Transcript Highlights:

• And how much of an increase is that for higher education? It is a 2% increase. A 2%? Yes, sir.
• It's a $20.7 million appropriation increase, which is a 149% increase.
• It's an increase of $10 million, or a 60.1% increase.
• That is an $8 million increase.
• There's about a $6 million increase in that line item, and that's for anticipated increase.

Committee: All JOINT BUDGET COMMITTEE

Summary: The committee first adopted revised JBC rules, which staff said were updated to reflect legislation passed in the 2025 session. It then heard a presentation from DFA Secretary Jim Hudson on the governor’s proposed balanced budget for FY27, with no action taken. Hudson said the budget reflects three priorities: limiting state-government growth, continuing investments in education, and advancing income-tax cuts. He highlighted increases for education funding through EFAs, pay-plan costs for Corrections, DPS, and the Attorney General, higher education productivity funding, drug task forces, a Corrections medical contract, the governor’s 1033 initiative, SNAP error-rate reduction efforts, and an additional $100 million set aside for Medicaid sustainability. Committee members questioned the size of the tax cuts, the balance requirement, public education funding, Medicaid trust-fund levels, EFA funding, and the expected impact of new SNAP cost-sharing rules. The Division of Higher Education then presented its productivity-based funding recommendations. Officials said institutions were 2.61% more productive overall, with funding changes driven by a statutory formula that rewards degree production, underserved populations, and high-demand fields. Members asked about declines at UA Little Rock, the formula’s multipliers, the role of the Arkansas Access Act and a new return-on-investment metric, and how two-year colleges are adjusted for size. The committee also reviewed special items and approved two letters: one authorizing 17 net personnel changes across nine institutions, and another adding special language for North Arkansas College’s entry into the University of Arkansas system. The committee then adopted the Higher Education Coordinating Board’s recommendations for all institutions. A lengthy portion of the meeting focused on the University of Arkansas system, especially Fayetteville’s athletics funding and the broader impact of the House/NIL settlement. Chancellor Charles Robinson and system officials explained that the board had waived a longstanding campus transfer and directed the university to provide an additional $6 million to athletics, with some costs likely to be passed through to students but partially offset by existing budget growth. Members debated whether the university should prioritize academics or athletics, how the transfer originated, and whether the athletic changes would affect affordability. The committee also discussed the 1890 extension program at UAPB and the Division of Agriculture’s land-grant funding. UAPB officials said the state match is intended to be one-to-one, that the current recommendation aligns appropriation with actual spending, and that a $2 million set-aside remains available if needed. The Division of Agriculture later clarified that its Smith-Lever extension and Hatch research funds are part of the UA system’s separate budget and that the state matched about $6.2 million in federal extension funding last year. The committee then moved to the Department of Corrections. It approved G1, transferring 51 positions to the secretary’s office to activate a recidivism program, with an estimated cost of about $4 million. Staff then began walking through the department’s FY27 budget, noting an increase of about $8 million for administration and shared services, including a $170,000 sex-offender assessment appropriation moved under Act 723 of 2025 and roughly $6 million more for medical contracts. Questions on the Corrections budget had just begun when the transcript ended.

Transcript Highlights:

• HB 61 fixes that by Increasing the aggravated battery on a peace officer in those serious injuries and
• These incidents can result in physical injury, trauma, loss of wages Long-term impacts, specifically
• And the doctors would need to increase their premiums by 16 to keep this fund solvent.
• I'm going to charge a 10 increase. And we need to tell doctors that.
• The end result really will be an increase of litigation because what will happen is.

Committee: Senate Senate Judiciary

Transcript Highlights:

• That quarter one increase was driven largely by a substantial increase in the Spokane area.
• Not all of the cases involved fentanyl; those that don't, we are also seeing an increase in medically
• Sakara Wages, Ms.
• As entries increase, the slow rate of release is largely due to long sentences.
• Obviously, this increases population.

Summary: The Senate Human Services Committee held a work session on child welfare dependency, focusing on implementation of HB 1227 (Keeping Families Together) and SB 6109 (the fentanyl response bill), along with related data and system updates. DCYF first reviewed the dependency process, explaining intake, shelter care, fact-finding, disposition, and review hearings, and emphasized that removal standards are separate from service provision and that children may be in-home or out-of-home at different stages. DCYF said 1227 raised the removal threshold to imminent physical harm and strengthened kin placement, with nearly 60% of children now placed with relatives or suitable others. The department also said 6109 directs courts to give great weight to fentanyl’s lethality and added legal liaisons to support staff in court preparation. DCYF presented data showing that entries into out-of-home care declined after 1227 but rose again after 6109, returning close to pre-1227 levels. The agency also reported a sharp increase in reviewable critical incidents in 2022-2025, especially near-fatalities, which it linked to the opioid and fentanyl crisis, parental stress, and system complexity. DCYF said it has responded with statewide Safe Child Councils, staff consultations, hotspot monitoring, and additional training, and noted that some contracted services authorized under 6109 were not implemented because of fiscal constraints. Senators asked about where children are in the process, who participates in court, the timing of data releases, age breakdowns, and geographic hotspots. Advocates and lived-experience witnesses from LCYC and a family intervention clinic argued that 1227 has not prevented courts from removing children when necessary and said the law appropriately requires the state to show a causal link between home conditions and risk. They said 6109 appropriately highlights fentanyl’s danger, but stressed that the larger issue is lack of prevention and treatment resources, inconsistent county-by-county practice, and insufficient supports such as inpatient beds, family treatment, housing, transportation, and third-party safety plan participants. A parent ally described how early support, peer guidance, and kin placement helped her achieve recovery and stability after losing parental rights in an earlier case. The committee also heard an update on SB 6068 from the Administrative Office of the Courts and K Implementation and Evaluation. The report identified 15 dimensions of relational permanency and child well-being, found that some data already exist while other measures need development, and recommended a phased data collection plan, a restored data-sharing agreement between AOC and DCYF, and a standing cross-agency work group. AOC said its dependency data system lapsed when the prior agreement expired in June 2025 and needs to be rebuilt. The meeting also included a brief update on bridge housing for youth exiting inpatient treatment, with presenters saying two programs are now open, one in King County and one in Spokane, and a short introduction to juvenile rehabilitation capacity updates before the transcript ended.

Transcript Highlights:

• And how much of an increase is that for higher education? It is a 2% increase. A 2%? Yes, sir.
• It's a $20.7 million appropriation increase, which is a 149% increase.
• That is an $8 million increase.
• There's about a $6 million increase in that line item, and that's for anticipated increase.
• Has the increase in pay helped... Has the increase in pay helped in recruiting any at all?

Committee: All JOINT BUDGET COMMITTEE

Summary: The committee first considered revisions to the JBC rules, which staff said were all prompted by acts passed in the 2025 legislative session. The rules were adopted without objection. Members then received a balanced budget presentation from DFA Secretary Jim Hudson on the governor’s FY27 proposal, which he said was built around three priorities: limiting state government growth, continuing investments in education, and advancing income tax cuts. He highlighted major additions for education funding, EFA growth, pay plan costs, higher education productivity funding, drug task forces, corrections medical costs, the governor’s 1033 initiative, SNAP error-rate reduction, and Medicaid sustainability, while also explaining a new A/B funding category structure intended to prioritize recurring costs and preserve room for tax cuts. Members questioned Hudson about the cost of income tax reductions, the constitutional balanced-budget requirement, education funding, the Educational Adequacy Fund, Medicaid trust fund balances, and the impact of federal changes on Medicaid and SNAP. Hudson said each tenth of a percent income tax cut would cost about $58 million, the budget remained balanced, public education would still receive historic increases, and the Medicaid trust fund would be monitored closely with additional set-asides proposed. He also said the FY27 SNAP administrative cost increase would be about $18 million. The committee then heard from the Division of Higher Education, which reported institutions were 2.61% more productive overall and that the budget recommendation followed the statutory productivity formula. Questions focused on why some institutions were receiving decreases or large increases, how the formula works, and how the new return-on-investment metric and committee composition would affect future funding. The committee approved several higher education-related actions, including personnel changes for nine institutions and special language for North Arkansas College’s move into the University of Arkansas system. Staff then walked members through the higher education appropriation summary, explaining large percentage increases at several institutions were tied to federal funds or corrected carry-forward issues, including the U of A School of Mathematical, Sciences and the Arts, South Arkansas College, SAU Tech, ASU Mountain Home, and ASU Newport. Members also discussed UAPB’s 1890 extension program and the University of Arkansas Division of Agriculture’s land-grant matching funds; officials said UAPB’s recommendation was being aligned with actual spending and that the Division of Agriculture’s Smith-Lever and Hatch matches were included within its overall appropriation. The committee ultimately adopted the Higher Education Coordinating Board’s recommendations for all institutions and then moved on to the Department of Corrections section, with the chair outlining how the committee would proceed through those appropriations by section.

Transcript Highlights:

• We also increase the cybersecurity risk.
• We anticipate a substantial increase in that.
• capacity, which then increases recoveries, which then increases the ability capacity, which then increases
• I mean, it's a 19% increase.
• HACC increased this to $21 million in total.

Committee: Senate House Appropriations & Finance

Summary: The committee heard budget presentations from the Secretary of State, the State Land Office, the Attorney General, and the State Auditor. The Secretary of State said its requested general fund budget of $15.88 million was intended to maintain baseline operations, replace lost federal cyber and election support, and address a 12% vacancy rate. Officials warned that the House recommendation still left major gaps for election security, tabulator replacement, campaign finance system upgrades, overseas and military ballot services, ballot tracking, and a new tax lien filing system. Senators pressed about the election fund, county burdens, and the risk of underfunding election administration; the office said the House had provided $15 million for the election fund for the primary and another $15 million for the general election, but not enough for operations or all capital needs. The State Land Office said it was satisfied with the House budget action and had no additional request. Staff described the office’s record revenues, low vacancy rate, clean audits, and proposed new positions tied to forestry, economic development, petroleum, geothermal, and royalty compliance work. Senators asked about long-term revenue trends, forest thinning and biomass opportunities, and bookkeeping around the land maintenance fund; the office said the new positions were intended to generate revenue and support land management, including fire mitigation. The Attorney General’s office presented a budget built around a 0% general fund increase, greater use of the Consumer Settlement Fund, and $4.5 million in special/extraordinary litigation funding. The AG emphasized active litigation and investigations involving consumer fraud, Medicaid fraud, federal funding cuts, Meta and other technology platforms, AI and child safety, gaming compacts, tobacco, and possible litigation over abandoned uranium mine cleanup. Senators asked about scam enforcement, the structure of settlement funds, and whether the office could take on uranium-related litigation; the AG said the office could prepare a litigation budget but warned such efforts would require sustained funding. The State Auditor said the House budget added only modest increases while the office faced about a 40% vacancy rate, difficulty recruiting auditors, and a shrinking pool of public accounting firms, creating risks for constitutional audit responsibilities.

Transcript Highlights:

• enhancement for acts of video voyeurism if the victim is under 18 years of age, recognizing the increased
• It adds a penalty enhancement to reflect the increased severity of the harm if the victim is under 18
• It adds a penalty enhancement to reflect the increased severity of the harm if the victim is under 18
• severity of the to reflect the increased severity of the harm<00:44:08.440><c> if</c><00:44:08.560><
• And Lord North, with whom we waged war, was born in 1732.

Transcript Highlights:

• And this does not increase the cost of any impact fee.
• It’s nothing about a fee increase of any kind.
• These do not increase any fees.” “There’s no change in that.
• Would this increase the current impact fees?
• The rents will be maintained at under 60% of the median wage in Idaho or in that area.

Transcript Highlights:

• That's a 43% increase from 2023 to 2024.
• That's a 26% increase in just one year. on our two ports of entry that handle commercial traffic.
• the country when speaking of total trade value, but our current infrastructure is limited to the increase
• We expect to see an increase of about 20 to 30% of commercial trucks.
• It has a lot of benefits, like 100% in minimum wage.

Transcript Highlights:

• So it's an increase in reports from Mercer.
• So there's some increased costs for us there.
• I'll just pick on Moda, 25% increase request.
• increases are?
• Are you seeing an increase in that market also?

Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.

Transcript Highlights:

• and increases for the agency's building...
• A 3.5% increase percentage.
• So we're there; they increase every year, so that's the difference in the increases; it's... ...nothing
• They've asked for a $100,000 increase.
• This will modernize that, dramatically increase the efficiency of the agency, increase turnaround times

Committee: House House Appropriations & Finance

Transcript Highlights:

• Because of the potential for an increased tax burden and affordability concerns, Cal Tax respectfully
• Even a modest 1% increase in traveler capture could generate meaningful new annual spending for local
• Even a modest 1% increase in traveler capture could generate meaningful new annual spending for local
• Increasing crashes do not make the distinction between legal e-bikes and e-motos.
• Involved deer with only a 1% increase in cost. Thank you, I'll wrap up.

Summary: The Senate Transportation Committee heard several bills focused on local transportation funding, roadway safety, e-bike regulation, veterans’ parking access, high-speed rail reporting, autonomous vehicle oversight, and wildlife-vehicle collision planning. SB 1408 would authorize Contra Costa County to place a countywide transportation sales tax measure on the ballot; supporters said it would continue funding highways, transit, bike/pedestrian projects, and paratransit, while CalTax opposed it over affordability and tax burden concerns. SB 990 would allow targeted Caltrans business-logo signage for Ridgecrest along Highway 395; supporters framed it as a rural safety and economic access measure, and there was no opposition. SB 1167 would tighten consumer protections by clarifying what qualifies as a legal e-bike and requiring clearer labeling and disclosures; supporters included bicycle advocates, medical groups, local governments, and auto clubs, while no opposition testified. SB 1034 would make it easier for disabled veterans rated permanent and total by the VA to obtain disabled parking placards, with strong support from veterans’ organizations and no opposition. SB 1177 would require the High-Speed Rail Project Update report to continue including additional information on revenue options, timelines, and international comparisons; the City of Burbank opposed, while the sponsor argued the bill preserves a historical record and transparency. SB 1246 would impose new remote-operations, response-time, and manual override requirements on autonomous vehicles; first responders and labor groups supported it, industry and business groups opposed it as duplicative of recently enacted law and DMV rules, and the committee discussed possible amendments and coordination issues. The committee also considered SB 1279, which would extend Long Beach’s speed camera pilot to Pacific Coast Highway; supporters cited fatal crash data and pedestrian safety, while the CHP association moved from opposition to neutral after discussions. The committee then took up SB 1250, a planning bill to integrate wildlife-vehicle collision mitigation into transportation planning, with the author emphasizing targeted crossings and fencing at known hotspots. Several consent items were approved on a 10-0 vote, and SB 1246 was reported out 7-2, while other bills were held on call pending quorum or later action.

Transcript Highlights:

• HB 2744, Industrial Commission wages adjudication — Government.
• HB 4020, insurance fraud unit assessment increase — Finance.
• SB 1602, an act relating to kinship foster care stipend increase.
• It increases voter confidence and speeds up the counting of votes.
• It increases voter confidence and speeds up the counting of votes.

Transcript Highlights:

• It increases the benefit. This bill is 979.
• It doesn't increase overall turnout.
• —10 pay increases that we've provided with appropriations.
• We are giving them an increase. We are giving them an increase, a salary increase.
• But a salary increase is different from a cost-of-living increase.

Committee: House Appropriations

Summary: The committee first considered House Bill 350, which would extend the grade levels at Ecole Pointe-au-Chien from fourth through eighth grade. The sponsor and several members emphasized the school’s importance to Terrebonne Parish, French immersion, and school choice. An amendment was adopted making the bill subject to appropriation, and the bill was reported favorably as amended. Members then approved House Bill 749, which authorizes the Louisiana Tuition Trust Authority to contract with a program manager for certain savings programs, including ABLE, START, and START K-12, in response to a prior cyber incident and to improve security and customer service. An amendment simplified the bill’s effective-date language so provisions would take effect upon execution of the contract. The bill was reported favorably as amended. The committee also advanced House Bill 979 to increase the survivor benefit for law enforcement officers and firefighters killed in the line of duty from $250,000 to $350,000. Testimony from the governor’s office said the increase could be covered within existing appropriations and that the amount was consistent with inflation since the benefit was last set. The bill was reported favorably. Later, House Bill 42 creating a phased retirement option for public post-secondary employees in the Teachers’ Retirement System was reported favorably, and House Bill 205 to allow local clerks of court to supplement election commissioner pay by up to $100 per election was also reported favorably after extensive testimony about staffing shortages and stagnant pay. The committee additionally reported favorably House Bill 12 extending survivor benefits to reserve officers killed in the line of duty, and House Bill 324 on judicial salaries, after amending it to remove future COLA provisions and leave only the permanent stipend increase.

Transcript Highlights:

• It doesn't increase overall turnout.
• , 10 pay increases that we've provided with appropriations.
• We are giving them an increase. We are giving them an increase, a salary increase.
• But a salary increase is different from a cost-of-living increase.
• It's increased.

Bills: HB12 , HB42 , HB205 , HB222 , HB324 , HB325 , HB350 , HB416 , HB482 , HB610 , HB749 , HB797 , HB807 , HB821 , HB979 , HB992 , HB1193

Committee: House Appropriations

Transcript Highlights:

• So it allows a municipality to increase fees and utility rates, but only by the increase in inflation
• So if a municipality has had increases over the last four years that did not exceed that expected increase
• I ask, has any Arizonan seen an increase of $250,000 to their wages in the past 10 years?
• utility rates, to increase taxes, to increase fees, year over year, at a time when we're all struggling
• But the cities and towns go on to increase and increase and increase revenue, and frankly, Arizonans

Transcript Highlights:

• , and we're actually looking at increased funding?
• Are you telling me that the transfer is increasing, and we're actually looking at increased funding?
• And the budget is increased by roughly 74%.
• The budget is increased by roughly 74% over the last six years.
• School of Nursing to support a wage scale increase.

Committee: House Budget

Transcript Highlights:

• Expanding would necessitate a significant increase in Medicaid funding.
• Expanding would necessitate a significant increase in Medicaid funding.
• This opportunity will also increase the workforce pipeline.
• This whole increase with the strike violation, the increase of that.
• All the while, increasing penalties across the board for not following the new onerous rules.

Transcript Highlights:

• In the last year, our crisis calls hub compliance increased by 53%, and mobile crisis outreach compliance
• access to care, investing in the workforce, integrating behavioral health care with primary care, increasing
• who are sitting in our offices or in the offices of our connectors are people who are trapped in low-wage
• Thank you. are people who are trapped in low-wage are people who are trapped in low-wage jobs, jobs,

Summary: The Medicaid Oversight Advisory Board first approved the September 24 minutes and then heard a presentation from four certified community behavioral health clinic providers: Pathways, NorthKey, Seven Counties Services, and NewVista. The presenters explained the difference between traditional community mental health centers and CCBHCs, describing CCBHCs as an enhanced model that integrates behavioral health, primary care, wraparound services, and crisis response. They reviewed the federal history of the model, Kentucky’s entry into the Medicaid demonstration in 2022, and the scheduled end of the enhanced federal match on December 31, 2027. They also emphasized required services such as 24-hour mobile crisis, care coordination, and services for veterans, and described care coordination as a key feature that helps patients follow up after hospital or emergency discharge, manage medications, and connect to transportation and other supports. The presenters gave examples of improved outcomes, including a patient who was able to remain living independently because of coordinated home-based and telehealth support, and they argued that CCBHCs are helping Kentucky build a more responsive crisis system through 988, mobile crisis teams, and crisis stabilization units. They said the model is data-driven, uses performance metrics, and has led to stronger collaboration among community partners. One speaker said more than 100 agencies participated in a Jefferson County community health needs assessment and continued meeting afterward to reduce redundancies and barriers to care. They also said crisis call hub compliance and mobile crisis outreach compliance improved significantly over the past year. Members asked about how navigators and connectors fit into the model, how CCBHCs work with managed care organizations, and how the program could expand statewide. The presenters said navigators are not built into the CCBHC model but may be used through referrals, while the CCBHCs continue to bill MCOs the same way and receive a Medicaid wrap payment for the enhanced rate. They said the goal would be for all community mental health centers to become CCBHCs, but that a state plan amendment would be needed and could not be limited only to CMHCs if submitted to CMS. They estimated about $28 million would be needed statewide to continue the program in the next biennium, combining the loss of enhanced federal match and the state share of enhanced service costs. The board also discussed transportation, with one presenter explaining that their program arranges Medicaid transportation for eligible appointments, and members raised concerns about mental inquest warrant transport and whether sheriffs should remain involved. No votes were taken on the CCBHC or transportation items during the discussion.

Transcript Highlights:

• :39:52.720><c> on</c><00:39:52.960><c> the</c> increase their safety while on the increase their safety
• </c> number of schools we serve has increased number of schools we serve has increased four-fold,<00:
• Foundation for Animal Care and Education. significant increase in new applicants significant increase
• </c> anticipated increase in attendance. anticipated increase in attendance.
• </c> imagine, we've seen a sharp increase imagine, we've seen a sharp increase just<01:34:24.480><c>

Summary: This joint informational briefing focused on Act 310 grants and aid, with committee members hearing one-minute testimony from organizations first in person and then by Zoom. At the outset, the chairs explained there would be no Q&A during the briefing and asked testifiers to focus on how federal cuts were affecting their work. The meeting was organized by registration number and included both neighbor island and Oʻahu applicants. Testimony centered on organizations seeking state support to offset federal funding losses or anticipated reductions. Health and social service providers described impacts from Medicaid, SNAP, ACA subsidy, Title X, and other federal changes, including Aloha Care, Community Clinic of Maui, Healthy Mothers Healthy Babies, West Hawaiʻi Community Health Center, Hawaiʻi Disability Rights Center, Hawaiʻi Youth Services Network, Alcoholic Rehabilitation Services of Hawaiʻi, and Kokua Kalihi Valley. Other groups highlighted losses affecting food security, housing, disaster preparedness, and climate resilience, including the Kohala Center, Feeding Hawaiʻi Together, Hawaiian Lending and Investments, Dynamic Community Solutions, and the Pacific Tsunami Museum. Several arts, youth, and education organizations also testified, including Hawaiʻi Literacy, Hawaiʻi Youth Symphony, Honolulu Theatre for the Youth, Sounding Joy Music Therapy, Big Brothers Big Sisters Hawaiʻi, Girl Scouts of Hawaiʻi, Kids Hurt Too Hawaiʻi, and US Vets, each requesting funding to preserve programs and staffing. No votes or formal committee actions were taken during the briefing. The only action was procedural: the chairs moved through the applicant list, limited testimony time, and then transitioned from neighbor island in-person testimony to Oʻahu and later Zoom participants.

Transcript Highlights:

• to those transfers and thus increased.
• And then on the next page, I see the increased transfer.
• and we're actually looking at increased funding?
• My question was big picture: are we talking about cuts or increases?
• School of Nursing to support a wage scale increase.

Committee: House Budget

Summary: The committee heard the Missouri Department of Health and Senior Services present its FY 2027 budget request, with Director Sarah Wilson and budget staff describing the department’s mission, major divisions, and the impact of federal funding shifts, especially the FMAP change that will shift costs to general revenue. Wilson emphasized prevention, public health infrastructure, workforce capacity, and data modernization, while several members praised the department’s responsiveness and cost-cutting efforts. The discussion repeatedly focused on lapses, excess authority, and the department’s stated practice of spending federal and other funds before general revenue where possible. Members asked detailed questions about local public health agency support, nutrition programs, rural health and primary care, newborn screening, the state public health lab, and the department’s use of flexibility and reallocations. There was extended discussion of substance use disorder funding: the department explained that some funding is being reduced in its own budget because transfer authority is being added for the Department of Mental Health and the Department of Corrections, while some other SUD-related lines are actual reductions. Members also questioned tobacco prevention and cessation cuts, maternal and infant health programs, fetal infant mortality review, and minority health initiatives, with staff explaining program purposes and noting that some reductions were tied to excess authority or to moving programs to other departments. The committee also reviewed specific operational items such as the Health Initiatives Fund transfer, debt offset escrow for loan repayment defaults, donated funds authority, emergency preparedness, environmental health, health informatics, HIV/STI/hepatitis services, local public health incentives, and the COVID/ARPA authority reductions. Several members requested follow-up information on vacancies, lapse trends, grant spending plans, and program details. No final vote or formal action was taken in the portion provided; the chair recessed briefly and the hearing continued with additional budget testimony.