Transcript Highlights:

• Program integrity. So we have a robust program integrity.
• Program integrity. So we >> one more. Okay. Program integrity.
• 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:

• 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> we
• <00:24:13.360> and Who's vice president of programs and Who's vice president of programs and
• and interactive exhibits and programming and interactive exhibits and programming in<00:25:09.960
• able to afford it one of our programs able to afford it one of our programs the<00:29:31.640>

Keywords: 1187, senate, all

Transcript Highlights:

• Thinking about things on a regional basis, all the workforce programs and all the DHS programs, rather
• or the programs...
• or the programs.
• Maybe they live in rural areas and are not aware of any programs or the programs.
• services programs.

Summary: The committee met to review an audit and recommendations from the Alliance for Opportunity as part of a broader study of social service and workforce development reform under Act 145 of 2025. Members discussed creating a more integrated, regional, and “one door to work” system that would combine eligibility screening, service delivery, and workforce connections across DHS, workforce, and related programs. Much of the discussion focused on reducing administrative overhead, improving coordination, and using tools such as AI and centralized databases to help applicants learn about benefits, training, and job opportunities while still preserving case managers and in-person help for people without digital access. Members also emphasized targeting groups with low labor-force participation, including people in generational poverty, rural residents, individuals reentering from prison, and people involved in the court system who may be employable but are not currently connected to employers. Several members raised concerns about benefit cliffs, the burden of repeated paperwork across agencies, and whether the system should include performance measures tied to cost per person served and return on investment. The committee agreed that quantifiable savings and outcomes should be part of the study and future recommendations. The committee then considered and discussed a draft consultant services agreement with Work Ed Consulting LLC, represented by Mason Bishop, to assist with the study. Bureau of Legislative Research staff explained that the contract would run through June 30, 2027, with a maximum amount of $158,000, billed on actual hours and expenses, and could be expanded by up to 10% if needed. Bishop said he could provide ongoing ROI updates and technical assistance based on his experience in other states. After discussion, the committee voted to move forward with the contract, and the meeting adjourned.

Transcript Highlights:

• 53 agencies. and programs.
• Our dental programs, our vision programs, we go out to bid.
• the SNAP Program.
• We also have a program that we call the lock-in program.
• But do you all have a reward program, like a Crimestoppers type reward program?

Keywords: 1184, house, all

Transcript Highlights:

• increase the percentage of SNAP program increase the percentage of SNAP program administrative<00
• of this program. of this program.
• uh program. That was one aspect of it. uh program. That was one aspect of it.
• that that program continues. Thank you. that that program continues. Thank you.
• <00:50:12.240> by<00:50:12.400> those programs that are overseen by those programs

Keywords: 1189, house, all

Transcript Highlights:

• I'm not going to vote to repeal the<00:18:28.640> program. the program. the program.
• Now, of the three programs, one of them is a straight training program.
• > and program, why not look at the program and program, why not look at the program and and<01
• advantage program. advantage program. Okay. Okay. Okay.
• advantage program. advantage program.

Keywords: 928, house, all

Summary: The committee worked through several HB 2 budget amendments, focusing first on energy-related transfers and then on judicial funding. For the energy item, members discussed moving remaining money from the renewable energy fund into the general fund for the biennium, with later-year amounts going to the general fund rather than ratepayers. They noted the proposal was based on prior House Bill 111 language, that the exact amount was still being worked out with the Department of Energy, and that some language about “incentive payments” was being removed or clarified. Amendment 1211H was moved and adopted on a 5-4 vote. The committee then considered amendment 1040 on the governor’s scholarship fund, which would eliminate the program and sweep uncommitted funds. Members supporting the program argued it helps New Hampshire students afford in-state college and should be reworked rather than repealed; opponents said the remaining balance was limited and the program should be ended. Amendment 1040 was defeated 4-5. The committee then turned to a judicial council request tied to a Franklin Pierce criminal justice clinic that had previously used ARPA funds. Supporters said the clinic cleared 323 cases in nine months, provided training for future attorneys, and could reduce more expensive assigned-counsel costs by helping the public defender system handle cases more efficiently. The amendment would add $100,000 to the judicial council line for that purpose. There was some confusion over the line item and whether the request should be attributed to the judicial branch or judicial council, which was corrected during discussion. Members also discussed a larger issue: the judicial council’s budget request appeared lower than intended because of a possible clerical error in how prior-year funding was calculated, especially after the last budget combined HB 1 and HB 2 funding. The committee compared the public defender line and assigned counsel line, noting that if public defender funding is cut, more cases would shift to assigned counsel, which is more expensive. No final vote on the judicial council amendment is shown in the excerpt.

Transcript Highlights:

• Department of Energy State Energy Program.
• timber grading program, supporting one FTE.
• program.
• fully committed to the purchase program.
• And the leasing program, have you made any offers in the leasing program currently?

Keywords: 996, all

Transcript Highlights:

• . in the program.
• Each one of these programs is a tool in a tool chest, right?
• New contracts are being served in our four- and five-star programs.
• Then we are going to have to look at what other programs are cut.
• We should not be supplanting federal programs.

Keywords: 996, all

Transcript Highlights:

• :52.480> not<00:02:52.640> a against public programs is not a against public programs is
• <00:08:45.600> where with respect to the wick program where with respect to the wick program
• Lines 1.12 to 1.22 program.
• In the Medicaid program, there is over a million Minnesotans who are enrolled in the programs.
• In the Medicaid program, there is over a million Minnesotans who are enrolled in the programs.

Keywords: 1187, senate, all

Transcript Highlights:

• program at least half time.
• on the on the in the Medicaid program. on the on the in the Medicaid program.
• to be the insurers for the program. to be the insurers for the program.
• So it was a great program.
• >> So your programs may shift. >> So your programs may shift.

Keywords: 912, senate, all

Summary: The joint informational briefing by the Health and Human Services and Commerce and Consumer Protection committees focused on projected impacts to Hawaii consumers from federal changes affecting Med-QUEST and the ACA marketplace, including the loss of ACA premium tax credits, OBVA/HR1-related Medicaid changes, immigrant eligibility restrictions, and new Medicaid work/community engagement requirements. Committee members noted the meeting was being streamed live and emphasized the need to explain potential coverage losses affecting a significant share of the state population. Med-QUEST administrators reported current enrollment at 390,766, about 27% of Hawaii’s population, and broke that down into major groups including roughly 128,000 ACA expansion adults and about 52,000 parent/caretaker relatives. They said the expansion adult population would be most affected by the new federal requirements, which will shorten renewal periods from 12 months to 6 months and impose community engagement rules beginning in late 2026 and 2027. They described the work requirement as 80 hours per month of work, community service, work program participation, or half-time education, with an income-based pathway tied to $580 per month at the federal minimum wage; they also noted a long list of exemptions, but said many details are still awaiting federal guidance and rulemaking. The administrators said federal changes to immigrant eligibility would eliminate Medicaid coverage for certain noncitizen categories, with an estimated 1,200 to 2,400 people affected, though about 200 may remain covered through a state-funded program for otherwise eligible individuals. They also said marketplace subsidies would no longer be available for some immigrants under 100% of the federal poverty level starting January 1, 2026, with further restrictions expected in 2027. For Hawaii overall, they estimated the new Medicaid work and renewal rules could push an additional 19,000 to 38,000 people into uninsured status, with another estimated 6,000 at risk from the six-month renewal process alone. Members asked about how exemptions would be determined, especially for medically frail and seriously mentally ill individuals, and administrators said they were still awaiting detailed federal rules and were working on data-matching and verification processes to reduce coverage losses.

Transcript Highlights:

• <00:03:24.519> loans have paycheck Protection Program loans have paycheck Protection Program
• The core program on the Leahi campus is Queens is one of the partners involved with that program.
• so it's not a special care program so it's not a special program<00:19:02.880> it's<00:19:03.480
• How do you guys market your pre-CNA program? How do you guys market your pre-CNA program?
• saying to the program the program do the saying to the program the program do the interviews<01:

Keywords: 912, senate, all

Summary: The joint Ways and Means and Health and Human Services committees heard Hawaii Health Systems Corporation’s biennium budget request, with testimony from HHSC leadership on the Hilo/Big Island region (HTH 212) and the Oahu region (HTH 215), plus discussion of capital improvement projects and systemwide partnerships. HHSC described its role as the rural healthcare safety net, serving a high share of Medicare, Medicaid/Quest, and uninsured patients, and said its costs are elevated by state employee fringe benefits, which it said are about 64% compared with roughly 30% in the private sector. HHSC also said pandemic-era federal aid, including relief funds and PPP loans totaling about $100 million, reduced the need for general fund support in prior years. For HTH 212, HHSC said its general fund request for fiscal years 2026 and 2027 was higher than the governor’s recommendation because of rising insurance, pharmaceutical, and contractor labor costs, and because it includes $13.2 million in FY 2026 and $2.3 million in FY 2027 for Epic electronic medical record implementation in East Hawaii. For HTH 215, HHSC said the requested general funds were aligned with the governor’s recommendation, in part because of increased Medicaid reimbursement rates for long-term care facilities under prior legislation. HHSC also said it was restoring a special fund ceiling so the region could spend its cash collections on operations. Members asked about the 64% fringe rate, and HHSC explained the difference was mainly due to defined-benefit pension and retiree health insurance costs, which private hospitals generally do not bear at the same level. Members also asked about the Daniel K. Akaka State Veterans Home, and HHSC said operations would be funded through the general fund corporation for the home when it opens, with management by Ohana Pacific, but no additional legislative operating funds were being requested at that time. Other questions focused on staffing and vacancies, including an abolished procurement position and an ongoing IT help desk recruitment need. HHSC highlighted several capital and partnership projects, including a $25 million state CIP request matched by $25 million from the Benioff family for the Benioff Health Center, an ER expansion and reconfiguration at Corner Community Hospital, and $7.5 million in each fiscal year for Kauai EMR capital funds to join the Epic platform. Testimony also described collaborations with Queen’s, the University of California San Francisco, Hawaii Pacific Health, the Hawaii Cancer Consortium, the Department of Health, and the state hospital to improve specialty access, clinical trials, behavioral health, and patient placement across the system.

Transcript Highlights:

• This program that the housing champion program that HB 1196 repeals is not a subsidy, as I originally
• > was<01:22:43.280> in Next, the program apparently was in Next, the program apparently
• 01:23:17.360> was occurred while the program was occurred while the program was apparently<01:
• , positions were funded by the program, positions were funded by the program, but<01:23:28.239>
• champions program and oppose HB196. champions program and oppose HB196.

Keywords: 1191, senate, all

Transcript Highlights:

• New York's three-year program is $3 billion, or $149 per capita.
• New York's three-year program is $3 billion, or $149 per capita.
• be the highest program per capita in the nation.
• The programs that are run by public benefits like Mass Save are large programs.
• A decade later, that program has cost $6.2 billion.

Keywords: 995, all

Summary: The House opened with the Pledge of Allegiance and then took up several procedural matters, including adopting a resolution recognizing the work of Ukraine Forward and suspending Joint Rule 12 for a number of petitions. The chamber also scheduled several bills for later consideration, including measures on unemployment insurance for fluctuating work schedules, the Medical Society mission statement, a youth training wage, bridge and intersection namings, handicapped parking fines, public-way safety, excavation restoration, motor vehicle safety, and a Newton police age requirement. Two engrossed local bills were passed to be enacted: one authorizing retired police officers as special police in Plainville and another allowing Orange to increase its Board of Selectmen membership. The main policy debate centered on House No. 5151, An Act relative to energy affordability, clean power, and economic competitiveness. Supporters described it as a broad affordability and clean-energy package that would cut costs for ratepayers, reform Mass Save, speed clean-energy procurement and interconnection, return a portion of alternative compliance payments to customers, and address biomass and other energy issues. Opponents argued the bill relied too heavily on long-term programs and new administrative structures while offering little immediate relief, and raised concerns about costs being shifted to consumers, impacts on natural gas, and the pace of implementation. Several amendments were debated and rejected, including proposals to shift public benefit charges away from peak hours, pause public benefit charges for a year, require greater utility disclosure before rate increases, and add a forest-clearing penalty for solar development. One amendment to the energy bill was adopted: a consolidated amendment that included budget-billing consumer protections for gas customers, requiring notice and conservation recommendations when usage rises significantly. The House also adopted an amendment to a separate conservation-restriction bill for Hanson, changing a figure in the underlying law, and passed that bill to be engrossed as amended. The energy bill’s consolidated amendment passed by roll call, while several other amendments failed by roll call votes. The House observed multiple moments of silence honoring Jaden Booker, Thomas Skip Karam, former Freetown Police Chief Carlton Abbott, and former Representative and Senator William Q. “Biff” McLean, Jr.

Transcript Highlights:

• Now we have helicopters, and we not only have one program, but we have two programs.
• Now we have helicopters, and we not only have one program, but we have two programs.
• positions for managing this program. positions for managing this program.
• funding for syringe services programs. funding for syringe services programs.
• Additionally, syringe service programs programs programs um<05:04:24.560> have<05:04:24.958>

Keywords: 1189, house, all

Transcript Highlights:

• We issued an unmodified opinion on the federal program, a clean opinion on the federal program.
• The three programs that we audited this year were the mortgage insurance program, the Ginnie Mae program
• , and then the HOME Investment Partnership Program.
• That program maintains all of that information.
• A program that we had never had in North Dakota.

Keywords: 908, all

Transcript Highlights:

• Um programs here locally in our state.
• <00:17:33.679> when department of defense's programs when department of defense's programs
• Programs. Programs.
• And when they created the program, what they understood is that a victim program that was housed in a
• the pilot program. the pilot program. >> Thank<02:53:09.040> you.

Bills: HB676

Keywords: HB676, Hawaii correctional facilities, youth correctional facilities, adult correctional facilities, Department of Corrections and Rehabilitation, Office of Youth Services, inmate phone calls, prison phone calls, jail phone calls, free prison calls, free communication services, incarcerated persons, prison reform, reentry, family visitation, recidivism, video visitation, electronic messaging, commissions, ancillary fees

Summary: The committee heard three public safety bills. HB 2235 would appropriate $1.3 million for the Military Affairs and Community Relations Office to strengthen coordination on military and defense issues. Supporters, including the Hawaii National Guard and DBEDT’s military relations office, said the office helps Hawaiʻi understand federal contracting, USA Jobs, and military-related economic impacts. One member questioned why the state should fund a DoD-related office while Hawaiʻi remains under-reimbursed on impact aid; supporters responded that the office serves Hawaiʻi communities and helps prepare residents for federal jobs. The chair said she intended to recommend the bill pass with a HD1, a blank appropriation to be filled in the committee report, technical amendments, a defective effective date, and updated office title language. HB 2263 would expand Hawaiʻi family leave law to cover qualifying military exigencies. The Department of Labor and Industrial Relations, DBEDT’s military relations office, and the Hawaii National Guard supported the measure, saying military families often face short-notice deployments, relocations, briefings, and urgent family arrangements that require time away from work, and that aligning state law with federal standards would provide clarity and consistency. The chair said she would recommend passage with a HD1, a defective effective date, and technical amendments. HB 2291 would clarify that certain National Guard Youth and Educational Programs employees are excluded from collective bargaining, rename the program, and codify its Hawaiian name. The Hawaii National Guard said it was a housekeeping bill with no appropriation, but requested an amendment to align the bill with updated authorities and program references; the chair asked for proposed language before the later decision-making. She said she would recommend passage with a defective date and the requested amendment if provided, and then recessed the hearing until 11:30 a.m. for decision-making on all three bills.

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.

Transcript Highlights:

• Well, Don program, so thank you, chair.
• and the dental hygiene programs.
• They also develop the dental therapy program.
• So if that's not a valid program, then you're probably thinking Miss 10 is about the program and hygiene
• But that's only 4 years of a dental program.

Transcript Highlights:

• We are now doing a fee-for-service program, not a capitated program.
• that after an MCO capitated program. that after an MCO capitated program.
• the program at 27 to 28,000 people. the program at 27 to 28,000 people.
• The capitated a capitated program.
• you know, kids on the program for all. you know, kids on the program for all.

Keywords: 1187, senate, all

Transcript Highlights:

• It's moving nutritional programs from all nutritional programs, correct? So all the...
• , which included commodities, some different adult feeding programs, different programs that came in,
• Can you assure this committee that all program assets involved in the nutritional program of the state
• and other nutritional programs that are transferring to it.”
• So the entire programs are transferring to the Department of Agriculture.

Keywords: 1204, all