Transcript Highlights:

• <00:02:49.400><c> we</c> program we program we have<00:02:51.640><c> Department</c><00:02:52.080><c>
• He noted that the first program increased and said the program added 73 health care providers and 55
• So the program is not working, and by the way, I think your idea of going to a full buy-in program is
• So the program is not working, and by the way, I think your idea of going to a full buy-in program is
• </c> buyin program buyin program so<00:53:27.319><c> how</c><00:53:27.920><c> how</c><00:53:28.400><c

Committee: Senate Health and Human Services

Keywords: 912, senate, all

Summary: The joint Health, Human Services, and Labor and Technology committee heard testimony on SB 447, a Department of Health pilot program related to recruitment, and SB 1043, a tax measure. On SB 447, the Department of Health said the pilot had streamlined hiring by delaying minimum-qualification review until later in the process, while the Department of Human Resources Development objected that parts of the bill could conflict with civil service rules, due process rights, and equal pay requirements. Several labor and employee groups testified, with some supporting the pilot as a way to address vacancies and others warning about merit-system concerns. The committee later voted to pass SB 447 as is. On SB 1043, testimony was mixed but largely focused on the bill’s tax changes, especially the proposed increase to the general excise tax and exemptions or credits for lower-income households. Supporters, including labor groups and housing/worker advocates, argued the bill would reduce burdens on working families, help with food insecurity, and keep residents in Hawaiʻi. Opponents, including the Tax Foundation of Hawaiʻi and some community witnesses, said the general excise tax is regressive and would raise costs across the state. The committee voted to advance SB 1043 with substantial amendments, deleting most of the bill except section two and setting a far-future effective date, while noting the fiscal impact had not been provided. The committee also deferred SB 633 and later deferred SB 1633 for further decision-making, scheduling continued consideration for February 12, 2025, in Room 225. The hearing included standard instructions on one-minute testimony, written testimony, and Zoom procedures, and the committee adjourned after taking the above actions.

Transcript Highlights:

• </c> saving program. saving program.
• We run adolescent programs. We run family support programs.
• </c> syringe service programs. syringe service programs.
• </c> treatment programs in 2025. treatment programs in 2025.
• </c> their community care program. their community care program.

Committee: Senate Health and Human Services

Keywords: 1191, senate, all

Transcript Highlights:

• And Chair care pool payment program.
• </c><00:24:55.440><c> for</c> assessment and monitoring program for assessment and monitoring program
• </c> program. And now I'll move to Miss Mock. program. And now I'll move to Miss Mock.
• </c> uncompensated care pool payment program uncompensated care pool payment program at<00:30:55.679>
• </c> when because they're on our program. when because they're on our program.

Bills: HF2435

Committee: House Health Finance and Policy

Keywords: healthcare, dementia services, public health funding, opioid prevention, women's health, community health boards, mental health, 1183, house

Transcript Highlights:

• A number of programs in the education world are forecast programs, or entitlement programs, and they
• </c><00:30:15.600><c> and</c> programs um or entitlement programs and programs um or entitlement programs
• program.
• </c> programs and those entitlement programs programs and those entitlement programs are<00:35:04.760
• </c><01:27:26.000><c> or</c><01:27:26.199><c> the</c> programs or they reflect programs or the programs

Committee: House Education Finance

Keywords: 1183, house

Transcript Highlights:

• But in the meantime, with concerns continuing to mount and the funding for this program running out,
• However, as someone who has been looking at this program for years now, I can say we must make these
• Families entering the program must verify eligibility before enrolling in the EA system.
• The program ballooned beyond anyone's imagination, and the influx has overwhelmed our capacities.
• to get into those programs, may have been looking to get into these programs for a long period of time

Keywords: 995, all

Summary: The House considered House No. 57, a $425 million supplemental appropriations bill for fiscal year 2025 to fund the emergency shelter/emergency housing assistance system and related activities. The bill, as described by the chair of Ways and Means, included major policy changes requested by the Governor: immediate residency verification at intake, limits on eligibility, required criminal history disclosures and CORI checks, a reduced maximum shelter stay from nine months to six months with hardship waivers, temporary respite sites for 30 days, and a cap on system capacity. Supporters argued the changes were needed to preserve the right-to-shelter system amid fiscal strain and federal inaction; opponents said the bill still did not go far enough or, in some cases, went too far and risked harming families and children. The House debated and voted on numerous amendments, mostly focused on tightening eligibility or changing shelter operations. Several Republican amendments to reduce funding, impose a one-year residency requirement, require broader background checks, limit eligibility to homelessness caused within Massachusetts, and require cooperation with ICE were rejected, often after roll call votes. A point of order was sustained on multiple amendments as beyond the scope of the bill, including proposals affecting court officers, law enforcement, and ICE-related provisions. The House also rejected amendments to cut the appropriation from $425 million to $200 million and to add other restrictions on eligibility and administration. Some amendments were adopted. A redrafted Amendment 27, offered by Rep. Decker, was adopted 25-25 on a tie vote and expanded protections to children under age six and added related hardship/extension language. A subsequent amendment by Rep. Consalvo was adopted unanimously to add disability-related protections and extend benefits in certain cases. Another amendment by Rep. Finn was adopted to modify language about seeking federal reimbursement, and Amendment 9 was adopted to require competitive bidding for certain service funds. After debate and roll call, the bill was passed to be engrossed by a vote of 126-26. The House then observed a moment of tribute for Doug Selfick and adjourned to meet again Monday at 11 a.m.

Transcript Highlights:

• When a school chooses to operate the National School Lunch Program or School Breakfast Program, they
• opt into that program.
• So that's part of the process of operating the program.
• So it's just not—those school meal programs have to be self-funded.
• So we've got a lot of different ways kids can qualify for this program.

Summary: The Legislative Management Committee met to address the fiscal impact of Initiated Constitutional Measure No. 3, which would require public schools, public school districts, and public charter schools to provide breakfast and lunch at no cost to students and allow reimbursement from the state, with implementation beginning in the 2027-28 school year. The committee first filled a vacancy created by Representative Jared Hagert’s resignation by appointing Representative Berg to the committee. Legislative Council and DPI staff explained the measure’s requirements, including federal reimbursement participation, possible use of the legacy earnings fund if other funding is unavailable, and the authority of the Legislature and superintendent of public instruction to clarify implementation details. Linnell Johnson of DPI testified that the estimated fiscal impact for the 2027-2029 biennium is between $124 million and $134 million, based on participation assumptions, federal reimbursement rates, and the extent to which schools continue to collect applications or use community eligibility/provision 2 options. She also noted a likely additional administrative cost of about $300,000 for DPI to operate the program. Members asked about school participation, Title I implications, special diets, staffing, and whether the measure could reduce federal reimbursements if families stop applying. Johnson said the estimate is uncertain and could be higher if applications decline, but that schools would still have incentives to participate in federal programs because of reimbursement and other funding ties. After discussion, the committee adopted a motion to report a fiscal impact range of $124,300,000 to $134,300,000 per biennium to the Secretary of State. The committee then received an informational update from Legislative Council attorney Dustin Richard on the ongoing redistricting litigation. He explained that the U.S. Supreme Court vacated the Eighth Circuit’s ruling and sent the case back for reconsideration in light of Louisiana v. Callais, while the district court-imposed map remains in effect for now. No action was taken on that update, and the meeting adjourned after members noted minutes from the prior meeting were not yet available for approval.

Transcript Highlights:

• We have an education program.
• </c><00:17:29.160><c> be</c> that it's requesting that a program be that it's requesting that a program
• I'm sure we do work programs with DOE.
• </c><00:17:51.800><c> of</c> programs within the Department of programs within the Department of Education
• </c> What I meant to say is we have programs What I meant to say is we have programs where<00:17:54.600

Keywords: 910, house, all

Summary: The Committee on Education heard three tandem resolution packages. HCR 13 and HR 15 sought collaboration among the Department of Education, the State Public Charter School Commission, and DLNR to develop a student coral stewardship program. DOE said it was willing to work with DLNR, and DLNR supported the measure but said it did not want to be the lead agency for reporting or curriculum development because of existing reporting burdens and because it was already active in school outreach. Testimony in support was received, and the committee later amended the measure to restore DLNR as the lead for the report while keeping DOE and the Charter School Commission as collaborators. The committee then voted to pass HCR 13 HD1 and HR 15 HD1 with amendments. HCR 91 and HR 83 proposed a long-term collaborative program between DLNR and DOE to expand and sustain tree canopy coverage at public schools statewide. DLNR strongly supported the measure, DOE offered comments, and the Boys and Girls Public Health Institute testified in support, citing research on heat reduction, student health, and academic impacts of shade trees. Additional supportive testimony came from the Kaululu Nani Urban and Community Forestry Program Advisory Council and others. The committee voted to pass HCR 91 and HR 83 unamended. HCR 183 and HR 183 addressed guidance and protections related to immigration enforcement in schools. DOE said it supported the resolution but noted it already had guidance in place; the Hawaii State Commission on the Status of Women, the Boys and Girls Public Health Institute, Roots for Warren Maui, ACLU, 50501 Hawaii, General Strike Hawaii, and others testified in support, emphasizing student safety, attendance, and the effects of enforcement-related fear. A committee member asked about a reported Konawaena Elementary incident, and DOE clarified that the student was not deported and the event occurred off campus, with some newspaper details said to be inaccurate. After discussion, the committee deferred HCR 183 for further work with DOE and the Board of Education on definitions, enforcement, and guidance.

Transcript Highlights:

• one program?
• So last year there were two programs; beginning July 1, there was only one program.
• one program?
• So last year, there were two programs, beginning July 1, there was only one program.
• operations program.

Keywords: 989, all

Summary: The Joint Finance-Appropriations Committee met with a quorum and first heard a budget presentation for the Department of Parks and Recreation. Legislative analyst Janet Jessup reviewed the agency’s structure, dedicated funds, prior ARPA and general fund infrastructure appropriations, and the department’s FY 2027 requests. Those requests included additional park personnel and trail maintenance staff, one-time project funding, and a supplemental $9.8 million transfer to move grant funds from a consolidated program into the current park operations program. Director Susan Buxton said the agency has no general fund request, emphasized the economic impact of outdoor recreation, and highlighted completed and ongoing capital projects at parks statewide, including Ponderosa, Heyburn, Priest Lake, Eagle Island, Cascade, Harriman, Ashtonia Trail, and Bruneau Dunes. Committee members asked about resident access to campsites, out-of-state pricing, vacancy filling, the new Twin Peaks property in Lemhi County, OHV education, and trail maintenance. Buxton said the agency is filling positions quickly, that higher nonresident fees have increased availability for Idahoans, and that the Twin Peaks acquisition is expected to become revenue-positive within two years. The committee then heard the Office of the State Public Defender budget. Analyst Janica Bicharat summarized the office’s staffing, fund balance, and FY 2027 requests, which included six additional trial attorney positions, secure hosted data storage, and one-time laptop and data migration costs. Director Eric Frederickson described the agency’s transition to a statewide public defense system, noting that it inherited more than 1,300 cases on day one, has since reduced vacancies to about 7%, and is building pipelines for attorneys and social workers. He warned that the pending Tucker v. State of Idaho case could lead to renewed litigation if the system is not adequately funded. In response to questions, Frederickson said the office can absorb the current year’s rescissions through vacancy savings, but future cuts could force reductions in training and contract attorneys, increasing caseloads and risking attorney retention. He also said CPA case costs are running above appropriation, county lease/MOU issues remain unresolved in some counties, and public defenders are generally paid less than county prosecutors and attorney general attorneys. The committee adjourned after announcing the next day’s budget hearings for the Industrial Commission, Public Utilities Commission, and Secretary of State.

Transcript Highlights:

• program and the local tax increment financing program, which was created by the legislature in 2021.
• program and the local tax increment financing program, which was created by the legislature in 2021.
• Codifying HB 2523 does not expand the program, but it does strengthen the program.
• These investments don't just fund programs.
• This program would specifically include them, ask them where the need periods are, and then build programming

Bills: HB1069 , HB2091 , SB6355 , HB2104 , SB6003 , HB2441 , HB2124 , HB2610 , HB2338

Committee: Senate Ways & Means

Keywords: collective bargaining, retirement benefits, employee rights, public sector, supplemental benefits, public employers, employee information, bargaining representatives, labor relations, union representation, electric transmission, energy policies, infrastructure, regulatory framework, transmission systems, aviation, wildland fires, funding, disaster relief, emergency response

Transcript Highlights:

• We've done the food program audits from the pandemic program.
• and the SDS program.
• So they come to day program.
• that program.
• He enjoys that day program greatly.

Committee: House Budget

Keywords: 959, house, all

Transcript Highlights:

• Okay, so within the PASS program, Okay, so within the PASS program, there are four phases.
• So within that PASS program, we keep the academic focus.
• Professionally, the PASS program has changed the way I teach.
• She said, PASS has been an incredible program for Andy.
• We have an old-school phonics program.

Committee: Senate Education

Keywords: 989, all

Transcript Highlights:

• </c> to do when these programs were created. to do when these programs were created.
• Some of the programs that were exploding in growth—housing programs, autism—that didn't raise any alarms
• ,</c> in these programs, in these programs, &gt;&gt; we<00:13:37.200><c> can</c><00:13:37.360><c> we<
• Some of the programs that were exploding in growth—housing programs, autism—that didn't raise any alarms
• </c> cutting the programs that really matter. cutting the programs that really matter.

Keywords: 1183, house

Transcript Highlights:

• The annual review of the department's tentative work program.
• Similarly to the review of the tentative work program, objectives.
• The Transportation Disadvantaged Program interacts with multiple federally funded programs, state agencies
• , including the innovative service delivery program.
• We really do see that a lot as pilot programs. The veterans example I mentioned is a pilot program.

Committee: Senate Transportation

Summary: The Senate Transportation Committee met, took roll, and heard introductory remarks from members about their districts and transportation priorities, with several senators noting congestion and mobility challenges in their regions. The committee then received a presentation from the Florida Transportation Commission on its oversight role for FDOT, including annual and quarterly performance reviews, review of the five-year work program, and monitoring of tolling and transit authorities. Members asked whether the commission gets involved in project prioritization; the answer was no, because it is statutorily limited to high-level oversight rather than day-to-day project decisions. The committee next heard two reports related to transportation disadvantaged and paratransit services. FDOT’s Melissa Smith described the statewide Transportation Disadvantaged program, its governance structure, service models, and challenges such as fragmented administration, cost, inconsistent reporting, and rural service limitations. She outlined recommendations including better use of technology, regional partnerships, improved training, and alternative delivery models like microtransit and TNC partnerships. A University of South Florida researcher, Martin Katala, discussed best practices for paratransit and demand-response service, emphasizing route optimization software, dynamic dispatching, service standards, vendor accountability, and the use of TNCs and mobility management to improve efficiency and reduce travel times. A later presentation from UF’s I-Street program focused on emerging technologies for transit, including in-cabin monitoring, automatic restraints, accessible booking and tracking tools, and the need for statewide safety standards and better driver interfaces. Finally, FDOT Secretary Jared Perdue and District 5 Secretary John Tyler provided an update on the transition of SunRail local entities. They explained the differences among commuter rail, intercity rail, and light rail, and said SunRail’s financial transition to local partners was completed on January 1, with operational transition to follow over up to three years. They contrasted that with Tri-Rail, where FDOT still funds operations and discussions about a future transition are ongoing. Members asked about the differences between SunRail, Tri-Rail, Amtrak, and Brightline, and the presenters explained that commuter rail serves regional daily commuters while intercity rail connects regions. The committee concluded without taking any formal votes or other legislative action.

Transcript Highlights:

• , our non-public school programs, as well as our home education programs.
• an important program important program an important program to<00:42:13.040><c> administer</c><00:42
• program.
• programs.
• Um, yeah, difficult to estimate. program predict EFA program enrollment program predict EFA program enrollment

Keywords: 928, house, all

Summary: The Finance Division II committee heard a Department of Education budget presentation from Commissioner Frank Edelblut and CFO Tammy Valen-cour. The department outlined its organizational structure and emphasized that it functions largely as a flow-through agency for school funding. The commissioner reviewed general fund and Education Trust Fund items, including state aid, dropout prevention, special education, building aid, lease aid, charter schools, Education Freedom Accounts, and the district adequacy calculation. He also highlighted the public school infrastructure fund, saying the state has invested well over $50 million in school safety since 2018 for measures such as access controls, locks, and window film, and argued that safety spending should be ongoing rather than reactive. Members asked about the variability in the school infrastructure line, special education aid, and the Discovery Education learning platform. Edelblut explained that some safety funding had come from one-time surplus appropriations rather than the agency line, and said special education aid was underappropriated because districts submitted more invoices than expected; he said the governor added $16 million to address the shortfall. He also described CTE renovation funding, noting four projects were initially proposed but only Jaffrey and Milford were still moving forward, with local votes required and the state covering 75% of costs. He said Milford’s project was omitted from the governor’s budget by oversight. The department also reviewed enrollment trends, noting public school enrollment has fallen from about 230,000 students in 2002 to about 185,000 today. Edelblut clarified that charter students are not eligible for Education Freedom Accounts, while EFA students attending non-public schools are counted as EFA students. He described several one-time surplus-funded initiatives, including Student Clearinghouse, MTSSB work, civics curriculum development, computer science education, and adult education. He also discussed a $4 million CTE tuition and transportation grant, saying it was kept as a competitive grant rather than a formula grant to avoid creating an ongoing maintenance-of-effort commitment that could jeopardize federal Perkins funding. In the final portion, Edelblut identified prioritized needs in the department’s budget, especially funding for a state administrator for assessment to support the legislatively required civics assessment, and additional support for the Discovery Education platform. He said every school in the state is using the platform and cited more than 1.5 million educator engagements, while a member raised concerns about mixed reviews and uneven district awareness of the program. No votes or formal actions were taken during the presentation and question period.

Transcript Highlights:

• Prevention Program.
• program, the Prop 64 grant program, and also the organized retail theft grant programs.
• We are—grant programs have—” “Sure, grant programs have tripled in the past five to seven years, really
• They go on wait lists for rehab and programming.
• Programming, and it's essential to fund the right grant to ensure programs are maintained and keep bringing

Summary: The subcommittee heard an overview from the Board of State and Community Corrections on its budget change proposal for 11 additional permanent positions, which BSCC said are needed to manage a rapidly expanded grant workload, increase technical assistance, and strengthen oversight and audits. BSCC also updated members on its new In Custody Death Review Division, created under SB 519, reporting that it has begun collecting and reviewing local jail death investigations, has hired about one-third of its staff, and has received access to medical records and related documents. Members raised concerns about family notification practices, local jail deaths, and whether BSCC’s increased administrative use would reduce grant dollars; BSCC said the change is intended to be permanent but should not substantially affect local assistance. The LAO supported the position authority request but flagged a methodological issue in the administration’s Proposition 47 savings estimate, and Finance said it would update the estimate by May Revision. The committee then reviewed CDCR’s overall budget, population, and facility issues. The Secretary said the incarcerated population is holding around 90,000, parole around 33,000, and described major cost pressures from retirements, workers’ compensation, medical transport, violence, and aging infrastructure lacking air conditioning and ADA features. He defended prison closures as creating overcrowding and reducing programming capacity, while also highlighting successes such as declining recidivism, expanded college and reentry programming, and the completion of the San Quentin Rehabilitation Center. Members pressed CDCR on fiscal discipline, the effect of closures on savings, community impacts from prison shutdowns, vacancy and staffing issues, and climate-related facility needs. CDCR said it clusters medically vulnerable and ADA-needing populations at more suitable facilities, uses heat plans and temperature monitoring, and is developing a 20-year infrastructure plan. A separate item addressed CDCR’s request for $91 million ongoing for lump-sum leave payouts for correctional officers and nurses. CDCR said these costs have historically been covered by vacancy savings, but declining vacancies and facility closures have reduced that source. The LAO said the funding is reasonable in the near term but recommended limited-term approval with reporting, and urged the Legislature to scrutinize unallocated savings assumptions and the ongoing Boston Consulting Group efficiency contract. Finance argued the lump-sum request should be ongoing because the costs are recurring and vacancy savings are less reliable. Members questioned whether CDCR is doing enough to reduce leave liability and whether the department will actually achieve the budgeted savings from the consultant work. Finally, CDCR presented updated population projections through June 2030, estimating a 6.5 percent decline in the institution population and a 10.4 percent decline in parole, while revising its Proposition 36 methodology based on actual admissions data. CDCR said Prop. 36 admissions are increasing but at a lower level than previously projected, and that the law’s long-term effects remain uncertain. On the California Rehabilitation Center closure, CDCR projected about $99.6 million in net General Fund savings next year and roughly $150 million ongoing, with 522 positions eliminated. The LAO said the state could close another prison within a few years and identified the Correctional Training Facility in Soledad as a strong candidate, recommending against approving new capital projects there unless another closure is identified. Finance said the administration has not proposed any additional closure at this time.

Transcript Highlights:

• Everywhere I go, Casey Family Programs is there.
• And everywhere I go, Casey, family programs, is there.
• The family program.
• So the SUPP program, the PPW program that I work closely with, and all the range of services, including
• So the SUPP program, the PPW program that I work closely with, and all the range of services, including

Bills: SB5979 , SB6308 , SB6319

Committee: Senate Human Services

Keywords: opioids, substance abuse, dependent children, child welfare, caregiver substance use, court orders, shelter care, judicial discretion, family law, early childhood, family services, diversion programs, court-ordered assessments, 904, all

Transcript Highlights:

• On the educational program of the homeschool.
• J.A.E.P. programs.
• and other alternative programs.
• Alternative language programs are programs where they provide a bilingual education as required by state
• Dual-language programming has countless benefits.

Bills: HB178 , HB178 , HB1551 , HB1939 , HB2040 , HB2354 , HB2674 , HB3029 , HB3460 , HB3631 , HB3662 , HB5201 , HB5381

Committee: House Public Education

Keywords: efficiency audit, political subdivision, tax rate, fiscal management, government accountability, Texas education, public schools, curriculum, social studies, high school graduation requirements, State Board of Education, Education Code, ethnic studies, world history, world geography, U.S. history, government, economics, personal financial literacy, free enterprise

Transcript Highlights:

• </c> bill continues funding for the program. bill continues funding for the program.
• </c> programs. I urge my colleagues, Mr. programs. I urge my colleagues, Mr.
• program.
• program.
• </c> programs every three years. programs every three years.

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, June 3, 2026, 1012, house, all

Transcript Highlights:

• </c> the program itself. the program itself.
• >> Uh, well, the program is a four-year regular bachelorate program.
• </c> so it's it's a full four-year program. so it's it's a full four-year program.
• </c> accredited program? accredited program?
• </c> program and leadership. program and leadership.

Keywords: 928, house, all

Summary: The committee first approved the draft minutes from its May 29 meeting and then received an informational update from the Commission for the Deaf and Hard of Hearing about the state’s ASL interpreter pipeline. Representative Woods and Associate Commissioner Ann Landry explained that the American Sign Language program at UNH Manchester, the nation’s first fully accredited program, is facing viability concerns because high tuition has left only two of a potential 20 students committed so far. They warned that if enrollment does not recover, the program could face a teachout and eventually be lost, which they said would be detrimental because many state services and legal proceedings require qualified interpreters. Members discussed possible alternatives, including whether community colleges could help, and asked for follow-up research and contact information for UNH officials. The committee also heard that interpreter demand across DHHS continues to rise and that the department must ensure compliance with civil rights and service-access requirements. The committee then turned to Medicaid policy changes tied to Senate Bill 134 and a new federal interim final rule on Medicaid community engagement, or work, requirements. DHHS officials Olivia May and Ann Landry explained that the state law and federal rule align in many areas, but the committee still needed to decide how to implement several remaining policy choices. The department recommended adopting all four short-term hardship exceptions because the federal rule requires states to take them all or none: inpatient or institutional care, federally declared emergencies, high-unemployment areas, and extensive out-of-state travel for serious medical care. Members generally supported the exceptions but raised concerns about how they would be defined and applied, especially the emergency and medical-travel categories. Several legislators asked for more clarity on terms like “extensively” and “serious or complex medical care,” and DHHS said the federal rule does not rigidly define them, though the state could refine implementation through rulemaking if authorized. The department also said the emergency exception would apply only to federally declared emergencies, not state declarations, and would be tied to the emergency event itself. No final vote on the Medicaid policy was recorded in the portion provided, but the discussion indicated the committee was reviewing the remaining decisions needed to implement Senate Bill 134 under the new federal framework.

Transcript Highlights:

• discount programs.
• . and I funding within our health care space, within our Medicaid program.
• And so we spent a lot of time organizing a distressed hospital loan program.
• , and the fact that there is really the... ...indigent care program.
• for this program, it was dismantled back before ACA.

Summary: The joint informational hearing of the Senate and Assembly Health Committees focused on the cost of federal instability for California health coverage, access, and affordability. Opening remarks from members of both houses emphasized that California’s coverage gains under the Affordable Care Act are now threatened by federal policy changes, including the expiration of enhanced premium tax credits, H.R. 1, and new federal regulatory actions. Members repeatedly cited rising premiums, skipped care, medical debt, and the risk that low-income, immigrant, and working Californians could lose coverage or be pushed into less comprehensive plans. The first panel reviewed the federal landscape and state response. Don Joyce described the ACA’s coverage expansions and warned that H.R. 1, regulatory changes, and broader federal retrenchment could reduce coverage and weaken meaningful benefits. Covered California Executive Director Jessica Altman said the loss of enhanced premium tax credits is driving major affordability problems, with average monthly premiums projected to rise sharply and enrollment already down, especially among middle-income consumers. HCAI’s Elizabeth Lansberg explained the Office of Health Care Affordability’s role in slowing spending growth, monitoring consolidation, and setting spending targets, including lower targets for high-cost hospitals and new primary care investment goals. Members asked about bronze plans, high-cost hospitals, administrative burdens, provider taxes, and whether federal advisory changes could affect required benefits such as immunizations. The second panel examined population impacts and cost drivers. UC Berkeley Labor Center’s Miranda Dietz said most Californians get coverage through employers, Medi-Cal, or Covered California, and that affordability problems are widespread across all groups. She projected that California could have up to 2 million more uninsured residents by 2030, largely from Medi-Cal losses, and said higher premiums reduce wages and increase medical debt. Christoph Stremakis of the California Health Care Foundation highlighted survey data showing widespread concern about medical bills, skipped care, and medical debt, and argued that a large share of spending is wasted through administrative complexity, inflated prices, and underinvestment in prevention. Committee members pressed the panel on whether California can sustain coverage without new revenue, how cost-growth targets affect workers and families, how medical debt relief programs like Los Angeles County’s could be expanded, and how OCA can address uncompensated care, consolidation, and prior authorization burdens.