Transcript Highlights:

• The family health programs include the California Children’s Services Program, or CCS, the Genetically
• All these programs do show slight reductions in caseload, but—” “All these programs do show slight reductions
• So the May revise assumed a lower Program 9...
• and the Accountability Sanctions Program.
• It's very early in this first-year program.

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:

• The family health programs include the California Children's Services Program, or CCS, the Genetically
• So the May Revise assumed a lower Program 9...
• and the Accountability Sanctions Program.
• , and the Accountability Sanctions Program.
• It's very early in this first-year program.

Keywords: 987, senate, all

Transcript Highlights:

• The family health programs include the California Children's Services Program, or CCS, the Genetically
• Yeah, I have a couple questions on the CCS program.
• and the Accountability Sanctions Program.
• , and the Accountability Sanctions Program.
• It's very early in this first-year program.

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:

• It has grown from a $1.6 billion program to a $2 billion program in a very short period of time.
• intact and kept the integrity of the program intact.
• program.
• So a lot of these LTSS programs are entitlement programs, but is that not true?
• One of the programs that I expect you to see that related to will be the AFC program, which has grown

Keywords: 995, all

Summary: The subcommittee opened with roll call and approved the November 2025 minutes. Commissioner Charlie Carr then introduced Leslie Darcy, chief of LTSS at MassHealth, who provided an update on the PCA working group and on federal and state budget pressures affecting MassHealth and long-term services and supports. Darcy said the PCA working group had completed its work and submitted recommendations, including reinstating the 66-hour overtime cap, strengthening program integrity, and ending paid paperwork time for EVV users; she said those changes were implemented on 11/26 and were expected to save $7.4 million. She also described additional consensus recommendations to lower the overtime cap from 66 to 60 hours, create a seven-hour weekly meal-prep support limit, and continue exploring benchmarks, though the group could not reach consensus on a benchmark standard. Darcy warned that a federal bill enacted about six months earlier would significantly affect MassHealth, with an estimated $3.5 billion loss to the Commonwealth by 2028. She outlined upcoming changes including revised immigrant eligibility rules in October 2026, work requirements for certain non-disabled adults beginning in January 2027, six-month redeterminations for some adults, and shorter retroactive coverage periods. In response to questions, she said people with disabilities and Medicare beneficiaries would be exempt from the work and six-month redetermination requirements. She also explained that reduced federal ACA subsidies were being offset in Massachusetts by state spending, including $250 million in additional state support to keep premiums lower for middle-income families. Members raised concerns about community hospitals, the health safety net, and the impact of federal funding changes on provider rates and uncompensated care. Darcy said restrictions on provider taxes would limit MassHealth’s ability to use those revenues to support rates, and she noted a current $300 million shortfall in the health safety net. She said FY27 would likely include a rate freeze, targeted reductions, one-time budget measures, and further work groups to examine programs such as adult foster care, which she said had grown 40% in two years. Carr emphasized that the situation was serious but potentially fluid, and the meeting ended with no further business; the subcommittee agreed to adjourn before the next meeting and noted an upcoming February presentation from the Department of Public Health.

Transcript Highlights:

• Programs.
• The way that the Cap-and-Invest program has been restructured, the SAFER program is now in the third
• programs and activities.
• , and other drinking water programs.
• ...of our program areas.

Summary: The Assembly Budget Subcommittee on Climate Crisis, Resources, Energy, and Transportation heard an informational hearing with Secretary Garcia and CalEPA-related departments on the administration’s budget proposals and related environmental programs. Secretary Garcia highlighted CalEPA’s work on methane reduction, community air protection, water infrastructure, Exide cleanup, safer pesticide alternatives, Prop 4 implementation, and Bay-Delta water quality, while emphasizing the impact of federal rollbacks and the need for flexible state response. Members raised broader policy concerns about the polluter-pays principle, special fund vacancies, and whether the state is maintaining sufficient staffing and enforcement capacity, especially after recent fee increases. A major portion of the hearing focused on landfill support, response, and enforcement, particularly subsurface elevated temperature events at Chiquita Canyon and El Sobrante. CalEPA requested $5.1 million and 12 positions to improve monitoring, technical response, coordination, and enforcement across CalRecycle, CARB, DTSC, the Water Board, and OEHHA. Assembly Member Schiavo described severe community impacts from Chiquita Canyon and pressed for stronger state action, more transparency, and accountability from landfill operators; Assembly Member Rogers emphasized that accountability must mean forcing operators to take preventive measures and bear the costs. Agency staff said the proposal would help augment current response efforts, support local enforcement agencies, and improve early detection, while acknowledging that the causes of set events are not fully understood and may involve factors such as lithium-ion batteries, oxygen intrusion, and gas extraction practices. The committee then heard an update on the Safe and Affordable Drinking Water program and the effects of the new cap-and-invest structure. State Water Board Chair Joaquin Esquivel reported that the program has reduced the number of Californians without safe drinking water from 1.6 million to about 600,000 since 2019, while also bringing 320 systems back into compliance and distributing $1.8 billion in drinking water grants. The Legislative Analyst’s Office explained that under SB 840, SAFER is now in a lower funding tier, which could reduce annual proceeds from the prior $130 million level to a projected $92 million in 2026-27 and delay funding until later in the year. Members expressed concern that this deprioritizes rural drinking water needs, while the board said it would continue using SAFER’s flexible funds for emergency water, technical assistance, and construction, and would keep pushing consolidations and other long-term solutions for the remaining failing systems.

Transcript Highlights:

• It has grown from a $1.6 billion program to a $2 billion program in a very short period of time.
• intact and kept the integrity of the program intact.
• intact and kept the integrity of the program intact.
• So a lot of these LTSS programs are entitlement programs, but is that not true?
• One of the programs that I expect you to see that related to will be the AFC program, which has grown

Keywords: 1212, all

Summary: The Long-Term Services and Supports and Health Equity Subcommittee met with roll call, approval of prior minutes, and a presentation from Leslie Darcy, chief of LTSS at MassHealth. The main discussion focused on the Personal Care Attendant (PCA) working group, which had completed its legislatively mandated review and submitted recommendations. Darcy said several earlier recommendations were already implemented, including reinstating the 66-hour overtime cap, strengthening program integrity efforts, and removing paperwork-related authorized hours for EVV users. The group then reached consensus on additional recommendations to reduce the overtime cap from 66 to 60 hours, set a seven-hour weekly meal-prep support limit, and continue work on benchmarks, though no consensus was reached on a benchmark standard. Darcy said the proposed changes were intended to preserve program integrity while addressing rapid cost growth in PCA services. Darcy also reviewed the expected effects of a recent federal Medicaid-related bill, estimating that Massachusetts could lose about $3.5 billion by January 2028. She described upcoming changes affecting Medicaid eligibility for certain immigrant groups in October 2026, work requirements for some non-disabled adults beginning in January 2027, six-month redeterminations for certain adults, and shorter retroactive coverage periods. She emphasized that people with disabilities and people on Medicare would be exempt from the new work requirements and six-month redeterminations. Members asked about the impact on community hospitals, the health safety net, and ACA premium subsidies; Darcy said federal changes could worsen uncompensated care pressures, but Massachusetts used state funds to offset the loss of enhanced ACA premium tax credits, helping keep premiums lower for middle-income families. In response to questions about the FY27 budget, Darcy said MassHealth expected targeted reductions, some one-time measures, and likely a rate freeze rather than large base cuts, with further cost-containment work to follow in FY28. She noted that LTSS is a major share of MassHealth spending and that programs such as PCA, adult foster care, and adult day services are state-plan entitlements once adopted by the state, even though the federal government does not require them. Charlie Carr and other members stressed that the PCA work group had been difficult but collaborative, and Carr said the recommendations were modest compared with other options considered. The meeting ended with a brief planning discussion about a February guest presentation from the Department of Public Health and a motion to adjourn, which was approved.

Transcript Highlights:

• First off, there is the Idaho Home Visiting Program.
• Between 2016 and 2025, we saved $105,304,000 by doing this program.
• This program is used to You have $478,000 from the federal fund there.
• So Magellan took on our behavioral health program.
• But the biggest part of that is due to the Magellan program.

Keywords: 989, all

Transcript Highlights:

• To address this, the bill includes a treatment foster care program designed to place children with high-acuity
• foster care pilot program.
• We have to ensure that what's requested is covered by the program.
• Aetna has an LTC program in addition to its MMA program, correct? Correct.
• And it appears that their LTC program has an MLR of 101%.

Summary: The Health Care Budget Subcommittee took up two bills and then continued oversight discussions with APD and AHCA. CS/HB 27, the Social Work Licensure Interstate Compact, was presented as a way to let Florida social workers practice in other compact states and vice versa; AARP, the Florida Chamber, and NASW Florida supported it, and the bill passed favorably. HB 1127, a child welfare bill, would create a treatment foster care pilot for children with high behavioral needs, improve DCF data collection on commercially sexually exploited children, and expand recruitment for protective investigators and case managers; the bill also passed favorably after brief supportive testimony. The committee then questioned APD at length about the iBudget waiver waitlist, enrollment pace, spending projections, and provider capacity. APD said it had sent more than 1,100 interest letters in categories 3, 4, and 5, enrolled 1,124 people so far this year, and expects to spend about 96.4% of its waiver appropriation, leaving roughly $82 million unspent. Members pressed APD on why prior discussions suggested more reserve was needed, how long the SANS process takes, whether category 6 could be expanded, and whether the agency has enough waiver support coordinators and direct support providers. APD said it has about 1,061 waiver support coordinators statewide, adequate capacity for current enrollees, but would need further analysis if the legislature directed a much larger enrollment increase. Members also asked about outreach, annual maintenance of the waitlist, portability for military families, and whether communication efforts should be privatized. Finally, AHCA walked the committee through the 2023 Achieved Savings Rebate (ASR) report for Aetna and explained how the report is used for financial monitoring, rebate calculations, and transparency. AHCA said the ASR is separate from the medical loss ratio (MLR) calculation, though both are reviewed, and that Florida uses the ASR mechanism rather than an MLR remittance requirement to recover funds from plans. Members asked about related-party disclosures, CVS/Caremark relationships, expanded benefits, encounter data, network adequacy penalties, denials and appeals reporting, interest earned on capitation payments, and whether rate increases were reaching providers. AHCA and the outside auditors said they review the plans’ reported data, reconcile it to underlying records, and can assess liquidated damages for network adequacy violations; several members requested follow-up data on rebates, interest, provider capacity, and related-party reporting.

Transcript Highlights:

• </c> the Four County boards create a program the Four County boards create a program in<00:37:03.200>
• </c> in this and then have this program in this and then have this program report<00:37:06.319><c> up
• Yeah, because I think 206E, part 10, while it goes from this district program to a program, it still
• Yeah, because I think 206E, part 10, while it goes from this district program to a program, it still
• this District program District to um<00:52:18.599><c> a</c><00:52:18.880><c> program</c><00:52:19.720

Keywords: 912, senate, all

Summary: The committee heard several transportation and arts-related measures. HB 307 on special member plates drew written support from Protect Ohana, and HB 531 on a University of Hawaiʻi Cancer Center specialty plate received strong support from the Cancer Center and the American Cancer Society, both emphasizing cancer research, patient care, outreach, and public awareness. HB 706 would require skateboard users under 16 to wear helmets, and HB 1231 would expand red light photo enforcement; both drew support from transportation and safety advocates, while the Judiciary raised concerns about citation volume, staffing, manual processing, and the need for consultation and a phased rollout. The committee also discussed HB 54, which increases penalties for repeated excessive speeding offenses; the Attorney General’s office supported the enforcement rationale and fingerprinting language, while the Public Defender opposed the bill, arguing it adds harsh penalties and jail time despite broader efforts to reduce excessive punishment. For the camera-enforcement bills, the Department of Transportation said the red-light and speed-camera programs would be expanded gradually, with existing intersections converted first and additional locations added over time, and noted that the system would require about $2 million and significant automation for the Judiciary. The Judiciary repeatedly asked for more time, public input on camera locations, and effective dates that would allow staffing and system changes. On HB 1166, which funds the automated speed enforcement program, DOT proposed technical amendments to make the citations non-moving violations and to align the statute with the red-light program; the Judiciary again said it had no position on the policy but needed time and consultation to absorb the workload. HB 235, a North Shore red-light imaging bill, drew similar Judiciary concerns and support from a testifier who said enforcement would improve compliance and reduce crashes. The committee also heard HB 1159 on commercial harbor evacuations, with Hawaii Emergency Management Agency supporting the bill as a way to give harbor masters enforceable authority to order vessels out during emergencies. The discussion focused on whether the measure would affect all commercial harbor users, including smaller fishing vessels, and whether it would conflict with Coast Guard authority; the bill’s proponents said it would let the state enforce orders already issued by the captain of the port and protect cargo lanes during crises. Finally, HB 17 on the Hawaiʻi Community Development Authority was described by HCDA as a housekeeping and structural bill that would update its purposes, allow it to assist other agencies, and replace multiple county boards with a single program reporting to the 17-member board. DHHL supported the bill because of potential transit and infrastructure benefits for Kapolei and nearby homestead developments, and committee members discussed future financing tools such as improvement districts, TIF, and other mechanisms to fund infrastructure early in the development process.

Transcript Highlights:

• We call that the contract deputy program.
• So that's how the program works.
• That's the way the program is designed.
• They're in the contract deputy program.
• Have this type of program.

Bills: HB26, HB73, SB 14, HB46

Keywords: HB26, law enforcement contracts, sheriff, constable, county commissioners court, commissioners court, private security, special law enforcement district, property owners association, POA, municipal utility district, school district, junior college district, local government, contract policing, supplemental police services, large counties, population over 3.3 million, Texas Local Government Code, Harris County

Transcript Highlights:

• Since 1999, the program has protected thousands of victims and reproductive health care workers.
• As of 2025, the Safe at Home program serves nearly 8,000 Californians.
• The Safe at Home program was established in 1998 to protect survivors of domestic violence.
• As of 2025, the Safe at Home program serves nearly 8,000 Californians.
• programs are funded and that our streets are maintained.

Summary: The committee heard several immigration-, health-, food access-, and tribal-rights-related bills. AB 1725 would require disclosure of oil wells near homes and sensitive sites and stronger methane monitoring; supporters described health and safety harms in communities near wells, while apartment, realtor, building, and chamber representatives opposed or sought amendments, arguing the bill should better target the responsible industry and fit existing disclosure processes. AB 1650 would require privately rented or leased vehicles used by government agencies for enforcement to be clearly identifiable and equipped with safety lighting; supporters, including immigrant-rights advocates and local officials, said unmarked vehicles create fear and confusion during ICE operations, while the chamber sought clarification and noted exemptions for ordinary undercover law enforcement. AB 1857 would prohibit grocery restrictive covenants that keep new supermarkets from opening after a store closes, with supporters framing it as a food-access and anti-hunger measure; grocers and retailers raised concerns but said amendments addressed many issues, and the committee moved the bill forward as amended to Appropriations on a recorded vote, with all members present voting aye except one absent member and the bill placed on call. The committee also heard AB 1876, which would codify federal health-care nondiscrimination protections in state law. Supporters from Equality California, Disability Rights California, Planned Parenthood, and other health groups said it would preserve coverage protections for LGBTQ people, people with disabilities, and other protected classes amid federal rollbacks; opponents argued it would entrench gender-affirming-care standards and criticized the underlying medical framework. The bill passed to Appropriations on a recorded vote, with most members voting aye and one no vote, and was placed on call. AB 1908 would allow public entities to use judgment obligation bonds to finance self-funded victim compensation funds; Los Angeles County said the bill would fill a financing gap for faster compensation, and the committee advanced it on a recorded vote and placed it on call. AB 1881, the California Indian Freedom Act of 2026, would protect California tribes’ access to sacred sites and traditional practices on state public lands and require meaningful consultation; it drew extensive support from tribal leaders and Native organizations, while cities, counties, utilities, builders, and business groups were opposed unless amended, largely seeking clarification and narrowing. The bill was amended to focus on state public lands and passed to Appropriations on a recorded vote, then placed on call. Later, AB 2465 would bar businesses that profit from private detention facilities or contract with immigration-enforcement agencies from receiving state grants, loans, or tax credits and create an immigrant resilience fund. Supporters said the state should not subsidize businesses tied to immigration raids and detention; opponents, including the chamber, bankers, and contractors, raised vagueness and scope concerns, especially over what contracts would be covered. Members said they supported the concept but wanted the bill tightened, and it passed to Revenue and Taxation on a recorded vote with one no vote and was placed on call. The committee then heard AB 2662, which would create a formal state process to monitor and report on federal immigration enforcement actions and their impacts; supporters from legal aid and health centers said raids have chilled access to work, schools, clinics, and naturalization, and the bill was presented as a modest accountability measure. The transcript cuts off before any vote on AB 2662. The committee also approved a consent calendar of several bills and resolutions, sending some to Appropriations and others to the floor.

Transcript Highlights:

• that the Department of Mental Health is charged with holding folks in the sexually violent predator program
• And while they’re in prison, sometimes they’re getting treatment, but they find out that this person
• And while they’re in prison, sometimes they’re getting treatment, but they find out that this person
• And while they're in prison, sometimes they're getting treatment, but they find out that this person
• language, including every state around Missouri, especially as it goes to the Ignition Interlock Program

Keywords: 959, house, all

Transcript Highlights:

• This is through the ORR unaccompanied children program, which supports their safety and education.
• And it's based not on whether those are safe, but solely on who is asking for that treatment.
• this body from doing it to other medical treatments or procedures?
• The rehabilitation, the re-entry programs that those entities operate, I've visited them.
• Program, as we know it as CHIP.

Keywords: 1182, all

Transcript Highlights:

• the state of Missouri that hold somebody, and if you could help them participate in this time of treatment
• What it's doing is allowing properties that are in the Chapter 100 bond program, which means that the

Summary: The committee met without a quorum at first, then heard testimony on House Bill 2516, which would allow a qualified family advocate to participate in a patient’s care during a 96-hour mental health hold. Representative Burns said the bill is intended to prevent facilities from using blanket HIPAA-based policies to exclude family members who often provide critical background, medication history, and discharge support. Members asked whether the bill assumes incapacity based on detention and whether a doctor could still deny family participation; Burns said the goal is to let physicians permit family input and that the advocacy role would end once the patient is released. No one testified for or against the bill, and the hearing was closed. The committee then heard House Joint Resolution 171, which would count property held in Chapter 100 bond arrangements toward a school district’s bonding capacity even though the property is tax-exempt while under municipal or other government ownership. Representative Faulkner said the change would help districts borrow more and noted an amendment was being considered to include all government entities, not just municipalities. Members raised concern that the proposal would extend school district credit without allowing the district to use the property’s tax revenue to repay the bond, though Faulkner said Chapter 100 projects are temporary and eventually return to the tax rolls. No public testimony was offered. After a quorum was established, the committee entered executive session and voted on House Bill 3205. The motion to do pass the bill was approved 6-0, with six ayes and no noes. The committee also postponed executive action on another measure until the following week, then adjourned.

Transcript Highlights:

• First off, there is the Idaho Home Visiting Program.
• Between 2016 and 2025, we saved $105,304,000 by doing this program.
• Again, it's used for education, for treatment. But we've asked, tell us the ROI.
• So Magellan took on our behavioral health program.
• But the biggest part of that is due to the Magellan program.

Summary: The Senate opened with roll call, prayer, the Pledge of Allegiance, and approval of the prior day’s journal. It then moved through routine committee reports and bill referrals, including printing and committee assignments for several Senate bills and House messages. Early action also included referral of Senate Concurrent Resolution 128 and multiple House and Senate bills to the appropriate committees or later orders of business. The chamber then took up several appropriations and policy bills on third reading. Senate Bill 1401, an appropriation to the Department of Health and Welfare for Public Health Services, was debated as a mix of federal pass-through funding, vaccine purchasing, laboratory testing, ARPA grants, HIV/hepatitis prevention, suicide prevention, and a transfer of the Idaho Home Visiting Program; it passed 21-14. Senate Bill 1423, dealing with the FAST Act and a framework for stablecoin payments, drew debate over efficiency, banking costs, state control, and privacy/risk concerns; it passed 22-13. Senate Bill 1429, a behavioral health appropriation and supplemental, was presented as a series of restorations and fund shifts tied to prior budget cuts and settlement obligations, and it passed 21-14. Senate Bill 1431, an appropriation and transfer for the Department of Water Resources, including aquifer monitoring and stream gauging/adjudication staffing, passed 26-7. The Senate also passed House Bill 855, revising lifetime fish and game license residency requirements from six months to five years, by a vote of 23-11. Later, House Bill 752, which would prohibit knowingly entering opposite-sex restrooms or changing rooms in government buildings and public accommodations except under specified exceptions, prompted extensive debate. Supporters argued it protected privacy, children, and women’s safety; opponents argued it criminalized transgender people, was discriminatory, and could harm Idaho’s reputation and economy. The debate continued at the end of the transcript, with the bill still under consideration.

Transcript Highlights:

• Assault School, and presently aspires in his future to attend the Interservice Physician Assistant Program
• York's commitment to learning and teaching about the difficult history of the United States' shameful treatment
• YORK'S COMMITMENT TO LEARNING AND TEACHING ABOUT THE DIFFICULT HISTORY OF THE UNITED STATES SHAMEFUL TREATMENT
• the responsibility of verifying income eligibility, just as we already do with the Enhanced STAR program
• the responsibility of verifying income eligibility, just as we already do with the Enhanced STAR program

Keywords: 993, senate, all

Summary: The Senate opened with the Pledge of Allegiance and an invocation by Major Brittany Wooten, then took up Senate Resolution No. 1749 designating March 19, 2026, as West Point Day in New York State. Majority Leader Stewart-Cousins, Senator Skoufis, Minority Leader Ortt, and several other senators spoke in support of West Point, its cadets, and the academy’s history and role in national service. Colonel Daniel R. Stuewe, commander of U.S. Army Garrison West Point, also addressed the chamber, emphasizing the long-standing partnership between West Point and New York and the academy’s mission to develop leaders of character. The resolution was adopted, and the West Point Day observance included recognition of cadets and academy staff. The Senate then moved through a calendar of bills, passing measures including amendments to the Public Health Law, Election Law, Executive Law, Penal Law, Elder Law, Real Property Tax Law, General Municipal Law, and Public Authorities Law. Several bills drew brief explanations of vote or debate. Senator Mayer spoke in support of a bill establishing Fred Korematsu Day, framing it as a reminder of the injustice of Japanese American internment and the need to defend civil rights. Senator Ryan supported a bill streamlining the senior citizen property tax exemption process, calling it a way to reduce burdens on older residents. Senator Helming opposed a local government planning mandate as an unfunded mandate, while Senators Walczyk and Martins criticized a housing-related reporting bill as burdensome and ineffective. The most debated item was Calendar 457, a housing-data and reporting bill sponsored by Senator May. Supporters argued it would improve transparency and help the state understand zoning and housing capacity, while opponents said it imposed new reporting burdens on municipalities and could penalize poorer communities by threatening CDBG funding. After debate, the bill was restored to the non-controversial calendar and ultimately passed by a vote of 37-23. The Senate then adjourned until the next legislative day.

Transcript Highlights:

• required to discourage the siting of incompatible uses near an airport and to adopt shoreline master program
• interplay between the policies included in this legislation and on-the-ground inclusionary and incentive programs
• Having served almost seven years on our local water treatment plant, having this outdated threshold moved
• will definitely reduce administration time and the board's time that have to oversee these water treatment
• the committee, for the record, my name is Dave Anderson, managing director of the Growth Management Program

Summary: The committee first held a public hearing on engrossed second substitute Senate Bill 6026, which would prohibit certain GMA-planning cities and counties from excluding residential development in commercial and mixed-use zones and would limit local requirements for ground-floor commercial or mixed-use space, subject to numerous exemptions and a possible study-based off-ramp. The bill sponsor and supporters, including the Lieutenant Governor, the governor’s housing policy advisor, Commerce staff, developers, labor/employer groups, and housing advocates, argued it would reduce barriers, reuse underutilized commercial land, and help address the state’s housing shortage. Cities including Bellevue, Kirkland, Bellingham, Redmond, Kent, Lacey, and Lakewood testified in opposition or with concerns, emphasizing local control, impacts on walkable neighborhoods and small businesses, implementation costs, and the need for more flexibility or clearer compliance options. Committee members asked about exemptions, the study process, and how the bill would affect existing local plans and incentives. The committee then moved to executive session on several bills. It rejected Representative Griffey’s amendment to Senate Bill 5820, which would have restored Clark County’s freight rail dependent overlay authority and added findings about greenhouse gas reductions from short line rail, and then passed SB 5820 out with a do pass recommendation. The committee also passed SB 5995, extending authorization for port districts to purchase zero- and near-zero-emission cargo handling equipment; SB 5552, directing rulemaking for kit home building codes; SB 5467, raising thresholds for water-sewer district surplus property sales; and SB 6189, removing the deadline for forming a public facilities district for regional aquatics and sports facilities. Each of those bills received a do pass recommendation, with some members noting support for housing, workforce, efficiency, or local flexibility and others expressing concerns about contracts, automation, or competitiveness. After executive session, the committee resumed testimony on SB 6026. Additional supporters, including the Lieutenant Governor, Commerce, developers, the Washington Roundtable, Microsoft, and housing organizations, reiterated that the bill would unlock housing on vacant commercial land and preserve some local flexibility through exemptions and height incentives. Opponents and concerned cities continued to argue that the bill would weaken local planning, reduce commercial space needed for complete communities, and impose costs and implementation burdens. The hearing concluded without final action on SB 6026, with the chair noting more testimony and work remained.

Transcript Highlights:

• Clarify the definition of assisted community treatment.
• Authorize the Department of Health to assist in preparing, filing, and presenting requests to provide treatment
• Insert language capping participation in the program to those with an AGI below 100,000 for participants
• Insert language capping participation in the program to those with an AGI below 100,000 for participants

Bills: SB2088, SB2925, SB3263, SB2047, SB2087, SB2100, SB2268, SB2353, SB2781, SB2902

Keywords: coconut trees, tax credit, natural management, Hawaii, agriculture, biosecurity, environment, coconut rhinoceros beetle, student-athletes, name image likeness, NIL, compensation, transparency, University of Hawaii, Title IX, funding, protections, pharmacy benefit managers, maximum allowable cost, drug pricing

Summary: The joint committee on Ways and Means and Consumer Protection met for decision-making only on two agendas and took action on a large number of Senate bills, with no oral testimony heard. On the 1016 agenda, the committee recommended passage of measures including SB 2088, SB 2925, SB 2781, and several others, and passed a number of bills with amendments. Notable amendments included SB 3263, which adopted AG amendments related to the name, image, and likeness endowment trust fund; SB 2047 on pharmacy benefit managers, which incorporated Hawaii Pharmacist Association changes; SB 2087 on health insurance, which added Insurance Division clarifications; SB 2100 on pesticides, which added a blank appropriation; SB 2353 on outdoor signage, which removed provisions related to the Wiki special district; and SB 2902 on renewable energy, which clarified certification standards for portable solar devices and exempted them from certain disclosure requirements. Most recommendations were adopted without objection, though a few members noted reservations on selected bills. The committee also deferred one bill on the agenda, SB 3327. The committee then moved to the 1015 agenda and acted on additional measures. SB 2003 was passed with amendments tied to Act 255, including a repeal trigger if deadlines are missed; SB 2497 on utility-related transparency drew the most discussion, with one member warning about litigation and costs while another argued it was simply about electricity-rate transparency, and it ultimately passed with PUC-related amendments and an exemption for utility cooperatives. Other measures were passed unamended or with technical or fiscal amendments, including bills affecting land planning, tax credits, conveyance tax language, shoreline maintenance, and community improvement projects. Several bills had appropriations blanked or effective dates deferred to 2050, and many were adopted with members noting reservations rather than opposition. On the 1017 agenda, the committee continued approving measures, including SB 709 on crisis intervention officers and assisted community treatment, SB 2153 on defining bona fide farmer/agriculture activity, SB 2694 on water rate adjustments, SB 3025 on income eligibility limits, and SB 3085 on the Hawaii film studio, which included a five-year repeal provision if the studio has not relocated. The committee also passed numerous other bills unamended or with technical amendments, often deferring effective dates or blanking appropriations. Across both agendas, the committee’s actions were largely consistent: bills were advanced with amendments tailored to agency requests, technical corrections, or fiscal adjustments, and votes were generally unanimous or near-unanimous with occasional reservations recorded.

Transcript Highlights:

• These are critical treatments, but their high price tag are putting a real strain on patients and our
• His new treatments have caused depression, trouble breathing, and liver toxicity, and now insurance won
• This is one of the treatments. So I live in this world. And I also live in the world of insurance.
• So it's really dependent on the particular patient and the course that they've had with their treatment
• “That, I’m afraid, is not only very poor consumer affairs treatment.

Summary: The committee heard several bills, beginning with SB 1312 by Senator Richardson on abandoned endowed-care cemeteries. Richardson described vandalism, theft, and neglect at abandoned cemeteries and said the bill would define abandonment, create a process for local governments to declare a cemetery abandoned, and allow the Bureau to act as conservator of endowment funds. Support came from Marin County, while county and special district groups opposed or had concerns, arguing the bill could shift burdens to local governments or public cemetery districts without enough safeguards. Members expressed general support but noted the need for further work; the bill was discussed but no final vote was taken in the excerpt. The committee then took up SB 758 by Senator Umberg, which would restrict retail sales of nitrous oxide to curb misuse. Supporters, including the League of California Cities, narcotic officers, counties, pediatricians, and other local governments and health groups, said easy access at smoke shops and convenience stores has fueled recreational abuse and health harms. There was no opposition testimony, and members voiced strong support for a statewide approach over city-by-city bans. The bill was well received, with the author closing in support. Dr. Weber-Pierson presented SB 1094, a health care affordability bill on biosimilars and biologic substitution. The bill would allow pharmacists to substitute biosimilars under certain conditions, require advance notice to providers and patients, and add reporting on savings; the author said amendments would strengthen provider notice and preserve the ability to mark prescriptions “do not substitute.” Supporters from health plans, insurers, pharmacies, labor, business, and some provider groups argued the bill would lower costs and expand access. Opponents, including dermatology and rheumatology groups and biotech interests, warned about non-medical switching, prior authorization delays, and patient harm. After extensive discussion, the committee voted 13-0 to pass SB 1094 to the Committee on Health. The committee also passed SB 849 by Dr. Weber-Pierson, which would bar reinstatement of physicians who surrendered their licenses while a sexual misconduct accusation was pending. The Medical Board and California Medical Association were generally supportive or neutral, and members praised the bill’s patient-protection focus. SB 993 by Senator Ochoa Bogh, which limits routine disclosure of identifying information for mental health professionals in correctional and psychiatric settings while preserving complaint processes, also passed unanimously to Appropriations. SB 1002 by Senator Niello, extending the David Hall Act to allow certain patients in remission to continue telehealth care with out-of-state specialists, drew strong patient support but opposition from the Medical Board and CMA over licensure and oversight concerns; the committee voted it out on a split roll with some members not voting. Finally, SB 1263 by Senator McGuire, aimed at protecting wildfire survivors and workers by requiring licensed, trained contractors for post-disaster residential debris removal, received support from labor and the Contractors State License Board, with contractors raising a narrower amendment concern about scope.

Transcript Highlights:

• These are critical treatments, but their high price tag is putting a real strain on patients and our
• These are critical treatments, but their high price tag are putting a real strain on patients and our
• This is one of the treatments. So I live in this world.
• That, I'm afraid, is not only very poor consumer affairs treatment.
• That, I'm afraid, is not only very poor consumer affairs treatment.

Keywords: 988, house, all