Transcript Highlights:

• <00:10:11.000> we in order to provide these Services we in order to provide these Services
• Parents need to make sure that the services billed are the services provided.
• <00:31:12.880> the<00:31:13.039> services build are the services build are the services
• services, nutrition services, medication monitoring, and counseling.
• > Services nutrition services medication Services nutrition services medication monitoring<00:43:33.040

Keywords: 1191, senate, all

Transcript Highlights:

• This is the market-driven unit price for a service, so kind of what is being charged for that service
• , those services specified by the Centers for Medicare and Medicaid Services.
• Those services specified by the Centers for Medicare and Medicaid Services.
• care claims for dental services.
• How are we paying for a service, and are we getting what we expect out of that service as a result of

Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.

Transcript Highlights:

• their services.
• <00:25:20.480> an<00:25:20.799> IEP<00:25:21.440> service service an IEP service
• > but service it may be a medical service but service it may be a medical service but at<01:14
• Medicaid service cost the of the service Medicaid service cost the of the service cost<01:19:58.640
• <01:22:20.000> you're service, the OT service that you're service, the OT service that you're

Keywords: 928, house, all

Summary: The subcommittee met for its third discussion on special education aid under retained bill 742, with the chair noting that no action would be taken at the meeting. The chair reviewed prior hearings on Medicaid and local special education funding shortfalls, saying the committee was trying to understand why districts are facing proration of special education aid and how to reduce unfunded costs. He raised a series of questions for the Department of Education about the Nessus system, eligibility and ineligibility, invoices and vouchers, audit procedures, reimbursement rates, out-of-state placements, and who enters data at the district level. Rebecca Fdet, director of special education services at the Department of Education, explained that Nessus is the statewide special education information system and that every child in special education must be entered into it. She said most districts use it to develop IEPs and track services, while six districts use it only as a data reporting tool. She described which fields are required, how the system connects IEP development to the financial section, and how districts submit invoices when seeking special education aid, court-ordered placement payments, or episode-of-treatment placements. She said the department reviews invoices against the IEP, pays only for allowable services, and uses a cap that notifies districts when they reach the annual limit. Members asked about who submits the information, how districts decide when to seek aid, and how costs are calculated for individual or group services. Fdet said the district, usually an administrative assistant in the SAU office, submits the documentation electronically, and districts decide when to track students for aid based on their own circumstances. She said reimbursement is based on actual costs tied to the IEP, with group services split among students, and that the department does not generally set rates for local services. The only rate-setting she described was for approved private special education providers, which submit annual cost spreadsheets for tuition rates. She also said out-of-state providers must be approved by their own state, and the department checks licensure and certification through monitoring and investigations if concerns arise. The department also described its monitoring process, called Program Approval and General Supervision Monitoring, or PAGS. Fdet said districts are reviewed on a six-year cycle, with more intensive review for districts needing assistance or intervention and fewer file requests for districts meeting requirements. She said the department can review up to 65 data points on an IEP and that districts must submit special education aid paperwork by July 31, with superintendent verification due by August 15. The meeting ended with continued questions about procurement, audit procedures, and how the department handles out-of-district and out-of-state placements.

Transcript Highlights:

• For involuntary inpatient and outpatient services, we invested in key services such as our FACT teams
• For involuntary inpatient outpatient services, we invested in key services such as our fact teams.
• and have other service, other insurance providers, to make sure that they're aware of those services
• we see that their service gaps.
• So we do have, in terms of services, we track implementation of new services.

Summary: The Human Services Subcommittee met to review implementation of House Bill 7021, the recent overhaul of Florida’s Baker Act and Marchman Act, and to hear from DCF Assistant Secretary Erica Floyd Thomas about how the department is using the $50 million appropriation tied to the bill. Representative Maney, the bill sponsor, gave a lengthy background on why he pursued the reforms and emphasized that the goal was to improve access, reduce unnecessary crisis interventions, and give agencies the resources needed to carry out their responsibilities. He and the chair both noted that the bill was the product of many years of work and broad bipartisan support. DCF reported several early outcomes and implementation steps, including a statewide reduction in Baker Act initiations over the past five years, strong diversion rates from crisis through 988, mobile response teams, care coordination, and forensic multidisciplinary teams, and the creation of new tools such as a Baker Act dashboard and the first annual Marchman Act report. The department described key statutory changes: law enforcement discretion in initiating Baker Acts, a single-petition process, remote appearances, stronger discharge planning, interim services, updated parent notification and hold-period rules, an ombudsman office for children’s behavioral health, and regional collaboratives to identify local service gaps. DCF said it has updated manuals, FAQs, trainings, and rules, and that the managing entities have begun contracting for services. Members asked about how the $50 million was allocated, why much of it went to crisis capacity rather than outpatient care, how much has been spent so far, whether administrative costs are capped, and how the department will measure success. DCF said most of the money was used to preserve and expand crisis beds, detox beds, CSU beds, short-term residential treatment, discharge planning, and outpatient supports, with $1.3 million for the ombudsman and regional collaboratives and $48.3 million to managing entities. The assistant secretary said the department tracks readmissions, utilization, provider capacity, and monthly and quarterly reports from managing entities, but it is still early to see full effects because contracts were only recently executed. Members also raised concerns about children, families, veterans, workforce shortages, transparency, and gaps for hard-to-place individuals, including those with developmental disabilities or dementia. The meeting ended with no formal action beyond adjournment after questions were completed.

Transcript Highlights:

• It's called recovery support services, and I think it's in those situations that recovery support services
• Treatment and other recovery services, whether APO is the best provider for those services or whether
• model, increasing access to mobile services, and peer recovery support services.
• to mobile services, and peer recovery support services.
• We services.

Keywords: 959, house, all

Transcript Highlights:

• And there was also backdoor service.
• And there was also backdoor service.
• Within debt service, The last bucket I wanted to point out was debt service fund and pension fund.
• incorporated, was additional parks and recreation services, libraries, and planning services to make
• Variety, but primarily the municipal utility services tax, state-shared revenues, and communication services

Summary: The Committee on Community Affairs convened with a quorum and took up SB 308, a bill related to the Florida Museum of Black History. The bill would establish a Florida Museum of Black History Board of Directors and direct it to work with a supporting nonprofit foundation, while also requiring the St. Johns County Board of County Commissioners to provide administrative assistance and staffing until planning, design, and engineering are complete. With no appearance forms or debate, the committee voted the bill favorably. The remainder of the meeting was an informational briefing from the Florida Association of Counties and the Florida League of Cities on local government budgeting practices. Presenters explained how counties and cities develop budgets, the legal framework governing property taxes and other revenues, the distinction between restricted and unrestricted funds, and the role of constitutional officers, public safety, debt, pensions, and capital planning. They emphasized that most local revenues are restricted by law, that general funds are the main discretionary source, and that local governments must balance annual budgets while meeting mandated service levels. The presenters also discussed how property taxes, fees, local option taxes, and state-shared revenues support local services, and they highlighted the fiscal pressures created by public safety, emergency management, infrastructure, and retirement costs. Members asked questions about the share of local revenue that is unrestricted and the implications for any proposal to eliminate property taxes. The presenters responded that only a portion of county and municipal revenue is flexible, with much of it dedicated to specific purposes by law.

Transcript Highlights:

• Gigabit service underscores the same pattern.
• Fortunately, the Department of Health Care Services and Social Services continue to remind their customers
• Verizon doesn't offer any wireline service in California, and they offer wireline service in a number
• basic essential service, such as food, rent, and unitities.
• Basic essential services such as food, rent, and utilities.

Summary: The Assembly Communications and Conveyance Committee held an informational hearing on the state of broadband affordability in California. Chair Tasha Berner said the committee was examining how broadband prices, access, and affordability are affecting households, especially after the end of the federal Affordable Connectivity Program and amid concerns about federal resistance to state broadband regulation. She noted the committee’s continued interest in policy options for 2026 and referenced prior legislation, including AB 353, that would have required affordable home internet as a condition of doing business in California. Industry witnesses from U.S. Telecom and CTIA argued that broadband and wireless prices have generally fallen in real terms even as inflation and other household costs have risen, citing competition, infrastructure investment, and faster speeds as the main drivers. They said California’s higher costs are tied to permitting delays, taxes, copper theft, and legacy obligations such as COLR requirements, and they urged the Legislature to preserve market incentives, reduce fees and regulatory burdens, and support infrastructure deployment. They also discussed fixed wireless access, federal BEAD funding, and Universal Service Fund reform, arguing that more entities benefiting from networks, including tech platforms, should contribute to support programs. Consumer and public-interest witnesses presented a different view, saying California still has a serious affordability and adoption problem, especially for low-income households. Sunny McPhee of the California Emerging Technology Fund said broadband adoption has improved dramatically over time, but about 500,000 households remain offline or underconnected and many low-income households still pay above the FCC affordability benchmark. Ernesto Falcon of the CPUC Public Advocates Office said California’s market is losing its competitive edge, with prices higher than in other states and meaningful price pressure coming mainly from fiber competition at the gigabit tier. He said roughly 4.8 million Californians are limited to one gigabit option and estimated that more competition could save consumers more than $1 billion annually. Both witnesses emphasized the need for stronger transparency, targeted subsidies, and a permanent affordability solution, including extending and refining the CPUC broadband Lifeline pilot and advancing SB 716. Public commenters, including representatives from cable providers, nonprofits, and digital equity organizations, largely supported SB 716 and a permanent broadband affordability program. Several urged the committee to remove a cap on the Lifeline program, expand the CPUC pilot, and invest in digital navigators, outreach, and enrollment assistance. The hearing ended without a vote or formal action, after the chair thanked the witnesses and public commenters for their testimony.

Transcript Highlights:

• you have medical services and Mental Health<00:38:22.319> Services<00:38:23.200> allinone
• who is providing those services.
• We provide primary care, dental services, behavioral health services, and substance abuse services for
• <03:38:33.120> Services<03:38:33.720> which Emergency Medical Service Services which
• c> other and services Adult Services and other and services Adult Services and other critical<04:

Keywords: 928, house, all

Summary: The House Finance Committee opened a public hearing on House Bills 1 and 2, which concern the governor’s proposed FY 2026-2027 budget. The chair explained that the committee must fit the budget to House Ways and Means revenue, which is about $800 million below the governor’s estimate in an almost $16 billion budget. He also noted a projected current-budget overspend, the impact of recently passed legislation, possible fee updates, no new tax proposals at that time, and the importance of federal funding and Medicaid stability. Testimony was limited to three minutes, with the chair asking speakers to avoid duplication. Much of the testimony focused on Medicaid, disability services, and home- and community-based care. Speakers urged the committee to restore or protect funding for transportation, Medicaid, day programs, in-home supports, and behavioral health services. Several individuals and providers described how cuts would affect people with disabilities, medically fragile children, and families who rely on services to remain employed and avoid institutional care. A home care provider argued that a proposed 3% Medicaid cut would increase hospitalizations and costs, while a behavioral health representative asked for sustainable Medicaid rates, uncompensated care support, housing resources, and continued funding for community behavioral health clinics. Another major topic was the Group II retirement provisions in HB 2 for public safety workers. Representatives from police, fire, corrections, probation/parole, and related associations testified in support, saying prior pension changes hurt recruitment and retention, pushed experienced workers to neighboring states, and should be reversed to restore promised benefits. They argued the provisions would help keep public safety careers viable and honor commitments made to first responders. An executive counselor also warned that when the state shifts costs away from itself, local property taxpayers bear the burden, and she opposed cost shifts such as Medicaid premiums and universal vouchers. A separate speaker urged funding public schools rather than universal vouchers, arguing vouchers can leave other students behind as resources are diverted.

Transcript Highlights:

• So the services that are considered... ...it away and then come back.
• , I mean from coupon service or whatever you call it to basic services at that point.
• This is for our third-party administrative services.
• We issued an RFP. ...our third-party administrative services.
• Okay, this is the Sedgwick claims management service.

Keywords: 1204, all

Summary: The State Insurance Programs Oversight Subcommittee met on June 17 and reviewed a series of Employee Benefits Division and Office of Property Risk items. Grant Wallace presented March and April formulary changes, including moving to lower-cost generic and preferred drugs, leaving several new-to-market drugs not covered, and adjusting migraine and diabetes medications; the committee approved those recommendations. The subcommittee also approved a cell and gene therapy policy that excludes automatic coverage for those therapies so they can undergo prior authorization and review, with members emphasizing that the policy was intended to create review, not an absolute denial, and that expedited appeals would remain available. Members spent significant time discussing the UAMS pharmacy benefit consultant amendment. Wallace explained that the contract included both basic services and optional services related to coupon and rebate management and prior authorization support, but the written materials created confusion over the dollar amount. After questions about whether the committee was approving a higher amount than the base contract and whether the optional services duplicated work already being done by Navitus, the committee agreed to review the item with a contingency that any use of the optional services would return to the committee for approval. The committee also reviewed and approved the U.S. Able Mutual/Blue Advantage third-party administrator contract, the CompSack employee assistance program contract, and the proposed 2027 employee and public employee rates, which call for a 9.8% increase for state employees and a 4.9% increase for public school employees. On the property risk side, the committee reviewed permanent rules for the property insurance program, a contingency-fee subrogation contract with Denenberg-Tuffley, and renewals for Sedgwick claims management, Actuarial Advantage, and Stevens Capital Management. Wallace said Sedgwick had faced delays after a major winter storm and other weather events, but performance guarantees and communication expectations were being added; members discussed whether a shorter renewal term would be preferable, but the item was reviewed. The committee also approved the 2026-27 captive insurance program rates, which Wallace said would lower the overall rate by 10% while keeping minimum deductibles unchanged. He noted the program had stabilized after a difficult first year and that the rate structure was now based on a more transparent actuarial foundation. The meeting ended with an update that the UnitedHealthcare rebid was nearing completion and would return in August, and the committee adjourned after approving the remaining items.

Transcript Highlights:

• health and Department of Human Services health and Department of Human Services for<00:04:51.560
• Reliant first on Emergency Services Reliant first on Emergency Services being<00:15:29.839> called
• heard in human services heard in human services and<00:24:59.720> we<00:24:59.880> will
• hospital so we can share those Services hospital so we can share those Services back<00:54:43.760
• We also provide follow-up services to connect individuals with ongoing services to prevent future crises

Keywords: 1187, senate, all

Transcript Highlights:

• Before going through the Services.
• recuperative care services, which also requires, within the recuperative care services, habitability
• For disability services, we instituted a long-term service and support cost savings reform work group
• rely on weight list for the services rely on weight list for the services that<00:12:42.720>
• of service hours per day to six hours. of service hours per day to six hours.

Keywords: 1183, house

Transcript Highlights:

• stabilization services is a Medicaid<00:10:23.680> service.
• actually you provided a less expensive service like a transition service.
• to support services that were provided. to support services that were provided.
• like a transi transition service like a transi transition service. service. service.
• case management services?

Keywords: 1183, house

Transcript Highlights:

• accessing this accessing the services accessing this accessing the services and<00:10:06.880>
• <00:10:17.880> can and direction of what the service can and direction of what the service
• <00:12:41.120> utilization<00:12:41.880> or and service utilization or and service
• IC is a new service available to support participants and does not replace existing services on the BI
• January 1st of 2021 IC is a new service January 1st of 2021 IC is a new service available<00:26:

Keywords: 1187, senate, all

Transcript Highlights:

• regulated by the Kentucky Public Service regulated by the Kentucky Public Service Commission.
• the rate payers in the service area. the rate payers in the service area.
• states that the monopoly of service states that the monopoly of service territories<00:10:36.200
• case in some service areas. case in some service areas.
• Again, these utilities were granted monopolies within these service territories to service them.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:38 SB 213 Discussion 00:01:23 SB 213 Roll Call Vote 00:20:45 SB 8 Discussion 00:26:23 SB 8 Roll Call Vote 00:58:16, 958, all

Summary: The committee met with a quorum, approved the prior minutes, and first heard Senate Bill 213 from Senator Phillip Wheeler. He described the bill as a response to rising electric bills, especially in Eastern Kentucky, and said it would give the Public Service Commission more tools to push utilities toward least-cost planning, require stronger integrated resource plans, and address utility service territories, utility sales, and generation contracts. He argued that monopoly service territories are privileges granted by the Commonwealth, not irrevocable rights, and said the bill would help prevent ratepayers from bearing the cost of poor utility decisions or sale premiums. He also said the bill would allow large new loads, such as data centers, to choose alternative power sources in certain areas to encourage economic development. Members asked questions about how the bill would work, especially the section stating that service territory rights belong to the Commonwealth and the provision dealing with utility sale premiums. Senator Wheeler explained that if a utility is sold at a premium, that premium should not simply be passed on to customers, and he said the bill aims to reduce costs for ratepayers and create more competition. Several members spoke in support of the bill’s goals while noting the complexity of utility regulation. Senator West said some companies had not been responsive to concerns about rates, Senator Williams said he would pass but wanted utilities to have enough generation to serve Kentucky users, and Chair Smith said the bill was a smart approach within the legislature’s limited authority. The committee then voted to report Senate Bill 213 favorably with the expression that the same shall pass. The committee then took up Senate Bill 8 from Senator Brandon Smith, which would modernize the Public Service Commission. He said the bill and committee substitute were intended to help the PSC handle increasingly complex utility regulation, infrastructure investment, and rate cases by expanding the commission from three to five members, with three gubernatorial appointees and two appointed by the Auditor of Public Accounts. He also said the bill would adjust the threshold for PSC review of electric transmission construction from one mile to five miles, to reduce delays while preserving oversight of major projects, and would update appointment terms and other language in the substitute. Smith said the changes were meant to improve staffing and expertise at the PSC and speed transmission buildout. The discussion was still underway when the transcript ended, and no final vote on Senate Bill 8 appears in the provided excerpt.

Transcript Highlights:

• services and, you know, or worse.
• it's a total of 300 shoppable services it's a total of 300 shoppable services and<00:49:01.720><
• <00:49:46.520> you're for Whatever item or service you're for Whatever item or service you're
• <00:50:57.559> but estimate in advance of services but estimate in advance of services but
• <00:54:29.920> area conditions that of their service area conditions that of their service

Keywords: 00:00 Call to Order/Roll Call 00:16 Consideration of Referred Administrative Regulations 25:49 Discussion of Hospital Rate Improvement Plan 58:50 Adjournment, 958, all

Summary: The committee began by reviewing a large slate of administrative regulations and explaining that it does not approve regulations but can find them deficient and send them back for further work. Members then asked questions on several items, including EMS reciprocity, dental hygienist licensure, and interpreter licensure. The EMS board explained that reciprocity would extend to applicants from any state, not just contiguous states, because the underlying statute had been amended. On the dental regulation, staff said the changes mainly clarified licensure requirements, reinstatement fees, and that dental hygienists administering local anesthetic must do so under direct dentist supervision. The most extended discussion involved the Board of Interpreters for the Deaf and Hard of Hearing. The board chair said the main concern was that the EIPA is an educational specialty assessment, not a nationally recognized certification, yet the regulation would allow it to support full licensure. Members discussed whether that could let educational interpreters work outside their intended scope and whether a separate educational license or statutory change would be more appropriate. The board said it did not think the regulation could be fixed further at this point and suggested a statute could create a narrower educational interpreter license. After discussion, the committee voted to defer both related interpreter regulations, 201 KAR 39:030 and the companion regulation, for further work. The committee then took up two community mental health regulations, 907 KAR 1:044 and 907 KAR 5:005, which had been found deficient in Administrative Regulations. Department for Medicaid Services staff said the rules would expand and rename the mental health associate role as a behavioral health associate, making the role available in many more facilities, but would also require additional coursework or progress toward licensure. Some members and providers raised access-to-care concerns, especially for rural areas and unlicensed staff already working in the field. Staff said the proposal had been revised through work with CMHCs and licensing boards, but the committee ultimately voted to defer both regulations as well. After finishing the regulation review, the committee heard a presentation from the Kentucky Hospital Association on the ATRIP hospital rate improvement program. Hospital representatives said ATRIP is a Medicaid state-directed payment program funded through a provider tax and federal matching dollars, allowing hospitals to receive payments tied to quality measures. They reported improvements including lower Medicaid readmissions, high sepsis screening rates, reduced infections and opioid prescribing, expanded postpartum depression and suicide screening, and training for more than 1,000 people. They said the program has helped hospitals invest in staffing and quality improvement and warned that without it, many hospitals would face severe financial strain.

Transcript Highlights:

• This is coming from the department classifying how food services can be provided, ranging from Services
• So, food services funding comes from a So, food services funding comes from a few different sources.
• There was also conversation that, in addition to that food service staff, you might need a food service
• Do food service employees put put in?
• Our food service cook lead is $17.50.

Keywords: 916, all

Transcript Highlights:

• continuum of services in a consolidated, centralized service center.
• continuum of services in a consolidated, centralized service center.
• continuum of services in a consolidated, centralized service center.
• continuum of services in a consolidated, centralized service center.
• continuum of services in a consolidated, centralized service center.

Bills: HF1937, HF2407, HF1678, HF1477, HF2040, HF1840, HF257

Keywords: PACE, elderly, Medicaid, health services, long-term care, community-based services, support person, healthcare, patient rights, assisted living, community support, caregiver respite, financial eligibility, Minnesota Statutes, HF1477, residential program licensing, community residential setting, small group home, licensed capacity six or fewer, rental licensing

Transcript Highlights:

• and pregnancy-related services.
• Seniors use more services, and they use more costly services as is medically needed when you age.
• And we are Health and Human Services, not American-only services.
• with providing that service.
• those particular services, yes.

Summary: The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56. DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement. The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.

Transcript Highlights:

• Services. Services.
• Services.
• Services.
• Services.
• Services.

Keywords: 1187, senate, all

Transcript Highlights:

• , health care services, developmental services, and the Health and Human Services Agency to support eligible
• Health Care Services?
• Partners coordinated to create a web of services to eliminate gaps in service delivery for families.
• And in some cases, they use it to provide direct services, and in other cases indirect services.
• Services Authority, Department of Health Care Access and Information, Department of Health Care Services

Summary: The Assembly Budget Subcommittee on Human Services held an informational hearing focused on the impacts of federal HR1 on CalFresh and Medi-Cal, along with related state mitigation efforts. CDSS, DHCS, DDS, county representatives, LAO, and Finance discussed automatic exemptions, data-sharing between departments, county workload, and the timing of implementation. CDSS said about two-thirds of adults ages 18 to 64 are already known to be exempt in CalFresh, and that administrative data matches could newly exempt about 200,000 of the roughly 955,000 adults potentially at risk. DHCS said Medi-Cal work requirements would begin in 2027 and the department is working to automate exemptions, including for IHSS recipients and some caregivers, while DDS said its population is expected to be covered by auto-exemptions. County welfare directors emphasized that individualized worker contact is critical, that counties need more staffing and stable funding, and that without it they expect delays, higher error rates, and reduced exemption screening capacity. Members pressed for written timelines, county-by-county impact data, and clearer guidance; the administration said it would provide follow-up materials and technical assistance. No votes were taken. The committee then heard a separate discussion on a proposed CFAP expansion or “CFAP Plus” concept to provide state-funded benefits to additional populations affected by HR1, including lawfully present non-citizens and ABODs. CDSS said implementation could not occur before October 1, 2027 because of policy and system-design constraints, and that adding unique eligibility rules would increase complexity and cost. Finance cautioned that any expansion would have General Fund impacts likely in the hundreds of millions to multiple billions. Members asked for cost estimates and technical feedback on trailer bill language, and CDSS said it would review the proposal and respond. The hearing also covered CDSS’s CalFresh strategic plan and mandated reporter training updates. CDSS said it is hiring a strategic plan lead to develop a long-term, data-informed CalFresh plan, and that the revised mandated reporter training is on track for launch in fall/winter 2026, ahead of the July 1, 2027 statutory deadline. The training will include updated content on structural racism, ICWA protections, implicit bias, and the distinction between reporting and supporting families. Members praised the work and asked for continued updates. Later panels focused on Promise Neighborhoods, Stop the Hate, and housing programs. Promise Neighborhood advocates and CDSS described the state’s prior $12 million investment, a positive evaluation showing roughly a 4-to-1 return, and a new proposal to support place-based partnerships and community schools through AB 1969. Stop the Hate grantees and CDSS reported that the program has provided direct services, prevention, and statewide coordination to millions of Californians, and urged reauthorization before funding expires; members asked for best-practice language and discussed focusing future funding on solidarity work, harm reduction, legal services, and education. Finally, CDSS presented on the CalWORKs Housing Support Program and Housing and Disability Advocacy Program, saying proposed General Fund investments of $105 million and $55 million would prevent funding cliffs and allow the programs to continue through 2026-27, while the absence of new funding would force reductions in housing assistance, subsidies, and enrollments.