Transcript Highlights:

• expected to be about 5 billion with the main sources of that revenue being a $71 vehicle registration fee
• and a $32 CHP fee.
• This is replacing a Turlock laboratory. that was established in the 1940s, and they've been able to do
• That's associated with the fact that their mobile source program relies on Uh, fees from, uh, associated
• One of the best programs that we have to take dirty cars off the road and replace them with clean cars

Keywords: 988, house, all

Transcript Highlights:

• This is to award fees to attorneys appointed for indigent appellants in criminal appeals.
• The first one is to replace the roof, gutter system, and exterior of their sample library that had damage
• It is supported by tuition fees and insurance reimbursements.
• going to pay for the total project and how much is ultimately going to come out of the tuition and fees
• going to pay for the total project, and how much is ultimately going to come out of the tuition and fees

Summary: The committee heard a series of appropriation requests and contract reviews across multiple sections. In Section B, members approved temporary appropriations for the Court of Appeals, Commerce/Aeronautics, and Insurance-related payments and refunds. Section C ARPA requests from DHS were approved to return unused federal funds. Section D infrastructure-related appropriations, including wildfire preparedness, broadband BEAD funding, forestry support, recycling, and oil and gas sample preservation, were approved after questions about broadband audit controls and performance safeguards. Section E DHS reallocations were approved, including large transfers within Medical Services from hospital medical to private and public nursing home lines, along with smaller transfers for children and family services, developmental disabilities, and youth services; members asked about the source and purpose of the medical services transfer. Sections F and G were reviewed, covering cash fund requests, federal grants, and miscellaneous grants, including community college storm repairs, corrections commissary and maintenance, 911 enhancements, maternal health, disability determinations, state police equipment, digital newspaper archiving, and CDL data improvements. In Section H, the committee reviewed pay plan appropriations and performance fund transfers tied to the new Class and Comp pay plan. Section I reviewed three methods of finance for UA Little Rock, UAMS, and the University of Arkansas system. In Section J, the committee reviewed discretionary grants, including a $1.4 million HIV services grant and nine tobacco prevention subgrants through UAPB. Members questioned the effectiveness, metrics, and addresses of some tobacco-cessation arts-based grantees, especially Arts Absolutely Inc.; after discussion, Representative Kavanaugh moved to expunge the vote on J2 and refer it back for review at a later ALC meeting, and that motion passed. J3, a Department of Energy and Environment grant for propane safety training and e-waste recycling services, was then reviewed. The committee also reviewed contracts in Section K. K-1 ratified emergency management nuclear planning work performed during a transition between agencies. K-2 construction contracts included architectural and engineering services for corrections, National Park College signage, a Razorback Road parking facility, and UAMS cyclotron installation. K-3 intergovernmental contracts covered health, education, autism waiver, stroke, newborn screening, Medicaid evidence review, and radiation testing services. K-4 out-of-state contracts included staffing, IT, tobacco prevention, audit, marketing, planetarium, recruitment, and janitorial services; Senator Irvin noted one contract appeared to belong in the out-of-state list rather than intergovernmental. K-5 in-state contracts covered staffing, cleaning, re-entry and treatment services, foster care and disability services, hearing officers, asbestos abatement, campus IT support, and janitorial work. The meeting ended after a brief personal update from Senator Irvin about tornado damage in Stone County and thanks to members for their concern, followed by adjournment.

Transcript Highlights:

• The tipping fees are a little bit more than what you would get in Sierra, Colorado, or some other places
• You also did our waterline replacement.
• One other question: You see that the lead service line replacement is for community water systems.
• We have about 120 million worth of infrastructure that we still need to replace.
• How are we replacing wooden pipelines?' And not just this community, but many... rural communities.

Transcript Highlights:

• LET'S MOVE ON TO MICHAEL NEUMANN INSURANCE FEE FOR BUSINESS AND HOME SAFETY.
• THAT IS SENT THAT SAYS HEY YOUR ROOF IS NOW 15 YEARS OLD AND YOU MIGHT WANT TO START PLANNING TO REPLACE
• ESSENTIALLY THAT'S HOW MUCH IT COSTS TO REPLACE A PRODUCT AGAINST THE COST OF HOW MUCH THAT IS WHY IT
• THE ROOF OR THEY WILL FACE LARGE PREMIUMS BECAUSE THEY KNOW TO 18 MONTHS WILL HAVE TO REPLACE THE ROOF
• MOST PEOPLE SHOULD SET ASIDE RESERVES TO AFFORD ROOF REPLACEMENT BECAUSE TO YOUR POINT IT DOES NOT LAST

Keywords: 999, senate, all

Transcript Highlights:

• <00:08:43.680> on will drop the total taxes and fees on will drop the total taxes and fees
• For the record, you know, we have the same user fee on gas.
• So if gas is $4 a gallon, you know, the fee on that is higher.
• But as gas gets lower, then the fee goes down. Really ought to be the other way around.
• but as gas gets lower, then the the fee but as gas gets lower, then the the fee goes<00:15:17.279

Keywords: 00:32 Call to Order and Roll Call 02:30 Road Fund Report 17:22 Approval of Minutes 18:07 High Growth Counties Projects 56:00 Adjournment, 958, all

Summary: The Budget Review Subcommittee for Transportation met without a quorum at first, then later approved the July 15 minutes by voice vote after quorum was reached. The committee heard an update from the Transportation Cabinet on the road fund for FY 2024-25. Cabinet staff reported road fund revenue came in $38.5 million above the enacted estimate, with motor vehicle usage tax receipts setting an all-time high for the fifth straight year. Motor fuels tax revenue was below estimate and down from the prior year, while overall road fund collections totaled $1.86 billion, essentially flat year over year. Staff said the road fund ended FY25 with a $61.6 million surplus, which under the budget bill must be appropriated to state construction. Members discussed the gas tax formula, with Senator Higdon arguing it no longer works well because revenues fall when fuel prices fall, and the chair noting the committee may need to revisit the formula. The committee then received an update on High Growth County projects in the 2024 highway plan. KYTC said $16 million in HGC authorizations had been made, nine projects already had construction funds authorized or were otherwise underway, 12 more were scheduled to be let by the end of 2025 with estimated construction costs above $250 million, and one additional project was expected to be awarded through alternative delivery. The cabinet said it anticipated authorizing the full $450 million appropriated by the General Assembly. Members praised the effort and emphasized the need to get projects to market before the next budget cycle. Jason Sala of KYTC also explained why transportation projects take time, citing planning, design, right-of-way acquisition, and utility relocation as major steps that can delay delivery. He said these processes are complex and require coordination with property owners, utilities, consultants, contractors, and local governments. Eric Pelfrey then briefed the committee on professional and personal service contracts, saying they are used to expand cabinet capacity for design, inspections, right-of-way appraisal, safety, and related work. He reported that authorizations and payments for these contracts have trended upward over the past decade, and that the number of contracts has also increased. In response to questions, Pelfrey said design-build can speed some projects by overlapping steps, but it does not eliminate right-of-way or utility work when those are required; he said KYTC has been using alternative delivery more often, but project complexity still limits how quickly work can move.

Transcript Highlights:

• The amendment strikes line 1.10 and replaces it.
• Most of those are coal plants, and they are not being replaced with reliable capacity.
• that's a lot of new capacity to replace that's a lot of new capacity to replace with<00:54:01.400
• Well, we could, but it would jeopardize our ability to recover cost on replacement assets.
• Well, we could, but it would jeopardize our ability to recover cost on replacement assets.

Keywords: 1183, house

Transcript Highlights:

• Ten percent allows a reseller to cover payment processing fees, taxes, platform fees, administrative
• , to cover payment uh processing fees, to cover payment uh processing fees, taxes,<00:43:53.960><
• with the ticket and the purchase should be... convenience fee that's included in the convenience fee
• convenience fee? convenience fee?
• , additions, taxes, convenience fee, additions, taxes, convenience fee, whatever<01:00:09.160>

Keywords: 927, senate, all

Transcript Highlights:

• Fee is the secondborn child of parents Zungwin and Demley Doe.
• <00:06:55.759> Fee privilege of sharing with you today.
• Fee privilege of sharing with you today.
• Fee Win. Thank you. Thank you from all of us who share in a professional relationship with you.
• California, what are we going to replace California, what are we going to replace them<05:02:12.878

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, April 30, 2025, 1012, house, all

Transcript Highlights:

• <00:03:38.519> account preservation and replacement account preservation and replacement account
• There was replacing of a sanitary sewer line, repairing of a lift station, replacing steam traps and
• Replacing exam controls in the Human Services area. There was some replacing of water mains.
• There was replacing of a sanitary sewer line, repairing of a lift station, replacing steam traps and
• uh to address either likely replacement uh to address either likely replacement of<01:03:25.359>

Keywords: 1187, senate, all

Summary: The committee first heard from the Minnesota Department of Administration on the governor’s capital budget requests. Commissioner Tamara Grundal described the state’s deferred maintenance backlog, saying Minnesota owns more than 4,800 buildings across 19 agencies, with an estimated replacement value of $11.2 billion and about $2.2 billion in deferred maintenance. She urged continued bonding support for asset preservation, CAPRA emergency repair funding, Capitol Complex security upgrades recommended by the ACAS advisory committee, and a budget-neutral account to help leverage federal funds for renewable energy storage and electric vehicle projects at state facilities. Members asked follow-up questions about prior security spending and CAPRA use. The commissioner said some 2018 security funds were used for items such as bollards, projectile-resistant glass, key card readers, and security kiosks, but specific details would be provided offline. On CAPRA, staff said recent projects included public safety upgrades, correctional facility repairs, water main and sewer work, roof repairs, lift station repairs, and boiler and steam trap replacements. The commissioner said the account has recently been used heavily, with about $1.9 million remaining, and estimated a typical target range of roughly $3 million to $5 million based on past spending and expected emergencies. A staffer said they did not know whether bonds had been issued ahead of time to fund the reserve and would follow up. The committee then heard from the Department of Public Safety on BCA capital projects. Commissioner Bob Jacobson and Superintendent Drew Evans said the governor’s proposal includes a new Southern BCA regional office and laboratory in Mankato, expansion of BCA regional office and lab space, and a new Minnesota State Patrol headquarters using trunk highway cash. Evans said the Mankato project is needed because of growth in DNA analysis, digital evidence, controlled substances, cyber tips, and sexual assault kit testing, and because the current St. Paul facility is over capacity. He said the new regional facility would improve turnaround times, reduce travel for scientists and law enforcement, support training, and improve evidence intake and crime scene response in southern Minnesota. Senator Pappas questioned the increase in the Mankato project cost from about $48 million to $68.6 million. Evans said the increase was driven by rising construction costs and additional specialized laboratory and support-space needs identified during design work with the Department of Administration. No votes or formal actions were taken during the portion of the meeting provided.

Transcript Highlights:

• And so we respectfully support replacing these terms with clear patient-centered language.
• All right, so it says that the Attorney General may be awarded attorney's fees and cost.
• Can they get their attorney's fees back or their cost back? That's not addressed in this bill.
• This is a bill for veterans, a one-time fee... My apologies.
• Waddell said he played a fee. Does Mr. Waddell want to come down and test? No, no. That's a joke.

Keywords: 974, senate, all

Summary: The Senate Committee on Health and Welfare met on May 13 with a quorum present and approved the prior meeting minutes. The committee first heard HB 971, which would equalize Medicaid reimbursement rates between independent clinics and hospital-owned rural health clinics; supporters said independent clinics are disadvantaged by a large payment disparity, and the bill was reported favorable without objection. The committee also recognized visiting Alpha Phi Alpha members and other guests during personal privilege remarks. Members then considered HB 414, which would bar hiring certain health care workers and direct support professionals with serious disqualifying convictions from other states and address background-check issues for therapeutic group homes. After adopting three amendment sets, the bill was reported as amended. HB 740, creating an independent review process for Medicaid behavioral health claim disputes in the coordinated system of care, was amended to clarify applicability and CSOC definitions and then reported as amended. HB 288, which would place the term “miscarriage” alongside “spontaneous abortion” in medical documentation, drew emotional testimony from affected parents and advocates; the committee reported it favorable. The committee also advanced several more bills: HB 405, updating the name of the national acupuncture certifying body, was reported favorable; HB 786, prohibiting extrapolation in certain managed-care claims recoupments, was reported favorable; HB 1095, allowing alternative backup power sources for nursing homes, was reported favorable; HB 403, raising the cottage food gross-sales cap, was amended from $50,000 to $150,000 and then reported favorable; HB 930, modernizing cosmetic-product regulation and creating a small-producer exemption, was reported favorable; HB 557, defining long-term pharmacies for policy purposes, was reported favorable; HB 779, on expedited partner therapy for sexually transmitted diseases, was reported favorable; HB 915, setting utilization-management timelines and standards, was reported favorable; HB 546, expanding criteria for peace officers to take someone into protective custody during a mental health crisis, was reported favorable; HB 796, creating a chiropractic preceptorship program, was reported favorable; and HB 933, authorizing commemorative birth certificates, was reported favorable. The final major item was HB 1041, a “no-mandate” bill barring discrimination based on medical intervention status. The sponsor and Surgeon General said it was aimed at healthy, asymptomatic individuals and not at public health quarantine powers, but Senator Boudreaux objected to exemptions for schools and hospitals and offered an amendment to restore broader coverage. That amendment failed on a roll-call vote, and the bill remained under discussion as the transcript ended, with no final committee disposition shown in the excerpt.

Transcript Highlights:

• Okay, now take out the C, replace it with a B. What's the difference there in how you, it's.
• Chairman, but the audience might be that it replaces the star test with a shorter test that is better
• The replacement will... monitor growth over student progress over time by testing student learning in
• You said that that would replace the STAAR test? Right.
• ABCD okay, right and and I think part a lot of the problem will be resolved if we do replace the star

Bills: SB451, SB762, SB1490, SB1262, SB1459, SB1750, SB1962, SB2252, SB2253, SB2365

Keywords: instructional materials, public schools, Education Code, adoption, rejected materials, local funds, open educational resources, Texas Education Code, school districts, open enrollment charter schools, funding restrictions, environmental regulation, business compliance, local authority, economic development, state preemption, local control, open education resources, SB 762, Texas public schools

Transcript Highlights:

• And so we receive a fee-for-service payment there.
• Image or video that deceptively replaces one individual's likeness with another's, creating the false
• And then the front half of the section is replacing the language 'performance' with 'production.'
• And then the front half of the section is replacing the language performance with production.
• That's simply replacing performance with the language production.

Summary: The committee first approved the December 16 minutes and then heard a presentation from Dr. Ramona Danielson on adverse childhood experiences (ACEs) and their economic and public-system impacts. She explained that ACEs are population-level risk indicators, not individual diagnostic tools, and said higher ACE exposure is associated with more chronic illness, mental health challenges, child welfare and justice involvement, and lower workforce participation. She cautioned that precise dollar estimates are difficult because of the many interacting factors across the life course, but said the direction of the impact is clear and that evidence-based interventions and protective factors can reduce harm. Members asked about definitions of a “healthy family,” same-sex couples, divorce, substance abuse, trends in ACEs, and home visiting; she emphasized supportive relationships, protective factors, and the importance of positive childhood experiences. The committee then heard from Allison Mahoney and Missy Barranco, along with a recorded family story from Abby, about evidence-based home visiting programs in North Dakota. Abby described how Healthy Families North Dakota supported her family after a premature birth and NICU stay by providing weekly in-home coaching, developmental screenings, postpartum mental health check-ins, referrals, and parenting support. The presenters explained that home visiting is voluntary, relationship-based, and usually begins prenatally or shortly after birth, with referrals coming from hospitals, WIC, pregnancy navigators, human service zones, self-referrals, and other community partners. They said North Dakota currently has four main evidence-based models operating through 12 organizations, with Healthy Families available in all 53 counties, though only a fraction of eligible families are served. Funding was described as a patchwork of federal MIECHV/Title IV-E, Medicaid, state and tribal funds, philanthropy, charitable gaming, and other grants; members discussed whether the Legislature or agencies should expand support and how to improve outreach and sustainability. Finally, the committee received a memorandum on artificial intelligence and sexual exploitation, focusing on AI-generated child sexual abuse material, deepfakes, sextortion, and chatbot-related risks. The report summarized federal and state law, including North Dakota’s existing computer-generated image provisions, the federal PROTECT Act, the Take It Down Act, and recent federal executive orders on AI policy. Members discussed the need for child-safety protections, the limits of executive orders, and broader concerns about AI’s effect on critical thinking and misinformation. The committee then heard from BCI Special Agent Cassidy Halsef, who said AI is already driving a sharp rise in child exploitation cases in North Dakota, including AI-generated explicit images of real minors and school-based incidents involving mass-shared manipulated images. She said investigators are seeing more cyber tips, more difficult forensic work, and lasting harm to victims and families, and urged stronger legal penalties, specialized training, victim services, and prevention education in schools and communities.

Transcript Highlights:

• And so project barriers, as I mentioned, an existing air handler unit needed replacement.
• Finances to date: as of May 31st, 2026, total capital spend is roughly $900,000, with A&E fees of $564
• Again, the existing hospital is on the right side, and our replacement hospital is in the background.
• The total project costs, with architectural fees, is $69,948,928.40.
• The total project costs with architectural fees is $69,948,928, $928.40.

Keywords: 908, all

Summary: The committee was called to order, the roll was taken, and the March 18 minutes were approved. Members then received several project and program updates, beginning with CHI St. Alexius’s behavioral health buildouts in Bismarck, Williston, and Grand Forks. St. Alexius reported that the Bismarck project remains on track for June 2027 completion, with demolition underway and final design work nearing completion. Williston reported construction is progressing, staffing recruitment is underway for psychiatrists and other staff, and an air handler replacement is creating a roughly $750,000 unbudgeted barrier that will slightly delay the timeline. Grand Forks reported its expansion is about 30% complete, with no major barriers beyond weather, and leaders said the project should be substantially complete in the first quarter of 2027. The Department of Health and Human Services then presented a series of budget and program updates. Donna Ockland explained several recent line-item transfers as technical corrections that net to zero and do not require new spending, then reviewed salaries, wages, and FTE counts, noting the department remains within its authorized staffing levels. Pat Rainer followed with an update on the Rural Health Transformation Program, saying 12 opportunities have been posted, 422 applications received, and $8.4 million obligated so far, with a goal of obligating the full $199 million by September. He described grants for workforce retention, rural rotations and housing, community gardens, school wellness, behavioral health promotion, safety net services, equipment, technology, EMS, and other initiatives, emphasizing that the program is intended to be transformational and tied to metrics. Members asked extensive questions about how rural eligibility is defined, how grants will support both rural facilities and hub hospitals, and how future years of funding will build on current awards. The committee also heard an update on certified community behavioral health clinics from Elena Zeller, who said North Dakota has been accepted as a demonstration state, implementation is underway in Williston, North Central/Minot, Fargo, and Dickinson, and care coordination and service counts are increasing. Rebecca Askins then reviewed SNAP payment error rates, saying the 2025 rate was finalized at 9.89%, with the state aiming to get below 6% through policy updates, training, data tools, and a quality assurance team. Members pressed her on the causes of the error rate, the role of the SPACES software system, and the need for accountability and improvements. Finally, Dirk Wilkie reported the state laboratory project reached substantial completion on June 12 and is on budget at about $69.95 million, though a service elevator had to be redesigned because it was too small for equipment.

Transcript Highlights:

• Collector may also charge a reasonable fee not to exceed 5% for processing on electricity.
• restrictions around their compensation, which this time only allows them to receive a flat referral. fee
• has a financial interest. in or that do not have a necessary license and includes restrictions on fees
• So if we were to replace every unauthorized worker with every.
• if they choose not to join the court recognized that mandatory fees via an employee's First Amendment

Bills: HCR35, SJR59, SJR84, SCR30, SB127, SB317, SB324, SB457, SB506, SB511, SB529, SB547, SB584, SB619, SB636, SB646, SB659, SB715, SB732, SB735, SB771, SB784, SB800, SB801, SB904, SB1026, SB1049, SB1065, SB1181, SB1224, SB1250, SB1383, SB1467, SB1524, SB1528, SB1531, SB1568, SB1585, SB1640, SB1681, SB1754, SB1757, SB1777, SB1972, SB1980, SB2007, SB2041, SB2046, SB2050, SB2055, SB2069, SB2080, SB2119, SB2138, SB2139, SB2154, SB2201, SB2225, SB2268, SB2306, SB2308, SB2310, SB2330, SB2366, SB2375, SB2392, SB2401, SB2422, SB2480, SB2514, SB2530, SB2533, SB2543, SB2544, SB2589, SB2610, SB2615, SB2623, SB2660, SB2662, SB2693, SB2695, SB2707, SB2722, SB2742, SB2753, SB2807, SB2843, SB2844, SB2858, SB2880, SB2885, SB2891, SB2925, SB2938, SB2986, SJR3, SJR18, SB5, SB914, SB963, SB1197, SB1415, SB1437, SB1786, SB326, SB767, SB769, SB783, SB1035, SB1271, SB1619, SB1637, SB1806, SB1, SB260, HB135, HB1109, HCR35, HCR64, SJR36, SJR50, SJR63, SJR84, SJR59, SCR12, SCR39, SCR48, SCR19, SCR30, SCR3, SB2023, SB619, SB2742, SB646, SB1026, SB2880, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1505, SB583, SB1502, SB507, SB1434, SB1376, SB1585, SB1772, SB2016, SB1163, SB1122, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB393, SB1791, SB529, SB209, SB2429, SB1999, SB511, SB2309, SB510, SB584, SB1085, SB2046, SB1975, SB2717, SB1262, SB1524, SB636, SB2056, SB884, SB517, SB1200, SB1845, SB1863, SB2681, SB2200, SB2199, SB1757, SB2050, SB2458, SB2201, SB2660, SB2662, SB1065, SB801, SB2533, SB3014, SB3013, SB758, SB1721, SB2366, SB1013, SB2797, SB2383, SB1754, SB2119, SB2448, SB1777, SB1283, SB2392, SB2076, SB2786, SB2876, SB2284, SB2225, SB1540, SB2929, SB1972, SB2540, SB2595, SB2217, SB715, SB2330, SB1383, SB500, SB1640, SB2001, SB2080, SB506, SB2514, SB2753, SB2398, SB1241, SB2927, SB2173, SB2538, SB898, SB1449, SB2529, SB1531, SB2846, SB2476, SB986, SB1181, SB2075, SB2154, SB2864, SB1359, SB2386, SB771, SB2844, SB2550, SB1351, SB1423, SB1931, SB2245, SB2589, SB2707, SB2807, SB410, SB659, SB2776, SB2693, SB2580, SB1980, SB1886, SB1234, SB739, SB456, SB127, SB1666, SB2843, SB2801, SB800, SB2055, SB784, SB2986, SB735, SB1012, SB324, SB2926, SB2938, SB2007, SB2138, SB1242, SB2615, SB1049, SB2310, SB1224, SB2972, SB1568, SB2841, SB2885, SB3016, SB2858, SB2610, SB2139, SB1856, SB2035, SB2308, SB2306, SB2041, SB1528, SB1681, SB1141, SB2401, SB2530, SB2375, SB547, SB1266, SB1373, SB1467, SB2069, SB2269, SB2480, SB2544, SB672, SB904, SB2695, SB2891, SB2422, SB2543, SB1854, SB317, SB2539, SB2532, SB2925, SB1250, SB2082, SB2203, SB457, SB2357, SB2721, SB243, SB1285, SB2568, SB1959, SB1442, SB1454, SB2520, SB2541, SB1708, SB1237, SB1844, SB1586, HB1392, HB22, SB1551, SB3039, SB2819, SB66, SB629, SB1015, SB2342, SB2903, SB2933, SB1965, SB2477, SB3029, SB2605, SB2419, SB1957, SB375, SB250, SB777, SB628, SB2523, SB2367, SB2703, SB2608, SB2778, SB3044, SB2965, SB2521, SB865

Keywords: spaceports, tax-exempt bonds, aerospace investment, Texas space economy, Federal legislation, education funding, Texas State Technical College System, capital projects, infrastructure, higher education, tax exemption, property tax, homestead, fire damage, constitutional amendment, Birding Capital, Matagorda County, wildlife, conservation, Texas Legislature

Transcript Highlights:

• If we're doing that, is the COGs holding out an administrative fee when they work our money?
• did your first round of grow in 2024, several COGs had said they were going to do an administrative fee
• And when we're holding out administrative fees, it sure gets into it.
• I can see some possibilities, either replacement of those old clay lines.
• Some are getting charged an administrative fee and others are not.

Keywords: 996, all

Transcript Highlights:

• This doesn't replace physician or APP, or advanced practice provider visits. It complements them.
• This doesn't replace physician or APP, or advanced practice provider visits. It complements them.
• This doesn't replace physician or APP, or advanced practice provider visits. It complements them.
• This doesn't replace physician or APP, or advanced practice provider visits. It complements them.
• This doesn't replace physician or APP, or advanced practice provider visits. It complements them.

Bills: HF4493, HF3133, HF4595, HF4143, HF4142, HF3756, HF4289, HF1724, HF2291, HF4568, HF4547

Keywords: opioid use disorder, OUD, medication-assisted treatment, MAT, pharmacist prescribing, pharmacy practice, controlled substances, Schedule III, Schedule IV, Schedule V, DEA registration, Board of Pharmacy, substance use disorder, addiction treatment, buprenorphine, naltrexone, harm reduction, prescription authority, pharmacist intern, Minnesota pharmacy law

Transcript Highlights:

• do support the amendment that was inadvertently deleted about the enforcement and the schedule of fees
• do support the amendment that was inadvertently deleted about the enforcement and the schedule of fees
• We support the amendment that was inadvertently deleted about the enforcement and the schedule of fees
• nor intended to replace the requirements of<00:52:31.359> the<00:52:31.520> most<00:52
• as the permits and fees as we heard<01:02:44.319> and<01:02:44.480> also<01:02:44.680>

Keywords: 1191, senate, all

Transcript Highlights:

• Listed on our Medicaid fee schedule.
• In fee for service, sorry, current fee-for-service rates are lower than those paid by capitated plans
• Currently,... listed on our Medicaid fee schedule.
• In fee for service, sorry, current fee for service rates are lower than those paid by capitated plans
• This proposal will help in redesigning the Medicaid fee-for-service fee schedule to ensure those children

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

Transcript Highlights:

• Until it gets to the point where it's determined that we can actually replace those taxes.
• So no money can be touched until the investment earnings can replace the revenue generated by all those
• So it is something that stays there until it can replace.
• You shall let it remain in there intact until it can replace the taxes that we've talked about.
• mathematics involved, have trillions of dollars available to us to be able to offset all taxation, all fees

Keywords: 959, house, all

Transcript Highlights:

• commission's $20 million Innovation Partnership Grant, established under Proposition 1, is not a replacement
• The grant established under Proposition 1 is not a replacement for this Mental Health Wellness Act funding
• They just can't be replaced with another $20 million that is for something completely different.
• I had a question about the coalinga hydroponic loop replacement program appropriating 34.35 one-time
• The May Revision proposes replacing the current PBM registration requirement with a licensure mandate

Summary: The Assembly Budget Subcommittee on Health held an informational hearing on the Governor’s May Revision, focusing first on the Commission on Behavioral Health, then EMSA, and then the California Department of Public Health (CDPH). The Department of Finance said the state faces a third consecutive deficit and that the May Revision includes difficult trade-offs, including proposed eliminations or reversions of some behavioral health and public health funds. The LAO echoed concern about the structural deficit and said it was still awaiting some budget details before offering a full analysis. For the Commission on Behavioral Health, Finance proposed eliminating $20 million in Mental Health Wellness Act funds, arguing the money would help offset General Fund costs and noting future Proposition 1 innovation funding. The commission strongly opposed the cut, saying it would eliminate or delay launch-ready grants for early childhood supports, full-service partnerships, and peer respite, and would eventually end ongoing grant programming. Several advocates and commissioners testified that the funds support underserved communities and that Proposition 1 is not a substitute for the existing programs. The chair asked Finance to look for alternatives, but no vote was taken. EMSA presented mostly technical budget adjustments: increased authority for the California Poison Control System, a correction to EMSIS funding, and a reappropriation for enterprise services and data management. CDPH then reviewed a broader set of May Revision proposals, including reversions from the California Reducing Disparities Project, workforce development, STD prevention, hepatitis C prevention, hospice, and extreme heat funding, as well as a new generative AI pilot for health facility survey reporting. Members raised concerns about cuts to CRDP and gender health equity programs, especially because many grants are mid-contract and serve underserved communities; CDPH said the reversions were part of solving the deficit and that CRDP had been successful, while also clarifying that abortion.ca.gov would not be eliminated. Public comment was overwhelmingly opposed to the CRDP and related cuts, with many speakers describing the programs as life-saving and cost-effective. No formal votes or actions were taken during the hearing.