Transcript Highlights:

• Delay.
• DHS tends to delay, and for each day that's delayed, that child represents more funding coming both from
• But that's effectively what's been budgeted here. Is that correct? No, it was set up to target.
• So we're now actually at 3 to date. But we are, I mean, that's pretty good.
• The budgeted delays where the CASTs there was a CAS payment that was delayed.

Keywords: 914, all

Transcript Highlights:

• Again, some of these provisions take effect immediately.
• The effective date of this component is the date of enactment of H.R. 1.
• The effective date of this component is the date of enactment of H.R. 1, unless the federal Department
• This provision was effective upon enactment of H.R. 1.
• That provision does not go into effect until October 1st, 2028.

Summary: The joint informational hearing focused on the impacts of H.R. 1 on California’s Medi-Cal program and on community health effects from recent immigration enforcement actions. Committee leaders said H.R. 1 would sharply reduce federal funding, increase administrative burdens, and worsen access to care, especially for Medi-Cal enrollees, immigrant families, rural communities, and reproductive health patients. The second half of the hearing examined how ICE raids and related federal actions are creating fear, reducing clinic and emergency department use, and disrupting children’s access to schools and early childhood education. Department of Health Care Services Director Michelle Bass outlined the main H.R. 1 provisions affecting Medi-Cal: work requirements, semiannual eligibility redeterminations, shorter retroactive coverage, new cost-sharing, limits on provider taxes and state-directed payments, reduced federal support for emergency and lawful immigrant coverage, and a one-year ban on Medicaid funding for prohibited abortion providers. She estimated millions could lose coverage, with tens of billions of dollars in federal funding at risk. Planned Parenthood Affiliates of California warned the defunding provision could force clinic closures, service reductions, and loss of access to family planning, STI testing, and cancer screenings. The California Hospital Association said the financing changes could cut hospital revenue by tens of billions over 10 years and threaten access, especially for rural and safety-net hospitals. The Western Center on Law and Poverty argued the law would increase churn, paperwork, and uninsured rates, disproportionately harming working adults and people experiencing homelessness. Committee members asked about implementation timelines, notification systems, administrative costs, the effect on immigrant eligibility, and whether California could delay or mitigate some provisions. Bass said the state was still assessing federal guidance, planning county and provider outreach, and exploring a possible delay for work requirements and a transition period for provider-tax changes. Members also discussed how state budget actions may need to be revisited in light of H.R. 1, and how California might preserve access through state-only funding or other policy changes. In the second panel, CHIRLA, Los Angeles County Department of Health Services, and the Children’s Partnership described the health consequences of immigration enforcement. Speakers said raids and data-sharing fears are causing anxiety, trauma, and avoidance of care, with Los Angeles County reporting declines in emergency, urgent care, and clinic visits after enforcement actions. The Children’s Partnership said school and early childhood absences are rising in some communities and that enforcement is undermining children’s emotional well-being and access to education. Members asked for more data and discussed possible state protections, telehealth, mobile care, and legal and policy responses to reduce fear and preserve access to health and education services.

Transcript Highlights:

• Any delay Assemblymember to me delays our responsibility to Californians to put our best work forward
• To making sure that we are providing efficiency and effect efficient and effective state government and
• You had mentioned something about an effective date of July 1, 2026?
• The anticipated completion date is October 2026.
• We continue to feel the effects from the pandemic.

Keywords: 988, house, all

Transcript Highlights:

• I’m anticipating it will reduce travel delays by up to 85%.
• Yesterday, they just extended the date, but this was supposed to go into effect in May of 2025.
• So by measuring the effectiveness of our advertising programs... ...somewhere else.
• We know how detrimental the effect of negative media coverage on our state can be.
• We know how detrimental the effect of negative media coverage on our state can be.

Summary: The committee met to receive a base budget overview for agencies under its jurisdiction, which include the Division of Emergency Management, Department of Commerce, Department of State, Department of Transportation, Department of Military Affairs, and Department of Highway Safety and Motor Vehicles. Staff explained the budget format and noted that the Legislature appropriated more than $20.2 billion to these agencies in the current fiscal year, a 66.7% increase over 10 years. The Department of Transportation then presented on the Moving Florida Forward initiative, describing it as a $7 billion effort to advance 20 major congestion-relief projects statewide. Secretary Jared Perdue said the department is ahead of schedule, with 14 of 20 projects expected to be underway by the end of the calendar year. He highlighted major projects including I-4 in Polk and Osceola counties, I-75 improvements, Southwest 10th Street in Broward County, Fruitville Road, Capital Circle in Tallahassee, and I-275, and discussed innovations such as aggregate supply grants, modified phase design-build, workforce hiring events, and voluntary acceleration. Senators asked about business impacts from construction, tourism-related transit funding, aggregate sourcing, and labor shortages; the secretary said FDOT works with local businesses and that additional revenue sources for transit would require legislative action. The Department of Highway Safety and Motor Vehicles reviewed motorist services, revenue collection, licensing, vehicle titling, specialty plates, insurance compliance, driver safety, and commercial driver licensing. Officials said the department collected about $2.9 billion in revenue in fiscal year 2023-24 and described modernization efforts, including electronic verification systems, Real ID compliance, mobile licensing units, and a planned digital driver license. Members asked about the driver license backlog in Miami-Dade and Broward, and the department said service delays were driven by growth and staffing constraints but should improve with $7.5 million in recent funding and the eventual transition of services to county tax collectors. Questions also addressed temporary paper licenses and birth certificate fraud prevention. The Department of Commerce presented on the Job Growth Grant Fund and Visit Florida. Commerce said the grant fund, created in 2017, has awarded $257 million to 70 projects in 37 counties since 2019, with demand exceeding supply about four to one. Officials emphasized that the program supports targeted industries and workforce and infrastructure projects, and they highlighted examples in CDL training, semiconductors, advanced manufacturing, and health care. Senators raised concerns about small businesses affected by transportation construction, and Commerce said it has an Office of Small Business Innovation and other tools, though the grant fund is limited by statute to targeted industries. Visit Florida then described its public-private tourism marketing role, saying the state’s $80 million appropriation is matched by private investment and that the latest EDR review found a $3.30 return in tax revenue for every state dollar spent. Visit Florida reported record visitation and tourism spending, along with hurricane recovery marketing and rural promotion efforts.

Transcript Highlights:

• UC Health also wants to say thank you for delaying the Prop. 56 dental rate cuts.
• We also appreciate the delays for dental and premiums.
• Also to delay the proposed Proposition 56 cuts.
• These investments are essential as the full impacts of H.R. 1 begin to take effect.
• And the anticipated effects of H.R. 1 are 15% of their general fund. Thank you, sir.

Keywords: 987, senate, all

Summary: The Senate Budget Subcommittee No. 3 on Human Services held its final hearing on the budget, with the chair framing the Senate’s plan as a counterproposal that rejected major cuts and preserved revenues. Public comment was overwhelmingly supportive of the subcommittee’s actions, with advocates, counties, providers, and community groups thanking members for rejecting or delaying proposed cuts to Medi-Cal asset limits, immigrant coverage and premiums, IHSS, PACE, APS, behavioral health advocacy and innovation grants, mobile crisis services, and certain dental and provider payment reductions. Speakers also urged additional funding or trailer bill changes for county eligibility work, public hospitals, indigent care, CalFresh outreach and food benefits, child care slots and COLAs, legal services for immigrants, and long-term services and supports. A major theme was the Senate’s “Be Home Soon” proposal, which many disability, aging, home care, and health care organizations praised as a way to shift care from institutions to home- and community-based settings. Testimony also supported restoring or maintaining funding for behavioral health programs, including 988/mobile crisis infrastructure, community advocacy contracts, and Title IV-E workforce funding. Several county and provider groups asked the committee to consider alternative proposals related to H.R. 1 impacts, Medi-Cal coverage losses, and county indigent care costs, while others requested continued work on public hospital support, CFAP expansion, and implementation details for child care and IHSS. The subcommittee then took three votes on grouped budget items. The first consent block, covering a large set of items, passed 3-0. The second block passed 2-1, with Senator Grove voting no. The final block passed 3-0. The hearing concluded with the chair stating the subcommittee had done its part and adjourning the meeting.

Transcript Highlights:

• One is we're pushing back the effective date of the bill for two years because we had some concerns about
• We want to keep the effective date intact because we want to get that report, right?
• into effect.
• The bill goes into effect this year, but there's a two-year delay mechanism to give the industry or those
• And we're delaying that for two years.

Bills: SB2122, SB2050, HB16

Keywords: oil and gas waste, application fees, permit amendments, environmental regulation, Texas natural resources, battery recycling, battery disposal, consumer batteries, energy storage modules, electrochemical devices, lithium-ion battery, household hazardous waste, solid waste, municipal recycling, waste management, battery stewardship, producer responsibility, TCEQ, Texas Commission on Environmental Quality, recycling program

Transcript Highlights:

• I recommend that we move this out in an HD 1 with just the effective date.
• <01:14:42.920> date.
• <01:14:43.560> Members,<01:14:43.800> any the effective date.
• Members, any the effective date.
• date.

Bills: SB2069, SB2177, SB2342, SB2060, SB2544, SB3011, SB2061, SB2552

Keywords: SB2069, Hawaii housing, HHFDC, Hawaii Housing Finance and Development Corporation, Dwelling Unit Revolving Fund, equity pilot program, housing affordability, homeownership, first-time homebuyer, for-sale housing, transit-oriented development, TOD, transit-oriented development zone, bus route, bus stop, critical workforce housing, health care workers, educators, law enforcement, correctional officers

Summary: The House Housing Committee opened its Friday morning hearing by noting potentially catastrophic flooding on the island and acknowledging that some members were absent helping their communities, so quorum for voting was uncertain. The committee then heard testimony on several housing-related measures, with most bills drawing support from housing agencies and community organizations and little or no opposition in the room. On SB 2069 SD2, SB 2177 SD2, and SB 2342 SD2, witnesses largely supported the measures. HHFDC supported SB 2069 and SB 2177, and HPHA supported SB 2342. For SB 2342, HHFDC raised concerns that the bill would alter the Qualified Allocation Plan outside the normal open, public process required by federal law and could exclude stakeholders; Kathy Charities echoed those concerns and also objected to changing point allocations in ways that could raise rents and weaken long-term affordability. Members questioned HHFDC about how the QAP is normally updated, the meaning of the point system, and whether a legislative working group could mandate changes; HHFDC said recommendations would still need public hearing and board approval. The committee also heard SB 2060 SD2, which would create a mixed-income subaccount in the rental housing revolving fund. HHFDC said the subaccount would likely use tier-two funds, estimated at about $100 million total, to support mixed-income projects above 60% AMI, citing Front Street Apartments as a possible example. Members asked about project selection and funding needs. On SB 2544 SD2, OHA opposed the bill’s Chapter 6E-related exemptions and mandatory review timelines, arguing that burial review protections should not be weakened and that the SPEED Task Force process was a better venue for streamlining. The sponsor later clarified that the bill was not meant to eliminate the 60-day review process but to make the deadline clearer. For SB 3011 SD1, which concerns public housing and pet ownership, HPHA and several humane organizations supported the measure, saying it would help low-income residents and seniors keep pets and benefit from animal companionship. HPHA explained its existing pet policy, including deposits, monthly fees, and restrictions, and said the requested funding would support ADA-accessible pet areas and related administration. Finally, on SB 2061 SD2, HCDA supported the bill while OHA opposed it unless protections for Hawaiian Crown and Government lands were strengthened. Committee members questioned the project’s 60/40 split between income-restricted and market-rate units, the 10-year owner-occupancy restriction, and the procurement exemption; the sponsor said the exemption was tied to a real estate transaction and that the project would still use 103D-like solicitation procedures. No votes were taken during the hearing, and several items were left for later action because quorum was uncertain.

Transcript Highlights:

• , cancer, weakened thyroid function, and reduced vaccine effectiveness in children, among other effects
• key, not fringe, information by not considering studies of immune effects.
• So it does have a consumer effect in that regard as well.
• So it does have a consumer effect in that regard as well.
• We can either keep delaying critical projects or we can be honest about the consequences of that delay

Keywords: 987, senate, all

Transcript Highlights:

• And we have, at this point in time, an immediate effective date that's set on this particular change.
• <00:20:05.600> date<00:20:05.919> that's have an immediate effective date that's have
• We would appreciate your support of this bill, as the immediate effective date is critical.
• We would appreciate your support of this bill, as the immediate effective date is critical.
• We would appreciate your support of this bill, as the immediate effective date is critical.

Bills: HF3131, HF3436, HF3106, HF3241, HF3531

Keywords: cancer, disability, parking certificates, transportation, state law, school bus, schoolchildren, student safety, traffic safety, stop arm, flashing red lights, amber lights, passing a school bus, 20 feet, vehicle stopping distance, driver duties, school transportation, Minnesota traffic law, school bus law, bus stop signal

Transcript Highlights:

• <00:26:18.919> of there's not different times and dates of there's not different times and
• Because obviously, if they're delaying, the DOJ is delaying, you should be able to seek redress because
• um because obviously if they're delaying um because obviously if they're delaying the<01:43:49.520
• Now that we've delayed this long enough, um, oh yes, Representative Wood.
• the partisan ballot system is in effect the partisan ballot system is in effect and<03:48:51.800

Keywords: 1189, house, all

Transcript Highlights:

• And the police and fire chose to move up the time frame for the delay in their COLA by one year, which
• <00:04:47.280> frame<00:04:47.919> for<00:04:48.240> the<00:04:48.400> delay
• to move up the time frame for the delay to move up the time frame for the delay in<00:04:48.880>
• Anyone who currently is on duty disability as of the date of enactment on this has no change in benefits
• I feel that we communicated effectively and ran an efficient committee that got its work done.

Bills: SF2884, HF1889

Keywords: pension, retirement, omnibus pension, MSRS, PERA, TRA, public employees retirement, state employees retirement, correctional employees, police and fire retirement, State Patrol retirement, teachers retirement, firefighter relief association, volunteer firefighter, state aid, postretirement adjustment, COLA, annuity, disability benefit, duty disability

Transcript Highlights:

• And to date, we have found no impacts.
• more hunters towards less effective more hunters towards less effective crossbows.<00:10:47.440>
• And then also the submission date.
• explain where and why there were delays explain where and why there were delays and<01:03:30.400
• significant external reasons for delay. significant external reasons for delay.

Keywords: 1187, senate, all

Transcript Highlights:

• I think we delayed 1619. Did we delay it? In the going to the big committee?
• I think we delayed 1619. Did we delay it here or am I? Some amendments that I'm not aware of.
• You wouldn't need to put a date in there if it was in the base budget.
• Why would they extend the date, Keith?
• It was something the House decided was to extend that date.

Bills: SB2015

Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras

Summary: The committee first discussed a wastewater infrastructure bill, centered on whether state support should be provided as a grant or through the existing Clean Water State Revolving Fund as a low-interest loan program. Department of Environmental Quality official David Brushwine explained that the SRF already finances wastewater projects, can leverage federal funds with state bond proceeds, and could accommodate the Washburn, Lincoln, and Peasant projects if they are ready to proceed. Members noted that losing federal grant support would make projects harder for local residents to afford because costs would be recovered through utility rates or special assessments, but the projects would still be eligible for loans. Senator Magrum indicated he would likely concur with the budget after this discussion, and the bill was set aside for later consideration. The committee then turned to a proposed amendment for a four-plex housing project for people with disabilities or other special needs. Senator Mathern described Sections 7 and 8 as creating a design consultation appropriation and a revolving loan fund modeled on existing hospital and nursing home loan programs, while Section 9 would transfer $3.3 million from the state infrastructure fund. Members debated ownership, rent subsidies, repayment terms, and whether the state should finance the project directly or leave it to a private developer with Department of Human Services oversight. Concerns were raised that the state should not own the housing and that the proposal needed more work to be workable, but the committee ultimately reached consensus to adopt Sections 7 and 8 and leave out Section 9 for further conference committee discussion. The committee also reviewed provider inflation and long-term care rate issues, with members discussing whether to support a 2% and 1.5% inflation adjustment and how to handle the $5-per-day basic care rate. Staff explained that the $5 payment was already in the base budget, but members debated whether it should remain ongoing or be treated as one-time funding and paired with a study of rate rebasing. The committee agreed to have draft language prepared to remove the $5 from the base budget and add study language, then moved the bill forward for drafting.

Transcript Highlights:

• judge of whether that be an effective judge of whether that be an effective strategy.
• The capacity markets are effectively on delay till 2028, right?
• The capacity markets are effectively on delay till 2028, right?
• Um dates yet?
• don't have a date yet. don't have a date yet.

Keywords: 1189, house, all

Transcript Highlights:

• So without any further delay. Chair lays out. Oh, any comments from members? Okay.
• Let me make one administrative announcement based upon the committee's sub-effects.
• date of the bill.
• That's the September 1st, 2040 date on that.
• That's that's the goal is we're picking it you know we got to have a date certain at some point.

Bills: SB1150, SB763, SB1061, SB1146, SB1198, HB279, HB310

Keywords: concrete plants, environmental regulation, permit process, air quality, Texas Commission on Environmental Quality, SB 1061, uranium mining, production area authorization, TCEQ, Water Code, groundwater, groundwater conservation district, restoration table value, restoration values, contested case hearing, Chapter 2001, mineral rights, surface owners, notice requirements, environmental permitting

Transcript Highlights:

• the process by recognizing and introducing ourselves, but I'm going to take just a few moments to delay
• I believe that there are, in effect, two different backlogs that we may be dealing with now.
• The kits dated back into the um into the 80s and and and some even into the 70s, where the statute of
• We were, we were able to, to date, charge 82 individual cases that have resulted in 52 convictions.
• Imagine The devastating effects. of having anything related to delays, much more dismissals, with what

Transcript Highlights:

• analysis specifically noted that the most recent ACFR was only 47 days late after eight years of delays
• Effective tax year 2026, the proposal would conform state law to the federal tax treatment of Section
• And while we're not ruling out some modest effect, And while we're not ruling out some modest effect
• And so there hasn't necessarily been a delay because there was no implementation date in the first report
• But I wanted to also be able to be more effective.

Summary: The committee opened with the State Controller’s Office May Revision requests, including funding for Fiscal book-of-record stabilization, a Broadcom IDMS licensing adjustment, the California State Payroll System, ACFR reporting automation, and $3 million for unclaimed property outreach. Testimony emphasized progress on Fiscal becoming the state’s accounting book of record in July, faster ACFR publication, and the move to electronic unclaimed property claims. Members asked about the size of the unclaimed property fund and how quickly money is transferred to the General Fund; the Controller’s office said about $15 billion is held, with most excess transferred regularly, and the LAO noted the fund is the General Fund’s fourth-largest revenue source. No concerns were raised by Finance or the LAO, and the item was closed after no public comment. The committee then heard the administration’s proposal to tax prewritten digital software and software-as-a-service, with Finance saying it would modernize sales tax treatment and raise an estimated $450 million General Fund and $560 million local revenue in 2026-27. The LAO supported modernizing the tax but suggested broader digital goods coverage and a business-use exemption; industry and taxpayer groups opposed the proposal, warning of higher costs for consumers and businesses. Members also heard CDTFA’s administrative request tied to the proposal, plus a separate CDTFA budget reduction reflecting lower operational needs; that reduction was presented as a savings item and drew positive reactions. Next, the committee considered federal conformity for “Trump accounts,” which would align California tax treatment with federal rules for tax-deferred children’s accounts and avoid tracking burdens for families. The LAO recommended approval, and the item drew no opposition. The committee also heard a proposal to cut the first-year $800 annual business tax to $400 for LLCs, LPs, and LLPs; Finance argued it would lower startup costs and encourage new business formation, while the LAO said the benefit was not well targeted and could subsidize entities that would form anyway. Members discussed the policy tradeoff, and public commenters split between support for small business relief and concern about revenue loss. The final major revenue item was a permanent business tax credit limitation, capping credits at the greater of $5 million per corporation or 50% of pre-credit liability, while excluding the low-income housing tax credit and personal income tax credits. Finance said it would raise significant revenue from large profitable corporations, and the LAO said it was a reasonable option but noted it would mainly affect the R&D credit and could have future implications for programs like California Competes. Public testimony was sharply divided, with business groups opposing the cap and anti-poverty advocates supporting it as a way to recapture revenue. The committee also heard FTB’s CalFile realignment request, which would return most of the direct-file-related resources to the General Fund while retaining a smaller staff to improve CalFile, and the California Arts Council’s request to reauthorize the Keep Arts in Schools voluntary contribution fund, which members and advocates supported despite relatively modest annual donations. The hearing continued with GoBiz proposals on civic media funding, CA RISE reappropriation, and a semiconductor facility reversion, with the LAO supporting the latter two and members raising questions about the civic media program’s scope, outreach, and inclusion of broadcast and ethnic media.

Transcript Highlights:

• At the same time, women are important agents of the state's effective climate action.
• At the same time, women are important agents of the state's effective climate action.
• Nurses, doctors, and home health care aides... ...of the state's effective climate action.
• Title V sources, and by striking that provision and expediting the transition to the new board to a date
• Title V sources, and by striking that provision and expediting the transition to the new board to a date

Summary: The committee considered several coastal, climate, and air quality measures. Senator Laird presented SCR 136 marking the 50th anniversary of the Coastal Act and Coastal Conservancy Act, and SJR 12 opposing the federal offshore oil and gas leasing program; both drew broad support from environmental groups, local governments, and other advocates, with no opposition heard. Senator Padilla presented SB 10, requiring state climate plans to include gender impact assessments, with supporters arguing climate harms fall disproportionately on women and LGBTQ+ people; the bill also drew no opposition in the hearing. Senator Padilla also presented SB 675 to restructure the Imperial County Air Pollution Control District board and expand public transparency, while supporters cited severe air quality problems and opponents raised concerns about unfunded mandates, consultation, and impacts on local permitting and economic development. Senator Allen presented SB 1229 to limit disaster-rebuild coastal permit exemptions when replacement structures would newly impede coastal access or sensitive protections, with supporters saying it would prevent investor abuse of post-disaster rebuilding rules. After testimony, the committee took up the measures and recorded votes. SCR 136, SJR 12, SB 10, SB 675, and SB 1229 all advanced on party-line or near-party-line votes, with some members voting no on the more regulatory measures. The consent calendar was also approved, including ACR 157, SB 899, SB 949, SB 963, SB 1008, SB 1207, SB 1428, and SJR 5. All of the listed measures were sent onward, generally to Appropriations, and the committee concluded its hearing after the roll calls.

Transcript Highlights:

• Of the projects that we've approved to date, they are on page 11.
• They get delayed when they're not as tight as they should be, and that's when you see large delays in
• They're also a really effective tool as we're promoting the Centennial.
• The State Racing Commission is charged with setting race dates.
• So I can't really say how effective that has been, but the first month was not effective.

Transcript Highlights:

• His CT did end up showing a mass, so this delay was costly for the patient and the system.
• This delayed the patient from treating their medical issue.
• Each commercial visit effectively costs us more to deliver than what we're reimbursed.
• They provide cost-effective care that saves money across the health care system.
• But there's a solution, one that's proven, effective, and within reach.

Keywords: 995, all

Summary: The committee held a public hearing with testimony on several health care bills, with most of the discussion focused on primary care access, community health center reimbursement, midwifery and birth centers, telehealth, hospital-at-home, direct primary care, and trans-inclusive health care access. Chair Feeney and Chair Murphy opened by noting the large number of signups and asking testifiers to keep remarks brief because of time constraints. Legislators and witnesses repeatedly emphasized that Massachusetts’ primary care system is under strain and that federal policy changes and reimbursement gaps are worsening financial pressure on providers. On community health centers, Representative Blay, Senator Lovely, Michael Curry, Bethany Keeley, Jag Deep Trevetti, Sean Cahill, and Christina Severin all supported H. 1096/S. 711, which would require commercial insurers to pay federally qualified health centers at least the MassHealth prospective payment system rate. They argued that commercial plans currently reimburse health centers below Medicaid rates, threatening sustainability, staffing, and access, especially as federal cuts and coverage losses could increase uncompensated care. Testifiers said the bill would stabilize health centers, protect primary care access, and not cost the state money. A second major topic was H. 1117/S. 784 on sustaining birth centers and the midwifery workforce. Senator Lovely, Senator Miranda, Emily Anesta, Rebecca Orden, Catherine Rushworth, Nishira Burrill, Joel Sutherland, Rachel Blessington, Joelle Ward, and others described the 2024 maternal health omnibus as an important first step, but said birth centers and midwives still face low reimbursement, workforce shortages, and financial instability. They urged reimbursement parity, a workforce development fund, and support for freestanding birth centers, citing improved outcomes, lower C-section rates, better patient experience, and racial equity in maternal health. Several speakers shared personal birth stories and said the bill would help preserve and expand birth options in communities like Roxbury, Worcester, and the North Shore. The committee also heard support for H. 1343 on direct primary care from Dr. Garofalo, Dr. Altman, Dr. Nair, Stephanie Cameron, Dr. Haley Moke-Blessed, and others, who said current insurance rules force patients to use a separate in-network primary care doctor for referrals and sometimes prevent physicians from dispensing medications. They argued the bill would reduce delays, administrative burden, and costs while improving continuity of care. In addition, Dr. Miklides and Sue Stempeck supported H. 1141 on hospital-at-home parity, saying the model has strong outcomes and should be reimbursed at the same rate as brick-and-mortar hospital care. Heather Myers and Katrina Cook testified on telehealth and digital health equity, urging broader coverage for asynchronous care, remote monitoring, interpreter services, and digital literacy supports. SEIU Local 509 supported H. 1188/S. 681 on trans-inclusive health care access, saying it would remove arbitrary insurance barriers to gender-affirming care. No votes or committee actions were taken during the hearing.