Transcript Highlights:

• <00:24:52.039> you more on these expanded Services you more on these expanded Services you
• services like these are one.
• should be charging a fee on that service should be charging a fee on that service or<00:29:49.039
• take legal services and we'll say that anyone who uses legal services will pay more. that they know
• so let's just take legal legal services so let's just take legal services<00:33:16.200> and<00

Keywords: 1187, senate, all

Transcript Highlights:

• Thank you also, Senator, for your service.
• But proud of all of their service, proud of all of their service and your service.
• Thank you so much for your service.
• Your service is awe-inspiring.
• the Outstanding Volunteer Service Medal.

Keywords: 993, senate, all

Summary: The Senate convened with ceremonial opening proceedings, approved the prior journal, and then moved through a series of calendar actions, including discharging and substituting identical companion bills from committee and restoring several bills to the Third Reading Calendar after reconsideration. The chamber also took up a supplemental budget calendar and a controversial supplemental budget extender, with Senator O’Mara questioning the delay in final budget negotiations, the size of the extender, table targets, and unresolved policy issues such as auto insurance reforms, SEQRA, New York for All, and CLCPA changes. Senator Serrano responded that negotiations were ongoing and that the extender was a clean measure to keep state government functioning. The budget extender bills were then passed, with Senator Weik voting in the negative on one of them. The Senate also adopted a resolution memorializing May 4, 2026, as 10th Mountain Division and Fort Drum Day, and hosted Major General Scott Naumann and other Fort Drum leaders and soldiers for remarks on the division’s deployments, readiness, economic impact, and requests for continued state support on items such as microreactors, health care, DMV services, dining facilities, airports, and mineral-related development. The Fort Drum resolution drew extensive bipartisan praise from Majority Leader Stewart-Cousins, Minority Leader Ortt, Senator Scarcella-Spanton, Senator Ashby, Senator Walczyk, and others, who emphasized the division’s military history, its role as a major employer and economic driver in Northern New York, and the sacrifices of service members and their families. Several senators highlighted individual soldiers in attendance and their service records, while the resolution was opened for co-sponsorship and adopted. The Senate also recognized a visiting child author, Thomas Ortiz, who was introduced for publishing a book encouraging kindness and friendship. After the ceremonial segment, the Senate returned to regular business and passed a series of bills on the calendar, including measures affecting environmental conservation, executive law, public service, education, public authorities, real property tax, criminal procedure, election law, and civil rights. Some bills drew negative votes from a bloc of senators, particularly on the environmental, criminal procedure, election, and civil rights measures, but all listed bills were ultimately passed. The Senate then adjourned until the next day.

Transcript Highlights:

• <00:09:46.000> Uh, of Health and Human Services. Uh, of Health and Human Services.
• That one's still in providing services.
• So then it's upon the client services.
• prevention as well as crisis services prevention as well as crisis services that<00:15:30.160>
• <00:15:37.920> and they could have no breakin service and they could have no breakin service

Keywords: 928, house, all

Summary: The committee approved the minutes from its June 30 meeting and then considered Capital Project 2515, a request from the Pease Development Authority Division of Ports and Harbors to spend up to $125,000 from the Harbor Dredging and Pier Maintenance Fund to replace a deteriorated 99-foot floating dock at Rye Harbor. Acting Director Richard Hartley said the dock is used for passenger loading and unloading for charters and whale-watching tours and is in poor condition. Representative Edgar moved approval, Representative Wiler seconded, and the motion carried. The committee then received several informational items, including quarterly and maintenance reports from the Department of Administrative Services, the Community College System of New Hampshire, and the Pease Development Authority. It also heard a presentation from the Department of Health and Human Services on Capital Project 2516, the Beneficiary Service Improvement project supporting closed-loop referrals and related systems. DHHS described the project as a mix of Medicaid enterprise functions and New Hampshire Care Connections tools, including provider modules, third-party liability, event notifications, and closed-loop referrals to connect health and human service providers. Officials said the project is largely federally funded, with capital funds representing only part of the overall effort. Members asked about the accounting breakdown, prior committee review, provider participation, patient experience, and public response. Representative Burr questioned whether the project had been fully presented previously and raised concerns about the scope and necessity of the $8 million effort; DHHS responded that earlier work was discussed in other committees and that the current presentation covered only capital funds. Senator Waters asked about user response and patient experience, and DHHS said feedback has been generally positive but the system is still in design and implementation. In response to questions about participation, DHHS said 84 providers are currently on the network and clarified that a “provider” generally means an individual organization or health system, not each individual clinician. The committee also set its next meeting for December 9 at 9:00 a.m. at Granite Place, Room 228, and then adjourned.

Transcript Highlights:

• Nato clinical services will have perinatal workforce development, education and training social services
• as with reproductive services.
• So doula services are covered. There's increased prenatal services.
• You know, the all services is not.
• And the last thing we want is to have a duplication of services and pay for the same service twice.

Keywords: 999, senate, all

Transcript Highlights:

• and families in need of services.
• and families in need of services.
• And by and large, the majority of the population is serviced through outpatient services.
• Not only does it provide probation services in the community, it provides reentry services.
• services, and education.

Summary: The Justice Budget Committee heard detailed presentations from the Department of Juvenile Justice and the Department of Corrections on staffing, services, and budget needs. DJJ Secretary Hall emphasized that the agency’s main public safety strategy is education, along with prevention and recidivism reduction. He described major staffing improvements after pay increases for probation, detention, residential care, and prevention workers, and outlined DJJ’s mental health, aftercare, and education continuum, including the Florida Scholars Academy and Florida Youth College. He said the new statewide education model is showing early gains in progress monitoring, high school graduation, and postsecondary enrollment, while also noting ongoing operational issues such as IT connectivity, rural staffing gaps, and the need for geographic pay adjustments for teachers. He also discussed detention center replacement plans in Hillsborough, Broward, and Palm Beach, and said DJJ would transition the Broward JAC to a security contractor after the sheriff’s office pulls sworn officers from the site. Members asked about campus performance differences, teacher pay, detention education quality, and concerns about the rollout and leadership of the Scholars Academy. Hall said some campuses face rural access and infrastructure problems, but the blended learning model provides continuity when internet or staffing issues arise. He defended the superintendent’s qualifications and said early problems with inappropriate online content were addressed. Representative Porras raised concerns about educational quality and the superintendent’s past disciplinary history, while Representative Barrera urged more mentorship and fatherhood-focused programming in juvenile facilities. DOC Secretary Dixon said the prison system is under pressure from rising inmate populations, staffing shortages, and overtime costs. He argued that the system needs funded posts for every functioning housing unit, noting that the department has added housing units without enough staff and now relies heavily on overtime, mobile officer deployments, and shift conversions to keep facilities operating safely. He highlighted that many officers are new, that outside-hospital transports have risen sharply, and that mental health units require additional staffing. DOC’s mental health chief described a large and growing treatment system with outpatient, inpatient, intensive outpatient, and court-ordered services, saying about a quarter of the prison population has a diagnosed mental illness. Community corrections staff described treatment programs, employment specialists, mobile probation and reentry units, and a new mental health first aid training initiative. Reentry staff reported expanded substance abuse, education, CTE, chaplaincy, and digital learning programs, including Edovo and a forthcoming Work Bay platform. No votes were taken.

Transcript Highlights:

• In order to programs and services.
• <00:42:35.520> And Social Service of Minnesota. And Social Service of Minnesota.
• And so this service, there's real dollars behind the service that I do as a reservist.
• And so this service, there's real dollars behind the service that I do as a reservist.
• Commissioner, Programs and Services for Commissioner, Programs and Services for the<00:56:53.520>

Keywords: 1183, house

Transcript Highlights:

• legal services.
• services they services professional services they contract<00:10:11.519> for<00:10:11.839>
• legal services. legal services.
• Administrative Services. Administrative Services.
• service before. service before.

Keywords: 958, all

Summary: The committee first approved the April 13 minutes and then turned to a large agenda of contracts. Chairman Douglas said there were 52 contracts totaling about $369.3 million, and noted that most vendors were registered with the Secretary of State except for item 118 on the routine personal services green list and item 19 involving Morehead State University and Kentucky State University. The committee voted to defer item 118 to the June 26 meeting and later also deferred the Kentucky State University contract on the deferred list to the June 26 meeting. The main discussion centered on a deferred personal services contract for the Kentucky Board of Optometric Examiners, involving outside legal counsel. Senator Meredith raised concerns about KRS 320 and whether the board had authority to hire outside counsel when the statute says the Attorney General shall provide legal services to the board. Dr. Mary Beth Morris, the board president, and Christopher Thacker of the Attorney General’s office testified after being sworn in. Thacker explained that the statute and related law allow both Attorney General assistance and independent counsel, and argued that outside counsel is appropriate for day-to-day legal work because it avoids conflicts, especially on open records issues, regulatory advice, and disciplinary hearings. Senator Meredith said he agreed with approving the contract but questioned how the board had reached this point and whether the current statutes reflect modern practice. He raised concerns about transparency and accountability, referencing a prior advisory opinion involving the board’s handling of exam requirements during COVID and saying the board should have consulted the Attorney General before acting. Thacker responded that the Attorney General’s office serves the Commonwealth as a whole, not as counsel to one board, and that the board’s use of outside counsel is a reasonable and economical arrangement. The exchange ended with Meredith suggesting that broader legislative action may be needed to clarify reporting relationships and oversight for the board.

Transcript Highlights:

• Elimination of food security services, including meal and grocery services.
• These are public service employees.
• It means immediate cuts to real people, real jobs, real services, real people who rely on those services
• If not, the cities that provide critical services will face service reductions at no fault of their own
• And so it's right-sizing all of our business services and all the services and programs that we oversee

Summary: The hearing began with a vote-only agenda and then focused first on San Mateo County’s request to restore in-lieu vehicle license fee (VLF) funding. County officials, city leaders, labor representatives, nonprofits, and public safety advocates argued that the loss of roughly $157 million would force major cuts to homelessness services, housing assistance, mental health programs, libraries, parks, fire and police staffing, and other local services. They described the current formula as outdated and unfair, tied to school funding and basic-aid dynamics that no longer work for San Mateo County, and urged both an immediate budget restoration and a permanent legislative fix. The Department of Finance said the payments are discretionary, not statutorily required, and noted the administration does not view the expenditure as sustainable in the current fiscal climate. Committee members expressed sympathy, questioned the formula, and said they would keep the issue under consideration; the committee later voted to move the two vote-only items on the agenda. The committee then received an update from the Department of General Services on state property redevelopment, including the Hillcrest DMV site in San Diego, the Fell Street DMV site in San Francisco, and other state-owned properties. DGS explained that Hillcrest is not currently an active project, while the Fell Street project shifted from an integrated DMV-housing plan to a more feasible relocation of the DMV into leased commercial space, with a budget change proposal pending. Members pressed DGS on the slow pace of redevelopment, the potential for housing on state sites, and the costs and feasibility of adaptive reuse. DGS said many state buildings are aging and that adaptive reuse depends heavily on building design, floorplate depth, light, and risk from unknown conditions behind walls. The Government Operations portion then turned to the California Education Learning Lab, which supports intersegmental higher education innovation grants. The Lab asked for permanent restoration of $4 million in ongoing funding and a move of its home agency from the Office of Land Use and Climate Innovation to GovOps, along with technical trailer bill changes. Supporters said the program has funded more than 120 projects reaching thousands of faculty and hundreds of thousands of students, including work on generative AI in higher education. The Legislative Analyst’s Office recommended rejecting the restoration and continuing the wind-down, citing the state’s projected deficit and suggesting the California Education Interagency Council could pursue non-state-funded grant opportunities instead. The committee held the item open. Finally, GovOps presented the new California Education Interagency Council staffing request, seeking four ongoing positions to support the council, with funding already included in last year’s budget. The department said the governor has appointed Debbie Cochran as executive officer and that the remaining positions are being recruited. Finance and LAO had no objections, and the committee began questions about how the council will be staffed and organized.

Transcript Highlights:

• Welcome to the Joint Committee on Financial Services public hearing.
• So the fee-for-service models are arranged between the hospital and the private ambulance services.
• H. 1061, an act to increase nurse midwifery services.
• We offer comprehensive services at five community health centers, including services at Dorchester House
• insurance plans to cover doula services.

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.

Transcript Highlights:

• Customer service is important. Public service is important.
• services.
• They do direct services. Why do three do direct services and one does contracting?
• OK, we are going to move on to the Department of State Health Service. Services.
• . services.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• We're currently looking at Economic Housing or Labor Services.
• We're on page 6, line 52, for the Family and Youth Services category.
• that are in public service.
• that are in public service.
• It's intended to pay the service fee charged by Identico.

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:

• That is our new state-supported service and the newest service in the Amtrak network.
• Amtrak was created by the Rail Passenger Services Act in 1970, went into service in 1971, and has been
• that had their own passenger service gave that service up.
• c><00:02:46.640> mph<00:02:47.280> there service services up to 160 mph there service services
• Customer service...

Keywords: Highways and Transportation - Room 216, January 14, 2026; 10:30 AM, 925, all

Summary: Amtrak officials Todd Stenis and Jeff Mann briefed the committee on Amtrak service in Mississippi, with a focus on the new Mardi Gras state-supported route on the Gulf Coast. They reviewed Amtrak’s national structure, including the distinction between long-distance and state-supported service under PRIIA section 209, and noted that Mississippi is served by the City of New Orleans, the Crescent, and the new Mardi Gras service. They said the Mardi Gras began service on August 18 and operates four trains a day between New Orleans and Mobile with Mississippi stops, supported by Mississippi, Louisiana, and Mobile. The officials reported strong early performance for Mardi Gras, saying ridership had already exceeded 60,000 by the end of December against a 71,000 first-year projection, with about 435 passengers per day and a 64% average load factor. They also cited 86% on-time performance, a 94% customer satisfaction index, and average fares of $27 in coach and $66 in business class. They said the service is benefiting from strong demand, good coordination with host railroads CSX and Norfolk Southern, and planned capital improvements totaling more than $200 million that they said should reduce trip times by 30 to 40 minutes. Committee members responded positively, with Senator Williams praising the train experience and another senator noting personal use of the Mardi Gras service. The presenters invited members to ride the train and described it as a state investment paying off across South Mississippi and the Gulf Coast. After the Amtrak presentation, the committee returned to business and took up one bill, 2019, which would delete the sunset on the provision directing the first $80 million of lottery proceeds to the state highway fund. Senator Blackmon asked for clarification, the chairman confirmed the bill would make the road funding provision permanent, and the committee approved the title and reported the bill out.

Transcript Highlights:

• , and 23% receive residential services.
• The available services for seniors in Arkansas are really the same as the services I mentioned earlier
• Well, not children's services, but these services are available to everybody, including individuals with
• We represent 80 service providers in Arkansas.
• So I've always understood that to be a function of the services, the diagnostic services that kind of

Keywords: 1204, all

Transcript Highlights:

• that they're involved with. vocation rehabilitation services for vocation rehabilitation services for
• > procedure or standard for the service procedure or standard for the service fee<00:14:41.680> memo
• And then there was also a new service memo issued, and that's the rates memo for the services that are
• And then there was also a new service memo issued, and that's the rates memo for the services that are
• need to be served these these services need to be served these these services are<00:26:42.279><

Keywords: Meeting Start 00:00 Roll Call 00:13 SB 15 Discussion 00:45 SB 15 Vote 08:40 SB 103 Discussion 11:12 SB 103 Vote 29:49, 958, all

Summary: The Senate Committee for Economic Development, Tourism, and Labor heard two bills. Senate Bill 15, sponsored by Sen. Amanda Bledsoe, was presented with testimony from Major League Baseball in support of exempting minor league baseball players from Kentucky wage-and-hour treatment. Witnesses said the bill would preserve the negotiated collective bargaining structure for players, avoid impractical time-tracking requirements, and keep Kentucky aligned with other states. Senators discussed minor league salary levels, the importance of baseball to Kentucky communities, and the bill’s relationship to minimum wage law. The committee then took a roll call vote and passed the bill with unanimous support from members present. The committee next heard Senate Bill 103 from Sen. Danny Carroll, which would require the Office of Vocational Rehabilitation to adopt regulations under Chapter 13A, limit reciprocal agreements with other states until in-state provider contracts are exhausted, establish procedures for service fee memos before a new fiscal year, and require an annual report with operating and financial information. Testimony from community rehabilitation providers and disability advocates emphasized that the bill would increase transparency, protect local providers, and improve services for people with disabilities seeking competitive employment. They said Kentucky has a large disability population, that many working-age individuals with disabilities are not employed, and that better oversight could help address workforce shortages and reduce reliance on public assistance. Senators asked about the disability population, age ranges served, funding, and recent changes to provider rates and selection processes. The committee then voted to pass Senate Bill 103 unanimously.

Transcript Highlights:

• , what services are available, how they are overseen, how they are funded, how accessible those services
• In the provision of services to young people and their families.
• , which are the most intensive types of services.
• for young people and the use of evidence-based services.
• We need to individualize the services and interventions.

Transcript Highlights:

• HE SET OUT ON A MISSION TO ASSESS GAPS IN SERVICES AND KNOWLEDGES, KNOWLEDGE VETERANS TO THE SERVICES
• WE PROVIDE ESSENTIAL SERVICES, SOCIAL SERVICES TO REGIONAL POPULATION 55 YEARS.
• OUR SERVICES INCLUDE INDIVIDUAL CASE MANAGEMENT WAS GOING TO TRAINING, PROVISION OF WRAPAROUND SERVICES
• SPOUSES RECEIVE PRIORITY OF SERVICE SO THAT MEANS ANYTHING TO VETERAN SEEK SERVICE THEY GO DIRECTLY
• SERVICES.

Keywords: 999, senate, all

Transcript Highlights:

• <00:01:13.439> to the commissioner of Human Services to the commissioner of Human Services
• across Minnesota's direct care services across Minnesota's direct care services for<00:02:06.200
• <00:05:08.680> organization national veteran service organization national veteran service
• Services is expected to grow by 33% Services is expected to grow by 33% between<00:09:53.720> 2020
• , life-saving services in here.

Keywords: 1187, senate, all

Transcript Highlights:

• So intensive residential treatment services reduce the need for hospitalization, crisis services, and
• eligible for federal match, while the DSHS delivered services are state-only funded services, those
• Social and Health Services.
• Social and Health Services.
• entitled to those services and the services that they utilize.

Summary: The committee held a work session focused first on juvenile rehabilitation system capacity. DCYF officials said the juvenile rehabilitation population is older, includes more adult-sentenced youth, and has longer lengths of stay, especially for “post-25” youth who must remain in secure facilities and cannot go to community beds. They described overcrowding at Green Hill School, placement limits at Echo Glen and Harbor Heights, staffing turnover, mental health acuity, and the need for more medium-security and specialized mental health beds. DCYF said it is pursuing a Parkland facility proposal, a staffing model decision package, and a broader feasibility study and master plan update. No votes were taken; members were asked to follow up with questions later. The committee then heard on behavioral health system capacity from the Behavioral Health Administration and the Health Care Authority. DSHS described growth in forensic and civil bed need, expansion at Olympic Heritage, Maple Lane, and Brockman, and construction of a new 350-bed forensic hospital at Western State expected to open in 2028. HCA reported progress on long-term civil commitment beds, intensive behavioral health treatment facilities, PACT teams, and intensive residential treatment teams, saying the community-based system is being expanded to support step-down care and reduce hospital reliance. Members asked about whether capacity is right-sized, the difference between facility types, and federal match eligibility for services. A federal funding update followed, covering the effects of H.R. 1 and H.R. 5371 on SNAP, Medicaid, marketplace coverage, long-term services and supports, K-12, higher education, and hemp regulation. OFM and agency staff said H.R. 1 adds work requirements, changes non-citizen eligibility, increases state administrative and benefit costs, reduces Medicaid and marketplace subsidies for some groups, tightens redeterminations, and may significantly affect provider payments and state-directed payments. H.R. 5371 extended federal funding through January 30, 2026 and included some agency appropriations and other provisions, including changes affecting hemp producers. Members asked about SNAP error rates and special enrollment periods. Finally, budget coordinator Mary Monroe gave a 2026 supplemental budget preview. She reviewed the state’s near general fund outlook, noting revenue declines since the enacted budget, the effect of reversions, and a preliminary maintenance-level outlook showing a projected increase in NGFO spending over the four-year period. She said the supplemental will reflect updated caseload and cost forecasts and mandatory impacts from H.R. 1, but not policy proposals. No actions or votes were taken during the session.

Transcript Highlights:

• services at the local level. services at the local level.
• They can seek services.
• . services. services.
• diversion services. diversion services.
• these services currently exist. these services currently exist.

Keywords: 927, senate, all

Transcript Highlights:

• at a higher rate than non-Medicaid units of services.
• services.
• There are some services, depending on the hospital type and the service delivered, some services are
• We provide services for our multilingual patients.
• Rolando Chavez with Altamette Health Services.

Summary: The joint informational hearing focused on the impacts of H.R. 1 on California’s Medi-Cal program and on community health effects from recent immigration enforcement actions. Committee leaders said H.R. 1 would sharply reduce federal funding, increase administrative burdens, and worsen access to care, especially for Medi-Cal enrollees, immigrant families, rural communities, and reproductive health patients. The second half of the hearing examined how ICE raids and related federal actions are creating fear, reducing clinic and emergency department use, and disrupting children’s access to schools and early childhood education. Department of Health Care Services Director Michelle Bass outlined the main H.R. 1 provisions affecting Medi-Cal: work requirements, semiannual eligibility redeterminations, shorter retroactive coverage, new cost-sharing, limits on provider taxes and state-directed payments, reduced federal support for emergency and lawful immigrant coverage, and a one-year ban on Medicaid funding for prohibited abortion providers. She estimated millions could lose coverage, with tens of billions of dollars in federal funding at risk. Planned Parenthood Affiliates of California warned the defunding provision could force clinic closures, service reductions, and loss of access to family planning, STI testing, and cancer screenings. The California Hospital Association said the financing changes could cut hospital revenue by tens of billions over 10 years and threaten access, especially for rural and safety-net hospitals. The Western Center on Law and Poverty argued the law would increase churn, paperwork, and uninsured rates, disproportionately harming working adults and people experiencing homelessness. Committee members asked about implementation timelines, notification systems, administrative costs, the effect on immigrant eligibility, and whether California could delay or mitigate some provisions. Bass said the state was still assessing federal guidance, planning county and provider outreach, and exploring a possible delay for work requirements and a transition period for provider-tax changes. Members also discussed how state budget actions may need to be revisited in light of H.R. 1, and how California might preserve access through state-only funding or other policy changes. In the second panel, CHIRLA, Los Angeles County Department of Health Services, and the Children’s Partnership described the health consequences of immigration enforcement. Speakers said raids and data-sharing fears are causing anxiety, trauma, and avoidance of care, with Los Angeles County reporting declines in emergency, urgent care, and clinic visits after enforcement actions. The Children’s Partnership said school and early childhood absences are rising in some communities and that enforcement is undermining children’s emotional well-being and access to education. Members asked for more data and discussed possible state protections, telehealth, mobile care, and legal and policy responses to reduce fear and preserve access to health and education services.