Transcript Highlights:

• constituents are concerned about getting appointments and health care and the rising cost of insurance premiums
• So this is the amount of money that a company receives in premium compared to what it pays out in claims
• The other thing is, we are called the Tax, what is it, Revenue Stabilization and Tax Policy Commission

Summary: The committee first approved the minutes from its fourth meeting, held October 27-28 in Santa Fe, with Representative Duncan moving approval and no opposition. The chair then introduced a panel on the cost of providing medical care in New Mexico, focusing on physician shortages, rising practice costs, and access problems, especially in southern New Mexico and Las Cruces. Panelists included family physicians, a pediatrician, a cardiologist/electrophysiologist, and a community health center medical director, who described their backgrounds and practices before turning to the policy discussion. The doctors argued that New Mexico is losing physicians because of three main pressures: medical malpractice exposure, gross receipts tax on medical services, and low Medicaid reimbursement. They said malpractice premiums are much higher than in neighboring states, punitive damages and venue shopping increase risk, and the patient compensation fund and attorney fee structure create additional costs. They also described administrative burdens from insurance billing and referrals, the high debt and long training period for physicians, and the effect of corporate medicine and private equity on practice decisions. One panelist emphasized the economic impact of each physician on jobs and local spending, while another noted that shortages force patients into emergency rooms and delay specialty care. The panel presented a list of proposed solutions: reform punitive damages, limit venue shopping and stacking, restore lifetime medical payments from the patient compensation fund, enact apology protections, cap attorney fees, continue Medicaid funding improvements, and eliminate gross receipts tax on medical and dental services. Committee members generally agreed the presentation was thorough and useful, but several noted that some proposals fall outside this committee’s jurisdiction and would likely need to move through other committees, especially judiciary and tax. Some members supported drafting legislation or working on separate bills, while others urged caution, requested more input from hospitals and economists, and raised concerns about local government revenue impacts from GRT changes. The chair concluded by encouraging members to continue discussions offline and noted that the tax-related issue would be taken up further in the next day’s work.

Transcript Highlights:

• collected approximately $27 billion from ratepayers to pay for wildfire mitigation and insurance premiums
• not only suitable sites with gas connection, but we needed the interconnection, and that was at a premium
• As we have been engaging with stakeholders, they have made it clear that stability in DSGS funding levels

Summary: The hearing was an informational budget session on energy agency proposals, with no votes taken. Early discussion focused on Proposition 4 climate bond implementation, including funding for demand-side grid support, offshore wind development, and transmission financing. The Department of Finance said the budget includes allocations for demand-side grid support and offshore wind, but not yet for the $325 million transmission financing piece pending a required study. The Legislative Analyst’s Office urged the Legislature to consider whether to wait on offshore wind funding, whether to keep shifting funds into demand-side grid support, and how to direct future transmission financing. Members also raised concerns about local technical assistance for offshore wind, Salton Sea priorities, and the need for more information before final decisions. The California Energy Commission and CPUC then reviewed the broader energy package. The CEC highlighted the demand-side grid support program’s growth, distributed energy backup assets, long-duration storage, hydrogen grants, and the SIRP clean energy reliability program. CPUC testimony emphasized affordability, wildfire mitigation costs, rooftop solar cost shifts, and efforts to reduce rates while maintaining reliability and clean energy goals. Members questioned CPUC staffing, delays in proceedings, coordination with the CEC and CAISO, and the impact of rate increases on customers. The agencies also discussed the AB 3264 transmission financing study, with CPUC saying work on the study had already begun and was on track for the July 1 deadline. Several trailer bill and implementation items were also discussed. The committee reviewed a proposal to extend the Deaf and Disabled Telecommunications Program surcharge, with members split over whether it should be handled in budget trailer bill language or policy legislation; the administration said the surcharge supports a critical program serving about three-quarters of a million Californians. The committee also heard a CPUC data-sharing proposal to allow nondisclosure agreements for transmission and reliability data, which members generally supported as a technical fix. DWR explained a proposal to clarify language for the Electricity Supply Strategic Reliability Reserve so it can potentially sell three gas-fired units it owns, and the CEC presented a federal transmission grant proposal tied to grid-enhancing technologies and ratepayer cost recovery. Finally, the committee discussed California Lifeline and possible broadband pilot reforms in light of uncertainty around federal Universal Service Fund support, with CPUC saying it is exploring a statewide standalone broadband option for eligible customers.

Transcript Highlights:

• And if you could implement one structural change today, what would that be to stabilize?
• And if you could implement one structural change today, what would that be to stabilize the fund?
• Just if you had one tip of one structural change today to help stabilize Fund 9, what would that be?
• Yeah, within the department and the time To stabilize, if I'm out with that.
• contestants—this is from this last year—will compete for more than $6 million in rodeo purposes, 2.7 million in premium

Keywords: 1184, house, all

Transcript Highlights:

• Senate Bill 36 also matters for nursing education and workforce stability.
• many families, we depend on public systems not because we want to, but because disability makes stability
• Built carefully through routines, services, Disability makes stability fragile, built carefully through
• They can determine whether a family has access to health care, stability, and dignity.
• many as one million Floridians will lose coverage because of the failure to renew the ACA enhanced premiums

Bills: S0036, S0864, S0268, S0844, S0514, S1404, S0914, S1758

Keywords: nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, uterine fibroids, public records, health privacy, epidemiology, medical information, emergency department, physicians, privacy, personal information, sickle cell disease, sickle cell anemia, pain management, controlled substances, prescribing education, continuing medical education

Summary: The committee first considered SB 268, a public records exemption for emergency physicians. Senator Rodriguez’s strike-all amendment narrowed and clarified the exemption, and testimony from an emergency physician described threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported the bill favorably as a committee substitute. Members then heard SB 514, creating the Dula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women affected by substance use disorder. Senator Osgood explained the pilot would provide non-medical doula support and data collection, and an amendment changed the funding source to specific appropriations in the General Appropriations Act. Supporters said doula care can improve maternal and infant outcomes and complement medical providers. The committee adopted the amendment and reported the bill favorably as a committee substitute. The committee also approved SB 36 on use of professional nursing titles after extensive debate over whether nurses with doctoral degrees should be allowed to use “doctor” in clinical settings, with concerns raised about patient confusion and the need for clearer identification. The bill was amended to align with the House version and then reported favorably as a committee substitute. The committee next approved SB 864, a public records exemption for uterine fibroid research data, after a technical amendment setting a July 1, 2026 effective date; Senator Sharif said the exemption is needed so the Department of Health can collect sensitive data for the related research bill. SB 844, requiring continuing education on sickle cell disease care management for certain licensed physicians and nurses, was also reported favorably after emotional testimony from patients and advocates describing delayed care and bias. Later, the committee approved SB 1404 on memory care, after a strike-all amendment creating a new memory care specialty license for assisted living facilities that advertise or provide specialized memory care services, while allowing optional supportive services without the new license. Supporters from the senior living industry backed the clarification. The committee then passed SB 914, which clarifies that licensed occupational therapists may perform dry needling, after an amendment adjusting supervision and continuing education language. Finally, the committee took up SB 1758, a broad Medicaid and SNAP reform bill that would strengthen fraud enforcement, impose Medicaid work requirements for certain able-bodied adults, expand behavioral health services, modernize drug purchasing and prior authorization, and require SNAP fraud-reduction measures. Several amendments were adopted, and members questioned the work requirement, implementation costs, EBT card photo identification, and due process concerns; debate continued as the transcript ended.

Transcript Highlights:

• <00:28:41.960> in of Human Rights and promote stability in of Human Rights and promote stability
• Does the debt markets and those demand a premium because you see what’s going on around the world?
• because you see what's going on premium because you see what's going on around<04:55:02.080> the<
• Say we're going to borrow about 7% of the entire economy this year if we don't start to stabilize that
• the situation to stab ize the stabilize the situation to stab ize the markets<06:09:07.840> and

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, January 9, 2025, 1012, house, all

Transcript Highlights:

• disability insurance insurers from using non-diagnostic genetic information to deny coverage or increase premiums
• prohibited from refusing to insure, cancel, or renew life or disability insurance, or charging higher premiums
• The loss of the enhanced premium tax credits from the Affordable Care Act could lead to as many as 1.7
• million Covered California enrollees seeing an additional average net premium increase of 66%.
• Covered California estimates that a federal change in premium assistance eligibility will cause 112,000

Summary: The committee heard several bills focused on privacy, accessibility, labor, and public safety. AB 1798 by Assemblymember Wilson would bar life and disability insurers from using non-diagnostic genetic information, including direct-to-consumer test results, in underwriting. Supporters argued the bill would protect privacy and encourage genetic testing, while insurers opposed it as unnecessary and said genetic data should be treated like other predictive health information. The bill passed the committee on a 7-0 vote and was held open for absent members. AB 2190 by Assemblymember Wallace would create website accessibility standards based on WCAG guidelines and add affirmative defenses intended to reduce serial litigation while improving access for people with disabilities. Disability advocates supported the measure as a needed civil-rights update, while business groups warned it could increase liability and create unclear compliance obligations. The bill passed 9-0 and was sent to Appropriations. AB 2721 by Assemblymember Carrillo would require hotels to post notice when they know or should know that U.S. Customs and Border Protection or ICE are using the premises, with supporters saying workers and guests deserve transparency and safety. Hotel and business groups opposed it, citing privacy, liability, and concerns about interfering with federal operations. The committee voted 6-2 to pass the bill to Appropriations, with the roll left open. AB 2027 by Assemblymember Ward would restrict employers from using worker data to train AI systems that replace workers and limit sharing of worker data for automation; labor groups supported it and business and public-sector groups opposed it as too broad. The bill passed 7-2 to Appropriations, with the roll left open. The committee also heard AB 1837 by Assemblymember Mark Gonzalez, which would extend and tighten privacy rules for transit agencies’ use of forward-facing cameras to enforce bus-lane violations; supporters said the cameras improve transit flow and safety, and the bill was presented with amendments, though no final vote is reflected in the transcript excerpt.

Transcript Highlights:

• at which supplemental law enforcement officers were paid, including fringe benefits, mileage, and premium
• The cost of any form of credit enhancement, printing, and trustee costs, and the premium paid in excess
• <03:35:38.800> paid trustee courts cost and the premium paid trustee courts cost and the premium
• The costs of any form of credit enhancement, printing and trustee costs, and any premium paid in excess
• paid in excess of the principal premium paid in excess of the principal amount<04:05:54.319> thereof

Keywords: 920, all

Summary: The meeting included a Senate recognition ceremony honoring the Winona High School boys basketball team for winning the 2026 Alabama High School Athletic Association 5A state championship. A resolution was read commending the team for its 101-40 victory over Silicag, noting the team’s record-setting performance, Brendan Davis’s MVP honor, the contributions of other players, and Coach Cedric Lane’s leadership. Senators and the lieutenant governor praised the players’ sportsmanship, the school community, and the team’s historic season, and copies of the resolution were presented to the team, coaches, and administrators. Several guests and school representatives also spoke briefly, including the coach and principal, who thanked the Senate and noted the team’s success and the principal’s retirement after 35 years. After the recognition, the Senate returned to session and adopted the Committee on Rules report setting the special order calendar. The calendar included Senate Bill 99 on the Ten Commandments, Senate Bill 298 on Class 3 municipalities, House Bill 381 on camp safety, Senate Bill 370 on tax increment districts, Senate Bill 363 on the Department of Economic and Community Affairs, House Bill 466 on firefighters, House Bill 95 on elections, House Bill 259 on stablecoin, and Senate Bill 342 on education. The chamber then took up SB 99, sponsored by Senators Kelly and Sessions. Senator Kelly described the bill as requiring local school boards to display the Ten Commandments, together with founding documents such as the Declaration of Independence, Constitution, Bill of Rights, and Alabama Constitution preamble, in certain history classrooms and common areas for grades five through 12, using donated displays and funds when available. He said the bill was intended as a historical and educational measure, not religious instruction, and emphasized the inclusion of a disclaimer stating Alabama is not establishing a religion. After extended debate and a petition to close debate from the Rules Committee, the Senate voted on the bill by long roll and passed SB 99, with the recorded vote announced as 30 yeas and 4 nays.

Transcript Highlights:

• that go beyond what is necessary, and I believe that we can do more to serve and to save and to stabilize
• The May Revision presented to you by the administration reflects our plan to address the stability of
• I want to... ...sustaining that stability over the long run.
• We respectfully urge support for our sponsored $30 million for foster family agency stabilization.
• and urged support for our sponsored $30 million for foster family agency stabilization.

Keywords: 988, house, all

Transcript Highlights:

• :26:52.639> insurance products, services, and insurance products, services, and insurance premiums
• to New Hampshire residents premiums to New Hampshire residents reduced.<01:26:56.080> Thank<01
• <01:50:08.159> in<01:50:08.320> and lead to more affordable premiums in and lead to
• more affordable premiums in and of<01:50:08.719> itself.
• have increased to the case premiums have increased to the point<02:20:52.800> where<02:20:52.960

Keywords: 1191, senate, all

Transcript Highlights:

• Research consistently shows that when we invest in our communities, stabilize our populations, and improve
• force report, for every $1,000 states spent per person in poverty, directly addressing financial stability
• The development of these relationships requires stability and assurances of health and safety for both
• It also combats homelessness and helps put families on a path to economic stability.
• To housing stability because funds are being exhausted.

Keywords: 988, house, all

Transcript Highlights:

• for nonprofits contracted with premiums for nonprofits contracted with DHS<01:10:47.280> and<
• that can help to stabilize that can help to stabilize um<01:25:24.160> transparency<01:25
• And this was causing massive distortion in the life insurance market, driving up premiums.
• This was causing massive distortion in the life insurance market, driving up premiums.
• <02:01:25.040> or Hampshire through higher premiums or Hampshire through higher premiums or

Keywords: 1189, house, all

Transcript Highlights:

• For Medicaid, there is no monthly premium.
• The monthly premium contribution also correspondingly increased.
• So here we are: we've created the new tiers and the premiums.
• There's no payment of premium in Medicaid. Okay. All right.
• And as directed by statute, monthly premiums are collected.

Summary: The committee received a briefing from AHCA Deputy Secretary Brian Meyer and Florida Healthy Kids CMO Ashley Carr on implementation of HB 121, which was enacted in 2023 to expand Florida’s KidCare/CHIP eligibility from 200% to 300% of the federal poverty level and replace the sharp premium “benefits cliff” with a tiered premium glide path. Sponsor Rep. Bartleman described the bill as a bipartisan effort to help working families keep children insured while moving toward economic self-sufficiency. The presenters explained that the program remains a joint federal-state structure, with Medicaid unchanged and the bill affecting only the CHIP-related portions of KidCare. AHCA said implementation has been delayed by federal CMS actions. The agency reported that CMS first rejected a state plan amendment approach, then required revisions to the premium tiers under a new maintenance-of-effort interpretation, and later issued a new interpretation of continuous 12-month eligibility that would prevent disenrollment for nonpayment of premiums. AHCA said it submitted an 1115 waiver, but negotiations over special terms and conditions reached an impasse, and the state has filed litigation challenging CMS’s interpretation. Members asked about the cost of litigation, the effect on future bills, the review process for CMS documents, disenrollment and reenrollment rules, and whether any additional legislative action is needed; AHCA said no further state action is needed at this time and that the key issue is the pending federal litigation. Several members and the sponsor emphasized the need for immediate implementation and asked about possible interim relief. AHCA said current coverage remains in place under the preexisting program, that there is a 30-day grace period for premium payment, and that reenrollment does not require a penalty or back payment, though coverage is not active during lapsed periods. The committee also heard public comment from Nicholas Hessing of the Children’s Services Council of Broward County and the Florida Alliance of Children’s Councils and Trusts, who supported HB 121 and said the expansion could make about 17,600 additional children eligible in Broward County alone. The meeting ended with Rep. Bartleman thanking staff and expressing hope that the new federal administration would allow the program to move forward, and the chair adjourned the meeting.

Transcript Highlights:

• It's because the actuaries guessed what the premium should be, and we funded that premium level, and
• In our case, the unit premium.
• Or total premium? Was it total or was it per individual premium?
• And that's the current premium now.
• So that's the monthly premium. So that's the monthly premium.

Bills: SB2160

Keywords: health insurance, public employees, uniform group insurance, retirement, state employees, 908, all

Summary: The committee resumed work on Senate Bill 2160, which would move the Public Employees Retirement System health plan from grandfathered to non-grandfathered status under the Affordable Care Act. PERS officials Rebecca Frickie and Derek Holbein explained that the bill would allow more flexibility in plan design, including higher deductibles, co-pays, and out-of-pocket maximums, while also adding enhanced preventive benefits. They clarified that ACA “essential health benefits” apply to individual and small-group markets, not to PERS as a large employer, and that the bill’s projected cost increases were based on actuarial estimates and prior bid scenarios from Sanford and Blue Cross Blue Shield. Members debated whether the bill would actually save money or simply shift costs to employees. Supporters argued that non-grandfathered status would create more levers to manage medical inflation and could produce net premium savings through plan redesign, citing prior bid comparisons showing potential reductions of 1% to 8% depending on the option. Opponents, including Representative Schauer and North Dakota United president Nick Archelette, questioned how the state would pay for the estimated $25 million to $30 million in added benefits and warned that employees could face higher out-of-pocket costs amid already strained household budgets. Frickie said the legislature would control funding decisions and that current law requiring the state to pay full family premiums could be changed only by statute. The committee also discussed reserve funding, with members noting that a $4.3 million reserve draw in the bill was intended to cover the final months of the biennium and could be modified. After testimony and discussion, Vice Chair Johnson moved a do-pass recommendation and referral to Appropriations. The motion passed 10-3-1, with Representatives Ostlie, Schatz, and Schauer voting no. Representative Gump agreed to carry the bill.

Transcript Highlights:

• number um in terms of of Premium number um in terms of of Premium increases<00:22:41.039> West
• those premiums mitigate those premium<00:22:45.559> increases<00:22:46.120> mitigated<
• also had no material impact on premiums also had no material impact on premiums in<00:22:54.840>
• That the premium went down—that is just the amount that the premium went down.
• that one member gets so their premium that one member gets so their premium premium<00:35:49.599

Keywords: Meeting Start: 00:00 Roll Call: 00:10 SB145 Discussion: 02:23 SB145 Vote: 05:13 SB183 Discussion: 06:13 SB183 Vote: 11:37 HB413 Discussion Only: 16:15, 958, all

Summary: The House Standing Committee on Banking and Insurance met with a quorum and first took up Senate Bill 145, sponsored by Sen. David Givens. The bill would update retail installment contract statutes for automobile sales, allowing retailers with installment contracts shorter than 28 days to begin collections after three days instead of waiting for multiple missed payments, and it also harmonizes a related dollar amount in statute from $10 to $15. The committee asked no questions, and the bill received a favorable expression on a roll-call vote. The committee then heard Senate Bill 183 from Sen. Matt Nunn, with testimony from Chris Nolan of the American Property Casualty Insurance Association. The bill would require proxy advisers acting for the State Retirement System to act solely in the financial interest of current and future retirees and to avoid political or social considerations in shareholder voting recommendations. Supporters argued it would keep politics out of public pensions and align proxy advice with fiduciary duties; members praised the bill and noted Kentucky could be among the first states to adopt such a model. The committee approved the bill with favorable expression after a roll-call vote. The committee also reviewed administrative regulation 808 KAR 9:10 from the Department of Financial Institutions, with no vote required. It then took up House Bill 413, a PBM rebate pass-through bill, with testimony from Sarah Wood of the Diabetes Patient Advocacy Coalition. She said the bill would require 85% of negotiated drug rebates to be passed through to patients at the point of sale, lowering out-of-pocket costs, especially for high-rebate drugs such as insulin, while still allowing 15% to remain with plans. She cited examples from other states and argued the bill would benefit about 650,000 Kentuckians. Hope McClaflin of Anthem opposed the bill, saying it would reduce employers’ ability to use rebates to lower premiums, could disproportionately favor high-cost brand-name drug users, and could create significant costs for state and fully insured plans. Members asked questions about other states’ pass-through rates and the effect on premiums, but no final action on House Bill 413 was taken in the portion of the meeting provided.

Transcript Highlights:

• Insurance, insurance, insurance, and as a result of the increased premium tax that was collected in 25
• <04:21:20.239> So,<04:21:20.560> I 37th in terms of fiscal stability.
• So, I 37th in terms of fiscal stability.
• And the, uh, in general business-like stability, they may have good news or bad news, but they don't
• Elberg about the financial stability Elberg about the financial stability rating.<04:30:43.279><

Keywords: 928, house, all

Summary: The committee heard testimony on Senate Bill 110, as amended by the Senate, which would establish fees for alteration-of-terrain applications and direct the Department of Environmental Services to adopt rules for a permit-by-notification process for certain projects. Trisha Milo introduced the bill for Senator Lang and noted that the department had worked on the amended language. Matt Mayberry of the New Hampshire Homebuilders Association said the industry strongly supported the bill, describing it as a public-private partnership that would speed review for developers without affecting local control, with builders paying the costs rather than taxpayers. Members focused heavily on how the bill’s fee structure and permit thresholds would work, especially for projects near shoreland, wetlands, and protected water bodies. Representative Opel raised concerns about whether the bill reduced review of habitat and shoreland impacts or shifted costs unfairly; Philip Trobridge of DES explained that the bill does not eliminate those reviews and that shoreland projects still receive greater scrutiny. He said the bill creates different tiers, with the permit-by-notification process applying to certain projects between 100,000 and 150,000 square feet that are not in protected shoreland, while larger or shoreland-affected projects remain under the standard review process. He also said the proposed fees were based on sustaining the program, covering added habitat and species review responsibilities, and keeping reviews efficient. Trobridge said the new fee structure would generate about $1.2 million in additional revenue and help fund additional staff and related program costs. He stated that the department had worked with the regulated community and believed the fees were fair and reasonable, though he acknowledged the bill’s wording was confusing and that the threshold could be revisited later if the new process works well. Members also discussed how the state process interacts with local approvals, and Trobridge said both state and local approvals are required before a project can begin. No vote or final action was taken in the portion of the meeting provided.

Transcript Highlights:

• the estimated balance of the premium the estimated balance of the premium security<00:03:58.000>
• that we have to put into the premium that we have to put into the premium security<00:13:15.600>
• It may lower the premium; we don't know how much.
• The board operates the premium security program.
• <00:20:00.240> uh it extends the premium uh it extends the premium uh security<00:20:02.480

Keywords: 1187, senate, all

Summary: The committee reviewed a side-by-side comparison and fiscal analysis of Senate File 3472, a reinsurance-related bill affecting the premium security plan account, MinnesotaCare, and related health care funding. Staff explained the Senate and House versions of the bill, including how the Senate proposal extends reinsurance for five years and uses a projected $1.087 billion general fund transfer to fully fund claims and administrative costs through fiscal year 2028, while the House version conditions continuation of the program on federal approval of the state innovation waiver. The fiscal presentation also covered appropriations for MNsure, a mental health parity and substance abuse office, and House provisions for delivery reform and a public option study, along with a House transfer of $110.674 million to the health care access fund. Members debated the budget horizon and whether costs should be forecast beyond fiscal year 2025. Representative Schultz argued that the spreadsheet understated the broader fiscal impact of reinsurance and warned about future funding cliffs for MinnesotaCare and other health programs, while other members and staff noted that the state’s standard forecast ends in fiscal year 2025 and that the fiscal note only estimated reinsurance costs through the five-year extension. Supporters said reinsurance was the best available option to reduce premium increases, especially in rural areas, and some pointed to a public option as a longer-term alternative. Opponents argued reinsurance does not address underlying health care costs or deductibles and urged consideration of other reforms. House Research then walked through the policy differences. House-only provisions would change Minnesota Comprehensive Health Association board membership, require platinum plans in certain markets, expand postnatal coverage, require a prescription drug benefit in some plans, set a minimum actuarial value for MinnesotaCare, create an Office of Mental Health Parity and Substance Abuse Accountability, and direct reports on delivery reform and a public option. The shared provisions would extend the premium security program to 2027 and delay the transfer of remaining premium security plan funds to the health care access fund until 2029, with the House language again contingent on federal waiver approval. No formal vote was taken in the excerpt; the chair closed discussion after hearing no further questions and indicated members would be contacted about next steps.

Transcript Highlights:

• I guess this would be a meeting you'd get premium for under Rep.
• I heard you saying streamlining the process, timeline, response, stabilization and workforce, and then
• The next is going to be our workforce stabilization.
• And when we do that, we will stabilize the number of staff that we have, and that will have an impact
• I started with the Department of Children and Family Services on the economic stability side.

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

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

Transcript Highlights:

• All funds to sustain intensive psychiatric stabilization program. This funded a pilot program.
• You mentioned that this Psychiatric Stabilization Program, the contract was counted.
• So stabilizing and retaining that workforce is really a key priority.
• The Texas Insurance Assistance Program, TAP, is a non-medical D program that is assisted with premiums
• long-term stability and health for the program.

Keywords: 1184, house, all

Transcript Highlights:

• They would have a crisis stabilization unit for people who are in crisis, a transitional care unit for
• people that are transitioning from perhaps the crisis stabilization unit back to the open population
• intensive outpatient, which is what we've used to augment our inpatient beds, because beds are at a premium
• So that's what we talk about when we talk about the transitional care, crisis stabilization, or court-ordered

Summary: The Justice Budget Committee heard detailed presentations from the Department of Juvenile Justice and the Department of Corrections on staffing, services, and budget needs. DJJ Secretary Hall emphasized that the agency’s main public safety strategy is education, along with prevention and recidivism reduction. He described major staffing improvements after pay increases for probation, detention, residential care, and prevention workers, and outlined DJJ’s mental health, aftercare, and education continuum, including the Florida Scholars Academy and Florida Youth College. He said the new statewide education model is showing early gains in progress monitoring, high school graduation, and postsecondary enrollment, while also noting ongoing operational issues such as IT connectivity, rural staffing gaps, and the need for geographic pay adjustments for teachers. He also discussed detention center replacement plans in Hillsborough, Broward, and Palm Beach, and said DJJ would transition the Broward JAC to a security contractor after the sheriff’s office pulls sworn officers from the site. Members asked about campus performance differences, teacher pay, detention education quality, and concerns about the rollout and leadership of the Scholars Academy. Hall said some campuses face rural access and infrastructure problems, but the blended learning model provides continuity when internet or staffing issues arise. He defended the superintendent’s qualifications and said early problems with inappropriate online content were addressed. Representative Porras raised concerns about educational quality and the superintendent’s past disciplinary history, while Representative Barrera urged more mentorship and fatherhood-focused programming in juvenile facilities. DOC Secretary Dixon said the prison system is under pressure from rising inmate populations, staffing shortages, and overtime costs. He argued that the system needs funded posts for every functioning housing unit, noting that the department has added housing units without enough staff and now relies heavily on overtime, mobile officer deployments, and shift conversions to keep facilities operating safely. He highlighted that many officers are new, that outside-hospital transports have risen sharply, and that mental health units require additional staffing. DOC’s mental health chief described a large and growing treatment system with outpatient, inpatient, intensive outpatient, and court-ordered services, saying about a quarter of the prison population has a diagnosed mental illness. Community corrections staff described treatment programs, employment specialists, mobile probation and reentry units, and a new mental health first aid training initiative. Reentry staff reported expanded substance abuse, education, CTE, chaplaincy, and digital learning programs, including Edovo and a forthcoming Work Bay platform. No votes were taken.

Transcript Highlights:

• So it could be up to another year or so before the senior caseload starts to stabilize in response to
• Our seniors are living with some dignity, stability, right, and comfort.
• Many HomeSafe clients are stabilized by moving either temporarily or permanently to supportive housing
• HomeSafe's flexibility ensures it can do whatever it takes to stabilize those at risk.
• We’ve been able to stabilize them. We wouldn’t be able to do that without these programs.

Summary: The joint Assembly Budget Subcommittee hearing focused first on long-term services and supports for older adults, especially the “forgotten/overlooked middle” who earn too much for Medi-Cal but cannot afford private long-term care. Administration witnesses from DHCS, the Department of Aging, and Social Services described Medicare’s limited long-term care coverage, Medi-Cal’s role, the elimination of the Medi-Cal asset test, and ongoing state studies and listening sessions on financing options. Testimony from advocates and researchers emphasized rising homelessness among older adults, the need for better navigation and coordination across health, aging, housing, and social service systems, and short-term policy steps such as share-of-cost reform, housing stability supports, and protecting home- and community-based services. Members highlighted the need for a coordinated, no-wrong-door approach and asked for the most impactful budget investments to address affordability and homelessness risk. The second major topic was the Community-Based Adult Services (CBAS) program. CDA reported that CBAS helps participants remain in the community, that 304 centers operate statewide serving about 42,000 people, and that demand is stable but access gaps remain in some regions. DHCS explained that a 2024 rate increase authorized by SB 159 became inoperative after Proposition 35, and that a separate 10% rate change on the fee schedule was the result of a DHCS system error; the department said it would not require recoupment, though managed care plans may act under their contracts. CBAS providers and advocates warned that reimbursement rates have not kept pace with costs, that several centers have closed, and that clawbacks could trigger more closures. They requested $74.8 million ongoing General Fund to close part of the rate gap and preserve the program, while members expressed concern about closures and the cost savings of keeping people out of more expensive institutional care. The hearing then moved to In-Home Supportive Services (IHSS) and statewide collective bargaining. CDSS reviewed provider recruitment and retention efforts, including electronic timesheets, direct deposit, and the now-completed IHSS Career Pathways program, which trained more than 59,000 providers. CDSS also summarized its AB 102 workgroup report on statewide versus regional bargaining, saying the final report would be sent to the Legislature soon and that statewide bargaining appeared more viable than regional bargaining, though it would require clear statutory scope and major fiscal changes. The department estimated that each $1 per hour statewide wage increase would cost at least $1.3 billion to $1.5 billion annually. Labor advocates argued that IHSS wages, benefits, and training are too inconsistent across counties and called for statewide bargaining, consumer participation, and ongoing state funding. County representatives supported stronger wages but cautioned that counties need protection from new costs and administrative burdens, and consumer advocates warned that moving bargaining to the state could weaken local consumer control and the program’s consumer-driven structure.