Transcript Highlights:

• The operating budget, it's just majority-party Democrat budget writers in the room.
• Let’s remove the emergency clause that is entirely unnecessary on this bill.
• And that's exactly how their income tax operates as well.
• There's rural child care operations there, too.
• Now it's $80 billion in operations, government operations, increasing 500 and some percent.

Summary: House and Senate Republican leaders held a media availability focused on the final stretch of the legislative session, with most of the discussion centered on budget proposals, a proposed income tax on high earners, and several policy bills they oppose. They criticized the operating budget for relying on a new income tax, using one-time fund sweeps and pension-related financing, and drawing down the rainy day fund, while saying the capital budget was more bipartisan and the transportation budget had some positive emphasis on road preservation but still included concerns such as Public Works Trust Fund sweeps and ferry funding. A major topic was allegations that sign-ins on the income tax bill included duplicates or fraudulent entries. Republicans said they took the issue seriously, supported verification improvements, and argued that even after removing duplicates the bill still drew over 100,000 unique emails opposing it. They rejected claims that their side had manipulated the process and said the Legislature should fix the sign-in system, possibly with more IT safeguards, while also arguing the bill should lose its emergency clause so voters could weigh in through a referendum. Republicans also criticized bills they described as anti-police or anti-law-enforcement, including measures related to face coverings and sheriff qualifications, and they opposed a bill requiring arbitration before claims against the state or local governments can go to jury trial, saying broader tort reform is needed instead. They said the state’s liability problems stem from harm done in areas like juvenile rehabilitation and child welfare. On the budget side, they objected to cuts to Medicaid, child care, transitional kindergarten, rural school funding, and other programs, while also warning against using pension funds to balance the budget and against a proposed 75-year Sound Transit bond, which they called financially irresponsible. No votes were taken in this media availability.

Transcript Highlights:

• </c> moving them away from the emergency moving them away from the emergency departments,<01:04:36.000
• Louisville operates out of a teams.
• </c><01:20:51.360><c> for</c> initiative which has been operating for initiative which has been operating
• In Dayton, emergency care costs.
• There are entity to be operational.

Keywords: 958, all

Summary: The committee first approved the minutes and then approved an agency amendment to a health and family services regulation. The amendment reversed a prior change so that neonatal ICU beds would remain subject to regular review rather than nonsubstantive review. The remaining administrative regulations were then reviewed without objection. The main presentation was from State Auditor Allison Ball on a report finding $836 million in concurrent Medicaid capitation payments from 2019 through 2022, involving individuals enrolled in Kentucky and at least one other state. Ball said Kentucky relied on the PARIS system, which has limitations because it is updated quarterly and depends on voluntary state participation, while a better federal data source, T-MSIS, was not fully available to the state. She said the audit found weak internal controls, siloed processes, outdated guidance, and a low-priority attitude toward residency checks, all of which contributed to missed alerts and improper payments. She also said the report identified additional problems, including payments made after beneficiaries died and cases involving multiple states paying for the same person. Ball recommended better access to federal data, stronger MCO contract provisions, and more active oversight by the Department for Medicaid Services and managed care organizations. She said the contracts reviewed did not provide a clear way to recoup the improper payments, though she and her counsel suggested possible equitable legal theories might be explored. Members expressed concern about the scale of the waste and the lack of contract enforcement, and asked whether any money could be recovered. Ball said the audit did not identify a clear contractual path to recoup the funds.

Transcript Highlights:

• Drug Enforcement Administration Special Operations Unit.
• Well, sure enough, a state of emergency was issued.
• Here's what's interesting about that: that state of emergency...
• And in that time, with the provision that a state of emergency would qualify for the use of the Emergency
• I'm completely sensitive to how insensitive those operations are going to be.

Summary: The Senate opened with a quorum, prayer, and the Pledge of Allegiance, then read an amended joint proclamation expanding the special session call to include financial penalties for government officials, criminal penalties for offenses committed by illegal aliens, and programs and appropriations to support law enforcement cooperation with federal immigration enforcement. No committee reports, governor’s messages, or House messages were on the desk before the chamber moved to the special order calendar. The main item was Committee Substitute for Senate Bill 2B, the immigration bill, along with a late-filed strike-all amendment by Senator Gruters. Gruters said the amendment aligned terminology with federal law, increased penalties for crimes by unauthorized aliens, added transnational crime organizations to gang definitions, required stronger participation in the federal 287(g) program, created financial penalties for noncompliance, offered a $1,000 bonus for officers assisting ICE in large operations, directed more information-sharing with federal agencies, and barred DHSMV from issuing licenses or IDs to unauthorized aliens. He framed the bill as supporting President Trump’s immigration agenda and focusing on criminal illegal aliens rather than street-level enforcement. A long question-and-answer period followed, with Senators Polsky, Pizzo, Smith, Jones, Roscoe, Berman, and others pressing the sponsor on scope, legality, costs, and implementation. Questions focused on whether the bill would require participation beyond jails and detention centers, whether schools or churches could be affected, liability and immunity for local agencies, the size and purpose of the proposed appropriations, and the impact on undocumented students receiving in-state tuition waivers. Gruters and Senator Fine said the 287(g) provisions were intended to apply to jails and detention facilities, that green-card holders and lawful residents would not be affected, and that the tuition waiver repeal would end discounted tuition for students in the country illegally while not affecting their ability to attend. Fine also defended the mandatory death penalty provision for certain capital offenses committed by illegal immigrants, acknowledging it would likely be challenged in court but arguing the bill was designed to test and advance the policy. No final vote or other action on the bill is reflected in the excerpt.

Transcript Highlights:

• It is what keeps the farm operating.
• Members, AB 1913 allows peace officers and law enforcement volunteers to operate specified emergency
• In emergency situations, first responders may be asked to operate specialty equipment, including mobile
• Current law allows firefighters to obtain an endorsement, which allows them to operate these vehicles
• safe in emergencies, especially in rural communities like the ones that I represent.

Keywords: 988, house, all

Transcript Highlights:

• </c> changes to the rules given the emerging changes to the rules given the emerging technologies.<00
• Um, so I currently serve as the chief operating officer of the West Hawaii region of HHSC.
• Um, so I currently serve as the chief operating officer of the West Hawaii region of HHSC.
• Um, so I currently serve as the chief operating officer of the West Hawaii region of HHSC.
• </c> currently serve as the chief operating currently serve as the chief operating officer<00:26:18.400

Committee: Senate Health and Human Services

Keywords: 912, senate, all

Summary: The Committee on Health and Human Services heard testimony on a series of gubernatorial nominations to health, disability, aging, and advisory boards. Early nominees included Pria Tay for the Kauaʻi Service Area Board on Mental Health and Substance Abuse, who emphasized her 25 years in the mental health field and commitment to community access to training and resources, and Ashley Mishihara for the Fuel Tank Advisory Committee, who described her involvement in the Red Hill response and ongoing concern about protecting the sole-source aquifer and ensuring remediation. Christopher Luthie, nominated to the State LGBTQ+ Commission, said he wanted to advocate for LGBTQ+ residents statewide and help improve programs so people are not overlooked, and he received support from commission member Michael Galuyo Jr., who said the commission had lacked a Hawaii County representative since December. The committee also heard from nominees to the Radiologic Technology Board, including David Wodsworth and Reena Shimata. Wodsworth said the board should modernize rules and regulations, while the Department of Health supported him and clarified that the board focuses on policy and procedures rather than direct licensing decisions. Shimata said she wanted to help protect patients, technologists, and the public from radiation exposure, and the Department of Health and several medical professionals supported her, with one witness noting that modern technology reduces dose but competent technologists remain essential to avoid unnecessary exposure. The committee deferred GM712, a nomination not present at the hearing, until Monday, March 9. Additional nominations included Judy Pike for the disability communications/access board, who cited her prior DECAP staff experience and long involvement in disability access work, with strong support from a current board member; Rick Taber for the Policy Advisory Board for Elderly Affairs, who sought a second term and highlighted his committee leadership and long mental health career; Amy Healey Austin for the Statewide Health Coordinating Council, who said she wanted to represent rural health needs and described her leadership roles in West Hawaiʻi health care; and Ed Chevy for DECAB, who stressed the importance of interpreter access and communication access, with support from Christine Pagano. The committee took no final votes in the portion of the hearing provided, and several nominees were told their decisions would be taken up later in the meeting or at the end of the calendar.

Transcript Highlights:

• Minnesota's broadcasters have embraced new and emerging technology to stay connected with their communities
• have embraced Minnesota's broadcasters have embraced new<00:09:56.160><c> and</c><00:09:56.480><c> emerging
• Taxing advertising operations, especially online, raises costs for everyone.
• Taxing advertising operations,<00:16:12.320><c> especially</c><00:16:12.800><c> online,</c><00:16:13.360
• ><c> raises</c> operations, especially online, raises operations, especially online, raises costs<00:

Keywords: 919, house, all

Summary: The committee took up House File 3117, which would impose an excise tax on social media companies based on Minnesota monthly users and data-mining activity, and adopted an A1 amendment that added clarifying language identifying social media platforms. Chair Gomez described the bill as a way to tax companies profiting from data mining and social media use, citing concerns about child bullying, misinformation, and wealth concentration. The bill was laid over for possible inclusion in the 2025 taxes bill. Supporters testified that the measure would help raise revenue from a highly profitable industry and better align the tax code with the social costs of data collection and social media use. Pastor Julie Thompson, MAPE representative Tanner Fritzinger, Council Member Sue Bud, and Eric Bernstein of We Make Minnesota all backed the bill, arguing that social media companies extract value from users’ data, contribute to mental health and social harms, and should pay more toward public needs. Bernstein also framed the tax as a way to broaden the tax base and fund schools and other services. Opponents warned that the bill could sweep in local broadcasters, newspapers, and other businesses that use digital platforms and collect some user data, and that costs would likely be passed on to consumers. Wendy Pollson of the Minnesota Broadcasters Association said the definitions were too broad and could unintentionally include local media. Deb Peters, speaking for Americans for Digital Opportunity, argued the tax would raise costs for small businesses and consumers, create legal risks, and amount to double taxation. Several members echoed concerns about regressivity, administration, and whether the bill actually addresses online bullying or data privacy, while supporters said it is a first step toward taxing a new, lightly taxed industry.

Transcript Highlights:

• Additionally, proposed amendments reflected in the analysis further define what constitutes emergency
• This bill would grant law enforcement staff and volunteers limited authority to operate specified emergency
• Additionally, proposed amendments reflected in the analysis further define what constitutes emergency
• Under current law, operators with state cannabis licenses can only conduct commercial cannabis activity
• On behalf of the California Cannabis Operators Association, I'll be brief.

Summary: The Assembly Appropriations Committee met on May 6, 2026, with a quorum present and began by approving a large consent calendar of bills on two unanimous-support motions. The committee then heard a series of individual bills, with authors and sponsors generally describing low or absorbable state costs and asking for aye votes. Topics included AI/digital safety education for students (AB 1792), hepatitis C treatment access (AB 1843), rent-now-pay-later consumer protections (AB 2350), retirement information for community college faculty (AB 2417), cannabis regulation changes including tribal commerce, drive-through sales, and beverage labeling (AB 2506, AB 2697, AB 2532), emergency equipment training for law enforcement volunteers (AB 1913), cannery law modernization (AB 2706), child care planning in local governments (AB 1914), EV charger permitting fees (AB 1820), election-record notice requirements (AB 1664), nursing home discharge notices (AB 2135), a San Diego energization-delay pilot (AB 2518), mental health training for school coaches (AB 1665), and education governance and oversight changes (AB 2117). Several bills were described as committee or sponsor measures with technical or clarifying changes, including AB 2780, AB 2615, AB 2121, and AB 2771. Testimony was largely supportive, often from sponsor groups, industry representatives, labor, or advocacy organizations. Notable support included TechNet for AB 1792, the California State Sheriffs’ Association for AB 1913, California Dairies and food manufacturers for AB 2706, the Low Income Investment Fund for AB 1914, EV and environmental groups for AB 1820, the Attorney General’s Office for AB 1664, long-term care ombudsman advocates for AB 2135, and the California State Association of Psychiatrists for the cannabis and mental-health-related bills. Some bills drew limited opposition or “opposed unless amended” positions, including AB 2350, AB 1820, and AB 2506, while AB 2697 and AB 2532 were presented as efforts to support the legal cannabis market and consumer safety. The committee also heard a presentation-only item, AB 2541, creating a lowrider specialty license plate, which drew enthusiastic bipartisan comments and co-author requests from members. Most bills were reported out with due pass recommendations, many on roll call and several with specific members not voting or voting no. AB 1664 was reported out as due pass as amended and placed on call before later being moved out on a B roll call. AB 2350 and AB 1914 were also later reported out from call on B roll calls, with AB 1914 noted as passing despite some Republican no votes. The suspense calendar was then deemed approved without individual action, and the meeting concluded after a brief public comment period in which members of the public voiced positions on unrelated bills, including support for AB 2497, AB 1729, AB 2189, AB 1575, AB 2170, and opposition to AB 1603, AB 2447, AB 2411, AB 2492, and AB 1952.

Transcript Highlights:

• Right now is key to locking in those operating notes.
• </c><00:41:48.440><c> loans</c> question has to do with operating loans question has to do with operating
• </c><00:42:00.760><c> loans</c> now of working on their operating loans now of working on their operating
• </c> direct market and diversified operations direct market and diversified operations and<00:51:54.920
• </c><00:58:23.559><c> and</c> that take risk within that operation and that take risk within that operation

Bills: HF711 , HF653

Committee: House Agriculture Finance and Policy

Keywords: agriculture, agricultural education, leadership development, Minnesota Agricultural Education and Leadership Council, MAELC, chapter 41D, grant funding, general fund appropriation, commissioner of agriculture, farm education, youth agriculture programs, ag literacy, workforce development, extension education, research funding, extension services, technology transfer, grant programs, 1183, house

Transcript Highlights:

• The new bypass will ensure more efficient emergency response and...
• The new bypass will ensure more efficient emergency response and improve overall safety for residents
• The city and everything's great, but we do not have another emergency access than what we had at that
• So that's, I mean, and being in the emergency service... Thousands of lives.
• So that's, I mean, and being in the emergency service business for 23 years in Show Low, you know, we

Bills: SB1272

Committee: House Rural Economic Development

Keywords: appropriation, Douglas port of entry, state funding, infrastructure, federal support, 1182, all

Transcript Highlights:

• Likely, we may have to go to the Emergency Commission to request additional funding to do that.
• And then Section 18 declares the rest of the bill an emergency, which gives us that...
• The emergency commission will give permission, and they go ahead. Go to the emergency commission.
• The emergency commission will give permission, and they go ahead.
• Or we could, again, the alternatives, we can always go to the Emergency Commission.

Committee: Senate Industry and Business

Keywords: 908, all

Summary: The Senate Committee on Industry and Business reconvened to work on House Bill 1584, which would create a new pharmacy benefit manager (PBM) regulatory structure within the Insurance Department. Insurance Commissioner John Godfrey and Deputy Commissioner John Arnold explained a revised set of amendments negotiated with Representative Casper and the North Dakota Pharmacists Association. They said the bill largely kept the House policy intact but added technical corrections, narrowed some references in Chapter 19-02, created a separate PBM licensing class, set a delayed effective date for licensing, and established emergency authority so the department could begin building the new division. They also described the proposal to fund the program through existing trust fund resources, PBM license fees, and a transfer of about $1.6 million from the prescription drug transparency program fund, while allowing the department flexibility to hire needed attorneys, pharmacists, and examiners. A major point of discussion was Section 10, which would have required the Attorney General to represent and bear costs for lawsuits related to the bill. Chief Deputy Attorney General Claire Ness said the language was too broad and would go beyond normal constitutional defense work, potentially obligating her office to cover all lawsuits against the commissioner or state under the section. Representative Casper said the intent was only to avoid the Insurance Department having to seek emergency funding for litigation, and both he and department officials said they were open to removing the section or narrowing it. After further discussion, the committee agreed to remove Section 10 from the amendments. The committee then voted 4-0 to adopt the amended amendment package, and then voted 4-0 to give House Bill 1584 a do pass recommendation as amended and refer it to Appropriations. Members noted the bill was still a work in progress, but said the revised version was intended to move the PBM regulation issue forward while continuing discussion in the appropriations process.

Transcript Highlights:

• Right now, supportive housing operators are struggling to create or operate supportive housing because
• ><00:04:35.759><c> are</c> now, supportive housing operators are now, supportive housing operators are
• </c> struggling to create or operate struggling to create or operate supportive<00:04:38.479><c> housing
• A capitalized services it can operate.
• The other is operating. How do mortar. The other is operating.

Bills: HF2740 , HF2901 , HF4443 , HF3943

Committee: House Housing Finance and Policy

Keywords: affordable housing, housing finance, Minnesota Housing Finance Agency, MHFA, low-income housing tax credit, LIHTC, Section 42, compliance period, housing stability, rental housing, affordable rental housing, homelessness, housing insecurity, housing supply, preservation, recapitalization, distressed properties, regulatory relief, local affordable housing aid, Interagency Council to End Homelessness

Transcript Highlights:

• </c> recommended a modest operating recommended a modest operating adjustment<00:10:19.200><c> increase
• 10:31.600><c> the</c><00:10:31.760><c> House</c> operating adjustment, which the House operating adjustment
• </c> recommended an operating adjustment recommended an operating adjustment which<00:11:07.600><c> the
• </c> is the intent of the operating increase. is the intent of the operating increase.
• </c> this it's a significant operational this it's a significant operational increase.<00:38:11.520><

Bills: HF2436

Committee: House Children and Families Finance and Policy

Keywords: child welfare, economic assistance, child care, grant program, video security cameras, 1183, house

Transcript Highlights:

• businesses, is... ...to all business partnerships, regardless of gross profits, even if they lose money operating
• While cities are responsible for public safety, emergency response, infrastructure, parks, and community
• services, we operate within one of the most constrained local revenue systems in the nation.
• authority would be used to protect and maintain essential city services, including public safety, emergency

Committee: Senate Revenue and Taxation

Summary: The committee heard several tax and local revenue measures. SB 288, by Senator Seyarto, would clarify that for inherited homes going through probate, the Proposition 19 one-year deadline to move in and claim the homeowner exemption begins when the property is legally declared to belong to the heir, rather than during probate. The author accepted committee amendments; Howard Jarvis Taxpayers Association supported the bill, and it passed 4-0 to Appropriations. SB 347, by Senator Choi, would reduce the state annual minimum tax from $800 to $600 for LLCs, LLPs, limited partnerships, S corporations, and C corporations. The bill was supported as a small-business tax reduction and passed 5-0 to Appropriations. The committee also considered two veterans property tax measures. SCA 4, by Senator Archuleta, would allow eligible veterans to stack the homeowners exemption with the veterans’ or disabled veterans’ exemption and remove outdated property-value limits in the constitutional veterans’ exemption. Testimony from veteran advocates and the Howard Jarvis Taxpayers Association supported the measure, and it was adopted 5-0 and referred to the Committee on Elections and Constitutional Amendments. SB 623, the companion statutory bill, would make conforming changes to implement SCA 4; it also drew support from veterans’ groups, the County of San Diego, and Howard Jarvis Taxpayers Association, and passed 5-0 to the Committee on Military and Veterans Affairs. SB 762, by Senator Archuleta, would authorize the city of Hercules to place before voters a local sales tax increase of up to 1% to help fund public safety, parks, infrastructure, and other services. Supporters described it as a narrowly tailored local control measure, while the committee noted it would let residents decide whether to tax themselves. The bill passed 4-1 to Local Government. SB 575 by Senator Laird was taken up on the consent calendar, the committee adopted technical amendments, and the consent calendar passed 5-0. The meeting then adjourned after all business was concluded.

Transcript Highlights:

• It's a $250,000 transfer from professional fees to operating expenses.
• It's a $250,000 transfer from professional fees to operating expenses.
• I just, again, if these are true operating... Exactly. Don't disagree with you.
• So what, at this point, you're telling us that these are for operating expenses.
• And we've allowed them to budget pay plan in their annual operating plan.

Committee: All ALC-PEER

Summary: The committee considered a series of appropriation, fund transfer, and reserve requests across multiple agencies. Section B temporary appropriations included funding for state technology upgrades, personnel management staffing and IT skills assessment, court reporters and interpreters, crime victim claims, juvenile sex offender assessments, radiation lab testing, and higher education workforce grants and credentialing pathways. Additional items covered an ARPA grant for the University of Arkansas Fort Smith LPN program, an IIJA grant for the Oil and Gas Commission’s critical minerals work, a restricted reserve transfer for State Police vehicle purchases, a transfer to the Arkansas Heroes Program, and cash fund requests for the Real Estate Commission’s AV system and HVAC work. Most of these items were approved by voice vote. One budget classification transfer request from the Commissioner of State Lands drew extended questioning and was ultimately not approved. Members questioned the $250,000 transfer to operating expenses tied to the purchase of a West Little Rock office building, the ongoing lease costs at the prior location, and whether the agency had adequately planned for building-related expenses. After discussion, the motion failed, and members told the agency to tighten spending and return if needed. The committee then took up 15 pay plan appropriation requests totaling $25.7 million and approved them after discussion with DFA, DHS, Corrections, and the State Board of Election Commissioners. Members focused heavily on DHS staffing shortages at human development centers, where officials said vacancies and turnover were driven by overtime and burnout rather than pay alone; one member asked DHS to submit a written plan to address the issue. Corrections reported the pay plan had improved hiring and retention. The committee also approved overtime appropriations for Emergency Management and Military. Reports on reserve funds, the Budget Stabilization Trust Fund, tobacco settlement, State Central Services, Education Adequacy, Medicaid Trust, IIJA, and revenue transfer activity were received. The Medicaid Trust Fund report prompted significant concern about February’s $90 million draw; DHS said the month was unusually high because of cash-flow timing and that the fund should end the year with a balance between $150 million and $200 million, while lawmakers noted a second $100 million set-aside is planned for FY27. The final discussion centered on DHS’s state hospital damage claim and reconstruction funding, where members expressed disappointment that insurance reimbursement would likely return only about $1.8 million now and possibly about $97,000 more later, far less than the roughly $5 million initially expected. DHS explained the policy was based on actual cash value and depreciation for old buildings, and said the work would proceed on Unit 3 for secured restoration because it was the most cost-effective option.

Transcript Highlights:

• So the first two are really where we'll be operating from.
• So the first two are really where we'll be operating from.
• In my experience, this office operates, serves all Idaho very successfully.
• In my experience, this office operates, serves all Idaho very successfully.
• Representative, is this bill an emergency? An emergency? Right now? It's a dad joke.

Committee: Senate State Affairs

Keywords: 989, all

Transcript Highlights:

• Emergency funds within 24 to 48 hours to support immediate needs.
• Have operated under both federal and state statute.
• We have also increased expenditures for staff and operations as well.
• Not all of their schools have operating kitchens. A lot of them do have new...
• I'm not aware of any flow-through or an emergency release around the capital development fund.

Transcript Highlights:

• being able to tap into these data resources, to be able to have access to thought partners around emergency
• FIFA and the World Cup coming, being able to do that collectively as well and have access to that emergency
• In my first four months, it's been more on the space of reacting to the environments in which we operate
• being able to tap into these data resources, to be able to have access to thought partners around emergency
• World Cup coming, being able to be able to do that collectively as well and have access to that emergency

Committee: Joint Joint Select Committee on Health Care and Behavioral Health Oversight

Summary: The committee first welcomed new DSHS Secretary Angela Ramirez, who introduced herself and described her background in public service, federal and state legislative work, and health and human services leadership. Members emphasized the importance of building strong relationships with her and noted her focus on protecting services, using strategic approaches in a tight budget environment, and improving partnerships with the Legislature. Ramirez said she wanted to keep communication open and that her priorities would be shaped by what she learns from lawmakers and agency partners. The next work session focused on the West Coast Health Alliance and the broader Governor’s Public Health Alliance. Department of Health and governor’s office staff said the West Coast alliance, involving Washington, Oregon, California, and Hawaii, was formed to coordinate science-based public health guidance, especially around vaccines, return-to-work guidance, and responses to federal changes. They said the alliance is intended to reduce confusion, counter misinformation, and preserve access to evidence-based recommendations, with early actions including vaccine guidance for COVID-19, flu, and RSV, a statement rejecting any vaccine-autism link, and preparation for possible ACIP changes. Members asked about workload and coordination with other regional alliances, and staff said there is informal coordination but no formal regular meetings. The committee then heard from the Washington State Health Benefit Exchange about open enrollment and the effects of federal policy changes. Exchange leaders said the expiration of enhanced premium tax credits, HR1 provisions, and immigration-related eligibility changes are affecting affordability and enrollment, with some customers facing large premium increases and some counties becoming harder to serve. They reported early open-enrollment traffic increases, nearly 10,000 new sign-ups, and nearly 12,000 active coverage drops so far, while noting that many more people may disenroll later if subsidies are not extended. They also described mitigation efforts such as silver loading, Cascade Care Savings, outreach through navigators and community partners, and planning for future HR1 requirements like ending auto-renewal and adding verification steps. In the final work session, staff from the Health Care Authority and Insurance Commissioner’s office reviewed Washington’s health reform history and the state’s current affordability and access efforts. They highlighted past ACA-related coverage gains, continued work on prescription drug affordability, PBM oversight, primary care and behavioral health access, and a pending legislative proposal to preserve access to preventive services. They also discussed federal changes affecting Medicaid and the exchange, including work requirements, six-month redeterminations, and the need to coordinate across agencies to implement new rules. Members raised concerns about network adequacy, provider access, and the complexity of the health care system, while staff said they are trying to mitigate harm, simplify administration, and keep coverage and access as stable as possible.

Transcript Highlights:

• I mean, you've got a good perspective, but I think having planned for emergency operations before, to
• </c><04:14:02.040><c> Operations</c><04:14:03.080><c> before</c> planned for Emergency Operations before
• planned for Emergency Operations before uh<04:14:04.199><c> to</c><04:14:04.399><c> your</c><04:14:04.880
• </c><04:14:29.479><c> shelter</c><04:14:30.159><c> operation</c><04:14:31.000><c> for</c> use an emergency
• shelter operation for use an emergency shelter operation for 72<04:14:32.199><c> hours</c><04:14:32.560

Keywords: 1189, house, all

Summary: The House Finance Division 3 work session continued its review of the Department of Health and Human Services’ Medicaid budget and related policy issues, with CFO Nathan White and Medicaid Director Henry Litman presenting updated materials. The discussion focused on a crosswalk between the adjusted FY 2025 Medicaid budget and the governor’s FY 2026 recommendation, plus handouts showing service additions, eligibility changes, dental rates, and other Medicaid changes since 2019. The department also said it would provide a clearer breakdown of the pharmacy cost-sharing item by general, federal, and other funds. Members asked detailed questions about the Medicaid enhancement tax, the 80% plan, and how funds are allocated between hospital payments, directed payments, and DSH uncompensated care. The department explained that the MET is being used more toward rates and directed payments to better align with federal matching rules, while DSH remains important for uncompensated care. They also noted that a pending Senate Bill 249 would keep the 80% structure and move to Senate Finance. On the trigger law, the department identified the governing provision as Chapter 342:12, Laws of 2018, and explained that if the federal match for Medicaid expansion falls below 90%, the state must notify legislative leaders and participants and the program would sunset after 180 days unless the legislature acts. The committee also reviewed current Medicaid expansion enrollment and program trends. Officials said enrollment was just under 59,000 as of March 3, with about 87,000 people enrolled over the past year and more than a quarter-million residents having used the program over its lifetime. They said enrollment has fallen from a post-pandemic high of nearly 97,000 and may eventually settle in the low 50,000s. Finally, the department discussed federal DSH funding risk, saying New Hampshire could face a significant reduction if Congress does not extend current protections, which is part of why the state has shifted more funding toward payment rates and directed payments.

Transcript Highlights:

• An emergency and providing an effective date.
• accountability reports; providing for conditions, limitations, and restrictions; and declaring an emergency
• additional monies to the Public Employee Retirement System for fiscal year 2027, and declaring an emergency
• Impaired for fiscal year 2027, providing requirements on service prioritization, and declaring an emergency
• no effect on an existing cause of action and no duty of reasonable care created, and declaring an emergency

Keywords: 989, all

Transcript Highlights:

• section do not apply to a public school located within the county juvenile detention center or state-operated
• ...juvenile detention center or state-operated juvenile facility. Why the exclusion? Mr.
• there are complications that require escalation to injectable anesthesia, systemic medications, and emergency
• The New Mexico Board of Optometry operates under the Optometry Act and regulates optometrists exclusively
• In contrast, the New Mexico Medical Board operates under the Medical Practice Act.

Summary: The committee first heard House Bill 120, which would revise New Mexico law on restraint and seclusion in public schools. The sponsor and supporters said the bill grew out of a year-long stakeholder working group and would clearly define terms such as chemical, mechanical, prone restraint, seclusion, timeout, de-escalation, and elopement; prohibit chemical, mechanical, and prone restraint; require continuous supervision during seclusion; update school safety plans and staff training; and improve reporting to parents and the state. Testimony from disability advocates, the Public Education Department, educators, and parents emphasized that students with disabilities are disproportionately affected, that clearer rules would help staff act safely, and that better reporting and de-escalation practices would reduce trauma. Committee members asked about the meaning of timeout, chemical restraint, data accuracy, and the juvenile detention facility exception, and the sponsor indicated an amendment on parent-notification timing would not be pursued to avoid delay. The committee then began House Bill 213, which would expand the Optometry Act to allow trained optometrists to perform certain laser procedures, including treatment for capsular clouding and glaucoma-related procedures. The sponsor said the bill adds training, certification, supervised live-procedure requirements, adverse-outcome reporting, and an Optometry Board member qualified to perform the procedures. Supporters argued the measure would improve access to care, especially in rural areas, and that the procedures are already performed safely in other states. Opponents, including ophthalmologists and the New Mexico Medical Board, argued the bill would move surgery outside the Medical Practice Act, lower the standard of care, and create regulatory and malpractice-accountability concerns because optometrists would not be subject to the same oversight and emergency-care authority as physicians. The committee did not reach a final vote on HB 213 before the transcript ended.