Transcript Highlights:

• budget.
• Our budget is about six-tenths of a percent of that public safety and judiciary budget.
• budget was $120,000.
• One of the most important benefits of the budget increase is the ability to implement the licensing management
• Implemented.

Bills: HF2432

Keywords: HF2432, judiciary finance bill, public safety finance bill, corrections policy, crime victims, victim services, Minnesota victims of crime account, court fees, marriage license fee, financial crimes, fraud investigations, insurance fraud, Bureau of Criminal Apprehension, BCA, Commerce Fraud Bureau, wage theft, automobile theft prevention, nonprofit security grants, 911 funding, POST Board

Transcript Highlights:

• It's green, but it should say under budget.
• It might be worthwhile to take a look at the re- should say under budget, so 41% under budget and more
• It is through the base budget for Human Services.
• First of all, district implementation is very nearly done.
• Yeah, I can only imagine that that type of an implementation, its uniqueness. that type of an implementation

Summary: The Information Technology Committee approved the March 26 minutes and received a series of reports from NDIT on major IT projects, the annual report, mainframe modernization, and cybersecurity services. The project portfolio was reported at 116 major projects with a baseline cost of $546 million, overall under budget but modestly behind schedule. Several projects that had been in variance status last quarter were said to have closed, including HHS bed management, vital records modernization, and DOT roadway capital planning. New startup reports were mostly HHS efforts tied to refugee data management, technical debt cleanup, and legacy application decommissioning, while closeouts included HHS, OMB, DPI, and DOT projects with mixed budget and schedule results. In the annual report discussion, NDIT described its service-fund financials, peer-state rate comparisons, records management reporting, and customer satisfaction efforts. Members asked about how revenues and grants flow through the service fund, how NDIT charges agencies for services, and whether customer satisfaction or CSAT scores are tracked and could be reported more regularly. NDIT said it does track service-team CSAT and survey data, and committee members encouraged more regular reporting of those metrics. The committee also discussed application portfolio management, statewide IT planning, and whether agencies should slow new system replacements while the state pursues an ERP system. The mainframe update focused on the state’s ongoing effort to retire legacy systems by about 2030. NDIT and HHS said the work is being managed as a tech-debt program, but progress is slowed by data cleanup, integration complexity, staff retirements, vendor capacity, and federal requirements. Members asked whether there is a coordinated commitment and whether additional vendor support or consultants are needed; NDIT said it is working jointly with HHS and is seeking an RFP to help accelerate modernization. The cybersecurity presentation then shifted to statewide maturity assessments and services. NDIT said it provides endpoint protection, vulnerability scanning, security awareness training, threat briefings, and penetration testing, and that assessments are based on CIS controls. Members raised concerns about low participation in the self-assessment process, the lack of mandatory reporting or audit authority, and whether insurance incentives through Enderf or possible State Auditor involvement could improve compliance. No formal votes were taken beyond approval of the minutes.

Transcript Highlights:

• Generally speaking, you can use a proper ation implementation, such as site leases, vehicle operations
• As you can see here, this is provides a bit of a timeline for when the budget year.
• authority needed to to implement activities with part.
• There is a 20 page budget narrative that was submitted along with supporting budget documents and budget
• So we're hopeful that we can move forward if assuming a budget for it to begin implementing them without

Transcript Highlights:

• Welcome to our Assembly Budget Subcommittee No. 3 on Education Finance.
• Looking ahead to the budget year, we are encouraged by the increased— Looking ahead to the budget year
• here and this little budget there.
• changes to the state library budget.
• The Governor's budget reflects this reality.

Summary: The subcommittee on Education Finance heard an overview of the governor’s budget proposals and higher education financial aid trends, with a major focus on the Middle Class Scholarship (MCS), Cal Grant spending, and the effects of recent federal student aid changes. The Department of Finance said the budget would fully fund Cal Grant at projected levels and reduce MCS coverage from 35% to 17.5% of unmet need in 2026-27, while the Legislative Analyst’s Office supported considering the reduction as a cost-saving measure given out-year deficits. UC and CSU representatives opposed the cut, saying MCS is important to affordability and debt-free degree goals; they estimated average awards would fall substantially and that campuses do not have funds to backfill the loss. The Student Aid Commission said the proposal would reduce aid but simplify administration, and members questioned how lower awards would affect students, borrowing, and work-study options. No vote was taken, and the issue was held open for possible future action. The committee then discussed federal changes to student loans and Pell Grant policy under H.R. 1, including caps on Parent PLUS loans, elimination of Grad PLUS loans, and new proration rules for federal direct loans based on enrollment intensity. The LAO said these changes would likely push some borrowers into the private market, especially graduate and professional students and some parents of students at private institutions. CSU said the changes would affect thousands of graduate and part-time students and could reduce access by about $97 million in loan availability for part-time borrowers, while UC said the new definitions of professional degrees were too restrictive and would reduce access for nursing, teaching, law, dentistry, and other programs. Community colleges said they use relatively little federal loan aid but are monitoring Workforce Pell. Members raised concerns about workforce impacts, social mobility, and whether the state should consider alternative loan programs or other ways to reduce student costs. This issue was also held open. In the segment financial aid update, the LAO reported Cal Grant spending is projected to rise to about $3.2 billion in 2026-27, driven by more recipients and higher awards tied to UC and CSU tuition increases, while CSAC said FAFSA and CADAA applications are up significantly year over year. CSU, community colleges, and UC described their aid packaging and rising aid totals, with CSU reporting over $5.5 billion in aid to 381,000 students, community colleges reporting over $4.3 billion to more than 920,000 students, and UC reporting $3.17 billion in grant aid to undergraduates. Members asked about Cal Grant reform, application trends, and long-term outcomes; UC and community colleges pointed to alumni and wage dashboards, and the LAO noted the state’s Cradle to Career data effort. The committee then took public comment, including testimony on library funding and other education-related priorities, and concluded by holding the issues open without formal action.

Transcript Highlights:

• in the budget year.
• At the release of the 2021 Budget Act, the state projected that full fiscal implementation of the program
• The governor's budget moves forward with the plan from the Budget Act of 2021 with full implementation
• At the release of the 2021 Budget Act, the state projected that full fiscal implementation of the program
• The governor's budget moves forward with the plan from the Budget Act of 2021 with full implementation

Summary: The committee heard presentations on the Governor’s education budget proposals for the Local Control Funding Formula (LCFF), Learning Recovery Block Grant, and Expanded Learning Opportunities Program (ELOP), followed by testimony from State Board of Education President Linda Darling-Hammond. On LCFF, Finance outlined the proposed 2.43% COLA, repayment of prior deferrals, and a trailer bill penalty for LEAs that fail to adopt Local Control Accountability Plans on time. The LAO said its COLA estimate was slightly lower and raised concerns that the Governor’s proposed TK staffing ratio increase may be more costly than estimated. Members also discussed whether the current COLA formula should better reflect California-specific or district staffing costs, and whether TK should be more clearly separated from the K-3 grade span adjustment to avoid larger K-3 class sizes. The chair asked staff to work with the LAO on both the TK/K-3 issue and alternative COLA calculations. For the Learning Recovery Block Grant, Finance proposed restoring the first of three delayed payments, $378.6 million one-time Proposition 98 General Fund, while the LAO recommended adopting the proposal but extending the expenditure deadline by at least a year. The LAO reported that districts had spent $1.6 billion of the $6.8 billion received through 2023-24 and said most districts were only now shifting from federal COVID relief to block grant spending. Members questioned whether the large state and federal investments were improving outcomes, citing declining reading and math trends, while Finance and the State Board president pointed to some signs of improvement, especially in math, attendance, and gains for some student groups. Darling-Hammond emphasized that student needs have grown, that recovery spending has gone to devices, ventilation, staffing, tutoring, summer school, and community schools, and that targeted interventions appear to be helping some districts recover faster than others. On ELOP, Finance proposed adding $435 million to expand universal access by lowering the Tier 1 threshold from 75% to 55% unduplicated pupils, bringing ongoing funding to $4.4 billion. The LAO said the estimate was reasonable but recommended delaying implementation for a year, aligning ELOP with ASES to reduce overlap, moving toward funding based on participation rather than enrollment, and considering a fixed Tier 2 rate. Members and witnesses discussed staffing challenges, the use of funds for students with disabilities, and uncertainty in Tier 2 funding caused by unspent dollars and opt-outs. Darling-Hammond supported ELOP as part of California’s broader after-school and summer learning strategy, said most districts are now offering full-day TK and expanded learning, and urged the state to reduce fragmentation across categorical programs and build more unified systems for funding, reporting, and support.

Transcript Highlights:

• care silo of the budget.
• But it's something that I know that during budget, we're budgeting and as we're cutting, we're going
• Does the current budget include funding to support implementation?
• Does the current budget include funding to support implementation? Thank you.
• Budget include funding to support implementation of these recommendations. Thank you, Mr.

Summary: The Appropriations Committee on Health and Human Services heard a presentation on the governor’s proposed fiscal year 2026-27 budget for the health and human services silo, which totals $48.5 billion. Agency leaders outlined major requests for AHCA, APD, DCF, DOEA, DOH, and the Department of Veterans’ Affairs, including behavioral health redesign, Medicaid rate changes, developmental disability services, child welfare and opioid programs, senior services, cancer research, public health initiatives, and veterans’ facility and technology needs. The committee also received an overview of the overall state budget, which was described as $117.4 billion, up 1.1% from the current year. AHCA’s presentation focused on $71.6 million for a Medicaid behavioral health redesign, including funding for residential treatment, a serious mental illness waiver, and higher inpatient psychiatric rates for youth, plus $7.1 million to raise private duty nursing reimbursement in fee-for-service Medicaid, $2.5 million for the background screening clearinghouse, and $124.4 million for the Health Care Connection System (FX). APD requested funding to continue moving people off the pre-enrollment list and to support developmental disability centers, a new forensic facility, an electronic health record system, and higher operating costs. DCF highlighted $81.9 million for eligibility and system integrity, $187.5 million for opioid prevention and treatment, $35.5 million for community-based care lead agencies, and $72.7 million to expand behavioral health bed capacity, including 474 new beds at state hospitals. DOEA sought additional funding for Alzheimer’s services, home care, and community care for the elderly. DOH emphasized $278 million for cancer research and innovation, $5 million for food and product safety testing, $5 million for the Florida FIRST blood-on-ambulance initiative, and $5.7 million for a public lab feasibility study. Veterans Affairs requested funds for facility improvements, cybersecurity, and medication management equipment. Members asked detailed questions about several items, especially the proposed changes to the AIDS Drug Assistance Program (ADAP), which would reduce eligibility and the number of people served. Senators and public witnesses criticized the lack of transparency and urged the department to pause the changes and work with stakeholders; the Surgeon General said the issue was driven by funding constraints and federal changes, not a legal barrier, and that the agency was exploring alternatives. Questions also addressed the Office of Minority Health and Health Equity, the Kids Care/CHIP expansion implementation, the cancer research funding structure, and the timeline and cost of the FX system. Public testimony focused heavily on ADAP, with speakers warning that thousands could lose medication access and calling for community involvement and a review of the program’s finances. The committee adjourned after the presentations and questions, with no votes taken on the budget items during this meeting.

Transcript Highlights:

• that we created the legislated budget that we created the legislated budget office<00:02:46.720>
• <00:03:47.280> office chair of the legislative budget office chair of the legislative budget
• might be similar to the uh uh budget might be similar to the uh uh budget rules<00:37:51.160>
• <00:51:37.680> from ession uh budget from ession uh budget from 2023<00:51:40.240> now<
• Integrity of the legislative budget Integrity of the legislative budget office<00:53:46.839> and

Keywords: 1187, senate, all

Summary: The Senate Finance Committee held a hearing on the fiscal note process, prompted by concerns raised in a prior hearing about the fiscal note for the Paid Family and Medical Leave law. Chair Marty, Senator Pratt, and Senator Wiklund said the goal was not to revisit the bill itself but to strengthen understanding of fiscal note standards, the role of the Legislative Budget Office (LBO), and communication with agencies. They emphasized bipartisan concern that fiscal notes must be respected and that the process should be clearer going forward. Christian Larison of the LBO explained that the 2024 fiscal note issues stemmed from three main problems: choosing the proper baseline for a program that had not yet started, interpreting the seven-day qualifying event/waiting period, and determining whether DEED could adjust the first-year premium rate. He said the LBO, DEED, MMB, and House fiscal staff ultimately used the October 2023 actuarial analysis as the baseline because it was the most recent and likely most accurate estimate, but that choice meant the fiscal note did not show the difference from the 2023 enacted budget. He also described how DEED later interpreted the seven-day provision as a waiting period and how the premium-rate assumptions affected the fiscal impact. Larison outlined possible responses, including more assertive early communication from the LBO, providing more detailed analysis in unusual cases, and possibly creating a working group through the LBO Oversight Commission to consider new standards for substantial assumption changes, complex new programs, and third-party actuarial work. He also noted the LBO has authority to issue unapproved fiscal notes if standards are not met, though it has not used that authority. In questions, Senator Murphy asked about protecting the credibility of fiscal notes, and Larison said maintaining independence, objectivity, and consistent standards is central to the LBO’s role. No votes or formal actions were taken at the hearing.

Transcript Highlights:

• I'm Ona Minge, State Budget Director with Minnesota Management and Budget.
• State Budget Director Ona Minge. State Budget Director Ona Minge.
• with Minnesota Management and Budget. with Minnesota Management and Budget.
• budget reserve policy.
• budget reserve policy. budget reserve policy.

Keywords: 1187, senate, all

Transcript Highlights:

• Your partnership is critical to our budget process.
• CDCR is monitoring Prop. 36 implementation very closely.
• CDCR is over budgeted by a few million dollars in the budget year.
• these ongoing reductions to CDCR's operating budget.
• While proportionally, it may be a smaller bit of the budget, I mean, the budget has, it has grown significantly

Keywords: 988, house, all

Transcript Highlights:

• That schools will implement certain local revenue generation mechanisms to double their budget.
• get that guidance on implementation.
• , and they all kind of budget differently.
• We provide training to school board members on budget on the budget process and what is involved.
• Take budget off the table.

Transcript Highlights:

• As you can see in Chart 7, on the right, since implementation, participation.
• State funding has leveled off, as you saw in the Secretary's budget requests.
• We also look at different types of implementations.
• Or allocating those funds, which I would assume that they would have the budget authority, broad budget
• in New Mexico and the budgets that the LESC is presenting.

Transcript Highlights:

• 2027 budget.
• budget.
• needed to implement the FY 2027 budget.
• provisions needed to implement the FY 2027 budget.
• the FY 2027 budget.

Keywords: 1182, all

Transcript Highlights:

• We would recommend, and in our budget, in the Secretary's budget presentation, you'll see that we have
• So this budget.
• To build this budget.
• That you will see in the executive budget and of course As the L E S C produces your own budget, you
• but we can put it in our budget.

Transcript Highlights:

• <00:03:45.959> language you have an excess the budget language you have an excess the budget
• Reserve budget generally the budget Reserve budget generally the budget Reserve trust<00:03:58.599
• just really varies on what the budget just really varies on what the budget language<00:04:07.519
• :08.319> direct language how the budget language direct language how the budget language direct
• our budget units.

Keywords: 958, all

Summary: The House Budget Review Subcommittee on Primary and Secondary Education and Workforce Development received a presentation from Kentucky Department of Education officials on the final SEEK estimate for fiscal year 2025. Commissioner Robbie Fletcher, Matt Ross, and Chay Ritter explained that SEEK is developed through a consensus process with the Office of the State Budget Director using multiple models and district-level inputs, and that the estimate is a projection made well before actual data are available. They emphasized that the discussion was separate from the pending education-funding lawsuit and described SEEK as one part of a much larger K-12 budget picture. The presenters said the current SEEK estimate shows a statutory shortfall of about $14.7 million, or roughly 0.53% of the appropriation, with additional optional items that could bring the total to about $40.5 million if funds are available. They noted that prior years have sometimes produced excess funds, which are redirected according to budget language rather than automatically flowing back through SEEK. They also reviewed the main drivers of the estimate, including property assessments, average daily attendance, free lunch counts, exceptional child counts, home hospital, and limited English proficiency, and said property assessments have been especially volatile while exceptional child counts and ELL populations are difficult to predict. Members asked about why the estimate missed on some categories, especially special education and ELL, and whether district-level changes were being monitored closely enough. The presenters said KDE does monitor special education counts and will review larger districts and districts with unusual growth, and they acknowledged that exceptional child growth has been hard to forecast. Representative Bojanowski asked about the Cloverport virtual school, and staff said its growth was much larger than projected and accounted for a significant portion of the shortfall. Members also discussed the impact of property value growth, population shifts, illness, and legislative changes on SEEK projections. No vote or formal action was taken, and the meeting ended after questions and discussion.

Transcript Highlights:

• close to three years after implementation had begun.
• after implementation had begun.
• So how you move authorized funds, right—the budget, budget categories, either between budget categories
• And I continue to say, no truth in budgeting here.
• I am challenging our budget subcommittees to dive into the budget and find real savings even in recurring

Summary: The subcommittee first heard a lengthy Auditor General presentation on the Department of Management Services’ fleet management operations. The audit found major problems with oversight, recordkeeping, policies, fee-setting, purchase and disposal approvals, public auction controls, and FleetWave system access and processing. Key findings included that 2,279 vehicles valued at more than $57 million could not be matched between FleetWave and FLAIR, disposal records were missing or incomplete, user access remained active long after employees separated, and the department had not documented a reasonable basis for its $1.75 per-vehicle monthly fee. Members expressed strong concern about the accuracy of the state’s fleet inventory and the risk of waste or misuse. DMS Secretary Allende said the department concurred with the findings, was working with the Auditor General, and planned corrective actions, including better training, clearer guidance, improved reconciliation, and possible centralization or pilot programs for fleet purchasing and management. The committee then returned to vacancy discussions with several agencies. The Division of Administrative Hearings said its two long-vacant judges of compensation claims positions had been hard to fill because of low pay and short reappointment terms, but the chief judge said the division could operate without them and offered those positions up as part of a reduction exercise. The Public Service Commission reported 42 vacancies but said statutory deadlines were still being met, though staff workloads and depth of analysis were affected. The commission also said vacancies help it manage salaries within its trust-fund budget. Members questioned whether some of those positions were truly needed given the lack of delays. The Florida Gaming Control Commission reported 29 vacancies, including a vacant chair that prevented appointment of an inspector general, and said the chair vacancy was a gubernatorial appointment issue. The acting executive director also said the commission’s compulsive gambling prevention program had lapsed after no responsive bids were received for a new contract, but an invitation to negotiate was nearly complete and a new provider was expected soon. The Public Employee Relations Commission reported that its caseload had more than doubled after Senate Bill 256, which increased union recertification work; it said it was meeting deadlines only with overtime and that the workload had not fallen despite decertifications. Members asked for follow-up data on union cases, vacancy needs, and whether some positions across agencies could be reallocated to better match workload.

Transcript Highlights:

• The Pre-K through 12 Budget Subcommittee will come to order. Cianna, please call the roll.
• Members, in the Pre-K through 12 budget, there is the Early Learning Budget Entity.
• , support, and implementation of those programs on the ground.
• we asked in our budget amendment for $12.3 million to implement this program, again, for potentially
• we asked in our budget amendment for 12.3 to implement this program, again, potentially, budget amendment

Summary: The Pre-K through 12 Budget Subcommittee met with a quorum and focused on School Readiness, specifically the new provider reimbursement rates and the School Readiness Plus program. The chair gave an overview of how School Readiness is funded and administered, noting that the Legislature now sets county-based reimbursement rates using market and cost data, and that School Readiness Plus was created to help families who would otherwise fall off the subsidy “cliff” at 85% of state median income by extending assistance up to 100% of state median income. Panelists from the Children’s Forum, the Association of Early Learning Coalitions, and the Division of Early Learning described the programs as major workforce and family-support tools that help parents stay employed and help providers recruit and retain qualified staff. Testimony emphasized that higher reimbursement rates increase parental choice, help providers cover rising child care costs, and support better staffing and lower turnover. The panel also said School Readiness Plus is easing the pressure on families to turn down raises or promotions for fear of losing child care assistance, though uptake is still early because the program only began in late 2024 and is only available to current School Readiness families at redetermination. The Division of Early Learning reported about 275 children enrolled in School Readiness Plus as of March 10, with expenditures of about $161,420 through January 2025, and said participation is increasing. Members asked about the federal-state funding split, wait lists, reverted funds, coalition accountability, county-based rate differences, and whether the entrance eligibility threshold should be raised or shifted to state median income. The panel said roughly 70% of School Readiness funding is federal, about 4% has typically reverted in recent years, and the wait list is around 12,000 children, with reasons including income ineligibility, lack of available seats, and funding limits. They argued that raising the entrance threshold would expand access but would require additional funding, and they also discussed the need to reduce workforce barriers such as in-person testing and training requirements. The meeting ended with no formal action beyond the presentation and member discussion, and the subcommittee adjourned.

Transcript Highlights:

• <00:03:04.200> it 10% of our state's education budget it 10% of our state's education budget
• have as we try to put together a budget have as we try to put together a budget that<00:03:39.360
• <00:20:31.880> occurs success um this implementation occurs success um this implementation
• budgets.
• budget how many versions of the budget budget how many versions of the budget are<01:16:05.159><

Keywords: 1187, senate, all

Summary: The committee met to hear a Minnesota Department of Education presentation on federal education funding and the potential effects of federal actions on those dollars. Chair Kunesh framed the discussion around concerns about threats to the U.S. Department of Education and noted that federal funds make up about 10% of Minnesota’s education budget, or roughly $1.4 billion. Senator Lang pushed back, emphasizing that 90% of school funding comes from state and local sources and urging the committee to focus on state mandates and how to pay for them. New member Senator Clark introduced himself and said he would teach ethics or running if he were a teacher. Department staff explained that federal education dollars are divided between entitlement/formula funds and competitive/discretionary grants. They said Minnesota receives federal money through established systems and that the department is seeking clarity about how federal changes might affect the flow of funds, oversight, and program administration. They also outlined Minnesota’s legislative review process for federal funds, which includes several pathways such as the governor’s biennial budget, supplemental budget submissions, legislative advisory committee review, and expedited review processes when needed. The presentation then focused on ESEA Title funding, especially Title I. Staff said Title I is one of the largest federal education programs in Minnesota, with about $200 million in current funding, and supports 476 local education agencies. They described how funds are allocated through Minnesota’s North Star accountability system and Compass support structure, based on measures such as poverty, graduation rates, and state assessment performance. Examples of allowable supports included professional development, attendance initiatives, reading curriculum, training, and peer coaching. Senators asked whether executive action could affect these funds and whether the money flows directly to districts or through the state; staff responded that they would avoid speculation and would continue explaining the different funding streams and oversight structure.

Transcript Highlights:

• So, when we're talking about the budgets, we're not talking about the whole agency budget.
• So let's get into the agency's budget request.
• You've got your prior year operating budget, which is your FY 26 budget at $1.3 billion.
• , but this isn't increasing their budget.
• You know, it's something that we're meeting with agencies on budgets right now, discussing their budget

Transcript Highlights:

• only state funding and our budget only state funding and our budget request<00:04:25.280> but
• Public Utilities Commission to implement Public Utilities Commission to implement that<00:08:52.279
• <00:15:32.000> this work and our work on implementing this work and our work on implementing
• The PUC is tasked with implementing or overseeing utility implementation of state energy policy.
• proposed in the governor's 2627 budget proposed in the governor's 2627 budget for<01:24:17.320><

Keywords: 1187, senate, all

Transcript Highlights:

• The budget does not cut anything.
• The current $12 billion budget shortfall has forced us to look deeper to balance the budget.
• If there are any differences between the budget year 25-26, budget year one, and budget year plus one
• If the state didn't pursue this budget solution, Part of that budget solution package.
• year and budget year plus one.

Summary: The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56. DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement. The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.