Transcript Highlights:

• I don't know systems reform the way these folks do.
• Bail reform went in.
• Also, police training reform. I'm, I'm committed to moving forward on police training reform.
• also getting back to DOC, uh, probation reform, there was a, a baby probation bill, probation reform
• I agree with juvenile justice reform.

Committee: House Courts, Corrections & Justice Committee

Transcript Highlights:

• volumes compared to those with higher Medicaid volumes, or taxes Medicaid units of services at a higher
• rate than non-Medicaid units of services.
• Affordable Care Act Medicaid expansion population, they are not exempt.
• HR1, as you heard, cuts nearly $1 trillion from Medicaid over 10 years.
• Medicaid covers 75% of all publicly funded family planning care.

Summary: The joint informational hearing focused on the impacts of H.R. 1 on California’s Medi-Cal program and on community health effects from recent immigration enforcement actions. Committee leaders said H.R. 1 would sharply reduce federal funding, increase administrative burdens, and worsen access to care, especially for Medi-Cal enrollees, immigrant families, rural communities, and reproductive health patients. The second half of the hearing examined how ICE raids and related federal actions are creating fear, reducing clinic and emergency department use, and disrupting children’s access to schools and early childhood education. Department of Health Care Services Director Michelle Bass outlined the main H.R. 1 provisions affecting Medi-Cal: work requirements, semiannual eligibility redeterminations, shorter retroactive coverage, new cost-sharing, limits on provider taxes and state-directed payments, reduced federal support for emergency and lawful immigrant coverage, and a one-year ban on Medicaid funding for prohibited abortion providers. She estimated millions could lose coverage, with tens of billions of dollars in federal funding at risk. Planned Parenthood Affiliates of California warned the defunding provision could force clinic closures, service reductions, and loss of access to family planning, STI testing, and cancer screenings. The California Hospital Association said the financing changes could cut hospital revenue by tens of billions over 10 years and threaten access, especially for rural and safety-net hospitals. The Western Center on Law and Poverty argued the law would increase churn, paperwork, and uninsured rates, disproportionately harming working adults and people experiencing homelessness. Committee members asked about implementation timelines, notification systems, administrative costs, the effect on immigrant eligibility, and whether California could delay or mitigate some provisions. Bass said the state was still assessing federal guidance, planning county and provider outreach, and exploring a possible delay for work requirements and a transition period for provider-tax changes. Members also discussed how state budget actions may need to be revisited in light of H.R. 1, and how California might preserve access through state-only funding or other policy changes. In the second panel, CHIRLA, Los Angeles County Department of Health Services, and the Children’s Partnership described the health consequences of immigration enforcement. Speakers said raids and data-sharing fears are causing anxiety, trauma, and avoidance of care, with Los Angeles County reporting declines in emergency, urgent care, and clinic visits after enforcement actions. The Children’s Partnership said school and early childhood absences are rising in some communities and that enforcement is undermining children’s emotional well-being and access to education. Members asked for more data and discussed possible state protections, telehealth, mobile care, and legal and policy responses to reduce fear and preserve access to health and education services.

Transcript Highlights:

• A lot of people mentioning Medicaid.
• These are and state Medicaid programs.
• The funding from Medicaid is one issue.
• I want to be able healthc care reform.
• </c> think, the correlation between Medicaid think, the correlation between Medicaid and<01:34:36.080

Summary: The committee approved the minutes unanimously and then heard extended testimony from Senator Jimmy Higdon, who reflected on Kentucky’s 2011 childhood obesity task force and said the state’s childhood obesity problem has worsened since then. He described prior recommendations from that task force, including more physical education, nutrition education, classroom-based physical activity, complete streets, bike lanes, sidewalks, and safe routes to school. Higdon also argued that government programs have contributed to obesity and drug abuse, focusing especially on SNAP and Medicaid, and said he has long advocated for a waiver to distribute SNAP benefits twice a month rather than once a month. Higdon said SNAP fraud and abuse are significant, claiming some recipients sell benefits and some retailers bend the rules on eligible purchases. He also said spreading benefits through the month could help families keep fresh food in the home and stabilize grocery store business, especially in food deserts and rural areas. In response to questions, he said he would not support allowing hot prepared foods under SNAP, though he said a grocery-store produce incentive similar to the farmers market match could be beneficial if structured separately. He also said the WIC program is a model for how SNAP could be better administered. Members thanked Higdon for his service and discussed whether the issue is food insecurity or poor nutrition. Senator Douglas emphasized adding stronger guardrails to nutrition-related programs, and Representative Proctor asked about the challenges of operating grocery stores in rural areas and food deserts. Higdon said independent grocers face thin margins, competition, and cyclical market pressures, and that SNAP distribution patterns can worsen those challenges. After Higdon’s testimony, the committee heard from Ann Cressilious, a registered dietitian with the Kentucky Academy of Nutrition and Dietetics, who began a presentation on the profession and on efforts to improve nutrition and access to nutrition information in Kentucky.

Transcript Highlights:

• These stakeholders recognize the critical need for reform and have endorsed the inclusion of BCABAs as
• It would allow them to afford care, stay off Medicaid longer, and even qualify for kidney transplant
• It would allow them to afford care, stay off Medicaid longer, and even qualify for kidney transplant
• over five years by reducing Medicaid enrollment through avoided asset spend-downs.
• Both of these bills establish biannual Medicaid rate review, requiring the Office of Medicaid, in collaboration

Committee: Joint Joint Committee on Health Care Financing

Summary: The Joint Committee on Health Care Financing held a public hearing on several health care bills focused primarily on autism services and kidney disease coverage. Committee chairs John Lawn and Cindy Friedman opened by outlining hearing procedures, testimony rules, and filing deadlines, and noted the hearing would be recorded and written testimony accepted. They said the day’s topics included affordability and access to behavioral health services, provider reimbursement, Medicare coverage for vulnerable populations, and MassHealth eligibility asset exemptions. A major portion of the hearing concerned House Bill 4623, which would add board-certified assistant behavior analysts (BCABAs) as a recognized mid-level supervisory role in the MassHealth reimbursement framework to help address long wait lists for autism spectrum disorder services. Representative Lisa Field, actuaries, clinicians, and autism service providers testified that the current two-tier model limits workforce capacity, contributes to long delays, and leaves families waiting months for care. Supporters said the bill could expand access, improve retention, and potentially reduce MassHealth costs, while also helping providers meet growing demand and new administrative requirements. The committee also heard testimony on House Bill 4425 and Senate Bill 2737, which would allow Massachusetts residents under 65 with end-stage renal disease to purchase Medigap coverage. Legislators, dialysis advocates, and patients described high out-of-pocket costs under Medicare, barriers to kidney transplant eligibility without secondary insurance, and the financial strain on patients and families. Testifiers said the change would affect about 846 residents, could modestly increase premiums, and might reduce Medicaid spending by preventing asset spend-downs. Senator Gomez and others spoke from personal experience with dialysis and transplant care. Finally, the committee heard testimony on House Bill 4353 and Senate Bill 2587, which would require regular data-driven review of MassHealth ABA reimbursement rates. Providers and association representatives argued that reimbursement has not kept pace with inflation, workforce shortages, accreditation costs, and new 2026 MassHealth policy requirements, and said the bills would improve transparency and ensure rates reflect the true cost of care. No votes were taken; the hearing concluded with the chairs thanking participants, inviting additional written testimony, and adjourning the meeting.

Transcript Highlights:

• They are currently paying for transportation for these funds through Medicaid funds.
• But with current and upcoming cuts as expected to Medicaid funds, this is not a sustainable source of
• They are currently paying for transportation for these funds through Medicaid funds.
• They are currently paying for transportation for these funds through Medicaid funds.
• The reform of capital A we've been listening to this past interim. So all that comes together.

Bills: SB234 , SB210 , SB243 , SB244 , SM16 , HB8

Committee: Senate House Education

Summary: The Senate Education Committee began by announcing that SB 210 would be rolled over to Friday and would not be heard. The committee then returned to SB 234, which would provide foster child school transportation funding statewide rather than only for Albuquerque Public Schools. Members adopted an amendment striking the APS-only language and making the bill statewide after testimony from the sponsor, PED, and others that foster youth transportation is a growing issue and should have its own funding stream. The committee discussed how the money might be distributed and whether the $1.2 million appropriation would be sufficient, then voted do pass on SB 234 as amended. The committee next heard HB 8, which creates a Higher Education Major Projects Fund for large capital projects that are difficult to fund through existing capital outlay processes. Testimony from the sponsor, LFC, HED, and university representatives explained that the bill would support projects such as the UNM School of Medicine, an NMSU multidisciplinary building, student housing, student life projects, and certain Division I athletic facilities, while requiring design readiness, institutional matches, and legislative oversight. Several senators raised concerns about the clarity of the prioritization process, the Division I-only athletics language, the recurring nature of future funding, and the relationship to other capital funding streams, but the committee ultimately voted do pass on HB 8. The committee then considered SB 243 and SB 244, nearly identical bills for UNM and NMSU that would each appropriate $5 million for student health, student support, nutrition, travel, scholarships, and other athletic department needs. Athletic directors testified that conference realignment, higher travel costs, nutrition demands, and new revenue-sharing/NIL obligations have increased expenses, and sponsors said the bills were intended as one-time appropriations. Some senators questioned whether the requests should be recurring or funded through university revenue rather than the state, but both bills received do pass recommendations. Finally, the committee heard SM 16, as amended, which asks HED to convene a task force to study parenting students in higher education and recommend ways to collect data and improve support. Supporters said better data is needed to understand barriers such as child care and transportation, and the memorial passed with a do pass recommendation. The committee then adjourned until Friday morning.

Transcript Highlights:

• And a one-year ban on abortion providers receiving federal Medicaid dollars.
• volumes compared to those with higher Medicaid volumes, or taxes Medicaid units of services at a higher
• rate than non-Medicaid units of services.
• HR1, as you heard, cuts nearly $1 trillion from Medicaid over 10 years.
• Medicaid covers 75% of all publicly funded family planning care.

Summary: The joint informational hearing focused first on the impacts of H.R. 1 on Medi-Cal and California’s health care system. Department of Health Care Services Director Michelle Bass outlined provisions including work requirements, semiannual redeterminations, reduced retroactive coverage, new cost-sharing, limits on provider taxes and state-directed payments, reduced federal matching for emergency services for some immigrants, restrictions on lawful immigrant coverage, and a one-year ban on Medicaid funding for certain abortion providers. She said the law could put tens of billions of federal dollars at risk, with estimates of up to 3 million members losing coverage from work requirements, about 400,000 from more frequent redeterminations, and major pressure on hospitals, clinics, and rural providers. She also noted the state is considering implementation timelines, possible delays, and planning for communications, county systems, and a rural health transformation fund. Testimony from Planned Parenthood Affiliates of California, the California Hospital Association, and the Western Center on Law and Poverty echoed those concerns. Planned Parenthood said the federal defunding provision would immediately threaten access to reproductive health care, with possible clinic closures, reduced hours, and workforce cuts if injunctions are lifted; it estimated about $305 million in annual federal matching funds are at stake in California. The hospital association warned that reduced provider taxes and state-directed payments could cut hospital revenue by an estimated $66 billion to $128 billion over 10 years, risking service reductions and closures, especially in rural areas. The Western Center argued the changes would reverse ACA-era coverage gains, increase churn and administrative burden, and disproportionately harm working poor people and those experiencing homelessness. Committee members asked about implementation, notification, state mitigation options, and the effect on hospitals and patients; no votes were taken. The second panel addressed community health impacts of recent immigration enforcement actions. CHIRLA described raids as a public health crisis that creates fear, trauma, family separation, and avoidance of health care. Los Angeles County Department of Health Services reported declines in emergency, urgent care, and clinic visits in immigrant-heavy areas after enforcement actions, and said it has responded with multilingual outreach, patient navigation, telehealth, and assurances that patient information remains protected. The Children’s Partnership said enforcement also disrupts children’s access to early childhood education and schools, citing increased absences and fear among families, and urged stronger protections, legal services, and funding for child care and school-based supports. Members asked for more data on visit declines, the effects on children and families, and how to reduce the chilling effect on care-seeking and benefit enrollment.

Transcript Highlights:

• transition them from acute care to more chronic care management plans and then we have delays in medicaid
• Medicaid eligibility is another challenge, and then guardianship.
• Also, the bottom graph is specific to Medicaid patients, where you will see that they are staying at
• I do want to acknowledge the current landscape around Medicaid and funding.
• Medicaid typically...

Committee: House Public Health

Summary: The meeting focused on hospital “avoidable days” and the difficulty of discharging medically stable patients who still need post-acute placement or social services. Presenters from Saint Anthony Hospital Midtown, the Oklahoma Hospital Association, City Care, and OU Health described common barriers including lack of skilled nursing, rehab, long-term care, behavioral health, and hospice placements; insurance prior authorization delays; Medicaid and Social Security eligibility delays; guardianship and Adult Protective Services bottlenecks; limited home health and private duty nursing; and the challenge of placing unhoused, uninsured, or medically complex patients. Several speakers emphasized that these delays reduce bed availability, increase emergency department boarding, contribute to staff burnout, and expose patients to hospital-acquired conditions and other harms. The testimony included multiple examples of patients remaining in acute care for days, weeks, or even months after being medically ready for discharge, including patients awaiting guardianship, disability determinations, or placement in facilities willing to accept them. Speakers also highlighted special populations such as patients with behavioral health or substance use disorders, medically fragile children, patients with criminal histories, and unhoused individuals who need respite or hospice care. City Care described its planned 40-bed medical respite facility, set to open in 2027, as a way to provide clinical support and housing navigation for patients too sick to recover on the street or in shelters. Witnesses recommended policy and system changes such as standardizing preauthorization protocols, expanding rural swing-bed and home-based services, increasing public guardianship resources, improving data collection on homelessness, expanding private duty nursing hours, and creating more placement options for complex patients. They also suggested better coordination between hospitals, DHS, APS, the Health Department, and post-acute facilities, including a database of facility services to improve discharge planning and keep patients closer to home. No votes or formal committee actions were taken in the transcript, but the chair indicated the issue would require collaboration across multiple agencies and partners.

Transcript Highlights:

• Care Services is the single state agency responsible for financing and administering the state's Medicaid
• members, to have a one-stop shop to look at how they can navigate all the multiple layers of their Medicaid
• Navigate all the multiple layers of their Medicaid benefit, such as transportation potentially, and even
• Under federal law, there's a process in the Medicaid world called facilitated enrollment, a term of art
• So again, acknowledge and appreciate your commitment to these reforms to comprehensively supporting the

Summary: The Assembly Budget Subcommittee on Human Services heard an overview of efforts to streamline access to safety net programs and move toward more automatic, person-centered enrollment. CDSS, DHCS, and CalHHS described current cross-enrollment between Medi-Cal, CalFresh, and CalWORKs, including data showing high overlap among programs and a text-message outreach pilot that increased CalWORKs applications and enrollments but reached only a small share of potentially eligible people. Witnesses emphasized barriers such as differing federal eligibility rules, data-sharing limits, privacy concerns, and the need for better technology, consent management, and stakeholder engagement. Members pressed the administration on how to institutionalize these efforts across administrations and asked for concrete budgetary and regulatory steps to support “no wrong door” enrollment and automatic referrals. The committee also reviewed several chair priorities. On the proposed foster care multi-agency office, CDSS said existing coordination structures already address much of the intended work and asked to verify prior fiscal scoring. On the Employment First Office, CalHHS explained that the office’s $1 million budget was eliminated in the 2024-25 budget as part of deficit reductions, while noting that employment for people with intellectual and developmental disabilities remains an administration priority through existing departmental coordination. For the food insecurity proposal, CDSS said it could provide technical assistance but would need new data-sharing agreements, could not separately calculate a CFAP participation rate with current data, and would likely need until July 1, 2027, plus ongoing staffing, to complete the requested report. The mandated reporter proposal drew support for reform, with CDSS estimating low-millions in one-time training costs and ongoing costs in the hundreds of thousands. The subcommittee also discussed a guaranteed income proposal. CalHHS suggested drafting new statutory language and considering a county-administered model rather than a state-run competitive grant process to reduce administrative burden, while members and public commenters urged support for AB 661 and a study of a permanent statewide guaranteed income program. Public testimony also supported automatic enrollment, community-supporting mandated reporting reforms, and cash assistance for fire recovery. In the final items, CSD described how local nonprofit partners helped during the Los Angeles fires with food, housing vouchers, transportation, and emergency energy assistance, and explained that LIHEAP and CSBG remain important but limited tools for disaster response. CSD also said recent federal staffing cuts and possible future federal budget threats could affect LIHEAP and CSBG administration, though no immediate service disruptions had occurred and additional LIHEAP funds were expected to be released soon.

Transcript Highlights:

• House Bill 1231, by Representative Barrow, Medicaid coverage for certain pregnant women, provide Medicaid
• As bill 1231 by representative Barolt, Medicaid coverage for certain pregnant women to provide Medicaid
• has been developed through the National Council of Insurance Legislators to provide a framework for reform
• It is to reform the New Orleans court system, not hearing it today, but I wanted to have an engrossed

Bills: HR91 , HR92 , HR93 , HCR44 , HR84 , HR85 , HR86 , HR87 , HR88 , HR89 , HR90 , HCR42 , HCR43 , SCR21 , HB483 , HB484 , HB893 , HB1087 , HB1088 , HB1089 , HB1090 , HB1091 , HB1092 , HB1093 , HB1094 , HB1095 , HB1096 , HB1097 , HB1098 , HB1099 , HB1100 , HB1101 , HB1102 , HB1103 , HB1104 , HB1105 , HB1106 , HB1107 , HB1108 , HB1109 , HB1110 , HB1111 , HB1112 , HB1113 , HB1114 , HB1116 , HB1117 , HB1118 , HB1119 , HB1120 , HB1121 , HB1122 , HB1123 , HB1124 , HB1125 , HB1126 , HB1127 , HB1128 , HB1129 , HB1130 , HB1131 , HB1132 , HB1133 , HB1134 , HB1135 , HB1136 , HB1137 , HB1138 , HB1139 , HB1140 , HB1141 , HB1142 , HB1143 , HB1144 , HB1145 , HB1146 , HB1147 , HB1148 , HB1149 , HB1150 , HB1151 , HB1152 , HB1153 , HB1154 , HB1155 , HB1156 , HB1157 , HB1158 , HB1159 , HB1160 , HB1161 , HB1162 , HB1163 , HB1164 , HB1165 , HB1166 , HB1167 , HB1168 , HB1169 , HB1170 , HB1171 , HB1172 , HB1173 , HB1174 , HB1175 , HB1176 , HB1177 , HB1178 , HB1179 , HB1180 , HB1181 , HB1182 , HB1183 , HB1184 , HB1185 , HB1186 , HB1187 , HB1188 , HB1189 , HB1190 , HB1191 , HB1192 , HB1193 , HB1194 , HB1195 , HB1196 , HB1197 , HB1198 , HB1199 , HB1200 , HB1201 , HB1202 , HB1203 , HB1204 , HB1205 , HB1206 , HB1207 , HB1208 , HB1209 , HB1210 , HB1211 , HB1212 , HB1213 , HB1214 , HB1215 , HB1216 , HB1217 , HB1218 , HB1219 , HB1220 , HB1221 , HB1222 , HB1223 , HB1224 , HB1225 , HB1226 , HB1227 , HB1228 , HB1229 , HB1230 , HB1231 , SB1 , SB54 , SB82 , SB87 , SB92 , SB93 , SB99 , SB104 , SB113 , SB114 , SB115 , SB123 , SB129 , SB133 , SB161 , SB162 , SB224 , SB236 , SB275 , SB280 , SB289 , SB305 , SB310 , SB325 , SB330 , SB339 , SB350 , SB359 , SB382 , SB410 , SB412 , HCR10 , HB54 , HB55 , HB67 , HB73 , HB125 , HB133 , HB158 , HB168 , HB169 , HB191 , HB195 , HB205 , HB225 , HB245 , HB280 , HB283 , HB296 , HB319 , HB325 , HB339 , HB399 , HB407 , HB448 , HB482 , HB550 , HB591 , HB821 , HB826 , HB992 , HB995 , HB1085 , HB1086 , HR15 , HR20 , HCR14 , HCR6 , HCR19 , HB861 , HB889 , HB904 , HB907 , HB908 , HB929 , HB1009 , HB13 , HB23 , HB25 , HB32 , HB41 , HB90 , HB120 , HB121 , HB122 , HB127 , HB138 , HB139 , HB141 , HB179 , HB187 , HB213 , HB247 , HB286 , HB332 , HB344 , HB357 , HB367 , HB370 , HB462 , HB505 , HB527 , HB537 , HB605 , HB680 , HB681 , HB725 , HB780 , HB782 , HB847 , HB892 , HB911 , HB916 , HB1012 , HB81 , HB134 , HB154 , HB163 , HB170 , HB194 , HB217 , HB220 , HB254 , HB259 , HB290 , HB308 , HB311 , HB360 , HB382 , HB401 , HB410 , HB417 , HB463 , HB575 , HB592 , HB718 , HB723 , HB750 , HB755 , HB776 , HB812 , HB844 , HB882 , HB888 , HB961 , HB966 , HB980 , HB228 , HB289 , HB735 , HB796 , HB284 , HB301 , HB722 , HB468 , HB546 , HB746 , HB842 , HB923 , HB46 , HB166 , HB349 , HB352 , HB436 , HB588 , HB140 , HB429 , HB827 , HB953 , HB901 , HB9 , HB52 , HB58 , HB193 , HB400 , HB570 , HB577 , HB582 , HB733 , HB747 , HB868 , HB952

Keywords: Tulane University, education, research, economic impact, healthcare, Louisiana, condolences, memorial, community service, faith, legacy, centenarian, tribute, honor, longevity, philanthropy, youth leadership, fundraising, nonprofits, physical therapy

Transcript Highlights:

• And they got, they had this press conference and discussed Albany reform.
• This is not reform. This is not fairness. This is not about protecting democracy.
• side and betrayed their pledge, becoming an enemy of real democracy and reform.
• side and betrayed their pledge, becoming an enemy of real democracy and reform.
• Those who support this bill can no longer be called heroes of reform.

Summary: The Senate convened, approved the journal, and then moved through a large number of motions to discharge bills from committees and substitute identical Senate bills for third reading. The chamber also received and accepted a Finance Committee report on nominations for Kathleen Mosier as Commissioner of Parks, Recreation and Historic Preservation, Terrence O’Leary as Commissioner of Homeland Security and Emergency Services, and John Kagia as Executive Director of the Office of Cannabis Management. All three nominees were confirmed, with Mosier and O’Leary confirmed unanimously and Kagia confirmed 57-1, with Senator Walczyk voting no. The Senate adopted previously approved resolutions recognizing June 2026 as LGBTQIA+ Pride Month and mourning the death of Susan Irene Wright of Harlem. Senators Brisport and Bottcher spoke at length in support of Pride Month, emphasizing LGBTQ+ history, resilience, and ongoing threats to the trans community. On the Susan Wright resolution, Senators Cleare, Bailey, and Bottcher praised her community leadership, philanthropy, and family legacy, and Assembly Member Jordan Wright was recognized in the chamber. The body then considered and passed many bills on the calendar, including measures on insurance, environmental conservation, public health, education, business law, labor, social services, highway law, and local tax exemptions. Several bills drew brief explanations of vote, including a measure to end higher insurance premiums for widows, a bill to prohibit correctional facilities from denying visitation because of menstrual products or IUDs, and a Medicaid-related bill to expand access to blood pressure monitors for pregnant people. Most bills passed with broad support, though some had notable opposition from a small group of senators. Late in the session, the Senate took up a proposed constitutional amendment on redistricting. Senator Stewart-Cousins sponsored the measure, and Senator Walczyk questioned it extensively, arguing voters had previously approved an independent redistricting process and objecting to changes that would remove the Legislature’s two-thirds map-approval requirement and alter the commission’s role. The sponsor said the changes were needed in response to aggressive partisan redistricting in other states and would still require voter ratification in future sessions. The transcript ends during that debate, with no final vote on the amendment shown.

Transcript Highlights:

• This bill is a simple but meaningful reform.
• This reform means patients will spend less time waiting in limbo and more time getting the care they
• I understand that, but with my mother's Medicaid at the time, excuse me, didn't necessarily understand
• AB 371 is a practical and patient-centered reform.
• California has already taken steps toward reform with Proposition 1, which updated the mental health

Committee: House Health

Summary: The Assembly Health Committee heard a special order of bills focused largely on utilization management and prior authorization in health care. Chair Bonta opened by explaining the committee’s rules and noting several consent items, then moved into bills aimed at reducing delays and barriers in coverage decisions for mental health, substance use disorder treatment, chronic care, and rehabilitation services. The committee also noted AB 1429 had been pulled from the agenda. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and for physician care delivered during those inpatient stays. Supporters, including behavioral health groups, hospitals, emergency physicians, and patient advocates, argued that prior authorization delays crisis care and can worsen outcomes. Opponents, including health plans and insurers, warned about fraud, waste, abuse, and ambiguity around residential treatment facilities and review processes. The bill passed the committee on a do pass as amended vote and was sent to Appropriations, though it was placed on call. AB 510 by Assembly Member Addis would require health plans to provide a peer of the same or similar specialty when a treating provider appeals a prior authorization decision. Supporters said this would make appeals fairer and more clinically informed; opponents said the specialty-matching requirement and timelines were unworkable and could strain the system. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the prescribed treatment, with supporters citing chronic illness and cancer care delays and opponents arguing the bill was too broad. AB 669 by Assembly Member Haney would bar certain utilization reviews for the first 28 days of in-network substance use disorder treatment and limit prior authorization for related outpatient medications; it drew strong emotional support from a parent who lost her son after treatment was cut short, while insurers and health plans opposed it as too restrictive. AB 512 by Assembly Member Harabedian would shorten prior authorization turnaround times to 24 hours for urgent requests and 48 hours for non-urgent requests, and AB 574 by Assembly Member Mark González would allow up to 12 physical therapy sessions for a new episode of care without prior authorization. Across these bills, supporters emphasized timely access and patient harm from delays, while opponents repeatedly raised concerns about oversight, medical necessity review, and cost. Several measures were voted out on call or held on call for later action.

Transcript Highlights:

• The budget fully funds Florida's $34.8 billion Medicaid program to serve an anticipated 4.8 million Medicaid
• Medicaid spending is increased by 2.8% in the current fiscal year.
• It looks like Medicaid could be cut by nearly $4 billion.
• This is real, meaningful reform.
• Reform that puts money back into the pockets of everyday Floridians.

Summary: The House convened with prayer, the pledge, quorum call, and several recognitions, including guests for Education and Sharing Day, law enforcement officer of the day Detective Miata Anderson, and later FAMU Day at the Capitol and other visiting groups. The chamber adopted the special order report and then moved through a series of budget-related bills and conforming measures, with debate focused largely on recurring funding, environmental programs, housing, insurance reserves, and tax policy. Members approved HB 5011/SB 2506, which conform environmental resource funding to the proposed budget by shifting Seminole Gaming Compact-related dollars from recurring to nonrecurring funding; supporters said this preserves annual legislative review, while opponents warned it would reduce funding for the Resilient Florida program, wildlife corridor protection, invasive species removal, and other conservation efforts. The House then passed HB 5013, reducing state-funded property reinsurance reserves by lowering the RAP program and repealing FORA funding, and HB 5501, which redirects documentary stamp tax revenues from housing and transportation trust funds to general revenue; Democrats argued the housing changes would reduce affordable housing support, while Republicans said the move was needed to control recurring spending. The chamber also passed HB 5015 on state group insurance, HB 5201 on Florida PALM accounting conforming changes, HB 5203 on Capitol Center tenancy and utilities control, and HB 5009 creating a Florida Accountability Office and revising audit and budgeting functions. The most extended debate came on HB 7031, which permanently reduces the state sales tax rate from 6% to 5.25% and also lowers several related tax rates. Supporters described it as broad-based, immediate tax relief for Floridians, while opponents said property tax relief would be more targeted and that sales tax cuts also benefit tourists and out-of-state visitors. The bill passed 112-0. The House then took up the main budget bill, HB 501, and subcommittee chairs outlined the proposed $112.9 billion budget, including education, health care, transportation, agriculture and natural resources, higher education, state administration, justice, and IT spending. Members began questioning the pre-K-12 budget on school funding, vouchers, proration, mental health and safety allocations, and inflation, with the discussion continuing beyond the excerpt provided.

Transcript Highlights:

• </c> in the New Hampshire Medicaid program. in the New Hampshire Medicaid program.
• So they're on Medicaid.
• Medicaid. Medicaid.
• </c><00:25:48.720><c> on</c> Medicaid to the Medicaid program on Medicaid to the Medicaid program on
• </c> compared Medicaid to commercial. compared Medicaid to commercial.

Committee: Senate Health and Human Services

Transcript Highlights:

• and shifts Medicaid, plus global global conflict Medicaid, plus global global conflict that<00:48:48.080
• For<00:48:56.520><c> SNAP</c><00:48:56.880><c> and</c><00:48:57.000><c> Medicaid,</c><00:48:57.680><c
• > federal</c><00:48:58.040><c> policy</c> For SNAP and Medicaid, federal policy For SNAP and Medicaid
• This bail reform, colleagues, if you guys really look at the bail reform and you read into the content
• Um, I just don't understand why would we consider having a bail reform that's not really a reform.

Transcript Highlights:

• Tyler Sadworth, State Medicaid Director. This is not a budget solution.
• In late 2025, CMS clarified that outpatient dialysis is not considered emergency Medicaid.
• plans or otherwise disproportionately burden Medicaid plans.
• We were able to do distressed hospitals, direct impact into the Medicaid, Medi-Cal program.
• The first is an ensuring access to Medicaid services budget change proposal adjustment.

Transcript Highlights:

• They did most of these reforms.
• Maybe they're starting to implement key reforms in HR1.”
• There needs to be reforms in ACCESS. There needs to be reforms in the health insurance trust.
• reforms, to get this plan as a minimum break-even.
• Representative Livingston: "I started working on tax reform in July of 2025.

Transcript Highlights:

• Thousands have written asking me to protect Medicare, Social Security, and Medicaid.
• You do not have a mandate to cut Medicaid."
• You do not have a mandate to cut Medicaid."
• We need reform, our energy, agriculture.
• </c> catalyze and motivate some real reform catalyze and motivate some real reform in<04:38:02.160><c

Transcript Highlights:

• Just as important is the sophistication in working through Medicaid and delivering healthcare.
• And in Medicaid, the only place that we really reimburse 100% is rural hospitals.
• Paying Medicaid at cost would also be a game-changer.
• Our Medicaid managed care reimbursement was also $1.1 million.
• If you're 90% Medicaid. even 300 deliveries, you might not be breaking even.

Bills: HB18 , HB37 , HB 116 , HB388 , HB879 , HB913 , HB 1151 , HB2216 , HB2358 , HB2809 , SB577 , SB1590 , SB1782 , SB1887 , SB2744 , HB18 , HB37 , HB116

Committee: Senate Health & Human Services

Transcript Highlights:

• One hundred percent of the survey respondents indicated that access to Medicaid, SNAP, TANF, and child
• Most of that is as a Medicaid, your typical FMAP. Okay, very good. Thank you.
• Children with family incomes below 152% are covered under regular Medicaid.
• The Medicaid and CHIP benefits package for children in North Dakota is the same.
• changing, and so that went from Medicaid to CHIP.

Committee: Joint Human Services Committee

Summary: The committee first approved the February 11, 2026 minutes and then received an update from the North Dakota Housing Finance Agency on the interagency council on homelessness and continuum of care funding. Testimony described rising homelessness tied to tight housing markets, low incomes, aging homelessness, barriers to rental assistance and public benefits, and limited shelter and case-management capacity. Members discussed the need for more affordable housing, continued one-time funding for the North Dakota Homeless Grant and Housing Incentive Fund, better coordination with Health and Human Services on economic assistance and human service zones, landlord engagement, recovery housing, and reentry housing. The committee also heard that federal continuum of care funding remains uncertain, with possible shifts away from permanent supportive housing and housing-first models; members asked for a future update on the impact if federal rules reduce the share available for permanent housing. The committee then took testimony on accessibility of government services for people who are blind or visually impaired. Paul Olson of North Dakota Vision Services School for the Blind described current screening and service delivery, including infant referrals, regional staff, short-term programs, and collaboration with vocational rehabilitation. He said the targeted screening system is working, recommended maintaining the current model, and noted ongoing challenges with staffing, public awareness, and accessible state websites and documents. Public testimony from a visually impaired resident and a deaf resident emphasized barriers such as CAPTCHAs, inaccessible PDFs, employment forms that screen out applicants based on driver’s license status, shortages of interpreters, and the need for video remote interpreting and video relay services, along with training for users and agencies. Finally, the committee heard a final report on the study of child care provider licensing from HHS Early Childhood Director Kay Larson. The report summarized provider input and committee discussion on simplifying North Dakota’s child care licensing structure, reducing administrative burden, and balancing that with health and safety standards. Key topics included licensing categories, child care assistance eligibility, food program sponsorship, staff qualifications, training requirements, ratios and group size, age bands, and preschool exemptions. The committee’s recommendations included streamlining to three provider types plus a preschool designation, revising ratio and age-band rules, and carrying forward certain preschool outdoor-space exemptions. Larson noted that any changes would require statutory changes, rulemaking, and a transition period before new licensing rules could take effect.

Transcript Highlights:

• </c><00:29:48.440><c> director</c> how they set their Medicaid director how they set their Medicaid director
• </c> children who will qualify for Medicaid children who will qualify for Medicaid through<01:14:46.600
• </c><01:14:55.199><c> immediately</c> eligibility for Medicaid immediately eligibility for Medicaid immediately
• it is not expanding Medicaid per se.
• <c> covering</c><01:24:20.320><c> what</c><01:24:20.480><c> Medicaid</c> really again covering what Medicaid

Committees: Senate Health and Human Services , Senate Human Services