Video & Transcript : 'federal directives' :
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MN
Minnesota 2025-2026 Regular Session
Press Conference: Media Availability on 2026 Omnibus Tax Bill - 04/30/26
Transcript Highlights:
- </c> And the ripple effect of those federal And the ripple effect of those federal decisions<00:01:40.320
- What we have faced here in Minnesota is a direct result of this federal administration forcing cruel
- being made at the federal level.
- > result of this federal administration result of this federal administration forcing<00:09:34.680><c
- being made at the federal decisions being made at the federal level. level. level.
Summary:
Senate Tax Committee members presented a tax omnibus bill they said was a bipartisan effort aimed at making life more affordable and responding to federal policy changes they argued are increasing costs and harming Minnesota families, communities, farmers, and businesses. Chair Rest and other senators described the bill as a response to federal cuts to health care and food support, and said it also complements other Senate action on health and human services.
Key provisions highlighted included a 12% increase in property tax refunds for homeowners, described as more than $100 million in direct relief; a $2 million provision related to Operation Metro Transit; a new health care sales tax in Hennepin County to replace an expiring local sales tax and help stabilize hospitals such as HCMC and North Memorial, with funds for uncompensated care and facility upkeep; and a social media tax on the largest platforms, which supporters said would raise revenue without affecting Minnesota residents. Senators also emphasized a sustainable aviation fuel credit, framed as a climate and economic development measure that could support in-state production and agricultural feedstocks.
Members also discussed agricultural provisions, including lifting the cap on the beginning farmer tax credit extension and updating homestead-related rules, saying these changes would help farm transitions and reflect current conditions. Another property tax change would increase the market value exclusion for disabled veterans. No formal vote was taken in the transcript, but senators said the bill had been passed to the floor and they were waiting for leadership to schedule it, while noting the House had not yet taken similar action.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services May 20th, 2026
Transcript Highlights:
- Recent federal shutdowns have led to lapses in federal funding, which have resulted in short-term delays
- actions and the federal climate.
- And in federal fiscal year 2025, for the first time, the state exceeded that federal SNAP SAE target
- In federal fiscal year 2026, we do also project that we will exceed the federal target again.
- On April 21, 2026, we submitted a justification to the federal government for the additional federal
ID
Idaho 2026 Regular Session
Agenda Jan 22nd, 2026
Transcript Highlights:
- This program is federally required.
- It's for $198,700 in federal funds.
- When it comes to the federal match, the expansion population has a higher federal match.
- When it comes to the federal match, the expansion population has a higher federal match.
- What we found out was that federally qualified health centers have what is a federally protected rate
Summary:
The committee heard a budget presentation on the Division of Medicaid within the Department of Health and Welfare, including an overview of the division’s five programs, staffing, spending trends, and the large share of the budget that goes to trust and benefit payments. Ms. Williamson explained the difference between ongoing and one-time enhancements, the role of population forecast adjustments, and why the fiscal year 2026 and 2027 numbers change significantly. Members asked about the growth in the budget, the FMAP match rate, the impact of provider rate changes, and the shift of some positions into Medicaid from other divisions after last year’s reorganization.
A major topic was House Bill 345 and related budget changes, including the hospital assessment fund alignment, the 4% provider rate reduction, and the effect on Medicaid expansion and other populations. The committee discussed the decline in expansion enrollment, rising costs in traditional Medicaid populations, and the governor’s recommendation to offset part of the 2027 increase with additional reductions. Members raised concerns about access to care, especially for dental, behavioral health, developmental disability, and home- and community-based services, while the deputy director said the department is trying to contain costs through prior authorization, fraud and abuse work, and policy changes.
The committee also focused on the MMIS replacement project, which is in year four of a five-year procurement and is funded through dedicated and federal dollars tied to milestones. Another significant item was estate recovery, where the department requested funding to replace an outdated case management system and add contractor support to address a backlog of roughly 20,000 cases; members questioned the return on investment and asked for more detail on the software and staffing split. The deputy director also explained the federally qualified health center reconciliation issue, saying the state had not been properly paying change-in-scope amounts and is now using a new process with interim payments and later reconciliation.
In addition, lawmakers asked about program integrity staffing, the use of AI, and whether the department could better target fraud, waste, and abuse investigations. The deputy director said the department is reviewing AI use cautiously and sees opportunities for it in claims review and anomaly detection, but emphasized that the current request is for dedicated receipt authority rather than general funds. No formal votes were taken in the excerpt, but the committee received the presentation, asked extensive questions, and was told that some follow-up information would be provided later.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Children, Families and Persons with Disabilities Jun 21st, 2026 at 01:00 pm
Joint Committee on Children, Families and Persons with Disabilities
Transcript Highlights:
- Many BFAN programs depend on time-limited federal grants, and recent staff layoffs at the federal level
- Has DPH lost any direct federal funds? We have.
- DDS has very limited direct exposure in terms of federal grants, which could have a direct impact on
- And then you referenced at the end federal reimbursement or federal dollars, federal regulations.
- Up until last December, we had the vehicle available; the federal government, this is a SNAP as a federal
Summary:
The hearing was an informational and oversight session of the Joint Committee on Children, Families, and Persons with Disabilities, with chairs and members hearing agency updates from several commissioners. The Department of Public Health’s Bureau of Family Health and Nutrition described its maternal and child health work, including home visiting, early intervention, WIC, newborn hearing screening, and cross-agency efforts on prenatal substance exposure, respite care, children’s vision, and maternal health initiatives. DPH emphasized that federal grant cuts, layoffs, and the loss of data systems such as PRAMS would weaken services and planning, and members asked about Title V funding and the impact of federal uncertainty.
The Massachusetts Commission on the Deaf and Hard of Hearing highlighted communication access services, interpreter and CART referrals, emergency after-hours support, family navigation, and independent living services. Commissioners and members discussed the shortage of ASL interpreters and the need to expand training pipelines, including partnerships with colleges and possible ASL programming for younger students. The Department of Developmental Services reported serving nearly 50,000 people and focused on youth and adult services, transition-age supports, autism services, self-direction, respite, and new high-acuity residential models. Members asked about respite availability, self-direction outcomes, and workforce shortages; DDS said it was expanding clinical capacity and provider rates while monitoring possible federal Medicaid, SNAP, and immigration-related impacts.
The Commission for the Blind described services for about 28,000 legally blind residents, most of whom are older adults, including social rehabilitation, orientation and mobility training, children’s services, assistive technology, vocational rehabilitation, and Turning 22 supports. The commissioner discussed a UMass-based effort to build the workforce pipeline for blindness services and said the agency was watching federal restructuring but had not yet seen direct cuts. MassAbility’s leadership then warned about major federal changes affecting Social Security disability determinations, including staff restructuring, office closures, and a new overpayment repayment policy, and said the agency was preparing for possible increases in claims and uncertainty around reallotment dollars that help fund services.
The Disabled Persons Protection Commission closed the hearing with an update on its abuse investigations and protective services for adults with disabilities. DPPC reported rising hotline calls and investigations, a growing caseload, its sexual assault response team, the abuser registry, and a new interagency protective services integration system funded by ARPA dollars through 2027. The agency also flagged new federal rules that could affect funding eligibility and said it may need statutory changes to comply. Members asked about funding, reporting pathways, and how complaints reach DPPC, and the commissioner said the agency uses both mandated reporting and proactive outreach to identify and respond to abuse.
MN
Minnesota 2025-2026 Regular Session
Press Conference: Lawmakers Speak on Enforcement For 340B Drug Pricing Plan Protections - 04/07/26
Transcript Highlights:
- </c><00:08:18.240><c> Congress</c> ago by the federal Congress ago by the federal Congress was<00:08:
- I will point out though, however, that the federal government—this is a federal program—and the Trump
- </c> though, however, that the federal though, however, that the federal government<00:10:34.960><c>
- program,</c> government This is a federal program, government This is a federal program, and<00:10:36.280
- That is their purview, this being a federal program.
Summary:
The meeting focused on a Minnesota Senate floor debate over a bipartisan 340B enforcement bill, with supporters arguing that the measure would require pharmaceutical companies to comply with federal and state law and continue providing discounted drugs to safety-net and rural hospitals. Senators and other speakers said the program is essential to hospital finances, especially for facilities facing operating losses and federal Medicaid cuts, and warned that without enforcement language hospitals such as Hennepin County Medical Center and rural hospitals could face severe financial harm or closure. Supporters also said pharmaceutical companies had spent heavily on media and lobbying to oppose the bill and that the Senate’s bipartisan vote showed the issue had broad support.
Several speakers described how 340B revenue is used to sustain hospital services, including addiction treatment, trauma care, and other essential care in vulnerable communities. They said the program was designed to let hospitals buy drugs at low cost and bill insurers at standard rates, using the difference as a funding stream. When asked about claims that hospitals made large sums from the program, supporters said that was consistent with the program’s purpose. They also said some drug companies were not complying with 340B obligations, particularly around contract pharmacies, and that enforcement language was needed to ensure compliance.
The discussion also addressed HCMC’s financial situation, with speakers saying 340B funding is not a full solution but is an important support and should not be reduced further. They rejected a proposed transparency/reporting amendment as too burdensome, while noting that federal authorities already have audit power over 340B dollars. The speakers urged the House to pass the same language, said eight Republicans joined the Senate vote, and expressed hope that the bill would advance despite concerns about House support and ongoing pharmaceutical industry opposition.
NM
New Mexico 2025 Regular Session
IC - Federal Funding Stabilization Subcommittee Jul 31st, 2025
Federal Funding Stabilization Subcommittee
Transcript Highlights:
- States and D.C. challenged their directive from the Federal Office of Management and Budget to all federal
- Just under half, $12,053,000,000, came in the form of direct aid from the federal government.
- court that directed the federal government to release the money—all $12 billion, plus the billions to
- We obtained a court order directing the federal government to resume provision of funding. of funding
- And there's a lesser risk of harm to the federal government than to us.
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Committee 3/12/25
Health Finance and Policy
Transcript Highlights:
- </c><00:23:11.919><c> Federal</c> would require um Federal Federal would require um Federal Federal approval
- <01:09:46.319><c> payment</c> directed payment directed payment programs<01:09:49.159><c> directed</c
- dollars, up to the allowable federal cap, by implementing the directed payment program as designed.
- the allowable Federal cap by implementing<01:13:24.239><c> the</c><01:13:24.440><c> directed</c><01:13
- :26.880><c> Federal</c> model to meet Federal model to meet Federal requirements<01:32:28.960><c> secondly
Committee:
House Health Finance and Policy
WA
Washington 2025-2026 Regular Session
JLARC – Joint Legislative Audit & Review Committee Sep 17th, 2025
Transcript Highlights:
- So FERPA is also a federal law, so that likely would be enforced by a federal agency.
- But...” “...FERPA is also a federal law, so that likely would be enforced by a federal agency.
- “Stephanie mentioned they are largely federal laws, and so they are largely enforced at the federal level
- Statute and grant agreements direct revenue distribution. 53% of the revenues were directed to general
- And we are again directed to do it in 2026 based on the legislative direction.
Summary:
The Joint Legislative Audit and Review Committee met on September 17, 2025, in hybrid format. After roll call, the committee initially lacked a quorum and deferred approval of the July 15 minutes until Representative Berg arrived; the minutes were then adopted. Members also discussed the proposed 2026 JLARC meeting schedule, including possible changes to address crowded July meetings and the annual tax exemption review workload.
Staff presented the annual lodging tax expenditures report, noting that 213 municipalities received distributions in 2024, with 91% reporting compliance, $114 million awarded for more than 1,700 activities, and no independent verification of the self-reported data. Several members questioned the value and usefulness of the report, and the executive committee indicated it may recommend removing the statutory reporting requirement. The committee then heard the preliminary performance audit of the Office of Privacy and Data Protection, which found the office meets its statutory responsibilities and has high user satisfaction, but recommended updating the statute to better match the office’s current capacity and focus and improving performance measures to reflect long-term privacy outcomes rather than outputs. Members asked about FERPA and other federal privacy laws, and OPDP staff said they provide general privacy training and consultation but not law-specific training unless requested.
The committee adopted the final report on Washington State recreational boating programs without recommendation, after staff reported that boating revenues support both general government and boating activities and that no participating agencies submitted formal comments. Members asked about boater safety education and possible overlap among the six agencies involved; Parks staff said education has reached more than 500,000 boaters and that fatalities and incidents have declined. The committee also reviewed planned study questions for a JLARC review of Labor and Industries’ enforcement of farm worker laws, with members raising scope questions about the term “farm worker” versus “agricultural worker,” and for DNR’s Eastern Washington sustainable harvest calculation, which JLARC will review as DNR completes its recalculation. Finally, staff outlined the 2026 tax preference performance reviews covering seven preferences, and members asked about racial equity, environmental impacts, disclosure of beneficiary savings, and how the reviews will measure effectiveness; the meeting adjourned before noon.
HI
Transcript Highlights:
- Um as noted federal administration.
- What we call federal agency cases.
- </c> direct access uh to that Medicaid data. direct access uh to that Medicaid data.
- At OPM's direction, many federal agencies began terminating probationary employees on MOS.
- Uh at OPM's direction, many<01:03:15.839><c> federal</c><01:03:16.240><c> agencies</c><01:03:16.799><
Summary:
The Judiciary Committee held an informational briefing on the State of Hawaii’s affirmative litigation against the federal administration, with no public testimony. Attorney General Lopez and deputies said the office’s goal is to enforce the rule of law, not make partisan points, and noted that Hawaii is involved in 27 ongoing cases. They grouped the cases into four broad areas: immigration, funding freezes and grant terminations, federal agency dismantling/reductions in force, and protecting elections, health, and safety.
Several immigration-related cases were discussed in detail. These included a challenge to the federal sharing of Medicaid data with DHS for immigration enforcement, a similar challenge to USDA’s demand for SNAP applicant and recipient data, and litigation over immigration-enforcement conditions attached to federal grants. The office also described the birthright citizenship executive order, saying it conflicts with the 14th Amendment and Supreme Court precedent; lower courts granted preliminary relief, and the U.S. Supreme Court later addressed only the scope of nationwide injunctions, not the merits. In the Department of Transportation case, the court granted a preliminary injunction against the “Duffy directive,” finding the immigration conditions lacked statutory authority, were arbitrary and capricious, and violated the Spending Clause and APA.
The briefing also covered multiple funding disputes. In the education funding freeze case, the Department of Education and OMB withheld about $6 billion in formula funds, including roughly $33 million for Hawaii; after suit was filed, the funds were released. Other cases included the termination of over $11 billion in public health grants, which affected Hawaii Department of Health grants, the NIH indirect cost cap case, and NIH grant terminations tied to DEI, transgender issues, and vaccine hesitancy. The speakers said some cases have already resulted in preliminary or permanent injunctions, while others remain on appeal or are still being litigated.
WA
Washington 2025-2026 Regular Session
House Civil Rights & Judiciary Feb 20th, 2026 at 10:30 am
Civil Rights & Judiciary
Transcript Highlights:
- That's the accountable part of the federal judge.
- Is this specifically to ICE as a federal agency, or does it cover all federal law enforcement agencies
- I understand your desire that a federal... ...warrant.
- Immigration enforcement is a federal responsibility.
- States cannot regulate or obstruct how federal officers execute federal law, and this bill attempts to
Committee:
House Civil Rights & Judiciary
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services Mar 26th, 2026
Transcript Highlights:
- in federal funds using directed payments and also from the hospital quality assurance fee.
- So the federal policies is... I don't see any federal policies impacting this.
- share in place of the state to draw down federal funding through supplemental payments, like the state-directed
- down federal funding.
- down federal funding.
Summary:
The subcommittee heard a lengthy Department of Health Care Services presentation on the governor’s Medi-Cal budget, including a $229.1 billion total-funds proposal, projected Medi-Cal enrollment declines as redeterminations continue, and several major cost drivers such as managed care growth, Medicare-related costs, pharmacy spending, and changes tied to federal policy. Members focused heavily on the elimination of Prop. 56 dental supplemental payments beginning July 1, 2026, questioning the likely impact on provider participation and utilization. DHCS said it is completing the required rate reduction/access analysis for CMS, has been holding stakeholder meetings and issuing provider bulletins, but could not yet quantify the real-world effect. The committee also discussed a $50 million savings proposal tied to new hospice utilization management authority and asked about possible effects on emergency dental care and provider participation.
The hearing then moved through the November 2025 family health estimate and several county and program administration issues, including CCS, GHPP, and Every Woman Counts. DHCS said family health costs are rising despite slight caseload declines because of higher utilization and medical costs, and members raised concerns about CCS website accessibility, county administrative funding, and the transition of youth aging out of CCS. The department said most CCS beneficiaries are also on Medi-Cal, that counties have long raised funding concerns, and that it had clarified use of maintenance-and-operations dollars to address some county workload issues. Members also asked about Every Woman Counts potentially seeing higher demand as Medi-Cal changes take effect; DHCS said that is possible and that the program has multiple funding sources including General Fund.
A major portion of the hearing focused on provider taxes and federal changes under H.R. 1, especially the Medi-Cal managed care organization tax and the hospital quality assurance fee. DHCS explained that H.R. 1 restricts new or increased health care-related taxes, phases down allowable tax levels over time, and tightens “generally redistributive” rules, which could sharply reduce the state’s ability to use the MCO tax for Medi-Cal financing. Members asked whether the Legislature could amend Prop. 35 or whether voters would need to act; DHCS said a three-fourths legislative amendment may be possible if it aligns with the measure’s purpose, but the department is still evaluating options. The committee also discussed hospital financing, with DHCS describing recent increases in state-directed payments and the effect of H.R. 1 in capping those payments at Medicare levels, and the LAO noting the tradeoff between preserving provider taxes and maintaining Medi-Cal funding.
The subcommittee also reviewed a series of DHCS budget change proposals and trailer bill items, including managed care final-rule implementation, managed care operations, a hospital value strategy, a one-year extension of skilled nursing facility financing, long-term care payment transparency, and interoperability/prior authorization requirements. Members repeatedly questioned the use of limited-term versus permanent positions, the overlap among proposals, and the timing of new financing reforms. DHCS said the SNF extension would preserve current workforce standards, sanctions, growth limits, and the SNF quality assurance fee while the department develops a broader 2027-28 redesign. No votes were taken; items were repeatedly held open for later action.
Covered California then presented on the expiration of the federal enhanced premium tax credit and the resulting affordability crisis. The agency said Californians will lose about $2.5 billion in premium assistance for 2026, average premiums could nearly double for many enrollees, and as many as 400,000 people could eventually leave marketplace coverage. Open enrollment ended with 1.9 million sign-ups, down 3% from the prior year, with especially steep declines among middle-income consumers and increased movement into bronze plans. Covered California said the state’s $190 million affordability subsidy is helping lower-income enrollees retain coverage, but cannot fully replace the lost federal assistance. Members also asked about the Health Care Affordability Reserve Fund, repayment of loans from that fund, the status of federal review of California’s essential health benefits benchmark, and implementation of the new gender-affirming care benefit under AB 144.
WA
Washington 2025-2026 Regular Session
House State Government & Tribal Relations Jun 22nd, 2026
Transcript Highlights:
- But federal election loss, that's federal election day as the November day that we're all sort of used
- seeing in some of the federal agencies.
- That's because they received pretty significant federal funding, and that federal funding was mostly
- The president's executive order would have said that votes for federal offices at the federal general
- or limit a federal action.
Summary:
The House State Government & Tribal Relations Committee held a virtual work session focused first on federal actions affecting elections. A representative from NCSL reviewed recent U.S. Supreme Court and pending cases, including a redistricting/Voting Rights Act case and a case on whether mailed ballots received after Election Day can be counted. She also discussed a Trump executive order directing USPS to draft mail-ballot rules, the federal SAVE system’s expanded use for voter list maintenance, DOJ requests for unredacted voter rolls, and reduced federal election-security support. Committee members asked about proof of citizenship requirements, whether DOJ requests are compulsory, and how federal election funding and grants may be changing.
The Attorney General’s Office then described Washington’s litigation challenging two election-related executive orders and DOJ’s lawsuit seeking unredacted voter registration lists. State lawyers said courts have already enjoined parts of the executive orders, including documentary proof-of-citizenship requirements and voting-system changes, and have upheld Washington’s ballot-receipt deadlines so far. They said DOJ’s voter-roll demands have been rejected by multiple courts and that Washington’s position is that state law limits disclosure of sensitive voter data. Members asked about the legal basis for DOJ’s requests, the risk of immigration-enforcement use, and whether attestation on registration forms counts as proof of citizenship; the office said it does under state law and that no evidence of mass voter-fraud problems in Washington has been shown.
Deputy Attorney General Todd Bowers then gave a broader overview of the Attorney General’s federal litigation, saying Washington has filed 61 cases since January 2025, often with other states, and has had notable success obtaining preliminary injunctions and favorable summary judgments. He highlighted cases involving election rules, environmental and energy disputes, public health funding, student loans, housing, and data privacy, and said many challenges involve executive-branch conditions added to congressionally appropriated funds. He also described a growing number of federal audits and inquiries directed at state agencies.
Finally, Office of Equity Director Megan Matthews discussed how federal actions are affecting state and local equity work, community organizations, and public confidence. She said the office is coordinating more closely with the Attorney General, governor’s office, other agencies, and local governments through the immigration subcabinet, while also working on data privacy, Keep Washington Working compliance, and community outreach. Committee members asked about the office’s human-trafficking work and how it is encouraging agency compliance; Matthews said the focus is on clearer guidance, technical support, and consistent expectations across agencies. The committee adjourned after the presentations and questions.
MN
Transcript Highlights:
- not a federal level there's there is not a federal<00:30:06.240><c> entity</c><00:30:06.720><c> or</
- Once a couple is directed to one of the two calculation methods, if directed to part one, the two axes
- Once a couple is directed to one of the two calculation methods, if directed to part one, the two axes
- </c> limitations associated with direct limitations associated with direct expenditure<01:11:59.199><
- </c> looking at more on federal conformity. looking at more on federal conformity.
Committee:
House Taxes
WA
Washington 2025-2026 Regular Session
Senate Health & Long-Term Care Dec 4th, 2025
Transcript Highlights:
- And those are fully funded by federal Money Follows the Person dollars.
- And 15,000 folks actually doing the direct care. We represent 55,000 folks.
- The Consumer Direct rate is a straight labor and administration.
- The Consumer Direct rate is a straight labor and administrative rate.
- So here, this is the federal health plan price transparency tool codified in federal regulation.
Summary:
The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only.
The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit.
The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 7 on Accountability and Oversight Apr 23rd, 2025
Transcript Highlights:
- In addition, federal agencies are ending or reducing programs that provide direct financial support to
- Students are also being directed to UC's frequently asked questions on federal immigration enforcement
- Are federal grants, do they have the force and effect of a contract?
- We don't make money like the federal government.
- The Senate's directive only requires a minimum of $400 billion in cuts.
Summary:
The Assembly Budget Subcommittee on Accountability and Transparency held a hearing focused on three issues: federal funding cuts and delays, possible state revenue impacts from reduced IRS enforcement, and the fiscal effects of AB 218 on local governments. The Franchise Tax Board described how state and federal tax systems are closely linked, how most returns are filed electronically through software, and how FTB relies on IRS information sharing for compliance, fraud prevention, offsets, and nonfiler work. Members raised concerns that federal staffing cuts at the IRS could weaken audits of large corporations and reduce California revenue, and asked about VITA and ITIN filers; FTB said it was not aware of VITA reductions, noted ITIN returns are processed the same as other returns, and said ITIN filing appeared slightly down this year. The Department of Finance said it is monitoring federal developments, summarized the continuing resolution and reconciliation process, and noted that California lost nearly $940 million in earmarked federal projects under the CR, while major federal budget decisions remain uncertain until the President’s budget and later congressional action.
The University of California reported substantial federal pressure on research, student aid, and health care. UC said hundreds of millions of dollars in federal awards have already been canceled, with additional threats to NIH and DOE facilities-and-administration rates, graduate fellowships, student loan repayment plans, international student visas, Pell Grants, and Medicaid/Medi-Cal funding. Committee members pressed UC on the effects of DEIA-related federal restrictions, the loss of clinical trials and research staff, and the impact on low-income students and patients. UC said it is pursuing litigation with the Attorney General and other institutions, but emphasized that court action is only a temporary solution and that sustained state and private support may be needed.
The second panel addressed the fiscal consequences of AB 218, which extended the statute of limitations for childhood sexual abuse claims against public agencies. FCMAT presented a report with 22 recommendations, including better statewide data collection, financing mechanisms, a possible victims compensation fund, and prevention measures. Los Angeles County described a tentative $4 billion settlement tied to AB 218 claims, saying it will require reserves, borrowing, and long-term annual payments through 2050, while also forcing curtailments and cuts to vacant positions to preserve services. Members discussed insurance pools, retroactive premiums, unidentified future claims, and the need for a compensation fund or other financing tools. No formal votes were taken; the hearing concluded with public comment, including testimony from local health officials about nearly $400 million in terminated federal public health grants and the resulting layoffs and service impacts.
AZ
Arizona 2026 Regular Session
04/20/2026 - Senate Director Nominations
Transcript Highlights:
- And so that federal program is so critical.
- You focus on the federal programs that you would cut the federal programs that don't have federal funding
- If a federal program lost, it would be either the federal low-income housing tax credit program.
- Not giving you as a subordinate direction.
- That is, you know, federally mandated.
Summary:
The Senate Committee on Director Nominations met to consider Ruby Dylan Williams for Director of the Arizona Department of Housing. Williams described her long career at the department, her work on operational improvements, housing development, manufactured housing, and efforts to expand supply, preserve existing housing, and improve transparency through data and technology. She also said she would work with the legislature, local governments, tribal nations, nonprofits, and private partners, and emphasized the department’s role in addressing housing affordability and homelessness across the housing continuum.
Members questioned her about the department’s response to Auditor General findings, including fraud prevention, payment verification, site inspections, and oversight of grantees. Williams said the department had rewritten policies, retrained staff, added stronger controls, and implemented verbal verification steps for wire transfers after a fraud incident. Senators also pressed her on budget priorities, possible cuts, and her view of homelessness policy, with some members characterizing her approach as closer to shelter or transitional housing before permanent placement. Williams said interventions should be individualized and that the department works with local jurisdictions and service providers to match people with appropriate support.
Public testimony was overwhelmingly supportive. Developers, housing industry representatives, and nonprofit partners praised Williams’ private-sector housing finance experience, her knowledge of LIHTC and the QAP process, and her leadership in making the agency more efficient and business-friendly. After debate, the committee voted 3-2 to recommend her confirmation to the full Senate. Two members voted no, citing concerns about her answers on fraud oversight, cost controls, and homelessness policy, while the majority supported advancing her nomination.
ID
Transcript Highlights:
- And the federal Constitution is a so-called granting constitution, in that the federal Constitution or
- The federal court has blocked it.
- I'm just curious: a federal agent acting under federal authority in due course for the federal agent's
- And we don't know what any federal administration in the future is going to do with federal agents.
- Directed and autologous blood donations are federally allowed and already processed through licensed
CA
California 2025-2026 Regular Session
Assembly Military and Veterans Affairs Committee Jun 30th, 2026
Transcript Highlights:
- The federal cuts specifically impacted vulnerable veterans.
- from these cuts by directing the state to request waivers from H.R. 1.
- It directs the state to seek federal waivers to protect these vulnerable veterans and ensures that job
- Earlier this year, the federal government directed HARPA to make available...
- Earlier this year, the federal government directed HARPA to make available at least $50 million in funding
Summary:
The Assembly Military and Veterans Affairs Committee met and considered several measures, with most of the discussion focused on veterans’ access to food assistance, overseas voting, and veteran mental health research. SB 1201, the “No Hungry Heroes Act,” would seek federal waivers to protect certain veterans from CalFresh time limits and require referrals to county veteran service officers; supporters said federal SNAP cuts are leaving vulnerable veterans at risk of hunger, while no opposition testified. Members spoke strongly in favor, emphasizing the need to support service members and their families.
SB 970 addressed ballot access for military and overseas voters after the federal DOD fax service was discontinued. The bill would direct the Secretary of State to develop regulations for a secure ballot return method. County election officials and veterans groups supported the measure, while the Secretary of State’s office and Verified Voting raised concerns about cybersecurity and urged a more deliberate process, including a possible task force. After discussion, the committee voted to pass SB 970 and send it to Appropriations.
SB 1224 proposed a California Emerging Therapies Research Partnership to help the state compete for federal research funding for alternative therapies, including treatments relevant to PTSD, depression, and substance use among veterans. Veterans advocates described the bill as a way to expand options for those not helped by traditional treatment, and the author noted amendments to address conflicts of interest and administrative issues. The committee approved the bill and referred it to Appropriations.
The committee also approved the consent calendar, including HR 120, SB 892, SB 1188, SJR 14, and SJR 17, and later voted SB 1201 and SB 970 out of committee as well. Overall, the meeting reflected broad bipartisan support for veteran-focused measures, with the main policy debate centered on how to balance access and security in overseas voting.
CA
California 2025-2026 Regular Session
Assembly Military and Veterans Affairs Committee Jun 30th, 2026
Military and Veterans Affairs
Transcript Highlights:
- The federal cuts specifically impacted vulnerable veterans.
- from these cuts by directing the state to request waivers from H.R. 1.
- It directs the state to seek federal waivers to protect these vulnerable veterans and ensures the job
- Earlier this year, the federal government directed HARPA to make available...
- Earlier this year, the federal government directed HARPA to make available at least $50 million in funding
Committee:
House Military and Veterans Affairs
ID
Idaho 2026 Regular Session
Agenda Feb 11th, 2026
Transcript Highlights:
- It allows for self-donation or directed donation of blood.
- have been made that this self-directed donation has been dangerous.
- So I think it follows federal regulations.
- Access to direct donor blood is no different.
- unit per federal regulations.
Summary:
The committee first heard House Bill 528, which would codify the ability for patients to use self-donated or directed donor blood under federal testing and collection guidelines. Representative Chris Bruce said the bill was intended to ensure Idaho patients have that option in state law after some hospitals or facilities had denied requests. Supporters testified that the bill protects patient autonomy, religious freedom, and medical choice, and described personal experiences where directed donation was difficult or impossible to arrange in Idaho. Opponents, including representatives from Vitalant and the Red Cross, said directed and autologous donations are already available when medically indicated, that the bill addresses a problem that does not exist, and that it could add cost, complexity, and strain to an already severe blood shortage without improving safety. After debate over terms such as “detrimental” and “gross negligence,” a substitute motion to send the bill to amending order failed 7-9, and the original motion to send HB 528 to the House floor with a do pass recommendation passed 7-6.
The committee then approved a rules docket for the Idaho Commission for the Blind and Visually Impaired’s Business Enterprise Program, which updates and streamlines rules governing vending and food service facilities operated by blind entrepreneurs. The committee next took up House Bill 550, a midwifery bill updating Idaho’s existing statute to allow licensed midwives to administer additional medications within their training and scope of practice. The sponsor and several midwives, nurses, and other supporters said the changes would modernize outdated law, improve care in rural areas, reduce unnecessary hospital transfers, and better address postpartum hemorrhage and other maternal or neonatal needs. One testifier described a tragic homebirth outcome and urged stronger safety limits, while the Idaho Medical Association said it had worked with the sponsor on compromise language.
At the sponsor’s request, HB 550 was held in committee and the related revised RS was moved forward. The committee then approved RS-33-250, which incorporated agreed-upon changes defining a formulary and protocol and clarifying maternal and neonatal care language, sending it to the second reading calendar with a do pass recommendation. The meeting adjourned after completing the agenda.