Transcript Highlights:

• >> The Health facilities and system subcommittee will come to order.
• Our jurisdiction includes health facility, regulation, commercial health insurance coverage.
• Tax side is for for the hospitals for inpatient and outpatient.
• 5.8 1% and on the outpatient side for hospital were at work.
• This is the staffing role for nursing facilities, long-term care facilities.

Transcript Highlights:

• I'm the deputy director for construction and facilities management for the Texas Military Department.
• They are spread across vast distances, often without access to adequate training facilities, wellness
• Hitchens could probably answer in, in regards to the app, but in regards to like a fitness facility,
• If you're looking at creating fitness facilities right now, we have 65 armories or National Guard facilities
• Chairman and members, we have a long way to go to ensure outpatient treatment and the crisis response

Bills: SB 36

Keywords: transportation, regional authorities, mobility, infrastructure, sales tax

Transcript Highlights:

• and the Adult Family Home Agreement, there is a bridge rate funded one-time for assisted living facilities
• are funds for phase four of the settlement for things like housing and crisis stabilization and outpatient
• And on the savings side, right up at the top, behavioral health facility and bed delays—this is an impact
• both in DSHS with residential treatment facilities in Vancouver and Maple Lane, as well as the Health
• In part, a delayed claim—this is a 2025 supplemental item related to outpatient drug costs, costs that

Summary: The conference committee met on Engrossed Substitute Senate Bill 5167, the state operating budget, and received a detailed staff briefing on the proposed conference report. Staff explained how to read the comparison documents, the four-year balanced-budget outlook, and the main resource assumptions, including use of the March 2025 revenue forecast, exclusion of the statutory 4.5% growth assumption, revenue legislation totaling about $8.7 billion, numerous fund transfers, and reversion assumptions. They also noted the proposal does not include a temporary salary reduction or furloughs. The briefing highlighted major policy areas and their net five-year impacts, including increases for state and higher education employee compensation, K-12 education, long-term care and developmental disabilities, corrections, information technology, and other policy items. It also described net reductions in behavioral health, children/youth/families, higher education, natural resources, other human services, and health care/public health, with many of the changes tied to delayed programs, rate adjustments, fund shifts, and savings options from Governor Ferguson. The committee then heard member comments, with supporters emphasizing K-12 funding and fiscal responsibility, and Senator Gildon opposing the process and the closed-door nature of the budget development. A motion was made and seconded to recommend adoption of the conference report and pass the bill. The roll call showed one member voting do not recommend, one member excused, and the remaining members recommending adoption. By vote of the committee, the conference report was adopted, and the committee adjourned.

Transcript Highlights:

• not required to comply with the facility not required to comply with the facility fee<01:35:30.560
• This is for a grant to Clay County for a PRTF facility renovation project. It has two parts.
• One is for a planning grant and one is to renovate the facility.
• <01:56:41.520> renovation County um for a PRTF facility renovation County um for a PRTF facility
• Uh you can see that in sort of facility.

Keywords: 1187, senate, all

Transcript Highlights:

• And there's inter-facility ambulance services, and that is moving patients in between health care facilities
• The facility failed this basic promise.
• for program payments, causing delayed payments to these facilities.
• Yvonne Chung with the California Association of Health Facilities.
• We represent close to 900 skilled nursing facilities in California.

Summary: The Assembly Health Committee met on April 22 and took up a special order of bills focused largely on prior authorization and utilization management in health care. The chair framed the discussion as part of a broader legislative effort to reduce delays and barriers to care, especially in behavioral health, chronic disease management, cancer treatment, and rehabilitation services. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and related physician care; supporters said it would prevent dangerous delays in crisis care, while insurers and health plans warned about fraud, abuse, and ambiguity around residential treatment facilities. The bill was moved on a due pass as amended motion and passed the committee on a party-line style vote, with Republicans largely absent or not voting. The committee then heard AB 510 by Assembly Member Addis, which would require health plans, upon request, to provide a peer reviewer of the same or similar specialty when a treating provider appeals a prior authorization denial or modification. Supporters argued that specialty-matched review would make appeals fairer and more clinically informed; opponents said the requirement was too rigid and that timelines and electronic submission rules needed changes. After discussion about the need for timely, specialty-specific review, the bill was approved on a due pass as amended motion and placed on call. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the physician’s prescribed treatment for chronic conditions; supporters cited repeated denials and treatment interruptions, while opponents raised concerns about overbreadth, fraud, and the need for shorter validity periods. The bill was also passed as amended and placed on call. The committee next considered AB 669 by Assembly Member Haney, which would bar concurrent and retrospective review for the first 28 days of medically necessary substance use disorder treatment and limit prior authorization for related outpatient medications. The bill was presented with a powerful personal story from Ryan Matlock’s mother about her son’s death after an insurer cut off treatment early; supporters said the measure would keep patients in care long enough to stabilize, while opponents argued it would reduce oversight and could allow lower-quality or non-evidence-based care. The bill was moved on a due pass as amended motion and placed on call. Finally, AB 512 by Assembly Member Harabedian would shorten prior authorization response times to 24 hours for urgent requests and 48 hours for non-urgent requests; supporters said delays can worsen outcomes, while opponents warned the timelines were unrealistic and could increase administrative burdens and safety issues. The bill was approved as amended and placed on call. AB 574 by Assembly Member Mark Gonzalez was then heard; it would allow up to 12 medically necessary physical therapy sessions for a new episode of care without prior authorization, with supporters emphasizing stroke and neurological recovery and opponents warning of reduced oversight and unnecessary care. The transcript ends during testimony on AB 574, before final action is shown.

Transcript Highlights:

• We have fire alarm upgrades underway at our DSH Metro facility.
• or... 546 either brand-new behavioral health facilities or current facilities that are like expanding
• And then outpatient is more for like mental health outpatient type services, like someone coming in for
• We do have six facilities in the state.
• We do have six facilities in the state right now, and that is six among more than a thousand SUD facilities

Summary: The subcommittee heard presentations from the Department of State Hospitals (DSH), the Commission for Behavioral Health, and the Department of Health Care Services (DHCS) on budget proposals and implementation updates. DSH outlined its proposed 2026-27 budget, including funding for patient operating expenses, IST solutions savings, conditional release program costs, LPS bed allocation changes, electrical infrastructure projects at Napa and Patton, SB 380 transitional housing feasibility work, and expanded dental services at Metropolitan and Patton. DSH also reported that it has met court-ordered IST treatment benchmarks in the Stiavedi v. Clinton case, with average time to initiate treatment down to about five days and pending placements reduced to roughly 250, while noting that Proposition 36 could increase referrals and SB 1323 may divert some individuals earlier into community-based treatment. Members asked about rising outside hospitalization costs, Medicare enrollment, the timing and structure of capital projects, and whether IST solution funds are being fully used; DSH said the savings reflect slower-than-expected ramp-up of community programs and that the Central California FACT replacement program is still on track for January 2027 activation. The Commission for Behavioral Health described its role under the Behavioral Health Services Act (BHSA), including data, evaluation, grantmaking, technical assistance, and transparency work. It highlighted the new statewide Innovation Partnership Fund, a five-year, $20 million-per-year program with small and large grant categories; the first RFA drew strong interest, with more than 400 questions and over 1,000 bidders’ conference participants. The Commission also discussed a proposed extension to spend down about $4.1 million remaining for the Alcove Youth Drop-in Center grants so sites can finish implementation and Stanford can complete the final evaluation. Members asked about grant duration, whether projects can be renewed, what qualifies as innovation, and whether the fund could support service delivery rather than awareness campaigns or training; the Commission said awards are expected to be three-year contracts and that proposals must be new or meaningfully expanded approaches that support BHSA priority populations. DHCS reviewed major behavioral health changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, updated specialty mental health access criteria, and new substance use treatment standards based on ASAM’s fourth edition. DHCS reported strong contingency management results, with more than 13,000 members served and 95% testing negative for stimulant use during treatment, and said 21 Indian health care providers have been approved to offer traditional health care practices. It also described BH Connect initiatives such as the $1.9 billion access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation by four counties, and transitional rent services. On BHSA implementation, DHCS said it is not tracking individual county contract cuts but is monitoring county plans and statewide outcomes, while stakeholders raised concerns about local prevention and service gaps. DHCS also outlined its H.R. 1 implementation strategy, including outreach, streamlined renewals, exemptions for disabled, substance use, and medically frail individuals, and proposed clinic navigator and outreach funding; it said it has not yet produced a focused estimate of H.R. 1 impacts on behavioral health populations. The discussion ended with DHCS noting that B-CHIP bond funding has supported 437 infrastructure projects, creating 546 new or expanded facilities and more than 9,500 residential beds across the state.

Transcript Highlights:

• research says very definitively that shortly after a suicidal person is released from a treatment facility
• She was transferred into the intensive outpatient program within Kaiser.
• She got a—so one month after her IOP, she got an outpatient therapy appointment, and I looked at her
• And when I was participating in the intensive outpatient program, I met other parents, and I asked a
• And when I was participating in the intensive outpatient program, I met other parents, and I asked a

Summary: The Assembly Health Committee held an informational hearing on Kaiser Permanente’s behavioral health care system, focusing on Department of Managed Health Care enforcement actions, Kaiser’s corrective action work plan, and testimony from patients, advocates, and union representatives. DMHC officials reviewed a long history of complaints, surveys, fines, and settlements involving Kaiser’s access to behavioral health services, including deficiencies found in 2012 and 2016, a 2022 non-routine survey, and a 2023 settlement that imposed a $50 million penalty and required $150 million in community investments over five years. DMHC said it continues to monitor Kaiser through quarterly meetings, complaint review, follow-up surveys, and a reimbursement process for members who could not obtain timely in-network care. Committee members pressed DMHC on what “timely access” and continuity of care mean in practice, how virtual care and group therapy fit into the standards, and what triggers a non-routine survey. DMHC said initial behavioral health appointments generally should not take more than two weeks, urgent care should be within days, and follow-up care within 10 days, with out-of-network care required when plans cannot meet standards. Officials also said Kaiser’s initial corrective action work plan lacked detail, but the revised plan was accepted and will be tracked through quarterly reporting and possible additional enforcement if Kaiser fails to comply. The second panel featured testimony from a Kaiser enrollee, a behavioral health policy expert, a Kaiser therapist, and the NUHW president. The enrollee described serious delays and inadequate treatment for his daughter after a suicide attempt, while the therapist and union leader said Kaiser’s behavioral health system is understaffed, relies too heavily on short appointments, group therapy, and webinars, and treats behavioral health as less important than medical-surgical care. They argued Kaiser’s one-appointment-at-a-time scheduling rule and limited treatment time violate parity requirements and harm continuity of care. Several members criticized Kaiser for not appearing at the hearing and said the testimony underscored the need for stronger oversight, clearer metrics, and faster remedies for patients.

Transcript Highlights:

• The facilities have simply been asked to confirm their return-to-office spaces are private.
• We can't rely only on veterans calling a crisis line or coming to the VA facilities.
• It's positions in the West Haven facility, outreach, counseling.
• A whopping 61% of Veterans Health Administration facilities reported having such a shortage.
• As a Staff Sergeant. participant, I received inpatient and outpatient care from both VA facilities and

Keywords: veterans, mental health, suicide prevention, Staff Sergeant Parker Gordon Fox Grant Program, HOPE Act, BRAVE Act, Every State Counts for Vets Mental Health Act, advocacy, legislation, mental health resources

Summary: The committee meeting focused primarily on the critical issues surrounding veterans' mental health and suicide prevention. Discussions centered on the reauthorization of essential programs aimed at providing non-clinical support services to veterans, particularly the Staff Sergeant Parker Gordon Fox Suicide Prevention Grant Program. Senators emphasized the urgent need for adequate mental health resources as the suicide rate among veterans remains alarmingly high. Key testimonies were provided by various advocates and officials, illustrating both successful implementations of these programs and areas needing improvement.

Transcript Highlights:

• This relates to physician oversight in outpatient settings.
• <00:20:24.240> at who are in correctional facilities at who are in correctional facilities
• correctional facilities. correctional facilities.
• Um, so oversight in outpatient settings.
• These are children outpatient office.

Bills: HF4438, HF4467, HF4379, SF3402, HF4349, HF4064, HF84, HF85, HF3804

Keywords: healthcare, WIC, community health, licensing, speech-language pathology, audiology, contract term limits, healthcare services, provider enrollment, disenrollment, premium payments, medical assistance, substance use disorders, mental health, children's mental health, early childhood, early intervention, consultation grants, Head Start, child care

Transcript Highlights:

• gym, notorium that has a couple of classrooms in it, and oh, by the way, it's a state-of-the-art facility
• There's Hillsdalertian I can promise you that the facilities that you will see there are not palatial
• I got to travel the states and watch her compete in public school facilities all across the state.
• I can assure you the public school facilities we competed in were always nicer than the private school
• facilities we competed in.

Bills: SB378, SB985, SB1246, HB3720, SB1500, SB1984, HB4118, SB1644, SB1546, SB483

Keywords: bail bondsman, bondsman license, multicounty agent bondsman, surety bondsman, Insurance Commissioner, bail bond regulation, bond deposit, forfeiture, deposit ratio, writing capacity, license transfer, power of attorney, surety bond, bail industry, Oklahoma insurance law, financial solvency, administrative action, Oklahoma Local Food for Schools, school meals, local food procurement

Transcript Highlights:

• And, oh, by the way, it's a state-of-the-art facility for working out and doing all the other things.
• I can promise you that the facilities that you will see there are not palatial.
• I got to travel the state and watched her compete in public school facilities all across the state.
• facilities competed in.
• We were always nicer than the private school facilities. We competed in, excuse me.

Bills: SB378, SB985, SB1246, HB3720, SB1500, SB1984, HB4118, SB1644, SB1546, SB483

Keywords: bail bondsman, bondsman license, multicounty agent bondsman, surety bondsman, Insurance Commissioner, bail bond regulation, bond deposit, forfeiture, deposit ratio, writing capacity, license transfer, power of attorney, surety bond, bail industry, Oklahoma insurance law, financial solvency, administrative action, Oklahoma Local Food for Schools, school meals, local food procurement

Summary: The House convened, called the roll, and heard an invocation focused on “leading with the farewell,” followed by the Pledge of Allegiance and a series of floor recognitions honoring guests and student groups. Presentations included the nurse of the day, Susan Hollingsworth, and multiple student champions and visitors, including the Clinton High School 4A hip hop state champions, Pryor High School’s Life Smarts state champions, the Elgin High School wrestling team, the Fort Gibson FFA livestock judging team, Putnam City North’s girls basketball champions, visiting students from Douglas, OSU environmental science graduate students, and Oklahoma Energy Resource Board teachers of the year. The chamber then took up several Senate bills. SB 378, updating bail bondsman regulations, passed 77-3. SB 985, codifying the local food for school program in statute, passed 79-0. SB 1246, which would update and speed up DEQ permitting while preserving transparency, drew questions about agency outreach and environmental impacts; after a division vote on advancing the bill passed 30-28, the bill itself passed 81-0. Later, SB 1500 on pharmacy benefit managers passed 81-0, SB 1984 on osteopathic medicine passed 74-0, and SB 1644 creating a reporting mechanism for suspected alpha-gal syndrome passed 82-0. The House also adopted Senate amendments to HB 3720, the local food freedom bill, and passed it 81-0. HB 4118, the family caregiver credit, also passed 81-0 after the Senate amendment restored the title “Caring for Caregivers Act.” A motion was made to reject Senate amendments to HB 2992 and request conference. House Joint Resolution 1100, relating to OMES proposed major rule changes, was read on second reading and referred to administrative rules. A lengthy debate centered on an amendment to SB 1546, a teacher-related bill, which would expand the Oklahoma Equal Opportunity Scholarship Fund tax credit to support the Strong Readers Act, the Oklahoma Math Proficiency Act, and certain capital projects for scholarship-granting organizations. Supporters said it would encourage private investment in education and add instructional capacity; opponents argued it would favor wealthy private schools, do little for rural or high-poverty districts, and divert scholarship resources. The amendment was adopted unanimously, and the bill was advanced to final passage, with debate continuing at the end of the transcript.

Bills: HF4525, HF3002, HF3665, HF4420

Keywords: human services, background studies, NETStudy 2.0, licensing, license suspension, license revocation, provider enrollment, program integrity, fraud, medical assistance fraud, Medicaid, payment withholding, credible allegation of fraud, background check, disqualification, variance, set-aside, foster care, family foster setting, adult foster care

Transcript Highlights:

• I would also point out that while the the advalo was lost because it went from a a private held facility
• to a state health facility so jobs remain theres the kids remain there so economically there's still

Bills: HB3044, HB3465, HB3625, HB3704, HB3759, HB3920, HB3972, HB4191, HB4311, HB4426

Keywords: veterans, tax refund, Oklahoma Department of Veterans Affairs, capital improvement, donations, Oklahoma Emission Reduction, incentive, taxation, environment, revenue, investment, school funds, treasurer, education funding, financial policy, income tax, scholarship, tax credit, Oklahoma Tax Commission, school funding

Transcript Highlights:

• So they would not be able to prohibit lawful carry in a parking facility or a parking area. >> Representative

Bills: HF4362, HF4252, HF4440

Keywords: firearms, guns, gun rights, gun control, campus safety, public college, university, postsecondary institution, higher education, visitor carry, concealed carry, open carry, campus policy, Minnesota Statutes 624.714, petty misdemeanor, parking lot carry, firearm possession, public safety, college campus, student carry

Transcript Highlights:

• public schools and institutions of higher education for permitting religious organizations to use facilities

Bills: SB1224, SB2972, SB2615, SB735, SB800, SB2986, SB2310, SB2055, SB1049, SB784

Keywords: educator misconduct, reporting requirements, local law enforcement, public and private schools, penalties for non-compliance, expressive activities, freedom of speech, public forum, higher education, protests, student rights, telework, public education, employee rights, emergency provisions, Holocaust education, Holocaust Remembrance Week, antisemitism, genocide education, public schools

Transcript Highlights:

• a 24/7 facility has been pretty good.
• , birthing facilities.
• Do we still register facilities?
• Do we still register facilities?
• Now, Now, some small rural facilities have reopened because of a need in the community, as nursing facilities

Keywords: 908, all

Summary: The Human Services Committee met in interim session and first approved the previous meeting minutes before receiving a series of presentations on homelessness and housing stability. Jennifer Henderson of the North Dakota Housing Finance Agency updated members on the new Interagency Council on Homelessness, describing its executive-order mandate to review resources, gather input from stakeholders, identify gaps, and develop recommendations. She said the council’s first work is building a statewide program matrix of existing homeless services and funding sources, with attention to youth, tribal communities, and other vulnerable populations. Members raised concerns about youth homelessness, homeless veterans, and how the council will stay focused on a practical framework rather than getting lost in details. The committee also discussed possible connections to the rural health transformation grant and agreed to continue the topic later in the spring. Beth Olson of Presentation Partners in Housing described the organization’s housing-first model in Cass County and Clay County, including homeless prevention/diversion, housing navigation, and Cooper House, a 42-unit permanent supportive housing building in Fargo. She said the organization focuses on people with long-term and chronic homelessness, many with mental health, addiction, health, domestic violence, and Indigenous identity-related barriers, and reported strong outcomes: 85 of 86 people housed in 2025, 91% still housed after one year, and major reductions in emergency room use, ambulance rides, jail stays, detox days, and shelter use. She also explained that state funding has grown from a small share of the budget to about $1.1 million in state-connected funding for fiscal 2026, largely through contracts tied to supportive services. Members asked about vouchers, rent contributions at Cooper House, length of stay, and whether similar projects could be expanded elsewhere. Andrea Olson of the Community Action Partnership of North Dakota outlined statewide homeless and housing-related services delivered through six community action agencies in all 53 counties. She explained the Community Services Block Grant structure, said housing was identified as the top need in the most recent statewide needs assessment, and described programs including Supportive Services for Veteran Families, North Dakota Homeless Grant services, and Home ARP supportive services. She emphasized that the end of North Dakota Rent Help has increased pressure on the system, that the current $2 million annual homeless grant is far smaller than prior rent-help assistance, and that community action is using case management and financial assistance to move households toward self-sufficiency. Members asked about funding formulas, rural service delivery, and coordination with Presentation Partners to avoid duplication. YouthWorks then began a presentation on youth homelessness, describing services for ages 12 to 24, the special needs of youth and former foster youth, and the organization’s use of federal and state funds to support transitional housing, emergency shelter, maternity housing, and diversion services.

Transcript Highlights:

• mental health clinics, outpatient mental health centers, and independent outpatient providers.
• <00:02:38.360> mental<00:02:38.640> health clinics, outpatient mental health clinics
• > outpatient centers, and independent outpatient centers, and independent outpatient providers
• The amendment alters the information about a facility that must be posted on the Maryland Health Care
• The amendment alters the information about a facility that must be posted on the Maryland Health Care

Keywords: Senate streaming session for Wednesday, April 8, 2026, 960, senate, all

Summary: The Senate reconvened with a quorum present and proceeded through a series of committee reports and floor actions, mostly on House bills. Several measures were advanced without opposition, often after brief floor explanations and unanimous adoption of committee amendments. Topics included behavioral health rate-setting modernization (HB 772), expedited Medicaid eligibility for relocated individuals with developmental disabilities (HB 1015), perinatal behavioral health screening and coverage (HB 1118), mammogram notices about breast arterial calcification (HB 1364), menopause provider training and coverage (HB 1365), cannabis licensing and training changes (HB 622), cemetery sale and transfer oversight (HB 892), travel services insurance requirements (HB 994), cash transaction rounding authorization (HB 1026), specie as legal tender (HB 1312), menstrual hygiene product ingredient labeling (HB 1357), health care quality reporting and a health centralization commission (HB 1372), special pediatric hospital transfer and review procedures (HB 1376), telehealth continuity of care for out-of-state counselors (HB 1483), and child placement protections for unlicensed settings and pediatric overstay patients (HB 1559). Most of these bills were ordered passed for third reading after the chamber adopted the committee amendments and favorable reports. The Senate also considered environmental and consumer-related measures. HB 146 would delay implementation dates for onsite wastewater system regulation and licensing requirements, while striking provisions on inspections and pumping for rental properties and sales. HB 254, a Department of Natural Resources bill, was described as facilitating community engagement in planning and development of departmental projects. HB 969 on retail electric vehicle fuel sales and charging equipment requirements was also taken up and reported favorably. In each of these cases, members noted no committee opposition and no fiscal impact, and the bills were advanced. Two bills were set aside rather than immediately acted on. HB 1037, concerning a Public Service Commission study on broadband and voice over internet protocol service, was special ordered until Friday at the request of a senator. HB 1312, the specie/legal tender bill, prompted questions about the definition of specie and was also special ordered for consideration the next morning. No roll-call votes were recorded in the excerpt; actions were taken by unanimous consent on amendments and committee reports, with multiple bills ordered to third reading.

Transcript Highlights:

• I'll just note that nursing facility and intermediate care facilities for persons with developmental
• and intermediate care facilities for persons with developmental disabilities are facilities, and the
• and treatment facilities and treatment facilities um<00:44:23.000> the<00:44:23.200> most
• Residents of or inpatients of a facility, individuals who receive certain outpatient services listed
• individuals who receive certain facility individuals who receive certain outpatient<00:54:45.480>

Keywords: 1183, house

Summary: The committee met for an introductory overview of its jurisdiction and staff roles. Nonpartisan House Research and House Fiscal staff explained that they draft bills and amendments, prepare bill summaries and background research, answer legal and fiscal questions, and help track revenue and budget effects. They also distributed a Budget Overview Brief intended to condense the larger budget materials into a more usable format for members. Staff then walked through the Human Services budget and the committee’s areas of responsibility. They described the department structure, noting that DHS oversees administration, compliance, rulemaking, and county support, and that the overall Human Services budget is large, with medical assistance as the dominant program. They also explained recent and upcoming reorganizations: many children and family-related functions are moving to the new Department of Children, Youth, and Families, Direct Care and Treatment is becoming its own agency, and some homelessness-related functions remain at DHS. Staff reviewed how the budget is organized by program and budget activity, the difference between direct appropriations and standing appropriations, and how forecasted programs and “tails” work in the budget process. The presentation also covered Medicaid financing and long-term care. Staff explained the federal-state FMAP match, including Minnesota’s current 51.16% federal match for most Medicaid spending, the CHIP match, and the 90% federal share for the expansion population. For long-term care, they outlined Medical Assistance services for elderly and disabled people, state-funded long-term care supports, and Board on Aging programs. They highlighted the personal care assistance program’s phaseout and replacement by Community First Services and Supports, and reviewed the five home- and community-based waivers. Members asked one question about refugee resettlement funding, specifically whether it covers flights; staff said they would need to follow up on the exact use of the federal funds. No bills were heard, and no formal votes or other committee actions were taken during this meeting.

Transcript Highlights:

• , skilled nursing facilities that are two hours away from my home.
• nursing that we need at the congregate living facilities.
• I'm Irene Docker, and I represent congregate living health facilities.
• These are all key activities inside a correctional facility body.
• Senate Bill 1238, health care facilities, expands the range of facilities authorized to admit and treat

Summary: The committee heard a budget oversight hearing on the Department of Health Care Services, focusing first on the overall Medi-Cal budget and a March General Fund loan to cover a current-year shortfall. DHCS said the 2025-26 budget proposal totals $193.4 billion, with Medi-Cal projected at $188.1 billion total funds and $42.1 billion General Fund, driven by higher enrollment, pharmacy costs, managed care growth, and costs tied to eligibility expansions and the COVID-era redetermination unwinding. The department said the $3.44 billion loan was needed to manage cash flow and ensure timely payments to providers and plans, while the LAO noted Medi-Cal’s cash-basis budgeting creates volatility and that more detailed estimates would come with the May Revision. Members discussed federal Medicaid threats, the need for transparency on cost drivers, and the impact of pharmacy spending, long-term care, and immigration-related coverage expansions. The second major topic was family health programs, including California Children’s Services, the continuous coverage unwinding, and opioid settlement fund spending. DHCS described CCS funding methodology changes, ongoing county stakeholder work, and a delayed rollout of CCS monitoring and oversight until July 1, 2025, while county representatives and advocates argued the program is underfunded and asked for more technical assistance and a delay in implementation. On the unwinding, the department explained that federal redetermination flexibilities helped maintain coverage after the pandemic, but the Governor’s budget proposes ending them at the end of June 2025; advocates urged making the flexibilities permanent to avoid coverage losses. For opioid settlement funds, DHCS and Finance said the budget increases funding for naloxone distribution while reducing other harm-reduction spending based on updated settlement revenues, prompting criticism from members and public commenters who argued the change would weaken effective harm-reduction programs. The hearing also included an update on Proposition 35 implementation. DHCS said the voter-approved measure continuously appropriates MCO tax revenues beginning in 2025, with up to $4.6 billion annually available for specified Medi-Cal and provider investments in 2025 and 2026, but implementation depends on consultation with the required stakeholder advisory committee. The department and LAO noted uncertainty about future federal rules affecting the MCO tax after 2026. Public testimony largely supported maintaining Medi-Cal expansions, protecting immigrant coverage, preserving harm-reduction funding, and increasing support for community health workers, pediatric dental care, and CCS county administration. No votes were taken during the portion of the hearing provided.

Transcript Highlights:

• And for your help in getting another satellite emergency facility stood up.
• Care facilities that are open 24 hours?
• Our facilities are operating above planned capacity on a daily basis.
• these strategies across DMH facilities.
• Facilities, outpatient care, and even home care, where it's even harder for us to measure.

Keywords: 995, all

Summary: The Joint Committee on Ways and Means held a Health and Human Services budget hearing in Clinton, with opening remarks from Chairs Meg Kilcoyne and Robin Kennedy, local officials, and many House and Senate members introducing themselves. The hearing focused on Governor Healey’s FY27 EOHHS and MassHealth budgets, with repeated themes of rising health care costs, federal funding uncertainty, workforce shortages, and access to care in underserved regions. Members also raised concerns about primary care shortages, rural and regional disparities, behavioral health access, maternal health, food insecurity, and the impact of federal policy changes on Massachusetts programs. EOHHS Secretary Kiame Mahaniah said the FY27 EOHHS budget totals $33.7 billion, reflecting mostly non-discretionary growth from health care costs, labor costs, caseload increases, and provider rate pressures. He highlighted targeted investments in foster care, family resource centers, maternal health, youth services, nutrition programs, immigrant legal services, and human service workforce rates, while warning that federal actions could strip roughly $3.5 billion annually from the state’s health care funding. In response to questions, he defended the administration’s cooperation with federal audits and program integrity efforts, discussed the primary care crisis, and said the state is trying to preserve core services while preparing for a more difficult FY28 budget cycle. MassHealth Undersecretary Mike Levine then described two major FY27 challenges: double-digit cost growth and the expected effects of the federal One Big Beautiful Bill Act. He said MassHealth’s proposed $22.7 billion gross budget includes a 7.5% increase and relies on a moratorium on new expansions plus targeted reductions, including a $1,000 annual adult dental cap, ending GLP-1 coverage for weight loss only, reducing care management to peer-state levels, and work groups to slow growth in PCA, adult foster care, and adult day health spending. Members questioned the impact on Boston Health Care for the Homeless, preventive care, and regional access; Levine said the changes are meant to preserve sustainability, that children and certain disabled populations remain protected, and that the administration will continue working with providers, advocates, and the Legislature on implementation and longer-term reforms.