Transcript Highlights:

• </c> waiting for space in general population waiting for space in general population where<00:14:38.399
• </c> the incarcerated population the incarcerated population and<00:18:37.280><c> we</c><00:18:37.520
• He lost control of his bowels and bladder, and he could only move his right arm a few inches.
• He lost control of His feet curled up.
• So, if the match for Medicaid is what, 60/40, is that what it would be in this population?

Summary: The Committee on Public Safety held an informational briefing on best practices for medical or compassionate release programs used by correctional systems nationwide and how Hawaii’s current approach compares. Kristen Johnson of the Hawaii Correctional System Oversight Commission introduced Molly Crane of Families for Justice Reform, noting that the commission, the Department of Corrections and Rehabilitation, and the Hawaii Paroling Authority have all been involved in developing proposed legislation, though the bill itself was written by community advocate Bob Merse. Crane described FAM’s work on justice reform and said the group has studied compassionate release programs across the country, including federal reforms, to help Hawaii align with best practices. Crane argued that compassionate release is intended for people who are too ill or cognitively impaired to pose a public-safety risk and who are often the most expensive and resource-intensive people to incarcerate. She said Hawaii is the only state without a compassionate release statute and currently relies on an agency policy, which she described as complex and slow. She cited examples of severe medical cases in custody, including people with advanced dementia, multiple sclerosis, kidney failure, and hospice needs, and said the burden on correctional medical staff, overtime, off-site transport, and specialized care can consume a disproportionate share of staff time and state resources. She also said the recidivism rate for this population is under 1 percent, citing Vera Institute research. Members asked about the source of the recidivism figure, how a statute would streamline the process, and why the issue had not advanced in the past. Crane said the proposed bill would reduce layers in the process by moving cases from the medical director to the director and then to the Hawaii Paroling Authority, with a target timeline of about 30 business days from petition to hearing. Johnson said prior efforts failed in part because the agencies most affected were not included early in drafting and revision, and she said one attempt was vetoed, another was removed in conference committee, and another passed one chamber but did not advance. Johnson also explained that incarcerated people’s medical care is paid entirely by the Department of Corrections and Rehabilitation, with no private insurance or Medicaid/Medicare coverage while incarcerated, making severe cases a direct burden on state funds. No votes or formal actions were taken because the briefing was informational only.

Transcript Highlights:

• I'm Colin Beatty, CEO and co-founder of Control Z. in the Commonwealth.
• Is one of them Control Z? We hope to be. Is one of them Control Z? We hope to be. Right, okay.
• Okay, so it's over here, and then Control Z is totally separate. Okay, great.
• It's a place for them to go before they get mixed in with the general population.
• There is so much loss of power and loss of control.

Committee: Joint Joint Committee on Mental Health, Substance Use and Recovery

Summary: The hearing opened with remarks from House Chair Mindy Domb and Senate Vice Chair Robyn Kennedy, who outlined procedures for the hybrid public hearing, noted the committee would hear testimony on 15 bills related to treatment settings, and recognized members present. The first major bill discussed was H. 4200, authorizing a pilot program for psychedelic-assisted treatment in licensed facilities. Representative Jim O’Day and witnesses from Control Z supported the bill, describing it as a tightly controlled, medically supervised pilot with DPH oversight, limited sites, and screening requirements. Committee members asked about the number of sites and whether Column Health still existed; witnesses said the bill contemplated three separate pilot programs and that Column Health no longer existed after being purchased by another company. The committee also heard testimony on S. 1405 to make the drug stewardship program permanent by removing its 2026 sunset date. Senator John Keenan and others said the program helps collect and safely dispose of unused medications, reduces diversion, and should remain in place because manufacturers should bear disposal costs. A member from Boston added support based on local concerns about people searching through bags for drugs, and Keenan explained the original sunset reflected pilot status and industry pushback. A large portion of the hearing focused on S. 1394 and H. 2193, which would strengthen implementation of the 2023 Roadmap for Behavioral Health Reform. The Children’s Mental Health Campaign, Parent/Professional Advocacy League, Massachusetts Association for Mental Health, and Elliott Community Human Services testified that the roadmap’s helpline, community behavioral health centers, and crisis services are important but unevenly implemented. They urged a single point of accountability within EOHHS, regular strategic planning, a public data dashboard, and financial analysis of the behavioral health system and the access and crisis intervention trust fund. Witnesses said commercial insurance often does not fully reimburse community behavioral health center services, making sustainability difficult, and asked for better coordination across agencies and crisis response systems. Committee members asked whether the roadmap includes substance use disorder; witnesses said it is intended to cover behavioral health broadly, including mental health and substance use. The committee also heard testimony on bills to ban aversives and on suicide prevention signage. Lisa Jean Graff testified in support of S. 1394 by urging a statewide ban on aversive practices, including electric shock, withholding food or bathroom access, and other painful interventions, arguing disabled people deserve the same protections from harm as others. Fonda Bryant and Carol McLean supported a bill requiring suicide prevention signs on tall parking garages, describing personal experiences and saying the signs could create a brief pause and connect people to 988 or other help. McLean said her son died by suicide from a parking garage and that signage might have made a difference. The committee also heard strong testimony in support of creating intensive stabilization and treatment units within DMH facilities (S. 1398/H. 2204), with the Massachusetts Nurses Association and a DMH nurse arguing that highly assaultive patients need specialized, more secure units to protect staff and other patients and to improve care. Additional testimony supported creating a dedicated board for licensed mental health counselors (H. 4696/S. 1382), with Rep. John Badger, the Mass Mental Health Counselors Association, and others saying LMHCs are a large and growing workforce that needs its own licensing board, clearer standards, and faster implementation of existing licensure reforms. The committee also heard extensive testimony on H. 2223 regarding benzodiazepines and non-benzodiazepine hypnotics. Survivors and advocates described severe withdrawal, lack of informed consent, cognitive harms, and long-term disability, while a physician supported the bill as a way to improve disclosure of risks. Finally, the committee heard multiple witnesses in favor of H. 2231/S. 1383 to establish peer-run respite centers statewide. Advocates and people with lived experience said peer respites provide non-coercive, home-like alternatives to hospitalization, can reduce trauma and repeated admissions, and may be especially important for marginalized communities; they also cited cost savings and existing positive outcomes from current respite programs. No votes or final committee actions were taken during the hearing portion reflected in the transcript.

Transcript Highlights:

• I think a more educated population on how our government is run will make better decisions in the future
• think ignorance about our government is what allows corrupt people to engage in our government, to control
• on how our more um educated population on how our government<00:02:48.720><c> is</c><00:02:48.840><c
• 00:03:05.200><c> our</c><00:03:05.400><c> government</c><00:03:05.799><c> to</c><00:03:05.959><c> control
• </c><00:03:06.319><c> our</c> engage in our government to control our engage in our government to control

Transcript Highlights:

• </c> comprehensive infection control comprehensive infection control guidelines. guidelines. guidelines
• </c> with controlled substances. Substances. with controlled substances. Substances.
• So, this population is a little bit different.
• :45:56.680><c> and</c><00:45:56.840><c> I</c> I understand the population, and I I understand the population
• We have we have no control it's there.

Summary: The committee first approved the minutes and then took up a series of administrative regulations from several agencies. Early items included Attorney General consumer protection rules on removal sales, health spas, liquidation sales, and nonresident sellers of visual aid glasses; Finance and Administration Controller rules on clearinghouse validation and fraud prevention; and Board of Dentistry rules updating exam requirements, controlled substance prescribing, training for neuromodulators and dermal fillers, infection control, sedation/anesthesia continuing education, and required education on pediatric abusive head trauma and controlled substance ingestion prevention. The committee also approved staff amendments on these items, generally to conform to KRS Chapter 13A, and members asked a brief question about the dentistry controlled-substances changes, which was answered as an alignment with statute. The committee next approved regulations for the Board of Ophthalmic Dispensers, Board of Nursing, and Board of Emergency Medical Services. The ophthalmic dispensers package would revise meeting and recordkeeping language, raise renewal fees, set reinstatement and apprentice-license rules, add complaint and hearing procedures, and repeal a duplicative regulation. The nursing regulations would streamline approval of training programs and require notice and documentation of site visits and deficiencies. EMS rules would create five EMS medical director certifications, set expiration and renewal requirements, require publication of disciplinary sanctions, and exempt currently approved directors before October 1, 2026. Staff amendments were adopted without objection on each set. The Education and Labor Cabinet’s school transportation regulation drew extended discussion. The agency explained the changes were intended to implement Senate Bill 46 and update references affected by later legislation, including an oral amendment to delete a subsection reference tied to KRS 160.380. The committee adopted both the agency and oral amendments without objection after brief questions about the scope of the bill changes and van transportation for students. The committee then heard a lengthy package from the Department for Public Health on WIC and related nutrition program regulations, including updates to infant and child certification periods, documentation requirements, vendor criteria, sanctions, hearing procedures, and high-risk vendor standards. Staff amendments were adopted without objection. Finally, the committee considered the Inspector General’s regulation for freestanding birthing centers, which included both staff and agency amendments. The agency changes would require two neonatal resuscitation program-certified staff, set rules for medical director vacancies and appeals, revise facility and staffing terminology, adjust transfer-agreement requirements, and allow waivers when agreements cannot be secured. Mary Katherine DeLodder of the Kentucky Birth Coalition testified in support, saying the parties had worked through concerns and were ready to move forward. The committee then moved on to Medicaid’s 1915C child waiver regulations, where staff amendments were adopted, but Lucy Heskins of Kentucky Protection and Advocacy testified against the package because it did not include person-directed services, which she said are required by Kentucky law and important for families using the waiver.

Transcript Highlights:

• More about, you know, more controlled environments.
• You know, a producer's ranch, where you could have a lot more control.
• So, we're part of that surveillance process in the free-ranging wildlife populations.
• It reduces wild fly populations so that the sterile insect technique can do its job effectively.
• We're happy for them to even control our inventories. We are the regulatory wing for the state.

Committee: House Agriculture & Livestock

Transcript Highlights:

• with rent control measures uh as<00:09:22.079><c> there's</c><00:09:22.240><c> a</c><00:09:22.360><c
• And I'm not saying the rent need to be controlled in that sense, but there should be a tier system.
• And I'm not saying the rent need to be controlled in that sense, but there should be a tier system.
• And I'm not saying the rent need to be controlled in that sense, but there should be a tier system.
• Having a population of 500,000 or less.

Summary: The Committee on Housing met on February 6, 2025, first in a joint session with the Committee on Labor and Technology. The joint committees heard SB 1235, which would create a Hawaii Housing Finance and Development Corporation program for government employee housing, including a revolving fund and a leasehold rent-to-own program. Testimony was generally supportive from HHFDC, the Department of Budget and Finance, and UPW, with one testifier opposing the bill because it was limited to state workers and should be broader. The committees recommended passage with amendments, including technical changes, $450,000 for two positions, removal of an income restriction, and clarification that leasehold and day-one projects are eligible; both committees adopted the recommendation unanimously, and the joint meeting adjourned. The Housing Committee then took up SB 67, SB 1133, and SB 1333. SB 67 would bar inclusionary zoning requirements on certain housing offered for sale or rent to qualifying residents, and it received support from HHFDC, the Grassroot Institute of Hawaii, and others; the committee recommended passage with technical amendments and adopted it. SB 1133 would allow counties to set rent increase limits tied to CPI and create a long-term residential lease tax credit; testimony included support from the Department of Taxation and opposition from Hawaii Realtors, NAIOP Hawaii, and the Tax Foundation, which warned about rent-control consequences. The committee recommended passage with amendments that made the credit nonrefundable, allowed limited carry-forward, restricted claims in certain family-lease situations, set filing deadlines, and applied the measure to disaster-affected counties; the recommendation was adopted. SB 1333 would allow certain counties to use surcharge revenues for transportation and housing infrastructure and extend the surcharge period. DBEDT, OPSD, HCDA, county officials, and the Grassroot Institute supported the bill, while the Tax Foundation opposed it, arguing temporary taxes were becoming permanent. The committee recommended passage with technical amendments, and members noted concerns that prior surcharge revenues had not produced enough housing projects, which were to be reflected in the committee report. Finally, the committee deferred SB 834 indefinitely because it had already been deferred indefinitely by the Hawaiian Affairs Committee, and the Housing Committee adjourned after completing its agenda.

Transcript Highlights:

• They do not control what the third-party sellers choose to list or how those products are described,
• Do you control that? So we go socially. Like, to work, please. Yeah, we have two better.
• Do you control that?
• Assembly Member Patterson noted that support for this population in schools is contingent on federal
• He said the population and the families associated with it are facing ridiculous challenges.

Committee: House Privacy and Consumer Protection

Transcript Highlights:

• the way our general population views the patient population.
• </c><00:20:15.640><c> the</c> don't view the patient population the don't view the patient population
• 17.039><c> views</c><00:20:17.320><c> the</c> way our general population views the way our general population
• A provider could refuse to prescribe birth control pills to prevent pregnancy.
• </c><00:24:25.799><c> pills</c> method methods like birth control pills method methods like birth control

Summary: The committee heard testimony on Senate Bill 132, which would create conscience protections for health care professionals who object to participating in certain procedures or services on religious, moral, or ethical grounds. Senator Donald Douglas and several supporters argued the bill is a recruitment and retention tool for Kentucky’s health care workforce, emphasizing provider shortages, maldistribution, and the need to protect individual conscience rights. Supporters said the bill would not apply to emergency care, would not permit denial of care based on a patient’s identity, and would mainly protect professionals from being forced to perform procedures they believe are unethical. They also cited similar laws in six other states and said the bill would have a cause of action to give it enforcement teeth. Supportive testimony came from an emergency physician, a registered nurse, and others who described personal experiences or examples involving objections to abortion-related care, opioid prescribing, and pressure to participate in procedures that conflicted with conscience. They said conscience protections would help attract providers, preserve ethical integrity, and allow clinicians to make professional judgments without corporate or institutional coercion. In questioning, senators asked about practical examples, the scope of the bill, whether it would cover hypothetical cases involving patients of particular religions or identities, and which states have similar laws. The sponsor and supporters repeatedly said the bill is about procedures, not patients, and that it should not be read to allow discrimination against individuals. Opponents, including pediatricians and a registered nurse/minister, warned that the bill is overly broad and could allow refusals of care by not only physicians but also pharmacists, clerks, and ambulance drivers. They argued it could delay treatment, increase discrimination, and worsen access problems in rural areas, especially for contraception, Plan B, blood transfusions, and other services. Critics said existing professional ethics already require patient care and that the bill could undermine evidence-based medicine and worsen Kentucky’s provider shortage. The committee took testimony and questions; no final vote or disposition was announced in the portion provided.

Transcript Highlights:

• Here are the facts: In 2020, with a population of slightly over 23,000, Belton issued 20 warnings and
• With a population of 20,000, you had five.
• While the population of young people experiencing homelessness without a parent is not substantial.
• population.
• I'm testifying in support of House Bill 1831, and I support local control.

Bills: HB1511 , HB1831 , HB1988 , HB2147 , HB2234

Committee: House S/C on Juvenile Justice

Keywords: housing, affordable housing, state regulations, zoning, local government authority, drug court, juvenile justice, diversion programs, rehabilitation, criminal justice reform, remote proceedings, depositions, virtual hearings, court technology, criminal responsibility, age of maturity, expungement, mental health services, juvenile record sealing

Transcript Highlights:

• We do tailored assessments, particularly for this population, like a Montreal cognitive assessment that
• We do tailored assessments, particularly for this population, like a Montreal cognitive assessment that
• We do tailored assessments, particular for this population, like a Montreal cognitive assessment that
• And this bill is so broadly prohibiting medical interventions, it's undermining infection control, it
• We're the health plans that cover the Medicaid population.

Committee: Senate Senate Health and Human Services COR

Summary: The committee first approved the March 11 minutes and heard a presentation from Nathan Smith, CEO of Central Arizona Shelter Services, on homelessness in Maricopa County. He described rising homelessness, especially among older adults, and said CASS uses low-barrier emergency shelter, family shelter, and an older-adult shelter with case management, behavioral health services, and partnerships with outside groups for food, banking, digital access, and other supports. Members asked about collaborations with mutual aid groups and about point-in-time data, and Smith said the county data could be drilled down through AZMAG. The committee then moved to legislation. HB 2248, the Arizona Medical Freedom Act, would bar businesses, schools, and government entities from denying services or employment based on medical interventions, with an amendment allowing schools to limit access during outbreaks or for certain infections. Supporters framed the bill as protecting bodily autonomy and informed consent, while opponents argued it would undermine employers’ ability to prevent disease spread. The committee adopted the amendment and gave the bill a due pass recommendation on a 4-3 vote. HB 2906, requiring one dental board member to be an active oral and maxillofacial surgeon, passed unanimously after testimony that the board needs surgical expertise for complex cases and anesthesia oversight. HB 2189, directing the Nursing Board to adopt rules for licensed health aides and routine ventilator care, also passed with an amendment and a 6-0 vote. HB 2403 appropriates $2.5 million in FY2027 for home and community-based services providers for elderly and physically disabled Arizonans. Supporters said the funding would help retain caregivers, whose wages have lagged for years, and argued home care is cheaper than hospitalization or institutional care; the bill passed 6-0. HB 2731 continued the Physician Assistant Board to 2030 and passed with a technical amendment, and HB 2730 continued the Occupational Therapy Board and passed as well. HB 2729 continued the Nursing Board to 2030; the board said it regulates about 150,000 licensees and handles thousands of complaints annually, and the bill passed 6-0. HB 2728 continued the Department of Economic Security and incorporated several previously vetoed policy provisions affecting SNAP, unemployment, and eligibility/redetermination rules. Speakers in opposition said it would make benefits harder to access and turn a continuation bill into a vehicle for controversial policy changes, while supporters argued it was part of the legislature’s oversight role. The bill passed 4-3. The committee also adopted a strike-everything amendment to HB 2048, which limits utilization controls on FDA-approved non-opioid pain medications relative to opioids; supporters said it would improve access to non-opioid pain treatment and reduce opioid harm, while opponents warned it would bypass clinical review and raise costs. HB 2048 passed 4-3. Finally, HCR 2058 would require a comprehensive claim-level audit of Arizona Medicaid claims and direct recovery efforts for misappropriated funds; supporters said it could recover significant overpayments, while opponents questioned its incentives and overlap with existing oversight. The resolution passed 4-3, and the committee adjourned.

Transcript Highlights:

• So that is the total population that we use in determining what is the ideal population of each district
• Next, based on the population numbers that we determine the ideal population is 769,221, we transition
• So the difference between the most populous district and the least populous district can be 10% of the
• total district population.
• And so there are some census blocks with very little population and some with much more population.

Summary: The Select Committee on Congressional Redistricting held its first meeting, established a quorum, and opened with remarks from the chair outlining the committee’s purpose and scope. The chair said the committee will focus only on congressional redistricting, will not take public comment at this introductory meeting, and may consider whether to propose a new congressional map ahead of the 2026 session. He emphasized that the work would rely on the 2020 census data, the current congressional map, and the House’s map-drawing software, and he stressed transparency, record retention, and compliance with constitutional prohibitions on drawing districts to favor or disfavor a party or incumbent. House outside counsel Andy Bartos then gave an educational presentation on redistricting basics and legal standards. He distinguished reapportionment from redistricting, explained that Florida was apportioned 28 congressional seats after the 2020 census, and reviewed the one-person, one-vote rule, noting that congressional districts must be drawn with near-exact population equality. He also described census geography and how counties, tracts, block groups, and blocks are used to build districts, and explained that congressional redistricting follows the ordinary legislative process rather than the special process used for state legislative districts. Bartos also covered contiguity, explaining that districts must be one connected piece and that mere point-touching is not enough, while bodies of water within a district do not necessarily break contiguity. No questions were asked after the presentation, no votes were taken, and no public testimony was heard. The meeting ended after the chair thanked attendees and said the committee would meet again the following week.

Transcript Highlights:

• involves budget proposals from the Department of Food and Agriculture, the Department of Cannabis Control
• , the Cannabis Control Appeals Board, the Gambling Commission, Department of Cannabis Control, the Cannabis
• Control Appeals Board, the Gambling Commission, and the Department of Alcoholic Beverage Control.
• I'm the Director of the Department of Cannabis Control.
• They serve very specific needs of the farming population.

Summary: The subcommittee heard a series of Department of Food and Agriculture budget proposals, beginning with ongoing funding and trailer bill language for the Farm to School program and related climate-smart agriculture work. CDFA described the program’s goals of linking California producers with schools, expanding access to local and nutritious food, and supporting underserved farmers through technical assistance and outreach. The LAO recommended rejecting the proposal as presented because of the state’s budget condition and suggested that some activities might instead be supported through Proposition 98. Members questioned whether the program is reaching the schools and communities with the greatest need, how grants are scored, and whether the proposal’s goals are measurable enough to justify ongoing funding. The item was held open. The committee also discussed CDFA’s climate bond expenditure plan, which would allocate remaining Proposition 4 funds to existing programs such as SWEEP, Healthy Soils, urban agriculture, fairground emergency response upgrades, and invasive species work, as well as new or developing programs including year-round certified farmers markets, mobile farmers markets, regional farm equipment sharing, and tribal food sovereignty. CDFA said the funds would be released in stages based on program readiness, with audits and performance metrics tied to each program. The LAO found the plan reasonable and consistent with bond requirements. Members asked about audit responsibility, performance tracking, and whether the bond programs should be front-loaded or spread over a longer period. A third CDFA item addressed the elimination of vacant positions under prior budget reductions. CDFA and the Department of Finance explained that the positions were selected because they had been vacant for long periods or were hard to fill, and that departments identified the positions based on their own operational knowledge. The LAO supported retaining the special-fund positions and suggested the General Fund positions be weighed on their merits. Members raised concerns about the impact on core functions such as audits, investigations, milk marketing, and grape pricing reports, and asked for follow-up on how the department determined which positions could be removed. The committee then heard a CDFA IT proposal to add funding and four positions for information technology operations; the LAO had no concerns, and members discussed cybersecurity, legacy systems, and future risks such as AI and quantum threats. The committee took public comment and then voted to approve items 9 through 13, which included CDFA dog importation certificates, livestock carcass disposal, Gambling Control Commission IT support and tribal grant funding, and an ABC district office relocation. The hearing then moved to the Department of Cannabis Control, which presented a request to strengthen enforcement against the illicit cannabis market by adding a North State field office in Redding and three non-sworn support positions. DCC said the illicit market remains far larger than the legal market, with a large backlog of cases and significant public safety and environmental concerns. Finance supported the targeted expansion, the LAO had no comment, and members asked about regional coverage, officer safety, and whether a larger, more transformational enforcement effort might be warranted in the future.

Transcript Highlights:

• Funding would be conditional on two controls.
• Next, aging asset risk… controls the build-out of decisions.
• That's what was stated in the 1984 Flood Control Act.
• I mean, we're likely over 800,000 population now.
• We have created more than 700 flood control structures.

Committee: Joint Water Topics Overview Committee

Transcript Highlights:

• It eliminates Medicaid enrollment fees or premiums for expansion population adults.
• We need to automate the new exemptions for the Native American population.
• This is the urban Indian, the California Indian, and the regular Indian population.
• Now, there's been mention of the immigrant population.
• Now, there's been mentioned of the immigrant population. They're going to be cut off.

Summary: The Assembly Budget Subcommittee on Accountability and Oversight held its fifth hearing of the year to examine the newly enacted federal H.R. 1 and its effects on California. Members and the chair described the law as a major threat to state health, food, education, and climate programs, and emphasized that California would not be able to fully backfill the federal cuts. Several members also highlighted the bill’s tax provisions, including temporary deductions for tips, overtime, seniors, and auto loan interest, while warning that the largest benefits flow to higher-income taxpayers and that major cuts to Medi-Cal, CalFresh, and clean-energy incentives are delayed or phased in over time. The Legislative Analyst’s Office and the Department of Finance presented detailed overviews of the bill’s likely impacts and implementation timelines. They identified the main affected areas as health care coverage and financing, food assistance, higher education, personal income taxes, and clean-energy/electric-vehicle credits. They explained that H.R. 1 limits provider taxes used to finance Medi-Cal, adds work and redetermination requirements, restricts CalFresh eligibility and increases state costs, changes student loan and Pell Grant rules, extends and modifies federal tax provisions, and phases out many clean-energy credits. Finance also noted major rescissions of Inflation Reduction Act funds, new border and immigration enforcement spending, and the possibility of PAYGO sequestration if Congress does not act to offset the deficit increase. During member questions, the committee focused on likely enrollment losses, administrative burdens, and fiscal exposure for the state and counties. Witnesses said many details still depend on federal guidance, but they estimated significant impacts on Medi-Cal, CalFresh, and graduate/professional student borrowing, and noted that California’s high CalFresh error rate could increase state costs. UC testified that the elimination of Graduate PLUS loans would affect thousands of professional students, especially in health, law, and other high-cost programs. Members asked for follow-up data on county, health, and tax impacts, and staff agreed to provide additional tables and estimates as implementation guidance becomes clearer. Public commenters from counties, early childhood advocates, health coalitions, disability rights groups, immigrant-rights organizations, and other stakeholders urged the Legislature to mitigate the law’s effects. They warned of higher county costs, reduced access to health care and food assistance, increased administrative burdens, and harm to children, immigrants, people with disabilities, and low-income families. Several urged new state revenue solutions and stronger protections for Medi-Cal, CalFresh, child care, and home- and community-based services. No votes were taken; the hearing was informational and ended with a commitment to continue monitoring federal guidance and to work on state responses in the budget process.

Transcript Highlights:

• for what falls deeply outside their control.
• We keep paying taxes in rural areas, but our populations don't benefit.
• We keep paying taxes in rural areas, but our populations don't benefit from what we pay.
• We know that we have a smaller unsheltered population, or proportion of our population, and we can only
• One is that the population of people becoming homeless every year is extremely dynamic.

Transcript Highlights:

• These systems were built for lower-risk populations.
• These systems were built for lower risk populations.
• And our population today is just under 800.
• Same population, longer follow-up, better outcome.
• Same population, longer follow-up, better outcome.

Committee: Senate Criminal Justice

Transcript Highlights:

• So it is something, I agree, we do need to get under control. Thank you.
• They are having some 2027 asks just from a population growth aspect.
• I know we've grown in population. Second question, sir. Sure.
• The true ongoing costs, we can't control.
• So within that, we don't have a lot of control.

Committee: House State Affairs

Transcript Highlights:

• The population of these cities equals about 78% of the Commonwealth's population and includes 19 of the
• The Donahue Institute is projecting a 25% decline in our population by 2050.
• Not through the regular formula, which includes mileage, employment, and population.
• But we were trying to focus on what we could control.
• And so we felt very confident advancing this plan to ...focus on what we could control.

Committee: Joint Joint Committee on Transportation

Summary: The Joint Committee on Transportation held its first hearing of the session on H. 53, Governor Healey’s Chapter 90 proposal to increase state funding for municipal roads, bridges, sidewalks, and culverts. Committee chairs outlined the hybrid hearing process and invited testimony from municipal officials, labor groups, regional planning organizations, contractors, and administration officials. Across the hearing, speakers consistently supported the bill, emphasizing long-deferred maintenance, inflation in construction costs, climate-related flooding, and the need for more predictable, multi-year funding so cities and towns can plan projects and take advantage of the construction season. The administration described H. 53 as part of a broader $8 billion transportation package, proposing to raise annual Chapter 90 funding from $200 million to $300 million for five years, with the additional $100 million distributed by road mileage to better support rural and small communities. They also highlighted $200 million for culverts and small bridges, plus other transportation investments, and said the five-year authorization would provide certainty for municipal capital planning. Municipal witnesses from places including Carlisle, Beverly, Granby, Hatfield, Newton, Nahant, Gardner, Beckett, and Yarmouth described local road and culvert backlogs, rising asphalt costs, and the difficulty of maintaining infrastructure on limited local budgets. Labor and industry witnesses from the AFL-CIO and MAPA said the bill would support good-paying jobs and provide stability for contractors and producers. The MBTA Advisory Board and regional planning representatives also backed the proposal, noting the connection between local roads and the broader transportation system. Committee members asked questions about the road-mile formula, culvert needs, asphalt costs, and the rationale for a five-year authorization. No votes were taken during the hearing, and the committee adjourned after testimony concluded.

Transcript Highlights:

• That’s problematic from the population health perspective, as you know.
• And now they're in control because so much of our resources are...
• And 68% of the population in my district are Medi-Cal clients.
• It will cause significant impacts to vulnerable populations and our county system.
• The fact that 60% of our population is taking a pill just is appalling to me.

Transcript Highlights:

• </c> eligible for this particular population. eligible for this particular population.
• </c> state inmate populations. state inmate populations. &gt;&gt; Okay. &gt;&gt; Okay.
• </c> immigration controls. immigration controls.
• And to the point of local control, local control is generally a good idea.
• a control, local control is generally a good<01:13:49.679><c> idea.

Summary: The committee met with a quorum, approved the October 21 minutes, and then heard a KO presentation focused on county jail funding pressures. KO leaders and county judges said jail costs have become a statewide crisis, noting that county general fund contributions to jail budgets have risen sharply since 2019. They said the organization’s sole legislative priority this session is to “reshape the shared responsibility” for county jails through three main proposals: incentivizing regional jails, clarifying responsibility for pre-trial felony detainees, and changing the model for housing state inmates. On regional jails, KO proposed one-time state construction help for new or expanded regional facilities, allowing former county jails to become 96-hour holdover facilities, changing regional jail authority boards so each participating county jailer can serve, increasing the closed-jail supplement, and offering a one-time payment to counties that close a jail and join a regional plan. On pre-trial felony detainees, Judge Mosley argued counties bear the full cost for people held before trial, sometimes for years, and said counties should be reimbursed for time served credit when those inmates are later sentenced. On state inmates, KO said the current per diem of $35.34 is below the average daily county jail cost of $63.44, and proposed a new contract model requiring the Department of Corrections to pay actual housing costs while counties provide agreed programming such as substance use treatment, cognitive behavioral programming, re-entry services, workforce training, and academic programming. Members asked about the fiscal impact of the package, the feasibility of regional jail population thresholds, and whether the proposal could affect counties’ ability to house federal inmates. KO said regionalization should remain a local decision, that a bill draft and fiscal note were being developed, and that only certain jails are eligible to house federal inmates under existing agreements. Representative Maddox also asked about social media comments by Judge Mosley regarding homeschooling; Mosley said the remarks were unrelated to KO and apologized for any offense. Senator Mills asked what counties would do with savings from jail costs, and judges said the money would likely go to local services such as roads, ambulance service, senior programs, parks, economic development, infrastructure, broadband, and water projects.