Transcript Highlights:

• nations to attempt to lure away some of our top researchers with the promise of more support and stability
• and nations to attempt to lure away some of our top researchers with promise of more support and stability
• discuss the many ways that private colleges and universities are embedded in Massachusetts economic stability
• education community are powerful partners, supporting each other and contributing to each other's stability
• education community are powerful partners supporting each other and contributing to each other's stability

Keywords: 995, all

Summary: The committee held an informational hearing on the economic impact of Massachusetts higher education institutions, with opening remarks noting the significance of September 11 and the role colleges and universities play in the state’s economy, workforce, and research ecosystem. UMass leaders testified first, describing UMass as a major employer and economic driver that educates large numbers of Massachusetts residents, supports thousands of jobs, and generates billions in annual economic activity. They emphasized the importance of research funding, warned that federal grant cancellations, suspensions, and slowdowns were harming research operations and talent retention, and voiced strong support for Governor Healey’s proposed DRIVE initiative as bridge funding to protect research capacity and jobs. Committee members focused heavily on workforce preparation in emerging fields such as AI, cyber, quantum computing, and engineering. UMass leaders said AI is being embedded across curricula and research, but also warned that financial constraints forced reductions in PhD admissions, especially in computer science and engineering, which could weaken the future workforce pipeline. They also described the practical effects of grant uncertainty, including reduced graduate admissions and concerns about losing researchers to institutions abroad. Members asked for more detailed data on grant timing, funding gaps, and where students and researchers were going. A second panel from private colleges and universities, including AICUM, Suffolk, Smith, and Clark, highlighted the broad economic and civic contributions of private higher education. Testimony cited large annual economic impacts, job creation, tax revenue, community service, legal clinics, dual enrollment, entrepreneurship support, sustainability investments, and access programs. Speakers also discussed enrollment pressures, COVID-related social and mental health challenges, student visa and federal policy concerns, and the need to preserve liberal arts alongside career-focused training. The committee then heard from MIT, where testimony focused on research commercialization, biotech spinouts, and the role of federal, philanthropic, and industry funding in sustaining innovation; members pressed for more data on funding sources and asked what state policy could do to keep talent and businesses in Massachusetts. The hearing continued with additional public higher education testimony, including Bridgewater State, Bristol Community College, and Northeastern, which emphasized workforce-aligned programs, social mobility, apprenticeships, co-op education, and the need for better coordination between higher education, employers, and state workforce systems.

Transcript Highlights:

• because we face the growing electricity demand from data centers and the new challenges to grid stability
• because we face the growing electricity demand from data centers and the new challenges to grid stability
• centers and the new challenges<00:09:44.640> to<00:09:44.880> grid<00:09:45.279> stability
• <00:09:45.680> that<00:09:46.000> this challenges to grid stability that this challenges
• to grid stability that this brings. brings. brings.

Keywords: 1183, house

Summary: House File 3296, as amended, was heard in committee and laid over. The bill would extend an existing exemption in Minnesota’s energy conservation/efficiency program calculations so that certain data centers, like crypto-based data mining operations, would not be counted in a utility’s gross annual retail sales if the new load increases the utility’s base load by 40% or more. Representative Gilman and testifier David Meyer of Glenco Light and Power argued the change is needed because large data loads can make the 1.5% annual savings target effectively unattainable for smaller municipal utilities, and they said the added revenue from the facility has helped lower rates for other customers. Ken Sulum of the Minnesota Municipal Utilities Association supported the bill, describing it as narrowly drafted to address mid-sized data centers that do not fit other relief provisions but still create local utility problems. Sarah Wolf of Minnesota Interfaith Power and Light opposed the exemption, arguing that energy efficiency remains important amid rising demand and grid stress from data centers, and that large users should continue contributing to efficiency efforts rather than being exempted. Members raised questions about whether the facility had a long-term contract, whether the customer was helping lower rates, and how much savings were being passed on to ratepayers. Meyer said the customer had a three-year agreement extended another three years, the infrastructure costs were borne by the customer, and the facility’s revenue has allowed Glenco to reduce rates by about half a cent per kilowatt hour through a $40,000 monthly buy-down of its power cost adjustment. Some members expressed concern that data centers should continue to improve efficiency over time, while others noted the bill’s focus on smaller utilities facing disproportionate impacts.

Transcript Highlights:

• It falls on Minnesotans who rely on care to live with dignity and stability.
• It falls on Minnesotans who rely on care to live with dignity and stability.
• It falls on Minnesotans who rely on care to live with dignity and stability.
• can trust, one that delivers care with integrity, transparency, accountability, and results. and stability
• That's why we are holding and stability.

Keywords: 919, house, all

Summary: House DFL leaders held a press availability outlining a broad anti-fraud agenda focused on state programs, especially Medicaid-related services, but also unemployment and tax fraud. They said the package is intended to strengthen accountability, improve oversight, and prevent fraud before it occurs, while arguing that fraud harms vulnerable Minnesotans such as children with autism, people with disabilities, seniors, and homeless people. They also tied the problem to long-term privatization of public services, arguing that outsourcing creates more layers and opportunities for fraud, and cited examples like county case management and managed care arrangements. Specific proposals discussed included strengthening the attorney general’s Medicaid fraud control unit, creating or expanding inspector general functions, requiring more in-person site visits, using electronic visit verification, improving background checks and fingerprinting, and upgrading outdated IT systems. Members said some bills would be relatively low-cost while others would require funding, and that bills without fiscal notes might move separately while others could be folded into budget discussions. They also said the House DFL had already taken steps in prior sessions, including creating a fraud unit at the BCA and adding DHS staff for site visits. The discussion also covered the Office of Inspector General bill, with DFL members saying they support placing the office in the executive branch and that the governor should make the final appointment for constitutional reasons. They said Republicans had blocked amendments they viewed as adding fraud-prevention authority to the OIG bill, and that the governor’s staff had not been involved in working groups. On a separate bill involving disclosure requirements, they said the committee version was improved but still flawed because it could interfere with investigations; they said it would next go to the Children and Families Committee. No votes were taken in the exchange, and members said they were still early in session and hoped for more constructive negotiations later.

Transcript Highlights:

• The IHA promotes economic self-sufficiency, asset building, and housing stability for Native Hawaiians
• >> Yeah, I mean, our big worry here is stability for residents.
• our our our big worry here >> Yeah, I mean, our our our big worry here is<00:22:54.600> stability
• <00:22:55.960> We<00:22:56.080> want<00:22:56.320> to is stability for residents
• We want to is stability for residents.

Bills: HB1743, HB2122, HB1756, HB1837, HB1729, HB2559

Keywords: owner-builder, exemption, housing crisis, contractor, leasing restrictions, affordable housing, construction, regulations, teacher housing, housing vouchers, teacher retention, Hawaii Department of Education, hard-to-staff schools, housing, first-time home buyers, savings account, tax deductions, homeownership, savings accounts, tax deduction

Summary: The House Housing Committee heard testimony on several housing-related bills. HB 1743 would expand the owner-builder exemption by repealing a leasing restriction and requiring notice when a leased residential structure was built by an unlicensed contractor. Subcontractors Association of Hawaii and the Contractors Licensing Board opposed the bill, warning it could encourage unlicensed contracting and weaken consumer protections, while Hawaii Realtors, Housing Hawaii’s Future, Grassroot Institute of Hawaii, BIA Hawaii, and others supported it as a way to increase housing flexibility. After questions about whether licensed electrical and plumbing work would still be required, the committee voted to pass HB 1743 with amendments and a defective date. The committee also heard and advanced HB 2122 HD1 on teacher housing, which would create a teacher housing assistance program using vouchers from the teachers housing revolving fund. Testimony included support from the Chamber of Commerce of Hawaii, Housing Hawaii’s Future, the Democratic Party of Hawaii Education Caucus, and individuals, with the Office of Collective Bargaining in opposition and the Department of Education offering comments. The bill was voted out as is. The committee then considered HB 1756 and HB 1837, both updating the individual housing account program to reflect current housing prices; supporters including Housing Hawaii’s Future and the Office of Hawaiian Affairs said the limits were outdated and needed inflation adjustments, and HB 1756 was passed with amendments while HB 1837 was deferred as nearly identical. HB 1729 would disallow the state home mortgage interest deduction for second homes. Hawaii Realtors opposed it, while Housing Hawaii’s Future supported it as a way to prioritize first-time homebuyers and reduce competition from second-home buyers. The chair noted a possible revenue savings estimate and the committee passed the bill with amendments, with several reservations. Finally, HB 2559 would prohibit real estate brokers from marketing residential property to limited exclusive groups of buyers, which the Office of Consumer Protection said needed an enforcement clarification and the Realtors said could affect some legitimate private-listing situations. The chair proposed replacing the outright ban with a disclosure requirement for private listings, and the committee passed HB 2559 with amendments. The hearing then adjourned after the chair thanked members, staff, and the public.

Transcript Highlights:

• There's also a really important tie-in here to the financial stability, and, as Ian mentioned, we don't
• It also ensures, again, that the applicants have the financial stability to support and integrate into
• And then we're looking at services, community by community, hospital by hospital, to ensure our stability
• Secondly, we need to think outside the box about how we can stabilize this market.
• It would safeguard consumer interests and help us stabilize our market by adding plan certification criteria

Summary: The committee heard a JLARC presentation on the Department of Health’s oversight of hospital inspections, complaints, and reporting. JLARC said DOH was late on 72% of acute care hospital inspections as of December 2024, had not verified that third-party accrediting standards were substantially equivalent to state standards, did not consistently require proof of those inspections, did not review adverse health event corrective plans, and could make hospital data more accessible. JLARC also raised a possible language-access barrier in the complaint system. Members asked about complaint filing by staff, the meaning of adverse health events, inspection outcomes, and whether the audit compared DOH to other agencies. JLARC said it had not reviewed inspection results or cross-agency comparisons, but noted inspectors were dedicated and working long hours. DOH later said it concurred with the recommendations and outlined a strategic plan with target dates for improving timeliness, verifying accreditation standards, expanding language access, reviewing adverse event laws, and improving public data access, with annual reporting to the Legislature expected. The committee then heard a Department of Health presentation on certificate of need modernization. DOH described the current certificate of need process, which reviews need, financial feasibility, quality, and cost containment for certain facility changes and new services, and said the program has not been modernized since the 1980s. DOH proposed 10 statutory modernization recommendations, including clarifying the program’s purpose, creating a planning entity, adding flexibility, reducing legal costs, updating access-to-care standards, expanding oversight to freestanding emergency departments and urgent care, addressing equity, improving cost control coordination, strengthening long-term funding, and using better data systems. Members asked about oversight of freestanding urgent care and EDs, funding sources, and whether the process could be streamlined or made more responsive to complaints or other triggers. A third panel discussed artificial intelligence in health care. Lucy O’Rourke of the Coalition for Health AI described CHAI’s work on responsible AI principles, technical standards, model cards or “nutrition labels,” testing and governance tools, and educational resources for providers. She said the group is focused on trust, transparency, fairness, safety, security, and privacy, and noted Washington’s AI-related policy work as among the more progressive in the country. No questions were asked. The final portion focused on the financial impact of federal and state health care policy changes. The Washington State Hospital Association said hospitals are facing low or negative operating margins, service reductions, layoffs, and closures, and that state cuts and taxes enacted in 2025, combined with federal HR1 changes, will significantly worsen finances. Providence Swedish leaders described staffing reductions, service cuts, delayed capital investments, and pressure from denials, tariffs, and reimbursement changes, while emphasizing that frontline staffing cuts are tied to service reductions rather than nurse-to-patient ratio changes. The Washington Health Benefit Exchange then began a presentation on expiring federal ACA premium tax credits, state Cascade Care Savings assistance, and eligibility changes affecting lawfully present non-citizens, with examples showing large premium increases for customers if federal subsidies expire.

Transcript Highlights:

• And then historically, general fund and sometimes budget stabilization account are used as fund sources
• Row five is the rainy day fund, the budget stabilization account, and row six is just the combination
• The goal is to provide economic stability and relief to the declining Odessa aquifer.
• The goal is to provide economic stability and relief to the declining Odessa aquifer.
• It took the remaining assets beyond the 120% and deposited those in the pension funding stabilization

Summary: The Ways and Means Committee held a work session covering the state revenue outlook, caseload forecasts, wildfire costs, budget balance, tort liability, water supply, and pension policy. The Economic and Revenue Forecast Council reported modest near-term U.S. growth, no near-term Washington employment growth in 2026, continued personal income growth, and elevated inflation, with tariffs and federal policy cited as major risks. Revenue forecasts were slightly improved for the current biennium by about $105 million but down about $185 million for the next biennium. Members asked about income inequality and housing permits; staff said personal income is an aggregate measure and housing production remains below long-term needs. The Caseload Forecast Council then reported that most forecasts were unchanged or only slightly changed, but several programs increased, including Washington College Grant, Working Connections, aged/blind/disabled cash grants, nursing homes, home and community services, and developmental disabilities personal care. The largest policy-driven change was in Medicaid low-income adult caseloads, where federal H.R. 1 was projected to reduce coverage substantially through narrower eligibility, community engagement requirements, and shorter eligibility periods. The committee also heard a wildfire funding update and a 2025 fire season review. Staff explained that the state budgets $93 million annually for suppression and uses supplemental appropriations for costs above that level, with an estimated state supplemental need of about $139 million for the current year. Department of Natural Resources officials said 2025 fire activity remained below the 10-year average in acres burned, but fires were more complex and closer to communities, contributing to higher residence loss. They described expanded use of aircraft, firefighters from other states, corrections crews, and the Arcadia 20 hand crew, and said the state did not need National Guard ground support this year. A budget preview then showed that the near general fund outlook had worsened after vetoes, lapses, and forecast changes, and that maintenance-level costs alone would leave a projected negative balance by fiscal year 2027 and about $4.3 billion by fiscal year 2029, before any policy decisions. Jason Seams, the state risk manager, reported a sharp rise in tort claim costs, with indemnity expenses nearly doubling from fiscal year 2023 to 2025 and DCYF accounting for most of the increase. He said the state self-insurance liability account has run deficits for four straight biennia and is now facing nearly $600 million in deficits, driven largely by a surge in DCYF claims, especially juvenile rehabilitation and long-running sex abuse cases. Members asked about the role of old claims, comparisons with other states, excess insurance, and whether more Attorney General staff could reduce special assistant attorney general costs. The committee then shifted to water policy, hearing from tribal leaders, Ecology, and the Washington Water Trust. Tribal witnesses emphasized overappropriation, declining flows, climate impacts, and the need for legislative oversight and tribal participation in water policy. Ecology described major projects in the Odessa sub-area, Yakima Basin, and Dungeness, along with the need for storage, recharge, conservation, and policy changes to support water supply development. The Washington Water Trust argued that climate change is reducing summer flows and that the state needs more funding, enforcement, and long-term commitment to restore instream flows. The final item was a pension update on LEOFF 1 surplus assets; staff reviewed two 2025 bills that would have merged or restructured the plan and used surplus assets, but neither passed, and instead the budget directed the Select Committee on Pension Policy to study the issue and report back.

Transcript Highlights:

• This is an expensive program, but the recurring cost to state funds has stabilized, and the agency has
• our schools to qualify through the Community Eligibility Program, and we are currently at 99% to stabilize
• push for getting all of our schools to qualify under the Community Eligibility Program, that will stabilize
• can call our team out, and we can send people into the field to meet them where they’re at to help stabilize
• meets the client multiple times a week, helps with medication compliance, and works really hard to stabilize

Transcript Highlights:

• care area where every the system is integrated and if hospitals are destabilized or clinics are stabilize
• Thank you very much. programs to ensure the health, wellness, and financial stability of all Californians
• This is not only an attack on immigrants, it undermines the health and stability of every Californian
• Our network helps stabilize families food budgets during disasters, economic downturns, and day-to-day
• It also will sever one of the few trusted pathways to stability for their families.

Keywords: 988, house, all

Transcript Highlights:

• Maybe even better developed by those needs and where those students are, and if it entices them to stabilize
• To really achieve that pay equity and that financial stability for our students.
• Because, Madam Chair, there's a... and as we all know, there's a federal funding stabilization subcommittee
• What we are looking at is to see how the state can help to stabilize, especially in FY 26, which is when
• was terrible in terms of the students and how it impacted them in negative ways to where it did stabilize

Transcript Highlights:

• And when that happens, that also means that there's stability in housing.
• now we don't have to worry about people not being able to afford the homes that they depend on for stability
• c><00:08:22.879> depend<00:08:23.120> on<00:08:23.599> for<00:08:23.919> stability
• <00:08:24.400> for that they depend on for stability for that they depend on for stability

Keywords: 1187, senate, all

Transcript Highlights:

• Some have said that this measure would ensure workers have a modicum of financial stability, a mere average
• It is an essential guardrail to further secure economic stability and ensure fair employer-labor practices
• further an essential guard rail to further secure<00:18:45.559> economic<00:18:45.960> stability
• <00:18:46.520> and<00:18:46.679> ensure secure economic stability and ensure secure
• economic stability and ensure Fair<00:18:47.200> employer<00:18:47.720> labor<00:18:48.080

Keywords: 1183, house

Transcript Highlights:

• And so, in terms of providing some level of stability in the long term, Run.
• But so that districts also have some stability year-round.
• So, providing some stability and consistency is going to be very helpful for them. So, Mr.
• So, in order to go ahead and create, if you will, financial stability and to assist districts, because
• So, economic stability and, if you will, the reliability and vision building is going to be very important—very

Transcript Highlights:

• of Linfield to appropriate funds from the Gulf Enterprise Fund to the Recreation Capital Trust Stabilization
• of Linfield to appropriate funds from the Gulf Enterprise Fund to the Recreation Capital Trust Stabilization

Keywords: 995, all

Summary: The House began with the Pledge of Allegiance and then took up several Committee on Rules reports. It adopted a series of congratulatory and honorary resolutions, including multiple Eagle Scout recognitions and a resolution celebrating Bishop-elect Eagle Boudicke E. Azidi, Jr., after suspending the rules. The House also suspended Joint Rule 12 for a petition to create a Veteran Suicide Mortality Review and Prevention Council within the Executive Office of Veterans Services. The Committee on Steering, Policy and Scheduling reported several local bills for consideration, including measures on transparency in municipal health insurance, a means-tested senior property tax exemption for Reading, changes related to a mayoral vacancy and residency requirements in Holyoke, and a Linfield appropriation from the Gulf Enterprise Fund. After suspending Rule 7A, the House ordered these bills to a third reading. It then passed to enact House No. 4234, allowing retired police officers to serve as special police officers in Fairhaven, and passed to engross House Nos. 4186 and 4890, concerning Egertown’s Affordable Housing Trust Fund and Quincy public safety personnel’s pre-employment physical exam records. The House also observed a moment of silent tribute for James McCauley, a former Newburyport city councilor and public servant. Finally, it adopted an order to reconvene the following Tuesday at 11 a.m., and then adjourned to meet next Tuesday in an informal session.

Transcript Highlights:

• Our original package had a proposal around housing stabilization services that added more funding to
• This is a budget-neutral change that clarifies the financial eligibility for housing stabilization services

Transcript Highlights:

• Um, I think once we stabilize them and get them to a point where we know that...
• Once we stabilize them and get them to a point where we know that their life isn't in danger, there is
• There’s no reimbursement for those calls, and so we’re trying to stabilize the system as a whole.
• And finally, if that hospital is not equipped to take care or stabilize that individual, uh, the law.
• It might not be the comprehensive everything, but I'll get stabilized.

Keywords: 916, all

Transcript Highlights:

• I heard you saying streamlining the process, timeline, response, stabilization and workforce, and then
• The next is going to be our workforce stabilization.
• And when we do that, we will stabilize the number of staff that we have, and that will have an impact
• We have to provide stability for them for a period of time to make sure that they are safe and they are
• I started with the Department of Children and Family Services on the economic stability side.

Bills: HCR95, HB4, HB244, HB615, HB648, HB1049, HB1201

Keywords: sales tax, exemptions, credits, rebates, uniformity, legislative rules, fiscal report, constitutional convention, Louisiana constitution, electoral process, government structure, delegate elections, delegates, state election, ratification, Louisiana, public meetings, broadcast, transparency, government accountability

Transcript Highlights:

• Willow can recover so that stream banks stabilize, enabling the out-of-bank flows that replenish water
• These predator-prey relationships provide the necessary stability for almost infinite numbers of species
• in ecosystems across the globe and in Colorado. banks stabilize, enabling the banks stabilize, enabling
• predator-prey relationships provide<00:25:01.760> the<00:25:01.880> necessary<00:25:02.560> stability
• <00:25:03.280> for provide the necessary stability for provide the necessary stability for

Keywords: Continuation of today's legislative session, beginning at 7:45 pm., 981, all

Summary: The House took up House Bill 1410, the state’s long appropriations bill for the executive, legislative, and judicial branches and their agencies and institutions for the fiscal year beginning July 1, 2026. The committee first recessed and then adopted a motion to rise, report progress, and sit again later that day. The House also adopted a motion under House Rule 14 to limit debate on House Bill 1410 to one hour during special orders on April 10, 2026, by a vote of 40-20, with four excused and one absent. During consideration of House Bill 1410, members debated Amendment J82/54A, which would require funding for wolf reintroduction to come from gifts, grants, and donations rather than general fund dollars. Supporters argued the state should not use taxpayer money for additional wolf reintroduction, especially during a budget crisis, and said rural ranchers and livestock producers are bearing the costs and impacts of wolves. They emphasized depredation concerns, the strain on rural communities, and the view that the reintroduction effort has been costly and poorly managed. Opponents of the amendment said the funding line is part of broader wolf management, not just reintroduction, and argued the state has a legal obligation to carry out Proposition 114. They said gifts, grants, and donations are not a reliable funding source for that mandate and noted the program also supports conflict minimization efforts such as range riders. One speaker also defended the ecological role of wolves, citing their benefits to ecosystems, elk management, and biodiversity. The transcript does not show a final vote on the amendment before the excerpt ends.

Transcript Highlights:

• with declining enrollment that's happening at many campuses and how they can regain students and stabilize
• Students want to ensure these funds are used to support academic programs, stabilize enrollment, expand
• job one reflects our responsibility to recruit and retain students to secure our long-term fiscal stability
• We should be talking about stability. But... I don't think we should be talking about cuts.
• We should be talking about stability.

Summary: The joint Assembly Higher Education and Budget Subcommittee hearing focused on the future of the California State University system, with opening remarks emphasizing CSU’s major role in California’s economy, workforce, and degree production. Chairs and members said the hearing was intended to inform 2026 budget decisions and to examine three main issues: declining enrollment at some campuses, cost controls and possible consolidation, and oversight of recent state investments at campuses such as Humboldt and Sonoma. The meeting was briefly delayed by microphone and sound problems before reconvening. The first panel featured CSU Academic Senate Chair Dr. Elizabeth Boyd and Cal State Student Association Vice President Katie Karam. Boyd urged the Legislature to protect academic freedom, strengthen faculty governance, provide stable ongoing funding, end unfunded mandates, support student food and housing security, fund flexible course schedules, improve transfer systems such as ASSIST, avoid over-centralizing academic programs, protect immigrant students, and expand intersegmental collaboration. Karam said students are feeling the effects of budget shortfalls through fewer course sections, reduced advising and services, longer time to degree, and tuition pressure, and she called for transparency, meaningful student involvement in budget decisions, and sustained state investment rather than cuts that harm the student experience. The second panel covered enrollment management and included CSU Chancellor’s Office and campus administrators from Chico State, Cal State L.A., and San Diego State. Dr. Delcy Perez said CSU Forward and the new systemwide enrollment plan are aimed at expanding access, aligning programs with workforce needs, and increasing resident enrollment; she reported systemwide enrollment gains and strong application numbers, including a direct-admissions pilot that expanded from Riverside to more campuses. Campus representatives described local recruitment and retention strategies, including early outreach to high school students, community college partnerships, guaranteed admission programs, and expanded advising and student support. San Diego State highlighted record enrollment and high demand, while Cal State L.A. described efforts to recover from impaction and rebuild enrollment. Members pressed CSU officials on the accuracy of enrollment data, the gap between funded targets and actual enrollment, and the system’s reallocation formula. CSU staff explained that campuses below target will see a 5% ongoing reallocation beginning in 2026-27, with one-time reserve funding also being directed to campuses that can grow, and that fiscal health reviews have been completed for 21 of 22 campuses. Legislators also asked about turnaround plans required by the budget act; CSU said those plans are being developed and will be shared in the spring after campus consultation. No formal votes were taken.

Transcript Highlights:

• Systems in general now Now we have been stabilized after those emergency disasters, but we do work with
• I said, yeah, systems are in general stabilized now.
• We have one great example here with the city of Las Vegas municipal system. in terms of being stabilized
• Usually, after three years, it starts stabilizing.
• Our crews did everything from the soil stabilization, the retainage, as well as the paving and so we

Transcript Highlights:

• Sally and her parents gain new strategies and skills and developmental supports that helped her stabilize
• supports that skills and developmental supports that helped<00:20:06.960> her<00:20:07.200> stabilize
• and<00:20:08.080> start<00:20:08.320> to<00:20:08.559> thrive helped her stabilize
• and start to thrive helped her stabilize and start to thrive in<00:20:09.240> Head<00:20:09.600
• <00:21:30.960> and reimbursement rates we can stabilize and reimbursement rates we can stabilize

Keywords: 919, house, all

Summary: House File 105 was presented by Representatives Beerman and Baker and then laid over for possible inclusion in a future omnibus bill. The bill would implement the remaining mental health and physician service recommendations from DHS’s rate study, including raising certain Medicaid reimbursement rates to at least 100% of Medicare where a Medicare equivalent exists, increasing community-based children’s and adult mental health rates and behavioral health home rates, and phasing in additional increases over three years. The authors said the proposal also addresses master’s-level clinician reimbursement and fee-for-service hospital inpatient mental health services, and they emphasized that the changes are intended to improve access, transparency, and provider stability. Both authors argued that low MA reimbursement rates are driving access problems across Minnesota, especially for children, families, and rural communities. They said providers are struggling to hire and retain staff, clinics are closing or shrinking, and patients are facing long waits, boarding in hospitals, or delayed care. Representative Baker said the issue is personal and described the bill as a phased, long-term approach because of state budget limits and the size of the cost, which he said is in the hundreds of millions but still awaiting a fiscal note. Public testimony was strongly supportive overall. A family physician said higher rates would improve access, keep clinics open, and help patients avoid emergency care, while a Children’s Minnesota mental health leader described more than 1,200 pediatric boarding episodes in 2024 and said outpatient investment is needed to reduce pressure on emergency and inpatient services. A rural provider said her organization had to close an in-home children’s mental health program because of insufficient reimbursement, harming access in underserved counties. A psychologist testifying for the Minnesota Psychological Association supported the bill’s general direction but objected to repealing the pay differential for doctoral-level psychologists, arguing that doctoral training is more extensive and that eliminating the differential could worsen workforce shortages. After testimony and member questions about the bill’s scope and cost, public testimony was closed and the bill was laid over.