Transcript Highlights:

• In other cases, reductions will be an actual reduction to hospital operations.
• So reductions to their current levels would potentially require some operating reductions.
• In other cases, reductions will be an actual reduction to hospital operations.
• And so reductions to their current levels would potentially require some operating reductions.
• Public health services also had reductions.

Summary: The Assembly Budget Subcommittee on Health began with a hearing on the impacts of H.R. 1 on California health programs, focusing first on reproductive health state investments. HCAI outlined five state-funded reproductive health programs created after Dobbs, including uncompensated care, practical support, capital and clinical infrastructure, and workforce programs. Essential Access Health and Planned Parenthood testified that these funds have served hundreds of thousands of patients, but warned that the uncompensated care program is fully awarded and needs renewal, and that Title X and Medicaid-related federal uncertainty continues to threaten access. Members questioned who the uncompensated care program serves, why Medi-Cal covers a large share of abortions, and whether Planned Parenthood could expand prenatal services; public commenters urged continued support for reproductive health access. The committee then took up long-term care services and supports, starting with the HCBA and Assisted Living Waiver programs. DHCS reported large wait lists for both programs and said enrollment is limited by workforce and provider capacity, while LAO noted that increasing slots alone may not increase access without additional programmatic changes. Members pressed the department on whether more slots should be added given the lower cost of home- and community-based care compared with skilled nursing facilities, and public testimony argued that the wait lists should be reduced and that staffing concerns do not fully explain unused capacity. The committee also heard testimony on congregate living health facilities, where providers and a patient family described the homes as critical, lower-cost alternatives to nursing facilities for younger, medically complex people. Witnesses requested short-term bridge funding, while DHCS said it is proposing to transition CLFs into a managed care benefit by January 1, 2028, which would remove caps and expand access statewide. The final long-term care topic was PACE. DHCS explained that it has paused new PACE applications and service expansions for at least two years to reassess oversight capacity and develop a statewide strategic growth framework, while existing programs continue operating. CalPACE supported the pause as a planning measure but asked for four additional state nurse positions to reduce delays in level-of-care determinations and speed enrollment for frail older adults. Members shared personal stories about how PACE has helped family members and asked how the state will meet growing demand; DHCS said stakeholder engagement will begin later in the year and that some existing applications already in process will continue. Public commenters broadly supported PACE, HCBA, and CLF funding requests. The hearing then moved to the Department of Health Care Services’ 2026-27 Medi-Cal budget and related trailer bills. DHCS said Medi-Cal spending has grown due to coverage expansions, higher acuity, rising utilization, and especially pharmacy costs, and it described proposals to extend the current skilled nursing facility financing framework for one year while the state develops a new value-based payment strategy. LAO said most recent Medi-Cal spending growth has been driven more by higher per-enrollee costs than by caseload growth, with pharmacy spending growing especially quickly, and recommended better and more timely data to analyze the drivers. Members expressed concern about the rapid rise in Medi-Cal spending and asked for more detail on the largest cost increases.

Transcript Highlights:

• Within the environmental silo, this includes reductions in excess federal budget authority and reduction
• These reductions are achieved through efficiencies gained and strategic investments.
• A few examples include reductions due to the consolidation of service contracts for equipment leases,
• Was there a $5 million reduction in the local government cybersecurity technical assistance grants?
• And if so, why was there a reduction in that grant program? Jeffrey? Thank you for the question.

Summary: The committee convened with a quorum, welcomed new member Senator Ralph Massullo, and first took up confirmation of five appointees to water management district and basin board positions. Senator McLean moved favorable confirmation of Ted Everett, Jerome Pate, Michael Romano, Paul Bissfam, John Hall, and Virginia Johns, and the motion passed by roll call. The main agenda item was the Governor’s Florida First budget presentation for the environmental agencies. Kim Kramer and DEP Secretary Alexis Lambert outlined proposed environmental funding of about $5.8 billion, including more than $1.4 billion for water resources, $810 million for Everglades restoration, $408 million for water quality, $202 million for Resilient Florida, $75 million for beach renourishment, $150 million for Florida Forever, $70 million for state park infrastructure, and $221 million for hazardous waste cleanup. They also highlighted proposed funding for FWC operations, manatee care, python removal, oyster reef restoration, forestry and wildfire equipment, and citrus research and disease response. Members asked about Florida Forever funding, state park wastewater and septic needs, a cut to the Florida Wildlife Research Institute, and how beach renourishment is handled after storms. The committee then heard the general government budget presentation. Agencies highlighted included DBPR, Gaming Control, the Lottery, DMS, PERC, DFS, OIR, and Revenue. DBPR discussed funding for license processing, an animal abuse hotline, vehicle replacement, and IT recruitment; Gaming Control requested new law enforcement squads and a licensing/enforcement IT system; the Lottery emphasized marketing, retail engagement, IT, and retention funding; DMS proposed building, fleet, telecommunications, cybersecurity, and local government grant investments; PERC described workload growth after SB 256 and requested staffing, operations, and pay increases; OIR sought more staff for consumer protection and market oversight plus building renovations; DFS highlighted My Safe Florida Home funding, fire marshal and first responder support, financial investigations, and gold and silver legal tender implementation; and Revenue requested operational, IT, and fiscally constrained county funding. Members questioned DBPR about unfunded HOA fraud and condo transparency items, DMS about cybersecurity grants, and DFS about My Safe Florida Home funding levels, abandoned grants, and reduced program uptake. No further action was taken, and the committee adjourned without additional votes.

Transcript Highlights:

• , personnel services reductions.
• , personnel services reductions.
• Personnel services reductions. This last year complicated the situation.
• CDPH describes the harm reduction initiative and the harm reduction programs as the backbone of the state's
• CDPH describes the harm reduction initiative in the harm reduction programs as the backbone of the state's

Summary: The committee heard a series of budget and oversight presentations from CalHHS-related departments and agencies. CalHHS opened with a broad overview of its 2026-27 budget and priorities, including behavioral health, housing and human services integration, children and youth services, and aging/disability supports. OICR then presented its budget and its SB 823 realignment report on youth formerly committed to DJJ, saying county implementation varies widely but that the state has not seen evidence of net widening in the available data. OICR recommended climate surveys, youth advisory councils, stronger behavioral health and education programming in secure youth treatment facilities, better transitional planning, and improved longitudinal data systems. The agency also described a Title II federal grant transition problem, saying it cannot yet pay some subrecipients for prior work and is awaiting federal action on retroactive spending authority and an administrative funding adjustment. The Ombudsperson division requested two additional positions to address a growing complaint workload and access issues with counties over youth meetings, records, and grievance files; LAO raised no policy objection but noted the ongoing General Fund cost. The State Council on Developmental Disabilities requested $730,000 General Fund ongoing to cover the gap between federal limits on administrative overhead and the actual cost of an interagency agreement with the Department of Social Services. EMSA presented its department overview and several proposals, including a delayed AB 716 ambulance rate report, a $2.6 million request to replace aging disaster-response vehicles, a $250,000 security architecture assessment, and four positions plus ongoing General Fund for HR, enforcement, and legal workload. Members questioned the delay in the AB 716 report, the optics and timing of the vehicle replacement request, and whether EMSA was doing enough to prevent future staffing and enforcement problems. LAO repeatedly noted the ongoing General Fund implications of EMSA’s requests. The Department of Community Services and Development sought reappropriation of unspent Greenhouse Gas Reduction Fund money for the Low-Income Weatherization Program and described a Proposition 4-funded continuation of the farmworker housing component, which would require a new statewide administrator and program design process. The Department of Rehabilitation requested authority to draw an additional $60 million in federal funds annually and add 54 positions to meet sharply increased Vocational Rehabilitation caseloads; LAO had no concerns. Child Support Services proposed restoring a prior reduction to local child support agency funding and reported higher federal performance incentives, while also presenting a supplemental report on full pass-through of child support collections to CalWORKs families, estimating about $150 million annually for full pass-through or about $80 million for a state/county-only approach, plus automation costs. Members questioned why funding should rise when caseloads are declining, and whether the policy could be made cost-neutral. CDPH closed the hearing with an overview of its $5.1 billion budget and its state of public health report, highlighting record-low mortality and higher life expectancy, but also rising overdose deaths among ages 25-44, persistent maternal and infant mortality disparities, and the need for stable public health and emergency-response capacity; no votes were taken during the hearing.

Transcript Highlights:

• That reduction is due to a reduction in salaries due to SPB vacancy projections.
• And a reduction of $3,000,000, $286,000, which is a reduction of subsidies due to non-recurring funding
• ><c> 23,000,000</c> represents a reduction of 23,000,000 represents a reduction of 23,000,000 from<00
• to</c><00:24:53.960><c> um</c> That reduction is due to um That reduction is due to um reduction<00:
• to</c> That reduction is due to That reduction is due to uh<00:26:48.040><c> requested</c><00:26:48.600

Keywords: MS Senate Floor - 19 February, 2026; 10:00 AM, 925, all

Transcript Highlights:

• plan, targeting emissions reductions and mitigations.
• plans and ensuring state funding is reaching its intended goal of emissions reductions.
• There are other emissions reduction activities in those plans that the community wants to see.
• For instance, the cars, they book a certain amount of emission reductions.
• There have been ...reductions, I think, are for these.

Summary: The committee heard several bills related to environmental quality, housing, transportation, and waste policy. SB 1375, by Senator Cortese, would create a narrow CEQA exemption category for certain transit and rail projects that have already undergone extensive environmental review. Supporters, including VTA, the City of San Jose, BART, Caltrain, MTC, and Climate Reality Silicon Valley, said it would reduce duplicative review and speed projects like the Diridon Station modernization. Committee members emphasized added amendments requiring displacement, construction-impact, and natural resources plans, and the bill passed 5-0 as amended to Transportation. The committee then took up SB 1031 on compostable plastics labeling. The author and supporters such as Californians Against Waste and the California Compost Coalition argued the bill would reduce consumer confusion, curb contamination in compost and recycling streams, and direct OEHHA to study health and environmental impacts. Opponents including manufacturers, BPI, retailers, and other industry groups said the bill would effectively ban compostable products in California, harm businesses, and fail to fix the underlying National Organics Program issue. After extensive discussion about labeling, composting capacity, and costs, the bill passed 2-2 on call to Appropriations. SB 958, relating to the Midway Rising redevelopment project in San Diego, was presented next; supporters said it would help move forward a large housing and mixed-use project on city-owned land after years of review and voter approval, and it passed 3-0 on call to Local Government. SB 1075, the Clean Air Promise, drew the most extensive debate. The bill would strengthen implementation and enforcement of AB 617 community emissions reduction plans and local plans in overburdened communities. Environmental justice advocates and youth supporters backed the measure, while local governments, business groups, air district representatives, and industry groups warned it would create uncertainty, add land-use constraints, and act as a housing and cost driver. The author accepted several committee amendments and said the bill was still being worked on, but the motion to pass it to Local Government resulted in a 2-2 tie and the bill remained on call. SB 1064, by Senator Dahle, would reduce clean truck check testing frequency for low-use heavy-duty vehicles and equipment from twice a year to once a year. Agricultural and trucking witnesses supported it as a practical, cost-saving change, while air quality advocates opposed weakening a program they said prevents excess emissions and protects public health. The bill passed 4-0 on call to Transportation. Finally, SB 1258 was presented as a revised measure on remediation of hazardous waste sites on the Cortese list. The author said the committee amendments replaced the bill’s original approach, but he continued to argue that remediation should be aligned with housing development so contaminated infill sites can be cleaned up and built on more efficiently. Developers and environmental consultants supported the concept, saying current timing rules create risk and leave sites idle, while the committee continued to hear testimony as the transcript ended.

Transcript Highlights:

• And the state also can't reduce spending to that lower level because of a law that prohibits reductions
• Those were spending reductions, but they didn't require districts to return any payments the state had
• That is going to mean spending reductions.
• That is going to mean spending reductions.
• Would be to amend the law so it continues to prohibit any kind of prior-year reductions that require

Summary: The Assembly Budget Subcommittee on Education Finance held its first hearing of the year on Proposition 98, focusing on the Governor’s budget estimates for the three-year budget window, the Public School System Stabilization Account (PSSA), and repayment of education deferrals. The Department of Finance said the minimum guarantee would rise by about $21.7 billion over the 2025 Budget Act, with increases in each year, full repayment of the existing settle-up obligation in 2024-25, a new $5.6 billion settle-up obligation proposed for 2025-26, and a higher guarantee in 2026-27. Finance also noted revised downward estimates for transitional kindergarten attendance and Los Angeles County property tax reimbursements, and said community colleges would be funded above the split because of enrollment growth. The Legislative Analyst’s Office emphasized fiscal risk and volatility, warning that recent revenue gains are tied heavily to the stock market and tech sector and could reverse quickly. The LAO argued the Governor’s proposed $5.6 billion delay shifts risk into future years and recommended instead fully funding the current estimate, making a larger reserve deposit, considering advance payments or pension-related uses, and finding additional non-Prop 98 solutions to reduce the state’s structural deficit. On the reserve and deferral items, Finance described revised PSSA deposits and withdrawals that would leave about $4.1 billion in the reserve by 2026-27, and both Finance and the LAO supported paying off the remaining LCFF and SCFF deferrals as good fiscal practice. Committee members questioned the size of the settle-up amount, the degree of revenue volatility, the use of the reserve, and the ongoing K-12/community college split. Finance said the proposal is meant to avoid overappropriation if revenues fall, while the LAO said a buffer of roughly $3.5 billion would address typical forecasting risk. Public commenters, including school boards, county offices of education, teachers, and advocacy groups, largely opposed the $5.6 billion withholding or settle-up delay, calling it a manipulation of Prop. 98 and urging full funding and more stable revenue solutions. Several speakers also urged dedicated funding for students experiencing homelessness. The hearing ended with no vote, and the chair announced that broader program discussions would occur in later hearings.

Transcript Highlights:

• No change, no difference reductions.
• I believe it's about $3 Reduction.
• </c><04:12:24.720><c> where</c> services back the budget reduction where services back the budget reduction
• No difference no change reductions.
• So it's a reduction in they But right.

Keywords: 928, house, all

Summary: The committee of conference on HB 1 and HB 2 met to review revenue estimates and begin working through a side-by-side of the budget. New Hampshire Lottery Director Charlie McIntyre testified that lottery revenues are outperforming prior estimates, projecting a $27 million return to the state this year, up $7 million, and $200 million per year in the next biennium, up $6.5 million per year. He attributed the increase to stronger scratch ticket sales, no negative impact from Massachusetts sports betting, and overall better performance. Members questioned the assumptions behind the higher numbers, including the proposed $50 scratch tickets, the effect of inflation, and whether the projections were conservative enough. McIntyre said the $50 ticket could produce modest growth and that the estimates were intentionally cautious. The discussion also covered gaming revenue assumptions for historical horse racing and video lottery terminals, with McIntyre saying the state market is not yet saturated and that future conversions from HHR to VLTs should be net positive for the state. Members also discussed differences between House and Senate revenue numbers for gaming, including machine counts, daily revenue assumptions, and the tax split. The Senate version used higher machine counts and a 31.25% tax rate, with a quarter-point reserved for responsible gaming and the remainder split between charities and the state. The House had used a 30% rate with a different distribution. McIntyre and committee members also reviewed House Bill 2 items affecting Kino hours and local option games of chance, with McIntyre explaining that the bill would expand playing hours and shift towns to an opt-out model. No votes were taken during the lottery discussion, but the committee indicated it would continue refining the revenue model and circulate the spreadsheet used for the estimates. The committee then moved through the HB 1 detail change sheet, accepting several Senate positions and holding others for later. It agreed to a zero-cost realignment in the Department of Safety moving the international fuel tax agreement function from administration to motor vehicles, and it restored eight passenger motor vehicle inspection positions for later discussion in HB 2. The Department of Corrections reorganization was set aside for a later, more detailed discussion. The committee also accepted no-change positions for the Department of Employment Security and agreed to a technical footnote fix in the Judicial Council section. It discussed a new HB 2 item moving contract counsel for involuntary mental health admissions from the judicial branch to the Judicial Council, funded at $100,000 per year, and noted that the public defender funding issue would be revisited when the overall budget picture is clearer. The meeting ended with the committee continuing its review of the remaining pages of the detail change sheet.

Transcript Highlights:

• But in terms of budgeting and ongoing overhead, there is a permanent reduction of the overhead in the
• I just want to make it clear: if you didn't do this, that would be a permanent reduction in subsequent
• That would be a permanent reduction in subsequent budget years of that amount, so it is an increase in
• Is there a reduction in service on that side?
• And for the first time, the city of LA is saying an 18% reduction in homelessness, the highest reduction

Summary: The subcommittee heard several May Revision proposals related to the state’s housing and homelessness reorganization. On the first item, administration and Finance staff described technical adjustments to move administrative positions and resources between the California Housing and Homelessness Agency, HCD, and Cal ICH, plus authority for a chief deputy director at the new Housing Development Finance Committee. The LAO recommended approval but asked for clarification on funding for the chief deputy position. Several senators questioned whether the staffing shifts would reduce Cal ICH’s capacity and whether adding communications support and a new executive position was appropriate absent new housing funding; the item was held open. The second item proposed a new $100 million CalHFA Disaster Rebuilding Fund, with $56 million General Fund and $44 million in existing National Mortgage Settlement funds, to help disaster-impacted homeowners access construction financing through tools such as a loan loss guarantee and interest rate buy-downs. CalHFA said the fund would help close the gap between insurance proceeds and rebuilding costs and would work through approved lenders. The LAO raised concerns about the lack of alternatives analysis, the broad delegation in the trailer bill, and the General Fund cost. Senators pressed for more detail on the estimated number of homeowners served, lender and homeowner eligibility, equity safeguards, and the role of the Legislature in program design; the item was held open. The third item was trailer bill language for HAP Round 7, including accountability metrics, pro-housing designation requirements for certain large cities and counties, local match requirements, and a mechanism to recapture unspent funds. HCD said the proposal would streamline reporting by using one consistent set of system performance measures and would phase in the new requirements. The LAO questioned the timing, the burden of pro-housing designation, the size and source of the local match, and whether the proposal conflicted with the Legislature’s prior goal of getting funds out quickly. Several senators criticized the added requirements and the lack of new funding, while others said the proposal could improve accountability and reduce administrative burden by reusing existing plans. The item was also held open. The fourth item began a proposal to reduce local development impact fees on state-funded affordable housing projects, framed as a condition on competitive multifamily funding rather than a statewide mandate. The presentation started but the transcript cuts off before questions or action on that item.

Transcript Highlights:

• Commissioner Willie Jett: I also want to address the proposed reductions at the top of this point of
• Commissioner Willie Jett: I also want to address the proposed reductions at the top of this point of
• Commissioner Willie Jett: The budget proposes reductions to Q comp, special education transportation
• You can see in fiscal year 26 it's a $71 million reduction, and then 18.4 in fiscal 27, 172 in fiscal
• </c> budget um so uh the would the reduction budget um so uh the would the reduction in<01:42:41.679>

Keywords: 1183, house

Transcript Highlights:

• It was a reduction of about $8 million, or 0.03%, below the end of session.
• in Appropriations it was a reduction in Appropriations it was a reduction<00:45:53.599><c> of</c><00
• offset by reductions for a number of things.
• So we have a graph here that's showing the history of our cross-subsidy reduction aid.
• So we have a graph here that's showing the history of our cross-subsidy reduction aid.

Keywords: 1187, senate, all

Transcript Highlights:

• In human services, the plan rejects many of the large reductions proposed by the governor in May.
• Principally, all proposed reductions to IHSS and adult protective services were rejected.
• Like last year, we had $12 billion in ongoing reductions that were part of the 2025 Budget Act.
• In regards to the unallocated reduction, I think that's always tricky to have unallocated reductions
• In regards to the unallocated reduction, I think that's always tricky to have unallocated reductions

Keywords: 988, house, all

Transcript Highlights:

• The department, since these are a reduction in supplemental payments, is required to do a rate reduction
• All these programs do show slight reductions in caseload, but—” “All these programs do show slight reductions
• I don't need to explain to you guys that reductions in hours, staff reductions, and potential closures
• I don't need to explain to you guys that reductions in hours, staff reductions, and potential closures
• I don't need to explain to you guys reduction in hours, staff reductions, potential closures will ensue

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:

• $8 million reduction for early childhood support.
• It's a reduction, and I mean, it goes back to the general fund. It's a reduction.
• In this case, there's no reduction in benefits, but there's a reduction in federal participation in the
• On the reduction, they were reducing their emergency room visits.
• On the reduction, they were reducing their emergency room visits.

Summary: The committee first heard a budget presentation on LSU Health Care Services Division and Lallie Kemp Medical Center. Staff reviewed HCSD’s roughly $74.7 million budget, much of it tied to legacy obligations for former LSU hospital systems and support for Lallie Kemp. Committee members asked about prisoner care, risk management costs, declining admissions and emergency visits, and the hospital’s 340B drug program. Lallie Kemp officials explained that prisoner care serves multiple state and local facilities, that lower admissions largely reflect more patients being placed in observation status, and that the in-house 340B program provides major savings to patients and the prison system. Members also asked about care for unhoused patients and the hospital’s discharge practices, and the hospital said social services works to find placement when possible. The committee then moved to the Louisiana Department of Health budget, which was presented as just under $23.5 billion, with Medicaid making up more than 90 percent of the total. The presentation covered the Office of the Secretary, Office of Public Health, Office of Behavioral Health, Office for Citizens with Developmental Disabilities, and Medicaid. Major items included the new Rural Health Transformation Program, the transfer of several functions from DCFS to LDH under the One Door initiative, changes to SNAP administration, and large Medicaid adjustments driven by enrollment, utilization, and federal policy changes. Testimony also highlighted the statewide crisis hub and 988, the commodity food program for seniors, women’s health and maternal outcomes, and the department’s efforts to modernize technology and reorganize services. Members questioned LDH officials on a wide range of budget and policy issues, including the rural health grant, crisis services, Medicaid redeterminations, provider taxes, physician and hospital supplemental payments, nursing home rates, HCBS funding, and the impact of the federal One Big Beautiful Bill Act. LDH said the rural health grant would support workforce, technology, and care-delivery improvements; that the crisis hub and mobile crisis units are being expanded to improve access and reduce emergency room use; and that the department is working to keep the SNAP error rate below 6 percent to avoid a projected state cost increase. Officials also said they expect to return next year with additional funding requests for HCBS and other programs, while emphasizing that current budget changes are largely meant to realign funding with actual expenditures and new federal requirements. No votes or formal actions were taken in the portion provided.

Transcript Highlights:

• And so I'm just, when I see that big a budget increase from what we actually spent, it's a reduction
• If there's a reduction in F-MAP for Medicaid in the next year or so, does this section give you guys
• I'm just trying to think, like, what logistically happens if there's a reduction in the federal F-MAP
• If there's a reduction in the federal F-MAP. Mr.
• Because it was reduced as a part of the 3% reduction. Mr.

Keywords: 908, all

Summary: The Senate Appropriations HR Division met with all members present to review the medical services portion of the HHS budget. Sarah Aker, Executive Director of Medical Services, walked the committee through several budget items, including HCBS cost-to-continue adjustments, the DD bed assessment, expansion of value-based purchasing, targeted rate increases for home health and QSP services, and the cross-disability waiver. Members generally supported the targeted increases for home health and QSP, and Aker explained that the cross-disability waiver funding would support startup work, service design, and infrastructure ahead of a planned July 1, 2028 implementation. The committee spent significant time on rate-setting and provider payment issues. Members discussed ambulance rate rebasing, with several senators expressing concern that the proposed increase was too high relative to peer states; the committee ultimately moved toward reducing that item to $1 million rather than zero so it could be revisited in conference committee. They also discussed a House-added critical access hospital networking grant and similarly leaned toward reducing it to $1 million. Aker explained the department’s value-based purchasing plans, including use of a vendor selected through RFP, and clarified how the department’s existing Medicaid managed care and hospital value-based programs work. A major portion of the meeting focused on long-term care and basic care payments, including a House-added extension of the $5 per day basic care add-on and a proposed shift in nursing facility incentive grants toward a withhold-based model. Senator Mathern indicated he would bring an amendment to delay or modify the withhold change, and Aker said the department would prefer language that directly addresses whether a withhold may be implemented. Members also discussed 1915(i) services, FMAP changes, the Medicaid legacy system modernization carryover, and a House-added legislative intent section on medical assistance. The committee adjourned for the morning with plans to return later to continue Human Services budget work and revisit unresolved items in conference committee.

Transcript Highlights:

• reductions to their budget.
• Is that part of the 5% reductions? Mr.
• reductions would have real and immediate impacts.
• I mean, could that be a Promise Program and maybe a reduction of that?
• This is an 11% plus reduction in taxes.

Summary: The joint appropriations committee met on April 28 to review the FY 2027 budget package, including the general appropriations feed bills (HB 4138 and SB 1831) and related budget reconciliation measures. Staff described the budget as including about $17.96 billion in general fund appropriations, a one-time transfer of state monies to increase revenues, a 5% lump-sum reduction to most agencies’ discretionary general fund budgets, and several one-time restorations or continuations for items such as school facilities, child care, child safety, corrections stipends, and public safety operating costs. Members spent much of the meeting debating how the across-the-board cuts would be implemented, which programs might be affected, and how fund sweeps from prior-year appropriations and special funds would work, including questions about universities, public safety, rural hospitals, transportation grants, the Corporation Commission, and health insurance costs for state employees and troopers. A major point of discussion was the impact on universities and higher education. Arizona Board of Regents representatives said the proposed reductions and fund sweeps would affect already obligated dollars, research, staffing, and student aid programs, and could force difficult decisions about programs such as the Promise Program, Teachers Academy, and other pass-through funds. Committee members also raised concerns about whether the cuts could lead to tuition increases or reductions in services, while majority members emphasized that agencies and the executive branch should decide how to absorb the reductions. Another major topic was health care and the state employee health plan: staff explained that the budget includes a $228 million general fund infusion to stabilize the plan, while a separate reconciliation bill would raise employee premiums over three years. Members also discussed whether the budget’s changes to AHCCCS/Access and hospital eligibility rules could increase costs for hospitals and reduce coverage. Public testimony largely opposed the budget. Speakers from Opportunity Arizona, the Arizona Board of Regents, and local governments argued that the proposal would shift costs onto working families, reduce support for education, housing, SNAP, health care, and rural infrastructure, and protect tax benefits for data centers and higher-income taxpayers. A mayor from Globe asked for state help after severe flooding damaged roads, water lines, and homes, while a motorcycle safety advocate asked the committee to review a DPS motorcycle safety fund appropriation. Committee members and staff repeatedly clarified that some items discussed were one-time appropriations not continued into FY 2027, that some fund sweeps were from unspent or unencumbered balances, and that the committee planned to take a mass roll-call vote on the budget bills at the end of the meeting.

Transcript Highlights:

• We are required by the Climate Commitment Act to meet greenhouse gas emission reductions by next year
• However, we do want to meet those emission reductions.
• This is simply not aligned with the climate pollution reduction targets that the state has committed
• This is simply not aligned with the climate pollution reduction targets that the state has committed
• Thank you. ...in permanent bill reductions to low-income households.

Summary: The Environment and Energy Committee heard testimony on three bills. HB 2426 would allow the Pollution Control Hearings Board, with unanimous agreement of the parties, to use alternative board compositions for appeals, including a single member or other qualified environmental adjudicators, so long as one member is a Washington-licensed attorney and the panel has environmental law expertise. The bill sponsor and supporters from business and conservation groups said it was a narrow, consensus-based change intended to improve efficiency and predictability. ELUHO’s director supported the concept but flagged technical issues in the bill language about attorney and Growth Management Hearings Board member qualifications. HB 2416 would provide no-cost allowances under the Climate Commitment Act to Spokane’s waste-to-energy facility, which is not currently covered until the second compliance period. Supporters, including Spokane officials, labor, and local partners, said the facility protects a sole-source aquifer, provides waste disposal and electricity for about 13,000 homes, and faces large compliance costs that could raise rates and threaten jobs. Opponents from environmental groups and Ecology argued the bill would give the facility preferential treatment, subsidize most of its emissions through 2050, and fail to ensure real emissions reductions; AWB raised concern about market impacts if new allowances are added. No vote was taken. HB 2373 would require electric utilities to offer monthly bill discount programs with tiered income levels, expanded outreach and enrollment, and updated reporting on low-income energy assistance. The sponsor said the bill is meant to make assistance more consistent and accessible statewide, while utilities and rural co-ops warned it could create unfunded mandates and significant rate increases for non-low-income customers, especially in smaller systems. Supporters from community action agencies, Commerce, and some utilities said monthly assistance is needed because energy burdens are rising and current programs are patchwork, though several urged pairing the bill with state funding or amendments. The committee heard extensive testimony but took no final action on any of the bills.

Transcript Highlights:

• The objective of this limit reduction is not to achieve a windfall.
• This bill proposes a drastic reduction in the uninsured and underinsured motorist coverage required of
• This reduction in SB 371 would place drivers in a position with fewer rights and no guarantee that any
• There's, you know, like there's been statements that there would be a reduction.
• You could be able to see a reduction in the amount that's charged as a fee in terms of the insurance

Summary: The Assembly Communications and Conveyance Committee heard three bills. SB 371 by Senator Cabaldon would reduce uninsured/underinsured motorist coverage requirements for transportation network companies from $1 million to $100,000 per person and $300,000 per accident, with committee amendments adding findings and declarations, higher limits than originally proposed, and a joint study on UM/UIM impacts. Supporters, including Uber, Lyft, business groups, and some consumer advocates, argued the bill would lower fares and increase driver earnings by reducing insurance costs. Opponents, including consumer attorneys, labor groups, and consumer watchdog organizations, warned it would cut protections for riders and drivers and might not guarantee savings would be passed through. The committee approved SB 371 on a due-pass basis and re-referred it to Appropriations by a 9-0 vote. The committee then heard SB 716 by Senator Durazo, which would create a Home Internet Lifeline Program to let eligible low-income households apply Lifeline subsidies to home broadband service. Proponents said the bill addresses broadband affordability after the federal Affordable Connectivity Program expired, and that it would help students, workers, and families access reliable internet. Opponents from the wireless industry objected to the funding mechanism, arguing the surcharge would fall unfairly on wireless consumers, while one broadband group moved to neutral after amendments. The bill was approved on a due-pass basis and sent to Appropriations, but the roll was held open and later completed with the bill passing 7-1. The committee also took up SB 480 by Senator Archuleta relating to autonomous vehicles as a consent item, with no presentation or debate. It was approved on a due-pass basis and re-referred to Appropriations by a 9-0 vote. Throughout the hearing, members repeatedly focused on affordability, consumer protection, and whether savings from the bills would actually reach riders, drivers, or households.

Transcript Highlights:

• Because of the Inflation Reduction Act, there have been some changes over the last couple of years in
• Before the Inflation Reduction Act, the federal government subsidized Medicare drug coverage through
• And eventually the catastrophic became so large that that's why the inflation reduction, that's part
• of why the Inflation Reduction Act changed the benefit design.
• Obviously, some significant changes in the structure through the Inflation Reduction Act.

Summary: The committee received an update from Grant Wallace on the rebid and possible decoupling of the state’s Medicare Advantage retiree coverage. He said the state is exploring splitting medical and pharmacy benefits for post-65 retirees, with UnitedHealthcare as the incumbent vendor, and that preliminary estimates suggested savings of about $100 to $200 per participant per month. He outlined the expected timeline for final CMS rate announcements in April 2026, with contract amendments likely to come before the committee in May or June after review by the EBD Advisory Commission and State Board of Finance. Representatives from Segal Consulting then reviewed the history and current structure of the Medicare Advantage prescription drug plan, explaining that the plan was adopted after a 2021 recommendation and launched in 2023 alongside the existing Med-Sup option. They said the Medicare Advantage option has produced substantial savings, including a lower monthly rate than the Med-Sup plan and about $40 million in savings from initial enrollment, while also restoring pharmacy benefits for some retirees. The presenters then explained recent federal changes under the Inflation Reduction Act, including major changes to Part D funding, the direct subsidy, and risk-score methodology, which they said have made risk adjustment much more important and are driving interest in separating medical and pharmacy contracts. In response to questions from senators, the presenters said the Medicare Advantage plan covers post-65 teacher and state employee retirees, including retirees from state agencies and K-12 public schools. They also explained that the new Part D structure has reduced out-of-pocket costs for members, with a $2,000 annual cap and lower average member spending to reach it, while shifting more cost to the plan. No votes were taken and no formal action was reported; the committee simply received the update and was told to expect further information after the April rate notice. The meeting adjourned with the committee scheduled to return on May 13.

Transcript Highlights:

• Reduction in duplicate enrollment. This is really sort of what I consider a cleanup effort.
• And so these reductions in federal payments will phase in over a long period of time.
• . to backfill reductions or to pay for existing services.
• The reduction in retroactive eligibility is sort of a hard reduction from three months to two months.
• So we have this backlog reduction strategy that is well underway, and we're excited about that.

Keywords: House Room C, General Assembly Building, 976, house, all

Transcript Highlights:

• </c><00:30:43.640><c> in</c> entitlement program reductions in entitlement program reductions in federal
• A cut of that magnitude would amount to an 8% to 12% reduction in federal Medicaid outlays if that reduction
• A cut of that magnitude would amount to an 8% to 12% reduction in federal Medicaid outlays if that reduction
• </c><00:36:12.119><c> are</c> is not cut or that reductions are is not cut or that reductions are minimized
• well I we'll always look for reductions well I we'll always look for cost<01:09:00.799><c> reduction

Keywords: 1187, senate, all