Transcript Highlights:

• As of January 2025, the program...
• As of January 2025, the program covers approximately 388,000 lives.
• Now we'll dive into the revenue and expenditures for the program.
• program has reached its max capacity of 2,800.
• In programs that drive value to the state, such as the shared savings program, and can also push out

Summary: The Budget Committee met with a quorum and took up several bills. HB 677, relating to state-covered fertility preservation for employees undergoing cancer treatment, was introduced as coverage for egg and sperm preservation for up to three years, with an estimated fiscal impact of about $813,000. After brief questions and no public testimony or amendments, the bill passed unanimously and was reported favorably. The committee then considered CS/HB 59, which would reform Florida’s wrongful incarceration compensation process by extending the filing deadline from 90 days to two years, removing the clean-hands requirement, and allowing exonerees to choose between the state compensation process and a civil lawsuit; it was supported by the City of Flagler Beach and passed unanimously. CS/HB 1313, which recreates the Resilient Florida Trust Fund in the Department of Environmental Protection before its scheduled termination in 2025, also passed unanimously after supportive testimony from advocacy groups. The committee received a lengthy presentation from the Department of Management Services on the State Group Insurance Program and the recent Revenue Estimating Conference. The presentation covered enrollment, revenues and expenditures, rising medical and pharmacy costs, emergency room utilization, GLP-1 drug spending, and options for tighter formulary and utilization management. Members asked about ER cost growth, GLP-1 coverage and copays, PBM oversight and potential conflicts, avoidable ER visits, cancer screening claims, dental and vision costs, specialty drug biosimilars, and possible savings from more restrictive pharmacy models. DMS said it would follow up on several questions and noted ongoing work on cancer coordination, preventive screening, biomarker testing, and a proposed member-facing benefits platform. The committee also heard extensive testimony on HB 301, which would raise sovereign immunity caps from $200,000 per person and $300,000 per incident to $1 million and $3 million, align limitations periods with private claims, and allow government entities to settle above the caps without a claims bill. Local governments, school-related entities, and county and city associations opposed the bill, warning of major fiscal impacts, higher insurance costs, and pressure on services; several speakers urged smaller increases or a tiered approach. Proponents, including families affected by catastrophic injury or death, argued the current caps are too low and the claims bill process is inefficient and unfair. After debate, the bill passed on a recorded vote, with some members voting no, and was reported favorably.

Transcript Highlights:

• These rebates are integral to the operations of both exchanges and the members.
• . the state's Medicaid program, including the Section 1915(c) waiver program, the StarKids managed care
• program, or the Star Plus Home and Community-Based Service and Support programs.
• There are Medicaid programs for people who need full-time long-term care.
• The legislature enacted a significant bill, HB7, which established the aid program.

Bills: HB511, HB972, HB 1035, HB2481, HB2723, HB2742, HB2894, HB2962, HB3077, HB3093, HB3307, HB3684, HJR67, HJR72

Keywords: ad valorem taxation, caregiver exemption, Medicaid, long-term services, tax relief, assisted living, housing support, property tax exemption, caregiver support, residence homestead, tax exemption, unpaid caregiver, state tax code, property tax, caregiver, waiting list, intellectual disability, developmental disability, ad valorem tax, family support

Transcript Highlights:

• We this year will invest more dollars into our scholarship program than any time in history.
• we'll be doing more in the future is if you went totallico you could walk into our building trades program

Bills: SB1287, SB1983, SB1796, SB1806, SB1558, SB2135, SB483, SB1198, SB1265, SB2154, SB2139, SB1552, SB2118, SB1775, SB259, SB1344, SB1380, SB2007, SB1572, SB2074, SB1423, SB1425, SB1502, SB1503, SB1833, SB1561, SB1555, SB2044, SB1749, SB904, SB1565, SB1500, SB667, SB1484, SB1562, SB1644, HR1045, SB227, SB1627, SB1475, SB1966, SB2049, SB1531, SB80, SB1734, SB1630, SB1894, SB1975, SB1432, SB1437, SB1812, SB346, SB710, SB1489, SB1614, SB2045, SB1250, SB1304, SB1501, SB1946, SB592, SB65, SB1257, SB444, SB640, SB2178, SB1242, SB1642

Keywords: abstraction, licensing, Oklahoma Abstractors Board, criminal background, good moral character, SB1983, foster care, resource family partner, resource family partners, Department of Human Services, DHS, child welfare, foster homes, foster children, placement data, data sharing, de-identified data, aggregated data, sibling groups, placement disruptions

Bills: HR179, HR180, HR181, HR182, HR183, HR184, HR185, HR186, HR187, HCR75, HCR76, HCR77, HCR78, HCR79, HR165, HR166, HR168, HR169, HR170, HR171, HR172, HR173, HR174, HR175, HR176, HR177, HR178, HCR65, HCR66, HCR67, HCR68, HCR69, HCR70, HCR71, HCR72, HCR73, HCR74, SCR34, SB34, SB43, SB52, SB56, SB165, SB173, SB189, SB190, SB260, SB322, SB345, SB374, SB387, SB401, SB448, SB449, SB455, SB487, SB496, SB502, SB505, HB362, HB893, HB990, HB1007, HB1153, HB1243, HR1, HR17, HCR5, HCR4, HCR47, HB55, HB385, HB394, HB396, HB406, HB608, HB622, HB676, HB772, HB897, HB1030, HB1035, HB1038, HB1045, HB1049, HB1056, HB1058, HB1059, HB1092, HB1100, HB1117, HB1160, HB1161, HB1162, HB1177, HB1180, HB1189, HB1216, HB1239, HB1240, HB59, HB74, HB159, HB330, HB364, HB414, HB458, HB525, HB568, HB786, HB1008, HB1033, HB1034, HB1041, HB1062, HB1070, HB1079, HB1112, HB1118, HB1139, HB1151, HB1176, HB1182, HB1196, HB1214, HB1241, HB87, HB115, HB162, HB368, HB433, HB441, HB447, HB466, HB481, HB741, HB1242, SB162, SB349, SB350, SB382, SB383, SB127, SB244, HB977, HB181, HB31, HB664, HB9, HB192, HB225, HB306, HB310, HB366, HB635, HB911, HB1230, HB1236, HB615, HB864, HB1103, HB1175, HB901, HR20, HR74, HB284, HB393, HB459, HB577, HB582, HB605, HB614, HB682, HB733, HB773, HB996, HB1003, HB1082, HB1113, HB1234

Keywords: neighborhood, crime prevention, security districts, law enforcement, community safety, funding, Counseling Day, mental health, Louisiana Counseling Association, community support, mental wellness, Louisiana State University, athletics, NAIA, sports achievements, recognition, success, competition, education, higher education

Transcript Highlights:

• funding for the programs. funding for the programs. Okay. Okay. Okay.
• >> The what program?
• >> The fuel assistance program, the gas assistance program, the safe tank program. >> Yes, I'm aware
• of those programs.
• I would just say that, right now, the department, with the changes from HB 2 in 2025, our rebate programs

Keywords: 1189, house, all

Transcript Highlights:

• Advantage program.
• Advantage program.
• Advantage program.
• program.
• <04:17:57.920> The the program this following year. The the program this following year.

Keywords: 1191, senate, all

Transcript Highlights:

• So the program rules were changed, which devastated... ...the entire program system, right?
• wrong as it relates to the program.
• Finally, we support the comments on the proposed use of the ADAP drug program rebate funds.
• Finally, we support the comments on the proposed use of the ADAP drug program rebate funds. the HIV epidemic
• is worsening among an ADAP drug program rebate funds.

Summary: The subcommittee held an oversight hearing on federal actions affecting California’s public health and family planning systems, focusing first on the freeze to Title X family planning funds and then on broader CDC/public health grant terminations. Chair and members described the cuts as abrupt, harmful, and likely to create major gaps in disease surveillance, vaccination, contraception, STI testing, and other preventive services, while also criticizing the federal administration’s explanation that the actions were tied to DEI or civil-rights compliance. The chair thanked Attorney General Bonta for legal action and said the hearing was intended to document the real-world impacts and inform state budget responses. Witnesses from Essential Access Health, Planned Parenthood Affiliates of California, a Central Coast clinic, and other providers said California’s Title X network serves more than half a million low-income patients annually and relies on the funds for staffing, outreach, training, mobile and school-based clinics, and confidential care. They warned that the freeze has already forced reserve spending, delayed services, and could lead to layoffs, reduced hours, longer waits, and fewer appointments, especially for sexual and reproductive health care. Public comment included support for a proposed state backfill of Title X losses, with advocates emphasizing impacts on low-income, LGBTQ+, and communities of color. On the public health side, CDPH, county health officials, and local health officers testified that the CDC’s rescission of $11.4 billion in grants would affect California by an estimated $840 million and threaten lab capacity, immunization programs, health disparities work, and data systems such as CalConnect and vaccine registries. Sacramento County and others described how the grants supported outbreak response, sequencing, community vaccination clinics, and equity-focused partnerships, and said terminations had already led to canceled appointments, stopped contracts, and layoffs. Several speakers urged the Legislature to preserve and expand state “future of public health” funding and to backfill federal losses, while public commenters from HIV, immunization, labor, and county organizations echoed concerns about workforce losses and worsening health outcomes.

Transcript Highlights:

• This bill creates a geothermal rebate program focused on commercial buildings. I do, Mr.
• um, a bill to create a geothermal rebate um, a bill to create a geothermal rebate program<00:19:
• This rebate program will allocated.
• A similar rebate program already exists in Minnesota to incentivize air source heat pumps.
• A similar rebate program already owner.

Keywords: 1187, senate, all

Transcript Highlights:

• program integrity and efficiency. program integrity and efficiency.
• And so there was a program where you could get a $1,500 rebate on an e-bike if you just signed up.
• And so there was a program where you could get a $1,500 rebate on an e-bike if you just signed up.
• And so there was a program where you could get a $1,500 rebate on an e-bike if you just signed up.
• There was a program where you could get a $1,500 rebate on an e-bike if you just signed up.

Keywords: 1187, senate, all

Transcript Highlights:

• Robert, do you know of other programs that y'all participate in that are... cooperative type programs
• I can only speak to to buy board I can tell you that you know My board has a very robust rebate program
• Byboard last year rebated $13 million back to its members over the course of the rebate program.
• revenue from by board from the cooperative rebates yes to rebates uh...
• In other programs we recommend lowering barriers for out-of-state licenses. holders and in one program

Bills: HB10, HB 12, HB675, HB10, HB12

Keywords: regulatory reform, government efficiency, administrative law, rulemaking, agency deference, judicial review, de novo review, Texas Government Code, Administrative Procedure Act, state agencies, plain language, regulatory burden, regulatory reduction, cost-benefit analysis, fiscal note, public benefits and costs, contested case, rule challenge, Texas Regulatory Efficiency Office, advisory panel

Transcript Highlights:

• , as it started out back in the 80s, the conservation improvement program, has evolved to the ECO program
• our programs our programs to<00:07:23.759> save<00:07:24.080> 1.2<00:07:24.560>
• The way we do that is by doing rebates. The way we do that is by doing rebates.
• , Every time we pay a customer a rebate, Every time we pay a customer a rebate, that's<00:20:54.000
• <00:21:05.840> on 100 watt and we give you a rebate on 100 watt and we give you a rebate on

Bills: HF3296, HF3802

Keywords: energy conservation, data centers, electric sales, energy optimization, utility regulations, energy regulation, certificate of need, renewable energy, power production, energy efficiency, Minnesota statutes, 1183, house

Transcript Highlights:

• <00:56:21.520> facing to afford care and programs facing to afford care and programs facing
• and to know we are losing good programs and to know we are losing good programs every<00:57:58.839
• are closing our care if our program are closing our programs<00:58:13.400> are<00:58:13.559><
• families and the child care programs families and the child care programs have<00:58:33.920>
• from a rebate to an upfront exemption.

Bills: HF1277, HF1006

Keywords: data centers, tax exemption, Minnesota statutes, economic development, employment growth, property tax, abatement, land bank, redevelopment, political subdivision, 1183, house

Transcript Highlights:

• this Ryan White pharmaceutical rebates this Ryan White pharmaceutical rebates program<00:52:25.280
• We reimburse the stores at that rate, and we get a rebate back that we put into the food program, so
• We reimburse the stores at that rate, and we get a rebate back that we put into the food program, so
• You know, we take some of those WIC rebate monies and sort of support what's in the WIC program.
• into the incorporate those rebates into the program<02:54:01.960> as<02:54:02.120> well

Keywords: 928, house, all

Summary: The Finance Division III work session focused on the Department of Health and Human Services’ Division of Public Health Services budget. Department staff said Public Health has a relatively small budget compared with other DHHS divisions, is supported mostly by federal and other non-General funds, and contains nearly 100 accounting units and more than 50 federal grants. They emphasized that the governor’s budget did not include significant cuts, but that federal funding uncertainty and the winding down of pandemic-era resources were major factors affecting the division. The division also explained that some apparent budget growth reflects reorganizations, including moving the Bureau of Emergency Preparedness, Response, and Recovery and some programs from other DHHS divisions into Public Health. The presentation described Public Health’s mission as serving the entire state through food and water safety, disease surveillance, emergency response, maternal and child health, chronic disease prevention, WIC, community health center support, and public health data collection. Members asked about bird flu, and staff explained that human-health response would involve Public Health’s lab, infectious disease, and emergency preparedness units, while animal-health issues are handled with the Department of Agriculture; they also noted ongoing milk testing requested by FDA and USDA. The division said its organizational structure includes bureaus for Family Health and Nutrition, Infectious Disease Control, Public Health Protection, Emergency Preparedness, Prevention and Wellness, Statistics and Informatics, and Public Health Laboratories, with about a 15% vacancy rate. Committee members questioned whether the division’s budget and staffing had really grown since pre-COVID, and staff responded that full-time authorized staffing is about the same as in 2018, with the increase largely due to federal pandemic funding that has since receded and to program transfers between divisions. They said Public Health’s General Fund share is about $24 million out of roughly $1.1 billion in DHHS General Fund spending, or about 2.2% of the department total. Members also asked about the 3,000-position cap and unfunded positions; staff explained that the cap remains in chapter law through June 30, 2025, that 394 positions were unfunded in the governor’s budget, and that the division expects flexibility to move money from personnel lines and fill unfunded positions to manage changing needs. No votes or formal actions were taken in this portion of the work session.

Transcript Highlights:

• Program, and we run a variety of other family health programs related to genetically handicapped persons
• But a program that has a really bad history of being— mildly off on your estimates on this program, and
• program.
• To obtain state supplemental rebates.
• Medi-Cal program.

Keywords: 988, house, all

Transcript Highlights:

• MGB is the largest graduate medical education program in the country.
• It doesn't direct it to those programs that you are talking about.
• It doesn't direct it to those programs that you are talking about.
• Moreover, as Medicare is poised to negotiate the first drug selected for its new negotiation program,
• percentage rebate, you know, pharmacists call it kickback, but what percentage rebate are these companies

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a broad set of health care bills focused on cost, market oversight, pharmaceutical access, transparency, hospital closures, and pharmacy access. Chairs John Lawn and Cindy Friedman opened by emphasizing recent health care reforms and the need for further action on the drug supply chain, PBMs, private equity, and affordability. The committee heard testimony on several measures, including a Betsy Lehman Center bill to make technical changes and create a permanent trust account for federal and private funding, and bills on hospital profits and fairness, hospital closures and health planning, pharmacy deserts, and health care market oversight and pharmaceutical access. No votes were taken during the hearing. On the hospital profits bill, physicians and labor advocates strongly supported capping hospital CEO compensation at 50 times the lowest-paid worker, requiring greater financial transparency, and directing penalties from high-margin public hospitals into a Medicaid reimbursement fund. Testifiers argued that executive pay is excessive while frontline staff and safety-net services are under strain. Committee members raised concerns about unintended consequences, including whether hospitals might shift workers to contract status or lose executive talent, and whether the bill would actually direct money to the safety net. Supporters responded that the measure is one piece of a larger effort and that the bill’s Medicaid reimbursement provisions would help underserved hospitals. Testimony on market oversight and pharmaceutical access centered on rising health care and drug costs, PBM practices, and the proposal to give the Health Policy Commission authority to set upper payment limits for certain drugs. Consumer advocates, disability advocates, an independent pharmacist, the Attorney General’s office, and others supported stronger oversight, citing premium increases, affordability problems, and the impact of high drug prices on patients and community pharmacies. Pharma and some industry witnesses opposed parts of the bill, warning that upper payment limits could disrupt access, create legal issues, and fail to address the broader supply chain. The committee also heard support for stronger hospital closure notice and public hearing requirements, and for a pharmacy deserts bill aimed at identifying and addressing closures like the one in Roxbury that affected thousands of patients.

Transcript Highlights:

• It is a massive program.
• It is a abuse in the Medicaid program. It is a massive<00:26:45.679> program.
• are enrolled in the program.
• been involved in your program? been involved in your program?
• national health program. national health program.

Keywords: During the committee meeting live stream, portion of the video was lost due to network issues. There were also some technical difficulties with content and the incorrect background image being used. The lost footage was recovered from backup, and the other issues corrected in post production editing. 1. 00:00:41 Call to Order 2. 00:01:02 Roll Call 3. 00:02:54 Approval of Minutes 4. 00:05:06 Statutory Reports and Data Requests 5. 00:35:14 2025 and 2026 Session Update 6. 01:03:10 Board Structure Updates and Subcommittees 7. 01:05:20 Public Comment 8. 02:23:14 Adjournment, 958, all

Summary: The Medicaid Oversight Board meeting opened with quorum, approval of the March 9 and March 16, 2026 minutes, and a welcome to new member Representative Willner. The board then heard a presentation from the Department of Medicaid Services on several statutory reports: the quarterly budget analysis (LRC) report, the quarterly MCO report, the provider tax and assessment report, the enrollee demographic report, the annual behavioral health/substance use disorder utilization report, and the Medicaid pharmaceutical rebate fund. Commissioner Lisa Lee and CFO Steve Bechal explained the reports and answered questions. On spending, DMS said the quarterly budget analysis report should be read using the summary tabs because the first tab reflects only traditional Medicaid and does not include all populations. Lee said the first three quarters of fiscal year 2026 showed about $191 million more in waiver spending than the same period last year, about $250 million more in other categories such as nursing facilities, CCBHCs, and FQHCs, and roughly $450 million more in total fee-for-service spending. She also noted that Medicare Part D premiums are 100% state funds and estimated the state-fund increase at about $140 million. For managed care, DMS said pharmacy, inpatient hospital, and outpatient hospital spending made up about 66% of MCO payments so far this fiscal year. Members asked about administrative costs, provider tax impacts, citizenship-status categories, medical loss ratio, and whether the reports could be expanded to show recoupments and citizenship-based spending. DMS clarified that the spending figures discussed were benefit costs only, not administrative costs, and said administrative match rates vary. On the provider tax and directed payments report, Lee said the new CMS proposed rule would allow separate payment terms to continue through the grandfathering period, but that the impact would be substantial for providers even if the administrative effect was minimal. She also said DMS was still reviewing unusual citizenship categories such as “other” and “unspecified,” and would provide more information on medical loss ratio and recoupments if available. Auditor Ball raised concerns about alleged waste, duplicate Social Security numbers, ineligible enrollees, and high error rates in other programs. Lee responded that Medicaid focuses on fraud, waste, and abuse, but said the cited $800 million figure was not factual because it did not account for people enrolled in more than one Medicaid program at the same time. She said DMS is reviewing eligibility systems, including changes tied to community engagement requirements, and is working with the cabinet’s eligibility staff and ombudsman division on error rates. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• Our choices are to cut programs or go to taxpayers and ask for tax increases to fund programs.
• Our choices are to cut programs or go to taxpayers and ask for tax increases to fund programs.
• that's<00:04:59.320> not tax increases to fund program that's not tax increases to fund program
• locking us into a rigid tax rebate locking us into a rigid tax rebate system<00:10:21.480> I<
• those programs those programs that's<00:29:59.120> where<00:29:59.320> the<00:29:59.600

Keywords: 1183, house

Transcript Highlights:

• for the Promise Program.
• of the Promise Program.
• would be the Arizona LEAP Program, the Community College Promise Program, the Arizona Promise Program
• It's a government-funded program.
• Ending the program. We're not changing the program. We're not telling them what to do.

Bills: HB4138, HB4139, HB4140, HB4141, HB4142, HB4143, HB4144, HB4145, HB4146, HB4147, HB4148, HB4149, HB4150, HB4151, HB4152, HB4153, SB1831, SB1832, SB1833, SB1834, SB1835, SB1836, SB1837, SB1838, SB1839, SB1840, SB1841, SB1842, SB1843, SB1844, SB1845, SB1846

Keywords: appropriations, education funding, health care, general fund, state budget, local funding, gaming, pari-mutuel, horse racing, regulatory assessment, first-time starters, budget implementation, federal funds, government services, budget stabilization, financial reporting, capital outlay, infrastructure, veterans services, highway construction

Summary: The committee met in a special joint appropriations session to review the FY 2027 budget package, including House Bill 4138 and Senate Bill 1831, the general appropriations or “feed” bills. Staff described the budget as including a one-time transfer of state funds, a 5% lump-sum reduction to most agencies’ discretionary general-fund budgets, continued funding for the state health insurance plan and school facilities, and various one-time restorations or reversions of prior appropriations. Members spent much of the meeting clarifying how the 5% reductions would work, noting that formula and mandatory funding such as K-12 basic aid are excluded, while the governor’s executive branch would decide how to implement the cuts within agencies. The chair repeatedly emphasized that the committee was not specifying line-item cuts and that agencies would have discretion over implementation. A large portion of the discussion focused on the practical effects of the budget on universities, public safety, health care, rural programs, and fund sweeps. Arizona Board of Regents and university representatives said the proposed reductions would amount to more than $85 million statewide and could affect programs such as the Arizona Promise Program, Teachers Academy, and tuition freezes, though no specific program cuts were written into the bill. Other testimony raised concerns about fund sweeps from encumbered balances, including university research funds, housing trust funds, utility regulation funds, and ADOT-related accounts, with some members warning about possible impacts on rural infrastructure and federal matching dollars. The committee also discussed the state employee health plan, including a $228 million general-fund infusion and proposed employee premium increases over three years, as well as questions about corrections, forestry and fire management, and rural critical access hospitals. Public testimony was largely opposed to the budget. Speakers from Opportunity Arizona, the Arizona Board of Regents, health care, and local government argued that the package would reduce support for education, housing, SNAP, health care access, and rural communities while preserving tax benefits for data centers and wealthy taxpayers. A mayor from Globe described severe flood damage and asked for state help for a flood relief fund, while a motorcycle safety advocate questioned a proposed transfer from the motorcycle safety fund. Committee members debated whether the budget’s effects should be described as speculative or as likely consequences of the broad cuts, and several exchanges became contentious over comparisons to the Great Recession and references to federal tax policy. The meeting ended with continued public testimony and no final vote taken in the portion provided, though leadership had earlier said the committee planned a mass roll-call vote on all the bills at the end.

Bills: SB372, SB1224, SB1232, SB1264, SB1330, SB1381, SB1441, SB1450, SB1589, SB1618, SB1936, SB1980, SB2011, SB2030

Keywords: SB372, firearms, gun rights, lawful carry, concealed carry, open carry, handgun license, Oklahoma Self-Defense Act, weapons policy, gun law, school safety, private school, public school, college campus, university campus, technology center, courthouse, government buildings, municipal buildings, county courthouse

Transcript Highlights:

• It's not the intent to expand the program.
• By using the federal poverty level rate, this makes the program more auditable.
• So it seems like the numbers don't match that we are in fact expanding the program.
• I want to tell you on this program I've had parents, I've had...
• But this is a very good program. There'll be additional debate. No additional debate.

Bills: HB2210, HB2398, HB2959, HB3006, HB3026, HB3151, HB3315, HB3372, HB3467, HB3590, HB4268, HB4359, HB4427

Keywords: youth apprenticeship, career education, workforce development, high school programs, mentorship, vocational training, state oversight, credential of value, education, labor market, government reporting, school abuse reporting, child abuse, neglect, mandatory reporting, student safety, school employee misconduct, administrator reporting, superintendent, law enforcement notification