Transcript Highlights:

• Madam Speaker, I'll now turn to the materials relating to the budget that are available on the floor
• actions that we took with respect to the budget and our revenue assumptions, and includes supplemental materials
• The supplementary materials describe the provisions of the bill and indicate where the committee has
• The supplementary<00:08:50.960> materials<00:08:51.920> describe<00:08:52.280> the
• c> supplementary materials describe the supplementary materials describe the provisions<00:08:52.840>

Keywords: House streaming session for Monday, March 23, 2026, 957, house, all

Summary: The House took up the Appropriations Committee’s report on the fiscal 2027 budget, including Senate Bill 282, the budget bill, and Senate Bill 284, the Budget Reconciliation and Financing Act. The floor leader described a balanced budget with a $282 million cash surplus, $2 billion in rainy day reserves, and no new fees or taxes, while highlighting funding for child care scholarships and credentials, behavioral health services in schools, Medicaid and SNAP-related outreach, DDA services, domestic violence and rape crisis services, energy assistance, local government disparity grants, and private-sector investment. Both budget measures were special ordered until Wednesday, March 25, and the House adopted the committee’s motion in each case without objection. The chamber also considered several committee reports from Economic Matters, Government, Labor, and Elections, and Health. Among the measures advanced were House Bill 1529 on a Baltimore County local commission on common ownership communities; House Bills 571, 892, 893, 994, 1120, 1166, 1351, 1362, and 883; and health-related bills including House Bills 446, 658, 698, 1015, and 1048. Most bills were amended and then given favorable reports, with the House adopting the amendments and ordering the bills printed for third reading. Several bills drew brief floor questions. House Bill 994 would create a $300 annual registration fee for travel services providers, but the sponsor said it would not add new penalties beyond existing consumer protection laws. House Bill 1166 on front license plate display clarified that a signed statement can shift responsibility to the driver when a front plate cannot be installed, while the existing $500 fine for noncompliance remained current law. House Bill 1351, dealing with disaster mitigation services and MHIC licensing, was explained as bringing those providers under home improvement licensing rules after a transition period, and was special ordered until the end of the session at a delegate’s request. House Bill 1048 on sodium and added sugar warning icons was amended to include a QR code and remove some reporting and education provisions; members also clarified that the bill still uses a 25-gram threshold and that restaurant groups did not support the bill, though it had been worked through with them.

Transcript Highlights:

• We've talked about that before with this and then with the materials just on the AED pieces of it.
• We've talked about that before with this and then with the materials just on the AED pieces of it.
• We've talked about that before with this and then with the materials just on the AED pieces of it.
• And then lastly, it would require treatment programs to provide tobacco education materials at the first
• up at the first day of materials up at the first day of service.

Bills: HF3935, HF2216, HF4354, HF4210, HF4212

Keywords: assisted living, healthcare, training, unlicensed personnel, resident rights, safety regulations, nursing home, long-term care, guardian, conservator, arbitration, mandatory arbitration, consumer protection, fee increase, rate increase, price hike, private pay, public funds, Medicaid, waiver services

Transcript Highlights:

• The weight of that material: 2 billion pounds.
• We have extremely limited infrastructure to process the material, and we really don't have any reason
• And we need to set together that framework to ensure that we're using the highest best use of this material
• We have extremely limited infrastructure to process the material, and we really don't have any reason
• And we need to set together that framework to ensure that we're using the highest best use of this material

Keywords: 1187, senate, all

Transcript Highlights:

• to the specifics of the individual application because some of the data is nonpublic application material
• capacity is coming online, with an additional five licensed applicants in the stage of sourcing material
• to the specifics of the individual application because some of the data is nonpublic application material
• There are an additional five licensed applicants in the stage where they are sourcing material, sourcing
• ,<01:36:10.960> sourcing sort of sourcing of material, sourcing sort of sourcing of material

Bills: HF3642, HF2700, HF3615

Keywords: virtual currency, kiosks, prohibition, customer payouts, cryptocurrency regulation, consumer privacy, data privacy, health data, sensitive data, Minnesota Consumer Data Privacy Act, personal data, data broker, targeted advertising, geofencing, location tracking, health care privacy, patient privacy, consent, minor privacy, children's privacy

Summary: The Commerce Finance and Policy Committee met on House File 3642, which would prohibit virtual currency kiosks in Minnesota. The bill was laid over, and the committee adopted a DE1 author’s amendment. Chair Kaggel and Representative Perryman described the measure as a response to widespread scams using crypto kiosks, especially against older adults and other vulnerable people, and said they would continue working with the Department of Commerce and other stakeholders. Testimony from law enforcement and advocates strongly supported the ban. A St. Cloud police sergeant and a Woodbury detective described cases in which victims lost large sums, said the current safeguards and refund rules are being bypassed, and argued that the kiosks are difficult to investigate because funds move quickly and often overseas. An AARP Minnesota volunteer also supported the bill, saying kiosks are a preferred tool for scammers and that existing protections have not kept pace with the problem. The Department of Commerce said it strongly supports the bill and reported that it has received 120 complaints over three years involving nearly $1 million in reported losses, with 2025 the worst year so far. The main opposition came from CoinFlip’s general counsel, who argued that the problem is fraud generally, not kiosks themselves, and said Minnesota already has consumer protections, including refunds for eligible victims. He urged stronger regulation rather than a ban, citing blockchain analytics, hold periods, and 24-hour customer service as alternatives. Committee members then asked questions about how long kiosks have operated in Minnesota, how many there are, who owns them, and the scale of losses; Commerce said there are hundreds statewide, operated by a variety of companies, and that reported losses are likely undercounts.

Transcript Highlights:

• perspective, because they have to get creative on ensuring that the institution is safe with the available materials
• :37:52.600> with<00:37:52.800> the<00:37:52.920> available<00:37:53.360> materials
• <00:37:54.280> um is safe with the available materials um is safe with the available materials
• <01:10:08.200> cities<01:10:08.560> with<01:10:09.080> raw<01:10:09.280> material
• counties and cities with raw material. counties and cities with raw material.

Keywords: Meeting Start: 00:00:07 Roll Call 00:00:13 Approval of Minutes from August Meeting 00:01:55 Discussion of County Jails 00:03:31 Discussion of Centralized Collection of Net Profits and Occupational License Taxes 01:02:12 Adjournment 01:54:56, 958, all

Summary: The committee met with a quorum, approved the August 26 minutes, and then took up a discussion of county jail funding. KACO representatives and county officials said jail operations are an ongoing strain for counties because they must pay for inmate care, facilities, and mandated standards, while many counties also rely on jail revenue to offset costs. They described Kentucky’s jail system, including 77 jails, 43 closed counties without jails, and the mix of county, state, federal, and controlled-intake inmates. KACO emphasized that counties remain financially responsible for inmates even when they must contract with other jails, often at costs above the state’s per diem rate, and said it is developing a broader proposal to present later. The testimony focused on rising expenses and shrinking revenue. KACO said counties spent about $374 million on jail operations in FY24, up 24% from FY19, and about $41 million on jail medical costs, up 40%. General fund support for jails was said to total $147 million in FY24, more than double pre-COVID levels. Speakers also noted that state inmate populations in county jails have fallen from about 11,500 in 2019 to 7,212 in 2025, while federal inmates have increased because they are more lucrative for counties. The state jail per diem of $35.34 was described as insufficient to cover actual costs, especially medical care. County judges from Webster, Knox, and Hardin counties gave examples of local budget pressure. Webster County said it now houses 114 state prisoners, 47 county prisoners, and 24 out-of-county prisoners, and that it transferred $512,000 from its general fund to the jail last year, about $77 per taxpayer. Knox County said its jail budget has grown from an initial $2.8 million projection to $5.7 million, with $3 million coming from occupational tax revenue. Hardin County said its jail has an approximate $11 million expense budget against $5 million in revenue, creating a $6 million deficit, driven by higher payroll, medical, and insurance costs and a 29% drop in state prisoner revenue. The judge said the county has responded with property tax increases and an expanded occupational tax district, but still uses reserves to cover other county services. A Grant County magistrate then began speaking from the perspective of magistrates and commissioners, describing her background working at a local jail before serving in county government. The discussion remained centered on the fiscal burden of jails and the need for counties and the legislature to work together on a long-term solution.

Transcript Highlights:

• So I brought the materials to our private DR/DLA.
• So I brought the materials to our private DR/DLA.
• So I brought the materials to our private DR/DLA.
• So I brought the materials to our private DR/DLA.
• So I brought the materials to our private DR/DLA.

Keywords: 1187, senate, all

Transcript Highlights:

• most recent annual report was published in the October-November time frame, and it had a lot of material
• The materials I saw on them did not constitute anything like a business case or a business plan.
• in it uh that the um uh the of material in it uh that the um uh the U<00:10:09.800> ahip<00:10
• <00:11:53.399> I<00:11:53.560> saw<00:11:53.839> on identified um the materials
• I saw on identified um the materials I saw on them<00:11:55.200> did<00:11:55.399> not

Keywords: 928, house, all

Summary: The committee first recessed briefly, then took up HB 570, the prescription drug affordability board (PDAB). The chair and several members discussed the House amendment to repeal the board, which removed the fiscal note. The main concern raised was that the PDAB had not yet produced a clear business case showing value for the taxpayer investment, despite several years of work and four annual reports. Supporters of the repeal said the board’s recent report was largely redundant and that the board should either demonstrate a strong return on investment or be shut down; others cautioned against discarding the program too quickly and urged more time to refine the mission and legislative language. No vote was taken, and the committee appeared to agree to retain the bill for further work, with the possibility of revisiting it in a formal executive session on Tuesday. Members also shifted into discussion of HB 2, beginning with Section 85 on opioid abatement trust fund dollars for shelter programs. Department of Health and Human Services officials explained that the provision would provide $10 million from the opioid abatement trust fund, replacing general funds in the governor’s budget, while also noting an additional $2.5 million prioritized needs request for shelter care that was already fully funded. Committee members asked about shelter bed capacity, job placement efforts, and the remaining balance in the opioid fund; DHHS said there are 934 contracted beds and that case management includes help with housing and employment. Officials also said the current proposed budget includes another $1 million later in HB 2 from the opioid fund. The committee then began discussion of Sections 86 through 87, which would preserve the department’s ability to transfer funds between personnel lines. DHHS said the provision is operationally critical and that losing it would make it extremely difficult to manage the department, though it would not have a direct fiscal impact. The next item introduced was Section 88, extending a suspension related to eligibility for services until July 1, 2027; DHHS indicated that if the suspension were not continued, it would likely increase expenditures for Community Mental Health Centers and potentially others. No votes were taken during this portion of the meeting.

Transcript Highlights:

• active in mle Grove<00:08:09.720> with<00:08:09.919> construction<00:08:10.800> material
• Grove with construction material Grove with construction material frequently<00:08:11.720> moving
• impacting the flow of freight and are impacting the flow of freight and building<00:08:42.399> materials
• > as<00:08:43.080> well<00:08:43.240> as<00:08:43.360> further building materials
• as well as further building materials as well as further complicating<00:08:44.480> pedestrian

Keywords: 1187, senate, all

Transcript Highlights:

• I appreciate the information you provided then and have studied your budget and your additional materials
• uh your have studied your budget and uh your additional<00:31:20.639> uh<00:31:20.799> materials
• and<00:31:22.000> so<00:31:22.120> I<00:31:22.159> don't additional uh materials
• and so I don't additional uh materials and so I don't have<00:31:22.440> any<00:31:22.799>
• <01:14:17.320> going of uh construction and materials going of uh construction and materials

Keywords: 910, house, all

Summary: The committee heard testimony on House Bill 410, the Office of Hawaiian Affairs’ biennium operating budget. OHA asked for a modest increase over its base budget, including $1.2 million to fund 13 new full-time positions for a strategy and implementation team tied to its long-term plan, with emphasis on housing, education, health, and economic resilience. OHA also described a broader effort to work directly with executive branch departments to improve outcomes for Native Hawaiians. Testimony was largely supportive, with several individuals speaking in favor and one testifier expressing strong frustration about Native Hawaiian rights and access to resources. The chair noted there were 38 additional written/supporting testimonies and three in opposition. Members asked about OHA’s funding sources and public land trust revenues; OHA said it is not receiving the full 20 percent share, described a public land trust working group and system issues, and said a related bill would seek funding to begin an inventory. No vote was taken in the portion provided. The committee then considered House Bill 304, which would make the Hawaiian version of a law binding when the law was originally drafted in Hawaiian and later translated into English. The Judiciary supported the bill, saying it reinforces Hawaiian as an official language and looks to the original language for legislative intent. The Attorney General supported the intent but recommended narrowing the bill with a proviso to avoid ambiguities, limiting it to laws originally drafted in Hawaiian that were not later amended, codified, recodified, or reenacted in English. Public testimony was generally supportive, though one speaker raised broader sovereignty concerns. Members questioned how many laws would be affected and whether the proposed amendment would undercut the bill; the Attorney General said the amendment was meant to address uncertainty in interpretation. No final action was reported. Finally, the committee heard House Bill 603, which would direct OHA to administer a Native Hawaiian business marketing program to promote Native Hawaiian-owned businesses through marketing and technical assistance. OHA supported the concept, saying a label or branding program could help consumers identify and support Native Hawaiian-owned businesses, but requested that funding be redirected to a working group to study program design, implementation, enforcement, and long-term viability. The chair noted four supportive testimonies had been received, and a member asked OHA to confirm that its programs serve all Hawaiians, not only those eligible for homelands; OHA said it serves all Hawaiians in the state. The transcript ends before any vote or further action on HB 603.

Transcript Highlights:

• Separately, uh, there is already a system that is in place to address the materials that were shared
• And a final report is issued that explains the facts of those materials.
• Ivory is now a controlled material.
• <01:38:42.080> So, Ivory is now a controlled material.
• So, Ivory is now a controlled material.

Keywords: 1191, senate, all

Transcript Highlights:

• Hazard material... though he's not at fire standards he's though he's not at fire standards he's at<00
• Hazard material instructors and other types of instructors don't include a high-level position.
• :53:46.640> don't in two salaries so it's not I don't in two salaries so it's not I don't material
• to the overall budget chairman material to the overall budget chairman wer<00:53:51.280> one<
• nothing material from what he provided nothing material from what he provided yesterday<04:06:29.239>

Keywords: 928, house, all

Summary: The Division 2 Finance Committee work session focused primarily on House Bill 115 and a proposed amendment, 114H, which would carry over language from HB 2 into HB 115 and place limits on Education Freedom Accounts (EFAs). Representative Murray described the amendment as a way to keep the 350% federal poverty eligibility cap, require students to have attended a charter public school in grades K-12 for the preceding year before entering the voucher system, and add guardrails against universal eligibility. She argued the state was facing a severe budget crisis, that expanding EFAs would divert money from other programs, and that public testimony and local votes showed widespread opposition to expansion. She also cited a letter from former Finance chair Neil Kirk opposing expansion. Other members responded that the committee should not revisit policy already decided by the House, though some said the amendment was fair to discuss because of its fiscal implications and supported it on that basis. The discussion then broadened into a debate over the fiscal impact of universal vouchers and the reliability of enrollment and cost estimates. Representative Luno argued that prior EFA projections had relied on assumptions that could badly underestimate state exposure, pointing to Arizona as a cautionary example and saying New Hampshire should not expand the program without better analysis. Representative Papovich similarly warned that universal eligibility could create a large, unexpected cost, estimating a potential exposure of about $285 million based on school-age children not currently in public, charter, or EFA programs. In contrast, Representative Weyler said EFAs can save money because public school spending is already high and parents using EFAs still pay taxes and take on more responsibility for their children’s education. After discussion, Representative Murray moved to accept the amendment, and Representative Bean seconded it. There was some procedural clarification about voting on the original bill and the amendment. The transcript ends before a final recorded vote on the amendment or on HB 115 itself, though the committee had also been told it would likely reconsider several retained bills later in the week, including HB 129, HB 133, HB 671, and HB 781.

Transcript Highlights:

• <01:20:03.280> So, Material itself.
• uh because they're written materials uh because they're dense<04:47:46.320> and<04:47:46.638>
• materials which were broadly<04:48:05.360> distributed<04:48:06.080> in<04:48:06.320><
• <04:48:27.200> pro<04:48:27.440> and thoughtful written materials pro and thoughtful
• written materials pro and con.<04:48:28.400> Additional<04:48:28.878> questions?

Keywords: 1191, senate, all

Transcript Highlights:

• They are different types of plant material that are sprayed with synthetic chemicals that are designed
• On page three, lines 27 through 36, here we are clarifying that drug checking equipment or materials
• when used by um the necessary materials when used by agents agents agents um<04:35:42.719> of
• used for this purpose would materials used for this purpose would not<04:36:19.400> be<04:36:
• and that is included in what materials and that is included in what is<04:39:01.279> allowable

Keywords: 1189, house, all

Transcript Highlights:

• Also, there's some language here about ongoing literacy material review, making sure there is transparency

Keywords: 919, house, all

Summary: The House first considered a motion to take House File 2133 from the table, described as the tax vehicle bill. Representative Law opposed the motion, saying it was last year’s tax vehicle and not the agreed-upon bill for this year. The motion was nondebatable, a roll call was taken, and it failed on a 67-67 tie. The chamber then received a Senate message returning House File 4492, a veterans-related bill, with Senate amendments. Representative Bliss moved concurrence, and Representative Mueller explained that the amended bill included REACH Act and literacy-related provisions, including technical changes, expanded disability access language for the deaf and hard of hearing community, revisions involving the dyslexia community, and transparency around literacy material review. Representative Clardy described the bill’s teacher-preparation and early literacy components, and Representative Jordan noted it also provides high school diplomas to veterans of the Korean and Vietnam Wars who were unable to complete them because of service. The House concurred in the Senate amendments, then took up third reading and final passage of House File 4492 as amended. The bill passed unanimously, 134-0, and its title was agreed to. Afterward, Representative Niska moved a recess to the call of the Speaker, and the House recessed.

Transcript Highlights:

• If you have written materials or additional written comments beyond your comments today, you may submit

Bills: SB116, SB121, SB130, SB407

Keywords: redistricting, congressional districts, Louisiana, 2020 census, elections, precincts, voting, election, political representation, 2026 precincts, demographics, Louisiana congressional map, U.S. House, election districts, precinct shapefiles, Voting Districts, VTD, 2020 Census, 2026 Precinct Shapefiles, apportionment

Transcript Highlights:

• They are the largest recycler of any type of material in North America.

Keywords: 1204, all

Summary: The House reconvened to continue work on items from an adjourned resolution. Members moved to place House Bill 1004 back on second reading for amendment; the motion was adopted without objection, and the bill was sent to be engrossed after one amendment was filed by Representative Unger and referred to the Joint Budget Committee. The chamber then considered House Resolution 1019, sponsored by Representative Carr, which would recognize and celebrate New Core Day at the State Capitol on April 15, 2026. Carr highlighted New Core’s steel production, recycling and sustainability record, Arkansas operations, employment levels, profit-sharing, scholarship program, and community involvement. The resolution was read by title only. House Resolution 1017, sponsored by Representative Painter, was also read by title only. It would recognize May 26 as amyotrophic lateral sclerosis awareness month in Arkansas. Painter spoke about ALS, its severity, the lack of a cure, and the need to raise awareness, mentioning a constituent affected by the disease. No votes were recorded on the resolutions, and the House announced it would reconvene at 1 p.m.

Transcript Highlights:

• official document, and more importantly, adopts as official statute law of the state all statute materials

Summary: The Senate Committee on Rules convened with a quorum present and brief housekeeping remarks, including the introduction of new Rules staff director Shasta Cruz. Chair Pasadomo outlined the committee’s plan to move through bills efficiently, and Vice Chair Jones presided over the bill agenda. No public appearance forms or testimony were offered on any of the measures. The committee considered three Senate bills related to Florida Statutes: SB 100, the Adoption Act, which prospectively adopts the 2026 Florida Statutes and the 2025 regular session’s statute materials; SB 102, which removes statutory provisions that have already been repealed or expired; and SB 104, the General Revisers’ Bill, which deletes obsolete language, updates cross-references, and corrects grammatical and typographical errors. Each bill was explained by Senator Pasadomo, received no questions or debate, and was reported favorably by roll call vote. After the votes, several senators requested to be recorded as voting favorably on tabs 1 and 2. Chair Pasadomo noted the meeting would be one of the session’s shortest and announced the committee would meet again on Thursday. Senator Martin moved to adjourn, and the committee adjourned without objection.

Transcript Highlights:

• For reference, the proviso language and staff summary documents are available in your materials package
• the summary documents being presented now, and, as I mentioned, is also available in your meeting materials
• is a wide variety of spending in here, everything from leases to electricity costs, supplies and materials

Summary: The committee held its first meeting, with co-chairs and members introducing themselves and staff outlining the committee’s statutory mandate under the 2025-27 supplemental operating budget. Staff explained that the Joint Legislative-Executive Committee on Budget Transparency and Fiscal Sustainability will receive technical assistance from a nonpartisan organization, with work split into two phases: first on revenue growth, spending assumptions, and cost drivers in the four-year outlook, and later on staffing, overhead, performance management, and public reporting. Members broadly said they hoped the committee would build a shared factual understanding of the state’s fiscal situation, structural deficits, and budget processes, and identify a sustainable path forward for the operating budget. Staff then gave a detailed presentation on operating budget basics. They reviewed the size and composition of the operating budget, noting that most spending is concentrated in grants/client services and salaries/benefits, with K-12, DSHS, HCA, DCYF, DOC, and higher education making up most NGFO spending. They explained the distinction between constitutional, federal, statutory, and discretionary spending, using examples such as K-12, Medicaid, collective bargaining agreements, court-driven obligations like McCleary and Trueblood, and one-time appropriations. They also walked through how the state uses incremental budgeting, carry-forward and maintenance-level calculations, caseload and per-capita forecasting, and the four-year balanced budget outlook, including reserve calculations and the budget stabilization account. Members asked extensive questions about what is and is not included in the outlook, especially future collective bargaining agreements, health care and compensation growth, tort and other liabilities, and whether the state could better distinguish mandatory from discretionary spending. Staff explained that current CBAs and other already-enacted obligations are included, but future CBAs are not; some liabilities are reflected as expenditures when appropriated, while broader long-term liabilities are not fully captured in the outlook because they depend on future policy choices. Staff also noted that the legislature and ERFC can adopt assumptions such as reversions and growth factors, and that an outlook accuracy report is produced every five years to compare projected and actual maintenance-level spending. The committee agreed to follow up on some of the more complex liability and assumption questions. After a short break, Josh Goodman of the Pew Charitable Trusts began a presentation on Pew’s role and approach to state fiscal sustainability. He described Pew as a nonpartisan organization with long-standing state fiscal research, emphasizing its 50-state comparative data, interviews with state officials and experts, and focus on long-term sustainability, reserve policies, and recession preparedness. The presentation was ongoing when the transcript ended.

Transcript Highlights:

• only a fire safety measure, creates problems despite modern innovations like sprinklers, fireproof materials
• But this was put in place decades ago, well before the advent of modern fireproof materials, better smoke
• The system sets up negotiations between developers, vendors of building materials, building officials

Keywords: 995, all

Summary: The Joint Committee on Housing opened a hybrid hearing focused on housing production bills, with Chairs Julian Cyr and Rich Haggerty emphasizing Massachusetts’ housing shortage and the need to produce more than 200,000 units over the next decade. The committee then heard testimony on a wide range of proposals, including social housing, starter homes and the “missing middle,” accessory dwelling units (ADUs), single-stair residential buildings, permanent affordability homeownership, and housing for people with disabilities. Several witnesses framed the bills as tools to expand supply, lower costs, and address racial and generational wealth gaps. Representative Connolly testified for H. 1478 on the Massachusetts Social Housing Program, describing publicly owned, mixed-income housing financed through a revolving loan fund. Senator Feeney testified for S. 989 on missing middle starter homes, arguing for zoning changes, incentives, and affordability tools to support smaller starter homes and duplexes, triplexes, and fourplexes. Multiple witnesses, including housing advocates, real estate representatives, and local officials, supported the ADU trust fund bill and the single-stair study bill, saying they would reduce barriers, support homeowners, and enable more family-sized and infill housing. Some witnesses opposed bills they said would weaken ADU reforms or add new restrictions, while others urged broader deregulation to speed production. A major portion of the hearing focused on H. 1576/S. 1010, the Homes for Lasting Affordability bill, which would create a permanent affordability homeownership program for low- and moderate-income buyers and support small developments with long-term affordability restrictions. Testimony from community land trust leaders, legislators, and housing advocates emphasized that permanent affordability can preserve public investment, stabilize neighborhoods, and help families build wealth over generations. Senator Miranda and Representative Worrell tied the bill to closing the racial wealth gap and expanding access to homeownership for Black and Latino residents. The committee also heard testimony on S. 971, which would reform the Housing Development and Incentive Program to require more affordability in Gateway City projects. The committee additionally heard from Senator Kennedy and disability advocates on S. 1004, which would strengthen the Alternative Housing Voucher Program for people with disabilities by codifying project-based vouchers and aligning the program more closely with other voucher systems. Witnesses described long waitlists and the lack of accessible, affordable units as major barriers that can lead to homelessness or unnecessary institutionalization. No votes were taken during the hearing; the session was devoted to testimony and questions from committee members.

Transcript Highlights:

• reimbursement rates that are being paid to health providers, prescription drugs, pharmacy costs, material
• reimbursement rates that are being paid for to health providers, prescription drugs, pharmacy costs, material
• And we already kind of covered some of this material, but we have some data here on enrollment trends

Keywords: 907, all

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.