Transcript Highlights:

• As the state is looking to attract sustainable aviation fuel facilities to reduce the carbon footprint
• attract a state is looking to attract a sustainable<00:05:16.520><c> aviation</c><00:05:16.960><c> fuel
• </c><00:05:17.360><c> facilities</c><00:05:18.039><c> to</c> sustainable aviation fuel facilities to
• sustainable aviation fuel facilities to reduce<00:05:18.680><c> the</c><00:05:18.840><c> carbon</c><00

Transcript Highlights:

• investigative division is responsible for enforcing state tax laws and preventing tax fraud, including motor fuel
• These crimes often involve organized schemes where fuel is stolen, transported, and resold. illegally
• It's really a serious issue and problem we're having with fuel theft. and fuel depots, but not only along

Bills: SB693 , SB781 , SB836 , SB860 , SB906 , SB993 , SB1101 , SB1321 , SB1370 , SB1537 , SB1563 , SB1610 , SB1637

Committee: Senate Criminal Justice

Keywords: notary public, notaries, acknowledgment, jurat, personal appearance, remote notarization, online notarization, e-notary, electronic notarization, fraud prevention, identity verification, real estate fraud, property transfer, state jail felony, Class A misdemeanor, secretary of state, continuing education, record retention, notarial act, Texas Government Code

Summary: The committee heard a series of criminal justice bills focused on victim protections, law enforcement tools, notary/deed fraud, sexually violent predators, veterans in jail, tribal policing authority, and peace officer records. Several bills were laid out, heard, and left pending because the committee lacked a quorum for final action on those items. Testimony was generally supportive on bills addressing interpreter appointments, fuel theft investigations, deed fraud, survivor privacy, veteran jailer training, tribal peace officer authority, and officer-record confidentiality, though some bills drew concerns about due process, scope, or drafting. Senate Bill 1537 would clean up criminal procedure language on appointing interpreters and align it with Government Code standards requiring licensed or certified interpreters; it received no public opposition and was left pending. Senate Bill 993 would let Comptroller Criminal Investigative Division officers directly seek warrants for mobile tracking devices in fuel-theft and tax-fraud investigations; it also drew support and was left pending. Senate Bill 693, as substituted, would create a criminal offense for notarizing documents without the signer personally appearing, with a higher penalty when real property is involved, and would add notary continuing education; a Dallas County prosecutor testified that notary fraud is a major driver of deed theft, and the bill was left pending. Senate Bill 1610, as substituted, would address safety, registration, and criminal penalties at the Texas Civil Commitment Office for sexually violent predators, including assaults on staff and sex-offender registration issues; agency witnesses described increased assaults and operational problems, while a public witness urged waiting for Sunset review and raised due-process concerns. Senate Bill 836 would add privacy protections for sexual assault survivors by limiting livestreaming of trials, expanding pseudonym use, and protecting forensic exam and invasive-recording evidence; survivors and advocates strongly supported it, and defense lawyers said they had no opposition to the substitute. Senate Bill 1563 would require county jailer training on interacting with veterans, with testimony from the Texas Veterans Commission and veterans’ advocates emphasizing suicide risk, PTSD, and the need for better identification and support in jails; the bill was left pending. The committee also heard Senate Bill 906, which would authorize the Ysleta del Sur Pueblo tribal police to be commissioned as Texas peace officers like two other federally recognized tribes in Texas; tribal leaders said the change would improve response times and coordination, and the bill was left pending. Senate Bill 781, as substituted, would standardize confidentiality rules for peace officer personnel and departmental files statewide, mirroring Chapter 143 civil-service practices; law enforcement witnesses supported it as a way to protect personal information and create uniform records practices, but several senators raised concerns that the bill could blur existing disclosure rules or bury misconduct complaints, and public testimony included an opposition witness describing a police shooting involving her brother.

Transcript Highlights:

• I notice a picture here of a little delivery vehicle.
• I notice a picture here of a little delivery vehicle.
• I notice a picture here of a little delivery vehicle.
• c> personal</c><01:14:29.080><c> delivery</c> sorry um personal personal delivery sorry um personal personal
• That's just creative ways of financing project delivery.

Committee: Senate Transportation

Transcript Highlights:

• But our work here can be to simplify and strengthen the delivery process in a way that restores public
• and But our work here can be to simplify and strengthen<00:24:39.880><c> the</c><00:24:40.000><c> delivery
• process</c><00:24:40.960><c> in</c><00:24:41.120><c> a</c><00:24:41.200><c> way</c> strengthen the delivery
• process in a way strengthen the delivery process in a way that<00:24:41.640><c> restores</c><00:24:42.120
• had to go through this whole if you were here for USS, we had to go and like read uniform service delivery

Committees: Senate Health and Human Services , Senate Human Services

Transcript Highlights:

• legislative body is actively engaged in, but also addresses the uniquely positive way a problem our delivery
• Maybe a financial representative does that completely after the delivery of the care is complete in the
• Maybe a financial representative does completely after the delivery of the care is complete in the emergency

Bills: HB3794 , HB3796 , HB3928 , HB2955 , HB4453 , HB4460

Committee: House Insurance

Summary: The committee first took up HB 3794 and HB 3796, both Oklahoma Insurance Department request bills. Members adopted PCS drafts for each without objection, heard brief explanations that the measures cleaned up and clarified insurance licensing and other statutory provisions, and then advanced both bills on unanimous or near-unanimous votes. The committee then considered HB 3928, as amended, which would require optometrists to be reimbursed at Medicare/Medicaid levels and address payment parity for certain vision plans. Representative Tedford raised concerns about premium increases and interference with private contracts, while the author argued the bill would create a fairer level playing field and would not significantly raise consumer costs. The bill passed on a recorded vote and was recommended to the next committee. HB 2955, updating the Oklahoma Captive Insurance Company Act to make Oklahoma more competitive, also passed after OID confirmed a questioned travel reimbursement provision was current law and unchanged. HB 4453 proposed creating an all-payers claims database board to analyze health care spending, use the health information exchange, and make recommendations to OID. The author described changes to board appointments and reporting language, and members asked about consumer representation, fiscal impact, and the board’s advisory role. The bill passed and was recommended onward. HB 4460, which would shift collection of copays, deductibles, and other cost-sharing from providers to insurers, drew extensive testimony from an emergency physician supporting the measure as a way to reduce medical debt and simplify billing, but members raised concerns about ERISA preemption, premium impacts, implementation, and broader market effects. After discussion, the author laid HB 4460 over for later consideration, and the meeting adjourned.

Transcript Highlights:

• acceptable to the Washington Student Achievement Council, and include in-person or distance education delivery
• , pedagogy, curricular content, class size, or other element of program delivery described in recruitment
• don't provide enough flexibility for the financial institutions to change programs or change the delivery

Bills: HB2438 , HB2422 , HB2525 , HB2586 , HB2427 , HB2458 , HB2474 , HB2540 , HB2589

Committee: House Postsecondary Education & Workforce

Keywords: education, scholarship, early childhood, funding, higher education, early education, support, degree seekers, private security, security guard, armed security guard, security company, licensing fees, license renewal, endorsement fee, fingerprints, background check, workforce retention, low-wage workers, public safety

Transcript Highlights:

• acceptable to the Washington Student Achievement Council, and include in-person or distance education delivery
• , pedagogy, curricular content, class size, or other element of program delivery described in recruitment
• enough flexibility for the financial institutions to change. ...to change programs or change the delivery

Summary: At the February 3 meeting of the Postsecondary Education and Workforce Committee, members reviewed several bills for possible executive session and noted that House Bill 2538 would be heard later in the session, while no action would be taken that day on House Bills 2422, 2427, and 2589. Staff walked the committee through proposed substitutes and amendments on multiple bills, including HB 2438 (early childhood education degree seekers scholarship), HB 2525 (heritage orchard program at WSU), HB 2586 (Passport to Careers and Washington College Grant alignment), HB 2458 (expanding Washington College Grant eligibility to certain non-degree credential programs), HB 2474 (student consumer protections and tuition recovery for school closures), and HB 2540/2450 relating to EMT recertification timing. Members discussed fiscal impacts, use of the GET account, student aid access, support for trades and vulnerable students, and protections for students when institutions or programs close. The committee adopted a proposed substitute for HB 2438 and reported it out on a 13-4 vote, with supporters emphasizing early childhood workforce shortages and opponents raising concerns about using GET account funds. HB 2525’s proposed substitute and a null-and-void amendment were adopted, and the bill was reported out unanimously. HB 2586 was reported out on a 17-0 vote, with members citing benefits for students experiencing homelessness and foster care. HB 2458’s amendment was adopted and the substitute bill passed out of committee on an 11-6 vote, despite objections about available financial aid funding. For HB 2474, members withdrew several amendments, adopted REN 076 to narrow exemptions for certain private institutions, and then reported the substitute bill out on a narrow 9-8 vote after debate over student protections versus institutional flexibility. The final bill considered, relating to EMT recertification intervals, was reported out of committee by voice vote with 17 ayes. Throughout the meeting, the committee generally advanced the bills with do-pass recommendations, while recording split views on funding sources, student consumer protections, and the scope of aid eligibility.

Transcript Highlights:

• and mumbo jumbo to regular transactions in the health care space, somehow that's going to make the delivery
• This proposal doesn't do anything to make the delivery of health care services cheaper or more available
• To make the delivery of health care services cheaper or more available or easier or anything.
• I can explain in my final comments. to make the delivery of health care services cheaper or more available

Bills: HB2720 , HB2073 , SB5816 , SB5919 , SB5831 , SB6244 , SB6044 , SB5109 , SB5877 , SB6258

Keywords: behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, juice grapes, agriculture, commerce, state regulation, market access, fire safety, insurance incentives, best practices, community protection, voluntary measures, mortgage modification

Summary: The House convened, established a quorum, approved the previous day’s minutes, heard Senate messages on several bills, and then took up a series of third-reading and concurrence votes. The chamber also received notice that the Senate had concurred in House amendments to several other bills and that the Senate President had signed Engrossed Senate Bill 5068. Members then considered a slate of bills dealing with climate commitment account revenue, court administration, attorney general investigative authority, inmate funds, health care facility transactions, ferry governance, gun violence prevention and 3D-printed firearms, and renewable energy tax treatment. Engrossed Second Substitute House Bill 1170, Engrossed Second Substitute House Bill 2251, Engrossed House Bill 2445, Substitute House Bill 2334, Engrossed Third Substitute House Bill 1960, Engrossed Substitute House Bill 1500, Second Substitute House Bill 1909, Engrossed House Bill 2156, Substitute House Bill 2539, Engrossed Substitute House Bill 2548, Engrossed House Bill 2588, and Engrossed Substitute House Bill 2320 all received final passage after Senate amendments, with several members speaking in support or opposition. Supporters generally described the measures as clarifying revenue accounts, improving court access, protecting consumers, updating inmate account limits, addressing hospital consolidation, enabling local ferry management, and strengthening gun-violence prevention or renewable-energy tax policy. Opponents raised concerns about reduced transparency, expanded bureaucracy, shifting costs, attorney general overreach, limits on local control, and First Amendment or property-rights issues. Recorded votes showed passage on each of those bills, with margins ranging from narrow to broad: 55-38 on HB 1170, 54-40 on HB 2251, 66-29 on HB 2445, 80-15 on SHB 2334, 86-9 on ESHB 1960, 61-34 on ESHB 1500, 57-38 on SSB 1909, 54-41 on EHB 2156 after reconsideration, 57-38 on SHB 2539, 55-41 on ESHB 2548, 56-40 on EHB 2588, and 58-38 on ESHB 2320. The House also agreed to retransmit Engrossed Substitute House Bill 1408 to the Senate after deciding not to concur in the Senate’s fourth amendment. The meeting ended with both caucuses called and the House at ease.

Transcript Highlights:

• registration renewals required by section 514E-10 of the Revised Statutes shall be deemed approved upon delivery
• shall be deemed approve<00:28:44.559><c> approved</c><00:28:45.039><c> upon</c><00:28:45.440><c> delivery
• </c><00:28:46.399><c> provides</c> approve approved upon delivery provides approve approved upon delivery

Bills: SB2278 , SB2908 , SB2987

Committee: House Tourism

Summary: The House Committees on Tourism and Economic Development and Technology heard several measures on February 12, 2026. HB 1950 would dedicate 15% of transit accommodations tax revenue to a new state-led marketing and branding special fund and require an annual tourism management plan. HTA and DBEDT supported the bill as providing predictable funding for marketing and tourism management, while the Tax Foundation of Hawaii opposed the special fund structure as limiting legislative flexibility. Members discussed the size of the allocation and whether a tourism emergency fund would still be needed; the bill later advanced with amendments that removed some provisions and blanked out the 15% figure for further discussion, and it passed with amendments. HB 2268 would add film production marketing and promotion to HTA’s powers. The governor’s office, HTA, the Hawaii Film Alliance, and several industry groups supported the measure, arguing that film and TV exposure drives tourism and generates significant spending and tax revenue, while one individual testified in opposition. In questions, HTA said it would use existing staff and did not have a separate cost estimate. The committee amended the bill to specify that film productions are primarily filmed in Hawaii and deferred the date to continue discussion; it then passed with amendments. The committee also heard HB 2156, which would raise filing thresholds for general excise tax and transit accommodations tax filers. The Department of Taxation said the change could increase administrative burden if more filers shift from mandatory electronic filing to paper filing, while the Tax Foundation noted the filing threshold issue is separate from e-filing requirements. The bill was moved forward with a deferred date. HB 1946, concerning time-share registration renewals and amendments, drew support from ARDA and other industry testimony, with no opposition noted; DCCA was said to be in talks with the industry. It was also advanced with technical amendments and a deferred date.

Transcript Highlights:

• Yeah, for specifically labor and delivery, would a husband be able to remain with a pregnant laboring
• Imagine living in fear of the man behind you at the pharmacy. of the delivery driver, even of your own
• Like thousands of rural Texans, she relies on a mail-order delivery to get her medicine.
• A delivery driver or neighbor who sees the package can sue the pharmacist or the pharmacy for a hundred

Bills: SB 8 , SB 1 , SB 2 , SB 5 , SB 10 , HB27 , HB7 , HB17 , HB1 , SB 9 , SB 7 , SB 17 , SB 4 , HB20 , HB18 , HB7 , HB17 , HB1 , HB20 , HB18 , SB9 , SB7 , SB17 , SB4 , SB1 , SR85 , SR87 , SB8 , SB5 , SB2 , SB10 , HB27

Transcript Highlights:

• enable the administration of these programs at the local level and tailor administration and service delivery
• community action plan, a work plan for addressing poverty within communities by outlining needs, service delivery
• influx of CSBG funding, agencies are able to hit the ground running and also be flexible in their delivery
• In order to facilitate the delivery of services to the American Indian eligible beneficiaries throughout

Summary: The Senate and Assembly Human Services Committees held a special oversight hearing on California’s 2026-27 Community Services Block Grant (CSBG) state plan, focusing on how the federal anti-poverty funds are administered and used by local community action agencies. Department of Community Services and Development Director Jason Wimbley explained that CSBG is a flexible funding stream used to address housing, employment, education, food insecurity, health, transportation, and disaster response needs, with 60 organizations serving all 58 counties. He noted California received $68.4 million in federal fiscal year 2025 CSBG funds and that the program served about 1.5 million low-income Californians in 2023. He also described how CSBG helped with wildfire response and emphasized the risk posed by proposed federal elimination of the program, though he said federal staffing and program operations were currently stable. Representatives from CalCAPA and several funded agencies described CSBG as essential “braid” funding that supports staffing, leverages other grants, and fills gaps for people who do not qualify for other safety net programs. CalCAPA leaders stressed local flexibility, workforce development, partnerships, and the ROMA performance system, while agency witnesses from Contra Costa County, Northern California Indian Development Council, Proteus, and Sacred Heart Community Service gave examples of housing assistance, food distribution, employment training, utility aid, rural service delivery, tribal services, and disaster or emergency support. Several witnesses warned that federal cuts or elimination of CSBG would force service reductions, layoffs, and loss of leverage for other funding sources. The hearing also included discussion of CalAIM coordination, contingency planning for possible funding losses, and the limits of county ability to backfill federal reductions. During public comment, one speaker raised concerns about compliance and transparency issues involving community action agencies and asked the committees to ensure agencies follow California law. The chair thanked the witnesses and public commenters, reiterated the importance of CSBG in addressing poverty and homelessness, and adjourned the hearing after noting the need to sustain the investment and adapt services to changing statewide needs.

Transcript Highlights:

• we have a lot of opportunities to make government more efficient, reduce waste, and improve the delivery
• complaints to recognize trends and identify potential mail theft. reported it to the Office of Personnel Delivery
• talking about it briefly here, that a lot of these agencies, they're in the business of their customer delivery
• coding across the entire system as opposed to in one of the programs and you fix it at the point of delivery

Committee: Joint Joint Economic Committee

Keywords: artificial intelligence, waste reduction, fraud prevention, government efficiency, improper payments, data reliability, oversight

Summary: The meeting was chaired by Chairman Schweikert and involved a comprehensive discussion on how to utilize artificial intelligence (AI) for reducing waste, fraud, and improper payments within federal programs. Key witnesses, including Mr. Andrew Canarsa from the Council of the Inspectors General, provided insights on the potential of AI in enhancing government efficiency. The committee emphasized the importance of reliable data and thorough examination of AI application to avoid unintended consequences while addressing the estimated $162 billion in improper payments reported by the federal government. Concerns were raised regarding the recent firing of inspectors general and the impacts that could have on oversight and accountability processes.

Transcript Highlights:

• provide recommendations for reducing the impact of prior authorization requirements on the timely delivery
• requirements<00:01:44.840><c> on</c><00:01:44.960><c> the</c><00:01:45.159><c> timely</c><00:01:45.680><c> delivery
• </c><00:01:46.680><c> of</c> requirements on the timely delivery of requirements on the timely delivery

Committee: Senate Health and Human Services

Summary: The Health and Human Services committee heard several resolutions focused on health care access, Medicaid services, and regulatory reform. SR 6 urged the Director of Health to create a working group on health insurance reform to reduce prior authorization delays; testimony was generally supportive, with DHS, SHIPA, the Hawaii Association of Health Plans, the Hawaii Primary Care Association, the Hawaii Medical Association, and HMSA all offering comments or support. SHIPA said House Bill 250 would provide a better mechanism for the same goal, but the committee still moved forward with the resolution. SR 7 asked DHS Med-QUEST to cover behavioral health services for children in school-based settings, and SR 9 sought a program to incentivize community care foster family homes to accept people eligible under the Medicaid IDD waiver program. DHS supported the intent of both measures but raised concerns about regulatory limits. Testifiers on SR 9, including the Hawaii State Council on Developmental Disabilities and the Hawaii Disability Rights Center, argued the state should be more creative in expanding residential capacity, especially on the neighbor islands, while the chair questioned whether the barriers were state administrative rules or federal requirements. The committee also heard SC 14/SR 10 on a sunrise analysis for lactation consultant licensure. Supporters said lactation services can improve health outcomes and save costs, and that Medicaid coverage remains limited. After discussion, the committee adopted the chair’s recommendations: SR 6 and SC 14/SR 10 were passed with technical, non-substantive amendments; SR 7 was deferred; and SR 9 was deferred for further work. The meeting then adjourned.

Transcript Highlights:

• when I first read this bill was that it would allow you the opportunity to determine the form of delivery
• going to determine on your own without further public input or further bar input as to forms of delivery
• </c><00:43:13.160><c> because</c> input as to forms of delivery because input as to forms of delivery
• this is a a Judiciary single um delivery this is a a Judiciary single um I<01:16:49.080><c> I</c><01
• This is merely a delivery bill, so that would be the recommendation. I appreciate your comments.

Committee: Senate Judiciary

Summary: The committee heard testimony on several Judiciary-related measures. SB 94 would increase the mandatory minimum jail term for a first knowing or intentional violation of a temporary restraining order from 48 to 72 hours. The Office of the Public Defender and the Hawaii State Coalition Against Domestic Violence opposed the bill, arguing the current penalty is effective, the measure treats very different conduct the same, and the mental health assessment language is unclear and could be harmful or misapplied. Some other testifiers were listed in support or opposition, but no vote was taken. SB 15 would raise the real property exemption amount for attachment or execution. The Hawaiʻi Financial Services Association offered comments rather than opposition, suggesting the bill should be clarified as applying to creditor claims rather than property taxes and possibly limited to a primary residence, with restrictions on frequency of use. Committee discussion focused on how the exemption would affect unsecured creditors, the role of recorded mortgages and judgment liens, and whether the bill should instead establish a clearer homestead-style exemption. The bill drew both support and comments, with no action taken during the hearing. The committee also took testimony on SB 117, which would protect people making sexual misconduct claims from defamation suits unless made with malice; SB 121, a constitutional amendment to give the Senate more time to confirm judicial appointments; SB 14, a reapportionment amendment tied to the decennial census and resident population; SB 175, which would raise the mandatory retirement age for judges and justices from 70 to 75; SB 173, creating a three-year pilot program for free child care for minor children of parties and witnesses attending First Circuit court hearings; and SB 261, increasing juror pay from $30 to $50 per day. Testimony on these measures was generally supportive in the case of SB 175, SB 173, and SB 261, with some opposition on SB 14 and SB 117. On SB 173 and SB 261, committee members asked questions about practical implementation, and on SB 261 the State Bar Association said the increase was overdue and intended to encourage jury participation.

Transcript Highlights:

• to stand up coordination of care for these individuals as they transition to the fee-for-service delivery
• Of care for these individuals as they transition to the fee-for-service delivery system.
• They're just transitioning to a different delivery system.
• One is that currently in the managed care delivery system, plans receive a capitation rate.
• And then your point about the process of someone finding care in the fee-for-service delivery system,

Committee: Senate Budget and Fiscal Review

Transcript Highlights:

• c><00:35:30.840><c> to</c><00:35:30.960><c> direct</c><00:35:31.480><c> the</c><00:35:31.560><c> delivery
• </c><00:35:32.000><c> of</c> services and to direct the delivery of services and to direct the delivery
• want to clarify that as we talk about participant-directed services, this is actually a service delivery
• And in its current approved format, participant-directed services is not a service delivery option.
• </c> not a service delivery option. not a service delivery option.

Summary: The committee first approved the minutes and then took up a series of administrative regulations from several agencies. Early items included Attorney General consumer protection rules on removal sales, health spas, liquidation sales, and nonresident sellers of visual aid glasses; Finance and Administration Controller rules on clearinghouse validation and fraud prevention; and Board of Dentistry rules updating exam requirements, controlled substance prescribing, training for neuromodulators and dermal fillers, infection control, sedation/anesthesia continuing education, and required education on pediatric abusive head trauma and controlled substance ingestion prevention. The committee also approved staff amendments on these items, generally to conform to KRS Chapter 13A, and members asked a brief question about the dentistry controlled-substances changes, which was answered as an alignment with statute. The committee next approved regulations for the Board of Ophthalmic Dispensers, Board of Nursing, and Board of Emergency Medical Services. The ophthalmic dispensers package would revise meeting and recordkeeping language, raise renewal fees, set reinstatement and apprentice-license rules, add complaint and hearing procedures, and repeal a duplicative regulation. The nursing regulations would streamline approval of training programs and require notice and documentation of site visits and deficiencies. EMS rules would create five EMS medical director certifications, set expiration and renewal requirements, require publication of disciplinary sanctions, and exempt currently approved directors before October 1, 2026. Staff amendments were adopted without objection on each set. The Education and Labor Cabinet’s school transportation regulation drew extended discussion. The agency explained the changes were intended to implement Senate Bill 46 and update references affected by later legislation, including an oral amendment to delete a subsection reference tied to KRS 160.380. The committee adopted both the agency and oral amendments without objection after brief questions about the scope of the bill changes and van transportation for students. The committee then heard a lengthy package from the Department for Public Health on WIC and related nutrition program regulations, including updates to infant and child certification periods, documentation requirements, vendor criteria, sanctions, hearing procedures, and high-risk vendor standards. Staff amendments were adopted without objection. Finally, the committee considered the Inspector General’s regulation for freestanding birthing centers, which included both staff and agency amendments. The agency changes would require two neonatal resuscitation program-certified staff, set rules for medical director vacancies and appeals, revise facility and staffing terminology, adjust transfer-agreement requirements, and allow waivers when agreements cannot be secured. Mary Katherine DeLodder of the Kentucky Birth Coalition testified in support, saying the parties had worked through concerns and were ready to move forward. The committee then moved on to Medicaid’s 1915C child waiver regulations, where staff amendments were adopted, but Lucy Heskins of Kentucky Protection and Advocacy testified against the package because it did not include person-directed services, which she said are required by Kentucky law and important for families using the waiver.

Transcript Highlights:

• So this new final rule adds a lot of new requirements to Medicaid managed care delivery systems, really
• So Medicaid managed care delivery systems really focused on heightened standards around access, quality
• steps that we have taken to enhance reimbursements to hospitals through the Medi-Cal managed care delivery
• And so in order to implement those new policies and technical standards within the managed care delivery
• in order to implement those new sort of policies and technical standards within the managed care delivery

Summary: The subcommittee heard a lengthy Department of Health Care Services presentation on the governor’s Medi-Cal budget, including a $229.1 billion total-funds proposal, projected Medi-Cal enrollment declines as redeterminations continue, and several major cost drivers such as managed care growth, Medicare-related costs, pharmacy spending, and changes tied to federal policy. Members focused heavily on the elimination of Prop. 56 dental supplemental payments beginning July 1, 2026, questioning the likely impact on provider participation and utilization. DHCS said it is completing the required rate reduction/access analysis for CMS, has been holding stakeholder meetings and issuing provider bulletins, but could not yet quantify the real-world effect. The committee also discussed a $50 million savings proposal tied to new hospice utilization management authority and asked about possible effects on emergency dental care and provider participation. The hearing then moved through the November 2025 family health estimate and several county and program administration issues, including CCS, GHPP, and Every Woman Counts. DHCS said family health costs are rising despite slight caseload declines because of higher utilization and medical costs, and members raised concerns about CCS website accessibility, county administrative funding, and the transition of youth aging out of CCS. The department said most CCS beneficiaries are also on Medi-Cal, that counties have long raised funding concerns, and that it had clarified use of maintenance-and-operations dollars to address some county workload issues. Members also asked about Every Woman Counts potentially seeing higher demand as Medi-Cal changes take effect; DHCS said that is possible and that the program has multiple funding sources including General Fund. A major portion of the hearing focused on provider taxes and federal changes under H.R. 1, especially the Medi-Cal managed care organization tax and the hospital quality assurance fee. DHCS explained that H.R. 1 restricts new or increased health care-related taxes, phases down allowable tax levels over time, and tightens “generally redistributive” rules, which could sharply reduce the state’s ability to use the MCO tax for Medi-Cal financing. Members asked whether the Legislature could amend Prop. 35 or whether voters would need to act; DHCS said a three-fourths legislative amendment may be possible if it aligns with the measure’s purpose, but the department is still evaluating options. The committee also discussed hospital financing, with DHCS describing recent increases in state-directed payments and the effect of H.R. 1 in capping those payments at Medicare levels, and the LAO noting the tradeoff between preserving provider taxes and maintaining Medi-Cal funding. The subcommittee also reviewed a series of DHCS budget change proposals and trailer bill items, including managed care final-rule implementation, managed care operations, a hospital value strategy, a one-year extension of skilled nursing facility financing, long-term care payment transparency, and interoperability/prior authorization requirements. Members repeatedly questioned the use of limited-term versus permanent positions, the overlap among proposals, and the timing of new financing reforms. DHCS said the SNF extension would preserve current workforce standards, sanctions, growth limits, and the SNF quality assurance fee while the department develops a broader 2027-28 redesign. No votes were taken; items were repeatedly held open for later action. Covered California then presented on the expiration of the federal enhanced premium tax credit and the resulting affordability crisis. The agency said Californians will lose about $2.5 billion in premium assistance for 2026, average premiums could nearly double for many enrollees, and as many as 400,000 people could eventually leave marketplace coverage. Open enrollment ended with 1.9 million sign-ups, down 3% from the prior year, with especially steep declines among middle-income consumers and increased movement into bronze plans. Covered California said the state’s $190 million affordability subsidy is helping lower-income enrollees retain coverage, but cannot fully replace the lost federal assistance. Members also asked about the Health Care Affordability Reserve Fund, repayment of loans from that fund, the status of federal review of California’s essential health benefits benchmark, and implementation of the new gender-affirming care benefit under AB 144.

Transcript Highlights:

• The Department of Juvenile Justice looks to broaden and augment the delivery of comprehensive medical
• abreast of current trends, current practices, and we would look for that competitive edge in the delivery
• </c><00:47:50.720><c> of</c> broaden and augment the delivery of broaden and augment the delivery of
• </c><00:48:47.520><c> of</c><00:48:47.760><c> services</c> edge uh in the delivery of services edge uh
• in the delivery of services within<00:48:48.559><c> our</c><00:48:48.800><c> own</c> within our own

Summary: The committee met to hear updates from the Department of Juvenile Justice and the Department of Corrections on two related issues: a proposed high-acuity juvenile mental health treatment facility and medical services contracts, including the impact of Wellpath’s bankruptcy proceedings. At the start, the chair agreed to hear the Department of Corrections first so members could get context on the medical contract before turning to DJJ’s proposal. DOC officials said Wellpath, the department’s comprehensive medical and mental health provider since 2013, was awarded its current contract through a 2021 procurement process. They reported that Wellpath’s Chapter 11 reorganization plan had been confirmed and that the company had transitioned ownership to lenders, but had not yet fully completed the bankruptcy process. DOC said there had been no service lapses, no reduction in care, and no known impact on Kentucky vendors or hospitals, and that DOC staff meet with Wellpath almost weekly. Members asked whether the committee had been kept informed and whether the bankruptcy could affect future services or subcontractors. DJJ then presented its concept for a high-acuity facility, explaining that the project is still in the preliminary programming and conceptual stage and has not yet entered the formal design phase with DECA. Officials said the proposal in the capital plan would create a 24-bed facility, with 16 clinical beds and 8 assessment/stabilization beds, to serve justice-involved youth with serious mental health needs. They said the facility would need to separate males and females and high- and low-risk youth, and that current placements often require sending youth out of state to places such as Pennsylvania, Michigan, Georgia, Arkansas, and Texas. Staff said the goal is to centralize treatment, improve safety, and reduce the need for fragmented or out-of-state placements. Committee members questioned the cost estimates, staffing needs, and whether the facility was justified given the small number of youth currently placed out of state. DJJ said the operational estimate includes an unknown medical-contract component and that the number of youth needing the facility can fluctuate because of surges in the juvenile population. Officials also said they had consulted with South Carolina, which is developing a similar facility, and noted that renovating existing facilities was considered but could be more expensive or impractical than building a separate site. No votes or formal actions were taken during the discussion.

Transcript Highlights:

• Our current system of training lacks consistency in terms of content, frequency, and delivery.
• we'd like to point out that each year there has been a greater share of the budget spent in the delivery
• See significant impacts to our program and the delivery of services.
• Our mission is to ensure the consistent and effective delivery of child support services, advocate for
• A reduction in any safety net funding would directly impact our delivery of services.

Transcript Highlights:

• We already have severe maternal health care delivery deserts.
• We already have severe maternal health care delivery deserts.
• We already have severe maternal health care delivery deserts.
• We already have severe maternal health care delivery deserts.
• We already have severe maternal health care delivery deserts.

Summary: The Medicaid Oversight Advisory Board met for its third meeting and approved the July 30 minutes. The chair outlined a full agenda covering the state-based marketplace versus the federally facilitated marketplace, connectors and navigators, presumptive eligibility, eligibility/enrollment/redetermination, and a rural health transformation update. Commissioner Lisa Lee and Assistant Director David Barry presented first on Kentucky’s state-based exchange, Connect, explaining that it is an integrated eligibility and enrollment system for Medicaid, CHIP, SNAP, TANF, child care, and qualified health plans. They reviewed Kentucky’s move from a state-based exchange to healthcare.gov in 2017 and back to a state-based marketplace in 2021, and said the system helps route applicants to the correct program and allows families to move more easily between Medicaid and exchange coverage as circumstances change. The presenters said the exchange is funded by carrier assessments on qualified health plans rather than general fund dollars, with costs allocated across programs based on use. They said Kentucky’s exchange fees are lower than the federal platform’s and that the state-based system provides local assistance through DCBS offices, connectors, and licensed agents in every county. Members asked about startup and operating costs, fee-setting, and whether any general fund dollars are used; the department said it would follow up with the CFO on fee details and said it was not aware of general fund support for exchange operations. Members also raised concerns about Medicaid eligibility verification and improper enrollment, while the department emphasized that the state system uses different questions than healthcare.gov and is designed to identify the correct coverage based on monthly Medicaid income and annual tax-credit income. The board also discussed enrollment trends, including a COVID-era spike during the public health emergency when disenrollments were largely paused, and current qualified health plan enrollment of more than 97,000 people on Connect. Commissioner Lee explained presumptive eligibility as temporary Medicaid coverage, noting it applies to pregnant women and hospital-based cases, with hospitals able to grant it and certain providers able to grant it to pregnant women. She said full eligibility is still determined within 30 days and that presumptive eligibility ends when full Medicaid eligibility is determined or at the end of the following month. The meeting then shifted to connectors, with representatives from Community Action Kentucky and the Kentucky Primary Care Association describing their statewide outreach network, local offices, and role helping residents apply for Medicaid, renew coverage, report changes, and navigate benefits; they said connectors do not determine eligibility but assist with applications, recertifications, and outreach events across the Commonwealth.