Video & Transcript : 'Do Not Pay Initiative' :
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CA
California 2025-2026 Regular Session
Joint Hearing Assembly Health Committee and Senate Health Committee Aug 19th, 2025
Transcript Highlights:
- We do not know at this point.
- The Department of Health Care Access and Information, We do not know at this point.
- $30 per person, $120 a month to keep their Medi-Cal, they're not going to pay it.
- Without leaning, do this, do that. I try not to, right?
- Obviously, it's not a good time to do what we do.
Summary:
The joint informational hearing focused first on the impacts of H.R. 1 on Medi-Cal and California’s health care system. Department of Health Care Services Director Michelle Bass outlined provisions including work requirements, semiannual redeterminations, reduced retroactive coverage, new cost-sharing, limits on provider taxes and state-directed payments, reduced federal matching for emergency services for some immigrants, restrictions on lawful immigrant coverage, and a one-year ban on Medicaid funding for certain abortion providers. She said the law could put tens of billions of federal dollars at risk, with estimates of up to 3 million members losing coverage from work requirements, about 400,000 from more frequent redeterminations, and major pressure on hospitals, clinics, and rural providers. She also noted the state is considering implementation timelines, possible delays, and planning for communications, county systems, and a rural health transformation fund.
Testimony from Planned Parenthood Affiliates of California, the California Hospital Association, and the Western Center on Law and Poverty echoed those concerns. Planned Parenthood said the federal defunding provision would immediately threaten access to reproductive health care, with possible clinic closures, reduced hours, and workforce cuts if injunctions are lifted; it estimated about $305 million in annual federal matching funds are at stake in California. The hospital association warned that reduced provider taxes and state-directed payments could cut hospital revenue by an estimated $66 billion to $128 billion over 10 years, risking service reductions and closures, especially in rural areas. The Western Center argued the changes would reverse ACA-era coverage gains, increase churn and administrative burden, and disproportionately harm working poor people and those experiencing homelessness. Committee members asked about implementation, notification, state mitigation options, and the effect on hospitals and patients; no votes were taken.
The second panel addressed community health impacts of recent immigration enforcement actions. CHIRLA described raids as a public health crisis that creates fear, trauma, family separation, and avoidance of health care. Los Angeles County Department of Health Services reported declines in emergency, urgent care, and clinic visits in immigrant-heavy areas after enforcement actions, and said it has responded with multilingual outreach, patient navigation, telehealth, and assurances that patient information remains protected. The Children’s Partnership said enforcement also disrupts children’s access to early childhood education and schools, citing increased absences and fear among families, and urged stronger protections, legal services, and funding for child care and school-based supports. Members asked for more data on visit declines, the effects on children and families, and how to reduce the chilling effect on care-seeking and benefit enrollment.
WA
Washington 2025-2026 Regular Session
House Labor & Workplace Standards Jan 21st, 2026
Transcript Highlights:
- They do not talk about it. They sometimes just do it. It's very, very scary.
- They do not... The NLRB did nothing to stop these tricks. They failed me and my coworkers.
- They do not understand our work or the people we care for. I've seen it firsthand.
- And did this group not get that pay?
- And did this group not get that pay?
Summary:
The committee held public hearings on several Labor and Workplace Standards bills. HB 2492 would require building and construction apprenticeship programs, beginning in 2027, to include two hours of behavioral health and wellness training covering topics such as suicide prevention, substance use disorder, recognizing distress, peer support, and connecting to resources. The prime sponsor and many labor, apprenticeship, and contractor witnesses supported the bill, describing high suicide and overdose rates in construction and sharing personal stories about losses and struggles in the trades. No vote was taken on the bill during the hearing.
The committee then heard HB 2405, a Department of Labor and Industries request bill creating a pilot to allow earlier treatment for PTSD claims in workers’ compensation, including up to 11 treatment sessions before claim adjudication and limited follow-up treatment after closure. L&I and NFIB supported the measure as a way to speed treatment and reduce barriers, while one legal advocate supported it but raised technical concerns about pre-claim treatment and urged more focus on workplace prevention; another witness cautioned against emphasizing psychiatric drug treatment. The bill was heard only; no action was taken.
HB 2406 would expand L&I’s ability to send notices electronically, with opt-in/opt-out provisions and some changes to timing rules for workers’ compensation and WISHA notices. L&I supported the bill as a modernization measure, while labor and workers’ advocates opposed changes affecting workers’ compensation notices, arguing that email should not become the default for vulnerable workers who may miss deadlines. HB 2478 would give L&I discretion, rather than a mandate, to investigate wage complaints and allow penalties when the department initiates an investigation; L&I supported it as a more efficient enforcement tool, and the committee discussed how complaints would still be handled and communicated. Finally, HB 2471 would create a state collective bargaining framework for private-sector workers if federal labor law or the NLRB no longer covers them. Supporters said it would preserve organizing and dispute-resolution rights if federal protections fail, while agricultural employers and NFIB opposed it, arguing it would inappropriately apply to agriculture and small businesses, could disrupt perishable harvests, and should rely on secret-ballot elections rather than card check. No votes were taken on any of the bills in the hearing.
MS
Mississippi 2026 Regular Session
Public Health and Welfare - Room 216, 4 June, 2026; 2:30 PM
Public Health and Welfare
Transcript Highlights:
- I was not here. I do not care myself to get involved in a fight. I know that.
- >> Yeah, as I mentioned in my statement, we've gotten legal advice that we do not want to do that because
- I do not. >> All right. Your office, what is the budget number for your office?
- And so, we do not know where that's coming from.
- Yes, those workforce initiatives have not been rolled out yet.
Committee:
Joint Public Health and Welfare
NM
New Mexico 2025 Regular Session
IC - Federal Funding Stabilization Subcommittee Jul 1st, 2025
Federal Funding Stabilization Subcommittee
Transcript Highlights:
- Lastly, but certainly not least, I do. The deficit is a major component of the collision.
- Most of us would think that Medicare pays one rate across the board; it does not.
- I do not believe that would happen, especially over a long period of time.
- They're not doing it for free. Mr.
- So the clinics in Clovis do not have a Rural Health Clinic.
AZ
Arizona 2026 Regular Session
01/20/2026 - Senate Natural Resources and House Natural Resources, Energy & Water Committee of Reference
Transcript Highlights:
- Many of the other health boards do not also do not meet this 180-day goal because of the many challenges
- The thing we do not want to do is duplicate efforts.
- We're not going to do that. I do have a queue, so I will entertain.
- Those numbers do not make sense at all.
- Those numbers do not make sense at all.
Summary:
The committee first heard an Auditor General presentation on the Arizona State Veterinary Medical Examining Board’s sunset review. The audit found the board generally met some licensing requirements, but it did not timely investigate and resolve 49 of 159 complaints in fiscal year 2024, and it did not fully comply with conflict-of-interest disclosure and filing requirements. The Auditor General also noted the board lacked a formal process to verify continuing education compliance. The board’s executive director said the agency had already corrected some conflict-of-interest issues, was working to improve complaint handling, and would implement all 21 recommendations. A veterinarian representing the Arizona Veterinary Medical Association supported the board and said the profession is also working to address the shortage of large-animal veterinarians. The committee then voted to recommend continuation of the board for eight years, until July 1, 2034.
The committee next received the Auditor General’s sunset review of the Arizona State Land Department. The audit identified three major problem areas: the department had not updated its required five-year disposition plan for state trust land since 2011, it had not adjusted agricultural rental rates to reflect market conditions for many years, and it had not consistently inspected mineral-related leases and permits before releasing reclamation bonds. The Auditor General said these issues risked lower returns for trust beneficiaries, lost revenue, and public safety hazards, and made 18 recommendations in the performance audit plus 34 additional recommendations in the sunset review. The department agreed to implement or partially implement nearly all recommendations and said it had begun a mass appraisal process.
State Land Commissioner Robin Zahid then testified that the department was making operational improvements, including rulemaking updates, stakeholder outreach on water-use policy, a new customer-service status bar, and process changes for land sales and mining applications. She defended the decision not to renew the Fondomonte leases in a transportation basin, citing the high value of groundwater and the trust’s fiduciary duty. Members questioned her about agricultural lease water charges, the status of a water policy framework and addendum, the lack of a formal expedited review process, the Fondomonte reimbursement payments for improvements, and the department’s handling of a high-profile land auction tied to the Coyotes arena proposal. Several members also asked for follow-up information on pending residential housing applications, acreage, administrative fees, and third-party contractors.
TX
Transcript Highlights:
- To me, that would not change what we're doing.
- We pay these people to do these audits. We pay these people to try to prevent problems.
- We do not have expertise in that area.
- **Chair**: We do not catch at the local level.
- **Chair**: And paying interest or not on the local level.
Committee:
Senate Finance
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services Apr 9th, 2026
Transcript Highlights:
- We did not. Okay, but we're still doing it first. Great.
- Oh, so it's not directly just like we do MCO tax provider. Correct. It's not that. Exactly.
- Like if you're not accustomed to doing telehealth service delivery, if you're not accustomed to doing
- Like if you're not accustomed to doing telehealth, you know, service delivery, if you're not, if you're
- How much do people pay for this now? For which?
Summary:
The hearing began with testimony from Let California Kids Hear and supporters urging action on pediatric hearing aid coverage. Advocates said California has repeatedly failed to enact a workable solution over the past eight years and argued that children need early access to sound to support development. The proposal discussed would limit the coverage mandate to the large-group market, which advocates said would cover roughly 70% to 80% of affected children and avoid the exchange-related cost issue that contributed to prior vetoes. Supporters, including parents, audiologists, and children’s health groups, backed the proposal, and the chair expressed sympathy and support while noting hope for a federal solution for exchange plans.
The Department of Finance then gave opening remarks about the state’s structural deficit and the need to balance new investments against projected out-year shortfalls. HCAI followed with a broad overview of its programs, including CalRx insulin and naloxone initiatives, reproductive health grants, the Office of Health Care Affordability, hospital seismic compliance, workforce programs, and the diaper access initiative. Members asked about geographic targeting of workforce funds, the behavioral health workforce pipeline, and the status of the 21st Century Nursing Initiative, which HCAI said had reverted funds. The committee also discussed a proposed transfer of the Data Exchange Framework and Office of the Patient Advocate to HCAI, new reporting on long-term care staffing and health coverage waiting periods, and a Behavioral Health Services Act workforce proposal that would use BHSA funds to support training, stipends, and technical assistance while offsetting $100 million in General Fund spending; members and LAO questioned the offset and asked for more detail, and the item was held open.
HCAI also presented the Rural Health Transformation Program, explaining that California received $233.6 million in federal funds for the first year and had to revise its proposal so that $35 million in provider payments would be tied to specific transformative activities rather than general financial relief. The program will fund rural care model redesign, workforce development, and technology/infrastructure improvements, with grants to be rolled out on a tight timeline and subject to CMS approval. Members asked about the size of California’s award, the use of funds for maternity care, labor and delivery access, dialysis, tribal set-asides, and the role of a technical assistance contractor. The department said the program will use supply-and-demand workforce modeling to target funding and that all funds must be obligated by October 30.
Finally, the Department of Managed Health Care outlined its budget and two major bill-related proposals: SB 41 on PBM reform and SB 306 on prior authorization transparency. DMHC said SB 41 would require PBM licensure, ban spread pricing, require rebate pass-through, and regulate pharmacy network practices, while SB 306 would require reporting on prior authorization and create a list of services exempt from prior authorization. DMHC requested additional positions and funding to implement both measures.
ID
Idaho 2026 Regular Session
Feb 12th, 2026
Transcript Highlights:
- And so the best that we have been able to do, this is the toolbox that we built, but it's not the only
- There's also not a lot of funding sources there. If we cut there, we would do one or two things.
- Most of our travel, so we do a lot of international trade work on behalf of ag, and you will not be surprised
- They do not receive any appropriation from the general fund or federal funds.
- So in that case, we do end up losing a little bit because we tend to, you know, not have a higher markup
Summary:
The Joint Finance-Appropriations Committee heard presentations on the Idaho State Department of Agriculture and the State Liquor Division. For Agriculture, legislative staff reviewed the agency’s structure, staffing, dedicated funds, and FY 2026–2027 budget requests, including pay adjustments, replacement items, IT hardware, a reappropriation for the Resilient Food Systems Grant, and two major one-time requests: a deficiency warrant for exotic pest response and a supplemental appropriation for quagga mussel treatment. Director Chanel Tewalt emphasized the history and urgency of Idaho’s invasive species program, described the state’s rapid response to quagga mussels, and explained how the program uses inspections, stations, chemicals, and other tools to reduce risk. Members asked about grant timing, vehicle replacement, signage costs, research into alternative treatments, chemical costs, possible use of sturgeon, and whether budget cuts would affect inspection stations; the director said some station openings or hours could be delayed or reduced, but priority would be given to border crossings and higher-risk locations.
The committee then reviewed the State Liquor Division budget. Staff outlined the division’s dedicated-fund operations, personnel levels, statutory distributions, and FY 2027 requests for inflation, replacement items, and IT/security equipment, all recommended by the governor. Director Andrew Arulenandum said his priorities were safety, legal exposure, and operational continuity, citing a store shelving collapse and warehouse safety needs as reasons for some requests. Members asked about a policy proposal to restrict bulk lottery ticket purchases by out-of-state syndicates, the division’s pricing and markup structure, and whether Idaho might move away from a state-run liquor model. The director and his staff said the lottery restriction would not have a fiscal impact, that the markup is standardized, and that while the division remains open to efficiency ideas, the current control-state structure is intended to support revenue and temperance. The meeting ended with notice that the committee would return the next day to take action on FY 2027 maintenance budgets.
CO
Colorado 2026 Regular Session
Colorado House 2026 Legislative Day 118 May 12th, 2026
Colorado House Floor Meeting
Transcript Highlights:
- Why not do it here? I urge Why not do it here? I urge an I vote on this amendment. Thank you.
- A propulsion battery provider is not required to pay the program initiation fee when the propulsion battery
- Colorado families do not need another... Colorado families do not need another billing scheme.
- the... set up, the fire districts do pay the set up, the fire districts do pay the initial<08:15:03.120
- And do we not care about that because it's not us asking?
AR
Transcript Highlights:
- Do I have a motion? Or do we have a second? I have a second from Representative Ladyman.
- In the course of what we do here and then when we audit EBD, that is not within the scope of what we
- It's how do we contain it, how do we redirect it, and spend our money more wisely?
- What were we doing in 25 to get the greater rebates that we weren't doing in 24?
- It's not the silver bullet.
Committee:
All LEGISLATIVE JOINT AUDITING
Summary:
The committee first approved the June 5 minutes, then received and adopted the Executive Committee report, which noted adoption of prior minutes, staff updates on audits and special reports scheduled for the standing committees and full Legislative Joint Auditing Committee, and no other business. The Counties and Municipalities report focused on delinquent private water and sewer audits and municipal accounting compliance: turnback funds were reinstated for 40 of 43 entities after required reports were filed, three entities remained ineligible, several audits remained delinquent, and the committee approved escrow of 50% of Fargo’s turnback and gave officials from another town 60 days to reach compliance. The committee also reviewed numerous current and deferred reports, with many referred to prosecuting attorneys, the Attorney General, or the Governmental Bonding Board.
The Education report covered 79 school audit reports, including 56 with no findings and 23 with findings. Officials from several school districts, two charter schools, and the Department of Education attended to answer questions about repeat findings. Eleven reports were referred to prosecutors and the Attorney General, two were also certified to the Governmental Bonding Board, Blytheville School District’s report was deferred, and 78 reports were filed. The committee also adopted the state agencies comprehensive financial report, which identified issues including an unauthorized payroll disbursement and insufficient collateral at the Department of Parks, Heritage, and Tourism and missing accounting entries at the Treasurer’s office; seven reports were filed and two deferred to September.
Members then considered the Annual Comprehensive Financial Report and Single Audit report, which had been deferred previously but were adopted without further questions. A special report on the Employee Benefits Division’s health plans drew extensive discussion. The report found no findings but showed the state employee plan’s fund balance increased while the public school employee plan’s fund balance declined, with rising claims and pharmacy costs offset partly by higher rebates. Members questioned whether the audit addressed legal compliance, the sharp increase in claims, administrative costs, GLP-1 drug spending, and possible deductible changes. Agency officials said the audit was primarily financial, not a provider-level compliance review, and explained that inflation, utilization, rebates, and contract negotiations were driving costs; they also said outside consultants were used on the Blue Cross Blue Shield RFP at a cost of about $240,000. On motion, the committee voted to hold the report over one month for further review.
Finally, the committee reviewed a Legislative Audit report on case transfers in the 19th West Judicial District Circuit Court. The review examined random assignment and transfers among divisions, found that 1,673 of 9,351 open cases had at least one transfer, and identified some transfers lacking documentation or not matching the data, though several discrepancies had been corrected. Audit recommended strengthening documentation and electronic controls and considering incorporation of the prosecutor-confirmation policy into Administrative Order No. 2015-1. After no further questions, the committee adopted the report and adjourned, with the next meeting set for September 10-11.
WY
Transcript Highlights:
- So when not pay sales tax in Montana.
- The way we're not paying them to do anything.
- </c> we're not paying them to do anything. we're not paying them to do anything.
- I'm not sure programs that do that.
- Um, I do not have a good way to verify that.
Committee:
Senate Revenue
TX
Transcript Highlights:
- We do not think it's the result of any kind of regulatory action that we have taken, and we do not think
- If there is no match, we would not pay it.
- If there is no match, we would not pay it.
- So we were not funded initially when we were directed to do this, and we put forth an exceptional item
- , which we do not have that same approach.
Committee:
House Human Services
MS
Transcript Highlights:
- </c><00:04:49.919><c> toward</c> we do not push the patient toward we do not push the patient toward
- They do pay a lot of attention in making sure that we're not pushing people toward opioids instead of
- So we would not be able to do that.
- have the volume did not pay as much in a tax.
- That is does not pay for their services.
Committee:
Joint Medicaid
FL
Florida 2026 5th Special Session
Appropriations Jan 14th, 2026
Transcript Highlights:
- And last but not least, Space Florida, not to maintain their existing operations, but as well as to do
- And last but not least, space Florida, not to maintain their existing operations, but as well as to do
- Do we know whether that would change our rankings in terms of teacher pay?
- Do we know if that increase will change our rankings in terms of teacher pay?
- I do not know that number off the top of my head, but I'm absolutely happy to get that for you.
Summary:
The Appropriations Committee first took up SB 7010, which would authorize Roth contributions in state and local deferred compensation plans. Senator Mayfield explained that current law only allows pre-tax contributions, and the bill would let the Department of Financial Services and local governments offer post-tax Roth options. The bill had one support appearance card, no debate, and was reported favorably by roll call vote.
The committee then received a lengthy presentation from the Governor’s Office of Policy and Budget on the governor’s recommended “Floridians First” budget, totaling $117.4 billion and $53.2 billion in general revenue. The presentation highlighted reserves, debt paydown, tax relief, and proposed reductions and efficiencies, along with major spending areas in education, health care, public safety, corrections, transportation, and economic development. Key proposals included higher K-12 funding, teacher salary increases, funding for Everglades and water quality projects, emergency preparedness, corrections staffing and facility funding, cybersecurity, law enforcement recruitment bonuses, and affordable housing and infrastructure investments.
Members asked extensive questions about property tax reserves, litigation funding, emergency response fund balances and spending, the Alligator Alcatraz detention facility and federal reimbursement, the Second Amendment sales tax holiday, animal abuse hotline funding, Hope Florida, corrections staffing, and teacher pay. A major portion of the discussion focused on the Department of Health’s planned changes to the ADAP HIV medication program, with senators and a public witness expressing concern about access to life-saving medications and possible misuse or redirection of funds. The committee did not take further action on the budget presentation, and the meeting ended after additional comments supporting the budget and the corrections funding, with SB 7010 already approved.
HI
Transcript Highlights:
- If not, members, questions? I do. Senator Moriwaki.
- If not, members, questions? I do.
- If not, members, questions? I do.
- Okay, because currently you're not doing the maximum salary. >> We are not.
- I'm we do have a If not, members, I'm we do have a quorum. quorum. quorum.
Committee:
Senate Labor and Technology
Summary:
The Senate Committee on Labor and Technology heard testimony on several measures relating to public employment, the Hawaii Employer-Union Health Benefits Trust Fund (EUTF), retirement benefits, and cafeteria plans. HB 2472 and HB 2276, both concerning EUTF staff and investment office staff salaries, drew support from the trust fund and labor groups, and no opposition was heard in person. HB 2272 and HB 2273, emergency appropriations for public employment cost items, were supported by the administration and labor representatives; members briefly clarified which bargaining units were covered.
A longer discussion centered on HB 1664, which would address a dispute mechanism for EUTF-related negotiations. HGEA said the current process lacks a dispute resolution path and that the bill would allow interest arbitration when the state and union disagree. The Department of Human Resources Development and the Budget and Finance director raised concerns about consistency across bargaining units and the role of an arbitrator unfamiliar with the complexities of the system. Senator Moriwaki questioned whether another dispute forum might be more appropriate, but no alternative resolution was settled.
The committee also heard HB 1655, which would make retirement benefits negotiable, and HB 1658, concerning collective bargaining repricing. ERS opposed HB 1655, saying it could create administrative and tax problems if retirement benefits were negotiated separately across many bargaining units, while UPW, HGEA, HSTA, and UPA supported it as a bargaining issue. On HB 1658, DHRD explained that repricing is an internal classification tool meant to preserve equal pay for equal work, not to address market pay, and said a single arbitrator or the Merit Appeals Board could handle disputes; HGEA preferred a neutral arbitrator and opposed the Merit Appeals Board as too employer-controlled. The final measure, HB 1661 on cafeteria plans, was supported by UPW and HGEA. DHRD said it planned to raise the maximum contribution through rulemaking but needed to manage plan solvency and timing because IRS limits change on a calendar-year basis while the state plan runs on a fiscal year. The committee then moved into decision-making and adopted recommendations to pass HB 2472 and HB 2276 as amended/unamended after a brief correction to the vote language.
AZ
Arizona 2026 Regular Session
02/16/2026 - House Health & Human Services #2
Transcript Highlights:
- I do not know what all of those contracts are.
- Others do not, but, as Ms.
- Our facilities are not equipped to do that work.
- Lastly, Medicare and Medicaid do not pay for this.
- Lastly, Medicare and Medicaid do not pay for this.
Summary:
The committee heard House Bill 2433, which would require insurers offering Medicare supplement policies to people 65 and older to also offer them to Medicare beneficiaries under 65 with ALS or end-stage renal disease, with enrollment periods and premium protections tied to 65-year-old rates. Supporters, including dialysis and ALS advocates, said the bill would help a small population facing high out-of-pocket costs and could improve access to transplants and care; opponents argued it would shift costs onto older seniors and raise Medigap premiums. The committee recommended the bill do pass on a 12-0 vote.
The committee also heard House Bill 2593, appropriating $1.5 million to the University of Arizona for the Arizona Perinatal Psychiatry Access Line. The sponsor and physicians testified that the line helps obstetric and pediatric providers quickly consult on perinatal depression, postpartum psychosis, suicidality, and other mental health crises, improving outcomes for mothers, children, and families and reducing costly emergency and crisis care. The bill received a do pass recommendation on a 10-1 vote.
House Concurrent Resolution 2013, proclaiming June 2026 as Celebrate Life Month, drew emotional testimony from a young woman with spina bifida and another speaker supporting the sanctity of life. Some members objected that the state should focus on practical supports such as paid leave, child care, and health care access, while others supported the resolution as a statement of human dignity. The resolution passed the committee 7-5. The committee then approved House Bill 4010, creating a Board of Genetic Counselors and licensure standards, after testimony from genetic counselors and a patient advocate about the need for qualified counseling and better access; it passed 11-1.
Later, the committee approved House Bill 2196, which would require pharmacy benefit managers to reimburse non-affiliated pharmacies at least their acquisition cost and pay a dispensing fee, and establish an appeals process. Independent pharmacists and their coalition said PBM practices are driving closures and unfairly favor affiliated pharmacies, while PBM and employer representatives warned of major cost increases and said the bill would interfere with private contracts; the bill passed 11-1. The committee also adopted a strike-everything amendment to House Bill 2182 requiring insurers and health plans to report claims denial and prior authorization data to DIFI, and then gave the amended bill a 12-0 do pass recommendation. Finally, the committee approved House Bill 2189, directing the Board of Nursing to update rules for licensed health aides and collect annual data, with the sponsor and board staff saying it would help implement routine ventilator care in the home; it passed 12-0. The committee then began hearing House Bill 2404, a strike-everything amendment on inter-facility transports for behavioral health patients, but the transcript cuts off before action on that bill.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health Apr 7th, 2025
Transcript Highlights:
- Not everyone, of course, and that still benefits California more broadly, but we do that in a variety
- However, if they do not receive one, that doesn't mean that they aren't eligible to receive a grant.
- So there is, though—I do have to state—there's not a letter of support requirement in the statute.
- I do have to state there's not a letter of support requirement in the statute.
- There's a lot of facility types that do not want to take Medi-Cal.
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.
FL
Florida 2026 5th Special Session
Appropriations Committee on Pre-K - 12 Education Jan 14th, 2026
Transcript Highlights:
- , an allocation that did. ...a total of $1.56 billion for teacher pay, an allocation that did not exist
- And security specialists who do not carry a gun at all are at $28 an hour.
- And security specialists who do not carry a gun at all are at $28 an hour.
- And I do want to take a step back when it comes to the global conversation about teacher pay.
- I'm not sure if you have that actually in your budget as a line item, but if you do, I'd like to know
Summary:
The Appropriations Committee on Pre-K-12 Education received a presentation from the Governor’s Office of Policy and Budget and the Department of Education on the Governor’s fiscal year 2026-27 education budget. Shelby Salmons outlined the overall budget framework, and Commissioner Stasi Kamoutsis highlighted major education investments, including $486 million for VPK, $30.6 billion for K-12 education, a $761.1 million increase in FEFP funding, the highest per-student funding level to date, and $201 million more for teacher pay flexibility. The presentation also emphasized school safety, mental health, civics education, and the Guardian Program, along with continued funding for TEACH, HIPPY, Help Me Grow, and civics debate and literacy initiatives.
Members asked about how the mental health allocation would be used, counselor staffing ratios, school closures and whether the department intervenes, oversight of school choice and voucher-funded schools, and the Guardian Program’s pay structure and effectiveness. Senators also raised concerns about the FISH school capacity report, data collection, teacher pay, professional development, AI and tutoring technology, and whether the budget adequately supports mental health services and school safety. The Commissioner said many funding decisions are left to districts, that the department stands ready to assist, and that the Guardian Program has been successful and expanded over time.
During public testimony, Pinellas County School Board member Laura Hine said her district spends far more on safety and mental health than it receives in state categorical funding, and urged the committee to consider full-day VPK funding, arguing it has improved third-grade reading outcomes in Pinellas. Senators followed up on district flexibility and local spending choices. The committee took no substantive vote on the budget presentation and adjourned after thanking the department for its recommendations and partnership.
FL
Transcript Highlights:
- Some do it on the ballot. We'd prefer not to have to do that.
- While we do feel we have a role as the signature verification folks, we do not believe we should be,
- pay for us to do their verifications.
- This is not something you can do in name only.
- They're not showing up for what we pay them.
Committee:
Senate Ethics and Elections
Summary:
The committee heard a presentation from several county supervisors of elections and the Florida Supervisors of Elections Association on the 2024 election cycle and priorities for the 2025 session. They described very high turnout in the presidential election, major operational planning needs, and the heavy reliance on seasonal workers, list maintenance, ballot-on-demand systems, and secure chain-of-custody procedures. They also discussed the impact of recent legislative changes on voter-roll maintenance, including inactive voter removal, and said Florida’s election administration has improved to what they called a “platinum standard.”
The supervisors outlined several legislative requests: allowing more than one non-government “wild card” early voting site to improve access and emergency flexibility; requiring newly naturalized citizens to update driver’s license information so voter records match DHSMV data; exempting home addresses of certain election workers and ballot transporters from public records to improve safety and recruitment; restoring a checkbox on vote-by-mail return envelopes so voters can stay on the vote-by-mail list for the next cycle; aligning base salaries for supervisors, property appraisers, and clerks with other constitutional officers; and reducing ballot length by removing precinct committee races from the ballot. They also said they expect a committee bill to carry some of these proposals.
Members questioned the panel about ballot transport security, signature verification, vote-by-mail expiration, public records transparency, and the petition process for constitutional amendments. The supervisors said ballots are transported under detailed county plans with tamper-evident seals, chain-of-custody logs, trained workers, and in some cases two-person transport teams. On petitions, they said the process is labor-intensive and expensive, that fraud has occurred in some cases, and that they favor reforms such as requiring more personal identifying information and having initiative sponsors mail petitions to voters rather than making supervisors handle the mailing. They also said signature mismatches can be cured within 72 hours after Election Day and that voters are notified when possible. After the supervisors’ presentation, the committee also heard brief public testimony from Kathleen Griffiths, who urged adoption of commercial-style risk management standards in election systems and referenced several election-related bills her group supports.
MO
Missouri 2026 Regular Session
2026 Legislative Session - Day Forty Two - Thursday, March 26
Missouri House Floor Meeting
Transcript Highlights:
- If we're not doing what we're legally required to do, we'll get sued, and we will lose.
- Do you agree with me on that? Oh, I do not. I don't know how else to communicate that.
- If we're not doing what we're legally required to do, we'll get sued, and we will lose.
- Do you agree with me on that? Oh, I do not. I don't know how else to communicate that.
- Do you agree with me on that? Oh, I do not. I don't know how else to communicate that.
Summary:
The House opened with prayer, the Pledge of Allegiance, approval of the prior day’s journal, and numerous introductions of visiting groups and guests, including schoolchildren, Republican women’s organizations, county commissioners, and family members of legislators. Members also suspended House Rule 98 to allow baseball apparel in celebration of opening day, with the motion passing 118-22.
The chamber then took up the state budget bills. House Committee Substitute for House Bill 2002, covering elementary and secondary education and child care, drew the most debate. Supporters said it maintained record funding for the foundation formula, transportation, and early childhood programs, while critics argued it still fell short of fully funding the formula and underfunded child care subsidies by about $51 million. After extended debate over statutory obligations, school funding, and child care policy, the bill passed 85-70. House Committee Substitute for House Bill 2003, the higher education and workforce development budget, also prompted substantial debate over a proposed shift to an FTE-based funding model for colleges and universities. Supporters called it a fairer, more equitable system that follows students and encourages efficiency, while opponents warned it would sharply reduce funding for some institutions, including community colleges and regional universities. The bill passed 83-66.
The House then passed House Committee Substitute for House Bill 2004, covering revenue and transportation, 91-50, despite objections over a public transit cut and constitutional concerns raised about MoDOT appropriations. House Committee Substitute for House Bill 2005, the Office of Administration and employee benefits budget, passed overwhelmingly after members discussed state worker compensation, deferred compensation, and benefits funding. House Committee Substitute for House Bill 2006, covering agriculture, natural resources, and conservation, passed 133-17 after members highlighted restored funding for agriculture business development and food insecurity grants, while others criticized cuts to natural resources and parks funding. The chamber then moved on to House Committee Substitute for House Bill 2007, covering economic development, commerce and insurance, and labor and industrial relations, with the budget chair introducing the bill and outlining its major departmental appropriations.