Video & Transcript : 'county agencies' :
Page 175 of 500
FL
Florida 2025 Regular Session
Appropriations Committee on Agriculture, Environment, and General Government Feb 5th, 2025
Transcript Highlights:
- THIS GRAPH DEPICTS THE NUMBER OF OPEN CASES BY COUNTY THAT WE CURRENTLY HAVE IN OUR SYSTEM.
- AS YOU CAN TELL BREVARD AND MONROE COUNTY ARE THE LEADERS STATEWIDE IN THE NUMBER OF DERELICT VESSEL
- THE PROPERTY SERVICES GROUP MANAGES 1500 LEASES SO WE MISSED SPACE TO STATE AGENCIES.
- THIS IS DESIGNED AND WILL BE CONSTRUCTION OF 120 BED NURSING HOME IN COLLIER COUNTY.
- >> THE PRIVATE LEASES ARE AGENCY LEASES. THEY ARE NOT DNS LEASES.
CA
California 2025-2026 Regular Session
Assembly Transportation Committee Mar 23rd, 2026
Transportation
Transcript Highlights:
- Agencies like L.A.
- Nirpick Brendan, appearing on behalf of County Connection, in support.
- I also think that we are seeing huge inefficiencies for transit agencies.
- And it also ensures that all of our transit agencies— Good evening.
- We'll make it easier for users to navigate across multiple transit agencies.
Committee:
House Transportation
MO
Transcript Highlights:
- And if there's an agency that the General Assembly...
- I'm a commissioner in Boone County, and I am here as the chair of the Missouri Association of Counties
- across the services of the counties.
- In my county alone last year, we blew past a million dollars in out-of-county housing costs like it was
- , and also in Pettis County, and some of the rural counties around there.
Committee:
House Budget
CA
Transcript Highlights:
- I'm a county supervisor representing wild and wonderful western Sonoma County, but more importantly,
- This is a very, very important agency.
- Stacey Heaton with the Rural County Representatives of California, representing 40 rural counties statewide
- , including the County of Sonoma.
- DTSC is now a more fiscally stable agency than they were pre-reform, as well.
Committee:
Senate Rules
Summary:
The committee first established quorum and then approved several Governor’s appointments not required to appear, including Indira Cameron Banks to the Civil Rights Council, Sonar Loma Lee to the Board of Barbering and Cosmetology, and C. Don Clay and Joshua Pertula to the UC College of the Law, San Francisco Board of Directors. It also approved references to bills in two committees and floor acknowledgments, all by unanimous or near-unanimous votes.
The main substantive hearing was on the appointments of Linda Hopkins and Patricia Locke Dawson to the Air Resources Board. Both nominees emphasized climate action, public engagement, and balancing environmental protection with economic impacts. Senators pressed them on cap-and-trade, leakage and job loss, agricultural costs, warehouse and truck traffic impacts, emergency vehicle and school bus electrification, hydrogen, nuclear energy, and the need for socioeconomic analysis and better communication with affected communities. Public commenters largely supported both nominees. The committee advanced Hopkins 4-0 and Lock Dawson 5-0 to the full Senate.
The committee then heard Andrew Rakestra’s appointment as chair of the Board of Environmental Safety. He described his background in climate diplomacy and regulatory work and said he would focus on transparency, accountability, fiscal stability, and responsiveness to both regulated entities and disproportionately burdened communities. Senators questioned him about DTSC reform, community engagement in places like Moss Landing and the Exide cleanup, the hazardous waste management plan, fee-setting, and the Environmental Justice Advisory Council. After supportive public testimony, the committee approved his nomination to the Senate floor on a 3-0 vote, with two members not voting or abstaining. The meeting then adjourned.
CA
Transcript Highlights:
- I'm a county supervisor representing...
- I'm a county supervisor representing wild and wonderful western Sonoma County, but more importantly,
- This is a very, very important agency.
- Stacey Heaton with the Rural County Representatives of California, representing 40 rural counties statewide
- , including the County of Sonoma.
Committee:
Senate Rules
FL
Florida 2025 Regular Session
December 2, 2025 - 01:00 PM
Transcript Highlights:
- The other thing, it really deals with the clarification as a state agency.
- The bill adds other public and private entities and governmental agencies to groups.
- I actually lived in the more suburban and rural part of Hillsborough County.
- I'm a resident of Sarasota County.
- Keep in mind, it's a state agency.
FL
Transcript Highlights:
- If you don't know where Clay County is, I think all of Clay County is in the West Gallery.
- We have our county commissioners, school board, business leaders, and there is no better county to represent
- If you don't know where Clay County is, I think all of Clay County is in the West Gallery.
- This bill was filed in anticipation of Miami-Dade County and Broward County finalizing agreements to
- This bill was filed in anticipation of Miami-Dade County and Broward County finalizing agreements to
Summary:
The Senate convened with an opening prayer by Rabbi Moshe Umatz, the Pledge of Allegiance led by pages, and several introductions and recognitions, including guests from Miami Northwestern Senior High School, Clay County, and a moment of silence for Pope Francis. The chamber then moved to the special order calendar after a motion to reconsider SB 1080, which was temporarily postponed. Several bills were also set aside during the day, including measures on social media use by minors, veterans’ nursing homes, Parkinson’s disease, mental health and substance use disorders, education, educator preparation, and school social workers.
The Senate passed a series of bills, often substituting House companions for Senate bills. These included funding for expedited DNA testing grants for local law enforcement (SB 1072/HB 847), additional aggravating factors in capital cases involving religious, school, or government gatherings (SB 984/HB 693), fertility preservation coverage for cancer patients (SB 924/HB 677), commuter rail indemnification for Miami-Dade and Broward counties (SB 916/HB 867), restrictions on disposing of migrant vessels in Florida waters (SB 830), specialty license plates including Miami Northwestern and several colleges and institutions (SB 824), an Alzheimer’s and dementia awareness campaign (SB 398), relocation of the Council on the Social Status of Black Men and Boys to Florida Memorial University (SB 364), charter school changes allowing parent conversion and municipal job-engine charter schools (SB 140), sex offender registration reporting changes (SB 1654/HB 1351), penalties for assaulting utility workers (SB 1386), juvenile justice revisions and truancy process updates (SB 1344), reporting of student mental health outcomes (SB 1310/HB 969), foster home license transfer simplification (SB 1174/HB 989), water access facility funding and boating industry incentives (SB 1162/HB 735), Florida Virtual School operational changes (SB 1122), school readiness program support for children with disabilities (SB 1102), sexual image offenses involving minors (SB 1180/HB 757), age-related defenses in child sex offense cases (SB 1136/HB 777), tampering with electronic monitoring devices (SB 1054/HB 437), certified recovery residences and local zoning accommodations (SB 954), and the FSU Election Law Center (SB 892). Most of these bills passed with strong bipartisan support, though SB 984 and SB 140 drew some opposition.
One of the most extensive debates centered on SB 820, codifying the Office of Faith and Community. Senator Polsky offered an amendment to bar political activity by office staff, citing emails and campaign-related communications tied to Amendment 4; the amendment failed on a 13-23 vote. Senators then debated the bill’s relationship to state election law, free speech, and the role of faith-based outreach. Supporters emphasized the office’s service network and reported benefits to children and families, while some senators raised concerns about interfaith representation and political use of government resources. The bill was then read a third time and the Senate proceeded toward a final vote as the transcript ended.
NH
New Hampshire 2025 Regular Session
House Criminal Justice and Public Safety (02/05/2025)
Criminal Justice and Public Safety
Transcript Highlights:
- I’m an assistant county attorney at the Merrimack County Attorney’s Office.
- , or within any county.
- agencies.
- I'm an assistant county attorney in Merrimack County.
- I’m an assistant county attorney in Merrimack County.
Committee:
House Criminal Justice and Public Safety
TX
Transcript Highlights:
- This footprint supports 93 state agencies and 238 cities across the state of Texas.
- The other project would be the expansion of the DPS Training Facility in Williamson County.
- So agency by agency, sometimes it's expansion. They need to expand.
- And it was in Starr County, and that's where we did our first mile and a half.
- Let's look at this, let's go to this county, Maverick County versus Zapata County or whatever. it might
Committee:
House State Affairs
MN
Minnesota 2025-2026 Regular Session
House Judiciary Finance and Civil Law Committee 4/2/25
Judiciary Finance and Civil Law
Transcript Highlights:
- </c><00:42:42.720><c> needed</c><00:42:42.960><c> to</c> county attorney of that county needed to county
- or a federal agency.
- or a federal agency.
- or a federal Minnesota state agency or a federal agency.<00:53:53.520><c> And</c><00:53:53.680><c> this
- </c> administered by a Minnesota state agency administered by a Minnesota state agency or<00:54:11.599
Committee:
House Judiciary Finance and Civil Law
Keywords:
medical assistance, fraud prevention, subpoena authority, criminal penalties, consumer protection, medical cannabis, medical marijuana, cannabis, cannabinoids, hemp, marijuana registry, patient registry, visiting patient, Tribal cannabis, Tribal medical cannabis program, Tribal sovereignty, Office of Cannabis Management, designated caregiver, home cultivation, adult-use cannabis
HI
Hawaii 2026 Regular Session
EDN Public Hearing - Thu Feb 12, 2026 @ 2:00 PM HST
Transcript Highlights:
- </c> public and private development agencies public and private development agencies to<00:20:41.520>
- </c><01:03:06.960><c> Hold</c> County. I had very bad service. Hold County. I had very bad service.
- transportation agency was not aware of the most significant measure to support the counties for this
- transportation agency was not aware of the most significant measure to support the counties for this
- agency was not aware of the most significant measure to support the counties for this mechanism and
Summary:
The committee heard testimony on HB 1783, which would expand public-private partnership options for charter school facilities. The Department of Education offered comments, the Charter School Commission and SFA supported the bill, and Hawaii Technology Academy, Hawaii Kids, Hawaii Children’s Action Network, HGA, Aloha Project, and several individuals testified in support, while UPW opposed it. Supporters said charter schools need faster and more flexible ways to address severe facility shortages and high costs, and SFA described the bill as a pilot model that could leverage developer partnerships and state contributions, citing Maryland as an example. Members asked whether the bill was limited to charter schools; DOE said the language could be read to include other public school facilities, but if focused only on charter schools, DOE was less concerned. The Charter School Commission also described an existing public-private preschool model through Parkway Village Preschool and PACTED.
The committee then took up HB 1778, which would establish a CIP database for school facilities. SFA supported the bill, saying it would create a more disciplined, transparent basis for funding decisions by documenting facility condition, needed repairs, classification, and timing. DOE initially said it rested on its comments, then responded to questions by saying it already maintains deferred maintenance lists, uses systems such as Maximo, CPT, GIS, and finance software, and sends legislators project-status letters twice a year. DOE said it is working on improving its outward-facing dashboard and integrating its systems, but questioned whether the bill would add value beyond existing tools. Members emphasized the need for a publicly accessible, real-time transparency tool, while DOE said it was still evaluating its current systems and was not yet seeking funding for a new IT program.
For HB 2344, creating an Independent Public School Realignment and Closure Commission, DOE said it wants to remain part of any consolidation process to keep students and education central, while SFA said the bill is timely and framed it as a restructuring response to changing conditions and possible federal funding cuts. SFA compared the proposal to the federal BRAC process for military base closures and said Hawaii has the same enrollment as in 1961 but many more schools, arguing that the state needs a more deliberate approach to school closures and land reuse. The Attorney General’s office raised technical concerns about several sections, including unclear references to administrative support, a governor-approval sequence, a possible conflict with existing statutes governing closed-school disposition, and a missing section number. Testimony on HB 2345, which would establish a geographic CIP district, began with DOE in opposition; DOE said the bill would duplicate existing work, add confusion by creating two agencies doing the same thing, and spend money inefficiently because district project coordinators and project lists already exist.
HI
Hawaii 2026 Regular Session
JHA Public Hearing - Wed Feb 25, 2026 @ 2:00 PM HST
Judiciary & Hawaiian Affairs
Transcript Highlights:
- </c><00:21:20.559><c> cannot</c><00:21:20.960><c> be</c> state and county agencies cannot be state and
- county agencies cannot be co-opted<00:21:22.159><c> into</c><00:21:22.480><c> actions</c><00:21:22.799
- This measure requires state and county law enforcement agencies to notify an individual in the custody
- c> of</c><00:46:35.200><c> their</c> county law enforcement agency of their county law enforcement agency
- c> agencies</c><00:47:01.200><c> that</c> county law enforcement agencies that county law enforcement
Committee:
House Judiciary & Hawaiian Affairs
Summary:
The House Committee on Judiciary and Hawaiian Affairs heard testimony on two immigration-enforcement bills: HB 1886 HD1 and HB 2540 HD1. HB 1886 would limit state and federal collaboration in immigration enforcement, require visible identification and restrictions on facial coverings for law enforcement officers, and create offenses for improper masking, lack of identification, and unauthorized civil immigration interrogation, arrest, or detention. HB 2540 would also limit state and federal collaboration, require law enforcement agencies to adopt and publicly post written civil immigration enforcement policies, prohibit stops or arrests based solely on immigration status, and restrict state and county participation in civil immigration enforcement in certain places.
Most testimony supported both measures. The Office of Hawaiian Affairs, the Office of the Public Defender, the ACLU of Hawaii, the Hawaii Coalition for Immigrant Rights, the Legal Clinic, and several private individuals said the bills would increase transparency, accountability, and community trust, and would help protect constitutional rights and reduce fear among immigrants and other community members. Several testifiers emphasized Hawaii’s history and the need to keep local law enforcement separate from federal immigration enforcement, while others said the bills would help people feel safer going to court, school, work, or public protests. A retired police officer also supported visible identification and uniform standards for officers, including federal agents operating in Hawaii.
A few testifiers opposed the use of masked or unidentified officers and argued that local police should not be diverted from ordinary public safety duties to immigration enforcement. One ACLU witness noted that the federal government has increasingly used local and state agencies to expand immigration enforcement, and said the task-force provisions in the bills are important to prevent blurred lines between agencies. The committee did not take a final vote in the portion of the meeting provided, but it recorded very large numbers of supportive testimonies for both bills, with only a small number in opposition.
NH
Transcript Highlights:
- We're not going to allow any county, any state agency, any local municipality, no school system, nothing
- We're not going to allow any county, any state agency, any local municipality, no school system, nothing
- We're not going to allow any county, any state agency, any local municipality, no school system, nothing
- We're not going to allow any county, any state agency, any local municipality, no school system, nothing
- Allow any county, any state agency, any local municipality, no school system, nothing.
OK
Transcript Highlights:
- and the tribal agencies.
- They might have to meet somewhere and trade radios so they can talk between agencies.
- all the law enforcement in Osage County came in and knew exactly who was out there.
- Oklahoma Task Force One has 125 members from 33 agencies.
- We have several participating agencies of Oklahoma Task Force One.
Bills:
HB1002 , HB1250 , HB2710 , HB3008 , HB3045 , HB3086 , HB3595 , HB3678 , HB3695 , HB3831 , HB4107 , HB4408
Committee:
Senate Public Safety
Summary:
The Public Safety Committee met and first held House Bill 3045. It then heard and passed several bills, beginning with HB 1250, which creates a public safety technology revolving fund for Attorney General grants to support the Blue Jay pilot program, a voluntary traffic-stop safety app. Members questioned whether the fund would actually be financed this year and how municipalities would be selected; the author said no funding source was yet identified and the bill was only creating the fund. HB 1250 passed 8-0.
The committee also passed HB 2710, creating the Oklahoma Emergency Communications Act and a 15-member board to develop a strategic plan for improving emergency radio communications among state, local, and tribal agencies. The author explained the bill was meant to address communication gaps and interoperability problems, with no fiscal impact. HB 3831, dealing with Oklahoma Task Force One, drew extensive discussion over its funding structure and blank appropriations language. The bill would place the urban search and rescue team in state law and seek a reliable funding source; members discussed the team’s statewide disaster response role, its Tulsa and Oklahoma City bases, and a carve-out excluding wildland firefighting. It passed 8-0.
Other measures approved included HB 4408, which sets a protocol for calculating and directing savings from State Questions 780 and 781 into the proper drug diversion account; HB 1002, requiring law enforcement to inform stalking victims about certified domestic violence program advocates; HB 3008, extending the sunset date for the Board of Tests for Alcohol and Drug Influence to 2031; HB 3086, requiring the Department of Corrections director to keep the Board of Corrections informed about budgets and inmate deaths; HB 3595, creating a DPS revolving fund for counties and municipalities to buy vehicle-barrier equipment to prevent crowd-vehicle attacks; HB 3678, expanding electronic-harassment protections for public officials to include municipal officials and school board members; HB 4107, establishing penalties for unauthorized activation or misuse of emergency warning sirens; and HB 3695, revising the definition of great bodily injury in a DUI-related context. HB 3595 passed 6-1 and HB 4107 passed 6-2; the other bills passed unanimously or near-unanimously after brief questioning and debate.
FL
Florida 2025 Regular Session
Appropriations Committee on Transportation, Tourism, and Economic Development Mar 26th, 2025
Transcript Highlights:
- A lot of agencies don't do that anymore.
- So it might hinder other agencies from our officers within that those agencies from doing this because
- Lucie County and Lake County are going to join that list.
- , Okaloosa County, Saint Johns County, Nassau County, Citrus County, Sumter County, Clay County, Wakulla
- County, Dotson County.
TX
Transcript Highlights:
- To honor Parker County, one of the greatest counties in Texas, today is Parker County Day in the Texas
- Parker County was established in 1855.
- HB 3719 by Frank addresses the jurisdiction of County Courts in Wichita County.
- For the Subcommittee on County and Regional Government, HB 3733 relates to the fees charged by county
- on County and Regional Government.
FL
Florida 2025 Regular Session
Governmental Oversight and Accountability Mar 18th, 2025
Transcript Highlights:
- So if this bill were to pass and and the state agencies applying for a federal and and the state agencies
- And again, this bill clearly lays out that a state agency.
- Our state agencies deal with Floridians all the time.
- We have state agencies that fund public universities.
- But it this bill is very confusing because it also talks about and agency position agency direction.
KY
Kentucky 2025 Regular Session
Disaster Prevention and Resiliency Task Force (9-10-25)
Transcript Highlights:
- This is from Warren County. And record. This is from Warren County.
- </c> counties to to to get these stations? counties to to to get these stations?
- </c> finding a new station in your county. finding a new station in your county.
- </c> many partner agencies. many partner agencies.
- Perry County as well.
Summary:
The task force met with a quorum, approved the August meeting minutes, and heard a presentation from Dr. Jerry Brosky of the Kentucky Mesonet and Kentucky Climate Center. He described the Mesonet’s statewide weather network, now with 84 stations in 78 counties, real-time data used by the National Weather Service, mobile apps, and more than a billion observations. He said recent legislative funding has allowed upgrades such as soil temperature and moisture sensors, cameras at every site, and improved communications and power systems, and has enabled expansion into new counties. He also highlighted products used for flooding, drought, and heat safety, including a wet bulb globe temperature tool being developed with the Department of Public Health. In response to questions, he said counties interested in a station should contact his center, that a station typically costs about $50,000, and that the program is already considering a second Pike County site.
The committee then heard from Ryan Drain of Blue Skies and Chris McGee of the American Red Cross on long-term disaster recovery and a software platform called Darcy, short for Disaster Aware and Ready Communities Initiative. McGee explained the Red Cross’s long-term recovery work, including support for recovery groups, direct financial assistance, grantmaking, and coordination with local and federal partners. He emphasized that disasters are occurring more frequently and with repeated impacts, and shared examples from Kentucky and other states showing the need for organized recovery and storm shelter support. Drain said Darcy was developed after the 2021 Mayfield-Graves tornado recovery to replace fragmented spreadsheets and PDFs with a centralized, survivor-led system for preparedness, response, and recovery, designed to improve coordination, reduce duplication, and shorten recovery time. No votes or formal actions were taken beyond adoption of the minutes.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 3 on Education Finance Apr 8th, 2025
Transcript Highlights:
- So it's, it's, it's, it's, to local educational agencies to the collaborative.
- Those are out of county offices of education.
- Those are out of county offices of education.
- in my district of 11 counties.
- Those hurt and to then turn around and try to create a new agency at this time.
Summary:
The Assembly Budget Subcommittee on Education Finance heard an overview of the governor’s new Career Education Master Plan and related budget items. Labor Secretary Knox described the plan as an effort to reduce fragmentation across K-12, community colleges, workforce boards, and other systems by improving statewide and regional coordination, data sharing, skills-based hiring, career pathways, and wraparound supports such as child care, housing, food, and transportation. Members asked how success would be measured, how the plan would serve disconnected youth and adults, and whether the proposed data integration would rely on Cradle to Career; the secretary said it would. The Department of Finance said it was available to answer questions on the education side.
The committee then reviewed existing CTE funding and oversight. The LAO, CDE, and Community Colleges Chancellor’s Office described the major ongoing programs, including CTIG, Perkins, K-12 Strong Workforce, and Community College Strong Workforce, and noted that many programs overlap in purpose and administration. Members repeatedly raised concerns about duplication, annual applications and reporting burdens, lack of clear outcome metrics, and whether funding incentives should be better aligned to regional collaboration. CDE and the Chancellor’s Office said they support alignment and dual enrollment, and Finance and CDE said LCFF/local match dollars are part of the funding structure. The committee also discussed child care as a barrier to participation and the need for better tracking of enrollment, completion, and job outcomes.
On the consolidated application proposal, Finance proposed a study directing CDE to examine whether three long-standing CTE grant programs—Specialized Secondary Programs, CTIG, and California Partnership Academies—could be streamlined into a single application and reporting process. The LAO supported reducing administrative burden but noted that the largest programs, CTIG and K-12 Strong Workforce, were excluded from the proposal even though districts most often cite them as burdensome. CDE said it did not oppose the study but warned that statutory differences may limit consolidation. Members said the proposal should better address regional coordination, multi-year funding stability, and outcome measures rather than only simplifying paperwork.
Finally, the committee heard a proposal for a $5 million ongoing California Education Interagency Council. GovOps said the council would provide a neutral venue for statewide coordination across education and workforce systems. The LAO opposed the proposal, arguing that existing bodies already provide coordination, the proposal does not change agency incentives, and the council would lack authority to implement decisions. Members expressed mixed views, with some supporting a coordinating body and others questioning whether it would differ from past efforts. No votes were taken during the portions summarized here, and the committee indicated it would hold some items open for further discussion.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health Apr 6th, 2026
Transcript Highlights:
- , Tuolumne County, and Stanislaus County.
- First, Sacramento County is an Article 13 county.
- Counties.
- And what counties do, you know, I was in a rural county at that time, Plumas County.
- When I moved to become the Health Services Agency in Santa Cruz County, we had our own program called
Summary:
The Assembly Budget Subcommittee on Health began with a hearing on the impacts of H.R. 1 on California health programs, focusing first on reproductive health state investments. HCAI outlined five state-funded reproductive health programs created after Dobbs, including uncompensated care, practical support, capital and clinical infrastructure, and workforce programs. Essential Access Health and Planned Parenthood testified that these funds have served hundreds of thousands of patients, but warned that the uncompensated care program is fully awarded and needs renewal, and that Title X and Medicaid-related federal uncertainty continues to threaten access. Members questioned who the uncompensated care program serves, why Medi-Cal covers a large share of abortions, and whether Planned Parenthood could expand prenatal services; public commenters urged continued support for reproductive health access.
The committee then took up long-term care services and supports, starting with the HCBA and Assisted Living Waiver programs. DHCS reported large wait lists for both programs and said enrollment is limited by workforce and provider capacity, while LAO noted that increasing slots alone may not increase access without additional programmatic changes. Members pressed the department on whether more slots should be added given the lower cost of home- and community-based care compared with skilled nursing facilities, and public testimony argued that the wait lists should be reduced and that staffing concerns do not fully explain unused capacity. The committee also heard testimony on congregate living health facilities, where providers and a patient family described the homes as critical, lower-cost alternatives to nursing facilities for younger, medically complex people. Witnesses requested short-term bridge funding, while DHCS said it is proposing to transition CLFs into a managed care benefit by January 1, 2028, which would remove caps and expand access statewide.
The final long-term care topic was PACE. DHCS explained that it has paused new PACE applications and service expansions for at least two years to reassess oversight capacity and develop a statewide strategic growth framework, while existing programs continue operating. CalPACE supported the pause as a planning measure but asked for four additional state nurse positions to reduce delays in level-of-care determinations and speed enrollment for frail older adults. Members shared personal stories about how PACE has helped family members and asked how the state will meet growing demand; DHCS said stakeholder engagement will begin later in the year and that some existing applications already in process will continue. Public commenters broadly supported PACE, HCBA, and CLF funding requests.
The hearing then moved to the Department of Health Care Services’ 2026-27 Medi-Cal budget and related trailer bills. DHCS said Medi-Cal spending has grown due to coverage expansions, higher acuity, rising utilization, and especially pharmacy costs, and it described proposals to extend the current skilled nursing facility financing framework for one year while the state develops a new value-based payment strategy. LAO said most recent Medi-Cal spending growth has been driven more by higher per-enrollee costs than by caseload growth, with pharmacy spending growing especially quickly, and recommended better and more timely data to analyze the drivers. Members expressed concern about the rapid rise in Medi-Cal spending and asked for more detail on the largest cost increases.