Transcript Highlights:

• Welcome to the Friday, January 30th, 2026, House Agriculture and Natural Resources Committee.
• provide a couple reminders, whether this is your first time in the House Agriculture and Natural Resources
• Resources Committee or your 500th time.
• We're always happy to have you here in Agriculture and Natural Resources.
• So we appreciate you bringing a little flair to the Ag and Natural Resources Committee today.

Summary: The committee heard public testimony on House Bill 2619, which would create a joint legislative task force to review and recommend ways to reduce regulatory burdens in agriculture, and on House Joint Memorial 4009, which asks Congress to ensure federal wildfire response agencies remain capable of protecting communities, natural resources, and firefighter safety. On HB 2619, the prime sponsor and supporters from the Washington State Department of Agriculture, cattle, wheat, potato, onion, and dairy interests said the bill responds to farm stress and suicide concerns by examining regulatory overload; WSDA supported the concept but noted a fiscal note, and members discussed whether the task force scope and cost could be reduced before policy cutoff. On HJM 4009, staff and the sponsor described the memorial as a request for stronger federal wildfire capacity and coordination, with testimony from tribes, counties, forest landowners, conservation groups, and public employees emphasizing wildfire risk, smoke impacts, and the importance of federal-state cooperation; the committee also repeatedly tied the memorial to support for state wildfire funding under 1168 and heard broad support for restoring that funding. The committee then took up House Bill 2221, which would require the Department of Fish and Wildlife to designate at-risk ungulate populations and begin predator mitigation when certain population declines occur, while also requiring annual reporting and white-tailed deer surveys. The sponsor argued the bill addresses rapidly declining deer and elk herds, predator pressure, food security, and rural economies in northeast Washington. Supporters included some local residents, ranchers, sheriffs, county officials, and the Colville Tribes, who said predators, livestock conflicts, and reduced hunting opportunity are harming communities and that the state should act more aggressively. Opponents included WDFW staff, Washington Wildlife First, the Sierra Club, the Animal Legal Defense Fund, and other conservation voices, who said the bill is not scientifically supported, would be costly, and wrongly blames predators rather than habitat, forage, weather, disease, and vehicle collisions; several said predator control would have limited value and could undermine wolf recovery. Some agricultural and sportsmen groups supported the bill in principle but asked for amendments, especially to remove or revise the in-state wolf translocation provision. No final votes or executive action were taken in the hearing.

Transcript Highlights:

• </c><00:15:43.519><c> to</c> framework which includes resources to framework which includes resources
• </c><00:17:50.160><c> are</c> strongly believe that resources are strongly believe that resources are
• practices to manage the resources practices to manage the state's<00:24:29.840><c> resources</c><00:
• the state's resources and operate the department<00:24:31.520><c> as</c><00:24:31.840><c> efficiently
• </c> department as efficiently as possible. department as efficiently as possible.

Keywords: 1183, house

Transcript Highlights:

• I mean, some of it's a function of resources.
• I mean, some of it's a function of resources.
• </c><00:49:45.839><c> necessary</c> time and effort and resources necessary time and effort and resources
• Other than the resources the customer?
• Uh so our the most efficient way we can.

Committee: Senate Judiciary and Public Safety

Keywords: 1187, senate, all

Transcript Highlights:

• I would recommend a no vote." some resources. Can you get them here as some resources.
• </c><01:22:35.600><c> mostly</c> these natural resource issues. mostly these natural resource issues.
• </c> hospital or the life resource center. hospital or the life resource center.
• I need resources.
• </c> keep this moving in an efficient manner. keep this moving in an efficient manner.

Keywords: 916, all

Transcript Highlights:

• There's a resource witness from Texas Historical Commission if you need them.
• I'm here as a resource witness, but a little bit on the economic impact numbers.
• And so I'm just for you as a resource witness or anybody who's listening.
• Also, the governor's office is a great resource in helping with these things.
• We do have a resource witness if you'd like.

Committee: House Culture, Recreation & Tourism

Transcript Highlights:

• account or the voter account resources account or the voter account um<00:15:08.279><c> this</c><00:
• I'm director of property and environmental resources for Blue Earth County.
• </c> of property and environmental resources of property and environmental resources for<00:27:23.840
• </c> issues in a more timely and efficient issues in a more timely and efficient manner<00:29:00.600>
• </c><01:34:12.520><c> in</c> so that we can um be more efficient in so that we can um be more efficient

Committee: Senate Elections

Keywords: 1187, senate, all

Transcript Highlights:

• The idea that we would spend vital resources on such corporate handouts when our state remains one of
• Happy to take questions, and certainly our resources as the committee works through the details of the
• We ask you to protect the resources.
• We ask you to protect the resources that make this work possible. Thank you. Thank you very much.
• It's unthinkable to add to those lost resources a loss of nearly half a billion dollars in state resources

Committee: Joint Joint Committee on Revenue

Keywords: 995, all

Summary: The Joint Committee on Revenue held a public hearing on H. 4975, Governor Healey’s bill to manage the impact of the federal “One Big Beautiful Bill” (OB3) on Massachusetts tax law and state revenues. Administration officials, led by Secretary of Administration and Finance Matt Gorowitz, said OB3 would otherwise reduce FY26 revenue by about $442 million and argued for a phased-in conformity approach that would preserve the current-year budget while still adopting selected federal business tax provisions over time. The proposal would phase in the research and experimental expenditure deduction first, delay other major corporate provisions for two years, extend the pass-through entity excise to income subject to the 4% surtax, add a one-year delay mechanism for future federal tax changes over $20 million, limit opportunity zone benefits to Massachusetts investments, and make smaller technical changes to DFML contributions and casino reporting thresholds. Committee members questioned the rationale for phasing in rather than fully decoupling, the effect on the budget if the bill did not pass, and the treatment of opportunity zones, the surtax, and future federal tax changes. Public testimony was split. MassBudget, Progressive Massachusetts, and several labor and public-sector groups urged the committee to permanently decouple from the federal corporate tax changes rather than delay them, arguing that the bill would still send state revenue to corporate tax breaks, often for investments outside Massachusetts, and that the state should protect funding for schools, health care, human services, and other public services. The Massachusetts Society of CPAs supported the administration’s timing and the research-and-development provisions, citing filing deadlines and the importance of certainty for businesses and startups. Business and tax experts also testified that rushed conformity can create revenue losses and that the governor’s review-and-delay framework was a prudent improvement, though some said decoupling should be the default if the Legislature does not act. Unite Here Local 26 testified against sections 3 and 4, which would raise the slot-machine jackpot reporting threshold from $1,200 to $2,000, arguing the current threshold helps with problem-gambling intervention, preserves slot attendant jobs, and generates revenue. Several union leaders, including the Massachusetts Teachers Association, AFT Massachusetts, SEIU 509, the Massachusetts Building Trades, the AFL-CIO, and 1199 SEIU, urged permanent decoupling, warning that OB3’s federal tax cuts and related spending reductions would worsen budget pressures, harm public services, and shift costs onto workers, patients, and schools. No votes were taken at the hearing.

Transcript Highlights:

• today work every day to ensure that more Louisianans have access to safe, affordable, and energy-efficient
• Natural Resources. Morning hour 11.
• use of airboats within the Marr-Paw Swamp Wildlife Management Area, reported favorably by Natural Resources
• House Bill 985 is simply about protecting our most valuable resources, our children, from sexual predators
• Natural Resources reports: House Bill 95 with amendments, House Bill 621 with amendments, House Bill

Bills: HR218 , HR219 , HR220 , HR221 , HR222 , HCR91 , HCR92 , HCR93 , HR210 , HR211 , HR212 , HR213 , HR214 , HR215 , HR216 , SCR29 , SCR38 , SB100 , HR171 , HCR49 , HCR65 , SCR23 , HB276 , HB508 , HB512 , HB599 , HB632 , HB656 , HB998 , HB1052 , HB1084 , HB1171 , HB1193 , HB1194 , HB1204 , HB1209 , HB1250 , SB2 , SB19 , SB24 , SB50 , SB70 , SB96 , SB101 , SB103 , SB104 , SB114 , SB122 , SB159 , SB160 , SB173 , SB180 , SB182 , SB260 , SB412 , SB418 , SB424 , SB442 , SB460 , SB476 , HCR41 , HCR76 , HCR77 , HCR63 , HCR69 , HCR86 , SCR19 , SCR3 , SCR6 , SCR18 , HB64 , HB68 , HB92 , HB130 , HB167 , HB227 , HB243 , HB321 , HB335 , HB398 , HB492 , HB624 , HB689 , HB708 , HB804 , HB906 , HB926 , HB955 , HB968 , HB969 , HB978 , HB985 , HB1005 , HB1029 , HB1069 , HB1077 , HB1095 , HB1104 , HB1107 , HB1187 , HB1203 , HB1217 , HB1220 , HB730 , HB225 , HB175 , HB198 , HB437 , HB457 , HB488 , HB646 , HB763 , HB909 , HB971 , HB981 , HB1066 , HB1089 , HB1125 , HB1154 , HB1231 , HB1246 , HB1248 , HB1249 , SB47 , SB82 , SB106 , SB206 , SB210 , SB248 , SB305 , SB376 , SB397 , SB441 , HCR32 , HB59 , HB617 , HB897 , HB911 , HB1223 , HB798 , HB824 , HB989 , HB1140 , HB1166 , HB1244 , HB901 , HB79 , HR20 , HR74 , HB284 , HB306 , HB366 , HB393 , HB458 , HB459 , HB577 , HB582 , HB605 , HB614 , HB682 , HB733 , HB752 , HB773 , HB996 , HB1035 , HB1113 , HB1180 , HB1234 , HB1240 , SB89

Keywords: EJ Fields, Shreveport, Louisiana, gospel music, commendation, resolution, honorary resolution, Billboard Gospel Airplay, Mediabase Gospel Airplay, Mercy Endureth, music award, ministry, artist recognition, cultural heritage, spiritual heritage, African American gospel, local hero, state commendation, St. Charles Parish, parish day

Transcript Highlights:

• I will say that the availability of these internships often depends on office resources.
• to go to law school, but because someone who works and I'm going to see. resources to go to law school
• The problem is there's not enough time to do it efficiently in a way that provides it as a resource to
• These facilities do not have the resources or the ability to petition for their residents.
• These facilities do not have the resources or the ability to petition for their residents.

Summary: The work session began with a discussion of expanding opportunities in the legal profession, especially in response to shortages of lawyers in rural Washington and in public service roles. Washington State Bar Executive Director Tara Nevitt described a slowly growing but aging attorney population, noted that younger attorneys have declined, and outlined efforts such as supervised practice pathways to bar admission, reduced admission-by-motion experience requirements, expanded law clerk capacity, rural job fairs and grants, and a pilot program allowing innovative legal service delivery models. Members asked about bar passage score changes, loan repayment assistance, and the former Limited License Legal Technician program; Nevitt said the bar is monitoring other states and remains in dialogue with the court about paraprofessional licensing. Law school representatives from UW, Seattle University, and Gonzaga emphasized public service pipelines, financial barriers, and rural legal deserts, citing LRAPs, scholarships, stipends, clinics, and hybrid or regional programs designed to recruit and retain students in Washington. Seattle U highlighted its FlexJD and hybrid hub partnerships in underserved areas, while Gonzaga and UW reported substantial shares of graduates entering public service, though most still cluster in urban regions. The committee also heard from the Washington Association of Prosecuting Attorneys and the Office of Public Defense, both of which described severe recruitment and retention problems in rural counties, with vacancies, low applicant pools, and the need for higher salaries, housing help, internships, and loan support. The Office of Public Defense said its internship and fellowship program, created by SB 5780, has already placed interns in rural counties and produced some commitments to return after graduation. The Washington State Bar’s law clerk program was also presented as a pathway that helps people train locally and remain in their communities, including by supporting succession for aging solo practitioners. The committee then shifted to family law and guardianship issues. On Title 26 guardian ad litem practice, presenters from Northwest Justice Project and private family law practice said GALs can play an important role but that training, oversight, and consistency remain major concerns, especially in domestic violence cases. They described problems such as inadequate training, bias, inconsistent recommendations, high fees, and lack of accountability, and suggested stronger, standardized training, more use of mental health professionals for custody evaluations, and better oversight mechanisms. Members asked about county practices, including rotation systems for GAL appointments and whether King County’s family court assessors provide a useful model. The discussion then moved to minor guardianships under the Uniform Guardianship Act. A Superior Court judge said the 2021 changes increased the need for court visitors and appointed counsel, but courts are struggling to find qualified attorneys and visitors, especially in rural areas. A former commissioner said most of the bill under discussion was technical cleanup to align prior amendments, though it would add some fiscal burdens. Administrative Office of the Courts staff reported that the statewide reimbursement program for UGA implementation has repeatedly run out of money earlier each year, with minor guardianship costs making up most of the expense. The Office of Public Guardianship then described rapid growth in demand for adult guardianship and less restrictive alternatives, noting that referrals and caseloads have risen sharply, but that the office is constrained by a shortage of certified professional guardians and low compensation levels. Finally, the committee began an update on Blake implementation from the Office of Civil Legal Aid, which funds civil legal services related to the decision, before the transcript cut off.

Transcript Highlights:

• Water is a crucial resource for both health and economic development in our counties, and we're in favor
• Gallup McKinley County Chamber of Commerce also sees SB 29 as far more efficient at fully funding. and
• This is not just for efficiency but for worker safety.
• And the basic thing here is we can protect this resource without sacrificing anything.
• So we have this special resource.

Committee: Senate Senate Conservation

Transcript Highlights:

• Testifiers should keep testimony on point and be efficient with time, as we have numerous testifiers
• </c> keep testimony on point and be efficient keep testimony on point and be efficient with<00:54:47.559
• </c><01:21:04.320><c> movement</c><01:21:04.679><c> of</c> the safe and efficient movement of the safe
• and efficient movement of people<01:21:05.080><c> and</c><01:21:05.719><c> goods</c><01:21:06.719><c
• impacting Resources high heat impacting maintenance<01:24:12.280><c> and</c><01:24:12.520><c> overall

Committee: House Transportation Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• make sure everyone understands that the Assembly has rules to ensure we maintain order and run an efficient
• That the Assembly has rules to ensure we maintain order and run an efficient and fair hearing.
• There are public resources.
• But thank you, Nicole, for obviously keeping us, making sure that this committee runs well and efficiently

Committee: House Agriculture

Keywords: 988, house, all

Transcript Highlights:

• to the entire team, and that is required for a practice to run and for them to be effective and efficient
• But all of these graduates will be an invaluable resource to the practices who choose to add them to
• How can we know that this will increase the efficiency of the practice of veterinary medicine in Florida
• It creates efficiency without shortcuts and ensures local control is protected.

Transcript Highlights:

• department, in our conversations, is going to do is sit down with the industry and say, here's our resources
• And we're seeing longer turnaround times to get things processed, not because the department isn't efficient
• That was very efficient: three 11-0 votes.
• along, so... 122 a due pass recommendation so I think that's going to be it for today that was very efficient

Committee: House House Commerce Committee of Reference

Summary: The Commerce Committee heard three bills after announcing that House Bill 2118 would be held. House Bill 2091 would raise the maximum asset-based assessment DIFI can charge domestic insurers to fund financial surveillance staff, with future increases tied to inflation and capped. The sponsor and industry witnesses said the fees had not been updated in 25 years, that Arizona’s insurance regulatory workload has grown substantially, and that the change should help DIFI hire staff, reduce reliance on more expensive contracted work, and not increase premiums. The committee voted 11-0 to give HB 2091 a due pass recommendation. House Bill 2138 would clarify workers’ compensation coverage for professional firefighters injured while traveling to or from work, defining firefighter for that purpose. The sponsor and witnesses from Queen Creek and the fire community said the bill was intended as cleanup language to restore the original legislative intent after a claim was denied because of a statutory loophole, and that the change would protect firefighters and support recruitment and response readiness. The County Supervisors Association said it was neutral but requested counties be removed from the definition because counties do not employ firefighters; a floor amendment was expected to address that. The committee approved HB 2138 11-0. House Bill 2122 made clarifying changes to last year’s reciprocity/endorsement law for registration of BTR-related professions, including reciprocity with the United Kingdom. The sponsor described it as a cleanup bill to fix an omission and support workforce development and commerce, and the only witness offered no additional testimony. The committee passed HB 2122 on an 11-0 vote, and the meeting adjourned after all three bills received due pass recommendations.

Transcript Highlights:

• Commitment Account gets 75% and has a number of uses, from the working families tax credit to energy efficiency
• proposal provides a clearer and practical framework to reduce complexity in the allocation of CCA resources
• respecting the intentions of investment priorities to ensure that appropriations of CCA funds move efficiently
• House Bill 2254 is a smart technical fix, allowing the state to manage the carrier assessments efficiently

Summary: The House Appropriations Committee held public hearings on three bills. House Bill 2251, sponsored by Rep. Fitzgibbon, would reorganize Climate Commitment Act revenue accounts by repealing several existing accounts and creating new operating and capital accounts, changing how auction proceeds are distributed when revenues are above or below a set threshold, broadening some tribal and overburdened-community spending language, adding electric vehicles and certain housing uses, capping Ecology administrative costs, and moving some reporting from annual to every two years. Supporters said the bill would simplify a confusing account structure and improve predictability, while opponents criticized the reduced reporting frequency and said it could weaken accountability. No vote was taken. House Bill 2254 would adjust the funding model for the Partnership Access Line and related behavioral health consultation programs by allowing the cost of the third-party administrator to be included in the carrier assessment rather than paid from general funds. Committee staff said this would produce general fund savings, and testimony from HCA, UW Medicine, Seattle Children’s, and others supported the bill as a technical fix that would stabilize the programs and potentially free up funds to restore service levels. No vote was taken. House Bill 2385 would extend deadlines and the expiration date for the Medicaid Access Program created last session, after federal HR1 restrictions prevented implementation of the original program and provider assessment. The bill would push out CMS submission deadlines, update the rate-setting reference year, and extend the act’s sunset date. The sponsor and the Washington State Medical Association supported the bill as necessary to preserve the option of pursuing the program later. The committee took no action and adjourned after the hearings.

Transcript Highlights:

• make sure everyone understands that the Assembly has rules to ensure we maintain order and run an efficient
• AB 732 provides county agricultural commissioners with a more efficient tool: the ability to issue civil
• This bill would allow us to efficiently and effectively carry out our duties, ensuring that growers take
• AB 1042 seeks to support our under-resourced beekeeping industry through grants and research to help

Summary: The Assembly Committee on Agriculture met with an initial quorum delay, then heard four items: AJR 6 on protecting federal funding for the Local Food for Schools and Child Care program, AB 732 on abandoned agricultural land, AB 1042 on honeybee health, and consent item AB 1506. The chair reviewed hearing procedures and public comment rules before moving through the file in order. AJR 6, authored by Assemblymember Aguiar-Curry, urged federal officials to preserve funding for local food programs that connect California farmers with school meals and food banks. Supporters, including a farm owner and a school nutrition director, said the program benefits children’s nutrition, helps small farms, and strengthens local economies. There was no opposition, and the committee members who were present voted to adopt the resolution; later absent members were added, bringing it to eight votes and sending it out. AB 732, by Assemblymember Macedo, would give county agricultural commissioners a faster enforcement tool against abandoned or neglected orchards and vineyards by allowing civil penalties instead of relying only on liens. Testimony from growers and a county agricultural commissioner described pest infestations, economic losses, and high abatement costs tied to neglected land, and the bill was presented as a response to SGMA-related fallowing and low commodity prices. The committee voted due pass to the Judiciary Committee, and after absent members were added it also reached eight votes. AB 1042, by Assemblymember Ransom, proposed a Managed Honeybee Health Program with grants, research, technical assistance, and an expanded advisory committee to support pollinators essential to California crops. Witnesses from the fresh fruit and beekeeping sectors emphasized that bee declines threaten crop production and the broader agricultural economy. The committee voted due pass to Appropriations, and the bill ultimately received eight votes. The consent calendar item, AB 1506, was also approved and sent to Appropriations.

Transcript Highlights:

• equitable and efficient.
• The generic resource, IHSS, no longer exists for them.
• These were resources, which include positions.
• Yeah, I'm not arguing about what you want or what you need the resources for.
• These resources are essential for continuing to educate...

Summary: The Assembly Budget Subcommittee on Human Services heard testimony on Department of Developmental Services (DDS) and related budget and trailer bill proposals, with a major focus on the impacts of H.R. 1 on people with intellectual and developmental disabilities (IDD). DDS and the Department of Social Services (DSS) said H.R. 1 could affect Medi-Cal and CalFresh access, but that people with disabilities and caregivers are exempt from the work requirements; the administration is working on data matching and automation through the statewide eligibility system to identify exemptions, with June 1, 2026 as the implementation date for CalFresh changes. Witnesses and advocates warned that any loss of Medi-Cal could create fiscal pressure on regional centers and households, while public commenters described the real-life consequences of losing services. Committee members repeatedly expressed concern about cost shifts to counties and asked for harm-mitigation strategies before the May Revision. The committee also reviewed the governor’s IHSS-related proposals. DSS said the budget would set a baseline for authorized hours, align IHSS disenrollment/reinstatement with Medi-Cal eligibility processes, and eliminate the IHSS backup provider system, while emphasizing that individual service hours would still be based on assessed need. DDS said if a person loses IHSS or Medi-Cal, regional centers may have to step in as payer of last resort for some services, potentially at higher state cost. Members and the Legislative Analyst’s Office questioned whether counties could absorb the proposed shifts without reducing services, and asked for more detail on implementation, data quality controls, and how regional centers could help families navigate disruptions. A separate trailer bill on DDS rate reform and the Quality Incentive Program drew mixed reactions. DDS proposed extending a contract exemption and delaying final rate reform regulations to 2030, saying the changes are budget-neutral and needed for implementation. DDS reported that about 81% of providers had completed the current Quality Incentive Program requirements, but providers and advocates argued the 90-10 structure can function like a penalty and may destabilize services if providers lose 10% of funding. Committee members asked for clearer assistance to providers, possible flexibility for good-faith efforts, and a redlined version of the language before the May Revision. The committee also heard DDS’s proposed trailer bill on regional center governance and provider capacity. DDS said the language would consolidate regional center contracts and performance measures, strengthen board training and oversight, require consumer advisory committees, expand independent legal support, raise the threshold for board approval of contracts, and remove barriers such as physical-office requirements and duplicate vendorization. DDS said the goal is to improve accountability and efficiency while preserving person-centered services, and members indicated they wanted further refinement and stakeholder input before moving forward.

Transcript Highlights:

• We don't have those resources to provide those services, but we do refer. Okay.
• But it is available as a resource if you have any questions.
• And recognizing that if no new resources came in, what this means is...
• Any funding for indigent care and resources for counties. Great. Thank you.
• Any funding for indigent care and resources for counties. Great. Thank you.

Summary: The Assembly Budget Subcommittee on Health began with a hearing on the impacts of H.R. 1 on California health programs, focusing first on reproductive health state investments. HCAI outlined five state-funded reproductive health programs created after Dobbs, including uncompensated care, practical support, capital and clinical infrastructure, and workforce programs. Essential Access Health and Planned Parenthood testified that these funds have served hundreds of thousands of patients, but warned that the uncompensated care program is fully awarded and needs renewal, and that Title X and Medicaid-related federal uncertainty continues to threaten access. Members questioned who the uncompensated care program serves, why Medi-Cal covers a large share of abortions, and whether Planned Parenthood could expand prenatal services; public commenters urged continued support for reproductive health access. The committee then took up long-term care services and supports, starting with the HCBA and Assisted Living Waiver programs. DHCS reported large wait lists for both programs and said enrollment is limited by workforce and provider capacity, while LAO noted that increasing slots alone may not increase access without additional programmatic changes. Members pressed the department on whether more slots should be added given the lower cost of home- and community-based care compared with skilled nursing facilities, and public testimony argued that the wait lists should be reduced and that staffing concerns do not fully explain unused capacity. The committee also heard testimony on congregate living health facilities, where providers and a patient family described the homes as critical, lower-cost alternatives to nursing facilities for younger, medically complex people. Witnesses requested short-term bridge funding, while DHCS said it is proposing to transition CLFs into a managed care benefit by January 1, 2028, which would remove caps and expand access statewide. The final long-term care topic was PACE. DHCS explained that it has paused new PACE applications and service expansions for at least two years to reassess oversight capacity and develop a statewide strategic growth framework, while existing programs continue operating. CalPACE supported the pause as a planning measure but asked for four additional state nurse positions to reduce delays in level-of-care determinations and speed enrollment for frail older adults. Members shared personal stories about how PACE has helped family members and asked how the state will meet growing demand; DHCS said stakeholder engagement will begin later in the year and that some existing applications already in process will continue. Public commenters broadly supported PACE, HCBA, and CLF funding requests. The hearing then moved to the Department of Health Care Services’ 2026-27 Medi-Cal budget and related trailer bills. DHCS said Medi-Cal spending has grown due to coverage expansions, higher acuity, rising utilization, and especially pharmacy costs, and it described proposals to extend the current skilled nursing facility financing framework for one year while the state develops a new value-based payment strategy. LAO said most recent Medi-Cal spending growth has been driven more by higher per-enrollee costs than by caseload growth, with pharmacy spending growing especially quickly, and recommended better and more timely data to analyze the drivers. Members expressed concern about the rapid rise in Medi-Cal spending and asked for more detail on the largest cost increases.

Transcript Highlights:

• I don't know how the resources would compare. I don't know how the resources would compare.
• Designed to incentivize efficiency and economic reimbursement. Okay.
• That's additional resources, our correctional health space.
• What resources do they have access to right now?
• Additionally, there is a more efficient use of emergency medical resources, and long-term health care

Committee: House Public Health

Keywords: 1184, house, all

Transcript Highlights:

• They do their best with limited resources that they have available to them.
• This bill provides them with the tools and resources. That they have available to them.
• This bill provides them with the tools and resources they need and deserve to help kids in the classroom
• It's important that the implementation is going to be here, in addition to the resources through the
• of utilization, sustainability, and minimizing resources that would be required to use the system.

Keywords: 1212, all