Video & Transcript Research : 'harm reduction'

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CA

California 2025-2026 Regular Session

Assembly Budget Committee Jun 15th, 2026

Budget

Transcript Highlights:
  • In human services, the plan rejects many of the large reductions proposed by the governor in May.
  • Principally, all proposed reductions to IHSS and adult protective services were rejected.
  • It delays harmful dental cuts and cuts to our clinics.
  • In regards to the unallocated reduction, I think that's always tricky to have unallocated reductions
  • In regards to the unallocated reduction, I think that's always tricky to have unallocated reductions
Keywords: 988, house, all
Summary: The Assembly Budget Committee met to consider the 2026 Budget Act, which leaders described as the compromise budget expected to move to the floor later that evening. Opening remarks emphasized that the plan balances the budget over two years, reduces the structural deficit, and builds reserves, while also protecting core programs from federal cuts. Jason Sisney outlined the legislative budget plan, saying it uses higher-than-expected revenues and reserve balances to reject some proposed reductions and fund temporary restorations and new spending in areas such as education, child care, health care, housing, homelessness, and public safety. Department of Finance representatives said the administration appreciated the two-year balanced framework and the effort to address out-year deficits, while noting the plan includes additional spending and revenue changes. Sisney also previewed floor bills including AB 109, SB 110, SB 122, and SB 125, with SB 122 described as a modification to the tax credit proposal and SB 125 as the managed care organization tax proposal. Subcommittee chairs then described the major policy choices in their areas. Health chair Addis said the budget responds to federal health care rollbacks by protecting Medi-Cal, clinics, hospitals, dental care, and other safety-net services, while also supporting reproductive care, gender-affirming care, and county health systems. Education chair Alvarez highlighted increased school funding, expanded learning, special education, teacher support, community colleges, and a change to Cal Grant eligibility for older community college students. Other chairs emphasized child care expansions, homelessness and housing funding, prison closure and criminal justice savings, wildfire mitigation, county support for Medi-Cal and CalFresh administration, and accountability measures tied to homelessness and corrections spending. Several members also raised concerns or priorities, including the impact of the MCO tax on providers, the need for more support for local journalism, transit and climate funding, biotech and R&D incentives, and continued work on Prop 98 and long-term revenue solutions. No formal votes were taken in the portion provided, but members broadly expressed support for the budget framework and the need to continue negotiations with the administration before final passage. The committee discussion repeatedly framed the budget as a response to federal policy changes and a choice to protect vulnerable Californians while maintaining fiscal responsibility. The vice chair, citing LAO warnings about future volatility and limited reserves, pressed Finance on whether the budget represented a record-sized state budget and whether revenues were also at record levels, underscoring concerns about the state’s preparedness for a downturn.
CA
Transcript Highlights:
  • reduction to naloxone distribution.
  • reduction to naloxone distribution.
  • Any cuts to Medi-Cal will harm more Californians. Thank you.
  • And page 21 of today's agenda shows the reductions by provider payment.
  • It's a reduction, so those dollars would go away as well.
Summary: The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56. DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement. The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.
CA
Transcript Highlights:
  • A reduction in FMAP for emergency Medi-Cal.
  • So, as Director Boss laid out, you've got the reductions on the tax side.
  • I appreciated someone mentioning harm reduction.
  • As I spoke, we saw a 14% reduction from May to June in our emergency departments.
  • We cannot afford to wait until harm happens before taking action.
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.
HI

Hawaii 2025 Regular Session

HHS-AEN, HHS-HOU, HHS Public Hearings 03-12-2025

Health and Human Services

Transcript Highlights:
  • <01:15:07.400> reduction uh with Havi health and harm reduction uh with Havi health and harm
  • > Rachel<01:15:40.000> Lewis harm reduction and support Rachel Lewis harm reduction and support
  • Hawaii Health and Harm Reduction. Nicholas Le in support. Linda Beor in support.
  • Hawaii Health and Harm Reduction. Nicholas Le in support. Linda Beor in support.
  • Nicholas Li Hawaii health and harm Nicholas Li Hawaii health and harm reduction reduction reduction
Keywords: 912, senate, all
Summary: The joint hearing covered several bills focused on environmental protection and wastewater management. HB 26 HD 2, relating to environmental protection, drew support from the Department of Health, Reworld, and Energy Justice Network. Supporters said it would preserve existing standards for waste-to-energy facilities, including H-Power, even if federal EPA rules are weakened, while Energy Justice Network urged the state to go further and require stronger pollution controls on older burners at the plant. HB 734 and HB 735, both relating to wastewater systems, received broad support from state agencies, county representatives, realtors, environmental groups, and others. Testimony emphasized reducing the cost of cesspool upgrades, updating rules, and improving coordination between the Department of Health, counties, and the University of Hawaiʻi. Members raised concerns about whether some areas, such as Ewa, should be treated differently if they are not near aquifers or the ocean, but the department said the existing prioritization process already considered statewide conditions and that cesspools generally still affect water resources. On HB 735, the committee discussed the current bedroom-based limits for individual wastewater systems and whether the bill would allow more flexibility for housing configurations, with the department explaining the limits are tied to density and system capacity. HB 879, relating to cesspool conversions, was also supported by the Department of Health, Department of Hawaiian Home Lands, and several advocacy groups. Testimony said the bill would help low- and moderate-income homeowners in priority areas by increasing grant assistance for cesspool upgrades, but the Department of Health noted it would need three full-time positions to administer the program. Members asked for clarification on the grant amount and staffing costs, and the department indicated the grant cap should remain at $20,000 unless changed. HB 918, relating to labeling of non-flushable wipes, drew support from wastewater and industry groups, including the Association of Nonwoven Fabrics Industry, which said similar laws have passed in other states and that the bill reflects cooperation between manufacturers and wastewater officials. The Department of Health and county officials supported the concept but said enforcement and outreach would require additional staff, and senators questioned whether the state could effectively enforce the labeling requirement without a national standard.
CA
Transcript Highlights:
  • We are looking at the reductions to Prop 99 that impact the cancer registry.
  • We acknowledge there's about a $1.6 million reduction that results to the CCR. $720,000 will be a reduction
  • from Prop 99, and then there's an $850,000 reduction related to Prop 56.
  • However, this proposal continues to really harm seniors.
  • At the same time, public hospitals face $4 billion in reductions.
Summary: The Assembly Budget Subcommittee on Health held a May Revision hearing covering several health-related budget proposals and broader concerns about the state’s budget structure. The Chair opened by praising some May Revision changes, such as added health IT funding, county administration support tied to Medi-Cal changes, a delay in Medi-Cal cuts for some lawfully present immigrants, and additional support for Covered California subsidies, while criticizing proposed increases in Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other reductions affecting counties, mobile crisis units, workforce incentives, and physician shortages. The Legislative Analyst’s Office said the state’s budget condition remains weak despite progress on the structural deficit, and the Department of Finance said the May Revision uses a mix of reductions, reforms, revenue proposals, and fund shifts to cut out-year deficits. The committee first heard Department of State Hospitals proposals, including adjustments to county bed billing authority, contract exemption language for online clinical/pharmacy subscriptions, reversion of unspent funds, a revised Metro Central Utility Plant replacement project, electronic health record implementation, and workforce development funded partly through Behavioral Health Services Act resources. DSH also described savings and realignments in incompetent-to-stand-trial and conditional release programs, including extending the independent placement panel program and shifting funds to support additional bed capacity and a mental health rehab center. Members asked about the use of BHSA funds for workforce programs, and the department said the proposal would replace General Fund support with BHSA reimbursements. The Emergency Medical Services Authority proposed funding for statewide behavioral health crisis response guidance and for enterprise system development, and the Department of Managed Health Care proposed modernization of its complaint system and claims-settlement data system to improve oversight and comply with AB 3275. The largest discussion centered on the administration’s BHSA spending plan under Proposition 1, including state-directed prevention, workforce, and other uses, plus General Fund offsets for existing programs. The LAO questioned whether some proposed offsets fit Proposition 1’s non-supplant and eligible-use requirements, while the administration argued the uses were consistent with the measure and that the state-directed share can be adjusted annually. The Commission for Behavioral Health’s proposals drew the most public and member concern. The administration proposed cutting the commission’s Innovation Partnership Fund from $20 million to $10 million and reducing the Community Advocacy Program by $6.7 million, while redirecting BHSA dollars to other state purposes and direct services. Commissioners, advocates, and several members argued the cuts would weaken community voice, reduce support for underserved populations, and disrupt grants already in process; they also objected to using BHSA funds to backfill General Fund commitments. Public commenters, including youth, disability, behavioral health, LGBTQ, tribal, veteran, immigrant, and community-based organization representatives, overwhelmingly opposed the cuts and urged preservation of prevention, advocacy, mobile crisis, and innovation funding. No votes or final actions were taken during the hearing.
CA
Transcript Highlights:
  • Water resources from harm.
  • You said that as a physician, you have to try to prevent harm.
  • The oil harmed marine protected areas and devastated the coastal community, harming small businesses
  • It only takes one failure to do irreparable harm.
  • And so it's not about reduction intensity. It is about an aggregate total reduction.
Summary: The committee heard several climate, environmental, and housing bills. AB 1425, dealing with pit dewatering near the San Joaquin River Parkway, drew extensive testimony. The author and supporters argued the bill was needed to protect the river, groundwater, floodplain conditions, tribal and cultural resources, and public access from a proposed mining project near the river. Opponents, including Cemex, labor representatives, and industry groups, said the bill would bypass the CEQA process before it was complete, threaten jobs, and create uncertainty for an existing operation. Members questioned both sides about hydrology, blasting, dewatering, and the adequacy of the ongoing environmental review. The bill was moved, but several members expressed concern about preempting CEQA and some did not vote or voted no. AB 881, which would allow California to move forward with carbon capture and sequestration pipelines, was presented as a way to advance state climate goals and capture federal funding. Supporters, including SMUD, labor, and industry groups, said the bill would help deploy carbon capture safely and preserve jobs. Environmental justice opponents supported stronger safety direction and warned that CO2 pipelines pose serious risks and that the state should not move ahead without clearer standards. The bill received a due-pass recommendation to Appropriations. AB 1207, on the cap-and-trade allowance price ceiling and the social cost of carbon, was presented as a science-based update to California’s climate policy. The author and EDF said the bill would keep the program aligned with current economic and climate data and protect it from federal political interference. It received broad support and a due-pass recommendation. AB 1106, creating a coordinated network of air quality incident response centers, was also approved after testimony about wildfire smoke, toxic emissions, and the need for better real-time monitoring during disasters. AB 28, the Landfill Fire Safety Act, focused on the Chiquita Canyon landfill fire and related health impacts in Castaic and Val Verde; residents described serious illnesses and contamination concerns, while landfill and county representatives warned about costs and asked for more study. The committee nonetheless advanced the bill with a due-pass recommendation. The committee also heard AB 357, which would speed Coastal Commission review of student and faculty housing projects, with supporters citing student homelessness and opponents urging caution but acknowledging the need for more housing; the bill was presented and discussed, with the committee emphasizing the need to balance housing production and coastal oversight.
CA
Transcript Highlights:
  • These proposed $12 billion in budget reductions drastically and disproportionately affect our health
  • My question is surrounding the overall cost reduction.
  • Page 21 of today's agenda shows the reductions by provider payment.
  • It's a reduction, so those dollars would go away as well.
  • Well, it's a total fund reduction of about $470 million to $500 million.
Keywords: 988, house, all
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Ways and Means Jun 21st, 2026 at 11:00 am

Joint Committee on Ways and Means

Transcript Highlights:
  • And prevention, preparedness, and harm reduction efforts that save lives are now at risk.
  • We will hold on to that progress by standing firmly with harm reduction.
  • So for the sort of folks that are in my constituency that are less amenable to sort of harm reduction
  • type efforts, what percentage of those 2024... ...sort of harm reduction type efforts, what percentage
  • And there are some hospitals that are up in the 60% harm reduction.
Keywords: 995, all
Summary: The Joint Committee on Ways and Means held a Health and Human Services budget hearing in Clinton, with opening remarks from Chairs Meg Kilcoyne and Robin Kennedy, local officials, and many House and Senate members introducing themselves. The hearing focused on Governor Healey’s FY27 EOHHS and MassHealth budgets, with repeated themes of rising health care costs, federal funding uncertainty, workforce shortages, and access to care in underserved regions. Members also raised concerns about primary care shortages, rural and regional disparities, behavioral health access, maternal health, food insecurity, and the impact of federal policy changes on Massachusetts programs. EOHHS Secretary Kiame Mahaniah said the FY27 EOHHS budget totals $33.7 billion, reflecting mostly non-discretionary growth from health care costs, labor costs, caseload increases, and provider rate pressures. He highlighted targeted investments in foster care, family resource centers, maternal health, youth services, nutrition programs, immigrant legal services, and human service workforce rates, while warning that federal actions could strip roughly $3.5 billion annually from the state’s health care funding. In response to questions, he defended the administration’s cooperation with federal audits and program integrity efforts, discussed the primary care crisis, and said the state is trying to preserve core services while preparing for a more difficult FY28 budget cycle. MassHealth Undersecretary Mike Levine then described two major FY27 challenges: double-digit cost growth and the expected effects of the federal One Big Beautiful Bill Act. He said MassHealth’s proposed $22.7 billion gross budget includes a 7.5% increase and relies on a moratorium on new expansions plus targeted reductions, including a $1,000 annual adult dental cap, ending GLP-1 coverage for weight loss only, reducing care management to peer-state levels, and work groups to slow growth in PCA, adult foster care, and adult day health spending. Members questioned the impact on Boston Health Care for the Homeless, preventive care, and regional access; Levine said the changes are meant to preserve sustainability, that children and certain disabled populations remain protected, and that the administration will continue working with providers, advocates, and the Legislature on implementation and longer-term reforms.
WA
Transcript Highlights:
  • We think about crime as harm and that the youth has incurred an obligation to make amends for that harm
  • of resources, not reduction of work.
  • of resources, not reduction. point that that reduction is a reflection of reduction of resources, not
  • reduction of work.
  • of the impacts of those reductions.
Summary: The committee began with a work session on juvenile rehabilitation institution capacity, services, and staffing. DCYF Assistant Secretary Jennifer Redmond described overcrowding at Green Hill School and Echo Glen, driven by longer adult-style sentences extending past age 25, limited community placements, and small facility sizes. She said Green Hill remains above safe operating capacity, but staffing, injuries, large-scale aggression, and use-of-force incidents have improved over the past year. She also discussed Harbor Heights, a new 46-bed flex facility that had opened with 22 youth and would expand once a medical trailer arrives, as well as community transition services, vocational programming, behavior management reforms, and a request for more resources for mental health-focused facilities and staffing. Members asked about success metrics, developmental disability screening and supports, college access at Echo Glen, Mission Creek planning, and gender-responsive programming; Redmond said JR uses assessments, family involvement, and specialized living units, and that some requested funding had already been secured for returning a girls’ program at Echo Glen. The committee then heard from Team Child and the Youth Action Coalition. Greta Schultz said youth perspectives should guide system reforms and identified key concerns: overuse of sentence extensions, underuse of community transition services, continued criminal referrals from Green Hill to Lewis County, limited family contact, inadequate mental health access, and unequal education opportunities, especially for young women at Echo Glen. Justella Gonzalez, a former system-involved youth, said her time in county and state facilities was harmful, with staff mistreatment, poor education, limited therapy access, and humiliating restraint practices; she also said girls at Echo Glen lacked the same college opportunities as boys at Green Hill. Committee members asked for follow-up on county versus state experiences and on telehealth mental health services. The next presentation covered county-level services for youth involved or at risk of involvement with the justice system, led by juvenile court administrators Christine Simon-Smeyer and Judge Rachel Anderson. They outlined the juvenile court continuum from prevention and truancy work through diversion, detention alternatives, community supervision, and disposition alternatives, emphasizing evidence-based, trauma-informed, and restorative practices. Clark County was used as an example of a court that partners closely with schools and community providers, uses risk assessments and wraparound behavioral health probation, and offers detention alternatives without electronic home monitoring. They said most courts do not use detention for status offenses, but instead use court involvement to connect youth to services. They also described funding, noting that courts rely on a mix of state block grant and local dollars, and that recent cuts to early intervention funding reduced programming and staff hours. Members asked about detention for truancy, developmental disability identification, restorative justice practices, and the juvenile block grant. Finally, DCYF Assistant Secretary Nicole Rose and Katie Warren of the Washington State Association of Head Start and ECAP discussed child care and early learning impacts from recent policy and budget changes. Rose said Fair Start for Kids investments had increased child care access, provider participation, and kindergarten readiness, with more than 60,000 children in Working Connections care and rising ECAP enrollment and provider capacity. She said recent reductions will raise most family copays in 2026, delay eligibility expansions, eliminate some expanded eligibility categories, reduce ECAP slots by about 3,000, delay entitlement timelines, and cut provider supports such as rate increases for centers, complex-needs grants, trauma-informed and dual-language incentives, and infant/early childhood mental health consultation. Warren emphasized ECAP’s role in family stability, workforce participation, and reducing poverty, and noted its two-generation approach to supporting both children and parents.
DE
Transcript Highlights:
  • Substance use harm reduction.
  • Senate Bill 249 modernizes Delaware's approach to substance use harm reduction, creating a clear and
  • Requiring people to register for a harm reduction program is a significant barrier.
  • So that's what generally is used to fund the harm reduction programs.
  • And harm reduction is not condoning substance use. It is about preventing death.
Summary: The House convened with a quorum, accepted the prior day’s minutes, and read several committee reports and communications into the record. Members also observed moments of silence for two young people who had recently died, and the prayer and pledge were offered before the chamber moved into business. Consent calendar number 28, consisting of several resolutions, passed by voice vote. A large portion of the meeting was devoted to tributes and retirement remarks for Representative Jeff Holowski, who was praised by colleagues for his work on financial literacy, veterans’ issues, health care, diabetes policy, and constituent service, as well as for his military service and community involvement. Holowski thanked staff, colleagues, and his family, and said he was retiring to spend more time with his wife, children, and grandchildren. The chamber also recognized former Representative Harvey Kenton as a guest. The House then acted on several measures. Senate Bill 286, as amended by House Amendment 1, passed 40-0 and extends consumer protections and dealer equity standards to ATVs, side-by-sides, and vessels. Senate Bill 179, which updates the Delaware Sentencing Accountability Commission and its bench book/data analysis process, passed 27-14. Senate Substitute 2 for Senate Bill 23, the housing supply and affordability bill, was presented with extensive explanation and questions about local control, zoning, and implementation, but the transcript ends before a final vote on that measure. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and directing flags at half-staff, was also discussed in emotional remarks about overdose losses and the state’s ongoing response. The House later recessed for party caucuses.
FL
Transcript Highlights:
  • TO ADOPT UNIFORM RULES FOR PERMITS TO PREVENT GROUND WATER WITHDRAWALS HARMFUL TO THE WATER RESOURCES
  • AND ADOPT A UNIFORM DEFINITION OF THE TERM HARMFUL TO THE WATER RESOURCES.
  • PART OF THE CONSUMPTIVE USE PERMIT PROCESS REQUIRES AN EVALUATION OF WHETHER A WITHDRAWAL WILL HARM THE
  • , MAKE SURE THERE WILL BE NO HARM.
  • FORM OF A MYRIAD OF OPTIONS IN THE RULE FROM OFF-SITE REDUCTIONS TO ON-SITE REDUCTIONS AND IN DOING
Keywords: 999, senate, all
NH

New Hampshire 2026 Regular Session

Senate Health and Human Services (01/21/2026)

Health and Human Services

Transcript Highlights:
  • So there I don't disagree with some forms of harm reduction, but the first line of harm reduction is
  • of harm reduction but the first line of harm<01:42:27.119> reduction<01:42:27.520> is<
  • <01:45:11.040> reduction know there there's a harm reduction know there there's a harm reduction
  • <01:55:32.320> reduction welcome to provide harm reduction welcome to provide harm reduction
  • Uh, our harm reduction providers are, you know, harm reduction is absolutely a key, critical piece of
Keywords: 1191, senate, all
CA
Transcript Highlights:
  • We have one reduction proposed in Cal OES’ budget. This is a reduction of $49.7 million.
  • Related to the reduction, we did just want to flag for you that the proposed reduction could reduce service
  • It is a reduction in light of the state's fiscal budget condition.
  • Like, when we say service reduction, what specifically are we talking about?
  • Well... ...are the service reductions we're talking about.
Summary: The subcommittee heard May Revision presentations for the Office of Emergency Services, Judicial Branch, CDCR, and the Department of Justice, with the LAO offering comments and recommendations throughout. For Cal OES, the administration outlined funding for relocating the Red Mountain communications site, increased FEMA reimbursement authority, cybersecurity grants, next-generation 911 support, and a reduction to the Flexible Cash Assistance for Survivors of Crime program. Members raised concerns about VOCA backfill and disaster reimbursement, while the LAO recommended approving the 911 request with reporting, adding contingency planning for cybersecurity grants, clarifying the FEMA reimbursement language, and increasing reporting on emergency spending. For the Judicial Branch, the May Revision included funding for implementation of the Trial Nations Access to Justice Act, reductions tied to court facilities and employee benefits, and General Fund solutions such as a reduction to the pretrial release program, a reversion from the Trial Court Trust Fund, and elimination of the jury duty pilot program. The LAO cautioned that the pretrial reduction could affect detention and release decisions and recommended tighter legislative oversight over the trust fund transfer and reallocation language. Members questioned the impact of the pretrial cut, the lack of Prop. 36 court funding, and the rationale for the jury pilot elimination; the Judicial Branch said it was generally supportive of the budget as proposed. CDCR presented requests for roof repairs, fire alarm replacements, CalAIM-related costs, and trailer bill changes on incarcerated college students, mental health hiring, and tuberculosis testing, along with a planned prison closure by October 2026. The department also proposed reducing or delaying several items, including radio replacement, ADA improvements, COVID mitigation, and some facility upgrades, while adding a $125 million placeholder for consultant-driven operational savings. The LAO recommended rejecting or reducing several San Quentin-related proposals, questioned the staffing and contract medical requests, and urged more transparency on the consultant savings plan; members expressed concern about the realism of the savings targets and the potential legal or operational risks from delaying ADA and radio projects. For DOJ, the May Revision proposed ongoing funding and 44 positions to defend against federal actions, IT and accounting system upgrades, implementation funding for AB 1877, and a special fund loan. The LAO supported the KLETS connection but asked for a contingency plan if the new DMV link is delayed, noted that AB 1877 would not be fully implemented without additional funding, and recommended limiting and reporting on the federal accountability workload. Members questioned the size and permanence of the DOJ request, the use of the earlier $25 million special session appropriation, and the pace of federal litigation; DOJ said the new request would support ongoing litigation, expert assistance, and coordination across multiple cases and states.
LA

Louisiana 2026 Regular Session

House of Representatives May 27th, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • Will it harm them? Is there any material harm to me as a teacher if this passes?
  • So this bill doesn't do anything to harm a teacher in any way, shape, or form.
  • So this bill doesn't do anything to harm a teacher in any way, shape, or form.
  • So this bill doesn't do anything to harm a teacher in any way, shape, or form.
  • What agency has recommended a reduction in judges? No agency has recommended a reduction.
HI

Hawaii 2026 Regular Session

JHA Info Briefing - Tue Feb 17, 2026 @ 2:00 PM HST

Hawaii House Floor Meeting

Transcript Highlights:
  • harm reduction, education, but not just stopping there, also in treatment services and enforcement capacity
  • You know, what is this harm reduction business where if they're on opioids, is it better for them to
  • > reduction<02:05:06.159> business what is this harm reduction business what is this harm
  • The Department of Health is always concerned about the net harm.
  • Um always concerned about the net harm.
CA
Transcript Highlights:
  • The Drug Policy Alliance opposes any clawbacks to the California Overdose Prevention and Harm Reduction
  • Reduction Initiative.
  • I urge you to reject any cuts to the California Overdose Prevention and Harm Reduction Initiative and
  • We support overdose harm prevention and harm reduction initiatives, including naloxone distribution.
  • I just wanted to say that harm reduction programs save lives, and they saved my life, so thank you.
Keywords: 988, house, all
CA
Transcript Highlights:
  • . saying stigma reduction.
  • We acknowledge there's about a $1.6 million reduction that results to the CCR: $720,000 will be a reduction
  • $1.6 million reduction that a result to the CCR. 720,000 will be a reduction from Prop 99, and then there's
  • an $850,000 reduction related to Prop 56.
  • However, this proposal continues to really harm seniors.
Keywords: 988, house, all
Summary: The Assembly Budget Subcommittee on Health heard presentations on several May Revision proposals, beginning with an overview from the Legislative Analyst’s Office and the Department of Finance on the state’s budget condition and the administration’s efforts to reduce out-year deficits through a mix of revenue measures, fund shifts, and program reductions. The chair expressed support for some administration proposals, such as added health IT funding, county administration support, a delay in Medi-Cal cuts for some immigrants, and additional Covered California subsidy backfill, but also criticized proposed Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other cuts affecting counties, workforce, and rural access. The LAO said the budget still relies heavily on reserves and borrowing and urged more reserves and caution on new commitments. The Department of State Hospitals presented several proposals, including reduced county bed billing authority, limited contract exemption authority for online clinical subscriptions, reversion of unspent prior-year funds, additional lease revenue authority for the Metro Central Utility Plant replacement, funding for electronic health record implementation, and a shift of workforce development costs to Behavioral Health Services Act funds. The department also described savings and realignments in its IST and CONREP programs, including making the Independent Placement Panel permanent and adjusting funding for jail-based competency treatment and conditional release services. Members questioned the BHSA workforce funding swap, and the administration said it was part of a broader General Fund offset strategy. The Emergency Medical Services Authority requested funding for statewide behavioral health crisis response guidance and for continued operation of its enterprise systems, and the Department of Managed Health Care sought funds to modernize its complaint system and claims settlement data systems. The largest debate centered on the administration’s proposed use of Behavioral Health Services Act revenues to offset General Fund spending and fund state-directed behavioral health programs. The Department of Finance said the proposal would support population-based prevention, workforce programs, mobile crisis services, and other state-directed uses, while the LAO said it was still reviewing whether the uses comply with Proposition 1 and whether the non-supplement and eligible-use requirements are met. The Commission for Behavioral Health strongly opposed proposed cuts to its Innovation Partnership Fund and community advocacy grants, arguing that both programs are central to community voice, culturally responsive services, and statewide innovation. Commissioners and many public commenters said the cuts would reduce grants to community-based organizations, tribal groups, veterans, LGBTQ communities, youth, and other underserved populations, and that the advocacy program helps communities participate in local planning and access services. The Department of Finance defended the reductions as a way to prioritize direct services and said the programs fit within Proposition 1, but members criticized the proposal as a midstream shift that would weaken community engagement and redirect funds away from prevention and advocacy.
MN

Minnesota 2025 1st Special Session

House Health Finance and Policy Committee 5/7/25

Health Finance and Policy

Transcript Highlights:
  • reduction of the healthcare access fund. reduction of the healthcare access fund.
  • Line 1361 is a reduction to funding.
  • Line 1377 is a reduction to grants.
  • And my to proposed reductions.
  • <00:35:00.240> that worked hard to find reductions that worked hard to find reductions that
Bills: HF2435