Transcript Highlights:

• Progress that requires a tribe to fight this hard for this long is not a functioning system.
• Institutions cannot fulfill their responsibilities without real long-term investment from the government
• This is a basic duty of care.
• I know it's a long day, a long couple days. I appreciate the UC Office of the President.
• I know it's a long day, a long couple days.

Keywords: 988, house, all

Transcript Highlights:

• in alignment with a system of care as defined in the Washington Thriving strategic plan.
• In our case, we had a long-term contract, over a 30-year contract, set in the '90s, and a lot of us on
• Increasing tobacco taxes improves health outcomes, reduces long-term health care spending, and creates
• preventable cardiovascular events, and those events create downstream costs for EMS, hospitals, and long-term
• Those events create downstream costs for EMS, hospitals, and long-term disability care and state taxpayers

Summary: The committee heard briefings, sponsor presentations, and public testimony on several finance bills. HB 2038 would impose an additional B&O tax on businesses operating social media platforms beginning in 2027 and create a youth behavioral health account funded by the tax. The sponsor argued the bill would help address youth mental health harms linked to social media and support implementation of the Washington Thriving plan. Supporters in testimony, including youth advocates and some public health voices, said social media contributes to youth anxiety and addiction and that the revenue should be used for behavioral health services. Opponents, including technology and business groups, argued the tax unfairly singles out one sector, could be passed on to consumers, and may violate federal internet tax law. The hearing on HB 2038 was suspended and later reopened for public testimony; no vote was taken. HB 2297 would create tax incentives for grocery stores in underserved communities, including local B&O preferences, a sales tax exemption for security services, a 30-year property tax exemption program, a B&O tax credit, and a B&O exemption for certain locally owned or employee-owned stores. The sponsor and supporters said the bill is intended to preserve and attract grocery stores in food deserts, especially after recent store closures, and to help communities with limited transportation and access to healthy food. County representatives supported the goal but raised concern about the bill’s sales tax exemption and its effect on local revenues. Public testimony was largely supportive, with advocates, local officials, grocers, and residents describing grocery stores as essential community infrastructure. No action was taken. HB 2382 would raise cigarette taxes by $2 per pack, restructure vapor and other tobacco product taxes, and dedicate portions of the revenue to a time-sensitive emergency system, tobacco enforcement, and the foundational public health services account. The sponsor said the bill would generate needed revenue, support cancer research funding, and strengthen public health and enforcement. Supporters said higher tobacco taxes reduce use and help cover long-term health costs, while some public health witnesses supported the revenue but suggested directing more funds to existing tobacco prevention accounts. Opponents from retail and industry groups argued the proposal is regressive, could increase illicit sales and cross-border purchasing, and would hurt small businesses and low-income consumers. The committee also heard HB 2487, a Department of Revenue request bill that would narrow the B&O exemption for insurers to clarify that it applies only to premium income subject to insurance premium tax, and apply the change retroactively to 2019. The sponsor and supporters said the bill closes a loophole created by a recent Supreme Court ruling and preserves tax equity, while insurers and business groups objected to the retroactive application, warning of higher premiums and unfair taxation. Finally, HB 2018 would increase the solid waste tax by 0.5% per year for five years and direct the new revenue to a local government solid waste assistance account for county and city waste management plans. County officials supported the bill as a way to stabilize funding for solid waste systems, and testimony emphasized rising disposal and infrastructure costs. No votes were taken on any of the bills during the hearing.

Transcript Highlights:

• We have to respond to H.R. 1 and all that is happening to our health care system.
• system that functions.
• </c> a health care system that functions. a health care system that functions.
• Thank you. really long, 26,000 words. I read it. really long, 26,000 words. I read it.
• </c> president should only serve two terms. president should only serve two terms.

Keywords: 918, senate, all

Summary: Senate leaders said they were in the final weeks of session, moving long days of floor and finance work focused on priorities they described as affecting Minnesotans’ cost of living, safety, and security. They said next week would bring major packages to the floor, including public safety, health and human services, Metro Surge, and a gun violence package, while negotiations continued with House leaders and the administration. They also highlighted a human services bill from Sen. John Hoffman as the final item completed that day. A major topic was the Senate’s response to H.R. 1, which leaders said would require about $1 billion in state budget adjustments to avoid federal penalties and Medicaid losses. They said the proposal would address federal compliance issues, support hospitals such as HCMC and other distressed providers through uncompensated care funding, and include food support for SNAP-related needs, food shelves, food grants, and prepared food. They also emphasized system modernization, especially IT upgrades, as both an implementation and anti-fraud measure. Leaders said several items appeared to have bipartisan support, including HCMC relief, the Office of the Inspector General, bonding, and IT modernization. They said they were arranging a meeting with House and Senate leaders and the governor to work through bonding differences, but noted that IT modernization and HCMC were unlikely to be financed through general obligation bonds this year. They also said the Senate would take up a bill on prediction markets after Sen. Klein’s recent platform suspension, describing the issue as a violation of platform rules and saying the chamber may need updated rules or statutes. In response to a question about an elections bill provision, they said the measure reaffirmed that a president should serve only two terms and that the language had moved through the normal committee process.

Transcript Highlights:

• It's been a long couple of days with very long meetings, and they're not done.
• It's been a long couple of days with very long meetings, and they're not done yet, so we're going to
• and one toddler in care in Arkansas.
• the co-pay system was implemented.
• They went live in terms of, let me make sure I'm saying that right, when I say in terms live, like they

Committee: All EDUCATION- HOUSE EARLY CHILDHOOD SUBCOMMITTEE

Summary: The committee first approved the minutes and then heard a presentation from Maddie San Juan of the Women’s Foundation of Arkansas on the report “Holding It All Together: Working Moms and Child Care in Arkansas.” She said the research found Arkansas moms are working and want to work, but child care costs, inflexible schedules, inadequate paid leave, and the mental load of caregiving are major barriers. She cited survey and focus group findings showing flexible hours were the most requested workplace support, 69% of moms identified child care costs as a barrier, and many families spend a large share of income on care. Members asked about labor force trends, what flexibility means in practice, and the cost and age structure of child care assistance programs. The presenter also noted child care affects economic development and workforce recruitment, and mentioned a Department of Commerce option that may help pay child care for people seeking training. Department of Education and Office of Early Childhood staff then gave updates on internal dashboards for enrollment, applications, and provider participation in School Readiness Assistance (SRA), saying the tools are now live for internal use and should improve transparency and data access. They said CLASS transition funding from the PDG grant would be released soon to providers who completed observations, and clarified that OEP awards based on CLASS scores are separate from OEC’s work. They also warned providers about a payment interruption during the transition to a new system: June 26 would be the last day to submit SRA payments for processing, payments would stop June 30, and billing would continue without processing from July 1 to 13, with back payments expected when the system resumes around July 14. Members raised concerns about provider cash flow, early childhood special education funding, an overpayment appeal involving a child care center, and whether CLASS data would be public; staff said the data is FOIA-able but not used by the department to set current quality or rates. The department also said it is reviewing audit requirements tied to Head Start and SRA, that Early Head Start children remained in their facilities after a closure, and that a market rate survey/cost analysis is still in procurement. Staff reported that the QRIS process will begin with a June 23 webinar and that CLASS will be part of a broader quality system still being developed with provider and parent input. They also said the local lead network was re-competed and will cover all counties starting July 1 with 23 local leads, and that the PDG partner group has been formed to provide ongoing stakeholder feedback. The meeting ended with no further business and adjournment.

Transcript Highlights:

• The freeze creates a two-tiered health care system by forcing undocumented individuals who do not have
• It restores a system where care happens earlier, costs less, and keeps our hospitals and communities
• It's about making our health care system work the way it's supposed to.
• in the hospital, outside of the hospital, our IHSS workers, every component of our health care system
• When these conditions place enormous strain on our health care system, they drive up cost for families

Committee: Senate Health

Summary: The committee heard SB 1422, which would restore Medi-Cal access for income-eligible undocumented adults beginning January 1, 2027. Senator Durazo and county, labor, health, immigrant-rights, and provider supporters argued the current enrollment freeze shifts costs to counties and hospitals, worsens preventive care, and increases expensive emergency treatment. No opposition testified. Several senators voiced support but also raised concerns about funding and the need for new revenue sources; the chair said she supported the concept and would continue working on financing, but the bill was not voted on because quorum was lost. The committee also heard SB 1023 on PrEP access, SB 1071 on amending death certificates after a homicide finding, SB 1057 on conviction-history review for CNA and home health aide certification, and SB 1088 on advance care planning and POLST/DNR updates. SB 1023’s author and supporters said requiring pharmacy-benefit coverage for injectable PrEP would reduce administrative barriers and improve access, while health plans opposed it as an improper benefit-design mandate; members sought clarification about how the billing pathway would work. SB 1071 drew strong support from victims’ families, law enforcement, and prosecutors who said death certificates should reflect later legal homicide findings, while coroners opposed it as blurring medical and legal determinations and risking data integrity. SB 1057 was presented as a fair-chance workforce measure to expand caregiving jobs for rehabilitated people with records, with no opposition heard. SB 1088 would modernize POLST/DNR rules, including electronic signatures, out-of-state recognition, and clearer signer authority; supporters backed the changes, while clinical nurse specialists opposed the bill for not including them as authorized signers. After quorum was established, the committee took up SB 869, which would require large chain restaurants to display an added-sugar icon next to beverages exceeding half the daily recommended sugar limit. Senator Weber Pierson and supporters from the American Diabetes Association and American Heart Association framed the bill as a transparency measure to help consumers make informed choices and reduce chronic disease risk. The senator responded to opposition concerns by saying existing nutrition information is often hard to find and that the icon would not unduly crowd menus. The hearing continued with testimony on the bill after quorum was reached, but no final vote is reflected in the transcript excerpt.

Transcript Highlights:

• The government-wide statements provide a statewide, long-term view of North Dakota's finances.
• Compensated absences are reported within long-term liabilities on the government-wide statement of net
• How did you come up with a long-term view of North Dakota's budget?
• Capital assets and long-term highlights begin on page 13 and continue on page 14.
• Page 15 summarizes the system's long-term liabilities.

Summary: The committee met to receive a series of audit presentations, beginning with the statewide Annual Comprehensive Financial Report (ACFR) for fiscal year 2025. The State Auditor’s Office and OMB reported a clean, unmodified opinion for the state, with strong financial results including a $40.6 billion net position, $30.99 billion in assets, $1.81 billion in liabilities, and continued Legacy Fund growth. OMB also explained the new GASB 101 compensated-absences reporting change and discussed pension-liability fluctuations tied to discount-rate assumptions and investment performance. Members asked about how the state compares to others and about the effect of short-term commodity price swings, and OMB said the report reflects actual fiscal-year results rather than forecasts. The committee then heard the University System audit, which also received a clean opinion but included four findings: misreporting of Strategic Investment and Improvements Fund revenue, insufficient monitoring of service organizations at CTS, NDSU, and UND, improper bank reconciliations at Dakota College of Bottineau, Dickinson State, and Williston State, and investment/cash reconciliation problems at Bismarck State College related to bond proceeds. University officials agreed with the findings and said corrective actions were underway, including internal review of bank reconciliations. Members raised questions about NDSU’s use of certificates of deposit, and university staff explained that CDs are used to earn interest on funds being accumulated for future projects. Several other audits were presented, most with clean opinions and no findings, including the State Auditor’s Office, Workforce Safety and Insurance, Housing Finance Agency, Housing Incentive Fund, Job Service North Dakota, the Retirement and Investment Office, PERS, the Center for Distance Education, the Commission on Legal Counsel for Indigents, the Ethics Commission, and the Office of Administrative Hearings. Notable exceptions included a State Fair Association audit with an adverse opinion on the foundation component unit because its financial statements were not available for audit, and a Securities Department performance audit finding that performance-based pay increases and bonuses were issued without required evaluations. The committee also discussed the State Auditor’s future needs, including more staff capacity, data analytics, cybersecurity reviews, possible subpoena authority, independent legal counsel, and whether some audits—such as the Ethics Commission and State Fair—should be handled by independent third parties or under different statutory arrangements.

Transcript Highlights:

• , that that will continue to decline long term.
• We're going to be conservative long term.
• What's the long-term cost? What's your schedule?
• program is sustainable long-term.
• help affordability for the long term.

Summary: The Water Topics Overview Committee met to receive interim status updates on several water-related studies and Department of Water Resources projects. The committee approved the March 26, 2026 minutes, observed a moment of silence for the late Representative Conmy, and then heard updates on the watershed management study and the stormwater/wastewater study. Staff reported that the committee had already received the testimony contemplated in the study plans, including input from state agencies, local governments, and out-of-state entities, and that any further action would be at the committee’s discretion. The Department of Water Resources then provided project and budget updates on NAWS and the Southwest Pipeline Project. Reese reported NAWS is expected to serve about 81,000 users, with a total projected cost of about $571 million and about $96 million remaining, while the Southwest Pipeline Project is estimated at $1.06 billion total with about $409 million remaining. Members asked about funding sources, capacity needs, and whether current and future construction is being designed for increased demand; department staff said current work is designed for ultimate capacity, but some future components may need redesign based on new requests. The committee also discussed local cost shares, Minot’s role in NAWS funding, and whether the system is adequate for peak demand. A major portion of the meeting focused on the department’s cash management, carryover, and long-term water funding outlook. The department said Resources Trust Fund revenues are tied to oil extraction taxes and are affected by stripper well exemptions and future oil price declines. Members expressed concern about large carryover balances and whether the state is obligating more money than can realistically be spent in a biennium. The department reported about $340.6 million in remaining carryover and said it is trying to reduce that through a two-tier pre-construction/construction process and closer project vetting. The department also summarized the Deloitte studies on regional governance and finance and on cost-share policy. Stakeholders generally favored keeping the current governance structures for NAWS and Southwest with improvements, while Red River stakeholders leaned toward a different option; the department said it will bring an implementation plan back in September. On cost share, Deloitte’s recommendations would reduce some percentages, prioritize projects differently, and use other measures to close a projected long-term funding gap. Members debated affordability, local burden, deferred maintenance, and whether statutory changes may be needed to allow the commission more flexibility in prioritizing and funding projects. No formal votes or final actions were taken beyond approving the minutes and receiving the updates.

Transcript Highlights:

• It's the foundation of a safe maternity care system.
• Additionally, looking at the long-term care space, there's been a lot of research in this area.
• What would we be sacrificing, if anything, in terms of resources for patient care?
• long-term perspective, while tailoring care plans based on severity of symptoms ...” “... and the long-term
• This, alongside market and tax-based challenges, threatens its short- and long-term viability.

Summary: The Assembly Health Committee heard a long agenda of health bills focused on access to preventive care, behavioral health, hospital services, and patient safety. Early items included AB 554, which would expand and protect access to HIV prevention drugs like PrEP, including injectable forms and coverage protections; supporters said it would shore up access amid federal threats, while insurers opposed it as a costly benefit mandate. AB 577 would limit insurer and PBM practices that steer medications away from physician offices and require more transparency and patient consent; doctors and patient advocates supported it, while health plans and insurers warned it could raise drug costs and disrupt specialty pharmacy networks. AB 546 would require coverage for portable HEPA purifiers for vulnerable enrollees during declared emergencies, especially wildfire smoke events, with support from air quality and public health groups and opposition from insurers concerned about benefit expansion and cost. The committee also heard AB 224, which would codify California’s updated essential health benefits benchmark plan after a public review process, adding infertility treatment, hearing aids, and durable medical equipment if approved by CMS for the 2027 plan year. DMHC said the state had completed the review and needed legislation to meet federal timing, and the measure drew broad support. AB 1032 would require plans and insurers to reimburse up to 12 additional behavioral health visits for enrollees in wildfire-affected counties for a limited period after an emergency; supporters argued it would fill gaps in trauma care after disasters, while insurers said existing parity and continuity-of-care rules already address the issue and that the bill could create inequities. AB 849 would require trained chaperones for sensitive ultrasound exams and training on how to observe and intervene; it was backed by a survivor and patient advocates, with hospitals and health districts raising staffing concerns. Later, AB 1196 would direct the Department of Public Health to update outdated rules requiring three surgeons for certain heart surgeries using cardiopulmonary bypass; supporters said the rule no longer reflects modern practice and strains staffing, while cardiology representatives had no formal opposition but wanted to review amendments. AB 1113 would codify a right to wear a mask for health reasons in public spaces, with support from disability and public health groups. AB 1386 sought to add perinatal care to the list of basic hospital services, prompting testimony about maternity ward closures, workforce shortages, and rural access; the author said the bill would be amended further and that the committee would need to revisit timelines and implementation details. The committee also heard AB 1429, which would address Kaiser’s repeated mental health parity violations and improve access to behavioral health care, though the transcript cuts off before any action on that bill is shown. Several bills were moved with motions and seconds, but many were held for quorum; AB 1196, AB 1113, and AB 1386 were among the measures advanced to a roll call or held on call, and the committee repeatedly noted that final votes would occur when quorum was available.

Transcript Highlights:

• As we've heard as a priority to this committee, on a long-term basis of building the program as a long-term
• First Start is. a long term college preparation program for high school students in foster care.
• This loss of research funding will have long-term adverse consequences like preventing us from hiring
• And hopefully increased social mobility in the long term. That's the plan. Thank you.
• I'd like to note that this presents a short-term solution to a potential long-term problem and this IMLS

Keywords: 988, house, all

Transcript Highlights:

• This type of long-term access is particularly concerning.
• THIS TYPE OF LONG-TERM ACCESS IS PARTICULARLY CONCERNING.
• The health care system we have today doesn't work for anyone except if you're an insurance company.
• I hear from Vermonters all the time that our health care system is on the brink, and every choice the
• And while the health care system isn't perfect, the point of the Affordable Care Act was to ensure more

Keywords: U.S. House of Representatives Floor Proceedings on Monday, November 17, 2025, 1012, house, all

Transcript Highlights:

• House Bill 41 by Representative DeWitt: Firefighters' Retirement System; board of trustees term limits
• First, it pays down the massive, long-standing debt in our teachers' retirement system, a debt that has
• For Louisiana families and businesses, that means fixing an insurance system that for far too long had
• House Bill 557 by Representative DeWitt, long-term care; definition of long-term care pharmacy.
• House bill by representative DeWitt, long-term care, definition, defined long-term care, pharmacy, 557

Summary: The House convened with a quorum, received and accepted multiple resignation notices from members representing Districts 37, 39, 60, 69, 97, and 100, and then recognized the election and qualification of the members-elect who filled those vacancies: Doyle Boudreau, Reese Broussard, Chasity Verrett-Martinez, and Edwin Murray. Each member-elect was sworn in, and the House also appointed committees to notify the Senate and the governor that it was ready to conduct business for the 2026 regular session. The chamber then handled a large number of procedural actions related to prefiled legislation. By motion and without objection, the House suspended rules to refer prefile bills to committee and introduced a broad slate of House bills and resolutions. Topics included the state budget and appropriations, retirement system changes, carbon capture and sequestration, criminal justice and bail, public safety, education, health care, local government matters, transportation, and several memorial or commemorative resolutions. Several resolutions and bills were noted as lying over, and some prefiled bills were withdrawn from the files. The House also received a Senate message that SCR 1 had been adopted, and the resolution was taken up without objection. The chamber then recessed for a joint session with the Senate to hear the governor’s address and a presentation honoring Technical Sergeant Adam W. Brister with the Distinguished Flying Cross. In his remarks, Governor Jeff Landry highlighted his administration’s priorities, including education, tax reform, workforce development, health and nutrition, insurance reform, transportation infrastructure, fiscal discipline, and criminal justice reform, while urging support for his agenda and several related bills and constitutional amendments.

Transcript Highlights:

• In terms of processing the complaints, we are doing continuous process reengineering, but our system
• So this proposal solves the near-term issue while long-term solutions can be considered or discussed.
• This is trust being built in communities that have long been left out of the systems of care.
• I want you to know that our association supports the long-term goal of creating a true one-stop shop.
• comprehensive housing solution, investing in CalHome also serves as a preventative measure, securing long-term

Summary: The subcommittee opened with remarks on the Senate’s budget plan for affordable housing and homelessness, including a proposed $2 billion housing investment and full funding for HHAP rounds 7 and 8. The first major item was the administration’s housing reorganization and trailer bill package, which would codify the new Housing Development and Finance Committee (HDFC), consolidate multifamily housing finance programs into a one-stop application and award process, and shift some authority over bonds, tax credits, and the Affordable Housing and Sustainable Communities program. Administration officials said the goal was to reduce duplication, speed projects from award to construction, and improve accountability by aligning financing decisions. The LAO generally supported the streamlining concept but recommended changes to the proposed bond set-aside and earlier reallocation of unused bond authority, and suggested preserving flexibility for integrated applications and reporting back on the proposed 70/30 split for housing versus sustainable communities funding. Committee members, especially Senator Cabaldon, raised concerns that the new committee structure could add process and delay, and questioned whether the proposal was effectively repurposing the climate-oriented ASIC program into a housing finance tool without enough direct investment in core housing programs. Administration witnesses responded that the structure was meant to create transparency, public accountability, and simultaneous financing awards, and said the proposal was only a first step in a broader consolidation effort. Members also asked about specific programs such as the Joe Serna Farm Worker Housing Grant Program and the Sustainable Agricultural Lands Conservation Program, and staff said those would remain within the broader streamlined framework or the flexible sustainable communities allocation. The committee then heard from CDLAC and TCAC on federal tax credit changes and state housing finance. Staff explained that H.R. 1 increased the federal 9% LIHTC allocation and, more importantly, lowered the bond-financing threshold for 4% credits from 50% to 25%, allowing California to finance many more projects. They reported emergency regulations were adopted quickly to implement the change, resulting in 195 projects and more than 25,000 units in the 4% program, while the 9% program funded 58 projects and nearly 3,000 units. Members asked about the value of the state low-income housing tax credit program and rehabilitation projects; staff said state credits remain important for filling financing gaps and that a portion of bond and credit resources is now set aside for acquisition and rehabilitation. Finally, the Civil Rights Department reported on the effects of federal civil rights rollbacks and on three limited-term or expiring programs: California vs. Hate, the Community Conflict Resolution Unit, and Investigations and Conciliation Enhancement. Director Kevin Kish said federal closures and funding cuts have increased demand on the department, which now has more than 12,000 open matters, up from 8,700 a year earlier, and a six-month wait for intake interviews despite overtime triage and early case screening. Members urged continued funding for the programs, arguing they are essential as federal protections weaken; department staff said California vs. Hate connects callers quickly to support services, the conflict resolution unit fills a gap left by the shuttered federal counterpart, and the limited-term investigators have helped reduce wait times even as filings continue to rise.

Transcript Highlights:

• support long-term health.
• And being proactive with dental care significantly reduces the risk of long-term harm.
• They can also increase the likelihood of long-term debilitating side effects.
• Dental care is health care. Thank you very much. How long of that? No, intimidating.
• It gave me not only relief, but hope, instantly and long-term.

Committee: Joint Joint Committee on Financial Services

Keywords: 995, all

Summary: The hearing opened with the Senate and House chairs of the Joint Committee on Financial Services explaining that the day’s agenda would focus on health insurance and other insurance matters, with a large number of witnesses and a request for brief testimony. Legislators were taken out of order to accommodate their schedules, and the committee heard testimony on several bills, including coverage for hair prostheses for alopecia (H. 1223/S. 832), medically necessary oral and dental care for head and neck cancer survivors (H. 1258), modernizing fertility and family-building coverage (H. 715/H. 1190 and related bills), coverage for prosthetic devices to support physical activity for people with limb loss (the “So Everybody Can Move” bill), remediation coverage for home heating oil releases (S. 813/H. 1302), and expanded access to physical therapy for Ehlers-Danlos syndrome (H. 1170). A separate bill on sickle cell care and registry development (S. 788) was also discussed by Senator Liz Miranda. Witnesses largely offered personal stories and expert testimony in support of the bills. Advocates for alopecia coverage described the medical and emotional impact of hair loss, the high cost of quality wigs, and the argument that scalp and facial hair prostheses should be treated like other medically necessary prosthetics. Cancer survivors and supporters of H. 1258 said oral and dental care after head and neck cancer treatment is a quality-of-life issue and often not covered despite major out-of-pocket costs. Fertility specialists, LGBTQ+ advocates, and legislators supporting the modern family-building bills said the current infertility definition is outdated and discriminatory, excluding same-sex couples, people needing donors or gestational carriers, and others with medical barriers to conception. For the limb-loss bill, parents and adults with prosthetic needs stressed that activity-specific prostheses are essential for children and adults to run, swim, play sports, and stay healthy, but are often excluded from coverage. The home heating oil testimony focused on the financial devastation caused by residential oil spills and the need to make spill coverage automatic in homeowners policies. Environmental professionals and homeowners described cleanup costs ranging from tens of thousands to hundreds of thousands of dollars, the strict liability homeowners face, and the fact that many policyholders do not know the rider exists. The insurance industry testified in opposition to the mandatory-coverage approach, arguing for clearer distinctions between first- and third-party coverage, risk-mitigation standards, a delayed effective date, and more emphasis on education and notification rather than mandates. Committee members pressed the industry witness on why agents do not routinely tell customers about the rider and suggested that the issue may require broader disclosure by insurers, agents, and fuel dealers. No votes were taken during the hearing; the committee heard testimony and discussed possible compromise language and future action.

Transcript Highlights:

• It is a question of how to restart it responsibly and without increasing long-term risk to the state
• It's certainly part of the system in terms of how credit hours are weighted, but there's not this explicit
• So what we are proposing is a program that would prioritize long-term student success over just students
• Hinkley, in answer to that question, in terms of cost effectiveness, most of these systems either work
• It's long term on what the environment is for their practice.

Summary: The committee met with a quorum and heard a series of budget presentations from the Legislative Services Office and agency leaders on higher education and health education programs. Kevin Campbell first reviewed the Office of the State Board of Education budget, noting staffing growth tied to added responsibilities, the end of federal COVID/ARPA funding, a governor-recommended supplemental reversion for the sunsetted Empowering Parents grant, and FY 2027 requests including a Canvas LMS renewal, a risk-manager transfer back to institutions, and a one-time federal AI grant. Jennifer White, OSBE executive director, defended the Canvas contract as a cost-saving centralized arrangement, discussed budget pressure on colleges and universities, and said the board is developing an outcomes-based funding model that would shift emphasis from enrollment to progression, completion, and workforce outcomes while phasing in changes to avoid destabilizing institutions. Members asked about cuts, tuition, private donations, rainy-day funds, the longitudinal data system, CETL Now usage, and whether programs should be evaluated or eliminated based on outcomes. White said the board is still gathering data and expects at least another year before a workable funding proposal is ready, and she emphasized that unearned funds under the new model would be returned to OSBE for targeted intervention rather than simply removed. The committee also discussed risk-management centralization, with White explaining that moving risk managers back to institutions would improve day-to-day efficiency while OSBE retains enterprise risk oversight. The committee then turned to health education programs, beginning with Family Medicine Residencies. Campbell outlined the program’s funding and recent growth, and residency leaders said the 3% holdback affected both ISU-based and hospital-affiliated programs but would not force immediate reductions. They stressed the importance of continued legislative support, noted that residency training helps retain physicians in Idaho, and said the programs rely on a mix of state, federal, and patient-care revenue. Members also raised concerns about clinical placement capacity, rural access, and whether federal rural health funds could help support expansion. Additional presentations covered the Eastern Idaho Medical Residencies and the University of Utah medical program. EIMR leaders said Idaho remains far short of needed psychiatrists, especially child psychiatrists, and that training residents in-state helps keep physicians in Idaho; they also described private hospital support as part of the funding model. For the University of Utah program, Campbell said the state supports both medical students and psychiatry residents, and the program requested funding for three additional child psychiatry residents. Dr. Beth Botz, the training director, attributed rising child psychiatry need to increased stress, social media, COVID-era effects, and broader awareness of mental health issues, and said placing residents in southeast Idaho has already improved access and reduced wait times.

Transcript Highlights:

• learners, where a school is setting a long-term goal for how many ELs they want to... is setting a long-term
• And your perfect framework, I think, is your current approach to long-term financial planning to long-term
• Chair, schools would do some long-term planning.
• Chair, schools would do some long-term planning.
• That, by definition, is not long-term strategic planning.

Summary: The committee first heard a presentation on strategic resource management in public education. LESC staff and PED officials argued that New Mexico has increased school funding, but local budgeting and planning remain fragmented and overly compliance-driven. They described long-term pressures including declining enrollment, rising special education costs, falling cash balances, changes in federal funding, and leadership turnover, and said schools need more intentional multi-year planning tied to student outcomes. They also outlined the many disconnected planning requirements schools must complete, compared New Mexico’s current approach with Ohio’s three-year budget forecasting model, and recommended continuing multi-year appropriations, adding $2.5 million for state grants in the unified application, and directing LESC, LFC, and PED to develop a long-term financial planning proposal. PED said it is working to reduce administrative burden through school accreditation, a unified application for federal and state funds, and internal alignment of guidance and coaching, with pilot schools reporting time savings and better alignment. Members raised concerns about four-day school weeks, the burden on small districts, the need for outcomes and return on investment, and whether the state should move toward a two-year or three-year planning cycle; staff clarified that the proposal was to streamline or eliminate redundant requirements, not add another layer. The committee then received an update on the Educator Fellows program. PED described it as a Grow Your Own pipeline that employs candidates as supplemental educational assistants while they work toward licensure, providing salary, benefits, paid leave, mentoring, and coursework support. Officials said the program helps address teacher shortages, improves student-to-teacher ratios, increases workforce diversity, and supports the Martinez-Yazzie action plan. They reported 370 current fellows across 86 LEAs and about 180 schools, with many fellows being people of color, first-generation college students, or second-career educators; roughly 85 are expected to become certified this year. A local HR director from Belen testified that the program has been especially valuable in small communities, where fellows are already rooted in the community and several have moved into teaching roles. Members asked about high school recruitment, tuition, retirement and benefits, the relationship to the Higher Education Department’s Grow Your Own scholarship, and the role of university partners. PED said fellows choose among accredited higher education partners, the program is separate from the scholarship but complementary, and the state is also building an apprenticeship model and seeking to expand the program to more LEAs, though some districts are on a waiting list because of funding and local match requirements.

Transcript Highlights:

• The child care providers, and I believe that's with our modernization of our IT systems.
• Child care providers, and I believe that's with our modernization of our IT systems.
• Under the Medicaid services to individuals and Medicaid long-term care budget entities to address projective
• Within general revenue and trust funds, under the Medicaid services to individuals and Medicaid long-term
• Trust Fund within the Medicaid services to individuals and the long-term care budget entities.

Summary: The Legislative Budget Commission met to consider 21 budget amendments, beginning with the Department of Education’s request for $14.751 million in federal grant authority for the Preschool Development Grant. Members asked whether any funds would support VPK or provider payments; the department said the money is for birth-to-kindergarten early learning work, including IT modernization, workforce credentialing, training, and streamlining director certification. The amendment was adopted without objection. The commission then approved amendments for the Department of Veterans Affairs to shift $2.2 million within its trust fund to cover higher nursing home occupancy and reduce staffing agency use, and for the Department of Health to realign about $9.1 million for disability determinations amid a backlog of roughly 140,000 cases. The Agency for Health Care Administration presented multiple Medicaid-related amendments, including $766 million for indirect medical education, $1.9 million for managed care network adequacy audits, $209 million for the Rural Health Transformation Program, and several large supplemental payment programs for KidCare, hospitals, physicians, cancer hospitals, nursing IME, and public hospital payments. Members questioned network adequacy, rural access, and the KidCare surplus and expansion; the KidCare realignment drew debate, with some members objecting because the 2023 eligibility expansion has not been implemented, but the amendment passed on a roll call vote. Other amendments adopted included FDLE’s $16.3 million for counter-UAS detection and mitigation equipment, DJJ’s $1.6 million for Florida Scholars Academy and a Social Services Block Grant realignment, and emergency management pass-throughs for FIFA World Cup security and counter-drone funding to the Miami host committee. The Department of Commerce received $148.4 million for disaster recovery under the CDBG-DR program, with questions about the split between housing, infrastructure, and administrative costs. The Department of State also received $408,377 for arts and culture grant authority. Most amendments were adopted without objection, and the commission adjourned after completing the agenda.

Transcript Highlights:

• In 2024, charity care increased by 40%. and health systems across communities of and health systems across
• You cannot tell me that our rural health care system didn't hasten her death.
• </c> Mano the long-term care facility Mr. Mano the long-term care facility Mr.
• </c><00:37:47.680><c> system</c><00:37:48.240><c> didn't</c> that our rural health care system didn't
• I think long-term recruitment strategy.

Bills: HF1925

Committee: House Health Finance and Policy

Keywords: nurse licensure, multistate license, healthcare, public safety, interstate compact, nursing regulation, 1183, house

Transcript Highlights:

• at a long-term care facility.
• I'll just end by saying the health care system, as you say, is obviously...
• so they don't actually come down, but there's systemic issues in the health care system that I think
• so they don't actually come down, but there's systemic issues in the health care system that I think
• While these coupons often lower or eliminate the patient's copays in the short term, in the long term

Committee: House Health

Keywords: 988, house, all

Transcript Highlights:

• A person may choose to pay more for long-term health care.
• A person may pay more to have vision, dental, or long-term health care.
• and mental health treatment is a signal of systemic gaps in California's safety net systems of care.
• As a union of eligibility workers, a union of health care workers, long-term care workers, and a union
• So it's not like it's not happening within the health care system.

Summary: The committee heard SB 1377, which would change California’s medical exemption process for school immunizations. The author and supporters argued the bill would restore physician discretion, reduce fear of audits and discipline, and help families with medically vulnerable children obtain exemptions. Opponents, including pediatric, medical, and public health groups, said the current system created by SB 276 and SB 277 is working, that valid exemptions are still being issued, and that loosening oversight could undermine immunization rates and public health. Members debated the data behind claims of a chilling effect, the number of exemptions reviewed or revoked, and the bill’s amendments, which narrowed the measure to current exemptions and added a small additional threshold. Because there was no quorum at the time, action on SB 1377 was delayed until a quorum could be present. The committee then heard SB 995, the Masuma Khan Justice Act, which would create a statewide inspection and enforcement framework for large voluntary residential facilities, including private immigration detention centers. The author and supporters described alleged neglect and abuse in detention facilities, including denial of medication, unsafe food and water, and inadequate oversight, and argued the state should ensure humane conditions and accountability. The California Hospital Association expressed concern about duplicative oversight and possible overlap with existing regulation, while the author said the bill was being refined to avoid constitutional problems and duplication. The committee voted to do pass and re-refer SB 995 to Judiciary, with the roll call showing five votes and the bill placed on call. SB 1089 was also heard, proposing expanded access to GLP-1 medications for state and local government employees through CalPERS and encouraging broader affordability efforts through CalRx. The author framed the bill as a response to chronic weight disease, diabetes risk, and high costs, and described his own experience obtaining and paying for GLP-1 treatment. Supporters from the American Diabetes Association and medical groups said GLP-1s are effective tools for preventing and managing type 2 diabetes and could reduce long-term health costs. No opposition was heard, and the committee voted do pass and re-refer the bill to Labor, Public Employment, and Retirement, with the vote placed on call. The committee also began SB 1221 on Murphy conservatorships, with supporters and opponents debating whether district attorneys should have a larger role in these proceedings and whether the bill would improve public safety or disrupt the civil mental health process; the transcript cuts off before final action on that bill.

Transcript Highlights:

• I’m sure there are problems on the other end of the system in terms of people not being cared for properly
• , but there’s abuse. ...and the other end of the system in terms of people not being cared for properly
• But when you look at how you're going to do this long term, you need to put together a very careful,
• Many require extensive medical care, mobility assistance, and long-term treatment that FDC is not designed
• FDC is not designed to function as a long-term geriatric or medical care system, and taxpayers, we, are

Summary: The Appropriations Committee considered a large agenda of bills and reported several measures favorably. Early action included SB 6, a settled claim bill involving the Department of Children and Families and a trust for Leila Estrada and Sapphire Williams, and CS/CS/SB 1266, which creates a cybersecurity experiential learning and clearance-readiness program through the Department of Commerce and Cyber Florida. The committee also approved SB 532 on clerks of court funding, allowing clerks to retain all excess Article V revenue rather than returning half to the state and clarifying foreclosure sale procedures. In addition, the committee passed CS/CS/SB 1602 and CS/CS/SB 1604 to create and fund a pilot housing program for veterans through the Florida Housing Finance Corporation, and CS/SB 1110 to expand Medicaid and private insurance coverage for medically necessary orthotics and prosthetics, including testimony from affected families and advocates. The committee also adopted an amendment and then favorably reported CS/CS/SB 1012 on inmate services, removing the bill’s medical-services compensation provisions while retaining changes to the inmate welfare trust fund and related facility uses. It also adopted a delete-all amendment and then favorably reported CS/CS/CS/SB 1614, which was narrowed to remove a provision allowing local governments to use excess fees to construct new buildings. The committee spent substantial time on CS/SB 17, a Medicaid oversight and transparency bill. The sponsor said the measure would create a joint legislative Medicaid oversight committee, authorize the Legislature to retain its own actuary, modernize Medicaid statutes, strengthen managed-care performance standards, and increase accountability for pharmacy benefit managers and related entities. After amendment, the committee adopted changes removing several PBM-related provisions while retaining the broader oversight framework. Testimony from supporters emphasized transparency, fraud prevention, and cost control, while a PBM trade association asked to continue working on affiliate-manufacturer, network, and payment issues. The bill was reported favorably. The most extensive discussion centered on CS/SB 1758, which proposes major changes to Medicaid and SNAP. The sponsor described five reforms: stronger fraud and overpayment recovery authority, a Medicaid work requirement for certain able-bodied adults, expanded behavioral-health services through Medicaid waivers, pharmacy-program changes to obtain rebates and reduce institutional costs, and SNAP/EBT reforms including photo IDs and work requirements. The committee adopted two amendments: one adding a transitional “glide path” for people who gain employment but risk losing Medicaid, and another exempting hospice patients with six months or less to live. Supporters argued the bill would reduce fraud, improve accountability, and encourage work, while opponents warned it would increase administrative burdens, push eligible people off coverage, and conflict with federal law or guidance. The bill remained under debate with extensive public testimony from advocates, providers, and affected families, and the transcript ends before final disposition on the measure.