Transcript Highlights:

• the report card shows progress thanks to both the bipartisan infrastructure. law and the Inflation Reduction
• And spend more time turning dirt and less time doing paperwork.

Keywords: surface transportation, infrastructure reauthorization, bipartisan collaboration, safety, federal programs, funding challenges, bureaucracy, transportation needs, critical projects, public testimony

Summary: The committee meeting focused on the development of the next surface transportation reauthorization bill. Discussions centered around key principles aimed at improving the safety and reliability of the transportation network, reforming federal programs for efficiency, and addressing the diverse transportation needs across various states. Members emphasized the importance of bipartisan collaboration to streamline processes, eliminate bureaucratic delays, and ensure timely funding for critical infrastructure projects. There were also notable conversations about specific projects and funding challenges, reflecting the urgency for action and commitment to modernizing America's infrastructure.

Transcript Highlights:

• Second, including a reduction in field stockpiling of certain manures and other products helps reduce
• It might not be worth doing the paperwork for the grant. grant.

Transcript Highlights:

• We generally talk about spending, but there's also reduction that can be made, which is especially important
• However, the true valuation of the actuarial liability would be $64 million, which would be a reduction
• However, the true valuation of the actuarial liability would be $64 million, which would be a reduction
• And we're also reducing some of the paperwork. And I believe we have someone here to speak on that.
• And we're also reducing some of the paperwork.

Bills: SB1041, SB1050, SB1131, SB1138, SB1249, SB1267, SB1272, SB1317, SB1461, SB1488, SB1504, SB1517, SB1523, SB1580, SB1582, SB1584, SB1585, SB1602, SB1630, SB1654, SB1672, SB1673, SB1718, SB1761, SB1819, SB1826, SB1827

Keywords: electronic monitoring, nursing care, assisted living, resident rights, privacy, consent, surveillance, veterans, lifetime pass, state parks, Arizona, access, disabled veterans, cardiac arrest, defibrillators, school safety, emergency response, CPR training, Arizona education funding, automated license plate readers

Summary: The committee first considered Senate Bill 1630, which would direct AHCCCS to seek federal approval for a home- and community-based services program for adults determined to be seriously mentally ill, with quarterly implementation updates, stakeholder input, and a cap on enrollment. The sponsor and advocates from Arizona Mad Moms argued the bill would create an assisted-living-style Medicaid option for the most disabled SMI individuals, improve continuity of care, and reduce state general fund costs by shifting some expenses to federal Medicaid funding. Access testified neutral, estimating a total fiscal impact of $27.7 million, including $5.83 million general fund, and explained the need for CMS approval. The committee adopted an amendment reducing the initial cap to 250 members, changing reporting frequency, and adjusting eligibility and expansion conditions, then passed SB 1630 as amended on a 10-0 vote. The committee next heard Senate Bill 1131, which originally required school districts and charter schools to adopt cardiac emergency response plans and appropriated $1 million for implementation. An amendment replaced the mandate with a reporting requirement on AED counts, CPR/AED-trained staff, and whether schools have a plan, while keeping a grant component for AEDs and prioritizing rural schools. The American Heart Association supported the amended approach as a way to gather baseline data and target resources, and members discussed AED training, school preparedness, and whether the funding should favor rural or high-population schools. The committee adopted the amendment and passed SB 1131 as amended on a 9-1 vote, with Senator Kuby voting no and several members explaining concerns about funding and priorities. The committee then took up Senate Bill 1582, which concerned the school safety interoperability fund. An amendment shifted the appropriation from the Department of Education to the Department of Administration and allocated funds to specific county sheriff offices for continuing operation and maintenance of existing interoperability systems, while narrowing the program to public safety agencies and school districts and requiring twice-yearly testing. Sheriffs, a county school superintendent, and the Arizona Sheriffs Association described the systems as useful for drills and real emergencies, improving communication between schools and first responders; one speaker noted the program had been used in drills and at least one live deployment. Some members questioned the audit findings, the focus on rural counties, and whether the program was a good use of funds, while supporters emphasized its value for school safety. The committee adopted the amendment and passed SB 1582 as amended on a 6-4 vote. Finally, the committee began hearing Senate Bill 1504, which would change retirement rules for Tier 2 and Tier 3 public safety personnel by allowing earlier normal retirement and shortening the COLA waiting period, with an amendment exempting the changes from the statutory pre-funding requirement. Supporters from firefighter and police groups said the bill would improve recruitment and retention and let employees receive earned benefits sooner, while city, county, and taxpayer representatives warned it would add substantial unfunded liabilities and undermine the 2016 pension reforms. Actuarial testimony estimated significant costs, including tens of millions in annual or upfront impacts depending on how the change is funded, and members debated whether the amendment would shift costs onto future taxpayers or simply spread them over time. The transcript ends during continued testimony and discussion on SB 1504, before a final vote is reached.

Transcript Highlights:

• :27.040> leave<00:21:27.280> is Studies show paid family leave is associated with reductions
• this has forced me to not only engage with an HR firm to help manage this process, it's also more paperwork
• ><00:44:54.840> it's<00:44:55.040> also<00:44:55.560> more<00:44:55.840> paperwork
• this process, it's also more paperwork this process, it's also more paperwork for<00:44:56.480><

Keywords: 1183, house

Transcript Highlights:

• Instead, he saw many comments about paperwork, not having sufficient time to do the paperwork, and not
• Instead, he saw comments about paperwork, not enough time to do the paperwork, and not enough time to
• Paperwork.
• Paperwork.
• Paperwork.

Keywords: 908, all

Summary: The committee met to discuss special education funding and retention, beginning with approval of the prior meeting minutes and then hearing a presentation from North Dakota United on a statewide special education survey and retention rubric. Presenters described how the rubric and survey were developed from special educator input around four domains: paperwork and due process support, workload, student and staff safety, and paraprofessional management. They reported high levels of stress and burnout, including increased workload, difficulty taking prep and lunch time, concerns about mental health, and widespread difficulty filling special education positions. Committee members questioned the survey’s lack of a general-education comparison group, the interpretation of terms like “rarely” and “sometimes,” and whether results could be broken down further by district size, unit, or disability area. The survey results showed the weakest area was workload, with respondents reporting caseloads increasing without corresponding adjustments, little additional support or compensation when workloads rise, and few negotiated-agreement protections. Paperwork and due process also scored poorly, with many teachers saying they rarely receive dedicated time during the duty day, often work outside contract hours without compensation, and take work home on evenings and weekends. Student and staff safety scored somewhat better but still showed gaps in crisis follow-up, notification about violent behavior, protective gear, and leave options after incidents. Paraprofessional management also drew concern, especially low pay, insufficient staffing, limited administrative support, and the burden placed on teachers to supervise and train paras. Several teachers then testified directly about the practical impact of these issues. One special education teacher described the job as combining instruction, legal compliance, and paraprofessional supervision, often requiring work beyond contracted hours and contributing to burnout and turnover. Another testified that special education case managers are effectively doing three full-time jobs and that the paperwork and caseload demands are a major reason people avoid or leave the field. Committee members discussed whether the problems are primarily local or state-level, whether more funding would solve them, and whether changes to the funding formula or weighting for high-cost students might be needed. No formal vote or action was taken beyond a recess and return to order for the next presentation, which continued the discussion of possible special education study objectives and potential policy directions.

Transcript Highlights:

• And a lot of doctors are to the point that if there's so much paperwork, they're going to eventually
• The reduction of temporary total disability and supplemental earnings benefits by years? Okay.
• Your employer, as soon as he gets that, he's going to fill out paperwork, send it into our office as

Summary: The committee first took up Senate Bill 408 by Senator Myers, a major workers’ compensation overhaul centered on creating an all-claims medical database, requiring electronic reporting and billing, and modernizing fee schedule and claims data collection. Myers said the bill was designed to improve transparency, reduce disputes, address outliers and abuse, and help injured workers return to work faster. The committee adopted technical amendments, then considered a large amendment set combining portions of House bills 780 and 1101, which added preliminary determination procedures, fraud language, temporary total disability and supplemental earnings benefit changes, and a fallback deadline for the department to establish a fee schedule if no agreement is reached by 2029. Several members and witnesses objected that the amendments were dropped late and would turn SB 408 into an omnibus bill; supporters argued the package was the best chance for comprehensive reform. After debate, the committee adopted the amendments and reported SB 408 favorably as amended. Testimony on SB 408 was sharply divided. Supporters, including some providers and injured-worker advocates, said the bill’s core value was transparency through the database and that the system needed modernization and a better fee schedule. Opponents argued the added amendments would burden pro se claimants, expand litigation, and weaken injured workers’ rights, especially through fraud and preliminary hearing provisions. Committee members also questioned whether the combined package was germane and whether it should be allowed to move as a single reform measure. Louisiana Workforce Commission staff explained the timeline for data collection, electronic billing, dispute rules, and eventual fee schedule rulemaking, and said the department could execute the law as amended. The committee then turned to House Bill 585 by Representative Chasson, concerning workplace violence and safety plans for small-box discount retailers. The bill was revised through a substitute that required covered retailers to develop and submit a written workforce safety plan, or submit an existing plan if one already existed. Representative Glorioso raised concerns that requiring a written safety plan could create new civil liability under Louisiana’s assumption-of-duty doctrine and increase litigation and insurance costs. Chasson responded that the intent was simply to encourage safety planning and that businesses already had such plans. The committee discussed possible narrowing language, but the transcript ends before a final disposition on HB 585 is shown.

Transcript Highlights:

• <02:20:24.240> small<02:20:24.560> factor<02:20:24.880> in<02:20:25.200> paperwork
• <02:20:25.680> that<02:20:26.000> was fac small factor in paperwork that was fac small
• factor in paperwork that was filled<02:20:26.560> out<02:20:27.359> two<02:20:27.600><
• <03:08:05.120> and<03:08:05.359> all file the necessary paperwork and all file the
• necessary paperwork and all that<03:08:05.600> with<03:08:05.760> the<03:08:06.000>

Keywords: 928, house, all

Summary: The Housing Committee opened with a public hearing on HB 196, which would repeal the Housing Champion program. Representative Matt Drew, the prime sponsor, argued the program is an unnecessary and poorly targeted subsidy, saying it rewards municipalities after projects are completed and may not be limited to new housing production. He questioned the transparency of the program, cited difficulty finding required annual reports, and noted a fiscal note suggesting the state could recover up to $3 million if obligations are terminated. Committee members and witnesses debated whether the program’s criteria amount to political favoritism or a standard grant process; supporters said the rubric is specific and that municipalities are evaluated against objective requirements. Representative Priest, Nick Taylor of Housing Action New Hampshire, and Karen Benfield of Stay Work Play New Hampshire all opposed repeal, saying the program encourages local zoning and regulatory changes, helps smaller communities participate, and supports housing supply and young people’s ability to stay in the state. The hearing on HB 196 was then closed. The committee then opened a hearing on HB 1405, a bill establishing an affordable housing guarantee program within the Housing Finance Authority. Prime sponsor Representative Chris Muns said the bill would reduce lender risk by guaranteeing up to 80% of principal on qualifying loans for affordable housing, with a cap of $30 million per lender per year and $300 million outstanding at any time. He described the measure as a low-cost public-private partnership backed by the full faith and credit of the state, and said it was identical to a prior Senate bill that had received unanimous bipartisan committee support before dying later in the process. He framed the bill as one part of a broader housing package aimed at financing, infrastructure, workforce, zoning reform, and other housing-related issues. No votes were taken during the portion of the meeting provided. The only formal actions were opening and closing the public hearing on HB 196 and opening the public hearing on HB 1405, with testimony continuing on HB 1405 at the end of the transcript.

Transcript Highlights:

• It's a reduction of $42.7 million general fund in 2025-2026 and ongoing.
• So that way the individuals on CalFresh does not experience the reduction.
• We're also assuming on top of that a reduction of 22.5.
• We have a proposed reduction. This one is also a budget year plus one.
• So the reduction of ten hours at overtime is a huge... impact.

Keywords: 988, house, all

Transcript Highlights:

• If all this paperwork goes through, okay, to practice in our state, do they have to apply for a license
• There's a real reduction in capacity, and it erodes our provider's ability to provide services.
• And so the reduction in funding wouldn't be related to a fee-for-service model.

Keywords: 996, all

Transcript Highlights:

• I remember after the passing of my father a few years ago, we were going through a lot of his paperwork
• And those reductions are disproportionately occurring in smaller and rural districts.
• And those reductions are disproportionately occurring in smaller in rural districts.

Keywords: 959, house, all

Transcript Highlights:

• I think many of you have probably been seeing announcements and media talking about reductions of services
• Announcements and media talking about reductions of services, layoffs from hospitals, and that is, I'll
• people rolling off Medicaid and not being able to qualify for Medicaid services, or having increased paperwork

Summary: The committee heard a JLARC presentation on the Department of Health’s oversight of hospital inspections, complaints, and reporting. JLARC said DOH was late on 72% of acute care hospital inspections as of December 2024, had not verified that third-party accrediting standards were substantially equivalent to state standards, did not consistently require proof of those inspections, did not review adverse health event corrective plans, and could make hospital data more accessible. JLARC also raised a possible language-access barrier in the complaint system. Members asked about complaint filing by staff, the meaning of adverse health events, inspection outcomes, and whether the audit compared DOH to other agencies. JLARC said it had not reviewed inspection results or cross-agency comparisons, but noted inspectors were dedicated and working long hours. DOH later said it concurred with the recommendations and outlined a strategic plan with target dates for improving timeliness, verifying accreditation standards, expanding language access, reviewing adverse event laws, and improving public data access, with annual reporting to the Legislature expected. The committee then heard a Department of Health presentation on certificate of need modernization. DOH described the current certificate of need process, which reviews need, financial feasibility, quality, and cost containment for certain facility changes and new services, and said the program has not been modernized since the 1980s. DOH proposed 10 statutory modernization recommendations, including clarifying the program’s purpose, creating a planning entity, adding flexibility, reducing legal costs, updating access-to-care standards, expanding oversight to freestanding emergency departments and urgent care, addressing equity, improving cost control coordination, strengthening long-term funding, and using better data systems. Members asked about oversight of freestanding urgent care and EDs, funding sources, and whether the process could be streamlined or made more responsive to complaints or other triggers. A third panel discussed artificial intelligence in health care. Lucy O’Rourke of the Coalition for Health AI described CHAI’s work on responsible AI principles, technical standards, model cards or “nutrition labels,” testing and governance tools, and educational resources for providers. She said the group is focused on trust, transparency, fairness, safety, security, and privacy, and noted Washington’s AI-related policy work as among the more progressive in the country. No questions were asked. The final portion focused on the financial impact of federal and state health care policy changes. The Washington State Hospital Association said hospitals are facing low or negative operating margins, service reductions, layoffs, and closures, and that state cuts and taxes enacted in 2025, combined with federal HR1 changes, will significantly worsen finances. Providence Swedish leaders described staffing reductions, service cuts, delayed capital investments, and pressure from denials, tariffs, and reimbursement changes, while emphasizing that frontline staffing cuts are tied to service reductions rather than nurse-to-patient ratio changes. The Washington Health Benefit Exchange then began a presentation on expiring federal ACA premium tax credits, state Cascade Care Savings assistance, and eligibility changes affecting lawfully present non-citizens, with examples showing large premium increases for customers if federal subsidies expire.

Transcript Highlights:

• The paperwork submitted through us back to FEMA, and then FEMA passes the money through us back down
• look very different, uh, as, as members of this committee likely know, there has been a dramatic reduction
• There's been a 94% reduction in illegal crossings since the same time of last year.

Transcript Highlights:

• And being that we're getting ready to cut the gross reduction tax now down to 75%.
• the Legacy Capital Fund to expand I was trying to understand what was reduced because there was a reduction
• On page two, on section two, it meant I'm sorry, it mentions the reduction of federal matching dollars

Bills: HB4030, HB4031, HB4032, HB4033, HB4034, HB4035, HB4036, HB4037, HB4038, HB4039, HB4040, HB4041, HB4042, HB4043, HB4044, HB4045, HB4046, HB4047, HB4048, HB4049, HB4050, HB4051, HB4052, HB4053, HB4054, HB4056, HB4057, HB4065, HB4067, HB4071, HB4072, SB1144, SB1145, SB1146, SB1147, SB1148, SB1149, SB1156, SB1157, SB1158, SB1159, SB1161, SB1162, SB1163, SB1164, SB1165, SB1166, SB1167, SB1174, SB1175, SB1176

Keywords: education funding, budget appropriations, public schools, teachers' retirement, early childhood education, aeronautics, infrastructure, funding, sustainability, Oklahoma, mining, operator fees, coal production, noncoal mining, department of mines, revenue, state budget, budgetary reform, financial legislation, fiscal accountability

Bills: HB4030, HB4031, HB4032, HB4033, HB4034, HB4035, HB4036, HB4037, HB4038, HB4039, HB4040, HB4041, HB4042, HB4043, HB4044, HB4045, HB4046, HB4047, HB4048, HB4049, HB4050, HB4051, HB4052, HB4053, HB4054, HB4056, HB4057, HB4065, HB4067, HB4071, HB4072, SB1144, SB1145, SB1146, SB1147, SB1148, SB1149, SB1156, SB1157, SB1158, SB1159, SB1161, SB1162, SB1163, SB1164, SB1165, SB1166, SB1167, SB1174, SB1175, SB1176, HB4030, HB4031, HB4032, HB4033, HB4034, HB4035, HB4036, HB4037, HB4038, HB4039, HB4040, HB4041, HB4042, HB4043, HB4044, HB4045, HB4046, HB4047, HB4048, HB4049, HB4050, HB4051, HB4052, HB4053, HB4054, HB4056, HB4057, HB4065, HB4067, HB4071, HB4072, SB1144, SB1145, SB1146, SB1147, SB1148, SB1149, SB1156, SB1157, SB1158, SB1159, SB1161, SB1162, SB1163, SB1164, SB1165, SB1166, SB1167, SB1174, SB1175, SB1176

Keywords: education funding, budget appropriations, public schools, teachers' retirement, early childhood education, aeronautics, infrastructure, funding, sustainability, Oklahoma, mining, operator fees, coal production, noncoal mining, department of mines, revenue, state budget, budgetary reform, financial legislation, fiscal accountability

Bills: SB44, SB546, SB1213, SB1256, SB1287, SB1443, SB1644, SB1653, SB1716, SB1209, SB1826, SB1919, SB1930, SB1976, SB2028, SB2067, SB2072, SB2117, SB710, SB1477, SB1405

Keywords: sales tax exemption, nonprofit organizations, contractors, charitable purposes, state law, SB1213, earned credits, inmate credits, good time, sentence reduction, Department of Corrections, DOC, prison reform, corrections policy, inmate classification, class levels, rehabilitation credits, achievement credits, vocational training, educational credits

Transcript Highlights:

• It does not establish measurable reduction benchmarks or long-term population management systems.
• address root causes and reduce long-term inflow, not repeated removal cycles without demonstrated reduction
• It does not establish measurable<01:44:49.280> reduction<01:44:49.760> benchmarks<01:44
• :50.480> or measurable reduction benchmarks or measurable reduction benchmarks or long-term<01
• without demonstrated reduction outcomes. without demonstrated reduction outcomes.

Bills: HB1183, HB1656, HB1658, HB1661, HB1663, HB1664, HB1859, HB2116, HB2271, HB2276, HB2335, HB2360, HB2387, HB2472, HB1805, HB2469, HB1815, HB1860, HB2117, HB2118, HB2437, HB2438, HB2604, HB1590, HB2156, HB2268

Keywords: retirement, pension, law enforcement, public safety, Hawaii Revised Statutes, indebtedness, salary recovery, employee compensation, deductions, financial management, collective bargaining, employee relations, impasse procedures, arbitration, public employment, HB1661, cafeteria plan, Section 125, Internal Revenue Code, flexible spending account

Transcript Highlights:

• He could not attend this meeting because the paperwork hasn't been completed yet.
• You're saying there's a reduction in substance use, but this is here.
• paramedic, every EMT, every firefighter, every law enforcement officer needs to be taught stigma reduction
• So evidence-based stigma reduction training gives every responder the tools to approach those calls with
• Stigma reduction really does make a difference in how we take care of our patients and in their ability

Keywords: 959, house, all

Transcript Highlights:

• He could not attend this meeting because the paperwork hasn't been completed yet.
• You're saying there's a reduction in substance use, but this is here, and other jurisdictions have been
• I can't say this enough is we need to invest in stigma reduction training for all of Missouri's first
• So evidence-based stigma reduction training gives every responder the tools to approach those calls with
• That stigma reduction really does make a difference in how we take care of our patients and actually

Summary: The task force meeting opened with new leadership announcements, including Senator Nick Schroer thanking outgoing chair Representative John Black and naming Representative Del Taylor as vice chair. After some initial technical difficulties with audio and Zoom, members reviewed the task force’s statutory charge under Missouri law: to hold hearings on substance use, explore solutions, draft or modify legislation, and produce recommendations for prevention and treatment. The chair said the goal for this year is to develop concrete legislative ideas for the next session, with hearings focused first on field experts and later on alternative therapies and the Department of Mental Health. Dr. Rachel Winograd gave the first major presentation, describing Missouri’s overdose crisis as increasingly complex and driven primarily by fentanyl, now compounded by xylazine and metatomidine. She said overdose deaths have declined for a third straight year, with preliminary 2025 data around 1,200 deaths, and attributed the decline to a smaller fentanyl supply, wider naloxone availability, and fewer young people entering use. Her main recommendations were to focus on reducing harm rather than trying to eliminate drug use, expand evidence-based medications for opioid use disorder—especially methadone and buprenorphine—improve access to naloxone, and loosen methadone regulations, including take-home doses, the federal 72-hour rule, and broader methadone units. She also emphasized that peer support, housing, transportation, and other practical supports matter, and noted that naloxone can still reverse fentanyl overdoses even when tranquilizers are present. Dr. Heidi Miller, the state medical director, followed with two recommendations: integrate substance use disorder care into whole-person health care and follow the science when considering substance-related legislation. She argued that primary care, maternal health, workforce training, EMS, public health, and methadone access should all be part of a coordinated model, and said reimbursement should support teams rather than isolated providers. She also urged stronger enforcement of parity between behavioral health/SUD and physical health coverage, and highlighted tobacco and alcohol as major, under-addressed causes of death in Missouri. Dr. Doug Burgess then reinforced the need for a coordinated continuum of care, comparing substance use treatment to the seamless system used for heart attacks, and said patients should have standardized assessment, discharge planning from day one, transition coordinators, peer recovery coaches, and better information-sharing between levels of care. Members asked questions about relapse, treatment court, EMS referral barriers, reimbursement, and whether buprenorphine can be started in the field; no votes were taken, and the meeting ended with plans to continue hearing testimony and use it to shape future policy recommendations.

Transcript Highlights:

• The one thing we have on our site that will go live actually in February is we have two harm reduction
• for the last three months, and we're hoping that our community members have access to these harm reduction
• Have two harm reduction machines within our community. They're like vending machines.
• for the last three months, and we're hoping that our community members have access to these harm reduction
• you do have reimbursement for transportation through Medicaid, minimal, but it takes a stack of paperwork

Keywords: 916, all

Transcript Highlights:

• To answer your question, the reduction is based on updated opioid settlement fund revenues.
• So can you speak to... ...known effective harm reduction programs. So can you speak to this?
• project or program, and it also includes $5 million in the budget year to support the harm reduction
• I'm a co-director at the UBA Harm Reduction Collective. Thank you.
• We're a co-funded program and the only harm reduction program serving Nevada County, California.

Summary: The committee heard a budget oversight hearing on the Department of Health Care Services, focusing first on the overall Medi-Cal budget and a March General Fund loan to cover a current-year shortfall. DHCS said the 2025-26 budget proposal totals $193.4 billion, with Medi-Cal projected at $188.1 billion total funds and $42.1 billion General Fund, driven by higher enrollment, pharmacy costs, managed care growth, and costs tied to eligibility expansions and the COVID-era redetermination unwinding. The department said the $3.44 billion loan was needed to manage cash flow and ensure timely payments to providers and plans, while the LAO noted Medi-Cal’s cash-basis budgeting creates volatility and that more detailed estimates would come with the May Revision. Members discussed federal Medicaid threats, the need for transparency on cost drivers, and the impact of pharmacy spending, long-term care, and immigration-related coverage expansions. The second major topic was family health programs, including California Children’s Services, the continuous coverage unwinding, and opioid settlement fund spending. DHCS described CCS funding methodology changes, ongoing county stakeholder work, and a delayed rollout of CCS monitoring and oversight until July 1, 2025, while county representatives and advocates argued the program is underfunded and asked for more technical assistance and a delay in implementation. On the unwinding, the department explained that federal redetermination flexibilities helped maintain coverage after the pandemic, but the Governor’s budget proposes ending them at the end of June 2025; advocates urged making the flexibilities permanent to avoid coverage losses. For opioid settlement funds, DHCS and Finance said the budget increases funding for naloxone distribution while reducing other harm-reduction spending based on updated settlement revenues, prompting criticism from members and public commenters who argued the change would weaken effective harm-reduction programs. The hearing also included an update on Proposition 35 implementation. DHCS said the voter-approved measure continuously appropriates MCO tax revenues beginning in 2025, with up to $4.6 billion annually available for specified Medi-Cal and provider investments in 2025 and 2026, but implementation depends on consultation with the required stakeholder advisory committee. The department and LAO noted uncertainty about future federal rules affecting the MCO tax after 2026. Public testimony largely supported maintaining Medi-Cal expansions, protecting immigrant coverage, preserving harm-reduction funding, and increasing support for community health workers, pediatric dental care, and CCS county administration. No votes were taken during the portion of the hearing provided.