Video & Transcript Research : 'budget implementation'

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NH

New Hampshire 2025 Regular Session

Senate Finance (01/14/2025)

Finance

Transcript Highlights:
  • that has all the statutory changes required to, um, implement the budget as well as any other policy
  • that has all the statutory changes required to, um, implement the budget as well as any other policy
  • that has all the statutory changes required to, um, implement the budget as well as any other policy
  • that has all the statutory changes required to, um, implement the budget as well as any other policy
  • that has all the statutory changes required to, um, implement the budget as well as any other policy
Keywords: 1191, senate, all
HI

Hawaii 2026 Regular Session

PBS Info Briefing - Wed Mar 4, 2026 @ 10:00 AM HST

Hawaii House Floor Meeting

Transcript Highlights:
  • <00:13:46.880> If<00:13:47.040> you implementation and mobilization.
  • If you implementation and mobilization.
  • <00:17:00.800> And through real world implementation.
  • And through real world implementation.
  • state GIA and proposed that we implement state GIA and proposed that we implement all<00:59:55.440
FL

Florida 2025 Regular Session

March 20, 2025 - 08:30 AM

Transcript Highlights:
  • That will be determined in a future implementing bill.
  • That's something that has to be determined in an implementing bill.
  • Florida has a balanced budget.
  • Florida has a balanced budget.
  • I sit on the budget—we sit on the budget committee together, the IT policy and budget committee, which
Summary: The committee heard and approved several measures. HB 735 expanded Florida’s boating improvement program to fund parking for boat trailers at public ramps and offered a 10% sovereign submerged land lease discount for manufacturers using environmental best management practices; it passed unanimously. HB 4021 expanded the North River Ranch Improvement Stewardship District in Manatee County by 640 acres and was reported favorably. CS for HB 371, which promotes nature-based methods and green/gray infrastructure for coastal resilience, also passed unanimously after supportive testimony from resilience and environmental groups and committee members. The committee then took up HJR 1325, a proposed constitutional amendment to create an elected Commissioner of Government Efficiency (COGE) with authority to audit, investigate, and report on waste, fraud, and abuse in state and local government. The proposal would eliminate the lieutenant governor position, the Government Efficiency Task Force, and the legislature’s current auditor appointment, with many implementation details deferred to a future bill. Members debated the scope of the new office, its relationship to the Auditor General and inspectors general, whether it should cover the legislative and judicial branches, staffing, and the comparison to federal DOGE efforts. An amendment making a minor wording change was adopted, and the resolution passed 23-? with a favorable report after a split vote. The committee also approved two Gulf of America bills. HB 575 redesignated the Gulf of Mexico as the Gulf of America, and CS for HB 549 required Florida’s academic standards and newly adopted instructional materials to reflect the federal designation for materials acquired on or after July 1, 2025. Both measures drew criticism from members who argued the renaming was politically motivated, historically insensitive, and potentially confusing for students, while supporters said Florida should align with federal action. HB 575 passed and CS for HB 549 passed 18-7. Finally, HB 4071, a local bill adjusting the boundary between Coral Springs and Parkland in Broward County by about 8.7 acres, was amended and reported favorably with support from both cities and the Broward delegation.
AL

Alabama 2025 Regular Session

Alabama Senate Mar 20th, 2025

Alabama Senate Floor Meeting

Transcript Highlights:
  • delay of the implementation delay of the implementation delay of the implementation of the Medicaid
  • but coming out of not of the next budget but coming out of not of the next budget but out of the budget
  • We don't need to can budget for this. We don't need to can budget for this.
  • The budget chairman support an October. The budget chairman support an October.
  • I think our budget chairman is making sure think our budget chairman is making sure think our budget
Bills: SCR 13, SCR 24, SB 1, SB 12, SB 15, SB 17, SB 24, SB 57, SB 65, SB 213, SB 371, SB 372, SB 378, SB 379, SB 388, SB 400, SB 402, SB 427, SB 495, SB 499, SB 502, SB 509, SB 535, SB 583, SB 610, SB 621, SB 650, SB 706, SB 740, SB 840, SB 854, SB 856, SB 875, SB 893, SB 918, SB 925, SB 974, SB 995, SB 1006, SB 1018, SB 1025, SB 1061, SB 1073, SB 1106, SB 1121, SB 1194, SB 1252, SB 1253, SB 1268, SB 1300, SB 1343, SB 1362, SB 1447, SJR 36, SJR 12, SJR 57, SCR 25, SCR 22, SCR 12, SCR 24, SCR 8, SB 565, SB 372, SB 765, SB 62, SB 666, SB 707, SB 888, SB 687, SB 847, SB 1248, SB 740, SB 14, SB 1006, SB 504, SB 925, SB 1121, SB 995, SB 857, SB 305, SB 296, SB 284, SB 815, SB 1379, SB 1300, SB 1497, SB 1499, SB 1498, SB 1061, SB 65, SB 241, SB 304, SB 402, SB 499, SB 621, SB 974, SB 1023, SB 1024, SB 1025, SB 1106, SB 686, SB 112, SB 371, SB 204, SB 400, SB 609, SB 1447, SB 670, SB 502, SB 427, SB 850, SB 854, SB 413, SB 1555, SB 1362, SB 1346, SB 1033, SB 1220, SB 1073, SB 810, SB 987, SB 1539, SB 893, SB 447, SB 875, SB 406, SB 509, SB 985, SB 965, SB 1119, SB 1505, SB 24, SB 57, SB 1194, SB 1253, SB 1215, SB 1532, SB 1268, SB 1302, SB 856, SB 650, SB 583, SB 673, SB 840, SB 213, SB 681, SB 1172, SB 1252, SB 378, SB 610, SB 918, SB 1343, SB 608, SB 487, SB 955, SB 957, SB 988, SB 990, SB 1019, SB 1021, SB 1120, SB 251, SB 958, SB 535, SB 761, SB 1, SB 541, SB 315, SB 379, SB 1018, SB 1737, SB 266, SB 1415, SB 57, SB 499, SB 974, SB 1025, SB 1061, SB 1268, SR 302, SR 303, SR 304, SR 305, SB 30, SB 1333, SB 1666, SB 30, SB 1333, SB 1666
NM

New Mexico 2025 Regular Session

IC - Legislative Health and Human Services Aug 18th, 2025

Legislative Health & Human Services Committee

Transcript Highlights:
  • It's not the way that CARA is being implemented.
  • Implemented, feels less like support and more like punishment.
  • This is the staff that is going to be implementing the work requirements.
  • because it is a risk to the budget.
  • Implemented there.
CA

California 2025-2026 Regular Session

Assembly Budget Committee Jun 15th, 2026

Transcript Highlights:
  • 2025 Budget Act.
  • This is my third year on budget and my last budget hearing.
  • budget cycles.
  • budget cycles.
  • and budget staff for guiding us through this difficult budget process.
Summary: The Assembly Budget Committee met to consider the 2026 Budget Act, which leaders said was the negotiated compromise with the Senate and was expected to move to the floor that evening. Opening remarks emphasized that the plan balances the budget over two years, reduces the structural deficit, and builds reserves, while also protecting core services in the face of federal cuts. Jason Sisney outlined the legislative budget framework and the likely floor bills, including AB 109, SB 110, SB 122, and SB 125. Department of Finance representative Eric Khali said the administration appreciated the two-year balanced approach and supported the modification in SB 122, while noting the package uses additional revenues and new spending to soften or reject some proposed cuts. Most of the discussion focused on major spending areas. Members and subcommittee chairs highlighted protections and additions for health care and human services, including rejecting the proposed Medi-Cal asset limit change, delaying premium increases, restoring clinic and dental funding, supporting distressed hospitals and county indigent care, and expanding county eligibility staffing to handle H.R. 1-related workload. Education members described record or expanded support for TK-12 schools, child care, special education, community colleges, teacher recruitment, and higher education, including a change to extend Cal Grant eligibility to age 30 for some community college students. Housing and homelessness funding was increased for HAP, multifamily housing, and the low-income housing tax credit, while public safety members pointed to investments in victims’ services, restorative justice, and prison closure savings. Several members also raised concerns or priorities tied to the budget deal. Some praised the package as a moral document that protects vulnerable Californians, immigrant communities, LGBTQ residents, seniors, and people with disabilities. Others noted unresolved issues, including the MCO tax’s impact on districts, the need for more support for local journalism, arts, biotech R&D incentives, transit and GGRF-related concerns, and the need for continued work on Prop. 98 and long-term fiscal resilience. The vice chair cautioned that despite the current progress, the state remains vulnerable to revenue volatility and warned that the budget should build more resilience against a possible downturn. No formal vote was taken in the portion provided, but the committee was preparing the budget package for floor action and final negotiations.
MN

Minnesota 2025-2026 Regular Session

House Health Finance and Policy Working Group 1/15/25

Minnesota House Floor Meeting

Transcript Highlights:
  • To get into the budget overview, I'm going to just provide some quick budget basics with the words you
  • set of healthcare grants in this budget set of healthcare grants in this budget activity<00:10:02.440
  • I have the three other budget activities listed here in your packets.
  • I have the three other budget activities listed here in your packets.
  • 2778 I have the three other budget 2778 I have the three other budget activities<00:26:43.360>
Keywords: 1183, house
Summary: The meeting was an informational walkthrough for the Health Finance and Policy Working Group, focused on committee structure, budget basics, and major health-related accounts and programs. Staff explained the roles of House Research and House Fiscal, then reviewed key funds used by the committee, including the general fund, government special revenue fund, federal funds, the health care access fund, remediation account, and drinking water revolving fund. They also outlined the committee’s main budget areas, noting that medical assistance is the largest general fund item and that the Department of Health is a substantial agency funded by a mix of federal, general fund, and special revenue dollars. A major portion of the presentation covered subsidized health coverage programs. Staff described Medical Assistance (Minnesota’s Medicaid program) as an entitlement for eligible Minnesotans, with no premiums or cost sharing, and explained its managed care and fee-for-service delivery systems. MinnesotaCare was presented as a separate federal-state basic health program for people who are not eligible for MA, with income limits, premiums for adults age 21 and older, and cost-sharing requirements; staff noted that federal premium tax credit changes affect MinnesotaCare premium ranges. The presentation also summarized MNsure’s role in the individual market and in determining eligibility for premium tax credits, cost-sharing reductions, MinnesotaCare, and MA. The committee also received an overview of health-related licensing boards and occupational regulation. Staff said Minnesota has 16 health-related licensing boards, funded mainly through the state government special revenue fund and subject to legislative appropriation, and explained that health occupations may be regulated by the Department of Health, the Office of Emergency Medical Services, or the boards under chapter 214. Interstate licensure compacts were briefly noted as a way to ease practice across states. No bills were debated and no votes or formal actions were taken during the meeting.
TX
Transcript Highlights:
  • I know we have a huge budget.
  • budget, Roderick Welsh, Director.
  • LBB presentation on budget: KJ Curtis. And we have the agency presentation on budget: Billy M.
  • In addition, DIR is seeking budget authority to implement additional IT In addition, DIR is seeking budget
  • on budget, J.R.
Bills: SB 1
Summary: The committee first heard the Legislative Budget Board and Secretary of State Jane Nelson on the Secretary of State budget. LBB said the recommendation would reduce the agency’s appropriation by about $40.3 million overall, with major changes including removing federal HAVA funding and one-time business system replacement money, adjusting the agency’s base request, deleting an outdated Interstate Crosscheck rider, and directing HAVA funds to be drawn down first. Secretary Nelson and staff defended the agency’s needs, emphasizing election security, business filings, international protocol, and the Texas Register, and requested additional staff, a new website, digitization of records, IT and cybersecurity upgrades, and renovation of the Rudder Building. Senators discussed voter-roll maintenance, cross-checking data, call-center response times, and the need for online voter registration and more efficient election administration. No votes were taken. The committee then took up the Office of the Governor and trustee programs. LBB outlined a $2.4 million decrease for the office proper and a much larger decrease in trustee programs, driven by unexpended balances and the removal of one-time federal and border-security items, while noting continued funding for disaster response, victim assistance, and $2.9 billion for border security at roughly the prior level. Governor’s staff said Texas remains focused on border security, economic development, and public safety, and discussed efforts to seek federal reimbursement for prior border spending. Members asked about the National Guard’s status, possible federal assumption of border costs, the music incubator program, the Semiconductor Innovation Consortium, the Governor’s University Research Initiative, defense economic adjustment grants, and a new $5 million nonprofit security grant proposal. Staff said the semiconductor program has 12 approved projects totaling about 948 jobs and $17 billion in capital investment, and that the nonprofit security request was added late to address threats to houses of worship and other nonprofits. No formal action was taken. Finally, the committee heard the Texas Facilities Commission and lease-payment recommendations. LBB said the Facilities Commission recommendation would reduce appropriations by about $2.0 billion, mainly by removing border wall construction funding and capital complex bond funding, while adding money for higher utility costs, Rudder Building refurbishment, and additional staff. The lease-payment recommendation would decrease general revenue by $9.3 million. LBB also noted new riders related to completing the State Library and Archives building, tenant communication during disruptions, and a space-utilization report. In agency testimony, members asked about border wall maintenance responsibility, total facilities-related debt, and the status of capital complex construction. The Rudder Building renovation and related security needs were repeatedly discussed as important one-time infrastructure investments.
NH

New Hampshire 2025 Regular Session

House Finance Division III (03/05/2025)

Transcript Highlights:
  • and the governor's authorized budget and the governor's budget for 2025 versus 2026.
  • and the governor's authorized budget and the governor's budget<00:04:44.919> for<00:04:45.160
  • > versus budget for 26 the 25 budget versus budget for 26 the 25 budget versus 26<00:04:49.039
  • budget reconciliation I think the budget budget reconciliation I think the budget reconciliation
  • I understand with the budget in front of us there is a period of what we will try to make what we implemented
Keywords: 1189, house, all
Summary: The House Finance Division 3 work session continued its review of the Department of Health and Human Services’ Medicaid budget and related policy issues, with CFO Nathan White and Medicaid Director Henry Litman presenting updated materials. The discussion focused on a crosswalk between the adjusted FY 2025 Medicaid budget and the governor’s FY 2026 recommendation, plus handouts showing service additions, eligibility changes, dental rates, and other Medicaid changes since 2019. The department also said it would provide a clearer breakdown of the pharmacy cost-sharing item by general, federal, and other funds. Members asked detailed questions about the Medicaid enhancement tax, the 80% plan, and how funds are allocated between hospital payments, directed payments, and DSH uncompensated care. The department explained that the MET is being used more toward rates and directed payments to better align with federal matching rules, while DSH remains important for uncompensated care. They also noted that a pending Senate Bill 249 would keep the 80% structure and move to Senate Finance. On the trigger law, the department identified the governing provision as Chapter 342:12, Laws of 2018, and explained that if the federal match for Medicaid expansion falls below 90%, the state must notify legislative leaders and participants and the program would sunset after 180 days unless the legislature acts. The committee also reviewed current Medicaid expansion enrollment and program trends. Officials said enrollment was just under 59,000 as of March 3, with about 87,000 people enrolled over the past year and more than a quarter-million residents having used the program over its lifetime. They said enrollment has fallen from a post-pandemic high of nearly 97,000 and may eventually settle in the low 50,000s. Finally, the department discussed federal DSH funding risk, saying New Hampshire could face a significant reduction if Congress does not extend current protections, which is part of why the state has shifted more funding toward payment rates and directed payments.
NM

New Mexico 2025 Regular Session

IC - Legislative Health and Human Services Jul 22nd, 2025

Legislative Health & Human Services Committee

Transcript Highlights:
  • Almost all of the reforms that have been implemented—certainly the reforms that have been implemented
  • within that global budget.
  • About PBM practice reforms, you implemented many of those, and pricing reforms, some of those you implemented
  • We would recommend implementing a reverse auction.
  • And again, not required, but we recommend the implementation of reverse auction.
KY
Transcript Highlights:
  • We are implementation is is ongoing.
  • in the budget. in the budget.
  • . budget. budget.
  • budget in the fall of 2023. Yes. budget in the fall of 2023. Yes.
  • as our own department budget, yes.
Summary: The committee first approved the minutes from the September 11 meeting by motion and voice vote. It then received a brief update on the statewide emergency responder voice system, but no presenter was present. The chair said he expected a more substantive update in November and warned that if there is not real progress on acquiring needed private properties, the committee may consider further action, including possibly freezing funding. The main discussion centered on the Department for Community Based Services’ child removal and reunification work and its structured decision-making tools. Commissioner Lisa Dennis and General Counsel Wesley Duke explained that the intake, safety, and risk assessment tools are being used at very high rates and that the department is still implementing and evaluating the system. Dennis said the tools are meant to inform, not replace, professional judgment; when staff disagree with a recommendation, the worker and first-line supervisor consult and decide together. Members questioned whether the system favors keeping children in the home, whether the department has studied safety outcomes for in-home cases versus removals, and whether foster home shortages affect removal decisions. Dennis said child safety remains the top priority, that the practice has not changed, and that the department would provide additional data on outcomes later. Members also asked about permanency timelines and delays in termination of parental rights cases; Dennis said federal timelines are difficult to meet because of family progress, substance use recovery, and court delays, and she confirmed foster parent shortages were not the reason for those delays. The committee then heard a presentation from the Department of Revenue on the new My Taxes portal. Staff said the portal, launched in March, replaced DOR’s portion of the old Kentucky One Stop Business Portal and now allows businesses to file and pay multiple taxes, update account information, and receive official notices. They reported the system is available 24/7 except for scheduled maintenance every other Thursday evening, has maintained over 99% availability since launch, and now has a dedicated contact center with 50 agents plus a public help line and email. In response to questions, the department said early downtime was caused by unexpectedly high traffic, but server capacity was increased and in the last three months there had been only one day of unexpected downtime.
TX
Transcript Highlights:
  • Katrina Austin is the budget analyst for Article 2. Patrick Philpott, budget analyst for Article 3.
  • I would like to introduce Harold Stone. draft a budget and to make sure that this is a conservative budget
  • I'm Julie Lindsey with the Legislative Budget Board. I'm one of the Assistant Directors of Budget.
  • That's what we are assuming out of this budget. There's nothing in the budget that says GIDC.
  • That's what we are assuming out of this budget. There's nothing in the budget that says GIDC.
Bills: SB 1
FL

Florida 2026 Regular Session

Appropriations Jun 1st, 2026

Appropriations

Transcript Highlights:
  • By contrast, the budget we passed last week was $114.5 billion, which is less than the total budget for
  • So we've cut billions of dollars out of our budget.
  • dust, budget dust, to offset the impact.
  • Were budget dust, budget dust, to offset the impact.
  • It's budget dust. We can handle it. ...said it today. It's budget dust. We can handle it.
Keywords: 999, senate, all
NM

New Mexico 2025 Regular Session

IC - Water and Natural Resources Jun 3rd, 2025

Water & Natural Resources Committee

Transcript Highlights:
  • Um, budget.
  • Um, if we have to absorb more federal programs into New Mexico in our budget.
  • Essentially that was a budgeting aspect.
  • FY16 to FY 26, the legislature has increased their budget by 188%.
  • , the executive budget, and then the LFC's budget, and then the agreed upon budget.
NH

New Hampshire 2025 Regular Session

House Finance Division II (03/21/2025)

Transcript Highlights:
  • This is an education budget document.
  • here. um either implementing narrative here. um either implementing this<00:58:54.240> computer
  • So by allocating them to the UNH budget, I can reduce their budget by $15 million a year.
  • I think that if we decide to do this in this budget, we'll be taken care of in this budget.
  • <02:39:54.399> This department's budget is $86,000. This department's budget is $86,000.
Keywords: 928, house, all
Summary: The committee first revisited HB 781, the cell phone bill, after previously retaining it. On reconsideration, members moved to OTP the bill, and it passed unanimously. The committee then moved into the budget tracking packet and adopted an amendment to HB 2 to add the same cell phone policy language, also unanimously, and separately reduced HB 1 by $1 million to match the policy change. Members noted the cell phone language had already been stripped of grant funding language in the House version and that the policy and funding pieces were being aligned across the budget bills. The committee then took up a Department of Education technical amendment to HB 2 on charter school grants, which made timing and administrative changes without altering grant amounts, and adopted it unanimously. Members also discussed but held other education-related items, including adequacy grants, pending broader decisions on overall education funding. Another HB 2 item concerning E-911/state police radio communications prompted a longer discussion about whether E-911 surcharge funds were being used for purposes that should instead be general-funded. After debate over whether to leave the current practice in place or split the funding 50/50 between E-911 and general funds, the committee adopted a joint HB 1/HB 2 change to shift the funding source to a 50/50 split and delete the HB 2 language authorizing the prior use; the motion passed 7-0. The committee also discussed but did not act on several lottery-related provisions, including the video lottery terminal amendment, the increase in maximum ticket price from $30 to $50, and related tax split changes, with members planning to hear from the Lottery Commission on Monday. The meeting ended with the committee beginning review of new amendments in the tracking packet, including a Department of Education request related to Public School Infrastructure Commission grant administration, but no action was taken on that item in the portion provided.
ND

North Dakota 2025-2026 Regular Session

Senate Floor Session Apr 7th, 2025 at 01:00 pm

North Dakota Senate Floor Meeting

Transcript Highlights:
  • But I think it's an example of every school district is going to find a way to implement ...of every
  • school district is going to find a way to implement a policy similar to this that meets the needs of
  • If the Office of Management and Budget accesses the line of credit, the Office of Management and Budget
  • If the Office of Management and Budget accesses the line of credit, the Office of Management and Budget
  • And then tomorrow morning, after full appropriations, at 9:30, we have the OMB budget.
Keywords: 908, all
Summary: The Senate opened with prayer, roll call, and a quorum present, then moved through a series of conference committee appointments and reconsideration motions. Senator Axtman successfully moved to reconsider House Bill 1160, which had previously failed, and the chamber later passed it. HB 1160 creates a statewide bell-to-bell policy restricting personal electronic devices during instructional time; supporters argued it would reduce distractions, improve mental health and academic outcomes, and help teachers, while opponents raised local control concerns. The bill passed 42-4. The Senate also passed several other measures, including HB 1247 on protecting student victims of sexual offenses, HB 1489 consolidating civil protection orders into one chapter, HB 1032 making municipal courts courts of record and updating related procedures, HB 1487 authorizing a Minot facility for the Highway Patrol and Bureau of Criminal Investigation with a line of credit and emergency clause, HB 1469 requiring annual online statements of interest for public officials, HB 1199 creating the Missing and Indigenous People Task Force and related MMIP initiatives, HB 1169 regulating paid veterans benefits claim assistance with consumer protections, HB 1209 directing a foreign adversary threat assessment, and HB 3018 as amended to study water, wetlands, and taxation of inundated lands. Most of these passed with strong bipartisan support, though HB 1169 drew substantial debate over veterans’ service options and HB 1209 passed on a narrower 40-7 vote. The chamber rejected or declined several other measures. HB 1455, which would have required the Indian Affairs Commission to review introduced legislation for tribal implications, failed 7-40 after concerns about an unfunded mandate and duplicative duties. HB 1259, which would have put North Dakota on year-round daylight saving time, was defeated 15-32 after debate over time zones, construction, recreation, and whether the issue should be left to future legislatures. HB 1555, dealing with statements of ownership for foreign organizations of concern, also failed 3-44. The Senate then moved to announcements and committee scheduling for later meetings and conference committees.
MN

Minnesota 2025-2026 Regular Session

Republican Caucus Members Present Bill Package Addressing Waste, Fraud and Abuse - 02/12/25

Minnesota Senate Floor Meeting

Transcript Highlights:
  • Does not get very good grades as far as implementing.
  • Well, those budget bills come through individual committees.
  • Yes, like budget bills that have specific nonprofits with an allocation.
  • Well, those budget bills come through individual committees.
  • Well, those budget bills come through individual committees.
Keywords: 1187, senate, all
CA

California 2025-2026 Regular Session

Assembly Budget Committee Jun 11th, 2025

Transcript Highlights:
  • We often say, 'Show me your budget, and I'll know your values,' and this budget proposal demonstrates
  • a key goal is to build budget resiliency in the budget as well as in the out years.
  • I also want to thank the budget chair and all of the budget chairs.
  • also to our budget chair who has employed a lot of creativity and ingenuity this budget process.
  • I want to focus on the education part of the budget. I thank our budget subcommittee chair, Mr.
Summary: The Assembly Budget Committee heard opening remarks on the 2025 Budget Act, which will be amended into AB 101 and SB 101 for floor consideration. Committee leaders described the budget as a difficult compromise shaped by a $12 billion deficit, federal funding uncertainty, wildfire impacts, and rising out-year costs, while emphasizing a balance between compassion and fiscal responsibility. Each budget subcommittee chair then summarized major actions in their areas, including health care, human services, education, climate and transportation, housing and state administration, public safety, and oversight/transparency. Key policy items included delaying or narrowing some of the Governor’s proposed cuts, especially in Medi-Cal and other safety-net programs; preserving funding for dental care, women’s health, family planning, hospice, long-term care, IHSS, and services for undocumented Californians; and maintaining or expanding child care, foster care, food banks, and CalWORKs-related supports. Education actions included additional Proposition 98 settle-up, reduced deferrals, support for TK-12, teacher recruitment, literacy, mental health, preschool slots, and restored funding for UC and CSU. Other major items included housing and homelessness investments, wildfire and disaster response funding, transit loans and greenhouse gas reduction fund support, Proposition 36 and VOCA-related public safety funding, and oversight measures on federal impacts and state efficiency. Department of Finance and Legislative Analyst staff said the package makes some of the same savings moves as the May Revision but relies more on internal borrowing and fewer reductions, leaving a smaller reserve than the administration’s plan but still maintaining roughly $11 billion in the rainy day fund. Members from both parties largely supported the package while raising concerns about long-term sustainability, Medi-Cal costs, reserve use, and the need for future revenue and program review. The committee adopted the subcommittee actions by roll call, 18-6, with the roll held open for absent members and additional comments continuing after the vote.
KY
Transcript Highlights:
  • Um, and what to implement are different.
  • that were implement the use cases that were previously<00:09:17.600> implemented<00:09:18.080
  • Um and you can implementation of CSS.
  • And the budgeting decisions are made.
  • <00:42:28.319> those lead organization to implement those lead organization to implement those
Summary: The Budget Review Subcommittee on Health and Family Services opened its first meeting of the 2026 interim session, took roll, and moved directly into presentations. The main presentation was from Ryan Bramble of Crisp Shared Services, who described the organization’s health information exchange and health data utility model in Kentucky and other states. He emphasized that Crisp is a nonprofit, that data ownership remains with providers, and that governance is local. He also outlined the technical infrastructure, including a master patient index, cloud-based data lake, support for modern standards like FHIR and USCDI as well as older formats, and data quality tools used to normalize and standardize information. Bramble said the model is intended to reduce duplication, lower costs, and support rural providers and future use cases such as reporting, analytics, and AI-enabled decision support. Members asked how the state can ensure the data is actually used and who should drive priorities for health care improvement. Bramble said Crisp can provide tools, expertise, and examples from other states, but local teams such as KHI and state stakeholders must tailor and lead utilization efforts. In response to questions about ownership and coordination, he stressed that successful HIE governance requires a multistakeholder body that includes hospitals, health plans, government, and other interests, with a unified approach rather than multiple competing directives. He also said the Commonwealth has an opportunity to convene those stakeholders and set clear priorities. A senator raised concerns that responsibility for Medicaid and broader health policy has become fragmented and suggested a stronger central role for the state, possibly through the Department of Public Health, to coordinate health priorities. Bramble agreed that a single convening authority and multistakeholder governance are important, and noted that local governance should determine what data is shared and how it is used. No votes or formal actions were taken during this portion of the meeting. After Bramble’s presentation and questions, the committee was told that Secretary Stack from the cabinet would testify next on the rural health transformation plan.
FL
Transcript Highlights:
  • We have 12 budget amendments on today's agenda.
  • That is the budget amendment. Other questions? Sir, please.
  • amendment requesting budget authority to implement the physician supplemental payment and the public
  • The budget authority to transfer that cash was not operating cash...
  • forward like operating budget can.
Summary: The Legislative Budget Commission met with a quorum present and considered 12 budget amendments, most of which were adopted without opposition. The first amendment transferred $8.2 million in Department of Corrections general revenue authority from salary incentives to contracted services to support the phased demobilization of Florida National Guard troops assisting with correctional staffing. Senator Pizzo questioned the length of the Guard’s deployment and urged a long-term staffing solution, while the department said the Guard presence was being reduced and that about 2,200 employees were in training. The Department of State received an additional $618,391 in federal grant authority for library grants and private cloud costs, and the Department of Transportation’s two amendments were zero-sum work program changes: one realigned funds to production-ready projects and another added three projects over $3 million each to the current-year work program. The commission then approved several Agency for Health Care Administration amendments tied to Medicaid supplemental payment programs. These included funding for the Florida Cancer Hospital Program, indirect medical education payments, disproportionate share hospital payments for the state mental hospitals, the Low-Income Pool program, physician supplemental and public hospital payments, Florida KidCare, and Medicaid services realignment. Members asked about possible federal disallowances in the LIP and physician/public hospital programs, and agency staff said some disallowances were likely but the amount was not yet known. For KidCare and Medicaid, staff explained the changes were based on the December estimating conference, enrollment shifts, and updated actuarial assumptions, including changes to managed care regions and program design. The final amendment restored budget authority for a hospital direct payment program after a prior payment, including a $24.3 million CMS-related amount and $3.2 million in administrative fees, was not processed before fiscal year-end and reverted. Senator Pizzo pressed the agency on how the payment was missed and whether any penalty applied; staff said the invoice was not received and processed in time and that communication issues contributed. After brief debate on each item, the commission adopted all amendments, with one recorded nay on the final item, and then adjourned.