Transcript Highlights:

• The savings is exactly the same.
• In addition, the department is also reporting an additional one-time savings of...
• In addition, the department is also reporting an additional one-time savings of $11 million in fiscal
• reasonable at this time.
• These are one-time things.

Keywords: 987, senate, all

Summary: The subcommittee first heard May Revision items for child support, child care, and related human services. The Department of Child Support Services described two technical adjustments, which the LAO said raised no concerns. The Department of Social Services then walked through child care proposals, including a shift in how federal and Proposition 64 funding reductions would be absorbed, a 2.01% COLA, disaster-related child care infrastructure grants, an increase in in-contract administrative support costs for alternative payment agencies, reversion of prospective-pay implementation funding after a federal rule change, a one-time allocation to cover the first quarter of Cost of Care Plus payments in the next fiscal year, reappropriation for existing infrastructure grant closeout work, and estimates of unspent child care funds. The department also outlined trailer bill language on a single rate structure, site safety and emergency procedures, CalWORKs child care data sharing, and child care oversight. The LAO recommended that the Legislature seek more justification for shifting reductions from General Child Care to the Alternative Payment Program, noting that CAP reductions affect more slots and that General Child Care has had significant unspent funds. It supported removing prospective-pay funding, but recommended rejecting the administrative cost shift to a percentage-based rate because it could create future General Fund pressure. It also suggested the Legislature review alignment between the disaster grants and the child care infrastructure program. Senators and members pressed the administration on why the budget would reduce child care slots and COLA percentages while the state still has waitlists and unspent funds, and questioned the need for early funding of Cost of Care Plus payments and the move from a flat administrative amount to a percentage. Public commenters, including providers, advocates, county offices, and infrastructure partners, urged full COLA funding, preservation of child care slots, support for prospective pay, and continued investment in child care access and facilities. After a short recess, the committee moved to Part B on health and heard the Department of State Hospitals. DSH presented a May Revision budget of $3.2 billion and described proposals for a central utility plant replacement at Metropolitan State Hospital, an electronic health record implementation, reduced county bed billing authority due to phased-in LPS bed capacity, limited contract exemption authority for online clinical subscriptions, reversion of prior-year unspent operating funds, and a workforce development proposal shifting some costs to Behavioral Health Services Act funds, including support for an additional psychiatric training cohort at Napa. The department also outlined IST-related savings and a trailer bill to remove the sunset on the independent placement panel program.

Transcript Highlights:

• I mean, this is not the first time I've asked.
• this overall savings effort.
• savings, by the way?
• “Was withheld for a long period of time.
• So in last year, we did not, for the first time in a long time, we hadn't received word from the federal

Summary: Assembly Budget Subcommittee No. 6 heard the Governor’s May Revision proposals for the judicial branch, the Board of State and Community Corrections, the Department of Justice, and the California Department of Corrections and Rehabilitation. The Legislative Analyst’s Office opened with a warning that the state budget remains structurally imbalanced and urged the Legislature to avoid new ongoing spending unless offset by reductions elsewhere. In the judicial branch discussion, the Judicial Council highlighted language access funding, appellate court security, a backfill for the state court facilities construction fund, and an extension of the lactation room mandate; Finance supported most items but suggested reporting language on interpreter costs and reducing the General Fund backfill. Members raised concerns about judicial vacancies, long-term salary freezes, remote hearings, and the lack of progress on court staffing in some counties. For the Board of State and Community Corrections, the administration proposed $10 million one-time each for the Missing and Murdered Indigenous People grant program and a human trafficking vertical prosecution grant program. The LAO said both should be weighed against other priorities and suggested the Legislature consider whether the Tribal Nations Grant Fund could support MMIP work, while Finance said it preferred General Fund support and wanted more review before any fund swap. Members strongly supported MMIP funding and asked whether ongoing support would be considered. On the human trafficking grant, Finance said BSC was a good fit because of its grant administration experience and prior vertical prosecution work, while legislators asked why the program was not placed with the Office of Emergency Services as originally contemplated in prior legislation. The Department of Justice presented antitrust litigation funding, Medi-Cal Fraud and Elder Abuse staffing, completion of organized retail criminal enterprise cases, and trailer bill language for a continuous appropriation from the Victims of Consumer Fraud Restitution Fund. The LAO supported the antitrust account use but questioned the Unfair Competition Law Fund’s ability to cover the full request without General Fund repayment, and recommended against a continuous appropriation for the restitution fund in favor of a more limited mechanism with legislative oversight. Finance said the fund would remain solvent and defended the continuous appropriation as necessary to pay victims promptly. In the CDCR portion, the largest discussion centered on the Boston Consulting Group efficiency review and sharply reduced savings estimates; LAO said the department had not fully explained the proposed position eliminations or future $100 million savings target, while Finance said the work reflected deeper analysis and ongoing efforts to find savings. Members repeatedly pressed CDCR and Finance on the gap between earlier promised savings and the revised figures. CDCR also outlined population projections showing continued declines in prison and parole populations, while LAO again urged the state to close an additional prison to save ongoing costs. The department then walked through several May Revision items, including workers’ compensation funding, a Corcoran honor housing dorm, incarcerated firefighter pay implementation, an incarcerated menopause program, mental health receiver staffing, mental health resource teams and crisis intervention teams, medical classification staffing changes, and AI note-taking for the electronic health record. LAO generally recommended limiting-term funding and more reporting for many of these proposals, while Finance defended them as necessary ongoing investments or court-ordered obligations. Members questioned the cost of workers’ compensation, the need for more prison closures, the lack of funding for women’s facility violence prevention, and the timing and transparency of the BCG savings process. No votes were taken.

Transcript Highlights:

• I'm also worried about the timing of the Governor's return-to-work order and these last-minute cost-saving
• And where can we make savings? And this is where we can make savings. Thank you.
• And time is precious. You've been having to use it, and time is precious.
• But if you've already spoken two or three times, you don't have to speak four times.
• Then we would save at least $20 million. There are many ways of saving money.

Summary: The subcommittee heard an informational update on the state’s generative AI implementation and related oversight. Administration officials said several proof-of-concept projects have moved into minimum viable product phases, including work at CDTFA and Caltrans, and that CDPH has a May Revision request for up to $8 million to scale up its healthcare facilities inspections project. The Legislative Analyst’s Office urged the administration to publish a report on lessons learned from each POC and recommended limiting the new generative AI approval process to a pilot through the first two rounds of projects, with continued monthly meetings and stronger legislative oversight. Members pressed for more transparency and questioned why the CDPH request was not included in January; the administration said the cost estimate was not available then and that only one project is seeking additional resources beyond existing departmental budgets. The committee then reviewed a proposed $400 million loan from the Labor and Workforce Development Fund to the General Fund. Finance and the Labor Agency said the fund has grown because civil penalty revenues have risen sharply, and the loan would be repaid in 2029-30 with provisional language allowing earlier repayment if needed. The LAO agreed the fund could support the loan but warned that recent PAGA reforms may reduce future revenues. Public commenters, including labor and community groups, argued the money should instead support labor-law enforcement and outreach programs such as CWOP, and urged rejection of the loan. Members also heard a Department of Industrial Relations request for $19.1 million for phase two of Public Works Information Technology System Enhancements, which officials said will support labor-law enforcement and apprenticeship registration. The department said the project was delayed because a prior procurement did not result in a contract award and that completion is now expected in October 2026. The committee then took up an EDD Next reappropriation technical adjustment to extend UI fund spending authority through June 30, 2026; the LAO said the request was fine but again raised concerns about oversight of the larger modernization effort, which EDD said now totals more than $660 million and is expected to continue through 2029. Finally, the committee discussed DGS’s request for new parking facilities near the May Lee Building and a trailer bill shifting statewide telework policy language from DGS to CalHR while also expanding NDI eligibility for certain CEA employees. The LAO said the telework trailer bill should likely go through the policy committee process instead of budget, and union and employee witnesses strongly opposed it, arguing it would undermine bargaining rights and could be used to narrow telework. In a separate item on the governor’s return-to-office order, administration officials said departments are being directed to move to a four-day in-office expectation starting July 1, 2025, but they had no statewide cost estimate yet because departments are still assessing vacancies, exemptions, and space needs. Members criticized the lack of analysis and said the state should have clearer numbers before moving forward.

Transcript Highlights:

• SAVE system per year. >> So we got my driver’s license a long time ago, and I don’t have to prove that
• Uh, we’re very confident in the accuracy of SAVE and in the instances that there are issues with SAVE
• Uh, we’re very confident in the accuracy of SAVE and in the instances that there are issues with SAVE
• <00:18:43.679> Um, the bill uh at the time? Um, the bill uh at the time?
• that I'd like to get out at that time. that I'd like to get out at that time.

Keywords: Elections - Room 210; 29 January, 2026: 2:30 PM, 925, all

Summary: The committee first took up Senate Bill 250, which would require disclosures for political advertisements that are generated in whole or in part by artificial intelligence. Senator Blackman explained that the bill applies to video, image, and audio ads, with specific disclaimer requirements and exemptions for bona fide news coverage, documentaries, and certain distributors that require AI disclosure from submitters. Members asked about the bill’s scope, including that it would not cover written mailers. After discussion, the committee adopted a motion for title sufficient and do pass, and the bill was reported out. The committee then considered Senate Bill 2386, which would prohibit political candidates from using grand jury or jury proceedings as a captive audience for campaign activity. Senator Tate said the measure had been passed before and was intended to prevent politicizing trials. With no questions, the committee again voted title sufficient and do pass, and the bill was reported out. The committee also heard Senate Bill 2096 from the Secretary of State’s office, a technical elections bill establishing minimum cybersecurity standards for access to SIMS by election officials and clerks; counties would have to pass an assessment or use election support funds to fix deficiencies. That bill was likewise reported out on a title sufficient, do pass motion. Next, the committee took up Senate Bill 2588, the Shield Act, which would require citizenship verification through the federal SAVE system for certain driver’s license or ID applicants who identify as noncitizens or do not provide verifiable information, and would also run the voter rolls through SAVE annually. Supporters said it would strengthen election integrity and add confidence that voters are citizens, while Senator Blunt argued the bill could lead to unnecessary purges based on database mismatches and that existing systems already address the issue. The Secretary of State’s office said SAVE is used with safeguards, does not automatically remove voters, and that voters flagged in error can provide proof and remain eligible. Despite the debate, the committee voted title sufficient and do pass committee substitute, and the bill was reported out. Finally, the chairman began explaining Senate Bill 2558, a comprehensive campaign finance reform bill. He described provisions requiring candidates and committees to file statements of organization before accepting contributions or making expenditures, defining corporate contributions and coordinated expenditures, separating candidate committees from PACs, requiring more detailed reporting and electronic filing, setting rules for termination reports and anonymous contributions, and imposing tiered fines for violations. The transcript cuts off before the committee finished its discussion or took final action on that bill.

Transcript Highlights:

• And maybe, as has been said, maybe we save a dollar, we save $2, we save $5.
• > we<00:34:54.639> save we save a dollar, we save $2, we save we save a dollar, we save
• over time. That saves rateayers money. over time. That saves rateayers money.
• Savings are savings, but if we want real savings, that's how we get them immediately.
• Savings are savings, but if we want real Savings are savings, but if we want real savings,<01:08:26.799

Keywords: House streaming session for Friday, February 6, 2026, 957, house, all

Summary: The House convened with 117 members present, then 123 after a quorum call, and proceeded through routine introductions and referrals, including introductory House bills 959 through 1018, House Joint Resolution 8, House Simple Resolution 1, several Senate bills, and bond initiatives referred to Appropriations. The main floor item was House Bill 1, concerning investor-owned electric and gas utility cost recovery limitations, which was on third reading and final passage. Debate on HB 1 focused on whether the bill would meaningfully lower utility bills and whether it was necessary given existing Public Service Commission authority. Supporters argued the bill would prevent ratepayers from bearing the cost of executive bonuses and other compensation above $250,000, saying utilities can still pay those costs from shareholder profits and that the measure would save money for customers, even if only modestly. Opponents argued the PSC already has authority to review executive compensation, warned the bill could be largely symbolic or misleading, and said it might encourage utilities to shift bonuses into base salaries or harm recruitment and service quality. Several members also argued the bill did not address other drivers of high bills, such as riders and program costs, and one member said the General Assembly itself was responsible for rising energy costs. No final vote on HB 1 was shown in the transcript excerpt, but members on both sides stated their intended positions, with supporters urging a yes vote and opponents indicating they would vote no. The discussion ended with another member beginning remarks about taking on concentrated corporate power and standing with working people.

Transcript Highlights:

• We’re proposing not to fund the program at this time and achieve that savings in the next fiscal year
• And it's a one-time program, so we always look at one-time issues first for reduction proposals.
• We recognize that the savings were due to ramp-up time, and the program was just trying to get its foot
• And that's sort of a point in time.
• Why would we spend money to save money at a time like this?

Summary: The subcommittee heard May Revision presentations for the Office of Emergency Services, Judicial Branch, CDCR, and the Department of Justice, with the LAO offering comments and recommendations throughout. For Cal OES, the administration outlined funding for relocating the Red Mountain communications site, increased FEMA reimbursement authority, cybersecurity grants, next-generation 911 support, and a reduction to the Flexible Cash Assistance for Survivors of Crime program. Members raised concerns about VOCA backfill and disaster reimbursement, while the LAO recommended approving the 911 request with reporting, adding contingency planning for cybersecurity grants, clarifying the FEMA reimbursement language, and increasing reporting on emergency spending. For the Judicial Branch, the May Revision included funding for implementation of the Trial Nations Access to Justice Act, reductions tied to court facilities and employee benefits, and General Fund solutions such as a reduction to the pretrial release program, a reversion from the Trial Court Trust Fund, and elimination of the jury duty pilot program. The LAO cautioned that the pretrial reduction could affect detention and release decisions and recommended tighter legislative oversight over the trust fund transfer and reallocation language. Members questioned the impact of the pretrial cut, the lack of Prop. 36 court funding, and the rationale for the jury pilot elimination; the Judicial Branch said it was generally supportive of the budget as proposed. CDCR presented requests for roof repairs, fire alarm replacements, CalAIM-related costs, and trailer bill changes on incarcerated college students, mental health hiring, and tuberculosis testing, along with a planned prison closure by October 2026. The department also proposed reducing or delaying several items, including radio replacement, ADA improvements, COVID mitigation, and some facility upgrades, while adding a $125 million placeholder for consultant-driven operational savings. The LAO recommended rejecting or reducing several San Quentin-related proposals, questioned the staffing and contract medical requests, and urged more transparency on the consultant savings plan; members expressed concern about the realism of the savings targets and the potential legal or operational risks from delaying ADA and radio projects. For DOJ, the May Revision proposed ongoing funding and 44 positions to defend against federal actions, IT and accounting system upgrades, implementation funding for AB 1877, and a special fund loan. The LAO supported the KLETS connection but asked for a contingency plan if the new DMV link is delayed, noted that AB 1877 would not be fully implemented without additional funding, and recommended limiting and reporting on the federal accountability workload. Members questioned the size and permanence of the DOJ request, the use of the earlier $25 million special session appropriation, and the pace of federal litigation; DOJ said the new request would support ongoing litigation, expert assistance, and coordination across multiple cases and states.

Transcript Highlights:

• savings and the additional 24.7 million in one-time savings.
• savings and the additional 24.7 million in one-time savings.
• Chair, we estimate around $24 million of annual savings and $25 million of one-time savings.
• That would save around $25 million in net, we estimate. million of one-time savings.
• The $ 24 million of one-time savings.

Bills: HF3676, HF3593, HF3785, HF3774, HF4111, HF3513

Keywords: Safe at Home, address confidentiality, domestic violence, sexual assault, stalking, harassment, victim privacy, survivor protection, confidential address, protected address, secret address, identity protection, residential confidentiality, program participant, nondiscrimination, court disclosure, protective order, service of process, driver's license, state ID

Transcript Highlights:

• We're proposing to not fund the program at this time and achieve that. at savings in the next fiscal
• We recognize that, you know, it's the savings were due to, you know, ramp up, ramp up time and Just the
• So if the assumed savings are not achieved, would the state and CDCR need to identify additional savings
• Why would we spend money to save money at a time like this?
• funding saves lives every day.

Keywords: 988, house, all

Transcript Highlights:

• Today's hearing explores how we can fix that in the future so that we can save more for the next time
• How much additional revenue would we have saved during that time as an option?
• When times are good, we save. We set money aside because we know unexpected expenses will happen.
• But saving alone is not enough.
• During boom times, you put some money aside so that when times are hard, you are able to pay out the

Summary: The Assembly Budget Subcommittee on Accountability and Oversight held a hearing on proposals to reform California’s Budget Stabilization Account, or rainy day fund, ahead of the May Revision. Members and witnesses reviewed how Proposition 2 (2014) changed reserve rules, including mandatory deposits, a 10% cap on the fund, and limits tied to the Governor’s declaration of a budget emergency. LAO staff explained that California’s revenues are highly volatile, that current reserve rules are complicated by interactions with Proposition 98 and the Gann limit, and that under current law reserves would cover only about one-third of funding shortfalls in a benchmark scenario over 50 years. The LAO presented its report recommending a larger reserve target, including raising the cap to 50% by 2055 and pairing that with either broader, more flexible deposit rules or a simpler approach that deposits all excess capital gains. The Department of Finance described the Governor’s proposal to raise the cap from 10% to 20% and exempt BSA deposits from the state appropriations limit, while Assembly Member Valencia presented ACA 1, which would make similar changes and was described as an evolving proposal. Testimony generally supported saving more during boom years, but differed on how much to hardwire into the Constitution versus leave flexible, and on whether to broaden the deposit formulas beyond capital gains. Public witnesses and committee members raised additional issues, including whether reserve reforms should also address debt repayment, the treatment of unemployment insurance fund debt, and whether the Gann limit should be adjusted to better allow reserve growth. Supporters argued that stronger reserves would protect Californians from cuts during downturns and help the state weather volatility and federal funding threats. Some advocates warned that reforms should not come at the expense of current public needs, while taxpayer representatives cautioned against turning the BSA into a pass-through account that weakens constitutional spending limits. The hearing ended without a vote, with the committee chair noting the complexity of the issue and adjourning after public comment.

Transcript Highlights:

• I mean, this is not the first time I’ve asked.
• articulate how they expect to achieve those savings.
• We find that they haven't scored these savings.
• I give you some time to respond to that.
• So, last year, we did not, for the first time in a long time, receive word from the federal government

Keywords: 988, house, all

Summary: The subcommittee met to review May Revision proposals for several departments and emphasized that no votes would be taken that day. The Legislative Analyst’s Office opened with a warning that the state budget is balanced only through one-time resources and still has structural deficits, recommending that the Legislature avoid new ongoing spending and instead preserve reserves and other solutions. The Judicial Council then presented proposals for language access and interpreter services, appellate court security, a backfill to the state court facilities construction fund, and an extension of the lactation-room mandate; Finance supported the language access item with reporting language and supported keeping the court facilities backfill. Members raised concerns about judicial pay freezes, judge vacancies, and uneven judge allocations across counties, and also asked about the cost and completion of courthouse lactation rooms and remote-hearing infrastructure. The Board of State and Community Corrections items focused on $10 million one-time grants for missing and murdered Indigenous people and for a human trafficking vertical prosecution program. The LAO suggested the Legislature consider whether the Tribal Nations Grant Fund could support the MMIP work, while Finance said it preferred General Fund support and wanted more review before any fund swap. On the human trafficking grant, Finance said the need was clear based on reported cases and California’s share of hotline reports. Members strongly supported MMIP funding and discussed whether ongoing funding would be needed beyond the one-time proposal, while also debating whether BSEC or OES should administer the prosecution grants. The Department of Justice presented antitrust litigation funding, Medi-Cal fraud and elder abuse staffing, organized retail criminal enterprise case completion, and a continuous appropriation for the Victims of Consumer Fraud Restitution Fund. The LAO raised concerns about the Unfair Competition Law Fund’s solvency and recommended rejecting that portion unless DOJ could show the fund could support it without General Fund repayment, and it opposed the continuous appropriation in favor of more legislative oversight. Finance said the fund would remain solvent under current projections and defended the continuous appropriation as necessary to pay victims promptly. Members also clarified that the Medi-Cal fraud unit targets providers, not beneficiaries, and asked about delays in restitution payments. A lengthy portion of the hearing covered CDCR’s May Revision package and the Boston Consulting Group cost-savings effort. CDCR described revised savings from workforce optimization, workers’ compensation, and procurement, but members repeatedly expressed frustration that the promised savings had fallen far short of earlier estimates. The LAO recommended deeper cuts to some parole positions, more detail on proposed eliminations and contract changes, and caution about counting unallocated future savings. CDCR also presented population projections showing continued declines and the LAO again urged the administration to close a prison to reduce ongoing costs. The committee also heard proposals on workers’ compensation, Corcoran honor housing, incarcerated firefighter pay, agricultural food purchasing requirements, menopause care, mental health receiver staffing, resource teams, crisis intervention teams, medical classification staffing, and AI note-taking in electronic health records, with the LAO generally recommending limited-term approvals and reporting requirements while Finance defended ongoing funding and said it was open to additional reporting language.

Transcript Highlights:

• All at the same time, survivability.
• <00:09:51.120> I savings. We made a good move on that. I savings.
• on the folks we care about and seeing a savings.
• The should see savings in both of those.
• on the folks we care about and seeing a savings.

Keywords: 1183, house

Summary: The governor discussed Minnesota’s budget outlook ahead of a supplemental budget release next month, saying the state remains financially strong but should be cautious because of federal uncertainty and a structural imbalance in spending. He said the administration’s approach will be measured, with limited new spending and possibly modest revenue measures, while prioritizing a bonding bill and maintaining the state’s AAA bond rating, reserves, and middle-class tax cuts. He also praised the 2023 legislative session and bipartisan cooperation as the basis for the state’s current position. A major topic was spending growth in special education and the broader human services system. The governor said special education is a fundamental service the state is legally and morally obligated to provide, but costs need to be managed more efficiently. He pointed to legacy IT systems in the Department of Human Services and county service delivery as expensive, antiquated, and error-prone, and said the state needs a multi-year modernization plan and continued reorganization. He argued that reforms such as prepayment verification and other fraud controls should reduce costs without cutting services. The governor also addressed federal actions affecting Medicaid and other programs, sharply criticizing efforts to withhold funds and claims of widespread fraud. He said Minnesota’s Medicaid error rate is lower than the national average and argued that the federal government’s approach would harm children, pregnant women, and seniors without improving fraud prevention. He also said the state’s gun violence prevention and fraud-fighting packages are expected to be relatively close to budget neutral. No formal votes or legislative actions were taken in the meeting, which was primarily a press availability and Q&A.

Transcript Highlights:

• and her staff and developed over time and her staff and developed over time that<00:09:43.240>
• down they are with you the whole time down they are with you the whole time that's<00:10:44.880>
• He tried many times to call Matt.
• Of course, if they would have found him in time, nobody was CPR certified, so they couldn't have saved
• Thank you for your time.

Keywords: 1183, house

Transcript Highlights:

• college do so on a part-time basis.
• Yeah, I think it's anything less than full-time, so 12 hours is full-time, so something less than that
• Just a question, following up on Senator Womack, the part-time, anything other than less than full-time
• And so that's what I mean about cost savings that we really look at in real time, what really happens
• And so that's what I mean about cost savings that we really look at in a real time, what really happens

Bills: HB198, HB325, HB488, HB719, HB749, HB755, HB797, HB823, HB1028, HB1194, HB1222

Keywords: Medicaid, reimbursement, ambulatory surgical centers, gastroenterology, ophthalmology, otolaryngology, healthcare funding, Louisiana Department of Health, surgical procedures, TOPS-Tech, scholarship, education, eligibility, college credit, dual enrollment, state funding, HB 488, Belle Chasse Bridge, Belle Chasse Bridge Merit-Based Special Fund, Plaquemines Parish

Transcript Highlights:

• We have shown that time and time again.
• We estimate savings of $25 million in General Fund in the budget year and $50 million in ongoing savings
• We estimate savings of $25 million in general fund in the budget year and $50 million in ongoing savings
• And so that is time-limited.
• spending has increased over time.

Summary: The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56. DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement. The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.

Transcript Highlights:

• Others just saving the most lives altogether.
• Their goal was not to save the most lives. It was to save the most life years. Right.
• One is that five years is still a long time, right?
• It's enough time to spend time with your loved ones, to do the work that you find valuable, to, you know
• Do we need to leave time to approve the minutes and do roll call, or if you just want to save that to

Keywords: 995, all

Summary: The Permanent Commission on the Status of Persons with Disabilities’ Long-Term Services and Supports and Health Equity Subcommittee met to hear a presentation from Colin Killick of the Autistic Self-Advocacy Network on disability discrimination in crisis standards of care during COVID-19. He described how Massachusetts and other states initially used standards that prioritized longer life expectancy and, in some cases, quality-adjusted life years (QALYs), which he argued devalued the lives of disabled people and older adults. He also discussed related issues such as denial of transplants, pressure on disabled patients to sign do-not-resuscitate orders, and inequities affecting communities of color. He said disability advocates, legal groups, and public officials pushed back through litigation, media, and organizing, leading to revisions of Massachusetts’ standards and the eventual inclusion of disability advocates in the drafting process. Killick also discussed vaccine rollout, saying disabled people were initially under-prioritized but later gained broader access and more accessible vaccination options such as ASL interpretation and in-home vaccination. He closed by urging support for S. 869, an act relative to preventing discrimination against persons with disabilities in the provision of health care, which he said would ban disability-based discrimination in crisis standards, prohibit QALYs in health care decision-making, and add protections against coerced DNRs. He noted the bill had been favorably reported out of the Health Care Financing Committee but still needed support. In questions, members asked why the bill had not advanced further; Killick said earlier opposition from QALY supporters had been resolved, and the main barrier now was lack of legislative prioritization. Members thanked him for the presentation and for the work on revising crisis standards. The subcommittee then completed roll call, approved the prior minutes, and adjourned, noting the next meeting would be August 31.

Transcript Highlights:

• Um, there are times it makes us smart to invest a little bit to give a good long-term savings.
• By 2023, the state saved nearly $283 million and is projected to save $200 million per year.
• By 2023, the state saved nearly $283 million and is projected to save $200 million per year.
• It also will save the state money and it will not impact the 340B savings revenue.
• are savings to the state.

Keywords: 1183, house

Transcript Highlights:

• We have shown that time and time again.
• We estimate savings of $25 million in general fund and $50 million in ongoing savings.
• We think the time is right.
• Thank you for your time.
• So we save, so we save a hundred. Let me just make sure I'm getting the numbers right.

Keywords: 988, house, all

Transcript Highlights:

• And so I'm grateful for the... in times of natural disasters and other times to help get the job done
• This bill could have saved his life.
• This time, there was no one there to save him. This time, Narcan wasn't coming.
• This time, there was no one there to save him. This time Narcan wasn't coming.
• And if we truly care about saving lives, we must act now. wage should And if we truly care about saving

Summary: The Health and Human Services Committee heard and passed several bills. HB 293 would codify the Office of Faith and Community in the Executive Office of the Governor, create a liaison and advisory council, and was supported by faith-based and nonprofit groups; some members questioned possible duplication with existing services and the source of any future funding, but the bill passed 24-0. CS/HB 547 would create an exception to the 30-day notice requirement before hospitals and ambulatory surgical centers sell medical debt when the debt buyer agrees not to use interest, fees, or extraordinary collection actions and must return charity-care-eligible debt; it passed unanimously after brief support testimony. CS/HB 1553 would require reporting of uterine fibroid data to the Department of Health to create a de-identified public database and reauthorize funding for implementation; it also passed 24-0, with members noting the earlier database mandate had not been carried out. The committee then took up CS/HB 1195, “Gage’s Law,” which would require hospitals and hospital-based emergency departments to test for fentanyl in urine drug screens for suspected overdose or poisoning cases. The bill was presented as a response to overdose deaths and the need to better detect fentanyl, and emotional testimony from a parent described a son’s death after a hospital did not test for fentanyl. Members from both parties spoke in strong support, emphasizing stigma, the need for better treatment and data, and the potential to save lives; the bill passed 24-0. CS/HB 47 on child care and early learning providers would streamline inspections, speed background screening, offer free online training/testing, update definitions, protect certain family child care homes from insurance issues, and create a license-exempt category for employer-provided child care; after questions about parent notice, database listing, background checks, and insurance, an amendment was adopted and the bill passed 24-0 as amended. Finally, CS/HB 647 would allow advanced practice registered nurses to sign death certificates in hospice settings, addressing delays that can leave families waiting to complete burial arrangements. Support testimony came from advocacy and hospice groups, and members cited the bill’s importance for families and religious burial timelines. The bill passed 23-0. The committee then adjourned.

Transcript Highlights:

• /c> and fuel cost savings over time for a and fuel cost savings over time for a very<00:22:06.600>
• I'm here with Laura Condon, hopefully to save you guys some time.
• The question is: are you willing to save, again, for the third time, $2.6 million to save this program
• The question is: are you willing to save, again, for the third time, $2.6 million to save this program
• to again for the third time $2.6 million to save<03:10:24.600> this save this save this program

Keywords: 928, house, all

Summary: The committee heard testimony on House Bill 224, which would redirect most money from New Hampshire’s renewable energy fund back to electric ratepayers. The bill sponsor argued the measure would lower energy costs, noting recent utility rate increases and estimating annual savings of roughly $2.5 million to $7.3 million for ratepayers. Supporters said the fund has accumulated money that should be returned to customers rather than used for subsidies, and they emphasized that the state has already rebated similar funds from RGGI for years. Opponents, including Rep. Kat McGee, argued the renewable energy fund is a successful, nonlapsing dedicated fund that supports local clean-energy projects, energy resilience, emissions reductions, and private investment. McGee said the fiscal note overstated the benefit of rebates and understated the loss of investment, claiming the average annual rebate would amount to less than $10 per customer while the program has helped leverage significant private dollars and nearly 10,000 projects. She urged the committee to reject the bill as a poor deal for the state and ratepayers. Committee members questioned the fiscal note, the size of the rebate, whether the bill would set a precedent for other dedicated funds, and whether the program’s incentives amount to picking winners and losers. The Department of Energy testified neutrally, explaining how the renewable energy fund works, including renewable energy credits, alternative compliance payments, and the fund’s use for renewable energy initiatives. No vote was taken in the portion of the hearing provided.

Transcript Highlights:

• This is a way to help protect the kids, save the school nurse's time, and actually make money for the
• I was 55 at the time.
• This bill is an essential and timely step toward equipping our students with life-saving knowledge about
• In less than the time it takes to watch a TV show, students can learn how to save a life.
• Thank you for your time and consideration of this life-saving legislation.

Keywords: 995, all

Summary: The Joint Committee on Education held a public hearing on a large slate of bills, with the chairs emphasizing time limits, written testimony, and grouping similar measures together. Early testimony focused on opioid use disorder education in schools (S.382), with Senator Keenan arguing that students should be taught about the risks of substance use disorder and naloxone use as part of health curricula. Representative DeCost also briefly introduced H.551, a narrow bill concerning parent rights for children in third grade and younger. Several bills were then closed without testimony, including measures on type 1 diabetes informational materials and other diabetes-related proposals. A major portion of the hearing centered on school health and emergency response bills. Supporters of H.652/S.342 on diabetes management in schools described inconsistent district practices and urged clearer standards so students can receive care in classrooms rather than being sent out of instruction. Bills on epinephrine access and seizure disorders drew extensive testimony: advocates for stock epinephrine in schools argued that unassigned epinephrine can save lives and should be funded in a cost-neutral way, while a pediatrician opposed one version as an unfunded mandate. For seizure-safe schools (S.422/H.635), students, parents, educators, and advocates described missed or delayed responses to seizures, stigma, and the need for staff training, seizure action plans, and emergency medication protocols. A separate bill, H.645, allowing anti-seizure medication on school buses, was supported by a parent and student who said current law forces costly and restrictive transportation arrangements. The committee also heard testimony on youth skin health bills (S.334/H.600/H.619), which would let students carry and apply sunscreen at school and camp without a physician’s note. Supporters from melanoma prevention, dermatology, and industry groups said the bills would remove unnecessary barriers and promote sun-safe habits, while one witness cautioned about drafting details and unintended consequences. The hearing then moved to CPR/AED education for graduation (S.456), where Senator Tarr, a student advocate, and the Red Cross all supported requiring hands-on CPR certification for high school students. Finally, the committee took testimony on healthy school lunches (H.539/S.401): supporters from the Healthy School Lunch Coalition and school food directors backed stronger nutrition standards and a standing advisory council, while Consumer Brands Association witnesses opposed the bill as too vague and potentially disruptive. A nutrition scientist also warned about unintended restrictions on medically necessary or innovative foods. The chairs closed the hearing on the healthy lunch bills and then opened testimony on universal school meals for virtual schools (H.700), with Superintendent Patrick Latuka supporting access for students in Commonwealth virtual schools who currently receive no meal support.