Bills: HR91, HR92, HR93, HCR44, HR84, HR85, HR86, HR87, HR88, HR89, HR90, HCR42, HCR43, SCR21, HB483, HB484, HB893, HB1087, HB1088, HB1089, HB1090, HB1091, HB1092, HB1093, HB1094, HB1095, HB1096, HB1097, HB1098, HB1099, HB1100, HB1101, HB1102, HB1103, HB1104, HB1105, HB1106, HB1107, HB1108, HB1109, HB1110, HB1111, HB1112, HB1113, HB1114, HB1116, HB1117, HB1118, HB1119, HB1120, HB1121, HB1122, HB1123, HB1124, HB1125, HB1126, HB1127, HB1128, HB1129, HB1130, HB1131, HB1132, HB1133, HB1134, HB1135, HB1136, HB1137, HB1138, HB1139, HB1140, HB1141, HB1142, HB1143, HB1144, HB1145, HB1146, HB1147, HB1148, HB1149, HB1150, HB1151, HB1152, HB1153, HB1154, HB1155, HB1156, HB1157, HB1158, HB1159, HB1160, HB1161, HB1162, HB1163, HB1164, HB1165, HB1166, HB1167, HB1168, HB1169, HB1170, HB1171, HB1172, HB1173, HB1174, HB1175, HB1176, HB1177, HB1178, HB1179, HB1180, HB1181, HB1182, HB1183, HB1184, HB1185, HB1186, HB1187, HB1188, HB1189, HB1190, HB1191, HB1192, HB1193, HB1194, HB1195, HB1196, HB1197, HB1198, HB1199, HB1200, HB1201, HB1202, HB1203, HB1204, HB1205, HB1206, HB1207, HB1208, HB1209, HB1210, HB1211, HB1212, HB1213, HB1214, HB1215, HB1216, HB1217, HB1218, HB1219, HB1220, HB1221, HB1222, HB1223, HB1224, HB1225, HB1226, HB1227, HB1228, HB1229, HB1230, HB1231, SB1, SB54, SB82, SB87, SB92, SB93, SB99, SB104, SB113, SB114, SB115, SB123, SB129, SB133, SB161, SB162, SB224, SB236, SB275, SB280, SB289, SB305, SB310, SB325, SB330, SB339, SB350, SB359, SB382, SB410, SB412, HCR10, HB54, HB55, HB67, HB73, HB125, HB133, HB158, HB168, HB169, HB191, HB195, HB205, HB225, HB245, HB280, HB283, HB296, HB319, HB325, HB339, HB399, HB407, HB448, HB482, HB550, HB591, HB821, HB826, HB992, HB995, HB1085, HB1086, HR15, HR20, HCR14, HCR6, HCR19, HB861, HB889, HB904, HB907, HB908, HB929, HB1009, HB13, HB23, HB25, HB32, HB41, HB90, HB120, HB121, HB122, HB127, HB138, HB139, HB141, HB179, HB187, HB213, HB247, HB286, HB332, HB344, HB357, HB367, HB370, HB462, HB505, HB527, HB537, HB605, HB680, HB681, HB725, HB780, HB782, HB847, HB892, HB911, HB916, HB1012, HB81, HB134, HB154, HB163, HB170, HB194, HB217, HB220, HB254, HB259, HB290, HB308, HB311, HB360, HB382, HB401, HB410, HB417, HB463, HB575, HB592, HB718, HB723, HB750, HB755, HB776, HB812, HB844, HB882, HB888, HB961, HB966, HB980, HB228, HB289, HB735, HB796, HB284, HB301, HB722, HB468, HB546, HB746, HB842, HB923, HB46, HB166, HB349, HB352, HB436, HB588, HB140, HB429, HB827, HB953, HB901, HB9, HB52, HB58, HB193, HB400, HB570, HB577, HB582, HB733, HB747, HB868, HB952

Keywords: Tulane University, education, research, economic impact, healthcare, Louisiana, condolences, memorial, community service, faith, legacy, centenarian, tribute, honor, longevity, philanthropy, youth leadership, fundraising, nonprofits, physical therapy

Transcript Highlights:

• So, I years since the fees gone up.
• Um and fee per retail charging port.
• I think you’ve justified the fees.
• I think you’ve justified the fees.
• <00:52:01.040> adjustment licensing division um, fee adjustment licensing division um, fee

Keywords: 1187, senate, all

Transcript Highlights:

• Representative Dow, to put some guardrails on that language so that there would not be administrative fees
• , additional fees on your member grow project, since we're giving them this additional capacity.
• Representative Dow, to put some guardrails on that language so that there would not be administrative fees
• , additional fees on your member grow project, since we're giving them this additional capacity.
• Yes, that's up from $12 million that they were allocating for CTE and the previous pilot. Okay.

Keywords: 996, all

Transcript Highlights:

• <00:57:53.799> and their field to to go in for a fee and their field to to go in for a fee
• <00:58:32.599> hire model where you could for a fee hire model where you could for a fee hire
• to us on a sort of per capita allocation and that's part of the permanent federal tax code.
• <01:23:59.280> below developers compete and we allocate below developers compete and we allocate
• to us on a sort of per capita allocates to us on a sort of per capita allocation<01:27:10.960> and

Keywords: 1189, house, all

Transcript Highlights:

• This is our current budget allocation.
• This is our current budget allocation.
• This is $2 million for tenant broker fees. It's a 65,000-square-foot build-to-suit facility.
• The 18th item is $800,000 for increased fees for laboratory services and supplies.
• You had mentioned earlier legislation proposed by Senator Simon at SB 532 related to court fees.

Summary: The committee heard budget presentations from the Florida Department of Law Enforcement, the Department of Juvenile Justice, and the clerks of court. FDLE outlined 28 legislative budget requests for fiscal year 2026-27, including funding for a new Fort Myers regional operations center lease, technology and data system upgrades, moving several programs off uncertain federal grants, expanding the wellness office, cryptocurrency seizure efforts, cybersecurity, forensic equipment, digital forensics, criminal history modernization, training, and the SAFE fentanyl enforcement program. Members asked about the reported 79% increase in officer misconduct cases, the role of body cameras and masking, public records request burdens on local agencies, and the status of Fibers and the Uniform Arrest Affidavit systems. FDLE said the misconduct data covers all sworn officers and corrections personnel, that many cases would not be affected by body cameras because they involve off-duty conduct or internal matters, and that it is working with agencies and vendors to improve participation in reporting systems. DJJ Secretary Matt Walsh updated the committee on the Florida Scholars Academy, describing the new unified education system across 39 residential facilities. He reported first-year enrollment, course completions, graduations, and compliance results, and said the program now provides in-person and blended instruction, individualized support, mental health services, and career and technical education. He also discussed staffing shortages in some detention facilities, the need for more residential beds, and the importance of recognizing and supporting staff. In response to questions, he explained how the program addresses students with disabilities and behavioral needs through one-on-one instruction, paraprofessionals, and immediate mental health support. The clerks of court presented a budget request centered on funding shortfalls and rising costs. Clerk and Comptroller Stacey Butterfield said clerks are operating with outdated funding levels despite increased statutory duties, higher postage and staffing costs, and growing workloads in priority case types such as injunctions for protection and other high-risk matters. The clerks requested $22 million in direct appropriations, including support for due process costs, jury management, and staffing for 37 new judges approved last session. Members also asked about Senate Bill 532, which Butterfield described as a CPI-based measure to update court fines and fees that have remained unchanged since 2008. The committee took no votes on the presentations and adjourned after discussion.

Transcript Highlights:

• help us make decisions on how we fund things and what our funding formulas look like, and how we allocate
• This grant program allows for 100% of the tuition and fees and related instruction to be covered by this
• What happens is you can see over time, at the bottom, the allocation the legislature has given for this
• In fact, we haven't touched our lab fees either. We know that this is costing the college money.
• However, there are some lab fees, a very small portion, that would actually decrease in cost for the

Keywords: 999, senate, all

Transcript Highlights:

• Our work focused on whether project approvals, funding allocations, and expenditures complied with state
• So, Allison, you just look at the state allocation?
• Number four, finding 2025-04, changes to the renewal period and late fees.
• I think the performance audit came about when some of their questions came over fees and some of the
• So it's not, you know, not everybody's getting the same allocation.

Keywords: 908, all

Transcript Highlights:

• As demonstrated by their allocation of funds appropriated during last session through SB- and S.J.R.
• looked at the programs that we could either were currently operating or could get going fast to allocate
• So, a lot of the new districts are all fee-based districts, and the smaller districts have a really hard
• time getting. getting enough fee revenue to really do all the things that they need to do to manage
• You all are allocating a lot. of money, thank God you are, for water projects.

Bills: HB 1089, HB 1163, HB 1177, HB 1238, HB1318, HB1400, HB1407, HB1532, HJR7, HJR7

Keywords: coastal protection, environmental management, Gulf Coast, storm risk management, funding, Texas General Land Office, healthcare, insurance reform, patient access, insurance regulation, affordable care, health insurance, consumer rights, coverage transparency, claims process, insurance regulations, aggregate production, environmental impact, financial responsibility, reclamation

Transcript Highlights:

• Option two to fund our budgets are fee offices.
• I'm a fee office in Columbia County.
• You renew a tag, we get a fee. We renew your driver's license, we get a fee.
• We get a fee. We renew your driver's license, we get a fee.
• Do the fees cover the work? No, not really.

Summary: The Intergovernmental Affairs Subcommittee met to review how county budgets are developed and how constitutional officers fit into that process. Davin Suggs of the Florida Association of Counties gave an overview of county budgeting, explaining the statutory framework, the role of property taxes and TRIM notices, the fiscal-year timeline, fund balances and reserves, and the Department of Revenue’s oversight. He emphasized that county budgets include the board’s budget plus the budgets of constitutional officers, and that relationships and communication are critical to resolving budget issues. A panel of constitutional officers then described their offices’ budget processes and responsibilities: Escambia County Sheriff Chip Simmons discussed law enforcement budgeting and the importance of negotiated agreements with county commissions; Alachua County Property Appraiser Aisha Solomon explained the June 1 budget deadline, valuation methods, and the appeal process for property assessments; Manatee County Clerk and Comptroller Angelina Coleniso outlined the clerk’s court and finance duties, the county-side budget process, and the clerk’s personal liability under section 129.09 for unlawful expenditures; Leon County Supervisor of Elections Mark Early described the cyclical nature of election costs, staffing, equipment, and the impact of turnout and election law changes; and Columbia County Tax Collector Kyle Keene explained that tax collectors’ budgets are reviewed by the Department of Revenue, with fee offices funding themselves through service charges and budget offices relying on county support. Members asked about personal liability for unlawful spending, conflicts between clerks and county commissions, property valuation and storm damage adjustments, reserve levels, and whether tax collectors can retain excess fees. Responses noted that clerks must refuse illegal expenditures, property appraisers use market-based assessments with VAB and court review available, counties should maintain healthy fund balances for cash flow and emergencies, and tax collectors generally must zero out year-end balances and distribute excess revenues to taxing authorities. The committee took no votes and adjourned after thanking the panelists for their testimony.

Transcript Highlights:

• By combining general fund dollars with monies allocated in the Fair Share supplemental budget, the Senate
• We protect residents' bank accounts from being nickeled and dimed by junk fees, those recurring fees
• And then in the line item in the budget, you'll see the full allocation.
• It allocates equity adjustments based in part on something called the Child Opportunity Index, and that's
• We're allocating much-needed funds... ...as was discussed in the recent conversation, for the Department

Keywords: 995, all

Summary: The Senate opened with the Pledge of Allegiance, adopted two commendatory resolutions honoring the Plimpton Historical Society’s Deborah Sampson Day recognition and Megan’s Light’s Cystic Fibrosis Awareness Month observance, and suspended Joint Rule 12 to refer several House petitions to committee. The chamber also briefly recognized Diane Talk of the South Shore Regional Emergency Communication Center on her retirement after 30 years of dispatch service. Later, the Senate passed two local bills to enactment: House No. 4006, authorizing Dartmouth to grant an additional all-alcoholic beverages license, and House No. 473, relating to the charter of Westwood. The main business was the Senate Ways and Means presentation of the fiscal year 2027 budget, totaling about $63.3 billion. The chair described the budget as balanced, with no new taxes or tax cuts, based on a consensus revenue estimate of $986 million in growth over FY26 (2.4%), and including about $15.8 billion in federal financial participation and roughly $2.7 billion from the Fair Share surtax. The budget emphasized record local aid, including $1.376 billion in unrestricted general government aid, $7.66 billion for Chapter 70 education aid, increased minimum school aid, higher regional school transportation reimbursement, rural aid, and the revival of the Foundation Budget Review Commission. It also highlighted major investments in MassEducate free community college, food security, housing, and support for vulnerable residents. Members then engaged in extended colloquy on the budget’s major cost drivers and policy choices. Questions focused on debt service, pension and OPEB liabilities, MassHealth caseload and rising per-enrollee costs, child care funding, and program integrity in DTA and other benefit programs. The chair said debt service would be about $2.67 billion, pension payments would be $5.1 billion, OPEB would receive a $150 million payment, and MassHealth enrollment was projected at about 2 million with costs driven by acuity and medical inflation. He also said the budget includes no collective bargaining agreements and no state tax changes. Senators supporting the budget praised its investments in education, local aid, homelessness prevention, public health, libraries, and housing, while minority leaders and others stressed the need for fiscal discipline, transparency, and further work on affordability and municipal support. The Senate also received a House message on House No. 5316, which the House had nonconcurred in, and a conference committee was appointed on the disagreement.

Transcript Highlights:

• fee to replace dirty old cars, potentially through the Clean Cars for All program.
• That fee would only ever reduce gas prices because no one's ever going to pay a fee to sell gas during
• So this is a $10 per TEU fee on every container that leaves the port on a diesel truck.
• There was one year I was there, we allocated more than $22 billion in spending.
• We'd definitely love to talk more about what you're seeing in those increased fees.

Summary: The joint informational hearing of the Select Committee on Electric Vehicles and Charging Infrastructure focused on California’s EV market, charging infrastructure, and the effects of recent federal actions. The chair opened by emphasizing California’s progress on EV adoption and charging reliability, but also noted ongoing challenges with affordability, access, interoperability, heavy-duty electrification, and federal headwinds. She highlighted interest in technologies such as inductive charging and thanked host organizations and staff before moving to the first panel. State agency witnesses from Go-Biz, CARB, and the California Energy Commission described current programs and priorities. Go-Biz outlined its role in coordinating agencies, supporting permitting, and advancing the state’s ZEV market development strategy and equity action plan. CARB discussed federal attacks on its clean vehicle regulations, litigation to defend waiver authority, and the importance of incentives and regulatory programs such as Advanced Clean Trucks, Advanced Clean Fleets, Clean Truck Check, HVIP, and Clean Cars for All. The CEC detailed its funding and regulatory work on charging and fueling infrastructure, charger reliability, payment methods, roaming, and statewide planning, while stressing the need for more charging in multifamily housing and more public DC fast charging. All three agencies said federal rollbacks and permitting delays are major obstacles, but that California remains committed to expanding ZEV adoption. The second panel featured advocates, local government, utility, and research perspectives. CalETC urged continuous state funding through the Greenhouse Gas Reduction Fund and emphasized the low-carbon fuel standard, multifamily charging, and managed charging. An EV advocacy group proposed a conquest-style state incentive for new and used EV buyers and argued that multifamily housing is a major untapped market, while also favoring Level 2 charging over Level 1 for most home and apartment settings. Los Angeles County and LADWP described large-scale local deployment of chargers, fleet electrification, workforce training, and the need for sustained funding, agency coordination, and streamlined permitting and grid interconnection. UCS recommended prioritizing replacement of older high-emitting vehicles, using fuel policy revenues to support cleaner cars, and expanding bidirectional charging. The chair closed by asking for more discussion on Level 1 versus Level 2 charging and noted the importance of education, affordability, and practical deployment strategies.

Transcript Highlights:

• It allocates $15.5 million for women, infant, and children nutrition, program. That's WIC.
• libraries, and we heard this from my good friend, the vice chair of this committee, this budget allocates
• This budget allocates $20 million in state aid to public libraries, something that the Senate has championed
• has fought for and made law, a permanent universal community college program, free of tuition and fees
• A permanent universal community college program, free of tuition and fees, which expands economic opportunities

Keywords: 995, all

Summary: The Senate took up debate on the FY2026 general appropriations bill, with several members speaking in support of the Ways and Means budget. Senators Comerford, O’Connor, Feeney, and DiDomenico emphasized the budget as a values-driven response to federal uncertainty, highlighting investments in MassHealth, education, housing, food security, local aid, libraries, transit, mental and behavioral health, and support for vulnerable residents. They also praised the budget’s lack of new taxes and its focus on spending within available revenues, while noting major cost pressures from health care and federal policy instability. Specific programs and items repeatedly cited included universal free community college, expanded financial aid, rural and minimum school aid, TAFDC/EAEDC increases, the Healthy Incentives Program, universal school meals, housing supports, Home and Healthy for Good, and funding for Pappas Rehabilitation Hospital. Speakers framed these investments as both fiscally responsible and morally necessary, and several noted that amendments would be considered during the debate. No votes on the budget itself were taken in the excerpt. After the budget remarks, Senator Miranda spoke in recognition of Haitian Flag Day and the history of Haiti, including foreign interference and the importance of protecting Haitian immigrants in Massachusetts. Another senator then honored Malcolm X on the 100th anniversary of his birth, connecting his legacy to the budget process and calling for investments in equity, education, housing, and health care. The Senate then adopted an order to meet the next day at 10 a.m. with the general appropriations bill as the only item on the calendar, and adjourned.

Transcript Highlights:

• All of the revenue we collect through court fines and fees is deposited in the state's general fund or
• All of the revenue we collect through court fines and fees is deposited in the state's general fund or
• All of the revenue we collect through court fines and fees is deposited in the state's general fund or
• Revenue we collect through court fines and fees is deposited in the state's general fund or to local
• Given the modest share of the state budget allocated to the judiciary, we respectfully urge our partners

Keywords: 1183, house

Summary: The House Judiciary Finance and Civil Law Committee heard a presentation from State Court Administrator Jeff Shorba on the Minnesota judicial branch’s 2026-27 budget request. He outlined the courts’ structure and workload, noting 322 judges, about 2,800 staff, roughly 1 million district court cases annually, and a current budget of about $479 million. Shorba emphasized the courts’ constitutional role, the fact that court fines and fees are deposited into the general fund rather than retained by the branch, and recent legislative investments that helped reduce pandemic-era backlogs, improve technology, sustain treatment courts, and raise interpreter and examiner pay. The budget request focused on several areas: a 6% judicial salary increase to address recruitment and retention problems, including a 15% rise in turnover and a 27% drop in applicants since 2020; funding for health care and office lease cost increases; digital accessibility compliance work required by new federal ADA rules; a modernized justice partner access system for court records; higher pay for forensic psychological examiners, whose workload has risen sharply; increased juror compensation from $20 to $100 per day and mileage adjustments; and ongoing funding for interpreters, jury services, and cybersecurity. Shorba said the total request would be a 12% increase over the FY 2026-27 base budget. Members asked follow-up questions about funding for newly launched treatment courts and how those courts are financed after federal grants expire. Shorba said he would provide more detail later and noted the branch generally starts treatment courts with federal funding before seeking state support. Representative Ric also asked about labor negotiations, and Shorba explained that the judicial branch negotiates its own contracts rather than using the executive branch, with three unions involved and many unrepresented employees. No votes or formal actions were taken during the discussion.

Transcript Highlights:

• to develop real estate around stations, manage infrastructure such as tunnels, or establish usage fees
• But the smaller airports will get more revenues, whether you have a 50% allocation going directly back
• And is there any utilization of passenger fees, airport fees, on a per-landing basis or per-aircraft
• So we are moving, I think, towards a little bit more equitable allocation.
• It's 50% plus what they will get out of the other 50% allocation.

Summary: The Assembly Transportation Committee heard several measures, beginning with SB 86, which would extend and expand the CAEATFA sales and use tax exclusion program through 2031, raise the annual cap from $100 million to $200 million, and add fusion energy. Supporters, including the State Treasurer and industry and labor representatives, cited billions in clean-tech investment, job creation, and environmental benefits; county groups opposed the bill over local revenue losses. The committee approved SB 86 on a 12-0 roll, holding the roll open for additional members. The committee then heard SB 545, which would require Go-Biz to study economic development opportunities along the California high-speed rail corridor, including land value, development incentives, and public-private partnerships. Labor, Fresno’s mayor’s office, and other stakeholders supported the bill as a way to spur corridor development and future funding opportunities, while one business group moved from opposition to neutral after amendments. The bill passed on a 9-1 vote, with the roll held open. Members next considered SB 63, a Bay Area transit funding measure authorizing a regional revenue measure to support transit operations amid looming fiscal shortfalls. The author and witnesses described severe service cuts that could follow without new funding, while committee members raised concerns about the bill’s structure, county participation, polling, and whether other revenue options should be considered. The bill advanced on a 9-3 vote, with the roll held open, and the committee also approved SB 263, directing a state study of tariff impacts on California’s economy and supply chains, on an 11-0 vote. Finally, the committee heard SB 661, which would redirect aviation-related tax revenues back to airports for aviation purposes and bring the state into compliance with federal requirements; testimony focused on airport modernization, rural access, and allocation formulas, but no final vote was taken in the portion provided.

Transcript Highlights:

• Raises the DUI assessment fee from $160 to $200.
• So currently, with the fee structure the way it is, do these fees ever go unpaid, and if they do, what
• No, those fees would be paid prior to taking the assessment.
• to $55 fee.
• Would they pay the fee?

Bills: SB1192, SB1264, SB1284, SB1810, SB1921

Keywords: substance abuse, counseling, assessment fees, mental health, alcohol and drug programs, domestic violence, domestic abuse, assault and battery, assault, battery, strangulation, dangerous weapon, family or household member, intimate partner, pregnant woman, great bodily injury, batterers intervention program, batterers' intervention, anger management, victim safety

Transcript Highlights:

• Finances to date: as of May 31st, 2026, total capital spend is roughly $900,000, with A&E fees of $564
• We are working with OMB on our cost allocation, so that is not cost allocating correctly, which is why
• Where does that number lie in that total allocation? Yes.
• The total project costs, with architectural fees, is $69,948,928.40.
• The total project costs with architectural fees is $69,948,928, $928.40.

Keywords: 908, all

Summary: The committee was called to order, the roll was taken, and the March 18 minutes were approved. Members then received several project and program updates, beginning with CHI St. Alexius’s behavioral health buildouts in Bismarck, Williston, and Grand Forks. St. Alexius reported that the Bismarck project remains on track for June 2027 completion, with demolition underway and final design work nearing completion. Williston reported construction is progressing, staffing recruitment is underway for psychiatrists and other staff, and an air handler replacement is creating a roughly $750,000 unbudgeted barrier that will slightly delay the timeline. Grand Forks reported its expansion is about 30% complete, with no major barriers beyond weather, and leaders said the project should be substantially complete in the first quarter of 2027. The Department of Health and Human Services then presented a series of budget and program updates. Donna Ockland explained several recent line-item transfers as technical corrections that net to zero and do not require new spending, then reviewed salaries, wages, and FTE counts, noting the department remains within its authorized staffing levels. Pat Rainer followed with an update on the Rural Health Transformation Program, saying 12 opportunities have been posted, 422 applications received, and $8.4 million obligated so far, with a goal of obligating the full $199 million by September. He described grants for workforce retention, rural rotations and housing, community gardens, school wellness, behavioral health promotion, safety net services, equipment, technology, EMS, and other initiatives, emphasizing that the program is intended to be transformational and tied to metrics. Members asked extensive questions about how rural eligibility is defined, how grants will support both rural facilities and hub hospitals, and how future years of funding will build on current awards. The committee also heard an update on certified community behavioral health clinics from Elena Zeller, who said North Dakota has been accepted as a demonstration state, implementation is underway in Williston, North Central/Minot, Fargo, and Dickinson, and care coordination and service counts are increasing. Rebecca Askins then reviewed SNAP payment error rates, saying the 2025 rate was finalized at 9.89%, with the state aiming to get below 6% through policy updates, training, data tools, and a quality assurance team. Members pressed her on the causes of the error rate, the role of the SPACES software system, and the need for accountability and improvements. Finally, Dirk Wilkie reported the state laboratory project reached substantial completion on June 12 and is on budget at about $69.95 million, though a service elevator had to be redesigned because it was too small for equipment.

Transcript Highlights:

• CCOs are required to pay 110% of our fee schedule to those types of providers that qualify.
• That's a budget-neutral allocation. Okay. I've alluded to this a little bit.
• And in addition, there is now a 90-day notice on any fee-for-service rate changes.
• So CCOs are aware in advance of what's coming down the pike for fee for service.
• Their fee schedule is fairly not as varied as in physical health.

Keywords: 907, all

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

Transcript Highlights:

• The fees we have are incredible fees that are increasing.
• The fees, we have<00:38:03.680> fees,<00:38:04.320> incredible<00:38:04.880> fees
• fee.
• The facility fee charged a facility fee.
• they're assessing the they're allocating they're assessing the fees<03:09:41.920> um<03:09:42.080

Keywords: 1187, senate, all

Transcript Highlights:

• This includes an inspection and supervision fee, as well as application fees.
• Currently, utility fees go into the general fund.
• And right now you said that the fees that you are.
• So under the previous fee, it was roughly 16 million.
• The fees would go into the fund.

Transcript Highlights:

• not residents would pay this higher fee. not residents would pay this higher fee.
• It is not a taxes and it is a user fee.
• They are paying our turnpike fees.
• 35:36.000> which<01:35:36.239> means allocations are going down which means allocations
• You can get back to me. going to cost the state a fee to do going to cost the state a fee to do this?

Keywords: 1191, senate, all