Transcript Highlights:

• that they're involved with. vocation rehabilitation services for vocation rehabilitation services for
• > procedure or standard for the service procedure or standard for the service fee<00:14:41.680><c> memo
• And then there was also a new service memo issued, and that's the rates memo for the services that are
• And then there was also a new service memo issued, and that's the rates memo for the services that are
• </c> need to be served these these services need to be served these these services are<00:26:42.279><

Keywords: Meeting Start 00:00 Roll Call 00:13 SB 15 Discussion 00:45 SB 15 Vote 08:40 SB 103 Discussion 11:12 SB 103 Vote 29:49, 958, all

Summary: The Senate Committee for Economic Development, Tourism, and Labor heard two bills. Senate Bill 15, sponsored by Sen. Amanda Bledsoe, was presented with testimony from Major League Baseball in support of exempting minor league baseball players from Kentucky wage-and-hour treatment. Witnesses said the bill would preserve the negotiated collective bargaining structure for players, avoid impractical time-tracking requirements, and keep Kentucky aligned with other states. Senators discussed minor league salary levels, the importance of baseball to Kentucky communities, and the bill’s relationship to minimum wage law. The committee then took a roll call vote and passed the bill with unanimous support from members present. The committee next heard Senate Bill 103 from Sen. Danny Carroll, which would require the Office of Vocational Rehabilitation to adopt regulations under Chapter 13A, limit reciprocal agreements with other states until in-state provider contracts are exhausted, establish procedures for service fee memos before a new fiscal year, and require an annual report with operating and financial information. Testimony from community rehabilitation providers and disability advocates emphasized that the bill would increase transparency, protect local providers, and improve services for people with disabilities seeking competitive employment. They said Kentucky has a large disability population, that many working-age individuals with disabilities are not employed, and that better oversight could help address workforce shortages and reduce reliance on public assistance. Senators asked about the disability population, age ranges served, funding, and recent changes to provider rates and selection processes. The committee then voted to pass Senate Bill 103 unanimously.

Transcript Highlights:

• The Committee on Health and Human Services is called to order.
• , the good operators who provide these services, and the state.
• , the good operators who provide these services and the state.
• are paid using the schedule and not be for service schedule. service schedule.
• The rate study focused on the fee-for-service rates.

Summary: The committee continued its fourth hearing on fraud, waste, and abuse involving Arizona’s Medicaid and behavioral health systems, with a major focus on Access/ALTCS eligibility, behavioral health licensing, and payment delays. Senator Shamp presented findings alleging large gaps in ABD Medicaid asset verification, including that only a portion of enrollees were checked and that many with substantial liquid assets remained on the program. She argued the state’s waiver and lack of asset limits created a compliance and fiscal risk, and urged referrals to law enforcement, tighter verification, and broader reforms. Heather Dukes, representing behavioral health and sober living operators, testified that ADHS and Access have become overly punitive toward licensed providers, often sending technical paperwork violations straight to enforcement instead of allowing correction plans, and that zoning and licensing delays are harming legitimate businesses. Reva Stewart testified that patient brokering and fraudulent recruitment of vulnerable people into behavioral health and sober living settings remain ongoing, especially through social media, and called for stronger accountability and enforcement against bad actors. ADHS Deputy Assistant Director Tiffany Slater said the department has received more than a thousand complaints about unlicensed sober living operations, which has diverted staff from routine oversight of licensed facilities. She said ADHS has expanded enforcement tools for sober living homes, is using a new licensing system to flag repeat bad actors, and is trying to make the application process easier, while acknowledging that inspections can tip off unlicensed operators. Access Director Virginia Roundtree described steps the agency has taken since the prior hearing, including daily staff huddles, live dashboards, added project management support, an external claims vendor, and an independent review of the Division of Fee-for-Service Management. She said Access is trying to balance fraud prevention with support for legitimate providers, and committed to follow up on a specific provider payment dispute by early the next week. Committee members repeatedly pressed Access and ADHS on delayed claims processing, prepayment review, and whether the current system is driving providers out of business. Roundtable testimony from Access staff described the new Provider Resolution Roundtables, which are intended to work with a small number of providers facing the most claims and authorization problems. Members questioned why claims are being denied or held for long periods, why some providers are still waiting on payments from 2023 and 2024, and whether the agency’s actions are sustainable. Access also explained the Targeted Investment Program, saying it is a federally approved Medicaid initiative with large dollar amounts still being paid out on a delayed schedule, and agreed to provide more information on provider participation and payment timing. No formal votes or committee actions were taken in the portion provided, but the chair indicated the committee would continue reviewing the issue and requested additional reports and follow-up information from Access and ADHS.

Transcript Highlights:

• So intensive residential treatment services reduce the need for hospitalization, crisis services, and
• eligible for federal match, while the DSHS delivered services are state-only funded services, those
• Social and Health Services.
• Social and Health Services.
• entitled to those services and the services that they utilize.

Summary: The committee held a work session focused first on juvenile rehabilitation system capacity. DCYF officials said the juvenile rehabilitation population is older, includes more adult-sentenced youth, and has longer lengths of stay, especially for “post-25” youth who must remain in secure facilities and cannot go to community beds. They described overcrowding at Green Hill School, placement limits at Echo Glen and Harbor Heights, staffing turnover, mental health acuity, and the need for more medium-security and specialized mental health beds. DCYF said it is pursuing a Parkland facility proposal, a staffing model decision package, and a broader feasibility study and master plan update. No votes were taken; members were asked to follow up with questions later. The committee then heard on behavioral health system capacity from the Behavioral Health Administration and the Health Care Authority. DSHS described growth in forensic and civil bed need, expansion at Olympic Heritage, Maple Lane, and Brockman, and construction of a new 350-bed forensic hospital at Western State expected to open in 2028. HCA reported progress on long-term civil commitment beds, intensive behavioral health treatment facilities, PACT teams, and intensive residential treatment teams, saying the community-based system is being expanded to support step-down care and reduce hospital reliance. Members asked about whether capacity is right-sized, the difference between facility types, and federal match eligibility for services. A federal funding update followed, covering the effects of H.R. 1 and H.R. 5371 on SNAP, Medicaid, marketplace coverage, long-term services and supports, K-12, higher education, and hemp regulation. OFM and agency staff said H.R. 1 adds work requirements, changes non-citizen eligibility, increases state administrative and benefit costs, reduces Medicaid and marketplace subsidies for some groups, tightens redeterminations, and may significantly affect provider payments and state-directed payments. H.R. 5371 extended federal funding through January 30, 2026 and included some agency appropriations and other provisions, including changes affecting hemp producers. Members asked about SNAP error rates and special enrollment periods. Finally, budget coordinator Mary Monroe gave a 2026 supplemental budget preview. She reviewed the state’s near general fund outlook, noting revenue declines since the enacted budget, the effect of reversions, and a preliminary maintenance-level outlook showing a projected increase in NGFO spending over the four-year period. She said the supplemental will reflect updated caseload and cost forecasts and mandatory impacts from H.R. 1, but not policy proposals. No actions or votes were taken during the session.

Transcript Highlights:

• The state general fund program has a limited service menu.
• and important services in the traditional waiver.
• The services are 100% Medicaid-required.
• Currently, there is no impact on funding for home and community-based services. community-based services
• , and all that, you get services.

Transcript Highlights:

• it, and I'll just briefly go through it, but our mission is to advocate for and provide superior service
• And so it's a very good service that we give. Then we see a lot of veterans.
• Employment Services.
• And they are spread out geographically throughout the state, as we do with all of our services.
• In 2023, military service members were added to that provision.

Summary: The Senate Committee on Veteran Affairs heard a briefing from the Texas Veterans Commission on its major programs and outreach efforts. TVC described its claims assistance, health care advocacy, education oversight, employment services, entrepreneurship support, mental health and suicide prevention work, women veterans services, grant funding for nonprofits and local governments, and support for veteran treatment courts. The agency also highlighted its communications strategy, including media outreach, events, newsletters, social media, and the Texas Veterans State Benefits Booklet, and noted that less than 58% of veterans were aware of TVC in the latest needs assessment. A committee member asked about performance metrics, and TVC said each appropriation has associated measures and that it could provide recent results. The committee then took up Senate Bill 651, which would allow a county veterans service office in a large county to report either directly to commissioners court or to a designated county executive official. Senator West explained the bill as a cleanup of current practice, and Dallas County testified in support, saying the change would streamline internal management. No opposition was heard, and the bill was left pending. Senate Bill 897 would reduce the non-state matching requirement for the Texas Veterans and Family Alliance grant program in larger counties from 100 percent to 75 percent in the committee substitute, rather than the 50 percent reduction in the filed version. Supporters from MetroCare and Emergence Health Network said the lower match would help sustain and expand veteran mental health services, citing increased demand and program growth. The bill was left pending after testimony. The committee also adopted its rules. Finally, the committee heard Senate Bill 1814, which would create an interagency database to collect and coordinate contact information for transitioning veterans so agencies could proactively connect them with services. Senator Hancock said the goal was to better use information already being collected, though he noted the bill had a significant fiscal note. The committee also heard Senate Bill 1818, which would create a temporary six-month licensing and certification process for military members and spouses assigned to Texas while they wait for letters of good standing from other states. VFW testified in support, emphasizing the importance of employment for military families. Both bills were left pending, and the committee recessed subject to the call of the chair.

Transcript Highlights:

• Gigabit service underscores the same pattern.
• , but also the most cost-effective... ...service.
• Fortunately, the Department of Health Care Services and Social Services continue to remind their customers
• Verizon doesn't offer any wireline service in California, and they offer wireline service in a number
• Many of them must choose between paying for internet service or paying for their basic essential services

Keywords: 988, house, all

Transcript Highlights:

• The state civil service law governs the appointment, promotion, transfer, layoff, removal, discipline
• Certain state employees are expressly excluded from the state civil service law.
• We want all communities to have access to the services that they are entitled to.
• These changes ultimately result in a sizable impact on fire services.
• High turnover in the current system is harming fire service delivery and public employees.

Summary: The committee heard several bill presentations and took executive action on three measures. House Bill 2249 would remove a civil service exemption for Washington Technology Solutions cybersecurity employees, allowing those workers to be covered by state civil service law; the prime sponsor and a Washington Federation of State Employees representative said the bill would correct an unintended statutory discrepancy and let similarly classified IT security staff organize like counterparts in other agencies. House Bill 2475 would direct the Office of Equity to develop uniform language-access guidelines for state agencies and address interpreter and translator shortages; supporters from the Latino Community Fund, WFSE, and the Office of Equity said the bill would improve access to public services for limited-English-proficiency residents. House Bill 2237 would require deputy state fire marshal salaries to be competitive with comparable local fire agencies and direct a report on whether the State Fire Marshal’s Office should be made independent of the State Patrol; supporters said current pay is too low and hurts recruitment and retention. House Bill 2408 was described as a cleanup bill removing expired provisions and obsolete references to the Department of Personnel and other outdated statutes, and OFM supported it. In executive session, the committee adopted amendments and reported out three bills. Substitute House Bill 2281, concerning tribal traditional cultural places and consultation, was amended to narrow consultation scope, remove a reference to “contemporary” lands, and add a three-year statute of limitations; a proposed amendment to remove the cause of action was rejected, and the bill passed 4-3. House Bill 2309, which limits OFM from treating a postgraduate degree as the only way to show qualifications unless required by law, was reported out unanimously. House Bill 2244, a Sunshine Committee cleanup bill on ethics and public disclosure, was amended to restore exemptions for certain donor records and driver case records and then passed unanimously. The committee also heard House Bill 2352, which would lower the ownership threshold for state ethics conflicts from 10% to 1% to align state law with municipal ethics rules. Representative Paulette argued the current 10% standard is too lax and weakens public trust, but no vote was taken on the bill during the meeting. The hearing on House Bill 2435, which would create a Legislative Office on Indian Affairs to provide training and resources for legislators and staff on tribal affairs, featured strong support from Representative Lekanoff, who said it would strengthen the legislature’s government-to-government relationship with tribes. The committee then recessed and later adjourned after completing the remaining hearings.

Transcript Highlights:

• ambulance services.
• The long-term viability of many services is in jeopardy if an ambulance service fails.
• ambulance services.
• getting the money I know one Services getting the money I know one service<01:05:05.720><c> in</c> service
• That's why our service and several other services will do fundraisers.

Keywords: 1183, house

Transcript Highlights:

• Kelly to come up and present the Health and Human Services budget, and she is the Health and Human Services
• services.
• In fee for service, sorry, current fee-for-service rates are lower than those paid by capitated plans
• In fee for service, sorry, current fee for service rates are lower than those paid by capitated plans
• services.

Summary: The Appropriations Committee on Health and Human Services heard a presentation on the governor’s proposed fiscal year 2026-27 budget for the health and human services silo, which totals $48.5 billion. Agency leaders outlined major requests for AHCA, APD, DCF, DOEA, DOH, and the Department of Veterans’ Affairs, including behavioral health redesign, Medicaid rate changes, developmental disability services, child welfare and opioid programs, senior services, cancer research, public health initiatives, and veterans’ facility and technology needs. The committee also received an overview of the overall state budget, which was described as $117.4 billion, up 1.1% from the current year. AHCA’s presentation focused on $71.6 million for a Medicaid behavioral health redesign, including funding for residential treatment, a serious mental illness waiver, and higher inpatient psychiatric rates for youth, plus $7.1 million to raise private duty nursing reimbursement in fee-for-service Medicaid, $2.5 million for the background screening clearinghouse, and $124.4 million for the Health Care Connection System (FX). APD requested funding to continue moving people off the pre-enrollment list and to support developmental disability centers, a new forensic facility, an electronic health record system, and higher operating costs. DCF highlighted $81.9 million for eligibility and system integrity, $187.5 million for opioid prevention and treatment, $35.5 million for community-based care lead agencies, and $72.7 million to expand behavioral health bed capacity, including 474 new beds at state hospitals. DOEA sought additional funding for Alzheimer’s services, home care, and community care for the elderly. DOH emphasized $278 million for cancer research and innovation, $5 million for food and product safety testing, $5 million for the Florida FIRST blood-on-ambulance initiative, and $5.7 million for a public lab feasibility study. Veterans Affairs requested funds for facility improvements, cybersecurity, and medication management equipment. Members asked detailed questions about several items, especially the proposed changes to the AIDS Drug Assistance Program (ADAP), which would reduce eligibility and the number of people served. Senators and public witnesses criticized the lack of transparency and urged the department to pause the changes and work with stakeholders; the Surgeon General said the issue was driven by funding constraints and federal changes, not a legal barrier, and that the agency was exploring alternatives. Questions also addressed the Office of Minority Health and Health Equity, the Kids Care/CHIP expansion implementation, the cancer research funding structure, and the timeline and cost of the FX system. Public testimony focused heavily on ADAP, with speakers warning that thousands could lose medication access and calling for community involvement and a review of the program’s finances. The committee adjourned after the presentations and questions, with no votes taken on the budget items during this meeting.

Transcript Highlights:

• Welcome to the Joint Committee on Financial Services public hearing.
• So the fee-for-service models are arranged between the hospital and the private ambulance services.
• H. 1061, an act to increase nurse midwifery services.
• We offer comprehensive services at five community health centers, including services at Dorchester House
• insurance plans to cover doula services.

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.

Transcript Highlights:

• And this can become important as we're talking about services and funding those services here in the
• We do comprehensive service reviews.
• It's going to require the most services um for people who are eligible for these services.
• They like having, you know, experts kind of tell them, you know, the service, that service, and they
• So people who are, who get off the waiting list into services can't get the services because we don't

Transcript Highlights:

• Customer service is important. Public service is important.
• services.
• They do direct services. Why do three do direct services and one does contracting?
• OK, we are going to move on to the Department of State Health Service. Services.
• . services.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• legal services.
• services they services professional services they contract<00:10:11.519><c> for</c><00:10:11.839><c>
• </c> legal services. legal services.
• </c> Administrative Services. Administrative Services.
• </c> service before. service before.

Keywords: 958, all

Summary: The committee first approved the April 13 minutes and then turned to a large agenda of contracts. Chairman Douglas said there were 52 contracts totaling about $369.3 million, and noted that most vendors were registered with the Secretary of State except for item 118 on the routine personal services green list and item 19 involving Morehead State University and Kentucky State University. The committee voted to defer item 118 to the June 26 meeting and later also deferred the Kentucky State University contract on the deferred list to the June 26 meeting. The main discussion centered on a deferred personal services contract for the Kentucky Board of Optometric Examiners, involving outside legal counsel. Senator Meredith raised concerns about KRS 320 and whether the board had authority to hire outside counsel when the statute says the Attorney General shall provide legal services to the board. Dr. Mary Beth Morris, the board president, and Christopher Thacker of the Attorney General’s office testified after being sworn in. Thacker explained that the statute and related law allow both Attorney General assistance and independent counsel, and argued that outside counsel is appropriate for day-to-day legal work because it avoids conflicts, especially on open records issues, regulatory advice, and disciplinary hearings. Senator Meredith said he agreed with approving the contract but questioned how the board had reached this point and whether the current statutes reflect modern practice. He raised concerns about transparency and accountability, referencing a prior advisory opinion involving the board’s handling of exam requirements during COVID and saying the board should have consulted the Attorney General before acting. Thacker responded that the Attorney General’s office serves the Commonwealth as a whole, not as counsel to one board, and that the board’s use of outside counsel is a reasonable and economical arrangement. The exchange ended with Meredith suggesting that broader legislative action may be needed to clarify reporting relationships and oversight for the board.

Transcript Highlights:

• Into the service fund. Correct, into the service fund.
• That would also have been an hourly service.
• Most things are moving towards platform as a service, software as a service.
• An additional $1 million of dedicated emergency communication service revenue for prepaid wireless service
• We needed some help with service desk.

Summary: The committee approved the March 26 minutes and then received a quarterly update on major IT projects from NDIT. Staff reported the portfolio included 116 major projects totaling about $546 million, with the overall portfolio under budget but slightly behind schedule. They reviewed projects over the 20% variance threshold, including an Industrial Commission grants management system and DOT’s roadway pre-construction replacement, and then heard startup and closeout reports from HHS, OMB, DPI, and DOT. Several previously troubled projects were closed, including HHS bed management, vital records modernization, and DOT roadway capital planning; some projects finished under budget and ahead of schedule, while others were significantly behind schedule or over budget but were now closed or being remediated. The committee also reviewed NDIT’s annual report, including service-fund financials, peer-state rate comparisons, records management, and customer satisfaction efforts. Members asked about how service-fund revenue and grant administrative charges are accounted for, how chargebacks work, and whether NDIT tracks customer satisfaction scores. NDIT said it does track CSAT-type measures in some service areas and has survey data, but it is not planning another customer survey this summer. Members encouraged more regular reporting of customer satisfaction, service-level metrics, and performance data to help guide future improvements. A major portion of the meeting focused on the state’s mainframe modernization effort. NDIT said the overall effort is still targeting about 2030, with multiple HHS and DOT projects underway and a $15 million tech-debt appropriation already removing some components. Staff described the main obstacles as data cleanup, complex integrations, limited staff capacity, retirements, and vendor constraints, and said they are seeking a vendor with modernization support in the next contract cycle. Members pressed for clearer accountability and faster progress, and NDIT and HHS emphasized that they are working jointly but need continued support and better tools. The committee then heard a cybersecurity update on NDIT’s statewide services and maturity assessments. NDIT explained that it provides vulnerability scanning, endpoint protection, security awareness training, threat briefings, and penetration testing, and that these services are tied to a cybersecurity maturity assessment based on CIS controls. Members questioned the sharp drop in participation since 2020 and whether the self-assessment should be mandatory or tied more strongly to StageNet access or insurance incentives. NDIT said participation is voluntary, but Enderf is now requiring annual assessments to keep a 4% insurance discount, and members discussed whether stronger requirements or audit authority may be needed. The meeting ended as the committee began a follow-up discussion on BEAD broadband connection costs and why some locations are much more expensive to connect than others.

Transcript Highlights:

• or offer new services.
• or offer new services.
• or offer new services.
• services, technology training and augmentation services, libraries on wheels, specialized services,
• digital services.

Summary: The Committee on Local Government held a public hearing on Senate Substitute No. 2 for Committee Substitute for Senate Bill 1023, sponsored by Senator Justin Brown. The bill would expand the existing authority for certain public library districts to ask voters for a sales tax, with provisions to reduce or eliminate property tax levies in some cases. Brown explained that the bill includes special carve-outs for St. Charles County, where any sales tax would be paired with a dollar-for-dollar property tax rollback over a three-year phase-out, and for Cass and Johnson counties, where the sales tax cap would be 0.33% and property tax levies would be eliminated. The bill also allows circuit courts to collect a civil case filing surcharge of up to $15 for law library maintenance. Supporters testified that the measure would give libraries more flexible and diversified funding options, similar to other local taxing entities. Library officials from Scenic Regional, St. Charles City-County, Marshall Public Library, and Kansas City Public Library said most library revenue still comes from property taxes and argued that the bill would let local voters decide whether to shift some or all funding to sales tax. They described needs such as expanding services, building new branches, renovating facilities, and protecting voter-approved taxes from uncertainty tied to county reclassification litigation. The Missouri Library Association said the bill serves as a safeguard amid broader discussions about property tax reform. There was no opposition testimony. Committee members raised questions about the fairness of shifting library funding to sales tax, especially for nonresidents who may not use the services, and about how the St. Charles amendment would work. Several members spoke in support of libraries and the bill, while one member criticized the tone of the sponsor’s response to questioning. At the close of the hearing, the chair announced the committee would executive the bill on Monday and then adjourned the meeting.

Transcript Highlights:

• at a higher rate than non-Medicaid units of services.
• services.
• There are some services, depending on the hospital type and the service delivered, some services are
• We provide services for our multilingual patients.
• Rolando Chavez with Altamette Health Services.

Summary: The joint informational hearing focused on the impacts of H.R. 1 on California’s Medi-Cal program and on community health effects from recent immigration enforcement actions. Committee leaders said H.R. 1 would sharply reduce federal funding, increase administrative burdens, and worsen access to care, especially for Medi-Cal enrollees, immigrant families, rural communities, and reproductive health patients. The second half of the hearing examined how ICE raids and related federal actions are creating fear, reducing clinic and emergency department use, and disrupting children’s access to schools and early childhood education. Department of Health Care Services Director Michelle Bass outlined the main H.R. 1 provisions affecting Medi-Cal: work requirements, semiannual eligibility redeterminations, shorter retroactive coverage, new cost-sharing, limits on provider taxes and state-directed payments, reduced federal support for emergency and lawful immigrant coverage, and a one-year ban on Medicaid funding for prohibited abortion providers. She estimated millions could lose coverage, with tens of billions of dollars in federal funding at risk. Planned Parenthood Affiliates of California warned the defunding provision could force clinic closures, service reductions, and loss of access to family planning, STI testing, and cancer screenings. The California Hospital Association said the financing changes could cut hospital revenue by tens of billions over 10 years and threaten access, especially for rural and safety-net hospitals. The Western Center on Law and Poverty argued the law would increase churn, paperwork, and uninsured rates, disproportionately harming working adults and people experiencing homelessness. Committee members asked about implementation timelines, notification systems, administrative costs, the effect on immigrant eligibility, and whether California could delay or mitigate some provisions. Bass said the state was still assessing federal guidance, planning county and provider outreach, and exploring a possible delay for work requirements and a transition period for provider-tax changes. Members also discussed how state budget actions may need to be revisited in light of H.R. 1, and how California might preserve access through state-only funding or other policy changes. In the second panel, CHIRLA, Los Angeles County Department of Health Services, and the Children’s Partnership described the health consequences of immigration enforcement. Speakers said raids and data-sharing fears are causing anxiety, trauma, and avoidance of care, with Los Angeles County reporting declines in emergency, urgent care, and clinic visits after enforcement actions. The Children’s Partnership said school and early childhood absences are rising in some communities and that enforcement is undermining children’s emotional well-being and access to education. Members asked for more data and discussed possible state protections, telehealth, mobile care, and legal and policy responses to reduce fear and preserve access to health and education services.

Transcript Highlights:

• local services and individuals with developmental disabilities.
• And so these kinds of services can really help a lot.
• Not all people with disabilities are eligible for waiver services.
• When the cut was proposed to services, When the cut was proposed to services, the gentlewoman, myself
• We want to support and incentivize the service.

Keywords: 959, house, all

Transcript Highlights:

• </c><00:01:13.439><c> to</c> the commissioner of Human Services to the commissioner of Human Services
• </c> across Minnesota's direct care services across Minnesota's direct care services for<00:02:06.200
• </c><00:05:08.680><c> organization</c> national veteran service organization national veteran service
• Services is expected to grow by 33% Services is expected to grow by 33% between<00:09:53.720><c> 2020
• , life-saving services in here.

Keywords: 1187, senate, all

Transcript Highlights:

• </c><00:03:01.159><c> it's</c> the department of Human Services it's the department of Human Services
• Department of Human Services on a fee-for-service basis.
• </c><00:06:36.880><c> certified</c> Department of Human Services certified Department of Human Services
• </c> is that the Department of Human Services is that the Department of Human Services is<00:10:01.279
• </c> debt the Department of Human Services debt the Department of Human Services really<00:10:11.920>

Keywords: 1183, house

Transcript Highlights:

• The next bill is SB 152, the human services omnibus trailer bill.
• Finally, it requires the Department of Social Services to make transition support services available
• We were able to also reject cuts to home supportive services, protect child care access, provide services
• Michael Henning, California Alliance of Child and Family Services.
• Allison Ramey, on behalf of Ultimate Health Services.

Summary: The Assembly Budget Committee met to consider the final three-party agreement for the 2026-27 state budget and 19 implementing bills, including two budget bill juniors and 17 trailer bills. Committee leadership and administration officials described the budget as a balanced plan that reduces out-year structural deficits, maintains large reserves, and makes major investments in health care, education, housing, child care, public safety, and other core services while also responding to expected federal cuts and fiscal uncertainty. The Department of Finance outlined the package’s major components, including Medi-Cal adjustments, education funding increases, higher education changes, child care and human services updates, housing and homelessness funding, energy and transportation provisions, and tax and general government changes. Members asked questions about several provisions, including CSU enrollment targets and turnaround plans, the Prop. 98 settle-up mechanism, the plastics market development payment program, housing accountability measures, NextGen 9-1-1 implementation, and veteran services. Staff and administration witnesses explained that the higher education language is intended to improve campus-by-campus reporting and oversight, that Prop. 98 settle-up would be finalized later through the statutory certification process, and that NextGen 9-1-1 now includes one-time funding, quarterly reporting, an independent technical review, and a state audit. Members also discussed the HAP homelessness funding increase to $900 million and the balance between accountability and timely distribution of funds. The most extended exchange centered on comparisons between funding for veterans and Medi-Cal/immigrant health coverage. Republican members argued the budget spends far more on undocumented immigrant services than on veterans, while Democratic members and Finance staff responded that the comparison was misleading because many veterans’ services are federally funded and the state budget also includes dedicated veteran support. The chair and other members emphasized that the budget reflects difficult tradeoffs and that the package protects vulnerable populations, preserves health care access, and advances affordability. No final vote was described in the excerpt, but members indicated support for the overall package and said they would support it on the floor.