, the Crescent, and the new Mardi Gras service. They said the Mardi Gras began service on August 18 and operates four trains a day between New Orleans and Mobile with Mississippi stops, supported by Mississippi, Louisiana, and Mobile. The officials reported strong early performance for Mardi Gras, saying ridership had already exceeded 60,000 by the end of December against a 71,000 first-year projection, with about 435 passengers per day and a 64% average load factor. They also cited 86% on-time performance, a 94% customer satisfaction index, and average fares of $27 in coach and $66 in business class. They said the service is benefiting from strong demand, good coordination with host railroads CSX and Norfolk Southern, and planned capital improvements totaling more than $200 million that they said should reduce trip times by 30 to 40 minutes. Committee members responded positively, with Senator Williams praising the train experience and another senator noting personal use of the Mardi Gras service. The presenters invited members to ride the train and described it as a state investment paying off across South Mississippi and the Gulf Coast. After the Amtrak presentation, the committee returned to business and took up one bill, 2019, which would delete the sunset on the provision directing the first $80 million of lottery proceeds to the state highway fund. Senator Blackmon asked for clarification, the chairman confirmed the bill would make the road funding provision permanent, and the committee approved the title and reported the bill out.

Transcript Highlights:

• Terri Bevesman in support. Kangas Lee in support. Cam Ning in support. Tina Wildberger in support.
• in support. Tina Wildberger in support. in support. Tina Wildberger in support.
• Judith Clark, Hawaii Youth Services Network, in support. Laura Loris Tachiki, in support.
• <00:55:06.640> Laura Youth Services Network in support.
• Laura Youth Services Network in support.

Keywords: 912, senate, all

Summary: The joint Health, Human Services, and Higher Education hearing took up HB 441 HD2, a measure to increase cigarette taxes and dedicate the revenue to the University of Hawaii Cancer Center. The Department of Taxation said it had no substantive objection but requested an effective date of January 1, 2026 if tax rates change so it can order new stamps. The Department of Health, the Deputy Attorney General/tobacco enforcement, the University of Hawaii Cancer Center, the Hawaii Public Health Institute, the American Cancer Society, the Hawaii Medical Association, and several other health organizations and youth advocates supported the bill, arguing that higher cigarette prices reduce youth initiation, encourage cessation, and help fund cancer research and care. Several supporters asked for a larger increase, including at least $1 per pack, while opponents from retail, wholesale, and tobacco-related groups argued the tax would be regressive, burden low-income smokers, and drive sales to the illicit market. The Tax Foundation and other opponents also criticized reliance on sin taxes and said smoking rates are already at historic lows. After testimony and questions, members discussed how the revenue should be used and whether higher taxes change smoker behavior or push people toward vaping or other alternatives. The chairs announced they would pass HB 441 HD2 with amendments, replacing the contents with SB 528 SD1 except for changes reflecting the Department of Taxation’s request and a provision directing all proceeds from the tax increase to the Hawaii Cancer Center’s debt reduction, with an effective date of December 31, 2025. The House Health, Human Services, and Higher Education committees then voted to adopt the recommendation; the Health, Human Services committee vote was adopted with Chair and several members voting aye and one member voting no in the Higher Education committee vote. The hearing also briefly covered HB 1334 on meat donation, which drew support from the Department of Agriculture, Hawaii Farm Bureau, food industry, and community groups, though no action was taken in the excerpt. The committee then heard HB 1098 on crimes against protective services workers. The Honolulu Prosecutor’s Office and Honolulu Police Department supported the bill, saying assaults on protective services workers can have chilling effects and deserve stronger deterrence; a committee question raised whether the bill should instead be part of a broader, more proactive approach to assault statutes. The Department of Human Services also described safety steps such as panic buttons and phone apps for social workers. The excerpt ends before any final vote on HB 1098.

Transcript Highlights:

• The MNA strongly supports a phased, multi-year plan to improve the facility and expand services so that
• We need a system that can help all of them and their families get the care, services, support, and guidance
• those services as we try to expand.
• services, as far as I can tell.
• services isn't less restrictive.

Keywords: 995, all

Summary: The special legislative commission on the future of Pappas Rehabilitation Hospital for Children held a hybrid public hearing focused on the hospital’s future, admissions, staffing, infrastructure, and whether the facility should be preserved, expanded, or reimagined. Opening remarks from legislators, commissioners, parents, and union representatives emphasized that Pappas provides a unique combination of medical, rehabilitative, educational, and residential services for children with complex needs, and several speakers argued that the hospital is effectively being depopulated through reduced admissions and ongoing discharges despite public assurances that it remains open. Multiple speakers urged the commission to extend its authorization and continue its work before any closure or major change can occur. Testimony from labor leaders, including AFSCME, SEIU Local 509, and the Massachusetts Nurses Association, described a “silent closure” in practice, with staff reporting confusion about the hospital’s status, declining census numbers, blocked admissions, and uncertainty about the workforce’s future. They called for immediate action to stop admission denials and unnecessary discharges, and some proposed short-term solutions such as temporary modular structures to address infrastructure barriers and allow admissions to resume. Parents and former patients testified that Pappas provided life-changing independence, specialized therapy, and campus-based supports that they said could not be replicated elsewhere, and they criticized alternative placements as inadequate. Commissioner Robert Goldstein of the Department of Public Health said the administration supports keeping Pappas open and funded while the commission works, but he argued that admissions must comply with hospital-level-of-care rules and that the campus’s deteriorating infrastructure limits the kinds of children who can safely be served there. He said the department is continuing admissions for appropriate patients, working to expand outreach and services, and exploring long-term options, including broader statewide models of care. Commissioners pressed him on whether discharge status or lack of a clear discharge plan had been used as a barrier to admission, and requested de-identified data on patients recommended for admission but denied. No formal votes were taken during the hearing.

Transcript Highlights:

• support services. support services.
• Functional Support<04:13:00.320> services. Support services. Support services.
• >> Support<04:13:01.240> services. >> Support services.
• >> Support services.
• functional support services paid for. functional support services paid for.

Keywords: 928, house, all

Summary: The committee held a public hearing on Senate Bill 562, which would create a home damage mitigation and resilience grant program aimed at helping homeowners make property improvements that could reduce insurance costs and non-renewals. Commissioner DJ Bettencourt of the New Hampshire Insurance Department explained that the program is modeled in part on Alabama’s safer homes program, but tailored for New Hampshire hazards such as floods, microbursts, heavy snow, ice, and falling trees. He said the grants would be limited to primary residences, subject to a means test, capped at $10,000, and intended to help homeowners make targeted improvements such as roof fortification or tree removal that could improve underwriting outcomes and lead to premium discounts. Bettencourt said the program would not use state taxpayer funds and would instead rely on philanthropic donations, possible federal or regional housing-bank funding, and other outside sources. He said the department would not need new staff, and that a current position could be reconfigured to help administer the program part-time. Committee members asked about the funding language, the meaning of “loans” in the bill, whether there were any other states using a similar no-state-funds model, and how many homeowners could be helped. Bettencourt said Rhode Island and Connecticut were moving forward in a similar way, and that the number of beneficiaries would depend on how much money is raised. Members also questioned how the grant program would actually lower premiums, whether savings would apply only to participants or more broadly, and how the IBHS evaluation process would work. Bettencourt and department staff said the direct benefit would be to the homeowner whose property is improved, though neighbors could also benefit in some cases. They explained that IBHS is a building-safety organization that certifies contractors and inspectors and that its standards can qualify homes for insurer discounts. Questions were also raised about confidentiality provisions, first-come-first-served grant awards, rollover of unused applications, and possible tax treatment of donations. The sponsor said those details would be addressed through rulemaking or existing tax rules, and no vote was taken during the hearing.

Transcript Highlights:

• and supports.
• And from that, we established the following array of services and supports.
• <00:16:10.079> and following array of services and following array of services and supports
• and all services and supports will be individualized service plans, um, and include care coordination
• It is designed to meet the child-centric care, supported services, housing, custody, and placement, and

Keywords: 958, all

Summary: The committee met with a quorum and first heard brief presentations on Kentucky’s 2025 Preventive Health and Health Services Block Grant and Title V Maternal and Child Health Block Grant. Department for Public Health staff explained that the preventive health block grant provides about $2.3 million annually and supports programs such as accreditation and performance improvement, local health department grants, community health workers, prescription assistance, asthma and COPD programs, workforce development, and a sexual assault programs set-aside. They said the Title V block grant provides about $11.7 million, with 35% directed to children and youth with special health care needs and 65% to maternal and child health populations, largely through local health departments and a five-year needs assessment process. After no questions, a motion was made and seconded to approve both block grants. The roll call vote passed 19-0, and the two block grants were approved. The committee then approved the minutes from the prior meeting. The next item was a discussion of the child waiver created in House Bill 6. Committee members raised concerns that the proposed 1915(c) waiver did not match the legislature’s intent, which they said was to move children from the Michelle P. waiver to free slots for adults. Cabinet officials from DCBS, behavioral health, and Medicaid described the proposed “Community Health for Improved Lives and Development” waiver as a targeted home- and community-based program for children under 21 with severe behavioral health or developmental needs, including those stepping down from inpatient or residential care or at risk of out-of-home placement. They said the waiver is designed for about 100 slots, uses a standardized needs-based assessment, and includes case management, community living supports, home modifications, respite, supervised residential care, and clinical therapeutic services. Officials said the public comment period ended July 15, responses are being compiled for August submission to CMS, and the waiver is part of the broader Families First initiative.

Transcript Highlights:

• Um, service animals and emotional support animals are not considered pets. Okay. Oh, okay.
• Um, service animals and emotional support animals are not considered pets. Okay.
• Support animals or, um, service animals versus emotional support animals.
• Support animals or emot um service for.
• Do you object to including support animals? Service animals? No, not at all. Service animals. Good.

Keywords: 912, senate, all

Summary: The Judiciary Committee heard HB 698, which would increase criminal penalties for animal cruelty offenses. The chair explained that a proposed SD1 narrowed the bill to “pet animals” only, and testimony focused heavily on whether the bill should be limited to pets, whether service animals should also be included, and whether the measure could unintentionally affect livestock or cultural practices such as chicken fighting. Supporters, including the Hawaiian Humane Society, rescue organizations, and several individuals, argued that stronger penalties are needed because animal cruelty is under-prosecuted, that abuse of animals is linked to violence against people, and that harsher penalties could deter abuse. Opponents, including the public defender’s office and some farmers and livestock interests, argued the existing law is already on the books, enforcement is the real problem, and the bill is vague and could create unintended consequences. Several witnesses described graphic examples of animal abuse and urged the committee to act, while one testifier from the Disability Communication Access Board asked that service animals be explicitly included because they are not considered pets and are important to the independence and safety of people who rely on them. Committee members questioned the scope of the SD1, including whether it covered chickens, domesticated pigs, and service or emotional support animals. The deputy attorney general was asked to provide follow-up clarification on those points, and the Hawaiian Humane Society said it would welcome adding service animals back into the bill. At the end of testimony, the chair announced the final testimony count as 112 in support, 128 in opposition, and one comment, noting that some testimony appeared to address the broader House version rather than the narrower SD1. Because several questions remained unresolved, the committee deferred HB 698 until Monday, March 31, at 10:00 a.m. in room 016, with a vote to be taken then. After that, the committee moved on to its 10:02 decision-making agenda and deferred HB 108 as well, citing concerns about alcohol shipment, drunk driving, and underage access; it then began discussion of HB 226 on windshield tinting.

Transcript Highlights:

• and that they're supported in moving to a place that will give them the services.
• We also just emphatically support that when those actions are taken, that people receiving services themselves
• We also just emphatically support that when those actions are taken, that people receiving services themselves
• We also just emphatically support that when those actions are taken, that people receiving services themselves
• We also just emphatically support that when those actions are taken, that people receiving services themselves

Keywords: 1187, senate, all

Transcript Highlights:

• A peer support program offers services to caregivers defined in the bill, which I just listed.
• peer support services to employees or members.
• Every board may require disclosure of participation in peer support or mental health services unless
• The program shall provide for care services, coordination, support, and assistive technology, medical
• Yeah, so personal care services are in-home care services.

Keywords: 994, senate, all

Summary: The committee met, approved the March 5, 2026 minutes, and then took up several health- and human-services-related bills. House Bill 5086, concerning peer support programs for covered caregivers, was explained as creating training and testimonial privilege protections; the committee adopted an amendment clarifying that boards may still require participation in a board-designated professional health program, and then reported the bill to the full Senate with the recommendation that it do pass. House Bill 5004, an educational bill on PANS and PANDAS, was supported by the sponsor, who described his family’s experience and the importance of earlier diagnosis; it was reported to the Senate without amendment. House Bill 5327, which would require the Department of Human Services to create an ALS services program, also received supportive testimony from the sponsor and members, but the transcript reflects the bill being reported as House Bill 537; it was moved forward without amendment. The committee then considered House Bill 5096, which would remove personal care and intellectual/developmental disability waiver services from certificate-of-need review. The sponsor argued the change would reduce regulatory burden and expand access, while a county aging-program director testified that certificate-of-need revenues help fund senior meals and services and that eliminating the requirement would reduce important support for aging providers. After a division vote, the motion to report the bill failed 3-9. House Bill 4695, allowing PEIA patients to switch to an alternative medically appropriate covered treatment without new prior authorization if it costs no more than the original treatment, was explained as carrying an estimated $13 million annual cost to PEIA and was reported to the Senate. The committee also advanced House Bill 5582, enacting the Respiratory Care Interstate Compact, after discussion of a committee amendment removing a new-background-check-at-initial-licensure provision; the amendment was adopted and the bill was reported. Another House Bill 5582, concerning the TANF drug screening program, was described as removing the sunset date and allowing oral fluid testing in addition to urine samples; it too was reported. Finally, House Bill 5466 renamed the batterer intervention program as an abuse intervention program and allowed live synchronous virtual delivery with an in-person option; the sponsor said the change would expand access statewide, and the bill was reported to the Senate. The committee then adjourned.

Transcript Highlights:

• Finally, it supports recovery.
• So I'm supporting it today.
• Any add-ons for support?
• Me too, the support.
• We support the measure.

Keywords: 988, house, all

Transcript Highlights:

• We are the only support services that follow the survivor from start to finish.
• We are the only support services that follow the survivor from start to finish.
• and support for that youth.
• And so being able to bridge that gap to those services and that support, we've seen advocacy play a huge
• And so being able to bridge that gap to those services and that support, we've seen advocacy play a huge

Summary: The first meeting of the Human Trafficking and Emergency Department Task Force focused on implementing Act 267, which created the body to develop a statewide human trafficking protocol to be incorporated into Louisiana’s sexual assault response plans. Chair Rep. Kelly Hennessy Dickerson and Office of Human Trafficking Prevention Director Mary Kate Andropont emphasized that the goal is a practical, transferable, survivor-centered protocol that can be adapted across regions and health systems. The task force also noted its timeline: use today’s presentations and member feedback to draft a protocol before the next meeting, then refine it into a final version. Presenters from hospitals, SANE programs, and advocacy organizations described current practices and gaps. Ochsner LSU Health Shreveport’s Operation Rahab and FMOLHS’s human trafficking policies highlighted staff education, badge buddies, anonymous admissions, hotline and law enforcement reporting, and coordination with community partners. SANE and forensic nursing presenters described red-dot privacy alerts, trauma-informed interviewing, and the need to train all hospital staff, not just ED clinicians, because trafficking victims may present repeatedly or in non-ED settings. LaFASA described statewide advocacy and legal support, while Unbound Now and BCFS/Common Thread explained Louisiana’s juvenile trafficking response under Act 662, including 24/7 crisis response, relational advocacy, and care coordination for minors. Members repeatedly raised the lack of safe housing, transportation, and placement options after identification, especially for adults, male survivors, and adults with special needs. Several presenters said that identifying victims is only the first step and that Louisiana still lacks enough resources for discharge and long-term stabilization. The task force also discussed the need for broader training across emergency departments, residency programs, nursing, housekeeping, maintenance, student health, mental health, and law enforcement, with members stressing that protocols should be clear, trauma-informed, and usable statewide. No votes were taken; the main action was to gather testimony, identify gaps, and begin drafting the statewide protocol.

Transcript Highlights:

• Nancy Hurlbert is waving in support. Barbara Grimm is waving in support.
• But anyway, Judy is waving in support. Thank you. Brian Battista, waving in support.
• These taxes do not support our cost of service, infrastructure, maintenance, or capital improvements,
• Barney Bishop is waiving in support. Barney Bishop is waiving in support twice.
• I don't know. ...services.

Summary: The committee heard and advanced a wide range of bills, with several focused on water safety, utilities, and local government transparency. CS/SB 848 on stormwater treatment was explained as clarifying water quality credits and water quality enhancement areas, and it was reported favorably after one support appearance. SB 28, a claim bill for Reginald Jackson against the City of Lakeland arising from injuries caused by a police shooting, was also reported favorably. CS/CS/SB 658 on water safety requirements for rental properties drew extensive testimony in support from child advocacy and drowning prevention advocates, who cited Florida’s high child drowning rates and the disproportionate impact on children with autism; the bill was amended to require front-end certification and remove local add-on authority, then passed favorably. CS/SB 18, a claim bill involving the estate of a deceased minor and the Broward County Sheriff’s Office, was reported favorably after questions about the verdict, settlement posture, and who would receive the funds. SB 934 on areas of critical state concern was amended to remove a provision viewed as conflicting with the Live Local Act and then passed favorably. SB 1622, which creates a one-time waiver for certain late-filed financial disclosure fines, also passed favorably with support from an appearance form. SB 1264 on private schools and zoning was reported favorably after members noted ongoing concerns and planned further discussion. CS/CS/SB 260 on electric vehicle storage in towing yards was amended to narrow the bill to storage issues and cap the fee period until inspection; it drew both support and opposition from insurers, fire officials, and vehicle industry representatives, and was reported favorably. CS/CS/SB 1014, dealing with municipal utility service to properties outside city limits, was amended to limit it to residential development and clarify capacity standards, then passed favorably. CS/SB 1102 expanded the local infrastructure surtax to include body camera programs and was reported favorably after an amendment requiring voter approval. Finally, CS/SB 1724 and SB 1566, both on local government utility and budget transparency, were amended and reported favorably despite concerns from cities and counties about implementation costs and burdens.

Transcript Highlights:

• The Santo Domingo Pueblo Library actively supports local entrepreneurship. support centers.
• If you support us, please ask Representative Small and Chairman Senator Muñoz to support it too.
• We do not have a lot of full-service grocery stores.
• , health care services, To a host of things, not just food, but other services, health care services,
• Well, thank you for your service, Phil.

Summary: The committee heard a lengthy presentation from the New Mexico Rural Library Initiative in support of fully funding the rural library endowment with an additional $29.5 million. The presenters described rural libraries as essential community infrastructure that provide not only books and internet access, but also early childhood programs, adult education, workforce support, telehealth, disaster response, and civic meeting space. They argued that the endowment would provide stable annual support for staffing and operations, help sustain libraries in very small towns and tribal communities, and support new or developing libraries. Members asked about eligibility, county coverage, how funds are distributed, and whether the state tracks broader outcomes such as job placements or certifications; the presenters said the State Library administers the funds and that the initiative itself is a nonprofit capacity-building organization, not the fund manager. Some members raised concerns about whether an endowment is the best long-term model versus recurring annual appropriations, and about the need for better reporting and state-library involvement. The committee then heard from food bank leaders Jill Dixon and Katie Anderson about food security and its economic impact. They said New Mexico’s five food banks and more than 500 partner agencies serve all 33 counties, distribute over 45 million meals, and rely mostly on philanthropy, with some state and local support. They emphasized that SNAP is a major economic driver, supporting grocery access, jobs, and local spending, and that recent legislative growth funding helped food banks respond to a surge in demand during a SNAP disruption. They also highlighted food banks as community hubs that can connect people to health care, job training, and other services, including through clinic referrals and closed-loop systems. In response to questions, they said food access gaps remain in some rural areas, that clients can generally seek food at other distribution sites without barriers, and that longer-term solutions should include more grocery access, healthy corner stores, and stronger broadband and health care infrastructure. The final presentations came from the Gallup-McKinley County Chamber of Commerce and the Artesia Chamber of Commerce. Gallup-McKinley described a shrinking workforce, youth outmigration, crime, health care shortages, malpractice costs, and gross receipts tax burdens as major barriers to rural economic growth, and urged action on workforce pipelines, housing, public safety, malpractice reform, and tax/regulatory changes. Artesia highlighted its murals, library, sports tradition, oil and gas, agriculture, federal training center, and refinery, while also noting workforce shortages, health care recruitment challenges, housing constraints, and the need for quality-of-life investments and more flexible regulation. The committee also briefly heard a bill presentation proposing a New Mexico-Ireland Trade Commission to promote bilateral trade and investment, especially in technology, agriculture, and energy sectors. No votes were taken because quorum was not reached, and the endorsement item was not acted on.

Transcript Highlights:

• But as of April 1st, providers under Title X are no longer receiving federal funds to support their services
• Support for reproductive services is essential, so we can continue to empower people throughout the small
• Support for reproductive services is essential.
• These two direct CDC grants support infectious disease mitigation and laboratory services.
• and having it go towards these critical programs and services. fund in both supporting the repayment

Summary: The subcommittee held an oversight hearing on federal actions affecting California’s public health and family planning systems, focusing first on the freeze to Title X family planning funds and then on broader CDC/public health grant terminations. Chair and members described the cuts as abrupt, harmful, and likely to create major gaps in disease surveillance, vaccination, contraception, STI testing, and other preventive services, while also criticizing the federal administration’s explanation that the actions were tied to DEI or civil-rights compliance. The chair thanked Attorney General Bonta for legal action and said the hearing was intended to document the real-world impacts and inform state budget responses. Witnesses from Essential Access Health, Planned Parenthood Affiliates of California, a Central Coast clinic, and other providers said California’s Title X network serves more than half a million low-income patients annually and relies on the funds for staffing, outreach, training, mobile and school-based clinics, and confidential care. They warned that the freeze has already forced reserve spending, delayed services, and could lead to layoffs, reduced hours, longer waits, and fewer appointments, especially for sexual and reproductive health care. Public comment included support for a proposed state backfill of Title X losses, with advocates emphasizing impacts on low-income, LGBTQ+, and communities of color. On the public health side, CDPH, county health officials, and local health officers testified that the CDC’s rescission of $11.4 billion in grants would affect California by an estimated $840 million and threaten lab capacity, immunization programs, health disparities work, and data systems such as CalConnect and vaccine registries. Sacramento County and others described how the grants supported outbreak response, sequencing, community vaccination clinics, and equity-focused partnerships, and said terminations had already led to canceled appointments, stopped contracts, and layoffs. Several speakers urged the Legislature to preserve and expand state “future of public health” funding and to backfill federal losses, while public commenters from HIV, immunization, labor, and county organizations echoed concerns about workforce losses and worsening health outcomes.

Transcript Highlights:

• In terms of Human Services then, MSOP is run by Human Services.
• Human Services or or Not Human Services Human Services or or Not Human Services I'm<00:25:21.200
• , especially around employment and support services.
• to healthcare and Community Support to healthcare and Community Support Services<00:47:30.720>
• services and cannot adequately support services and cannot adequately support patient<00:48:21.359

Keywords: 1183, house

Summary: The House Committee on Human Services Finance and Policy met to approve prior minutes and then take public testimony on the governor’s budget recommendations for human services. The chair explained the hearing format and noted that DHS declined to testify. Much of the testimony focused on proposed reductions or caps affecting disability waiver services, nursing homes, and elderly waiver programs, as well as related fee and tax changes in the budget. Representatives of ARM argued that the governor’s proposal would cap inflationary adjustments at 2%, limit rate exceptions, cap billable days, and restrict individualized home supports, which they said would worsen workforce shortages, reduce wages for direct support professionals, and destabilize disability services. They said the package would cut about $600 million over four years and could lead to group home closures, higher turnover, and families losing access to local homes and services. Committee members asked about real-world impacts and future rate adjustments, and ARM responded that providers have already planned around expected 2026 rates, so a cap would create immediate budget and staffing problems. Long-Term Care Imperative testified against nursing home-related cuts, saying the budget would cap future rate increases, limit health insurance costs in rate setting, phase out closure-related agreements and incentives, and fail to fully fund the Nursing Home Workforce Standards Board. They estimated the nursing home provisions could amount to a $218 million cut over four years, or roughly $350 million when combined with other underfunding, and said every nursing home and bed in Minnesota would be affected. They also criticized the lack of an inflation factor in Elderly Waiver, a proposed 54% increase in assisted living fees, and possible changes to provider-assessed fine and penalty funds. Members asked about staffing and bed availability, and the testifiers said reduced funding would likely force more beds out of service. A later testifier, Dan Andre of the Minnesota Council of Health Plans, raised concerns about the DHS budget’s proposed increase in the HMO surcharge and about carving pharmacy and non-emergency medical transportation benefits out of managed care. He argued the tax increase would raise premiums for fully insured and Medicare supplement enrollees and that managed care coordination helps members access care and medications. The hearing also included one unrelated, disruptive testimony about the Minnesota Sex Offender Program and other agencies, which the chair redirected back to the human services budget. No votes or formal actions were taken beyond approving the minutes and receiving testimony.

Transcript Highlights:

• We have our Indian Health Program, American Indian Maternal Support Services, and Tribal Emergency Preparedness
• Services and supports where a coalition of providers, community-based organizations, consumers, and advocates
• We are health and human services, not American-only services.
• That means that the state doesn't have to spend as much general fund to support those services.
• The administration plans to use all of Prop 56 funds to support base rate increases for physician services

Keywords: 988, house, all

Transcript Highlights:

• long-term services and supports. long-term services and supports.
• and supports to long-term services and supports to individuals<00:10:51.600> with<00:10:52.079
• So you mentioned a long-term services and support coordinator.
• uh services and support coordinator. uh services and support coordinator.
• Services and support services and support versus the provision of those same services without managed

Keywords: 928, house, all

Summary: The Committee to Study Long-Term Managed Care met to approve prior minutes and outline its schedule, with meetings set for September 24 and September 29 ahead of an October 1 report deadline. The chair said the committee would use the first two meetings to digest testimony, likely ask follow-up questions of DHS, and then work toward conclusions and a report format. The minutes from the previous meeting were approved unanimously. The main testimony came from Sharon Alexander of Amera Health, who argued in favor of moving from fee-for-service Medicaid long-term services and supports to a managed LTSS model. She described managed LTSS as a capitated, quality-driven system used in about 26 states, and said it can improve care coordination, accountability, access to home- and community-based services, and budget predictability. She cited Amera Health’s experience in Pennsylvania and Delaware, including care coordination, housing and transportation support, caregiver programs, and quality benchmarks tied to state oversight. She also said nursing facilities would remain an important option for people who need that level of care. Committee members asked about how the programs are administered, how rates are set, how care managers work, and how quality is measured. Alexander said states contract with managed care organizations at actuarially sound capitated rates, with annual contracts, reporting, and oversight. She explained that care managers typically conduct quarterly assessments and follow up after trigger events such as hospitalization, and that housing coordinators may assist with transitions to the community. On quality, she said states use CMS-related and HCBS benchmark measures covering service timeliness, care planning, transitions, and other outcomes, and that New Hampshire could build on existing metrics rather than starting from scratch. She also noted that rural areas face workforce and transportation challenges, which managed care plans try to address through technology and self-direction options.

Transcript Highlights:

• Yes, in support.
• <00:26:06.880> yes<00:26:07.720> and support or in opposition support yes and support
• Next we have support in person. Do we have Doe here? No, not in person, but in support.
• Okay, we have written comments from the Department of Human Services, written support from Hawaii Alliance
• <01:11:24.800> um Services um Services um written<01:11:26.280> support<01:11:26.640>

Keywords: 910, house, all

Summary: The hearing began with HB 1113, which would create an intensive mobile team pilot program in the Department of Health for chronically houseless individuals with serious brain disorders such as schizophrenia. The Department of Health Adult Mental Health Division strongly supported the bill, and written support was also submitted by several health and harm-reduction organizations. Members asked about the program’s size and coordination with existing services; the testifier said the team would use a low-caseload, 24/7 mobile model, coordinate with police, ERs, hospitals, housing, dual-diagnosis treatment, and other case-management resources, and continue serving participants even if they cycle through jail or hospital. The committee amended the bill to change the participant language from a maximum of 40 to “at least 40,” blanked out the appropriations section, deferred the effective date to July 1, 3000, and then adopted the chair’s recommendation to pass with amendments by unanimous vote in both committees. The next measure, HB 1140, would appropriate funds for DLNR to clean up homeless encampments on department lands. DLNR testified in support, saying it conducts about 22 to 24 cleanups per year and the bill would help it address homelessness statewide. Members asked whether the funds would be used to sweep people out of areas; DLNR said its practice is to give notice, allow time to leave, and then clean up what remains, with storage procedures for personal property. The department also said people still present are told to move to the county area across the road. DLNR confirmed the bill is not in the governor’s budget, though it is in the governor’s legislative package. The committee then heard HB 1486, which would make it disorderly conduct to remain or loiter within 20 feet of a bus stop without intent to use bus services. The Office of the Public Defender opposed the bill, arguing that criminal enforcement is not the right tool, could lead to arrests of people who are simply tired or unhoused, and could create a cycle of repeated low-level cases and constitutional issues around questioning and intent. HPD supported the bill, saying officers would generally try to get people to move first, but could also use field questioning, citations, or arrests depending on the circumstances; HPD said such incidents can be documented and later used in ACT or other mental-health interventions. A private resident testified in support, describing bus stops near her home as occupied overnight and burdening nearby residents and small businesses. Written support came from the City and County of Honolulu Mayor’s Office, and one individual opposed the bill. Members also asked about neighbor-island impacts, property handling, and whether the bill could help connect people to services; HPD said it had not consulted other counties and would follow up. Finally, the committee began hearing HB 877, which would prohibit encampments within 100 feet of the property line of a K-12 public or private school or school facility. DLNR stood on its written testimony, and the Department of the Attorney General raised concerns that the bill did not specify how violators would be removed, what would happen to property or the encampment, or whether the buffer zone applies only to public spaces. The AG suggested making violations petty misdemeanors and adding clearer definitions and due-process guidance. Members asked whether charter schools are included and whether private-property situations within the buffer zone should be clarified; the AG said public schools include charter schools and indicated the bill may need more specificity about private property and trespass situations.