Transcript Highlights:

• We know that as difficult decisions as it relates to public safety, roads and bridges, solid waste, and
• We know that as difficult decisions as it relates to public safety, roads and bridges, solid waste, and

Keywords: 928, house, all

Summary: The committee first heard House Bill 561, sponsored by Representative Nancy Murphy, which would limit the state’s ability to discontinue, reclassify, or revert state-owned highway property to municipalities without local approval. Murphy and other supporters argued the bill would protect towns from unfunded mandates and prevent property tax increases caused by taking on costly road maintenance. Representative Wendy Thomas, Rosemarie Rung, Merrimack Town Council Chairman Finley Rothhouse, and Town Manager Paul McAuliffe all testified in support, describing the financial burden of the planned transfer of Continental Boulevard in Merrimack and warning it would set a harmful precedent for other communities. The Department of Transportation’s Steve Leon explained the department’s current authority and processes for discontinuance and reclassification, said active highways are not surplus property, and noted that the Supreme Court’s Town of Nelson decision held such reclassifications were not an unfunded mandate. The committee then closed the public hearing on HB 561. The committee next took up House Bill 578, presented by Representative Mooney on behalf of Representative Bill Boyd, to require sound barriers along the F. Everett Turnpike in Merrimack. Supporters said widening the turnpike would increase noise in nearby neighborhoods and that a 2019 NHDOT study identified 17 neighborhoods with noise levels above federal standards, though only four were included for mitigation under the current project. They argued the remaining neighborhoods should also receive relief and cited quality-of-life and property-value concerns. Senator Tim McGuire also testified in support, saying residents were experiencing unexpected and severe noise impacts and urging the committee to act outside the usual criteria to approve the barriers. The transcript provided does not show a final committee vote or action on HB 578.

Transcript Highlights:

• We have lowered that value to more of a waste-type value that we can use around the county.
• We have lowered that value to more of a waste-type value that we can use around the county. Okay.

Committee: Senate Taxes

Keywords: 1187, senate, all

Transcript Highlights:

• People are also exposed to them years after these chemicals are discarded as waste, and I was glad to
• People are also exposed to them years after these chemicals are discarded as waste, and I was glad to

Committee: Senate Environment, Climate, and Legacy

Keywords: 1187, senate, all

Transcript Highlights:

• opposed to, uh, you know, things happening quickly, and I'm not advocating for anybody's time to be wasted
• opposed to, uh, you know, things happening quickly, and I'm not advocating for anybody's time to be wasted

Committee: House Housing

Keywords: 928, house, all

Summary: The Housing Committee opened with a public hearing on HB 196, which would repeal the Housing Champion program. Representative Matt Drew, the prime sponsor, argued the program is an unnecessary and poorly targeted subsidy, saying it rewards municipalities after projects are completed and may not be limited to new housing production. He questioned the transparency of the program, cited difficulty finding required annual reports, and noted a fiscal note suggesting the state could recover up to $3 million if obligations are terminated. Committee members and witnesses debated whether the program’s criteria amount to political favoritism or a standard grant process; supporters said the rubric is specific and that municipalities are evaluated against objective requirements. Representative Priest, Nick Taylor of Housing Action New Hampshire, and Karen Benfield of Stay Work Play New Hampshire all opposed repeal, saying the program encourages local zoning and regulatory changes, helps smaller communities participate, and supports housing supply and young people’s ability to stay in the state. The hearing on HB 196 was then closed. The committee then opened a hearing on HB 1405, a bill establishing an affordable housing guarantee program within the Housing Finance Authority. Prime sponsor Representative Chris Muns said the bill would reduce lender risk by guaranteeing up to 80% of principal on qualifying loans for affordable housing, with a cap of $30 million per lender per year and $300 million outstanding at any time. He described the measure as a low-cost public-private partnership backed by the full faith and credit of the state, and said it was identical to a prior Senate bill that had received unanimous bipartisan committee support before dying later in the process. He framed the bill as one part of a broader housing package aimed at financing, infrastructure, workforce, zoning reform, and other housing-related issues. No votes were taken during the portion of the meeting provided. The only formal actions were opening and closing the public hearing on HB 196 and opening the public hearing on HB 1405, with testimony continuing on HB 1405 at the end of the transcript.

Transcript Highlights:

• If the committee's not interested, I'm not going to waste my time on it.

Committee: Joint Health Care Committee

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

Transcript Highlights:

• He didn't want to put his family through the horror of watching him waste away.

Committee: Joint Joint Committee on Public Health

Keywords: 995, all

Summary: The Joint Committee on Public Health opened its first hearing of the session and heard testimony on bills in three areas: emergency medical services/AED access, athletic training and student safety, and end-of-life options. Committee chairs outlined testimony rules and noted that written testimony would also be accepted. Some bills had no live witnesses, while others drew extensive testimony from advocates, professionals, and legislators. On AED-related bills, the American Heart Association supported requiring automated external defibrillators at sporting events and athletic fields, citing sudden cardiac arrest survival rates and urging cardiac emergency response plans as an added safeguard. A parks and recreation professional supported AED access but raised concerns about the cost, staffing, maintenance, and feasibility for municipalities with limited resources. Athletic trainers supported expanding their scope of practice and removing workplace restrictions, arguing it would improve injury prevention, reduce costs, and help retain professionals in Massachusetts. The committee also took extensive testimony on end-of-life options legislation. Supporters included legislators, physicians, hospice volunteers, clergy, patients’ family members, and advocacy groups, who described the bills as allowing terminally ill, mentally capable adults to choose a peaceful death with strict safeguards and self-administration requirements. They emphasized personal stories of suffering, public support, and the claim that other states have not seen abuse. Opponents, including faith-based, disability-rights, and family policy representatives, argued the bills amount to physician-assisted suicide, could pressure vulnerable people, and may be influenced by prognosis errors, coercion, or financial incentives. No votes or final committee actions were taken during the hearing.

Transcript Highlights:

• To be clear, HR1 is injurious, wasteful, and misguided policy.

Committee: House Ways and Means

Keywords: 1183, house

Transcript Highlights:

• Inside Angola, he didn't waste time. He took advantage of every rehabilitation program possible.

Committee: House Administration of Criminal Justice

Summary: The committee first handled several housekeeping items, voluntarily deferring HB 123, HB 255, and HB 994 without objection. It then took up SCR 3 by Senator Brock Myers, which would delay and revise implementation of a state police rule affecting criminal history background checks for licensed ambulance personnel and certain health care workers. After adopting Amendment Set 434 to remove a provision involving parish and local law enforcement checks, the committee reported SCR 3 as amended favorably. The committee also heard HB 978 by Rep. Lecombe, which as amended raises the population threshold for municipalities required to remit certain special costs to the District Indigent Defender Fund from under 5,000 to under 9,000; with support from the town of Addis and related stakeholders, the bill was reported favorably as amended. The committee then considered HB 967 by Rep. Moore, which sought to remove language limiting parole eligibility for certain pre-July 2, 1973 life-sentenced offenders to those who had pleaded guilty, thereby allowing a small group of elderly inmates convicted at trial to seek parole consideration. Supporters argued the bill would only create an opportunity for review, not release, and cited rehabilitation and fairness concerns; opponents, including district attorneys and corrections officials, argued the 2022 law already addressed the intended group and that the current bill would reopen cases involving serious violent crimes. After extended debate, the motion to report HB 967 favorably failed on an 8-3 vote. Finally, the committee took up HB 1107 by Rep. Melerine, a bill on determining intellectual disability in capital cases. The bill, as amended, raised the burden of proof to clear and convincing evidence, set an IQ threshold framework, required expert reports and Daubert-type reliability review, and limited the article to post-conviction capital cases. The Attorney General’s office and district attorneys supported the bill as a way to create clearer procedures and speed resolution of Atkins claims, while criminal defense lawyers, disability advocates, clergy, and medical experts opposed it as inconsistent with current clinical standards and potentially unconstitutional, warning that rigid IQ cutoffs and presumptions could wrongly expose people with intellectual disabilities to execution. The transcript ends during closing remarks on HB 1107, with no final committee vote shown.

Transcript Highlights:

• Inside Angola, he didn't waste time. He took advantage of every rehabilitation program possible.

Bills: HB91 , HB123 , HB167 , HB255 , HB264 , HB321 , HB884 , HB955 , HB967 , HB968 , HB969 , HB978 , HB985 , HB994 , HB1005 , HB1104 , HB1107 , HB1109 , SCR3

Committee: House Administration of Criminal Justice

Keywords: criminal procedure, disclosure, criminal records, witness protection, trial rights, electronic monitoring, GPS ankle monitor, ankle bracelet, pretrial release, post-conviction supervision, bail monitoring, house arrest, corrections, criminal justice, law enforcement, prosecuting authority, court reporting, provider registration, LCLE, Louisiana Commission on Law Enforcement and Administration of Criminal Justice

Transcript Highlights:

• have it done soon, and we hope to be able to move as quickly as we can because we can't afford to waste

Keywords: 987, senate, all

Transcript Highlights:

• Members, HB 1068 proposes to amend local government contracting authority regarding waste collection,

Bills: HR153 , HR154 , HR155 , HR156 , HR157 , HR158 , HCR57 , HCR58 , HCR59 , HR133 , HR134 , HR135 , HR136 , HR137 , HR138 , HR139 , HR140 , HR141 , HR142 , HR144 , HR145 , HR146 , HR147 , HR148 , HR149 , HR150 , HR151 , HR152 , SCR28 , SB141 , SB169 , SB206 , SB233 , SB417 , SB421 , SB429 , SB437 , SB477 , SB510 , SB521 , HR1 , HR17 , HCR5 , HB55 , HB385 , HB394 , HB396 , HB406 , HB608 , HB622 , HB676 , HB772 , HB897 , HB902 , HB943 , HB1030 , HB1035 , HB1038 , HB1045 , HB1049 , HB1056 , HB1058 , HB1059 , HB1092 , HB1100 , HB1117 , HB1160 , HB1161 , HB1162 , HB1177 , HB1180 , HB1189 , HB1216 , HB1239 , HB1240 , SB127 , HB284 , HB1 , HB2 , HB3 , HB312 , HB313 , HB383 , HB314 , HCR3 , HB983 , HB1126 , HB21 , HB24 , HB29 , HB31 , HB39 , HB45 , HB77 , HB136 , HB150 , HB263 , HB273 , HB299 , HB315 , HB376 , HB377 , HB431 , HB444 , HB450 , HB519 , HB533 , HB538 , HB559 , HB562 , HB663 , HB664 , HB715 , HB717 , HB805 , HB822 , HB823 , HB834 , HB864 , HB867 , HB1017 , HB1018 , HB1068 , HB1134 , HB1137 , HB1234 , HB1235 , HB1236 , HB211 , HB27 , HB71 , HB214 , HB225 , HB241 , HB244 , HB306 , HB345 , HB366 , HB446 , HB511 , HB514 , HB655 , HB730 , HB743 , HB1027 , HB1037 , HB1043 , HB1082 , HB1091 , HB1096 , HB1103 , HB1167 , HB1174 , HB1175 , HB1230 , HB1237 , HB1238 , SB162 , SB349 , SB350 , SB382 , SB383 , HB401 , HB51 , HB58 , HB140 , HB982 , HB1010 , HB132 , HB193 , HB635 , HB690 , HB1003 , HB750 , HB911 , HB151 , HB180 , HB192 , HB310 , HB961 , HB1146 , HB977 , HB181 , HB901 , HR20 , HR74 , HB9 , HB393 , HB459 , HB577 , HB582 , HB605 , HB614 , HB615 , HB682 , HB733 , HB773 , HB996 , HB1113

Keywords: commendation, robotics, high school, competition, education, Tomato Festival, community celebration, Our Lady of Prompt Succor, fundraising, local heritage, Holocaust, remembrance, Yom HaShoah, Jewish history, condolences, community service, law enforcement, legacy, Shreveport, D.A.R.E. Program

Transcript Highlights:

• It would be an abandonment of 4,200 infants and toddlers statewide and a waste of years of preparation

Keywords: 988, house, all

Transcript Highlights:

• It would be an abandonment of 4,200 infants and toddlers statewide and a waste of years of preparation

Summary: The hearing was a joint budget discussion focused first on California preschool and child care, then on universal transitional kindergarten (TK), with later movement toward a reading-difficulties screener item. Members emphasized the need for a coordinated early childhood system that better serves families’ real schedules and needs, rather than forcing families to fit existing program structures. The preschool panel reviewed access, quality, workforce, facilities, and information systems, with repeated concern about whether current funding and program design are sufficient for infants, toddlers, three-year-olds, and full-day/full-year care. Witnesses from the Learning Policy Institute, CDSS, CDE, and community providers described major growth in preschool and child care enrollment, especially for two- and three-year-olds, but also noted persistent gaps, waitlists, workforce shortages, low reimbursement rates, and the need for more stable funding. Several witnesses urged expansion or permanence of two-year-old eligibility in CSPP, more support for mixed-delivery systems, facility conversion and renovation grants, better statewide enrollment and referral systems, and continued funding for one-time grants such as UPK coordinators and planning/implementation supports. Provider and parent testimony stressed that rate reform, enrollment-based reimbursement, and continued hold-harmless protections are needed to keep programs open and accessible. The TK panel reviewed the Governor’s budget proposal for full implementation of universal TK, including Proposition 98 funding for expansion and lower adult-to-child ratios, plus a multilingual learner screening implementation budget change proposal. LPI and CDE reported that TK enrollment has grown rapidly but uptake is now a little over half of eligible four-year-olds, with families citing lack of awareness, preference for other care, and logistical barriers such as location and hours. CDE and providers said the UPK planning and implementation grant, mixed-delivery planning grants, and UPK coordinators have been critical, but these one-time funds are set to sunset. Members pressed for more information on eligible population projections, full-day/full-year demand, teacher credential data, and how administrative credential programs are preparing leaders for early childhood settings. The committee held the issues open and requested follow-up data from the departments.

Transcript Highlights:

• House Bill 417 by Representative Zerang, hazardous waste site cleanup fund, provide relative to requiring

Bills: HR84 , HR85 , HR86 , HR87 , HR88 , HR89 , HR90 , HCR42 , HCR43 , HB1087 , HB1088 , HB1089 , HB1090 , HB1091 , HB1092 , HB1093 , HB1094 , HB1095 , HB1096 , HB1097 , HB1098 , HB1099 , HB1100 , HB1101 , HB1102 , HB1103 , HB1104 , HB1105 , HB1106 , HB1107 , HB1108 , HB1109 , HB1110 , HB1111 , HB1112 , HB1113 , HB1114 , HB1115 , HB1116 , HB1117 , HB1118 , HB1119 , HB1120 , HB1121 , HB1122 , HB1123 , HB1124 , HB1125 , HB1126 , HB1127 , HB1128 , HB1129 , HB1130 , HB1131 , HB1132 , HB1133 , HB1134 , HB1135 , HB1136 , HB1137 , HB1138 , HB1139 , HB1140 , HB1141 , HB1142 , HB1143 , HB1144 , HB1145 , HB1146 , HB1147 , HB1148 , HB1149 , HB1150 , HB1151 , HB1153 , HB1154 , HB1155 , HB1156 , HB1157 , HB1158 , HB1159 , HB1160 , HB1161 , HB1162 , HB1163 , HB1164 , HB1165 , HB1166 , HB1167 , HB1169 , HB1170 , HB1171 , HB1172 , HB1173 , HB1174 , HB1175 , HB1176 , HB1177 , HB1178 , HB1179 , HB1180 , HB1181 , HB1182 , HB1183 , HB1184 , HB1185 , HB1186 , HB1187 , HB1188 , HB1189 , HB1190 , HB1192 , HB1193 , HB1194 , HB1195 , HB1196 , HB1197 , HB1198 , HB1199 , HB1200 , HB1201 , HB1202 , HB1203 , HB1204 , HB1205 , HB1206 , HB1207 , HB1208 , HB1209 , HB1210 , HB1211 , HB1212 , HB1213 , HB1214 , HB1215 , HB1216 , HB1217 , HB1218 , HB1219 , HB1220 , HB1221 , HB1222 , HB1223 , HB1224 , HB1225 , HB1226 , HB1227 , HB1228 , HB1229 , HB1230 , HB1231 , HR73 , HR74 , HR75 , HR77 , HR78 , HR79 , HR80 , HR81 , HR83 , HCR36 , HCR37 , HCR38 , HCR39 , HCR40 , HCR41 , HB368 , HB433 , HB1017 , HB1018 , HB1019 , HB1020 , HB1021 , HB1022 , HB1023 , HB1024 , HB1025 , HB1026 , HB1027 , HB1028 , HB1029 , HB1030 , HB1031 , HB1032 , HB1033 , HB1034 , HB1035 , HB1036 , HB1037 , HB1038 , HB1039 , HB1040 , HB1041 , HB1042 , HB1043 , HB1044 , HB1045 , HB1046 , HB1047 , HB1048 , HB1049 , HB1050 , HB1051 , HB1052 , HB1053 , HB1054 , HB1055 , HB1056 , HB1057 , HB1058 , HB1059 , HB1060 , HB1061 , HB1062 , HB1063 , HB1064 , HB1065 , HB1066 , HB1067 , HB1068 , HB1069 , HB1070 , HB1071 , HB1072 , HB1073 , HB1074 , HB1075 , HB1076 , HB1077 , HB1078 , HB1079 , HB1080 , HB1081 , HB1082 , HB1083 , HB1084 , SB111 , SB122 , SB195 , SB221 , SB404 , HR1 , HCR6 , HCR19 , HB27 , HB81 , HB134 , HB154 , HB163 , HB170 , HB194 , HB214 , HB217 , HB220 , HB254 , HB259 , HB290 , HB308 , HB311 , HB360 , HB382 , HB401 , HB410 , HB417 , HB463 , HB514 , HB575 , HB592 , HB718 , HB723 , HB750 , HB755 , HB776 , HB812 , HB830 , HB838 , HB844 , HB882 , HB885 , HB888 , HB950 , HB961 , HB966 , HB980 , HR15 , HR20 , HCR14 , HB58 , HB69 , HB93 , HB166 , HB199 , HB201 , HB202 , HB218 , HB223 , HB224 , HB231 , HB235 , HB246 , HB338 , HB349 , HB352 , HB379 , HB405 , HB429 , HB535 , HB547 , HB577 , HB588 , HB626 , HB636 , HB652 , HB653 , HB669 , HB688 , HB691 , HB721 , HB738 , HB806 , HB851 , HB857 , HB861 , HB889 , HB904 , HB907 , HB908 , HB929 , HB1009 , HB13 , HB23 , HB25 , HB32 , HB41 , HB90 , HB120 , HB121 , HB122 , HB127 , HB138 , HB139 , HB141 , HB179 , HB187 , HB213 , HB247 , HB286 , HB332 , HB344 , HB357

Keywords: physical therapy, healthcare, prevention, wellness, education, Louisiana, landscape architecture, environment, public health, economic development, infrastructure, condolences, memorial resolution, tribute, Roger D. Boudreaux, Church Point, mayor, Louisiana House of Representatives, community service, local government

Transcript Highlights:

• Without ongoing prioritization of community supports, we risk wasting the billions of dollars that California

Summary: The subcommittee heard a lengthy Department of Health Care Services presentation on the governor’s Medi-Cal budget, including a $229.1 billion total-funds proposal, projected Medi-Cal enrollment declines as redeterminations continue, and several major cost drivers such as managed care growth, Medicare-related costs, pharmacy spending, and changes tied to federal policy. Members focused heavily on the elimination of Prop. 56 dental supplemental payments beginning July 1, 2026, questioning the likely impact on provider participation and utilization. DHCS said it is completing the required rate reduction/access analysis for CMS, has been holding stakeholder meetings and issuing provider bulletins, but could not yet quantify the real-world effect. The committee also discussed a $50 million savings proposal tied to new hospice utilization management authority and asked about possible effects on emergency dental care and provider participation. The hearing then moved through the November 2025 family health estimate and several county and program administration issues, including CCS, GHPP, and Every Woman Counts. DHCS said family health costs are rising despite slight caseload declines because of higher utilization and medical costs, and members raised concerns about CCS website accessibility, county administrative funding, and the transition of youth aging out of CCS. The department said most CCS beneficiaries are also on Medi-Cal, that counties have long raised funding concerns, and that it had clarified use of maintenance-and-operations dollars to address some county workload issues. Members also asked about Every Woman Counts potentially seeing higher demand as Medi-Cal changes take effect; DHCS said that is possible and that the program has multiple funding sources including General Fund. A major portion of the hearing focused on provider taxes and federal changes under H.R. 1, especially the Medi-Cal managed care organization tax and the hospital quality assurance fee. DHCS explained that H.R. 1 restricts new or increased health care-related taxes, phases down allowable tax levels over time, and tightens “generally redistributive” rules, which could sharply reduce the state’s ability to use the MCO tax for Medi-Cal financing. Members asked whether the Legislature could amend Prop. 35 or whether voters would need to act; DHCS said a three-fourths legislative amendment may be possible if it aligns with the measure’s purpose, but the department is still evaluating options. The committee also discussed hospital financing, with DHCS describing recent increases in state-directed payments and the effect of H.R. 1 in capping those payments at Medicare levels, and the LAO noting the tradeoff between preserving provider taxes and maintaining Medi-Cal funding. The subcommittee also reviewed a series of DHCS budget change proposals and trailer bill items, including managed care final-rule implementation, managed care operations, a hospital value strategy, a one-year extension of skilled nursing facility financing, long-term care payment transparency, and interoperability/prior authorization requirements. Members repeatedly questioned the use of limited-term versus permanent positions, the overlap among proposals, and the timing of new financing reforms. DHCS said the SNF extension would preserve current workforce standards, sanctions, growth limits, and the SNF quality assurance fee while the department develops a broader 2027-28 redesign. No votes were taken; items were repeatedly held open for later action. Covered California then presented on the expiration of the federal enhanced premium tax credit and the resulting affordability crisis. The agency said Californians will lose about $2.5 billion in premium assistance for 2026, average premiums could nearly double for many enrollees, and as many as 400,000 people could eventually leave marketplace coverage. Open enrollment ended with 1.9 million sign-ups, down 3% from the prior year, with especially steep declines among middle-income consumers and increased movement into bronze plans. Covered California said the state’s $190 million affordability subsidy is helping lower-income enrollees retain coverage, but cannot fully replace the lost federal assistance. Members also asked about the Health Care Affordability Reserve Fund, repayment of loans from that fund, the status of federal review of California’s essential health benefits benchmark, and implementation of the new gender-affirming care benefit under AB 144.

Transcript Highlights:

• Without ongoing prioritization of community supports, we risk wasting the billions of dollars that California

Summary: The subcommittee heard an overview of the Department of Health Care Services’ proposed budget, including a $229.1 billion total-funds budget and projected Medi-Cal enrollment decline as redeterminations continue. Members focused heavily on the fiscal and programmatic effects of prior budget solutions and federal changes, especially the elimination of General Fund-supported Prop. 56 dental supplemental payments beginning July 1, 2026, the hospice utilization-management change, and the impact of reduced caseloads alongside rising health care costs. DHCS said it is still completing required access and rate-reduction analyses for the dental cuts and has been engaging stakeholders, but could not yet quantify the real-world effect on utilization or provider participation. The committee also reviewed the November 2025 Medi-Cal local assistance estimate, which shows higher General Fund spending despite lower enrollment, driven by managed care rate growth, Medicare cost growth, state-only claiming, and federal policy changes. The hearing then turned to provider taxes and federal H.R. 1 constraints, with extensive discussion of the MCO tax, the hospital quality assurance fee, and other health care-related taxes. DHCS explained that H.R. 1 phases down allowable tax levels and tightens “generally redistributive” rules, making the current MCO tax structure and the proposed higher hospital fee levels difficult or impossible to renew as originally designed. Staff and the LAO described the tradeoff between preserving Medi-Cal funding and avoiding higher costs on private providers and consumers. Members asked about options for preserving revenue, including possible amendments to Prop. 35 or returning to voters, and were told the department is still evaluating approaches while federal guidance remains in flux. The committee also reviewed hospital payment increases already implemented through state-directed payments, with DHCS noting that H.R. 1 will force those payments down to Medicare levels over time. Several budget change proposals were discussed and left open, including requests tied to the managed care final rule, managed care operations, hospital value strategy, long-term care payment transparency, and interoperability requirements. The committee also heard about a one-year trailer bill extension for skilled nursing facility financing, including continuation of the SNF workforce standards program, the SNF quality assurance fee, and annual rate growth, while the department develops a longer-term financing redesign for 2027-28. Members expressed skepticism about repeated rate reform efforts and questioned whether a one-year extension of the eliminated workforce quality incentive program should be restored during the transition. Finally, Covered California presented its budget and enrollment update, reporting that the expiration of the federal enhanced premium tax credit is expected to reduce affordability significantly, with average premiums roughly doubling for many enrollees and as many as 400,000 Californians potentially losing marketplace coverage over time. The exchange said California’s $190 million subsidy program is helping lower-income enrollees, but not enough to offset the federal loss, and it is also implementing a new gender-affirming care benefit and awaiting federal action on benchmark plan changes.

Transcript Highlights:

• And the time is not wasted; it's very valuable, and we appreciate you. Okay, thank you.

Committee: House Education

Keywords: 1182, all

Transcript Highlights:

• age 18 and over and focuses specifically on community climate engagement in urban greening, organic waste

Summary: The subcommittee first heard an informational overview from the Governor’s Office of Service and Community Engagement (GoServe), including California Volunteers, the Office of Community Partnerships and Strategic Communications, and the Youth Empowerment Commission. GoServe reported strong participation in programs such as California Service Corps, College Corps, Youth Service Corps, Climate Action Corps, and the new men’s service challenge. Testimony emphasized enrollment, retention, and completion outcomes, outreach results, and efforts to reduce administrative costs. The Department of Finance said the administration supports the programs but has already made reductions to help address the budget deficit, while the LAO said it had no new recommendations on the informational item. Committee members raised questions about program scale, demographics, and effectiveness, especially for Climate Action Corps and whether the programs are duplicative of existing volunteer opportunities. One member criticized the programs as too fragmented and costly, while others asked for more data on who is being served and whether the programs increase actual participation in state services. GoServe said it would follow up with demographic and regional impact information. The committee also discussed the men’s service challenge, which GoServe said has formed partnerships with organizations such as YMCAs and Big Brothers Big Sisters and has already attracted more than 2,000 participants. The item was informational only. The committee then heard a BOE overview and a budget request to implement SB 293, which gives wildfire-affected families additional time to claim intergenerational Prop. 13 property tax transfers. BOE requested $154,000 for guidance, public materials, and inquiry response, explaining that the work is urgent and tied to disaster relief in Los Angeles County, especially Altadena. The LAO had no concerns, and Finance had no comment. Members asked how many cases might be affected and whether more funding would be needed later; BOE said the full number is not yet known and that future requests are possible. The committee also heard BOE’s IT modernization proposal for the state-assessed property tax system, a 30-year-old mainframe replacement costing $3.2 million in 2026-27 and $3.1 million in 2027-28. BOE and Finance supported the project as necessary, while the LAO said it had no concerns but urged a high bar for new IT spending. Members generally supported modernization but cautioned about implementation risk. Finally, CDTFA presented an overview and two policy proposals. The department described administering 42 tax and fee programs, collecting $98 billion in FY 2024, and improving administrative efficiency. Members then discussed local sales tax tools and revenue-sharing agreements, with concerns raised about transparency, consultant-driven tax allocation disputes, and the impact on local communities. CDTFA and the LAO explained that local jurisdictions control how district sales tax revenues are spent and noted the Legislature could revisit the statutory cap on local add-on sales taxes. The committee then heard CDTFA’s proposal to treat all delivery network companies as marketplace facilitators so they must collect and remit sales tax on delivery-app orders. CDTFA said the change would resolve confusion, shift compliance from thousands of small restaurants to a few large platforms, and raise about $44 million annually. Several members questioned whether the proposal would effectively raise consumer costs and whether it would create a competitive advantage or disadvantage among delivery platforms. The item remained under discussion, with no vote taken in the transcript.

Transcript Highlights:

• age 18 and over and focuses specifically on community climate engagement in urban greening, organic waste

Keywords: 987, senate, all

Transcript Highlights:

• There is so much waste and abuse in this space.

Committee: House Health and Welfare

Summary: The committee first adopted the minutes from several prior 2025 meetings, then took up HB 574 by Rep. Spell, which updates the names of two organizations on the Mental Health Advocacy Service Board of Trustees. Rep. Spell explained it as a technical cleanup bill to correct the names of the Louisiana Mental Health Association and the Louisiana State Medical Society so the board’s membership records match current organization names. With no objections, HB 574 was reported favorably. The committee then heard HB 486, also by Rep. Spell, to join the Psychology Interjurisdictional Compact (PsyPact) and allow Louisiana psychologists to provide telepsychology and temporary in-person services across state lines. Rep. Spell and PsyPact representatives said the compact would expand access to mental health care, especially in rural areas, while maintaining standards and disciplinary oversight. The committee adopted amendments on fees and the effective date, and HB 486 was reported favorably with amendments. HB 198 by Rep. Eccles proposed a Medicaid reimbursement methodology for ambulatory surgical centers, using a Medicare-based rate to improve access for Medicaid patients needing specialty procedures. Amendments were adopted to add ophthalmology-related services and to cap reimbursement at the lesser of the outpatient hospital rate or 100% of the Medicaid rate, along with a technical amendment to address the fiscal note. Supporters from GI and ASC groups said the bill would improve access and lower long-term costs, and the bill was reported favorably with amendments. The committee spent the most time on HB 182 by Rep. Travis Johnson, which would require hospitals to ensure access to sexual assault forensic exams and related training. Johnson, law enforcement witnesses, and the Attorney General’s office emphasized the need for timely evidence collection, especially in rural areas, and said the current system leaves victims traveling long distances or losing evidence. Hospital and coroner witnesses supported the goal but opposed the bill as written, arguing it could impose duties on hospitals without enough trained personnel, funding, or a workable statewide training and coordination system; they urged a statewide coordinator, mobile SANE units, and clearer implementation. The bill was not finally disposed of in the portion of the meeting provided, and members discussed continuing to work on amendments and timing before floor consideration.