Transcript Highlights:

• </c><00:28:25.200><c> to</c> provide some level of legal support to provide some level of legal support
• You know, that behavior that we want.
• I would agree with that and I'd support that.
• </c><00:45:26.880><c> over</c> incentivize that behavior over incentivize that behavior over agreements
• </c> would agree with that and I'd support would agree with that and I'd support that.<00:45:34.480><

Keywords: 928, house, all

Summary: The meeting opened with roll call and approval of the prior minutes, including a requested correction to Thomas Han’s statement about a Granite State Division of the Society of American Foresters subcommittee studying the timber yield tax and current use forest land tax assessment formula. The correction was adopted, and the minutes were then approved as amended. The main agenda item was a hearing of landowners on forest taxation and carbon credits. Several scheduled speakers canceled, so the committee received a letter from Ross Karen, a Coos County landowner and forester, who opposed carbon credit sales because of “leakage” and argued that diverse local markets and productive forests are better than carbon sales. Aean Kelly of White Mountain Lumber and the Randolph Town Forest also testified, saying many Coos County landowners and forest managers have declined carbon credit offers because they do not fit New Hampshire’s working-forest tradition. He argued that carbon agreements should be treated on a level playing field with traditional harvesting and that, if they are to be encouraged, they should face a fiscal adjustment comparable to the timber tax. Kelly also gave a detailed history of the timber tax, explaining that it was created in 1948 to replace uneven local property taxation on standing timber, discourage clearcutting, and stabilize the tax base while preserving working forests. He said the tax was intended to be collected when timber is harvested, not to stop logging, and that a later commission found the 10% rate roughly matched the revenue towns lost. In response to questions, he said pre-1948 assessments varied widely by town and tax collector, and that carbon projects today are already being valued by sophisticated models, so he believes carbon should be included in the assessment system. He also said short-term carbon agreements may simply monetize existing forest value, while 100-year agreements raise enforceability concerns. No votes or other formal actions were taken beyond approving the amended minutes.

Transcript Highlights:

• So I’m very supportive of it.
• We support an investment.
• So we ask for your support. I also am here in support of Item 3.
• I'm here in support of the staff and Senate; I hope you'll support it as well.
• I'm here in support of the staff incentive. I ask that you support it too. Thank you.

Summary: The meeting began with a budget subcommittee hearing on a proposed sustainable aviation fuel (SAF) tax credit trailer bill. Assembly Members Ávila Farías and another member spoke in support, emphasizing union jobs, refinery investments, and the need to decarbonize aviation. The Department of Finance said the Governor’s proposal would provide a $1 to $2 per gallon credit against the diesel excise tax for SAF sold in California from 2026 to 2036. The Legislative Analyst’s Office recommended rejecting the proposal, arguing it is a relatively expensive way to reduce emissions, has uncertain environmental benefits, could significantly reduce transportation revenues, and conflicts with the spirit of voter restrictions on transportation taxes. Committee members questioned whether the credit would mainly benefit out-of-state producers, whether firms would have diesel tax liability to use the credit, and whether the proposal would shift production away from renewable diesel and raise fuel prices. Administration and CARB staff said the credit is intended to support aviation decarbonization, preserve jobs, and help keep California on track toward its 2045 climate goals. LAO and UC Berkeley testimony countered that the policy could mostly subsidize existing technologies, that feedstock supply is limited, and that the net emissions benefit may be small relative to the cost. Members also asked about the effect on local streets and roads, SHOP, and trade corridor funding; Finance estimated a $165 million annual revenue impact would reduce those programs, while LAO said the reductions would mean fewer projects over time. No vote was taken, and the chair said the issue would remain open for further discussion. The committee then moved to a zero-emission vehicle incentive trailer bill proposing a one-time $200 million appropriation to CARB for a new point-of-sale incentive program focused on first-time buyers and leases of new and used light-duty ZEVs. Supporters said the program would help offset the loss of the federal EV tax credit, maintain momentum in California’s ZEV transition, and use a one-to-one match with participating automakers to double the state’s investment. LAO recommended rejection, saying the proposal does not meet the high budget bar this year, lacks enough program detail to evaluate, is unlikely to move sales significantly given the size of the appropriation, and could duplicate existing state and utility programs. Members asked about current incentives across light-, medium-, and heavy-duty sectors, the recent decline in ZEV sales, and whether the program would help lower-income buyers rather than subsidize purchases that would have happened anyway. CARB said the proposal is meant to fill a gap in the light-duty market, where sales fell sharply after the federal credit expired, and noted existing programs for other vehicle classes. The Department of Finance also addressed a separate question about the Motor Vehicle Account, saying a previously planned GGRF transfer was no longer needed because updated forecasts showed the fund had sufficient balances, though LAO said the account still has a structural long-term imbalance. The discussion ended before any vote or action on the ZEV proposal.

Transcript Highlights:

• But that's going to address some of the behavioral health, not all.
• if they want to do telehealth visits with behavioral health.
• Those are all big problems with behavioral health in rural Oklahoma.
• Our mission is pretty simple: managing assets to support education.
• Ability to potentially someday be at least partially self-supporting.

Keywords: 914, all

Transcript Highlights:

• And you would come to an overall reduction in that state support.
• Actual reduction of support.
• While the percentage of federal support went down, the total dollars of federal support went up over
• The teacher is the instructor, the para is the support.
• The para is the support.

Summary: The committee first approved the minutes and then received a lengthy DPI presentation from Stanley Schauer on statewide reading and math assessment data for students with and without disabilities. He explained the assessment systems used over time, the absence of 2019-20 data, and how North Dakota’s standards are set by educators. Members asked about alternate assessments, cohort trends, the apparent drop in proficiency in higher grades, and the new NDA+ assessment. Schauer emphasized that the biggest pattern in the data was the relative stability of students with disabilities, the post-pandemic drop and partial recovery, and the need to focus on reducing the novice category. He also said the state plans to revisit high school standard setting and that future data could be broken out by program, disability category, and schools using science-of-math or other initiatives. Public testimony from special education staff suggested that the flat performance of students with disabilities during COVID likely reflected continued services and intensive supports, and committee members discussed whether the current disparity goal is realistic and whether growth measures would be more useful than simple proficiency buckets. After the presentation, the committee took a short break and then moved into discussion of special education funding models. Chair Richter said members should contact Schauer directly with ideas for additional data views and noted that the committee would continue its work on funding and possible model changes. Brandon Bomback of Grand Forks Public Schools began a presentation arguing that the special education funding formula, especially the weighting factor, should be reconsidered if the committee wants a system that better reflects accountability and student needs. He said his comments were based on the perspective of a larger district and focused on the special education weighting factor rather than other parts of the formula. The remainder of his presentation was not included in the excerpt.

Transcript Highlights:

• We do support Bill 1270 and 2566.
• Are you supportive of the bills? Are you supportive of all the bills?
• Pete, your group as well, were big supporters. I've been a supporter for 25 years. Thank you.
• We support a loan.
• We support the bill, and we respectfully ask for your support. Thank you.

Keywords: 1146, all

Transcript Highlights:

• We will not accept disruptive behavior or behavior that incites or threatens violence.
• We will not accept disruptive behavior or behavior that incites or threatens violence.
• I'm here in support of AB 2496.
• , and support.
• supports.

Keywords: 988, house, all

Transcript Highlights:

• </c><00:53:39.079><c> the</c> have a it's designed to support the have a it's designed to support the
• behavior survey which is youth um the behavior survey which is youth um the data<00:59:20.640><c> um<
• </c> general court has been very supportive general court has been very supportive of<01:14:44.239><c
• </c><01:46:27.840><c> um</c> figure out how we can best support um figure out how we can best support
• support groups and developed support support groups and father-<01:49:07.840><c> Le</c><01:49:08.280

Keywords: 928, house, all

Summary: The Finance Division III work session focused on the Department of Health and Human Services’ Division of Public Health Services budget. Department staff said Public Health has a relatively small budget compared with other DHHS divisions, is supported mostly by federal and other non-General funds, and contains nearly 100 accounting units and more than 50 federal grants. They emphasized that the governor’s budget did not include significant cuts, but that federal funding uncertainty and the winding down of pandemic-era resources were major factors affecting the division. The division also explained that some apparent budget growth reflects reorganizations, including moving the Bureau of Emergency Preparedness, Response, and Recovery and some programs from other DHHS divisions into Public Health. The presentation described Public Health’s mission as serving the entire state through food and water safety, disease surveillance, emergency response, maternal and child health, chronic disease prevention, WIC, community health center support, and public health data collection. Members asked about bird flu, and staff explained that human-health response would involve Public Health’s lab, infectious disease, and emergency preparedness units, while animal-health issues are handled with the Department of Agriculture; they also noted ongoing milk testing requested by FDA and USDA. The division said its organizational structure includes bureaus for Family Health and Nutrition, Infectious Disease Control, Public Health Protection, Emergency Preparedness, Prevention and Wellness, Statistics and Informatics, and Public Health Laboratories, with about a 15% vacancy rate. Committee members questioned whether the division’s budget and staffing had really grown since pre-COVID, and staff responded that full-time authorized staffing is about the same as in 2018, with the increase largely due to federal pandemic funding that has since receded and to program transfers between divisions. They said Public Health’s General Fund share is about $24 million out of roughly $1.1 billion in DHHS General Fund spending, or about 2.2% of the department total. Members also asked about the 3,000-position cap and unfunded positions; staff explained that the cap remains in chapter law through June 30, 2025, that 394 positions were unfunded in the governor’s budget, and that the division expects flexibility to move money from personnel lines and fill unfunded positions to manage changing needs. No votes or formal actions were taken in this portion of the work session.

Transcript Highlights:

• </c><00:03:47.440><c> um</c> you today to just express my support um you today to just express my support
• Thank you. speaking to you today in strong support speaking to you today in strong support of<00:20:46.000
• One misunderstood text isn't behavior.
• </c> definition and a pattern of behavior. definition and a pattern of behavior.
• </c><00:54:26.240><c> that's</c> trying to get at the behavior that's trying to get at the behavior that's

Bills: HB0008, HB0009, HB0028

Keywords: stalking, minors, felony, protection orders, criminal penalties, grooming, sexual offenses, child protection, sexual exploitation, law amendment, explicit conduct, sex crimes, 916, all

Transcript Highlights:

• We will not accept disruptive behavior or behavior that incites or threatens violence.
• We will not accept disruptive behavior or behavior that incites or threatens violence.
• to support the bill.
• Care, also in support.
• So we support a Measure A.

Keywords: 988, house, all

Transcript Highlights:

• </c> as well EBD or emotional and behavioral as well EBD or emotional and behavioral disorder<00:03:17.440
• </c><00:15:28.680><c> dis</c> emotional Behavior dis emotional Behavior dis or<00:15:29.920><c> ASD</
• </c> that I'm going to be uh very supportive that I'm going to be uh very supportive of<00:15:56.279>
• </c> to go through today about why we support to go through today about why we support uh<00:44:54.640
• </c> Learning Happens under the the support Learning Happens under the the support of<00:58:28.760><c

Bills: HF846, HF1538, HF1959

Keywords: education, special education, apprenticeship, funding, grants, intermediate school districts, teacher apprenticeship, registered apprenticeship, teacher licensure, teacher shortage, workforce development, education finance, K-12 education, higher education, Professional Educator Licensing and Standards Board, PELSB, Tier 3 license, teacher preparation, mentor teacher, school district

Transcript Highlights:

• And for that, I will not be supporting this. Thank you. I appreciate that.
• Yes, I support this amendment.
• I support this bill.
• So I fully support the cursive bill also. Thank you.
• I see these behaviors among students who move in from other states.

Summary: The committee first took up a combined substitute for House Bills 2115 and 1876, which would encourage cursive instruction and add a future cursive assessment. Members discussed that the substitute removed an immediate fifth-grade test and instead would phase in an assessment later, with no penalty for failure. Some members raised concerns about teacher training, costs, and added demands on elementary classrooms, while supporters said the measure was only a recommendation and could be improved on the floor. The committee adopted the substitute and then passed the House Committee Substitute for both bills on a roll call vote of 13-9, with several members present or absent. The committee then heard House Bill 2776, as amended and substituted, a teacher-certification bill aimed at addressing Missouri’s teacher shortage through a tiered associate certification system for pre-K and elementary grades. Sponsors explained that Tier 1 and Tier 2 certificates would be temporary and nonrenewable, with mentoring, literacy training, and a minimum salary floor, and that Tier 3 would lead to full certification and retirement-system participation. Members questioned the pay differential, the effect on teacher quality, the role of literacy training, and how the bill would treat leaves or incomplete years of service. After adopting an amendment and rolling it into a new substitute, the committee passed the House Committee Substitute for House Bill 2776 by a vote of 12-5 with one present. In open session, the committee heard House Bills 1698 and 2120 together, both anti-bullying measures that would strengthen reporting, parent notification, school-board awareness, and immunity protections for good-faith reporting. The sponsors described the bills as responses to a student bullying case that ended in suicide, and witnesses from the family gave emotional testimony urging immediate reporting and stronger accountability. Committee members raised questions about definitions of bullying, off-campus conduct, mandatory reporting to law enforcement, and the need to avoid sweeping in protected speech or sincerely held religious beliefs. No vote was taken on those bills in the portion provided. The committee then began testimony on House Bills 2230 and 2978, the Hands-on Learning Restoration Act, which would limit screen time and one-to-one device use in K-5 classrooms and emphasize books, paper, pencils, and cursive. Sponsors and supporters argued that heavy reliance on Chromebooks and other devices has harmed literacy, attention, and child development, citing low NAEP scores and research on handwriting and screen exposure. Teachers, physicians, and parents testified in support, while some members noted the bill may be too prescriptive and would need work on implementation, testing, and local flexibility. The hearing continued with additional testimony after the excerpt ended.

Transcript Highlights:

• That was a result of actions that the legislature consciously took to support the general revenue fund
• consciously took to support the general revenue fund during session.
• It's a stronger impact, and it's largely coming from that CMS and behavioral analysis component.
• The bottom line is that the revenue forecast will not support the spending growth as we've recently seen
• I think the behavioral analysis component continues to outpace anything we project for it, it seems like

Summary: The committee met to receive Amy Baker’s presentation on Florida’s long-range financial outlook for fiscal years 2026-27 through 2028-29. Baker said the forecast assumes continued but moderating economic growth, with Florida GDP slowing from recent highs, personal income remaining above average, wages continuing to rise faster than job growth, and population growth eventually slowing as the state approaches 2030 and the baby-boomer cohort fully ages into retirement. She also highlighted weakening housing and real-estate-related revenue, especially documentary stamp collections, along with low consumer sentiment as signs of caution in the outlook. Baker explained that the state’s near-term general revenue picture improved largely because of legislative actions taken in the prior session, including contingency releases, reversions, and other budget adjustments, rather than from major new revenue growth. She said reserves remain strong at nearly $15 billion, or just under 30% of general revenue, with the budget stabilization fund at its constitutional maximum. The main spending pressures identified were critical needs and other high-priority needs, led by a new recurring transfer to the emergency preparedness and response fund and by Medicaid, where rising service costs and medical inflation—especially behavioral analysis costs in managed care—are driving higher expenditures despite lower caseloads and a slightly better federal match. Members questioned the accuracy of the forecast, the Medicaid cost drivers, the treatment of the governor’s emergency fund, federal funding assumptions, and whether recent federal legislation was reflected in the numbers. Baker said the outlook assumes current federal funding paths continue, that the new federal tax/revenue law had not yet been fully incorporated because agencies were still reviewing it, and that the emergency fund line was calculated from recent appropriations without distinguishing specific uses. She also said the vetoed $750 million did not affect the budget stabilization fund because it reverted to unallocated general revenue. No bills were heard, no votes were taken, and the committee adjourned after the presentation and discussion.

Transcript Highlights:

• It's behavior-based.
• Just ask for your support.
• And I respectfully ask for your support. And I don't know, Mr.
• I ask for your support of this bill.
• They didn't support it, but they removed their objection at the very least.

Keywords: 974, senate, all

Transcript Highlights:

• I'm here to testify in support of Senator...
• We also support them for the same reasons noted by free market economist Milton Friedman, who supported
• We want to make sure that the goal of this bill is not a developer support bill; it's a tenant support
• We strongly support Senate Bill 2183.
• We're here to support Senate Bill 2183.

Bills: SB434, SB844, SB898, SB1177, SB1214, SB1454, SB1920, SB1927, SB1935, SB1965, SB2010, SB2046, SB2068, SB2073, SB2183, SB2260, SB3034, SB907

Keywords: SB 434, Harris County Hospital District, hospital district police, peace officers, commissioned officers, law enforcement authority, Health and Safety Code, Code of Criminal Procedure, public safety, hospital security, county hospital district, local government, Texas criminal procedure, district police, armed security, SB 898, low income housing tax credits, LIHTC, affordable housing, Texas Department of Housing and Community Affairs

Transcript Highlights:

• Next up, we have Second Substitute House Bill 2429 regarding the Children and Youth Behavioral Health
• Youth Behavioral Health, Vice Chair. We have Substitute House Bill 2350 before us.
• for children and families in the behavioral health and mental health space.
• Thank you, Madam Chair, and I'm going to support this bill today as well.
• So I'll be supporting the bill and ask you that we also be yes.

Summary: The Senate Human Services Committee met on February 24 to executive a large docket of bills and one gubernatorial appointment. The committee first heard and then moved several bills in two packets. Topics included the Community Protection Program (SHB 1390), jail search policies for transgender and intersex individuals (EHB 1604), medically tailored meals (EHB 2211), limits on DSHS reviews of community residential service providers (SHB 2230), and a children and youth behavioral health coordination bill (2SHB 2429). Later, the committee also considered bills on foster care licensing and adult family homes (SHB 2505), DOC supervision of stalking convictions (HB 2510), inmate funds and indigency thresholds (SHB 2539), and transparency for residential habilitation centers (SHB 2350), along with the reappointment of Corey McNally to the Indeterminate Sentence Review Board. Most of the debate centered on SHB 1390 and EHB 1604, where Senator Christian offered numerous amendments aimed at adding restrictions, notifications, assessments, and delays; most of those amendments failed on party-line votes. On SHB 1390, the committee adopted only a technical amendment updating agency names and references, then advanced the bill to Rules. On EHB 1604, all proposed amendments failed and the bill was sent to Rules. On EHB 2211, an amendment to add a competitive bidding credit for nonprofit and small-business meal vendors failed, and the bill advanced. SHB 2230 moved forward without amendment, and 2SHB 2429 was amended with a striking amendment and referred to Ways and Means because of its fiscal impact. In the second packet, SHB 2505 and HB 2510 were both moved out of committee without amendment. On SHB 2539, the committee rejected an amendment to lower the indigency threshold to $50, adopted an amendment allowing the threshold to be at least $100 and adjustable, and then advanced the bill as amended. On SHB 2350, the committee adopted a negotiated amendment requiring notices about residential habilitation center noncompliance to be emailed to relevant legislative committees, withdrew a second notice amendment, and passed the bill. The committee also voted to recommend confirmation of Corey McNally’s appointment to the Indeterminate Sentence Review Board. Several bills were reported out subject to signatures, and the meeting adjourned after the final vote.

Transcript Highlights:

• . support. support.
• </c> our written testimony in support. our written testimony in support.
• </c> support of this measure. support of this measure.
• I support this bill. Thank you better. I support this bill.
• </c> would be supportive of that. would be supportive of that.

Keywords: 910, house, all

Summary: The committee heard testimony on Senate Bill 3123, which would treat free tuition or school-conditioned enrollment at private educational institutions as a conditional gift rather than a contractual obligation unless otherwise agreed in writing. The Office of the Governor supported the bill, and Kamehameha Schools and the Hawaii Association of Independent Schools strongly backed it, saying it would protect donor intent, preserve school-ohana relationships, and help maintain tuition assistance and educational access for families. A committee member commented favorably on the unity among school organizations, and there were no objections raised before the committee moved on. The committee then took up Senate Bill 2438, which creates a civil cause of action for interference with constitutional and statutory rights through threats, intimidation, or coercion, with private and government enforcement options and protections for constitutionally protected speech. Testifiers from the Community Alliance on Prisons and a know-your-rights educator supported the measure as a civil rights protection grounded in the Hawaii Constitution. No opposition testimony was presented during the hearing, and the measure appeared to receive general support from those who testified. Finally, the committee heard Senate Bill 3142, which establishes offenses for dangerous and habitual dangerous intoxication and allows civil protective custody and emergency examination in lieu of arrest in certain cases. The Attorney General, Department of Corrections and Rehabilitation, Department of Health, and Department of Human Services supported the bill as a treatment-oriented diversion tool for people who are dangerously intoxicated and at risk to themselves or the public. The Office of the Public Defender opposed the measure, warning it could expand police discretion, burden emergency rooms, and function as a loss of liberty without sufficient treatment resources, while committee members questioned whether the bill would simply cycle people through emergency rooms and back onto the street. No vote or final action was taken in the portion provided; the chair said decision-making would occur at the end of the agenda.

Transcript Highlights:

• ... ...support of the Housing for Every Delawarean Act.
• And I appreciate the support of our allies that we have.
• And I can understand the emotion behind wanting to support it.
• So I support this bill. I know it's hard. But I just thought I'd speak up.
• I would encourage anyone who supported my needle exchange to also support this.

Summary: The House convened with a quorum, accepted the prior day’s minutes, and read several committee reports and communications into the record. Members also observed moments of silence for two young people who had recently died, and the prayer and pledge were offered before the chamber moved into business. Consent calendar number 28, consisting of several resolutions, passed by voice vote. A large portion of the meeting was devoted to tributes and retirement remarks for Representative Jeff Holowski, who was praised by colleagues for his work on financial literacy, veterans’ issues, health care, diabetes policy, and constituent service, as well as for his military service and community involvement. Holowski thanked staff, colleagues, and his family, and said he was retiring to spend more time with his wife, children, and grandchildren. The chamber also recognized former Representative Harvey Kenton as a guest. The House then acted on several measures. Senate Bill 286, as amended by House Amendment 1, passed 40-0 and extends consumer protections and dealer equity standards to ATVs, side-by-sides, and vessels. Senate Bill 179, which updates the Delaware Sentencing Accountability Commission and its bench book/data analysis process, passed 27-14. Senate Substitute 2 for Senate Bill 23, the housing supply and affordability bill, was presented with extensive explanation and questions about local control, zoning, and implementation, but the transcript ends before a final vote on that measure. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and directing flags at half-staff, was also discussed in emotional remarks about overdose losses and the state’s ongoing response. The House later recessed for party caucuses.

Transcript Highlights:

• The in-home supportive services program, or IHSS, is a cornerstone of California's long-term supports
• And that support is flat.
• support zone?
• For example, the department created pre-transition supports to help and peer support.
• Consistency in support matters. It means people are supported by individuals they know and trust.

Summary: The subcommittee heard an overview of the governor’s IHSS budget proposals and extensive testimony from the Department of Social Services, Department of Finance, the Legislative Analyst’s Office, county representatives, labor, consumer advocates, and advocates for older adults and people with disabilities. The administration described IHSS as a large and growing program serving more than 900,000 recipients, and outlined three proposals: shifting the cost of growth in authorized hours per case to counties, eliminating the backup provider system, and aligning IHSS terminations with Medi-Cal terminations. The LAO said the overall budget estimates appeared reasonable but raised concerns about the hours-per-case proposal, including the lack of a comprehensive root-cause analysis, the limited control counties have over statewide cost growth, and uncertainty about how the baseline and savings would work. CWDA, SEIU, and consumer advocates strongly opposed the hours cost shift, arguing that counties use state-designed tools, that demographic changes and rising need explain much of the growth, and that the proposal would pressure counties to cut services and destabilize care. The chair and members repeatedly questioned the administration about the proposed baseline, the claimed savings, and whether the measure effectively circumvents the county maintenance-of-effort agreement. On the backup provider system, the administration said the statewide program is underutilized and administratively expensive, and proposed eliminating it to save about $3.5 million. The LAO suggested the Legislature consider whether administrative costs could be reduced while preserving some version of the program. County and consumer advocates opposed the cut, saying the system is a critical safety net when regular providers are unavailable, especially in rural areas and for people with complex needs. They argued that low utilization reflects the difficulty of finding emergency backup care, not lack of need, and that many counties already rely on local backup systems or other models. Committee members also pressed for better data on requests, fulfillment, and administrative costs, and discussed whether the state could support local alternatives instead of eliminating the program. The final topic was the proposal to align IHSS terminations with Medi-Cal terminations by automating the process when recipients fail to complete Medi-Cal redeterminations. The administration said this would reduce General Fund costs by about $86 million by preventing payment of IHSS in the residual program when recipients are no longer eligible for Medi-Cal, while also automating reinstatement when Medi-Cal is restored. The LAO noted the proposal has been rejected in prior years and suggested improved notice and communication to recipients as an alternative. CWDA and advocates warned that the change could create gaps in care, especially for people who lose Medi-Cal for procedural reasons, and urged additional safeguards such as better notices, faster reprocessing, and automatic reinstatement. Members questioned how many people would be affected, how the residual program currently works, and whether providers could go unpaid during the gap; the department said the automation is already built and would be activated if the proposal is approved. No votes were taken during the discussion, and the committee moved through public comment and questioning without final action on the proposals in the excerpt provided.

Transcript Highlights:

• Of $1.7 million without the additional support, actual reduction of support.
• While the percentage of federal support went down, the total dollars of federal support went up over
• We often talk about this in the behavioral health realm and high-behavior students who may or may not
• The teacher is the instructor, the para is the support.
• The para is the support.

Keywords: 908, all

Transcript Highlights:

• And we have the supports for community living that is also administered by our Department of Behavioral
• And we have the supports for community living that is also administered by our Department of Behavioral
• And we have the supports for community living that is also administered by our Department of Behavioral
• And we have the supports for community living that is also administered by our Department of Behavioral
• And we have the supports for community living that is also administered by our Department of Behavioral

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board’s fourth meeting focused primarily on a presentation from University of Kentucky and University of Louisville health leaders about the state university directed payment program. Mark Birdwhistle and Ken Marshall described the program as a long-running, value-based Medicaid arrangement that began in 2019, uses university-provided matching funds rather than provider taxes, and ties a portion of payments to quality outcomes. They said the program has improved measures such as tobacco cessation, diabetes control, depression screening, and cancer screening, while supporting access to specialty care, medical education, and workforce training. They also emphasized that Kentucky’s model is nationally notable and has helped improve health rankings and generate cost savings. A major topic was the federal reconciliation bill signed July 4, which the presenters said will reduce directed payments by 10% annually for 10 years beginning in 2028. UL Health estimated a first-year loss of about $75 million and a cumulative loss of about $600 million over the decade; UK estimated about $100 million in the first year, for a combined first-year impact of roughly $175 million. Both speakers warned the cuts could affect access to care, training capacity, and the sustainability of Kentucky’s value-based model, though they expressed hope that congressional action could alter or delay the changes. They also noted that 340B drug pricing changes could further strain already thin operating margins, but did not provide exact figures during the meeting. Committee members responded positively to the program’s reported outcomes and the institutions’ role in Kentucky health care. Senator Berg praised the quality of care and shared a personal example of being advised to stay at UofL for breast cancer treatment. Representative Moer highlighted Kentucky’s strong cancer-control score and asked for more explanation of the value-based payment structure; the presenters said the system is built around ongoing measurement, accountability, and collaboration with the Cabinet for Health and Family Services. No votes or formal actions were taken beyond approving the amended August 27 minutes by voice vote.