Transcript Highlights:

• system that recognizes the true cost of child care or reflects the alternative methodology.
• when we have so many other things we are investing in, I think, in the long term, is foolish.
• investment is going to be remarkable and it’s going to help... ...because the long-term investment is
• When I first started working a long time ago, my first paycheck was just enough to pay for child care
• When I first started working a long time ago, my first paycheck was just enough to pay for child care

Summary: The Assembly Budget Subcommittees on early childhood education heard a broad review of the Governor’s child care and preschool budget proposals, with testimony from the Department of Finance, the Department of Social Services (CDSS), the California Department of Education (CDE), and the Legislative Analyst’s Office (LAO). The main topics were cost-of-care-plus and COLA adjustments, the California State Preschool Program, child care slot reductions tied to federal and Proposition 64 funding changes, disaster recovery grants for child care facilities, trailer bill proposals on family fees and absences, prospective pay, and several budget change proposals for departmental staffing and licensing. Officials also discussed the state’s transition toward an alternative methodology for setting rates based on the true cost of care. On rate reform, CDSS and CDE said the current reimbursement system remains below the alternative methodology in many counties and that providers continue to struggle with recruitment and retention. The LAO recommended aligning cost-of-care-plus increases across provider types, while CDE urged that any COLA be added to base rates rather than cost-of-care-plus payments because providers view the latter as less ongoing. CDSS said the next alternative methodology update will be developed with a contractor during fiscal year 2026-27, with public engagement and legislative input, and estimated that fully transitioning to rates informed by the methodology would take about 24 months once policy and funding are in place. CDSS also said the direct-service cost of care under the methodology was estimated at about $18.7 billion in a July 2025 report. A major point of contention was the proposed reduction of 4,167 child care slots due to lower federal CCDF funding and reduced Proposition 64 revenue. CDSS said it expects to absorb the reduction through unspent funds and relinquishments so currently enrolled children are not disrupted, while the LAO supported the reduction as a way to avoid worsening the structural deficit. Members strongly objected to the slot cuts, arguing the administration has repeatedly proposed reductions after prior budget agreements and emphasizing the economic and family benefits of child care. The committee also discussed preschool enrollment trends, including growth in three-year-old enrollment and a sharp increase in two-year-olds served under a temporary provision, with CDE warning that the temporary two-year-old authority expires in 2027. The committee also reviewed an $11.5 million Proposition 64 proposal for child care infrastructure grants for facilities impacted by 2025 state disasters, especially the Los Angeles fires, and members asked for trailer bill language to make the funds flexible for repairs, equipment, insurance, and permitting. On trailer bill items, the panel discussed codifying family fee reimbursement rules, defining excessive unexplained absences to allow disenrollment after prolonged nonuse, and expanding temporary provider absences; CDSS said the absence policy is meant to mirror federal CCDF rules, while CDE said it is already pursuing its own rulemaking. The hearing also covered prospective pay, with CDSS and CDE saying they are waiting for final federal guidance before moving ahead; LAO said the state could save ongoing costs if the federal requirement is rescinded. Finally, the committee reviewed staffing and support budget requests for CDSS and other implementation items, and held several items open for further discussion before the May Revision. Public comment overwhelmingly urged full funding for child care slots, true cost-of-care payments, and ongoing support for early education programs and county offices of education.

Transcript Highlights:

• The Legislature could explore incentives for long-term care facilities to accept justice-involved patients
• The Legislature could explore incentives for long-term care facilities to accept justice-involved patients
• facilities, but you did not need custody officers guarding them in these long-term or skilled nursing
• Even if these are appropriate, without changing the age or how long they've served their term, and just
• They lead to safer communities, much lower recidivism rates, and long-term savings for taxpayers.

Keywords: 987, senate, all

Transcript Highlights:

• As part of this project, the stroke system of care partnered with the EMS system of care to provide education
• While these partnerships are valuable, continued support remains essential to sustain long-term system
• And that's more long-term, I get it.
• Yet our health care system, broadly speaking, has created long-term users of opioids for many, many years
• and long-term impact to improve oral health.

Committee: Joint Health Care Committee

Summary: The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important. The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further. Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach. After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.

Transcript Highlights:

• systems that provide care and operate in the state of Missouri.
• of the health care system.
• So we're not the largest health care system in the state.
• , which in the long run... ...or inadequately treated due to lack of access to care, which in the long
• Preserving access to care is therefore inseparable from preserving the long-term viability of the community

Committee: House Special Committee on Rural Issues

Keywords: 959, house, all

Transcript Highlights:

• I personally am a person of long-term recovery.
• Recovery systems of care evolve each day that passes.
• Recovery systems of care evolves each day that passes.
• I am a person in long-term recovery.
• I am a woman in long-term recovery.

Committee: Joint Joint Committee on Mental Health, Substance Use and Recovery

Keywords: 995, all

Summary: The committee held a public hearing on a broad set of mental health, substance use, recovery, and patients’ rights bills. Early testimony focused on H. 2227, which would replace stigmatizing substance use terminology in the General Laws, and H. 3950, which would support parents in recovery involved with DCF by requiring more individualized recovery plans, clearer benchmarks for parenting time, access to recovery coaches or counselors, family counseling after sustained recovery, and staff training on addiction and lived experience. Speakers described the bills as ways to reduce stigma, increase accountability, and improve reunification outcomes for families. A major portion of the hearing centered on S. 1386, which would transfer Bridgewater State Hospital from the Department of Correction to the Department of Mental Health. Advocates, family members, and disability groups testified that Bridgewater functions like a prison rather than a hospital, with excessive restraint, seclusion, involuntary medication, poor conditions, and racial disparities, and argued DMH should oversee a treatment setting. One DMH occupational therapist and MNA member opposed the transfer, saying the real issue is mixing forensic and continuing-care patients and that DMH should instead create designated forensic units under bills H. 228/S. 1408. Committee members asked about Bridgewater’s population, the history of DOC control, capacity, staffing, and how a transfer might be implemented. The committee also heard testimony on modernizing the six fundamental rights for psychiatric inpatients, including expanding communication options, clarifying visitation and advocacy definitions, and improving access to gender-appropriate and culturally relevant items. Another bill, H. 2216, would require stronger oversight before antipsychotic medication is prescribed in nursing homes, prompted by concerns about inappropriate use. Finally, testimony supported H. 2240 and H. 2239 on sober homes, with supporters saying discharge and relocation policies are needed when a resident returns to active use or becomes unsafe, while preserving the recovery environment and resident rights. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• When communication fails at these moments, the cost surfaces later in emergency rooms, long-term care
• The Commonwealth's investment in our new state-of-the-art 154-bed long-term care facility has rebuilt
• Demand for our services remains strong, with consistent interest in both long-term care and domiciliary
• Holyoke continues to exceed national long-term care benchmarks and direct care staffing.
• The average number of deficiencies in the state at the time in long-term care Level 2 skilled nursing

Committee: Joint Joint Committee on Ways and Means

Summary: The Joint Committee on Ways and Means held an FY27 Health and Human Services budget hearing in Mattapan, hosted at the Boston Public Library branch. Chairs Lydia Edwards and Russell Holmes, along with Rep. Brandy Fluker-Reid, emphasized the significance of holding the first Ways and Means hearing ever in Mattapan and highlighted the importance of bringing state budget deliberations into a majority-Black neighborhood. Several legislators introduced themselves as they joined, and the committee noted that public testimony was not part of the format, though agencies were invited to discuss priorities and challenges. MassAbility opened the agency testimony. Leadership described the agency’s mission to support people with disabilities through employment, training, home and community life services, and disability determination. They said Governor Healey’s FY27 budget funds MassAbility at $93.3 million, a 1% reduction from FY26, and explained that the agency is responding to federal funding uncertainty and shifting program needs by redesigning services internally. Members questioned a proposed $1.3 million reduction to the Home Care Program, staffing changes, and whether services could be maintained with fewer resources. MassAbility said it was reviewing data on who uses the program, that it does not provide nursing or personal care, and that it is working with a transition plan and a working group. The agency also discussed federal uncertainty around vocational rehabilitation funding and said it had received delayed federal awards but remained in contact with national associations and federal partners. The testimony included a personal story from a participant, Joshua Corcoran, to illustrate the impact of services. The Massachusetts Commission for the Deaf and Hard of Hearing testified next, requesting $11.27 million, about a 6% increase over FY26. The commission said it serves about 1.4 million residents and focuses on communication access in health care, courts, public safety, and other public systems. It highlighted interpreter and captioner workforce shortages, a mentorship program to expand the provider pool, and a modernized referral platform funded through capital contingency money. Members asked about interpreter availability, after-hours emergency coverage, ASL access for students and families, and training for police and emergency responders. The commission said staffing remains limited, especially for after-hours services, but that it is expanding training, school outreach, and partnerships with DCF and other agencies. The Massachusetts Commission for the Blind then presented its FY27 budget request of $30.8 million. The commissioner said the agency serves nearly 9,000 legally blind residents, provides training and peer support, and placed 190 consumers in competitive integrated employment this year. It also described services for older adults, vocational rehabilitation, and the Turning 22 program for young adults with additional disabilities. Members raised concerns about a 7% cut from the prior year and asked how the agency could maintain services; the commissioner said the agency had no waiting list, had trimmed overhead, and could manage the budget through internal efficiencies and strong partnerships. The Office for Refugees and Immigrants closed the session, describing expanded legal and support services for immigrants and refugees, including Know Your Rights trainings, the Massachusetts Access to Counsel Initiative, citizenship and financial literacy programs, and the Family Welcome Center in Mattapan. Members asked about federal funding losses and the structure of the new legal services program; ORI said FY26 funding is stable but FY27 federal cuts remain uncertain, and that the legal program uses a centralized intake system with priority for emergencies and first-come, first-served access.

Transcript Highlights:

• It shifts the long-term cost to emergency care, the county indigent health systems, and providers we
• We have to begin to calculate and measure the long-term effects.
• systems and we're happy to answer. essential indigent care systems and we're happy to answer those questions
• And it's short-term—how long can we get that exemption for? So we're waiting to...
• We also urge the legislature to consider long-term sustainable revenue solutions.

Committee: Senate Budget and Fiscal Review

Summary: The Senate Budget and Fiscal Review Subcommittee held an oversight hearing on the impacts of H.R. 1 on California’s safety net, focusing on Medi-Cal and CalFresh. The chair and vice chair framed the discussion around major federal changes to work requirements, eligibility redeterminations, immigrant eligibility, and financing rules, while noting the state’s own structural budget deficit and the need for a second hearing later in March on county and safety-net impacts. The first panel included the Legislative Analyst’s Office, the Department of Finance, the UC Berkeley Labor Center, and the Food Research and Action Center. LAO and Finance described H.R. 1 as driving major enrollment losses and cost shifts. LAO estimated that Medi-Cal work requirements and six-month redeterminations could affect 3.5 million people, with 1 to 2 million potentially disenrolled, while CalFresh changes could subject more than 800,000 people to work requirements and cause over 600,000 to lose food assistance. They also highlighted new ineligibility for certain non-citizens, reduced federal matching for emergency Medi-Cal services, tighter provider tax rules, and higher state and county administrative costs for CalFresh. Finance said the governor’s budget reflects about $1.4 billion in new General Fund costs in 2026-27 and a $2.4 billion reduction in federal funds, with larger out-year impacts and up to 2 million Medi-Cal disenrollments by 2029-30. The UC Berkeley Labor Center projected up to 3 million Californians could lose full-scope Medi-Cal by 2028 when H.R. 1 is combined with state budget changes, though it said the state could limit losses by choosing not to apply some new requirements to state-funded populations and by keeping some immigrants in full-scope state-funded coverage. The Food Research and Action Center argued that CalFresh cuts and time limits would increase hunger, homelessness risk, and health costs, while also hurting local economies and increasing administrative burden. Committee members from both parties questioned the fiscal sustainability of Medi-Cal growth, the 11% CalFresh error rate and possible $2 billion penalty, county indigent care costs, and the effect of work requirements; several Democratic members argued the federal changes and state cuts would disproportionately harm low-income Californians, immigrants, and communities of color, while Republican members emphasized program growth, work incentives, and the need for budget restraint. No votes were taken in the portion provided.

Transcript Highlights:

• The Legislature could explore incentives for long-term care facilities to accept justice-involved patients
• The Legislature could explore incentives for long-term care facilities to accept justice-involved patients
• In other states, there is sort of this additional amount that has incentivized some long-term care facilities
• you did not need custody officers guarding them in these long-term or skilled nursing facilities.
• They lead to safer communities, much lower recidivism rates, and long-term savings for taxpayers.

Summary: The committee heard an overview from the Office of the Inspector General and California Correctional Health Care Services on prison oversight, medical care, reentry, and related budget requests. The OIG requested $275,000 General Fund for two additional intake analysts, citing a sharp rise in complaints from 3,200 in 2022 to 7,860 in 2025 and explaining that the unit reviews and routes complaints, including PREA and staff misconduct allegations, within 30 days. Its medical inspection unit reported on cycle seven prison health inspections, noting generally adequate case-review performance but weak policy-compliance results, especially in medication management and health care environment indicators, and said it was beginning cycle eight with revised inspection methods. Members questioned the OIG about what kinds of complaints were driving the increase, whether the office tracks validity or systemic patterns, and how it distinguishes duplicative complaints from those already handled by CDCR. OIG said the largest categories were prison conditions and staff misconduct, that it does not determine whether complaints are “valid” in a statistical sense, and that it forwards issues to CDCR or other entities as appropriate. Senators also asked about the medical inspection findings, the remaining prisons not yet delegated back from federal receivership, and whether more detail should be provided in future reports. LAO and Department of Finance staff said they had no concerns with the OIG proposal. The committee then reviewed the correctional health care budget, including staffing, pharmacy, contract medical costs, and the state’s progress toward ending the Plata medical receivership. CDCR said it is trying to reduce vacancies through hiring events, social media outreach, new classifications, and more on-site care, while also using CalAIM to improve reentry services; CalAIM officials reported 89% Medi-Cal activation at release, 87% managed care assignment, 88% reentry care plans, and 59% warm handoffs, with about $14.7 million in reimbursements to date. Members pressed staff on the cost of receivership, the pace of delegation, whether more care could be consolidated into fewer facilities, and whether the state should seek more federal reimbursement or alternative staffing models. Finally, the committee discussed the new mental health receivership and a telemental health staffing proposal. The receiver’s office requested $33.9 million from the Mental Health Special Deposit Fund, including $8.2 million for the receiver’s office and $25.3 million to make court-ordered bonus payments permanent; CDCR also sought about $8.9 million for telemental health staffing, growing to $13 million ongoing. LAO recommended approving the action plan and portions of the telehealth request, but urged the Legislature to monitor progress, consider out-of-state recruitment and expanded telehealth, and avoid across-the-board salary increases; Finance cautioned that out-of-state licensure would require major statutory changes and that staffing-ratio changes would need receiver approval. Senators raised concerns about the high cost of receiverships, vacancy-driven fines, the need for more detailed benchmarks, and whether the state should consolidate mental health populations and better target recruitment to fill hard-to-staff positions.

Transcript Highlights:

• More than half of Californians are worried about out-of-pocket expenses, long-term care, and monthly
• But even more concerning than that is the long-term impact of systemic instability for our health care
• But even more concerning than that is the long-term impact of systemic instability for our health care
• and how primary care pays off over the long run.
• The research bears that out when it comes to health care systems.

Summary: The joint informational hearing focused on the cost of uncertainty in California health care, especially the effects of federal policy changes on coverage, access, and affordability. Opening remarks from committee leaders and members emphasized that California’s uninsured rate had fallen to historic lows under the Affordable Care Act and state policies, but that the expiration of enhanced federal subsidies, H.R. 1, and other federal regulatory changes could reverse those gains. Members repeatedly cited rising premiums, skipped care, medical debt, and the strain on low-wage workers, families, clinics, hospitals, and public programs. The first panel reviewed the federal landscape and state response. A federal policy analyst described the ACA’s coverage gains and consumer protections, then outlined current threats: H.R. 1’s Medicaid and marketplace cuts, the end of enhanced premium tax credits, shorter open enrollment, more verification requirements, and changes affecting preventive services and vaccines. Covered California reported that the loss of subsidies is expected to nearly double average monthly premiums, reduce enrollment, and push more consumers into bronze plans with higher deductibles; it also noted that California’s $190 million affordability fund is helping the lowest-income enrollees. HCAI’s Office of Health Care Affordability explained its work on spending targets, market consolidation review, and primary care investment, saying the goal is to slow spending growth rather than impose price caps. Committee members pressed witnesses on the practical effects of bronze plans, administrative burdens, immigration-related disenrollment, provider taxes, uncompensated care, and whether California can sustain current coverage levels without new revenue. Witnesses said bronze plans preserve essential benefits but shift more costs to consumers, and that H.R. 1’s verification and auto-renewal changes will likely reduce enrollment. They also said provider tax reductions could significantly weaken state financing over time, and that higher uninsured rates may increase uncompensated care and pressure premiums elsewhere in the system. The second panel, featuring UC Berkeley Labor Center and California Health Care Foundation experts, highlighted broader affordability problems across job-based coverage and Medi-Cal, citing medical debt, skipped care, and the role of underlying system costs, administrative waste, and lack of competition. They pointed to medical debt relief efforts such as Los Angeles County’s program as a short-term mitigation strategy while the Legislature considers longer-term policy and budget responses.

Transcript Highlights:

• This is a problem for the entire health care system in Los Angeles County. Thank you.
• health care system that supports only some.
• And we are asking for long-term, sustainable revenue solutions.
• Thank you. ...asking for long-term, sustainable revenue solutions. Thank you.
• care delivery system.

Keywords: 987, senate, all

Transcript Highlights:

• We have revised our decision package for the long-term care counsel program to $783,000, $1 million for
• care for 500 Washingtonians, the current proposal is a false danger signal, cutting long-term care services
• Over 6,500 seniors and people with disabilities would lose their long-term care.
• Over 6,500 seniors and people with disabilities will lose their long-term care.
• The governor has proposed changing eligibility rules that would draw people from long-term care.

Summary: The House Appropriations Committee opened with committee guidelines for the 2026 session, including limits on testimony, amendment deadlines, confidentiality expectations, and professionalism rules. Chair Ormsby also reviewed housekeeping for the public hearing, noting the meeting was recorded and live streamed, and that testimony would be limited to one minute because of the large number of sign-ups. The committee then began its work session on Governor Ferguson’s proposed 2026 supplemental operating budget, presented by OFM Director Katie Chapman, who outlined the state’s fiscal pressures: higher caseloads in major programs, a revenue forecast decline of about $390 million, federal policy changes tied to H.R. 1, inflation, and a relatively small ending fund balance. She said the governor’s budget solves about a $2.3 billion shortfall through nearly $800 million in spending reductions, revenue shifts, fund transfers, use of about $1 billion from the Budget Stabilization Account, and some tax preference changes, while also making targeted investments in areas such as child welfare, behavioral health, wildfire response, housing, and IT modernization. Chapman also explained that the proposal does not fully balance over the four-year outlook under the state’s statutory assumptions, but said the governor relied on the budget-balance law’s exception tied to BSA use and low employment growth. A question from Rep. Connors about credit ratings was answered with the view that the impact is difficult to predict and that Washington’s strong pension funding and balanced-budget framework remain positives. The public hearing drew testimony from state officials and many advocates, most of whom opposed specific cuts or fund shifts in the governor’s proposal. Secretary of State Steve Hobbs objected to proposed sweeps from the corporations and charities fund and the library archives account, citing prior cuts, layoffs, cyberattack-related costs, and the need to upgrade aging systems. Commissioner of Public Lands Dave Upthegrove urged restoration of wildfire prevention funding, saying the proposed amount was still $30 million short of the commitment in House Bill 1168 and that underfunding would increase suppression costs and risk to communities. Many education witnesses opposed reductions to Working Connections Child Care, transition to kindergarten, local effort assistance, Running Start, and higher education across-the-board cuts, arguing they would harm access, equity, and workforce development. Higher education leaders from community colleges, the University of Washington, Western Washington University, and Evergreen State College described staffing cuts, program reductions, and pressure on student services, while K-12 groups and OSPI said the budget would deepen existing funding gaps. A large portion of testimony focused on human services, health, housing, and civil legal aid. Child welfare and youth-serving organizations supported some targeted investments but opposed cuts to child care, child welfare network administration, and youth programs; advocates for foster youth, homeless youth, and mentoring programs asked for continued or increased funding. Health care and long-term care providers warned that proposed Medicaid and rate changes would reduce access for seniors, people with disabilities, and safety-net patients, while Planned Parenthood and abortion access advocates urged full restoration of the Abortion Access Project and related reimbursements. Housing and legal aid witnesses backed the governor’s proposed right-to-counsel funding but asked for more support, and homelessness advocates sought contingency funding for federal housing programs. Crime victim and domestic violence service providers repeatedly said the proposed $12 million was far short of the roughly $21.38 million needed to avoid service cuts and closures. Other testimony addressed the Climate Commitment Account shift for the Working Families Tax Credit, with environmental advocates opposing the diversion of CCA dollars and workforce advocates supporting the governor’s economic security and employment programs. No votes or formal committee action were taken during the hearing portion described in the transcript.

Transcript Highlights:

• , but for the long term.
• And to have to try to balance long-term issues with short-term, are we closing an emergency room?
• revenue generation with sound long-term economic policy.
• Providing long-term care in institutions like nursing homes yields poor quality of life, high health
• Providing long-term care in institutions like nursing homes yields poor quality of life, high health

Summary: The Assembly Budget Committee met to consider the 2026 Budget Act, which leaders said was the negotiated compromise with the Senate and was expected to move to the floor that evening. Opening remarks emphasized that the plan balances the budget over two years, reduces the structural deficit, and builds reserves, while also protecting core services in the face of federal cuts. Jason Sisney outlined the legislative budget framework and the likely floor bills, including AB 109, SB 110, SB 122, and SB 125. Department of Finance representative Eric Khali said the administration appreciated the two-year balanced approach and supported the modification in SB 122, while noting the package uses additional revenues and new spending to soften or reject some proposed cuts. Most of the discussion focused on major spending areas. Members and subcommittee chairs highlighted protections and additions for health care and human services, including rejecting the proposed Medi-Cal asset limit change, delaying premium increases, restoring clinic and dental funding, supporting distressed hospitals and county indigent care, and expanding county eligibility staffing to handle H.R. 1-related workload. Education members described record or expanded support for TK-12 schools, child care, special education, community colleges, teacher recruitment, and higher education, including a change to extend Cal Grant eligibility to age 30 for some community college students. Housing and homelessness funding was increased for HAP, multifamily housing, and the low-income housing tax credit, while public safety members pointed to investments in victims’ services, restorative justice, and prison closure savings. Several members also raised concerns or priorities tied to the budget deal. Some praised the package as a moral document that protects vulnerable Californians, immigrant communities, LGBTQ residents, seniors, and people with disabilities. Others noted unresolved issues, including the MCO tax’s impact on districts, the need for more support for local journalism, arts, biotech R&D incentives, transit and GGRF-related concerns, and the need for continued work on Prop. 98 and long-term fiscal resilience. The vice chair cautioned that despite the current progress, the state remains vulnerable to revenue volatility and warned that the budget should build more resilience against a possible downturn. No formal vote was taken in the portion provided, but the committee was preparing the budget package for floor action and final negotiations.

Transcript Highlights:

• At the same time, child care and long-term care costs consume large shares of family budgets, making
• versus long-term.
• care system needs major reform.
• It would include medical, dental, hearing, vision, mental health, reproductive, and long-term care.
• We purchase with long-term contracts.

Committee: Senate Labor, Public Employment and Retirement

Keywords: 987, senate, all

Transcript Highlights:

• > for</c> long-term care assisted livings for long-term care assisted livings for example<00:52:38.319
• /c><00:53:36.359><c> Living</c><00:53:37.200><c> we</c> long-term care or in Assisted Living we long-term
• and the long-term care waivers and home care.
• </c> long-term care facilities so nursing long-term care facilities so nursing homes<01:08:57.719><c>
• ><c> care</c><01:08:59.239><c> waivers</c> homes um and the long-term care waivers homes um and the long-term

Committee: House Health Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• and ensure its long-term viability.
• and ensure its long-term viability.
• and ensure its long-term viability.
• and ensure its long-term viability.
• </c> EMS system and ensure its long-term EMS system and ensure its long-term viability.<00:03:21.040>

Keywords: 919, house, all

Summary: The meeting focused on the financial and workforce crisis facing Minnesota emergency medical services, especially ground ambulance providers in rural areas. Michael Johnson of the Minnesota Ambulance Association said EMS serves more than 600,000 Minnesotans a year and argued that reimbursement rates do not cover the cost of readiness, staffing, and 24/7 response. He and others called for ongoing EMS sustainability funding of about $50 million, higher Medicaid reimbursement, and continued support for EMT/paramedic scholarships, first responder training, and high school EMS programs. Senator Grant Hoschild and Representative Jeff Backer echoed the urgency, describing EMS as a moral imperative and emphasizing that rural communities cannot wait for ambulances when lives are at risk. Backer, who also volunteers as an EMT, described staffing shortages, reliance on volunteers, and a recent cardiac arrest response to illustrate the importance of local EMS coverage. Becca Hitch of PUM Area EMS said rural services are paid only when patients are transported, not for responding or treating on scene, and that one-time aid helped but did not solve underlying deficits. Bradley Peterson of the Coalition of Greater Minnesota Cities said local governments that hold ambulance licenses are being forced to absorb unrecovered costs through property taxes, and that state support is needed to prevent service failures and rising local burdens. In response to questions, speakers said a 2023 statewide study found about $120 million in need, with roughly half tied to operational deficits and half to volunteer support; last year’s aid included about $24 million for rural services and some improvements in volunteer call pay and equipment needs. They also discussed a proposed 10% Medicaid increase, possible special tax district ideas, and the need to target any new funding toward rural services most at risk.

Transcript Highlights:

• They lead to lost income, devastating medical bills, and long-term caregiving costs.
• , but at Boston Indicators we also wanted to look at how the law would impact long-term financial ...
• into one's emergency savings can guard against long-term financial debt.
• Access to health insurance is a vital necessity that can guard against long-term financial ruin.
• , coherent, and long-term efforts, unquote, toward recruiting and retaining faculty and students from

Committee: Joint Joint Committee on Racial Equity, Civil Rights, and Inclusion

Keywords: 995, all

Summary: The Joint Committee on Racial Equity, Civil Rights, and Inclusion held a hearing on the impact of federal policy on the racial wealth gap in Massachusetts, the fourth in a series on federal impacts on racial equity. Chair Bud Williams and Chair Miranda opened by emphasizing that no bills were being heard and that the committee would instead take testimony from invited witnesses; public written testimony was also accepted. The chairs and witnesses repeatedly cited long-standing wealth disparities affecting Black and brown communities, including homeownership, wages, business ownership, and access to capital, and linked those disparities to federal policy changes, housing, education, health care, and workforce development. Administration officials testified first. Secretary of Labor and Workforce Development Lauren Jones described persistent labor market disparities, including higher unemployment for Black and Latino residents, lower median hourly wages, and underemployment among degree holders, and highlighted state efforts such as ESOL-for-work funding, workforce training grants, MassHire career centers, skills-based hiring, and the state equity dashboards. Secretary of Health and Human Services Kiami Mahania argued that poverty drives poor health, not the reverse, and said wealth gaps contribute to chronic disease, maternal health inequities, medical debt, and shorter life expectancy; she pointed to the Advancing Health Equity Massachusetts initiative, a health care affordability working group, and the governor’s push to bar medical debt from credit reporting. Assistant Secretary Juan Vega of EOED focused on entrepreneurship and procurement, citing technical assistance grants, founder support programs, place-based investment, the Business Front Door, and the need to broaden access to contracts, capital, and business growth opportunities. Committee members pressed the panel on the effects of the federal “big beautiful bill” on households, especially single-parent and Black women-led households, and on whether the state could develop more timely data systems instead of relying on federal numbers. Officials said the impacts were still being monitored, but warned that Medicaid and SNAP changes would likely hit lower-income households and community institutions hard. Members also asked about unions and apprenticeships, microbusiness definitions, supplier diversity, pay equity, and degree inflation; the administration said registered apprenticeships and skills-based hiring are key tools, and noted that wage equity reporting is still in its early stages. Later testimony from BECMA’s Nicole O’Bean stressed that tariffs, DEI rollbacks, immigration enforcement, capital gaps, and federal funding cuts are constraining Black-owned businesses and inclusive procurement, while Gastón Institute researchers described severe Latino homeownership and rent burdens, educational inequities, and the need for housing, labor, and education policy changes to close the wealth gap.

Transcript Highlights:

• , a system that is foundational for children's development and long-term success.
• , a system that is foundational for children's development and long-term success.
• I'm a child care provider in Long Beach. I've been a child care provider for 20 years.
• We’re all here together to provide care, and we’re asking for a mixed delivery system.
• Without long-term solutions, we are watching dedicated educators walk away because they simply can’t

Summary: The joint hearing focused on California’s child care, preschool, and transitional kindergarten oversight, with chairs emphasizing the state’s Master Plan for Early Learning and Care and the need to break down silos between programs. CDSS and CDE reported progress toward the plan’s goals, including universal access to TK for all four-year-olds next school year, expanded access for low-income three-year-olds, and more children with disabilities being served in state preschool. They also noted ongoing work on quality rating/review reform, funding structure changes, and the need to address rates, workforce shortages, and federal uncertainty around Head Start. Testimony from advocacy groups and providers largely supported expanding access while simplifying the system. Children Now, Every Child California, and the California Budget and Policy Center argued that California still has uneven access, especially for infants, toddlers, and three-year-olds, and urged investments in mixed delivery, inclusion, full-day options, and a cost-of-care rate methodology. Every Child California recommended consolidating part-day and full-day contracts, streamlining eligibility priorities, making the two-year-old option permanent, and funding staffing incentives. Parent testimony highlighted how child care gaps and county-to-county transfer delays can disrupt work, safety, and children’s stability, and providers described low reimbursement rates, the need for health and retirement benefits, and support for delinking subsidy rates from private pay. The second panel addressed universal transitional kindergarten. The Learning Policy Institute reported rapid TK expansion, with most districts now offering TK, but said access still depends on facilities, staffing, and whether programs are available at all school sites. The Department of Finance said the governor’s budget would fully implement TK by adding funding for all eligible four-year-olds and lowering the adult-to-child ratio from 12:1 to 10:1. The Legislative Analyst’s Office said the administration’s enrollment and cost assumptions were optimistic and estimated lower TK enrollment growth and lower costs for the ratio change. CDE supported the expansion and urged continued funding for UPK coordinators, teacher development, and mixed-delivery planning grants. Members questioned facilities shortages, staffing competition, and how to ensure TK expansion does not displace CSPP or Head Start classrooms. No formal votes or actions were taken in the hearing.

Transcript Highlights:

• “Patients in the community, we had medical parole and basically we were sending patients out to a long-term
• The Legislature could explore incentives for long-term care facilities to accept justice-involved patients
• For long-term care facilities to accept justice-involved patients, which again goes back to medical funding
• you did not need custody officers guarding them in these long-term or skilled nursing facilities.
• They lead to safer communities, much lower recidivism rates, and long-term savings for taxpayers.

Summary: The Senate Budget Subcommittee heard presentations from the Office of the Inspector General (OIG), California Correctional Health Care Services (CCHCS), the California Advancing and Innovating Medi-Cal (CalAIM) program, and the Coleman mental health receivership. The hearing focused on correctional health care, reentry, aging incarcerated populations, and the state’s progress toward compliance in the Plata and Coleman receiverships. Members also discussed the OIG’s intake complaint workload and medical inspection findings, as well as broader questions about staffing, vacancies, and the cost of court oversight. The OIG requested $275,000 General Fund for two permanent positions in its intake processing unit, citing a sharp rise in complaints from 3,200 in 2022 to 7,860 in 2025. OIG officials said complaints are categorized by issue and prison, prioritized by urgency, and generally responded to within 30 days, but they do not track complaint “validity” rates. The medical inspection unit reported that in cycle seven, case review performance was generally adequate while policy compliance was often inadequate; the lowest-scoring areas included emergency services, medication management, and health care environment. Members asked for more detailed reporting on complaint types, priority levels, and systemic issues. CCHCS described rising health care costs driven by an aging prison population, staffing vacancies, and contract medical expenses. Officials said more than 80% of the budget is personal services, and they are using hiring events, social media outreach, and expanded classifications to reduce vacancies. CalAIM officials reported early implementation success in pre-release and reentry services, including 89% Medi-Cal activation at release, 87% assigned managed care plans, 88% reentry care plans, and 59% warm handoffs, with about 169,000 claims submitted and $14.7 million reimbursed. The LAO noted that the Plata medical receivership has increased per-person costs and that the state should continue oversight while seeking ways to reduce vacancies and expand federal reimbursement opportunities. For the Coleman mental health receivership, the receiver’s office requested $33.9 million from the Mental Health Special Deposit Fund, including $8.2 million for receiver office staffing and $25.3 million to make court-ordered bonus payments permanent. The LAO supported continued oversight but recommended additional steps to address vacancies, including greater out-of-state recruitment, expanded telemental health, and possible consolidation of mental health services. The LAO also recommended reducing the telemental health staffing request and monitoring its effects. Members questioned the long-term cost of receiverships, the pace of compliance, and whether more detailed benchmarks and staffing data should be provided. No formal votes were taken during the portion of the hearing provided.

Transcript Highlights:

• ongoing care, not short-term fixes that end the moment someone appears stable.
• care, consent to treatment, maintain coverage, and navigate very complex systems.
• , whether it be the county behavioral health system or the managed care system, are hot-warm handoffs
• No more propping up the managed care plan systems for their, you know... ...stuff.
• And yet mobile crisis is foundational to our behavioral health care system.

Summary: The hearing focused first on behavioral health, especially serious mental illness and anosognosia, a condition described by witnesses as a neurological symptom that prevents people from recognizing they are ill. The chair framed the issue around families cycling through emergency rooms, jails, conservatorships, and short-term stabilization without lasting treatment, and warned that federal changes under H.R. 1 could reduce Medi-Cal funding and worsen access. Dawn Marie Anderson gave a personal account of her son’s long history of psychosis, homelessness, arrests, repeated jail and state hospital stays, and eventual stability when he received sustained medication and coordinated support. She argued that the system often treats the problem as criminal rather than medical and that voluntary programs and short-term services are not enough for people who lack insight into their illness. Other panelists, including representatives from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association, agreed that anosognosia is not denial or noncompliance and said the system needs long-term, coordinated care, including assertive community treatment, mobile crisis, supportive housing, medication support, and stronger handoffs between county and managed care systems. They said CalAIM and other reforms have improved some coordination, but significant gaps remain, especially for people with serious mental illness, for those in jail or locked settings, and for people with private insurance, which witnesses said often offers little meaningful coverage for early psychosis or intensive behavioral health services. Several witnesses urged the Legislature to protect Medi-Cal, shore up county safety-net services, and invest in training and family engagement. The committee then turned to the Children and Youth Behavioral Health Initiative, with a focus on the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, saying the platforms provide free, culturally responsive, early-intervention support statewide and help connect users to higher levels of care when needed. On the fee schedule, DHCS said more than 500 LEAs, colleges, universities, and school-linked providers are participating, 181 LEAs have submitted claims, and $9.6 million has been reimbursed to date, with 41,556 students represented in claims. The chair and several members criticized the pace of implementation and the amount of money spent relative to reimbursement levels, saying the Legislature had requested data earlier and that the return on investment still appeared low. DHCS responded that many claims are still being submitted, that 70% of denials are correctable, that $400 million in capacity grants has been distributed locally, and that reimbursement is increasing rapidly as more districts come online. Public comment included a rural county behavioral health director who said private insurance denials leave counties with significant uncompensated work, especially for unlicensed staff providing case management and mobile crisis services.

Transcript Highlights:

• These solutions, along with other investments in prior budget acts, included short-term and long-term
• These solutions, along with other investments and prior budgets acts, included short-term and long-term
• They've had long-term mental illness, they've had long-term often institutionalization and time in incarceration
• But they generally have poor mental, poor health care outcomes due to the long-term mental illnesses.
• Our systems aren't designed for that type of care.

Keywords: 987, senate, all