Transcript Highlights:

• So our actuarial vendor is doing some of those calculations for us.
• do because of maybe the cost, but again, like I said, this is all being worked through with our actuarial
• Actuarial contractor. Perfect. Thank you so much. You're very welcome. Do we have other questions?

Summary: The meeting focused on maternal health and behavioral health services for pregnant and postpartum people in Connecticut. Dr. Fatmata Williams of DSS gave an update on the Husky maternity payment bundle, explaining that it was created in response to worsening maternal and neonatal outcomes and racial disparities. She said the bundle, launched in 2025, shifts payment away from fee-for-service toward prospective case rates, quality measures, and shared savings, while covering services such as doulas and maintaining access to behavioral health and other non-pregnancy-related care outside the bundle. She noted 26 maternity practices are participating, quarterly quality reports have been distributed, reconciliation is planned for 2026, and DSS is considering refinements such as adding newborns, revisiting shared losses, and possibly expanding to FQHCs after further stakeholder review. Shelly Nolan of DMHAS then described the state’s women’s services and recovery continuum, including pregnant and parenting treatment programs, women’s recovery support programs, community transition support with rent subsidies, the Proud program, REACH navigation, recovery houses, and outpatient services. She emphasized that many programs are under capacity and that DMHAS uses a no-wrong-door approach, real-time bed availability, technical assistance, and training to improve access. She also reviewed initiatives tied to substance-exposed pregnancies and safe sleep, secure storage, naloxone distribution, reproductive health integration, breastfeeding support, and upcoming conferences and trainings. She said the department works closely with DCF and community partners to reduce stigma and improve family-centered care. Beth Garrigan presented on the Access Mental Health and Substance Use for Moms program, a statewide consultation service for providers serving pregnant and postpartum individuals up to 12 months after delivery. She said the program offers real-time psychiatric consultation, referral support, and one-time face-to-face assessments, and has provided more than 4,300 consultations and resource/referral support to over 700 individuals since 2022. Members and legislators praised the service and discussed how it helps providers connect patients to care, follow up on referrals, and address barriers such as fit, stigma, and workflow. No votes were taken; the meeting ended with plans for the next meeting on June 8 and a request for Dr. Williams’ slides to be posted online.

Transcript Highlights:

• pooling together and basically self-insuring medical-related costs, but it's not insurance on an actuarial
• If it's just you and I in the pool, there's really no actuarial anticipation or forecasting for what
• Practically, as we've talked to some of the actuaries at the companies, you can't really break out these

Summary: The Committee on Banking and Insurance met with a quorum present and took up several bills, beginning with SB 834 on health care sharing ministries and insurance agents. Senator Yarbrough presented the bill to repeal a recent restriction on licensed insurance agents marketing or selling faith-based health care sharing programs. Supporters argued the change restores free speech and consumer education while preserving existing consumer protections; opponents said the bill was unnecessary and could increase confusion or misuse of agents and brokers. The committee adopted a title amendment and then reported the bill favorably after debate, with Senator Pizzo raising concerns about consumer reliance and lack of guaranteed coverage. The committee then approved SB 642 on foreign and alien bail bond insurers, SB 394 on reinsurance intermediary managers, and SB 266 on public adjuster contracts. SB 266 would let vulnerable adults rescind public adjuster contracts at any time without penalty; it drew support from consumer and industry groups, with some discussion about estimates and claim work product. The committee also passed SB 832 on residential property insurance transparency, which requires rate transparency reports and a consumer resource center at OIR, and adds a provision excluding land value from homeowners coverage calculations in most cases. Testimony on SB 832 was generally supportive of the transparency goal, though insurers said some of the required cost breakdowns may be difficult to produce as written. The committee next considered SB 1028 on Citizens Property Insurance Corporation, which would create a commercial lines clearinghouse to move eligible policyholders into the private market and reduce Citizens’ commercial exposure. Supporters said it would lower taxpayer risk and improve competition; a speaker suggested additional changes to deductibles, water-damage caps, and repair practices. The bill was reported favorably after a delete-all amendment and supportive debate from Senator Boyd. Finally, the committee passed SB 540 on the Office of Financial Regulation, which adds cybersecurity requirements for certain licensees, updates oversight of investment advisers and money service businesses, adjusts some charter and meeting rules for financial institutions and credit unions, and includes amendments clarifying repossession/deficiency claims, family office exemptions, and virtual credit union meetings. The meeting ended with all of the considered bills reported favorably and the committee adjourned.

Transcript Highlights:

• the committee sub added to House Bill 73 deals with it would direct the Teachers' Retirement System actuary
• the committee sub added to House Bill 73 deals with it would direct the Teachers' Retirement System actuary
• committee substitute added to House Bill 73 deals with it would direct the Teachers' Retirement System actuary

Summary: The Senate Standing Committee on State and Local Government first considered HJR 15, a resolution to return a Ten Commandments monument to the new state Capitol grounds. Representative Shane Baker described the monument’s history, its removal to storage in the 1980s, and a prior 2000 effort that was blocked by the courts. He argued recent Supreme Court decisions, including Van Orden and Kennedy, support a history-and-tradition approach and said the resolution would direct the Historic Properties Advisory Commission to retrieve and reinstall the monument in Monument Park. Senator Herron raised concerns about religious neutrality and whether other faiths would also be represented at the Capitol. Baker and Chair Petrie responded that the resolution was limited to restoring a specific historical monument and did not bar future proposals for other displays. Senator Armstrong voted no, saying the legal landscape remained uncertain and the state could face costly litigation. The committee approved HJR 15 on an 8-1 vote. The committee then took up House Bill 6, which would limit administrative agencies from issuing regulations with an economic impact of more than $500,000 over two years, with exceptions for imminent public health or safety threats, protection of federal or state funds, and compliance with certain court orders. Representative Wade Williams said the bill would rein in costly agency rulemaking and cited LRC data showing only about a dozen regulations in 2024 would have met the threshold, with roughly six after closer review. Senator Chambers Armstrong expressed concern that the bill could tie the government’s hands in emergencies, but the bill passed 8-1. Finally, the committee considered House Bill 73, which had a committee substitute. Representatives Johnson and Tipton explained that one part would add We Lead CS to the list of educational service providers allowed to administer their own retirement program participation, and the other would require the Teachers’ Retirement System actuary to provide additional information on each employer’s share of unfunded liability. The committee approved HB 73 unanimously, 10-0, and then adjourned.

Transcript Highlights:

• taxpayers would probably pay more if we don't address this now, and we're just hoping that we have fair actuarial
• we're really trying to make sure that the free market produces insurance policies... ...that are actuarially
• Weather means you look at historical records and you make your actuarial assessments based on that.

Bills: SB 21 , SB21 , SB72 , SB140 , SB262 , SB370 , SB372 , SB495 , SB627 , SB703 , SB764 , SB842

Committee: Senate Business & Commerce

Transcript Highlights:

• Resolution 319 by Representative Sawyer to urge and request the legislative auditor, in consultation with actuaries
• Resolution 319 by Representative Sawyer to urge and request the legislative auditor, in consultation with actuaries

Bills: HR320 , HR321 , HR308 , HR309 , HR310 , HR311 , HR312 , HR313 , HR314 , HR315 , HR316 , HR317 , HR318 , HR319 , SCR65 , SCR74 , SCR76 , HR245 , SCR30 , SCR40 , HB1259 , SB4 , SB52 , SB57 , SB83 , SB145 , SB152 , SB194 , SB276 , SB319 , SB333 , SB448 , SB450 , SB465 , SB484 , SB501 , SB509 , HR73 , HR118 , HR144 , HR196 , HR237 , HR249 , HR260 , HR267 , HR272 , HR278 , HCR85 , HCR100 , HCR105 , HCR107 , HCR114 , SCR5 , SCR29 , SCR33 , SCR37 , SCR63 , HB62 , HB193 , HB210 , HB220 , HB246 , HB364 , HB420 , HB475 , HB584 , HB622 , HB772 , HB784 , HB949 , HB953 , HB1043 , HB1070 , HB1092 , HB1134 , HB1162 , HB1176 , HB1196 , HB1214 , HB119 , HB129 , HB233 , HB283 , HB538 , HB789 , HB850 , HB870 , HB1236 , HB1241 , HB378 , HB509 , HB1090 , SB80 , SB131 , SB143 , SB251 , SB254 , SB279 , SB367 , SB384 , SB388 , SB389 , SB398 , SB408 , SB431 , SB468 , SB469 , SB496 , SB149 , HB463 , HB998 , SB123 , SB353 , SB479 , SB495 , SB82 , SB97 , SB283 , SB326 , SB518 , SB197 , SB268 , HB901 , HR20 , HR74 , HR168 , 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 , SB89 , HB74 , HB134 , HB258 , HB359 , HB468 , HB956 , HB1117 , SB29 , SB42 , SB43 , SB78 , SB217 , SB274 , SB300 , SB379 , SB382 , SB441 , SB449

Summary: The House met with a quorum, opened with prayer and the Pledge of Allegiance, and then received a series of Senate messages, conference committee appointments, and enrolled bill reports. The chamber also noted Senate concurrence in several House concurrent resolutions and the adoption of conference reports, while multiple Senate bills and resolutions were signed by the Senate President. Senate Bill 480, dealing with butterfly bottom nets and vessel use/anchorage, was referred to the Natural Resources Committee without objection. Members introduced several House resolutions, including measures to commend Arsenal Football Club, recognize Pope Leo XIV and 4-H honoree Margaret Mimi Stoker, study forensic medical exam protocols for domestic violence survivors, create a task force on second-degree murder sentencing, review miscarriage and pregnancy-loss terminology, commemorate the 250th anniversary of New Orleans, and support the National Guard Youth Challenge Program. Committee reports also moved forward bills on child welfare, water quality, scenic rivers, orphan wells, gravel mining reclamation, groundwater conservation, agricultural production, railroad hazards, and retirement system merger feasibility, along with resolutions on Pope Leo XIV and the LaMelle family. The House took up numerous Senate bills returned from the Legislative Bureau, adopting amendments and advancing many to third reading, including bills on health and welfare, education, insurance, and criminal justice. The chamber also reported favorably on resolutions condemning political violence and honoring public figures and organizations, and it scheduled several committee meetings for the following day, including Health and Welfare, Appropriations, Natural Resources, Civil Law, Transportation, and Ways and Means. The session ended with announcements about upcoming committee agendas and delegation meetings, and the House adjourned on motion to reconvene at 1:00 p.m. the next day.

Transcript Highlights:

• including the actual... ...data on the premium rates in the workers' compensation system, including the actuarial
• indicated rate for each workers' compensation risk classification, when it sets a premium rate below the actuarial

Summary: The Labor and Workplace Standards Committee met to consider four bills, though House Bill 2563 was removed from consideration before action. HB 2188 would require L&I to publish more information about workers’ compensation premium rates and actuarial rate-setting. Members described it as a transparency measure, and it passed the committee 8-0 with one excused. The committee then took up HB 2218, dealing with access to medical care in the workers’ compensation system. The proposed substitute made several changes to provider-network rules, rural access standards, utilization review timelines, and continued treatment after claim closure. Representative Schmidt’s amendment to add more claims managers was adopted, while earlier amendments on inducement and treatment language were withdrawn. The substitute bill passed 6-2 with one excused, with supporters emphasizing rural access and faster care, and opponents raising concerns about the fiscal note and some inducement-related language. HB 2524 would create a State Security Guards Industry Standards Board to set minimum employment standards for security guards and allow enforcement by L&I and, in the original bill, a private right of action. Amendment 236, making technical changes and delaying the board’s first meeting, was adopted, while Amendment 237 to remove the private right of action failed. The amended substitute passed 5-3 with one excused. Supporters said it would improve training, stability, and worker protections, while opponents cited cost concerns and argued it could interfere with existing compensation and bargaining arrangements.

Transcript Highlights:

• Actually, there were a few districts that had a little higher local effort due to a change in assessed valuation
• But, you know, as we say in my kind of Moser's pension space, you know, the actuary assuming all assumptions
• There is, I believe, one district that has a statutory exception due to the assessed valuation situation

Committee: House Budget

Summary: The committee first heard the Secretary of State’s FY27 budget presentation. Secretary Denny Hoskins described his office’s work on business filings, elections administration, securities enforcement, archives, libraries, and Safe at Home, and said the office had cleaned up voter rolls by removing more than 200,000 ineligible voters. Members questioned him closely about deceased voters, voter registration through DMVs, information sharing with the federal government, and whether any personal identifying information would be released; Hoskins said only publicly available information had been shared and that PII would not be released absent a court order. He also said his office had 10 pending lawsuits handled by the Attorney General’s office, and discussed budget lapses, staffing levels, and the need to spend federal and other funds before general revenue when possible. A major portion of the discussion focused on election-related funding requests. Hoskins defended funding for ballot publication in newspapers, saying the constitution and state law require publication of statewide ballot measures and that the cost could rise sharply if many petitions or a referendum reach the ballot. Several members questioned whether the newspaper notices are still effective, while others emphasized that many Missourians still rely on print and that the requirement remains constitutional. The committee also discussed the technology services NDI tied to the sunset of the $5 business filing fee that funds IT operations, with Hoskins saying the office would need general revenue if the sunset is not extended. Other topics included absentee ballot postage reimbursement, election cost transfers, and the library networking fund, which Hoskins said has not historically been funded at the full 10 percent level. Members also raised broader budget and policy concerns, including the office’s FTE count, the restoration of some previously cut archives/local records positions, and the need for a new voter registration system and election-night reporting system. Some members pressed Hoskins on whether his budget requests were consistent with his past calls for smaller government, while he responded that election-year obligations, cybersecurity risks, and outdated systems require investment. The committee did not take a vote on the Secretary of State items during this segment. The committee then began the Department of Elementary and Secondary Education presentation from Commissioner Carla Eslinger. She outlined the FY27 request for the foundation formula, transportation, child care, literacy, educator workforce, and strategic planning. Eslinger said the formula increase is driven by policy changes such as enrollment-based funding and higher special education and virtual education costs; transportation needs a modest increase; child care needs general revenue to replace expiring federal funds; and literacy efforts continue to expand through science-of-reading training and state-approved assessments. She also highlighted through-year testing, grade-level descriptors, teacher recruitment and retention, and work with a new Transforming Schools group. The presentation was cut short when the committee recessed for floor activity, with no votes taken.

Transcript Highlights:

• So, we were talking about valuation and depreciation here a minute ago.
• That becomes difficult unless there's a system of record that we're using for valuation, whether that
• But um, I am curious if we're looking at the valuation correctly because it is so tightly associated
• </c><00:46:25.119><c> And</c><00:46:25.280><c> I</c> perspective in terms of valuation?
• And I perspective in terms of valuation?

Committee: House Transportation

Transcript Highlights:

• MCHA also works with Wakely, which is an actuarial company, to evaluate and report on high-cost claims
• So, every year, in conjunction with Wakely, the actuarial firm that they work with, they assess the claims
• So, every year, in conjunction with Wakely, the actuarial firm that they work with, they assess the claims
• Deputy Commissioner, I would want to double-check with my actuary and give you an exact answer as to
• Deputy Commissioner, I would want to double-check with my actuary and give you an exact answer as to

Committee: Senate Commerce and Consumer Protection

Transcript Highlights:

• $20 to $25 million a year, fairly consistently over 20-plus years, you know, it’s increased as valuations
• $20 to $25 million a year, fairly consistently over 20 plus years, you know, it's increased as valuations

Committee: House Special Committee on Intergovernmental Affairs

Transcript Highlights:

• It expands a special method of valuation for electric plant property that has been in use for a while
• We are lumping storage with transmission and distribution for property tax valuation here.

Committee: Senate Senate Tax, Business & Transportation

Transcript Highlights:

• Okay, a lot of them just clear up when PBR collect valuations.
• <00:34:52.919><c> at</c><00:34:53.040><c> that</c><00:34:53.399><c> time,</c> valuation at that time,
• valuation at that time, and<00:34:54.800><c> we</c><00:34:54.960><c> took</c><00:34:55.760><c> things
• Um, section eight, for the purposes of the equalization study, requires property valuation to use 100%
• equalization study,<00:37:02.160><c> requires</c><00:37:03.000><c> property</c><00:37:03.440><c> valuation

Transcript Highlights:

• further assistance to those districts and communities that struggle with poverty and low property valuation
• work out to something like $5 per thousand in value, uniformly statewide, but subject to equalized valuation
• that struggle with poverty and low that struggle with poverty and low property<00:49:05.359><c> valuation
• </c> property valuation. property valuation.
• </c> equalized valuation. equalized valuation. and<00:51:42.960><c> it</c><00:51:43.200><c> would</c>

Summary: The Education Funding Committee Subcommittee on Adequacy and Funding Sources opened its second meeting by reviewing four retained bills assigned to it: HB 651, HB 772, HB 491, and HB 734. The chair said the goal was to compare the bills across the board, consider whether any one of them should be the committee’s recommended vehicle, and then vote on a recommendation to the full committee. He noted the bills would move out before November 21 and be taken up on the House floor in January, while related LSRs were also being developed for the coming session. Representative Ames argued that HB 651 should be the main vehicle because it would substantially raise the adequacy base and adjust differential aid categories to better reflect real school costs, including poverty, special education, and English learner needs. He described the bill as building on court guidance and said the current funding formula is far below actual district needs. He also supported HB 491 as a study vehicle to examine revenue options, saying the legislature needs informed choices about how to pay for the changes. Representative Damon strongly backed HB 651 and HB 491, citing constitutional obligations, the Conval and Rand rulings, and large projected funding increases for districts such as Claremont, Windham, and communities in the chair’s district if HB 651 had passed earlier. Representative Fellows said he has an LSR similar to HB 491 that would study existing and new revenue options using criteria such as revenue potential, administrative cost, affected groups, implementation timeline, and implementation cost, with input from revenue administration and outside agencies. Representative Papich Muller emphasized constitutional separation-of-powers concerns, reading Article 83 and saying he was not comfortable with the broad claim that “cherish” clearly mandates a specific spending level, though he said he intends to follow Supreme Court guidance. Representative Ricky read testimony from a local school board member arguing that the state already imposes many mandates on schools while providing the least funding in the country, and that HB 651 would help restore meaningful local control. No final vote or action was taken in the portion provided, though the chair had indicated the subcommittee would vote before adjournment.

Transcript Highlights:

• That is to support rates that are actuarially sound.
• And so the federal law requires that the rates be actuarially sound.
• So if they're not adequately funded, what we end up having to do is, like, Actuarially sound.
• adequately funded, what we end up having to do is look at cost containment in order to maintain that actuarial

Committees: Senate Senate Finance , Senate House Appropriations & Finance

Transcript Highlights:

• program through managed care contracts, there are certain federal requirements around rates being actuarially
• program through managed care contracts, there are certain federal requirements around rates being actuarially
• And, you know, I was participating very directly in the actuarial process that was trying to estimate
• And there were, you know, several times where the actuaries got it wrong, and they didn't have a good
• ... ...times where the actuaries got it wrong, and they didn't have good data yet to really understand

Committee: Joint Joint Legislative-Executive Committee on Budget Transparency and Fiscal Sustainability

Transcript Highlights:

• So if this is taken out, in order to, we'd go back to the actuaries, but our assumption is that the deficit
• malpractice reform bill, HB 99, in the year where the hospitals, because we implemented an annual actuary
• An actuary sees a quarter of this fund, Mr. Chair. An actuary sees a quarter of this fund, Mr.
• I trust the superintendent because we had actually had conversations about how she can't keep actuarials

Bills: SB132 , SB241

Committee: Senate House Appropriations & Finance

Summary: The committee first heard HB 158 as amended, which would require state agencies receiving appropriations from the Grow Fund to submit accountability and evaluation plans to the State Budget Division and the Legislative Finance Committee. LFC staff said the bill would put existing practice into statute and formalize agency reporting and evaluation responsibilities. The bill drew no opposition testimony, and after questions about whether agencies or LFC would do the evaluations, it passed on a 9-0 due pass vote. HB 255, the Public Safety Workforce Building Program, was then presented as a bipartisan measure to consolidate public safety workforce funding into a competitive grant program for local law enforcement, fire, detention, and public attorney offices. The sponsor said it would not require a new appropriation. There was no opposition testimony, and the committee approved it on a 9-0 due pass vote. The committee then took up SB 309, which would replace the lottery’s 30% return requirement with a fixed floor return for several fiscal years, with a reversion to the current law if the floor is not met. Lottery officials and supporters argued the change would let the lottery offer more competitive prizes, including higher-value scratchers, and potentially increase scholarship revenue; opponents, including Think New Mexico and a nursing student, warned it could cap long-term growth and reduce scholarship funding. After extended debate, the bill passed on a 7-2 due pass vote. Later, SB 79, creating a statewide mosquito-borne disease prevention program through the Department of Health, was presented by its sponsor as a response to West Nile virus and warmer winters. Testimony from the sponsor and the state entomologist emphasized rising mosquito risk and the need for county grants and statewide coordination. Although the committee initially moved to table the bill because funding had already been included in the budget, that motion failed and the bill ultimately received a due pass vote. The committee also heard HB 295, which would create a centralized accessibility reporting position in the Department of Health; after testimony for and against, an amendment stripping the appropriation was adopted, and the bill passed 5-3. The committee then heard HB 124, establishing an Office of New Americans within Workforce Solutions to coordinate workforce integration for immigrants with lawful status. Supporters described barriers faced by immigrant workers and the need for bilingual training and centralized assistance, while the sponsor said the office would have no first-year budget impact. The bill passed 6-4. Finally, the committee considered SB 273 and SB 274, both involving state financial support for affected entities and the Patient Compensation Fund. SB 273, which would provide temporary state assistance to communities affected by economic disruption, passed after debate about precedent and economic recovery. SB 274, which sought repayment from the Patient Compensation Fund for prior state infusions, drew opposition from hospitals and physicians who warned of higher surcharges and questioned the timing and legality; discussion continued around the committee substitute and the fund’s statutory restrictions.

Transcript Highlights:

• including the actual... ...data on the premium rates in the workers' compensation system, including the actuarial
• indicated rate for each workers' compensation risk classification, when it sets a premium rate below the actuarial

Bills: HB2188 , HB2218 , HB2524 , HB2563

Committee: House Labor & Workplace Standards

Keywords: transparency, industrial insurance, insurance rate increases, financial disclosure, regulatory oversight, workers' compensation, medical care, healthcare access, employee rights, insurance coverage, security, regulation, employment standards, security guards, industry board, unemployment, electronic notices, compensation, digital communication, order processing

Transcript Highlights:

• So every year there's an actuarial evaluation done by a contractor that we use to do the actuarial process
• <01:05:42.960><c> year</c><01:05:43.280><c> there's</c><01:05:43.520><c> an</c><01:05:43.600><c> actuarial
• The prices change yearly based on that actuarial analysis.
• :14.520><c> So</c><01:06:15.280><c> that's</c><01:06:15.640><c> why</c><01:06:15.880><c> the</c> actuarial
• So that's why the actuarial analysis.

Summary: The committee first approved the March 10 minutes and then moved through a large agenda of contract reviews, including a deferred Kentucky Transportation Cabinet item tied to Louisville bridge tolling and RiverLink. Transportation officials explained that the contract was part of a bi-state arrangement with Indiana: Indiana Finance Authority held the main contract with HNTB, while Kentucky needed a mirror contract to pay its 50% share under the bi-state management agreement. Members questioned why the work was treated as effectively no-bid, how much input Kentucky had in vendor selection, RiverLink’s collection performance, and when tolls might end. Transportation said Kentucky had equal representation in selection, HNTB served as a toll services advisor, collections and customer service had improved, and tolls are expected to remain until debt obligations are paid off in 2058. Several members criticized the company’s past performance and voted no as a statement of concern, but the contract still moved forward. The committee then deferred a Kentucky State University item because the vendor was not registered with the Secretary of State. It also approved the overall agenda and contract review lists. A Board of Optometric Examiners contract drew significant discussion: board representatives said they had previously relied on the Public Protection Cabinet for legal services, but that office lacked staff and advised them to seek outside counsel. Some members argued the committee could not approve a contract that appeared to conflict with statute, while others said the board should not be left without legal counsel and that the Attorney General should be brought in to resolve the issue. The committee ultimately voted to defer the optometric contract for one month and requested the Attorney General appear at the next meeting. Finally, the committee reviewed an Administrative Office of the Courts amendment for the Court of Appeals building project. Staff explained that the General Assembly had authorized the project, the design contract had already gone through multiple approved phases, and the current item was only an administrative correction to a prior modification amount. Members approved the amendment, with one member noting appreciation that the project costs had been reduced when an error was found.

Transcript Highlights:

• DHCS worked with Milliman, a national actuarial firm, to prepare this study, and the final report was
• That report provides a set of policy options, fiscal estimates, and actuarial analysis of the various
• It also commissioned an actuarial analysis, which was completed in 2023, and these were prepared by Oliver
• Wyman, an actuarial firm.
• We don't have access to the complexity of the actuarial-style capitated rate analysis.

Summary: The joint Assembly Budget Subcommittee hearing focused first on long-term services and supports for older adults, especially the “forgotten/overlooked middle” who earn too much for Medi-Cal but cannot afford private long-term care. Administration witnesses from DHCS, the Department of Aging, and Social Services described Medicare’s limited long-term care coverage, Medi-Cal’s role, the elimination of the Medi-Cal asset test, and ongoing state studies and listening sessions on financing options. Testimony from advocates and researchers emphasized rising homelessness among older adults, the need for better navigation and coordination across health, aging, housing, and social service systems, and short-term policy steps such as share-of-cost reform, housing stability supports, and protecting home- and community-based services. Members highlighted the need for a coordinated, no-wrong-door approach and asked for the most impactful budget investments to address affordability and homelessness risk. The second major topic was the Community-Based Adult Services (CBAS) program. CDA reported that CBAS helps participants remain in the community, that 304 centers operate statewide serving about 42,000 people, and that demand is stable but access gaps remain in some regions. DHCS explained that a 2024 rate increase authorized by SB 159 became inoperative after Proposition 35, and that a separate 10% rate change on the fee schedule was the result of a DHCS system error; the department said it would not require recoupment, though managed care plans may act under their contracts. CBAS providers and advocates warned that reimbursement rates have not kept pace with costs, that several centers have closed, and that clawbacks could trigger more closures. They requested $74.8 million ongoing General Fund to close part of the rate gap and preserve the program, while members expressed concern about closures and the cost savings of keeping people out of more expensive institutional care. The hearing then moved to In-Home Supportive Services (IHSS) and statewide collective bargaining. CDSS reviewed provider recruitment and retention efforts, including electronic timesheets, direct deposit, and the now-completed IHSS Career Pathways program, which trained more than 59,000 providers. CDSS also summarized its AB 102 workgroup report on statewide versus regional bargaining, saying the final report would be sent to the Legislature soon and that statewide bargaining appeared more viable than regional bargaining, though it would require clear statutory scope and major fiscal changes. The department estimated that each $1 per hour statewide wage increase would cost at least $1.3 billion to $1.5 billion annually. Labor advocates argued that IHSS wages, benefits, and training are too inconsistent across counties and called for statewide bargaining, consumer participation, and ongoing state funding. County representatives supported stronger wages but cautioned that counties need protection from new costs and administrative burdens, and consumer advocates warned that moving bargaining to the state could weaken local consumer control and the program’s consumer-driven structure.

Transcript Highlights:

• I had a bill very similar to this in 2023, and it has to do with vehicle valuations for taxation purposes
• So they would still have to use that $100 minimum valuation.
• the $12 and then the $300, whereas ordinarily it would have been 10 years and then $100 assessed valuation
• , they'll now have to be at $300 assessed valuation.
• The other one uses a 10-year, but they do have a $300 valuation after 10 years.