Transcript Highlights:

• system would save municipalities time and money and would be consistent with direct, sound direct payment
• By streamlining the benefits and shifting the payment to the state's municipalities, we can focus on
• You said that the payments to the veterans remain the same, which is important. Thank you.
• You said that the payments to the veterans remain the same, which is important.
• The state would be on the hook for 100% of the payments.

Committee: Joint Joint Committee on Veterans and Federal Affairs

Keywords: 995, all

Summary: The Joint Committee on Veterans and Federal Affairs held its first public hearing of the 2025–2026 session, with House Chair Rep. Joe McGonagle outlining the committee’s focus on veterans’ benefits, military families, and related policy priorities. He noted the committee’s recent record of advancing major veterans legislation, described the hearing as hybrid, and explained that testimony would be limited to three minutes. The committee then heard testimony on several bills, including H. 3886/S. 2503, H. 3863/S. 2480, and H. 3859, among others. Melissa Willett of the Department of Defense and Rep. John Stanley testified in support of H. 3886/S. 2503, which would expand support for military families by improving school open enrollment flexibility, special education continuity, concurrent jurisdiction for juvenile matters on military installations, and coordination around military protective orders. Committee members questioned the juvenile jurisdiction and protective-order provisions, with concerns raised about federal versus state authority and due process; witnesses said the jurisdiction change would be case-by-case and that military protective orders are commander-issued decisions that could be used as evidence in civilian proceedings. The Department of Defense said the proposal aligns with priorities from military stakeholders and other New England states. Jim Keene testified in support of H. 3863/S. 2480, seeking a cost-of-living adjustment for veterans’ benefits and extending certain benefits to Guard and Reserve members killed on active duty. Allie DeBateau of the Massachusetts Municipal Association testified on H. 3859, which would streamline veterans benefits administration by having the state pay benefits directly rather than reimbursing municipalities quarterly; she said this would reduce local administrative burden while leaving local veterans service officers’ roles unchanged. Committee members asked about municipal support and the fiscal impact, and the hearing concluded with no votes taken, followed by adjournment.

Transcript Highlights:

• to attempt to collect unpaid debts from patients by contacting the patient and trying to work out payment
• Individual Coverage Health Reimbursement Agreements, otherwise known as ICRA, is a program that offers
• So there is an ICHRA, which is the federal reimbursement arrangement that allows for reimbursements that
• That payment will be decided by the lesser of these three items: either the local county rate that is
• This bill also requires the agency to reimburse for CGMs under the Medicaid Pharmacy Benefit.

Transcript Highlights:

• payments every year.
• payments every year.
• payments every year.
• payments every year.
• DVS reimburses them for the fees they were not paid for.

Keywords: 1187, senate, all

Transcript Highlights:

• So we may already know you're receiving a disability payment and therefore would be exempt, or we may
• Traditionally, that program is eligible for 50% reimbursement.
• So providers would receive a percentage of their costs reimbursed from the federal government.
• Because of H.R. 1, that reimbursement has been decreased to 25%.
• And so while... ...reimbursement has been decreased to 25%.

Summary: The committee held its second hearing on CalFresh enrollment and nutrition, focused on the effects of H.R. 1 on eligibility, administration, and food access in California. The Legislative Analyst’s Office and the Department of Social Services outlined major federal changes: expanded work requirements for able-bodied adults without dependents, narrowed eligibility for certain lawfully present non-citizens, and new state and county cost-sharing for both administrative and benefit costs. Officials said about 665,000 Californians could lose benefits under the work requirement, roughly 72,000 non-citizens could lose eligibility, and California could face hundreds of millions to billions in new costs depending on error rates and implementation details. DSS described its mitigation efforts, including county guidance, trainings, automation, outreach materials, and coordination with workforce programs, while county representatives argued the workload is larger than current funding assumptions and that staffing and training needs are urgent. Members also heard from a CalFresh recipient, Lauren Keltz, who described how benefits helped her family during her daughter’s medical crisis and how a clerical error led to the loss of food, health, and cash assistance, contributing to homelessness and food insecurity. Her testimony was used to underscore the consequences of administrative errors and benefit disruptions. Grocery and agriculture representatives said CalFresh is not only an anti-hunger program but also a major economic driver, with benefits spent locally at grocery stores, farmers markets, and farm stands. They warned that cuts would reduce demand for fresh food, hurt independent grocers and small farmers, and increase reliance on food banks, while urging continued support for market match and farm-to-food-bank programs. In the second panel, advocates and local administrators emphasized the human and operational impacts of the federal changes. The California Immigrant Policy Center called for expanding the state-funded California Food Assistance Program to cover more immigrants excluded by H.R. 1. A San Francisco eligibility worker and a San Diego county administrator said the new rules will add substantial casework, require more client outreach and exemption screening, and strain already limited staffing. Justice in Aging stressed that CalFresh is a key anti-hunger tool for older adults and people with disabilities, especially as housing and health costs rise, and supported outreach funding for seniors. Throughout the hearing, members discussed the need for state funding, better automation, and stronger county and community partnerships to reduce disenrollment and protect access to food.

Transcript Highlights:

• But the interpreter payments are still per hour, three dollars.
• And H2 provides $56.3 million to support these payments.
• Payment errors are not the same as fraud.
• What we are changing some policy on is to lower that payment error rate.
• But it's not our only effort to try and reduce that payment error rate.

Committee: Joint Joint Committee on Ways and Means

Summary: The Joint Committee on Ways and Means held an FY27 Health and Human Services budget hearing in Mattapan, hosted at the Boston Public Library branch. Chairs Lydia Edwards and Russell Holmes, along with Rep. Brandy Fluker-Reid, emphasized the significance of holding the first Ways and Means hearing ever in Mattapan and highlighted the importance of bringing state budget deliberations into a majority-Black neighborhood. Several legislators introduced themselves as they joined, and the committee noted that public testimony was not part of the format, though agencies were invited to discuss priorities and challenges. MassAbility opened the agency testimony. Leadership described the agency’s mission to support people with disabilities through employment, training, home and community life services, and disability determination. They said Governor Healey’s FY27 budget funds MassAbility at $93.3 million, a 1% reduction from FY26, and explained that the agency is responding to federal funding uncertainty and shifting program needs by redesigning services internally. Members questioned a proposed $1.3 million reduction to the Home Care Program, staffing changes, and whether services could be maintained with fewer resources. MassAbility said it was reviewing data on who uses the program, that it does not provide nursing or personal care, and that it is working with a transition plan and a working group. The agency also discussed federal uncertainty around vocational rehabilitation funding and said it had received delayed federal awards but remained in contact with national associations and federal partners. The testimony included a personal story from a participant, Joshua Corcoran, to illustrate the impact of services. The Massachusetts Commission for the Deaf and Hard of Hearing testified next, requesting $11.27 million, about a 6% increase over FY26. The commission said it serves about 1.4 million residents and focuses on communication access in health care, courts, public safety, and other public systems. It highlighted interpreter and captioner workforce shortages, a mentorship program to expand the provider pool, and a modernized referral platform funded through capital contingency money. Members asked about interpreter availability, after-hours emergency coverage, ASL access for students and families, and training for police and emergency responders. The commission said staffing remains limited, especially for after-hours services, but that it is expanding training, school outreach, and partnerships with DCF and other agencies. The Massachusetts Commission for the Blind then presented its FY27 budget request of $30.8 million. The commissioner said the agency serves nearly 9,000 legally blind residents, provides training and peer support, and placed 190 consumers in competitive integrated employment this year. It also described services for older adults, vocational rehabilitation, and the Turning 22 program for young adults with additional disabilities. Members raised concerns about a 7% cut from the prior year and asked how the agency could maintain services; the commissioner said the agency had no waiting list, had trimmed overhead, and could manage the budget through internal efficiencies and strong partnerships. The Office for Refugees and Immigrants closed the session, describing expanded legal and support services for immigrants and refugees, including Know Your Rights trainings, the Massachusetts Access to Counsel Initiative, citizenship and financial literacy programs, and the Family Welcome Center in Mattapan. Members asked about federal funding losses and the structure of the new legal services program; ORI said FY26 funding is stable but FY27 federal cuts remain uncertain, and that the legal program uses a centralized intake system with priority for emergencies and first-come, first-served access.

Transcript Highlights:

• , episode-of-treatment payments.
• , ability to recoup costs for any identified improper contract payments and contractor payments in the
• </c> contractor payments in the appropriate contractor payments in the appropriate state<03:23:50.560
• </c> categories of reimbursement and rates. categories of reimbursement and rates.
• reimburse reimburse the<03:50:28.239><c> company</c><03:50:28.479><c> that</c><03:50:28.720><c> I</c

Keywords: 1189, house, all

Summary: The commission met to approve the May 18, 2026 minutes and then focused on how SB 57’s special education cost study should inform HB 1099, which creates a separate study committee on residential placements and related education costs. Members discussed sending the commission’s minutes and findings to that new committee, noting the short timeline for its work and the need to be specific about unresolved issues so the new group does not duplicate the same questions. A major topic was the cost and responsibility for students placed at Spalding and similar residential programs, especially transportation and whether costs are paid through the Department of Education’s episode-of-treatment (EOT) fund, local districts, DHS, or Medicaid. Staff explained that for students with disabilities, EOT funds cover special education and transportation costs tied to the placement, while students without disabilities are handled through DHS care-management and best-interest meetings. Members raised concerns about whether some students at Spalding are receiving no schooling, whether transportation costs are substantial, and whether Medicaid reimbursement could offset some expenses. The commission also discussed confusion over district responsibility when students placed in residential programs attend school in another district, using Winnisquam as an example. Several members said the receiving district was not notified that DHHS-approved programs could bring in additional students and costs, and they suggested DHHS or its care-management entity should notify both the district of residence and the receiving district when a program is approved. The group agreed this notification issue, along with transportation funding, privacy concerns in Medicaid-to-schools billing, and the distinction between special education placements, EOT placements, and other voluntary residential placements, should be passed to the HB 1099 study committee for further work.

Transcript Highlights:

• It increases the CalWORKs maximum aid payment by 1.8% effective October 1 of this year.
• The payments are provided directly through what we call the fee-for-service system by the state.
• We delayed cuts to immigrant health coverage, dental, and clinic payments until July of 2027.
• , and two, to begin to ask for forgiveness of those payments.
• We need to raise Medi-Cal reimbursement rates. It’ll solve it.

Summary: The Senate Committee on Budget and Fiscal Review heard the 2026-27 budget package, including AB 111 and AB 112 plus 16 trailer bills and two policy bills. Chair Laird described the budget as balanced over two fiscal years, with about $351.7 billion in total spending, $251.5 billion General Fund, and record reserves, while emphasizing investments in child care, homelessness, housing, Medi-Cal, education, courts, and other core programs. The Department of Finance presented each bill, outlining major items such as Medi-Cal adjustments tied to federal H.R. 1, child care and early learning funding, education and higher education investments, human services, developmental services, health, skilled nursing, resources, energy, transportation, housing, labor, state government, courts, taxation, and two policy bills on education governance and ballot measure placement. The LAO said it had no additional comments but was available for questions. The committee later achieved quorum and moved to member questions and comments, with no votes taken in the portion provided. Members largely focused on the budget’s fiscal structure and policy implications. Several senators praised staff and noted the compressed timeline, while Vice Chair Niello criticized the process as overly complex and burdensome. Senator Smallwood-Cuevas supported the budget but raised concerns about Medi-Cal changes for people with unsatisfactory immigration status, asking about access to care, the number affected, and county eligibility support; Finance said about two million people would transition to fee-for-service and that $39 million was included for care coordination, along with additional county eligibility funding. Senator Durazo said the agreement delayed, but did not resolve, cuts to immigrant health coverage, dental, and clinic payments, and argued that the budget did not create a true restoration mechanism. Senator Richardson highlighted hospital funding, public hospital definitions, DMV data protections, and court construction and maintenance needs, while Senator Grove questioned the sustainability of spending, the Medi-Cal savings assumptions, distressed hospital funding, Planned Parenthood transparency, developmental services changes, high-speed rail costs, and the property tax postponement program. Other members emphasized different priorities. Senator Blake Spear praised climate and parks investments, support for HAP homelessness funding with accountability, transit stabilization, and Care Court referral funding, while expressing concern about the lack of wildlife coexistence funding and long-term transit operating support. Senator Weber Pearson raised a technical concern in the health trailer bill regarding menopause language, arguing that the bill should refer to perimenopausal symptoms and should not narrow provider participation through contracting language. Throughout the hearing, Finance repeatedly explained that many of the budget’s savings came from reduced caseloads or delayed implementation of prior proposals, while some new spending was added to mitigate impacts and support administration of the changes. No final committee action or vote was shown in the excerpt.

Transcript Highlights:

• As I understood your answer, it is that if a data center doesn't pay its bill, if they have non-payment
• It's my understanding that federal reimbursements must be used for federal declared emergencies.
• Federal reimbursements must be used for federal declared emergencies. Senator Pizzo. Thank you.
• reimbursements must be used for federal declared emergencies.
• The timing of our reimbursement today is unknown. We have a commitment and a promise.

Summary: The Senate opened with prayer, the Pledge of Allegiance, and several member introductions, then moved to House messages and special order business. The chamber concurred in amendments and passed Senate Bill 628 on transportation facility designations, CS/CS/HB 1389 on the Live Local affordable housing package, and CS/CS/HB 1451 on utility services. The utility bill’s House amendment shortened the phase-out of certain surcharges tied to bond covenants and advanced reporting deadlines for municipal utilities. The Senate also passed CS/CS/HB 1279, the education bill, after substituting it for SB 7038 and adopting an amendment that combined agreed-upon provisions on student health and safety, early learning, math, virtual instruction, career and technical education, school choice, university accountability, tuition protections, and financial aid. Several other bills were temporarily postponed, including SB 7036, SB 208, SB 1260, and SB 7034. A major portion of the meeting focused on CS/CS/HB 484, the data centers bill. Senators discussed the House amendment’s changes to ratepayer protections, the removal of the Senate’s nondisclosure-agreement prohibition, the 12-month confidentiality period, and a required OPAGA study. Supporters emphasized stronger language preventing data center costs from being shifted to residential and commercial ratepayers, while opponents raised concerns about transparency, local notice, and the possibility that communities could be kept unaware of projects for up to a year. After debate, the Senate concurred in the House amendment and passed the bill. The chamber then took up CS/CS/HB 399 on land use and development regulations, where debate centered on a proposed Fontainebleau Hotel water park project in Miami Beach and a series of amendments. One amendment to remove the project-specific language failed, while other amendments were adopted, including a sunset provision and a change related to compost facility permitting. A broader amendment dealing with Miami-Dade’s urban development boundary was also adopted, preserving the existing supermajority threshold for changes. The most contentious proposal was an amendment by Senator Martin creating a process for property owners to challenge rural boundary designations and seek compensation or removal from the designation without going to court; senators debated property rights, local planning, and the impact on Orange and Seminole counties, and the discussion included sharp exchanges before the transcript ended during debate on that amendment.

Transcript Highlights:

• We have some folks from Indian Country that are asking for payment in lieu of taxes for the tribes in
• Now, in general, for federal lands, the United States is doing payment.
• Other services the individual might need do not have a payment source.
• We've increased payments for residential services by over 1,700% and payments for outpatient services
• Awards will be issued on a reimbursement basis.

Summary: The committee met at Spirit Lake Tribe and first heard welcoming remarks and introductions from tribal leaders and program directors. Chairwoman Street and other tribal representatives outlined a range of concerns and requests for state action, including taxation of reservation lands, support for non-beneficiary students at the tribal school, homelessness funding, Indian-managed health care, gaming and e-tabs, Feather Alert improvements, industrial farming near waterways, tourism, and better state-tribal consultation. Committee members responded that the meeting was intended to improve understanding and communication, and several members suggested future legislation or resolutions could be used to advance some of the issues. The tribe also offered to provide training on treaties, IHS 638, and compact services to legislators and staff. A major portion of the discussion focused on Spirit Lake fish and wildlife jurisdiction and the lake boundary. Tribal representatives asked for an MOU or co-stewardship agreement with the state to clarify hunting and fishing rights, recognize tribal licenses, and reduce recurring disputes over “gray areas” on the reservation and lake. Committee members discussed whether to draft a bill or resolution directing the executive branch and state agencies to negotiate such an agreement, and asked that North Dakota Game and Fish be invited to a future meeting. Related concerns included aquatic nuisance species prevention, with both sides agreeing that more aggressive boat inspection and cleaning measures would be beneficial. The committee also discussed taxation and county relations. Tribal leaders raised concerns about county resistance to fee-to-trust transfers and about property and vehicle taxation affecting members living on or near reservation lands. Committee members and tribal counsel reviewed federal treaty principles and court cases, and one member noted that the committee had previously taken no formal action on similar issues. Later, Benson County’s tax equalization director explained how the county values taxable land, handles inundated land applications, and tracks land coming off the tax rolls when the tribe repurchases acreage. The discussion ended with a presentation from the president of Sisseton Wahpeton College, who described the college’s programs, economic impact, and funding needs, followed by an HHS presentation on 1115 Medicaid waivers and the IMD exclusion as the committee moved to its next topic.

Transcript Highlights:

• House Bill 638 by Representative Jacob Landry is an act in Title 9 relative to the prompt payment to
• , while establishing penalties when payments are wrongfully withheld without a good-faith dispute.
• House Bill 478 by Representative Knox is an act to amend Title 51 relative to reimbursement for utility
• House Bill 478 by Representative Knox is an act to amend Title 51 relative to reimbursement for utility
• Members, this law provides that a utility provider that has overcharged a customer shall reimburse the

Bills: SR134 , SR135 , SR136 , SR137 , SR140 , SR141 , SR142 , SCR75 , SCR77 , SCR12 , HB75 , HB1199 , HB221 , HCR89 , HCR96 , HCR103 , HCR108 , HCR58 , HB9 , HB177 , HB181 , HB198 , HB202 , HB223 , HB225 , HB387 , HB398 , HB457 , HB459 , HB540 , HB591 , HB616 , HB766 , HB775 , HB783 , HB797 , HB895 , HB906 , HB950 , HB975 , HB1028 , HB1052 , HB1057 , HB1076 , HB1100 , HB1139 , HB1155 , HB1160 , HB1182 , HB1186 , HB1220 , HB1222 , HB1223 , HB1224 , HB1228 , HB1231 , HB1245 , HB1256 , SCR3 , SB393 , SB401 , SB415 , SB426 , SB435 , SB487 , SB488 , SB523 , SB56 , SB163 , SB341 , SB504 , SB322 , SCR9 , SCR58 , SB35 , SB65 , SB215 , SB246 , SB249 , SB269 , SB282 , SB296 , SB323 , SB363 , SB369 , SB474 , SB490 , SB492 , SB500 , SB514 , HCR27 , HCR28 , HCR66 , HCR67 , HCR72 , HCR31 , HCR47 , HCR41 , HB363 , HB368 , HB377 , HB380 , HB386 , HB392 , HB431 , HB441 , HB559 , HB664 , HB685 , HB715 , HB741 , HB822 , HB856 , HB908 , HB980 , HB990 , HB999 , HB1010 , HB1243 , HB54 , HB137 , HB180 , HB192 , HB310 , HB321 , HB396 , HB512 , HB552 , HB578 , HB638 , HB663 , HB708 , HB717 , HB718 , HB1009 , HB1082 , HB1104 , HB1107 , HB1198 , HB1246 , HB27 , HB143 , HB205 , HB259 , HB267 , HB288 , HB308 , HB403 , HB405 , HB414 , HB417 , HB478 , HB546 , HB548 , HB555 , HB557 , HB609 , HB670 , HB672 , HB740 , HB779 , HB786 , HB796 , HB812 , HB848 , HB915 , HB917 , HB921 , HB930 , HB933 , HB1095 , HB1096 , HB1103 , HB1129 , HB1154 , HB1166 , HB1187 , HB1195 , HB1230 , HB316 , HB511 , HB799 , HB1039 , HB12 , HB66 , HB145 , HB167 , HB196 , HB213 , HB218 , HB222 , HB256 , HB291 , HB326 , HB352 , HB401 , HB430 , HB433 , HB434 , HB448 , HB456 , HB476 , HB481 , HB487 , HB492 , HB549 , HB579 , HB608 , HB621 , HB624 , HB626 , HB632 , HB637 , HB656 , HB722 , HB745 , HB804 , HB818 , HB821 , HB833 , HB864 , HB867 , HB874 , HB893 , HB909 , HB951 , HB968 , HB969 , HB978 , HB979 , HB988 , HB989 , HB1001 , HB1005 , HB1007 , HB1024 , HB1032 , HB1038 , HB1050 , HB1051 , HB1056 , HB1059 , HB1077 , HB1080 , HB1081 , HB1086 , HB1108 , HB1112 , HB1153 , HB1172 , HB1173 , HB1175 , HB1192 , HB1193 , HB1204 , HB1218 , HB1242 , HB1244 , HB1249 , HB1252 , HB1254 , HB17 , HB36 , HB41 , HB47 , HB73 , HB126 , HB133 , HB140 , HB159 , HB166 , HB211 , HB226 , HB271 , HB324 , HB337 , HB351 , HB399 , HB571 , HB712 , HB723 , HB726 , HB750 , HB759 , HB844 , HB966 , HB1006 , HB1018 , HB1036 , SB29 , SB42 , SB43 , SB78 , SB208 , SB217 , SB274 , SB300 , SB379 , SB382 , SB387 , SB441 , SB449 , HB74 , HB134 , HB258 , HB359 , HB468 , HB956 , HB1117 , SB149

Keywords: SR134, Senate Resolution 134, Isaac Herzenberg, Metairie Park Country Day School, Country Day, javelin, track and field, Class 2A, state championship, high school athletics, student athlete, Louisiana Senate commendation, honorary resolution, sports recognition, University of Nebraska, Baton Rouge, LSU Bernie Moore Track Stadium, sportsmanship, collegiate athletics, condolence resolution

Transcript Highlights:

• and data collection, as well as using our all-payer claims database and looking at those claims payments
• of that reimbursement.
• I believe the bill that you passed last year that, again, helps us contain the reimbursement for PEBB
• of that reimbursement.
• So, ideally, you want your reimbursement to drive quality. You want it to drive access.

Bills: SB5877 , SB5967

Committee: Senate Health & Long-Term Care

Keywords: anesthesiology, medical personnel, surcharges, licensing, healthcare regulations, preventive services, state authority, healthcare access, insurance coverage, public health, 904, all

Transcript Highlights:

• and data collection, as well as using our all-payer claims database and looking at those claims payments
• of that reimbursement.
• I believe the bill that you passed last year that, again, helps us contain the reimbursement for PEBB
• of that reimbursement.
• Ideally, you want your reimbursement to drive quality, access, and reduced disparities.

Summary: The Senate Health and Long-Term Care Committee opened its 2026 session with a work session focused on the committee’s priorities of access, quality, and affordability. Health Care Authority staff Michelle Needham and Ross Florey reviewed the Health Care Cost Transparency Board’s work, noting Washington’s uninsured rate has fallen from 15% in 2010 to 5%, but health care spending growth remains above the benchmark. They said 2023 spending grew 6.2% versus a 3.2% target, with prescription drugs, hospital outpatient care, professional services, and non-claims spending driving growth. They highlighted ongoing work on market transparency, hospital spending, primary care, and federal policy changes that could reduce coverage and increase uncompensated care. Dr. Drew Oliva of the Washington Health Alliance added quality and safety data, saying many measures remain below top national performance, primary care attachment is weak, hospital pricing varies widely, and behavioral health data are limited. He urged stronger primary care investment, more transparency, and better patient safety oversight. Committee members then introduced themselves and staff before moving to public hearings. The committee first heard Senate Bill 5877, a technical fix expanding the physician health program surcharge to certified anesthesiologist assistants so they can participate in the Washington Physicians Health Program and related educational resources. The bill sponsor and witnesses from the Washington Medical Commission, the Washington Academy of Anesthesiologist Assistants, and the Washington Physicians Health Program all supported the measure, describing it as a consistency and access fix for a newly licensed profession. The bill drew 12 pro, 2 con, and 0 other sign-ins. The committee then heard Senate Bill 5967, which would preserve access to preventive services by allowing the Department of Health to issue immunization recommendations based on multiple expert sources and by freezing state insurance coverage protections for preventive services and vaccines as of mid-2025, with OIC rulemaking authority to keep coverage at least as favorable. The sponsor, Insurance Commissioner Patty Kuderer, Secretary of Health Dennis Worsham, and Governor’s office staff said the bill is intended to protect existing coverage, not create new vaccine mandates, and to keep recommendations grounded in science amid federal uncertainty. Supporters included Dr. Helen Chu, Dr. Beth Harvey, Dr. Maria Huang, Dr. J. Miller, and Dr. Matt LaGalbo, who emphasized vaccine safety, rising vaccine-preventable diseases, and the importance of no-cost preventive care. Opponents, including Bob Runnels and Natalie Chavez, argued the bill politicizes vaccines, reduces transparency, and expands state authority without adequate fiscal detail. The hearing continued with additional testimony after the excerpt ended.

Transcript Highlights:

• Relaying to credit toward payment of fines and costs for certain defendants to criminal justice.
• Senate Bill 192 by Menendez relating to a grant program to reimburse public schools for certain costs
• Senate Bill 200 by Menendez, relating to the payment of support rights and benefits for a child placed
• Senate Bill 302 by Perry relaying the payment of certain costs associated with certain assignments of
• Human Services. fees for non-payment or late payment for a utility to business and commerce. of information

Bills: SJR36 , SB2 , SJR6 , SJR7 , SJR8 , SJR9 , SJR10 , SJR11 , SJR12 , SJR13 , SJR14 , SJR15 , SJR16 , SJR17 , SJR18 , SJR19 , SJR20 , SJR21 , SJR22 , SJR23 , SJR24 , SJR25 , SJR26 , SJR27 , SJR28 , SJR29 , SJR30 , SJR31 , SJR32 , SJR49 , SCR1 , SCR2 , SCR3 , SCR4 , SCR5 , SCR6 , SCR8 , SCR9 , SB9 , SB41 , SB42 , SB43 , SB44 , SB45 , SB46 , SB47 , SB48 , SB49 , SB50 , SB51 , SB52 , SB53 , SB54 , SB55 , SB56 , SB57 , SB58 , SB59 , SB60 , SB61 , SB62 , SB63 , SB64 , SB65 , SB66 , SB67 , SB68 , SB69 , SB70 , SB71 , SB72 , SB73 , SB74 , SB75 , SB76 , SB77 , SB78 , SB79 , SB80 , SB81 , SB82 , SB83 , SB84 , SB85 , SB86 , SB87 , SB88 , SB89 , SB90 , SB91 , SB92 , SB93 , SB94 , SB95 , SB96 , SB97 , SB98 , SB99 , SB100 , SB101 , SB102 , SB103 , SB104 , SB105 , SB106 , SB107 , SB108 , SB109 , SB110 , SB111 , SB112 , SB113 , SB114 , SB115 , SB116 , SB117 , SB118 , SB119 , SB120 , SB121 , SB122 , SB123 , SB124 , SB125 , SB126 , SB127 , SB128 , SB129 , SB130 , SB131 , SB132 , SB133 , SB134 , SB135 , SB136 , SB137 , SB138 , SB139 , SB140 , SB141 , SB142 , SB143 , SB144 , SB145 , SB146 , SB147 , SB148 , SB149 , SB150 , SB151 , SB152 , SB153 , SB154 , SB155 , SB156 , SB157 , SB158 , SB159 , SB160 , SB161 , SB162 , SB163 , SB164 , SB165 , SB166 , SB167 , SB168 , SB169 , SB170 , SB171 , SB172 , SB173 , SB174 , SB175 , SB176 , SB177 , SB178 , SB179 , SB180 , SB181 , SB182 , SB183 , SB184 , SB185 , SB186 , SB187 , SB188 , SB189 , SB190 , SB191 , SB192 , SB193 , SB194 , SB195 , SB196 , SB197 , SB198 , SB199 , SB200 , SB201 , SB202 , SB203 , SB204 , SB205 , SB206 , SB207 , SB208 , SB209 , SB210 , SB211 , SB212 , SB213 , SB214 , SB215 , SB216 , SB217 , SB218 , SB219 , SB220 , SB221 , SB222 , SB223 , SB224 , SB225 , SB226 , SB227 , SB228 , SB229 , SB230 , SB231 , SB232 , SB233 , SB234 , SB235 , SB236 , SB237 , SB238 , SB239 , SB240 , SB241 , SB242 , SB243 , SB244 , SB245 , SB246 , SB247 , SB248 , SB249 , SB250 , SB251 , SB252 , SB253 , SB254 , SB255 , SB256 , SB257 , SB258 , SB259 , SB260 , SB261 , SB262 , SB263 , SB264 , SB265 , SB266 , SB267 , SB268 , SB269 , SB270 , SB271 , SB272 , SB273 , SB274 , SB275 , SB276 , SB277 , SB278 , SB279 , SB280 , SB281 , SB282 , SB283 , SB284 , SB285 , SB286 , SB287 , SB288 , SB289 , SB290 , SB291 , SB292 , SB293 , SB294 , SB295 , SB296 , SB297 , SB298 , SB299 , SB300 , SB301 , SB302 , SB303 , SB304 , SB305 , SB306 , SB307 , SB308 , SB309 , SB310 , SB311 , SB312 , SB313 , SB314 , SB315 , SB316 , SB317 , SB318 , SB319 , SB320 , SB321 , SB322 , SB323 , SB324 , SB325 , SB326 , SB327 , SB328 , SB329 , SB330 , SB331 , SB332 , SB333 , SB334 , SB335 , SB336 , SB337 , SB338 , SB339 , SB340 , SB341 , SB342 , SB343 , SB344 , SB345 , SB346 , SB347 , SB348 , SB349 , SB350 , SB351 , SB352 , SB353 , SB354 , SB355 , SB356 , SB357 , SB358 , SB359 , SB360 , SB361 , SB362 , SB363 , SB364 , SB365 , SB366 , SB367 , SB368 , SB369 , SB370 , SB371 , SB372 , SB373 , SB374 , SB375 , SB376 , SB377 , SB378 , SB379 , SB380 , SB381 , SB382 , SB383 , SB384 , SB385 , SB386 , SB387 , SB388 , SB389 , SB390 , SB391 , SB392 , SB393 , SB394 , SB395 , SB396 , SB397 , SB398 , SB399 , SB400 , SB401 , SB402 , SB403 , SB404 , SB405 , SB406 , SB407 , SB408 , SB409 , SB410 , SB411 , SB412 , SB413 , SB414 , SB415 , SB416 , SB417 , SB418 , SB419 , SB420 , SB421 , SB422 , SB423 , SB424 , SB425 , SB426 , SB427 , SB428 , SB429 , SB430 , SB431 , SB432 , SB433 , SB434 , SB435 , SB436 , SB437 , SB438 , SB439 , SB440 , SB441 , SB442 , SB443 , SB444 , SB445 , SB446 , SB447 , SB448 , SB449 , SB450 , SB451 , SB452 , SB453 , SB454 , SB455 , SB456 , SB457 , SB458 , SB459 , SB460 , SB461 , SB462 , SB463 , SB464 , SB465 , SB466 , SB467 , SB468 , SB469 , SB470 , SB471 , SB472 , SB473 , SB474 , SB475 , SB476 , SB477 , SB478 , SB479 , SB480 , SB481 , SB482 , SB483 , SB484 , SB485 , SB486 , SB487 , SB488 , SB489 , SB490 , SB491 , SB492 , SB493 , SB494 , SB495 , SB496 , SB497 , SB498 , SB499 , SB500 , SB501 , SB502 , SB503 , SB504 , SB505 , SB506 , SB507 , SB508 , SB509 , 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SB696 , SB697 , SB699 , SB700 , SB1047 , SB1048

Keywords: Medicaid, healthcare expansion, affordable care act, federal funding, medical assistance, constitutional amendment, Texas Constitution, healthcare access, Patient Protection and Affordable Care Act, healthcare, affordable care, state constitution, low-income individuals, Medicaid expansion, federal matching funds, time regulation, daylight saving time, standard time, referendum, Texas constitution

Transcript Highlights:

• If they have loan debt for their teaching degree, it would then reimburse them so much each year of the
• </c> LASIA which is just loan reimbursement LASIA which is just loan reimbursement for<00:09:54.560><
• them so much each year of the reimburse them so much each year of the four<00:10:51.680><c> years</c
• "It's a loan reimbursement program." "Do they have to pay this loan back?" "No. No.
• fee or charge consists of any payment fee or charge paid<00:32:02.240><c> directly</c><00:32:02.559>

Bills: HB178 , HB124 , HB96 , HB250 , SB289 , SB317 , HB359 , HB178 , HB124 , HB96 , HB250 , SB289 , SB317 , HB359

Committee: Senate Finance and Taxation Education

Keywords: HB178, Ten Commandments, public schools, K-12 education, Alabama, school display, religious display, Bible, Judeo-Christian, Establishment Clause, church-state separation, religion in schools, founding documents, Mayflower Compact, Declaration of Independence, U.S. Constitution, Northwest Ordinance, social studies, civics, history curriculum

Transcript Highlights:

• Chair, and Senator, this has to do with whether someone should get reimbursed for what they actually
• It's driving up the cost of the damages without actually reimbursing anyone, because they will get reimbursed
• That is wrong, because if I were reimbursed, then I would not be compensated.
• reimbursed.
• Speaker, Senator, I think it's difficult for them to expect payment on future medicals.

Committee: Senate Senate Judiciary

Keywords: 996, all

Transcript Highlights:

• Why would the number of attorney referrals or payments from patients over the last two years that are
• Based on this bill, we're looking at basically a 300% depletion of reimbursement.
• Medical providers are not being reimbursed 100% of the bill cost, which is what I'm learning.
• It's unsustainably low reimbursement.
• delayed payment.

Bills: HB4806

Committee: House Judiciary & Civil Jurisprudence

Keywords: civil action, damages, health care services, noneconomic damages, negligence, legal standards, 1184, house, all

Transcript Highlights:

• This bill would require fair and equitable reimbursement.
• of the current wacky reimbursement system.
• , to follow, and join MassHealth in reimbursing nurse-midwifery services.
• Commercial insurers to reimburse, to follow, and join MassHealth in reimbursing nurse-midwives at the
• Not to mention, we may not be able to be reimbursed.

Committee: Joint Joint Committee on Financial Services

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.

Transcript Highlights:

• We are very disappointed by... ...to increase Medicaid reimbursement rates.
• In July 2026, provider payment will transition from a retroactive, attendance-based reimbursement system
• the attendance-based payment.
• The savings is due to fewer non-attending days being reimbursed under that policy.
• They receive reimbursement or depreciation payments from the state for these buses, and the calculations

Summary: The committee opened with a public hearing on Senate Bill 5808, a proposal to require nonprofit health carriers with “excess surplus” to pay 10% of that surplus into the state health care affordability account for Cascade Care Savings. Committee staff said the bill could generate about $330 million one time in 2027, while the Office of Insurance Commissioner would have implementation costs. Supporters argued the bill would redirect consumer premium dollars to help people afford coverage, while opponents from health plans said reserves are needed for solvency, claims, and capital needs and warned the bill would destabilize nonprofit insurers. The committee also heard testimony on House Bill 2254, which would let the Partnership Access Line assessment cover administrative costs; HCA and Seattle Children’s supported it as a technical fix that saves general fund dollars, and a child psychiatrist asked that savings be reinvested in behavioral health services. House Bill 2385, which extends deadlines for the Medicaid Access Program because of federal restrictions on new provider taxes, also drew support from provider groups seeking future Medicaid rate increases. The committee then heard Substitute Senate Bill 6286, which would increase fines on private detention facilities that deny Department of Health inspections and dedicate the fines to an account for community repair and assistance to harmed individuals and families. Supporters, including Tacoma’s mayor and family members affected by detention, framed the bill as an accountability measure; fiscal staff estimated Department of Health costs of about $395,000 in the 2025-27 biennium. Senate Bill 6006 would exempt food banks from sales tax on certain services enacted last session, with food bank and tribal representatives saying the savings would go directly to food and operations. Senate Bill 6351 would create exemptions from the new sales tax on live presentations for before- and after-school care, arts and cultural nonprofit classes, and K-12 school purchases; school districts, arts groups, and PTA representatives supported it, while asking for clarifying language and broader nonprofit exemptions. Engrossed Substitute House Bill 1717 would let cities and counties create local sales tax remittance programs for affordable housing projects, and housing builders, Habitat affiliates, counties, and city officials supported it as a local tool to lower development costs. In executive session, the committee received briefings on several tax and spending bills and then voted to advance multiple measures. It adopted a substitute and passed Senate Bill 5949, which narrows a B&O tax exemption related to insurance premiums; a proposed retroactivity-removing amendment failed. It adopted a substitute and passed Senate Bill 6129 on cigarette, tobacco, and nicotine taxes after rejecting several amendments, including proposals to study the tax policy or replace the bill with illicit-market enforcement language. The committee also passed Senate Bill 6228 repealing a preferential B&O rate for prescription drug resellers, Senate Bill 6231 repealing data center sales tax exemptions, and Second Substitute Senate Bill 5965, which retained a bag-fee approach rather than a full ban after adopting an amendment. The committee then returned to public hearing and began testimony on Senate Bill 6353, a major Working Connections Child Care bill that would keep income eligibility at 60% of state median income, lower the provider rate target from the 85th to the 75th percentile, and make other program changes; the briefing was underway when the transcript ended.

Transcript Highlights:

• They want to make sure that it doesn't impact provider payments from health plans.
• Now let me be clear: this bill is not intended to impact provider payments whatsoever and only deals
• We are proud to support AB 298 to prohibit out-of-pocket costs, including co-payments, co-insurance,
• doing, we look forward to working with Madam Chair and making a few small tweaks as it relates to reimbursement
• That we ensure full reimbursement. Thank you.

Summary: The Assembly Health Committee met on January 13, 2026, and heard several two-year bills, with AB 634 (Gonzalez) and AB 298 (Bonta) receiving the most discussion. The chair also announced consent items AB 96 (Jackson), AB 1126 (Patterson), and AB 1366 (Flora), all with motions to do pass to Appropriations. Committee procedures, witness limits, and conduct rules were reviewed at the start of the hearing. AB 634 would prohibit the manufacture, distribution, or sale of tianeptine in California. Assembly Member Gonzalez described the drug as a dangerous substance sold in retail settings and said the bill had been amended to shift penalties from criminal to civil, narrow its scope so employees without authority over sales would not be targeted, allow cost recovery, and avoid a Commerce Clause issue. The California Narcotic Officers Association supported the bill, and there was no recorded opposition. The committee voted the bill out on a do pass to Judiciary motion. AB 298 would eliminate out-of-pocket costs for children’s health care services in large group commercial plans. Bonta argued that deductibles, copays, and coinsurance deter care and create financial strain for families, while noting the bill would not change provider reimbursement and that he would pursue cost-saving amendments in Appropriations, especially for CalPERS. Support came from Health Access California, Family Voices of California, and several medical and pediatric organizations, while the Chamber of Commerce and health plan groups opposed it, warning of premium increases and possible employer shifts to self-insured coverage. The committee advanced the bill on a do pass to Appropriations vote, and the chair later noted the bill was on call before final add-on votes were completed. The consent calendar items were also approved, and the hearing adjourned.

Transcript Highlights:

• And at the end of the day, the taxpayers will be reimbursed.
• You don't want payment to be based on findings.
• , including a duplicate payment, incorrect coding, payment for ineligible services.
• , including a duplicate payment, incorrect coding, payment for ineligible services.
• a process for them to seek that reimbursement.

Committee: House Government

Keywords: 1182, all