Video & Transcript : 'Operation Enduring Brain Health' :
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CA
California 2025-2026 Regular Session
Assembly Health Committee Jun 16th, 2026
Transcript Highlights:
- of Mental Health Peer Run Organizations in opposition.
- of Mental Health Peer Run Organizations in opposition.
- It really is about the health. Thank you.
- As we expanded health care, ACA, we all enrolled.
- The bill requires facility operators to grant The bill requires facility operators to grant reasonable
Summary:
The Assembly Health Committee heard several bills focused on mental health access, preventive care, health care costs, detention oversight, and daylight saving time. SB 989 would streamline Care Court referrals by allowing first responders to ask county behavioral health agencies to review and file petitions; supporters, especially firefighters and families, said the current process is too burdensome, while Disability Rights California and other opponents argued Care Court is coercive and unproven. SB 1089, as amended, would direct CalRx/HHS to help distribute GLP-1 medications more broadly and more affordably; the author described her own experience with the drugs, and the bill drew support from medical and life sciences groups with no opposition. SB 1309 would eliminate out-of-pocket costs for medically appropriate lung cancer screening follow-up care; cancer advocates and survivors strongly supported it, while health plans and insurers opposed it as costly and said the bigger problem is low initial screening rates. The committee also heard SB 1284, which would require DHCS to report large employers whose workers are enrolled in Medi-Cal and estimate taxpayer costs, framed by supporters as a transparency measure about corporate reliance on public coverage. SCR 7, urging permanent standard time for health reasons, passed with support from medical groups and no opposition. SB 995, the Masuma Khan Justice Act, would create statewide inspection and enforcement standards for large involuntary residential facilities, including private immigration detention centers and certain youth facilities; supporters cited unsafe and inhumane conditions, while county probation officials objected to duplicative oversight for secure youth treatment facilities. The committee took votes on each measure, and the bills and resolution advanced, with SB 1309 and SB 1284 moving on amended and the others also reported out; the consent calendar was approved as well.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health Feb 24th, 2025
Transcript Highlights:
- and improved capacity and flexibility to maintain core public health operations.
- Health education, stigma reduction, And increased access to relevant health care.
- Brandon Nunes, Chief Deputy for Operations at the Department of Public Health.
- The future public health investment was originally structured with $99.6 million in state operations
- operations to continue while conducting disease investigations, which is something that many local Health
ID
Idaho 2026 Regular Session
Agenda Jan 16th, 2026
Transcript Highlights:
- We have a Health and Welfare committee in the Senate and we have a Health and Welfare committee in the
- I'm the Deputy Director of Operations for Health and Welfare.
- And we've got 28 operating—help me understand that operating.
- The centralized operation—so the operations team in indirect support services is the one that's planning
- I'm the Deputy Director of Operations for the Department of Health and Welfare. Mr.
Summary:
JFAC began with a presentation from Legislative Services on the general fund and the “green sheet,” explaining how the committee tracks starting cash, revenue forecasts, transfers, appropriations, and ending balances. The analyst walked through general fund revenue sources, the difference between transfers and expenditures, structural balance, and how the green sheet is used to compare current-year collections against forecasts. Members asked about continuously appropriated funds, federal dollars, sales tax exemptions, and cash reconciliation issues tied to the state’s new Luma finance system and interest allocations. The discussion also covered the revenue monitor and how the committee can use it to track collections against forecasted amounts.
The committee then moved into the Department of Health and Welfare’s overall budget overview. Legislative Services reviewed the department’s size, organizational structure, vacancy rate, five-year spending trends, and the role of continuously appropriated funds such as the Idaho Children’s Trust Fund and Rural Physician Fund. Members asked about personnel vacancy rates, reverted funds, and whether the department could provide a list of subgrants and trustee-and-benefit payments. Department officials explained that some vacancies reflected a department-wide review, hiring freeze, and FTP realignment, including moving positions to State Hospital South and reverting some federal spending authority. They also said the department was actively filling funded positions and would provide additional information on grants and other payments.
The committee then heard the first division-level budget presentation for Indirect Support Services. The analyst described the division’s role in centralized administration, IT, legal, communications, and management support, along with its staffing, historical expenditures, and base budget changes. The division’s budget request included a one-time irrigation system project at State Hospital West, a fund adjustment for the background check unit, the transfer of 58 FTP and related costs to the Office of Information Technology as part of modernization, and a request to remove restrictive budget language on personnel and trustee-and-benefit transfers. The governor’s recommendation also included support for some replacement items and a major new item tied to Idaho’s Rural Health Transformation Program, including 12 limited-service FTP in 2026, ongoing FTP in 2027, and $294 million in one-time operating funds. Members questioned the need for the new FTP, the use of AI, the definition of “rural,” and the mechanics of the IT transfer; department and ITS officials explained the transfer was a budget shift of personnel and operating costs, not a net increase in staffing. The committee adjourned after members also raised broader concerns about public input on Health and Welfare budgets and suggested a joint public meeting with the Health and Welfare committees.
MO
Transcript Highlights:
- Participation in Operation Midnight Hammer demonstrated the professionalism... ...and Operation Midnight
- They have an operating fund that sustains all of their operating approach, so part of that.
- They have an operating fund that sustains all of their operating approach, so part of that.
- General health management.
- Health care needs.
Committee:
House Budget
Summary:
The committee first heard the Missouri National Guard’s FY 2027 budget request in House Bill 2008. Brigadier General Bob Payne outlined the Guard’s dual state and federal mission, recent deployments and state activations, counter-drug work, and the need to maintain readiness and aging armory infrastructure. Members questioned several items, including a proposed internal auditor position required by statute, a World Cup-related NDI, the use of general revenue versus other funds, and a federal match for base operations support at Rosecrans Airport. The presentation then shifted into executive session, where the committee reviewed a House committee substitute and several amendments. One amendment to fund the Missouri State Fair’s Great American State Fair participation with ag and tourism funds was rejected, while an amendment reducing $50,000 in House and Senate legal contingency funding was adopted. Another amendment directing budget information to all committee members rather than only chairs was rejected. The committee then adopted the substitute and voted House Bill 2014 do pass by a 24-0-1 vote.
The committee next took up the Department of Corrections FY 2027 budget in House Bill 2009. DOC described a new CERT stipend increase, a reduction in the Office of Director’s Staff, and several core items including professional standards, federal funds, community treatment programming, education grants, population growth pool, restitution payments, human services staff, telecommunications, general services, fuel and utilities, food purchases, food service, staff training, employee health and safety, overtime, adult institution staff, institution E&E, wage and discharge, and individual institutions. Members asked about the CERT stipend, PREA allegations, education funding, restitution payments, the population growth pool, the working capital revolving fund, food service costs, overtime, retention, warden turnover, the prison nursery, and the use of inmate canteen funds. DOC said CERT members are full-time employees who volunteer for additional duty, that staffing has improved but remains a challenge, that the food service increase reflects the end of inventory credits and inflation, and that the department generally spends non-GR funds first when possible. Discussion also turned to whether DOC facilities could be repurposed for pretrial or mental health populations; DOC said it is legally limited to post-sentence inmates and that staffing and labor-market constraints make reopening closed facilities difficult.
AR
Transcript Highlights:
- This pays salaries and operational expenses for the division, including the operations at the state hospital
- You're operating all over the state, aren't you? Yes, ma'am. We are operating all over the state.
- health, and I'm wondering.
- On the third line of the appropriation summaries, the operation is the operation.”
- The agency is requesting changes for two appropriations: their health operations paying account and the
Committee:
All JOINT BUDGET COMMITTEE
Summary:
The committee heard budget presentations and took executive recommendations on several Department of Human Services divisions, including Aging, Adult and Behavioral Health Services; Children and Family Services; County Operations; Developmental Disability Services; and Medical Services, with most divisions showing little or no significant change in total appropriations. Staff and agency witnesses repeatedly explained that many large appropriations are maintained for flexibility, federal matching requirements, or contingency needs, even when actual spending is much lower than the authorized amount. Members also raised concerns about staffing vacancies, long-vacant budgeted positions, and the use of excess appropriation authority across DHS.
In Aging, Adult and Behavioral Health, members questioned federal funding levels for mental health and substance abuse grants, the status of senior centers and Meals on Wheels, the Medicaid tobacco settlement program, community alcohol safety grants, and the veterans mental health grant. Agency officials said federal block grants are largely committed, that senior center funding had been delayed by shutdown timing but was now back on track, that the tobacco settlement program had been moved internally within DHS, and that the veterans mental health appropriation remains unfunded. Senators also criticized the adequacy of support for seniors and asked for more detail on how transportation, meal services, and local contributions are funded.
In Children and Family Services, members asked about rising appropriation levels, foster care and adoption subsidies, professional fees, the number of children in foster care, and the Children’s Trust Fund. DHS said increases reflect added flexibility for residential treatment, adoption subsidies, and prevention services, while the foster care population has remained fairly steady at about 3,400 children. The Children’s Trust Fund was described as supporting primary prevention programs such as Baby and Me and community schools, and members asked whether it could be administratively combined with other efforts. Questions also covered TANF subgrants, with DHS explaining that it had reduced outside subgrants after discovering over-obligation and was rebuilding reserves.
In County Operations, members focused on the summer EBT program, SNAP employment and training, the farmer’s market program, and the state’s TANF reserve position. DHS said summer EBT is still being funded through temporary appropriations because it is a newer program, SNAP employment and training is largely federally funded and may expand under a pending policy change, and TANF reserves were drawn down after prior over-obligation but are now being stabilized. In Developmental Disability Services, members asked about vacancies, human development center staffing, facility construction funds, and the Booneville work program, and DHS said the program has reopened and staffing recruitment continues. In Medical Services, members asked about FMAP, the Our Kids B CHIP program, school-based Medicaid reimbursements, nursing home distress funds, and several large appropriation lines that far exceed actual spending; DHS said these are maintained for claims payment, nursing home receivership contingencies, and other flexibility needs. Each division reviewed was adopted by executive recommendation after questions concluded.
MO
Missouri 2026 Regular Session
Special Committee on Rural Issues Feb 18th, 2026
Special Committee on Rural Issues
Transcript Highlights:
- So for a for-profit health system or a not-for-profit health system or a private equity firm...
- We're in the black, and we fund our health system operations, including growth, out of what we generate
- So there are not taxpayer dollars that are directly involved today with the operation of MU Health Care
- So today, we don't get tax dollars that support health system operations.
- So in that 25-county area, MU Health Care is one of 13 operators of hospitals in that area.
Committee:
House Special Committee on Rural Issues
MO
Missouri 2026 Regular Session
Budget Feb 10th, 2026
Transcript Highlights:
- We also operate the state-operated habilitation centers and some state-operated community programming
- University Health is operating those beds.
- University Health is operating those beds for us right now. They started that for us this year.
- No, so University Health operates a lot of residential beds in the community, and they would work for
- This is a maternal health access program operated out of the University of Missouri-Columbia College
Summary:
The Budget Committee heard the Department of Mental Health’s FY 2027 budget presentation, with Director Valerie Hoon outlining a $4.4 billion department budget, including $1.7 billion in general revenue, and describing the department’s roles in substance use, behavioral health, and developmental disabilities services. Early questioning focused on marijuana-related mental health impacts, but the main discussion centered on the department’s new decision items, funding sources, and expected wait lists. The director explained several increases tied to Medicaid growth, mental health youth services, outpatient competency restoration, crisis residential services, developmental disability waivers, and provider tax adjustments, along with offsets such as reduced wraparound funding at the Kansas City Assessment and Triage Center and cuts to some youth and self-directed DD services.
A major portion of the hearing focused on competency restoration for people found unfit to stand trial and currently held in county jails. Members pressed the department on the cost, effectiveness, and legal implications of keeping people in jail while awaiting services, noting a reported wait list of roughly 524 to 538 individuals and average holds of about 14 months. The department said it currently has eight outpatient competency restoration beds in the community, is seeking funding for 50 additional outpatient slots, and also operates jail-based restoration for about 40 people at a time. Members repeatedly asked for breakdowns of violent versus nonviolent cases, success rates, cost per person, and the split between state and federal funding, while the department explained that Medicaid can cover only the treatment portion, not residential housing or other non-billable costs.
The committee also discussed broader capacity constraints in state hospitals and developmental disability services. Hoon said Fulton, Center for Behavioral Medicine, and FTC North are full, with 183 vacancies across the department, and that the department is working on a new Kansas City hospital that would add 150 beds, though completion is now expected closer to 2029 or 2030. In the developmental disabilities section, the department warned that the governor’s recommendation would create wait lists for in-home waiver services and crisis residential services, and members questioned proposed reductions to self-directed services rates and other provider payments. No votes were taken, and the committee recessed before finishing the presentation.
CA
California 2025-2026 Regular Session
Assembly Natural Resources Committee Apr 20th, 2026
Transcript Highlights:
- We defendes the health and the justice and environmental.
- Our health care system must keep pace.
- Sutter Health is a not-for-profit, integrated health care system serving some 3.6 million Californians
- So if a, under current law, under AB 1167, if an operator wants to buy a well from another operator,
- The operator would not be able to find bonding.
Summary:
The committee heard a long series of bills, beginning with AB 2026 on groundwater recharge. The author and supporters said the bill would streamline permitting for recharge projects, codify long-standing CEQA exemptions for flood diversions to recharge, and add tribal consultation and other guardrails. Water agencies and local districts supported the measure as a way to capture high-flow water and reduce groundwater subsidence, while environmental groups and some irrigation districts opposed it, warning that the bill’s exemptions and broader diversion authority could harm rivers, Delta resources, and public trust values. The bill was discussed but not voted on because the committee lacked a quorum at that point.
The committee then took up AB 1577 on data center energy accountability, which would require monthly reporting of energy-use data and permit-related estimates of energy and water demand. The author and the Little Hoover Commission argued the bill would improve transparency, help protect ratepayers, and give regulators better information for grid planning. Data center industry representatives opposed it as duplicative, burdensome, and uniquely targeted, while local governments, environmental groups, and some utilities supported it or supported it if amended. The bill was later reported out with a due pass recommendation once a quorum was established.
Members also heard AB 2245 on a producer responsibility program for lubricant products and containers, AB 2170 on CEQA language-access and environmental review protections for overburdened communities, AB 2059 on rural transportation and VMT mitigation, AB 1808 on Western Joshua tree permitting and fee relief, AB 2182 on industrial energy efficiency program changes, and AB 2231 on streamlining two hospital projects. Testimony was mixed on most of these bills: supporters emphasized affordability, local control, environmental justice, or project urgency, while opponents raised concerns about CEQA scope, regulatory duplication, costs, and environmental impacts. Several measures received due pass recommendations and roll-call votes, including AB 2170, AB 2059, AB 1808, AB 2182, and AB 2231, with some members voting no or not voting and some bills left open for absent members.
CA
California 2025-2026 Regular Session
Senate Select Committee on Hydrogen Energy May 13th, 2026
Transcript Highlights:
- through various fleet operators.
- Sierra is proud to own and operate the only hydrogen fuel cell switcher locomotive currently operating
- I'm happy to run with this a little bit because I am an operating railroad with operations throughout
- with the operators that do.
- So my question, the other issue that we care about deeply is health, health and safety.
Summary:
The Senate Select Committee on Hydrogen Energy held an informational hearing on California’s hydrogen leadership, with the chair framing hydrogen as a complementary clean-energy pathway for hard-to-electrify sectors such as heavy-duty trucking, transit, rail, ports, industrial uses, and backup power. The first panel of private-sector witnesses from the California Hydrogen Business Council, Bosch, Hyundai, and Sierra Northern Railway described existing deployments in California, including hydrogen buses, trucks, fueling infrastructure, and the nation’s first hydrogen fuel cell switcher locomotive. They emphasized that the technology is commercially ready but scaling is constrained by permitting delays, high fuel and equipment costs, infrastructure gaps, and uncertainty around federal support and incentives. Witnesses urged stable state policy, targeted investment, and concentrated deployment in high-impact corridors such as ports and freight hubs. Committee members also asked about labor standards, community engagement, and the current size of the hydrogen vehicle fleet in California and abroad.
The second panel focused on air quality, climate, safety, and public health. Testimony from CAPCOA, the Coalition for Clean Air, the California State Building and Construction Trades Council, and a UC Berkeley researcher argued that hydrogen fuel cells can reduce diesel-related pollution and health harms when used in the right applications, especially in ports, rail yards, warehouse corridors, transit depots, and backup power for facilities like data centers. Witnesses cautioned that hydrogen should be used selectively, produced as cleanly as possible, and paired with early community engagement, safety planning, and environmental justice protections. The researcher cited projected reductions in NOx, particulate exposure, premature deaths, and health costs under broader hydrogen adoption. Committee members discussed workforce training, apprenticeship programs, and how to balance near-term costs with long-term infrastructure value.
The final panel provided public-sector updates from SamTrans, the Governor’s Office of Business and Economic Development, the Port of Long Beach, and First Public Hydrogen Authority. SamTrans described its transition to a large hydrogen bus fleet and said the loss of expected ARCHES funding created a major infrastructure gap; it asked the state to protect transit funding, restore a sales tax exemption for zero-emission buses, and address axle-weight rules. GoBiz said the state should focus on creating demand, reducing costs, and streamlining permitting, while acknowledging the disruption caused by the federal cancellation of ARCHES funding. The Port of Long Beach reported hydrogen truck deployments, port incentives, and a planned public fueling station, but said high costs, fuel shortages, and uncertainty have slowed momentum. First Public Hydrogen Authority described efforts to aggregate municipal demand and support new green hydrogen production projects, stressing the need for long-term market signals and financing. Committee members repeatedly emphasized the need for state support, infrastructure investment, and a diversified fuel strategy to keep hydrogen deployment moving forward.
AR
Transcript Highlights:
- More operating expenses are needed due to increase volunteer participation. operating expenses.
- It's for mental health referral services.
- mental health would be an Arkansas provider.
- mental health would be an Arkansas provider.
- health would be an Arkansas provider.
Committee:
All JBC-PEER REVIEW
Summary:
The PEER Review Subcommittee met to consider a large agenda of budget, appropriation, transfer, and contract items. Members approved temporary appropriation requests for several agencies, including the Auditor of State, Department of Education, and Labor and Licensing; ARPA return requests from Workforce Services; Infrastructure Investment and Jobs Act requests for State Police and Agriculture; restricted reserve transfers for teacher scholarships, school facilities, and economic stimulus; a Commerce reallocation of positions and spending authority; cash fund, budget classification, overtime, and pay plan requests; and 17 methods of finance items for universities and other agencies. Most items were approved without objection after brief explanations from staff and agencies.
Several items drew questions and were held or discussed further. A Department of Human Services discretionary grant package for the RSVP program was held over after Senator Irvin raised concerns about whether the grants were an effective use of state general revenue and asked for more information on administration costs and program operations. In the contracts section, Representative Richardson questioned a DHS sole-source contract with EMS Link for document management software and a DHS contract with Presidio; the EMS Link item was held for additional answers, while the Presidio item was clarified as not sole-source and was allowed to proceed. Members also asked for more information on a Department of Education mental health referral contract with Care Solace, which officials said is a statewide concierge/referral service connecting students to Arkansas providers and telehealth options.
The committee also reviewed monthly reports, including the Medicaid Trust Fund. DHS and DFA officials said the fund was currently sufficient to finish the fiscal year, though it was being drawn down and would likely require a $100 million transfer from restricted reserves in FY27, with another $100 million set aside in the governor’s budget as a backstop. Members discussed the need to define a minimum reserve level and to better account for ongoing Medicaid costs in the budget. The meeting ended with no further business and adjournment.
NH
New Hampshire 2025 Regular Session
House Commerce and Consumer Affairs (04/23/2025)
Transcript Highlights:
- Health Trust problems stem from years of questionable operational decisions.
- Health Trust problems stem from years of questionable operational decisions.
- Health Trust problems stem from years of questionable operational decisions.
- Health Trust problems stem from years of questionable operational decisions.
- The witness responded that SchoolCare operates as a health pool, just like a health trust.
Summary:
The committee first heard Senate Bill 47, sponsored by Sen. Regina Birdsell at the request of the Insurance Department. The bill would codify the department’s interpretation that a birth mother’s health insurance is the primary coverage for a newborn, unless the mother has no insurance or coverage under an employer-sponsored plan. Birdsell and Insurance Commissioner DJ Benton Court said the measure is a clarification of existing practice and intended to protect vulnerable newborns; a question from Rep. Miles clarified that if a young woman is on her parents’ policy, the newborn would generally be covered under that family coverage. The hearing on SB 47 was then closed.
The committee then took up Senate Bill 121, introduced by Grant Bosi for Sen. Kevin Avard, which would require insurers to notify the Insurance Department when they stop writing an entire line of business or, in some cases, Medicare Advantage plans. Commissioner Benton Court said the bill arose from disruption in the Medicare Advantage market, where consumers, brokers, and the department were confused by carriers changing or ending offerings; he said the department wanted a simple notification requirement so it could better advise consumers. Members discussed network adequacy, county-based service areas, and the fact that the bill would make notice a condition of licensure, with possible fines or license action for noncompliance. Witness Paula Rogers of AHIP said her group supported the bill if amended, and the department indicated it would support a change from a 120-day notice period to 90 days to align with state rules; the committee planned to work on an amendment in subcommittee.
Finally, the committee heard Senate Bill 247, introduced by Rep. Brian Cole, which would prohibit network exclusion of pharmacies that refuse to dispense prescriptions when PBM reimbursement is below acquisition cost. Cole argued the bill is meant to stop pharmacies from being forced to sell drugs at a loss, describing PBMs as middlemen and saying the measure is a compromise that protects local pharmacies. Members questioned whether consumers would pay more and whether pharmacies voluntarily enter PBM contracts; Cole responded that the bill would let pharmacies refuse unprofitable fills while consumers could still obtain the drug through mail order or other channels. He also said the issue has changed over time because the practice now affects a much larger share of generics and is concentrated among a few PBMs. The hearing remained open as questions continued, with no vote taken in the excerpt.
CA
California 2025-2026 Regular Session
Senate Select Committee on Hydrogen Energy May 13th, 2026
Transcript Highlights:
- These are operational deployments happening in real-world conditions across the state. an important operational
- through various fleet operators.
- Sierra is proud to own and operate the only hydrogen fuel cell switcher locomotive currently operating
- I'm happy to run with this a little bit because I am an operating railroad with operations throughout
- So my question, the other issue that we care about deeply, is health, health and safety.
MN
Minnesota 2025-2026 Regular Session
Conference Committee on H.F. 4188 - Omnibus Commerce and Consumer Protection - Part 2 - 05/12/26
Transcript Highlights:
- </c> what a home health visit is. what a home health visit is.
- Health plans are not lawmakers.
- </c> Health [snorts] plans are not lawmakers. Health [snorts] plans are not lawmakers.
- </c><00:20:23.640><c> health</c> through their family, the health through their family, the health insurance
- </c> health workforce. health workforce.
Summary:
The committee heard public testimony on a health insurance/home care nursing provision and on other consumer protection items. Nick Keis and Emily Walters, both parents of medically complex children, testified that commercial health plans had recently begun capping home care nursing as if it were intermittent home health visits, which they said was contrary to Minnesota law and legislative intent dating to 2010. They described severe impacts on their families, including hospitalizations, loss of nursing coverage, strain on waiver budgets, and the risk of children being forced out of the home and into institutions. Representative Bierman echoed that the bill was a straightforward clarification of existing law, not a new mandate or added cost, and a staff member later cited the statutory definition of home care nursing as ongoing, continuous nursing services that cannot be met through intermittent or visit-based care. The committee also discussed the practical difference between home health visits and private duty/home care nursing, with testimony emphasizing that the latter is medically necessary, assessed, and not unlimited in practice.
Laura Sales of the Minnesota Attorney General’s Office testified on changes to the Consumer Protection Restitution Fund (CIPRA). She said the fund has begun distributing restitution, starting with consumers harmed by the closure of Woodbury Dental Arts, but that current statutory language limits the office’s flexibility to prorate payments. She asked for an amendment allowing the AGO to distribute available funds more equitably so more eligible consumers can receive some payment, rather than requiring full payment to the oldest claims first.
Annette Meeks, representing Citizens Against Gambling Expansion, testified in support of banning sweepstakes gambling in the Commerce Committee omnibus report. She argued that online sweepstakes casinos are an illegal gray-market form of gambling, cited rapid growth and billions in revenue, and said other states have acted through enforcement and legislation to stop them. She urged the committee to include language from Senate File 4474 to clarify state law and prohibit sweepstakes gambling. No votes were taken in the portion of the meeting shown; members mainly asked questions and received testimony.
ID
Idaho 2026 Regular Session
Agenda Feb 27th, 2026
Transcript Highlights:
- of Public Health Services.
- , health care policy initiatives, which administer the state's health care innovation plan and other
- I move for FY 2027 for the Department of Health and Welfare Division of Public Health Services...
- I move for FY 2027 for the Department of Health and Welfare, Division of Public Health Services, ...
- And the Idaho Home Visiting Program is in each health district; we have seven public health districts
Summary:
The committee met to review the general fund update and several budget-setting items, with staff explaining how to track the latest “green sheet” online and how JFAC actions were affecting the FY 2026 and FY 2027 bottom lines. Members also discussed whether work group progress should be summarized more broadly, but leadership emphasized that work groups were intended to remain independent and that members should consult analysts directly rather than have a running public summary of each group’s internal deliberations.
The committee then acted on a series of agency budgets. It approved the Idaho State Tax Commission enhancement package after revising it to remove the chief operating officer personnel item and adopted language limiting use of $550,000 for fast tax collection vendor payments, with any unused amount reverting to the general fund. It also approved supplemental and enhancement requests for the Office of Information Technology Services, including Chinden campus furnishings, E-Core grant staffing and funding, enterprise security/firewall upgrades, the IT modernization transfer of 58 positions from Health and Welfare, and a one-time cash transfer language item to cover transition-year health insurance costs. The Military Division’s request for $120,000 for Office of Emergency Management indirect cost recovery was approved, but an alternate motion to also add $190,800 for the state education assistance program failed, and the original motion was later held in committee. The Industrial Commission and Public Utilities Commission budgets were both advanced with dedicated-fund increases for IRIS maintenance, training, disability fund needs, OITS hardware, and replacement laptops.
The Department of Fish and Game budget was also advanced, with approval of a large package of dedicated and federal funds for fishery habitat projects, Good Neighbor Authority work, hatchery and laboratory inflation, temporary employees, wolf depredation response, communications, and replacement items, along with reappropriation authority for prior-year funds. The committee then took up the Department of Health and Welfare Division of Public Health Services, where competing motions focused on the Idaho Home Visiting Program, immunization assessment fund restoration, laboratory testing, HIV and hepatitis prevention, suicide prevention, and moving the home visiting program to Early Learning and Development. Both the substitute motion and the original motion failed after split votes in the House and Senate committees, leaving that budget held for later action.
Finally, the committee considered new language for the State Controller and State Treasurer to require monthly reconciliation of cash balances between Luma and TARS from July 1, 2023 through June 30, 2026, with a report due by the fall interim JFAC meeting and documentation retained for audit. Members discussed the need for accurate cash reconciliation and the resources available to the Controller’s office, but no final action was taken before adjournment. The chair announced upcoming budget-setting meetings and reminded members to complete work group motions by the end of the day.
ID
Idaho 2026 Regular Session
Agenda Jan 16th, 2026
Transcript Highlights:
- Department of Health and Welfare.
- There are two different Health and Welfare committees: we have a Health and Welfare committee in the
- I'm the Deputy Director of Operations for Health and Welfare.
- And we've got 28 operating—help me understand that operating.
- I'm the Deputy Director of Operations for the Department of Health and Welfare. Mr.
Summary:
The committee first received a presentation on the state general fund and the JFAC “green sheet” from Legislative Services analyst Christopher LaHosette. He explained the general fund’s main revenue sources, how appropriations and transfers are tracked, how the green sheet is used to reconcile projected revenues against expenditures, and how structural balance is measured. Members asked about continuously appropriated funds, federal dollars, sales tax exemptions, and cash reconciliation issues tied to the state’s Luma system and interest allocations. The presentation emphasized that the green sheet is a cash reconciliation tool and that the committee would use it throughout session to track budget actions and policy bill impacts.
The committee then began its Department of Health and Welfare budget hearings with an overall agency presentation from analyst Alex Williamson. She reviewed the department’s size, structure, vacancy rate, five-year spending trends, and the role of continuously appropriated funds such as the Idaho Children’s Trust Fund and Rural Physician Fund. Members asked about personnel vacancies, unspent personnel dollars, and the department’s large trustee and benefit payments. Department officials later explained that vacancies reflected a department-wide review, hiring freeze, and reallocation of FTP to better match funding, with some positions being reverted and others moved to areas such as State Hospital South and Medicaid-related work.
The committee then heard the first division-level budget presentation for Indirect Support Services. Williamson outlined the division’s administrative functions, its FTP and vacancy picture, historical spending, and budget changes tied to reorganizations, the ombudsman office, and IT consolidation. The division’s 2027 requests included a dedicated-fund irrigation project at State Hospital West, a background-check unit fund adjustment, removal of special transfer restrictions, and the transfer of 58 FTP to the Office of Information Technology as part of modernization. Members also discussed the new Rural Health Transformation Program, including Idaho’s $925 million federal award, the governor’s proposed 12 limited-service FTP and related spending, and whether the department could use AI or other efficiencies. Additional questions covered the definition of rural, the mechanics of the IT transfer, and a constituent question about bathroom upgrades, which the department said was handled by the Department of Administration rather than Health and Welfare.
WA
Transcript Highlights:
- We're the ones that operate that lovely PPW program that Kim just spoke about.
- seek behavioral health services with us.
- vision to construction, advancing an integrated model that brings behavioral health and physical health
- As the name suggests, CCA Operating is for the operating budget.
- The operating account, or the operating Ecology administration funds, would be growing by the fiscal
Committee:
Senate Ways & Means
Keywords:
capital budget, funding, infrastructure, state projects, budget allocation, HB 2353, predesign thresholds, capital construction, major capital projects, Office of Financial Management, OFM, Washington state, state agencies, infrastructure planning, construction costs, inflation adjustment, capital facilities, project review, allotments, lease approval
FL
Florida 2026 5th Special Session
Appropriations Committee on Health and Human Services Mar 26th, 2025
Transcript Highlights:
- The Appropriations Committee on Health and Human Services will now come to order.
- The budget includes $117 million to support operations and care in the Fort Estate mental health treatment
- This bill will provide crucial support for nurses considering a career in the operating room.
- This bill will provide crucial support for nurses considering a career in the operating room.
- This provides an exemption for nursing homes operated by state agencies from the requirements.
Summary:
The Appropriations Committee on Health and Human Services first heard and adopted the proposed fiscal year 2025-26 budget for the committee, which was presented as a $1.8 billion increase over the current base budget. The budget emphasized Medicaid and KidCare funding, IT modernization, workforce reductions tied to unfilled or augmented positions, provider rate increases, mental health and substance use funding, opioid treatment, elder care, veterans’ services, cancer research, and school nurse staffing. The committee approved technical adjustments and then adopted the budget proposal for submission to the full Senate Appropriations Committee.
The committee then considered several bills, most of which were reported favorably. SB 152 on surgical smoke required hospitals and ambulatory surgical centers to adopt smoke evacuation policies; it drew strong support from nurses and other health care workers describing workplace and patient safety risks. CS/SB 958 on early detection of type 1 diabetes required the Department of Health to develop informational materials for schools and, by amendment, early learning coalitions. CS/CS/SB 170 on nursing homes required consumer satisfaction surveys, patient safety culture surveys, reporting to the health information exchange, financial reporting penalties, and Medicaid quality incentive reporting; an amendment exempted state-operated homes, including veterans’ facilities, and directed a study of quality incentive systems. CS/SB 738 updated and streamlined child care regulation, and CS/SB 1356 created the Florida Institute for Pediatric Rare Diseases at Florida State University and a related pediatric rare disease screening pilot.
The committee also passed SB 1370, which reorganized ambulatory surgical centers into their own statutory framework, with testimony emphasizing their lower costs compared with hospitals. Finally, the committee considered CS/CS/SB 1626 on child welfare and related issues. After adopting multiple amendments that removed references to unaccompanied alien children and special immigrant visas, changed language on child abuse definitions, and required DCF to set room-and-board rates by methodology rather than fee schedule, the bill was explained as strengthening child welfare protections, codifying military-family coordination, improving domestic violence shelter certification, adjusting children’s services council appointments, clarifying missing-child procedures, and updating licensing and compliance provisions. The bill drew both support and opposition, particularly over missing-child jurisdiction and immigration-related concerns, and was ultimately reported favorably. A final motion to record a vote on SB 958 was also adopted.
CA
California 2025-2026 Regular Session
Assembly Environmental Safety and Toxic Materials Committee Apr 8th, 2025
Transcript Highlights:
- Defend Our Health. Thank you.
- We're dealing with health care, rising insurance costs, rebuilding Los Angeles. ...with health care,
- The public health risks are real.
- wise investment in the health of our population, in the health of our children, and also in the health
- driving health care costs.
Summary:
The committee heard several environmental and consumer-safety bills. AB 405, the Fashion Act, would require fashion companies to disclose and manage toxic chemicals in their supply chains; supporters said it would reduce worker and consumer exposure and align with existing industry frameworks, while retailers and business groups argued it would duplicate existing laws and raise costs. After questions about DTSC workload, international standards, and affordability, the bill was moved on a due-pass-as-amended motion to Natural Resources and held on call with three votes. AB 762 would ban the sale and distribution of disposable vape devices; supporters emphasized battery-fire risks, recycling contamination, and waste impacts, while cannabis and convenience-store interests warned it would push consumers to illicit markets and harm legal businesses. The bill passed on a due-pass motion to Business and Professions with three votes and was held on call.
The committee also adopted the consent calendar with six votes. AB 794 would direct California to keep in place the federal PFAS drinking-water standard if federal protections are weakened, with supporters citing health risks and the need for certainty, and water agencies opposing the emergency-rulemaking authority and potential costs. Members debated whether the bill was too broad and whether federal funds would cover implementation; the bill passed on a due-pass-as-amended motion to Appropriations with four votes and was held open. AB 1148, the Safer Food Packaging Act, would restrict certain chemicals in food packaging; supporters cited cancer and reproductive-health concerns, while chemical, beverage, and manufacturing groups argued the bill should go through existing regulatory processes and that some chemicals lacked feasible alternatives. The author said she would remove antimony trioxide later in the process after hearing opposition concerns; the bill passed on a due-pass motion to Judiciary with four votes and was held open.
Finally, AB 1338 would allow local air districts to recover costs for implementing fence-line air monitoring at metal shredding facilities, building on prior legislation and local air district efforts in AB 617 communities. The author said the bill would preserve local control and improve efficiency, and the South Coast Air Quality Management District testified in support. The transcript ends as the district witness begins testimony, with no vote yet taken on AB 1338.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 3 on Education Finance Mar 17th, 2026
Transcript Highlights:
- I'll now review rising operational costs with you.
- of sustaining core operations to $780 million.
- Most federal funding supports three major areas of UC operations: health care delivery and training,
- centers that operate 20 hospital licenses.
- In addition to our extensive health care services, UC operates one of the largest health care professional
Summary:
The Assembly Budget Subcommittee on Education Finance, chaired by Assemblymember Alvarez, held a hearing focused on University of California budget issues. The committee reviewed UC core operations funding, enrollment trends, federal funding threats, Title IX implementation, and basic needs support. Major themes included the end of the Governor’s multi-year UC compact, the state’s fiscal outlook, UC’s enrollment growth, and the potential impacts of federal policy changes on research, health care, and student aid.
On core funding, the Department of Finance described the Governor’s proposal to continue compact-related support, defer some payments, and authorize a cash-flow loan. The LAO recommended a smaller or no base increase, earmarking some funds for capital renewal, retiring deferrals when possible, avoiding new compact commitments, and funding UC annually rather than through compacts. UC argued that the compact has supported enrollment growth, student services, and operating costs, but said campuses face rising expenses, structural deficits, and limited reserves. Members questioned the effects of deferrals on students and discussed the need to prioritize less harmful reductions if cuts become necessary.
The enrollment panel focused on UC’s growth in California resident enrollment and the nonresident replacement plan at Berkeley, UCLA, and UC San Diego. The LAO recommended maintaining the current enrollment target, funding enrollment separately from base increases, pausing the nonresident replacement plan, and holding enrollment flat in 2027-28. UC said it has already met compact enrollment goals, grown California undergraduate enrollment by about 18,800 students, and that further growth depends on ongoing state support. The committee also discussed the cost of enrollment growth, possible differential nonresident tuition, and a reporting request for UC to analyze the nonresident replacement approach; the motion to adopt supplemental reporting language passed.
The hearing also covered federal funding risks, with the LAO and UC warning that federal changes could affect research grants, medical center reimbursement, and student financial aid. UC said research cancellations and suspensions are disrupting labs and graduate student support, while federal health policy changes could increase uncompensated care at UC hospitals. In the Title IX update, UC described its systemwide civil rights structure, annual student training, and campus support offices, and members praised the work while asking about ongoing concerns and intersegmental collaboration. The final basic-needs item began with Finance stating the Governor’s budget does not change ongoing support, but the transcript cuts off before further discussion or action.
WA
Washington 2025-2026 Regular Session
House Finance Feb 3rd, 2026
Transcript Highlights:
- Well, health care insurances. Yes, health care insurance.
- Yeah, it's health care insurance.
- Well, health care insurances. Yes, health care insurance.
- Yeah, it's health care insurance.
- Health care is a basic need.
Summary:
House Finance heard several bills and took no recorded votes. HB 2367 would end special tax and emissions exemptions for the Centralia coal plant by limiting its Climate Commitment Act exemption to pre-2026 emissions, removing limits on additional greenhouse gas requirements, and repealing coal sales and use tax exemptions. The sponsor, Rep. Fitzgibbon, said the bill would help keep the plant’s transition to cleaner natural gas generation on track; Climate Solutions supported it, while business and clean-energy groups raised concerns about allowance-market impacts and asked for amendments to adjust the cap-and-invest allowance budget.
HB 1974 would authorize public housing authorities, public corporations, and nonprofits to operate as land banks for affordable housing, give them priority for tax-foreclosed properties, and provide property tax, leasehold excise tax, and REET exemptions for land bank transactions. Rep. Hill said the bill was narrowed to reduce fiscal impact and support existing land banking work in Spokane; supporters said it would lower land costs and speed affordable housing development, while questions focused on how public land would be used and whether affordability should be permanent rather than limited to 30 years.
HB 2650, a Department of Revenue request, would standardize notice and effective dates for local REET and lodging tax changes and clarify documentation for an affordable housing sales tax deferral. DOR supported the bill as an administrative efficiency measure, and there was no opposition testimony. HB 2626 would raise the premium tax on health maintenance organizations, health care service contractors, and self-funded multiple employer welfare arrangements from 2% to 3%, remove a dentistry-related exemption, and add a new 1% tax on certain disability and group stop-loss insurers. The sponsor said the bill is intended to help fund Apple Health and subsidies amid federal funding concerns; insurers and business groups opposed it as a cost increase likely to be passed on to consumers and employers, while patient and advocacy groups supported the revenue idea but urged that funds be dedicated to subsidies or other health care supports and that pass-through to consumers be prevented.