Transcript Highlights:

• align them with the children and family services, or the child welfare program.
• Then no direct services would be remaining within the program support budget.
• We're requesting simply a title change for our budget program 20, from Field Services to Veteran Services
• Our budget program 20 from Field Services to Veteran Services and Counseling and Wellness.
• We've always referred to this program as Veteran Services and Counseling and Wellness.

Summary: The committee met with a quorum, approved the June 18, 2025 minutes, and heard four proposed budget format changes. Washington State Parks requested a structural change to separate and better track its Stewardship Services Division, including cultural and natural resources, environmental planning, and Climate Commitment Act investments. DCYF proposed moving direct service functions now housed in program support into the child welfare program so operational costs and direct services would be reported separately; members asked how this would help avoid across-the-board reductions affecting direct services, and the agency said the change would improve transparency and prevent that problem. The Department of Transportation sought to create a new Ferries Program Support sub-program to consolidate four related projects and two existing sub-programs into one administrative/project support structure, while the Department of Veterans Affairs requested only a title change for Program 20 from Field Services to Veteran Services and Counseling and Wellness. The committee voted unanimously to approve all four changes. Kevin Feltis then gave an interim work plan and staffing update for LEAP. He said the office is continuing work on the rewritten capital budget application (BuildSUM), updating the transportation bond model, completing carry-forward levels for the 2027-29 biennium, publishing 2026 legislative budget notes, updating 2025 salary data, and participating in a LegiTech AI pilot for system development within the legislative network. He also noted LEAP’s role in supporting the new Joint Legislative Executive Committee on Budget Transparency and Fiscal Sustainability. Staffing remained steady at 11 FTEs, with no retirements or staffing changes in the past year, though one vacancy may be filled later and two retirements are anticipated over the next four to five years. The committee also discussed updates to the fiscal.wa.gov website. Planned work includes streamlining how budget data is updated when budgets are released, converting more than 100 reports from Microsoft Reporting Services to Power BI because support is ending, and evaluating whether the site’s search tool should be improved or replaced. Senators and representatives raised concerns about the number of clicks needed to reach capital and transportation project maps and about making public-facing budget information easier to find and understand. Staff said the website redesign was based on prior user testing and that they would look at ways to make maps and other top-level information more accessible. Finally, the committee elected new officers under its alternating-chair rule. Representative Gregerson was nominated and elected chair, and Senator King was nominated and elected vice chair. The meeting then adjourned.

Transcript Highlights:

• ambulance services.
• ambulance services.
• such a program.
• getting the money I know one Services getting the money I know one service<01:05:05.720> in service
• That's why our service and several other services will do fundraisers.

Keywords: 1183, house

Transcript Highlights:

• education through Equitable service education through Equitable service requirements<00:19:09.280
• district and that would be programming district and that would be programming that<00:21:25.159>
• And then there was over $82 million in services for nonpublic schools through the E program.
• And then there was over $82 million in services for nonpublic schools through the E program.
• And then there was over $82 million in services for nonpublic schools through the E program.

Keywords: 1187, senate, all

Summary: The committee met to hear a Minnesota Department of Education presentation on federal education funding and the potential effects of federal actions on those dollars. Chair Kunesh framed the discussion around concerns about threats to the U.S. Department of Education and noted that federal funds make up about 10% of Minnesota’s education budget, or roughly $1.4 billion. Senator Lang pushed back, emphasizing that 90% of school funding comes from state and local sources and urging the committee to focus on state mandates and how to pay for them. New member Senator Clark introduced himself and said he would teach ethics or running if he were a teacher. Department staff explained that federal education dollars are divided between entitlement/formula funds and competitive/discretionary grants. They said Minnesota receives federal money through established systems and that the department is seeking clarity about how federal changes might affect the flow of funds, oversight, and program administration. They also outlined Minnesota’s legislative review process for federal funds, which includes several pathways such as the governor’s biennial budget, supplemental budget submissions, legislative advisory committee review, and expedited review processes when needed. The presentation then focused on ESEA Title funding, especially Title I. Staff said Title I is one of the largest federal education programs in Minnesota, with about $200 million in current funding, and supports 476 local education agencies. They described how funds are allocated through Minnesota’s North Star accountability system and Compass support structure, based on measures such as poverty, graduation rates, and state assessment performance. Examples of allowable supports included professional development, attendance initiatives, reading curriculum, training, and peer coaching. Senators asked whether executive action could affect these funds and whether the money flows directly to districts or through the state; staff responded that they would avoid speculation and would continue explaining the different funding streams and oversight structure.

Transcript Highlights:

• Those categories are ambulatory patient services, emergency services, hospitalization, maternity and
• The operative language is coverage of services or payment for specified providers of services.
• Our interpretation of coverage of services or payment for specified providers of services really comes
• that used vision services in light blue, and the percentage that used dental services in dark blue,
• For dental services, American Indians had the highest percent of members who received a dental service

Keywords: 908, all

Summary: The committee met to review the history and current treatment of North Dakota health insurance mandates, with presentations from Blue Cross Blue Shield of North Dakota, Sanford Health Plan, the Public Employees Retirement System (PERS), and the Insurance Department. The discussion focused on how mandates apply differently to fully insured, self-funded, ACA, Medicaid, and PERS plans; how the state’s benchmark plan and federal essential health benefits affect coverage; and how the existing process requires cost-benefit analysis and, for certain measures, a PERS pilot period before broader application. Presenters also reviewed the long list of existing state mandates, including provider, beneficiary, and coverage requirements, and noted that many were enacted decades ago and have not been revisited despite changes in medical evidence and treatment options. Witnesses from the carriers argued that mandates should be reviewed periodically because some are outdated, can create unintended costs, and may not align with current medical guidance. Examples cited included PSA screening, off-label drug coverage, prior authorization rules, step therapy, and cost-sharing provisions for mental health and substance use treatment. They emphasized that carriers often cover services without a mandate when supported by clinical evidence, and that mandates can shift costs to employers and employees, especially in the fully insured small-group market. They also suggested possible policy improvements such as clearer mandate definitions, better transparency around cost-benefit analyses, a regular 10-year review of mandates, and more timely submission of proposals through the interim process. PERS and the Insurance Department highlighted a recurring tension over what counts as a mandate and when a measure triggers the state’s defrayal obligation under federal law. PERS described its interim committee process, the April 1 deadline for fiscal-impact proposals, and the limited pilot program used for certain measures, noting that only a few bills have gone through the full pilot process. The Insurance Department explained that it views new benefit mandates through the lens of the ACA benchmark plan and essential health benefits, distinguishing true new benefits, such as infertility coverage, from changes to existing benefits, such as telehealth or insulin cost-sharing caps. No votes were taken on policy changes; the meeting was informational, with members asking questions about costs, applicability, transparency, and whether a periodic mandate review should be established.

Transcript Highlights:

• Blue bar is the member service, so how much of the money is actually going to member services compared
• Blue bar is the member service, so how much of the money is actually going to member services compared
• You can put program and policy in there, so you take out a certain service that will cost less because
• Program changes trend 1.3.
• On the program change tracking, OHA is working closely with CCOs on program changes, including new potential

Keywords: 907, all

Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.

Transcript Highlights:

• for traditional landline service but some of traditional landline service but some of the<00:18:38.480
• , the overall size of the program is less than the overall size of the reinsurance program.
• program. So this isn't completely new. program. So this isn't completely new.
• program and the current<01:10:55.360> reinsurance<01:10:56.040> program.
• reinsurance program to the individual. reinsurance program to the individual.

Keywords: 1187, senate, all

Transcript Highlights:

• Those programs are funded beyond the 3.5 billion except for the local. The PLHA program.
• Center Enhancement Program.
• Sorry, there's been no changes to that program. And how much is that program funded for?
• . program also.
• at the current service level.

Keywords: 988, house, all

Transcript Highlights:

• It is our responsibility as government to figure out how we can deliver our programs and services in
• program.
• We have a lot of programs.
• program, the CERNA Farm Worker Program, and the homeless housing rescue fund.
• low-income housing tax credit program and the multifamily housing program.

Keywords: 987, senate, all

Transcript Highlights:

• We're speaking about the California Hemp Program, industrial hemp program support and transition.
• And that's why we propose shifting the program to the USDA Federal Hemp Program.
• programs.
• And then software as a service, SaaS, sorry, software as a service. Access to the software.
• File as a service in 2026.

Keywords: 987, senate, all

Transcript Highlights:

• or fellowship program in clinical psychiatry, in addition to providing behavioral health services and
• this program.
• You all spoke about the FRAME program. You spoke about the TEACH program.
• Further, Senate Bill 7016 requires that all program participants provide 25 hours of volunteer service
• The program also deployed a draft volunteer service form to the FRAME portal for applicants to complete

Summary: The Senate Health Policy Committee received updates from the Agency for Health Care Administration and the Department of Health on implementation of 2024 health care laws. AHCA reviewed progress on workforce and reimbursement measures in Senate Bill 7016 and related bills, including FRAME and TEACH funding, graduate medical education reporting, behavioral health teaching hospitals, acute hospital care at home, advanced birth centers, non-emergent care access plans, and rural emergency hospitals. Agency officials said several programs are already operational or have begun payments, while others are still in rulemaking, federal approval, or report-preparation stages. Senators asked about timing, funding reversion concerns, and whether appropriated dollars would be spent on schedule, especially for behavioral health teaching hospitals and the new birth center category. The Department of Health then reported on practitioner licensure and public health programs. MQA described implementation of the Interstate Medical Licensure Compact, the Mobile Act licensure pathway, massage therapy enforcement changes, background screening expansion, liposuction safety requirements, pharmacist HIV post-exposure prophylaxis authority, and chiropractic dry needling. Public health staff updated the committee on FRAME and dental loan repayment, the Sinati screening grant program, the cancer research and innovation changes, the health care innovation council and loan program, the pediatric rare disease grant program, telehealth maternity care expansion, newborn screening for congenital CMV, the sickle cell registry and grants, and the swimming lesson voucher program. Members focused questions on how practitioners were being recruited to underserved areas, the pace of licensure approvals, and whether new programs were on track to use appropriated funds. The committee also heard a lengthy update from the Office of Medical Marijuana Use. The director reported more than 900,000 qualified patients, real-time seed-to-sale tracking now integrated across most dispensaries and labs, and ongoing compliance work on product testing, advertising, diversion, and patient safety. Senators questioned the decline in qualified physicians, how THC potency is labeled and verified, and what the agency can do about diversion to non-patients. The director said the office relies on complaints, inspections, lab audits, and coordination with law enforcement, and that patients can be suspended if violations are confirmed.

Transcript Highlights:

• as the program administrator.
• So it's a great program.
• funded programs.
• I applied for this program, and I was lucky enough to get this program.
• program all these housing tax credit program all these programs<01:08:42.600> are<01:08:42.880

Keywords: 1187, senate, all

Transcript Highlights:

• Thank you for your public service.
• We have some programs that we have seen that are working, that are in existence now in human services
• I know, like Rockland Trust has a program. South Shore Bank has an apprenticeship program.
• associate's degree programs.
• So, um... ...partnership program and pathways into human services.

Keywords: 995, all

Summary: The subcommittee opened with roll call and approved the January minutes. Members then heard from Undersecretary of Labor and Workforce Development Josh Cutler, who gave an update on the Healey-Driscoll administration’s apprenticeship efforts and emphasized apprenticeship as an earn-while-you-learn model that can help address workforce shortages while including people with disabilities. He described growth in apprenticeships across sectors such as banking, bio, early education, health care, and human services, and noted recent milestones including the state’s 10,000th registered apprenticeship, expanded tax credits, reduced program fees, added apprenticeship liaisons, and Grow grants to support program development. Committee members focused on how apprenticeship could be adapted for human services and disability-related jobs, including early education, direct care, PCA work, sterile processing, and related health occupations. They asked about funding structures, employer participation, community college involvement, and how to make programs accessible to people with disabilities. Cutler explained that apprenticeship programs are employer-designed but must meet core requirements such as paid employment, at least 2,000 hours of on-the-job learning, related technical instruction, mentorship, and progressive wages. He said the state can support programs through the registered apprenticeship tax credit, which he said is $4,800 per apprentice and can be stacked with the disability employment tax credit, and through Grow grants, which were most recently awarded at about $2.1 million statewide. Members and Cutler discussed using intermediaries such as trade associations, nonprofits, and disability organizations to help employers set up programs and navigate incentives. He said the commission could be useful as a convener and suggested a targeted panel or information session with apprenticeship liaisons, employers, and existing sponsors to identify a few specific occupations and build a proof of concept. The meeting ended with agreement to follow up offline on potential partner employers, including Eastern Bank, and on possible next steps for a focused panel or pilot opportunities.

Transcript Highlights:

• Our first one is our health care program 500, which includes our medical services, nursing services,
• Services.
• In Program 700 would be our housing vouchers, our educational services, our quality assurance, our cognitive
• One of the, our first one is we have our health care program 500, which includes our medical services
• In program 700 would be our housing vouchers, our educational services, our quality insurance, our cognitive

Summary: The LEAP committee met on June 18, 2025, with introductions from members and staff, then received a clean audit report from the State Auditor covering 2020–2024. The audit reviewed accounts payable, general disbursements, theft-sensitive assets, and data backup/recovery, and found no findings. Staff also outlined the interim work plan, including a full rewrite of the capital budget application (Build Sum), updates to the transportation bond model and operating budget tools, website improvements, and continued research into secure, responsible AI use. Members asked about AI safeguards, keyword search improvements, and making the website more user-friendly, especially on mobile devices. The committee approved the July 8, 2024 minutes after a quorum was reached. It then considered and unanimously approved several budget format changes: the Department of Corrections moved chemical dependency and sex offender treatment into its health care program and renamed Program 700 from “Offender Change” to “Reentry Services”; the Department of Revenue moved the AMP program into its tax analysis and technology support program; and the Department of Transportation changed a toll program title and added new sub-programs for State Route 509 and State Route 167 toll operations to reflect new facilities and more accurate reporting. Kevin Feltis also provided staffing updates, noting the retirements of longtime LEAP staff, the hiring of three new associate consultants in October 2024, and an upcoming December 2025 retirement for Sherry Randage after decades of state service. The new staff members briefly introduced themselves and expressed enthusiasm for their work. The meeting ended with thanks to members and staff and adjournment after the committee completed its business.

Transcript Highlights:

• This is a program where we're delivering direct services in some of those counties where we do not have
• This increase is primarily for the impaired physician program and for legal services.
• The Independent Living Services and Disability Determination Program respectively requested a 14.7% increase
• The request for the rehabilitation services program included no increase in general fund revenue and
• The agency met 7 out of 11 of its FY25 performance measures, with the administrative services program

Transcript Highlights:

• And it is specific to food services, food purchases, delivery of food for seniors in the senior service
• They have a grant from the USDA Forest Service for the Pine to Hardwood Reforestation cost-share program
• or the crime victims program.
• It’s a once-a-year grant program.
• And then we manage that program.

Summary: The committee met to review a large slate of fiscal year 2026 and 2027 appropriation, transfer, and continuation requests across multiple sections. Early items included temporary appropriations for agencies such as Health, DHS, Education, Public Safety, State Police, Emergency Management, Aeronautics, Military, Economic Development, and Game and Fish, covering items like maternal health outreach, energy assistance repayments, Wynne High School tornado rebuilding, senior food services, cybersecurity, crime victim reparations, aviation grants, conservation incentives, and emergency tower maintenance. Members asked questions on several items, including DHS aging carry-forward funds and Treasury custodial banking fees tied to COVID-era balances; the committee also approved a disclosure by the chair on the Game and Fish-related item before voting to approve the section. The committee then approved continuation requests, CARES Act and ARPA reallocations, and federal grant appropriations. Notable discussion included the Boonville developmental disability project, ALIGN program reallocations at several universities, a small business technical assistance grant at UA Little Rock, and a Department of Public Safety highway safety grant, for which members requested more detail on operating expenses and professional fees. Additional approvals covered a transfer to the Merit Teacher Incentive program, restricted reserve fund transfers for military medical command and university projects, and a state central services deduction held at 2%. The Department of Commerce also received approval for a reallocation of positions and spending authority tied to its organizational realignment. Later sections included shared technology and higher education transfers, cash fund appropriations for school Medicaid reimbursements, corrections, youth mental health, narcotics detection canines, bike safety equipment, a state motor pool pilot, and law enforcement safety costs. The committee also reviewed budget classification transfers, including a Governor’s Office legal fee transfer related to a California lawsuit, and heard explanations about E-Rate reimbursements affecting the Office of State Technology. Members asked about VOCA funding levels for crime victim services and about the National Security Grant Program for nonprofits and faith-based organizations; officials said federal funding had declined from prior highs but appeared to have stabilized, and that the nonprofit security grant is an annual federal program. The meeting concluded with review of pay plan requests, DHS overtime funding for child protection caseloads, and a year-end adjustment request allowing DFA to make up to $1 million in transfers to close the books, after which the committee adjourned.

Transcript Highlights:

• And it is specific to food services, food purchases, delivery of food for seniors in the senior service
• They have a grant from the USDA Forest Service for the Pine to Hardwood Reforestation cost-share program
• or the crime victims program.
• It's a once-a-year grant program.
• And then we manage that program.

Keywords: 1204, all

Transcript Highlights:

• and our vpk Summer Bridge program.
• Both of these programs are new programs that were implemented for the first time in fiscal year. 24 25
• our S our vpk program first and foremost is our school readiness plus program.
• So what is the average co pay increase from the SR program to the SR plus program?
• program.

Transcript Highlights:

• that are in public service.
• that are in public service.
• It's intended to pay the service fee charged by Identico.
• An allocation for the SMART food program of $1,485,000 to the Department of Health and Social Services
• as part of the SNAP and WIC program. ...as part of the SNAP and WIC program, and I believe this was

Summary: The Joint Finance Committee met to review and vote on the fiscal year 2027 Grants and Aid Act, which was expected to be pre-filed as Senate Bill 337. Members first reviewed Section 1, covering county seat payments, paramedic operations, senior center allocations, senior center transportation, and Homeland Security grants. They approved Section 1 after discussion of how senior center transportation is being moved from DART to grant-in-aid and how some organizations can appear in both the senior center formula and the general aging category. The committee then worked through Section 2, which included one-time appropriations and the various grant categories for aging, arts/historical/recreation, economic housing or labor services, family and youth services, health or disability services, and neighborhood and community services. Members discussed several specific items, including New Castle County reassessment-related funding, Friends of Cooch’s Bridge, Slaughter Neck Community Action Organization, Plastic-Free Delaware, Love, Inc. of the Delmarva, and the Southern Delaware Horse Retirement Association. One aging line for Slaughter Neck was reduced back to flat funding after members questioned a large increase, and the revised category total was adjusted accordingly. Each of the Section 2 subcategories was then adopted. Section 3, covering fire companies and public service ambulance companies, was approved with increases across apparatus, ambulance, rescue truck, aerial truck, rescue boat, substation, and insurance rebate equalization funding. Section 4, for veterans organizations and youth programs such as Boys State, Girls State, and Trooper Youth Week, was also adopted. The committee then approved the epilogue sections, which included eligibility, audit, payment, and reporting rules; special provisions for the Wilmington Senior Center contingency; conditions tied to several one-time appropriations; withholding funding from Merri-Dell Volunteer Fire Company pending a corrective report; and reprogramming $1,485,000 from a prior SMART food program appropriation toward SNAP/WIC-related food access initiatives. The meeting ended with remarks thanking staff and noting that it was likely the last JFC meeting for two members, followed by adjournment.

Transcript Highlights:

• This is a program that we funded in the legislature this last couple of years: services over sentences
• services, health services.
• We make sure that people leave our program with wraparound services to support their transition back
• of our program to change.
• Like another program.

Keywords: 995, all

Summary: The committee held its fourth public hearing of the 2025-2026 session on bills dealing with involuntary commitment and access to addiction treatment, especially proposals to move Section 35 civil commitments away from jails and prisons and into facilities licensed or approved by DPH or DMH. Chairs Velis and Domb framed the hearing as a discussion of how to support people in crisis with compassion, while also warning against using involuntary commitment as a way to remove unhoused people from public view. The hearing also touched on related concerns about discharge practices, treatment capacity, and the need for a broader continuum of care. Testimony split largely along two themes. Addiction researcher Keith Humphreys argued that many people enter treatment under pressure, that involuntary treatment can be ethically justified in the face of overdose risk, but that it should not be mandated unless high-quality services exist first; he emphasized the need for inpatient care when someone is a grave danger, followed by case management and outpatient support. MAMH’s Kate Alicante supported the bill, saying Massachusetts is the only state that commits people with substance use conditions to jails or prisons and that carceral settings add trauma and stigma; she pointed to prior legislative steps, including the Section 35 commission and the planned closure of DOC’s MESAC facility, as evidence that the Commonwealth is moving toward health-based settings. A major portion of the hearing focused on Stony Brook, a sheriff-run stabilization and treatment center in Hampden County. Boston City Councilor John Fitzgerald, several committee members, and multiple people in recovery described the facility as humane, well-run, and effective, with longer stays, medical monitoring, medication-assisted treatment, counseling, and warm handoffs to aftercare. Several witnesses said Stony Brook saved their lives or helped family members recover, and they argued that the sheriff’s office model should be expanded rather than eliminated. Others, including family members and advocates, countered that even a well-run correctional setting remains stigmatizing and that people should not be treated in facilities run by sheriffs or corrections when they have committed no crime. No vote was taken. The hearing concluded with continued testimony, including Senator Friedman’s support for Section 35 as a civil commitment tool but not in a criminal justice setting, and her separate support for a bill to speed inpatient mental health treatment.

Transcript Highlights:

• We issued an unmodified opinion on the federal program, a clean opinion on the federal program.
• The three programs that we audited this year were the mortgage insurance program, the Ginnie Mae program
• or security services.
• Are we done with Health and Human Services?” “Are we done with Health and Human Services?”
• They can't use food service funds.

Keywords: 908, all