Transcript Highlights:

• But prior to that, prior to that funding that we... request by the legislature.
• Is that what the state, what the legislature is funding that current year, 2024-2025?
• So how much has that, has the funding from the legislature increased?
• So, but we're open to whatever that may be at the desire of the Legislature. Any follow up?
• So we'll be right on time with these projects that come out of this year's legislature.

Summary: The Higher Education Budget Subcommittee met to review funding models for the Florida College System and district workforce education programs, with an emphasis on how new dollars are allocated in the program fund and how performance and targeted funding are incorporated. Chancellor Hebda explained the Florida College System model, including base program funding, student success and pipeline funds, performance incentives for industry certifications, and the 2022 president-developed formula that weights enrollment, workforce enrollment, completions, small-college factors, and regional cost differences, plus a targeted funding floor for colleges below a minimum per-FTE level. Vice Chancellor Goodman then outlined the district workforce model, which uses lagged enrollment, program cost weights, local revenue offsets, small-district adjustments, and unmet-need calculations to distribute lump-sum appropriations to school districts offering workforce education. The department also provided updates on several grant programs and funding delays. Goodman said the Workforce Development Incentive Grant, Pathways to Career Opportunities Grant, Graduation Alternative to Traditional Education Startup Grant, and teacher apprenticeship/mentor bonus programs all involve multi-year awards and often require reversions and reappropriations because projects are delayed, extended, or not fully obligated by year-end. She said the department is moving toward an electronic grants system and had already adjusted internal deadlines to speed awards, while acknowledging some reimbursement delays and explaining that mentor bonuses for teacher apprentices will not be paid until the first cohort reaches the statutory timing requirement. Members asked about tracking whether CTE students work in their trained fields, how Xello is used to inform students about career pathways, how FTE is calculated, whether the funding formulas could encourage growth over quality, and how students with disabilities are counted in workforce funding. Questions also focused on tuition, enrollment trends, and the gap between college and university funding. The committee heard that tuition has remained flat for more than a decade, enrollment has rebounded from COVID and is projected to exceed pre-pandemic levels, and the college system’s funding per FTE varies widely. Valencia College President Kathleen Plinsky testified in support of the proposed formula and an additional $200 million for the Florida College System, saying Valencia is the second-largest college in the state but ranks last in per-FTE funding, which has made it difficult to recruit and retain faculty and admit qualified students in high-demand programs like nursing. The committee took no vote and adjourned after the presentations and questions.

Transcript Highlights:

• But honestly, I believe that the most important thing that Minnesota's legislature can do is to take
• But honestly, I believe that the most important thing that Minnesota's legislature can do is to take
• But honestly, I believe that the most important thing that Minnesota's legislature can do is to take
• But honestly, I believe that the most important thing that Minnesota's legislature can do is to take
• But honestly, I believe that the most important thing that Minnesota's legislature can do is to take

Transcript Highlights:

• But I did also want to share there is some quote, ...the will of the legislature.
• We don't get to decide even as a legislature.
• To the question, it would not preclude a future legislature.
• This legislature has made tremendous progress over the last six years.
• The legislature has the ability to enforce mandatory voting.

Committee: Joint Joint Committee on Election Laws

Summary: The committee heard extensive testimony on S. 7 and H. 63, proposed constitutional amendments to restore voting rights to people incarcerated for felony convictions. Sponsors Rep. Erica Iderhoven and Sen. Liz Miranda argued that Massachusetts should reverse the 2000 disenfranchisement change, describing it as a recent and racially discriminatory policy that excludes thousands of residents—disproportionately Black and Latino—from civic participation. They said the amendment would put the question before voters, likely in 2028, and noted that implementation details such as domicile and where incarcerated people would register to vote would be handled separately through legislation and existing jail-based voting work. A large number of incarcerated and formerly incarcerated people testified in support, many speaking remotely from MCI Norfolk, MCI Shirley, and MCI Framingham. They said voting would affirm dignity, accountability, rehabilitation, and connection to community, and several described civic education programs inside the facilities that had helped them engage with public policy. Witnesses repeatedly characterized disenfranchisement as “civil death,” linked it to racial injustice and the legacy of slavery, and urged the committee to advance the bills favorably. A few speakers also addressed practical questions about voting location and domicile, with sponsors saying those issues are not specified in the constitutional amendment and would be worked out later. Committee members asked several questions, including whether incarcerated people would vote in the community where they were incarcerated or where they previously lived, and whether future legislation could include carve-outs based on offense type or time served. Testifiers and sponsors generally said the amendment itself does not decide those implementation questions, and some said they would oppose carve-outs. One member raised a broader moral objection about allowing people convicted of serious crimes to vote; supporters responded that punishment should not erase democratic rights and that voting can support rehabilitation and reentry. No vote or final committee action was taken during the transcript provided. The hearing also briefly included testimony on a separate matter, S. 521, a proposed ratification of the federal Child Labor Amendment. Witnesses supporting that measure warned against renewed child labor rollbacks in other states and argued Massachusetts should reaffirm protections for children and education. That portion of the hearing was separate from the voting-rights discussion.

Transcript Highlights:

• Under this bill, the administration will be required to present fully developed options to the Legislature
• Finally, AB 177 is a bill that requires the Department of Finance to present to the Legislature options
• the bill that came from the Legislature.
• I want to begin by applauding the governor and the legislature for...
• We hope the Legislature will take action.

Committee: Senate Budget and Fiscal Review

Transcript Highlights:

• We look forward to partnering with the Legislature this year to strengthen this.
• And I, of course, invite collaboration with the Legislature in achieving the 100% mark.
• And we need the Legislature to put food on the table first. And I know you will have...
• And we need the Legislature to put food on the table first.
• I think for the Legislature, it must have... ...to get ahead of this.

Summary: The joint hearing focused on CalFresh enrollment, food insecurity, and the effects of the recent federal shutdown and H.R. 1 on California families. Opening remarks emphasized that the shutdown delayed SNAP/CalFresh benefits for the first time in the program’s history, prompting emergency state, county, and local responses such as Operation Feed California, county emergency funds, food bank expansions, and Alameda County’s temporary food distributions and gift card support. Members also framed the issue as both a hunger and affordability crisis, noting that California produces abundant food but still has high rates of household food insecurity. The first panel reviewed food insecurity data and program impacts. PPIC’s Tess Thorman said about 13% of California households were food insecure in 2023, with higher rates among households with children and among Latino and Black households, and explained that CalFresh, school meals, and WIC significantly reduce poverty and hunger. Nourish California’s Betzabel Estudio described food insecurity as a policy choice and outlined state policy efforts such as Food for All, Thriving Transitions, and expansion of the CalFresh Fruit and Vegetable EBT program. The California Association of Food Banks said demand remains high, food banks are serving millions monthly, and federal cuts and reduced TEFAP food supplies are worsening the strain. The second panel gave a CalFresh program overview from CDSS and Alameda County. CDSS reported that CalFresh participation has improved, with California’s participation rate rising from 67% in 2020 to 81% in the latest federal data, and highlighted recent successes including the minimum nutrition benefit pilot and the revived fruit-and-vegetable incentive program. Officials also warned that H.R. 1 will add work requirements, reduce eligibility for some immigrants, and create future cost-sharing pressures for the state and counties. Alameda County described local caseloads, application declines tied to fear and uncertainty, and efforts to reduce error rates and support students, older adults, and other hard-to-reach groups. A student CalFresh ambassador testified about the burdensome application process and the need for more outreach and basic needs support on campuses. No votes were taken; the hearing was informational, with members discussing possible future legislation, outreach funding, and state backfill strategies.

Transcript Highlights:

• And whereas the Florida legislature must act to safeguard the rights and well-being of our citizens by
• The proclamation on January 7, 2026, calling the Legislature of the state of Florida into a special session
• The call of the Legislature of the state of Florida for this special session is further amended to commence
• Then they say, wait a second, the Florida Legislature said they did something about this.
• And that system is depending on advancements that we make in this legislature to continue to be able

Summary: The Senate convened with an opening prayer and the Pledge of Allegiance, then administered the oath of office to newly elected Senator Brian Nathan of District 14, who was welcomed by the chamber. The Secretary read the governor’s amended special session proclamation, which expanded the call to include legislation on artificial intelligence protections, an AI Bill of Rights, related public records exemptions, and medical freedom, in addition to congressional redistricting and related litigation funding. The chamber then read the bills filed within the call: SB 2D (Artificial Intelligence Bill of Rights), SB 4D (public records), SB 60 (medical freedom), and SB 8D (congressional districts). The Rules Chair moved SB 2D and SB 4D forward, and the Senate took up SB 2D first. On SB 2D, the sponsor said the bill was intended to protect parents and children from deceptive AI practices, safeguard personal information and image rights, and ensure technology serves rather than deceives Floridians. Senator Grall opposed the bill, arguing it weakened protections and gave parents a false sense of security, while Senator Busillo supported it as a necessary but imperfect first step that should be implemented carefully. After debate, the Senate passed SB 2D by a vote of 37 yeas and 1 nay. The Senate then passed SB 4D, the companion public records exemption bill, after brief discussion about which investigative files would be exempt during enforcement proceedings; the vote was 33 yeas and 4 nays. The Rules Chair announced committee scheduling, noted SB 60 (medical freedom) would be temporarily postponed in Rules, and the Senate also set SB 8D for special order on Wednesday, April 29. The chamber adjourned until 10 a.m. on Wednesday, April 29.

Transcript Highlights:

• </c> to the legislature. to the legislature.
• ><c> the</c><00:05:15.880><c> funding,</c> Once the legislature awards the funding, Once the legislature
• c> be</c> legislature the legislature should be legislature the legislature should be aware<00:14:30.400
• ,</c> report directly to the legislature, report directly to the legislature, that's<00:14:59.760><c>
• </c> legislature should consider. legislature should consider.

Bills: HF3564

Committee: House Legacy Finance

Transcript Highlights:

• When I suggested that the role of this legislature should be something more than an advisory board, it
• The legislature can suspend this transfer if there is a revenue shortfall.
• Finally, the amendment allows the legislature to If there is a revenue shortfall.
• The amendment also allows the Legislature to which... Speaker.
• Members, we as the Legislature know better.

Summary: The House met on the final day of session, swore in Representatives Boyles and Hodgers, and observed a moment of silence for the Minnesota House Speaker Melissa Hortman and her husband, as well as for Representative Rosenwald’s father. The chamber then moved into final budget work, with leaders outlining the plan to take up H.J.R. 5019, HB 7031, HB 5017, HB 5015, and then the general appropriations act once the Senate transmitted it. H.J.R. 5019, a proposed constitutional amendment to expand the budget stabilization fund, was explained and amended to raise the rainy day fund cap, require annual deposits, and allow withdrawals for critical state needs by a two-thirds vote; it passed 100-1. The House then adopted the conference report on HB 7031, the tax package. The bill repeals the business rent tax and aviation fuel tax, delays the natural gas fuel tax, creates or expands several sales tax holidays and exemptions, including permanent exemptions for disaster-preparedness items, hunting/fishing/camping items, and ammunition and firearms-related purchases, and makes changes to property, corporate income, local tax, and economic development provisions. Members debated the removal of recurring housing trust fund and transit-related revenue streams, the new ammunition exemption, and the data center tax changes; supporters argued the package reduces taxes and preserves annual budget flexibility, while opponents raised concerns about housing, transportation, and gun violence. The conference report passed 93-7. HB 5017, creating a debt reduction program funded by a recurring transfer to retire state bonds early, passed unanimously. HB 5015, the state group insurance conforming bill, which directs DMS to develop a formulary management plan and codifies the administrative health insurance assessment, also passed. The House then began explanation and questions on the fiscal year 2025-26 general appropriations act, described as a $115.1 billion budget that is down $3.8 billion from the current year and includes more than $12 billion in reserves. Subcommittee chairs summarized major spending areas, including pre-K-12 funding increases, health care funding for Medicaid, KidCare, nursing homes, opioid treatment, and mental health, transportation and economic development funding, environmental and water projects, higher education, state administration, justice, and information technology. Questions focused on school vouchers, inflationary pressures on school districts, and the adequacy of funding for housing, transportation, and other priorities.

Transcript Highlights:

• This legislature, our committee, appropriates the money to you.
• Last time, I'm going to be completely honest, was identified by the legislature, and so...
• Currently, we have quarterly performance measures that report to the legislature.
• So we think that that will be agreeable hopefully to the legislature as well.
• In 2007, CBRT really became something important to this legislature.

Committee: House Appropriations - S/C on Articles I, IV, & V

Transcript Highlights:

• For two years, the legislature funded $13 million annually for transportation costs not covered by the
• I want to thank the legislature and all of you who supported the budget proviso that had been in the
• It's part of your basic education obligation, and the legislature should be funding this.
• You know, at a time when the legislature is... ...challenges as unsustainable.
• Either the legislature is going to pay for it, or why are they there?

Bills: SB5841 , SB5922 , SB5858 , SB5943

Committee: Senate Early Learning & K-12 Education

Keywords: financial aid, postsecondary education, student support, application process, higher education access, school transportation, school buses, pupil transportation, transportation vehicle fund, school district finance, fund transfer, reimbursement schedule, depreciation schedule, zero-emission buses, electric school buses, bus electrification, charging stations, fueling stations, vehicle replacement, major repairs

Transcript Highlights:

• And we are creating in this legislature an atmosphere of attacking doctors.
• Our role and our partnership with the legislature is incredibly important.
• Our role and our partnership with the legislature is incredibly important.
• With the Legislature as an avenue of information and partnership to develop those solutions.
• Those successfully passed the legislature.

Summary: The committee first considered the confirmation of Dr. John Lattell to the Board of Medicine. In questioning, senators focused heavily on his views about abortion, vaccines, ivermectin, and the role of CDC/FDA guidance in board discipline cases. Dr. Lattell said the board applies Florida statutes and works through probable cause panels and legal counsel, but he also expressed strong pro-life views, skepticism of federal health guidance, and criticism of vaccines and some medical practices. Supporters praised his long medical career, military service, and family medicine background, while opponents argued his views could prevent him from being objective in disciplinary matters. The committee voted to recommend him for confirmation to the full Senate, with Senators Polsky and Ruson voting no. The committee then took up the confirmation of Taylor Hatch as Secretary of the Department of Children and Families. Hatch described her background in state human services and outlined priorities centered on accountability, data, lived experience, and improving service delivery. Senators asked about SNAP error rates, Hope Florida, legislative analyses, staffing, and the department’s handling of child welfare and medically complex cases. Hatch said the department was reducing SNAP error rates, that Hope Florida uses navigators to connect people with community resources and self-sufficiency supports, and that DCF is working with the Department of Health and other partners to improve investigations and accountability in child welfare. She also said the agency is reviewing medically complex cases and strengthening oversight of community-based care providers through contracts, audits, and proposed funding-model changes. A substantial portion of the Hatch discussion centered on whether the department had been responsive to legislative requests and whether it had provided timely bill analyses. Senators also pressed her on Hope Florida staffing, the number of participants served, and the Hope Florida Foundation’s compliance and legal oversight. Hatch said the foundation is undergoing a financial audit and that the department is relying on required reports and ongoing investigations. The transcript ends amid continued questioning about a community-based care contractor’s finances, related-party transactions, and whether further forensic audits or repayments are needed.

Transcript Highlights:

• So we're working with the legislature to get that funded.
• The legislature previously passed Bill 63A-16-214 about zero-trust architecture. Thank you.
• And we cannot move forward until the legislature then authorizes a program that we bring to you.
• In the 2023 general session, the legislature...
• for... ...and so appreciative of the support of the legislature for the energy lab.

Committee: Joint Public Utilities, Energy, and Technology Interim Committee

Transcript Highlights:

• The PALM project impacts all three branches of government, including the legislature.
• They send reports to the legislature, reports to us.
• In 2022, the legislature stepped in and said, okay, this first module has gone live.
• So this legislature put proviso language in the budget that said, time out.
• It also goes to the legislature, so you all have access to all that content.

Summary: The subcommittee heard updates on several major technology modernization efforts, beginning with the Department of Financial Services’ Florida PALM project, which is replacing the state’s decades-old FLAIR accounting system. DFS described PALM as a statewide effort affecting all three branches of government, with cash management already live and the remaining financial management, payroll, and data warehouse components still in development. Officials said the project began in 2014, was restructured after a 2022 legislative pause, and is now being recommended for a go-live delay from January 2026 to July 2026. Members asked about governance, staffing, contract structure, cost growth, and maintenance costs; DFS said the contract is deliverable-based, the current amendment would add a net $2.2 million, and post-go-live maintenance is expected to be about $13 million annually under the current contract through July 2027. The Agency for Health Care Administration then updated the committee on the FX Medicaid enterprise modernization program. AHCA explained that federal CMS directed states to move from monolithic Medicaid systems to a modular approach, leading Florida to procure separate vendors for integration services, data warehouse, unified operations, provider services, and claims processing, with pharmacy benefits still to be procured. Officials said the project has spent about $334 million to date, with most costs federally matched, and requested $189.95 million for the upcoming year. They also highlighted a 2024 special assessment that produced 81 recommendations, most tied to staffing shortages, and said the Legislature added 47 FTEs, with 17 currently filled or being filled. Members asked about governance changes, production status, data access, and future technology maintenance; AHCA said some components are operational, the data warehouse is nearing certification, and the agency is working to keep the system adaptable and nonproprietary. The Department of Children and Families presented its Access modernization project, which is replacing a mainframe-based eligibility system used for SNAP, TANF, Medicaid assistance, and related programs. DCF said the six-year, $205 million project is in its third year and has already delivered a new customer portal with mobile access, multi-factor authentication, and fraud protections, while also building a worker portal, document management, community partner tools, and workload management functions. The agency said it is requesting $36.625 million for the next fiscal year, the same as last year, and emphasized that the project has remained on schedule and on budget by breaking work into smaller modules and using strong vendor and staff support. Members praised the project’s progress and asked about cybersecurity testing and the long delay before modernization began; DCF said security requirements were built in from the outset and that the remaining work will focus on moving staff off the legacy mainframe and modernizing notices and back-end processes.

Transcript Highlights:

• </c> about the uh report that the legislature about the uh report that the legislature asked<00:08:45.120
• and and hope to bring to the legislature and and hope to have<00:09:19.000><c> action</c> have action
• But there are two legislative proposals which, at some point, I hope the legislature will consider.
• But there are two legislative proposals which, at some point, I hope the legislature will consider.
• </c><00:26:52.320><c> will</c> the legislature will the legislature will consider<00:26:54.360><c> one

Committee: Senate Elections

Transcript Highlights:

• What this bill does is it allows members of the legislature to receive reports electronically as opposed
• You know, we are a part-time legislature.
• <00:07:55.760><c> part-time</c> you know, we we are a part-time you know, we we are a part-time legislature
• . legislature. legislature.
• . legislature. legislature.

Transcript Highlights:

• We were directed by the legislature to complete this study in 2025.
• In 2025, the legislature appropriated $268,000 to cover the program's costs.
• The 2025 legislature also adjusted how the annual fee cap was calculated.
• In 2025, the legislature appropriated $268,000 to cover the program's costs.
• The 2025 legislature also adjusted how the annual fee cap was calculated.

Summary: At the April 8, 2026 JLARC meeting, members approved the January 7 minutes and recognized Marilyn Richter for more than 12 years of service to JLARC and the Citizens Commission. Staff then gave a legislative recap and work plan update, noting that JLARC staff presented to five committees during session, six bills or budget provisos implementing prior recommendations were enacted, and seven new study assignments were received. Members approved the updated 2025–2027 biennial work plan, including the new studies and the required 2027 lodging tax review. The committee also heard a presentation on a new post-meeting member survey tied to JLARC performance measures. Members then considered the final report on ignition interlock device compliance and monitoring. Staff reported that many drivers required to install ignition interlock devices do not do so, with installation rates rising with income, and identified problems in the Department of Licensing’s financial assistance program and coordination with the State Patrol. Both agencies said they concurred with JLARC’s recommendations to clarify responsibilities, formalize coordination, and develop a plan to increase installation rates. The committee approved the final report. Next, JLARC reviewed the final report on drug takeback fee setting and expenditures. Staff concluded that the Department of Health’s fee design limits full cost recovery and that the agency should publicly report oversight costs and activities; the legislature should revise the fee structure to better align with best practices. Members discussed whether the program should remain at DOH or be housed elsewhere, and adopted committee comments emphasizing transparency and future sunset review work before approving the final report. Finally, staff presented the scope and objectives for the Clean Buildings Performance Standard study, focusing on state-owned Tier 1 buildings and K-12 facilities in the first compliance cohort, with questions centered on compliance costs, energy savings, funding sources, fines, and possible workforce or budget impacts. The meeting ended with administrative announcements about upcoming meetings and adjournment.

Transcript Highlights:

• The department shall report to the legislature or the Legislative Finance Committee if the legislature
• And to send there's the point a little bit, the legislature is the problem.
• If the legislature couldn't do that, we have to figure out another mechanism to do that.
• The legislature has got to determine how they're going to do this.
• The legislature will determine how it's going to operate, like every other state agency.

Bills: SB2 , SB2

Committees: Senate Senate Finance , Senate House Appropriations & Finance

Keywords: SB 2, State Highway Project Bonds, highway funding, transportation bonds, state road fund, motor vehicle fees, vehicle registration fees, electric vehicle fee, EV surcharge, plug-in hybrid fee, weight distance tax, road construction, infrastructure financing, Department of Transportation, State Transportation Commission, bonding authority, county road funds, municipal road funds, transportation improvement program, state highways

Transcript Highlights:

• As such, we're asking the legislature to please reject this proposal and continue the momentum on climate
• We ask the legislature to maintain the Medicaid pharmacy benefit and managed care. Thank you.
• And I would encourage the legislature to continue supporting this program. Thank you. Thank you.
• And I would like to encourage the legislature to continue to fund this program and maintain it.
• must remain mindful of the needs of local jurisdictions. ...This legislature must remain mindful of

Summary: The House Appropriations Committee continued its public hearing on House Bill 2289, the fiscal biennial supplemental operating budget appropriations bill. The chair and vice chair explained the hearing process, limited testimony to one minute per person, and then heard extensive public comment from a wide range of advocates, local officials, service providers, and residents. No committee vote was taken during the hearing. Much of the testimony focused on opposition to proposed budget shifts involving Climate Commitment Act revenue, especially the proposed diversion of $569 million to other uses, including the Working Families Tax Credit. Environmental, public health, and local government witnesses argued those funds should remain dedicated to climate pollution reduction, wildfire resilience, clean transportation, natural climate solutions, and affordability programs. Several speakers also urged full funding for wildfire response and forest health, including the HB 1168 commitment, and opposed transfers from the Public Works Assistance Account. Other major topics included Medicaid and long-term care rates, with nursing home and assisted living providers warning that freezing or delaying rate rebasing would worsen staffing shortages and threaten access to care. Public health and health care advocates opposed cuts to foundational public health services, Apple Health expansion, and pharmacy benefit changes, while oral health advocates asked to preserve Medicaid dental funding and support Dentist Link. Testimony also supported or opposed funding for K-12 programs such as special education, the Ninth Grade Success Initiative, and homeless student stability; early learning and child care subsidies; disability services; public defense; housing and homelessness prevention; food assistance; higher education; and immigrant legal services. The committee concluded the hearing and adjourned after public testimony ended.

Transcript Highlights:

• Having found that this program provided a net benefit, I question why the legislature is now only two
• Just two years ago, the Minnesota legislature passed a law that provided a long-term path to develop
• But folks, what are we doing here as a legislature? What is our role?
• And I think that is a fundamental difference: what should our role be as a legislature?
• Folks, we've got a role to play as a legislature when it comes to energy in the state.

Bills: HF2103 , HF2793

Committee: House Energy Finance and Policy

Transcript Highlights:

• You said two options: taking it back to the voters or the Legislature.
• Has the department explored the former option in terms of the Legislature?
• With $190 million, unless the Legislature were to increase that funding amount.
• We were put into existence through the Legislature.
• So we urge the legislature to restore those cuts. Thank you. Good afternoon.

Summary: The subcommittee heard a lengthy Department of Health Care Services presentation on the governor’s Medi-Cal budget, including a $229.1 billion total-funds proposal, projected Medi-Cal enrollment declines as redeterminations continue, and several major cost drivers such as managed care growth, Medicare-related costs, pharmacy spending, and changes tied to federal policy. Members focused heavily on the elimination of Prop. 56 dental supplemental payments beginning July 1, 2026, questioning the likely impact on provider participation and utilization. DHCS said it is completing the required rate reduction/access analysis for CMS, has been holding stakeholder meetings and issuing provider bulletins, but could not yet quantify the real-world effect. The committee also discussed a $50 million savings proposal tied to new hospice utilization management authority and asked about possible effects on emergency dental care and provider participation. The hearing then moved through the November 2025 family health estimate and several county and program administration issues, including CCS, GHPP, and Every Woman Counts. DHCS said family health costs are rising despite slight caseload declines because of higher utilization and medical costs, and members raised concerns about CCS website accessibility, county administrative funding, and the transition of youth aging out of CCS. The department said most CCS beneficiaries are also on Medi-Cal, that counties have long raised funding concerns, and that it had clarified use of maintenance-and-operations dollars to address some county workload issues. Members also asked about Every Woman Counts potentially seeing higher demand as Medi-Cal changes take effect; DHCS said that is possible and that the program has multiple funding sources including General Fund. A major portion of the hearing focused on provider taxes and federal changes under H.R. 1, especially the Medi-Cal managed care organization tax and the hospital quality assurance fee. DHCS explained that H.R. 1 restricts new or increased health care-related taxes, phases down allowable tax levels over time, and tightens “generally redistributive” rules, which could sharply reduce the state’s ability to use the MCO tax for Medi-Cal financing. Members asked whether the Legislature could amend Prop. 35 or whether voters would need to act; DHCS said a three-fourths legislative amendment may be possible if it aligns with the measure’s purpose, but the department is still evaluating options. The committee also discussed hospital financing, with DHCS describing recent increases in state-directed payments and the effect of H.R. 1 in capping those payments at Medicare levels, and the LAO noting the tradeoff between preserving provider taxes and maintaining Medi-Cal funding. The subcommittee also reviewed a series of DHCS budget change proposals and trailer bill items, including managed care final-rule implementation, managed care operations, a hospital value strategy, a one-year extension of skilled nursing facility financing, long-term care payment transparency, and interoperability/prior authorization requirements. Members repeatedly questioned the use of limited-term versus permanent positions, the overlap among proposals, and the timing of new financing reforms. DHCS said the SNF extension would preserve current workforce standards, sanctions, growth limits, and the SNF quality assurance fee while the department develops a broader 2027-28 redesign. No votes were taken; items were repeatedly held open for later action. Covered California then presented on the expiration of the federal enhanced premium tax credit and the resulting affordability crisis. The agency said Californians will lose about $2.5 billion in premium assistance for 2026, average premiums could nearly double for many enrollees, and as many as 400,000 people could eventually leave marketplace coverage. Open enrollment ended with 1.9 million sign-ups, down 3% from the prior year, with especially steep declines among middle-income consumers and increased movement into bronze plans. Covered California said the state’s $190 million affordability subsidy is helping lower-income enrollees retain coverage, but cannot fully replace the lost federal assistance. Members also asked about the Health Care Affordability Reserve Fund, repayment of loans from that fund, the status of federal review of California’s essential health benefits benchmark, and implementation of the new gender-affirming care benefit under AB 144.