Transcript Highlights:

• Public education AG 4482 by WAA relate to the corrective action and plans for certain admission events
• HB 4545 by Oliverson relating to the access to the land managed by the Parks and Wildlife Department
• To the public access to the audit records of certain governmental entities refer to the Committee on
• HB 4620 by Allen relating to the program accessibility for female inmates at the Texas Department of
• HB 40. 855 by feel relating the patient's access to health records and access to exchange of certain

Transcript Highlights:

• And plans for certain emission events or for the committee on environmental regulation It's before 483
• for the Committee on Trade, Workforce, and Economic Development, 504565, by Kerry relating to the access
• law, refer to the Committee on State Affairs, HB4566 by Kitzman relating to written requests for access
• Introducing the program accessibility for female inmates to the Texas Department of Criminal Justice,
• Really in the patient's access to health records and access to exchange of certain health benefit plan

Bills: HB9, HB22, HB908, HB1392

Keywords: property tax, ad valorem tax, tangible personal property, income-producing property, business personal property, tax exemption, local government finance, appraisal district, chief appraiser, rendition statement, property tax relief, small business, commercial property, leased property, related business entity, unified business enterprise, tax situs, Texas Tax Code, local taxing unit, constitutional amendment

Transcript Highlights:

• Chair calls the Senate General Investigating Committee on the July 2025 flooding events to order.
• If any members of the public would like to provide comment, the public comment portal is accessible on
• The House General Investigating Committee on the July 2025 flooding events will now come to order.
• Because no matter what the severity of the event, they all should have been engaged.
• At no time during the flood event was the PA system used.

Keywords: 1185, senate, all

Transcript Highlights:

• to the providers, medical records, meaning they give access to.
• But they give access to you guys. So you don't run into that scenario.
• But not every provider is going to give us access to all of their medical records, right?
• Electronic medical record access. You know, I love an acronym.
• Chair in the scenario where you do have access to Mr.

Transcript Highlights:

• But let me offer: In 177 years since her congregation was started, we have not had an official event
• But let me offer, in 177 years since her congregation was started, we have not had an official event
• constant presence in community service throughout Shasta County, supporting youth programs, local events
• The digital divide continues to keep communities throughout California from opportunities and access
• As California prepares to host globally significant events like the 2026 FIFA World Cup, the Super Bowl

Summary: The Assembly convened after a quorum call and opened with a prayer and pledge, then held a ceremonial observance for Jewish American Heritage Month. Assembly Concurrent Resolution 195 by Assembly Member Gabriel was presented with extensive remarks from members of multiple caucuses highlighting Jewish Californians’ contributions, the importance of solidarity amid rising antisemitism, and themes of tikkun olam and tzedakah. The resolution was adopted by voice vote after 67 co-authors were added, and the chamber then recognized 14 honorees for their service in public life, philanthropy, media, faith leadership, education, and civic engagement. The floor also featured guest introductions and a procedural vote on Assembly Constitutional Amendment 9 by Assembly Member Borrero, which would add affordability as a required consideration in CPUC rate-making, remove telecommunications from the commission’s portfolio, create an office of broadband, and expand legislative appointments. The amendment was adopted. The Assembly then moved through a long third-reading file, passing measures including AB 1697 delaying implementation of a 2025 employment law, AB 2322 on stormwater permit definitions, AB 1653 on hearing-illness education, AB 2274 closing a loophole involving secrecy in trafficking cases, AB 2512 on Anaheim Angels naming language tied to a land exemption, AB 1956 prioritizing young men and boys in suicide prevention, and AB 2273 addressing prosecutorial handling of a local sexual abuse case. Additional bills passed included AB 1809 extending job order contracting for school and community college districts, AB 1970 banning step therapy for serious mental illness and substance use disorder medications, AB 1973 expanding practice authority for advanced practice clinicians, AB 2055 updating vessel law, and AB 2059 narrowing CEQA vehicle-mile-traveled mitigation for certain rural highway projects. The Assembly also adopted ACR 186 designating May 2026 as California Physical Fitness and Mental Well-Being Month and H.R. 11 recognizing the International Day Against Homophobia, Biphobia, Interphobia, and Transphobia after a lengthy debate that included support from several caucuses and some disagreement over the resolution’s framing of current threats to LGBTQ+ communities.

Transcript Highlights:

• But let me offer that in 177 years since her congregation was started, we have not had an official event
• But let me offer, in 177 years since her congregation was started, we have not had an official event
• constant presence in community service throughout Shasta County, supporting youth programs, local events
• The digital divide continues to keep communities throughout California from opportunities and access
• As California prepares to host globally significant events like the 2026 FIFA World Cup, the Super Bowl

Keywords: 988, house, all

Transcript Highlights:

• I would just like to remind the members here that you should have received an email for an event that's
• They have a number of events scheduled. Please check your email here.
• that's scheduled for next for an event that's scheduled for next Thursday<00:08:02.160> uh<00
• They have a number of events<00:08:25.039> scheduled.
• Please check your events scheduled. Please check your email<00:08:26.400> here.

Keywords: 926, house, all

Summary: The House opened with a devotional by Representative Brenda Steady and then suspended the rules to introduce 12 House bills by number only, referring them to committees. Members also read a House concurrent resolution congratulating the 2025 Milton High School Yellow Jackets boys soccer team on winning the Division 2 championship, and the chamber welcomed the team and coaches to the gallery. The Speaker announced that HCR 163 had been mistakenly placed on the consent calendar and removed it, and also announced committee appointments following a resignation. A series of guest recognitions followed, including visitors from the Northeast Kingdom Collaborative, the 2026 Snelling Early Childhood Leadership Institute cohort, mentoring organizations observing National Mentoring Month, the Vermont Historical Society, and former Representative Mari Cordes. Members also highlighted an upcoming Act 73 overview, the first Farmers Night concert, and a Caucus for Vermont’s Economy meeting. No votes were taken on these announcements, but the House formally welcomed the guests and recognized new House leadership and a new committee assistant. On the action calendar, the House passed H.649 on captive insurance companies and concurred in S.60 establishing the Farm Security Special Fund for weather-related farm losses. The House then approved H.534 on community action agencies, with the Human Services Committee describing it as a statute update that changes terminology, strengthens planning and governance requirements, and uses people-first language; the committee reported a 10-0-1 vote. The House also advanced H.84, which allows telehealth appointments to be recorded only with patient and provider consent; the Health Care Committee said it modernizes telehealth law without weakening privacy protections and reported a 10-0-1 vote. The chamber ordered third reading or passage on each bill and then adjourned until Tuesday, January 20, 2026 at 10:00 a.m.

Transcript Highlights:

• There are three main permit types, one being limited access.
• And these are more important on that limited-access, that smaller boat fleet.
• Once working waterfront access is gone, it's almost impossible to get it back.
• I just wanted to make that plug for our event. So, thank you.
• I just wanted to make that plug for our event.

Keywords: 995, all

Summary: The joint hearing focused on the Massachusetts sea scallop fishery, especially the economic importance of the industry, federal scallop management, and two policy questions: reopening the Northern Edge area on Georges Bank and allowing permit stacking/permit consolidation. Chairing senators emphasized their interest in hearing both sides, their frustration with federal bureaucracy, and their view that the issue should be guided by science while protecting the long-term resource and local communities. Dr. Kate O’Keefe of the New England Fishery Management Council and Kevin Stokesbury of UMass Dartmouth described the Magnuson-Stevens framework, annual catch limits, rotational area management, and the role of industry-funded surveys and the research set-aside program. They said scallops remain the most lucrative council-managed commercial fishery on the East Coast, but recent changes include more small scallops, lower biomass in some areas, higher natural mortality, and shifting abundance toward Georges Bank. On the Northern Edge, they explained that the council previously considered opening the area through a framework/joint action with habitat management, but discontinued the action in 2024 because of conflicting objectives involving scallop yield, habitat protection, and other species. They said the issue could be revisited through future council priority-setting. Representatives of the Sustainable Scalloping Fund argued that the fishery needs modernization to remain economically viable. They supported reopening the Northern Edge and strongly backed permit stacking, saying it would allow two permits on one vessel while keeping ownership caps in place, reducing costs, improving safety, and helping family-owned fleets avoid financial distress and outside investment. Port of New Bedford representative John Regan stressed the port’s central role in the state economy, the need to protect working waterfront infrastructure, and the importance of any permit changes preserving local ownership and participation. No votes were taken; the hearing was informational, and members asked that the witnesses keep the committee informed as the council and federal agencies consider next steps.

Transcript Highlights:

• In the event that the best that she can.
• close quarters, frequent large events close quarters, frequent large events and<00:12:13.040>
• individuals nationwide and ready access individuals nationwide and ready access to<00:12:34.320>
• <00:37:02.400> or local children who attend events or local children who attend events or
• > uh events, special event management uh events, special event management uh situations<00:56:

Keywords: 1189, house, all

Transcript Highlights:

• Who lack access to adequate water and wastewater services.
• This will sunset. the major events fund at the end of that fifth year. Move adoption.
• What about your bill relieves women of shame and gives them more access?
• access that pill? Out-of-state...
• Allowing residents to evacuate or access their units to sleep. safety.

Bills: SJR59, SCR30, SCR46, SB31, SB127, SB324, SB401, SB407, SB467, SB482, SB506, SB529, SB584, SB619, SB636, SB646, SB647, SB659, SB715, SB732, SB735, SB771, SB784, SB800, SB801, SB816, SB1013, SB1026, SB1049, SB1055, SB1065, SB1137, SB1169, SB1181, SB1383, SB1395, SB1410, SB1433, SB1524, SB1531, SB1568, SB1640, SB1666, SB1681, SB1718, SB1754, SB1757, SB1972, SB1980, SB2004, SB2007, SB2041, SB2046, SB2050, SB2075, SB2076, SB2154, SB2173, SB2206, SB2225, SB2253, SB2268, SB2306, SB2308, SB2314, SB2322, SB2330, SB2351, SB2366, SB2371, SB2392, SB2398, SB2476, SB2533, SB2540, SB2544, SB2589, SB2610, SB2623, SB2660, SB2662, SB2693, SB2707, SB2717, SB2722, SB2742, SB2753, SB2779, SB2807, SB2843, SB2844, SB2858, SB2877, SB2880, SB2885, SB2920, SB2938, SB2986, HJR4, HCR35, SJR3, SJR18, SB5, SB260, SB1786, SB914, SB963, SB1197, SB1415, SB1437, SJR36, SJR50, SJR63, SJR84, SJR59, SCR12, SCR39, SCR46, SCR48, SCR19, SCR30, SCR3, SB2023, SB1433, SB2322, SB2877, SB407, SB1718, SB1395, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1505, SB583, SB1502, SB507, SB1026, SB1434, SB1376, SB1585, SB1772, SB2016, SB1163, SB619, SB1122, SB732, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB393, SB1791, SB529, SB209, SB2429, SB1999, SB511, SB2309, SB510, SB2253, SB584, SB1085, SB2314, SB2046, SB1975, SB2717, SB1262, SB1524, SB1137, SB636, SB2056, SB884, SB517, SB1200, SB1410, SB1845, SB1863, SB2681, SB2200, SB2199, SB1757, SB2050, SB2458, SB2201, SB1055, SB2660, SB2662, SB1065, SB801, SB2533, SB3014, SB3013, SB758, SB647, SB1721, SB2268, SB2366, SB1013, SB2797, SB2371, SB2383, SB646, SB1169, SB1754, SB2779, SB2004, SB2119, SB2448, SB1777, SB1283, SB2392, SB2076, SB2786, SB2876, SB2284, SB2225, SB1540, SB2920, SB2929, SB1972, SB2540, SB2742, SB2595, SB2217, SB715, SB2330, SB1383, SB500, SB1640, SB2001, SB2080, SB2722, SB506, SB2514, SB2623, SB2753, SB2398, SB1241, SB2927, SB2173, SB2538, SB898, SB467, SB1449, SB2529, SB1531, SB2846, SB2476, SB986, SB1181, SB2075, SB2154, SB2864, SB31, SB2880, SB1359, SB2386, SB771, SB2844, SB2550, SB1351, SB1423, SB1931, SB2245, SB2589, SB2707, SB2807, SB2351, SB410, SB659, SB816, SB2776, SB2693, SB2580, SB1980, SB1886, SB1234, SB739, SB482, SB456, SB127, SB1666, SB2843, SB2801, SB800, SB2055, SB784, SB2986, SB735, SB1012, SB324, SB2926, SB2938, SB2007, SB2138, SB1242, SB2615, SB1049, SB2310, SB1224, SB2972, SB1568, SB2841, SB2885, SB3016, SB2858, SB2610, SB2139, SB1856, SB2035, SB2308, SB2306, SB2041, SB1528, SB1681, SB1141, SB2401, SB2530, SB2375, SB547, SB1266, SB1373, SB1467, SB2069, SB2269, SB2480, SB2544, SB672, SB904, SB2695, SB2891, SB2422, SB2543, SB1854, SB317, SB2539, SB2532, SB2925, SB1250, SB2082, SB2203, SB457, SB2357, HJR4, HB135, HB1109, HCR35, HCR64, SB2721, SB243, SB1285, SB2568, SB1959, SB1442, SB1454, SB2520, SB2541, SB1708, SB1237, SB1844, SB1586

Keywords: education funding, Texas State Technical College System, capital projects, infrastructure, higher education, Birding Capital, Matagorda County, wildlife, conservation, Texas Legislature, Texas beef, cattle industry, agricultural heritage, Texas strip steak, economic growth, SB 31, Life of the Mother Act, Texas abortion law, medical emergency, reasonable medical judgment

Transcript Highlights:

• Minors face limits on access to certain medications.
• It denies them access to these vast democratic forums.
• This bill is not about restricting children's access.
• From a clinical standpoint, menopause is not a single event.
• to this growing mode of accessible transportation.

Keywords: 988, house, all

Transcript Highlights:

• We had an industry event in the last couple of weeks to talk about the request for qualifications and
• If we go to the next slide, we'll be talking through a little bit of the industry event.
• We did a hybrid event on the 4th of June.
• Since the event, we've had, I think, about 400 or so folks who viewed that video after the event.
• I'm the Assistant Secretary for Urban Mobility Access and Megaprograms.

Summary: The Joint Committee on Interstate 5 Bridge met remotely with Washington legislative members to receive updates on the Interstate Bridge Replacement Program, including environmental review, cost and funding, tolling, and procurement for construction. Program staff said the final supplemental environmental impact statement was published in April 2026, with a federal record of decision expected in early summer. They described the recommended design as a single-level fixed-span bridge, centered I-5 alignment, C Street ramps, one auxiliary lane in each direction, and dispersed park-and-ride parking. Members raised concerns about transparency, the closed chat function, and the decision not to include two auxiliary lanes; staff said the one-lane option was recommended through consultation with partner agencies and analysis, but the final decision would come with the record of decision. Staff also said the diversion analysis projected less than 3% traffic diversion to I-205 in 2045, though members from Oregon and Washington expressed concern about impacts to their communities and asked for more detail on mitigation and decision-making. The committee also reviewed a major cost update. Staff said the full five-mile program is now estimated at $13.5 billion to $15.2 billion, with a likely cost of $14.4 billion, up from a 2022 estimate of $5 billion to $7.5 billion, citing inflation, schedule delays, scope changes, and more detailed risk modeling. They said the first funded phase has been reduced to a $5.68 billion package focused on the Columbia River bridge replacement, connections to I-5, Hayden Island and SR-14, bridge demolition, tolling infrastructure, and advancing light rail design. Funding for that phase was described as $5.69 billion, including $2.1 billion federal funds, $1 billion from each state, and $1.5 billion in projected toll revenue. Members asked what would happen if costs rise further; staff said the estimate includes substantial contingency, the project will use progressive design-build to manage risk, and the team will continue updating the finance plan annually. A separate tolling and traffic-revenue presentation explained that four toll scenarios were analyzed using regional travel demand modeling, a toll diversion model, and a post-processing review. All scenarios assume pre-completion tolling beginning July 1, 2028, a 50% low-income discount for eligible users, and exemptions for tribal preemptions, emergency vehicles, maintenance vehicles, and organized militia. Staff said the low-income discount would affect about 4% to 6% of annual transactions and reduce annual revenues by roughly 2% to 3%. They said Scenario 2 was used for the financial analysis and is sufficient to support the $1.5 billion toll contribution in the funded phase. Members asked about toll collection costs, revenue impacts of the discount, and how the scenarios differed; staff said collection costs are expected to be in line with other WSDOT toll facilities, but exact costs are not yet set because toll rates are not final. Finally, WSDOT staff outlined procurement and delivery steps for construction. They said WSDOT will be the lead contracting agency, using progressive design-build, with a request for qualifications targeted for early July 2026, a request for proposals in October, contractor selection in April 2027, construction starting in 2028, and tolling beginning in 2028. Staff said the approach is intended to consolidate scope, reduce interface risk, and allow transparent negotiation with an independent cost estimator, while preserving an off-ramp if a fair price cannot be reached. Members asked for more detail on timing, cost allocation, and the share of the first phase funded by tolls; staff estimated tolls account for about 26% of the first phase cost.

Transcript Highlights:

• known as PSPS events.
• This bill will help ensure access to counsel for our immigrant youth.
• This bill will help ensure access to counsel for our immigrant youth.
• language accessibility and improve overall health care outcomes for all.
• Well, all they did was just restrict access to medication in this state.

Summary: The Assembly convened, initially lacked a quorum, then returned to session with prayer, pledge, and a moment of silence for Charlie Kirk following news of his shooting. Members then handled a series of procedural motions, including suspending rules, moving several bills to the inactive file, re-referring bills to committees, and authorizing committee meetings. The chamber also observed adjournments in memory for several individuals, including Ermilo Don Rodas, John Burton, Nina Chomsky, and Barbara “Bobby” Samperey. On the floor file, members considered and passed a long list of Senate bills, largely on bipartisan or unanimous votes. Topics included consumer protection and transparency for self-storage contracts (SB 709), adoption jurisdiction (SB 450), privacy and name/image protections (SB 683), an audit of the February 2025 bar exam (SB 47), data broker transparency (SB 361), used-car buyer protections (SB 76), state parks land acquisition streamlining (SB 630), cemetery work group deadlines (SB 777), financial enforcement authority (SB 825), utility outage reporting and reliability planning (SB 292), vital records confidentiality (SB 313), health care coverage and hormone therapy access (SB 418), workplace outreach (SB 578), Holocaust and genocide education (SB 472), county jail treatment for misdemeanor incompetency cases (SB 820), and AI companion chatbot safeguards for minors and self-harm risks (SB 243). Most measures passed with little or no opposition, though SB 578 drew sharp debate over the workplace outreach program and its funding. The Assembly also took up concurrence items and approved numerous Assembly bills with Senate amendments. These included transparency in legislative nondisclosure agreements (AB 1370), affordable faculty/staff housing provisions at community colleges (AB 648), tribal youth foster care reforms (AB 1378), EV charger payment regulations (AB 1423), technical Political Reform Act changes (AB 1511), diacritical marks on vital records (AB 64), reproductive health protections with urgency (AB 260), union and collective bargaining protections (AB 288), bench trial statement-of-decision streamlining (AB 515), agricultural land stewardship (AB 524), geothermal exploratory project rules (AB 527), Medi-Cal field medicine changes (AB 543), tobacco-related provisions (AB 573), social media platform rules (AB 656), state parks transaction reporting (AB 679), professional licensing changes (AB 742), and child care staffing and assistant teacher pathways with urgency (AB 753). Votes were generally strong, with several measures passing unanimously or near-unanimously.

Transcript Highlights:

• Espinoza, and thank you for always being so accessible when we do have questions.
• , I think that one of the things that, that is a solution that would ensure that people have safe access
• Uh, this just allows operators to use that fuel in the event of emergency in the event that they have
• everyone. not only in pricing actually, but also in the accessibility.
• And so we've done, we've tried to make this again as accessible as possible, both in pricing and accessibility

Bills: HB 341, HB 791, HB 1564, HB 1695, HB 1722, HB 1729, HB 1772, HB 2003, HB 2954, HB 2989, HB 3084, HB 3134, HB 3135, HB 3309, HB 3611, HB 3679, HB 3727, HB 3832

Keywords: affordable housing, zoning, development, community support, local regulations, bicycle lanes, traffic collisions, Texas Department of Transportation, study, public safety, bicycles, electric bicycles, scooters, road safety, transportation study, HB 791, Central Catholic High School, San Antonio, specialty license plate, specialty plates

Transcript Highlights:

• So if we narrow the focus on this sporting events, sporting project events and marketing events just
• Thank you, Chair. in place quickly for sporting events. in place quickly for sporting events.
• <00:05:33.360> just<00:05:33.600> for events and marketing events just for events and
• event, I think that could be worked out. event, I think that could be worked out.
• bigger sporting events to the islands. bigger sporting events to the islands.

Keywords: 912, senate, all

Summary: The committee first heard SB 2627, which would exempt Hawaii Tourism Authority contracts and agreements for sports projects, events, and related marketing from the state procurement code and other competitive bidding requirements. HTA, DBEDT, and the State Procurement Office testified in support or with comments, while one individual offered general support for sports tourism. Senators focused on narrowing the bill so the exemption would apply more specifically to sports-related projects and marketing, rather than broad marketing activities, and discussed whether the bill should require notice to the State Procurement Office or approval by the chief procurement officer. Procurement officials said a reporting requirement would be the most expeditious option, while still allowing post-event monitoring and public posting of exemptions. Members also discussed whether the exemption should be limited to situations involving sole-source sports entities, such as major leagues or international sports organizations, to better justify bypassing procurement rules. The committee did not take a final vote in the portion provided, but members and testifiers agreed to continue working on the language. The hearing then moved to SB 2074 relating to state facilities and naming rights for the Aloha Stadium and Hawaii Convention Center. The Stadium Authority, HTA, and DBEDT testified in support, while the Outdoor Circle and other organizations opposed the measure. Opponents argued the bill could create fiscal and legal risk, echoing concerns raised in prior legislation and by the attorney general, and warned it would mark a major shift by treating public facilities as commercial branding opportunities. Supporters said naming rights could generate significant revenue to help fund the stadium project and reduce the burden on the state and developers. Senators questioned how signage would be handled, especially whether it would be exterior-facing or limited to inward-facing signage, and the Stadium Authority said it was willing to work with the Outdoor Circle on language that would preserve community aesthetics while allowing revenue generation. A senator cited a prior study estimating naming rights could bring in about $1.5 million per year over 20 years, and asked what that revenue would buy for the public; the Stadium Authority responded that it would help advance the project toward a larger, improved stadium. No final action was taken in the excerpt provided.

Transcript Highlights:

• They may unintentionally reinforce these disparities in healthcare access for marginalized groups.
• Disparities in healthcare access for marginalized groups.
• Nearly one in four physicians report that prior authorization has led to a serious adverse event for
• Happy to answer any questions. requirements delay access to necessary requirements delay access to necessary
• supports access, affordability, and better<00:15:53.360> health<00:15:53.600> outcomes.

Keywords: 1183, house

Transcript Highlights:

• Uh, it's a great event.
• Um the and events without authorization.
• Uh it's a great<00:03:20.159> event.
• Wood, your your event sounds wonderful. Wood, your your event sounds wonderful.
• And I know at events like Sale Portsmith and some of the events at Prescott Park, um, my friends who

Keywords: 1189, house, all

Transcript Highlights:

• These two events don't even come close to comparing with the COVID pandemic in 2020.
• don't even come close these two events don't even come close to<00:35:53.079> comparing<00:35
• :54.560> covid to comparing with the event of covid to comparing with the event of covid pandemic
• Giving birth is not a health-neutral event.
• Giving birth is not a health-neutral event.

Keywords: 1183, house

Transcript Highlights:

• However, this change comes with a real concern: equity in access.
• Everyone deserves equal access to that information.
• We had a community event that was, I think, only six weeks out.
• No Barriers, Disabled Access, Consulting, and Advocacy Services.
• Without access, citizens of Arizona will be hurt. Some will die.

Keywords: 1182, all

Transcript Highlights:

• hospital visits. challenges in accessing proper care challenges in accessing proper care especially<
• <01:19:12.719> the fiscal year will be able to access the fiscal year will be able to access
• <01:20:24.960> across<01:20:25.280> the events, more than 20 events across the events
• <01:42:14.880> and higher rates of um cardiac events and higher rates of um cardiac events
• does that cause the uh cardiac events? does that cause the uh cardiac events?

Keywords: 958, all

Summary: The committee met and approved the minutes from its August 27 meeting. It then received a presentation from Katherine Castanza of the National Conference of State Legislators on the Medicaid provisions in the 2025 budget reconciliation bill, referred to as HR1. She explained that the bill is estimated by CBO to save the federal government $911 billion over 10 years, with more than 20 Medicaid-specific provisions, most of the savings concentrated in five policies and largely backloaded into 2030-2034. She emphasized that the bill’s effects will vary by state, but that expansion states and hospitals are expected to be most affected, in part because of changes to eligibility, provider taxes, and state-directed payments. Castanza highlighted several new funding and flexibility provisions, including a $50 billion Rural Health Transformation Fund for 2026-2030 and a new home- and community-based services waiver option effective July 1, 2028, with $100 million in grants in fiscal year 2027. She also outlined major eligibility changes for Medicaid expansion adults: work or community engagement requirements effective January 1, 2027; twice-yearly redeterminations for the expansion population effective the same date; and new cost sharing for certain expansion adults effective October 1, 2028. She noted that Kentucky, as an expansion state, would be subject to these changes and that state agencies would face significant implementation demands, especially because federal guidance and timelines are tight. A substantial portion of the presentation focused on financing changes. Castanza described new limits on provider taxes, including a 0% safe harbor for new taxes and a phased reduction for existing taxes in expansion states beginning in 2028, while nursing facilities and intermediate care facilities are exempt from the reduction if already taxed. She also explained that state-directed payments will be capped and phased down over time, with existing arrangements grandfathered only briefly; she said Kentucky has 11 approved state-directed payments and could see significant fiscal effects. She added that the bill also bars Medicaid payments to Planned Parenthood or similarly situated providers for one year, changes immigrant eligibility rules effective October 1, 2026, lowers the federal match for certain emergency services, and expands the scope of the federal erroneous payment recoupment provision effective October 1, 2029. Throughout, she stressed that federal savings may translate into state cost shifts and that implementation timing will be critical.