Transcript Highlights:

• For finding two, university controls over bank reconciliation needed improvement.
• There are no controls over their bank reconciliations, and then paying their vendors was also an issue

Summary: The Higher Education Budget Subcommittee met to hear a presentation from the Florida Auditor General’s office on recent operational audits of four universities and to discuss how audit findings are handled. The Auditor General explained that financial audits occur annually and operational audits at least every three years, with universities required to respond in writing to findings; the office generally follows up in the next audit cycle, though it can audit sooner if needed. Members asked about accountability, whether findings are referred to other bodies, and how internal university audit functions interact with the state audit process. The chair emphasized the committee’s oversight role in ensuring public funds are used appropriately. The audit findings highlighted issues at New College of Florida, Florida A&M University, the University of Florida, and Florida Atlantic University. At New College, auditors cited invoice/payment errors, delinquent student account collection delays, prohibited extra compensation, exceeding state remuneration limits for certain employees, weak purchasing card controls, construction management cost documentation issues, and subcontractor licensing documentation gaps. At FAMU, auditors found investment accounting classification issues, delayed bank reconciliations, late vendor payments, and incomplete annual employee evaluations. At UF, auditors reported concerns over a $6.4 million consulting contract, event and catering spending, president’s office hiring and salary practices, bonus and relocation payments, continued high compensation after the president transitioned to another role, travel expenses including charter flights, and remote work agreements. At FAU, auditors found distance learning fee revenue exceeded allowable costs by about $2.8 million, carry forward funds were underreported by about $77 million, and credit card controls needed improvement. Members pressed the Auditor General on whether overpayments were refunded, whether any findings involved statutory violations, and what enforcement exists beyond the audit report. The auditor said some issues were corrected by the universities, such as New College recovering excess compensation from foundation funds, but others would be revisited in future audits; if potential fraud were identified, it would be referred to the state attorney’s office. The chair closed by noting that accountability for public spending rests with the Legislature and the committee, and the meeting adjourned without any vote or formal action beyond receiving the presentation.

Transcript Highlights:

• Accompany us as we struggle to hold tight to the vessel of reconciliation in what often seems a sea of

Transcript Highlights:

• the historical and ongoing injustices faced by Native communities and is committed to voting, reconciliation

Transcript Highlights:

• to carry out the business of the House and for the American people as we get into the budget reconciliation
• And nowhere in that budget reconciliation document does it say that in the resolution.
• on the distortion of what the intentions are under the budget resolution and ultimately budget reconciliation
• more difficult process in which sometime over the next four months we plan on passing both a reconciliation
• The reconciliation bills are what are referred to as mandatory spending. promises change and clearly

Bills: HJR20

Keywords: energy conservation, gas-fired water heaters, Department of Energy, regulatory disapproval, energy standards

Transcript Highlights:

• However, three times in this two-year period, through the process called reconciliation, we're able to
• hope our talk radio and mouthpieces will wake up and demand that the Republicans use all three reconciliation
• You've made clear you can pass reconciliation bills without giving us a seat at the table.
• You've made clear you can pass reconciliation bills without giving us a seat at the table.

Bills: HB2181 , HB1510 , HR1000 , HB3425 , HB3424 , HB3428 , HB3423 , HB3055 , HB2591 , HB4550

Keywords: Inspectors General, removal standard, government oversight, accountability, transparency, IG, watchdogs, federal oversight, executive branch, presidential removal, for-cause removal, independent oversight, anti-corruption, waste fraud and abuse, malfeasance, gross mismanagement, gross waste of funds, abuse of authority, inefficiency, neglect of duty

Transcript Highlights:

• We work with bankruptcies, services for date after death, reconciliation of settlements occurs in that
• 00:27:47.000><c> after</c><00:27:47.519><c> death</c><00:27:48.519><c> um</c><00:27:49.000><c> reconciliation
• </c><00:27:49.799><c> of</c> date after death um reconciliation of date after death um reconciliation
• Uh, we know what may happen, but not exactly what will happen in, for example, in the budget reconciliation

Summary: The subcommittee met to review the Department for Medicaid Services’ program integrity work. Commissioner Lisa Lee and Program Integrity Director Jennifer Dudinsky outlined Kentucky Medicaid’s structure, funding, enrollment, and spending, including FMAP rates, the size of the Medicaid and KCHIP populations, the number of providers, and 2024 expenditures. They also described the managed care and fee-for-service populations, noting that managed care serves most members while fee-for-service is concentrated in long-term care and waiver populations. Most of the discussion focused on fraud, waste, abuse prevention, and provider oversight. The department described its provider enrollment and certification checks, revalidation requirements, site reviews, fingerprinting for some high-risk providers, and termination grounds such as false application information, Medicare actions, unreported ownership changes, and abandonment of a provider number. Members asked about nonprofit ownership reporting, MCO fraud oversight, and how the department tracks unusual CPT code utilization, especially in behavioral health. The department said it uses data analytics, audits, policy review, and collaboration with behavioral health staff to monitor those trends. Dudinsky explained the division’s four branches: provider licensing and certification, audits and compliance, recovery, and third-party liability/estate recovery. She described prepayment and postpayment audits, referrals of credible fraud allegations to the Attorney General, monthly meetings with the AG’s office, and coordination with the Office of Inspector General, CMS, HHS OIG, MCOs, and other partners. She also explained payment suspensions, stand-downs during law enforcement investigations, and recovery efforts for overpayments, provider/member fraud, and third-party liability. The department said its recovery and avoidance efforts produced more than $251 million in savings so far in 2025. No votes or formal actions beyond approving the minutes were taken.

Transcript Highlights:

• testimony I submitted yesterday, and one thing that I think can help maybe the legislators is reconciliation
• The term reconciliation, because Native Hawaiians have never been part of, you know, these types of discussions
• The term reconciliation, because Native Hawaiians have never been part of, you know, these types of discussions
• Hawaiians got to be involved because they're building this on Hawaiian lands, and we have not had a reconciliation
• Hawaiians got to be involved because they're building this on Hawaiian lands, and we have not had a reconciliation

Summary: The joint hearing covered three measures on the 1 p.m. agenda. SB 817, relating to out-of-state offices, drew support from DBEDT and several community groups, with questions focused on the requested funding, staffing level, whether the office would expand broadly, and whether the Philippines was being singled out. SB 1578, relating to international affairs, received support from DBEDT and the Attorney General, with the chair noting the bill was intended to help DBEDT analyze Hawaii’s international partnerships and plan next steps. SB 1639, establishing Hawaii Beach Day, had limited testimony and was moved along without substantive debate. SB 582, relating to DBEDT, was also heard with support from state agencies and a few individuals, and was described as a vehicle for organizational and funding changes affecting the State Foundation on Culture and the Arts, including moving some positions and programming to general funds and narrowing the works-of-art special fund's uses. The committees then took up recommendations. All three measures were advanced with amendments: SB 817 was amended to include technical changes and a defective effective date of July 1, 2025; SB 1578 was amended to address the Attorney General’s concerns, make the commission subject to Senate confirmation, and add technical changes and a defective date; and SB 582 was amended to incorporate provisions from SB 1577, clarify SFCA authority over performing arts, shift SFCA positions and programming to general funds, restrict the works-of-art special fund, and add a defective date. Each committee voted to adopt the chair’s recommendations, with no reservations or no votes noted in the Transportation and Culture and the Arts committee and only Senator Dela Cruz voting no on SB 817 there; in the Economic Development and Tourism committee, SB 817 passed with Senator Kim in reservation and Senator Awa voting no, while SB 1578 and SB 582 passed with Senator Awa voting no. The later 10:00 a.m. agenda hearing focused on SB 1589, relating to the stadium development special fund, and SB 1629, relating to taxation. On SB 1589, the Attorney General asked for clarification of section 3, particularly the proviso about remaining monies lapsing to the general fund if the New Aloha Stadium Entertainment District is terminated before completion; the interim stadium manager explained the bill would allow spending of $49.5 million already in the special fund for consultant, construction management, quality assurance, and contingency costs. On SB 1629, testimony was sharply divided: supporters, including film industry and business representatives, said the measure would support local film production, restore prior GET treatment, and help attract studio development; opponents argued the bill was vague, overly favorable to a specific project, and lacked oversight and accountability. The hearing ended with extensive questioning about whether the bill was effectively tailored to a particular studio project and how it related to other film tax credit measures, but no final committee action on SB 1589 or SB 1629 was included in the transcript excerpt.

Transcript Highlights:

• Just last week, in the middle of the night, House Republicans debated and passed a reconciliation bill
• We cannot and should not wait to see how that reconciliation bill fares in the U.S. Senate.

Committee: Senate Senate Committee on Steering and Policy

Summary: The Senate Committee on Steering and Policy held a public hearing on potential updates to Massachusetts’ 2022 Shield Law to strengthen protections for reproductive and gender-affirming health care. Chair Cindy Friedman said the hearing was prompted by escalating federal and out-of-state threats, and testimony was sought on loopholes and clarifications involving emergency abortion care, limits on cooperation with outside investigations, protection of patient data, and safeguarding licenses of providers and attorneys involved in this care. The Attorney General’s Office, ACLU of Massachusetts, GLBTQ Legal Advocates and Defenders, Reproductive Equity Now, the Massachusetts Medical Society, TransHealth, and Health Imperatives all supported strengthening the law. Witnesses urged broader bans on sharing health data with hostile states, explicit AG enforcement authority, exclusion of reproductive and gender-affirming prescriptions from the prescription monitoring program, protections for electronic medical records, and allowing clinicians to use practice names on prescription labels. Several speakers also called for protections for parents of transgender youth, attorneys, and nonprofit organizations, and some raised related concerns about insurance discrimination and the burden of post-24-week abortion restrictions. Committee members asked questions about enforcement mechanisms, data privacy, patient consent, and how to balance interoperability with privacy protections in electronic records. Witnesses said the goal was to prevent immediate harm while preserving patient control and access to care. No votes were taken during the hearing, and the chair closed by inviting written testimony and then moved to adjourn the hearing.

Transcript Highlights:

• House passed a budget that cuts the Medicaid program by approximately $750 billion in the reconciliation
• One, just in the President's budget, which I guess is separate actually from a reconciliation package

Summary: The Massachusetts Permanent Commission on the Status of Persons with Disabilities held its quarterly meeting virtually and in person at the State House. The commission approved the March minutes and elected its officers by unanimous roll call vote: Denise Garlick as chair, Chris White as vice chair, Carl Richardson as treasurer, and Osmondahar as secretary. The meeting also welcomed several new commissioners, including Rep. Jay Livingstone, Rep. Vanna Howard, Rep. Lindsay Sabadosa, Rep. John Marzi, and Leo Sarkisian, with brief introductions from the new legislative members. A substantial portion of the meeting focused on the commission’s current work and the broader policy environment affecting people with disabilities. Commissioners and subcommittee leaders raised concerns about federal threats to Medicaid/MassHealth, Section 504 accessibility protections, DEI-related rollbacks, immigration policy impacts on the direct care workforce, and the loss of funding for youth employment and vocational rehabilitation programs. Members also discussed ableist language in public discourse and the need for stronger advocacy and communication in response to these developments. Subcommittee reports highlighted recent activity on disability employment, workforce supports, and long-term services and supports/health equity. Presentations included veterans with disabilities, employment programming for young adults with disabilities, immigration and labor protections, MassHealth’s PCA working group, and a health equity roundtable. The commission also discussed future plans to create an advisory board, develop successor and mentoring planning, and launch regional “meeting the moment” listening sessions across the Commonwealth to strengthen outreach and leadership development. The meeting ended with an open invitation for commissioners to share urgent information with staff for broader distribution and a unanimous motion to adjourn.

Transcript Highlights:

• We think perhaps a reconciliation of the language between those two bills would allow...
• We think perhaps a reconciliation of the language between those two bills would allow our furry friends

Committee: House Transportation

Transcript Highlights:

• We think perhaps a reconciliation of the language between those two bills would allow We think perhaps
• a reconciliation of the language between those two bills would allow our furry friends to be safe in

Summary: The committee held public hearings on several transportation bills. ESSB 6262 would raise the maximum vehicle weight subject to transportation benefit district vehicle fees from 6,000 to 9,000 pounds for vehicles subject to gross weight license fees; the sponsor and city representatives said it would close a loophole, make fees more equitable, and help fund road maintenance, while the fiscal note was described as indeterminate. SB 5824 would clarify how fifth-wheel travel trailers are measured, aligning Washington with other states and supporting RV dealers; the bill drew support from the RV industry. SB 6110 would exclude certain faster electric vehicles from the e-bike definition and create a Department of Licensing work group to recommend a framework for electric motorcycles; testimony generally supported the effort but urged clearer e-motorcycle definitions and earlier work-group action, with some concern about youth safety and local enforcement. SB 5833 would allow a person to leave a vehicle running for up to 30 minutes to heat or cool a pet inside, with locking and brake requirements; the sponsor and a sheriffs’ association witness discussed balancing pet safety with auto-theft concerns, and the committee heard no fiscal impact. The committee also heard ESSB 6066, which would establish crash prevention zones in areas with unusually high serious-injury or fatal-crash rates, initially for a specific stretch of U.S. 395 and later more broadly beginning in 2029. The bill would allow local governments and WSDOT to designate zones, conduct engineering and traffic studies, increase enforcement, use speed cameras in the zones, and dedicate related revenues to safety improvements; supporters from Pasco and county risk pools backed the approach, while the sponsor asked for broader geographic coverage. ESSB 6311 would require continuous, accessible pedestrian passage during construction near hospitals, parks, and school routes, with temporary routes, safety plans, inspections, and enforcement tools such as stop-work orders and penalties; the sponsor said it was modeled on local practices and aimed at protecting pedestrians during construction, and contractors and transportation advocates supported it with a requested amendment clarifying design responsibility in design-bid-build projects. No votes were taken; the chair closed each public hearing and adjourned the meeting after testimony.

Transcript Highlights:

• believe as you work through it maybe an amendment could come up to that fact that some type of reconciliation
• type</c><00:28:16.720><c> of</c> to that fact that some type of to that fact that some type of reconciliation
• with the with the names reconciliation with the with the names &gt;&gt; uh<00:28:20.720><c> in</c><00
• would get the sheet from, you know, Ward 4 and Ward 7, and if I saw the same name on twice, my reconciliation
• would get the sheet from, you know, Ward 4 and Ward 7, and if I saw the same name on twice, my reconciliation

Committee: Senate Election Law and Municipal Affairs

Transcript Highlights:

• </c> ensuring reconciling reconciliation ensuring reconciling reconciliation between<04:10:38.080><c>
• reconciliation, audit, or whatever you reconciliation, audit, or whatever you would<04:11:33.359><c>
• And this is a step that reconciliation.
• We're doing reconciliation training with the local election officials.
• c><04:56:35.200><c> the</c> doing reconciliation training with the doing reconciliation training with

Committee: House Election Law

Transcript Highlights:

• Isel, for 5 minutes. budget reconciliation package. We got to budget reconciliation package.
• But our Republican colleagues, their reconciliation bill would limit the supplement only to those who
• bill would limit the reconciliation bill would limit the supplement<03:48:27.279><c> only</c><03:48:
• And I think one of the things that with this reconciliation bill and with actions of President Trump
• And I think one of the things that with this reconciliation bill and with actions of President Trump

Bills: HB2240 , HB2255

Keywords: law enforcement, police, officer safety, officer wellness, violent attacks, ambush attacks, assaults on police, anti-police violence, public safety, Department of Justice, Attorney General, FBI, National Institute of Justice, Uniform Crime Reporting, UCR, NIBRS, Law Enforcement Officers Killed and Assaulted Data Collection, LEOKA, bulletproof vests, Patrick Leahy Bulletproof Vest Partnership

Transcript Highlights:

• And the only way that we're going to know that is if we have premium audit reconciliation.
• But for premium audit reconciliation, post-storm coverage assistance that we can give to consumers that
• But for premium audit reconciliation, post-storm coverage assistance that we can give to consumers that

Committee: House Insurance

Summary: The House Insurance Committee met on April 23 with a quorum present and first deferred HB 1142. The committee then heard HB 1187, which would direct any excess Louisiana Citizens emergency assessment funds, after related debt is paid, toward the Louisiana Fortified Homes Program or future Citizens debt. Representative Sawyer and Commissioner Tim Temple said the bill would likely redirect about $50 million in one-time surplus funds and would help expand a popular roof-mitigation program that has already awarded more than 4,600 fortified roofs. The bill drew support from several witnesses and was reported as amended without objection. Next, HB 1210, dealing with insurance claim disputes and a pre-suit review process for Louisiana Citizens claims, was discussed. Representative Dana Henry said he was voluntarily deferring the bill and instead pursuing a study resolution after hearing concerns from members and stakeholders. Department and Citizens officials said the proposal was modeled on Florida’s process and could help resolve disputes faster and cheaper, but the bill was ultimately voluntarily deferred after testimony and some opposition cards were noted. The committee then took up HB 1199, which requires coverage for genetic testing and treatment related to SCN2A-associated disorders. Representative Jordan and the Diedon family gave emotional testimony about their daughter Emily’s diagnosis and the importance of timely genetic testing. The bill was amended to require that testing be ordered by a provider and deemed medically necessary by the health plan, with discussion about whether a neurologist should be involved; members said that issue could be refined later. HB 1199 was reported as amended. Finally, the committee considered HB 880, the Louisiana Artificial Intelligence Insurance Fairness Act, which would regulate AI use in underwriting, rating, and claims. After a lengthy discussion about state insurance regulation, McCarran-Ferguson, and concerns that the bill could jeopardize federal broadband funding, Representative Jordan voluntarily deferred HB 880, and HB 920 was also deferred. The committee then heard HB 1221, which would limit the policy data collected for the Louisiana Fortified Program Fund. Former Representative Bowler argued the bill was needed to protect policyholder privacy, while the Department of Insurance and Commissioner Temple said the data is needed for surplus-lines premium tax audits, fraud detection, and consumer assistance after disasters. The discussion continued with questions about what data would be visible and how it would be used, but the transcript ends before a final action on HB 1221 is shown.

Transcript Highlights:

• The<00:09:34.040><c> lack</c><00:09:34.440><c> of</c><00:09:34.600><c> reconciliation</c> The lack of
• reconciliation The lack of reconciliation has<00:09:36.760><c> real</c><00:09:37.040><c> consequences

Bills: SCR56 , SCR25 , SCR79 , SCR179 , SCR181 , SCR182 , SR54 , SR22 , SR81 , SR174 , SR176 , SR177

Committee: Senate Energy and Intergovernmental Affairs

Summary: The committee first heard SCR 56 and SR 54, which recognize open water lifeguards as first responders and acknowledge their role in emergency response and public safety. Testifiers from the Hawaiian Lifeguard Association, Hawaii Water Safety Coalition, Honolulu and Kauai Ocean Safety, and a junior guard all strongly supported the resolutions, describing lifeguards as often first on scene for drownings, cardiac arrest, spinal injuries, flooding rescues, and other emergencies. Several speakers said formal recognition would better reflect the work lifeguards already do and could improve training, support services, pay equity, and access to benefits such as retirement and trauma resources. Members asked about what legal or administrative changes would follow, and the discussion suggested the resolutions were a first step toward broader recognition and related policy changes. The committee then took up SCR 25 and SR 22, opposing federal condemnation or threats of condemnation to take control of Pohakuloa and other state land. The Office of Hawaiian Affairs supported the resolutions, saying Pohakuloa has deep historical, cultural, genealogical, and ecological significance and that any future decisions should go through existing state legal processes with meaningful consultation with Native Hawaiians. Members discussed the role of the governor’s advisory process, the need to follow DLNR/BLNR procedures, and concerns about environmental and health violations at the site. The committee also noted 14 written testimonies in support. Next, the committee heard SCR 79 and SR 81, urging the U.S. Navy to take responsibility for eradicating octocoral and other invasive species in Pearl Harbor waters, including West, Middle, and East Loch. DLNR supported the resolutions, and testimony focused on the spread of invasive coral, the difficulty of eradication, and the limited access state agencies have inside Pearl Harbor. Members raised concerns about contamination, responsibility for the problem, and whether the Navy should fund or carry out the cleanup; DLNR said it could not speak to broader contamination issues but supported the resolution as a way to encourage action. The committee then began discussion of SCR 179 and SR 174, which urge Maui County to enforce fire code provisions on brush clearance, fuel breaks, roadside vegetation clearing, and emergency access, with written support noted from Aloha Independent Living Hawaii.

Transcript Highlights:

• fatherhood is a platform and is a bowl that you can put any social issue into, including racial reconciliation
• fatherhood is a platform and is a bowl that you can put any social issue into, including racial reconciliation
• fatherhood is a platform and is a bowl that you can put any social issue into, including racial reconciliation
• any social issue into, including put any social issue into, including racial<01:20:26.240><c> reconciliation
• </c> racial reconciliation, even. racial reconciliation, even.

Summary: The meeting was a discussion of fatherhood and a possible response to Senator Robby Mills’ Resolution 112, which had proposed a task force on fatherhood initiatives. After approving the June meeting minutes and confirming a quorum, the committee heard a presentation from Mark Ludwig, executive director of the National Council for Equal Shared Parenting, who argued that fatherhood is often left out of public policy and that stronger father involvement is linked to better outcomes in crime, education, substance abuse, and family stability. He cited Kentucky’s 50/50 shared parenting law as a model and urged fatherhood classes, employment support, mentoring, co-parenting education, and partnerships with community organizations, schools, and social workers rather than relying solely on state spending. He also said fatherhood engagement could save the state money by reducing incarceration and related costs. Members then raised concerns that the presentation did not sufficiently address structural causes of fatherlessness, especially incarceration, racial disparities, gun violence, poverty, housing, transportation, and sentencing policy. Senator Berg and Representative Kulkarni emphasized that Black and brown families are disproportionately affected by incarceration and violence, and questioned whether fatherhood programs alone can solve the problem without broader reforms. Ludwig responded that some fathers are pushed out by the court system or lack legal resources, and said reintegration programs and legal, financial, and community supports are part of the solution, though he had focused mainly on the need for fatherhood programming in this presentation. No bill was voted on and no formal action was taken beyond approving the minutes. The discussion appeared to be an initial policy conversation to gather ideas and perspectives for possible future work on fatherhood-related initiatives.

Transcript Highlights:

• Um but otherwise we would do the reconciliation of the actual ADM at the end of the school year, which
• Um, but otherwise we would do the reconciliation of the actual ADM at the end of the school year, which
• right now, especially if they're seeing some volatility, because in the end we will do those reconciliations
• :41.760><c> those</c> because in the end we will do those because in the end we will do those reconciliations
• uh starting August of reconciliations uh starting August of 2026. 2026. 2026.

Committee: House Education Finance

Transcript Highlights:

• This bill also would exclude not paying the 10% reconciliation payment for fiscal year 25 in the 90/10
• This bill would also eliminate the 10% reconciliation payment that would be the 10% cleanup payment for
• c> the</c><00:21:33.760><c> 10%</c> would also eliminate the 10% would also eliminate the 10% reconciliation
• payment uh that would be reconciliation payment uh that would be the<00:21:36.799><c> 10%</c><00:21:
• And so far, we are still in the reconciliation process for 2024.

Bills: HF51 , HF1161 , HF2201 , HF2786 , HF1053

Committee: Senate Education Finance

Keywords: HF51, Sibley County, State-Aid Highway 21, capital investment, bonding bill, general obligation bonds, transportation infrastructure, road improvements, sanitary sewer, water main, storm sewer, local infrastructure, county grant, Minnesota Department of Transportation, bond proceeds fund, public works, utility infrastructure, education finance, school district funding, tax base adjustment

Transcript Highlights:

• other program areas, and lower General Fund offsets from available drug rebates for prior-year reconciliations
• This makes the timing of revenue receipts and reconciliations an important consideration for our budget
• reflect lower General Fund offsets from available drug rebates, as I mentioned, as we work through reconciliation
• It's 15 months we have for reconciliation now, shortening it to nine months to help speed those dollars
• FQHCs and clinics receive increased payments from Prop 35 and that these funds are not subject to reconciliation

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.