Video & Transcript : 'salary parity' :
Page 16 of 296
NM
Transcript Highlights:
- includes recurring appropriations to the Department of Health and UNM Health Sciences, establish parity
- for occupational therapists, increase salaries for graduate medical students, and...
- Professional therapists, increased salaries for graduate medical students and fellows, increased clinical
Committee:
Senate House Appropriations & Finance
Summary:
The committee took up House Bill 2, the General Appropriations Act, and reviewed the Senate Finance Committee substitute and amendments. Staff described the budget as balanced, with recurring growth of about 2.65% and reserves maintained at roughly 28% if the related disaster reform bill passes. Members discussed the bill’s major spending areas, including health care, child care, public safety, economic development, natural resources, and education, along with technical corrections, cleanup items, and where the public could find the revised bill online. There was also discussion of contingent appropriations that depend on other bills passing, and staff said a hot list of those items would be circulated.
Several members asked about specific allocations, including university athletics and facilities funding for UNM and NMSU, tourism, the State Racing Commission, the Spaceport Authority, and school-related items. The committee also discussed reserve levels, oil and corporate income tax revenue assumptions, disaster and fire recovery funding, and concerns about fraud, waste, and abuse in emergency spending. Members raised questions about a Gallup DA funding issue, online school funding, and a personal care/health care item in the Health Care Authority budget. Staff clarified several line items and explained that some appropriations were tied to future legislation or temporary provisions.
After debate, the committee adopted the Senate Finance Committee amendments and then voted on the committee report for House Bill 2. The motion to do pass House Bill 2 as amended passed 8-3. The chair noted that the committee would need to return later because of caucuses and the floor schedule, and staff thanked members for the process and preparation.
MO
Transcript Highlights:
- That benefit, when an 80-and-out retiree is about equivalent to 70 to 75% of the last salary.
- So 70 to 75% of that last salary is the first monthly benefit.
- That benefit, when an 80-and-out retiree is about equivalent to 70 to 75% of the last salary.
- So 70 and 75% of that last salary is the first monthly benefit.
- And it doesn't make it parity.
Committees:
House Pensions , House Local Government, Elections and Pensions
AZ
Transcript Highlights:
- 3 reading plan; HB 4042, termination per child; HB 4043, training AED CPR; HB 4044, public safety parity
- HCR 2044, public safety parity; HCR 2048, elected official salary; HCR 2051, ballot circulators; HCR
FL
Florida 2026 4th Special Session
February 5, 2026 - 09:00 AM
Transcript Highlights:
- Where is the parity? Where's the equity in this? You know, it's William Dale Clark: this is here.
- Are we going to give them the same parity?
- Constitutionally protected, state legal, parity.
- Right here in Florida, FDLE in 2025 added a 40-hour continuing education class salary incentive for seasoned
AZ
Transcript Highlights:
- strike everything amendment in the chairman's name to Senate Bill 1515 establishes the public safety parity
- It redirects a portion of budget stabilization fund investment earnings to the parity fund.
- then allows DPS and corrections to get bonuses, not ongoing pay, off of that money that goes in the parity
- I'd also like to bring to your attention that this pay parity fund is 25 years old but never had a true
- protecting us from somebody getting out right now, but we can't give them a raise to bring them up to parity
Committee:
House House Commerce Committee of Reference
Summary:
The committee took up a series of Senate bills, beginning with SB 1421, a contentious measure restricting financial institutions and check cashers from accepting certain identification from unauthorized immigrants and limiting remittance transfers without proof of lawful status. An attempted strike-everything amendment by Rep. Villegas would have redirected the bill to authorize tax-deeded property sales for affordable housing, but the committee rejected that amendment. After public testimony both for and against the underlying bill, the committee voted 6-2 to give SB 1421 a due pass recommendation.
The committee then approved SB 1254, which revises Industrial Commission of Arizona statutes, including renaming certain positions, shifting boiler and elevator oversight, and requiring fee schedules to be posted online. It also passed SB 1515, which creates a public safety parity fund for retention pay and benefits for DPS and corrections employees using investment earnings from the budget stabilization fund; supporters cited vacancies, turnover, and pay gaps, while opponents argued the state should fund raises through the general fund. Both bills received due pass recommendations after amendment adoption and roll call votes.
Other measures considered included SB 1206, which restricts adjusters and contractors from soliciting work during active loss events or emergency responses, with an exception for essential services; SB 1563, which continues the Barbering and Cosmetology Board and lowers certain fee caps; and SB 1649, which creates a digital assets reserve fund, though an amendment to turn it into a transparency measure on employers receiving public assistance was rejected. The committee also passed SB 1290 after rejecting an amendment on emergency price controls and adopting a Carter amendment clarifying HOA executive sessions may be closed only for discussion without action; testimony on that bill focused heavily on HOA transparency versus privacy concerns. Finally, the committee approved SB 1670, a contractor licensing preemption bill, and SB 1671, which continues the Department of Gaming and related commissions and updates reporting and conflict-of-interest requirements, with the department supporting the continuation and amendment language.
NM
Transcript Highlights:
- funding for the Department of Health and UNM Health Sciences to establish occupational therapist parity
- We are also ensuring that out-of-pocket costs are lowered by providing educators with an 80-20 parity
- And they're the ones that, yes, maybe 1% to you and me of their salaries wouldn't mean too much in terms
- We all thought, because until the very last minute, the 1% salary increase for state workers was in there
- But I mean, we're talking about an average salary, a family of...
Summary:
The Senate convened with a quorum, prayers and pledges, and several procedural announcements, including permission for cameras, a relaxed dress code for guests, and excusing a few senators. Members also recognized numerous guests and honorary lieutenant governors, and discussed a planned bolo tie contest tied to New Mexico tradition and state history. The chamber then moved to business, including the confirmation of Anna Silva as Secretary of the General Services Department.
The confirmation drew broad support from senators on both sides, who praised Silva’s long career in state government, her management experience, and her work on major projects such as the executive office building, procurement reforms, and facilities management. After debate, the Senate voted unanimously to confirm her appointment. Silva’s family and guests were recognized from the floor after the vote.
The Senate then took up House Bill 2 and 3, the state budget. Senator Muñoz presented the Senate Finance version as a balanced budget with about $11.1 billion in spending, 27% reserves, recurring investments in health care, early childhood, public safety, education, roads, housing, and economic development, and targeted nonrecurring spending for items such as water, universities, and innovation sectors. Supporters emphasized affordability, teacher health insurance parity, medical residency funding, rural and community investments, and public safety funding. Critics raised concerns about the size of the budget, the late availability and complexity of the bill, the removal of a proposed 1% pay raise for state employees, and whether spending priorities and education dollars were being allocated effectively. No final vote on the budget was shown in the transcript excerpt.
MN
Minnesota 2025-2026 Regular Session
Legislative Commission on Pensions and Retirement - 02/24/26
Minnesota Senate Floor Meeting
Transcript Highlights:
- eligible salary for PAR purposes.
- Um, and then pension salary purposes.
- And so we would ask to get to parity with the other Minnesota pension plans.
- And so we would ask to get to parity with the other Minnesota pension plans.
- The total cost to provide that parity would be $12 million per year, or 3.7% of pay.
MO
Transcript Highlights:
- want these flexibilities or inconsistencies in their payments, you know, having to do with their salaries
- want these flexibilities or inconsistencies in their payments, you know, having to do with their salaries
- But when you guys passed SALT parity, oh, sorry—introduce you. Yeah. My name is Zach Wyatt.
- The thing is, when SALT parity was passed, the legislature called it a credit, but it acted still as
Committee:
House Ways and Means
TX
Transcript Highlights:
- staff returning to work within 12 months of retirement. to bring back the experienced teachers, fund salary
- You've heard the lingo of pay parity. need the protection parity and if these high-cost full-sped students
- The staff in my high school spend their own money, despite their already meager salary, to care for students
Committees:
Senate Education , Senate Education K-16
CA
California 2025-2026 Regular Session
Joint Hearing Assembly Arts, Entertainment, Sports, and Tourism Committee and Joint Committee on the Arts May 14th, 2025
Transcript Highlights:
- For instance, the SAG-AFTRA-supported Performing Artist Tax Parity Act—say that 10 times fast—has been
- our grants: three from the IMLS, totaling about $410,000, of which $140,000 are directly funding salaries
- Funding, salaries, teaching artists, and overhead, and a $30,000 grant from the N.A. that supports a
- The earnings are well above average for the state's salary work, and we know what those sectors are that
- But this project and parts of my salary were funded by two grants that we were awarded: one three-year
Summary:
The joint informational hearing focused on how recent federal actions are affecting arts, culture, humanities, libraries, museums, and the creative economy in California. Chair Ben Allen and Vice Chair Chris Ward opened by describing the hearing as a response to proposed and ongoing federal cuts to the NEA, NEH, IMLS, and public broadcasting, as well as grant terminations and leadership changes at cultural institutions. Several members emphasized the economic and civic importance of the arts, while one Republican member argued for greater ideological diversity in the arts and noted the loss of music programs in small schools.
Testimony from Aaron Harky of Americans for the Arts and Jolie Fisher of SAG-AFTRA described the impact of federal policy on grants, jobs, and production. Harky said executive orders and the FY 2026 budget proposal threaten arts agencies and arts education, and that rescinded grants are causing hiring freezes, shutdowns, and losses for small organizations, especially in rural and underserved communities. Fisher focused on runaway film and television production, outdated tax rules, and the need for federal incentives, intellectual property protections, and action on AI and digital replicas. Members also discussed bipartisan support, the role of business and tourism partners, and the need to include more diverse voices in arts advocacy.
The second panel featured Rick Noguchi of California Humanities, Greg Lucas of the State Library, and Danielle Purcell of the California Arts Council. Noguchi said NEH funding was cut immediately, putting California Humanities’ grantmaking and documentary programs at risk and prompting consideration of litigation and possible state support. Lucas reported that IMLS funding for California libraries was briefly canceled but partly restored, though a budget gap remains. Purcell said the California Arts Council is still awaiting federal award language for state partnership funds, but NEA grant terminations and the proposed elimination of federal cultural agencies create major uncertainty; she also said the council is assessing the damage and tracking impacts on grantees. Members asked about measuring outcomes, AI’s threat to creative work, documentary funding losses, and possible state and national strategies to protect cultural institutions and jobs.
CA
California 2025-2026 Regular Session
Senate Appropriations Committee Jun 15th, 2026
Transcript Highlights:
- that provided students access to a comprehensive education, and when I could apply to an ongoing salary
- schedule to pay teachers a competitive salary.
- A second voting student regent will also allow the UC to have parity with CSU and CCC counterparts, allow
Summary:
The Senate Committee on Appropriations heard SCA 5, the Education Equalization Act, which would create an Equalization Reserve in the General Fund funded only in strong budget years with non-Prop 98 dollars. Senator Cortese and supporters argued it would provide a stable, ongoing stream of funding to reduce per-pupil disparities between basic-aid and non-basic-aid districts without reducing the Prop 98 minimum guarantee. Supporters included education foundation, school board, administrator, employee, and business representatives. Opponents, including the California Charter Schools Association, argued the measure unfairly excludes charter and county school students and could worsen inequities; some committee members also raised concerns about its fiscal effects and constitutional structure. The committee ultimately voted 4-0 to adopt SCA 5, with the measure kept on call for additional members.
The committee then took up a series of Assembly bills, most of which were suspense-file candidates and were moved without objection after brief or waived presentations and no opposition testimony. AB 402, AB 708, AB 1080, AB 1126, AB 1235, AB 1555, AB 1641, ACA 7, AB 1672, AB 1943, AB 2565, and AB 2571 were all sent to suspense. AB 1204 drew testimony from school district leaders and coalition members who said it would worsen LCFF funding disparities by shifting future growth away from the base grant; the bill was opposed and moved to suspense. AB 1672 received support from CalPACE. The Department of Finance did not attend and had no comments on the measures.
Finally, ACA 18 was presented as a constitutional amendment to double student voting seats on the UC Board of Regents, creating separate undergraduate and graduate student representation. The author and UC student witnesses said the change would strengthen student voice on issues such as tuition, housing, basic needs, and free speech, and would align UC with CSU and community college governance. There was no opposition testimony, but the committee treated ACA 18 as a suspense-file candidate and moved it to suspense without objection. The hearing then adjourned.
MN
Minnesota 2025-2026 Regular Session
Vets Committee Meeting - 2025-03-12
Veterans and Military Affairs Division
Transcript Highlights:
- Bring peace and parity back. I don't know what else to say.
- this biennium, have never been fully funded, and so we've had to use those burial fees to support salary
Committee:
House Veterans and Military Affairs Division
NM
New Mexico 2025 Regular Session
IC - Legislative Finance Jun 25th, 2025
Transcript Highlights:
- appropriation that was targeted specifically for master level licensed social workers. 10% temporary salary
- And then the last question, you mentioned that you have given a 10% increase of salary.
- We also have welcomed Head Start teachers into the pre-K parity, and that has been a real strength of
- There's other things that other states have done that have brought parity without putting more time,
- And so we do partner with CYFD to provide wage supplement as well as the pay parity.
CA
California 2025-2026 Regular Session
Assembly Health Committee Apr 29th, 2025
Transcript Highlights:
- federal law already require that mental health and substance use disorder services be covered at parity
- federal law already require that mental health and substance use disorder services be covered at parity
- AB 1429: For the past 20 years, DMHC has routinely cited Kaiser for violating mental health parity and
- This is about upholding our commitment to mental health parity, ensuring all Californians can access
- . which is of the clinic, which is the community that they serve, not directed to salaries of CEOs or
Summary:
The Assembly Health Committee heard a long agenda of health bills focused on access to preventive care, behavioral health, hospital services, and patient safety. Early items included AB 554, which would expand and protect access to HIV prevention drugs like PrEP, including injectable forms and coverage protections; supporters said it would shore up access amid federal threats, while insurers opposed it as a costly benefit mandate. AB 577 would limit insurer and PBM practices that steer medications away from physician offices and require more transparency and patient consent; doctors and patient advocates supported it, while health plans and insurers warned it could raise drug costs and disrupt specialty pharmacy networks. AB 546 would require coverage for portable HEPA purifiers for vulnerable enrollees during declared emergencies, especially wildfire smoke events, with support from air quality and public health groups and opposition from insurers concerned about benefit expansion and cost.
The committee also heard AB 224, which would codify California’s updated essential health benefits benchmark plan after a public review process, adding infertility treatment, hearing aids, and durable medical equipment if approved by CMS for the 2027 plan year. DMHC said the state had completed the review and needed legislation to meet federal timing, and the measure drew broad support. AB 1032 would require plans and insurers to reimburse up to 12 additional behavioral health visits for enrollees in wildfire-affected counties for a limited period after an emergency; supporters argued it would fill gaps in trauma care after disasters, while insurers said existing parity and continuity-of-care rules already address the issue and that the bill could create inequities. AB 849 would require trained chaperones for sensitive ultrasound exams and training on how to observe and intervene; it was backed by a survivor and patient advocates, with hospitals and health districts raising staffing concerns.
Later, AB 1196 would direct the Department of Public Health to update outdated rules requiring three surgeons for certain heart surgeries using cardiopulmonary bypass; supporters said the rule no longer reflects modern practice and strains staffing, while cardiology representatives had no formal opposition but wanted to review amendments. AB 1113 would codify a right to wear a mask for health reasons in public spaces, with support from disability and public health groups. AB 1386 sought to add perinatal care to the list of basic hospital services, prompting testimony about maternity ward closures, workforce shortages, and rural access; the author said the bill would be amended further and that the committee would need to revisit timelines and implementation details. The committee also heard AB 1429, which would address Kaiser’s repeated mental health parity violations and improve access to behavioral health care, though the transcript cuts off before any action on that bill is shown. Several bills were moved with motions and seconds, but many were held for quorum; AB 1196, AB 1113, and AB 1386 were among the measures advanced to a roll call or held on call, and the committee repeatedly noted that final votes would occur when quorum was available.
MO
Missouri 2026 Regular Session
2026 Legislative Session - Day Sixty Nine - Wednesday, May 13
Missouri House Floor Meeting
Transcript Highlights:
- my experience, these are usually retired police officers or sheriff's deputies, and you pay them a salary
- And you pay them a salary.
- in this amendment is for Missouri S corporations, and this is primarily just bringing Missouri in parity
- S corporations, and this is primarily just bringing Missouri in parity with the feds.
- They have fancy titles and high salaries. They have the financial incentive to divide us.
Summary:
The House opened with prayer, the Pledge of Allegiance, and approval of the House Journal by roll call vote, 123-0. Members then used points of personal privilege to recognize National Police Week, honor fallen officers, and offer extended tributes to departing colleagues and a departing representative, followed by numerous introductions of special guests, interns, students, and visiting groups from schools and universities.
The chamber then received Senate messages and committee reports before taking up House Bill 1839, 2921, and 3015 together. The sponsor described the measure as a technical correction to online age-verification language related to pornography, and members noted the bill had already passed the House and Senate overwhelmingly. The House concurred in Senate Amendment 1 by a vote of 104-30, then adopted the conference/TAFP motion and finally passed the package 112-25.
Members next considered House Bill 2596 in conference committee. The sponsor explained the bill as a small-business health plan measure that also included a negotiated amendment expanding private insurance coverage for contraception from a six-month to a 12-month supply, while removing Senate-added blood pressure cuff language and adding a severability clause. After debate about the process and policy, the House adopted the conference report 120-26 and then third-read and passed the bill 119-27.
The final major item was Senate Bill 905, creating the Missouri Ranger training program to allow school districts, if they choose, to place specially trained personnel with narrow law-enforcement powers in schools. Debate focused heavily on school safety, local control, funding, training, and whether armed personnel in schools would help or harm students. Supporters argued it would provide an optional, low-cost safety tool, especially for districts without school resource officers; opponents argued it would escalate fear, resemble a prison environment, and fail to address mental health and other root causes. The House moved the previous question, adopted the amendment, and continued debate on the bill.
AZ
Transcript Highlights:
- So we're trying to have parity there.
- a legislative salary of $100 per year.
- Lastly, the bill sets the annual salary of state legislators at 60% of the governor's salary, beginning
- Because the Legislature has tagged a number of salaries to these judicial salaries, raising the salaries
- So when you increase the Superior Court judges' salary, you're increasing the salary for JPs, court commissioners
Bills:
SB1041 , SB1088 , SB1118 , SB1128 , SB1168 , SB1176 , SB1189 , SB1207 , SB1250 , SB1272 , SB1274 , SB1286 , SB1428 , SB1457 , SB1461 , SB1503 , SB1519 , SB1537 , SB1582 , SB1618 , SB1654 , SB1713 , SB1827 , SCR1012 , SCR1020
Keywords:
electronic monitoring, nursing care, assisted living, resident rights, privacy, consent, surveillance, cybersecurity, homeland security, artificial intelligence, state appropriation, VPN security, zero trust, housing, zoning, middle housing, urban development, duplexes, triplexes, fourplexes
TX
Transcript Highlights:
- They've just negotiated their starting salary, and they've just begun, right?
- So SB 26 increases teacher salaries, right?
- We're always looking at the salaries for all our employees.
- The average salary of that group of staff is about $40,000.
- , and salary growth tends to flatten over time.
Committees:
Senate Education , Senate Education K-16
CA
California 2025-2026 Regular Session
Assembly Select Committee on Effective Postsecondary Career Technical Education and Workforce Development Programs Dec 11th, 2025
Transcript Highlights:
- And the starting salary for every one of our graduates in our bachelor's degree programs, along with
- our... ...fire academies, have starting salaries in the six-figure income.
- Again, starting salaries in the six-figure income.
- And I certainly didn't have a starting salary of six figures.
- Parity with what they can earn overtime versus what we're paying, I think that would also help out a
Summary:
The hearing opened the Select Committee on Effective Postsecondary Career, Technical Education, and Workforce Development Programs at Santa Ana College, with Assemblymember Mike Fong emphasizing the need for affordable, accelerated pathways into high-demand careers and noting his bill AB 1098 creating the California Interagency Education Council. Chancellor Marvin Martinez welcomed the committee and urged changes to AB 927 to remove the “duplication” barrier for community college bachelor’s degrees, arguing that applied baccalaureate programs can lead to high-wage jobs and expand access for low- and middle-income students.
The first panel focused on statewide workforce trends and policy. California Community Colleges Vice Chancellor Anthony Cordova highlighted credit for prior learning, Strong Workforce funding, dual enrollment, and apprenticeship growth, asking the Legislature to restore and increase Strong Workforce funding and expand applied baccalaureate degrees. LAEDC’s Josep Bilayo described regional labor market data showing growth in health care, education, construction, bioscience, and clean energy, while stressing the need for employer-led, data-driven programs, wraparound supports, and flexible funding. Andrew Gonzalez of the Building and Construction Trades Council argued that registered apprenticeship must be paid, combine classroom and on-the-job training, and end in a portable credential; he also promoted apprenticeship readiness programs, community workforce agreements, and stronger exposure to trades starting in K-12. Eric Morrison Smith of the Alliance for Boys and Men of Color discussed the California Opportunity Youth Apprenticeship Grant Program and related youth apprenticeship recommendations, including bridge programs, intermediary infrastructure, reduced employer barriers, and better coordination of state funding.
A later panel highlighted Santa Ana College’s fire technology and firefighting academy programs. President Annabelle Neri and Vice President Jeffrey Lamb said the college is one of the state’s largest fire training providers, with strong partnerships with local fire agencies, law enforcement, and the U.S. Forest Service, and with high job placement and six-figure starting salaries for some graduates. They also described related certificates, advanced officer training, wellness services, and workforce preparation such as mock interviews and sponsorships. Throughout the hearing, members and panelists repeatedly stressed the importance of aligning education with labor market demand, expanding apprenticeships and work-based learning, and using regional collaboration to connect students to living-wage careers.
FL
Florida 2025 Regular Session
October 15, 2025 - 08:00 AM
Transcript Highlights:
- CALCULATED WERE MODELED TO BE BUDGET NEUTRAL AND WITH IN LEGISLATIVE APPROPRIATIONS AND TO MAINTAIN PARITY
- THE FLUCTUATION CAN BE ITEMS SUCH AS SALARIES, WORKFORCE BENEFITS, INSURANCE OR COSTS, SECOND, THE KEY
- I NEED TO KNOW THE WHAT I APPLY A WAGE ADJUSTMENT TO SALARY AND FRINGE.
- I'M ADJUSTING EVERYONE'S SALARY AND FRINGE.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services Mar 26th, 2026
Transcript Highlights:
- Because the companies only offer them part-time, four hours, five hours, and with the salary minimum
- that they're paying, although it's a company that is paying $20, for to say, above the salary minimum
- The company that is paying $20, for saying so, above the salary minimum, is not sufficient to live in
- minimum, that's the salary minimum, that are $16.90, after to gain $21.47, and only the days of the
- No plan of pension, no holidays, no, nothing, nothing, what I've got to say, the salary minimum, and
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.