Transcript Highlights:

• HB 1147 establishes a pilot program in Cameron County, administered by the Texas Workforce Commission
• Participants who complete this program will receive a certificate enhancing their employability.
• by On the fiscal note that there is no cost to this because this program could be administered by TWC
• And we are excited for programs like the JET.
• We have a lot of partners that I think have used a JET program to expand their offerings.

Bills: HB322 , HB331 , HB673 , HB 1147 , HB 1154 , HB2488

Committee: House S/C on Workforce

Keywords: JET Grant Program, career education, technical education, community colleges, technology solutions, high demand jobs, first responders, acute myocardial infarction, stroke, benefits, compensation, presumption of disability, emergency services, healthcare, Medicaid, mental health, substance abuse, treatment access, cost, insurance coverage

Transcript Highlights:

• Other programming note, I apologize.
• I just had a quick programming note.
• Access to AA and NA programs and other programs like actual substance abuse treatment that help address
• These programs have large wait lists.
• Access to AA and NA programs and other programs like actual substance abuse treatment that help address

Committee: House Public Safety

Keywords: 988, house, all

Transcript Highlights:

• , but I think targeting the outreach of that program and how to get that program into the communities
• I, um, we are for this bill because it helps the program and it provides improvements to the program.
• Ultimately, what we would like to see is this particular program phased out.
• They, they use the H-2A programs, uh, uh, like the farms and ranches here.
• for an award under the program.

Bills: SB 231 , SB 667 , SB 689 , SB 825 , SB 965 , SB 992 , SB 1059 , SB 1220 , SB 2368 , SB 2601

Committee: House State Affairs

Keywords: temporary emergency electric energy facility, temporary generation, emergency power, backup generation, mobile generator, portable generator, grid resilience, power outage restoration, transmission and distribution utility, TDU, Public Utility Commission of Texas, PUCT, Utilities Code Section 39.918, competitive bidding, lease authorization, emergency procurement, bulk power system, locational marginal pricing, reliability model, black start

Transcript Highlights:

• And is you of implementing this program?
• </c><00:05:16.720><c> is</c> detailed, you know, what the program is detailed, you know, what the program
• We're program to be offered to students?
• </c><00:11:06.640><c> in</c> location for a doctoral program in location for a doctoral program in veterinarian
• </c><00:17:06.319><c> I'm</c> programs. So, thank you. I'm programs. So, thank you.

Committee: House Higher Education

Keywords: 910, house, all

Summary: The Committee on Higher Education held a resolutions hearing on March 19 and heard testimony on a series of University of Hawaii-related measures. Topics included exploring an Alzheimer’s disease research center and federal funding requirements, establishing a BSN program at UH Maui, expanding student mental health services, supporting Hawaiian language resources at the Kawaihuani Center, creating a homeless student stability and housing resource program, forming a veterinary medicine expansion working group, and compiling a list of bachelor’s programs aligned with regional job needs. Testimony was generally supportive, with UH representatives often noting that several initiatives were already underway or that systemwide assessments and planning processes were in progress. For the veterinary medicine measure, UH said Windward Community College would not be the ideal location for a doctoral program, but the system would be willing to study the issue systemwide. For the Maui nursing program, UH said it had already received authorization to plan and was working through the curriculum approval process, with a goal of offering the program in fall 2026. For the student basic needs resolution, UH said a systemwide assessment covered all campuses and islands, with a report expected in summer or fall. In decision making, the committee recommended passage of HCR 31/HR 30, HCR 73/HR 66, HCR 96/HR 92, and HCR 97/HR 93 as is, and all were adopted without objection. HCR 124/HR 120 and HCR 125/HR 121 were passed with amendments, including a technical amendment and a request to send a certified copy to the Kawaihuani Center director. HCR 195/HR 188 was passed with amendments to add a UH Hilo representative to the veterinary working group, and HCR 196/HR 189 was passed with amendments to include UH and HMC in the list of schools developing job-aligned bachelor’s program lists and to incorporate HMSO style changes. The committee then adjourned.

Transcript Highlights:

• That program worked.
• as a regulated program.
• Today, I oversee that same program.
• These programs do more than provide supplies.
• Today, I oversee that same program.

Bills: SB274 , SB301 , SB249

Committee: House Health & Human Development

Keywords: healthcare, life-sustaining treatment, patient preferences, POLST, advance directive, medical orders, hospital discharge, pregnancy, patient care, discharge planning, healthcare policy, substance use, harm reduction, syringe services, needle exchange, overdose prevention, naloxone, opioid antagonist, drug paraphernalia, syringe

Summary: The committee heard and advanced several measures related to health care, public health, and patient protections. House Concurrent Resolution 148, urging a statewide educational strategy on menopause, was presented as a workplace awareness measure and received supportive comments from members before being released. Senate Bill 274, updating Delaware’s MOST program to POLST and clarifying capacity determinations and documentation for end-of-life orders, also drew supportive testimony from medical and nursing groups and was released. House Bill 458, limiting local backflow preventer requirements for certain low-hazard buildings, was presented as a cost-relief measure for homeowners and small businesses; DHSS expressed concerns but said it was willing to work on amendments and a sunset provision, and the bill was released. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and ordering flags at half-staff, was released after brief supportive remarks. The committee then considered Senate Bill 339, a technical correction to the advance health care directive form clarifying that an agent’s authority for voluntary mental health admission cannot exceed 72 hours, consistent with existing law. Members asked detailed questions about how the 72-hour limit works and whether it applies to voluntary directives; the sponsor and a Disability Rights Delaware witness explained that the bill only aligns the form with current statute and does not expand authority. The bill was released. House Bill 301, requiring hospitals to create discharge plans for pregnant patients discharged while showing signs of labor, prompted extensive discussion. The sponsor and supporters said it would improve safety, transportation planning, and aftercare, while some members noted Delaware hospitals already do much of this work and questioned whether codifying it was necessary; supporters emphasized maternal mortality disparities and the need for guardrails. The bill was released. Senate Bill 196, creating ownership disclosure requirements for long-term care facilities and resident notice rules after ownership transfers, was presented as a transparency measure for seniors and families and was released after supportive testimony from the Delaware Nurses Association and elder-care advocates. Senate Bill 320, expanding pharmacists’ independent prescriptive authority for certain non-controlled medications and allowing opioid use disorder medications under standing order, with added malpractice reporting requirements in Senate Amendment 2, was supported by pharmacists and nurse practitioners as an access-to-care measure and was released. Senate Substitute 1 for Senate Bill 161, establishing a unified licensing and oversight framework for adult behavioral health providers under DSAM, was presented as a patient-protection measure; providers supported the goal but cautioned that regulations must be workable, and the substitute was released. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was released with a note reflecting concerns about broadening the analysis to include additional cost drivers and alternatives. Finally, Senate Bill 249 with Senate Amendment 2, modernizing harm-reduction programs and paraphernalia laws, generated the most extended debate: supporters framed it as life-saving public health policy, while opponents raised concerns about needle litter, community impacts, and whether the approach facilitates addiction. Despite the objections, the bill was released.

Transcript Highlights:

• And then we've activated programs such as our life watch program.
• The Legacy Fund supports this program and the Trails Plus program at the Outdoor Recreation.
• the Healthy Soils Program and Soil and Water Soil Health Program.
• So, for example, this is a federal grant program. It's not a quick granting program.
• Process for each program.

Committee: House Water & Natural Resources Committee

Transcript Highlights:

• What this program does...
• What this program does, and what it required after four years of a study program, is if there's a problem
• Both programs are supposed to be the school safety interoperability program.
• The 1583 program mentioned is meant to be the program in this bill.
• All the programs happen in schools.

Bills: SB1074 , SB1327 , SB1475 , SB1582 , SB1583 , SB1598

Committee: Senate Education

Keywords: student discipline, classroom management, temporary removal, administrative action, education policy, foreign relations, university governance, research security, international agreements, Arizona Board of Regents, interscholastic activities, student eligibility, criminal offenses, school district, youth sports, academic participation, conduct, planned communities, homeowners association, HOA

Transcript Highlights:

• The one pay-as-you-go is a closed program, a legacy program called.
• That's an optional program. It's funded with a hundred percent of employees.
• Health Select program that we administer.
• That's a significant milestone for this program.
• Of members in the program does that that doesn't alter the number?

Committee: House Pensions, Investments & Financial Services

Keywords: 1184, house, all

Transcript Highlights:

• I should mention at this point that the H.R. 1 program did create this program in H.R. 1, but it is trying
• We are in year one of that program, or really year half, since the program started in...
• some investments in their rural training program.
• There is a federally funded program, the Alien Emergency Medical Program, that individuals could qualify
• So that program is continuing in its current state.

Summary: The Senate Health and Long-Term Care Committee met on July 30, 2026, to hear two main briefings. The first, from the Health Care Authority, focused on implementation of federal H.R. 1 Medicaid changes and Washington’s rural health transformation funding. HCA said the state is preparing for major eligibility changes, including the October 1 loss of Medicaid coverage for about 14,000 lawfully present non-citizens and January 1, 2027 work requirements, six-month renewals, and reduced retroactive coverage for roughly 600,000 Medicaid expansion adults. Officials described outreach efforts, new automated verification systems, a verification hub, and plans to use available data sources to reduce manual paperwork, while noting that about one-third of the affected population may still need manual processing. They also said H.R. 1 will limit state-directed payments over time, with an estimated long-term impact of up to $1.5 billion in hospital reimbursements. On rural health transformation, HCA said it is moving quickly to obligate its $181 million federal award through contracts and competitive grants for rural hospitals, workforce, behavioral health, technology, and tribal and community partners. Committee members asked about the impact on rural providers, community service as a work-requirement pathway, emergency Medicaid, tribal and federal reimbursement issues, and whether the state would submit comments on the federal work-requirement rule. HCA said it would file comments, that emergency Medicaid coverage for certain services remains available, and that it is working with tribes and other agencies to avoid erroneous terminations and to move eligible people into other coverage where possible. Members also raised concerns about the administrative burden on families and providers and the need for congressional attention on issues such as TRICARE reimbursement. The second briefing addressed maternal health and the Department of Health’s Maternal Mortality Review Panel report. DOH said maternal mortality in Washington increased for the first time in the report series, but most pregnancy-related deaths remain preventable. Nearly half were linked to behavioral health conditions, especially overdose deaths, with suicide, cardiovascular disease, and COVID-19 also significant causes; most deaths occurred postpartum rather than during delivery. The report found higher mortality rates among American Indian and Alaska Native, Black, Native Hawaiian, Pacific Islander, multiracial, rural, and Medicaid-covered populations, and identified lack of access to care, financial hardship, housing instability, discrimination, bias, and systemic inequities as major contributors. DOH highlighted existing state actions such as one-year postpartum coverage, doula reimbursement, inpatient substance use treatment coverage for birthing people, and vaccine coverage requirements, and offered 12 legislative recommendations focused on affordable and high-quality care, basic needs and community supports, and equitable, culturally responsive services. Presenters from the Suquamish Tribe and Kitsap OBGYN described how the tribe acquired and stabilized a threatened OB-GYN practice to preserve regional access amid provider shortages and hospital service losses. They said rural obstetric care is difficult to sustain because of thin margins, workforce shortages, long travel distances, and higher-risk patients, and emphasized that tribal health systems can offer stronger reimbursement and integrated family-centered care. The Foundation for Healthcare Quality and the Bree Collaborative then outlined statewide maternity-care quality efforts, including work on perinatal behavioral health, care coordination, postpartum screening, doula support, and better-aligned payment models. They said Washington has strengths in innovation but still needs more OB-GYN capacity, better transitions of care, and more culturally responsive, trauma-informed maternal and Native health services.

Transcript Highlights:

• the DSS programs are effectively integrated.
• Programs are effectively integrated.
• It's a brand new program. Yeah, I know.
• programs.
• type programs.

Committee: Senate Rules

Keywords: 987, senate, all

Transcript Highlights:

• The bill before you, House Bill 2579, creates two programs and a tax on phones to fund the programs.
• The first program, the Public Media Broadcaster Program, is created to ensure that every Washingtonian
• The second program, the Digital Equity Program, is created to ensure that every Washingtonian has resources
• , continued funding of this program.
• , continued funding of this program.

Summary: The committee held a public hearing on House Bill 2579, which would create a Public Media Broadcaster Program and a Digital Equity Program funded by a 20-cent-per-line monthly tax on wireless, prepaid wireless, VoIP, and landline service. Staff explained that 80% of the revenue would support public media grants, 20% would support digital equity grants, and a small share could be used for administration. The prime sponsor, Rep. Chris Stearns, and many public media, community media, and digital equity supporters testified that public radio and television provide emergency alerts, local news, education, training, and community connection, especially in rural and underserved areas, and that federal funding cuts have made state support more urgent. Several witnesses described how public media helped with emergency communications, youth training, Indigenous programming, and access to local information. Opposition came from CTIA and Washington Citizens Against Unfair Taxes. CTIA argued the tax would add to already high wireless taxes in Washington and would be regressive because low-income residents rely heavily on wireless service. Washington Citizens Against Unfair Taxes objected to the bill as another tax increase and said it would worsen affordability. One supporter said an amendment would be offered to address a misunderstanding in the fiscal note. No vote was taken on the bill during the hearing. The committee then received a cybersecurity and critical infrastructure briefing from state emergency management and cybersecurity officials. They described Washington’s layered cybersecurity model, the role of state agencies, the Fusion Center, WOTEC, the National Guard, and the Emergency Management Division, and the growing threat from ransomware, supply-chain attacks, and AI-enabled attacks. Members asked about volunteer cyber response capacity, the most vulnerable sectors, and whether the legislature should fund more real-time threat monitoring and intelligence sharing. Officials said the state is working to establish a volunteer cyber incident response team and that the main gap is real-time monitoring across participating local and private networks. The committee also heard updates on the December 2025 flooding response and wildfire resilience. Emergency management officials reported widespread flooding, landslides, power outages, evacuations, rescues, and infrastructure damage, but said mitigation investments helped prevent worse outcomes. They identified gaps in statewide alerting, search and rescue coordination, and local emergency management capacity, and said a statewide alert system like Oregon’s would require ongoing funding. In the wildfire update, DNR and partner agencies described increasing wildfire risk, the use of aircraft, AI-enabled detection cameras, and common operating pictures, and ongoing work on hazard and risk mapping, community wildfire preparedness, and home hardening. Members asked about predictive technology, sediment removal, and other mitigation tools, and officials said they are working with universities and federal partners to improve prevention and response.

Transcript Highlights:

• I worked on the financial distress loan program.
• He has a very rich and deep understanding of Medi-Cal programs.
• That program was put in place in 2013.
• Of dollars on this program over the last 13 years.
• programs that don't happen without OEHHA.

Committee: Senate Rules

Keywords: 987, senate, all

Transcript Highlights:

• So we should be putting improved programming, minimum standards, authentic evidence-based program.
• And then we developed programs.
• I mean, I've actually done programming at CRJ, provided programming.
• The program is so good that the state certified it as a certified apprenticeship program.
• The DOC can do that program.

Keywords: 1212, all

Summary: The commission met for an open discussion focused on developing recommendations for its report on correctional consolidation and collaboration. Chairs Dan Hunt and Senator Brownsberger said the group is moving from information-gathering into idea generation, with a report due to the legislature by the end of September. Members discussed whether recommendations should be broad “guardrails” or more specific proposals, and several urged that future recommendations be grounded in firsthand experience, data, and written submissions from agencies and stakeholders. A major theme was how to create a more integrated correctional and reentry system. Participants raised the need to hear more from reentry centers, minimum-security and pre-release facilities, probation and parole, and the judiciary. Ideas included expanding step-down pathways, improving coordination among DOC, sheriffs, probation, and parole, standardizing programming and outcomes data, and better educating judges about available programs at sentencing. There was also discussion of whether the sheriff’s role should be expanded beyond the current two-and-a-half-year House of Correction limit, with questions about sentence structure, good-time credits, and how such a change would affect security and reentry outcomes. Members also emphasized the importance of consistency, transparency, and minimum standards across facilities. Several speakers said the system remains fragmented and that different counties use different definitions, practices, and program models. Suggestions included reviewing prior commission reports, looking at other states and even European models for best practices, and considering regional hubs or specialized facilities for behavioral health, workforce development, and reentry. The chairs noted that the commission has already toured several facilities and plans more visits, including Framingham and Bridgewater, and that future hearings will include unions and other stakeholders. The discussion also touched on restrictive housing, mental health, and contraband K2. Members cited recent suicide concerns and expert reports suggesting some units function like restrictive housing even if not labeled that way. There was broad agreement that custody conditions, programming access, and institutional culture affect trust and rehabilitation. No formal votes were taken; the meeting was primarily a working session to surface ideas and frame possible recommendations for later drafting.

Transcript Highlights:

• First to testify on under the program.
• We feel like the under this program.
• </c> statewide leave program. statewide leave program.
• </c> outreach programs? outreach programs?
• </c><01:03:59.200><c> to</c> federal workforce PEL grant program to federal workforce PEL grant program

Bills: SB2198 , SB2140 , SB3055 , SB3090 , SB3091 , SB3092 , SB2761

Committee: House Labor

Keywords: workforce development, craftspersons, skilled trades, artisan, craftsmanship, trade recognition, award program, DLIR, Department of Labor and Industrial Relations, Meilleur Ouvrier de France, vocational education, career pathways, cultural preservation, workforce excellence, apprenticeship, Hawaii trades, economic diversification, public nominations, governor awards, historically significant venue

Transcript Highlights:

• Program integrity. So we have a robust program integrity.
• Program integrity. So we &gt;&gt; one more. Okay. Program integrity.
• </c> have a robust u program integrity. have a robust u program integrity.
• We thank you for the program that you do. Uh, I think it's a good program. you do.
• Uh I think it's good program. you do. Uh I think it's good program.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:01 Department for Public Health Budget Request 00:01:46 Department for Community Based Services Budget Request 00:31:58 Certified Community Behavioral Health Clinics (CCBHC) 00:57:13, 958, all

Summary: The committee first approved the minutes, then heard a lengthy presentation from the Department for Public Health on Kentucky’s rural health transformation plan and related budget questions. Commissioner John Langfeld said the state received a $212.9 million federal award, one of the larger awards nationally, and outlined five focus areas: maternal and infant health, integrated EMS/trauma response, behavioral health and substance use disorder, oral health, and chronic disease prevention with an emphasis on obesity and diabetes. He stressed that the effort is intended to be integrated, data-driven, and sustainable, and that the federal funds cannot be used for new construction, clinician salaries, research and development, EHR replacement, or to pay for currently billable services. He also said the program carries accountability requirements and that funds can be clawed back if milestones are not met. Members pressed for clarification on duplication with other budget requests, sustainability after the five-year funding period, and how success would be measured. Langfeld said he was not aware of any duplicate funding with the department’s additional budget requests and said the rural health funds were separate from those requests. He also said the program will be tracked through specific metrics and timelines, using both execution measures and outcome measures such as readmissions, with more rapid-cycle feedback to allow course correction. Representative Fleming raised concerns about possible overlap with navigator funding and asked for more detail on the budget breakdown; Langfeld said a detailed line-item budget had been prepared but was still awaiting final CMS approval before release, and that he would explore sharing more information once restrictions were lifted. The committee then heard from the Kentucky State Public Health Laboratory about a request for a new central lab expansion. The presenter described the current 35-year-old facility as outdated and constrained by aging infrastructure, obsolete equipment, deferred maintenance, and inadequate space, and said the lab performs critical work with no in-state alternative for many services, including newborn screening, select-agent and biosafety level 3 testing, animal necropsy for rabies, genetic sequencing, environmental and food safety testing, and response to emerging infectious diseases. The project is already in design phase C, expected to finish in mid-April, with construction funding sought at roughly $276 million on top of about $35 million already approved for design. Members asked about long-term operating costs, backup arrangements, and whether the current facility would remain in use; the presenter said the current lab would continue to be used by the department while other divisions move into vacated space, and that the lab has mutual-aid agreements with the Southeast Consortium and universities for contingency support. Finally, the Department for Community Based Services began its budget presentation on SNAP and relative caregiver issues. Commissioner Lisa Dennis and budget director Misty Sammons identified the governor’s recommended budget items tied to new federal requirements under HR1, including changes affecting payment error rates. The discussion was just beginning when the transcript ended.

Transcript Highlights:

• </c> newly produced Legacy funded programming newly produced Legacy funded programming reaching<00:04
• Members sh dues to acquire programming Members sh dues to acquire programming but<00:17:02.560><c> we
• </c><00:24:13.360><c> and</c> Who's vice president of programs and Who's vice president of programs and
• </c> and interactive exhibits and programming and interactive exhibits and programming in<00:25:09.960
• </c> able to afford it one of our programs able to afford it one of our programs the<00:29:31.640><c>

Committee: Senate Environment, Climate, and Legacy

Keywords: 1187, senate, all

Transcript Highlights:

• A member asked whether graduate professional programs or other programs with higher FTE costs were included
• Those programs that you just spelled out.
• programs is getting $17,000.
• to new programs that have not been proven.
• This is not a new, unproven program.

Committee: House Budget

Keywords: 959, house, all

Transcript Highlights:

• Oz would be in charge of these programs.
• pose any cuts to the Medicaid program.
• The question is, will you oppose cuts to this program?
• You want people to have confidence in the program.
• outcomes to the programs that you will oversee?

Committee: Senate Finance Committee

Keywords: Michael Falkender, Deputy Secretary of the Treasury, IRS, taxpayer privacy, nomination process, committee hearing

Summary: The committee convened to discuss critical issues surrounding the nomination of Michael Falkender for the position of Deputy Secretary of the Treasury. This meeting included a series of remarks from committee members who expressed divergent views on Falkender's qualifications and the implications of his appointment. Senator Wyden voiced strong opposition, arguing that Falkender represents harmful policies expected to be perpetuated under the current administration, especially concerning taxpayer privacy and IRS tactics. Meanwhile, other members defended Falkender, noting his extensive experience, including a commitment to transparency in government operations if confirmed.

Transcript Highlights:

• care and discount programs.
• . and I funding within our health care space, within our Medicaid program.
• Program. We also do not operate primary care clinics.
• , and the fact that there is really the... ...indigent care program.
• for this program, it was dismantled back before ACA.

Summary: The joint informational hearing of the Senate and Assembly Health Committees focused on the “cost of uncertainty” in health coverage, access, and affordability amid federal policy changes. Opening remarks from committee leaders and members emphasized that California’s gains under the Affordable Care Act and Health for All policies—high coverage rates, consumer protections, and lower uninsured rates—are now threatened by federal rollbacks, including the expiration of enhanced premium tax credits and H.R. 1. Members repeatedly cited rising premiums, skipped care, medical debt, and the risk of coverage losses, especially for low-income Californians, workers, seniors, and immigrant communities. The first panel featured federal policy and state implementation experts, including Don Joyce, Jessica Altman of Covered California, and Elizabeth Lansberg of HCAI’s Office of Health Care Affordability. Testimony described the ACA’s coverage expansions and the current federal threats: shorter open enrollment, more verification requirements, loss of enhanced subsidies, and changes affecting immigrants and preventive coverage. Covered California reported that average monthly premiums could nearly double without the subsidies, new enrollment is down sharply, and more consumers are shifting into bronze plans with higher deductibles. HCAI explained its affordability strategy through spending targets, consolidation review, and primary care investment, while members asked about the impact of federal cuts on provider taxes, uncompensated care, and whether California can sustain coverage without new revenue. The second panel, with UC Berkeley Labor Center’s Miranda Dietz and California Health Care Foundation’s Christoph Stremikis, broadened the discussion to statewide cost drivers and consumer impacts. They highlighted that more than half of Californians under 65 rely on job-based coverage, yet premiums, deductibles, and out-of-pocket costs have risen faster than wages. They also pointed to medical debt, administrative waste, market consolidation, and underinvestment in primary care as major drivers of unaffordability. Members asked about the 25% of health spending that does not improve patient care, the role of fraud versus administrative friction, the effect of cost growth targets on workers, and the need for preventive care and possible revenue solutions. The hearing then moved to a third panel on human impacts, beginning with testimony from a Central Valley promotora describing how families are choosing lower-tier coverage, struggling with diabetes care, and facing higher premiums after subsidy losses.

Transcript Highlights:

• Program, and run a variety of other family health programs related to the Genetically Handicapped Persons
• Program, California Children’s Services, and the Every Woman Counts Program.
• But a program that has a really bad history of being wildly off on your estimates on this program.
• And then for each of the specific programs, as we launch those programs, we would do our normal provider
• And then for each of the specific programs, as we, we And then for each of the specific programs, as

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.