Video & Transcript : 'Arizona Long Term Care System' :
Page 335 of 500
NM
Transcript Highlights:
- And so we need a better system. And if we can't get these systems upgraded...
- In fact, over the long term, we would like to decrease the amount of money that we are asking this committee
- In fact, a good deal of that money is sent directly to the State Investment Council to make long-term
- broadband coverage, aligning with federal timelines and maximizing infrastructure investments for long-term
- broadband coverage, aligning with federal timelines and maximizing infrastructure investments for long-term
Committee:
Senate House Appropriations & Finance
Summary:
The committee heard budget presentations from the Secretary of State, the State Land Office, the Attorney General, and the State Auditor. The Secretary of State said its requested general fund budget of $15.88 million was intended to maintain baseline operations, replace lost federal cyber and election support, and address a 12% vacancy rate. Officials warned that the House recommendation still left major gaps for election security, tabulator replacement, campaign finance system upgrades, overseas and military ballot services, ballot tracking, and a new tax lien filing system. Senators pressed about the election fund, county burdens, and the risk of underfunding election administration; the office said the House had provided $15 million for the election fund for the primary and another $15 million for the general election, but not enough for operations or all capital needs.
The State Land Office said it was satisfied with the House budget action and had no additional request. Staff described the office’s record revenues, low vacancy rate, clean audits, and proposed new positions tied to forestry, economic development, petroleum, geothermal, and royalty compliance work. Senators asked about long-term revenue trends, forest thinning and biomass opportunities, and bookkeeping around the land maintenance fund; the office said the new positions were intended to generate revenue and support land management, including fire mitigation.
The Attorney General’s office presented a budget built around a 0% general fund increase, greater use of the Consumer Settlement Fund, and $4.5 million in special/extraordinary litigation funding. The AG emphasized active litigation and investigations involving consumer fraud, Medicaid fraud, federal funding cuts, Meta and other technology platforms, AI and child safety, gaming compacts, tobacco, and possible litigation over abandoned uranium mine cleanup. Senators asked about scam enforcement, the structure of settlement funds, and whether the office could take on uranium-related litigation; the AG said the office could prepare a litigation budget but warned such efforts would require sustained funding. The State Auditor said the House budget added only modest increases while the office faced about a 40% vacancy rate, difficulty recruiting auditors, and a shrinking pool of public accounting firms, creating risks for constitutional audit responsibilities.
CA
California 2025-2026 Regular Session
Joint Hearing Senate Revenue and Taxation Committee and Assembly Revenue and Taxation Committee Feb 11th, 2026
Transcript Highlights:
- And that's how that system works. So these two systems don't speak to each other.
- Again,... ...health care.
- I've been doing this a long time.
- the U.S. system, when you have other tax systems, international systems, laid on top of California's
- are fully funded for the long term.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Election Laws Jun 21st, 2026 at 01:00 pm
Joint Committee on Election Laws
Transcript Highlights:
- legal system.
- legal system.
- Black and Latinx residents are vastly overrepresented in our prison system, the result of long-standing
- Black and Latinx residents are vastly overrepresented in our prison system, the result of long-standing
- Thanks to the Votes Act, we know that this legislature cares deeply about removing long-standing barriers
Committee:
Joint Joint Committee on Election Laws
Summary:
The committee heard extensive testimony on S. 7 and H. 63, proposed constitutional amendments to restore voting rights to people incarcerated for felony convictions. Sponsors Rep. Erica Iderhoven and Sen. Liz Miranda argued that Massachusetts should reverse the 2000 disenfranchisement change, describing it as a recent and racially discriminatory policy that excludes thousands of residents—disproportionately Black and Latino—from civic participation. They said the amendment would put the question before voters, likely in 2028, and noted that implementation details such as domicile and where incarcerated people would register to vote would be handled separately through legislation and existing jail-based voting work.
A large number of incarcerated and formerly incarcerated people testified in support, many speaking remotely from MCI Norfolk, MCI Shirley, and MCI Framingham. They said voting would affirm dignity, accountability, rehabilitation, and connection to community, and several described civic education programs inside the facilities that had helped them engage with public policy. Witnesses repeatedly characterized disenfranchisement as “civil death,” linked it to racial injustice and the legacy of slavery, and urged the committee to advance the bills favorably. A few speakers also addressed practical questions about voting location and domicile, with sponsors saying those issues are not specified in the constitutional amendment and would be worked out later.
Committee members asked several questions, including whether incarcerated people would vote in the community where they were incarcerated or where they previously lived, and whether future legislation could include carve-outs based on offense type or time served. Testifiers and sponsors generally said the amendment itself does not decide those implementation questions, and some said they would oppose carve-outs. One member raised a broader moral objection about allowing people convicted of serious crimes to vote; supporters responded that punishment should not erase democratic rights and that voting can support rehabilitation and reentry. No vote or final committee action was taken during the transcript provided.
The hearing also briefly included testimony on a separate matter, S. 521, a proposed ratification of the federal Child Labor Amendment. Witnesses supporting that measure warned against renewed child labor rollbacks in other states and argued Massachusetts should reaffirm protections for children and education. That portion of the hearing was separate from the voting-rights discussion.
NH
New Hampshire 2025 Regular Session
House Commerce and Consumer Affairs (04/23/2025)
Transcript Highlights:
- premium increases and the long-term risk of insolvency.
- Senate Bill 297 has been a thorn in my side ever since I first saw it. the long-term risk of insolveny
- I would the long-term risk of insolveny.
- that the system has been developed based on misapplying a short-term actuarial projection prepared for
- care, the system should such as school care, the system should support<05:53:34.400><c> that</c><05:
Summary:
The committee first heard Senate Bill 47, sponsored by Sen. Regina Birdsell at the request of the Insurance Department. The bill would codify the department’s interpretation that a birth mother’s health insurance is the primary coverage for a newborn, unless the mother has no insurance or coverage under an employer-sponsored plan. Birdsell and Insurance Commissioner DJ Benton Court said the measure is a clarification of existing practice and intended to protect vulnerable newborns; a question from Rep. Miles clarified that if a young woman is on her parents’ policy, the newborn would generally be covered under that family coverage. The hearing on SB 47 was then closed.
The committee then took up Senate Bill 121, introduced by Grant Bosi for Sen. Kevin Avard, which would require insurers to notify the Insurance Department when they stop writing an entire line of business or, in some cases, Medicare Advantage plans. Commissioner Benton Court said the bill arose from disruption in the Medicare Advantage market, where consumers, brokers, and the department were confused by carriers changing or ending offerings; he said the department wanted a simple notification requirement so it could better advise consumers. Members discussed network adequacy, county-based service areas, and the fact that the bill would make notice a condition of licensure, with possible fines or license action for noncompliance. Witness Paula Rogers of AHIP said her group supported the bill if amended, and the department indicated it would support a change from a 120-day notice period to 90 days to align with state rules; the committee planned to work on an amendment in subcommittee.
Finally, the committee heard Senate Bill 247, introduced by Rep. Brian Cole, which would prohibit network exclusion of pharmacies that refuse to dispense prescriptions when PBM reimbursement is below acquisition cost. Cole argued the bill is meant to stop pharmacies from being forced to sell drugs at a loss, describing PBMs as middlemen and saying the measure is a compromise that protects local pharmacies. Members questioned whether consumers would pay more and whether pharmacies voluntarily enter PBM contracts; Cole responded that the bill would let pharmacies refuse unprofitable fills while consumers could still obtain the drug through mail order or other channels. He also said the issue has changed over time because the practice now affects a much larger share of generics and is concentrated among a few PBMs. The hearing remained open as questions continued, with no vote taken in the excerpt.
NM
New Mexico 2025 Regular Session
IC - Courts, Corrections and Justice May 27th, 2025
Courts, Corrections & Justice Committee
Transcript Highlights:
- I don't know systems reform the way these folks do.
- He was very careful.
- And those objectives for both short term and the long-term fixes. So, Mr.
- They care for the body of the survivor, #1.
- Um, I mean, in terms of, in terms of the old backlog, um, the, because there, there really are two different
TX
Transcript Highlights:
- Brazos has been in my family a long time.
- sort of what to do in terms of...
- Making sure that we keep the right included in the system and give it sort of what to do in terms of
- In terms of professional background, he's retired with a long career in the energy and finance sectors
- His term extends through February 1, 2031.
Committee:
Senate Nominations
Summary:
The Senate Committee on Nominations met to consider several gubernatorial nominees and first approved a slate of nominees left pending from the March 31 agenda. The committee voted 5-0 to favorably report those nominees to the full Senate for confirmation. Public testimony was then opened and later closed, with some listed witnesses not appearing.
The committee heard testimony on Jerry K. Weldon II for the Brazos River Authority Board of Directors. Senators focused on stewardship of the Brazos River, the authority’s relationship to the legislature and the public, Sunset review, water quality and nutrient runoff, impaired waterways, and possible uses of constructed wetlands for aggregate mine reclamation. Weldon emphasized collaboration, transparency, and keeping the citizens of Texas as the authority’s primary customer.
Commissioner Robert Vaughn was considered for reappointment to the Texas Transportation Commission. Discussion centered on TxDOT’s management, rural funding, population growth, project delivery, and the commissioner’s role on the audit committee. Doug McCreakin was considered for the Texas Tech University Board of Regents, with questions about legislative priorities, compliance with DEI-related state law, workforce development, rural medical education, and university partnerships. Jody Giles was considered for reappointment to the University of Texas Board of Regents, and Bernadette Carrasco Coleman for reappointment to the Texas Woman’s University Board of Regents; both discussed higher education priorities, PUF funding, compliance with state law, and student support programs. John Rutherford was considered for reappointment to the Teachers Retirement System Board of Trustees, with questions about fiduciary oversight, investment understanding, and keeping the retirement system solvent. Brigadier General Michael Boyd was also considered for appointment to the Texas Military Preparedness Commission, where discussion focused on military retention, child care, spouse licensing, base infrastructure, and grant funding for Texas installations. The committee did not take final votes on these later nominees during the hearing and left them pending subject to the call of the chair.
KY
Kentucky 2026 Regular Session
House Standing Committee on Primary and Secondary Education. (3-4-26)
Primary and Secondary Education
Transcript Highlights:
- The early years established a foundation for literacy, executive function, and long-term academic success
- were startling, and I think that's why the governor and others got on board with an endowment for long-term
- were startling, and I think that's why the governor and others got on board with an endowment for long-term
- /c><01:15:52.400><c> for</c> got on board with an endowment for got on board with an endowment for long-term
- </c> long-term sustainability of the system. long-term sustainability of the system.
Committee:
House Primary and Secondary Education
NH
New Hampshire 2025 Regular Session
House Finance (01/23/2025)
Transcript Highlights:
- viability of New Hampshire's long-term viability of New Hampshire's agricultural agricultural agricultural
- That's a crucial piece of a continuum of care for any system, and actually New Hampshire was the only
- </c> diabetes and have long-term diabetes and have long-term consequences<02:48:40.600><c> when</c><02
- </c><02:49:37.640><c> and</c><02:49:38.000><c> really</c> help mitigate those long-term and really help
- mitigate those long-term and really dangerous<02:49:38.840><c> Health</c><02:49:39.160><c> consequences
Summary:
The Finance Committee held a hearing on several bills and announced at the outset that no votes would be taken because the measures would go to divisions later. The first major bill, HB 197, would require the state to pay 7.5% of political subdivision employer pension contributions for teachers, police officers, and firefighters. Representative Mike Edgar, the prime sponsor, argued the state had repeatedly reduced and then eliminated its promised share of retirement costs, shifting the burden to municipalities and property taxpayers. He said the bill would partially restore that commitment and provide relief to local governments, businesses, and taxpayers.
Several witnesses testified in support of HB 197, including Representative John Cluder, Bradford selectman Marlene Fryer, the New Hampshire Municipal Association’s Margaret Burns, and Epping representative Mark Fone. Supporters said the bill would help with property tax pressure, school budgets, and municipal hiring, and they emphasized that much of the retirement cost reflects unfunded liability decisions made at the state level rather than by local governments. Committee members questioned whether the bill would change local incentives to control costs and how it would affect hiring and compensation. Burns said the state contribution would function as property tax relief because it offsets existing municipal expenses, and she noted the state is already on a long-term schedule to pay down the retirement system’s unfunded liability.
After closing the hearing on HB 197, the committee opened a hearing on HB 97, introduced by Representative Tom Buco. He said the bill would continue funding for delayed and deferred wastewater projects and help municipalities finance expensive wastewater infrastructure, which he tied to housing development and local debt planning. No action or votes were taken on either bill during the hearing.
FL
Florida 2025 Regular Session
Judiciary Mar 4th, 2025
Transcript Highlights:
- They are a key part of our system of providing health care, mental care and substance abuse care, addiction
- And that is of people who take care of seniors of a specialist in senior care as take care of seniors
- I went to a long-term care facility for another 4 weeks, Mr.
- Make our I am the vice president of claims and insurance for for Hospital for hospital health care system
- actually improve our health care system.
HI
Transcript Highlights:
- This would keep some people out of that system, so in addition to helping them in terms of their own
- </c><00:54:45.079><c> care</c><00:54:45.880><c> in</c><00:54:46.000><c> a</c> funds to provide long-term
- care in a funds to provide long-term care in a person's<00:54:46.720><c> own</c><00:54:47.119><c> home
- For example, institutional care through nursing homes and long-term facilities costs the State of Hawaii
- For example, institutional care through nursing homes and long-term facilities costs the State of Hawaii
Summary:
The Committee on Health and Human Services held an informational briefing on the Developmental Disabilities Council and related agencies. The Hawaii State Council on Developmental Disabilities outlined its 2025 legislative priorities, including a pilot project for guardian ad litem and capacity evaluations in guardianship/conservatorship cases, a supported decision-making bill, a health disparities study for people with disabilities, an ABLE savings outreach/staffing measure, a Medicaid buy-in proposal, an adult changing tables equity bill, and a resolution on fetal alcohol spectrum disorder. Council representatives emphasized that supported decision-making would complement tools like powers of attorney and medical releases, and that the health disparities study would help identify unmet needs by ZIP code and improve state data on the intellectual and developmental disability population.
The Center on Disability Studies at the University of Hawaii described its role as the research and training arm within the DD system, working with the DD Council and the Hawaii Disability Rights Center. It reported activities such as interdisciplinary training, community education, technical assistance, research collaborations, the Pacific Rim International Conference on Disability and Diversity, publications, telehealth, ECHO Autism, and counseling for Maui fire survivors. The center said it leveraged about $16 million in outside funding last year and highlighted goals focused on workforce development, community capacity, research with direct participation from people with disabilities, and accessible dissemination of information.
The Hawaii Disability Rights Center, the state’s protection and advocacy agency, supported the Council’s priorities, especially supported decision-making, which it said could help some people avoid guardianship while preserving liberty and reducing state resource use. The center also raised concerns about the DD system budget and urged legislators to review whether the Developmental Disabilities Division is requesting enough funding, noting possible backsliding in services and eligibility. The Developmental Disabilities Division of the Department of Health then outlined its statewide waiver program serving just over 3,500 people, its service array, and its budget request for increased waiver funding, a federal initiatives coordinator, and IT upgrades to comply with the new HCBS access rule; no votes or formal actions were taken during the briefing.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 5 on State Administration Apr 1st, 2025
Transcript Highlights:
- As veterans age, many of them need long-term care.
- CalVet operates eight long-term care facilities from as far north as Redding to as far south as Chula
- As veterans age, many of them need long-term care.
- CalVet operates in eight long-term care facilities from as far north as Redding to as far south as Chula
- The homes differ in the levels of care that they offer, but system-wide, these range from independent
Summary:
The Assembly Budget Subcommittee 5 on State Administration held an informational hearing on budget issues for the Department of Veterans Affairs, the Department of Cannabis Control, the Department of Consumer Affairs, the Commission on the Status of Women and Girls, and the California Arts Council. The chair noted there would be no votes. CalVet gave an overview of its programs serving veterans and families, including transition assistance, county veterans service officers, education approvals, housing and homelessness programs, home loans, long-term care homes, and state veterans cemeteries. Members asked about future long-term care needs for aging veterans, staffing and recruitment challenges at veterans homes, and the Yountville steam infrastructure replacement project, for which CalVet sought a $38.8 million reappropriation and said federal reimbursement was expected. CalVet also discussed the role of county veterans service officers in helping veterans file claims and avoid predatory unaccredited representatives.
The Department of Cannabis Control described its regulatory role from seed to sale and requested one position to implement SB 1064’s combined activities license. Members and public witnesses focused heavily on the illicit cannabis market, enforcement staffing, and the impact of taxes and fees on the legal market. DCC said it had roughly 87 enforcement positions with about a 15% vacancy rate and more than 200 compliance staff. Its economist presented the 2024 cannabis market report, which found licensed production and retail quantity were up, but retail value and prices were down, with an estimated 11.4 million pounds of illicit production and about 60% of California consumption still coming from the illicit market. Industry witnesses argued the legal market is in crisis, urged repeal of the scheduled excise tax increase, stronger enforcement against illicit cannabis and hemp-derived intoxicants, and expanded retail access.
The Department of Consumer Affairs briefly presented nine budget proposals, including a $2.6 million ongoing request to maintain a business modernization system for several boards and bureaus. The Commission on the Status of Women and Girls described its work on economic and educational equity, health care, violence prevention, student rights, and archival and outreach projects, and said its budget request would convert limited-term positions to permanent. A member urged the commission to narrow its priorities toward current issues such as affordability, child care, and women’s health. The California Arts Council outlined its role as the state’s only statewide arts funder and requested restoration of $5 million in local assistance; supporters testified that the funding would leverage additional local investment and help sustain arts access, especially in rural communities. The hearing ended after the non-presentation items were noted and no further public comment was offered.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 5 on Corrections, Public Safety, Judiciary, Labor and Transportation Apr 23rd, 2026
Transcript Highlights:
- injured workers and has put forward a proposal to comprehensively reform the program to ensure its long-term
- This provision is necessary to reduce liabilities and ensure long-term viability of the program.
- With these comprehensive reforms, California will be able to ensure the ongoing viability and long-term
- The department focused on eliminating long-term vacancies and positions that were more administrative
- And almost everybody who has graduated from our program... ...is currently employed in long-term sustainable
Summary:
The Senate Budget Subcommittee on Corrections, Public Safety, Judiciary, Labor, and Transportation heard presentations on labor and public employment issues from the Employment Development Department (EDD), the California Workforce Development Board (CWDB), and the Department of Industrial Relations (DIR). The committee first focused on EDD Next modernization, where EDD described progress on online claims, call center upgrades, language access, fraud prevention, and the Integrated Claims Management System (ICMS). The Legislative Analyst’s Office urged closer legislative oversight, especially as the project moves into the most difficult phase. Senators asked about the revised timeline, total cost, fraud reduction, stress testing, transparency around change orders, and the decision to phase in disability insurance and paid family leave before unemployment insurance. EDD said the overall project cost remained about $1.2 billion, that it had no major cost overruns, and that it had saved more than $20 million by shifting some shared customer portal work into ICMS.
The subcommittee then considered CWDB’s request for additional operational resources and trailer bill language to streamline reporting. CWDB and the Department of Finance said staffing had been expanded during the pandemic-era surge in grant funding and should now be reduced as one-time grant programs wind down. Senators questioned the proposed staffing reduction, arguing that workforce development needs remain strong and that the board’s policy role still requires adequate capacity. The committee also discussed a proposal to consolidate multiple annual and interim reports into a single biennial report, with LAO supporting the streamlining. Members asked about reporting for specific programs and the cost savings from reducing duplicative evaluations.
A major portion of the hearing addressed DIR’s proposed reforms to the Subsequent Injury Benefits Trust Fund (SIBTF) and related workload funding. DIR and LAO described rapid growth in applications, a large and growing backlog, and sharply rising liabilities and employer assessments. The administration’s trailer bill would tighten eligibility, apply reforms to open cases, and use contemporaneous evidence and QME reports to document preexisting disabilities. LAO said the proposal largely matched its prior recommendations and would help return the program to its original intent. Senators raised concerns about fairness to pending claimants, the effect on workers with undocumented preexisting conditions, and whether the QME system could absorb the added workload. The committee also heard DIR’s request to eliminate vacant positions under a statewide vacancy sweep, with members objecting that some vacancies reflect unmet enforcement and safety needs rather than excess capacity.
The hearing continued with DIR proposals for additional Cal/OSHA investigative staff, permanent changes to Workers’ Compensation Appeals Board petition deadlines, and apprenticeship-related funding increases. DIR sought 14 permanent positions for its Bureau of Investigation to handle serious workplace fatalities and injuries, and members emphasized the importance of timely investigations and family communication. The WCAB requested making permanent a 2024 change that starts the 60-day reconsideration clock when a case is transmitted rather than when the petition is filed; the board said this had reduced the number of cases awaiting decisions from 637 to 460. Finally, DIR proposed increasing apprenticeship training grants from $3 million to $20 million annually using the Apprenticeship Training Contribution Fund, citing an $80 million fund balance and workforce demand tied to rebuilding and infrastructure needs, and then began discussion of a separate request to expand pre-apprenticeship programs.
MN
Minnesota 2025-2026 Regular Session
Gun Violence Prevention Working Group - 09/15/25
Minnesota Senate Floor Meeting
Transcript Highlights:
- Minnesota has had in its history, unfortunately, and long before this summer, a bit of history in terms
- MINNESOTA HAS HAD IN ITS HISTORY UNFORTUNATELY AND LONG BEFORE THIS SUMMER A BIT OF HISTORY IN TERMS
- , lost productivity, as we have heard, that's heartbreaking, long-term trauma.
- It's long overdue that we ensure that all of our neighbors have the care they need, not just for cancer
- IT'S LONG OVERDUE WE ENSURE THAT ALL OF OUR NEIGHBORS HAVE THE CARE THEY NEED NOT JUST FOR CANCER AND
CA
California 2025-2026 Regular Session
Assembly Utilities and Energy Committee Jul 1st, 2026
Utilities and Energy
Transcript Highlights:
- We know that personally, in our own lives, to take care of those who rely on us, we need to take care
- So going into the last section of just setting up the slides for the discussion on the long-term reliability
- So that brings us into just a few points for our long-term— I don't— So that brings us into just a few
- points for our long-term discussion, again just recognizing that we have flipped from a structurally
- And finally, in terms of the tools in our toolbox, with or without the strategic reserve, in the long
Committee:
House Utilities and Energy
CA
California 2025-2026 Regular Session
Senate Floor Session Jun 18th, 2026
California Senate Floor Meeting
Transcript Highlights:
- Under this legislation, they would have to pay the grand total in the long term, up to 30% of their actual
- Payroll software, inventory systems, construction management tools, health care platforms for millions
- We are now having to deal with the fallout of the big horrible bill in terms of health care cuts and
- The long-term...
- The long-term proposal and suggestion is that all large profitable corporations pay at least some reasonable
MO
Missouri 2026 Regular Session
Professional Registration and Licensing Feb 25th, 2026 at 08:30 am
Professional Registration and Licensing
Transcript Highlights:
- Care can be a team sport.
- system.
- Long term, this is actually not going to be harmful to the pension fund because you've got money going
- term.
- , and the system.
MN
Minnesota 2025-2026 Regular Session
House Fraud Prevention and State Agency Oversight Policy Committee 4/7/25
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- Um, so when we think about PPE and long-term care and hospitals, when we think about housing supports
- And then she worked in long-term care. It served clients she works with in geriatrics.
- </c> businesses, but also the long-term businesses, but also the long-term impacts<00:40:43.200><c> that
- </c> when we think about PPE and long-term when we think about PPE and long-term care<00:42:06.880><c
- </c> And then she worked in long-term care. And then she worked in long-term care.
MA
Massachusetts 2025-2026 Regular Session
Senate Session (Full Formal without Calendar) Jun 21st, 2026 at 11:00 am
Massachusetts Senate Floor Meeting
Transcript Highlights:
- And I think that this is an opportunity for our communities to be able to really look at the long-term
- ... $250,000 to support a filtration system, to install a water filtration system for the Edward J.
- The legislation before us, S3106, an act relative to toxic-free medical devices, has substantial and long-term
- An act financing long-term improvements to municipal roads and bridges, H. 5375.
- to Melissa Riley, our friend and colleague here in the Legislature, who's no longer here, but her long-term
Summary:
The Senate opened with the Pledge of Allegiance, adopted two resolutions recognizing the town of Sturbridge on the nation’s 250th anniversary and congratulating Zachary Erich on becoming an Eagle Scout, and then took up several committee reports and extension orders. The chamber suspended rules multiple times to act immediately on committee extensions for Financial Services and State Administration and Regulatory Oversight, and it referred a House petition on cleft lip and cleft palate treatment to Financial Services. Members also adopted an order extending the Financial Services committee’s reporting deadline on credit union and mortgage financing matters.
The Senate then considered and passed House No. 4361, a bill on teacher retirement benefits, after extensive debate in support of a one-time window for certain teachers who were excluded from Retirement Plus due to administrative errors. Senators described the measure as a long-overdue fix for more than 8,500 educators, noting that eligible teachers would have to pay the difference in contributions. The bill was ordered to a third reading, passed to be engrossed by a 39-0 roll call, and sent on for further action. The chamber also passed Senate No. 3106 on toxic-free medical devices and Senate No. 3107 on commercial interior design licensure, both after supportive remarks about patient safety and professional regulation.
A major item was the conference committee report on H. 5280, the FY26 fair share supplemental budget. Supporters highlighted funding for municipal winter relief, MBTA operations and capital needs, education initiatives, housing incentives, home heating assistance, and collective bargaining agreements, while opponents raised concerns about MBTA subsidies, legal defense funding, and tax policy implications. After roll call, the report was approved by a 37-3 vote. The Senate also adopted the emergency preamble and passed H. 5470, the FY26 supplemental appropriations bill, and later enacted local bills including Berkeley recall authority, a Milton school deadline extension, a Lexington parkland exchange, and long-term municipal roads and bridges financing.
Near the end of the session, the Senate recognized guests from the Caribbean diplomatic corps and the Authentic Caribbean Foundation, who spoke about Caribbean American Heritage Month and partnership agreements with Massachusetts. The chamber then concurred in a House amendment to Senate No. 2563, a bill updating disability-related terminology in the general laws, with senators emphasizing the importance of person-first language and dignity for people with disabilities. The Senate adopted the emergency preamble and enacted the bill. The session concluded with an adjournment order to meet again the following Monday and with adjournment in memory of Richard Louis Volpe of Sturbridge.
CA
California 2025-2026 Regular Session
Joint Hearing Senate Budget Subcommittee No. 3 on Health and Human Services and Assembly Budget Subcommittee No. 1 on Health Apr 6th, 2026
Transcript Highlights:
- within a stable health care delivery system.
- In terms of your question about how health plans ensure access to care for their members, health plans
- So we do have certain continuity of care policies as Medi-Cal members transition from one delivery system
- Prior to accessing medical care, many, if not most, youth and families have a long process before ever
- system, and in all aspects of care, is scary.
Summary:
The joint hearing focused on access to gender-affirming care in California, with opening remarks from the subcommittee chairs emphasizing the importance of protecting transgender, gender-diverse, and intersex Californians and asking for decorum during public comment. The first panel from the Department of Justice, Department of Managed Health Care, and Department of Health Care Services described existing state protections, including nondiscrimination rules, privacy protections, shield laws, and Medi-Cal and commercial coverage requirements for medically necessary gender-affirming care. State officials also outlined ongoing litigation against federal actions and against hospital decisions to end or restrict care, including the Rady Children’s case and challenges to federal proposed rules and declarations affecting Medicaid, Medicare, and provider participation.
Members questioned state agencies about why some hospitals that had stopped providing care had not been sued, how network adequacy is measured, whether the state can track actual access to gender-affirming care, and what legislative changes might strengthen protections. DMHC said it monitors complaints and independent medical reviews but does not track gender-affirming care as a separate provider category or collect utilization data, while DHCS said Medi-Cal continues to cover medically necessary care and that the state is preparing for possible federal rule changes. Finance staff said the previously approved $15 million for gender-affirming care was still being implemented through Covered California.
The second panel featured a physician, clinic leaders, a parent, and a transgender teen describing how care is delivered and the effects of hospital closures and federal pressure. Dr. Johanna Olson-Kennedy described the history and medical basis for gender-affirming care, said minors need parental consent for medical interventions, and argued that care should be individualized and supported by families. Providers and families testified that hospital closures and insurance barriers have disrupted continuity of care, forced patients to travel farther, and shifted demand to community clinics that lack sufficient funding and contracting support. Several witnesses asked the Legislature to provide new funding, strengthen insurance enforcement, and stabilize access to care for transgender youth and families.
NH
New Hampshire 2026 Regular Session
House Finance Division III (02/09/2026)
Transcript Highlights:
- So, do you have children now in care in the foster care system who actually have payees other than the
- So, do you have children now in care in the foster care system who actually have payees other than the
- Do you have children now in care in the foster care system who actually have payees other than the state
- If you un under spend program long term.
- </c><03:04:14.640><c> term</c> which in the near or not too long term which in the near or not too long
Summary:
House Finance Division 3 met in work session and opened with procedural remarks from the chair about the committee’s schedule, deadlines, and recommendation options, noting the meeting was advisory and no votes were expected. The first bill discussed, House Bill 1569, concerned repealing the directive to sell the Anna Philbrook Center for Children property in Concord. Testimony from DHHS and New Hampshire Hospital focused on whether the property could be subdivided, the relationship to Senate Bill 572, the status of the city of Concord’s first right of refusal, and the practical effects of a sale. Witnesses said the $5 million sale estimate was a budget assumption, that moving staff and equipment would create some relocation costs, and that the center had required significant recent maintenance and renovation spending. Members also discussed the number of transitional housing beds at the site, the temporary nature of those beds, and whether the property should remain available given hospital workforce and service needs.
The committee then turned to House Bill 661, which had been recommitted for further review after new information emerged. The chair summarized federal developments, including a December 2025 ACF letter and a related executive order, as well as a federal HHS press release about states diverting foster youths’ Social Security survivor benefits. Representative Walner explained that amendment 3055H had been drafted to move the bill forward in smaller steps, with a fiscal note requested on the amendment because the original bill was viewed as too large and expensive. Members discussed whether the committee had received copies of the amendment and whether federal guidance or funding had changed the policy landscape.
The discussion also included broader questions about foster youth benefits and whether federal action would support state implementation. One member cited ACF language stating that only 11 states had enacted policies to stop interception of survivor benefits and that technical assistance would be available to the remaining states. The meeting remained in work-session mode throughout, with no votes taken and no final recommendations made during the portion provided. The chair indicated the committee could return to the bills later in the month.