Transcript Highlights:

• <00:09:54.959> to and Minnesota deserve to have access to and Minnesota deserve to have access
• <00:14:14.399> to mean that uh they can uh have access to mean that uh they can uh have access
• <00:16:20.079> to them receive seamless access to them receive seamless access to healthcare
• I had access to a lobbyist.
• I had access to a lobbyist.

Bills: HF1937, HF2407, HF1678, HF1477, HF2040, HF1840, HF257

Keywords: PACE, elderly, Medicaid, health services, long-term care, community-based services, support person, healthcare, patient rights, assisted living, community support, caregiver respite, financial eligibility, Minnesota Statutes, HF1477, residential program licensing, community residential setting, small group home, licensed capacity six or fewer, rental licensing

Transcript Highlights:

• They were too small, unhealthy, unsafe, and they were able to access affordable housing.
• They were too small, unhealthy, unsafe, and they were able to access affordable housing.
• And at the same time, In one community can still access different levels of affordability.
• So combined with My Home and My Access, that's 6%.
• They do need access to institutional capital, right?

Summary: The Assembly Select Committee on Housing Finance and Affordability held its first hearing of 2025 to examine California’s housing finance system, with opening remarks emphasizing the state’s severe housing shortage, high costs, and the need for practical recommendations to the Legislature and Governor. Co-chairs described the committee as an educational and problem-solving forum focused on financing housing production, first-time homeownership, mixed-income developments, and affordability across the income spectrum. Witnesses from state agencies and the development sector were invited to explain how housing is financed and where the system is breaking down. Panelists from the California Housing Partnership, the Business, Consumer Services and Housing Agency, the Tax Credit Allocation Committee/State Treasurer’s Office, CalHFA, and Related outlined the “capital stack” used to finance affordable housing, stressing that projects typically rely on multiple public and private sources, including federal and state low-income housing tax credits, tax-exempt bonds, state subsidies, local funds, and rental income. Speakers noted that affordable housing rents generally cannot support full project costs without public subsidy, and that recent federal changes—especially the expansion of the 4% and 9% tax credit programs and the reduction of the bond financing threshold for 4% credits—should allow California to finance substantially more units. CalHFA also described its homeownership programs, including My Home, Dream For All, and disaster-related mortgage assistance, as well as its multifamily lending and bond issuance programs. Several witnesses and committee members emphasized that the system remains too complex, too slow, and underfunded. They pointed to the need for more state funding, a housing bond, a permanent funding source, and better coordination among agencies, while also citing recent streamlining efforts such as AB 434’s SuperNOFA, AB 519’s one-stop-shop working group, and the planned California Housing and Homeless Agency reorganization. Members raised concerns about equity, access, missing-middle housing, gender and racial disparities, and whether current programs adequately serve extremely low-income households and those at risk of homelessness. No formal votes or actions were taken during the hearing; the discussion ended with committee members and witnesses agreeing that both funding and administrative reform are needed to increase production and improve affordability.

Transcript Highlights:

• So what entities have access to the database?
• And if the database is hacked, the only thing they have access to is what?
• Are accessing the data for nefarious reasons.
• Again, our job is to make sure that we're watching who's accessing this...
• Again, our job is to make sure that we're watching who's accessing this...

Keywords: 988, house, all

Transcript Highlights:

• So we are already required to provide access to polls, non-discriminatory access to polls.
• They don't have access to easements.
• Uh, the access to property is not always where the line crosses a place they're having to gain access
• Um, it's where it says shall grant access, not shall grant non-discriminatory access. OK.
• I believe people want to have access to the broadband.

Transcript Highlights:

• And do you think that this warning label is somehow going to stop them from accessing it?
• Or make them even want to stop accessing it? I mean, not by itself, no.
• Saying that we're not going to access this content.
• Everyone deserves access to their identity, and everyone deserves a place to call home.
• Um, without access to a birth record, these individuals get denied employment and access to needed healthcare

Bills: HB163, HB 296

Keywords: judicial liability, personal bond, felony offenses, judges, criminal justice reform, voter registration, election procedures, change of address, residence requirements, Texas Election Code, Texas election law, residence address, precinct voting, county move, same-county move, Election Code, registrar, statement of residence, polling place, local elections

Transcript Highlights:

• are supposed to people that have access are supposed to have<00:33:50.800> access, have access
• got access to data.
• Access to treatment is a risk factor.
• Access to treatment is a risk factor.
• are getting access to those resources. are getting access to those resources.

Keywords: 1189, house, all

Summary: The committee met on May 29 and approved the draft minutes. DHHS Commissioner Weaver then opened the department update by asking Medicaid Director Henry Litman to brief members on federal and state Medicaid changes, and later turned to DHHS Chief Operating Officer David Weathers for an update on data governance. Members also asked that acronyms be spelled out in future materials and requested a follow-up on the federal Medicaid rule once it is published. Litman reviewed several federal Medicaid provisions tied to HR 1/"OBBA" and related state implementation issues. He said the first major change would be restrictions on certain non-citizens’ Medicaid coverage, affecting about 400 people in New Hampshire, with notices likely 30 to 60 days before the effective date. He also discussed new work requirements/community engagement rules, saying New Hampshire is on track to implement them and will likely need a state plan amendment rather than an 1115 waiver. Other changes included shorter retroactive coverage periods, a new state option for certain community-based services with an estimated $740,000 in implementation support, a freeze and phased-down reduction in the Medicaid enhancement tax beginning in state fiscal year 2029, and limits on directed payments to hospitals after a grandfathering period. He also noted that Medicaid enrollment has fallen from pandemic-era levels, with about 167,000 people covered as of May 1, and that the department is working with CMS on child premiums and other cost-sharing changes approved in HB 2. Committee members asked how the department could plan for the 2029 changes given the number of elections before then, and Litman said federal rules may be adjusted over time as states and stakeholders raise concerns. He emphasized planning for the worst while hoping for the best, and said rural health care transformation funding would help the state prepare. In the second presentation, Weathers explained that data governance is now embedded in DHHS operations to control access, manage reporting, and respond to risk. He defined it as managing what data is collected, how it is used, who can access it, and what laws apply, and said DHHS has moved from governance as a committee to governance as an operational process. He described privacy impact assessments for new systems going into production, monthly privacy and security training, and ongoing review of access controls and data-sharing rules.

Transcript Highlights:

• For example, this access hospital.
• Zelelesnikar that motans deserve access Zelelesnikar that motans deserve access no<00:03:27.920>
• And it they need access to this program.
• > northeastern access hospital in northeastern access hospital in northeastern Minnesota<00:15:19.120
• <00:26:47.200> is 365 days to make sure that access is 365 days to make sure that access is

Keywords: 919, house, all

Summary: House File 369 was the main topic, with House authors Rep. Natalie Zeleznikar, Rep. Robert Bierman, and Rep. Dave Baker arguing that the bill would give Minnesota’s 2024 340B law “teeth” by enforcing protections for nonprofit and rural hospitals’ access to the federal drug pricing program. They said the measure costs the state nothing, aligns with similar laws in more than 20 other states, and is needed before adjournment to help hospitals close funding gaps, support services like emergency care, obstetrics, behavioral health, and pharmacy access, and preserve care in remote communities. Several hospital leaders from across greater Minnesota testified that 340B revenue helps keep their facilities viable and that losing it would threaten services and, in some cases, hospital survival. Witnesses described severe financial pressure on rural hospitals, including reimbursement cuts, workforce shortages, inflation, and rising drug costs. Leaders from United Hospital District in Blue Earth, Lakewood Health System in Staples, Ely-Bloomenson Community Hospital, Northshore Health in Grand Marais, Community Memorial Hospital in Cloquet, and Cuyuna Regional Medical Center in Crosby said their hospitals serve as safety-net providers and often operate with thin or negative margins. They emphasized long travel times to other hospitals, seasonal tourism pressures in some areas, and the importance of local emergency, ambulance, inpatient, and specialty services. The Minnesota Hospital Association president also criticized pharmaceutical company messaging and said nonprofit hospitals are working around the clock to maintain access. In response to questions, Zeleznikar said she had considered other enforcement approaches but now supported using the original Senate-passed bill, citing concerns about fraud and the difficulty of alternative enforcement mechanisms. She and hospital leaders distinguished this bill from a separate hospital stabilization-grant proposal, saying both are needed but serve different purposes. No vote was taken at the meeting, and the speakers repeatedly urged House leadership to bring the bill to the floor before session ends.

Transcript Highlights:

• security and accessibility enhanced security and fraud<00:02:20.560> protection<00:02:21.319>
• <00:02:31.800> um<00:02:31.959> I the venience and accessibility um I the venience
• that was a possibility for tech companies to have any access at all to personal data.
• <00:30:54.399> to but her date of birth it gave access to but her date of birth it gave access
• Access<00:30:59.880> to<00:31:00.080> that venue had Total Access to that venue had

Keywords: 1183, house

Transcript Highlights:

• <00:04:00.159> and public file where anyone can access and public file where anyone can access
• court appeal and they could have access court appeal and they could have access to<00:22:04.880>
• So they're going to have the same access to the information as the plaintiff would.
• So they're going to have the same access to the information as the plaintiff would.
• It's not about restricting access to data for certain parties.

Keywords: 1183, house

Transcript Highlights:

• database access point be a telephone? database access point be a telephone?
• of any type of access.
• access.
• access.
• Because I I see access. It could >> Yeah. Because I I see access.

Keywords: 1189, house, all

Summary: The committee began a work session on House Bill 1600, concerning access to the centralized voter registration database on election days. Secretary of State David Scanlan testified that the state already has a new statewide voter registration system connected to town clerks and supervisors of the checklist, and that the bill was probably unnecessary but acceptable if the legislature wanted it. He raised concern about language that could require direct electronic access in every polling place, noting that some polling locations lack reliable internet or cell service and that municipalities can change polling locations, which could make a rigid requirement expensive and impractical. Members discussed whether the bill should be clarified to allow direct or indirect access, including use of a phone-based workaround, and the secretary said that would address his concern. The committee then voted on HB 1600. Representative Maguire moved ought to pass with an amendment adding “direct or indirect access” on page one, line seven, and the motion was seconded. The amendment was adopted 9-0 by voice vote, and the committee then voted 9-0 to OTP the bill. The chair stated that HB 1600 would be placed on consent. The committee next took up House Bill 1197F FN, a technical correction to insurance laws. Members noted it had already passed the House with amendment and that the fiscal note was effectively indeterminate but would not affect the general fund because the insurance agency is self-funded. The committee voted 9-0 to OTP the bill; the chair said consent calendar placement would be decided by the full committee. Finally, the committee opened a work session on House Bill 11:30 FN regarding judicial performance evaluations. Representative Lynn, the bill’s sponsor, argued that the fiscal note overstated the immediate cost and said the judicial branch could likely manage through the current biennium while implementing the new system. He also supported making judges’ names public and said the bill’s anonymity provisions were aimed at protecting the identities of questionnaire respondents, not the judges being evaluated. Members asked about public disclosure, internal access to evaluation materials, and the removal of language allowing the governor and executive council to receive evaluations on request; discussion continued on those points, but no final vote on HB 11:30 FN was taken in the portion provided.

Transcript Highlights:

• Accessibility.
• like pay per use or perpetual access. like pay per use or perpetual access.
• when it comes to information access. when it comes to information access.
• to provide local access to the world. to provide local access to the world.
• access to that material. access to that material.

Keywords: 1187, senate, all

Transcript Highlights:

• And they don't have access to programming, don't have access to what we call self-improvement groups.
• They may not have access to programming or access to institutional jobs. Very, very limited.
• So I think the programming is unevenly distributed and unevenly accessed, accessed, and fallen short
• So people are not getting access the way you can...
• Are we getting access to the—excuse me—overutilized the maximum or the minimum, not getting access to

Keywords: 995, all

Summary: The commission on correctional consolidation and collaboration heard testimony focused on how Massachusetts uses custody levels, staffing, programming, and medical release tools, with Prisoners’ Legal Services arguing that the system is overusing expensive high-security settings and underusing step-down options. Dave Rainey said the incarcerated population has dropped substantially over the last several years, but spending and staffing have not fallen in proportion. He argued that DOC overclassifies people into medium and maximum security, relies too heavily on behavioral assessment units that function like segregation, and keeps people in restrictive settings such as Souza-Baranowski and Shattuck Hospital longer than necessary. He also said medical parole is underused and that many people with serious chronic illness or advanced age pose little public-safety risk and should be released through existing legal pathways. Sheriffs and other commission members pushed back on some of those points, emphasizing that staffing needs are driven by the acuity of the current population, that corrections is not overstaffed, and that classification decisions involve serious public-safety judgments. They also stressed that some high-cost medical placements are necessary because people remain under sentence and require care, and that furloughs and other release tools can create security risks if contraband or substance use is involved. The discussion also covered the role of county sheriffs versus DOC in reentry, with several members saying county systems tend to do more day-to-day step-down and release planning, while DOC has more difficulty moving people through lower-security settings before release. Ben Foreman of MassINC offered a more systemwide, data-focused perspective, praising the state’s transparency and arguing that Massachusetts has made major progress in reducing incarceration and increasing public safety. He said the state still has an opportunity to improve by right-sizing facilities, investing in community-based mental health treatment, and using the commission to better understand the capital and operating costs of the current system. In response to questions, he said he was aware of DOC studies on programs like furlough but had not reviewed recent ones, and he noted that total-control facilities like Souza-Baranowski have long been criticized in the research literature for poor outcomes. Nora Wassel of the Women and Incarceration Project then testified that the commission should issue an interim report and scrutinize the planned new women’s prison, which she said is not justified by current population trends or available data. She argued that women are overclassified under DOC’s own tools, that reentry beds and minimum-security placements are underused, and that the system may be failing to account for women’s distinct medical and reentry needs. The meeting ended with continued discussion of reentry, furloughs, day reporting, and whether consolidation should mean fewer facilities, better step-down pathways, or both.

Transcript Highlights:

• Um, a task force on accessible housing will receive a $150,000 one-time appropriation in fiscal 26 and
• Um, a task force on accessible 27.
• <00:14:32.399> housing to the task force on accessible housing to the task force on accessible
• to generational wealth and access to generational wealth and highlighting<00:19:36.000> consumer<
• to<00:28:32.960> legal access renters have access to legal access renters have access to legal

Keywords: 1183, house

Transcript Highlights:

• have a website and to have free access have a website and to have free access and<00:28:07.120><
• every owner who's an owner has access every owner who's an owner has access to,<00:28:29.760>
• Those registered to have that access.
• ,<00:31:58.880> but having it have uh an online access, but having it have uh an online access
• if or when online if an online access if or when online access<00:32:03.120> is<00:32:03.440>

Keywords: 910, house, all

Summary: The Committee on Consumer Protection and Commerce heard testimony on several measures. SB 1402, relating to vessels in state commercial harbors, drew opposition from Captain Andy Sailing Incorporated, and later the committee agreed to amend the bill to exempt tour boat operators before passing it. SB 1411, relating to Medicaid third-party liability, received strong support from the Department of Human Services, which asked that the effective date be restored to upon approval. SB 1438, relating to home care agencies, was supported by the Department of Health and one individual testifier, with the department arguing that unlicensed personnel performing skilled nursing services puts kupuna at risk. The committee later moved that bill forward with a clean date. SB 1449, relating to prior authorization of health care services, drew support from the Hawaii Medical Association and comments from the Hawaii Association of Health Plans and HMSA. Health plans asked that reporting requirements align with upcoming CMS regulations, and HMSA noted the work of the stakeholder process. The committee discussed the bill as consumer-focused and adopted amendments to add laboratory and diagnostic tests and to require the working group’s first report before the 2026 session and before each session thereafter. SB 1291, relating to certified public accountants, received support from the Board of Public Accountancy, the Hawaii Society of CPAs, Hong Consulting LLC, and Ron Heler, who said it was substantially the same as a previously passed House bill and would help increase the CPA pipeline in Hawaii. The committee also heard SB 752, relating to insurance, with opposition and comments from the Hawaii Insurance Council and Liberty Mutual, which requested amendments on non-payment of premiums, material misrepresentation, and limiting the bill to homeowners insurance. Greg Mskian testified in support but urged clearer notice and denial explanations for homeowners. SB 385, relating to condominiums, drew support from Hawaii Realtors and detailed comments from Ray Tenno and Greg Mskian about making governing documents available online or by email to owners and agents, with discussion of website costs and access. Finally, SB 140, relating to invasive species, received support from the Department of Land and Natural Resources and CAPS, while the Department of Agriculture offered comments and proposed streamlining language; supporters emphasized firewood treatment standards and the need to prevent invasive pests. After a brief recess, the committee took votes on several measures, adopting the chair’s recommendations on SB 1402, SB 1411, SB 1438, SB 1449, and SB 1291.

Transcript Highlights:

• Strengthen access to care for simple.
• and<00:04:14.159> workforce about access stability and workforce about access stability and
• And accessible and to improve quality.
• And most importantly, accessing care.
• <01:04:23.119> to in the future um impacting access to in the future um impacting access to

Keywords: 00:00:00 - Call to Order/Roll Call 00:01:25 - Discussion of 26RS HB 689 00:15:15 - Roll Call Vote on 26RS HB 689 00:17:02 - Discussion of 26RS HB 407 00:45:40 - Roll Call Vote on 26RS HB 407 00:49:25 - Discussion of 26RS HB 713 00:55:50 - Roll Call Vote on 26RS HB 713 00:56:54 - Discussion of 26RS HB 676 01:06:42 - Roll Call Vote on 26RS HB 676 01:08:43 - Adjournment, 958, all

Summary: The committee first took up House Bill 689, which would authorize Kentucky to seek federal approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning in 2026. Rep. Amy Neighbors and witnesses from Owensboro Health and St. Elizabeth Healthcare said the bill would bring in about $29 million in new federal Medicaid dollars without using general fund money, help retain physicians, support rural and underserved access, and tie payments to quality metrics. Witnesses described staffing shortages, rising costs, and the need to sustain services such as OB care, primary care, and preventive outpatient services. After questions about how the funding would work and whether private practices were included, the committee voted on the bill and passed it with favorable expression. The committee then moved to House Bill 407, as substituted, which would streamline Kentucky’s certificate-of-need process. Rep. Marianne Proctor and supporters from the Pacific Legal Foundation and the Institute for Justice said the bill would not repeal CON but would modernize a system they described as outdated and overly restrictive, citing national trends toward reform and arguing that Kentucky’s process has changed little since the 1970s. They said the substitute added language requiring the cabinet to contact a dominant provider when needed for data to make CON determinations. Mark Gilfoil, speaking in opposition for St. Elizabeth Healthcare, argued that CON is not a barrier to care in Northern Kentucky and said the bill would weaken the process by limiting who can request hearings, present evidence, and appeal decisions, effectively giving applicants control and making approvals nearly automatic. He said St. Elizabeth serves as a safety-net hospital for low-income and publicly insured patients and warned the bill could harm that role. Members questioned both sides about the appeal process, the definition of safety-net hospitals, and whether the bill could increase facilities and create waste or abuse. The discussion was still ongoing when the transcript ended.

Transcript Highlights:

• And next we will move to Representative Cates, the Accessibility Act, House Bill 295.
• Accessibility can be a little complicated.
• For our departments, accessibility can be a little complicated.
• You're looking at physical and digital accessibility.
• We think it is needed and important to continue to provide access to health care.

Keywords: 996, all

Transcript Highlights:

• to provide access to care. to provide access to care. $200 $200 $200 million,<00:04:19.199> $600
• <00:07:52.720> to clear that every motan needs access to clear that every motan needs access
• <00:09:40.959> to to strip our neighbors of um access to to strip our neighbors of um access
• <00:21:32.320> And<00:21:32.640> I'll they don't even get to access.
• And I'll they don't even get to access.

Keywords: 919, house, all

Summary: Minnesota lawmakers and advocates held a press event focused on a special-session budget agreement that would repeal health coverage for undocumented immigrants. Speakers, including Rep. María Isa Pérez-Vega, Sen. Lieman, labor leaders, immigrant advocates, faith leaders, and other DFL/POCI caucus members, argued the repeal would harm about 17,000 people, increase uncompensated care costs, worsen ER and clinic wait times, reduce productivity, and ultimately raise costs for taxpayers and employers. They also said undocumented immigrants contribute significant tax revenue and that the measure was motivated by cruelty and scapegoating rather than fiscal responsibility. Testimony emphasized moral, public health, labor, and faith-based objections. Unidos Minnesota, SEIU Local 26, the Minnesota AFL-CIO, and Pastor Ingred Ramson all framed health care as a human right and said the policy would punish working families, immigrants, and communities of color. Several speakers linked the repeal to broader attacks on immigrants, labor rights, and other social protections, and warned that the compromise budget framework included a “poison pill” tying the health bill to the repeal. POCI caucus members said they had tried unsuccessfully to negotiate alternatives, including changes to paid leave, earned sick and safe time, non-compete bans, premiums, enrollment caps, and protections for children, elders, and people with chronic conditions. They said leadership was not part of the negotiations and expressed disappointment with DFL and governor-level decisions, while also saying they would continue to fight the policy and hold leaders accountable. No vote was taken in the event itself, but speakers repeatedly said the repeal was expected to pass and that they would oppose it and continue organizing in future sessions.

Transcript Highlights:

• An act to amend the public health law in relation to providing practical support for access to abortion
• We want to make sure that everyone has access in the state of New York.
• I believe that everyone should have access to every type of health care, and abortion is health care.
• those records to me. anywhere in the country, anywhere in the world, has the ability to access those
• in the state of New York to believe that everyone should have access to every type of health care and

Keywords: 993, senate, all

Summary: The Health Committee met to consider a series of bills, many of them repeat proposals from prior sessions. Early measures included S.11 on disclosure for non-invasive prenatal screening, S.92 allowing redaction of certain physician names from birth certificates, S.135 creating practical support grants for abortion care, S.428A requiring chain restaurants to label high-sodium menu items, S.555 prohibiting visual images of people undergoing medical treatment without consent, and S.1614A establishing presumptive Medicaid eligibility for people leaving incarceration. The committee also advanced S.1438A to create an abortion clinical training program, S.1468 on access to medical records and limiting copy charges to actual cost, S.1619 expanding pharmacists’ authority to order and administer certain tests, and S.1714 banning the use of “excited delirium” as a diagnosis or cause of death. A substantial portion of the meeting focused on S.1633A, which would add protections for sensitive health information and allow patients to restrict disclosure of specified categories of data. One senator argued the bill could hinder care by limiting access to complete records, especially in emergencies, while supporters said the measure was needed to protect patients and providers from legal action by other states or the federal government, particularly in reproductive health cases. Staff clarified that the bill would allow segregation of specific sensitive data rather than locking an entire record. The committee also discussed S.1913, a 340B prescription drug anti-discrimination bill; supporters said it would protect safety-net providers and federally qualified health centers from pharmaceutical company practices, while one senator raised concerns about broad state intervention in a federal program. Additional bills advanced included S.5981 establishing a comprehensive sexual and reproductive health program, S.6178 directing a sickle cell disparity study, S.7457 permitting cremation or natural organic reduction for certain unclaimed decedents, S.7541 moving up reporting timelines for licensed home care services agencies, and S.8257A directing an alternative payment methodology for federally qualified health centers to support fertility care. Most bills were moved by committee vote, generally with some opposition or without recommendation, and were referred to first reading, rules, or finance as appropriate.

Transcript Highlights:

• have expressed a want to maintain access have expressed a want to maintain access to<00:23:35.440
• participation um and also for uh access participation um and also for uh access to<00:41:17.599>
• Minnesota has 77 critical access Minnesota has 77 critical access hospitals,<01:02:43.520> the
• while while we had a critical access while while we had a critical access hospital,<01:32:45.760
• difficult for people to to have access difficult for people to to have access to,<01:49:30.000><

Keywords: 918, senate, all

Summary: The Select Subcommittee first took up adoption of three previously prepared nonpartisan committee summary reports dated October 15, November 13, and November 21. Senator Rasmusson objected to the lack of advance notice about the day’s testifiers and criticized the practice of having nonpartisan staff summarize what he described as a partisan agenda. The chair responded that the committee’s purpose is to gather information, not hear bills, and that the summaries were intended as neutral resources for the Senate. Senator Coopek moved adoption, the motion was opposed by Rasmusson and another member, and the motion passed. The committee then turned to the day’s hearing on federal impacts on Minnesota, with the chair focusing on federal funding threats and the effect of congressional budget actions on health care, especially in greater Minnesota. The first presentation came from the Minnesota Department of Health on the state’s rural health transformation work. Assistant Commissioner Carol Broom introduced the team and described the rural hospital transformation program as a major opportunity to invest in rural health, while acknowledging longstanding challenges such as demographics, transportation barriers, and the financing of care. Nitha Moibi outlined the state’s rural health chart book and data showing an aging population, workforce shortages, and many health professional shortage areas, and described proposed strategies including workforce pipelines, bridge payments for low-volume birth hospitals, telehealth access points, mental health urgent care, and chronic disease prevention. Acting Assistant Commissioner Anna Ashby of the Minnesota Management and Budget office explained the state’s application to CMS for the Rural Health Transformation Program, which was created in federal law and awarded Minnesota just over $193 million for federal fiscal year 2026. She said the application was shaped by public comments, stakeholder meetings, and legislative outreach, and included initiatives on preventive care, workforce, care access, behavioral health, and provider financial stability. She also reviewed implementation constraints, including a January 30 revised budget deadline, limits on administrative spending, restrictions on using funds to offset Medicaid losses, and the need to show measurable progress to remain eligible for future funding. The presentation noted that most year-one funding would go to rural hospitals, with additional support for federally qualified health centers, community mental health centers, tribal partners, and technical assistance.

Transcript Highlights:

• The conference committee will also include changes that promote greater access to the Legislature and
• Number one, increased access for members of three things.
• We need to continue to think about time and access, we need to think about accountability, and we need
• The ability for people, accessibility, to plan their lives and participate in the process, whether it
• And protect both access to abortion care and gender-affirming care. This was remarkable.

Keywords: 995, all

Summary: The Senate first adopted three congratulatory resolutions recognizing the retirements of Dolores Hayes, Lisa Audet, and Kate Fitzpatrick. It then handled several procedural matters, including suspending Joint Rule 12 to refer a sick leave bank bill for a Suffolk County Sheriff’s Office employee to the Committee on Public Service and referring House petitions to their respective committees. The chamber also adopted a conference report on the joint rules for the 2025-2026 session after remarks from Senators Creem, Tarr, Lovely, and Fattman emphasizing transparency, public access, recorded votes, longer notice for hearings and conference reports, remote participation, and periodic review of the rules. The report was accepted by a 40-0 roll call. The Senate then took up the bill strengthening health care protections in the Commonwealth, Senate No. 2538, commonly described as Shield Act 2.0. Senator Friedman and others argued the bill was needed to protect reproductive and gender-affirming care from out-of-state and federal interference, to limit disclosure of sensitive information, to create a state-level EMTALA-style protection for emergency care and active labor, and to strengthen privacy and licensing protections for providers and institutions. Senators Cyr, Lovely, and Fattman also spoke in support, framing the bill as a response to recent federal and state threats and as an extension of Massachusetts’ prior shield-law work. The chamber considered numerous amendments. Several were rejected, including amendments by Senators Finegold and Keenan and multiple Tarr amendments on topics such as medical records, consistency with existing law, and public health data collection. Some amendments were adopted, including a Montigny amendment on health-connected data disclosure, a Brownsberger amendment further protecting privacy for reproductive and gender-affirming care, a Rauch amendment clarifying protections for patients in active labor, a Tarr amendment removing an exemption for data from personal tracking devices, and a Rodrigues corrective amendment. After the amendments, the Ways and Means substitute was adopted, the bill was ordered to a third reading, and it then passed to be engrossed by a 37-3 roll call. At the end of the session, the Senate adopted a memorial adjournment in honor of former Senate Majority Leader Louis P. Bertinazi. The Governor also filed a message submitting a bill to build resilience for Massachusetts communities, authorizing future capital spending for energy and environmental affairs, which was referred to the Committee on Environment and Natural Resources. The Senate then adopted an order to meet again the following Monday at 1 p.m. and adjourned.