Transcript Highlights:

• Re-evaluation services were originally funded as a four-year program, and authorizing the program on
• Also, we are expanding a program called the 2020 program, which allows entry-level staff members to work
• In one case, not on this program, but also a similar program, like I said, the CCE program, the letters
• As you heard in the previous hearing, the CYBHI fee schedule program represents a significant transformation
• Whether it's this program, last hearing's program, or a program from two hearings ago, we keep hearing

Keywords: 988, house, all

Transcript Highlights:

• administrator and engineering program administrator and engineering program manager<00:04:16.560
• This is not just a technology project, but it is truly a transformation of our operations.
• This is not just a technology project, but it is truly a transformation of our operations.
• This is not just a technology project, but it is truly a transformation of our operations.
• <00:24:45.360> office that this business transformation office that this business transformation

Keywords: 912, senate, all

Summary: The joint Ways and Means and Government Operations committees received a biennium budget preview from Keith Regan, Comptroller and Director of the Department of Accounting and General Services (DAGS), who introduced department leadership and described DAGS’ broad responsibilities across accounting, public works, procurement, elections, archives, risk management, and other attached agencies. He emphasized that DAGS supports nearly every state department and cited ongoing workforce challenges, while noting progress in reducing the department-wide vacancy rate from 21% in 2023 to 17.7% in 2024. He also highlighted recruitment efforts, including new salary schedules for engineers and architects, job fairs, internships, and outreach to retiring federal employees. A major focus was modernization of the state’s aging financial systems, especially the 55-year-old FAMIS platform and the Enterprise Financial System (EFS) project. DAGS said it expects to release the RFP for the FAMIS replacement by the end of January and is seeking a second tranche of CIP funding, including $35 million, plus position augmentation and creation of a Business Transformation Office to manage EFS and future modernization work. The department also described major capital projects such as the Aloha Stadium Entertainment District, Wahiawā Civic Center, Kauaʻi Civic Center, and Ahuimanu Community Correctional Center, and reported that Public Works is managing 455 projects statewide valued at more than $2.5 billion. Other budget requests discussed included funding for cemetery operations, with DAGS asking for two positions and $1 million in operating funds to support maintenance of eight cemeteries; a $200 million ceiling increase tied to anticipated insurance proceeds for West Maui fire-related recovery and rebuilding; and several staffing and operating items for district offices and facilities. These included full-year funding for positions in West Hawaiʻi and East Hawaiʻi, support for a small business coordinator at the State Procurement Office, funding for cloud hosting and PeopleSoft licensing, six positions and staff augmentation for the EFS project, electricity costs, and security-related funding. DAGS also noted that two requested reductions totaled $7.9 million, including transferring the security contract to the Department of Law Enforcement and reducing nonrecurring expenses; members discussed whether some security funding should remain with or be moved to DLE, and DAGS said it would not object to that transfer. No votes were taken in the portion provided.

Transcript Highlights:

• This is a program that doesn't just teach skills; it builds futures, transforms lives, and strengthens
• This is a program that doesn't just teach skills; it builds futures, transforms lives, and strengthens
• This is a program that doesn't just teach skills; it builds futures, transforms lives, and strengthens
• This is a program that doesn't just teach skills; it builds futures, transforms lives, and strengthens
• This is a program that doesn't just teach skills; it builds futures, transforms lives, and strengthens

Keywords: 1183, house

Bills: HR153, HR154, HR155, HR156, HR157, HR158, HCR57, HCR58, HCR59, HR133, HR134, HR135, HR136, HR137, HR138, HR139, HR140, HR141, HR142, HR144, HR145, HR146, HR147, HR148, HR149, HR150, HR151, HR152, SCR28, SB141, SB169, SB206, SB233, SB417, SB421, SB429, SB437, SB477, SB510, SB521, HR1, HR17, HCR5, HB55, HB385, HB394, HB396, HB406, HB608, HB622, HB676, HB772, HB897, HB902, HB943, HB1030, HB1035, HB1038, HB1045, HB1049, HB1056, HB1058, HB1059, HB1092, HB1100, HB1117, HB1160, HB1161, HB1162, HB1177, HB1180, HB1189, HB1216, HB1239, HB1240, SB127, HB284, HB1, HB2, HB3, HB312, HB313, HB383, HB314, HCR3, HB983, HB1126, HB21, HB24, HB29, HB31, HB39, HB45, HB77, HB136, HB150, HB263, HB273, HB299, HB315, HB376, HB377, HB431, HB444, HB450, HB519, HB533, HB538, HB559, HB562, HB663, HB664, HB715, HB717, HB805, HB822, HB823, HB834, HB864, HB867, HB1017, HB1018, HB1068, HB1134, HB1137, HB1234, HB1235, HB1236, HB211, HB27, HB71, HB214, HB225, HB241, HB244, HB306, HB345, HB366, HB446, HB511, HB514, HB655, HB730, HB743, HB1027, HB1037, HB1043, HB1082, HB1091, HB1096, HB1103, HB1167, HB1174, HB1175, HB1230, HB1237, HB1238, SB162, SB349, SB350, SB382, SB383, HB401, HB51, HB58, HB140, HB982, HB1010, HB132, HB193, HB635, HB690, HB1003, HB750, HB911, HB151, HB180, HB192, HB310, HB961, HB1146, HB977, HB181, HB901, HR20, HR74, HB9, HB393, HB459, HB577, HB582, HB605, HB614, HB615, HB682, HB733, HB773, HB996, HB1113

Keywords: commendation, robotics, high school, competition, education, Tomato Festival, community celebration, Our Lady of Prompt Succor, fundraising, local heritage, Holocaust, remembrance, Yom HaShoah, Jewish history, condolences, community service, law enforcement, legacy, Shreveport, D.A.R.E. Program

Bills: SB2138, SB2054, SB2987, SB2908, SB2702, SB2924, SB3248, SB2635, SB3127, SB3001, SB2294, SB2037, SB2797, SB2765, SB2961, SB2210, SB2948, SB3108, SB3240, SB2045, SB2675, SB2338, SB2451, SB2552, SB2553, SB3089, SB3176, SB3285, SB2234, SB2219, SB2312, SB2336, SB2343, SB2849, SB2928, SB2930, SB3332, SB2927, SB2983, SB2906, SB2353, SB2848, SB2340, SB2845, SB3246, SB3077, SB3254, SB2934, SB2571, SB2248, SB2471, SB2298, SB2413, SB2425, SB3045, SB2843, SB2595, SB2907, SB3204, SB2311, SB2532, SB2528, SB2313, SB3300, SB2530, SB2693, SB2010, SB3156, SB2697, SB2991, SB3153, SB2812, SB2527, SB2376, SB3081, SB3218, SB3219, SB3333, SB2232, SB2192, SB2378, SB2070, SB3011, SB2676, SB2957, SB2434, SB2673, SB3301, SB2247, SB2453, SB2457, SB2075, SB2811, SB2601, SB2258, SB2612, SB3263, SB3261, SB3334, SB2613

Keywords: SB2138, Hawaii National Guard, state tuition assistance, STAP, graduate degree, graduate education, tuition assistance, University of Hawaii, UH, Department of Defense, adjutant general, enlisted personnel, warrant officers, company grade officers, military education, veterans benefits, higher education, state residency, professional development, retention

Transcript Highlights:

• there and with the hormell program there and with the hormell foundation<00:26:28.480> uh<00:
• Please hold your applause for the very end of the program tonight.
• Please hold your applause for the very end of the program tonight.
• Please hold your applause for the very end of the program tonight.
• <00:58:37.119> tuition programs be it promise programs tuition programs be it promise programs

Keywords: 1187, senate, all

Summary: The forum focused on the University of Minnesota system’s future, with candidates largely agreeing that the five campuses should remain distinct while working more closely together. Speakers emphasized the land-grant mission, the importance of serving Greater Minnesota, and the need for each campus to have a clear value proposition tied to local communities. Several suggested stronger cross-campus partnerships, more use of technology, and more seamless student pathways between campuses, while also noting enrollment declines and the need to preserve campus identities. A second major topic was public trust in higher education and the perceived value of a college degree. Candidates pointed to rising tuition, student debt, and concerns about post-graduation job prospects as key challenges. Proposed responses included better storytelling about university outcomes, stronger partnerships with schools, legislators, and communities, more targeted fundraising and commercialization of research, and clearer evidence of return on investment for students and families. The discussion then turned to athletics, where most candidates described sports as the university’s “front door” but said academics must remain the priority. They raised NIL, revenue sharing, and the need to keep athletics funding separate from core university funding, while also recognizing athletics’ role in campus culture and student recruitment. In later questions, candidates discussed why they sought regent service and how to support diversity, equity, and inclusion, with responses stressing access, belonging, open debate, and meeting students where they are. No formal votes or actions were taken in the transcript.

Transcript Highlights:

• As a program overview, the ACCESS system is the department's integrated eligibility processing system
• Some of the main programs that it supports are food assistance, also known as SNAP, cash assistance,
• It supports many other programs.
• Some of our overarching goals for the project are to transform the customer experience by increasing
• They have decided that they are going to now join and implement a CWIS program.

Summary: The Committee on Children, Families, and Elder Affairs received a Department of Children and Families update from CIO Cole Sousa on three major technology modernization efforts: ACCESS, CWIS, and FASMS. For ACCESS, he described the six-year, $205 million project to replace the aging eligibility system used for SNAP, TANF, and Medicaid applications, noting completed releases such as the MyACCESS portal, document management, partner portal, workload management, and client registration modules. He said the system now supports mobile applications, multi-factor authentication, and bot detection, and that the next budget request is $36.625 million to continue moving workers off the mainframe, modernize notices, and complete more worker-portal functions. Members asked about performance data, interoperability with other systems, and the relationship to the FX project and APD; Sousa said API-based real-time exchanges are the goal and that current average case processing time is about 30 days, though he would provide a more exact figure later. The committee then heard about CWIS, a four-year, $75 million child welfare modernization project. Sousa said phase one is complete, including hotline intake, investigations, mandatory reporter, youth, parent, and mobile portals, along with mobile field tools, e-signatures, and customizable dashboards. Current work is focused on case management, assessment and safety planning, licensure, and placement modules, with collaboration from community-based care providers through advisory sessions. For the next fiscal year, DCF is requesting $28 million and expects to finish development by summer and launch in September, while continuing change management and training. Senators pressed on interoperability with ACCESS, FX, and FASMS, the use of a single unique identifier, and whether CBCs would be required to use the statewide system; Sousa said the department’s goal is one statewide system, with licensing costs absorbed by the state and no plan for dual systems after go-live. Finally, Sousa gave a brief update on FASMS, the financial and services accountability system used by managing entities. He said it remains in maintenance mode while DCF prioritizes ACCESS and CWIS, and that modernization of FASMS is still being planned with partner agencies. He estimated current maintenance costs at about $1.3 million and suggested a future modernization could cost roughly $5 million to $7 million, though no firm timeline has been set. The committee expressed support for using data and interoperable systems to improve decision-making, and the meeting adjourned without any votes or formal actions beyond adjournment.

Transcript Highlights:

• I do want to highlight our mediation program for alternative dispute resolution.
• I think the mediation program is an enormous opportunity.
• I think the mediation program is an enormous opportunity.
• I think the mediation program is an enormous opportunity.
• The mediation program is an enormous opportunity.

Keywords: 1187, senate, all

Transcript Highlights:

• In authorizing the program on an ongoing basis, DSH will be able to Thank you. ...four-year program.
• And in one case, not on this program but also a similar program, like I said, the CCE program, the letters
• As you heard in the previous hearing, the CYBHI Fee Schedule Program represents a significant transformation
• who operates the BrightLife Kids programs, and Coots, that operates the Soluna program, have a long
• program from two hearings ago.

Summary: The hearing opened with remarks from the chair and members about recent federal cuts to public health, mental health, family planning, and Title X funding, with strong concern about the impact on California programs and providers. The committee then turned to the Department of State Hospitals, which presented its 2025-26 budget proposal of $3.4 billion, including new positions, capital improvements, and funding tied to increased patient costs and incompetent-to-stand-trial services. DSH reported major progress in reducing the IST waitlist and wait times, said it had met the court’s 28-day treatment benchmark for those without extenuating circumstances, and described workforce recruitment and retention efforts such as residency programs, fellowships, outreach, and hiring streamlining. Members asked about future IST referral trends, SB 1323’s effect on diversion and community treatment, and workforce lessons in high-cost regions; public comment urged reconsideration of county IST growth cap methodology in light of new criminal justice initiatives. The committee next received an informational overview of Proposition 1 and its changes to behavioral health funding and governance. The Legislative Analyst’s Office explained that Prop. 1 restructured county MHSA funding buckets, expanded the Commission for Behavioral Health, shifted prevention and early intervention responsibilities, and authorized a $6.4 billion bond, including $4.4 billion for behavioral health facilities through BHCIP. DHCS said it had released guidance for county integrated plans and was receiving extensive public comment. Members focused on BHCIP application requirements, especially letters of support and tribal projects, and raised concerns about whether DHCS’s implementation matched statutory intent. DHCS said it had authority to set application requirements and that tribal entities were treated differently because of sovereignty and funding structure. DHCS then updated the committee on BHCIP, the Behavioral Health Bridge Housing Program, and related bond implementation. The department said BHCIP had awarded about $1.7 billion across five rounds, with more than 130 projects and 223 distinct facilities funded, and that it was preparing to award the new bond funds after receiving nearly $8 billion in applications. The LAO’s assessment found that more than half of awards served at least 80% Medi-Cal enrollees, but also raised concerns that the regional allocation model could reinforce inequities, that the program had not sufficiently addressed the highest-need regions such as the southern San Joaquin Valley, and that smaller counties and less launch-ready applicants faced barriers. For bridge housing, DHCS said more than $1.1 billion had been awarded, serving over 5,000 people and supporting more than 2,000 operational beds, but the Governor’s budget proposes to eliminate Round 4 funding as the administration weighs other statewide investments and Proposition 1 implementation workload. Public commenters and members urged more accountability, better regional equity, stronger labor and community involvement, and caution about funding for for-profit psychiatric facilities. Finally, the committee heard on the Children and Youth Behavioral Health Initiative. CalHHS and DHCS described CYBHI as a broad prevention- and equity-focused effort with more than 1,300 organizations funded, over $2.1 billion awarded, and multiple work streams spanning schools, community programs, workforce, and digital supports. DHCS highlighted school-based services, the fee schedule rollout, and digital platforms BrightLife Kids and Soluna, which it said are reaching users statewide and providing low-barrier access to coaching and support. Members and public commenters raised concerns about delays in school fee schedule implementation, the large share of funding going to digital tools, the need for more in-person services, and whether the initiative is sufficiently tracking outcomes and equity impacts. No formal votes were taken during the hearing.

Transcript Highlights:

• Item number five is for the rural health transformation program, which we've actually discussed with
• Item number five is for the rural health transformation program, which we've actually discussed with
• Item number five is for the rural health transformation program, which we've actually discussed with
• We also want to support HCAI's efforts on the rural transformation program as they work to implement
• We also want to support HCAI's efforts on the rural transformation program as they work to implement

Summary: The Assembly Budget Subcommittee on Health held a May Revision hearing covering several health-related budget proposals and broader concerns about the state’s budget structure. The Chair opened by praising some May Revision changes, such as added health IT funding, county administration support tied to Medi-Cal changes, a delay in Medi-Cal cuts for some lawfully present immigrants, and additional support for Covered California subsidies, while criticizing proposed increases in Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other reductions affecting counties, mobile crisis units, workforce incentives, and physician shortages. The Legislative Analyst’s Office said the state’s budget condition remains weak despite progress on the structural deficit, and the Department of Finance said the May Revision uses a mix of reductions, reforms, revenue proposals, and fund shifts to cut out-year deficits. The committee first heard Department of State Hospitals proposals, including adjustments to county bed billing authority, contract exemption language for online clinical/pharmacy subscriptions, reversion of unspent funds, a revised Metro Central Utility Plant replacement project, electronic health record implementation, and workforce development funded partly through Behavioral Health Services Act resources. DSH also described savings and realignments in incompetent-to-stand-trial and conditional release programs, including extending the independent placement panel program and shifting funds to support additional bed capacity and a mental health rehab center. Members asked about the use of BHSA funds for workforce programs, and the department said the proposal would replace General Fund support with BHSA reimbursements. The Emergency Medical Services Authority proposed funding for statewide behavioral health crisis response guidance and for enterprise system development, and the Department of Managed Health Care proposed modernization of its complaint system and claims-settlement data system to improve oversight and comply with AB 3275. The largest discussion centered on the administration’s BHSA spending plan under Proposition 1, including state-directed prevention, workforce, and other uses, plus General Fund offsets for existing programs. The LAO questioned whether some proposed offsets fit Proposition 1’s non-supplant and eligible-use requirements, while the administration argued the uses were consistent with the measure and that the state-directed share can be adjusted annually. The Commission for Behavioral Health’s proposals drew the most public and member concern. The administration proposed cutting the commission’s Innovation Partnership Fund from $20 million to $10 million and reducing the Community Advocacy Program by $6.7 million, while redirecting BHSA dollars to other state purposes and direct services. Commissioners, advocates, and several members argued the cuts would weaken community voice, reduce support for underserved populations, and disrupt grants already in process; they also objected to using BHSA funds to backfill General Fund commitments. Public commenters, including youth, disability, behavioral health, LGBTQ, tribal, veteran, immigrant, and community-based organization representatives, overwhelmingly opposed the cuts and urged preservation of prevention, advocacy, mobile crisis, and innovation funding. No votes or final actions were taken during the hearing.

Transcript Highlights:

• There are about 600 households on this program, the special rent supplement for kūpuna program, and so
• accessing that rural transformative accessing that rural transformative healthcare<00:28:42.320>
• I recognize that this is a private program, and we talked about the rural transformative health care
• Would this pilot program fall into that understanding of a new program?
• challenging for this subsidy program. challenging for this subsidy program.

Bills: HB2488, HB2456

Keywords: disability, communication access, deaf, hard-of-hearing, deaf-blind, healthcare, sign language interpreters, auxiliary aids, weight loss, GLP-1 drugs, obesity, Medicaid, healthcare costs, 910, house, all

Summary: The committee heard testimony on HP 1972, which would create a nonrefundable family caregiver tax credit, and on a related tax measure to increase the existing dependent care tax credit. Supporters of HP 1972, including AARP, the Executive Office on Aging, the Hawaii Public Health Institute, Hawaii Children’s Action Network, and others, said unpaid caregivers are essential to keeping kūpuna and other loved ones at home and described significant out-of-pocket costs. The Department of Taxation and the Tax Foundation raised technical concerns, including the need to avoid overlap with existing credits and to prevent double-dipping. The department said taxpayers can claim credits to the extent allowed, but recommended explicit language barring the same costs from being claimed under more than one credit. No vote was taken in the excerpt, and the chair moved the bill along after questions. The committee then heard HP 1975, which would repeal the sunset on the state rent supplement program for kūpuna. AARP, Catholic Charities Hawaii, the Executive Office on Aging, and others supported making the program permanent, saying it helps low-income older adults avoid eviction and homelessness and allows them to remain in affordable housing. Catholic Charities described clients who were paying unsustainable shares of income for rent before receiving the supplement. Members also shared a constituent example of an elderly retiree who needed the subsidy to stay housed. Written support was noted from additional organizations and individuals. Next, the committee took up HB 1706, which would expand Medicaid prospective payment reimbursement to include mental health services furnished in federally qualified health centers and rural health clinics by mental health professionals under supervision. The Office of Hawaiian Affairs supported the bill, and DHS said it appreciated the intent to address workforce shortages and expand training, but cautioned that unlicensed professionals cannot currently bill Medicaid and that a state plan amendment would be needed, with limited precedent for approval. Members asked about the likelihood and timing of federal approval and whether the bill could help rural areas; DHS said approval is uncertain and the process can take time, though it saw possible alignment with the state’s rural health transformation efforts. The committee also discussed HB 546, a three-year health coverage continuity pilot program for people losing Medicaid coverage. DHS, the Attorney General’s office, DCCA, Catholic Charities, the University of Hawaii, and others testified, with DHS warning that federal changes could increase uninsured rates and that the state may need to act quickly. Catholic Charities and others emphasized the risk to Medicaid recipients, including homeless and near-elderly residents, while DHS explained the state’s existing premium assistance program for certain immigrants and compared it to the proposed pilot. The excerpt ends during discussion of that comparison, with no vote shown.

Transcript Highlights:

• adult basic education programs.
• our our directors have and our programs our our directors have and our programs um<00:05:09.680>
• expand access to programming.
• Many of them face challenges beyond the school day. programs these programs have allowed him programs
• transformative impact of transformative transformative impact of the<01:18:59.440> approach<01

Keywords: 1187, senate, all

Transcript Highlights:

• <00:04:26.080> Minnesota's proposal to transform Minnesota's proposal to transform Minnesota's
• <00:07:38.400> we overhaul overall transformation we overhaul overall transformation we envision
• one piece of the larger transformation one piece of the larger transformation that<00:14:16.079>
• <00:19:52.240> We<00:19:52.400> surveyed for our member programs.
• We surveyed for our member programs.

Keywords: 1183, house

Transcript Highlights:

• The next report we have with findings today is the Department of Transformation and Shared Services FY24
• Chair, that concludes the findings for Transformation and Shared Services.
• Chair, that concludes the findings for Transformation and Shared Services. Thank you.
• The transformation, they ended up with their own.
• I don't know. restrictions on how you can share vehicles across departments and across programs, and

Keywords: 1204, all

Transcript Highlights:

• administer the Medicaid program. administer the Medicaid program.
• you to consider how transformative you to consider how transformative approaches<00:52:21.960>
• in the Medicaid program. in the Medicaid program.
• the rural health transformation the rural health transformation that<01:26:09.120> has<01
• . transformation. transformation.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on September 24, 2025, approved the minutes from the September 9 meeting, and then continued its discussion of Medicaid waivers with Leslie Hoffman and Carmen Hancock from the Department for Medicaid Services. Members asked for updates on the 2024 waiver waitlist management assessment recommendations, including aligning waiver policies, standardizing applications and waitlist placement, and modernizing data systems. DMS said that work is being done jointly with Aging and Independent Living and Behavioral Health/Developmental and Intellectual Disabilities through task forces, that ARPA spending delayed action, and that implementation timelines extend through March 2027. The board also reviewed per-member waiver cost averages for fiscal years 2023 through 2025 for ABI, ABI long-term care, HCBS, Model II, Michelle P, and SCL. DMS emphasized these figures were benefit-only averages based on paid claims, not full waiver costs, and explained that true budget neutrality is calculated on an aggregate basis against institutional care comparisons approved by CMS. DMS said all six waivers remain in compliance with budget neutrality and that the most recent 18-month lag review for FY 2022 and FY 2023 found costs at or below institutional care. Members also asked about unused waiver slots; DMS said slots generally cannot be reallocated mid-year if they have been used, except in cases such as death or reserved capacity, because CMS treats participants as unduplicated for the waiver year. A major portion of the meeting focused on the new child waiver created under House Bill 6. Legislators questioned whether the waiver’s design, including the exclusion of participant-directed services and the emphasis on high-acuity children with behavioral health, DCBS, or juvenile justice involvement, matched the bill’s intent to keep children at home. DMS said it used the $14.7 million appropriated for FY 2026 to develop the program, that there is no priority list, and that the waiver is intended to serve the highest-acuity children while also addressing residential needs for those sleeping in offices or placed out of state. Members also raised concerns about the rapid growth of the HCBS waiting list and asked for more detail on age and timing patterns, which DMS said it would provide later. Finally, DMS gave average processing times from application to eligibility determination and from approval to service start, and said the overall average from application to services beginning was about 80 days, while members requested follow-up information on the Carewise assessment contract and related costs.

Transcript Highlights:

• , one to check in on how things are going with the Rural Health Transformation Program as part of H.R
• Check in on how things are going with the Rural Health Transformation Program as part of H.R. 1.
• I'm going to go out of order, even though I want to get the rural health transformation program up, and
• "As I mentioned, the Rural Health Transformation Program, which we received funding for and worked with
• Closing the informational hearing on the Rural Health Transformation Program, and we're adjourned.

Keywords: 907, all

Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.

Transcript Highlights:

• >> Go ahead. >> Let me ask you if you have something to say about the rural health transformation program
• >> Go ahead. >> Let me ask you if you have something to say about the rural health transformation program
• >> Go ahead. >> Let me ask you if you have something to say about the rural health transformation program
• >> Go ahead. >> Let me ask you if you have something to say about the rural health transformation program
• >> Go ahead. >> Let me ask you if you have something to say about the rural health transformation program

Keywords: 1189, house, all

Transcript Highlights:

• In this pilot program, patients who visit one of three licensed medical programs receive multiple psychiatric
• A drug stewardship program is basically a program that takes unused medications and safely disposes of
• These pilot programs could effectively change that.
• That experience transformed my life.
• These pilot programs can begin to change that.

Keywords: 995, all

Summary: The hearing opened with remarks from House Chair Mindy Domb and Senate Vice Chair Robyn Kennedy, who outlined procedures for the hybrid public hearing, noted the committee would hear testimony on 15 bills related to treatment settings, and recognized members present. The first major bill discussed was H. 4200, authorizing a pilot program for psychedelic-assisted treatment in licensed facilities. Representative Jim O’Day and witnesses from Control Z supported the bill, describing it as a tightly controlled, medically supervised pilot with DPH oversight, limited sites, and screening requirements. Committee members asked about the number of sites and whether Column Health still existed; witnesses said the bill contemplated three separate pilot programs and that Column Health no longer existed after being purchased by another company. The committee also heard testimony on S. 1405 to make the drug stewardship program permanent by removing its 2026 sunset date. Senator John Keenan and others said the program helps collect and safely dispose of unused medications, reduces diversion, and should remain in place because manufacturers should bear disposal costs. A member from Boston added support based on local concerns about people searching through bags for drugs, and Keenan explained the original sunset reflected pilot status and industry pushback. A large portion of the hearing focused on S. 1394 and H. 2193, which would strengthen implementation of the 2023 Roadmap for Behavioral Health Reform. The Children’s Mental Health Campaign, Parent/Professional Advocacy League, Massachusetts Association for Mental Health, and Elliott Community Human Services testified that the roadmap’s helpline, community behavioral health centers, and crisis services are important but unevenly implemented. They urged a single point of accountability within EOHHS, regular strategic planning, a public data dashboard, and financial analysis of the behavioral health system and the access and crisis intervention trust fund. Witnesses said commercial insurance often does not fully reimburse community behavioral health center services, making sustainability difficult, and asked for better coordination across agencies and crisis response systems. Committee members asked whether the roadmap includes substance use disorder; witnesses said it is intended to cover behavioral health broadly, including mental health and substance use. The committee also heard testimony on bills to ban aversives and on suicide prevention signage. Lisa Jean Graff testified in support of S. 1394 by urging a statewide ban on aversive practices, including electric shock, withholding food or bathroom access, and other painful interventions, arguing disabled people deserve the same protections from harm as others. Fonda Bryant and Carol McLean supported a bill requiring suicide prevention signs on tall parking garages, describing personal experiences and saying the signs could create a brief pause and connect people to 988 or other help. McLean said her son died by suicide from a parking garage and that signage might have made a difference. The committee also heard strong testimony in support of creating intensive stabilization and treatment units within DMH facilities (S. 1398/H. 2204), with the Massachusetts Nurses Association and a DMH nurse arguing that highly assaultive patients need specialized, more secure units to protect staff and other patients and to improve care. Additional testimony supported creating a dedicated board for licensed mental health counselors (H. 4696/S. 1382), with Rep. John Badger, the Mass Mental Health Counselors Association, and others saying LMHCs are a large and growing workforce that needs its own licensing board, clearer standards, and faster implementation of existing licensure reforms. The committee also heard extensive testimony on H. 2223 regarding benzodiazepines and non-benzodiazepine hypnotics. Survivors and advocates described severe withdrawal, lack of informed consent, cognitive harms, and long-term disability, while a physician supported the bill as a way to improve disclosure of risks. Finally, the committee heard multiple witnesses in favor of H. 2231/S. 1383 to establish peer-run respite centers statewide. Advocates and people with lived experience said peer respites provide non-coercive, home-like alternatives to hospitalization, can reduce trauma and repeated admissions, and may be especially important for marginalized communities; they also cited cost savings and existing positive outcomes from current respite programs. No votes or final committee actions were taken during the hearing portion reflected in the transcript.

Transcript Highlights:

• Also joining them is Ship Commander Captain Ryan McCurley, Director of Transformation, Tracy Hanlon,
• two and a half years transforming two and a half years transforming Kaimuki<00:08:44.800> High
• , which has shown English Learner Program, which has shown measurable<00:09:05.680> gains<00:09
• Please join me in congratulating Kalaeloa. program, an immersive place-based program, an immersive place-based
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Bills: HB1800, HB2095, HB1158, HB1518, HB1752, SCR23, SCR24, SCR25, SCR26, SCR27, SCR28, SCR29, SCR30, SCR31, SCR32, SCR33, SCR34, SCR35, SCR36, SCR37, SCR38, SCR39, SCR40, SCR41, SCR42, SCR43, SCR44, SCR45, SCR46, SCR47, SCR48, SCR49, SCR50, SCR51, SCR52, SCR53, SCR54, SCR55, SCR56, SCR57, SCR58, SCR59, SCR60, SCR61, SCR62, SCR63, SCR64, SCR65, SCR66, SCR67, SCR68, SCR69, SCR70, SCR71, SCR72, SCR73, SCR74, SCR75, SCR76, SCR77, SCR78, SCR79, SCR80, SCR81, SCR82, SCR83, SCR84, SCR85, SCR86, SCR87, SCR88, SCR89, SCR90, SCR91, SCR92, SCR93, SCR94, SCR95, SCR96, SCR97, SCR98, SCR99, SCR100, SCR101, SCR102, SCR103, SCR104, SCR105, SCR106, SCR107, SCR108, SCR109, SCR110, SCR111, SCR112, SCR113, SCR114, SCR115, SCR116, SCR117, SCR118, SCR119, SCR120, SCR121, SCR122

Keywords: supplemental appropriations, state budget, Hawaii budget, biennial budget, capital improvement projects, CIP, general fund, special fund, green fee, special land and development fund, clean energy revolving loan fund, agricultural development revolving fund, community grants, nonprofit grants, Office of Community Services, housing, affordable housing, homelessness, health care, mental health

Transcript Highlights:

• As the Air Force looks to the KC-46 and other next generation programs, programs for its air refueling
• Finally, we remain committed to the ongoing transformation of the Global Household Goods Program.
• Is the KC-46 program exempt from those funding cuts?
• Yes, we don't need to be cutting the KC-46 program.
• GHC ramp-up program.

Keywords: Transcom, logistics, military readiness, air refueling, KC-135, KC-46, strategic infrastructure, geopolitical threats, Alaska

Summary: During this meeting, the committee hosted an extensive discussion on the operations and logistical challenges facing the U.S. Transportation Command (Transcom). General Reid provided testimony on key areas including the importance of maintaining robust logistical capabilities in contested environments, particularly in relation to geopolitical threats posed by adversarial nations. Various members emphasized the necessity for modernization of the air refueling fleet, addressing issues such as the readiness of the KC-135 and the procurement of the next-generation KC-46 aircraft, which has experienced delays and technical challenges. The dialogue further extended to the strategic importance of U.S. ports and transportation infrastructure, especially in regions like Alaska which play a crucial role in military logistics and power projection.