Transcript Highlights:

• As a result, employer contributions for, in many cases, to public pension plans were diminished.
• You can see that on a national basis In many cases, public pension plans reduced their investment return
• The pension plan should be viewed no differently. The pension plan is an obligation.
• Our municipal general plans that is better funded. That's probably our best funded plan.
• That is the early use case.

Transcript Highlights:

• to be the case in our in the Alpha Health Plan, but we took in there that Health Plan, but we took in
• Their plan is plans are member-driven. Their plan is plans are member-driven.
• best plan. plan. plan.
• , but selfunded plan, Bureau health plan, but selfunded plan, Bureau health plan, but selfunded plan,
• health insurance plan sure which is plan health insurance plan sure which is plan health insurance plan

Bills: SB 1, HB 500, SB 1, HB 1400, HB 1094, HB 365, HB 1109, HB 647, HB 500

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, state budget, mental health funding, education funding, infrastructure improvements, public safety, groundwater, water conservation, financial assistance, Texas Water Development Board, innovation fund, local conservation districts, transportation protection agreement, funeral services, insurance exemption

Transcript Highlights:

• So if you can get cases kicked out early that, for instance,...
• Do you have a little feel for how many cases, I presume the vast majority of work comp cases just get
• When an entity such as Medicaid or Medicare or an ERISA plan, sponsored health insurance plan, pays for
• Yeah, I mean, ERISA plans, it's federal law, so it preempts state law.
• And even if that were the case,... I don’t think that’s true.

Keywords: 959, house, all

Transcript Highlights:

• So we have people going in and actually pooling these cases and talking to folks and closing out cases
• We're trying to identify those cases that involve the most serious civil rights violations, cases with
• And for the LEO, and I, I would say, case-by-case basis, 200...
• Case-by-case basis, $217, it could make the difference between I eat or I need gas in my car or whatever
• There needs to be a good plan.

Keywords: 987, senate, all

Summary: The subcommittee heard an overview of the Governor’s housing reorganization proposal and trailer bill language that would consolidate several affordable housing finance programs under the new Housing Development and Finance Committee (HDFC). Administration officials said the plan is intended to create a one-stop application and award process, reduce duplication, and pair state subsidy with private activity bonds and federal tax credits so projects can move from award to construction more quickly. The proposal would also shift some positions and reallocate portions of the Affordable Housing and Sustainable Communities program and other housing funds. The Legislative Analyst’s Office said the concept has merit but raised concerns about the proposed bond set-aside floor and recommended more flexibility and earlier reallocation of unused bonds. Several senators questioned the structure and, especially, the proposed changes to the climate-related ASIC program, arguing that it could weaken the program’s original transportation-and-housing integration and that the budget lacks enough direct funding for core housing production programs. The item was held open. The committee then received an update from the California Debt Limit Allocation Committee and the California Tax Credit Allocation Committee on federal tax credit changes and state housing finance tools. Staff explained that federal H.R. 1 increased the 9% low-income housing tax credit allocation and reduced the bond-financing threshold for the 4% credit from 50% to 25%, allowing California to finance many more projects. They reported that emergency regulations were adopted quickly to implement the new federal rules, resulting in awards for 195 projects and more than 25,000 units in the 4% program, while the 9% program funded 58 projects and nearly 3,000 units. Members discussed the importance of state enhanced low-income housing tax credits, with committee questions focused on how much additional leverage state credits provide and how they help fill remaining financing gaps. The final portion of the hearing focused on the Civil Rights Department’s response to federal civil rights policy changes and on three programs facing the end of limited-term funding: California vs. Hate, the Community Conflict Resolution Unit, and Investigations and Conciliation Enhancement. Director Kevin Kish said federal civil rights enforcement has been weakened by closed offices, shuttered programs, and reduced support for fair housing organizations, while CRD’s open caseload has grown from about 8,700 to more than 12,000 matters. He said the department is using overtime, triage, and process reengineering to manage the surge and to direct people to the right services. Senators expressed strong support for continuing the programs and concern that California is being asked to do more with less as federal protections erode. No votes were taken on the informational items, and the committee discussed the vote-only budget requests for CRD separately.

Transcript Highlights:

• > smoothly<00:02:02.159> as case planning continues as smoothly as case planning continues
• Um, additionally, we built coordination around case planning and tracking to allow transfers to happen
• Additionally, we built in coordination around case planning and fast-tracking of those throughout the
• case planning and uh coordination around case planning and uh fasttracking<00:18:02.480> of<00
• <00:23:50.799> But cases they're very lengthy. But cases they're very lengthy.

Keywords: 1187, senate, all

Transcript Highlights:

• > DHS<00:27:10.679> are Health plan contracts with DHS are Health plan contracts with DHS
• , audits, information through civil cases, audits, information through civil cases, um<00:36:14.640
• <00:47:25.200> basis<00:47:25.840> for<00:47:26.120> every on a case-by-case
• basis for every on a case-by-case basis for every application.<00:47:27.960> So,<00:47:28.920
• <01:16:05.120> So monthly case level reporting. Yep. So monthly case level reporting.

Keywords: 1183, house

Transcript Highlights:

• The CDC now reports over 350 cases of measles nationwide.
• And in the case of other services, there is a federal match.
• ConnectorCare plans deliver lower monthly premiums, in some cases no premiums, reduced co-pays, and eliminate
• While premium value plans deliver savings to small businesses and ConnectorCare provides lower-cost plans
• Our plans completely agree that culturally competent care is necessary, and plans are...

Keywords: 995, all

Summary: The Joint Committee on Public Health held an introductory informational hearing for the new session, with Chairs Marjorie Decker and Senator Michael Driscoll outlining the committee’s scope and emphasizing the impact of the federal landscape on Massachusetts public health. They noted the hearing would focus on testimony from agencies and advocates, with short testimony limits due to the hybrid format. No votes were taken; the meeting was for briefing and discussion of priorities. Commissioner Robbie Goldstein of the Department of Public Health described the department’s budget and federal funding, warning that recent CDC grant terminations could cut nearly $100 million and affect lab testing, surveillance, vaccines, and community engagement. He highlighted DPH priorities including racial equity, maternal health, substance use and child welfare coordination, emergency preparedness, data transparency, and public hospital quality. MassHealth Assistant Secretary Michael Levine discussed MassHealth’s role covering about 2 million residents and its priorities in health equity, behavioral health, primary care, member independence, and customer service, while noting the agency relies heavily on federal Medicaid dollars and would face major strain from federal cuts. Several advocacy and provider groups focused on reproductive health and maternal health. Planned Parenthood warned of threats to Title X, 340B savings, and other federal funding, and supported a bill to eliminate parental consent and judicial bypass for abortion care for young people. Reproductive Equity Now urged stronger shield-law protections and changes to Massachusetts’ later-abortion framework. Dr. Indyamaka Anugaka called for full implementation of the maternal health law, better reimbursement for doulas and midwives, stronger data collection, and support for full-spectrum pregnancy care coverage. The Health Policy Commission said new maternal health and primary care task forces would begin work soon. Mental health and health system access were also major themes. The Mass Medical Society urged action on vaccine hesitancy, removal of non-medical school vaccine exemptions, and primary care reform. The Massachusetts Association for Mental Health and the Children’s Mental Health Campaign opposed proposed cuts to DMH and substance use services, called for more school-based supports, and raised concerns about inpatient capacity, including a unit serving LGBTQ youth. The Massachusetts Nurses Association and 1199 SEIU warned that staffing shortages, low wages, workplace violence, hospital closures, and possible Medicaid cuts threaten patient care and the health care workforce. The Betsy Lehman Center also urged investment in automated patient-safety monitoring to reduce harm and costs.

Transcript Highlights:

• Is that still the case?
• For employer plans, you would get more rebates.
• their plan affordable.
• A health benefit plan on page 3, a health benefit plan issuer that provides prescription drug benefits
• They are also administering the drug plans for the health plans that are paying the pharmacies.

Transcript Highlights:

• <00:15:44.480> to already state land so we're plan to already state land so we're plan to
• And so is there a contingency plan of some kind?
• Um, that's just one small... cases um I'm sorry I don't gather the cases um I'm sorry I don't gather
• This includes mental health cases too.
• Then, so our office, if you're managing the case, yeah, the person...

Keywords: 912, senate, all

Summary: The Joint Committee on Labor and Judiciary heard the Judiciary’s budget presentation from Brandon Kimura and other court administrators. The Judiciary outlined its mission and access-to-justice programs, including specialty courts, self-help centers, online small claims dispute resolution, and e-reminders. It requested an operating budget of $6.17 million in FY 2026 and $6.25 million in FY 2027, along with 17 permanent and one temporary position, and described a series of staffing and program requests tied to specialty courts, district court operations, technology, and public guardianship. Major program requests included making women’s court permanent by converting seven temporary positions to permanent and adding a substance use counselor; expanding truancy court and the Early Education Intervention Program on Oahu; and making the driving while impaired court permanent. The Judiciary also sought staffing and funding for the new Wahiawa District Court, including security, janitorial, IT, clerical, bailiff, and social worker support, plus an additional district court judge and staff in Kona. Technology requests included cybersecurity tools and a cybersecurity unit, enhanced email protection, and replacement of aging network switches. Other operating requests included continued funding for the Criminal Justice Research Institute, restoration of 12 positions cut during the pandemic, and added support for the Office of the Public Guardian. For capital improvement projects, the Judiciary’s top priorities were $4 million to design a new South Kohala District Court, $900,000 to replace an aging AC chiller on Kauai, and $5 million for lump-sum facility preservation work. Members asked questions about purchase-of-service contract rates, implementation of court-appointed fee increases, federal grant dependence, specialty court effectiveness, truancy court outcomes, and the condition of the Ewa District Court site. Judiciary witnesses said they were working to raise provider rates through contracts and a separate bill, cited low recidivism and reduced petitions as evidence that specialty courts and truancy efforts are working, and said the Ewa site has significant foundation issues that may require further assessment or a different location.

Transcript Highlights:

• Are you saying that's not the case?
• Looking pre-pandemic to now, yes, that would be the case.
• Or in cases where you're extending the school day, obviously, the school day is longer. or in cases where
• And is that also the case for middle school? No.
• “I hope that will be the case.

Summary: The committee heard presentations on the Governor’s education budget proposals for the Local Control Funding Formula (LCFF), Learning Recovery Block Grant, and Expanded Learning Opportunities Program (ELOP), followed by testimony from State Board of Education President Linda Darling-Hammond. On LCFF, Finance outlined the proposed 2.43% COLA, repayment of prior deferrals, and a trailer bill penalty for LEAs that fail to adopt Local Control Accountability Plans on time. The LAO said its COLA estimate was slightly lower and raised concerns that the Governor’s proposed TK staffing ratio increase may be more costly than estimated. Members also discussed whether the current COLA formula should better reflect California-specific or district staffing costs, and whether TK should be more clearly separated from the K-3 grade span adjustment to avoid larger K-3 class sizes. The chair asked staff to work with the LAO on both the TK/K-3 issue and alternative COLA calculations. For the Learning Recovery Block Grant, Finance proposed restoring the first of three delayed payments, $378.6 million one-time Proposition 98 General Fund, while the LAO recommended adopting the proposal but extending the expenditure deadline by at least a year. The LAO reported that districts had spent $1.6 billion of the $6.8 billion received through 2023-24 and said most districts were only now shifting from federal COVID relief to block grant spending. Members questioned whether the large state and federal investments were improving outcomes, citing declining reading and math trends, while Finance and the State Board president pointed to some signs of improvement, especially in math, attendance, and gains for some student groups. Darling-Hammond emphasized that student needs have grown, that recovery spending has gone to devices, ventilation, staffing, tutoring, summer school, and community schools, and that targeted interventions appear to be helping some districts recover faster than others. On ELOP, Finance proposed adding $435 million to expand universal access by lowering the Tier 1 threshold from 75% to 55% unduplicated pupils, bringing ongoing funding to $4.4 billion. The LAO said the estimate was reasonable but recommended delaying implementation for a year, aligning ELOP with ASES to reduce overlap, moving toward funding based on participation rather than enrollment, and considering a fixed Tier 2 rate. Members and witnesses discussed staffing challenges, the use of funds for students with disabilities, and uncertainty in Tier 2 funding caused by unspent dollars and opt-outs. Darling-Hammond supported ELOP as part of California’s broader after-school and summer learning strategy, said most districts are now offering full-day TK and expanded learning, and urged the state to reduce fragmentation across categorical programs and build more unified systems for funding, reporting, and support.

Transcript Highlights:

• type of probate case?
• And so we know that all cases don't take the same amount of time to the case.
• we have led many cases.
• , cold cases.
• Those submissions are over 54,000 cases since one case regularly has multiple items.

Keywords: 999, senate, all

Transcript Highlights:

• So item K, we change protection plan to immediate safety plan. Obviously, words have meaning.
• So, protection plan was an old term that DCFS used. Now we use immediate safety planning.
• Cases involved. So we had 1,788 open cases in the quarter involving 4,500 children.
• plan goal of adoption will be adopted by their family members... ...that are currently have a case plan
• , 1,788 in-home cases involving 4,568 children, and 689 prevention cases across the state, and 39 cases

Keywords: 1204, all

Summary: The Joint Committee on Aging, Children and Youth approved the minutes from the February 11 meeting and then reviewed a DCFS policy manual update presented by Director Tiffany Wright. The rule changes moved internal procedures out of administrative rule and into DCFS’s internal procedure manual under an executive order, while also updating terminology, aligning language with recent laws, revising foster family continuing education requirements, and removing obsolete requirements. Committee members asked whether the changes altered practice or mainly changed wording; Wright said the updates were largely terminology and organizational changes, not substantive shifts in procedure. The committee then reviewed the rule without objection. Wright next presented DCFS quarterly and biannual reports. She reported third-quarter child welfare data including hotline reports, investigations, true findings, maltreatment recurrence, foster care entries and exits, placement with relatives, permanency rates, adoptions, and caseload totals. Members asked about neglect causes, sexual abuse categories, behavioral issues leading to foster care, staffing shortages, recruitment and retention efforts, training improvements, and whether ACE testing should be incorporated for children; Wright said DCFS uses PACE evaluations rather than ACE testing and was open to further discussion. She also presented the overturned investigations report, which tracks hotline calls, accepted reports, true findings, appeals, and reversals by county for July 2024 through June 2025. Major Jeff Drew of the Crimes Against Children Division then gave the annual hotline and investigation report. He said hotline calls increased in 2025, as did reports accepted for investigation, and that CACD investigations resulted in a 28% substantiation rate. Committee members asked about hotline operator training, hiring requirements, customer service experience, evidence handling, decision-making training, and starting salary; Drew said operators receive four weeks of training and start at $43,088 plus benefits. Elizabeth Pooley of the Children’s Advocacy Centers of Arkansas reported that the statewide network of 29 centers and 64 multidisciplinary teams provided 259 trainings and served 13,568 children and families in 2025, an increase from the prior year. She said funding comes from state, federal, and community sources, with state funding set at roughly $70,000 to $75,000 per center, and noted work is underway on state best practices. The meeting ended after a brief public comment about Meals on Wheels and a Project Zero event announcement, with no further business.

Transcript Highlights:

• involving social worker, such as dependency, neglect, and abuse cases.
• <00:03:14.400> and<00:03:14.560> abuse<00:03:14.879> cases.
• dependency neglect and abuse cases. dependency neglect and abuse cases.
• , preliminary hearings to get those cases, preliminary hearings to get those cases, then<00:15:24.880
• Another issue: we are in the process of adopting a new case management system.

Keywords: Meeting Start 00:00:00 Commonwealth’s Attorneys, County Attorneys, Prosecutor’s Advisory Council 00:00:18 Approval of Minutes 00:20:09 State Treasurer 00:20:33, 958, all

Summary: The meeting began with testimony from representatives of the Prosecutor’s Advisory Council, including county and commonwealth attorneys, on their proposed budget. They described the scope of their work in district and circuit court, juvenile and dependency cases, specialty courts, guardianship, involuntary hospitalization, and the Rocket Docket program. The witnesses emphasized that their budgets are overwhelmingly personnel costs and warned that proposed cuts could lead to layoffs, reduced retention, and loss of recently added positions. They also said the General Assembly’s recent salary classification plan had improved recruitment and retention, and that underfunding could reverse those gains. A major topic was the Rocket Docket program, which they said speeds lower-level cases through the system, reduces jail costs, and saves money for both counties and the state. They reported that in one circuit, average jail time for certain cases dropped from about 50 days to about 6 days. They also raised concerns that the Rocket Docket line item may not be clearly included in the committee substitute and asked for clarification on how the budget would treat it. In response, the chair said the intent was to move some of those items into the base budget, though the exact structure was still uncertain. The presenters also discussed a 2022 subsidy for county attorney employees tied to retirement contributions, saying it totals about $1.3 million and should not be reduced because the obligation remains. They said the budget would need to support the salary classification plan extensions, House Bill 8 subsidies, and a new case management system that they described as essential to modernizing operations and improving communication with victims and law enforcement. The chair thanked them for the testimony and indicated the committee would continue reviewing the budget. The committee then heard from Deputy State Treasurer Russell Weber, who reported that the treasury has now returned more than $90 million in unclaimed property to Kentuckians. He said the office faces ongoing fraud issues and requested funding for a dedicated legal counsel and a fraud investigator, along with outreach money to educate the public about unclaimed property. He also outlined several capital requests, including the final year of a printer-system lease and replacement of HVAC equipment in the treasury building. Members briefly joked with him about a mineral-rights bill and coal, but no votes or formal actions were taken beyond approving the minutes and adjourning the meeting.

Transcript Highlights:

• They like your plan. And they recognize.
• And we pulled holes in that plan during that session.
• We're also coordinating the data and planning.
• You will see the areas referenced within the plan.
• We also plan to do the steering committee meeting that morning since we'll be in town and probably plan

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

Transcript Highlights:

• So right now what we're doing with the waivers, frankly, is the plan B, because plan A was—and this is
• They may not have a plan that gets them to work, but who makes those determinations are the case managers
• Are we case managing programs? Are we case managing people?
• Are we case managing programs? Are we case managing people?
• What’s happening with our case managers and how we can case-manage people and not programs.

Summary: The committee met to hear an update from consultants Mason Bishop and Cameron Christie on Arkansas’s “one door” or “no wrong door” workforce and social services modernization effort. The discussion focused on moving the state toward a work-first system that better connects job seekers, employers, education, and public assistance programs, with goals of increasing upward mobility, improving labor force attachment, reducing inefficiencies, and adapting to changes such as AI and other economic disruptions. The consultants argued that Arkansas’s current system is fragmented across multiple offices, portals, agencies, and funding streams, and that people often have to navigate separate doors for workforce services, TANF, SNAP, Medicaid, and related supports. Bishop repeatedly pointed to Utah as the model, describing how that state integrated workforce and human services into a single department, used cost allocation to blend funding behind the scenes, and saw improved customer service and outcomes after reform. He said TANF should be treated as a workforce program, not just a benefits program, and suggested that Arkansas could use TANF and other tools to cross-train DHS staff, co-locate services, and create a more unified service delivery model. Members asked about federal flexibility, waivers, and whether the state could use one large waiver or a broader restructuring to simplify the system. Bishop explained that a federal pilot authority proposal failed in Congress, so the current approach relies on waivers, cost allocation plans, and possible state-level changes. The committee also discussed the relationship between DHS and workforce offices, the role of local workforce boards, how disability and vocational rehabilitation cases would be handled, and how the governor’s Restore Hope/Hope Hub and faith- and community-based initiatives might fit into the broader plan. Bishop said Arkansas already has rehabilitation services within the workforce department and emphasized that case managers should focus on people rather than programs. No votes were taken. The chair said the committee would revisit case management at its August meeting and adjourned the meeting after thanking the consultants.

Transcript Highlights:

• , and develop a corrective action plan.
• Support teams need to discuss discharge plans.
• And that... compliance plan. As I think Mr.
• Case treatment plans were not appropriate to the circumstances in the case.
• I knew that earlier this year there were 800 cases.

Transcript Highlights:

• , investigators take on about 60 cases, investigators take on about 60 cases, and<00:10:19.760>
• with the victims in those cases. with the victims in those cases.
• are in our pension plans. are in our pension plans.
• are on the local plan.
• <01:03:28.640> However, from the new plans. However, from the new plans.

Keywords: 1187, senate, all

Transcript Highlights:

• <01:56:06.159> I'm<01:56:06.400> going plan case management services.
• I'm going plan case management services.
• <02:18:16.479> case to DD because CFI is a state plan case to DD because CFI is a state plan
• The results were released, and it included the Medicaid state plan case management for CFI.
• uh state plan case management for CFI. uh state plan case management for CFI.

Keywords: 1191, senate, all

Transcript Highlights:

• I want to refer to a court case, Shulman v. Group W Productions, in 1998.
• That's existing case law. That's existing practice.
• Shulman versus Group W Productions in 1998 as a relevant case law.
• That's existing case law. That's existing practice.
• homes contract with their specific plan.

Summary: The Assembly Health Committee heard several Senate bills focused on health care access, privacy, and public health data. SB 81 (Arreguín) would require health care facilities to create nonpublic areas and bar immigration enforcement from entering without a judicial warrant or court order, while also protecting disclosure of immigration-related information in medical records. The bill drew strong support from labor, immigrant-rights, health care, and patient advocacy groups, with committee members emphasizing patient safety and privacy; one member raised implementation concerns about how the restrictions would work in practice. The committee voted the bill out on a due pass motion to the Privacy and Consumer Protection Committee, with one no vote recorded. SB 250 (Ochoa Bogh) would add skilled nursing facilities to DHCS’s managed care provider directory so Medi-Cal beneficiaries can more easily identify covered facilities. Supporters said the change would help seniors and people with disabilities avoid confusion and rushed placement decisions, especially during hospital discharge, and would make existing information easier to use. The committee passed the bill to Appropriations on a unanimous vote. SB 717 (Richardson) would formally recognize California’s three regional cancer registries in state law to help preserve federal funding and support cancer surveillance data collection. The author and supporters said the measure would protect more than $15 million in annual federal support and strengthen cancer research and tracking; the committee approved it unanimously to Appropriations. SB 504 (Laird) would allow health care providers to disclose personally identifying information about previously reported HIV infections to state or local health officials when needed for disease control or care coordination. The author described the bill as a modernization of reporting and coordination practices, and supporters from the California Medical Association and Planned Parenthood backed it. The committee sent the bill out as amended to the Privacy and Consumer Protection Committee on a unanimous vote. The meeting also included routine consent-calendar action and multiple add-on votes, with the committee repeatedly holding the roll open to record additional members’ votes.

Transcript Highlights:

• We have seen Title X cuts to family planning.
• This is not the case. We were notified in March after the plans had been notified in February.
• The department plans to use the survey data, among other information, in its analysis and plans to provide
• their local planning and service areas.
• Action Plan for preventing and ending...

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.