Transcript Highlights:

• For infant and maternal health care, Medicaid is paying for, depending on the year, between 75% to 85%
• Loss if you don't easily move to another health care coverage.
• The question is, is that coverage inducing people to only work 25 hours a week because they don't want
• Nobody's given them a clear off-ramp to affordable health care coverage that's not Medicaid, but might
• In many different places, just to point out as I'm reading through these again, it depends as to where

Transcript Highlights:

• Four in five work full-time, yet only about half have employer or union health coverage.
• Four in five work full-time, yet only about half have employer or union health coverage.
• Under existing law, large employers are already required to offer affordable coverage.
• and they depend on public programs such as Medi-Cal to receive basic medical care.
• Reporting or purchasing coverage that is not truly protecting the workers.

Summary: The Assembly Labor and Employment Committee heard several bills focused on labor standards, worker safety, and public transparency. SB 954 by Senator Blakespear would revise last year’s CEQA exemption for advanced manufacturing by adding worker protections such as prevailing wage, a skilled and trained workforce, high-road employment standards, and environmental guardrails. Supporters from labor, environmental justice, and conservation groups said the bill restores promised safeguards after SB 131, while business groups argued the added requirements would undermine the exemption and discourage investment. The committee voted 5-0 to do pass and re-refer SB 954 to Appropriations, leaving the roll open for absent members. The committee then considered SB 966 by Senator Gonzalez, which would codify refinery worker participation and safety protections adopted in 2017 after the 2012 Chevron Richmond fire. Supporters, including United Steelworkers and a former refinery worker, said the bill would preserve workers’ ability to report hazards, select representatives, and stop unsafe work, preventing future disasters. The Western States Petroleum Association opposed the bill, arguing it could be preempted by federal labor law and would add regulatory uncertainty. The committee passed SB 966 3-0 and re-referred it to Appropriations, with the roll left open. Next, SB 1203 by Senator Smallwood-Cuevas sought to modernize private security guard training, expand de-escalation instruction, strengthen accountability, and create a clearer professional pathway for the industry. The author and many security workers testified that guards are often first responders in volatile situations and need more practical training and better standards; opponents from industry and business groups warned the bill would raise costs, worsen staffing shortages, and create implementation problems, especially around third-party training and a new wage order. The committee voted 4-1 to do pass and re-refer SB 1203 to Public Safety, with one no vote and the roll left open. The committee also heard SB 1284 by Senator Smallwood-Cuevas, a transparency bill requiring DHCS to publish the names of large employers with workers enrolled in Medi-Cal and the estimated taxpayer cost. Supporters said the measure would show how low wages and unaffordable coverage shift health costs to the public, while opponents argued Medi-Cal enrollment depends on many factors and that naming employers would be misleading and amount to public shaming. After discussion, the committee voted 4-2 to do pass and re-refer SB 1284 to Appropriations, leaving the roll open. The transcript then began discussion of SB 1054 by Senator Cabaldon, which would improve workforce data collection and sharing to better evaluate job-training pathways, but the excerpt cuts off before testimony or action on that bill.

Transcript Highlights:

• And then, of course, we've seen the insufficient coverage.
• And then, of course, we've seen the insufficient coverage.
• It strikes language requiring building code upgrade coverage at 20% during a state of emergency.
• It does not force anyone to buy this coverage.
• Building code upgrade coverage.

Summary: The Assembly Insurance Committee met to consider several insurance-related bills, with SB 1301 by Senator Allen and SB 876 by Senator Padilla receiving the most discussion. SB 1301 would reform residential property insurance non-renewals by requiring clearer written explanations, giving policyholders a chance to fix identified issues, and limiting non-renewals based on unreasonable grounds. The bill was supported by consumer advocates, fire survivors, local officials, and several organizations, while insurers said they had worked extensively with the author and were moving to neutral, though they still raised implementation and proprietary-information concerns. The committee voted to pass SB 1301 as amended to Appropriations, with the roll left open briefly before the bill was declared out. SB 876 would overhaul wildfire and disaster claims handling by requiring updated replacement-cost estimates, stronger extended replacement-cost and building-code coverage options, faster status updates when adjusters change, and other consumer protections. Supporters included the Department of Insurance, United Policyholders, consumer groups, and local representatives, who argued the bill addresses underinsurance, delays, and inconsistent claims handling exposed by recent wildfires. Several industry groups said recent amendments resolved major concerns and moved them to neutral, while the California Fair Plan remained respectfully opposed pending further review. The committee approved SB 876 as amended to Judiciary, again leaving the roll open briefly before finalizing the vote. The committee also took up a consent item, SB 536 by Senator Archuleta, which was approved unanimously to Appropriations. Other bills listed at the start of the hearing, SB 555 and SB 795, were pulled at the request of the authors and were not heard.

Transcript Highlights:

• All right, next: House Bill 648, relative to insurance coverage for glucose monitoring.
• So that depends on the individual patient, and it depends on where their diabetes management is at.
• c><00:36:21.000> depends<00:36:21.720> on individual patient and it depends on individual
• You know, I got that ice, and I broke my back, and went medical coverage.
• Um, you know, I have maximum coverages, okay, and I have an umbrella, right?

Keywords: 928, house, all

Summary: The subcommittee first reviewed its schedule, noting that 13 bills were being executed the next day and that additional subcommittee work would be scheduled around Town Meeting Day and the following session days. The chair explained that the committee would not meet on Town Meeting Day, would handle the remaining bills on the next available subcommittee day, and would continue any unfinished items later in the month. The committee then took up House Bill 774, which concerned Medicare-related coverage issues. Members discussed the bill’s purpose and the differences between Medicare standard and Medicare Advantage, with one member saying the proposal was informative but did not offer a workable solution. The committee also moved to inexpedient to legislate on House Bill 185, and the motion passed on a 6-0 vote. House Bill 241, relating to alternatives to opioids, was retained for further work. Members said the bill raised concerns about insurers effectively practicing medicine and about the lack of evidence on the efficacy of some alternative treatments, while also noting that chiropractic coverage mandates already exist in statute. The committee voted to retain the bill, with the motion passing 6-0. The most extended discussion was on House Bill 648, which would expand insurance coverage for glucose monitoring. Testimony and committee comments focused on whether coverage should be tied to insulin use or instead to a physician’s medical judgment, the role of continuous glucose monitoring for people with type 2 diabetes who are not on insulin, and the potential cost impact. An insurance department fiscal analyst said the original $22-per-member estimate was based on the unamended bill and that the amended version would require updated analysis; members agreed to retain the bill to narrow the eligible population and revisit the language later.

Transcript Highlights:

• We don't have an ability to allow the plan to put the people into similar coverage or the same coverage
• We don't have an ability to allow the plan to put the people into similar coverage or the same coverage
• We don't have an ability to allow the plan to put the people into similar coverage or the same coverage
• We don't have an ability to allow the plan to put the people into similar coverage or the same coverage
• or the same into similar coverage or the same coverage<01:30:49.080> but<01:30:49.239> on<

Keywords: 1183, house

Transcript Highlights:

• I want to thank our budget subcommittee chairs for helping protect health care coverage, hospitals, and
• Under HR 1, more than 2 million Californians are poised to lose health coverage.
• California has led the country in expanding health care coverage to every resident, and it is now our
• We supported food banks, legal services, and critical safety-net programs that many Californians depend
• This amendment would not eliminate all health care coverage for illegal immigrants.

Keywords: 988, house, all

Summary: The Assembly convened, established a quorum after a roll call, observed a moment of silence for the fatal B-52 crash at Edwards Air Force Base, and proceeded with routine procedural business, including re-referrals of numerous Senate bills to different committees and several rule suspensions to allow bills to be heard or moved. Assembly Member DeMaio attempted to amend and then return AB 109 to the Senate to add health care premium reductions, but the motions were ruled out of order and his request to suspend the rules failed on a 13-45 vote. The main floor action was on AB 109, the 2026-27 state budget. Assembly Member Gabriel presented the budget as balancing fiscal responsibility with protections for health care, schools, housing, wildfire prevention, and the safety net, while opponents argued it raised costs, underfunded education and public safety, and relied on gimmicks. Supporters emphasized investments in hospitals, Medi-Cal, IHSS, child care, food banks, housing, and reserves, and repeatedly defended the budget’s approach to Proposition 36 funding and prison closures. After extensive debate, the Assembly voted to concur in the Senate amendments to AB 109, and the bill was immediately transmitted to the Governor. Later, the Assembly took up SCR 89 on diversity, equity, and inclusion. Members from several caucuses spoke in support, arguing DEI is central to equal opportunity, civil rights, and California’s identity, and warning against federal efforts to roll back such programs. Assembly Member DeMaio spoke in opposition, saying DEI treats people differently based on immutable characteristics. The transcript ends during that debate, with the resolution still under consideration.

Transcript Highlights:

• I want to thank our budget subcommittee chairs for helping protect health care coverage, hospitals, and
• Under H.R. 1, more than 2 million Californians are poised to lose health coverage.
• California has led the country in expanding health care coverage to every resident, and it is now our
• We supported food banks, legal services, and critical safety net programs that many Californians depend
• This amendment would not eliminate all health care coverage for illegal immigrants.

Summary: The Assembly convened, initially lacked a quorum, and then completed the roll call, prayer, and pledge. Members observed a moment of silence for the fatal B-52 crash at Edwards Air Force Base in Assemblymember Lackey’s district. The body then handled a series of procedural motions, including re-referrals of numerous Senate bills to different committees, suspending rules for committee notices, and taking up the budget bill, AB 109, without reference to file for concurrence in Senate amendments. Debate on AB 109, the 2026 budget act, centered on competing views of the state’s fiscal condition and policy priorities. Supporters said the budget balances the current and next year’s budget, reduces the structural deficit, builds reserves, protects health care, schools, housing, food assistance, and other safety-net programs, and responds to federal cuts under H.R. 1. Opponents argued the budget increases taxes and costs, shortchanges schools, underfunds Proposition 36, relies on gimmicks, and does not adequately address public safety, cost of living, or long-term sustainability. Several members also highlighted specific provisions such as hospital support, Medi-Cal and IHSS protections, child care, immigrant legal services, prison closure, and funding for courts and victim services. A motion by Assemblymember DeMaio to return AB 109 to the Senate failed on a roll call vote, 13 ayes to 45 noes. The Assembly then voted on concurrence in the Senate amendments to AB 109; the measure passed, and the Senate amendments were concurred in without objection, with immediate transmittal to the Governor. Afterward, the Assembly moved to the daily file and took up SCR 89, a resolution affirming diversity, equity, and inclusion. Supporters from several caucuses framed DEI as a core California value and a response to federal attacks, while opponents criticized DEI as divisive. The transcript ends during debate on SCR 89, before any final vote is shown.

Transcript Highlights:

• But I believe that the way this is all set up with each division is to make sure that there's coverage
• And they were told that unless they were totally denied coverage, they would not be eligible from the
• That would be more on the HPIA side, because HPIA is only going to cover the hurricane coverage.
• If the building has bad water pipes, that doesn't necessarily affect the hurricane coverage.
• You still have to make sure amount of time that they can have that coverage.

Keywords: 912, senate, all

Summary: The Joint Committee on Ways and Means and Commerce and Consumer Protection heard the Department of Commerce and Consumer Affairs present its biennium budget request for fiscal years 2025 to 2027. Director Nainoa Ando said the department’s requests were primarily special-fund ceiling increases to meet operational needs. Major items included an additional $12 million to complete the King Kamehameha V Post Office building roof project after hidden deterioration and water intrusion were discovered, plus funding related to fringe benefits and central services assessments. The department also outlined requests for a new medical compact implementation cost, an auditor position, an engineer position, and a captive insurance IT modernization project. A significant portion of the discussion focused on the Office of Consumer Protection’s landlord-tenant call line and public service access. Senators raised concerns that callers often reach voicemail, are told to leave a message, and sometimes are referred to look up the law themselves. DCCA said the Oʻahu line is staffed by one full-time employee backed by two to three investigators, with one investigator each on Maui and Hawaiʻi Island, and that calls are tracked in a case management system. The department said it plans to add one more Oʻahu staff position through a transfer from another division and that a new call-center/web system with time tracking is expected to go live in the summer. Members also discussed a possible bill related to Pearson VUE nursing certification testing, with one senator describing the burden on neighbor-island nursing graduates who must travel to Honolulu for a one-hour test. The senator said she intended to introduce legislation after receiving no response to repeated outreach. DCCA did not take action on that proposal during the hearing. For the PUC-related requests, the department explained a one-time $1 million request for outside consulting tied to Maui wildfire-related filings, including wildfire safety mitigation and hazard mitigation plans, and a separate $900,000 request through the Consumer Advocacy Division to hire consultants for review and analysis. The committee also discussed a captive insurance IT modernization request, which DCCA said would replace manual and spreadsheet-based processes with a cloud-based system to better handle filings, payments, and workflow; no vote or final action was taken on the budget items during the hearing.

Transcript Highlights:

• What we also did was to push to ensure people stayed on coverage for Medi-Cal so that they didn't lose
• dental coverage starting July 1st.
• That's a huge win in the affordability... ...lose dental coverage starting July 1st.
• This budget saves money by removing poor people from Medi-Cal coverage.
• A proposal built on a simple idea that when large profitable corporations depend on a workforce whose

Keywords: 987, senate, all

Summary: The Senate opened with roll call, prayer, and the Pledge of Allegiance, then approved the Senate journals and adopted floor amendments. Members voted on motions to advance Budget and Fiscal Review Committee measures and to suspend Joint Rule 62A so the budget committee could hear budget-related bills with shortened notice; both motions passed by roll call. The chamber then moved through the Daily File, including several second-reading bills and gubernatorial appointments. Three appointments were confirmed: Julie Lee and Ann Patterson to the Delta Stewardship Council, and Santa Cruz County Sheriff Christopher Clark to the Board of State and Community Corrections. Senators also took up Senate Joint Resolution 17, which urges Congress and the President to clarify that states may extend burial and memorial benefits in state veterans’ cemeteries to Republic of Korea veterans who served alongside U.S. troops in Vietnam; the resolution passed unanimously. The Senate then considered AB 109, the Budget Act of 2026, with extensive debate on the state’s fiscal condition and major budget priorities. Supporters said the budget is balanced, maintains reserves, reduces the structural deficit, and protects funding for child care, Medi-Cal, distressed hospitals, in-home supportive services, housing, higher education, and transit. Opponents argued it relies on future tax increases, leaves a structural deficit, and does not adequately address affordability, public safety, or repayment of unemployment insurance debt. After debate, AB 109 passed 28-9, and the chamber later approved the consent calendar items 81 through 86. The session ended with adjournments in memory of Honorable Hajan Lee, Doris Fisher, and James Leslie Barbie. The Senate announced its next floor session would be Thursday, June 18, 2026, at 9 a.m.

Transcript Highlights:

• They provide statewide coverage with the exception of Mississippi County, and that is only because the
• They provide statewide coverage with the exception of Mississippi County, and that is only because the
• So for example, let me use adult education because they're our biggest provider with the most coverage
• And then how far we could track beyond that would depend on data matching with other agencies.
• So there are around 19,000 able-bodied adults without dependents.

Summary: The subcommittee received a brief DHS update on the Living Choices Assisted Living Waiver reimbursement rate process, with Secretary Janet Mann reporting that the new cost reporting period began in January and that DHS has begun provider and contractor conference calls as the process moves forward. The bulk of the meeting focused on DHS’s overview of TANF and, especially, SNAP changes under the federal One Big Beautiful Bill. Mary Franklin explained new SNAP work requirements for adults ages 18 to 64 who are not otherwise exempt, including the three-month time limit in a 36-month period unless they meet an 80-hour monthly work, volunteer, education, or training requirement. She also reviewed exemptions, noted that some prior exemptions were removed while new tribal-related exemptions were added, and described SNAP Employment and Training providers, budgets, service areas, participant characteristics, and outcomes. Members asked about how mandatory referrals will work, whether funding and vendors are sufficient, how cross-program participation is tracked, how verification and recertification will be handled, and how error rates and sanctions will be managed. DHS said mandatory participants will be referred directly to providers, verification will occur at application and recertification, interviews can be by phone, and the department will return with more information on error-rate mitigation and other requested data. DHS then outlined upcoming Medicaid community engagement requirements for the ARHOME population under the same federal law, which must be implemented by January 1, 2027. The department said it is preparing policy, system changes, data matching, communications, and an outbound customer-service verification process, with a soft launch planned for July to help identify who would meet the requirement or need to provide more information. Members raised concerns about notice, local versus centralized decision-making, and how clients will document work, school, caregiving, or medical exemptions. The meeting concluded with broader discussion of the Alliance for Opportunity audit and a shared emphasis on using SNAP, Medicaid, TANF, and workforce programs together to improve outcomes, expand training options, and better connect Arkansans to education and employment opportunities. The committee also discussed extending the audit contract at a future meeting and adjourned without taking any formal vote in the transcript provided.

Transcript Highlights:

• It was very difficult to get a day or a few days off because coverage is an issue, which means patients
• Kind of had to leave because I didn't have coverage, and it's impossible for one doctor to stay two to
• But unfortunately, right now, access does not, so that we see a disparity in coverage there.
• So that we see a disparity in coverage there.
• Because prudence depends on what's going on with other physicians in a like situation.

Bills: HB2049, HB2050, HB2051, HB2072, HB2082, HB2085, HB2177, HB2178, HB2179, HB2183, HB2195

Keywords: radiation therapy, particle accelerator, critical access hospitals, patient care, rural healthcare, AHCCCS, lactation care, breastfeeding, health services, healthcare access, Cesar Chavez, public holiday, state law, holiday repeal, Arizona Revised Statutes, childhood cancer, rare diseases, research funding, healthcare, clinical trials

Summary: The committee opened with attendance and member introductions, then heard a series of health-related bills, many focused on access to care in rural and underserved communities. HB 2049 would allow particle accelerators for radiation therapy in critical access hospitals and counties under 400,000 population under general supervision; sponsors and rural oncology witnesses said it would reduce travel burdens for cancer patients while maintaining safety protocols. HB 2050 updated radiologic technologist statutes to align with current national standards, adjust accreditation and clinical-hour requirements, and allow radiologist assistants to work under supervision rather than direct supervision; an amendment also added registered nurses to the list of professionals not needing a separate license to use diagnostic X-ray machines. Both bills were supported by testimony about workforce shortages and access, though one member voted no on HB 2050 over concerns about oversight and board authority. Both measures received do-pass recommendations, with HB 2050 amended. The committee then unanimously advanced HB 2082, which creates a Childhood Cancer and Rare Childhood Disease Research Commission to award grants for phase-one pediatric cancer and rare disease trials. Testimony came from families affected by pediatric brain cancer, including a parent who described traveling internationally for treatment and a college student currently undergoing treatment who urged the state to invest in research. Members expressed strong sympathy and support, and the bill passed 12-0. Next, HB 2015 would require Access to cover breastfeeding and lactation services in multiple settings; the sponsor and medical witnesses described breastfeeding as preventive care with benefits for infants and mothers, while Access testified neutral and noted a fiscal estimate was being developed and that the amendment would protect the state if CMS does not approve the services. The bill, as amended, also received a unanimous do-pass recommendation. The committee also approved HB 2177, which directs Access to seek CMS waivers so tribal and Indian Health Service facilities can be reimbursed for certain covered services, including dental care, for American Indian and Alaska Native members. The sponsor and a Sage Memorial Hospital representative said the bill would help rural tribal facilities keep services local and maximize federal matching funds; it passed unanimously as amended. HB 2178, requiring a state agency medical chief officer to hold an active medical or osteopathic license, was described as a cleanup measure after a lapse in licensure exposed a statutory gap, and it also passed unanimously. HB 2179, which clarifies definitions separating air ambulance from ground ambulance regulation, was supported as a technical clarification to avoid unintended consequences and likewise received unanimous approval. Finally, the committee advanced HB 2183, which creates an emergency medicine study committee to examine Arizona’s EMS system, including rural and urban capacity, workforce burnout, uncompensated care, and emergency department utilization. The sponsor said the study would help the state understand system pressures and identify policy solutions; firefighters, health care advocates, and an emergency medicine nurse practitioner testified in support, emphasizing the ER’s role as the safety net and the strain from staffing shortages, rural closures, and high volumes. The bill was still under discussion at the end of the transcript, with testimony continuing after the initial supporters spoke.

Transcript Highlights:

• It all depends. So one final question, Madam Chair and Mr.
• Coverage and access issues. And for those reasons, we ask you to support House Bill 259. Thank you.
• Also, the actual usage of the coverage after.
• Can we show savings, mixed impacts depending on the policy?
• That requires extra coverage.

Keywords: 996, all

Transcript Highlights:

• Four in five work full-time, yet only about half have employer or union health coverage.
• Under existing law, large employers are already required to offer affordable coverage.
• and they depend on public programs such as Medi-Cal to receive basic medical care.
• It asks: Which employers have the most workers dependent on Medi-Cal?
• The licensing requirements include a requirement to file workers' compensation coverage.

Keywords: 988, house, all

Transcript Highlights:

• have to navigate this maze initially, and then again and again if the patient changes insurance coverage
• have to navigate this maze initially, and then again and again, if the patient changes insurance coverage
• The health plan denied coverage.
• We're a nonprofit law firm that helps consumers in Massachusetts access health care coverage and, in
• Also depends on where the committee wants to focus. Thank you.

Keywords: 995, all

Summary: The committee held a hearing on several health care access and insurance-related bills, with most testimony focused on H.1136 to improve the prior authorization process. The Massachusetts Medical Society, Massachusetts Health and Hospital Association, Health Care for All, the Leukemia & Lymphoma Society, physicians, and hospital representatives all supported the bill, arguing that prior authorization delays care, increases administrative burden, contributes to clinician burnout, and can worsen patient outcomes. Witnesses described examples involving delayed cancer treatment, diabetes care, COPD medication, shingles pain treatment, and hospital discharge delays. They said the bill would preserve prior authorization but add guardrails such as longer validity periods, continuity-of-care protections, faster responses for urgent care, clearer lists of services requiring authorization, and more transparency and standardization. The committee also heard testimony on H.1142/S.783 regarding equitable reimbursement for certified registered nurse anesthetists (CRNAs), with Senator Lovely and CRNA advocates supporting parity with physician anesthesiologists. They said CRNAs provide the same services at the same standard of care, but private insurers sometimes reimburse them at lower rates than physicians, which they argued is inconsistent with federal and state policy and harms access. Senator Keenan testified in support of a bill addressing claim denials and appeals, saying insurers should provide clearer explanations, time to resubmit claims, and timely appeal responses. Dr. Lorraine Schratz supported H.1126 to align state patient disclosure requirements with federal No Surprises Act rules, and Dr. Michael Trimbley supported H.1120 to recognize direct primary care as not being insurance and to encourage primary care participation. The committee also heard testimony on H.1140/S.801 to remove barriers to patient care by updating insurance statutes to reflect nurse practitioners’ full practice authority, and on H.1168/S.A.18 to eliminate the PCP referral requirement for specialty gynecological care. Witnesses on those bills described delays and denials affecting autism diagnosis, nutrition coverage, and endometriosis care, and said the proposals would reduce unnecessary barriers and improve timely access. After testimony and a few member questions, the chair closed the hearing; no votes were taken during the session.

Transcript Highlights:

• And then, of course, we've seen the insufficient coverage.
• And then, of course, we've seen the insufficient coverage.
• It does not force anyone to buy this coverage.
• Building code upgrade coverage. When building homeowners... Themselves.
• Building code upgrade coverage.

Keywords: 988, house, all

Transcript Highlights:

• As Chair Pazina mentioned, it is a bill that requires certain health plans to include coverage for fertility
• So this bill basically requires health plans to provide coverage, insured coverage, for those who don't
• Cancer patients often face this step while going through this without any coverage or limited coverage
• Cancer patients often face this step while going through this without any coverage or limited coverage
• or prospective insured disclosing that the insurer does not provide such coverage.

Keywords: 909, all

Transcript Highlights:

• The particular set of health care grants in this budget activity can change over time depending on the
• activity can change over time depending activity can change over time depending on<00:10:03.839>
• but are not eligible for either coverage but are not eligible for either ma<00:12:57.279> or<
• through the exchange but they coverage through the exchange but they are<00:13:08.160> completely
• other um health insurance coverage other um health insurance coverage including<00:18:22.240>

Keywords: 1183, house

Summary: The meeting was an informational walkthrough for the Health Finance and Policy Working Group, focused on committee structure, budget basics, and major health-related accounts and programs. Staff explained the roles of House Research and House Fiscal, then reviewed key funds used by the committee, including the general fund, government special revenue fund, federal funds, the health care access fund, remediation account, and drinking water revolving fund. They also outlined the committee’s main budget areas, noting that medical assistance is the largest general fund item and that the Department of Health is a substantial agency funded by a mix of federal, general fund, and special revenue dollars. A major portion of the presentation covered subsidized health coverage programs. Staff described Medical Assistance (Minnesota’s Medicaid program) as an entitlement for eligible Minnesotans, with no premiums or cost sharing, and explained its managed care and fee-for-service delivery systems. MinnesotaCare was presented as a separate federal-state basic health program for people who are not eligible for MA, with income limits, premiums for adults age 21 and older, and cost-sharing requirements; staff noted that federal premium tax credit changes affect MinnesotaCare premium ranges. The presentation also summarized MNsure’s role in the individual market and in determining eligibility for premium tax credits, cost-sharing reductions, MinnesotaCare, and MA. The committee also received an overview of health-related licensing boards and occupational regulation. Staff said Minnesota has 16 health-related licensing boards, funded mainly through the state government special revenue fund and subject to legislative appropriation, and explained that health occupations may be regulated by the Department of Health, the Office of Emergency Medical Services, or the boards under chapter 214. Interstate licensure compacts were briefly noted as a way to ease practice across states. No bills were debated and no votes or formal actions were taken during the meeting.

Transcript Highlights:

• It depends on the terrain and the geography.
• It depends. I wish I had a strong answer.
• Quiet is dependable.
• , commercial coverage, and Band 14.
• It depends on the scope of the project.

Keywords: flooding, emergency response, communication systems, first responders, disaster management, Texas Water Development Board, regional planning, public safety

Summary: The meeting primarily focused on discussions around the recent floods in Texas, specifically addressing emergency preparedness, response coordination, and recovery efforts. Officials from various agencies provided testimonies on the challenges faced during the emergency, including issues with communication systems among first responders. Notably, the need for improved inter-agency communication and technology integration was emphasized, with recommendations for establishing regional communications units for better coordination during disasters. The audience included local government representatives and emergency management partners, who shared insights and experiences from the recent flooding events.

Transcript Highlights:

• We also check with other departments for various licenses depending on the type of behavioral health
• But we also took applications from all varying folks, depending on what level they were, whether they
• Coverage for 85% of Medi-Cal members.
• So they will have an option to launch coverage in July, and then mandatory coverage for eligible members
• In BH Connect, we are implementing new coverage for evidence-based practices.

Summary: The hearing opened with remarks from the chair and members about recent federal cuts to public health, mental health, family planning, and Title X funding, with strong concern about the impact on California programs and providers. The committee then turned to the Department of State Hospitals, which presented its 2025-26 budget proposal of $3.4 billion, including new positions, capital improvements, and funding tied to increased patient costs and incompetent-to-stand-trial services. DSH reported major progress in reducing the IST waitlist and wait times, said it had met the court’s 28-day treatment benchmark for those without extenuating circumstances, and described workforce recruitment and retention efforts such as residency programs, fellowships, outreach, and hiring streamlining. Members asked about future IST referral trends, SB 1323’s effect on diversion and community treatment, and workforce lessons in high-cost regions; public comment urged reconsideration of county IST growth cap methodology in light of new criminal justice initiatives. The committee next received an informational overview of Proposition 1 and its changes to behavioral health funding and governance. The Legislative Analyst’s Office explained that Prop. 1 restructured county MHSA funding buckets, expanded the Commission for Behavioral Health, shifted prevention and early intervention responsibilities, and authorized a $6.4 billion bond, including $4.4 billion for behavioral health facilities through BHCIP. DHCS said it had released guidance for county integrated plans and was receiving extensive public comment. Members focused on BHCIP application requirements, especially letters of support and tribal projects, and raised concerns about whether DHCS’s implementation matched statutory intent. DHCS said it had authority to set application requirements and that tribal entities were treated differently because of sovereignty and funding structure. DHCS then updated the committee on BHCIP, the Behavioral Health Bridge Housing Program, and related bond implementation. The department said BHCIP had awarded about $1.7 billion across five rounds, with more than 130 projects and 223 distinct facilities funded, and that it was preparing to award the new bond funds after receiving nearly $8 billion in applications. The LAO’s assessment found that more than half of awards served at least 80% Medi-Cal enrollees, but also raised concerns that the regional allocation model could reinforce inequities, that the program had not sufficiently addressed the highest-need regions such as the southern San Joaquin Valley, and that smaller counties and less launch-ready applicants faced barriers. For bridge housing, DHCS said more than $1.1 billion had been awarded, serving over 5,000 people and supporting more than 2,000 operational beds, but the Governor’s budget proposes to eliminate Round 4 funding as the administration weighs other statewide investments and Proposition 1 implementation workload. Public commenters and members urged more accountability, better regional equity, stronger labor and community involvement, and caution about funding for for-profit psychiatric facilities. Finally, the committee heard on the Children and Youth Behavioral Health Initiative. CalHHS and DHCS described CYBHI as a broad prevention- and equity-focused effort with more than 1,300 organizations funded, over $2.1 billion awarded, and multiple work streams spanning schools, community programs, workforce, and digital supports. DHCS highlighted school-based services, the fee schedule rollout, and digital platforms BrightLife Kids and Soluna, which it said are reaching users statewide and providing low-barrier access to coaching and support. Members and public commenters raised concerns about delays in school fee schedule implementation, the large share of funding going to digital tools, the need for more in-person services, and whether the initiative is sufficiently tracking outcomes and equity impacts. No formal votes were taken during the hearing.

Transcript Highlights:

• coverage from the traditional insurance marketplace, as governed by Century Code.
• We have three main coverages: liability, public assets, and auto.
• We don't have any coverage for state vehicles or, you know, state entities.
• There is no coverage provided under the memorandum of coverage for PFAS-related claims and those types
• Well, Senator Clemens, we're dependent on law enforcement to carry out the law.

Summary: The committee was called to order, the Pledge of Allegiance and prayer were offered, and the minutes from the previous meeting were approved. Members then received a memo summarizing major audit items and began hearing audit presentations from the State Auditor’s Office and private auditors on a range of state agencies and organizations. Several audits were reported as clean, including the Bank of North Dakota, the North Dakota Guaranteed Student Loan Program, the Office of the Governor, the Office of the State Treasurer, the Office of Management and Budget, the Department of Transportation’s flexible transportation fund, Lake Region State College, and the Department of Environmental Quality. The North Dakota Stockmen’s Association also received an unmodified opinion, though repeat findings were noted for limited segregation of duties and financial statement preparation due to its small staff. The Council on the Arts audit found two findings: payroll charged to federal awards without adequate timekeeping records, and unallowable expenditures from a restricted cultural endowment fund. The Department of Public Instruction audit identified unsupported scholarship applications in the paraprofessional-to-teacher program, though additional testing showed the funds were used for their intended purpose. The most extensive discussion centered on the North Dakota Racing Commission audit, which identified four findings: overspending the promotion fund’s 25% operating limit, grant conditions not being met, improper Breeders Fund awards, and improper procurement for advertising services. Racing Commission director Bruce Johnson acknowledged complacency and weak controls, said the agency would tighten procedures, and explained that the commission had since worked with procurement and would follow the rules more closely. Auditors also explained that the commission would now be audited every two years because of the findings. Another major discussion involved the University of North Dakota School of Law, where auditors found a lack of documentation supporting admissions decisions for post-baccalaureate programs. UND officials said they remain in good standing with the American Bar Association but agreed better documentation and tools are needed; the committee pressed for more transparency and follow-up on admissions criteria. The committee also received an update on Dakota College at Bottineau, where Minot State University reported that bank reconciliations had been brought current after a significant backlog and would now be maintained through shared services. Members requested a written follow-up report on the issues and corrective actions. Finally, the North Dakota Fair Association explained that its foundation has been dissolved and remaining funds were transferred to another nonprofit for continued support of the state fair, and the Department of Public Instruction provided an update on school meal debt, saying the reported amount was about $1.1 million from a partial district survey and that debt remains a local issue, though it could be revisited if school meal funding changes.