Transcript Highlights:

• As you know, the penny has been effectively discontinued from minting at the federal level.

Bills: HB1268 , HB3041 , HB3075 , HB3378 , HB3463 , HB3619 , HB3620 , HB3624 , HB3722 , HB4335

Committee: House Government Oversight

Keywords: retirement, public employees, deferred option plan, service credit, contributions, distributions, credit card transactions, payment methods, service charge, consumer rights, financial regulation, rounding, cash payments, public finance, Oklahoma Common Cents Act, political subdivision, science and technology, research, board appointments, emergency legislation

Transcript Highlights:

• information may be redacted consistent with the Public Records Act and other applicable state and federal
• The federal reimbursement under this is 13% of that. Any questions for Allison? Seeing none.
• There's problems going across the nation with fraud and abuse of federal funds and state funds.
• data for the last four years for them to fully conduct an audit that meets the requirements of the federal
• government, that's over $414 million that is at risk of being clawed back to the federal government.

Bills: SB5977 , SB6184 , SB5681 , SB5917 , SB5942 , SB6024 , SB6036 , SB6080 , SB6085

Committee: Senate Human Services

Keywords: child safety, near fatalities, public reporting, child welfare, transparency, homeless youth, youth services, mental health, support programs, state law, employment services, community inclusion, age limitations, disability services, home and community living, abortion medications, reproductive health, mifepristone, misoprostol, abortion access

Transcript Highlights:

• violated both federal law and the U.S.
• Because, as everyone who spoke here today mentioned, while federal regulations cover federal elections
• There are penalties under state and federal law.
• I assume that's why you are bifurcating; you're saying, well, we can't trump federal law, but federal
• And they're not just given a federal ballot.

Bills: HB2442 , HB3697 , HB4288 , HB5256 , HB5337 , HB5362 , HJR161

Committee: House Elections

Keywords: HB 2442, Texas Election Code, Election Code Section 84.001, early voting, ballot by mail, mail ballot, absentee voting, runoff election, primary runoff, general runoff, voter application, election administration, county election officials, opt-out, voter choice, mail voting, ballot application, voting by mail, Election Code, size requirements

Transcript Highlights:

• And in that time we've had a federal census occur, which gives us important data on population, income
• Feeney, protecting Massachusetts labor unions and workers from federal law. By Mr.
• Feeney, protecting Massachusetts labor unions and workers from federal threats. Senator Feeney.
• We could continue to set a good example for those protections that are consistent with federal law.
• In 2025, federal prosecutors shut 13 individuals operating an international grandparent scam.

Summary: The Senate considered a large number of amendments to an economic development bill and adopted them one by one, with repeated brief recesses as members finalized language. Early amendments made permanent the option for hybrid public meetings and added procedures for alleged open meeting law violations, authorized speed camera enforcement in school and construction safety zones, and created a retirement credit option for part-time teachers who reduced hours to care for children. Other adopted amendments updated gateway municipality designations every three years, capped ticket resale prices and banned speculative “ghost tickets,” and addressed vulnerable road users, crumbling concrete, and a fund for seasonal communities housing. Members also approved amendments to create a new framework for responding to crimes against women, including better investigation of staged suicides and adding sex and gender to the hate crimes statute; to establish a trigger law protecting private-sector labor organizing rights if federal labor law is weakened; to create a bottom-up “Enough Act” fund to fight poverty; to allow airport restaurants and bars at Logan to operate during flight hours; and to protect seniors and adults with disabilities from financial scams by allowing temporary delays of suspicious transactions and reporting to protective agencies. Additional housing-related amendments were adopted for rural communities, residential PACE financing, and a five-community tenant opportunity to purchase pilot program. A Senate Ways and Means amendment was then adopted, the substitute draft was applied to the underlying bill, and the bill was ordered to a third reading and then passed to be engrossed. The chamber also adopted an order to reconvene the following Monday at 11 a.m. and to dispense with printing a calendar. The Senate then adjourned.

Transcript Highlights:

• So this bill affects those whose household income is between 185% and 300% of federal poverty guidelines
• </c> and have child care costs so the federal and have child care costs so the federal poverty<05:05:
• </c> not mean if you are above the federal not mean if you are above the federal poverty<05:06:00.480
• /c><05:06:17.920><c> go</c><05:06:18.240><c> to</c> federal poverty level if we go to federal poverty
• guidelines that have there are federal guidelines that have to<05:26:07.878><c> be</c><05:26:08.000>

Summary: The committee first heard HB 659, which would establish the New Hampshire College Graduate Retention Incentive Program. A Department of Revenue Administration analyst explained technical issues in the bill, focusing on whether the incentive is intended to operate as a rebate or a tax credit, how it would be administered, and how it would interact with the business enterprise tax and business profits tax. She said the bill’s language was unclear on the administering agency, effective tax years, caps, and carry-forward treatment, and noted that reducing BET can also reduce the BET credit against BPT, though not on a one-for-one basis. Committee members asked follow-up questions about the BET/BPT interaction, administrative costs, and whether the Department of Business and Economic Affairs would need additional staffing. Andrew Horn then testified in support, saying the bill is meant to address the large number of New Hampshire college graduates who leave the state after graduation by encouraging them to stay and by incentivizing businesses to hire them. The chair closed the hearing on HB 659 after no further public testimony. The committee then took up HB 770, a bill to establish a program allowing New Hampshire high school students to earn tuition credits at state higher education institutions through community service. Representative Schultz described the bill as a “triple play” intended to increase volunteerism, expand service and internship opportunities for students, and make college more affordable. Ryan Casey, a junior at Bishop Brady High School, testified that the proposal would help students reduce future loan debt while benefiting communities and encouraging young people to attend college in New Hampshire. Committee members asked about eligibility, including why private and preparatory school students were excluded, whether public school students would qualify, whether mandatory service hours would count, and how the bill’s references to education and business eligibility should be read. Schultz said the exclusion of private and prep schools was intended because public school students are more clearly New Hampshire residents, and she noted that mandatory school service hours had been excluded in revisions. The Department of Education then testified that the program would require significant administration, estimating at least three full-time staff, software or tracking systems, and rulemaking to oversee volunteer sites, schools, student eligibility, and tuition credit distribution. No vote was taken in the excerpt, and the hearing remained in testimony phase.

Transcript Highlights:

• As federal funding uncertainty continues, As federal funding uncertainty continues, we are threatened
• And so this is an optional coverage per federal guidelines.
• Guidelines.
• consistency with federal... ...state law to the federal definition, ensuring clarity and consistency
• with federal requirements.

Committee: Senate Health

Transcript Highlights:

• And when I say that, I mean deep poverty, deep, deep poverty.
• But at community action, we can provide service for folks that are up to 200% of the federal poverty
• guidelines.
• Right now, we are federally allowed to serve up to 200% of poverty.
• "Again, the majority of the clients that we serve are all about that 200% federal poverty line or below

Committee: Joint Human Services

Summary: The Human Services Committee met in interim session and first approved the previous meeting minutes before receiving a series of presentations on homelessness and housing stability. Jennifer Henderson of the North Dakota Housing Finance Agency updated members on the new Interagency Council on Homelessness, describing its executive-order mandate to review resources, gather input from stakeholders, identify gaps, and develop recommendations. She said the council’s first work is building a statewide program matrix of existing homeless services and funding sources, with attention to youth, tribal communities, and other vulnerable populations. Members raised concerns about youth homelessness, homeless veterans, and how the council will stay focused on a practical framework rather than getting lost in details. The committee also discussed possible connections to the rural health transformation grant and agreed to continue the topic later in the spring. Beth Olson of Presentation Partners in Housing described the organization’s housing-first model in Cass County and Clay County, including homeless prevention/diversion, housing navigation, and Cooper House, a 42-unit permanent supportive housing building in Fargo. She said the organization focuses on people with long-term and chronic homelessness, many with mental health, addiction, health, domestic violence, and Indigenous identity-related barriers, and reported strong outcomes: 85 of 86 people housed in 2025, 91% still housed after one year, and major reductions in emergency room use, ambulance rides, jail stays, detox days, and shelter use. She also explained that state funding has grown from a small share of the budget to about $1.1 million in state-connected funding for fiscal 2026, largely through contracts tied to supportive services. Members asked about vouchers, rent contributions at Cooper House, length of stay, and whether similar projects could be expanded elsewhere. Andrea Olson of the Community Action Partnership of North Dakota outlined statewide homeless and housing-related services delivered through six community action agencies in all 53 counties. She explained the Community Services Block Grant structure, said housing was identified as the top need in the most recent statewide needs assessment, and described programs including Supportive Services for Veteran Families, North Dakota Homeless Grant services, and Home ARP supportive services. She emphasized that the end of North Dakota Rent Help has increased pressure on the system, that the current $2 million annual homeless grant is far smaller than prior rent-help assistance, and that community action is using case management and financial assistance to move households toward self-sufficiency. Members asked about funding formulas, rural service delivery, and coordination with Presentation Partners to avoid duplication. YouthWorks then began a presentation on youth homelessness, describing services for ages 12 to 24, the special needs of youth and former foster youth, and the organization’s use of federal and state funds to support transitional housing, emergency shelter, maternity housing, and diversion services.

Transcript Highlights:

• And if the defendant's household income, exclusive of public benefits, exceeds 150% of the federal poverty
• level for Hawaii, as determined by the most recent guidelines, the amount the defendant could reasonably
• </c><01:01:47.600><c> poverty</c><01:01:47.960><c> level</c><01:01:48.240><c> for</c> 150% of the federal
• poverty level for 150% of the federal poverty level for Hawaii<01:01:48.760><c> as</c><01:01:48.880>
• , the amount the defendant guidelines, the amount the defendant could<01:01:52.640><c> reasonably</c>

Bills: SCR96 , SCR164 , SCR172 , SCR166 , SCR182 , SCR7 , SCR59 , SCR58 , SCR60 , SCR89 , SCR184 , SCR11 , HB2296 , HB2315 , HB2343

Transcript Highlights:

• guidelines that overseen by federal guidelines that overseen by federal guidelines that already exist
• And there's a lot of federal oversight on there's a lot of federal oversight on there's a lot of federal
• Uh there's also federal statute that that there's also federal statute that that there's also federal
• So, the same federally protected So, the same federally protected So, the same federally protected guidelines
• Staff will work within the guidelines will work within the guidelines will work within the guidelines

Bills: HB 1535 , HB 123 , HB 111 , HB 180 , HB 342 , HB 1027 , HB 1178 , HB 610 , HB 1277 , HB 1615 , HB 1620 , HB 5342 , HB 4885 , HB 4751 , HB 4689 , HB 4530 , HB 4488 , HB 2149 , HB 2041 , HB 2071 , HB 1813 , HB 2282 , HB 2248 , HB 2243 , HB 2522 , HB 2310 , HB 2513 , HB 2300 , HB 1902 , HB 3719 , HB 4284 , HB 4327 , HB 3743 , HB 3778 , HB 3801 , HB 5153 , HB 5147 , HB 4877 , HB 4850 , HB 3158 , HB 3261 , HB 3005 , HB 3033 , HB 3138 , HB 3099 , HB 2849 , HB 2967 , HB 3488 , HB 3477 , HB 3466 , HB 3396 , HB 3469 , HB 2594 , HB 2776 , HB 2564 , HB 2298 , HB 5331 , HB 5646 , HB 5247 , HB 5323 , HB 2015 , HB 4384 , HB 3896 , HB 4014 , HB 3627 , HB 3594 , HB 2524 , HB 510 , HB 561 , HB 5111 , HB 5446 , HB 1181 , HB 3963 , HB 2785 , HB 1661 , HB 2460 , HB 24 , HJR 138 , HB 3800 , HB 42 , HB 129 , HB 677 , HB 668 , HB 2128 , HB 2038 , HB 2316 , HB 3686 , HB 2563 , HB 1160 , HB 3883 , HB 2788 , HB 2663 , HB 3305 , HB 3474 , HB 1105 , HB 3490 , HB 3597 , HB 1295 , HB 3512 , HB 3783 , HB 2017 , HB 3010 , HB 3112 , HB 4215 , HB 3223 , HB 3464 , HB 3120 , HB 4214 , HB 4081 , HB 4783 , HB 4063 , HB 2783 , HB 5085 , HB 2510 , HB 3426 , HB 4361 , HB 1169 , HB 2516 , HB 4700 , HB 3560 , HB 3860 , HB 3146 , HB 184 , HB 198 , HB 247 , HB 367 , HB 449 , HB 1778 , HB 514 , HB 632 , HB 2582 , HB 766 , HB 2715 , HB 2712 , HB 3069 , HB 3505 , HB 1269 , HB 4224 , HB 5032 , HB 2240 , HB 5180 , HB 3348 , HB 4668 , HB 4665 , HB 3395 , HB 3157 , HB 4395 , HB 4325 , HB 4386 , HB 4273 , HB 2760 , HB 2820 , HB 1828 , HB 1579 , SB 2349 , SB 1268 , SB 610 , SB 1577 , SB 1369 , SB 2032 , SB 2034 , SB 1057 , SB 1044 , SB 922 , SB 1759 , SB 1143 , SB 1506 , SB 1403 , SB 2361 , SB 870 , SB 372 , SB 72 , SB 1583 , SB 2314 , SB 1267 , SB 1273 , SB 765 , SB 552 , HB 2145 , HJR 112 , HB 1804 , HJR 110 , HB 1194 , HB 1531 , HB 5008 , HB 3421 , SCR 27 , HB 5398 , HB 1407 , HB 426 , HB 1535 , HB 123 , HB 1773 , HB 1871 , HB 2035 , HB 2448 , HB 2492 , HB 1411 , HB 4753 , HB 4666 , HB 4529 , HB 1499 , HB 1610 , HB 2028 , HB 1506 , HB 886 , HB 3546 , HB 796 , HB 223 , HB 1475 , HB 3556 , HB 4638 , HB 111 , HB 180 , HB 342 , HB 1027 , HB 1178 , HB 610 , HB 1277 , HB 1615 , HB 1620 , HB 5342 , HB 4885 , HB 4751 , HB 4689 , HB 4530 , HB 4488 , HB 2149 , HB 2041 , HB 2071 , HB 1813 , HB 2282 , HB 2248 , HB 2243 , HB 2522 , HB 2310 , HB 2513 , HB 2300 , HB 1902 , HB 3719 , HB 4284 , HB 4327 , HB 3743 , HB 3778 , HB 3801 , HB 5153 , HB 5147 , HB 4877 , HB 4850 , HB 3158 , HB 3261 , HB 3005 , HB 3033 , HB 3138 , HB 3099 , HB 2849 , HB 2967 , HB 3488 , HB 3477 , HB 3466 , HB 3396 , HB 3469 , HB 2594 , HB 2776 , HB 2564 , HB 2298 , HB 5331 , HB 5646 , HB 5247 , HB 5323 , HB 2015 , HB 4384 , HB 3896 , HB 4014 , HB 3627 , HB 3594 , HB 2524 , HB 510 , HB 561 , HB 5111 , HB 5446 , HB 1181 , HB 3963 , HB 2785 , HB 1661 , HB 2460 , HCR 98 , HCR 92 , HCR 126

Transcript Highlights:

• poverty guidelines.
• Correct, if you're 200% or less of poverty guidelines. And you said the current amount.
• poverty guidelines a second.
• A family up to 500% of the federal poverty level can get it.
• I want everyone in here to think about what 500% of the federal poverty level is.

Bills: SB2 , HB2 , HB2000 , HB2196 , HB213 , HB222 , HB645 , HB1458 , HB 1022 , HB141 , HB502 , HB643 , HB3093 , HB1700 , HB 117 , SB503 , SB2 , HB 120 , HB20 , HB150 , HB6 , HB 100 , HB210 , HB215 , HB1393 , HB 1151 , HB 1268 , HB142 , HB451 , HB 124 , HB2 , HB2000 , HB2196 , HB213 , HB222 , HB645 , HB1458 , HB 1022 , HB141 , HB502 , HB643 , HB3093 , HB1700 , HB 117

Keywords: public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, child grooming, sex offender registration, criminal justice, reportable conviction, law enforcement, virtual education, hybrid learning, school funding, average daily attendance

Transcript Highlights:

• poverty line.
• I'm here with End Child Poverty California.
• Forty-seven percent of families who have children placed in the system are living below the federal poverty
• Andrew Shane, with End Child Poverty California, in support.
• Andrew Shane, Grace and Angel Poverty, in support.

Summary: The Assembly Committee on Human Services heard a long agenda of bills focused largely on child welfare, foster care, child care, CalWORKs, mandated reporting, and public benefits. Early items included AB 890, which would ease county transfer rules for nonminor dependents in extended foster care; AB 461, which would replace punitive truancy-related penalties with supportive services for families; and AB 753, which would create an interim associate teacher pathway to help address the child care workforce shortage. Testimony on these bills emphasized barriers faced by foster youth, low-income families, and child care providers, and members expressed support for the general policy direction. The committee also heard AB 926 on foster care visitation, AB 563 on early childhood planning and reporting, AB 601 on standardized mandated reporter training, AB 1074 on CalWORKs reunification aid, AB 822 extending the Commission on the State of Hate, AB 970 creating a Los Angeles County mandated reporter pilot, AB 1161 protecting public benefits during disasters, AB 1172 allowing trained staff to administer emergency seizure medication in community care settings, and AB 363 expanding CalWORKs student supports and work-study. Witnesses generally supported these measures as ways to reduce trauma, improve reunification, modernize reporting and training, and expand access to services. County welfare and child welfare groups, advocacy organizations, and providers largely testified in support, while some bills drew concerns from county representatives about implementation or needed amendments. Several bills were voted out of committee, often unanimously and sometimes as amended, including AB 926, AB 563, AB 601, AB 1074, AB 822, AB 970, AB 1161, and AB 1172; AB 1172 was reported on call. The committee also took up consent items and later voted on subcommittee-held bills AB 461, AB 753, and AB 890, leaving them on call. At the end of the hearing, the committee heard AB 1211, which would protect CalFresh benefits from federal cuts and require a feasibility study on increasing benefits and eligibility; testimony stressed rising food insecurity and the economic importance of food assistance, but the transcript ends before a final vote on that bill.

Transcript Highlights:

• We also put into that bill some stipulations, some guidelines, to do audits and to make sure that the
• When it's not so much the poverty side of things, but it's—they look at other things besides just, do
• Chairman and Representative Harris, the actual guidelines... Requirements.
• Chairman and Representative Harris, the actual guidelines... Thank you, Mr.
• The federal government, then we'll set the parameters on how that works and what's required.

Summary: The committee first heard reports from the House and Senate Health and Welfare chairs on budget issues and related policy concerns. Senator Van Orden said the department’s non-Medicaid budget had been presented and that members were focused on scrutinizing public health contracts, avoiding broad across-the-board cuts, and preserving essential services. She also said she was not in favor of moving 988 suicide crisis hotline services into the behavioral health managed care contract at this time, while Representative Tanner noted prior intent language had only required a cost-benefit analysis and that any change would need more detail. Representative Van der Woude said the House committee was committed to a bill holding back about $21 million for RESHAB, with audit and oversight provisions, and raised concerns about rural health fund oversight, provider rate reductions, and Medicaid expansion spending. Members then questioned the chairs about possible policy changes to reduce costs, including reviewing programs not in Idaho Code, restoring provider rates if revenues improve, and adding work requirements or enrollment caps to Medicaid expansion. Van der Woude said he was drafting a bill that would let Medicaid expansion expire and restart with work requirements and a cap, and he said he would support an asset-based waiver request for people with substantial assets. Several members raised concerns about the human impact of cuts, especially in adult dental and developmental services, while others emphasized the need for clearer evaluation tools and better return-on-investment data for programs. Van der Woude explained that RESHAB funding concerns stemmed from unclear assessment standards and the loss of a prior evaluation tool in litigation, and Senator Wintrow cautioned that a straight $21 million reduction could harm services and providers. The committee then heard from House Agricultural Affairs Chair Gerald Raymond, who reviewed agriculture-related budget items and emphasized the importance of dedicated funds, research, and invasive species prevention. He highlighted funding for quagga mussel prevention, Mormon cricket control, Japanese beetles, and carnal bunt response through a deficiency warrant, and said prevention at boat check stations is cheaper than treatment. He also discussed the University of Idaho dairy/cafe project, saying the facility was nearing completion and expected to have about 400 cows milking by the end of the summer. Members asked about the impact of recent cuts on check stations, and Raymond said his committee had not yet discussed that issue but would consider it, and that the Snake River Basin study had mostly been left to the resource committees. The meeting ended with notice that work groups would meet immediately after adjournment and that budget-setting would begin the next day, with the committee reconvening at 7:15 a.m. and the full committee at 8:00 a.m.

Transcript Highlights:

• ><c> government's</c> to the federal government's to the federal government's destabilization<00:03:40.879
• :39.120><c> to</c><00:19:40.400><c> interpret</c> federal government's going to interpret federal government's
• Um she makes far below the poverty<00:30:38.640><c> line.</c> poverty line. poverty line.
• So, uh it doesn't go to the guidelines.
• </c> because of actions by our own federal because of actions by our own federal government.<00:43:34.319

Committee: Senate Finance

Transcript Highlights:

• It's 138% of the federal poverty level. Thank you. Additional question?
• I think the number was 138 percent of the federal poverty line.
• Adults with dependent children, income eligibility rate is about between 26 and 28% of the federal poverty
• Then if you make 26% of the federal poverty level, which is equal to $7,103 a year, you have to make
• 26% of the federal poverty level.

Committee: Senate Health Policy

Summary: The committee first considered SB 268, a public records bill for emergency physicians. A strike-all amendment narrowed and clarified the exemption, and the sponsor said it was intended to protect current emergency department physicians and eligible family members who submit a written request. Emergency physician Dr. Sean Patterson and several health care organizations supported the bill, citing threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported SB 268 favorably as a committee substitute. The committee then heard SB 514, creating the Doula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women, with priority for those affected by substance use disorder. Members discussed how the Department of Health would implement the pilot, collect data, and work with existing maternal health partners. An amendment changed the funding source to specific appropriations in the General Appropriations Act. Supporters said doula care can improve maternal and infant outcomes and help address Florida’s maternal health crisis. The bill was reported favorably as a committee substitute. SB 36, on use of professional nursing titles, drew extensive debate over whether nurses with doctoral degrees should be able to use the title “doctor” in clinical and advertising settings while clearly identifying themselves as nurses. The sponsor said the bill was about transparency and patient clarity, while several senators raised concerns that patients could confuse DNPs with physicians. Supporters from nursing groups said the bill protects earned credentials and does not expand scope of practice. The committee adopted an amendment aligning the bill with the House version and reported SB 36 favorably as a committee substitute. The committee also reported favorably SB 864, creating a public records exemption for uterine fibroid research data; SB 844, requiring continuing education on sickle cell disease care management for certain health professionals; SB 1404, revising memory care licensing for assisted living facilities; and SB 914, clarifying dry needling authority for occupational therapists. Finally, the committee took up SB 1758, a broad public assistance bill affecting Medicaid and SNAP. The sponsor described reforms including stronger fraud enforcement, a Medicaid work requirement for certain able-bodied adults, expanded behavioral health services through a waiver, pharmacy program changes, and SNAP fraud reduction measures. Members questioned the work requirement, implementation costs, eligibility verification, and due process concerns, while the sponsor said the bill would require federal approval and legislative review before implementation. Three amendments were adopted to adjust drug list update timing, expand public testimony on the high-cost drug list, and require faster prior authorization responses with a temporary supply in emergencies. The transcript cuts off before the final disposition of SB 1758.

Transcript Highlights:

• Is it because of the federal guidelines? Is it just too many hoops to jump through?
• to federal.
• Um, increased food service were noted as an issue and that the federal An issue was that the federal
• And those federal requirement...
• And then when the federal guidelines started to come out to really help combat the obesity issues in

Committee: Joint Select Committee on School Finance Recalibration

Transcript Highlights:

• It’s a great organization, a federally qualified health center.”
• State-regulated and federally regulated institutions.
• all have their servicing guidelines.
• So we can commit absolutely to talking to the federal agencies.
• Families were not previously in poverty and are now living in poverty.

Committee: House Banking and Finance

Transcript Highlights:

• </c><00:27:23.120><c> funding</c> uncertainty regarding federal funding uncertainty regarding federal
• </c><00:27:55.360><c> ADRC</c> need to qualify for these federal ADRC need to qualify for these federal
• Um, perhaps an amendment to say, um, how does high poverty rates and Native Hawaiian poverty rates and
• Um, perhaps an amendment to say, um, how does high poverty rates and Native Hawaiian poverty rates and
• :53:23.200><c> standards</c> targeting um matching federal standards targeting um matching federal standards

Bills: SB2421 , SB2690 , SB3103 , SB3137 , SB3164 , SB3206 , SB2933 , SB3133 , SB3315

Committee: House Health

Summary: The committee heard testimony on several health-related bills. HB 1864, which would require health insurance coverage for standard fertility preservation services for people undergoing medically necessary treatment, drew broad support from SHIPA, the Department of Health, HMSA, the Hawaii Association of Health Plans, and others. Testifiers emphasized that fertility preservation is routine coverage on the mainland and important for patients facing infertility from cancer or other treatment; one patient described incurring more than $20,000 in costs. The Insurance Division flagged possible Affordable Care Act issues, a potential conflict in the bill’s language about using patient history to determine limits, and a mismatch with state medical-necessity standards. Committee discussion also focused on whether the bill should apply to all women of childbearing age rather than a narrower age-based category. HB 2305 would require nutrition and metabolic education as part of physicians’ continuing medical education. The Hawaii Medical Board opposed the measure, arguing that CME should remain flexible and tailored to each physician’s specialty and warning that topic-specific mandates can expand over time. The Office of the Governor supported the bill, saying it would help the state’s rural health transformation application and could improve federal funding prospects, though the exact impact was unclear. Members questioned whether nutrition is already covered in medical training and whether the requirement should be limited to primary care physicians; the board said Hawaii currently has no topic-specific CME mandates and that physicians can already choose relevant courses. The committee also heard strong support for HB 1597, which would establish an Alzheimer’s disease research center at the University of Hawaii. Supporters from the university, the Alzheimer’s Association, AARP, and others said the center could attract federal research dollars, expand clinical trials, and help address the state’s high Alzheimer’s-related health costs. HB 2159, which appropriates funds for health care workforce development, also received broad support from the University of Hawaii, health systems, and advocacy groups, with no opposition noted. Finally, HB 2121, which would prohibit the sale and distribution of disposable electronic smoking devices, drew support from the Department of Health, youth advocates, and public health groups citing youth addiction, environmental waste, and fire hazards; the department said a separate bill, HB 1573, would be more comprehensive and better defined for enforcement and penalties. The committee ended with HB 1913, creating a veteran services mental health coordinator position at Tripler Army Medical Center, which was supported by veteran services officials and others who said veterans need better navigation and coordination for behavioral health care.

Transcript Highlights:

• It's a great organization, a federally qualified health center.
• have their servicing guidelines.
• Federally chartered banks.
• So we can commit absolutely to talking to the federal agencies.
• Families were not previously in poverty and are now living in poverty.

Summary: The Assembly Banking and Finance Committee held an outcomes review of AB 238, the wildfire mortgage forbearance law, focused on how the law has worked for survivors of the Eaton and Palisades fires. Chair Valencia and Assemblymember Harabedian said the hearing was intended to hear directly from survivors, assess whether the law is being implemented as intended, and identify fixes. Several survivors described losing homes, facing long rebuild timelines, and struggling with insurers, housing costs, and mortgage servicers. Many said they encountered confusion, inconsistent information, requests for financial documentation, lump-sum repayment demands, credit reporting problems, or loan modifications that they viewed as undermining the law’s purpose. Some urged clearer consumer education, a consumer bill of rights, and an extension of forbearance relief; one witness specifically advocated for AB 1847 to extend forbearance to 36 months. DFPI Chief Deputy Commissioner Suzanne Martindale said the department had received about 300 wildfire-related consumer complaints, mostly about mortgage forbearance, and that more than 91% had been resolved in the consumer’s favor. She said the department works with both state-licensed and federally regulated institutions, but its authority is limited when national banks are involved, so it often uses outreach and direct contact with lenders and federal partners to resolve complaints. She also described recurring complaint themes such as difficulty obtaining forbearance, customer-service breakdowns, withholding of insurance funds, and non-interest-bearing impound accounts. Committee members pressed DFPI on which institutions were noncompliant, what enforcement tools were available, and how much data the state could collect and make public. Representatives of the California Bankers Association and California Mortgage Bankers Association said lenders had provided early disaster relief and were working to comply with AB 238, but emphasized that mortgage servicing is constrained by federal law, investor requirements, and secondary-market guidelines. They argued that forbearance is temporary relief, not forgiveness, and warned that extending it without a clear repayment path can create future payment shock or larger debt burdens. They also said many servicers use disaster protocols tied to federal declarations and that clearer communication is needed. In response to committee concerns, the mortgage bankers said they would continue working with the Legislature and federal agencies, but could not promise changes beyond investor and agency rules. No votes or formal committee actions were taken during the hearing.

Transcript Highlights:

• It's a secret to the federal government.
• I serve as president of End Poverty in California.
• federal Internal Revenue Code.
• However, nonprofit is currently defined in statute as having federal tax exempt status solely into federal
• Federal political interference.

Summary: The committee heard a series of child care, social services, immigrant support, disability services, and language access bills, with many measures drawing strong support and no opposition. Early in the hearing, AB 450 proposed a Department of Aging task force to study and recommend policies for undocumented adults age 55 and older; AB 593 would let CDSS identify data-sharing opportunities to improve CalFresh administration and participation; and AB 904 would clarify child care subsidy eligibility so families do not lose care during pregnancy leave, family leave, caregiving, or job search periods. All three were presented as ways to reduce barriers and improve access to essential services, and AB 904 was moved out on a 1-0 call after support testimony from child care advocates and a member of the public. AB 617, which would expand and standardize respite care access for people with intellectual and developmental disabilities by requiring licensing and registry participation, drew both support and significant opposition from respite providers and disability service organizations concerned about added regulation, cost, and possible delays; the author said she would continue working with opponents, and the bill was moved out on a 2-0 call. The committee also heard AB 1220, which would require regional centers to document denials, notices of action, and appeals in individual program plans and include that data in annual reports to improve transparency and equity in developmental services. The bill drew extensive public support from parents, advocates, and disability organizations, with no opposition, and passed 5-0. AB 752 would make child care centers by right in certain residential zones when co-located with multifamily housing or institutional uses, and supporters argued it would reduce zoning barriers and help expand child care capacity; it also passed 5-0. AB 1242 would create a CalHHS language access director, require human review of machine translation, and improve language coverage determinations for state and local agencies; supporters emphasized health equity and the need for better access for limited-English communities, and the bill was moved out on a 4-0 call. Later, AB 548 would continue and expand the Asylee and Vulnerable Non-Citizen Program, which provides case management and integration services for asylees and certain visa holders; supporters said the program had been effective but had run out of funding, and the bill passed 4-0. AB 495, the Family Preparedness Plan Act, would strengthen family safety planning for immigrant families, standardize acceptance of caregiver authorization affidavits, and create a joint guardianship process for temporary separations; testimony focused on fear of family separation and the need for clear school and medical procedures, and the bill passed 4-0. AB 1357 would exclude guaranteed income payments from being counted as income for state public assistance eligibility, with supporters arguing it would prevent recipients from falling off the “benefits cliff”; it passed 4-1. Finally, AB 1201, the Reunity Act, was introduced to require individualized court assessments before denying reunification services to parents with certain violent felony convictions after a five-year period, with the author and a witness describing the bill as a trauma-informed approach to family reunification.

Transcript Highlights:

• The expansion members that I spoke about, that are below 138% of the federal poverty level, total about
• federal government has a broad guidelines<00:02:46.080><c> and</c><00:02:46.239><c> the</c><00:02:46.400
• </c><00:03:48.560><c> uh</c><00:03:48.760><c> 90%</c><00:03:49.480><c> for</c> federal poverty level
• we get uh 90% for federal poverty level we get uh 90% for those<00:03:49.920><c> individuals</c><00:03
• <c> about</c> of the federal poverty level total about of the federal poverty level total about 485,000

Summary: The Budget Review Subcommittee on Health and Family Services met with a quorum still coming together and first handled roll call and minutes. The main presentation came from the Department for Medicaid Services, with Commissioner Lisa Lee and CFO Steve Beckle giving an overview of Kentucky Medicaid, its federal-state financing structure, and the department’s 1915(c) home- and community-based waiver programs. They explained FMAP funding levels for traditional Medicaid, administration, IT, expansion adults, and CHIP, and noted the size of the program, including more than 600,000 Kentucky children eligible for Medicaid or CHIP, about 485,000 expansion adults, over 69,000 enrolled providers, and $18.5 billion in 2024 expenditures. A major focus was the waiver system, including the acquired brain injury waivers, model waiver, independence waiver, Michelle P. waiver, and Supports for Community Living waiver. The department said these waivers are intended to keep people with physical or developmental disabilities in home and community settings rather than facilities, and that many services are not covered by Medicare or commercial insurance. Officials described participant-directed services, interagency administration, and eligibility rules, including that some waiver programs use the child’s income only rather than family income. They also reported an unduplicated waiver wait list of 13,930 people and said the General Assembly had added waiver slots in the last budget, including 650 ABI slots and 1,275 more to be allocated July 1, 2025. The department also discussed a waiver rate study conducted by Guidehouse, explaining that CMS requires a defensible rate methodology because there is no Medicare or commercial benchmark for many waiver services. They said the study used cost and wage surveys, provider and stakeholder input, and aimed to improve transparency, provider stability, and rate parity. Officials reviewed prior COVID-era Appendix K rate increases and budget-driven increases, and said the budget ultimately funded rates at about 70% of the benchmark study, while preserving higher existing rates where needed so no provider would be cut. They highlighted larger differences in behavioral support and case management rates, and said a public report is available. Members asked several questions about the potential impact of federal FMAP changes, especially possible reductions in the enhanced match for expansion adults and Medicaid IT/admin activities. DMS said any FMAP reduction would require more state general fund dollars, estimating about $75 million for each 1% drop in the expansion match, while impacts on administrative IT funding would depend on the systems being built or implemented in a given year. Members also pressed for clarification on waiver wait-list procedures, funded versus filled slots, and what happens when someone on the wait list is later found ineligible. DMS said people on the wait list may not yet have been assessed, can be reevaluated if conditions change, and are still eligible for regular Medicaid state-plan services if they qualify, even if they are waiting for waiver services.