Transcript Highlights:

• system and reduce health care costs for all Americans.
• system and reduce health care costs for all Americans.
• system and reduce health care costs for all Americans.
• CHOOSE BETWEEN HEALTH CARE, RENT AND GROCERIES.
• King Day. It was Also Inauguration Day.

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, January 20, 2026, 1012, house, all

Transcript Highlights:

• for child care providers.
• care costs, and worse health outcomes than providing care in people's homes.
• care costs, and worse health outcomes than providing care in people's homes.
• Every day, family child care providers support California's children, support working families, and help
• Regarding child care, thank you for the continued investment in child care slots.

Summary: The Assembly Budget Committee met to consider the 2026 Budget Act, which leaders said was the negotiated compromise with the Senate and was expected to move to the floor that evening. Opening remarks emphasized that the plan balances the budget over two years, reduces the structural deficit, and builds reserves, while also protecting core services in the face of federal cuts. Jason Sisney outlined the legislative budget framework and the likely floor bills, including AB 109, SB 110, SB 122, and SB 125. Department of Finance representative Eric Khali said the administration appreciated the two-year balanced approach and supported the modification in SB 122, while noting the package uses additional revenues and new spending to soften or reject some proposed cuts. Most of the discussion focused on major spending areas. Members and subcommittee chairs highlighted protections and additions for health care and human services, including rejecting the proposed Medi-Cal asset limit change, delaying premium increases, restoring clinic and dental funding, supporting distressed hospitals and county indigent care, and expanding county eligibility staffing to handle H.R. 1-related workload. Education members described record or expanded support for TK-12 schools, child care, special education, community colleges, teacher recruitment, and higher education, including a change to extend Cal Grant eligibility to age 30 for some community college students. Housing and homelessness funding was increased for HAP, multifamily housing, and the low-income housing tax credit, while public safety members pointed to investments in victims’ services, restorative justice, and prison closure savings. Several members also raised concerns or priorities tied to the budget deal. Some praised the package as a moral document that protects vulnerable Californians, immigrant communities, LGBTQ residents, seniors, and people with disabilities. Others noted unresolved issues, including the MCO tax’s impact on districts, the need for more support for local journalism, arts, biotech R&D incentives, transit and GGRF-related concerns, and the need for continued work on Prop. 98 and long-term fiscal resilience. The vice chair cautioned that despite the current progress, the state remains vulnerable to revenue volatility and warned that the budget should build more resilience against a possible downturn. No formal vote was taken in the portion provided, but the committee was preparing the budget package for floor action and final negotiations.

Transcript Highlights:

• care plan.
• care plan.
• Families are waiting for care. You've heard that throughout the day.
• care.
• care.

Committee: House Human Services

Keywords: 988, house, all

Transcript Highlights:

• Participants also typically have high care needs.
• long-term care system.
• But there's 24-hour care and supervision.
• Additionally, for child care facilities and adult day health facilities, which are paid based on daily
• for up to 90 days.

Summary: The Assembly Aging and Long-Term Care Committee met on June 24 with a substitute chair presiding and considered three measures. SB 352 by Senator Reyes was placed on the consent calendar and approved unanimously, 7-0, to be re-referred to the Committee on Emergency Management. SB 433 by Senator Wahab, presented on behalf of Senator Stern, was heard next and focused on room-and-board protections for participants in the assisted living waiver and CalAIM assisted living transition community support programs. Supporters, including Justice in Aging, CANHR, the Western Center on Law and Poverty, the California Commission on Aging, and the Long-Term Care Ombudsman Association, argued the bill would prevent low-income Medi-Cal residents from being charged unaffordable rates and losing their housing. Opponents, including the California Assisted Living Association, LeadingAge California, and Six B’s, said they remained concerned about the bill’s rent-control implications and statutory scope, though they acknowledged recent amendments addressed some eligibility issues. After committee discussion, SB 433 was approved 5-1 with one abstention and re-referred to the Committee on Human Services. The committee also heard SB 582 by Senator Stern, presented by Senator Wahab, which would allow state departments to issue disaster suspensions of active licenses for facilities rendered inoperable by declared emergencies, waive some licensing fees, and provide temporary flexibility for community-based adult services, child care, and evacuation planning requirements for skilled nursing and residential care facilities. Support came from the California Assisted Living Association, LeadingAge California, the California Commission on Aging, the Long-Term Care Ombudsman Association, CANHR, and a child care resource center, all describing the bill as helpful for rebuilding and continuity of services after disasters. There was no recorded opposition, and SB 582 passed unanimously, 7-0, to the Committee on Health. The meeting then adjourned.

Transcript Highlights:

• out-of-home care.
• So a continued shelter care— A continued shelter care hearing is just that.
• It can be the same day, the next day, or within about 10 days.
• care if they are already in out-of-home care.
• from the legal care of the parents and put them in the care and custody of the state.

Summary: The Senate Human Services Committee held a work session on child welfare dependency, focusing on implementation of HB 1227 (Keeping Families Together) and SB 6109 (the fentanyl response bill), along with related data and system updates. DCYF first reviewed the dependency process, explaining intake, shelter care, fact-finding, disposition, and review hearings, and emphasized that removal standards are separate from service provision and that children may be in-home or out-of-home at different stages. DCYF said 1227 raised the removal threshold to imminent physical harm and strengthened kin placement, with nearly 60% of children now placed with relatives or suitable others. The department also said 6109 directs courts to give great weight to fentanyl’s lethality and added legal liaisons to support staff in court preparation. DCYF presented data showing that entries into out-of-home care declined after 1227 but rose again after 6109, returning close to pre-1227 levels. The agency also reported a sharp increase in reviewable critical incidents in 2022-2025, especially near-fatalities, which it linked to the opioid and fentanyl crisis, parental stress, and system complexity. DCYF said it has responded with statewide Safe Child Councils, staff consultations, hotspot monitoring, and additional training, and noted that some contracted services authorized under 6109 were not implemented because of fiscal constraints. Senators asked about where children are in the process, who participates in court, the timing of data releases, age breakdowns, and geographic hotspots. Advocates and lived-experience witnesses from LCYC and a family intervention clinic argued that 1227 has not prevented courts from removing children when necessary and said the law appropriately requires the state to show a causal link between home conditions and risk. They said 6109 appropriately highlights fentanyl’s danger, but stressed that the larger issue is lack of prevention and treatment resources, inconsistent county-by-county practice, and insufficient supports such as inpatient beds, family treatment, housing, transportation, and third-party safety plan participants. A parent ally described how early support, peer guidance, and kin placement helped her achieve recovery and stability after losing parental rights in an earlier case. The committee also heard an update on SB 6068 from the Administrative Office of the Courts and K Implementation and Evaluation. The report identified 15 dimensions of relational permanency and child well-being, found that some data already exist while other measures need development, and recommended a phased data collection plan, a restored data-sharing agreement between AOC and DCYF, and a standing cross-agency work group. AOC said its dependency data system lapsed when the prior agreement expired in June 2025 and needs to be rebuilt. The meeting also included a brief update on bridge housing for youth exiting inpatient treatment, with presenters saying two programs are now open, one in King County and one in Spokane, and a short introduction to juvenile rehabilitation capacity updates before the transcript ended.

Transcript Highlights:

• Because if you don't have a health care workforce, you don't have access to health care.
• provider in the last 30 days.
• provider in the last 30 days.
• in Linton or care in Rugby, you know, or care in these rural areas.
• need some kind of care every day.

Summary: The committee met with a quorum, approved the March 18 minutes, and then received a series of updates on major health-related projects and programs. CHI St. Alexius representatives reported progress on behavioral health buildouts in Bismarck, Williston, and Grand Forks, including demolition and construction milestones, staffing plans, and timelines. The Bismarck project remains on track for completion in June 2027 with about $346,500 spent to date. Williston reported construction underway, a $750,000 unbudgeted air handler replacement, active recruitment for psychiatrists and other staff, and a projected substantial completion in early 2027. Grand Forks reported about 30% completion, weather-tight status expected in August, and continued staffing ramp-up as the facility expands from its current 24-bed operation. The Department of Health and Human Services then reviewed a set of technical line-item transfers, emphasizing that they were administrative corrections with no net change in funding. The department also walked through the Salaries and Wages Block Grant and FTE counts, noting overall staffing remained within appropriated limits and that behavioral health staffing had increased. Members asked about vacancies, consultant use, and the mix of in-state versus out-of-state expertise for the Rural Health Transformation Program. HHS said it had posted 12 funding opportunities, received 422 applications, obligated $8.4 million so far, hired 26 people, and was preparing additional grant rounds and a CMS budget submission. The department said the program is structured around workforce, prevention/healthy living, care closer to home, and technology/data, with ongoing stakeholder engagement and community forums. The committee also heard on the certified community behavioral health clinic implementation plan, SNAP payment error rates, and the state laboratory project. HHS said CCBHC certification is being implemented in four regions—Williston, Minot/North Central, Fargo/Southeast, and Dickinson/Badlands—with care coordination expanding and baseline data still being collected. On SNAP, the department reported a 2025 payment error rate of 9.89%, acknowledged cost impacts under HR1, and said it is using training, system changes, and pre-authorization quality checks to reduce errors toward a 6% target over the next 6 to 12 months. Finally, Public Health reported the state laboratory reached substantial completion on June 12, with total costs at $69.95 million of the $70 million budget, though a service elevator issue will require a new lift to be added using contingency funds.

Transcript Highlights:

• to 30 days for other meds.
• to 30 days for other meds.
• For the care, much like a physician would be for the care that a physician's assistant administers, to
• We do have a major issue with changing the 14-day to 30-day, because that gets into heartworm medications
• Florida has a shortage of animal care professionals, but the large part this is in our large animal care

Bills: S0754 , S0796

Committee: Senate Regulated Industries

Keywords: heated tobacco products, tobacco regulation, vaping, definition changes, Florida statutes, veterinary medicine, telehealth, veterinary professional associate, animal health, public safety, access to veterinary services, 999, senate, all

Transcript Highlights:

• In 2019, we had a one-day special session prior to the Memorial Day weekend.
• In 2019, we had a one-day special session prior to the Memorial Day weekend.
• In 2019, we had a one-day special session prior to the Memorial Day weekend.
• Um and care will continue to need care.
• </c> health care and coverage for people. health care and coverage for people.

Keywords: 1187, senate, all

Transcript Highlights:

• care.
• There are health care outcomes when people don't seek care.
• care.
• to double down on preventative care, to double down on ambulatory care, and to make that care affordable
• to double down on preventative care to double down on ambulatory care and to make that care affordable

Keywords: 988, house, all

Transcript Highlights:

• </c> and family and friends who provide care and family and friends who provide care to<00:15:10.399>
• she</c> for her every day and a lot of days she for her every day and a lot of days she thinks<00:47
• </c> memory executive functioning day-to-day memory executive functioning day-to-day living<00:50:42.480
• Self-care is vital.
• About 150 calls a day are abandoned every day, and that's mostly due to long waiting times.

Committee: Senate Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• In the care home industry, care homeowners regularly transfer ownership as a...
• In the care home industry, care homeowners regularly transfer ownership, as I said, to new entities or
• on occasion care home workers.
• So SB 588 created a new mechanism for holding long-term care and health care employers accountable.
• And that was the second way these care home How much he paid for the care home and what it was worth,

Committee: House Labor and Employment

Keywords: 988, house, all

Transcript Highlights:

• Every day that passes, she is more at Every day that passes, she is more at risk<00:02:30.560><c> of<
• </c> blocking the life-saving care she needs. blocking the life-saving care she needs.
• over $291 per day per person.
• over $291 per day per person.
• </c> medical care, which she's not getting. medical care, which she's not getting.

Keywords: 918, senate, all

Summary: The meeting focused on the detention of Andrea Pedro Francisco, a 23-year-old Burnsville resident and Minnesota constituent who was detained by ICE and transferred from Camp East Montana in El Paso to the El Paso Processing and Detention Center while awaiting surgery for a large ovarian cyst. Senator Lindsey Port, Congresswoman Angie Craig, and Senator Alese Matson argued that she has been denied adequate medical care, receiving only Tylenol and constipation medication despite an emergency room confirming she needs surgery. They said the delay could lead to severe pain, bleeding, loss of fertility, infection, or death, and repeatedly called for her immediate release on humanitarian parole. Pastor Ellery Deikman described visiting Andrea in detention with other clergy and her lawyer, saying she appeared thin, in pain, and deeply distressed, though she brightened when told people in Minnesota were praying for her. He and others framed her situation as a humanitarian and human rights issue, criticizing the detention system as punitive and for-profit. Senator Matson, who is also a physician, explained that the standard treatment for a cyst of this size would be surgery and that waiting is medically dangerous. Participants also said Andrea had been in detention for close to 80 days, had limited access to legal and medical records, and had been separated from family and faith community. The speakers tied Andrea’s case to broader concerns about immigration enforcement under the current administration, saying detentions and arrests have increased sharply and that many detainees have no criminal record. Vicki Schmidt of Abriendo Fronteras said detention numbers and costs have risen, conditions are often inhumane, and many people are being held in for-profit facilities. She and others urged support for HR 7335, the Humanitarian Standards for Individuals in ICE and CBP Custody Act, and called on DHS to grant Andrea parole immediately. In the question-and-answer portion, the physician-senator reiterated that surgery is the only treatment, that the condition could worsen at any time, and that prior practice generally allowed asylum seekers to remain in the community while their cases proceeded if they were not a danger.

Transcript Highlights:

• Speaker for their deep commitment to child care and our child care providers.
• in and day out.
• health care funding.
• So a lot of people want to talk about health care, saving health care.
• How about you spend a day with me in my clinic? Open in Care.

Summary: The Assembly met on June 4, 2025, first establishing a quorum and then moving through a long budget and concurrence session. After procedural motions, the house took up several budget trailer bills and related measures presented by Assembly Member Gabriel. SB 103, a technical budget cleanup bill addressing the Public School System Stabilization Account, a CDCR shortfall, and Middle Class Scholarship funding, passed 52-16. SB 120 on child care and preschool funding passed 65-1; SB 124 on natural resources and wildfire response passed 69-1; SB 127 on climate change and zero-emission transportation passed 53-17; SB 128 on transportation and DMV/LA Olympics implementation passed 53-17; SB 132 on taxation, veterans, wildfire settlements, film tax credits, and housing passed 64-1; SB 141 on cannabis enforcement and illicit market suppression passed 71-1; and SB 142 extending the Deaf and Disabled Telecommunications Program passed 68-1 on both urgency and the measure. The Assembly also approved a motion to re-refer several bills to committees and later suspended rules to take up Senate-amended bills without reference to file. The chamber then considered AB 102, the main budget bill reflecting the final three-party agreement with the Governor. Supporters said it balanced compassion and fiscal responsibility while preserving housing, health care, child care, education, wildfire resilience, and public safety funding. Opponents criticized it for unsustainable spending, insufficient Prop. 36 funding, and other omissions. After extended debate, the Assembly concurred in the Senate amendments by a 55-16 vote and sent the bill to the Governor. The Assembly then concurred in Senate amendments to AB 116 on health care, AB 118 on human services, AB 121 on TK-12 education, AB 123 on higher education, AB 134 on public safety, AB 136 on courts, AB 137 on general government, and AB 143 on developmental services, with each bill passing on largely party-line or broad bipartisan votes. Debate on AB 116 focused on Medi-Cal, HIV program backfills, pharmacy benefit managers, and health care cuts; opponents objected to funding for undocumented immigrants and to hospice prior authorization. AB 118 drew support for child welfare, CalFresh disaster readiness, and CalWORKs simplification. AB 121 emphasized record K-12 funding and a $1.7 billion block grant. AB 123 extended the Golden State Teacher Grant Program and supported higher education and fire-impacted career technical education. AB 134 updated CDCR and tribal policing provisions, AB 136 streamlined court reporting and funded courthouse facilities, AB 137 made technical budget adjustments and fee changes, and AB 143 made developmental services reforms while preserving the state’s entitlement commitment. The final item shown was AB 470 on telecommunications, which was presented and discussed as a transition away from copper landlines toward fiber and modern networks, with supporters emphasizing public benefits and labor concerns, but the transcript cuts off before a final vote is shown.

Transcript Highlights:

• In my district, a mother working nights and caring for her family by day told us that she doesn't know
• working nights and caring for her family<00:19:08.160><c> by</c><00:19:08.600><c> day</c><00:19:09.600
• </c> emergency health care. emergency health care.
• to day.
• </c> health care. health care.

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, May 20, 2025, 1012, house, all

Transcript Highlights:

• care workforce.
• care workforce.
• Imagine if we were staffed to the core every day, the type of care that we would be able to provide our
• each day that they go to work to do the care that they do as health care professionals, that they are
• care caring we're we're safe hospital care caring we're we're caring<00:42:32.160><c> for</c><00:42:32.319

Keywords: 910, house, all

Summary: The House Committees on Health and Labor heard testimony on HB 1244, a measure relating to labor standards at health care facilities and nursing staff ratios. Committee members opened by explaining hearing procedures, including a suggested two-minute testimony limit and Zoom rules. The bill drew extensive testimony from hospitals, nursing organizations, unions, and individual nurses, with the central debate focusing on whether staffing ratios should be set by statute or left to collective bargaining and unit-level staffing decisions. Opponents included the Department of Labor and Industrial Relations, the Healthcare Association of Hawaii, Straub Benioff Medical Center, Hawaii Pacific Health, Kapiolani Medical Center, and Queen’s Health Systems. They argued that fixed ratios are too rigid for the changing conditions of hospital care, could worsen workforce shortages, and should be handled through labor negotiations, staffing committees, and existing agreements. Several also pointed to investments in nursing education, loan repayment, and workforce development as better solutions. Queen’s said it had recently reached an agreement with nurses after more than 40 meetings that included a staffing framework, and Kapiolani and others emphasized the need for flexibility in emergencies and specialty care. Supporters, including the Hawaii State Center for Nursing, Pride at Work Hawaii, the Hawaii Nurses Association/American Nurses Association chapter, Hawaii Nurses Association Local 50, UNAC/UHCP, and individual nurses, said unsafe staffing levels contribute to burnout, turnover, errors, and patient harm. Testifiers described chronic short staffing, emotionally and physically exhausting workloads, and situations in which nurses were responsible for too many patients at once. Supporters argued that safe ratios are necessary to protect both patients and nurses, and that collective bargaining has not been enough to ensure safe conditions statewide, especially in facilities without unions. No vote or final committee action was announced in the portion provided.

Transcript Highlights:

• </c> days of training. days of training.
• </c> taken care of my son. taken care of my son.
• </c> care of it. care of it. No. No. No.
• So, it's not to honestly get to the state of what we're paid per day to take care of the kids.
• /c><01:19:06.520><c> the</c> we're paid per day to take care of the we're paid per day to take care of

Keywords: Roll Call - 00:10 Discussion on SCR 61 – 01:46 Vote on SCR 61 – 11:33 Discussion on SR 18 – 12:30 Vote on SR 18 - 30:01 Discussion on Ky Residential Autism Services – 32:34 Questions & Comments – 56:56, 958, all

Summary: The committee met with a quorum and first considered Senate Concurrent Resolution 61, sponsored by Senator Shelley Funke Frommeyer and Representative Matt Lockett. The resolution, as amended by committee substitute, would create a legislative task force tied to the MAHA (Make America Healthy Again) framework to study Kentucky health policy, including Medicaid drug approvals, preventive and alternative therapies, holistic health education, oversight and transparency in health care, and research into integrative approaches. Supporters said the goal was to address chronic disease and reduce over-medication, while emphasizing the effort was not intended as an attack on agriculture or the pharmaceutical industry. The resolution received favorable expression and passed the committee 9-0. The committee then heard Senate Resolution 18 from Senator Neal, urging Kentucky to maximize participation in the federal SNAP Employment and Training (SNAP E&T) program. Testimony from Jessica Klein of the Kentucky Center for Economic Policy and Secretary Eric Friedlander explained that SNAP E&T provides job training, education, and support services for SNAP participants, and that the program is federally matched and does not require additional General Assembly funding in the normal course. Members discussed how the program works, whether it could create new state costs, and how it fits with efforts to connect food assistance, workforce development, and local agriculture. Questions also focused on whether SNAP spending can be steered toward healthier foods and farmers markets, including Kentucky’s Double Dollars program, which was described as helping participants buy produce, meat, and dairy at participating markets and some retailers. Several members expressed support for the workforce goals but asked for more information on fiscal impacts and purchasing data. Secretary Friedlander said the SNAP E&T funds are separate from nutrition benefits, and that the state match generally comes from employer, university, or workforce partner contributions rather than new state appropriations. Senator Herron explained her vote in favor by saying the program could help people gain education and employment and reduce reliance on SNAP over time. Senate Resolution 18 was then adopted by the committee.

Transcript Highlights:

• The best day, the best day of my life. I'll be the best day of my life.
• It's the best day of my life. Best day of my life. The best day of my life. Thank you.
• The best day of my life. The best day of my life. The best day of my life. The best day of my life.
• The best day of my life. The best day of my life. The best day of my life. The best day of my life.
• day out.

Summary: The Senate held a special ceremonial session to swear in Monique Limón as the 50th President Pro Tempore of the California State Senate and the first Latina to hold the position. The proceedings included a roll call establishing quorum, a prayer, the Pledge of Allegiance, a land acknowledgement, musical performances, and remarks from numerous senators and invited leaders. Speakers repeatedly highlighted the historic nature of the moment, Limón’s background as the daughter of immigrants and a former school board member and higher-education advocate, and her leadership on issues such as education, child care, labor, wildfire response, environmental protection, and immigrant rights. Several senators, including Mike McGuire, Caroline Menjivar, Sasha Renée Pérez, Steve Cabaldon, Catherine Blakespear, and Scott Wiener, praised Limón as a unifier, coalition-builder, and effective legislator. They emphasized her preparation, calm demeanor, and ability to work across differences, while also noting the broader significance of women’s leadership and gender parity in the Senate. Some remarks referenced current political and fiscal challenges facing California, including attacks on immigrants, reproductive freedom, health care, and the state budget. Chief Justice Patricia Guerrero administered the oath of office, after which Limón was formally introduced as the new pro tem. In her acceptance remarks, Limón thanked her predecessor, Governor Newsom, legislative leaders, her family, and the many guests in attendance. She spoke about her immigrant family, her Central Coast district, her work in education and higher education, and her commitment to protecting Californians, especially immigrants, children, working families, and communities facing economic and environmental hardship. The session concluded with an announcement that the Senate would recess and reconvene on January 8, 2026, after a reception in the Capitol Rotunda.

Transcript Highlights:

• Not sure with that day, that one day they looked at those records, yes, sir.
• versus emergency care?
• care.
• emergency care.
• and an extended three- to seven-day crisis care for individuals with higher-acuity behavioral health

Committee: House Health and Welfare

Summary: The committee first heard SB 145, which would require adult residential care providers, especially assisted living centers, to have generators or other backup power arrangements and to submit preparedness plans to LDH. After technical amendments and testimony from the sponsor, LDH, and the assisted living industry clarifying the bill’s scope and cost concerns, the committee adopted the amendments and reported the bill favorably. It then took up SB 433, which would require Medicaid coverage of medically necessary FDA-approved weight loss drugs, including GLP-1 medications, subject to appropriations and fiscally sustainable coverage criteria; the bill was reported favorably after discussion of current Medicaid coverage and costs. The committee also approved SB 52, which requires better coordination between DCFS and LDH so SNAP and Medicaid benefits can follow children more quickly when they are removed from or returned to a home. Technical amendments changed reporting deadlines and required written notice, and the bill was reported favorably. SB 4 on public water fluoridation was amended to allow local governments or voters to opt out through a petition and election process, with support from the Louisiana Dental Association and others after compromise language was adopted; it was reported favorably with amendments. SB 152, which would prohibit the sale of cultured or lab-grown food products for human consumption, was also reported favorably with amendments after brief testimony in support and opposition. The committee next approved SCR 37, which asks the Surgeon General to review Louisiana’s informed consent laws and report back on any gaps, after discussion that the existing medical disclosure panel had not met since 2018. It then considered SB 194, a public assistance bill aligning Louisiana Medicaid and SNAP rules with recent federal changes on non-citizen eligibility and tightening Medicaid’s reasonable opportunity period for citizenship verification. After extensive debate over immigration, emergency care, and whether the bill could harm eligible applicants or rural hospitals, the committee adopted an amendment allowing LDH discretion for emergency health care services and reported the bill favorably by an 8-3 vote. Finally, HCR 113 created a task force to study gestational carrier agreements and assisted reproductive regulation; after debate over surrogacy, ethics, and referral to Civil Law, the committee rejected the referral motion and then reported the resolution favorably, and the meeting moved on to SB 333 on child-in-need-of-care proceedings and legal representation funding.

Transcript Highlights:

• pay for child care as well.
• care.
• for child care.
• they're not every day struggling on who's going to take care of my child today. ...can take care of
• they're not every day struggling on who's going to take care of my child today.

Committee: House Economic Development

Keywords: 959, house, all

Transcript Highlights:

• This also serves the foster care population.
• We do that in our day-to-day work with revising policies, and that is one of our core functions, I would
• if the managed care organization quite clearly requires that even in states that have managed care if
• case management fee to primary care providers to help manage the care of someone and also increase the
• , that we will have some sort of other primary care case management through managed care.

Keywords: 989, all

Summary: The committee heard a budget presentation on the Division of Medicaid within the Department of Health and Welfare, including an overview of the division’s five programs, staffing, spending trends, and the large share of the budget that goes to trust and benefit payments. Ms. Williamson explained the difference between ongoing and one-time enhancements, the role of population forecast adjustments, and why the fiscal year 2026 and 2027 numbers change significantly. Members asked about the growth in the budget, the FMAP match rate, the impact of provider rate changes, and the shift of some positions into Medicaid from other divisions after last year’s reorganization. A major topic was House Bill 345 and related budget changes, including the hospital assessment fund alignment, the 4% provider rate reduction, and the effect on Medicaid expansion and other populations. The committee discussed the decline in expansion enrollment, rising costs in traditional Medicaid populations, and the governor’s recommendation to offset part of the 2027 increase with additional reductions. Members raised concerns about access to care, especially for dental, behavioral health, developmental disability, and home- and community-based services, while the deputy director said the department is trying to contain costs through prior authorization, fraud and abuse work, and policy changes. The committee also focused on the MMIS replacement project, which is in year four of a five-year procurement and is funded through dedicated and federal dollars tied to milestones. Another significant item was estate recovery, where the department requested funding to replace an outdated case management system and add contractor support to address a backlog of roughly 20,000 cases; members questioned the return on investment and asked for more detail on the software and staffing split. The deputy director also explained the federally qualified health center reconciliation issue, saying the state had not been properly paying change-in-scope amounts and is now using a new process with interim payments and later reconciliation. In addition, lawmakers asked about program integrity staffing, the use of AI, and whether the department could better target fraud, waste, and abuse investigations. The deputy director said the department is reviewing AI use cautiously and sees opportunities for it in claims review and anomaly detection, but emphasized that the current request is for dedicated receipt authority rather than general funds. No formal votes were taken in the excerpt, but the committee received the presentation, asked extensive questions, and was told that some follow-up information would be provided later.