Transcript Highlights:

• ,</c><00:30:04.080><c> and</c> in Kentucky, they're on CSI status, and in Kentucky, they're on CSI status
• </c> handle the schools with under CSI status handle the schools with under CSI status &gt;&gt; and<00
• Total EKU employees about 2,500.
• Total EKU employees about 2,500.
• </c> employees or staff members, but yes. employees or staff members, but yes.

Summary: The Interim Joint Budget Review Subcommittee on Education met with a quorum, approved the August 20, 2025 minutes, and then heard a discussion tied to Constitution Day and Kentucky’s constitutional duty to provide an efficient system of common schools. Chairman James Tipton reviewed the history of Kentucky’s model laboratory schools, postsecondary academy programs such as Gatton and Craft, magnet schools, virtual learning, and computer science opportunities, arguing that Kentucky has long expanded educational opportunity through different school models. He described model schools and academy programs as hybrid or innovative approaches that serve specialized student needs and noted that some of these programs receive state appropriations and, in some cases, tuition. Senator Steve West then gave a retrospective on school choice in Kentucky, beginning with the 2017 charter school law and explaining that Kentucky’s charter framework was designed as public-only to comply with the state constitution. He said charter schools have remained largely dormant in Kentucky and used that as context for Senate Bill 207, the School Innovation Act, which he said was modeled on a South Carolina approach. Under SB 207, a local school board can contract with a third-party entity to manage an existing school, receive SEEK funding, and seek waivers from certain state regulations in order to innovate, while retaining limits on items such as school safety and attendance rules. Members asked about how the new model differs from charter schools, whether schools could cherry-pick students, and whether teachers would remain district employees. West and Tipton said the bill is intended to keep the school within the public system, with the local district initiating the process and maintaining accountability through a time-limited contract that can be ended if the school fails to perform. They emphasized that the school would serve the existing student population rather than select students, and that teachers would remain district employees with their pensions and related contributions unchanged. Representative Brown raised concerns that exceptions and charters could leave lower-income children behind, while West responded that the bill is meant to expand choice for families who otherwise lack access and cited examples from other states where outside management and parental involvement helped turn around low-performing schools. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• The employees are paying for that, but for the 2% additional employee contribution that will be paid
• The employees are paying for that, but The employees are paying for that, but for<00:10:31.040><c> the
• </c><00:10:33.040><c> or</c> for the 2% uh additional employee or for the 2% uh additional employee or
• :13:40.480><c> were</c> employees who were employees who were an<00:13:41.760><c> employee</c><00:13:
• Multiple times, we have had employees, Multiple times, we have had employees, sometimes<00:14:49.560>

Committee: Senate State and Local Government

Transcript Highlights:

• An employee that works three days a week, $2,800. Business expenses, $1,239.
• Every workplace and every set of employees have very different needs.
• So small businesses with fewer than 50 employees.
• Once employees who had utilized those benefits, maybe their children grew or those employees no longer
• And we... direct conversations with employees.

Summary: The California State Assembly Select Committee on Child Care Costs held its first hearing to examine the state of child care access, affordability, and provider compensation. Chair Cecilia Aguiar-Curry and other members described child care as essential infrastructure for working families and the economy, noting that costs are unaffordable for many households and that providers are underpaid. Early testimony came from a San Francisco parent, Quinn Chung, who described the difficulty of finding safe care and the financial and career sacrifices caused by lack of child care, and from Tuolumne County provider Anita Viscini, who detailed her monthly costs, low margins, and the need to work weekends and teach CPR classes to make ends meet. Assemblymembers also emphasized the crisis in rural communities and the need for a long-term strategy. The first policy panel featured Jennifer Troia of the California Department of Social Services, Laura Pryor of the California Budget and Policy Center, and Alexa Frankenberg of Child Care Providers United. Troia said the state has nearly doubled child care funding in five years, expanded subsidy slots, and reached a new tentative three-year agreement with providers that includes cost-of-living adjustments, stabilization payments, and continued work on an alternative rate methodology and single rate structure. Pryor argued that despite funding gains, child care remains too expensive, only a fraction of eligible children receive subsidies, and provider wages remain far below comparable jobs, worsening racial and gender inequities. Frankenberg said the tentative agreement is progress but not enough, calling for a true cost-of-care system, fair wages, paid time off, better support for emergency and nontraditional care, and stronger integration of family child care into the mixed-delivery system. Members asked about why the crisis persists, how the alternative methodology will work, how family fees and sliding-scale help are being used, and why middle-income families still struggle. The panel said the problem reflects long-term underinvestment, a broken market, and a system that still leaves many families without access. The committee also heard an economic panel from Ashley Hoffman of the California Chamber of Commerce and Sarah Bone of the Public Policy Institute of California. Hoffman described employer child care benefits and public-private partnership models in other states, including shared-cost programs and local chamber efforts. Bone said child care costs reduce family financial security and labor force participation, especially for mothers of young children, and estimated that if mothers of young children worked at the same rate as mothers of older children, more than 80,000 additional women could be in the workforce each year. In the final panel, parent and provider advocates, including Jennifer Greppie and Black Californians United for Early Care and Education co-founder Keisha Doyle, argued for fully funding child care, ending waiting lists, protecting culturally affirming care, and addressing racial inequities and private equity’s role in the sector.

Transcript Highlights:

• When we look at these bills, we have to ask ourselves, is it good for the employee?
• When we look at these bills, we have to ask ourselves, is it good for the employee?
• This bill epitomizes why Sacramento is broken, why the influential benefit as consumers and employees
• You know, a year ago, two years ago, I supported a bill to allow our employees here in the California
• Very curious about why the legislature wouldn't be required to notify legislative employees of their

Summary: The Assembly convened, established a quorum after a roll call, observed a moment of silence for John Burton, and proceeded with the Pledge of Allegiance and routine procedural motions. Members approved a rule suspension to allow floor amendments on SB 271 and SB 67, and several committee notices and bill referrals were handled. The chamber then moved through a long third-reading file, with many bills passed and a number of items temporarily passed or retained on file. Among the major measures approved were bills on civil rights and public safety (SB 477, SB 19, SB 36, SB 571, SB 580), health care and coverage (SB 257 on pregnancy as a qualifying life event, SB 530 on Medi-Cal access standards, SB 660 on health data exchange, SB 754 on menstrual product contaminant disclosure), housing and disaster recovery (SB 610, SB 655), transportation and climate (SB 533 on EV charging payments, SB 30 on diesel locomotives, SB 71 on CEQA exemptions for transit, SB 263 on tariff impacts), and natural resources/energy (SB 283 on battery storage safety, SB 88 on biomass emissions, SB 427 extending the Habitat Conservation Fund). The Assembly also passed urgency measures including SB 864 on tribal gaming compacts, SB 663 on wildfire-related property tax relief, SB 471 expanding DDS ombudsman authority, and SB 497 on privacy protections for legally protected health services. Several bills drew notable debate. SB 41 on pharmacy benefit managers saw opposition over concerns about moving ahead before broader PBM data and licensing reforms take effect, but it still passed. AB 1340, a concurrence item on gig worker collective bargaining rights, prompted extended debate over labor rights, consumer costs, and union influence. Other concurrence items included AB 671 on restaurant permitting, which passed without opposition. The Assembly also took up SB 640 on direct admission to CSU, SB 702 on demographic reporting for appointees, SB 710 preserving a solar property tax exclusion, and SB 793 on counterfeit lighter safety, all of which passed. The session ended with the Assembly continuing through the file, including concurrence votes and additional bill actions, with most measures approved by substantial margins.

Transcript Highlights:

• </c> if they assault a school employee. if they assault a school employee.
• </c> against a school employee. Uh Mr. against a school employee. Uh Mr.
• </c> school employee. school employee.
• , a teacher, or another employee?
• </c> payroll 600 employees payroll 600 employees is<01:22:59.280><c> well</c><01:22:59.679><c> in</c>

Transcript Highlights:

• Employees already undergo harassment prevention training.
• And of course, those things can capture employees, right?
• So having employee input is critical.
• The technology to surveil the employees didn't tell the employees what was happening, and when one of
• So had they talked to the employees first, they might have known that.

Committee: House Labor and Employment

Transcript Highlights:

• So very quickly, before I give you the status of this conference report, I wanted to tell you a little
• Sure, no new taxes, but just three new cost mandates on every employee.
• But just three new cost mandates on every employer and every employee in Virginia in perpetuity.
• They attached a mandatory payroll assessment to fund it, and they put it on every employer and employee
• This legislation relates to protection of employees and standards for heat illness prevention.

Transcript Highlights:

• </c> owners, residents, and employees owners, residents, and employees occupying<00:16:52.079><c> previously
• </c> neglect to include the military status neglect to include the military status of<01:06:55.200><c
• </c><01:33:54.320><c> under</c><01:33:54.639><c> the</c><01:33:54.800><c> employee</c> public employees
• under the employee public employees under the employee retirement<01:33:56.000><c> system,</c><01:33
• I'm wondering the status of that Article 9.

Committee: House Judiciary & Hawaiian Affairs

Summary: The committee heard testimony on several measures. SB 1296 HD1, relating to disaster recovery, would exempt reconstruction of lawfully constructed structures damaged or destroyed in a declared disaster from special management area permits under certain conditions. OPSD, DLNR, the County of Maui, Front Street Recovery, and the Grassroot Institute supported the bill, saying it would speed rebuilding after disasters like the Maui fires; one witness noted the bill would not cover shoreline parcels unless amended, and members asked about the five-year rebuild window, the meaning of “lawfully constructed,” and whether unlawful structures were excluded. Testimony was also heard on SB 1413, which would allow the Hawaii Public Housing Authority to dispose of abandoned property in federal public housing projects after notice and within five days; HPHA said the bill would help address illegal dumping and clarify procedures. SB 31 HD1, concerning discriminatory restrictive covenants, was briefly described and had support from the Hawaii Civil Rights Commission and comments from the Uniform Law Commission, with no in-person testimony. The committee then heard SB 1341, which would add HEMA and the Office of Homeland Security to agencies allowed to review energy industry information and would expand the program’s emergency-management purpose. The Hawaii State Energy Office supported the measure, saying the data is important for emergency response and fuel-supply planning. SB 10008 HD1 would authorize counties to adopt ordinances enforcing accessible parking space requirements and clarify county enforcement of EV-related parking provisions; the Disability and Communication Access Board strongly supported the accessible-parking provisions, saying current enforcement is weak, while noting section three on EV spaces is already largely in statute and could be struck if the committee preferred. Tina Yamaki of the Retail Merchants of Hawaii testified in opposition. Finally, the committee heard SB 1028 SD1 HD1, which would eliminate fees, fines, and court costs for offenses committed by minors, discharge existing related debt, limit community service for minors to 72 hours, and repeal certain penalties tied to minors and their parents or guardians. The Office of the Public Defender, Office of Hawaiian Affairs, the Juvenile Justice State Advisory Council, Community Alliance on Prisons, and DebtFree Justice Hawaii supported the bill, arguing that youth fines burden families, worsen poverty, and disproportionately affect Native Hawaiian youth. The Department of the Attorney General offered comments, raising possible constitutional title issues because the current draft incorporates material from HB 129 and includes sections that may relate more to restitution or curfew than to fines and fees; supporters responded that the title is sufficient and cited case law. No votes or final actions were taken on the measures in the portion of the meeting provided.

Transcript Highlights:

• Uh but I I supervising an employee.
• </c><01:34:34.159><c> license</c> status or let their license status or let their license expire.<01:
• For those states that have adopted the status, many CPAs have applied and been granted the status.
• </c> have a retired status presently. have a retired status presently.
• I don't on the retired status. retired? I don't on the retired status.

Committee: Senate Executive Departments and Administration

Transcript Highlights:

• Happy to provide a status update if it would be helpful.
• 50 employees, and seasonal workers.
• 50 employees, and seasonal workers.
• , yeah, yeah—so they won't pay for that employee.
• coverage for their full-time employees.

Transcript Highlights:

• This created 35 year-round jobs for employees, including college students.
• I've had employees put multiple children through school. One employee just had...
• In my 30 years of being a trainer, I have had to lay off about five employees a year during seasonal
• I've had one employee in 30 years ever file for a... Unemployment.
• Do you know the status of it? The inquiry? I don't know the specific status.

Bills: HB 105 , HB982 , HB1483 , HB1508 , HB2575 , HB3646 , HB3993 , HB4083 , HB4580 , HB4725 , HB5169 , HB5511 , HJR73 , HJR102 , HJR174 , HB3746 , HB4240

Committee: House Ways & Means

Keywords: economic development, job creation, energy, tax incentives, technology investment, ad valorem taxes, elderly, disabled, low-income, tax limitation, homesteads, Texas Tax Code, property tax, ad valorem tax, tax exemption, residential real property, home improvement, energy efficiency, energy-efficient upgrades, HVAC

Transcript Highlights:

• Seeing no objection, fiscal status statement is approved.
• Seeing no objection, fiscal status statement is approved. approve the fiscal status statement.
• Seeing no objection, fiscal status statement is approved.
• It's come without a reduction in workforce at the state employee level.
• It's come without a reduction in workforce at the state employee level.

Summary: The committee first took up the fiscal status statement, certification of the state surplus, and the five-year baseline budget. Officials from the Office of Planning and Budget and the Division of Administration said the January fiscal status statement had no changes, and the commissioner certified a surplus of $577,073,871. They also reviewed the baseline outlook, noting projected imbalances in later years driven by declining revenue, including the redirection of motor vehicle sales tax, and rising costs such as inflation and Medicaid-related expenses. The fiscal status statement was approved without objection. The governor’s executive budget was then presented as a third consecutive standstill budget, with administration officials emphasizing efficiency savings, no reduction in services, and no reduction in state workforce. They said the budget relies on prior savings efforts and incorporates agency-level cuts and reorganization, while also addressing higher costs in corrections, DCFS, and health care. Major items highlighted included funding for LA GATOR, the high-impact jobs program, DCFS modernization, corrections population and overtime needs, nursing home and managed care adjustments at LDH, and additional support for the MJ Foster Scholarship Program. Members asked about the impact of inflation, the use of federal versus state funds, the future of voucher and GATOR funding, and whether more support should go to DCFS and the Hero Fund. The committee also received the calculation of the FY27 expenditure limit, set at $20.1 billion, and the annual comprehensive financial report for FY2025, which received a clean audit opinion. Members approved a BA-7 increasing federal funds for an executive office transportation grant, approved additions to the Act 751 higher education deferred maintenance project list and a Baton Rouge Community College project combination, and approved contract amendments for CPRA with Coastal Estuary Services and Access Sciences. The committee also corrected a legislative intent item naming the New Orleans Recreational Development Foundation. Finally, the judiciary presented a weighted caseload study for district and appellate courts, explaining it as an updated tool to assess judicial workload and potential judgeship needs; members discussed its limits, the role of specialty courts and commissioners, and the need for further legislative-judicial collaboration before any changes are made.

Transcript Highlights:

• Platforms must acknowledge search warrants within eight hours, provide status updates, and generally
• So, um, this would, I think, give a little more certainty to employers and employees, certainly in my
• ... ...bill where pregnancy and parental status have been added to the list of protected classes under
• This bill also requires that a Title VI coordinator be appointed to manage school student and employee
• , sexual orientation, gender identity, gender expression, family composition, pregnancy, parental status

Transcript Highlights:

• , and the employee doesn't have to recognize that as income.
• :04:32.639><c> $5,200</c> up to $5,200 up to $5,200 uh<00:04:34.800><c> for</c><00:04:35.199><c> employees
• </c><00:04:36.160><c> and</c><00:04:36.479><c> the</c><00:04:36.639><c> employee</c> uh for employees
• and the employee uh for employees and the employee doesn't<00:04:37.440><c> have</c><00:04:37.600><c
• so that they of their educational status so that they have<00:09:18.320><c> actually</c><00:09:18.640

Bills: SB79 , HB379 , SB253 , HB278 , HB438 , HB233 , SB79 , HB379 , SB253 , HB278 , HB438 , HB233

Committee: House Ways and Means Education

Keywords: sex-based terminology, gender identity, male, female, man, woman, boy, girl, single-sex spaces, women's rights, privacy, safety, fairness, anti-discrimination, vital statistics, birth certificate, intersex, DSD, differences in sex development, transgender

Transcript Highlights:

• Happy to provide a status update if it would be helpful.
• 50 employees, and seasonal workers.
• You have to do 30 hours to consider it full-time and have 50 employees or more.
• won't pay for that employee.
• coverage for their full-time employees.

Summary: The subcommittee heard an overview of the Department of Health Care Services’ proposed budget, including a $229.1 billion total-funds budget and projected Medi-Cal enrollment decline as redeterminations continue. Members focused heavily on the fiscal and programmatic effects of prior budget solutions and federal changes, especially the elimination of General Fund-supported Prop. 56 dental supplemental payments beginning July 1, 2026, the hospice utilization-management change, and the impact of reduced caseloads alongside rising health care costs. DHCS said it is still completing required access and rate-reduction analyses for the dental cuts and has been engaging stakeholders, but could not yet quantify the real-world effect on utilization or provider participation. The committee also reviewed the November 2025 Medi-Cal local assistance estimate, which shows higher General Fund spending despite lower enrollment, driven by managed care rate growth, Medicare cost growth, state-only claiming, and federal policy changes. The hearing then turned to provider taxes and federal H.R. 1 constraints, with extensive discussion of the MCO tax, the hospital quality assurance fee, and other health care-related taxes. DHCS explained that H.R. 1 phases down allowable tax levels and tightens “generally redistributive” rules, making the current MCO tax structure and the proposed higher hospital fee levels difficult or impossible to renew as originally designed. Staff and the LAO described the tradeoff between preserving Medi-Cal funding and avoiding higher costs on private providers and consumers. Members asked about options for preserving revenue, including possible amendments to Prop. 35 or returning to voters, and were told the department is still evaluating approaches while federal guidance remains in flux. The committee also reviewed hospital payment increases already implemented through state-directed payments, with DHCS noting that H.R. 1 will force those payments down to Medicare levels over time. Several budget change proposals were discussed and left open, including requests tied to the managed care final rule, managed care operations, hospital value strategy, long-term care payment transparency, and interoperability requirements. The committee also heard about a one-year trailer bill extension for skilled nursing facility financing, including continuation of the SNF workforce standards program, the SNF quality assurance fee, and annual rate growth, while the department develops a longer-term financing redesign for 2027-28. Members expressed skepticism about repeated rate reform efforts and questioned whether a one-year extension of the eliminated workforce quality incentive program should be restored during the transition. Finally, Covered California presented its budget and enrollment update, reporting that the expiration of the federal enhanced premium tax credit is expected to reduce affordability significantly, with average premiums roughly doubling for many enrollees and as many as 400,000 Californians potentially losing marketplace coverage over time. The exchange said California’s $190 million subsidy program is helping lower-income enrollees, but not enough to offset the federal loss, and it is also implementing a new gender-affirming care benefit and awaiting federal action on benchmark plan changes.

Transcript Highlights:

• Some of these folks are seasonal employees, and many are full-time work here in St.
• We perform background checks, and some go as far as fingerprints for each employee on the job.
• We perform background checks, and some go as far as fingerprints for each employee on the job.
• We perform background checks, and some go as far as fingerprints for each employee on the job.
• We perform background checks, and some go as far as fingerprints for each employee on the job.

Bills: HF1234 , HF1956 , HF1025 , HF1172 , HF791

Committee: House State Government Finance and Policy

Transcript Highlights:

• They generate billions of dollars in economic activity and they up employee millions of Floridians.
• We can benefit from their existence in statue versus repealing it.
• And there's a statutory trigger, meaning that $7 a month per employee goes up.
• Businesses would pay more than $7 per month per employee.
• We'll keep that $7 a month per employee per month.

Transcript Highlights:

• We also have county employees who administer the program to help us learn about what their increased
• , but the length of time they had been in that status.
• So people prior to a five-year threshold... ...but the length of time they had been in that status.
• So basically, a question around either multigenerational or mixed-status families.
• And that's really evident with mixed-status immigrant households.

Summary: The committee held its second hearing on CalFresh enrollment and nutrition, focused on the effects of H.R. 1 on eligibility, administration, and food access in California. The Legislative Analyst’s Office and the Department of Social Services outlined major federal changes: expanded work requirements for able-bodied adults without dependents, narrowed eligibility for certain lawfully present non-citizens, and new state and county cost-sharing for both administrative and benefit costs. Officials said about 665,000 Californians could lose benefits under the work requirement, roughly 72,000 non-citizens could lose eligibility, and California could face hundreds of millions to billions in new costs depending on error rates and implementation details. DSS described its mitigation efforts, including county guidance, trainings, automation, outreach materials, and coordination with workforce programs, while county representatives argued the workload is larger than current funding assumptions and that staffing and training needs are urgent. Members also heard from a CalFresh recipient, Lauren Keltz, who described how benefits helped her family during her daughter’s medical crisis and how a clerical error led to the loss of food, health, and cash assistance, contributing to homelessness and food insecurity. Her testimony was used to underscore the consequences of administrative errors and benefit disruptions. Grocery and agriculture representatives said CalFresh is not only an anti-hunger program but also a major economic driver, with benefits spent locally at grocery stores, farmers markets, and farm stands. They warned that cuts would reduce demand for fresh food, hurt independent grocers and small farmers, and increase reliance on food banks, while urging continued support for market match and farm-to-food-bank programs. In the second panel, advocates and local administrators emphasized the human and operational impacts of the federal changes. The California Immigrant Policy Center called for expanding the state-funded California Food Assistance Program to cover more immigrants excluded by H.R. 1. A San Francisco eligibility worker and a San Diego county administrator said the new rules will add substantial casework, require more client outreach and exemption screening, and strain already limited staffing. Justice in Aging stressed that CalFresh is a key anti-hunger tool for older adults and people with disabilities, especially as housing and health costs rise, and supported outreach funding for seniors. Throughout the hearing, members discussed the need for state funding, better automation, and stronger county and community partnerships to reduce disenrollment and protect access to food.

Transcript Highlights:

• Happy to provide a status update if it would be helpful.
• 50 employees, and seasonal workers.
• We understand when employers, or I'm sorry, employees...
• so they won't pay for that employee.
• coverage for their full-time employees.

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:

• and employees.
• Finally, just prior to the COVID pandemic, there were discussions of firing any employee who declined
• Eventually, however, the hospital required all employees to have a flu vaccine annually.
• Eventually, however, the hospital required all employees to have a flu vaccine annually.
• I personally, as a government employee, faced mandates, and I didn't do it.

Committee: House Health and Welfare

Summary: The committee first heard opening remarks from LDH Secretary Bruce Greenstein and CMS Medicaid Director Dan Brillman, who discussed ongoing federal-state collaboration and praised Louisiana’s work on Medicaid and health system reforms. The committee then took up House Bill 1214 by Chairman Miller, which would create an Office of State Healthcare Facilities within LDH to centralize oversight of five state-operated inpatient facilities. LDH said the bill would streamline administration, combine shared services, add no new FTEs, and improve care and outcomes for vulnerable residents. Members asked about capacity and waiting lists at the facilities, and the bill was reported favorably without objection. The committee next considered House Bill 1041 by Representative Ghali, a medical-freedom bill aimed at prohibiting denial of access or discrimination based on “medical intervention status.” After amendments were adopted, the bill was narrowed to exclude K-12 schools, colleges, hospitals, health care facilities, and tuberculosis-related actions, while keeping existing school outbreak exclusion law in place. Supporters, including patients, nurses, physicians, and advocacy groups, testified that mandates during COVID caused coercion, job loss, and harm, and argued for bodily autonomy and informed consent. Opponents, including the Louisiana Hospital Association, American Lung Association, and Louisiana Families for Vaccines, said the amendments addressed some concerns but warned the bill could weaken outbreak protections for children; after debate, the committee reported the bill favorably with amendments. The committee then heard House Bill 414 by Representative Chenevere, which closes a loophole in background-check law by barring hiring of certain direct-care workers with substantially similar out-of-state convictions that would disqualify them in Louisiana. Amendments clarified the definition of covered workers, removed licensed ambulance personnel, and addressed documentation and third-party screening. The Attorney General’s office said the bill is intended to protect vulnerable Medicaid beneficiaries from people with serious criminal histories, and supporters from disability and EMS communities backed the measure. The bill was reported favorably with amendments. Finally, the committee began House Bill 786 by Representative Egan, which would prohibit managed care organizations from using extrapolation to determine provider audit overpayments or recoupments, requiring decisions to be based on actual claims. Members discussed a proposed amendment preserving the Department of Health and Department of Justice’s ability to use extrapolation in fraud investigations under existing law, but the transcript cuts off before final action on the bill.