Transcript Highlights:

• day.
• for day for the care of those veterans with us.
• They pay us day for day by the person who's in residence.
• , even for days a veteran is out seeking full inpatient care somewhere.
• That's not just day-to-day costs.

Committee: House A&B Health Subcommittee

Keywords: 914, all

Transcript Highlights:

• And so then they went to two, three days a week, and now they're one day a month.
• I know how to take care of that.
• of session, and by the third day of session, or second day of session, you've teed everything up to
• I never meet the first day because it's opening day, and the following Monday is a holiday.
• To that point, Wyoming has a 40-day session, followed by a 20-day budget session, I wish, and I vote

Committee: House Government

Keywords: 1182, all

Transcript Highlights:

• On Mother's Day 2021, Governor Newsom promised California moms an additional 200,000 child care slots
• Child Care.
• Child Care.
• So it's important that we take care of them and take care of the one, take care of them because they
• They have critical medical issues that I should take care of almost 24 hours a day.

Summary: The hearing began with opening remarks on the Governor’s May Revision for child care and human services, with committee members and advocates stressing that the budget should not be balanced on the backs of low-income families, children, and providers. Legislative members and public witnesses strongly opposed the proposed suspension of the child care COLA, reductions to the Emergency Child Care Bridge Program, and the lack of codified rate reform tied to the alternative methodology. Several speakers also urged more support for providers affected by the Eaton fire and other disasters, and called for child care to be funded at the true cost of care and for additional slots to be restored. Administration, LAO, and Department of Education staff described the child care proposal as maintaining existing funding levels while adding administrative resources to prepare for federally required prospective payment changes and single-rate reform. The administration said the May Revision would suspend the 2025–26 COLA and reduce Bridge Program funding to align with utilization, while the LAO raised questions about the size and purpose of the proposed rate-reform and prospective-payment funding and recommended rejecting a Department of Technology exemption. CDE supported continued early education investments but said it would need additional resources if prospective pay were extended to state preschool, and it objected to a proposed reallocation of preschool funds for inclusive education grants. The committee then moved to the IHSS portion of the May Revision. DSS outlined five major proposals: capping provider work hours at 50 per week, eliminating IHSS for undocumented adults age 19 and older, shifting certain Community First Choice reassessment penalties to counties, reinstating the Medi-Cal asset test as a conforming IHSS reduction, and automating the termination of IHSS when Medi-Cal eligibility ends. DSS also discussed funding to implement a federal HCBS access rule and a separate reassessment of IHSS administrative methodology that found counties would need additional administrative funding. Finance said the proposals were intended to slow program growth and improve sustainability, while the LAO said it was still analyzing the package and raised concerns about implementation, county workload, and the potential loss of services. Committee members and public commenters criticized the IHSS cuts, especially the overtime cap and the elimination of services for undocumented adults and people affected by the asset test. Advocates argued that IHSS workers and recipients depend on these services, that county administration is already underfunded, and that the proposals could destabilize vulnerable consumers. The chair closed by saying the committee would continue to fight for child care and would not pause on child care, and the meeting recessed before moving on to the remaining May Revision items.

Transcript Highlights:

• Dated this 11th day of February, 2026.
• Yolanda, who is also a nurse here on Nurses Day.
• Yolanda, who is also a nurse here on Nurses Day.
• Forty-five days.
• Tyler Village, and foster and relative care services.

Summary: The House convened with prayer, the Pledge of Allegiance, and several guest introductions and proclamations, including International Mother Language Day, Arizona Nurses’ Day, Environmental Day, Teamsters Local 104, and Arizona Aerospace Day. Attendance was recorded at 57 present, zero absent, and three excused. The chamber also announced committee meetings, bill referrals, and later adjourned until Thursday, February 12, 2026. The main floor action centered on House Bill 2785, a taxation measure tied to federal tax conformity. Members debated whether Arizona should conform to federal tax changes, with supporters arguing it would validate current tax forms and provide tax relief, and opponents warning it would mainly benefit wealthy taxpayers and corporations while reducing state revenue. The bill passed 32-26 with two not voting. The House then resolved into Committee of the Whole for two calendars of bills. In Committee of the Whole, the House advanced HB 2190, HB 2206, HB 2396, HB 2442, and HB 2448, all on health and human services topics, with amendments adopted on the first three. HB 2206 drew extended debate over SNAP payment error rates and whether the bill would impose an unfunded mandate and make benefits harder to access; supporters said it would reduce waste and save money, while opponents said it would set DES up for failure. HB 2396, which would restrict certain SNAP purchases, drew testimony over whether it would improve nutrition or unfairly limit low-income families and create a “food police” system. HB 2442 and HB 2448 also drew criticism over added SNAP work requirements and limits on agency waiver authority during recessions. The Committee later advanced HB 2688, HB 2689, HB 2690, HB 2796, and HB 2797, including bills on government staffing, hospital immigration-status data collection, unemployment benefits, SNAP eligibility/redeterminations, and fraud reporting. HB 2689 prompted sharp opposition over fears it would deter immigrants and mixed-status families from seeking medical care, while HB 2796 and HB 2797 were criticized as adding administrative burdens and duplicative SNAP checks. The House adopted the Committee of the Whole report, and a motion to amend the report to show HB 2689 failed was rejected 24-32.

Transcript Highlights:

• patient care and less on the bureaucratic barriers to care.
• </c> year four to ensuring that patient care year four to ensuring that patient care is<00:04:26.280>
• But this is a great day for health care in Kentucky, and when providers and patients see this streamlined
• But this is a great day for health care in Kentucky, and when providers and patients see this streamlined
• Right now it's a 30-day turn.

Keywords: Meeting Start: 00:00 Roll Call: 00:13 HB423 Discussion: 01:38 HB423 Vote: 12:30 HB415 Discussion: 13:50 HB415 Vote: 15:13 HB390 Discussion: 16:30 HB390 Vote: 21:48 HB3 For Discussion Only: 23:15, 958, all

Summary: The committee first took up House Bill 423, a prior authorization reform measure sponsored by Representative Kim Moser. A committee substitute was adopted to clarify that the bill’s prior authorization exemption program does not apply to Medicaid. Supporters, including the Kentucky Medical Association, said the bill would reduce red tape, improve transparency, and let providers spend more time on patient care. The bill would create a framework for insurers to establish a gold carding or waiver program for certain health services, exclude prescription drugs, prohibit retrospective reviews based solely on an exemption, and require annual reporting by the Department of Insurance and the Department for Medicaid Services. After questions about how exemptions would work and whether the bill addressed repeat prior authorizations, the committee voted to pass HB 423 with favorable expression. The committee then considered House Bill 415, sponsored by Representative Pollock and supported by AFLAC representatives. The bill was described as clarifying that health insurance coverage mandates are generally intended to apply only to primary major medical policies. With no substantive opposition or questions, the committee voted to pass HB 415 with favorable expression. Finally, the committee heard House Bill 390 from Chair Meredith, presented with support from multiple insurance industry representatives and the Department of Insurance. The bill would move motor vehicle insurance verification data from the old system to the CAVIS database and shorten the reporting turnaround from 30 days to a ceiling of seven days, with the possibility of a shorter period by regulation. After brief discussion and no objections, the committee voted to pass HB 390 with favorable expression. The committee also heard House Bill 3 for discussion only, sponsored by Representative Neighbors and supported by the Kentucky Pharmacists Association. The bill would require Kentucky Medicaid to reimburse pharmacists for covered clinical services they already provide, aligning Medicaid with existing commercial insurance policy. Supporters argued it would improve access, especially in underserved areas, and could reduce emergency room use and improve outcomes; the bill was not voted on during this meeting.

Transcript Highlights:

• care uh the majority of school age care really<00:09:31.079><c> comes</c><00:09:31.279><c> from</c><
• </c> uh that's that school age child care uh that's that school age child care Levy<00:09:37.040><c>
• </c> in those out of school time Child Care in those out of school time Child Care settings settings
• International Day.
• They come in multiple times to provide dental care through cleanings and different care.

Committee: Senate Education Finance

Keywords: 1187, senate, all

Transcript Highlights:

• In 2023 there were 60 incidents in which a youth who was in out-of-home care spent 90 consecutive days
• This is once again leaving the families who work every day to provide total care for their children left
• care.
• I'm Andrea Day, the director for the Division of Child Care. >> No, not sorry.
• day to day what was going on.

Keywords: 958, all

Summary: The committee met with a quorum and first heard brief presentations on Kentucky’s 2025 Preventive Health and Health Services Block Grant and Title V Maternal and Child Health Block Grant. Department for Public Health staff explained that the preventive health block grant provides about $2.3 million annually and supports programs such as accreditation and performance improvement, local health department grants, community health workers, prescription assistance, asthma and COPD programs, workforce development, and a sexual assault programs set-aside. They said the Title V block grant provides about $11.7 million, with 35% directed to children and youth with special health care needs and 65% to maternal and child health populations, largely through local health departments and a five-year needs assessment process. After no questions, a motion was made and seconded to approve both block grants. The roll call vote passed 19-0, and the two block grants were approved. The committee then approved the minutes from the prior meeting. The next item was a discussion of the child waiver created in House Bill 6. Committee members raised concerns that the proposed 1915(c) waiver did not match the legislature’s intent, which they said was to move children from the Michelle P. waiver to free slots for adults. Cabinet officials from DCBS, behavioral health, and Medicaid described the proposed “Community Health for Improved Lives and Development” waiver as a targeted home- and community-based program for children under 21 with severe behavioral health or developmental needs, including those stepping down from inpatient or residential care or at risk of out-of-home placement. They said the waiver is designed for about 100 slots, uses a standardized needs-based assessment, and includes case management, community living supports, home modifications, respite, supervised residential care, and clinical therapeutic services. Officials said the public comment period ended July 15, responses are being compiled for August submission to CMS, and the waiver is part of the broader Families First initiative.

Transcript Highlights:

• Home care, yeah, thank you, Home Care Association of Board Waving and Support.
• , that's a day care program for medically fragile children, continue with enhanced coordination.
• Some are under managed care, some are not.
• Some are under managed care, some are not.
• and access to care, and enhancing patient treatment and continuity of care.

Summary: The committee met to consider a large agenda of health and human services bills, moving quickly because of a two-hour time limit. Early measures reported favorably included SB 976 on challenges to court-appointed psychologists in family law cases, SB 306 on Medicaid provider network access and after-hours availability, and SB 584 on housing supports for college students and youth in extended foster care. SB 1412 on home health regulation modernization also passed, with one support appearance from the Home Care Association. Members then approved several bills focused on research and care delivery, including SB 1800 creating a Parkinson’s disease research consortium at USF with an adopted amendment adding academic medical centers, SB 524 adding Duchenne muscular dystrophy to newborn screening, SB 1156 revising a Medicaid home health aide program for medically fragile children, and SB 1490 transferring and redesigning the managed care program for critically ill children. SB 1174 on foster home licensure transfers, SB 1620 implementing mental health and substance use commission recommendations, SB 1568 revising e-prescribing exemptions, and SB 788 on veterans nursing home beds were also reported favorably. The committee had more extensive debate on SB 1270, the Department of Health agency package, which included provisions on vaccination status, medical marijuana background screening, licensing and compact issues, and sovereign immunity for volunteer dental workers; it passed after an amendment and several members voiced concerns about patient treatment and “voting power” language. SB 1606 on patient access to records drew strong opposition from providers and health information professionals over privacy, HIPAA, and administrative burdens; it was initially reported unfavorably, then reconsidered and ultimately passed after a motion to reconsider. Other bills reported favorably included SB 1736 on insulin administration by direct support professionals and relatives, SB 1808 on patient refunds from providers, SB 1842 on referral disclosure of network status, SB 1354 on behavioral health managing entity oversight, SB 1768 on stem cell therapies with informed consent requirements, and SPB 7032 on presumptive Medicaid eligibility for permanently disabled individuals, which was submitted and reported as a committee bill. The meeting ended after all agenda items were handled and the committee adjourned.

Transcript Highlights:

• HOW DO YOU ADEQUATELY PROVIDE RURAL EMERGENCY SERVICES 24 HOURS A DAY, SEVEN DAYS A WEEK IS SUFFICIENTLY
• IN ADDITION TO THAT PROVIDING EXAMPLES OF TREATMENT AND CARE IS BEST PROVIDED IN THE PRIMARY CARE SETTING
• , MAYBE YOU WANT TO GO TO YOUR PRIMARY CARE PHYSICIAN FOR OR SEEK AN URGENT CARE CENTER.
• I KNOW YOU SAID YOU'RE WORKING WITH MEDICAID MANAGED CARE ON MAKING SURE THAT NONEMERGENT CARE NEEDS
• THE LAST TWO DAYS I THINK OF THE.

Keywords: 999, senate, all

Transcript Highlights:

• You have a warm, safe place to go each day and caring teachers who provide a positive learning experience
• You have a warm, safe place to go each day and caring teachers who provide a positive learning experience
• care centers.
• impact resident care.
• It destabilizes care.

Bills: SB5998

Committee: Senate Ways & Means

Keywords: fiscal appropriations, budget, state funding, financial management, operating expenses, 904, all

Transcript Highlights:

• If any care is covered, members can wait years for partial reimbursement.
• And George Fajou, Christian Care Ministry. Thank you, and George Fajou, Christian Care Ministry.
• So at the end of the day, what are the practical implications of this?
• I want a little bit more assurance in my health care.
• The proposal here seeks to increase the deadline to 45 days.

Summary: The Committee on Banking and Insurance met with a quorum present and took up several bills, beginning with SB 834 on health care sharing ministries and insurance agents. Senator Yarbrough presented the bill to repeal a recent restriction on licensed insurance agents marketing or selling faith-based health care sharing programs. Supporters argued the change restores free speech and consumer education while preserving existing consumer protections; opponents said the bill was unnecessary and could increase confusion or misuse of agents and brokers. The committee adopted a title amendment and then reported the bill favorably after debate, with Senator Pizzo raising concerns about consumer reliance and lack of guaranteed coverage. The committee then approved SB 642 on foreign and alien bail bond insurers, SB 394 on reinsurance intermediary managers, and SB 266 on public adjuster contracts. SB 266 would let vulnerable adults rescind public adjuster contracts at any time without penalty; it drew support from consumer and industry groups, with some discussion about estimates and claim work product. The committee also passed SB 832 on residential property insurance transparency, which requires rate transparency reports and a consumer resource center at OIR, and adds a provision excluding land value from homeowners coverage calculations in most cases. Testimony on SB 832 was generally supportive of the transparency goal, though insurers said some of the required cost breakdowns may be difficult to produce as written. The committee next considered SB 1028 on Citizens Property Insurance Corporation, which would create a commercial lines clearinghouse to move eligible policyholders into the private market and reduce Citizens’ commercial exposure. Supporters said it would lower taxpayer risk and improve competition; a speaker suggested additional changes to deductibles, water-damage caps, and repair practices. The bill was reported favorably after a delete-all amendment and supportive debate from Senator Boyd. Finally, the committee passed SB 540 on the Office of Financial Regulation, which adds cybersecurity requirements for certain licensees, updates oversight of investment advisers and money service businesses, adjusts some charter and meeting rules for financial institutions and credit unions, and includes amendments clarifying repossession/deficiency claims, family office exemptions, and virtual credit union meetings. The meeting ended with all of the considered bills reported favorably and the committee adjourned.

Transcript Highlights:

• Now, on page one, the definition of health care facility is for urgent care centers or a facility that
• They may just have the urgent care, and that urgent care may not be tied to an FQAC, and maybe even changing
• But at the end of the day, we respect what their decision is.
• , we come in with our own standard of care.
• And emergency contraception is a part of our standard of care.

Committee: House Crime and Public Safety

Keywords: 959, house, all

Transcript Highlights:

• "By the agency as reimbursement for the minor's care.
• for seniors in long-term care.
• Many have accepted the managed care pilot program.
• Family care councils do two things for us.
• Florida Health Care Association, waving in support.

Summary: The Committee on Children, Families, and Elder Affairs heard and advanced several bills and confirmations. SB 1016, on medical assistance eligibility for working persons with disabilities, was amended to remove automatic enrollment and to improve information sharing between AHCA and DCF; supporters said the bill codifies an existing program that helps developmentally disabled adults work without losing Medicaid coverage, and the committee reported the bill favorably. SB 1002, on temporary custody of minor children, was amended to focus on substance abuse as a pathway for court intervention when parental drug abuse creates ongoing risk to a child, and it was also reported favorably. SB 1594, on veteran benefit payments for minor clients in foster care, would ensure military benefits accessed for foster youth are preserved for post-secondary education or aftercare rather than used as reimbursement to agencies; it passed favorably without amendment. The committee also considered SB 1630 on aging and disability services, a broad modernization bill covering long-term care screening, emergency continuity of care, area agency oversight, Alzheimer’s services, home care, and guardianship reforms. Two amendments were adopted, including one on competitive procurement and another allowing area agencies on aging to directly provide core services during emergencies with department approval. Supporters emphasized caregiver navigation, dementia training, and service continuity, and the bill was reported favorably. SB 1030 on substance abuse services/recovery residences was taken up with a substitute amendment that narrowed transfer definitions, required faster licensure action for existing providers adding levels of care, and limited credentialing entities’ access to resident medical records; stakeholders said further work was needed, but the committee still reported the bill favorably. The committee also heard the nomination of Robert Astellos to lead the Agency for Persons with Disabilities. He outlined priorities including reducing the pre-enrollment list, improving transparency and family involvement, strengthening customer service, and streamlining agency processes. Several disability and provider organizations appeared in support, and the committee voted to recommend his confirmation. The committee then recommended confirmation of the appointees on tabs 7 through 10 by a single favorable vote, and adjourned at the end of the meeting.

Transcript Highlights:

• They just don't care. It's not their money. And I presume, sir, that you have the... Don't care.
• When the new care team came in, and they're called Desert Management Care, Sam himself expressed his
• Two days later, they were fired.
• I'm losing my beautiful wife to dementia day by day.
• I'm losing my beautiful wife to dementia day by day.

Committee: Senate Senate Ad Hoc Committee on Elder Abuse

Summary: The Senate Ad Hoc Committee on Elder Abuse opened by explaining it was gathering testimony on elder abuse, especially alleged misconduct involving court-appointed systems such as guardians ad litem and fiduciaries, to identify gaps in law and oversight and develop legislative fixes. The chair limited each witness’s time, asked for names and contact information for follow-up, and repeatedly noted that some allegations might warrant referral to law enforcement, the attorney general, or county attorneys if basic criminal elements were present. Several witnesses described alleged abuse in guardianship, conservatorship, and fiduciary cases. Dr. Holly Lauder said her mother, who had Alzheimer’s disease, was subjected to allegedly deficient psychological capacity evaluations that ignored treating doctors and family input, leading to a fiduciary arrangement that later resulted in neglect. Kevin Axson described his mother’s probate case, saying a guardian ad litem and conservator were appointed after a family financial dispute, that the guardian ad litem and fiduciary had little contact with his mother, and that the estate was burdened with substantial fees and a $200,000 bond requirement. Frieda Alvarado testified about a 94-year-old client, Samuel Armento, saying he was isolated, medicated without his request, and treated without dignity after a fiduciary and care team took control. Bill Chalmers, Johnny Hamilton, and Kathy Hamilton also testified about Sam Armento’s case, alleging isolation, excessive fees, conflicts of interest, and poor oversight by fiduciaries and caregivers. Other witnesses raised broader concerns about Arizona probate practices. David Redkey said he has been under a long-running conservatorship despite earning degrees and maintaining capacity, and alleged that court-appointed professionals and fiduciaries overcharged his estate and blocked efforts to terminate the arrangement. Susan Wolfe described the Peyton case, alleging that a wife’s conservatorship and related court actions led to the loss of assets, exclusion of witnesses, and large fees for a relatively small monthly care bill. Dr. Lewis Heller, an OB-GYN and disciplinary committee member, said the medical evaluations he reviewed showed the people involved were competent and that the conduct he observed was unethical and possibly criminal. Renee Self testified that she lost her role as trustee and spent large sums defending her father’s estate, alleging that the probate process stripped her father of assets and limited her access to him despite APS findings that her actions were in his best interests. No formal committee votes or legislative actions were taken in the excerpt, but members repeatedly expressed concern, asked for documents and transcripts, and indicated they would follow up with witnesses and consider stakeholder meetings to craft legislation addressing oversight, transparency, and accountability in guardianship and fiduciary systems.

Transcript Highlights:

• </c> care for their clients. care for their clients.
• But most of Minnesota's HCBS system, including ICS, adult day, ACT, IRTS, and recuperative care, don't
• </c> doesn't care. doesn't care.
• So, I don't care what the Mr. Chair. So, I don't care what the motion<01:31:31.560><c> is.
• I'm so grateful when I can absolutely take care of things I need to take care of this committee.

Committees: Senate Health and Human Services , Senate Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• care.
• child care home in Alameda County, infant care is already above the cost of care.
• For infant care? For a large family child care home?
• in expanding access to child care in providing 44,000 new child care slots.
• resource parents are stepping up every day to care for children they love, but too often they are doing

Summary: The committee heard a lengthy budget hearing focused on child care, child welfare, and immigration-related services, with most of the discussion centered on child care funding, slot utilization, and rate reform. Department of Social Services officials said the Governor’s budget would provide $6.8 billion for child care programs in 2026-27, including $11.5 million in Prop. 64 funds for mini-grants to licensed facilities affected by 2025 disasters. They also described federal CCDF and Prop. 64 revenue reductions that would reduce general child care funding by about 4,176 slots, while emphasizing that the cuts should not affect currently enrolled children. The LAO supported aligning spending with lower revenues and asked for more detail on the disaster grant program. Members questioned why so many awarded slots remain uncontracted or unfilled, and DSS said delays are largely due to providers building new infrastructure, licensing, staffing, and enrollment work. One senator criticized the repeated explanation, argued unspent funds revert to the General Fund instead of being redirected to child care, and urged shifting more funding from contract slots to vouchers and increasing flexibility for infrastructure and expansion costs. DSS said it is exploring more flexibility, better readiness screening, and quicker redistribution of relinquished slots. The committee also discussed the Emergency Child Care Bridge program, with DSS saying it can redistribute funds among counties to avoid disenrolling children. A second panel addressed the state’s broader commitment to expand child care and move toward a single rate structure. DSS reported that since 2021-22 nearly 125,000 new slots have been awarded across CCTR, CAPP, CMAP, and the Emergency Child Care Bridge program, bringing monthly service levels to more than 366,700 children. The department and CDE described progress on rate reform, including completion of the alternative methodology and joint recommendations from the labor-management committee on a single-rate framework. County and provider testimony emphasized persistent unmet need, especially for infant and toddler care, and argued that current reimbursement disparities between CDSS-funded programs and state preschool create inequities and discourage expansion. Stanislaus County Office of Education said rate differences can materially affect local program revenue and staffing, while Parent Voices California described the child care system as difficult to navigate and inequitable, especially for Black families and survivors of domestic violence. The California Budget and Policy Center argued that only a small share of eligible children are served, that Universal TK has concentrated investment in school-based settings, and that providers are still paid far below the cost of care. Members pressed the administration for deadlines on automation and implementation of the single-rate structure, and DSS said some work can proceed before collective bargaining concludes, though policy decisions are still needed. The committee also reviewed several trailer bill proposals. For the COLA, DSS proposed applying the 2026-27 increase through cost-of-care-plus payments, but acknowledged it had inadvertently excluded CalWORKs Child Care and the Emergency Child Care Bridge from the initial calculation; the LAO recommended making the COLA increase uniform across child care and state preschool programs. On the alternative methodology survey, DSS proposed replacing the market rate survey with the federally approved alternative methodology and aligning the timing with the federal CCDF state plan cycle. On licensed family child care homes, DSS proposed limiting temporary absences to 20% of monthly care hours and allowing more flexibility for medical appointments, jury duty, training, and union activities. On excessive unexplained absences, DSS proposed a statutory definition to align state policy with federal rules allowing disenrollment after 30 days of unexplained absences. The committee also discussed a proposal to require contractors to collect family fees directly so the full voucher value reaches providers, with DSS saying it is working with Riverside County on implementation and CDE asking that the same policy apply to state preschool. Finally, the committee reviewed an Early Childhood Policy Council reappropriation and reporting proposal, with DSS explaining that prior funds were underused because participation costs are hard to estimate and that additional staffing and contractor support would be needed for the expanded annual report requirements.

Transcript Highlights:

• </c> tried to bring up what the last 100 days tried to bring up what the last 100 days have<00:17:55.760
• They get preventative care.
• access to health care.
• And when is giving people health care.
• Hospitals right now are paying care.

Keywords: 919, house, all

Summary: Sen. Erin Maye Quade, Rep. Esther Abad, and other Minnesota DFL legislators held a press event focused on responding to Trump administration and federal Republican actions that they said threaten health care, education, housing, public health, and other state services. Speakers argued Minnesota must not make “false trade-offs” between core services and should instead protect programs like Medicaid, school funding, disability services, nutrition, and public health by raising additional revenue and closing tax breaks for wealthy individuals and corporations. Rep. Abad and others outlined possible revenue options, including a fifth-tier income tax, a corporate rate match, closing tax exemptions for luxury items and second homes, a social media tax, and ending data center tax exemptions. They said these measures would not fully replace possible federal cuts, but could help mitigate harm and preserve services. Several speakers also criticized Republican opposition to tax increases and said the state should ask wealthy taxpayers and corporations to contribute more. Testimony from Olivia Dylan, a laid-off Minnesota Department of Health epidemiologist, described the impact of federal public health funding cuts and MDH layoffs on outbreak response, nursing home support, lab work, and tribal public health. Sean Leaden of SEIU Local 284 described low pay and staffing shortages among hourly school workers and said underfunding has hurt students and employees. Sen. Doran Clark and Rep. Emma Greenman framed the issue as both a budget and democracy question, arguing that federal cuts and attacks on public programs undermine self-governance and community well-being. In response to questions, speakers said Minnesota cannot fully backfill expected federal Medicaid losses, but can use state tools to reduce harm and should press Republicans to identify what services they would cut instead.

Transcript Highlights:

• And it says, 'A New Day.' This is the beginning of a new day.
• So I wanted to give health care workers a day to celebrate Christmas.
• Got a couple days left here.
• It's a great day for health care in the state of Missouri.
• We talk about the topics of our time, the topic of the day, health care, the things that are on the minds

Keywords: 959, house, all

Transcript Highlights:

• what the day-to-day reality for patients is going to be like.
• care.
• And, you know, on some levels at the end of the day, we know people are going to be losing health care
• And, you know, on some levels at the end of the day, we know people are going to be losing health care
• care costs.

Keywords: 988, house, all

Transcript Highlights:

• In terms of health care coverage, I mean how much, how many do we anticipate losing health care because
• hospital care.
• Good day, Chair Hart.
• Decimate home care and child care, impacting the state's general fund, and severely limiting Medi-Cal
• , especially for specialized care.

Keywords: 988, house, all