Transcript Highlights:

• For those in the room, there'll be a clock on the screen that will count down your time.
• The 11-year-old girl, it turned out, was in sixth-grade math with a first-grade math ability, and she
• would get up and wander out of math class.

Keywords: 995, all

Summary: The Joint Committee on Children, Families, and Persons with Disabilities held a hybrid hearing on a series of child welfare bills focused on DCF, foster care, mandated reporting, educational records, and family support. Chair Kennedy and Chair Livingstone opened with accessibility and testimony rules, then heard testimony on bills including S.127 on expanding mandated reporters, S.107/H.235 on a Foster Children’s Bill of Rights, S.106/H.228 on transferring foster care review from DCF to the Office of the Child Advocate, H.258/S.125 on an electronic backpack for foster children’s educational records, H.205 on kinship foster care background checks, H.246/H.266 on minimizing trauma in care and protection cases, and S.159 on support for families after sudden unexpected infant death. Supporters of the mandated reporter bill, led by Sen. Feeney and Foxborough advocates, described a local model that trains all adults who work with children and argued the state should scale that approach statewide to improve recognition and reporting of abuse. Testimony on the foster care bills emphasized the need for clearer rights, better notice to children and attorneys, stronger remedies, and independent oversight. Advocates, youth with lived experience, and legal organizations described placement instability, delayed notifications, abuse in care, poor educational continuity, and the need for rights around safety, family contact, culture, language, and access to records. Several witnesses urged that the Foster Children’s Bill of Rights include enforceable court remedies, not just reporting requirements. On the oversight bill, supporters argued DCF should not review its own foster care system and pointed to poor outcomes, high placement instability, and recent investigative reporting as evidence for moving review responsibilities to the Office of the Child Advocate. On the electronic backpack bill, testimony focused on the need for real-time data sharing and a centralized system so schools can receive foster students’ records quickly and support continuity. On the trauma-minimization bill, Rep. Miskin framed the proposal as a set of practical changes to reduce harm during removals and court involvement. On the SUID bill, Sen. Lovely said families should be given information about available grief and support resources after an infant death. No votes were taken during the hearing; the committee primarily received testimony and questions.

Transcript Highlights:

• We thank LIS for that up on the screen. You'll hear a buzzer.
• department, who ran after-school and summer programs in the inner city, who taught reading, writing, math
• arguments that are brought before you and focus on something that I went to law school to avoid: the math
• arguments that are brought before you and focus on something that I went to law school to avoid the math

Keywords: 995, all

Summary: The Joint Committee on Labor and Workforce Development held a lengthy hearing on June 18 focused on workers’ compensation, independent contractor and classification issues, workplace safety, warehouse worker protections, extreme temperature protections, retaliation against injured workers, and workplace bullying. Committee chairs outlined procedures for the hybrid hearing and noted that members would be leaving intermittently for floor votes. Testimony also touched on a bill to expand workers’ compensation disfigurement benefits by removing the current $15,000 cap and extending coverage beyond scars on the hands, neck, and face. A major theme was workplace safety in warehouses and in extreme heat or cold. Teamsters, warehouse workers, and labor advocates described high injury rates, strict quotas, lack of water, inadequate ventilation, frozen or missing safety equipment, and pressure to work through heat waves and snowstorms. Supporters urged favorable reports on bills protecting warehouse workers and requiring employers to adopt heat- and cold-safety plans, while the NFIB opposed the temperature bill as overly prescriptive and burdensome for small businesses. Sen. Edwards, Sen. Roche, Rep. O’Day, and others argued that the measures are needed to prevent heat illness, provide shade, water, rest breaks, training, and emergency plans, and to cover all workers regardless of immigration status. Another major subject was the “Act to Protect Injured Workers,” backed by labor groups, immigrant worker centers, legal services organizations, and individual workers. Witnesses said employers often retaliate after injuries by threatening deportation, lying about how injuries occurred, delaying care, or firing workers, and they supported stronger anti-retaliation enforcement, multilingual notices, and a rebuttable presumption of retaliation within 90 days of protected activity. The Mass AFL-CIO and immigrant advocacy groups supported the bill and opposed measures they said would weaken employee classification standards. Testimony also supported a funeral-benefits bill to raise workers’ compensation death-benefit reimbursement for burial and funeral costs, based on a family’s experience after a workplace fatality. The committee heard additional testimony on workplace bullying bills, with some witnesses urging a new legal duty for employers to prevent and respond to bullying, while others described the harms of toxic workplaces and the lack of effective remedies.

Transcript Highlights:

• I haven't done the math on the privates, but it would be $9.6 million to Rockingham, $4.6 million to
• I haven't<04:45:52.160> done<04:45:52.320> the<04:45:52.560> math<04:45:52.718><
• c> on<04:45:52.958> the<04:45:53.120> privates, haven't done the math on the privates
• , haven't done the math on the privates, but<04:45:54.000> it<04:45:54.160> would<04:45
• And I don't know the math, but... we were we were to<05:23:11.840> keep<05:23:12.160> the

Keywords: 928, house, all

Summary: The committee met in Division 3 work session on HB 2 and began by noting a delayed start to allow the Legislative Budget Assistant to finish a large packet of updated amendments and revisions. The chair said the goal for the day was to move as many items as possible, with any cleanup deferred to a Friday follow-up. Members also discussed the process for handling public and department testimony on selected items before votes. Several early amendments were taken up and voted on. The committee unanimously recommended items dealing with repealing the liquor transfer to the alcohol fund and redirecting liquor-related revenue to the general fund, and it also approved an amendment revising Granite Advantage funding so there would be no automatic transfer from the liquor fund, instead using a general fund appropriation. Members then approved repealing the foster grandparent program by a 5-4 vote, and later approved an amendment requiring DHS contractors to comply with the patients’ bill of rights by a 9-0 vote. The committee also approved incorporating House Bill 94 on Medicaid coverage of circumcision by a 5-4 vote, while deferring the Wick Farmers Market Nutrition Program repeal for more discussion. The committee spent substantial time on the youth risk behavior survey amendment. Supporters said the change was intended to clarify opt-out procedures and ensure parents, guardians, and students are clearly notified that they may opt out without negative consequences. Some members raised privacy concerns and said the language could add administrative burden, but the amendment was ultimately recommended to Finance by a recorded vote of 8-1. Another amendment on civil rights and contractor standards for DHHS was discussed but not voted on after concerns were raised about vague enforcement language and possible penalties. The committee also struck amendment 1026 as redundant, with members noting related work in existing law and Senate Bill 134, and then moved on to other items, including a revised equity/access-related amendment that was postponed for later discussion.

Transcript Highlights:

• That yellow line that's on the screen, that's the 2023-24 year.
• That yellow line that's on the screen, that's the 2023-24 year.
• /c><00:50:28.559> that's<00:50:28.800> on<00:50:29.040> the<00:50:29.200> screen
• , That yellow line that's on the screen, That yellow line that's on the screen, that's<00:50:29.920
• I don't think I have in here right in front of me the additional general fund, but I could do some math

Keywords: 958, all

Summary: The House Budget Review Subcommittee on Postsecondary Education heard presentations from the University of Louisville and the Kentucky Community and Technical College System (KCTCS) on their strategic plans, enrollment trends, and budget priorities. University of Louisville President Bradley highlighted the university’s new five-year strategic plan, its R1 research status, community-engaged and opportunity college classifications, record enrollment of 25,005 students, and its role in serving first-generation, Pell-eligible, military-connected, and rural students. He also emphasized the university’s economic and workforce impact, including athletics, nursing, dentistry, and a recent Speed School building, and previewed major capital and program requests: a $142 million STEMH building, a $15 million one-time request for National Cancer Institute-related cancer research, and $5.3 million for the Kentucky Manufacturing Extension Partnership. He also discussed a planned $260 million health sciences building and the university’s efforts to expand health care access beyond Louisville through regional sites and residency partnerships. Members responded positively, with Representative Tipton asking about agency bond projects and regional health outreach, and President Bradley saying the university is evaluating debt capacity and exploring smaller projects while noting that the STEM building request would rely on state-funded debt service. He described UofL Health’s expansion into places such as Bullitt County, Shelbyville, Madisonville, and Paducah, and its efforts to train physicians for rural practice. Representative McCool praised the university’s military-friendly designation and cancer research priorities and noted personal family ties to UofL. Michaela Aman, a sophomore from Letcher County, also testified about how UofL has supported her as a rural student and emphasized the university’s commitment to opportunity and social mobility. KCTCS President Ryan Quarles and CFO Todd Kilburn then presented the system’s enrollment, completion, and workforce-training results. They said KCTCS now serves more than 110,000 students, graduated a record 24,000 students last May, and has moved from 45th to 4th nationally in graduation rate. They also highlighted that over half of students are first-generation, 60% work while enrolled, 70% of graduates work in Kentucky, and 74% graduate with no student loan debt. KCTCS described its common-course-numbering agreement with Morehead State as part of a broader transfer simplification effort, and said it trains about 200,000 Kentuckians annually when including workforce training and firefighter instruction. The system also outlined efficiency measures, including property sales, a new bookstore contract projected to save $4.3 million over five years, and a new evaluation process for real estate and facilities. KCTCS’s budget and capital requests included operating funding tied to enrollment growth, support for the TRAINs program, the ECTC training facility at Glendale, continued support for Health Force Kentucky, three capital construction projects at Jefferson, Bluegrass, and Gateway, and asset preservation funding focused on safety and security upgrades. Quarles also referenced House Bill 5, saying it would expand KCTCS’s correctional education and re-entry work and could help reduce recidivism. Members asked about the bill and its impact, and KCTCS said it already provides instruction in jails and prisons and sees the proposal as an extension of that work.

Transcript Highlights:

• contractors that were brought on to help process license and permit issuances and conduct vision screenings
• contractors that were brought on to help process license and permit issuances and conduct vision screenings
• 15:52.079> and<00:15:52.399> conduct<00:15:52.800> vision<00:15:53.199> screenings
• issuances and conduct vision screenings issuances and conduct vision screenings and<00:15:54.079
• So my math, that's almost 6 cents. >> Um, that's $180 million.

Keywords: 958, all

Summary: The Transportation Committee met to review the Transportation Cabinet’s budget request and the recommended highway plan; no votes were taken. Secretary Jim Gray opened with praise for KYTC snow and ice crews, describing their response to recent winter storms and noting the scale of the effort, including about 2,300 workers, 1,438 pieces of equipment, and more than 948,000 miles driven in the first week. He then outlined the cabinet’s overall highway plan, saying it includes more than 1,300 projects and about $9.5 billion in anticipated state and federal funding over six years, with roughly 40% directed to existing pavements, bridges, and guardrails. He highlighted major priority projects such as the Mountain Parkway four-laning, the Brent Spence Companion Bridge, and the I-69 Ohio River crossing. Budget director Sean McCarron explained that the cabinet adjusted its request after the Consensus Forecast Group lowered road fund revenue estimates, and said the cabinet only included additional requests it viewed as essential. He described requests to support driver licensing regional offices, including funding to maintain temporary and contract staff used to reduce wait times, expand offices from 35 to 41 locations, and support improved customer service; he warned that without the current-year increase, wait times would rise again. He also discussed maintenance funding, saying the proposed increases would help cover rising costs for salt, snow and ice drivers, and mowing, while allowing continued litter pickup, vegetation management, pothole repair, and more in-house snow and ice work. Deputy Secretary Mike Hancock addressed specific capital questions, especially the Brent Spence Bridge and Cairo Bridge. For Brent Spence, he said the requested $125 million in general funds is needed because construction costs have risen sharply, citing a 61% increase in highway construction costs from 2020 to 2025, and said Kentucky and Ohio are both contributing to keep the project moving. He added that if the legislature does not provide the $125 million, KYTC would have to shift $100 million in federal highway funds and $25 million in state match from other projects. Hancock also reviewed several project reauthorizations for maintenance facilities and aviation projects, and noted a $5 million federally funded truck parking project aimed at addressing statewide truck parking shortages, especially along interstates and in areas such as Louisville, northern Kentucky, Frankfort, Somerset, and western Kentucky.

Transcript Highlights:

• That's easy math to follow.
• Fourth grade math remains a bright spot, but in fourth grade reading and eighth grade reading and math
• But it's just because of the— I don't think that math can add up.
• No, no, I'm just, I'm trying to use my Aggie math here.
• And then one last question on screen 19.

Keywords: 1184, house, all

Transcript Highlights:

• Expectations for our managed care organizations and ensure women are being screened and assessed for
• What does a screening mean?
• On slide 14, this shows an example of the increase in provider screenings that we've been seeing over
• In FY25, we received about 15,000 more applications than normal, totaling over 96,000 screenings.
• This has increased the number of screenings that we're seeing.

Keywords: 1184, house, all

Transcript Highlights:

• It's not like buying a flat-screen television or any sort of consumer item.
• It's not like buying a flat-screen television or any sort of consumer item.
• The return on this investment is almost mind-boggling, and just a little bit of back-of-the-napkin math
• And, you know, just a little bit of back-of-the-napkin math that I was doing over here.

Bills: HF1646, HF2443

Keywords: medical debt, debt relief, healthcare financing, consumer protection, financial hardship, commerce, cannabis, insurance, housing, ombudsperson, affordability, property, task force, financial institutions, 1183, house

Transcript Highlights:

• I'm ready for screening. So what's the best way? Yeah. Thank you.
• Levin talked about the various tools and instruments that practitioners use, both for screening, detention
• And I think just the simple math requires the option of pepper spray be sparingly used when necessary
• have to have the stick. that this bill provides and the reason for that is because we know that the math

Bills: HB31, HB3360

Keywords: juvenile justice, community supervision, felony offenses, treatment of children, juvenile facilities, chemical dispensing device, solitary confinement, rehabilitation, criminal proceedings, delinquency, 1184, house, all

Transcript Highlights:

• related to the issues of reproductive health, health equity, vital records, disease prevention, screening
• If you can do the math, that's over 10 years of waiting.
• We could barely see him through the window screen.
• There is still not mandated screen for endometriosis in infertility care.
• In that same period, we received 829 total pledge requests for residents of our state, doing that math

Keywords: 995, all

Summary: The committee opened by explaining hearing procedures and time limits, then heard testimony on House 2499, a bill to create a public awareness campaign on menopause and related midlife health issues. Supporters, including a nurse, the Massachusetts Commission on the Status of Women, and other advocates, said menopause is widely misunderstood by patients and providers, leading to delayed care, unnecessary suffering, workplace impacts, and inequities in women’s health. Several speakers shared personal experiences with symptoms being dismissed or misdiagnosed and urged the committee to advance the bill. The committee then took testimony on a package of endometriosis bills, including House 2527 and Senate 1564, calling for a task force and broader awareness efforts. Patients, a physician, and advocates described long diagnostic delays, severe pain, infertility, medical gaslighting, and limited access to specialists and effective treatment. They argued for more research, provider education, and a coordinated state strategy, and several asked for favorable reports. The chair also noted the hearing was running behind and extended time to allow more testimony. Later, the committee heard Senate 1579, which would eliminate parental consent and judicial bypass requirements for abortion access for minors under 16. Planned Parenthood representatives, physicians, legal advocates, and students argued the current law creates unnecessary delays and harms vulnerable youth, especially those in unsafe homes or foster care, while supporters said minors can already consent to other reproductive health care. A pro-life witness opposed the bill and emphasized parental involvement and support services. The committee also heard House 2403 and Senate 1560, which would create a Human Service Transportation Consumer Advisory Board; disability advocates and riders described past safety problems and current service gaps, and supported the board as a low-cost way to improve accountability, rider input, and reliability. No votes or final actions were taken in the excerpt.

Transcript Highlights:

• It's got the well construction information, casing information, screening information.
• combination of control and information on how the well is completed, how it's constructed, and the screening
• So I'm not questioning anybody's capability, but I know that just running a simple math flow occasionally
• Buckley: Doesn't that change the math though? I'm just wondering if it's aquifer-specific.
• and with the water level drop and having to drop the pump, we're trying to keep the pump out of the screens

Keywords: 1184, house, all

Transcript Highlights:

• the gasification plant takes the chunk coal, we deliver it over there, and then we run it over some screens
• And then we run it over some screens, and the finer coal falls through, and that gets transferred over
• This is the Leland Olds Station, and you can kind of see on the right-hand side of the screen, way at
• The other thing that you see on the screen here, this is the bottom ash conveyor.
• And then once we go out to the back, we go to our next screen, to the scrubber.

Summary: The committee met at the Coteau Freedom Mine in Mercer County, approved the June 2 minutes, and heard an overview of the mine from Coteau Properties president Andrew Hawbaker. He described the Freedom Mine as the largest lignite mine in the United States, supplying coal to Dakota Gasification, Antelope Valley Station, and Leland Olds Station. He emphasized the mine’s scale, safety record, reclamation work, workforce needs, community involvement, and economic impact, including payroll, taxes, royalties, scholarships, and local hiring. Members asked about how long land stays in production, how quickly it returns to agriculture after reclamation, labor shortages, and how mining affects groundwater and water wells. Hawbaker said most tracts are mined for about three to five years, reclamation is coordinated with landowners, and the company continues to struggle to find electricians, welders, mechanics, operators, and engineers. The committee then heard from Public Service Commission Chairman Randy Christman on coal mining reclamation and permitting. He reviewed North Dakota’s coal mining history, the state’s reclamation laws, federal Surface Mining Control and Reclamation Act primacy, bonding, permit renewals and revisions, prohibited mining areas, inspection and enforcement, and contemporaneous reclamation requirements. Christman stressed that North Dakota’s program is professional and thorough, with frequent inspections, financial assurance, and a 10-year revegetation monitoring period before bond release. He also discussed federal coal ownership issues that can delay mine plans, the treatment of prime farmland, and how reclamation differs for wind and pipelines. In response to questions, he said one challenge is sometimes releasing land too soon before long-term compaction issues are fully understood, and he noted that data centers do not currently have a comparable reclamation model because they typically own the land. In the afternoon, the committee received an update from Lignite Energy Council president Jonathan Fortner on the lignite industry. He said North Dakota’s lignite sector supports five commercial power plants, four mines, about 12,000 direct and indirect jobs, and more than $5.5 billion in economic activity, while helping keep the state’s electricity rates among the lowest in the nation. Fortner reviewed coal severance and conversion tax revenues, the lignite research fund, federal regulatory rollbacks, carbon capture policy, and the industry’s legal costs fighting federal rules. He also highlighted a study on large-load development, saying new data centers and critical mineral processing facilities could create major local tax revenue and help justify new baseload generation. Members asked whether new gas pipelines would crowd out coal plant development and whether the economic study included jobs and broader local impacts; Fortner said the industry sees room for both and that the study did include construction, operations, jobs, and tax effects.

Transcript Highlights:

• So I just did some quick math, and that's about 2.8% of the people in the Medicaid program right now.
• Like he's trying to memorize the Gettysburg Address, just so he can switch back to the first screen to
• Meanwhile, the button to autofill the code is sitting right there on the same screen, quietly judging
• It also dealt with background screenings, which are currently not required in surrogacy arrangements
• When you adopt a child, they do a background screen.

Summary: The Appropriations Committee considered a large agenda of bills and reported several measures favorably. Early action included SB 6, a settled claim bill involving the Department of Children and Families and a trust for Leila Estrada and Sapphire Williams, and CS/CS/SB 1266, which creates a cybersecurity experiential learning and clearance-readiness program through the Department of Commerce and Cyber Florida. The committee also approved SB 532 on clerks of court funding, allowing clerks to retain all excess Article V revenue rather than returning half to the state and clarifying foreclosure sale procedures. In addition, the committee passed CS/CS/SB 1602 and CS/CS/SB 1604 to create and fund a pilot housing program for veterans through the Florida Housing Finance Corporation, and CS/SB 1110 to expand Medicaid and private insurance coverage for medically necessary orthotics and prosthetics, including testimony from affected families and advocates. The committee also adopted an amendment and then favorably reported CS/CS/SB 1012 on inmate services, removing the bill’s medical-services compensation provisions while retaining changes to the inmate welfare trust fund and related facility uses. It also adopted a delete-all amendment and then favorably reported CS/CS/CS/SB 1614, which was narrowed to remove a provision allowing local governments to use excess fees to construct new buildings. The committee spent substantial time on CS/SB 17, a Medicaid oversight and transparency bill. The sponsor said the measure would create a joint legislative Medicaid oversight committee, authorize the Legislature to retain its own actuary, modernize Medicaid statutes, strengthen managed-care performance standards, and increase accountability for pharmacy benefit managers and related entities. After amendment, the committee adopted changes removing several PBM-related provisions while retaining the broader oversight framework. Testimony from supporters emphasized transparency, fraud prevention, and cost control, while a PBM trade association asked to continue working on affiliate-manufacturer, network, and payment issues. The bill was reported favorably. The most extensive discussion centered on CS/SB 1758, which proposes major changes to Medicaid and SNAP. The sponsor described five reforms: stronger fraud and overpayment recovery authority, a Medicaid work requirement for certain able-bodied adults, expanded behavioral-health services through Medicaid waivers, pharmacy-program changes to obtain rebates and reduce institutional costs, and SNAP/EBT reforms including photo IDs and work requirements. The committee adopted two amendments: one adding a transitional “glide path” for people who gain employment but risk losing Medicaid, and another exempting hospice patients with six months or less to live. Supporters argued the bill would reduce fraud, improve accountability, and encourage work, while opponents warned it would increase administrative burdens, push eligible people off coverage, and conflict with federal law or guidance. The bill remained under debate with extensive public testimony from advocates, providers, and affected families, and the transcript ends before final disposition on the measure.

Transcript Highlights:

• of rate change versus ours at the end of the day. that chairwoman here is going to work through the math
• Such as cancer screenings and chronic disease management and help achieve cost savings and better health
• just like the populations that are covered today, they would have access to some of those same. screenings
• We completed 34 audits and we screened over 76. 6,000 provider applications.
• tests on our newborn screening panel, as well as. incorporating PFAS testing into our standard water

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• and<02:04:19.280> they're<02:04:19.520> looking<02:04:19.679> at doing the math
• and they're looking at doing the math and they're looking at what<02:04:20.080> our<02:04:20.320
• AI-assisted pre-check, for example using tools like CivCheck, should be deployed to screen for missing
• for missing documents deployed to screen for missing documents and<04:00:43.120> obvious<04:00
• to screen for missing documents<04:16:39.760> and<04:16:40.080> obvious<04:16:40.960><

Keywords: 910, house, all

Transcript Highlights:

• and science as uh 671 math and science as uh 671 uh<00:09:46.440> did.
• So that's u a presentation on a screen.
• <00:36:38.240> I'm far as the screen time is concerned.
• I'm far as the screen time is concerned.
• children should be in front of screens children should be in front of screens um<00:48:24.480>

Keywords: 928, house, all

Summary: The committee heard testimony on SB 69, including a germane amendment about local school boards’ acceptance or rejection of gifts and donations and a non-germane amendment creating a virtual early childhood readiness family engagement program for preschool children not yet in kindergarten. Rep. Cordelli said the early literacy proposal was a modified version of an earlier kindergarten readiness bill, would rely on gifts and donations rather than state appropriations, and would include reporting requirements. Members questioned the shift from a broader technology program to an online-only model, the lack of detailed evaluation metrics, how long children would use the program, and whether it was appropriate for very young children. Cordelli said the change was intended to avoid government dependence and still allow the program to be offered next school year. Several members raised concerns about the gift-acceptance language on the underlying bill, including whether school boards would need to vote on small donations, whether gifts could be handled in blocks or at regular meetings, and how anonymous donations would work under right-to-know laws. Rep. Han noted that some gift discussions might belong in non-public session under RSA 91-A, while Rep. Cornell said acceptance or rejection of gifts could be handled at regular meetings and suggested a dollar threshold could be added later. The New Hampshire School Boards Association said it was not taking a position but wanted clearer guardrails, policy guidance, and clarification on timing, anonymity, and public-meeting requirements. Supporters of the early childhood program, including Waterford.org, said the proposal would provide an evidence-based, adaptive online literacy program with family engagement for four- and five-year-olds, and that it could help close early learning gaps. Waterford said it could work collaboratively with school districts and IEP teams, and that it would provide devices and internet access for families who need them. Committee members pressed on how the program would interact with existing special education services and whether districts could use it as part of an IEP; the response was that it would be supplementary and not an approved special education service. No votes were taken during the hearing; the chair indicated the committee would later executive the bills and try to get reports filed promptly.

Transcript Highlights:

• So sometimes doing the simple math doesn't always work because some of these are point in time and some
• So sometimes doing the simple math doesn't always work because some of these are point in time and some
• Dakotaans and North Dakota families that are caregivers, and access to specialized care, and even the screening

Summary: The committee met with a quorum, approved the March 18 minutes, and then received a series of updates on major health-related projects and programs. CHI St. Alexius representatives reported progress on behavioral health buildouts in Bismarck, Williston, and Grand Forks, including demolition and construction milestones, staffing plans, and timelines. The Bismarck project remains on track for completion in June 2027 with about $346,500 spent to date. Williston reported construction underway, a $750,000 unbudgeted air handler replacement, active recruitment for psychiatrists and other staff, and a projected substantial completion in early 2027. Grand Forks reported about 30% completion, weather-tight status expected in August, and continued staffing ramp-up as the facility expands from its current 24-bed operation. The Department of Health and Human Services then reviewed a set of technical line-item transfers, emphasizing that they were administrative corrections with no net change in funding. The department also walked through the Salaries and Wages Block Grant and FTE counts, noting overall staffing remained within appropriated limits and that behavioral health staffing had increased. Members asked about vacancies, consultant use, and the mix of in-state versus out-of-state expertise for the Rural Health Transformation Program. HHS said it had posted 12 funding opportunities, received 422 applications, obligated $8.4 million so far, hired 26 people, and was preparing additional grant rounds and a CMS budget submission. The department said the program is structured around workforce, prevention/healthy living, care closer to home, and technology/data, with ongoing stakeholder engagement and community forums. The committee also heard on the certified community behavioral health clinic implementation plan, SNAP payment error rates, and the state laboratory project. HHS said CCBHC certification is being implemented in four regions—Williston, Minot/North Central, Fargo/Southeast, and Dickinson/Badlands—with care coordination expanding and baseline data still being collected. On SNAP, the department reported a 2025 payment error rate of 9.89%, acknowledged cost impacts under HR1, and said it is using training, system changes, and pre-authorization quality checks to reduce errors toward a 6% target over the next 6 to 12 months. Finally, Public Health reported the state laboratory reached substantial completion on June 12, with total costs at $69.95 million of the $70 million budget, though a service elevator issue will require a new lift to be added using contingency funds.

Transcript Highlights:

• Going from insuring themselves for $200,000 to $250,000, I did the math: it's less than a 1% per year
• So that means, right off the top, there are, through the math, 11 that are not even available for issuing
• They do screening with a free licensure quality review specialist, and it takes approximately 51 days

Transcript Highlights:

• States must implement quarterly screening to review the Death Master File to verify that Medicaid enrollees
• they're expecting to pay X, and now that may be, you know, another $100, another $200, this is real math
• This is real math for them, and it's very concerning, especially when you see other areas of support

Summary: The Assembly Budget Subcommittee on Accountability and Oversight held its fifth hearing of the year to examine the newly enacted federal H.R. 1 and its effects on California. Members and the chair described the law as a major threat to state health, food, education, and climate programs, and emphasized that California would not be able to fully backfill the federal cuts. Several members also highlighted the bill’s tax provisions, including temporary deductions for tips, overtime, seniors, and auto loan interest, while warning that the largest benefits flow to higher-income taxpayers and that major cuts to Medi-Cal, CalFresh, and clean-energy incentives are delayed or phased in over time. The Legislative Analyst’s Office and the Department of Finance presented detailed overviews of the bill’s likely impacts and implementation timelines. They identified the main affected areas as health care coverage and financing, food assistance, higher education, personal income taxes, and clean-energy/electric-vehicle credits. They explained that H.R. 1 limits provider taxes used to finance Medi-Cal, adds work and redetermination requirements, restricts CalFresh eligibility and increases state costs, changes student loan and Pell Grant rules, extends and modifies federal tax provisions, and phases out many clean-energy credits. Finance also noted major rescissions of Inflation Reduction Act funds, new border and immigration enforcement spending, and the possibility of PAYGO sequestration if Congress does not act to offset the deficit increase. During member questions, the committee focused on likely enrollment losses, administrative burdens, and fiscal exposure for the state and counties. Witnesses said many details still depend on federal guidance, but they estimated significant impacts on Medi-Cal, CalFresh, and graduate/professional student borrowing, and noted that California’s high CalFresh error rate could increase state costs. UC testified that the elimination of Graduate PLUS loans would affect thousands of professional students, especially in health, law, and other high-cost programs. Members asked for follow-up data on county, health, and tax impacts, and staff agreed to provide additional tables and estimates as implementation guidance becomes clearer. Public commenters from counties, early childhood advocates, health coalitions, disability rights groups, immigrant-rights organizations, and other stakeholders urged the Legislature to mitigate the law’s effects. They warned of higher county costs, reduced access to health care and food assistance, increased administrative burdens, and harm to children, immigrants, people with disabilities, and low-income families. Several urged new state revenue solutions and stronger protections for Medi-Cal, CalFresh, child care, and home- and community-based services. No votes were taken; the hearing was informational and ended with a commitment to continue monitoring federal guidance and to work on state responses in the budget process.

Transcript Highlights:

• It looks like it has doubled, if I did the math right.
• However, what I would like to emphasize is that we need to take a closer look at what the real math is
• Nobody's staring at you through the screen, you know, as if...

Bills: HB1453, HB1718, HB2043, HB2207, HB2798

Keywords: local governments, anticipation notes, certificates of obligation, public works, flood control, financial management, local government, municipal financing, private activity bonds, closing definition, real estate finance, bond issuance, government regulation, bond election, general obligation bonds, GO bonds, political subdivision, city bonds, county bonds, school district bonds