Transcript Highlights:

• But in the summer, we saw very weak employment data come out.
• This next set of bars is the employment growth, and you'll note that it's very slow employment growth
• Most of that growth is concentrated in health care and government employment.
• Most of that growth is concentrated in health care and government employment.
• I mentioned our employment forecast: it was marked down a little bit.

Summary: The Ways and Means Committee held a work session covering the state revenue outlook, caseload forecasts, wildfire costs, budget balance, tort liability, water supply, and pension policy. The Economic and Revenue Forecast Council reported modest near-term U.S. growth, no near-term Washington employment growth in 2026, continued personal income growth, and elevated inflation, with tariffs and federal policy cited as major risks. Revenue forecasts were slightly improved for the current biennium by about $105 million but down about $185 million for the next biennium. Members asked about income inequality and housing permits; staff said personal income is an aggregate measure and housing production remains below long-term needs. The Caseload Forecast Council then reported that most forecasts were unchanged or only slightly changed, but several programs increased, including Washington College Grant, Working Connections, aged/blind/disabled cash grants, nursing homes, home and community services, and developmental disabilities personal care. The largest policy-driven change was in Medicaid low-income adult caseloads, where federal H.R. 1 was projected to reduce coverage substantially through narrower eligibility, community engagement requirements, and shorter eligibility periods. The committee also heard a wildfire funding update and a 2025 fire season review. Staff explained that the state budgets $93 million annually for suppression and uses supplemental appropriations for costs above that level, with an estimated state supplemental need of about $139 million for the current year. Department of Natural Resources officials said 2025 fire activity remained below the 10-year average in acres burned, but fires were more complex and closer to communities, contributing to higher residence loss. They described expanded use of aircraft, firefighters from other states, corrections crews, and the Arcadia 20 hand crew, and said the state did not need National Guard ground support this year. A budget preview then showed that the near general fund outlook had worsened after vetoes, lapses, and forecast changes, and that maintenance-level costs alone would leave a projected negative balance by fiscal year 2027 and about $4.3 billion by fiscal year 2029, before any policy decisions. Jason Seams, the state risk manager, reported a sharp rise in tort claim costs, with indemnity expenses nearly doubling from fiscal year 2023 to 2025 and DCYF accounting for most of the increase. He said the state self-insurance liability account has run deficits for four straight biennia and is now facing nearly $600 million in deficits, driven largely by a surge in DCYF claims, especially juvenile rehabilitation and long-running sex abuse cases. Members asked about the role of old claims, comparisons with other states, excess insurance, and whether more Attorney General staff could reduce special assistant attorney general costs. The committee then shifted to water policy, hearing from tribal leaders, Ecology, and the Washington Water Trust. Tribal witnesses emphasized overappropriation, declining flows, climate impacts, and the need for legislative oversight and tribal participation in water policy. Ecology described major projects in the Odessa sub-area, Yakima Basin, and Dungeness, along with the need for storage, recharge, conservation, and policy changes to support water supply development. The Washington Water Trust argued that climate change is reducing summer flows and that the state needs more funding, enforcement, and long-term commitment to restore instream flows. The final item was a pension update on LEOFF 1 surplus assets; staff reviewed two 2025 bills that would have merged or restructured the plan and used surplus assets, but neither passed, and instead the budget directed the Select Committee on Pension Policy to study the issue and report back.

Transcript Highlights:

• That's also where this would be very supportive and helpful.
• So, are you receiving any support from a department of Education.
• Thanks to your support, we've gone from a staff size of 1 to 5.
• They are solely there to support the court.
• Now, that includes all the things that go into supporting that person.

Committee: House A&B Human Services Subcommittee

Transcript Highlights:

• So, please support us. Thank 50 years. So, please support us.
• </c> support of the IGO bill that supports support of the IGO bill that supports critical<00:24:58.559
• :31.279><c> supports</c> support miners because mining supports support miners because mining supports
• Today we are asking for your support for a bill that provides critical services to both employers and
• , and over 300 youth customers, helping employers find talent and providing training and support services

Committee: House Workforce, Labor, and Economic Development Finance and Policy

Transcript Highlights:

• It has strong bipartisan support.
• We support House Bill 2523.
• support local economies.
• workers and employers.
• and employer representatives.

Summary: The committee began with a public hearing on Substitute House Bill 1592, which would change how state public defense funds are distributed and, in the substitute version, keep current law on state funding responsibility while revising the allocation formula. Staff explained the bill would shift county and city distributions to a pro rata, caseload-based model, allow very low-density counties to request OPD to provide some or all public defense services, require additional data collection and reporting, and direct OPD to study caseload reductions and retention. Representative Peterson said the bill is meant to create a better structure for future state support of indigent defense without the very large cost of the original proposal. Testimony from counties, cities, OPD, defenders, and local officials was strongly supportive, emphasizing a statewide public defense crisis, rising local costs, staffing shortages, and the need for a fairer funding model. The committee then heard Substitute House Bill 1742 on environmentally sustainable urban design and Substitute House Bill 1906 on water system regulation and water rates. HB 1742 would create a center in Ecology to promote sustainable urban design, fund design competitions and grants, and establish an advisory council; the sponsor said the bill reflects a desire to support a pilot project through alternative funding, and there was no public testimony. HB 1906 would require more planning and notice for Group A water systems, add customer notice and right-of-first-refusal provisions for some ownership changes, and direct the UTC to consider external funding sources, capital planning, and rate smoothing when setting water rates. Water utility and PUD witnesses supported the goal of improving transparency and consolidation of failing small systems, while noting the substitute reduced some fiscal concerns. The committee also heard HB 2248 on Secretary of State corporate and charity filings, HB 2438 creating the SEED scholarship for early childhood education students, and HB 2515 addressing emerging large energy use facilities such as data centers. HB 2248 would redirect part of annual filing fees to the Secretary of State revolving fund, require initial reports from nonprofits and LLPs, and change trademark certificate procedures; the fiscal note showed modest revenue losses, and the division supported restoring the fee split for operational funding. HB 2438 would transfer $10 million annually from the GET account to fund scholarships and wraparound services for early childhood education degree seekers, with testimony from early learning advocates and a student describing workforce shortages and personal financial barriers. HB 2515 drew extensive testimony both for and against: supporters said it would protect ratepayers, water resources, and grid reliability by requiring tariffs, reporting, clean-energy requirements, and a fee on large energy users; opponents argued it singled out data centers, could hurt investment and jobs, and included unrelated labor and procurement provisions. After public testimony, the committee moved into executive-session briefing on several bills and amendments, including HB 1903 on statewide low-income energy assistance, HB 1909 on a court unification task force, HB 1982 on vacating certain convictions tied to treaty Indian rights, HB 2034 on LEOFF Plan 1 retirement changes, HB 2105 on employer notice of federal I-9 audits, HB 2210 on ranked-choice voting, HB 2215 on Climate Commitment Act fuel supplier obligations, and HB 2271 on post-consumer recycled content requirements. Staff summarized proposed substitutes and amendments, with several changes aimed at reducing or shifting fiscal impacts, narrowing agency duties, or striking provisions entirely.

Transcript Highlights:

• It undermines employers... ...and hospital workers with scabies.
• It undermines employers' ability to protect their workplaces as they deem necessary and schools' ability
• So that being said, I do not support this measure, and I hope it gets lost in the mail. Thank you.
• It prohibits employers from requiring vaccination as a condition of employment.
• They have supported all kinds of different culturally specific traditional healing.

Summary: The Senate convened with prayer, the Pledge of Allegiance, and a recorded roll call showing 28 present, 0 absent, and 2 excused. The chamber approved the journal and then took up several motions to reconsider or return bills, including requests to return HB 2035 and HB 2249 to the House and to reconsider HB 2192. The Senate then moved into Committee of the Whole for calendar items. In Committee of the Whole, members considered HB 2248, a public health mandates bill; HB 2313, concerning school employee/teacher strike and remote instruction issues; HB 2379, relating to school district governing board training; HB 2380, relating to school district board meetings and expenditures; and HB 2720, relating to prostitution assessments and the anti-human trafficking fund. HB 2248 drew the most debate over whether it would prohibit schools, employers, and medical facilities from requiring medical interventions such as vaccines; an amendment narrowing the definition of medical intervention was adopted, and the bill advanced. HB 2379 and HB 2380 both received committee and floor amendments focused on school board training and livestreaming/meeting transparency requirements, and HB 2313 and HB 2720 also advanced. The Committee of the Whole reported all four bills as do pass, with HB 2248, HB 2379, and HB 2380 as amended. The Senate then adopted the Committee of the Whole report after defeating an amendment that would have changed the HB 2248 recommendation to fail. The chamber next considered HCM 2001 and HCM 2002, memorials urging federal terrorist designations for the Muslim Brotherhood and CAIR, and HCR 2047, recognizing Judea and Samaria; all three passed despite strong opposition speeches criticizing them as targeting Muslim communities or advancing religious/political messaging. The Senate also passed HB 2118 on mobile food vendors, HCM 2009 on mineral access and federal land withdrawals, HCR 2015 on school physical activity and dietary guidelines, HCR 2020 on housing outside designated provider service areas with assured water supply, and HCR 2057 supporting next-generation geothermal energy. Finally, the Senate passed HB 2248, HB 2379, and HB 2380 on third reading, approved the House’s request to adjourn, and adjourned until April 21, 2026.

Transcript Highlights:

• It undermines employers... ...and hospital workers with scabies.
• So that being said, I do not support this measure, and I hope it gets lost in the mail. Thank you.
• It prohibits employers from requiring vaccination as a condition of employment.
• They supported natural healing.
• They have supported all kinds of different culturally specific traditional healing.

Transcript Highlights:

• Washington labor law provides that violations of certain state laws prohibiting employers from making
• I would like to support this bill.
• I'm here in support of HB 2095.
• I'm probably the only doctor testifying here in support of 2095 today.
• Please support this bill. Thank you. Please, please support this bill. Thank you.

Bills: HB2095

Committee: House Civil Rights & Judiciary

Keywords: public safety, vulnerable users, pedestrians, protected classes, transportation

Transcript Highlights:

• </c> support. Leanne Malapit in support. support. Leanne Malapit in support.
• . support. support.
• in support. support. support.
• . support. support.
• . support. support.

Committee: Senate Health and Human Services

Summary: The Health and Human Services committee hearing opened with notice that the meeting was being streamed and could reconvene later if technical problems forced an abrupt end. The chair also announced a one-minute testimony limit and proceeded through several bills, taking mostly written and oral support testimony and asking limited questions. No votes were taken in the portion provided. HB 1626, relating to youth penalties, drew strong support from the Office of Hawaiian Affairs, youth advocates, the ACLU, the Department of Education, and others. Testifiers said financial sanctions on youth are ineffective, disproportionately burden Native Hawaiian youth, and function as poverty penalties; they urged replacing fines with community service, restorative practices, and ʻāina-based programs, and eliminating uncollectible legacy debt. The chair moved on after no member questions. HB 1643, relating to pharmacy, was discussed with support from the Hawaii Pharmacists Association, Kaiser, the Board of Pharmacy, independent pharmacies, and PBM representatives. Testimony focused on amendment language, audit procedures, HIPAA concerns, and the need for flexibility for small island pharmacies. HB 1668, relating to Medicaid, received broad support from disability advocates and the Department of Human Services; witnesses said CMS had already approved the underlying state plan amendment removing income and asset limits for certain workers with disabilities, but they wanted the protection codified in law to preserve it long term. The chair asked whether codification was necessary and was told it would not be harmful and would help ensure continuity if federal policy changed. The committee then heard HB 1550 on drug paraphernalia and syringe access, with support from Shipta and the Department of Health; testimony emphasized preserving flexibility for the statewide syringe access program to respond to emerging drugs like xylazine. HB 1974, relating to health, was presented as a planning measure for hearing loss; testifiers said Hawaii lacks a comprehensive hearing-loss plan and that the bill would fund a state planning process, not direct services. HB 1858 on vital statistics drew support from clinicians and medical organizations, who said better data on spontaneous fetal deaths is needed and that the term used in the bill is standard medical and CDC terminology. HB 1871 and HB 1966 also received support, with HB 1966’s EMS special fund prompting discussion about the cigarette-tax revenue source; the chair questioned the nexus to EMS, and the Department of Health said the revenue currently funds the special fund and there is no alternative funding stream.

Transcript Highlights:

• Speaker, I rise today in full support of H.R. 1634, the Think Differently About Disability Employment
• Speaker, I rise in support of H.R. 1634, the Think Differently About Disability Employment Act.
• Speaker, I rise today in support of H.R. 1634, the Think Differently About Disability Employment Act.
• Speaker, I rise in support of H.R. 1634, the Think Differently About Disability Employment Act.
• Speaker, I rise today in strong support of my bill, the Think Differently About Disability Employment

Bills: HB1804 , HB1642 , HB1621 , HB1634 , HR789 , HR787 , HB1816 , HB3490 , SB160

Keywords: 7(a) loan program, Small Business Administration, SBA, small business lending, loan brokers, loan consultants, referral agents, loan intermediaries, fraud oversight, transparency, reporting requirements, loan fees, referral fees, interest rates, business financing, small business loans, lender oversight, application assistance, Congressional reporting, small business

Transcript Highlights:

• </c><00:53:52.640><c> fund</c> created an innovation and support fund created an innovation and support
• ><c> and</c> Support ATC's facing hardship and Support ATC's facing hardship and natural<00:53:58.880
• ><c> funds,</c> Through innovation and support funds, Through innovation and support funds, five<01:08
• > regional</c><01:30:11.400><c> training</c> support through the regional training support through the
• </c><01:30:28.560><c> or</c> to other ways of providing support or to other ways of providing support

Summary: The Education Assessment & Accountability Review Subcommittee approved the minutes from its October 14 and November 4 meetings and also approved the Office of Education Accountability report analyzing student discipline data in Kentucky schools. The main presentation came from KDE Commissioner Dr. Robby Fletcher on implementation of House Bill 257, which he said has two major parts: selection of a statewide college entrance exam through a new procurement process, and development of locally designed indicators of quality for accountability. On the college exam, Fletcher explained that the state had to reopen procurement after Senate Bill 197, with the RFP released May 21, vendor questions handled through the Finance and Administration Cabinet, proposals due June 22, and scoring and review expected in July and August, with a vendor decision not likely until October. He emphasized that the exam is a norm-referenced college-readiness measure, not a test of Kentucky academic standards, which are assessed by the KSA. Members asked about the science requirement in statute, the possibility of multiple vendors or district choice, and whether the CLT could participate; Fletcher said vendors must address science in the RFP, multiple vendors could be possible, and any vendor could submit a proposal if it meets the rubric. He also noted that ACT and SAT differ in structure, that either can meet college-readiness benchmarks, and that there were no major complaints about the SAT during its first year of use. The second major topic was the locally developed indicators of quality under House Bill 257. Fletcher said these are intended to let districts measure themselves against their own goals rather than compare districts statewide, while still aligning with Kentucky standards. He described examples such as achievement, growth, student well-being, safety, fiscal responsibility, civics, internships, apprenticeships, project-based learning, and defenses of learning. He said districts may use local assessments such as MAP, STAR, and I-Ready alongside state data, and that local models should be developed with families, community members, and workforce partners. He added that KDE is providing technical assistance, has applied for a federal CGSA grant, and will use a one-time $15,000 cost offset for districts implementing local accountability models, with a superintendent webcast planned for August.

Transcript Highlights:

• Now, we recognize that there needed to be a lot of guardrails to allow the employment of relatives in
• Wheeler, I see that on line 27 of page three, the City Council must approve the appointment or employment
• They make the decisions regarding their employment, regarding their potential cost.
• Decisions regarding their employment, regarding their potential cost of living increases, that type of
• And you need the support of the city council to renew that city attorney to continue serving for the

Committee: House State Affairs

Transcript Highlights:

• Speaking in support of this bill are Dr.
• I would like to speak in opposition to support.
• Ben O'Brien with California Life Sciences in support. Gilbert Lard here with Biocom in support.
• I'll be supporting the bill today. Thank you.
• Do we have any other lead support witnesses?

Summary: The committee heard a series of bills on access to care, professional licensing, and consumer protection, beginning as a subcommittee because quorum was initially lacking. AB 1307 would create a pilot program allowing up to 30 qualified dentists from Mexico to work in underserved California areas for up to three years; the author and sponsor framed it as a cost-neutral way to address dental shortages, the California Dental Association moved from opposition to neutral after amendments, and members expressed support. AB 1703 would restrict use of osteopathic titles and osteopathic manipulative treatment to licensed DOs; supporters said it would prevent patient confusion and unlicensed practice, while non-physician osteopaths argued it would criminalize a long-standing, safe practice and reduce access. Members raised concerns about consumer clarity and access, and the author said she would continue working with opponents. AB 2250 made technical cleanup changes to last year’s hemp enforcement law, with support from the cannabis industry and no opposition. AB 1758 would raise the annual seller-of-travel assessment for the Travel Consumer Restitution Fund from $35 to $60, and AB 1794 would allow prescribed enteral nutrition formulas to be drop-shipped directly to patients’ homes with pharmacist oversight; both drew support and no opposition. AB 1775 would expand state licensing priority and related support for veterans discharged because of a federal transgender military policy, with emotional testimony from a transgender Army captain and support from equality and women’s organizations. AB 1939 would allow licensed professional fiduciaries to form corporations, and AB 2477 would create a limited provisional period for new pest control employees to work under supervision while licensing is pending; both were supported, though AB 2477 drew questions about supervision and committee amendments. AB 1999 would address veterinary workforce shortages by creating retired volunteer status, a shelter-veterinarian pathway, changes to VCPR rules, and narrowing the owner exemption to exclude surgical procedures; supporters cited animal welfare concerns, while some opponents warned about overreach. AB 2010 would permit high-quality, high-volume spay/neuter clinics in nontraditional settings to expand access, but the Veterinary Medical Board and some advocates opposed it unless amended over safety and clarity concerns. AB 2311 would let public health care district hospitals directly employ physicians, with supporters saying it would improve recruitment and access and opponents warning about erosion of physician autonomy; the author said the bill included safeguards, a sunset, and reporting requirements, and continued negotiations were ongoing. After quorum was established, the committee took roll-call votes and advanced the bills, generally on party-line or broad bipartisan votes, with several measures placed on call and others sent to Appropriations, Judiciary, Revenue and Taxation, Military and Veterans Affairs, or other committees as noted.

Transcript Highlights:

• Speaking in support of this bill are Dr.
• On behalf of my patients, I'm not in support.
• Ben O'Brien with California Life Sciences in support. Gilbert Lard here with Biocom in support.
• I'll be supporting the bill today. Thank you.
• Do we have any other lead support witnesses?

Committee: Senate Business, Professions and Economic Development

Transcript Highlights:

• Okay, but you're... ...to support DI and PFL. Okay.
• to we support the LAL's recommendation.
• Why should we support this move?
• I just want to thank you for your support again.
• workers and employers.

Summary: The subcommittee heard an informational update on the state’s generative AI implementation and related oversight. Administration officials said several proof-of-concept projects have moved into minimum viable product phases, including work at CDTFA and Caltrans, and that CDPH has a May Revision request for up to $8 million to scale up its healthcare facilities inspections project. The Legislative Analyst’s Office urged the administration to publish a report on lessons learned from each POC and recommended limiting the new generative AI approval process to a pilot through the first two rounds of projects, with continued monthly meetings and stronger legislative oversight. Members pressed for more transparency and questioned why the CDPH request was not included in January; the administration said the cost estimate was not available then and that only one project is seeking additional resources beyond existing departmental budgets. The committee then reviewed a proposed $400 million loan from the Labor and Workforce Development Fund to the General Fund. Finance and the Labor Agency said the fund has grown because civil penalty revenues have risen sharply, and the loan would be repaid in 2029-30 with provisional language allowing earlier repayment if needed. The LAO agreed the fund could support the loan but warned that recent PAGA reforms may reduce future revenues. Public commenters, including labor and community groups, argued the money should instead support labor-law enforcement and outreach programs such as CWOP, and urged rejection of the loan. Members also heard a Department of Industrial Relations request for $19.1 million for phase two of Public Works Information Technology System Enhancements, which officials said will support labor-law enforcement and apprenticeship registration. The department said the project was delayed because a prior procurement did not result in a contract award and that completion is now expected in October 2026. The committee then took up an EDD Next reappropriation technical adjustment to extend UI fund spending authority through June 30, 2026; the LAO said the request was fine but again raised concerns about oversight of the larger modernization effort, which EDD said now totals more than $660 million and is expected to continue through 2029. Finally, the committee discussed DGS’s request for new parking facilities near the May Lee Building and a trailer bill shifting statewide telework policy language from DGS to CalHR while also expanding NDI eligibility for certain CEA employees. The LAO said the telework trailer bill should likely go through the policy committee process instead of budget, and union and employee witnesses strongly opposed it, arguing it would undermine bargaining rights and could be used to narrow telework. In a separate item on the governor’s return-to-office order, administration officials said departments are being directed to move to a four-day in-office expectation starting July 1, 2025, but they had no statewide cost estimate yet because departments are still assessing vacancies, exemptions, and space needs. Members criticized the lack of analysis and said the state should have clearer numbers before moving forward.

Transcript Highlights:

• Senator Flowers, the system we are using now will not be supported next fiscal year.
• But we also realize that, for example, in employment and training, where we've... ...in employment and
• And two, within employment and training, two out of the 10, have also found jobs.
• funding is there to support the people as well.
• “Overstaff because we don’t have the funding to support them.

Committee: All ARKANSAS LEGISLATIVE COUNCIL (ALC)

Summary: The meeting began with a prayer, approval of the prior minutes, and a February 2026 revenue report from Carlos Silva of the Bureau of Legislative Research. He reported gross revenues of $5.36 billion and net collections of $4.5 billion, both above the prior year, and said the updated forecast showed a larger expected surplus than before. Members asked about declines in some tax categories, natural gas severance fees, and possible effects of inflation and international conflict; Silva generally attributed the changes to timing issues, prior tax cuts, refund activity, and price fluctuations, and said he could not speculate on future impacts. The committee then heard and adopted several subcommittee reports, including the Executive Committee, Administrative Rules, Claims Review, Game and Fish State Police, Higher Education, Infrastructure Investment and Jobs Act, Hospital/Medicaid/Developmental Disabilities, Occupational Licensing Review, State Insurance Programs Oversight, and APER filings. Most reports were approved without objection. One budget classification transfer for the Commissioner of State Lands was reviewed and failed. The review report also led to discussion of several contracts, including DHS staffing contracts and a Department of Education security contract, with some items held or separated for individual votes. A major portion of the meeting focused on DHS and state staffing contracts for the Human Development Centers, Arkansas State Hospital, and related facilities. DHS officials said the contracts were on track against seven-year projections, but members expressed concern about heavy reliance on contract labor, vacancy rates, and the need to move workers onto state payrolls. Officials said they were preparing a recruitment and retention plan and described staffing levels, vacancies, and turnover. Members also questioned contract projections and federal-state funding matches, and several urged faster action to reduce contract labor costs. The committee also discussed a Department of Commerce reduction-in-force affecting the Division of Services for the Blind and Employment and Training. Secretary Hugh McDonald said the cuts were driven by funding shortfalls, over-obligation of funds, and federal issues, and that 27 positions would be permanently eliminated while furloughed employees would be recalled. Members raised concerns about service impacts, board appointments, and the division’s fiscal management. The meeting ended after the personnel report was adopted and APER was filed as reviewed, followed by adjournment.

Transcript Highlights:

• This includes $199.3 billion in local assistance to support program costs and $1.4 billion in support
• If we support medically supported weight loss in our patient populations that are experiencing obesity
• insurance through the employer ends up on Medi-Cal.
• I think it's beyond our authority and... ...in terms of regulating employers and what employers can and
• to help support the cost of this rate growth.

Summary: The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56. DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement. The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.

Transcript Highlights:

• There's no type of factor tied to the ratio of state support versus locally generated support.
• We just heard how we're supporting... ...a way that we support our agricultural research.
• We did not create a facility, and this facility was supported by legislative support, wonderful support
• Our model allows employers to support short-term skill development while also investing in long-term
• Our model allows employers to support short-term skill development while also investing in long-term

Summary: The committee first reviewed the 2024-25 tuition waiver report for the North Dakota University System. Staff explained that waivers were reported for degree-seeking students and broken out by residency, institution, and waiver type. Members asked about partial versus full waivers, institutional discretion, athletic waivers, and whether campuses have published guardrails or transparency requirements. Staff said most waivers are set by institutions, with some statutory and board-required categories, and that athletic waivers are a small share of total waiver dollars. The report showed total gross tuition of $354.5 million, tuition waived of $38.9 million, and 11,193 of 42,040 students receiving some waiver. Members also discussed how waivers affect net tuition revenue, housing and food collections, and whether campuses are using waivers strategically compared with scholarships and other funding sources. The committee then heard a presentation on tuition rates by campus and State Board policy. Staff explained the board’s tuition factors for resident, Minnesota reciprocity, contiguous-state/U.S. nonresident, and international students, and noted that campuses often seek exceptions based on program-specific competition and enrollment goals. Members asked whether rates are based on cost or competition, and staff said campuses typically bring forward estimates and market comparisons when requesting special rates. The presentation also reviewed general fund appropriations versus net tuition revenue by campus, and members discussed how local tuition decisions and waivers do not directly affect the state funding formula, though they do affect institutional revenue and reserves. Questions were also raised about the Higher Learning Commission’s financial composite indicator and how it differs from the more intuitive reserve and revenue figures. The committee next received a broad overview of non-higher-education entities affiliated with the State Board of Higher Education, beginning with NDSU agriculture-related units. Dr. Greg Lardy described the State Board of Agricultural Research and Education, the NDSU Extension Service, the Agricultural Experiment Station, and the branch research centers, emphasizing their statewide role in crop and livestock research, extension education, and county-based outreach. He outlined funding mixes for extension, the experiment station, and branch stations, noting that grants and contracts support both research and education, while the agronomy seed farm is self-funded through seed sales. Members asked about the new and vacant FTE pool, R1 research status, matching requirements for grants, and whether state appropriations count toward research expenditures. Dr. Lardy also highlighted major research impacts, including crop varieties, virtual fencing, AI-assisted weed control, and NDAWN weather data. The Northern Crops Institute and the Upper Great Plains Transportation Institute also presented. NCI described its role in market development, technical services, and education for regional agriculture, its governance through the Northern Crops Council, and its funding from state appropriations, other states, and earned revenue. Members asked about the source of out-of-state funding, intellectual property, and the institute’s international reach. UGPTI then outlined its transportation research, federal and state funding structure, and work on road and bridge condition assessments, travel demand modeling, and workforce training. No votes were taken during the portion of the meeting reflected in the transcript.

Transcript Highlights:

• Committee on Delivery of Government Efficiency, HB 302 by Rosenthal relating to the prohibition of employment
• discrimination on the basis of reproduction decisions and certain employment agreements limiting reproductive
• Of employment authorizations or e-verifications refers to the Committee on Intergovernmental Affairs
• to the Committee on Ways and Means, HB 383 by Harrison relating to prohibiting a private private employer
• HB 415 by Govin Hawkins relating to a study on mold contamination and housing development supported by

Transcript Highlights:

• Individuals receive comprehensive and culturally responsive support.
• So I recently provided written testimony in support of those bills.
• to our school districts so that they can better support... ...support kids and ensuring that there are
• So employers are going to do the hard work of having to make really hard decisions.
• So employers are going to do the hard work of having to make really hard decisions.

Committee: Joint Joint Committee on Public Health

Summary: The Joint Committee on Public Health held an introductory informational hearing for the new session, with Chairs Marjorie Decker and Senator Michael Driscoll outlining the committee’s scope and emphasizing the impact of the federal landscape on Massachusetts public health. They noted the hearing would focus on testimony from agencies and advocates, with short testimony limits due to the hybrid format. No votes were taken; the meeting was for briefing and discussion of priorities. Commissioner Robbie Goldstein of the Department of Public Health described the department’s budget and federal funding, warning that recent CDC grant terminations could cut nearly $100 million and affect lab testing, surveillance, vaccines, and community engagement. He highlighted DPH priorities including racial equity, maternal health, substance use and child welfare coordination, emergency preparedness, data transparency, and public hospital quality. MassHealth Assistant Secretary Michael Levine discussed MassHealth’s role covering about 2 million residents and its priorities in health equity, behavioral health, primary care, member independence, and customer service, while noting the agency relies heavily on federal Medicaid dollars and would face major strain from federal cuts. Several advocacy and provider groups focused on reproductive health and maternal health. Planned Parenthood warned of threats to Title X, 340B savings, and other federal funding, and supported a bill to eliminate parental consent and judicial bypass for abortion care for young people. Reproductive Equity Now urged stronger shield-law protections and changes to Massachusetts’ later-abortion framework. Dr. Indyamaka Anugaka called for full implementation of the maternal health law, better reimbursement for doulas and midwives, stronger data collection, and support for full-spectrum pregnancy care coverage. The Health Policy Commission said new maternal health and primary care task forces would begin work soon. Mental health and health system access were also major themes. The Mass Medical Society urged action on vaccine hesitancy, removal of non-medical school vaccine exemptions, and primary care reform. The Massachusetts Association for Mental Health and the Children’s Mental Health Campaign opposed proposed cuts to DMH and substance use services, called for more school-based supports, and raised concerns about inpatient capacity, including a unit serving LGBTQ youth. The Massachusetts Nurses Association and 1199 SEIU warned that staffing shortages, low wages, workplace violence, hospital closures, and possible Medicaid cuts threaten patient care and the health care workforce. The Betsy Lehman Center also urged investment in automated patient-safety monitoring to reduce harm and costs.

Transcript Highlights:

• So I'm glad that's something you are already doing and we can be supportive of.
• Disaster CalFresh, CalFresh Outreach, and our employment and training program.
• My name is Salah El Bakriam with the Support Life Foundation. We run about 42...
• My name is Salah El Bakriam with the Support Life Foundation.
• I just want to reiterate and support the testimony that came here. ...and support the testimony that

Summary: The joint informational hearing focused on CalFresh enrollment, food insecurity in California, the recent federal shutdown’s disruption of SNAP benefits, and the long-term effects of H.R. 1 on eligibility, benefits, and state and county costs. Opening remarks emphasized that millions of Californians rely on CalFresh, that the shutdown briefly delayed benefits for the first time in the program’s history, and that state and local governments, including Alameda County, stepped in with emergency food aid and funding. Members also framed the issue as both a hunger and affordability problem, with several noting that California’s agricultural abundance contrasts sharply with persistent food insecurity. The first panel presented research and advocacy perspectives on food hardship. PPIC’s Tess Thorman described food insecurity rates, disparities affecting households with children and Black and Latino households, and the role of nutrition programs in reducing poverty. Nourish California’s Betzabel Estudio argued that hunger is a policy choice and highlighted campaigns to expand state-funded food assistance for immigrants, support reentry populations, and continue the CalFresh fruit-and-vegetable incentive program. The California Association of Food Banks’ Josh Wright said food banks are seeing sustained high demand, lower federal food supplies, and cannot replace CalFresh, while urging more state support for food purchasing, school meals, and SunBucks. The second panel reviewed CalFresh operations and participation. The California Department of Social Services reported that CalFresh participation has risen over the past decade, with the state closing much of the participation gap through outreach, simplified applications, and demonstration projects such as the Elderly Simplified Application Project and a minimum nutrition benefit pilot. Alameda County Social Services described local caseloads, application trends, and emergency food distributions during the shutdown, while also warning that H.R. 1’s work requirements, immigrant eligibility restrictions, and possible cost-sharing could reduce enrollment. A student CalFresh ambassador testified about the burdensome application and recertification process and urged more funding for campus basic-needs centers and outreach to reduce stigma and administrative friction. In the final panel, county, food bank, and policy witnesses described the shutdown response and the expected impact of H.R. 1. Alameda County Community Food Bank and the County Welfare Directors Association said counties, food banks, and community partners mobilized emergency funds, pop-up pantries, and food purchasing to bridge the shutdown gap, but warned that hundreds of thousands of Californians could lose benefits under the new federal rules. The California Budget and Policy Center began outlining the scale of federal cuts, noting that H.R. 1 will significantly reduce SNAP funding and shift costs to states. No votes or formal committee actions were taken; the hearing was informational and concluded with discussion of possible state responses, including backfilling benefits, preserving outreach funding, and improving administrative systems to protect enrollment.