Transcript Highlights:

• Digging into MA and Medicaid, this slide just goes over the last, I'd say, 9 years since 2020 and some drivers
• I'd say 9 years since 2020 and some drivers of the growth here are were serving more people.
• of the change in this forecast is the result of the prepayment review process, and there's three drivers
• kind of see creatively over time how to best serve people to meet their needs with both of those drivers
• kind of see creatively over time how to best serve people to meet their needs with both of those drivers

Keywords: 1183, house

Transcript Highlights:

• <00:15:38.720> House of both drivers and pedestrians.
• House of both drivers and pedestrians.
• Uh, you do have to admire the driver on this.
• Uh, you do have to admire the driver<00:37:03.280> on<00:37:03.520> this.
• driver on this. driver on this.

Keywords: 958, all

Transcript Highlights:

• The structure and application of this program is what's known as a debt-based driver-restriction strategy
• Which is commonly a getaway driver who stays in the car and a jump-out or the Trojan vehicle.
• They will frequently wear work vests, claiming they're work friends, or the driver will explain that
• he's an Uber driver and that this is just a.
• These criminal acts disrupt the station's operations, frustrate drivers, and erode public confidence

Bills: HB316, HB353, HB 1160, HB1414, HB1422, HB1443, HB1713, HB1789, HB1902, HB2073, HB2666, HB2695, HB316

Keywords: motor fuel, criminal offense, metering device, organized crime, Texas Penal Code, trespassing, school safety, day-care centers, education, trespass, public safety, utility employees, criminal penalties, assault, harassment, public duties, safety, law enforcement, driving offenses, license regulations

Transcript Highlights:

• um um you know, it it's not addressing child care costs, which are like kind of probably the main driver
• um um you know, it it's not addressing child care costs, which are like kind of probably the main driver
• um um you know, it it's not addressing child care costs, which are like kind of probably the main driver
• um um you know, it it's not addressing child care costs, which are like kind of probably the main driver
• of the economic probably the main driver of the economic burden<00:05:00.200> of<00:05:00.320

Keywords: 919, house, all

Summary: House File 18 was taken up in committee, with the chair noting a preference to hear testimony from people who had traveled farther before hearing from lobbyists or other local witnesses. Representative Engan presented the bill as a family-support measure that would exempt certain infant care items from sales tax, arguing that the cost of raising children has risen sharply and that the bill would provide immediate relief to parents. He cited examples of potential savings on cribs, mattresses, strollers, and baby bottles, and said he was open to expanding the list of covered items. Chair Gomez offered a DE1 amendment that would replace the blanket sales tax exemption with an expansion of Minnesota’s child tax credit, arguing that the child-rearing cost burden is better addressed through targeted assistance rather than a broad exemption that could also benefit higher-income purchasers. After discussing the policy differences and the fiscal impact, Gomez withdrew the amendment. Members then asked questions about the bill’s scope, whether luxury items should be excluded, and why the exemption was limited to baby items rather than older children’s needs. Engan said he would be open to excluding luxury items and to discussing broader expansions, including school supplies. The committee then heard testimony in support from Sarah Gangelhoff of the Women’s Foundation of Minnesota, who said the bill would help families facing high housing, food, and child care costs and would especially benefit women and single-mother households. Maggie Hanggi of the Minnesota Catholic Conference also supported the bill, saying the tax relief could help families afford essential infant items and reduce fear for prospective parents. Members raised concerns about whether tax exemptions effectively reach the families most in need, with one member noting that low-income families may not even be in a position to shop for these items; Engan responded that the savings would still be real for those who do purchase them. No final vote or disposition on the bill was taken in the portion provided.

Transcript Highlights:

• you here or those watching that you do have my commitment that we will be examining all of the cost drivers
• The main drivers of these increased General Fund spending in the budget year include $3.6 billion in
• We acknowledge that you are seeking line-item information on the drivers of these increased costs.
• The average cost per claim is the other major driver of increased cost compared to the Budget Act.
• Those are all important for me just to situate ultimately what the drivers are for the rising cost of

Summary: The committee heard a budget oversight hearing on the Department of Health Care Services, focusing first on the overall Medi-Cal budget and a March General Fund loan to cover a current-year shortfall. DHCS said the 2025-26 budget proposal totals $193.4 billion, with Medi-Cal projected at $188.1 billion total funds and $42.1 billion General Fund, driven by higher enrollment, pharmacy costs, managed care growth, and costs tied to eligibility expansions and the COVID-era redetermination unwinding. The department said the $3.44 billion loan was needed to manage cash flow and ensure timely payments to providers and plans, while the LAO noted Medi-Cal’s cash-basis budgeting creates volatility and that more detailed estimates would come with the May Revision. Members discussed federal Medicaid threats, the need for transparency on cost drivers, and the impact of pharmacy spending, long-term care, and immigration-related coverage expansions. The second major topic was family health programs, including California Children’s Services, the continuous coverage unwinding, and opioid settlement fund spending. DHCS described CCS funding methodology changes, ongoing county stakeholder work, and a delayed rollout of CCS monitoring and oversight until July 1, 2025, while county representatives and advocates argued the program is underfunded and asked for more technical assistance and a delay in implementation. On the unwinding, the department explained that federal redetermination flexibilities helped maintain coverage after the pandemic, but the Governor’s budget proposes ending them at the end of June 2025; advocates urged making the flexibilities permanent to avoid coverage losses. For opioid settlement funds, DHCS and Finance said the budget increases funding for naloxone distribution while reducing other harm-reduction spending based on updated settlement revenues, prompting criticism from members and public commenters who argued the change would weaken effective harm-reduction programs. The hearing also included an update on Proposition 35 implementation. DHCS said the voter-approved measure continuously appropriates MCO tax revenues beginning in 2025, with up to $4.6 billion annually available for specified Medi-Cal and provider investments in 2025 and 2026, but implementation depends on consultation with the required stakeholder advisory committee. The department and LAO noted uncertainty about future federal rules affecting the MCO tax after 2026. Public testimony largely supported maintaining Medi-Cal expansions, protecting immigrant coverage, preserving harm-reduction funding, and increasing support for community health workers, pediatric dental care, and CCS county administration. No votes were taken during the portion of the hearing provided.

Transcript Highlights:

• What this is doing is just giving us more options and opportunities for drivers' appointments at DVS.
• chair pong Jong director of the driver chair pong Jong director of the driver and<00:08:26.440><
• <00:20:39.360> tests there a charge for driver tests there a charge for driver tests today
• Uh, Pong Jong, Director of the Driver and Vehicle Services, and I just want to appreciate...
• Uh, Pong Jong, Director of the Driver and Vehicle Services, and I just want to appreciate...

Keywords: 1183, house

Transcript Highlights:

• The first sentence in that article reads, 'At least eight drivers were hit as suspects weaved in and
• 14.200> down<00:48:14.400> to<00:48:14.720> leverne<00:48:15.720> all driver
• all the way down to leverne all driver all the way down to leverne all the<00:48:16.000> way<
• up to gr marray it affects every the way up to gr marray it affects every single<00:48:19.119> driver
• and what our legislature single driver and what our legislature has<00:48:21.880> done<00:48:

Keywords: 1183, house

Transcript Highlights:

• And on the radio, the bus driver had the Bellamy Brothers songs playing from the 1976.
• c><00:13:14.160> radio,<00:13:14.480> the<00:13:14.560> bus<00:13:14.760> driver
• <00:13:15.080> had<00:13:15.880> the And on the radio, the bus driver had the And on
• the radio, the bus driver had the Bellamy<00:13:16.280> Brothers<00:13:16.680> songs<00

Keywords: 919, house, all

Summary: Representative Tim O’Driscoll delivered a farewell floor speech marking his retirement from the Minnesota House and requested a roll call at the start. He reflected on his 16 years in the chamber, his first election after serving as mayor of Sartell, and the importance of relationships, bipartisanship, and learning how the Legislature works. Much of the speech was personal, including stories about his parents, his father’s service as a police chief, and how those experiences shaped his commitment to public service. He also highlighted several policy and institutional accomplishments, including work on school trust lands and the School Trust Fund Commission, which he said helped double the fund for Minnesota children, as well as pension work and restoring earlier pension cuts. He thanked colleagues from both parties, former and current co-chairs, and House staff for helping him get work done, especially during difficult periods such as the split House and the COVID-era remote meetings. O’Driscoll closed by thanking members’ families and House staff, offering a special shout-out to Representative Paul Thorkelson for support during his freshman year, and saying he hoped his career would be remembered for the relationships built and the future being created for Minnesota. The speech ended with applause; no formal vote on legislation was taken in the excerpt beyond the requested roll call.

Transcript Highlights:

• The governor has a driver, maybe part of the security detail.
• our cost drivers for expenses are not protected from the real world.
• Look at the red line, and my cost drivers for expenses may be closer to the dark blue bar.
• The big drivers there again are law enforcement, fire, and EMS.
• So that's been a major driver for me. Thank you, Representative Hart. Anyone else want to joke?

Summary: The Select Committee on Property Taxes heard first from city representatives through the Florida League of Cities, who argued that property taxes are a stable local revenue source that funds core services such as police, fire, parks, public works, and stormwater work. Casey Cook emphasized that cities are optional governments with widely different tax bases and service levels, that exemptions shift the burden to fewer taxpayers, and that transparency already exists through TRIM notices, public budgets, and local hearings. Sarah Campbell of Fernandina Beach, T. Michael Stavris of Winter Haven, and Stephen O’Kee of Port St. Lucie described their budget processes, the share of general-fund revenue coming from property taxes, reserve policies, debt and capital planning, and the impact of inflation, minimum wage increases, and personnel costs. They all said local governments need predictable revenue and that any property tax changes would require careful consideration of replacement funding or service reductions. Members questioned the city panel about whether homebuyers are clearly informed about city versus county taxes and services, the role of HOAs, how many lobbyists cities employ, reserve levels, average salaries, and whether utility revenues are used only for utility purposes. The panel said TRIM notices, realtor listings, and city websites provide tax information; HOAs generally do not provide emergency services; lobbyists help local governments track Tallahassee legislation; reserves vary by city and fund; and utility revenues are generally restricted, though some cities use limited transfers. Members also asked about revenue replacement if ad valorem taxes were reduced or eliminated, and the panel said options would likely include user fees, service cuts, or other local revenue shifts. The chair also asked about public safety consolidation, and the response was that such decisions are local and may shift costs rather than create true savings. The committee then heard from county representatives after an overview by the Florida Association of Counties’ Davin Suggs, who framed counties as shared partners with the state and emphasized the gap between rising market values and the shrinking share of taxable value after exemptions and assessment limits. He said counties face a mismatch between revenue based on taxable value and expenses driven by real-world costs, and noted that most counties either held millage steady or lowered it without reaching rollback rates. He also highlighted that property taxes are only one part of county revenue, with charges for services and intergovernmental revenue often larger in some counties, and that public safety at the county level includes more than law enforcement, such as EMS, emergency management, inspections, and corrections. Deborah Manzo of Okeechobee County described a fiscally constrained rural county with limited staff, a county-supported airport, heavy reliance on property taxes for the general fund, and major cost pressures from inflation, insurance, retirement, and state and federal mandates. She said the county lowered millage slightly over recent years but still depends on multiple revenue sources and special assessments, and she flagged Medicaid, medical examiner costs, and possible firefighter workweek changes as significant concerns. Bay County Administrator Mark McQueen said his county’s budget is shaped by Hurricane Michael recovery, non-discretionary obligations, and rapid growth; he described ongoing FEMA reimbursement delays, substantial borrowing to cover disaster costs, and continuing interest expenses while the county waits for reimbursement. The county panel was still in progress when the transcript ended.

Transcript Highlights:

• You here on this committee are the drivers of the bus.
• My daughter's death certificate stated liver disease as the cause of death, but the main cause of death

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on 16 bills, with the chairs noting a busy legislative day and asking speakers to keep testimony brief. The committee first heard testimony on Senate 860/House 1405, the Medicare for All bill, with Sen. Jamie Eldridge and many advocates, clinicians, municipal officials, and patients arguing that a single-payer system would make care a right, reduce administrative waste, lower costs, and protect residents from rising premiums, medical debt, and hospital closures. Several speakers cited the Steward hospital crisis, affordability problems, and polling or ballot questions showing public support for single-payer coverage. No vote was taken during the hearing. The committee then took testimony on S. 863, a bill on non-opioid options for chronic pain. Pain specialists, patients, and advocates said the bill would improve care coordination for MassHealth members, expand access to non-opioid medications, require provider education, and collect data on chronic pain. Testifiers described long delays in diagnosis and treatment, stigma toward pain patients, and the need for multidisciplinary care and transportation support. Again, the committee heard testimony only and took no action. A large portion of the hearing focused on H. 1360/S. 869, which would prevent discrimination against people with disabilities in health care. Disability advocates, clinicians, and patients described being denied or delayed care, pressured into DNR orders, or treated based on assumptions about quality of life rather than medical facts. Speakers referenced COVID-era crisis standards of care, discriminatory metrics, and personal stories involving canceled procedures, inadequate accommodations, and poor treatment in hospitals. Committee members thanked speakers for their testimony and said they would review the bill and its implications, but no vote was announced. The committee also heard testimony on H. 1399, an individual Medicare marketplace option for municipal retirees, where supporters said it would give cities and towns a lower-cost alternative for retiree health benefits through HRAs and individual Medicare plans. The hearing then returned to Medicare for All testimony, with additional supporters repeating arguments about cost, access, municipal budget pressure, and the need for global budgeting and universal coverage. The transcript ends with continued testimony and no recorded committee vote or final action on any bill.

Transcript Highlights:

• As you well know, in these rural schools the superintendent is the bus driver, the substitute teacher
• This bill allows developers to delay paying development fees until certificate of occupancy instead of

Keywords: 1182, all

Summary: The House convened with prayer, the Pledge of Allegiance, guest introductions, and recognition of Arizona School Board Association members and local school board representatives visiting the Capitol for Advocacy Day. Members also honored the House Doctor of the Day, Dr. Heather Serran, and approved the journal and attendance. The chamber then moved through a large number of Senate messages and House calendar items, including committee assignments and first and second readings of many bills. A major floor action was the unanimous adoption of SCR 1054 honoring former Arizona Attorney General Mark Brnovich, followed by remarks remembering his public service and consumer-protection work. The House also agreed to return SB 1278 to the Senate for reconsideration and referred several House bills to an additional Committee of the Whole for further amendment. In Committee of the Whole, members considered and advanced numerous bills, including HB 2055, 2150, 2426, 2456, 2457, 2728, 2755, 2918, and 2923, with several floor amendments adopted. HB 2728 drew the most debate over Department of Economic Security continuation and added policy changes affecting SNAP, unemployment, and eligibility verification; after a divided question and recorded vote, it received a do-pass recommendation by 32-25. The House also advanced HB 2134, 2142, 2289, 2290, 2331, 2379, 2397, 4026, and 4033 in later Committee of the Whole sessions, with discussion focused on school safety funding and governance, school board training, HOA disclosure reforms, tax sourcing clarity, and bond disclosure language. Several bills were retained on the calendar, including HB 4041, HB 2444, HB 4018, and HB 4070. In final third-reading votes, HB 2053, HB 2327, and HB 2416 passed; HB 2175 and HB 2492 failed; and HB 2805, which would make school board races partisan, was under debate at the end of the transcript amid strong arguments both for and against increasing partisanship in school board elections.

Transcript Highlights:

• With that, they've set up the certification training, which is 36 hours.
• They have a training facility in Roswell where they train semi-truck drivers and all kinds of different

Bills: HB145, HB164, HR1, HB20, HB65, HB66, HB80, HB306, SB29, SB37, HB99, HB206, HB213, HB270, SB104, SB193, HB38, HB254, HB256, SB58, SB64, HJM1, HM7, HM17, HM4, HM22, HM23, HM24, HM26, HM2, HM16, HM32, HM13, HM47, HM20, HM51, HM1, HM31, HM35, HM36, HM46, HM53, HM54, HM39, HM29, HM43, HM59, HM11, HM14, HM21, HM34, HM50, HB253

Keywords: high-wage jobs, tax credit, job creation, New Mexico, economic development, lobbying, transparency, public records, government oversight, accountability, House Resolution 1, HR1, House investigatory subcommittee, special committee, legislative investigation, subpoena power, public corruption, criminal activity, Zorro ranch, Santa Fe County

Transcript Highlights:

• They made a $7 million investment, and as you can see, they are in the airframe and power plant certification
• you to the Commonwealth. >> Wish you a lot of success in leading clearly one of, if not the largest driver

Keywords: The live stream for this meeting was prematurely interrupted. The full version will be uploaded in the next few days., 958, all

Summary: The committee heard an update from Kentucky’s three major commercial airports: Lexington Blue Grass Airport, Louisville Regional Airport Authority (SDF and Bowman Field), and CVG. Lexington’s Eric Franco described post-COVID growth that has already exceeded pre-pandemic activity, along with a master plan focused on the whole airport, expanded surface parking, relocation of the air traffic control tower, and a major terminal project estimated at $500 million to $700 million. He emphasized the airport’s role in serving both passenger and corporate aviation across central Kentucky and thanked the legislature for prior funding, including $5 million for parking. Louisville’s Dan Mann reported record passenger growth, expanded nonstop service, and especially strong cargo activity driven by UPS, noting SDF is now among the busiest cargo airports in North America and Bowman Field remains the state’s busiest general aviation airport. He highlighted major infrastructure needs, including airfield and terminal work, parking expansion, and a planned federal inspection service facility to support international flights around events like the Kentucky Derby.

Transcript Highlights:

• that requiring the HOA to be named as an additional insured under the policy ends up confusing EV drivers
• storing their personal belongings, important documents such as their driver's licenses, birth certificates

Summary: The committee heard several bills from Senator Umberg and Senator Allen, with testimony from supporters and opponents before roll-call votes were taken once quorum was established. SB 253, the annual State Bar fee bill, would keep fees unchanged while requiring two-year notice for substantial changes to the bar exam, including vendor changes, and returning to an older delivery method for the upcoming exam; it was presented as a response to recent State Bar problems and the February bar exam failure. SB 25, the Pre-Merger Notification Act, would require certain merger parties to provide California’s attorney general the same Hart-Scott-Rodino materials filed federally, so state antitrust review can occur in parallel with federal review; supporters said this would reduce delay and uncertainty, while members questioned whether it would add another layer of review. SB 36 would strengthen price-gouging enforcement after the January 2025 Southern California firestorms by requiring rental-listing platforms to report suspected gouging, expanding consumer and prosecutor remedies, and allowing warrants in housing-related cases; supporters said it would close loopholes, while opponents from business groups raised concerns. All three bills were later approved on roll call, with SB 36 and SB 413 placed on call before final passage and SB 253 and SB 25 moving forward on committee votes. The committee also heard SB 413, which would streamline access to juvenile case files in certain civil cases brought by or on behalf of the youth who is the subject of the file, allowing attorneys to use heavily redacted records without first petitioning the juvenile court. Supporters, including Los Angeles County counsel and county associations, said the current petition process is costly, slow, and routinely granted, creating delays in civil litigation and court congestion. Opponents, including the Youth Law Center, argued the bill would weaken longstanding juvenile confidentiality protections by bypassing judicial review and could expose sensitive information unnecessarily. After discussion about redactions, sealing, and the scope of access, the bill was passed on a do-pass-as-amended vote. Finally, Senator Wahab presented SB 436, which would extend the notice period for nonpayment of rent from three days to 14 days. Supporters, including tenant advocates, legal aid groups, and several local governments, argued the change would reduce unnecessary evictions, give renters more time to obtain assistance or a paycheck, and help prevent homelessness. Opponents, including apartment associations, property owners, and the California Association of Realtors, said the bill would burden landlords, especially small owners, and could unintentionally affect commercial leases; members also raised concerns about repeated late payment and the lack of stronger guardrails. The author said she would work on clarifying commercial coverage and safeguards, and the bill remained under discussion as the hearing continued.

Transcript Highlights:

• They're the college student that was signing the voter certificates form and you got a successful prosecution
• stack the sentences there have been cases in which Multiple individuals have been killed by a drunk driver

Keywords: legislation, Senate Joint Resolution 40, Senate Bill 871, constitutional amendment, emergency powers, governor authority, legislative oversight

Summary: The meeting focused on several crucial pieces of legislation, notably Senate Joint Resolution 40, which proposed a constitutional amendment to clarify the powers of the governor, the legislature, and the Supreme Court during emergencies. Senator Birdwell presented the resolution, emphasizing the need for legislative involvement during prolonged crises. It garnered broad support, passing with 29 votes in favor and only 1 against. Following this, Senate Bill 871, considered the enabling legislation, was also moved for discussion, with the aim of reinforcing the legislature's authority during emergencies while establishing clear guidelines for the governor's powers.

Transcript Highlights:

• Who could normally have a resale certificate under that option, where that transaction wouldn't be taxed
• One of the drivers of that is is urban sprawl that's happening.

Bills: HB134, HB135, HB 1109, HB 1243, HB1392, HB1399, HJR99, HB134, HB135

Keywords: sales tax, use tax, local tax, municipal tax, county tax, tax sourcing, place of business, principal business location, small business, retailer, marketplace seller, economic development agreement, Chapter 321, Chapter 323, Tax Code, Texas Comptroller, local sales and use tax, tax jurisdiction, order consummation, ship-to location

Transcript Highlights:

• Representative Holt, please proceed with the certificate and lay presentation.
• changes existing laws to allow for advanced practice registered nurses to submit affidavits for new certificates
• changes existing laws to allow for advanced practice registered nurses to submit affidavits for new certificates
• changes existing laws to allow for advanced practice registered nurses to submit affidavits for new certificates
• To submit affidavits for new certificates of birth.

Bills: HB2391, HB2294, HB2374, HB1997, HB2147, HB2185, HB1641, HB2195, HB2023, HB2031, HB2033, HB1937, HB2586, HB2575, HB2030, HB2115, HB2233, HB1801, HB1546, HB2132, HB2102, HB2356, HB2457, HB2292, HB2554, HB676, HB1528, HB2061, HB2094, HB2095, HB2181, HB2369, HB2578, HB2493, HB1642, HB1991, HB1652, HB2104, HB2593, HB1553, HB1823, HB1918, HB1860, HB2604, HB2605, HB2001, HB2437, HB1947, HB2384, HB2473, HB2140, HB1458, HB2603, HB2411, HB1611, HB2138, HB2141, HB2284, HB1568, HB1924, HB1928, HB2570

Keywords: tax holiday, school supplies, general excise tax, Hawaii, consumer savings, education, land transfer, public schools, Department of Education, property conveyance, Act 307, Kauai, Maui, shade trees, fruit trees, educational program, climate change, tree canopy, environmental education, native plants

Transcript Highlights:

• I would like to better understand, in more detail, what are those cost drivers that are leading to increased
• I'd like to better understand, in more detail, what are those cost drivers that are leading to increased
• So then the second thing is statutory cost drivers and their effect on carry forward and maintenance
• So then the second thing is statutory cost drivers and their effect on carry forward and maintenance
• You know, kind of like that Pennsylvania example, do people understand what those cost drivers are, how

Summary: The committee held its first meeting, with co-chairs and members introducing themselves and staff outlining the committee’s statutory mandate under the 2025-27 supplemental operating budget. Staff explained that the Joint Legislative-Executive Committee on Budget Transparency and Fiscal Sustainability will receive technical assistance from a nonpartisan organization, with work split into two phases: first on revenue growth, spending assumptions, and cost drivers in the four-year outlook, and later on staffing, overhead, performance management, and public reporting. Members broadly said they hoped the committee would build a shared factual understanding of the state’s fiscal situation, structural deficits, and budget processes, and identify a sustainable path forward for the operating budget. Staff then gave a detailed presentation on operating budget basics. They reviewed the size and composition of the operating budget, noting that most spending is concentrated in grants/client services and salaries/benefits, with K-12, DSHS, HCA, DCYF, DOC, and higher education making up most NGFO spending. They explained the distinction between constitutional, federal, statutory, and discretionary spending, using examples such as K-12, Medicaid, collective bargaining agreements, court-driven obligations like McCleary and Trueblood, and one-time appropriations. They also walked through how the state uses incremental budgeting, carry-forward and maintenance-level calculations, caseload and per-capita forecasting, and the four-year balanced budget outlook, including reserve calculations and the budget stabilization account. Members asked extensive questions about what is and is not included in the outlook, especially future collective bargaining agreements, health care and compensation growth, tort and other liabilities, and whether the state could better distinguish mandatory from discretionary spending. Staff explained that current CBAs and other already-enacted obligations are included, but future CBAs are not; some liabilities are reflected as expenditures when appropriated, while broader long-term liabilities are not fully captured in the outlook because they depend on future policy choices. Staff also noted that the legislature and ERFC can adopt assumptions such as reversions and growth factors, and that an outlook accuracy report is produced every five years to compare projected and actual maintenance-level spending. The committee agreed to follow up on some of the more complex liability and assumption questions. After a short break, Josh Goodman of the Pew Charitable Trusts began a presentation on Pew’s role and approach to state fiscal sustainability. He described Pew as a nonpartisan organization with long-standing state fiscal research, emphasizing its 50-state comparative data, interviews with state officials and experts, and focus on long-term sustainability, reserve policies, and recession preparedness. The presentation was ongoing when the transcript ended.

Transcript Highlights:

• such as yourselves of the ever-changing landscape of the health care market, the cost and spending drivers
• The growth in health care costs and the drivers of that cost growth are something that we need to look
• And the growth in health care costs and the drivers that are growing that cost growth, something that
• want to focus a bit on how unsafe care not only causes great human suffering, but is a significant driver
• want to focus a bit on how unsafe care not only causes great human suffering, but is a significant driver

Keywords: 995, all

Summary: The committee heard budget testimony from Department of Mental Health Commissioner Brooke Doyle, who said DMH serves about 29,000 people and is facing rising demand, higher operating costs, and uncertainty about federal funding. She explained that the FY26 budget prioritizes fully funding the state-operated inpatient system, which is at 100% occupancy and often serves people transferred from Bridgewater State Hospital, while making reductions in other areas to balance the budget. Those reductions include a 50% cut to case managers, a pause on closing the Pocasset unit pending a working group on Cape access, and changes to youth and contracted services such as right-sizing IRTP and CIRT, reducing Youth PACT from seven teams to three, scaling back flex and jail diversion grants as ARPA funds wind down, and preserving the behavioral health helpline and community-based crisis services. Members from Western Massachusetts and the Cape raised concerns about access, staffing, and the impact of cuts, and Doyle said the department would continue operating IRTP services, improve the referral process, and work with stakeholders on the Pocasset review and other access issues. The committee also discussed school-based mental health, 988, loan forgiveness for workforce recruitment, and the role of co-response programs for law enforcement. Secretary Robin Lipson then testified for the Executive Office of Aging and Independence, describing a proposed FY26 budget increase of about 21% to support councils on aging, home care, elder abuse investigations, caregiver support, care transitions, and nutrition programs. She said the agency is managing rising demand, especially from the growing 80-plus population, and noted uncertainty around federal Older Americans Act funding after the federal disbursement agency was disbanded. To control costs, the office will manage intake and caseload growth in a fully state-funded home care program, but current clients will not lose services. Lipson also highlighted a new $1 million line item for local mini-grants to support age-friendly initiatives. In questions, members focused on elder scams, and Lipson said scams are increasing and the agency is working with banks, district attorneys, and public awareness campaigns. The Health Policy Commission’s Executive Director David Seltz presented the agency’s FY26 request and said the biggest challenge is health care affordability, with family premiums near $29,000 annually and many residents delaying care because of cost. He emphasized that recent legislation significantly expands HPC’s role through a new Office of Pharmaceutical Policy and Analysis, which will examine the drug supply chain and pricing, and a new Office of Health Resource Planning, which will support statewide planning around closures and access gaps. The new law also creates task forces on maternal health access and primary care, and adds transparency and oversight for private equity in health care. Members asked about pharmaceutical costs, GLP-1 weight-loss drugs, 340B, and maternal health closures; Seltz said the data show rapid growth in GLP-1 spending and that the new offices will help the state better understand cost drivers and access problems. The Center for Health Information and Analysis then began its testimony, describing its role as the state’s data hub for health care spending, utilization, quality, and affordability analysis.

Transcript Highlights:

• When it comes to individual income tax revenues, we are seeing a shift away from some of the typical drivers
• c><00:09:58.160> is<00:09:58.360> the<00:09:58.480> primary<00:09:58.960> driver
• <00:09:59.960> of spending or is the primary driver of spending or is the primary driver of
• Now, a significant driver of our individual income tax forecast is the forecast for total wage and salary
• As I noted previously, higher forecasts for non-wage income sources are primary drivers of the higher

Keywords: 1187, senate, all