Transcript Highlights:

• So improving access and improving access to care really where I see this bill and where it's going to
• </c> important to improving access to care. important to improving access to care.
• It will empower pharmacists to improve patient outcomes, improve access to patient care at a time when
• outcomes, improve access to patient outcomes, improve access to patient<03:24:15.880><c> care</c><03
• </c> improved access to care is in a time improved access to care is in a time when<03:28:32.840><c>

Committee: House Executive Departments and Administration

Transcript Highlights:

• Taken together, these efforts reflect a culture of continuous improvement.
• reflect a culture of continuous improvement and responsible stewardship.
• We care about them as human beings. And I think that's one of the takeaways.
• Together with health care, it requires consistency in enabling us to grow in scale.
• We improve readiness, and we protect critical assets.

Summary: The committee met at NDSU and approved the April 9 minutes. The main purpose of the meeting was an informational presentation from NDSU President David Stewart and university leaders on the university’s priorities, including enrollment, student success, research, commercialization, and use of New Horizons funding. Stewart emphasized a “One NDSU” approach, thanked legislators for past support, and said the university will focus on recruitment and retention, a new strategic plan, and growing research and tech transfer while serving North Dakota’s workforce needs. University leaders said NDSU is using tuition waivers more strategically and will work to reduce them over time through scholarship optimization. Provost Sherry Vale described academic portfolio reviews, program closures or consolidations, strategic hiring, and workload policies aimed at aligning resources with demand. They also highlighted student outcomes, including high completion rates, strong employment placement, and NDSU’s role in producing a large share of the state’s engineers, nurses, and agriculture graduates. Several students testified about how NDSU’s mentoring, internships, research, and support services helped them succeed. The committee also heard from partners on New Horizons-related collaborations: Gateway to Science described K-12 STEM outreach in rural and tribal areas, and Sanford Research discussed joint research efforts, including COBRE-related work, obesity and GLP-1 studies, and a joint biostatistics hire. Later speakers highlighted Governor’s School and NDSU’s research and commercialization efforts, including growth in research expenditures and invention disclosures. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• Moving on to Zoom, the Tax Foundation of Hawaii. cost of care is really can be staggering cost of care
• or dependent care, or if they have an adult family member who needs care during the day, needed.
• or dependent care, or if they have an adult family member who needs care during the day, needed.
• </c><00:44:03.880><c> or</c> that families with child care or that families with child care or dependent
• ><c> during</c> uh family member who needs care during uh family member who needs care during the<00:

Committee: House Economic Development & Technology

Summary: The Committee on Economic Development and Technology met on February 5, 2025, and heard testimony on several bills related to economic development, broadband, tax policy, and family support. HB 455 drew support for a startup-business loan program, with DBEDT, the Hawaii Food Industry Association, the Chamber of Commerce of Hawaii, and Hmua Collective among those in favor; Tax Foundation Hawaii questioned the need for a special fund. HB 437, concerning Hawaii trade/investment offices, received support from DBEDT and Hawaii Friends for Civil Rights, and members asked DBEDT about how to measure return on investment from the overseas offices. HB 650, dealing with broadband-related administration, was supported by DBEDT, the Department of Agriculture, the Hawaii Food Industry Association, and others, while committee discussion focused on the role of the state’s trade and investment offices and broadband administration. HB 935, on digital navigator support, received testimony in favor from DBEDT, the Hawaii State Council on Developmental Disabilities, the University of Hawaii system, and others, but also drew comments about consumer representation and the need for service on neighbor islands. The committee also heard strong testimony on tax and family-related measures. HB 572, which would remove the grocery tax, received overwhelming support from groups including the Hawaii Food Industry Association, AARP Hawaii, and others, with testimony emphasizing food insecurity and cost-of-living relief; Tax Foundation Hawaii offered technical comments. HB 701, a caregiver tax credit bill, was supported by AARP Hawaii, Hawaii Children’s Action Network Speaks, and others, with AARP stressing the burden on family caregivers and Tax Foundation Hawaii suggesting the credit percentage be reduced to preserve price-shopping incentives. HB 753, another child and dependent care tax credit measure, drew support from AARP Hawaii, Catholic Charities Hawaii, Hawaii Children’s Action Network Speaks, and others; Tax Foundation Hawaii again raised technical concerns, this time about the complexity of the formula. After testimony, the committee took up decision-making. HB 455 was passed with amendments, including transferring administrative responsibility from the Hawaii Technology Development Corporation to the Community-Based Economic Development Program, blanking out the appropriation, adding one business loan officer FTE, and noting a $95,000 cost. HB 437, HB 650, HB 934, HB 442, and HB 572 were all advanced with amendments, generally involving blanking out appropriations, moving amounts into committee notes, technical cleanup, and setting effective dates to July 1, 3000. HB 935 was deferred because of overlap with public library programs and uncertainty about federal funding for digital navigator positions. The chair also indicated HB 7 would be amended to add a nonrefundable family caregiver tax credit and related technical changes, but the transcript cuts off before final action on that bill.

Transcript Highlights:

• Florida has always been a health care leader in solutions to maximizing access to care and preparing
• And number two is reducing the cost of veterinary care.
• And we're talking about animals that need veterinary care.
• Access to veterinary care is an essential need here in Florida.
• It improves public transparency. This is Senate Bill 546.

Bills: S0302 , S0394 , S0480 , S0546 , S0636 , S0774 , S0796 , S1028 , S1050 , S1066 , S1120 , S1230 , S1288 , S1682

Committee: Senate Appropriations Committee on Agriculture, Environment, and General Government

Summary: The committee heard and advanced several bills, beginning with CS/SB 796, which would create Veterinary Professional Associates as a new supervised veterinary role, expand telehealth prescription timeframes, and set training and scope limits. Supporters said it would improve access to care, lower costs, and create a career path, while opponents argued the proposal lacked a clear regulatory framework, could create liability and federal-law conflicts, and would not address the real shortage in rural large-animal practice. After debate, the committee reported the bill favorably. Members also heard and favorably reported SB 1682 on local authority over derelict and abandoned vessels, CS/SB 1028 on a commercial Citizens clearinghouse for property insurance, SB 394 on exempting certain reinsurance underwriting managers from licensing, SB 636 on beach management and erosion designations, CS/SB 546 on public notice for conservation land sales or exchanges, CS/SB 302 on Biscayne Bay nature-based solutions and related coastal resiliency provisions, SB 1050 on pharmacy choice for pet medications, and SB 774 extending workers’ compensation benefits to 911 public safety telecommunicators for mental and nervous injuries. Testimony on these bills generally focused on access, regulatory clarity, environmental protection, or workforce support, with some concerns raised on insurance consumer protections and beach-management language. Senator Harrell’s bills were also taken up and reported favorably: CS/SB 480, a major overhaul of state IT governance creating DIGIT and new procurement, reporting, and workforce structures; CS/SB 1230, restricting PFAS-containing firefighting foam and adding testing, inventory, and disposal requirements; and CS/SB 1288, a naming bill designating the Andrew Red Harris Shoal and requiring markers. Finally, the committee heard extensive testimony on SB 1066 regarding restoration of the Oklawaha/Rodman system, with supporters emphasizing ecological restoration, flood-risk reduction, and economic benefits, and opponents warning about local impacts, water quality, and the loss of a world-class fishery. The transcript ends during testimony on that bill, before final action is shown.

Transcript Highlights:

• Health care is number one. Leader Hogue has a question. Mr.
• Health care, health care support is, again, short term and long term... ...health care, health care support
• And the second question would be, so we've invested in child care.
• Some of our, you know, TANF programs, child care.
• programs. so that's for evaluation of child care programs.

Summary: The Leadership Division of the Budget Section approved the prior meeting minutes and then received an update from Senator Jonathan Sickler on the Cash Management Board’s interim work under House Bill 1278. He said the board has reviewed state cash, investments, and liquidity across agencies and concluded the state’s overall mix of long-term and short-term assets is appropriate, with about $35 billion in total liquid assets and investments and roughly 89% in longer-term investments. He highlighted process improvements already underway, including replacing more than 500 six-month CDs with a special-rate savings account to reduce administrative work, and said the board sees opportunities to improve forecasting, automation, and statewide coordination. Members asked about whether the CD change would increase returns, how the Legacy Fund transfer for the homestead tax relief bill affected earnings, and whether more state cash could be consolidated or better managed through BND; Sickler and BND staff said those issues are being studied and may lead to legislation for the 2027 session. Representative Nathan Toman then updated the committee on the Task Force on Government Efficiency. He said the group has focused less on cutting dollars and more on defining metrics and asking how the legislature knows whether programs are working. The task force is pushing a standard set of questions for new or expanding programs—who is affected, expected outcomes, alternatives, how success will be measured, and full funding—and OMB has agreed to require those answers in future budget requests. Members discussed possible use of dashboards, program evaluators, AI tools, and possible rule or statutory changes to require performance measurement. Toman said the task force will continue meeting with agencies such as the courts, university system, auditor, HHS, Commerce, and ITD to identify workflow bottlenecks and potential efficiencies. Phil Davis of Job Service North Dakota gave a workforce update, reporting that North Dakota’s unemployment rate is 2.5% and labor force participation is about 68.7%, both well above national performance. He described Job Service’s 15 workforce programs, including H-2A housing inspections for foreign agricultural workers, the job placement partnership program with DOCR, WOTC, and other federal and state workforce efforts. Davis said the agency served more than 11,000 individuals in 2025, operates nine workforce centers, and tracks outcomes through quarterly and annual reporting. In response to questions, he said job openings data reflect only positions in the system and may understate actual hiring needs, that child care and other assistance programs could be better tied to employment outcomes, and that the DOCR partnership has shown strong results with lower recidivism and higher earnings. He also said the H-2A inspection workload is growing quickly and additional staffing or less frequent federal inspection requirements could help. Allen Knutson then presented S&P Global’s updated revenue forecast. He said oil prices have risen sharply since the prior month’s outlook, improving the state’s near-term revenue picture, though the economy remains volatile and agriculture is facing weaker commodity prices. Based on the updated forecast, total major tax revenues for the current biennium are projected to be about $89 million above the legislative forecast, and the next biennium could be about $500 million higher, though that estimate is preliminary and may change. He also walked through an alternate oil-price scenario showing significantly higher oil and gas collections and a larger Strategic Investment Fund balance if prices remain elevated. Members asked whether another forecast should be requested once oil markets stabilize and about tribal allocation changes in the alternative scenario; Knutson said additional updates are possible through OMB and future forecast cycles.

Transcript Highlights:

• The accident risk zone must be dissolved when safety improvements have been implemented.
• I mean, traffic improvements take a long time.
• We are always looking to expand our resources to improve transportation.
• Such events always lead to crisis management of care where proper care of victims cannot occur.
• To give you an idea of what care for heat stroke patients looks like, their critical care patients require

Summary: The House Local Government Committee held public hearings on four bills. HB 2174 would allow counties, cities, towns, or the Department of Transportation to designate accident risk zones on roads with repeated crashes, hold a public hearing, conduct engineering and traffic studies, increase enforcement, and use half of traffic fine revenue for safety improvements. The sponsor and local officials from Pasco and Colotis described serious crashes and fatalities on U.S. 12 and U.S. 395 and said the bill could provide a temporary safety tool while long-term fixes are pursued. Testifiers generally supported the concept but raised concerns about liability, implementation, youth penalties, and possible targeted enforcement, especially for motorcyclists; several suggested amendments and the committee discussed possible alignment with safe system practices. HB 2267 would direct the Department of Commerce to create a model urban forest management ordinance, update it every 10 years, provide guidance on tree retention and mitigation, and create a grant program for local governments that adopt or substantially adopt the model. Supporters from Washington Conservation Action, The Nature Conservancy, FutureWise, and the Puget Sound Partnership said trees are important for stormwater, heat reduction, air quality, public health, and climate resilience, and argued the bill could help balance housing growth with canopy protection. Opposition from the Building Industry Association of Washington and the Master Builders Association focused on the grant condition tied to adoption of the model ordinance, concerns that the bill would effectively mandate local policy, and worries that prioritizing tree retention could constrain housing production and increase legal risk. HB 2183 would require counties planning under the Growth Management Act to adopt extreme heat response plans by July 1, 2027, covering immediate response, long-term mitigation, protection of high-risk populations, tribal coordination, and public education. The sponsor and physicians from Washington Physicians for Social Responsibility cited the 2021 heat dome as a deadly disaster that overwhelmed emergency services and killed many people in their homes, arguing counties need coordinated planning for future heat events. Local public health officials supported the goal but asked for amendments to reduce duplication with existing emergency and mitigation plans and to clarify leadership roles; L&I requested that the bill reference existing worker-protection rules for outdoor workers. HB 1529 would let counties perform city roadway striping and paving work without counting it against city public works limits or bidding thresholds, if the county can do the work more cheaply or no bids are received. Supporters from Pasco and the Association of Counties said it would help cities use existing county equipment and crews more efficiently, while contractors and labor groups opposed it, warning about reduced competition, quality and oversight concerns, and the loss of prevailing-wage and small-business opportunities. No votes were taken on any of the bills, and the committee adjourned after the hearings.

Transcript Highlights:

• And thanks to the sponsor and the industry working together, they can take care of this. Awesome.
• I think we have certainly improved our circumstances from...
• You know, all of those things have been great improvements.
• health care access in underserved and rural parts of our state.
• workforce and expand access to care.

Bills: SB1128 , SB1137 , SB1144 , SB1145 , SB1186 , SB1235 , SB1238

Committee: Senate Regulatory Affairs and Government Efficiency

Transcript Highlights:

• Our essential workers cannot afford health care.
• People are going to lose their health care.
• People are going to lose their health care.
• The first purpose, and it's been a longstanding issue, is we want to improve, substantially improve,
• The first purpose and it's been a longstanding issue is we want to improve, substantially improve the

Summary: The Assembly Labor and Employment Committee heard several bills focused on labor standards, worker safety, and public transparency. SB 954 by Senator Blakespear would revise last year’s CEQA exemption for advanced manufacturing by adding worker protections such as prevailing wage, a skilled and trained workforce, high-road employment standards, and environmental guardrails. Supporters from labor, environmental justice, and conservation groups said the bill restores promised safeguards after SB 131, while business groups argued the added requirements would undermine the exemption and discourage investment. The committee voted 5-0 to do pass and re-refer SB 954 to Appropriations, leaving the roll open for absent members. The committee then considered SB 966 by Senator Gonzalez, which would codify refinery worker participation and safety protections adopted in 2017 after the 2012 Chevron Richmond fire. Supporters, including United Steelworkers and a former refinery worker, said the bill would preserve workers’ ability to report hazards, select representatives, and stop unsafe work, preventing future disasters. The Western States Petroleum Association opposed the bill, arguing it could be preempted by federal labor law and would add regulatory uncertainty. The committee passed SB 966 3-0 and re-referred it to Appropriations, with the roll left open. Next, SB 1203 by Senator Smallwood-Cuevas sought to modernize private security guard training, expand de-escalation instruction, strengthen accountability, and create a clearer professional pathway for the industry. The author and many security workers testified that guards are often first responders in volatile situations and need more practical training and better standards; opponents from industry and business groups warned the bill would raise costs, worsen staffing shortages, and create implementation problems, especially around third-party training and a new wage order. The committee voted 4-1 to do pass and re-refer SB 1203 to Public Safety, with one no vote and the roll left open. The committee also heard SB 1284 by Senator Smallwood-Cuevas, a transparency bill requiring DHCS to publish the names of large employers with workers enrolled in Medi-Cal and the estimated taxpayer cost. Supporters said the measure would show how low wages and unaffordable coverage shift health costs to the public, while opponents argued Medi-Cal enrollment depends on many factors and that naming employers would be misleading and amount to public shaming. After discussion, the committee voted 4-2 to do pass and re-refer SB 1284 to Appropriations, leaving the roll open. The transcript then began discussion of SB 1054 by Senator Cabaldon, which would improve workforce data collection and sharing to better evaluate job-training pathways, but the excerpt cuts off before testimony or action on that bill.

Transcript Highlights:

• Number 3, improve outreach and navigation services.
• care.
• I can't find infant and toddler care.
• I think it's nice to see that our quality is improving.
• of our kids and take care of our family.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• Psychiatric care, medical care, psychosocial treatment, skill building, et cetera, with our population
• Psychiatric care, medical care, psychosocial treatment, skill building, et cetera, with our population
• I would also say, with respect to partnerships, in any hospital—I don't care if you're in an acute care
• And at the end of this month, we will be launching for the first time a care care care.
• Can we do it on the civil side where there's an actual health care outcome attached to that care?

Summary: The joint Senate and House Behavioral Health committee met for informational presentations on the Oregon State Hospital and civil commitment, followed by a planned tour of the hospital. Oregon Health Authority and Oregon State Hospital leaders reported that Sean Murphy will become the next permanent superintendent on July 13, with Sarah Castle to follow as permanent chief nursing officer on July 20. They described recent leadership turnover, a major organizational restructure, and efforts to build a culture of safety, transparency, and accountability. Officials said the hospital regained Joint Commission accreditation and CMS compliance, and they highlighted daily safety huddles, incident review processes, stronger escalation procedures, and improved management of seclusion and restraint. Committee members pressed hospital leaders on past prolonged seclusion practices, falls, staffing, and the need for better public reporting; OHA said it is building a public dashboard of key safety and workforce metrics. The committee then heard a civil commitment overview from the Oregon Judicial Department. The presenter explained that civil commitment is a separate legal process from criminal cases, usually beginning with a hospital hold, investigation, court review, appointed counsel, and a hearing within five days. She summarized changes made in House Bill 2005, including revised standards for danger to self, danger to others, and basic-needs commitments, plus a second 14-day diversion option. She cautioned that the new law has only been in effect since January and that it is too early to draw firm conclusions from the data, though there has been a recent uptick in commitments and a decrease in diversions. Testimony from NAMI Oregon and a forensic psychiatrist emphasized that Oregon still relies too heavily on jails and state hospitals because community services, housing, and outpatient supports are insufficient. They argued that the state needs more less-restrictive alternatives, including better use of assisted outpatient treatment or outpatient civil commitment, and more supported housing so people do not cycle between homelessness, incarceration, and hospitalization. A family member described a relative remaining psychotic in jail for more than 120 days before ending up back at the state hospital, urging faster intervention and better collaboration among courts, counties, hospitals, and state agencies. Committee members and witnesses also discussed workforce shortages, the expansion of secure residential treatment beds, and the need for broader system reforms beyond the hospital itself.

Transcript Highlights:

• </c><00:11:16.320><c> GLP1's</c> care related expenses including GLP1's care related expenses including
• </c> talk about our rural healthc care talk about our rural healthc care initiative<00:24:07.760><c>
• </c><00:39:37.520><c> Traditional</c> care for the disease. Traditional care for the disease.
• care for people with obesity.
• </c> and equitable access supporting improved and equitable access supporting improved care<00:43:35.119

Summary: The Medicaid Oversight and Advisory Board met on February 23, 2026, approved the January 12 minutes, and then focused primarily on Kentucky Medicaid’s coverage and potential expansion of GLP-1 drugs, especially for weight loss. Department for Medicaid Services Commissioner Lisa Lee explained that Medicaid currently does not cover drugs for weight loss, anorexia, or weight gain, but the department had filed a regulation to remove that blanket exclusion so GLP-1s could be covered when used for an underlying health condition. She said the administrative regulation review subcommittee found the regulation deficient, and the co-chairs wanted the board to discuss the policy and financing implications before any change. DMS also said it would be open to adding caveats to ensure coverage would not extend to cosmetic weight loss alone. The department provided several data points on current utilization and spending. In 2025, Kentucky Medicaid paid for appetite-stimulating drugs such as Megestrol, Dronabinol, and Marinol, but did not pay for weight-loss drugs. For GLP-1s, DMS said coverage began in 2025 and is limited to FDA-approved medical conditions, with prior authorization requiring a type 2 diabetes diagnosis code and A1C documentation. DMS reported $234.6 million in GLP-1 spending in 2025 before rebates, about 240,931 prescriptions, and said GLP-1s accounted for 7.3% of pharmacy spend in 2024 and 8.3% in 2025. It also said there were 24,844 expansion members and 13,638 non-expansion members using GLP-1s, with spending of about $156 million and $78.5 million respectively, and that 10 pediatric weight-loss prescriptions were covered under EPSDT. The department said outcome analyses, including whether GLP-1 use reduces insulin or other diabetes treatment, are underway and should be completed in a couple of months. Members asked about cost, rebates, and whether the state should wait for more outcomes data before expanding coverage. DMS said average reimbursement to pharmacies was $975 per prescription and the average dispensing fee was $109; it also said 2025 rebate invoices totaled $90.8 million, with $7.6 million collected so far. Several members expressed concern about the high cost and the need to evaluate whether the drugs improve health outcomes before expanding access, while others noted the potential benefits for obesity and diabetes treatment. Some members also discussed whether GLP-1s are effectively being used for weight loss in diabetic patients and whether broader data collection should be used to assess long-term value. After the Medicaid discussion, Eli Lilly executive Tracy Sims presented on obesity as a chronic disease and the economic burden it creates in Kentucky. She said Kentucky’s adult obesity rate is a little over 37%, that obesity is linked to about 200 diseases, and that untreated obesity costs the state billions in GDP and hundreds of millions in state budget impact. She highlighted recent federal access programs for GLP-1s, including a Medicaid-related program that she said could lower the state share of a Zepbound prescription to about $71 per month after federal matching. No votes were taken on the GLP-1 policy question during the meeting, and the main action was the receipt of testimony and discussion of the department’s proposed regulatory change.

Transcript Highlights:

• Our mission is to increase the number of insured Californians, improve health care quality, lower costs
• Because when wages are improved through the statewide minimum wage, the $25 health care minimum wage,
• We are a cross-sector coalition working to improve care for people with serious illness across the state
• It aligns that funding with measurable improvements in staffing and patient care. Thank you.
• This proposal will improve access to community-based care for our medically fragile elderly patients

Summary: The subcommittee heard a lengthy Department of Health Care Services presentation on the governor’s Medi-Cal budget, including a $229.1 billion total-funds proposal, projected Medi-Cal enrollment declines as redeterminations continue, and several major cost drivers such as managed care growth, Medicare-related costs, pharmacy spending, and changes tied to federal policy. Members focused heavily on the elimination of Prop. 56 dental supplemental payments beginning July 1, 2026, questioning the likely impact on provider participation and utilization. DHCS said it is completing the required rate reduction/access analysis for CMS, has been holding stakeholder meetings and issuing provider bulletins, but could not yet quantify the real-world effect. The committee also discussed a $50 million savings proposal tied to new hospice utilization management authority and asked about possible effects on emergency dental care and provider participation. The hearing then moved through the November 2025 family health estimate and several county and program administration issues, including CCS, GHPP, and Every Woman Counts. DHCS said family health costs are rising despite slight caseload declines because of higher utilization and medical costs, and members raised concerns about CCS website accessibility, county administrative funding, and the transition of youth aging out of CCS. The department said most CCS beneficiaries are also on Medi-Cal, that counties have long raised funding concerns, and that it had clarified use of maintenance-and-operations dollars to address some county workload issues. Members also asked about Every Woman Counts potentially seeing higher demand as Medi-Cal changes take effect; DHCS said that is possible and that the program has multiple funding sources including General Fund. A major portion of the hearing focused on provider taxes and federal changes under H.R. 1, especially the Medi-Cal managed care organization tax and the hospital quality assurance fee. DHCS explained that H.R. 1 restricts new or increased health care-related taxes, phases down allowable tax levels over time, and tightens “generally redistributive” rules, which could sharply reduce the state’s ability to use the MCO tax for Medi-Cal financing. Members asked whether the Legislature could amend Prop. 35 or whether voters would need to act; DHCS said a three-fourths legislative amendment may be possible if it aligns with the measure’s purpose, but the department is still evaluating options. The committee also discussed hospital financing, with DHCS describing recent increases in state-directed payments and the effect of H.R. 1 in capping those payments at Medicare levels, and the LAO noting the tradeoff between preserving provider taxes and maintaining Medi-Cal funding. The subcommittee also reviewed a series of DHCS budget change proposals and trailer bill items, including managed care final-rule implementation, managed care operations, a hospital value strategy, a one-year extension of skilled nursing facility financing, long-term care payment transparency, and interoperability/prior authorization requirements. Members repeatedly questioned the use of limited-term versus permanent positions, the overlap among proposals, and the timing of new financing reforms. DHCS said the SNF extension would preserve current workforce standards, sanctions, growth limits, and the SNF quality assurance fee while the department develops a broader 2027-28 redesign. No votes were taken; items were repeatedly held open for later action. Covered California then presented on the expiration of the federal enhanced premium tax credit and the resulting affordability crisis. The agency said Californians will lose about $2.5 billion in premium assistance for 2026, average premiums could nearly double for many enrollees, and as many as 400,000 people could eventually leave marketplace coverage. Open enrollment ended with 1.9 million sign-ups, down 3% from the prior year, with especially steep declines among middle-income consumers and increased movement into bronze plans. Covered California said the state’s $190 million affordability subsidy is helping lower-income enrollees retain coverage, but cannot fully replace the lost federal assistance. Members also asked about the Health Care Affordability Reserve Fund, repayment of loans from that fund, the status of federal review of California’s essential health benefits benchmark, and implementation of the new gender-affirming care benefit under AB 144.

Transcript Highlights:

• Representative Gordon, here. like to welcome her and uh improved like to welcome her and uh improved
• So the focus on this is to improve rural health care, but if you improve rural health care, you're probably
• going to improve health care in Kentucky in general, right?
• </c> people can actually have in-person care. people can actually have in-person care.
• I have taken care of is is astronomical.

Committee: House Health Services

Transcript Highlights:

• Emily Infantino, Early Education and Care, North Quincy High School.
• I am in the early education and care program.
• StrongStart training, which is needed to work in a child care center.
• Caring is a big part, too, as in caring for residents and working with teammates.
• , and other physical hands-on care.

Committee: Joint Joint Committee on Education

Transcript Highlights:

• health care the same.
• The report must include trends in the improvement of quality of care that may be attributable to the
• The report must include trends in the improvement of quality of care that may be attributable to the
• Systems and methodologies that truly generate quality-of-care improvements in nursing home performance
• to quality of care.

Committee: Senate Appropriations

Summary: The Appropriations Committee heard presentations on the Senate’s proposed 2025-2026 budget, SPB 25-200, totaling $117.4 billion. Chair Hooper and committee chairs highlighted major spending priorities including a 4% raise for state employees, continued health insurance contributions, investments in water quality, transportation, education infrastructure, and workforce development, along with reductions tied to long-vacant positions. Education funding was a major focus, with increases for K-12 public schools and scholarships, higher education workforce programs, nursing initiatives, tutoring, and university performance funding. Health and human services, criminal and civil justice, transportation/economic development, and agriculture/environment budgets were also outlined, including Medicaid, mental health, corrections staffing, affordable housing, beach restoration, citrus recovery, and water projects. Members then questioned several budget choices, especially K-12 funding. Senators Polsky and Smith raised concerns that the Senate’s AP and dual enrollment funding changes could disadvantage public schools, while Burgess argued the budget preserves the money in the FEFP and gives districts more flexibility rather than reducing support. Questions also addressed voucher availability, school stabilization funding, and the My Safe Florida Home program. The committee adopted 171 consent amendments and three late-file amendments, then approved SPB 2500 as a committee bill. It also favorably reported implementing and conforming bills for state employees, retirement, natural resources, judgeships, K-12 education, higher education, and health and human services, along with SB 7022 on Florida Retirement System contribution rates and elected-officer DROP options, CS/SB 1320 on the Resilient Florida Trust Fund, SB 7014 ending the Mediation and Arbitration Trust Fund, SB 7028 on cancer research, CS/CS/SB 170 on nursing home quality and oversight, CS/SB 168 on mental health diversion and behavioral health data, SB 114 creating an insurance and risk management research center at FSU, and SB 180 on emergency preparedness and post-storm recovery. Most bills were reported favorably with little or no opposition, though SB 180 drew discussion about local-government authority after storms and the need to balance recovery speed with local safety and planning concerns.

Transcript Highlights:

• of the participant if another person or entity is providing care at that time.
• Senator Grall: Thank you Senator Burton for the work you are doing to improve the program and the way
• Senate Bill 1566 improves local government transparency.
• We are improving the system that we have.
• We must improve our situation.

Bills: S0598 , S0934 , S1260 , S1300 , S1452 , S1510 , S1566 , S1580 , S1668 , S7034

Committee: Senate Appropriations Committee on Agriculture, Environment, and General Government

Transcript Highlights:

• It will significantly improve their quality of life in their first year on the job. but will also improve
• Why, if they care as their... their associations down here tell us they care so much about accountability
• We also manage two health care programs, the first being TRS Care, which is for our retirees.
• Contribution for TRS care active care.
• Those included things such as warehousing rail improvements, roadway improvements, dock improvements,

Committee: House Appropriations

Transcript Highlights:

• Psychiatric care, medical care, psychosocial treatment, skill building, et cetera, with our population
• I would also say, with respect to partnerships, in any hospital—I don't care if you're in an acute care
• And at the end of this month, we will be launching for the first time a care care care. Thank you.
• And at the end of this month, we will be launching for the first time and a care care care.
• Can we do it on the civil side where there's an actual health care outcome attached to that care?

Summary: The joint Senate and House Behavioral Health committees held an informational meeting focused first on the Oregon State Hospital (OSH). OHA Director Sajal Hathi introduced the hospital’s incoming permanent superintendent, Sean Murphy, and praised interim superintendent Jim Deagle for stabilizing operations, restoring CMS compliance, and helping drive a culture change centered on safety, accountability, and transparency. Deagle and Chief Medical Officer Dr. Amit Bavon described OSH’s role as the state’s highest-level forensic psychiatric hospital, the patient populations it serves, its partnerships with courts, counties, jails, hospitals, and advocates, and recent leadership changes across the hospital. They also reported improved accreditation and regulatory status, including Joint Commission accreditation and CMS compliance, and said the hospital is now using daily safety huddles, incident review meetings, stronger escalation procedures, and revised seclusion/restraint practices to reduce risk and improve oversight. Members pressed hospital leaders on past seclusion practices, asking how prolonged seclusions could have occurred under federal standards. Leaders said they could not explain past decisions but emphasized that current leadership has changed processes, training, reporting, and oversight so that seclusion and restraint are reviewed in real time and cannot be normalized. Questions also covered staffing, falls, and future planning. OSH said it is generally staffed to budget, though it still has RN and mental health technician vacancies and is working on recruitment, training, and better staffing distribution. Hathi said the hospital is building a public dashboard with key performance and safety metrics, including workforce data, and described the long-term goal as a consistently safe, disciplined, high-functioning institution that responds quickly to mistakes and remains accountable to the public. The committee then shifted to an informational overview of civil commitment. Oregon Judicial Department representative Chanah Newell explained the civil commitment process, including who can initiate it, the role of community mental health providers and courts, the five-day timeline to hearing, and the standards for danger to self, danger to others, and inability to meet basic needs. She summarized changes made in House Bill 2005, including revised statutory language and new provisions allowing a second diversion period, but cautioned that the data are too early to show clear trends. Testimony from NAMI Oregon’s Chris Bonif and psychiatrist Dr. Stephanie Lopez argued that Oregon still relies too heavily on jails and state hospital commitments because the broader community system lacks enough treatment, housing, and less restrictive alternatives. They urged the legislature to focus on upstream services, supported housing, and possible outpatient commitment tools so people can receive treatment before reaching crisis. The meeting ended with acknowledgment that additional reports and follow-up discussions are expected, including on residential treatment capacity and related behavioral health system reforms.

Transcript Highlights:

• He still needs a lot of care, a lot of medical care.
• DCF didn't take her into care.
• God himself prioritizes caring for children in need.
• She had to care for herself during her pregnancy.
• , the child is going to remain in foster care.

Committee: Senate Children, Families, and Elder Affairs

Summary: The Committee on Children, Families, and Elder Affairs met with a quorum and considered five bills. SB 1174, by Senator Jones, would simplify the process for transferring a family foster home license when a foster parent moves within Florida. A friendly amendment clarified that the transfer applies to the same licensed person, not a different individual, and directs DCF to prioritize amended licenses. The committee adopted the amendment and reported the bill favorably. SB 558, by Chair Grall, created a framework for voluntary post-adoption contact agreements between adoptive and biological parents, including contact with siblings, with court filing and enforcement procedures. A strike-all amendment changed the child’s party status age from 14 to 12, required court filing in the adoption case, set a preponderance standard, and moved the effective date to January 1, 2026. The committee adopted the amendment and reported the bill favorably. SB 1626, also by Chair Grall, was substantially revised by a strike-all addressing unaccompanied alien children reporting and custody procedures, military family child protective investigations, domestic violence shelter certification, children’s services councils, criminal-background exemptions, group home rates, subcontractor indemnification, child care licensing extensions, small residential group home fire suppression rules, and missing-child jurisdiction issues. After testimony both supporting and opposing parts of the bill, the committee adopted the amendment and reported the bill favorably. SB 738, by Senator Burton, updated child care and early learning licensing rules, including expedited licensing for compliant providers, faster background screening and provisional licensure, online training/testing, exemptions for certain military and employer-provided child care, and removal of a residential insurance provision from the bill. The committee adopted the amendment and reported the bill favorably. SB 304, by Senator Sharief, known as Patterson’s Law, addressed child abuse investigations involving rare genetic or metabolic conditions that can mimic abuse. The strike-all required more detailed medical analysis in reports, allowed second opinions, and set procedures for experienced physician review and judicial resolution. After extensive testimony from affected families, advocates, and DCF, the committee adopted the amendment and reported the bill favorably. At the end, Senators Harrell and Rouson asked to be recorded as voting favorably on additional bills, and the committee adjourned.

Transcript Highlights:

• Foster care kids.
• our service and improve our quality of care to our hospice members.
• care.
• And patient care.
• I've got three other things that we could go get money for that would improve care. >> Can you get that

Committee: Senate Health & Human Services

Summary: The Senate Committee on Health and Human Services convened to discuss interim charges regarding fraud, waste, and abuse in Texas human services, particularly focusing on Medicaid and childcare programs. The meeting highlighted the importance of preventing misuse of taxpayer funds, with testimony from various stakeholders emphasizing the need for increased oversight and accountability in these programs. Key points included the alarming rise in healthcare fraud in other states, the necessity for Texas to enhance its fraud prevention measures, and the potential financial repercussions of failing to meet federal compliance standards. Several committee members expressed concerns about the impact of fraud on vulnerable populations, particularly those relying on Medicaid services. Testimonies from experts underscored the effectiveness of Texas's Office of Inspector General (OIG) in combating fraud, yet pointed out existing vulnerabilities, such as inconsistent enforcement and the need for better data sharing among agencies. The discussion also touched on the challenges faced by hospice care providers, with a significant increase in the number of hospices in Texas raising concerns about quality and oversight. The committee heard from various witnesses, including representatives from health plans and advocacy organizations, who provided insights into the complexities of managing Medicaid and the importance of maintaining program integrity. The meeting concluded with a commitment to further explore legislative solutions to enhance oversight and ensure that resources are directed to those in genuine need.