Transcript Highlights:

• Um, while we have to still fund child care, schools, government services, and health care in our modern
• Um, while we have to still fund child care, schools, government services, and health care in our modern
• Um, while we have to still fund child care, schools, government services, and health care in our modern
• Um, while we have to still fund child care, schools, government services, and health care in our modern
• Representative Lee: We have to still fund child care, schools, government services, and health care in

Keywords: 1183, house

Transcript Highlights:

• or where exactly people should expect to see expanded services in health care.
• services and e-consults, and evidence-based care models.
• So funds may not be used for routine operating subsidies, direct patient care reimbursement, or to supplant
• Health care claims are regularly used in health services research and policy analysis.
• , who's championing $15 million for us to continue care-coordinated services.

Summary: The Assembly Budget Subcommittee on Health heard updates on five health-related budget items. First, members reviewed state support for distressed hospitals and health facilities. The California Health Facilities Financing Authority and HCAI described the Distressed Hospital Loan Program as a lifeline for 16 hospitals, many of which remain financially strained and are expected to seek loan forgiveness rather than repayment. Speakers cited reduced contract labor, new service lines, strategic partnerships, and the reopening of Madera Hospital as signs of progress, but also warned that federal policy changes under H.R. 1 will likely increase uncompensated care and pressure emergency departments. Public commenters from hospital, dental, and consumer groups supported additional funding, including a request to refresh the program with another $300 million. The committee then heard HCAI’s update on the California Rural Health Transformation Program, a five-year federal initiative funded at $233.6 million for California. HCAI said the program will focus on rural care models, workforce development, and health technology, with grants to be rolled out on a fast timeline and all funds obligated by October 30, 2026. Members raised concerns about rural provider capacity to apply for grants, and HCAI said it will use a third-party administrator, a technical assistance center, webinars, and other supports to help applicants. HCAI also presented its budget request for the health care payments database, seeking ongoing non-General Fund support to continue operations and expand data, including pharmacy benefit manager data. The Emergency Medical Services Authority presented three budget change proposals: funding to replace disaster medical services fleet vehicles, funding for IT security work, and additional positions for HR, enforcement, and legal workload. A member also raised concern that EMSA has not yet completed the annual ambulance rate reporting required by AB 716, and EMSA said it remains committed to the requirement but lost prior funding through later budget reductions. Covered California reported that it is still finalizing its own budget, but expects a lower operating budget due to efforts to reduce baseline costs and align spending with actual expenditures; it also projected enrollment declines tied to the expiration of enhanced premium tax credits, H.R. 1, and federal rule changes, while noting that revenues may still rise because premiums are expected to increase. Finally, the Department of Managed Health Care outlined budget proposals tied to menopause coverage and education, PBM licensure and enforcement under AB 116 and SB 41, credentialing reforms under AB 1041, and prior authorization reporting under SB 306. Public testimony generally supported the menopause and PBM proposals, while also urging clearer language and attention to Medi-Cal parity. The hearing concluded after public comment, including additional advocacy for sickle cell services and rural health workforce funding.

Transcript Highlights:

• Are we going to share services?
• Are we going to share services?
• Presentation by Job Service? All right. Welcome. Presentation by Job Service? All right. Welcome.
• I'm the Workforce Service Director here at Job Service North Dakota.
• Health care, health care support is, again, short term and long term, Health care, health care support

Summary: The committee met with a quorum, approved the previous minutes, and then received an update from Senator Jonathan Sickler on the Cash Management Board’s work under House Bill 1278. He said the board has been reviewing statewide cash, liquidity, and investment practices, finding that the state generally manages money well but could improve forecasting, automation, and coordination across agencies. He highlighted that the state has about $35 billion in liquid assets and investments, with most in longer-term investments, and described a change already underway replacing more than 500 six-month CDs with a special-rate savings account to reduce administrative work. Members also discussed the impact of House Bill 1176 on Legacy Fund earnings and the possibility of future legislation to avoid losing investment returns when large transfers are made all at once. The board also noted that some agencies still hold funds outside the Bank of North Dakota system, and that this is being reviewed. Representative Nathan Toman then updated the Task Force on Government Efficiency, saying the group has focused on how to measure whether programs are actually working. He said the task force has not yet proposed legislation, but the administration has agreed that new and expanding programs should answer five questions, including who is affected, what outcome is expected, whether there is another way to do it, and how success will be measured. Members discussed the need for dashboards, program evaluators, better data collection, and possible use of artificial intelligence to identify duplicate or outdated programs. Toman said the task force will continue reviewing agency workflows, with upcoming presentations from courts, the university system, the auditor, and other agencies, and that future legislation or rule changes may be needed to require performance metrics. Phil Davis of Job Service North Dakota presented labor market and program updates. He reported that North Dakota’s unemployment rate is 2.5%, labor force participation is about 68.7%, and the state continues to rank near the top nationally. He reviewed job openings, in-demand occupations, and several workforce programs, including H-2A agricultural worker inspections, the Job Placement Partnership Program with DOCR, and virtual and in-person job fairs. Davis said the DOCR partnership has shown strong results, with lower recidivism and higher earnings for participants, and he emphasized that Job Service tracks outcomes and reports them to federal and state partners. Members asked about child care subsidies, workforce participation, agency coordination, and whether more staff are needed for H-2A inspections. Finally, Allen Knutson presented the updated S&P Global revenue forecast. He said oil prices have risen sharply since the last update, making the revenue outlook more favorable but still volatile. S&P’s baseline forecast showed the current biennium’s four major tax collections about $89 million above the legislative forecast, and a much larger increase for the next biennium, though he cautioned that federal tax changes and oil market uncertainty could alter the numbers. In an alternate scenario using higher near-term oil prices, he estimated about $242 million more in oil and gas tax collections and roughly $120 million more for the Strategic Investment Fund. Members asked whether another forecast should be requested once oil markets stabilize and about changes in tribal oil production assumptions.

Transcript Highlights:

• to that service dog.
• This directs DMAS to amend its, I apologize, this is the health care category.
• Direct support professional.
• And that really is sort of the context, right, for the direct service personnel.
• They're a very important part of our care system, and we want everybody in our care system to be highly

Keywords: Disability Commission, 976, house, all

Transcript Highlights:

• Indirect support services provides policy direction, administrative leadership, and management support
• This includes functions such as the Division of Management Services, IT services, and legal services.
• And indirect support services provides policy direction, administrative leadership, and management support
• This includes functions such as the division of management services, IT services, legal services.
• IT services, legal services.

Summary: The Joint Finance-Appropriations Committee met with a quorum and took up several Department of Health and Welfare and related budget items. On the Commission on Aging, a motion to restore $129,900 in ongoing general funds for senior nutrition failed, but a revised motion to restore the same amount as one-time general funds passed. The committee then approved the Division of Welfare budget items tied to federal and state changes under the One Big Beautiful Bill Act and House Bill 345, including SNAP administrative cost adjustments, Medicaid expansion work requirements, and Medicaid eligibility system changes. For Indirect Support Services, the committee approved a budget that included a fund-source change for the background check unit, replacement items, IT modernization and consolidation, and the fiscal impact of Senate Bill 1314. It also approved a separate motion to exempt several Health and Welfare divisions from transfer limitations, but only for Youth Safety and Permanency and Licensing and Certification after a substitute motion narrowed the original request. The committee then approved a $60,000 general fund restoration for the Domestic Violence Council within Independent Councils, with a senator disclosing a potential conflict of interest for the record. The committee next adopted revised language for the Idaho Child Care Program Capacity Grant in the Early Learning and Development budget after extensive discussion about clarifying eligibility, investigations, and provider definitions; the motion passed despite concerns from the department and some members that the language remained unclear and policy-heavy. Finally, the committee approved consolidation of the Office of Species, Minerals and Energy Coordination, combining the former species conservation and energy/mineral offices and funding personnel, fisheries projects, and one-time energy resiliency grants. The meeting ended with adjournment to the call of the chair, and no further meeting was scheduled for the next morning except one House Appropriations item at 9 a.m.

Transcript Highlights:

• Not that they're not good services, but I think getting services at any cost is in the health care space
• Not that they're not good services, but I think getting services at any cost is in the health care space
• Not that they're not good services, but I think getting services at any cost is in the health care space
• Not that they're not good services, but I think getting services at any cost is in the health care space
• Not that they're not good services, but I think getting services at any cost is in the health care space

Keywords: 958, all

Summary: The committee first approved contracts 98, 99, and 100 on a roll call vote, with Chairman Douglas voting no but the items still passing. It then took up a Kentucky Department of Tourism contract involving the United Kingdom, France, and Germany/Austria/Switzerland markets. Tourism officials said the state has had similar contracts since 2013, that international visitors spend about six times more per day than domestic travelers, and that the effort supports marketing, public relations, and familiarization trips. The committee approved that contract as well, with Chairman Douglas voting yes after expressing support for tourism promotion. Next, the committee reviewed two Finance Cabinet facilities and support services items involving engineering and architectural services for a specialized lab expansion project. Members discussed why the design work was expensive, and the cabinet explained that the project’s pathogen-related complexity required specialized firms. Chairman Douglas said he believed some architectural and engineering reimbursement rates were too high and should be reexamined, but the committee still approved the items by roll call. The committee then heard from the Attorney General’s office and the Kentucky Opioid Abatement Advisory Commission on an MOA related to substance use disorder funding. Senator Meredith asked how the commission’s work coordinated with behavioral health programs, and staff explained that the commission allocates funds based on applications and includes relevant state officials. The contract was approved. After that, the committee considered behavioral health items: one new 988 chat-and-text contract to expand Kentucky-based crisis response coverage, and a Voices of Hope amendment that doubled funding to continue services into the next fiscal year. Officials said the 988 contract would move more chats and texts in-state, and that the Voices of Hope increase reflected continuation of SAMHSA-funded services; both were approved. Finally, the committee reviewed DCBS contracts, including a food insecurity survey contract with a Kentucky nonprofit and a Building Bridges Initiative training contract. Members questioned whether the food survey group’s advocacy role created a conflict, but DCBS said the organization was chosen for its statewide network and that the cabinet would receive the raw data. For Building Bridges, DCBS said the program began in the fall and provides training and peer mentorship for residential child care providers, with results still too early to assess. Both items were approved. The last set of contracts, under the State Treasurer for the Kentucky Council on Developmental Disabilities, prompted questions about why the funding flowed through the treasurer’s office and about a sexuality-related capacity-building initiative. Staff explained the treasurer serves as the designated state agency for federal DD Act funds, and that the sexuality initiative is part of a broader five-year plan focused on self-advocacy, system change, and capacity building; the committee then moved to approve those contracts as well.

Transcript Highlights:

• So, hey, it's in service now. That's great. It works great in service now.
• And I don't know if I'm directing this to the director, if I'm directing it to you two gentlemen up here
• The state of Missouri is a purchaser of health care services for our employees.
• The state of Missouri is a purchaser of health care services for our employees.
• , in the Department of Social Services, are in the Social Services budget, but the majority are housed

Committee: House Budget

Keywords: 959, house, all

Transcript Highlights:

• In California, just over $42 billion... ...essential programs and services.
• The services they need.
• Obviously, the state relies on nonprofits to provide health care, to build housing, to care for children
• The funding provided often doesn't fully cover the actual cost delivering services.
• , health care services, and address disasters and pandemics across the state in disadvantaged communities

Summary: The joint Senate and Assembly select committee hearing focused on the challenges facing California nonprofits in 2025 and possible state responses. Opening remarks emphasized the sector’s size and importance, the impact of federal funding disruptions and tax policy changes, and the need for stronger public-private partnerships, especially in disaster response and recovery. Witnesses from community foundations, food banks, Cal OES, long-term recovery groups, CalNonprofits, and nonprofit finance organizations described funding uncertainty, delayed reimbursements, reduced indirect cost coverage, staffing strain, and the effects of climate disasters and immigration-related fear on service delivery. Testimony highlighted several policy ideas, including advance payments for state grants and contracts, prompt payment standards, sustainable indirect cost rates, contract flexibility in emergencies, streamlined registration and reporting, and a possible new Office of Nonprofit Empowerment to serve as a central point of contact and coordination within state government. Speakers also described how nonprofits and VOAD networks support wildfire response and long-term recovery, but noted that recovery groups often lack stable operating funding even when they are recognized as best practice. A food bank leader described federal food aid cuts and disruptions to deliveries, while other witnesses stressed that nonprofits are increasingly forced to use reserves, loans, or service reductions to manage cash flow gaps. Committee members generally expressed support for the sector and asked how the state could better partner with nonprofits during both disasters and budget crises. Several members raised the possibility of incremental steps if full legislative changes are not immediately feasible, and witnesses suggested pilots, better sharing of best practices, and stronger state leadership on payment timelines. Public commenters echoed the need for better contracting practices, support for community-based organizations, and attention to nonprofit worker compensation and protections. No formal votes or committee actions were taken in the hearing, which concluded with adjournment.

Transcript Highlights:

• Our home care services are not the same that I think other people think about home care.
• Our direct care team delivers 6.11 hours of care per resident day, including 0.93 RN hours, 0.8 LPN hours
• Holyoke continues to exceed national long-term care benchmarks in direct care staffing.
• Over 2,500 individuals currently self-direct their services with $70 million in approved service budgets
• And the direct support certificate program, which partners with community colleges to equip direct care

Committee: Joint Joint Committee on Ways and Means

Keywords: 995, all

Summary: The hearing was a FY27 budget session on Health and Human Services held in Mattapan, hosted by the Joint Committee on Ways and Means. Opening remarks from Senator Lydia Edwards, Representative Brandy Fluker-Reed, Representative Russell Holmes, and Boston Public Library President David Leonard emphasized the significance of holding the first Ways and Means hearing in Mattapan, the importance of community access, and the role of libraries as human services institutions. Committee members and attendees introduced themselves before agency testimony began. MassAbility testified first, describing its mission to support people with disabilities through employment, independent living, and disability determination services. The agency highlighted federal funding uncertainty, a modest FY27 budget reduction, and a proposed reworking of its home care program, which it said is outdated and should better target those most in need. Members questioned the home care cut, staffing reductions, and federal coordination. MassAbility also shared a participant story about recovery and community support to illustrate the impact of its services. The Massachusetts Commission for the Deaf and Hard of Hearing then presented its FY27 request, focusing on interpreter and captioning access, workforce development, emergency communication, aging-related hearing loss, and transition services for deaf and hard-of-hearing youth. Members asked about interpreter shortages, after-hours emergency coverage, ASL education, and community training; the commission said it is expanding mentorship and referral systems but still faces staffing and vendor challenges. The Massachusetts Commission for the Blind followed with a $30.8 million request, describing services for nearly 9,000 consumers, peer support groups, vocational rehabilitation, and Turning 22 services, while noting federal funding uncertainty and a 7% budget cut. Members raised concerns about maintaining services with fewer resources, and the commissioner said the agency had trimmed overhead and could manage the proposal. The Office for Refugees and Immigrants closed the segment, outlining expanded legal, housing, workforce, citizenship, and financial literacy supports for immigrants and refugees, including Know Your Rights trainings, legal defense initiatives, and the Massachusetts Access to Counsel Initiative. Members discussed the effects of federal policy changes, the loss of refugee resettlement funding, and the need for state support to fill gaps. No votes were taken in the portion provided; the hearing consisted of agency presentations and committee questioning.

Transcript Highlights:

• officer or accredited service officer with a veteran service organization or an attorney.
• And it's just direct pay.
• that would honor our son, but also take care of those brothers and sisters in service.
• We need to take care of veterans. We need to take care of our law enforcement.
• We need to take care of veterans. We need to take care of our law enforcement.

Committee: House Veterans and Armed Forces

Keywords: 959, house, all

Transcript Highlights:

• Michelle Boss, Director of the Department of Health Care Services. H.R....
• Madam Chair and members, Michelle Boss, Director of the Department of Health Care Services.
• Care Services.
• Care Services, wanting to share a little bit on the questions regarding outreach and the system and
• As we've looked at expanding our clinical care teams to provide wraparound services, we're having to

Summary: The Assembly Budget Subcommittee on Health held a hearing on the impacts of H.R. 1 and related federal actions on Covered California, Medi-Cal, and immigrant access to care. The chair framed the discussion around three main issues: expected losses in marketplace coverage as enhanced federal premium subsidies expire, new federal work and renewal requirements that would add administrative burden to Medi-Cal, and the loss of eligibility for certain lawfully present immigrants. Covered California testified that H.R. 1 and new federal rules, combined with the end of enhanced premium tax credits, are driving higher premiums, lower new enrollment, and more cancellations, especially among middle-income, Latino, and Black enrollees. The agency said California’s $190 million state subsidy program is helping lower-income enrollees but cannot replace the lost federal assistance, and it noted that roughly 120,000 lawfully present immigrants in Covered California will lose federal tax credits in 2027. On Medi-Cal, the Department of Health Care Services said H.R. 1 will require work and community engagement verification, six-month renewals for certain adults, and other changes that the department expects will reduce enrollment substantially. DHCS estimated 233,000 members could lose coverage by June 2027 from the work requirement and 289,000 from six-month renewals, with losses rising much higher by 2028; it also said it is using automation, outreach, clinic navigators, coverage ambassadors, community health workers, and street medicine providers to reduce procedural disenrollments. The department described a two-phase outreach plan and said it is working with counties on implementation, while the Department of Finance said the Governor’s budget maintains $190 million for the state subsidy program and does not propose additional changes at this time. The LAO said its independent forecast is somewhat higher than the administration’s, estimating about 2.1 million fewer Medi-Cal enrollees by June 2028, and urged the Legislature to review county administrative workload and readiness. Public testimony and member comments focused on the human and fiscal consequences of coverage losses. A representative from the Sacramento Native American Health Center warned that reduced reimbursement and coverage losses would destabilize community health centers, increase uncompensated care, and worsen outcomes by pushing patients into emergency care. Members raised concerns about paperwork burdens, county capacity, outreach effectiveness, and whether the state should do more to preserve coverage, including possible modeling of additional H-CARF spending and support for middle-income consumers and immigrant enrollees. The hearing did not take any votes or formal actions, but it ended with public comment and continued discussion of implementation and budget options.

Transcript Highlights:

• , Gary, for all of your service.
• We do care about fraud.
• They're going to take care of what they need to take care of.
• service.
• Much love, thank you for your service. Thank you for your service. Thank you, Mr. President.

Summary: The Senate opened with prayer, the Pledge of Allegiance, and a series of member introductions recognizing interns, pages, and a retiring Senate employee. Leadership also announced that budget talks with the House were continuing and that senators should not plan to be in next week, with hopes of sharing more budget news soon. The chamber then moved to third reading and took up a major bill on citizen initiatives and constitutional amendments, with sponsors saying it was needed to address documented petition fraud and to protect the integrity of the process. That bill drew extensive debate. Supporters argued that recent investigations showed widespread fraud in petition gathering, that the measure would add reasonable guardrails, and that it would prevent taxpayer-funded government messaging from being used to influence ballot measures. Opponents said the bill would make it much harder for ordinary Floridians to place amendments on the ballot by adding costs, deadlines, registration requirements, fines, and felony exposure, and they warned it would chill grassroots participation and effectively favor wealthy or corporate-backed campaigns. After debate, the Senate passed the bill 28-10. The Senate then adopted several House amendments and concurred on a series of education and public-safety measures, including bills on stem cell therapy, student-athlete electrocardiograms, cardiac emergency planning in schools, school safety, Bright Futures and other education policy items, and educator preparation. Most of those measures passed unanimously or with overwhelming support, and the chamber also recognized additional interns and a long-serving education advocate before recessing and returning to continue with House messages.

Transcript Highlights:

• Are we going to share services?
• Are we going to share services?
• I'm the Workforce Service Director here at Job Service North Dakota.
• Health care, health care support is, again, short term and long term... ...health care, health care support
• in a bill for evaluation of child care programs. so that's for evaluation of child care programs.

Keywords: 908, all

Summary: The Leadership Division of the Budget Section approved the prior meeting minutes and then received an update from Senator Jonathan Sickler on the Cash Management Board’s interim work under House Bill 1278. He said the board has reviewed state cash, investments, and liquidity across agencies and concluded the state’s overall mix of long-term and short-term assets is appropriate, with about $35 billion in total liquid assets and investments and roughly 89% in longer-term investments. He highlighted process improvements already underway, including replacing more than 500 six-month CDs with a special-rate savings account to reduce administrative work, and said the board sees opportunities to improve forecasting, automation, and statewide coordination. Members asked about whether the CD change would increase returns, how the Legacy Fund transfer for the homestead tax relief bill affected earnings, and whether more state cash could be consolidated or better managed through BND; Sickler and BND staff said those issues are being studied and may lead to legislation for the 2027 session. Representative Nathan Toman then updated the committee on the Task Force on Government Efficiency. He said the group has focused less on cutting dollars and more on defining metrics and asking how the legislature knows whether programs are working. The task force is pushing a standard set of questions for new or expanding programs—who is affected, expected outcomes, alternatives, how success will be measured, and full funding—and OMB has agreed to require those answers in future budget requests. Members discussed possible use of dashboards, program evaluators, AI tools, and possible rule or statutory changes to require performance measurement. Toman said the task force will continue meeting with agencies such as the courts, university system, auditor, HHS, Commerce, and ITD to identify workflow bottlenecks and potential efficiencies. Phil Davis of Job Service North Dakota gave a workforce update, reporting that North Dakota’s unemployment rate is 2.5% and labor force participation is about 68.7%, both well above national performance. He described Job Service’s 15 workforce programs, including H-2A housing inspections for foreign agricultural workers, the job placement partnership program with DOCR, WOTC, and other federal and state workforce efforts. Davis said the agency served more than 11,000 individuals in 2025, operates nine workforce centers, and tracks outcomes through quarterly and annual reporting. In response to questions, he said job openings data reflect only positions in the system and may understate actual hiring needs, that child care and other assistance programs could be better tied to employment outcomes, and that the DOCR partnership has shown strong results with lower recidivism and higher earnings. He also said the H-2A inspection workload is growing quickly and additional staffing or less frequent federal inspection requirements could help. Allen Knutson then presented S&P Global’s updated revenue forecast. He said oil prices have risen sharply since the prior month’s outlook, improving the state’s near-term revenue picture, though the economy remains volatile and agriculture is facing weaker commodity prices. Based on the updated forecast, total major tax revenues for the current biennium are projected to be about $89 million above the legislative forecast, and the next biennium could be about $500 million higher, though that estimate is preliminary and may change. He also walked through an alternate oil-price scenario showing significantly higher oil and gas collections and a larger Strategic Investment Fund balance if prices remain elevated. Members asked whether another forecast should be requested once oil markets stabilize and about tribal allocation changes in the alternative scenario; Knutson said additional updates are possible through OMB and future forecast cycles.

Transcript Highlights:

• Our service learning center.
• Really appreciate the authors and the sponsors' care and careful design choices in trying to make this
• But, my God, take care of these teachers, take care of them so they can take care of the students, give
• health care.
• So I think this is among many other arguments, taking care of a good majority of the Taking care of a

Summary: The committee heard several education-related bills. SB 1154 would let community college districts use best-value procurement for public works over $1 million. The author and community college supporters argued it would improve project quality and reduce delays and change orders, while contractor groups opposed it, saying the bill’s skilled-and-trained workforce and safety provisions would narrow competition and add subjectivity. The bill passed the committee on a 4-2 vote and was placed on call. SB 1347, a cleanup bill clarifying that stock albuterol may be kept in all public schools, including preschool programs, drew support from school nurses, respiratory care advocates, and a physician who said it would help schools respond to asthma emergencies. With no opposition, it passed unanimously and was placed on call. SB 1222 would create a pilot program designating a lead county office to help regions improve career technical education implementation; supporters said it would expand access and build regional capacity, while Senator Cabaldon questioned the need for another pilot and urged more direct funding instead. The bill passed and was placed on call. The committee also considered SB 1378, which would create a California Excellence in Service Learning designation for schools and districts. Supporters said it would recognize and encourage service-learning programs without mandating curriculum changes, while some members raised concerns about adding more state designations and administrative work. It passed and was placed on call. SB 1048 would create a Seal of Climate Literacy for high school students; supporters said it would recognize climate-related learning and connect students to green careers, while members cautioned against using seals to influence curriculum and noted equity and implementation concerns. It also passed and was placed on call. Finally, SB 1101 would require higher education institutions to notify students, faculty, and staff when their personal information is shared with federal agencies in OCR-related investigations or subpoenas. Supporters framed it as a privacy and free-speech protection in response to recent federal requests for campus information, while the author said the bill would not block lawful subpoenas but would require notice and limit voluntary disclosures. The committee discussed legal and constitutional issues, but no vote was taken in the portion provided.

Transcript Highlights:

• Acute care hospitals offer services like inpatient, outpatient surgical, and emergency care.
• Acute care hospitals offer services like inpatient, outpatient surgical, and emergency care.
• So we're constantly speaking with the folks who receive services, provide services, love and care for
• So we're constantly speaking with the folks who receive services, provide services, love and care for
• of K-12 public school education services and special education services?

Summary: At the May 14, 2025 JLARC meeting, members approved the January 9 minutes and adopted the 2025–27 biennial work plan with a minor typo correction. Staff reviewed the new work plan studies, including a drug take-back program fee/expenditure review due in December 2025 and a state energy performance standard compliance review due in June 2027, and noted JLARC’s recent session activity, including several bills passed related to JLARC work and recommendations. The committee then heard a preliminary cannabis market study showing Washington businesses likely produced two to three times more cannabis than retailers sold in 2023. Staff and RAND said LCB’s data systems are incomplete and unreliable, limiting regulation, tax verification, and diversion tracking; they recommended that LCB submit a plan by year-end for collecting accurate data by the end of 2026. Members and LCB discussed the long timeline for a new traceability system, the causes of missing sales and weight data, overproduction, diversion, and the social equity program’s effect on producer licenses. JLARC also presented a preliminary hospital oversight report concluding that the Department of Health is late on many hospital inspections, does not verify third-party inspection standards, does not review adverse health event correction plans, and could make hospital data more accessible. The committee discussed fee funding, language access, and inspection timing, and DOH said it would work on a strategic plan and continue coordinating with JLARC. Members also heard a preliminary report on the public records survivor exemption, which found agencies are using it but need more guidance; JLARC recommended keeping the exemption and having the Attorney General provide additional training. Finally, the committee approved the DDA processes and staffing final report for distribution, which recommended performance metrics, stronger data quality controls, and workforce planning; DDA concurred. JLARC also introduced proposed study questions for a future DCYF juvenile rehabilitation review focused on safety, security, programs, staffing, education, and contraband, and the meeting adjourned after members asked about scope and facility conditions.

Transcript Highlights:

• </c><00:00:40.440><c> system</c> health care system health care system are<00:00:42.000><c> all</c><00
• </c> um on the health care um on the health care hospitals hospitals hospitals in<00:05:18.920><c> uh
• , care, care, and<00:05:28.600><c> um</c> And North Memorial, which is a Level 1 Trauma Center for adult
• health care.
• </c> have faced here in Minnesota is a direct have faced here in Minnesota is a direct result<00:09:32.200

Keywords: 918, senate, all

Summary: Senate Tax Committee members presented a tax omnibus bill they said was a bipartisan effort aimed at making life more affordable and responding to federal policy changes they argued are increasing costs and harming Minnesota families, communities, farmers, and businesses. Chair Rest and other senators described the bill as a response to federal cuts to health care and food support, and said it also complements other Senate action on health and human services. Key provisions highlighted included a 12% increase in property tax refunds for homeowners, described as more than $100 million in direct relief; a $2 million provision related to Operation Metro Transit; a new health care sales tax in Hennepin County to replace an expiring local sales tax and help stabilize hospitals such as HCMC and North Memorial, with funds for uncompensated care and facility upkeep; and a social media tax on the largest platforms, which supporters said would raise revenue without affecting Minnesota residents. Senators also emphasized a sustainable aviation fuel credit, framed as a climate and economic development measure that could support in-state production and agricultural feedstocks. Members also discussed agricultural provisions, including lifting the cap on the beginning farmer tax credit extension and updating homestead-related rules, saying these changes would help farm transitions and reflect current conditions. Another property tax change would increase the market value exclusion for disabled veterans. No formal vote was taken in the transcript, but senators said the bill had been passed to the floor and they were waiting for leadership to schedule it, while noting the House had not yet taken similar action.

Transcript Highlights:

• We also see unfortunately a lot of Medicaid waiver participant-directed services fraud.
• The person has the option of either getting participant-directed services, i.e., the Medicaid member
• </c><00:09:40.320><c> the</c><00:09:40.480><c> Medicaid</c> directed services i.e. the Medicaid directed
• </c><00:10:01.360><c> Those</c> participant-directed services. Those participant-directed services.
• </c><01:01:05.200><c> are</c> services to determine if services are services to determine if services

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board reconvened and heard a presentation from the Attorney General’s Office Medicaid Fraud and Abuse Control unit. AG staff described the unit’s structure and work: it investigates and prosecutes Medicaid provider fraud, and also handles abuse, neglect, and exploitation cases involving vulnerable adults in facility settings when asked to assist. They said the office has prosecutors, detectives, auditors, and support staff, works with federal partners, Commonwealth’s attorneys, CHFS, DMS, OIG, and MCOs, and uses a hotline and referral line for complaints. They also explained the MCO referral process, including monthly meetings, stand-down lists, and review of referrals for a “credible allegation of fraud” before the AG office decides whether to open a criminal or civil investigation. The presentation focused heavily on current fraud trends. Staff said behavioral health is a major concern, along with participant-directed waiver services, medically assisted treatment, cash billing for services, controlled-substance billing, and vision and dental fraud. They gave examples such as duplicate time sheets for family caregivers, questionable Suboxone counseling and urine drug screening practices, and a prior optometry case involving false claims for children’s glasses. They also discussed CMS’s estimate that about 5% of Medicaid payments are improper, noted that most improper payments are at the fee-for-service level, and said there is no reliable overall fraud-rate estimate. They highlighted a sharp shift in behavioral health billing after the cabinet’s November 1, 2024 policy changes, saying individual psychotherapy spending dropped while group billing increased, suggesting providers may have moved billing to different codes. Members asked about the scale and timing of cases, how MCO referrals are screened, and whether the data reflected more people being served or just higher spending. The AG office said investigations can take years, with some federal cases still awaiting sentencing from 2018 and 2019 matters, and that they currently had nine individuals awaiting sentencing in federal court. They also reported 58 hotline reports during the referenced period, six cases opened from MCO referrals, and four additional MCO referrals not accepted for active cases. Several members raised concerns about home-based services and the risk of abuse or fraud when family members are reimbursed, and asked whether the process could be streamlined; the AG office said it had no immediate recommendations but would be willing to return with suggestions after further review.

Transcript Highlights:

• Michelle Boss, Director of the Department of Health Care Services.
• Michelle Boss, Director of the Department of Health Care Services. H.R.
• Madam Chair, members, Michelle Boss, Director of the Department of Health Care Services.
• Care Services.
• As we've looked at expanding our clinical care teams to provide wraparound services, we're having to

Keywords: 988, house, all

Transcript Highlights:

• This funding will help reopen emergency services and create outpatient specialty care, closing a major
• THIS FUNDING WILL HELP REOPEN EMERGENCY SERVICES AND CREATE OUTPATIENT SPECIALTY CARE, CLOSING A MAJOR
• We'll take care of you as you have taken care of us.
• They're left to care for that service member when their time is done, and they do so willingly and with
• away from needing care.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, November 17, 2025, 1012, house, all

Transcript Highlights:

• There are three legal tools for communicating one's care preferences: advance health care directives,
• However, an advance health care directive expresses preferences. These are not medical orders.
• Existing law already allows recognition of advanced health care directives. a pre-hospital DNR.
• The CARE Act promotes family-centered care and community-based services for people with serious mental
• Yet when she most needed CARE Act services, she fell through an unintended gap. Thank you.

Committee: Senate Judiciary

Keywords: 987, senate, all