Video & Transcript Research : 'proxy attestation'
Page 24 of 101
WY
Transcript Highlights:
- >> No, I think the conversation was if they removed that attestation, then there may be less of a need
- <00:02:44.239>
attestation <00:02:45.519>requirement <00:02:46.000>of the attest - attestation requirement of the attest attestation requirement of the<00:02:46.480>
25% the 25% - >> No, I think the conversation was if they removed that attestation, then there may be less of
- If we need to do something about the attestation, that would be in a different section, right?
MN
Minnesota 2025 1st Special Session
Agriculture, Veterans, Broadband, and Rural Development - Subcommittee on Veterans - 03/19/25
Agriculture, Veterans, Broadband, and Rural Development - Subcommittee on Veterans
Transcript Highlights:
- secret war in Laos, every capable Hmong man and young boy were recruited as United States Department proxy
- a bill that seeks to formally recognize the service and sacrifice of Hmong veterans who fought as proxy
- veterans<00:09:45.200>
who <00:09:45.519>fought <00:09:45.760>as <00:09:46.000>proxy
OK
Oklahoma 2026 Regular Session
Senate Legislative Session Apr 9th, 2026 at 09:30 am
Oklahoma Senate Floor Meeting
Bills:
HB4248, HB4429, HB2588, HB3472, HB4317, HB3462, HB2035, HB3501, HB3127, HB3143, HB3144, HB3260, HB4321, HB3011, HB3522, HB3530, HB3940, HB3078, HB3043, HB3005, HB3007, HB3403, HB1907, HB3175, HB3986, HB3466, HB3411, HB4246, SJR49, HB3281, HB4319, HJR1086, HJR1024, HJR1087
Keywords:
HB4248, hemp beverage, hemp drinks, THC beverage, cannabis beverage, intoxicating hemp, age restriction, under 21, minor possession, youth access, public health and safety, Title 63, Oklahoma Statutes, retail sales, alcohol-style regulation, controlled substances, beverage regulation, proxy advisory services, shareholder rights, financial transparency
WA
Washington 2025-2026 Regular Session
House State Government & Tribal Relations Jun 22nd, 2026 at 12:00 pm
State Government & Tribal Relations
Transcript Highlights:
- Do we consider attestation proof of citizenship?
- Sorry, the question is just whether Washington State considers attestation on the registration form to
- Tara speak to that more, but my understanding is that that's what's assumed under state law: the attestation
- , when you sign that form under penalty of perjury attesting that you're a citizen, is sufficient confirmation
AZ
Transcript Highlights:
- You see, the bill says that we can attest that we live in our district, that we swear that we do live
- What this is suggesting is that we can attest that we live in our district.
- can see why somebody needs to come back next year and change this properly because it says, "may attest
- It should say shall attest that they're in the legislative district in which their residence is located
Summary:
The House convened, opened with prayer and the Pledge of Allegiance, approved the journal, and then moved through a lengthy third-reading calendar. Early bills included SB 1135 on workers’ compensation, which passed 49-4, and SB 1127 on family offenses, which failed 5-50 after Rep. Gress said he supported the policy but voted no to allow reconsideration. SB 1133 on nominating procedures passed 32-23 without the emergency clause, and SB 1136 on workers’ compensation passed 54-1. Members then debated several health-related and regulatory measures, including SB 1145 on behavioral health behavior analysis, SB 1165 on health insurance coverage for breast exams, SB 1175 on child welfare, SB 1184 on condominiums and planned communities, SB 1205 on municipal regulations, SB 1210 on private post-secondary education institutions, and SB 1233 on state agencies, with mixed votes and several floor explanations focused on costs, insurance mandates, and public health benefits.
The chamber also considered SB 1243 on court-ordered treatment, where supporters framed it as protecting vulnerable people and opponents warned about guardianship abuse and indefinite confinement; it passed 50-7. SB 1246 on condominium and planned community notices passed unanimously, while SB 1253 on Safe Haven providers passed 57-0. SB 1259 on campaign-related address confidentiality drew extensive debate about candidate safety, threats, and residency rules, and passed 43-14. Additional measures passed included SB 1271 on municipal authority, SB 1286 on veterinarians, SB 1292 on the public safety personnel retirement system, SB 1366 creating a towing and impound advisory committee, SB 1446, SB 1497 on school insurance, SB 1561 and SB 1564 on health care institutions, and several final-read House bills.
On final reading, the House concurred in amendments to several bills and passed HB 2082, HB 296 on WIFA, HB 2557 on patient records, HB 2749 on reclassifying certain felony convictions to misdemeanors under strict conditions, and HB 4001 on nicotine products and youth access. HB 4001 drew the most extended debate, with supporters emphasizing youth protection, stronger penalties for sales to minors, and anti-vaping enforcement, while opponents criticized the bill as regulatory overreach or insufficiently focused on taxation and education. The House also adopted a motion to request the Senate return SB 1456 for reconsideration, heard a memorial resolution honoring James Hong Shee, and received remarks and a proclamation on National Gun Violence Awareness Day before recessing.
AZ
Arizona 2026 Regular Session
03/11/2026 - House Federalism, Military Affairs & Elections
Federalism, Military Affairs & Elections
Transcript Highlights:
- Chair, members, Senate Bill 1259 allows a person to provide an alternate mailing address and attest to
- the language, perhaps on page two and page six, to change the language that says that a person may attest—change
- Kinner, isn't the attestation requirement... ...isn't that basically like the federal-only voter registration
- form, where you, like, pinky swear and attest that you're a citizen, but nobody ever checks?
Keywords:
elections, voting systems, vote tabulation, election security, internet connectivity, offline voting, chain of custody, polling place equipment, counting center, central counting center, election management system, EMS gateway, tabulation equipment, secretary of state, certification, decertification, HAVA, Help America Vote Act, ballot images, audit logs
Summary:
The Committee on Federal and Military Affairs and Elections heard a lengthy presentation on an investigative referral concerning alleged voter registration anomalies in Arizona from March 2023 onward. The chair described examples involving out-of-state residents, deceased registrants, military voters, duplicate or mismatched registrations, and registrations tied to Service Arizona, ACCESS, third-party vendors, and NGOs. Members also discussed alleged mismatches between county recorder data and Secretary of State reports, possible issues with automatic voter registration, and concerns about public records compliance. At the end of the presentation, members were asked whether they wanted to sign onto a criminal referral to the Department of Homeland Security and the Department of Justice; several declined, while others agreed, and the committee proceeded after correcting a signature-block issue.
The committee then considered Senate Bill 1259, which would allow certain protected individuals to use an alternate mailing address and attest to their residential address on candidate and financial disclosure filings. After questions about residency verification and confidentiality, the bill received a do pass recommendation by a 6-1 vote. Senate Bill 1281, dealing with state land department procedures for covered federal designations and notification of land takings, was heard next; after opposition testimony from the Sierra Club Grand Canyon Chapter, it passed 4-3.
Senate Bill 1037, concerning election equipment security and internet connectivity, drew substantial debate. A Marquez strike-everything amendment that would have shifted the bill toward voting centers, ERIC participation, early voting changes, and election funding failed on a 4-3 vote. The underlying bill then failed to receive a do pass recommendation on a 3-3-1 vote. Finally, Senate Bill 1040, which would make voter registration rolls publicly accessible online and downloadable, passed 4-3 after questions about what information would remain redacted and concerns about public access to voter data.
KY
Kentucky 2026 Regular Session
Senate Standing Committee on State and Local Government (3-4-26)
State & Local Government
Transcript Highlights:
- have to annually prepare financial statements every 4 years, contract for the application of that attestation
- 04:01.520>
application <00:04:02.040>of <00:04:02.120>that <00:04:02.280>attestation - the application of that attestation the application of that attestation engagement,<00:04:03.280
Keywords:
Meeting Start: 00:10
Attendance Roll Call: 00:15
SB 133 Discussion: 00:52
SB 133 Vote: 05:01
SB 226 Discussion: 06:10
SB 226 Vote: 09:36
SJR 62 Discussion: 10:22
SJR 62 Vote: 12:55
SB 261 Discussion: 13:42
SB 261 Vote: 18:19
SB 262 Discussion: 19:10
SB 262 Vote: 26:36
Adjournment: 28:02, 958, all
Summary:
The Senate State and Local Government Committee met and first considered Senate Bill 133, which would raise audit and reporting thresholds for certain special purpose governmental entities and allow entities with two consecutive clean audits to move to a less frequent audit cycle. Sponsor Matt Nunn said the bill was intended to reduce audit burdens and costs without reducing transparency, and the committee substitute was adopted. The bill passed the committee 8-0 with favorable expression.
The committee then took up Senate Bill 226, sponsored by Senator Greg Elkins, which would allow funeral directors to take up to a 15% administrative fee once a pre-need funeral contract is fully funded. Elkins and a representative of the Funeral Directors Association explained that the bill applies to trust-funded pre-need burial contracts and does not affect insurance-funded arrangements. The bill passed 8-0 with favorable expression.
Senate Joint Resolution 62 was next, a resolution by Senator Mayden asking the Division of Water to provide clearer guidance to local governments on cleaning out creeks and waterways, especially in light of flooding and debris concerns in Eastern Kentucky. The resolution passed with favorable expression, 8-0. The committee also approved Senate Bill 261, sponsored by President Stivers, which addresses ownership, responsibility, and maintenance authority for swinging bridges in Eastern Kentucky and would allow cities and counties to spend money on their upkeep; the committee substitute was adopted and the bill passed 9-0.
Finally, the committee considered Senate Bill 262, also sponsored by President Stivers, which would allow constitutional amendments to be presented on the ballot by question rather than full text. Stivers argued this would make amendments more understandable and noted prior Kentucky constitutional changes had been made by ballot question. One senator explained a no vote, saying the bill did not clearly define who would determine a fair and accurate summary. The bill passed 7-1 with favorable expression and the committee adjourned.
MN
Minnesota 2025-2026 Regular Session
Supportive housing provider grant funding 2/25/26
Minnesota House Floor Meeting
Transcript Highlights:
- Um and in a lot of these communities, as I'm sure members on this committee can attest, um there isn't
- 00:04:32.160>
this <00:04:32.320>committee <00:04:32.639>can <00:04:32.880>attest - ,<00:04:33.919>
um members on this committee can attest, um members on this committee can - attest, um there<00:04:34.240>
isn't <00:04:34.560>another <00:04:35.440>place <00
TX
Transcript Highlights:
- An officer of the company will submit a letter attesting that these loads, they believe, have a high
- Having signed contracts indicating an attestation that the load will be coming on, what other measures
- It is an officer-attested project as it moves to firmness, to a clear plan.
- And we taught you to express that just, and you're going to get an attestation with a signed contract
Bills:
SB 438, SB 512, SB 647, SB 648, SB 1495, SB 2121, SB 2145, SB 2154, SB 2167, SB 2184, SB 2211, SB 2268, SB 2349, SB 2443, SB 2629, SB 2702, SB 2902
Keywords:
SB 438, Texas, State Office of Administrative Hearings, SOAH, administrative law judge, ALJ, public information act, open records, confidentiality, privacy, home address, home telephone number, emergency contact information, social security number, family members, Government Code 552.117, Government Code 552.1175, Tax Code 25.025, public records, government transparency
Summary:
The meeting of the committee commenced with the establishment of a quorum, where members discussed and voted on five significant bills related to energy efficiency, insurance regulation, and public utility governance. Notably, Senate Bill 2717 was presented, incorporating feedback to foster collaboration among various state agencies for improved energy efficiency performance. This was followed by a detailed discussion on Senate Bill 1642, which proposed changes to the Texas Department of Insurance's executive structure to optimize management and consumer focus. Each bill saw active participation from senators who moved to adopt committee substitutes for clarity and responsiveness to stakeholder concerns, indicating a proactive approach to legislative issues.
MN
Minnesota 2025 1st Special Session
House commerce committee walk-through of omnibus cannabis bill, HF1615 4/2/25
Transcript Highlights:
- two signatures for corporations when we have myriad other places in the application where people attest
- application myriad other places in the application where<00:06:52.800>
people <00:06:52.960>attest - <00:06:53.520>
their <00:06:53.680>ability <00:06:53.919>to where people attest - to their ability to where people attest to their ability to bind<00:06:54.479>
the <00:06:54.720
TX
Transcript Highlights:
- The current statute uses prior capital trial experience and appellate experience as a proxy for quality
Bills:
HB 115, HB507, HB1765, HB1847, HB2046, HB2239, HB2328, HB2309, HB2417, HB2728, HB2794, HB3206, HB3566, HB3694, HB3744, HB4254, HB4697, HB4733, HB4915, HB5465, HB2813, HB115
Keywords:
habeas corpus, postconviction, criminal procedure, indigent defense, scientific evidence, legal representation, judicial power, capital felony, criminal law, death penalty, attorney qualification, training standards, law enforcement, no-knock warrant, search warrant, peace officer, attorney workload, criminal justice, caseload limits, fair representation
MA
Massachusetts 2025-2026 Regular Session
Status of Persons with Disabilities Jun 21st, 2026 at 12:00 pm
Transcript Highlights:
- It's essentially a self-attestation that the employee indicates that they have a disability.
- It's essentially a self-attestation that the employee, It's essentially a self-attestation that the employee
Summary:
The Employment Subcommittee of the Massachusetts Permanent Commission on the Status of Persons with Disabilities met on May 18 and approved the prior meeting minutes. The first presentation was an update on the Massachusetts Disability Employment Tax Credit from MassAbility. The speaker explained that the credit, created in 2022, offers employers up to $5,000 in the first year and $2,000 in later years for hiring certified employees with disabilities. He described a streamlined self-attestation certification process, the online application and outreach tools, and noted that the first full tax season resulted in one company successfully claiming the credit. Members asked about how employers learn to file, available data, carry-forward rules, and whether more information from the Department of Revenue could be shared.
The second presentation was from the Office of the Veteran Advocate. The speaker described the office as an independent agency created after COVID and the state veterans home tragedy to improve veteran services and investigate problems. He reviewed VA disability ratings, the fact that service-connected disability does not necessarily prevent work, and the barriers faced by veterans with less-than-honorable discharges. He also highlighted vocational rehabilitation, GI Bill and housing supports, and the office’s work on professional licensure barriers, especially for nurses and other skilled trades. Members discussed whether Massachusetts is behind other states on licensure reciprocity and the need for more openness from licensing boards; the office said it is starting with a narrow nursing-focused review and will report back on findings.
In the final portion of the meeting, members discussed a lengthy policy brief from Seed and agreed it should be taken up at the August 31 meeting rather than rushed through by email. The group focused on two emerging areas of work: the benefit cliff and youth/young adult pathways into employment, including apprenticeships. Members suggested creating a clearer tool or spreadsheet to map existing resources and possibly a white paper for appointing authorities, while noting the commission’s limits on direct advocacy. The meeting ended with an invitation for members interested in the benefit cliff work or youth employment pipeline to join follow-up discussions, and the subcommittee adjourned.
MO
Transcript Highlights:
- And I think you also say personal attestations are not allowed, which I don't think is in H.R. 1 either
- The attestations that I'm more concerned with, not only the question of, I don't know how Uber drivers
- You're not taking personal attestations, which means that someone's going to have to go out and prove
TX
Texas 89th 2nd C.S.
Pensions, Investments & Financial Services Apr 7th, 2025
Pensions, Investments & Financial Services
Transcript Highlights:
- They're just some practical issues relating to the attestation and Marcus Adams: audit requirements that
- AICPA and industry stakeholders—there just isn't practical ways to implement Marcus Adams: certain attestation
- One was requiring that the auditors basically attest that the information was true and accurate.
WA
Washington 2025-2026 Regular Session
House State Government & Tribal Relations Jun 22nd, 2026
Transcript Highlights:
- Do we consider attestation proof of citizenship?
- Sorry, the question is just whether Washington State considers attestation on the registration form to
- speak to that more, but my understanding is that that's what's assumed under state law, that the attestation
- , when you sign that form under penalty of perjury, attesting that you're a citizen, that that is sufficient
Summary:
The House State Government & Tribal Relations Committee held a virtual work session focused first on federal actions affecting elections. A representative from NCSL reviewed recent U.S. Supreme Court and pending cases, including a redistricting/Voting Rights Act case and a case on whether mailed ballots received after Election Day can be counted. She also discussed a Trump executive order directing USPS to draft mail-ballot rules, the federal SAVE system’s expanded use for voter list maintenance, DOJ requests for unredacted voter rolls, and reduced federal election-security support. Committee members asked about proof of citizenship requirements, whether DOJ requests are compulsory, and how federal election funding and grants may be changing.
The Attorney General’s Office then described Washington’s litigation challenging two election-related executive orders and DOJ’s lawsuit seeking unredacted voter registration lists. State lawyers said courts have already enjoined parts of the executive orders, including documentary proof-of-citizenship requirements and voting-system changes, and have upheld Washington’s ballot-receipt deadlines so far. They said DOJ’s voter-roll demands have been rejected by multiple courts and that Washington’s position is that state law limits disclosure of sensitive voter data. Members asked about the legal basis for DOJ’s requests, the risk of immigration-enforcement use, and whether attestation on registration forms counts as proof of citizenship; the office said it does under state law and that no evidence of mass voter-fraud problems in Washington has been shown.
Deputy Attorney General Todd Bowers then gave a broader overview of the Attorney General’s federal litigation, saying Washington has filed 61 cases since January 2025, often with other states, and has had notable success obtaining preliminary injunctions and favorable summary judgments. He highlighted cases involving election rules, environmental and energy disputes, public health funding, student loans, housing, and data privacy, and said many challenges involve executive-branch conditions added to congressionally appropriated funds. He also described a growing number of federal audits and inquiries directed at state agencies.
Finally, Office of Equity Director Megan Matthews discussed how federal actions are affecting state and local equity work, community organizations, and public confidence. She said the office is coordinating more closely with the Attorney General, governor’s office, other agencies, and local governments through the immigration subcabinet, while also working on data privacy, Keep Washington Working compliance, and community outreach. Committee members asked about the office’s human-trafficking work and how it is encouraging agency compliance; Matthews said the focus is on clearer guidance, technical support, and consistent expectations across agencies. The committee adjourned after the presentations and questions.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Consumer Protection and Professional Licensure Jun 21st, 2026 at 10:00 am
Joint Committee on Consumer Protection and Professional Licensure
Transcript Highlights:
- I can attest to the eminent qualifications of our commercial interior designers and their preparedness
- And I share that not to share my resume, but to attest to the fact that there is extreme rigor and education
- And I share that not to share my resume, but to attest to the fact that there is extreme rigor and education
- And I share that not to share my resume, but to attest to the fact that there is extreme rigor and education
Summary:
The Joint Committee on Consumer Protection and Professional Licensure heard testimony on several real estate, housing, and consumer protection bills. A major portion of the hearing focused on bills to create licensure for commercial interior designers (H.324/S.254), with supporters from the architecture and interior design fields arguing the measure would recognize a distinct profession, expand permitting authority for qualified designers, improve public safety, and remove barriers to firm ownership and public contracting. Witnesses said the proposal had been redrafted through collaboration among interior designers, architects, engineers, and building officials, and Senator Gomez said the Senate had passed the bill previously and hoped to advance it again. The committee also heard support for H.450 on solar customer protections, with solar companies backing standardized disclosures, a consumer brochure, a longer rescission period, and sales registration requirements as consumer safeguards that would not materially disrupt business operations.
The committee then took testimony on H.431/S.245, a bill to end housing discrimination in the Commonwealth. Senator Gomez, fair housing advocates, and several renters described alleged discrimination against Black renters and voucher holders, citing testing data and personal experiences. They said the bill would strengthen enforcement by linking court findings to temporary license suspensions, require fair housing training, increase public reporting, and add board representation with fair housing or voucher-holder experience. A real estate appraisers representative also supported S.196, which would make appraisal licensure mandatory in Massachusetts, arguing that home valuation should be done by licensed professionals.
A substantial part of the hearing addressed broker-fee and rental-timing bills, including H.335, H.336, H.374, H.224, and H.449. Supporters of the broker-fee changes argued that tenants should not be charged fees when the landlord hired the broker, while opponents warned the language could restrict tenant representation and harm small landlords, students, and the rental market. Several witnesses opposed the 90-day lease-signing window in H.336, saying it would compress the September rental cycle, worsen competition, and make it harder for students and out-of-state renters to secure housing. The chairs noted that broker fees had already been addressed in the state budget, and the hearing concluded with no votes on the bills, only the close of testimony and an announcement that the committee would not hold another hearing until later in the year.
NM
New Mexico 2026 Regular Session
Other - PSCOC Apr 22nd, 2026
Public School Capital Outlay Oversight Task Force
Transcript Highlights:
- We both have proxies, but I just wanted to make note of that.
- We both have proxies, but I just wanted to make note of that.
AZ
Arizona 2026 Regular Session
02/10/2026 - Senate Appropriations, Transportation and Technology
Appropriations, Transportation and Technology
Transcript Highlights:
- compare it to diesel and say, okay, this is what we're going to compare it to, and that way you get a proxy
- reasons actually are the reasons you guys were discussing, which is that because the bill would tax on a proxy
Bills:
SB1072, SB1111, SB1114, SB1116, SB1122, SB1179, SB1250, SB1308, SB1455, SB1456, SB1457, SB1487, SB1547, SB1549, SB1551, SB1552
Keywords:
reimbursement rates, intellectual disabilities, community services, economic security, funding appropriations, automated license plate readers, law enforcement, privacy, data access, public records, behavioral health, patient brokering, appropriation, state funds, Maricopa County, claims review, medical necessity, American Indian health program, healthcare regulations, healthcare
Summary:
The committee first approved the February 3, 2026 minutes and reordered the agenda to accommodate sponsors and speakers. SB 1114, which would appropriate $1 million to the Maricopa County Attorney’s Office to investigate behavioral health patient brokering statewide, was presented as a response to Medicaid fraud and exploitation of vulnerable Native American patients. After brief questions about why Maricopa County would handle statewide oversight, the bill received a do pass recommendation on a 9-0 vote with one member not voting.
The committee then took up SB 1111, as amended by a strike-everything amendment regulating automated license plate readers. The amendment limited use to specified law enforcement purposes, required verification of alerts when feasible, imposed data-retention and handling responsibilities on agencies, and created a misdemeanor penalty for unauthorized release of data. Supporters from Phoenix, Tempe, Prescott Valley, the Arizona Chiefs of Police, and the Arizona Sheriffs’ Association argued the bill provides needed statewide guardrails while preserving a valuable investigative tool for missing persons, stolen vehicles, and serious crimes. Opponents from the ACLU, Institute for Justice, and private citizens raised privacy and Fourth Amendment concerns, warning about dragnet surveillance, unclear terms like “legitimate” law enforcement purposes, lack of public access to records, and the risk of misuse for immigration or abortion-related tracking. The committee adopted the amendment and then gave SB 1111 as amended a do pass recommendation on a 7-2 vote, with one not voting.
Next, SB 1116, as amended, was approved. The bill requires appeals or adverse determinations on behavioral health claims under AHCCCS fee-for-service to be reviewed by someone with relevant clinical experience, and the amendment broadened the requirement to include medical-necessity denials and specified at least two years of similar clinical experience. Senator Werner said the measure was intended to curb inappropriate denials and improve payment for behavioral health providers serving Native communities. Access was neutral but said the bill’s terms were too broad and could require additional staff; the committee nonetheless adopted the amendment and passed the bill 10-0.
Finally, SB 1122, as amended, was approved 10-0. The bill bars AHCCCS from requiring prior authorization for behavioral health services under the American Indian Health Plan, while the amendment prohibited 100% prepayment review and adjusted the corrective-action language. Senator Werner and provider representatives said the measure was needed because providers were being delayed or denied payment, contributing to closures, workforce shortages, and patient brokering. The committee then began hearing SB 1072, a major appropriation to increase reimbursement rates for home- and community-based services for individuals with intellectual and developmental disabilities, with testimony focused on severe caregiver shortages, overtime costs, and unassigned service authorizations.
NM
New Mexico 2025 Regular Session
IC - Mortgage Finance Authority Act Oversight May 28th, 2025
Mortgage Finance Authority Act Oversight Committee
Transcript Highlights:
- of course, you all know that Lieutenant Governor, uh, his ex-officio member of our board, and his proxy
- Uh, we also have the Attorney General on our board, and his proxy, uh, is Julie Ann Mead.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health May 19th, 2025
Transcript Highlights:
- I have the proxy for the San Diego PACE program, also opposing those proposals.
- I have the proxy for the San Diego PACE program, also opposing those proposals. Thank you.
Summary:
The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56.
DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement.
The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.