Transcript Highlights:

• And so our investments in increasing physician access, increasing coverage,... with money that regular
• And so our investments in increasing physician access, increasing coverage, Investments in increasing
• physician access, increasing coverage for things like menopause, putting money behind reproductive care
• We look forward to engaging with you all on the continued work ahead to mitigate the coverage losses
• Preserving health coverage is a primary policy objective we all share, and we appreciate your efforts

Keywords: 988, house, all

Transcript Highlights:

• authority is here for New Mexicans when they need financial support, when they need health care coverage
• We think 88,000 New Mexicans will lose Medicaid coverage 42,000 New Mexicans will likely have co-pays
• But still, we're projecting between 3,200 and 8,600 New Mexicans losing their marketplace coverage because
• We're going to see this period where people roll on and off of coverage.
• Well, 100% coverage will cost us $150,000. That's not practical.

Transcript Highlights:

• There are questions around coverage and reimbursement with changing models of care.
• There are questions around coverage and reimbursement with changing models of care.
• Because if I can't have health insurance coverage, I'm also going to lose my life.
• provisions around denying people coverage that are currently in place.
• denying people coverage that are currently in place.

Summary: The joint informational hearing of the Assembly Health and Privacy Committees focused on generative AI in health care, with opening remarks emphasizing both its potential to improve care and its risks around privacy, bias, liability, workforce impacts, and unequal access. Chair Bauer-Kahan and Chair Bonta framed the discussion around how California can encourage beneficial innovation while protecting patients, especially given the sensitivity of health data and the possibility that AI could worsen existing disparities if not carefully governed. The first panel featured representatives from Cedars-Sinai, Kaiser Permanente, Penguin AI, and Google, who described current uses of AI such as ambient clinical scribes, nursing documentation tools, imaging triage, maternal-fetal risk prediction, and administrative automation. Speakers said these tools can reduce clinician burden, improve patient experience, speed treatment, and in some cases improve outcomes, including a reported mortality benefit from a Kaiser predictive model and faster thrombectomy times at Cedars-Sinai. Members raised concerns about accuracy with accents and multilingual visits, whether predictive tools could reinforce bias or lead to more interventions such as C-sections, and how to ensure a human remains in the loop for important decisions. The second panel, including representatives from the California Health Care Foundation, UC Berkeley, and Stanford, focused on policy and governance challenges. Testimony highlighted examples of AI supporting homelessness outreach and community health work, but also warned that biased algorithms can encode inequities, especially when trained on data that reflect under-treatment of Black, rural, or low-income patients. Witnesses urged clearer standards for trustworthy AI, stronger monitoring and governance structures, better data access for accountability, and attention to the safety net’s limited resources. Several speakers argued that states should require health systems to have AI governance processes, clarify liability between developers and deployers, and regulate downstream uses of AI while preserving access to data for lifesaving research and oversight.

Transcript Highlights:

• gap. coverage gap. coverage gap.
• And them to have their own coverage? And them to have their own coverage?
• or is all coverage?
• Those own coverage or is all coverage? Those own coverage or is all coverage?
• Is this something that all coverage? Is this something that all coverage?

Bills: SB 1, HB 500, SB 1, HB 1400, HB 1094, HB 365, HB 1109, HB 647, HB 500

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, state budget, mental health funding, education funding, infrastructure improvements, public safety, groundwater, water conservation, financial assistance, Texas Water Development Board, innovation fund, local conservation districts, transportation protection agreement, funeral services, insurance exemption

Transcript Highlights:

• Senate Bill 433 by Senator Boudreaux provides for Medicaid coverage of certain medications, including
• FDA-approved weight loss medications, qualifying payments, patients, and coverage restrictions.
• House Bill 222 by Representative Berault concerns Medicaid coverage for dental procedures in certain
• House Bill 766 by Representative Freeman, health insurance coverage.
• Berger, relative to health insurance coverage for prosthetic and orthotic device services.

Bills: HR310, HR314, HR316, HR317, HR321, HR275, HR276, HR279, HR282, HR286, HR289, HR292, HR295, HR302, HR319, HCR112, HR307, SCR59, SCR61, SCR62, SCR68, SCR69, SCR70, SCR54, SCR55, SCR64, SCR75, HCR3, HCR49, HCR66, HCR67, HB1, HB2, HB42, HB45, HB66, HB71, HB79, HB126, HB133, HB145, HB159, HB167, HB213, HB218, HB222, HB289, HB291, HB312, HB313, HB316, HB324, HB352, HB383, HB398, HB403, HB429, HB457, HB459, HB511, HB549, HB571, HB579, HB591, HB608, HB616, HB624, HB766, HB769, HB783, HB799, HB804, HB864, HB874, HB909, HB951, HB971, HB983, HB1005, HB1017, HB1051, HB1056, HB1095, HB1126, HB1129, HB1186, HB1193, HB1223, HB1224, HB1230, HB1235, HB1249, HB723, HB36, HB140, HB181, HB198, HB205, HB211, HB226, HB259, HB271, HB302, HB335, HB342, HB487, HB513, HB623, HB682, HB730, HB740, HB761, HB775, HB797, HB812, HB816, HB940, HB968, HB979, HB1028, HB1029, HB1038, HB1049, HB1084, HB1161, HB1194, HB1199, HB1201, HB1203, HB1247, HB1256, SB25, SB132, SB155, SB157, SB202, SB228, SB237, SB250, SB405, SB406, SB414, SB433, SB480, SB513, SB149, HB359, SB29, SB43, SB78, HB210, HB258, HB468, HB784, HB134, HB1117, SB42, SB274, SB382, SB449, SB300, HR74, HB463, HB715, HB998, SB80, SB268, SB444, SB479, HB901, HR20, HCR65, HCR71, HCR98, HB284, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB625, HB646, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1191, HB1240, HB1255, SB82, SB89, SB97, SB123, HB74, HB119, HB368, HB414, HB552, HB732, HB776, HB848, HB870, HB953, HB956, HB1236, SB208, SB217, SB283, SB387, SB389, SB401, SB408, SB469

Keywords: oil and gas, orphan wells, inactive wells, shut-in wells, marginal wells, plugging and abandonment, well decommissioning, site remediation, site restoration, Oilfield Site Restoration, OSR program, financial security, bonding, taxpayer liability, public liability, offshore wells, onshore wells, coastal erosion, Department of Conservation and Energy, natural resources

Transcript Highlights:

• And real solutions require affordable, comprehensive coverage, not cutting essential benefits to save
• It will serve to weaken state employees' health care coverage, making it move away... ...problems there
• It will serve to weaken state employees' health care coverage, making it move away from comprehensive
• would be able to obtain health coverage.
• Giving the flexibility and allowing for the pooling for associations gives more coverage and more choice

Keywords: 1182, all

Summary: The Senate opened with prayer, the Pledge of Allegiance, attendance, approval of the journal, and several guest introductions, including the doctor of the day, Arizona State Troopers Day participants, the Arizona Speech-Language-Hearing Association, and a Delta Sigma Theta delegation. A Senate proclamation was read recognizing the Arizona Speech-Language-Hearing Association for its work serving people with communication disorders. The chamber then moved into Committee of the Whole and later third-reading votes on a large number of House bills, with several members offering floor explanations on controversial measures. Among the bills considered in Committee of the Whole were HB 2133 on sexual material and synthetic depictions, HB 2167 relating to the Attorney General, HB 2600 on school clubs and parental consent, HB 255 on brackish groundwater recovery, HB 2787 on Mexican wolf reintroduction cooperation, HB 2795 on small modular reactor zoning, HB 2985 on state land water allocations, and HB 2003 on driver instruction permits. HB 2133 was amended, including a floor amendment adding exemptions for parody, comedy, artistic expression, and criticism, and the committee recommended it do pass as amended. HB 2787 and HB 2985 advanced after divided votes, while HB 2795 failed in the later floor vote. HB 2003 was amended to add a delayed effective date of December 1, 2026 and advanced out of committee. On third reading, the Senate passed HB 2013, 2031, 2102, 2103, 2117, 2226, 2262, 2278, 2378, 2584, 2693, 2270, 2370, 2665, 2666, 2876, 487, 2003, 255, 2133, 2167, 2600, 2787, 2811, and 2985, with several votes split largely along party lines. HB 2795 was defeated. Debate focused heavily on water policy, public safety, school parental consent, speech and sexual-material regulation, local control over zoning, and the Attorney General’s authority. The Senate also agreed to a free conference committee for HB 2874 and appointed Senators Finchem, Bolick, and Ortiz, then adjourned until the next scheduled meeting.

Transcript Highlights:

• They're going to talk about coverage and deductibles and premiums.
• So health care sharing services provide coverage of health care costs to its most...
• Through the chair to the senator: So there's no coverage because we're not insurance.
• When it comes to providing and getting coverage for their health care costs.
• And we can quibble about the word coverage, but really it's sharing the health care costs.

Bills: S0052, S0502, S0624, S0758, S0834, S0840

Keywords: places of worship, house of worship, church, mosque, synagogue, religious security, armed security, volunteer security, private security, security guard licensing, licensure exemption, Florida Statutes chapter 493, Class G license, Class C license, security services, faith-based institutions, public safety, military jurisdiction, delinquency, concurrent jurisdiction

Summary: The committee considered several bills and reported each favorably. SB 624, by Senator Yarborough, would allow batterers intervention programs to offer optional supplemental faith-based activities, with no participant required to take part. Supporters said it would expand provider options and help address a shortage of certified programs; opponents raised concerns about mixing government-ordered programming with religion and about the state’s prior rule change. The bill passed 7-2. The committee also approved CS/SB 834, which repeals a 2022 restriction barring licensed insurance agents from partnering with health care sharing ministries to market or sell their programs. The sponsor and supporters argued the bill restores free speech, consumer choice, and access to faith-based alternatives, while opponents warned about consumer confusion, higher commissions, and weak protections because these ministries are not insurance. After extended debate, the measure passed 8-2. Other measures advanced unanimously or near-unanimously. CS/SB 502, as amended, would give Florida concurrent jurisdiction over certain juvenile offenses on military installations so juveniles can be handled in the state system; it passed 9-0. CS/SB 52 would exempt volunteer armed security for houses of worship from Class D or G licensing requirements, and supporters cited rising threats to churches and the need for organized volunteer security; it passed 9-0. SB 840, a cleanup bill to narrow and clarify last year’s emergency-related land-use restrictions after hurricanes, also passed 9-0, and CS/SB 758, which updates the membership of the Justice Administration Commission, passed 9-0 after an amendment restoring two public defenders to the commission.

Transcript Highlights:

• <00:10:52.560> in motans without full weather coverage in motans without full weather coverage
• <00:16:38.959> um so effectively they have no coverage um so effectively they have no coverage
• In the blue circles on the screen, you can see the best coverage for those.
• in that diminished coverage.
• The bill will provide full weather radar coverage in every corner of the state.

Keywords: 1183, house

Transcript Highlights:

• The next one, health carriers may but are not required to provide coverage.
• The next one, health carriers may but are not required to provide coverage.
• The next one, health carriers may but are not required to provide coverage.
• The next one, health carriers may but are not required to provide coverage.
• Then that might impact someone’s coverage otherwise.

Bills: HB0028, HB0080

Keywords: sexual exploitation, child protection, law amendment, explicit conduct, sex crimes, identification cards, nursing facilities, assisted living, renewal process, resident rights, 916, all

Transcript Highlights:

• Assembly Bill 1906 by Assembly Member Aguiar-Curry and act relating to health care coverage.
• Assembly Bill 1906 by Assembly Member Aguiar-Curry and relating to health care coverage.
• Assembly Bill 2066 by Assembly Member Celeste Rodriguez and others, relating to health care coverage.
• No one should have to wait to access coverage during such a critical time.
• Insurance coverage is important because, for housing projects, each component is expected to have coverage

Summary: The Assembly met on May 7, 2026, after an initial delay caused by the absence of a quorum, then proceeded with prayer, a moment of silence for victims of a hate-motivated attack at the Islamic Center in San Diego, and the Pledge of Allegiance. The Speaker pro tempore then moved through the daily file, repeatedly urging members to be on time and at their desks as the House of Origin deadline approached. Procedural actions included dispensing with the journal, deferring some items, and moving AB 1667 to the inactive file. The bulk of the session was devoted to floor consideration of many bills, most of which passed with little or no opposition. Measures approved included bills on artificial intelligence provenance information (AB 2713), community college trustee compensation (AB 2528), transit camera enforcement and privacy (AB 1837), excess proceeds claims in taxation (AB 2705), HOA technical cleanup (AB 1892), hepatitis C treatment access (AB 1843), child care planning in local general plans (AB 1914), greenhouse energy code flexibility (AB 2200), rent-now-pay-later consumer protections (AB 2350), housing cleanup and density bonus measures (including AB 2390, AB 2480, AB 1567, AB 1751, and others), spay/neuter access (AB 2010), workforce housing financing tools (AB 2110), supportive housing and homelessness-related changes (AB 2146), mental health and health plan notification measures (AB 1598, AB 2613), student aid and education bills (AB 1534, AB 1636, AB 1669, AB 1728, AB 1784, AB 1871), public safety and criminal justice bills (AB 1546, AB 1572, AB 1872, AB 1877, AB 1932), and several health and social services measures (AB 1602, AB 1628, AB 1680, AB 1825, AB 1845, AB 1906, AB 1907, AB 1925). Most bills were described as support measures, often with bipartisan backing and no opposition, and passed by wide margins. A few bills drew more discussion, especially AB 1751, a housing/townhome bill that sparked extended debate over wages, prevailing wage, stakeholder engagement, and whether the measure could depress pay for construction trades; despite concerns and an opposition speech, it ultimately passed 44-0. AB 1793, which would allow symmetrical rounding of cash transactions to the nearest nickel in light of the penny’s phaseout, also drew light debate and passed 47-1. AB 1932, an urgency measure expanding community-based crisis response, passed with one no vote on both the urgency and the bill. Several urgency or 54-vote bills, including AB 1534 and AB 1932, required later roll calls or calls to be lifted, but all measures described in the transcript were ultimately approved.

Transcript Highlights:

• The coverage is much less today than it was then.
• Um, so, so the When the coverage went down, the premiums went down as well.
• , uh, or and then coverage going down, but the cost for that is going up.
• You said $10 million was what we were, we had in coverage and now we only have $5 million.
• Um, that's the, that's the maximum coverage that's available. Mr.

Transcript Highlights:

• . ...affordable housing providers across California are facing limited availability of insurance coverage
• , significant premium and deductible cost increases, and reductions in the scope and quality of coverage
• , significant premium and deductible cost increases, and reductions in the scope and quality of coverage
• of insurance. financing options to increase the availability and the affordability of insurance coverage
• These models have been shown to help increase the availability of coverage, lower costs, and they've

Summary: The Assembly Housing and Community Development Committee heard several housing-related bills. SB 996 by Senator Padilla would let manufactured homeowners opt to title their homes as real property, with supporters saying this would improve access to conventional mortgages, consumer protections, and lower-cost financing. SB 866 by Senator Blakespear would require cities and counties to include homelessness-related information in their annual housing element reports, with supporters saying the bill would improve transparency, regional coordination, and accountability around homelessness funding and services. The committee also heard SB 1090 by Senator Perez, which would impose a temporary moratorium in Altadena on certain state housing density laws after the Eaton Fire. Supporters, including Supervisor Catherine Barger and many Altadena residents, argued the bill would protect fire survivors from speculative investors and give families time to rebuild and return home. Opponents argued the bill could limit tools that homeowners need to finance rebuilding and could reduce future housing production. After extensive testimony, the committee passed SB 1090 to the Assembly Local Government Committee on a 10-0 vote. SB 1388 by Senator Durazo would create an Affordable Housing Risk Reduction Program to help affordable housing providers reduce insurance costs through technical assistance and risk-mitigation support. Supporters said rising insurance premiums are threatening the viability of affordable housing developments and existing units. The committee also reconsidered and then voted on SB 1092, which was taken up only for reconsideration and final vote; after a split vote, the bill ultimately passed the committee. Final recorded votes showed SB 866 and SB 996 passing unanimously, SB 1388 passing with one no vote and one not voting, and SB 1092 passing 7-5 after reconsideration.

Transcript Highlights:

• of health plan payers believe that UPLs will disrupt patient access to prescription drugs due to coverage
• Wholesalers do not determine 340B pricing decisions or coverage decisions.
• MAP represents 13 health plans and one behavioral health organization that collectively provide coverage
• MAP represents 13 health plans and one behavioral health organization that collectively provide coverage
• With the rising cost of health insurance, it is important to take steps to keep coverage affordable for

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:

• provide for Medicaid coverage for dental procedures in certain circumstances.
• provide for Medicaid coverage for dental procedures in certain circumstances.
• require coverage for behavioral health crisis services.
• require coverage for behavioral health crisis services.
• There have been delays in formulary coverage to block patient access.

Bills: SR126, SR129, SCR71, SCR72, SCR73, SCR12, HB221, HCR54, HCR79, HCR87, HCR94, HCR95, HCR97, HCR102, HCR104, HCR58, SB480, SB514, HB12, HB66, HB145, HB167, HB175, HB196, HB213, HB218, HB222, HB256, HB291, HB325, HB326, HB352, HB401, HB430, HB433, HB434, HB448, HB456, HB476, HB481, HB487, HB492, HB549, HB579, HB608, HB621, HB624, HB626, HB632, HB637, HB656, HB722, HB745, HB749, HB804, HB818, HB821, HB833, HB864, HB867, HB874, HB893, HB909, HB951, HB968, HB969, HB978, HB979, HB985, HB988, HB989, HB1001, HB1005, HB1007, HB1024, HB1032, HB1038, HB1050, HB1051, HB1056, HB1059, HB1077, HB1080, HB1081, HB1086, HB1108, HB1112, HB1153, HB1172, HB1173, HB1175, HB1192, HB1193, HB1204, HB1218, HB1242, HB1244, HB1249, HB1252, HB1254, HB538, SCR3, SCR23, SCR38, SCR24, SB102, SB133, SB151, SB165, SB169, SB170, SB200, SB217, SB280, SB291, SB300, SB303, SB330, SB449, SB489, SB521, SB45, SB156, SB181, SB203, SB274, SB304, SB379, SB396, SB410, SB425, SB427, SB436, SB54, SB72, SB129, SB164, SB232, SB287, SB322, SB374, SB375, SB386, SB409, SB447, SB458, SB222, SB399, SR119, SCR58, SCR65, SCR9, SB35, SB65, SB215, SB246, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, HCR41, HCR47, HCR63, HCR69, HCR31, HB87, HB115, HB162, HB195, HB214, HB217, HB233, HB283, HB290, HB319, HB324, HB345, HB362, HB363, HB368, HB377, HB380, HB382, HB386, HB392, HB406, HB431, HB441, HB466, HB503, HB533, HB559, HB575, HB590, HB593, HB618, HB655, HB664, HB685, HB692, HB707, HB715, HB732, HB738, HB741, HB748, HB776, HB807, HB822, HB856, HB860, HB868, HB887, HB888, HB905, HB908, HB961, HB980, HB990, HB992, HB999, HB1000, HB1010, HB1146, HB1157, HB1233, HB1236, HB1243, HB54, HB137, HB180, HB192, HB310, HB321, HB396, HB512, HB552, HB578, HB638, HB663, HB708, HB717, HB718, HB1009, HB1082, HB1104, HB1107, HB1198, HB1246, HB27, HB143, HB205, HB259, HB267, HB288, HB308, HB403, HB405, HB414, HB417, HB478, HB546, HB548, HB555, HB557, HB609, HB670, HB672, HB740, HB779, HB786, HB796, HB812, HB848, HB915, HB917, HB921, HB930, HB933, HB1095, HB1096, HB1103, HB1129, HB1154, HB1166, HB1187, HB1195, HB1230, HB17, HB36, HB41, HB47, HB73, HB119, HB126, HB129, HB133, HB140, HB159, HB166, HB211, HB226, HB245, HB271, HB280, HB337, HB351, HB354, HB399, HB571, HB677, HB712, HB723, HB726, HB728, HB750, HB759, HB789, HB844, HB850, HB870, HB966, HB1006, HB1018, HB1036, HB1241, SB29, SB42, SB43, SB382, SB441, HB134, HB258, HB359, HB782

Keywords: SR126, Senate Resolution 126, World Preeclampsia Awareness Day, preeclampsia, maternal mortality, maternal health, pregnancy complications, hypertension, high blood pressure, pregnancy-related disorder, obstetrics, prenatal care, prenatal health, infant mortality, preterm birth, premature birth, Woman's Hospital, Louisiana Senate, women's health, public health awareness

Transcript Highlights:

• Coverage for 85% of Medi-Cal members.
• So they will have an option to launch coverage in July.
• Mandatory coverage for eligible members with behavioral health needs will take effect in January 2026
• Coverage for some of the other populations that are eligible for transitional rental assistance will
• This will give them a little bit of runway before July's optional coverage implementation.

Keywords: 988, house, all

Transcript Highlights:

• there's no retreat from the coverage there's no retreat from the coverage that<00:14:59.120>
• . coverage. coverage.
• Please, I urge you to support SF 1201. for the same coverage. for the same coverage.
• ,<01:44:12.600> and who don't have health care coverage, and who don't have health care coverage
• we tend to say, "We'll add more coverage we tend to say, "We'll add more coverage without<01:44:

Keywords: 1187, senate, all

Transcript Highlights:

• We don't have an ability to allow the plan to put the people into similar coverage or the same coverage
• We don't have an ability to allow the plan to put the people into similar coverage or the same coverage
• We don't have an ability to allow the plan to put the people into similar coverage or the same coverage
• We don't have an ability to allow the plan to put the people into similar coverage or the same coverage
• or the same into similar coverage or the same coverage<01:30:49.080> but<01:30:49.239> on<

Keywords: 1183, house

Transcript Highlights:

• you'll hear from some of our sub-chairs about the important work that they've done to protect health coverage
• The asset test limit alone would have threatened coverage for seniors and people with disabilities at
• Our residents, roughly 7.5% of our county, are projected to lose Medi-Cal coverage by 28 due to HR1 and
• Despite unprecedented cuts to our health care system, she fought to provide and protect dental coverage
• , medical coverage for our asylum and refugee community, and protection for our LGBT community.

Summary: The Assembly Budget Committee met to consider the 2026 Budget Act, which leaders said was the negotiated compromise with the Senate and was expected to move to the floor that evening. Opening remarks emphasized that the plan balances the budget over two years, reduces the structural deficit, and builds reserves, while also protecting core services in the face of federal cuts. Jason Sisney outlined the legislative budget framework and the likely floor bills, including AB 109, SB 110, SB 122, and SB 125. Department of Finance representative Eric Khali said the administration appreciated the two-year balanced approach and supported the modification in SB 122, while noting the package uses additional revenues and new spending to soften or reject some proposed cuts. Most of the discussion focused on major spending areas. Members and subcommittee chairs highlighted protections and additions for health care and human services, including rejecting the proposed Medi-Cal asset limit change, delaying premium increases, restoring clinic and dental funding, supporting distressed hospitals and county indigent care, and expanding county eligibility staffing to handle H.R. 1-related workload. Education members described record or expanded support for TK-12 schools, child care, special education, community colleges, teacher recruitment, and higher education, including a change to extend Cal Grant eligibility to age 30 for some community college students. Housing and homelessness funding was increased for HAP, multifamily housing, and the low-income housing tax credit, while public safety members pointed to investments in victims’ services, restorative justice, and prison closure savings. Several members also raised concerns or priorities tied to the budget deal. Some praised the package as a moral document that protects vulnerable Californians, immigrant communities, LGBTQ residents, seniors, and people with disabilities. Others noted unresolved issues, including the MCO tax’s impact on districts, the need for more support for local journalism, arts, biotech R&D incentives, transit and GGRF-related concerns, and the need for continued work on Prop. 98 and long-term fiscal resilience. The vice chair cautioned that despite the current progress, the state remains vulnerable to revenue volatility and warned that the budget should build more resilience against a possible downturn. No formal vote was taken in the portion provided, but the committee was preparing the budget package for floor action and final negotiations.

Transcript Highlights:

• In terms of an 1115 waiver that is specific to coverage of IMD services, these can include both... ..
• .to coverage of IMD services.
• It's a gap in coverage that puts lives at risk.
• The Mental Health Parity and Addiction Equity Act, otherwise known as MHPAEA, requires that coverage
• A lot of the problems that arise with that are also having some sort of medical coverage.

Summary: The committee met at Spirit Lake Tribe and heard an extended discussion with Spirit Lake tribal leaders and program directors about government-to-government relations with the state. Chairwoman Street and others outlined a number of concerns and requests, including taxation of tribal and trust lands, state school support for non-beneficiary students, homelessness services, Indian-managed health care, gaming/e-tabs, the Feather Alert system, industrial farming near waterways, tourism and cultural issues, and the need for more consistent tribal consultation. Committee members responded that many of these issues had previously been passed along without direct action, and several members emphasized the committee’s role in education, communication, and preparing possible legislation or resolutions for the next session. Tribal representatives also offered to provide training on treaties, IHS 638, and compact services to help legislators better understand tribal jurisdiction and billing issues. A major portion of the meeting focused on Spirit Lake Fish and Wildlife concerns, especially jurisdictional “gray areas” around hunting and fishing on the reservation, recognition of tribal licenses, and the boundary of the reservation around Spirit Lake/Devils Lake. Tribal officials said they wanted a co-stewardship agreement or MOU with the state to clarify jurisdiction, improve cooperation, and address invasive species and aquatic nuisance species. Committee members discussed whether to draft legislation or a resolution directing the executive branch and state agencies to negotiate such an agreement, and they asked for further input from the North Dakota Game and Fish Department at a future meeting. The committee also discussed county involvement in land status changes and trust land issues, with Spirit Lake leaders describing a past Benson County resolution that tried to block fee-to-trust transfers and saying it was later rescinded. The committee then heard from Benson County tax equalization director Randy Thompson, who explained how the county values land and handles tax-exempt, inundated, and fee-to-trust parcels. Members asked about the impact of tax-exempt lands on county services and discussed prior legislation that helped counties with large tax-exempt bases. The committee also received a presentation from Dr. Steven Smith of Sisseton Wahpeton College, who described the college’s programs, economic impact, and funding needs, including support for non-beneficiary students and workforce training. Members asked about expanding tribal college education into correctional settings, and Smith said the idea was worth exploring through the tribal college system. Finally, HHS interim medical services director Christoph Framing presented remotely on 1115 Medicaid waivers and the IMD exclusion, explaining current state funding mechanisms for inpatient and residential behavioral health services and the bill draft directing HHS to pursue a waiver for IMD payments.

Transcript Highlights:

• They're not saying you can't have a setback requirement, open space, and building coverage requirements
• can still coverage requirements can still be<00:53:42.599> you<00:53:42.680> can<00:53
• open space and building coverage open space and building coverage requirements<01:00:20.400>
• It sounds like they have a bigger coverage, but for me, if it started here, we own it, so to speak.
• It sounds like they have a bigger coverage, but for me, if it started here, we own it, so to speak.

Keywords: 1191, senate, all