Transcript Highlights:

• Since 2021, uncompensated care for hospitals for state programs has risen by over 16%.
• Unreimbursed care due to bad debt has increased by 61%.
• Unreimbursed care due to bad debt has increased by 61%, and the amount hospitals provide in charity care

Summary: The committee first approved the minutes from February 9, 2026 by voice vote. It then took up House Bill 591, which Senator Harris described as housekeeping legislation to repeal an obsolete Idaho Code provision related to the county medical indigent program. He explained that the underlying program was repealed in 2022, the remaining language is no longer needed, and the bill carries no fiscal impact with an effective date of July 1, 2026. In response to a question from Senator Wintrow, Harris said the indigent fund was repealed because of Medicaid expansion. Tony Lawson of the Idaho Hospital Association testified in support of the bill. He said the language is obsolete and should be removed, and he reviewed the history of the county indigent and state catastrophic funds, noting earlier changes in 2021 and 2022. Lawson said the policy shift was tied to Medicaid expansion, which was expected to move many patients into coverage, and he cited increases in hospital uncompensated care, bad debt, and charity care since then. Senator Shippey moved to send House Bill 591 to the Senate Floor with a due pass recommendation, seconded by Senator Wintrow. The committee approved the motion by voice vote. The chair then announced there would be no meeting the next day, a meeting on Wednesday, and reminded members to submit written testimony to the page.

Transcript Highlights:

• But when it comes to health care, when you are talking to, When it comes to health care, when you are
• and care among other things.
• care in the state.
• Our care management program staff coordinate services.
• care.

Summary: The Senate Health and Long-Term Care Committee held a hearing on several bills. SB 5904 would prohibit non-human entities from using nursing titles; the sponsor and nursing groups said it is meant to increase transparency around AI and ensure patients know when they are interacting with a real nurse. SB 5915 would change Health Technology Assessment Program review criteria and timelines, with supporters arguing it would better account for Medicare coverage and national guidelines, especially for rare and life-threatening conditions. SB 6025 would update the definition of fetal death to allow gestational age to be determined by the best clinically accurate method rather than last menstrual period, and medical professionals and the sponsor said this would reduce emotional, financial, and legal burdens on grieving families. SB 5933 would require near real-time sharing of overdose data into ODMAP; public health, local government, and recovery advocates said it would improve overdose response, while one witness asked that poison center data be included and clarified separately. SB 5990 would allow APRNs and physician assistants to serve as local health officers in counties under 100,000 population; rural county officials supported the added flexibility, while public health groups and naturopathic physicians raised concerns about qualifications and asked that naturopathic doctors be included as well. SB 5981 would restrict drug manufacturers from limiting 340B drug access through contract pharmacies or requiring data as a condition of discounts; safety-net hospitals, community health centers, pharmacies, and patients said it protects access and reinvestment in care, while manufacturers, employer groups, and industry representatives argued it increases costs, lacks transparency, and may not ensure savings reach patients. No votes or final committee actions were taken in the transcript; each bill was heard and testimony was closed. Sign-in counts were reported for several bills, including strong pro support for SB 5904, SB 5915, SB 5933, and SB 5981, and mixed or substantial opposition on SB 6025 and SB 5990.

Transcript Highlights:

• for infant care.
• for infant care.
• Child care and also dependent care, if you have an adult family member who needs dependent care, those
• Child care and also dependent care, if you have an adult family member who needs dependent care, those
• care system reforms.

Bills: HB2459 , HB1616 , HB1799 , HB1604 , HB1732 , HB1736 , HB1931 , HB772 , HB2153 , HB2122 , HB2009 , HB2012 , HB1779 , HB2296 , HB2397 , HB2398 , HB1596 , HB2233 , HB1976 , HB1563 , HB815 , HB1655 , HB1851 , HB1941 , HB2037 , HB1635 , HB2201 , HB1943 , HB1163 , HB2452 , HB2429 , HB2148 , HB2306 , HB2007 , HB2049 , HB2616

Committee: House Finance

Keywords: food innovation, agribusiness, food safety, market access, branding, economic diversification, performance indicators, agriculture, aquaculture, commercial activity, swine production, Korean natural farming, housing development, commercial projects, county authority, public works, construction standards, exemption, zoning, housing

Transcript Highlights:

• Since 2021, uncompensated care for hospitals for state programs has risen by over 16%.
• Unreimbursed care due to bad debt has increased by 61%.
• Unreimbursed care due to bad debt has increased by 61%, and the amount hospitals provide in charity care

Committee: Senate Health and Welfare

Keywords: 989, all

Transcript Highlights:

• People can't figure out that an election is coming up in over six months and take care of getting all
• Public transit is essential for our communities to connect residents to jobs, education, health care,
• And it's so that we can get some of these specialties, as well as some of these doctors, primary care
• Rose Dominican and their seven acute care hospitals in southern Nevada. St.
• Nevada Chronic Care Collaborative, they've all rejected it.

Bills: AB568 , SB90 , SB133 , SB147 , SB229 , SB233 , SB240 , SB245 , SB280 , SB378 , SB393 , SB417 , SB434 , SB494 , SB495 , AB62 , SB104 , SB119 , SB132 , SB193 , SB262 , SB422 , SB431 , SB435 , SB468 , SB503

Committee: Assembly Ways and Means

Keywords: higher education, Nevada System of Higher Education, operational expenses, instructional expenses, public funding, education funding, teacher grants, classroom supplies, instructional support, specialized personnel, civics education, Nevada Center for Civic Engagement, funding, youth programs, civic involvement, Southern Nevada, Clark County, Las Vegas Valley, regional planning, economic resiliency

Transcript Highlights:

• THEY DON'T CARE ABOUT YOUR FREEDOM. THEY DON'T CARE ABOUT YOUR VOICE.
• care.
• care.
• CARE.
• CARE.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, September 8, 2025, 1012, house, all

Transcript Highlights:

• and physician care.
• People are charged based on what the care is.
• People are charged based on what the care is.
• Then that's the provider of quality health care.
• We talk a lot about access to health care.

Bills: SB5223 , SB5993 , SB5831 , SB5928 , SB6183 , SB6071 , SB5995 , SB5966 , SB5841 , SB5840 , SB6061 , SB6058 , SB5931 , SB5944 , SB5520 , SB6011 , SB6087 , SB6076 , SB5916 , SB6016 , SB5936 , SB6137 , SB5185 , SB5956 , SB6025 , SB6009 , SB5833 , SB6161 , SB6188 , SB5890 , SB5917 , SB5820 , SB5973 , SJM8015 , SB5816 , SB6136 , SB6091 , SB6024

Keywords: criminal offense, fingerprinting, law enforcement, state regulations, public safety, medical debt, interest charges, consumer protection, healthcare, financial burden, mortgage modification, uniform regulations, homeowners, financial stability, foreclosure prevention, wildfire risk, disclosure, safety, environmental policy, risk assessment

Summary: The Senate opened with routine proceedings, including the roll call, approval of the previous day’s journal, referral of committee reports and gubernatorial appointments, and the removal of Senate Joint Memorial 8003 from the consent calendar to the regular calendar. The chamber also received and referred Engrossed Substitute House Bill 1604 to the Committee on Human Services, and later took up several gubernatorial confirmations. The Senate adopted Senate Resolution 8682 recognizing the YMCA’s 150th anniversary in Washington. Senators spoke in support, describing the YMCA’s role in child care, swim lessons, youth programs, civic engagement, camps, and community health, and guests from YMCA organizations were recognized on the floor. The Senate then confirmed Jeffrey P. Fairchild to the Whatcom Community College Board of Trustees, Randall V. Scott to the Lake Washington Institute of Technology Board of Trustees, and Anna M. Franklin to the Community Colleges of Spokane Board of Trustees, each by unanimous or near-unanimous roll call votes. The chamber also observed a moment of silence for the family of Representative Tom Dent after his wife suffered a stroke. After caucuses, the Senate returned to floor action on two major bills. Substitute Senate Bill 5185, creating a pilot pathway to physician licensure for international medical graduates, was advanced to final passage and approved 39-1. Engrossed Substitute Senate Bill 5993, lowering the interest rate on medical debt, drew extensive debate about affordability, charity care, and the impact on rural hospitals; amendments were considered, including one to make the bill prospective rather than retroactive, which was adopted, while a rural-hospital differential-rate amendment failed. The bill ultimately passed 29-19. The Senate then adjourned until Monday, February 9, 2026.

Transcript Highlights:

• Food is health care.
• spending, increased uncompensated care for hospitals and clinics, and costs associated with untreated
• to medical care through community-based care management.
• care.
• These changes will also increase uncompensated care costs, which for UC hospitals already totaled $1.3

Summary: The Senate Budget and Fiscal Review Subcommittee held an oversight hearing on the impacts of H.R. 1 on California’s safety net, focusing on Medi-Cal and CalFresh. The chair and vice chair framed the issue as a major federal disruption that would reduce benefits and shift costs to the state, counties, hospitals, and other local systems. The first panel included the Legislative Analyst’s Office, the Department of Finance, the UC Berkeley Labor Center, and the Food Research and Action Center, each describing projected enrollment losses, higher state and county costs, and implementation challenges. The LAO outlined H.R. 1’s main changes: new and expanded work requirements, more frequent eligibility redeterminations, restrictions on certain non-citizen eligibility, and financing changes affecting provider taxes and federal matching rates. The LAO estimated that 1 to 2 million people could be disenrolled from Medi-Cal and more than 600,000 could lose CalFresh, with additional costs from reduced federal support and possible state and county administrative burdens. The Department of Finance said the Governor’s budget includes about $1.4 billion General Fund in 2026-27 to respond to H.R. 1, with larger out-year reductions in federal funds and projected Medi-Cal caseload losses of up to 2 million by 2029-30. The UC Berkeley Labor Center projected up to 3 million Californians could lose full-scope Medi-Cal by 2028 when H.R. 1 is combined with state budget changes, while noting the state could choose policies that would reduce some of those losses. The Food Research and Action Center warned that CalFresh cuts and time limits would increase hunger, worsen health outcomes, and strain local economies and emergency systems. Members questioned the witnesses about procedural disenrollments, regional variation, the overall growth in Medi-Cal spending, the future of the MCO tax, the CalFresh error rate, and the downstream effects on hospitals and county indigent care. Several senators argued that the federal law was driven by tax cuts for high-income earners and would disproportionately harm low-income Californians, immigrants, and communities of color. Administration witnesses said some impacts are still being analyzed, that counties and departments are working on implementation, and that the Legislature may need to use statute, reporting, and oversight tools as federal guidance develops. No votes or formal actions were taken during this portion of the hearing.

Transcript Highlights:

• programs, and the second is around uncompensated care.
• And then my second question was around uncompensated care.
• So, So have we made any provisions at all for anything related to uncompensated care?
• To my knowledge, the May revision doesn't include any proposals around uncompensated care.
• care, those service provisions that will be considered uncompensated care, and the impact that that

Summary: The Assembly Budget Subcommittee on Health held a May Revision hearing covering several health-related budget proposals and broader concerns about the state’s budget structure. The Chair opened by praising some May Revision changes, such as added health IT funding, county administration support tied to Medi-Cal changes, a delay in Medi-Cal cuts for some lawfully present immigrants, and additional support for Covered California subsidies, while criticizing proposed increases in Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other reductions affecting counties, mobile crisis units, workforce incentives, and physician shortages. The Legislative Analyst’s Office said the state’s budget condition remains weak despite progress on the structural deficit, and the Department of Finance said the May Revision uses a mix of reductions, reforms, revenue proposals, and fund shifts to cut out-year deficits. The committee first heard Department of State Hospitals proposals, including adjustments to county bed billing authority, contract exemption language for online clinical/pharmacy subscriptions, reversion of unspent funds, a revised Metro Central Utility Plant replacement project, electronic health record implementation, and workforce development funded partly through Behavioral Health Services Act resources. DSH also described savings and realignments in incompetent-to-stand-trial and conditional release programs, including extending the independent placement panel program and shifting funds to support additional bed capacity and a mental health rehab center. Members asked about the use of BHSA funds for workforce programs, and the department said the proposal would replace General Fund support with BHSA reimbursements. The Emergency Medical Services Authority proposed funding for statewide behavioral health crisis response guidance and for enterprise system development, and the Department of Managed Health Care proposed modernization of its complaint system and claims-settlement data system to improve oversight and comply with AB 3275. The largest discussion centered on the administration’s BHSA spending plan under Proposition 1, including state-directed prevention, workforce, and other uses, plus General Fund offsets for existing programs. The LAO questioned whether some proposed offsets fit Proposition 1’s non-supplant and eligible-use requirements, while the administration argued the uses were consistent with the measure and that the state-directed share can be adjusted annually. The Commission for Behavioral Health’s proposals drew the most public and member concern. The administration proposed cutting the commission’s Innovation Partnership Fund from $20 million to $10 million and reducing the Community Advocacy Program by $6.7 million, while redirecting BHSA dollars to other state purposes and direct services. Commissioners, advocates, and several members argued the cuts would weaken community voice, reduce support for underserved populations, and disrupt grants already in process; they also objected to using BHSA funds to backfill General Fund commitments. Public commenters, including youth, disability, behavioral health, LGBTQ, tribal, veteran, immigrant, and community-based organization representatives, overwhelmingly opposed the cuts and urged preservation of prevention, advocacy, mobile crisis, and innovation funding. No votes or final actions were taken during the hearing.

Transcript Highlights:

• We have Arch's Caring Communities Partnership in St. Louis.
• Arch's Caring Communities Partnership is a trusted partner with Missouri who oversees and administers
• No wonder they want Missourians to take that uncompensated risk.
• down here, unfortunately because of term limits, I'm going to be among those that are going to be caring
• Louis or wherever have a little bit different view of... ...how dogs are and how we're taking care of

Summary: The House first approved the previous day’s journal by roll call vote, 112-2, and then spent time on numerous guest introductions and recognitions. Guests included former Rep. Bill E. Kidd, students and school officials from several districts, pharmacy students, community and labor representatives, Alliance for Life members, Link community partners, and the student who led the Pledge of Allegiance. A personal privilege announcement also recognized a legislator’s son’s birthday. The main floor debate centered on House Committee Substitute for House Bills 21, 22, and 1626, the Missouri Nuclear Clean Power Act. Supporters argued the bill would remove a roadblock to small modular nuclear reactors by allowing construction work in progress (CWIP), lower long-term electricity costs, attract industry, and help Missouri meet future baseload demand, especially for data centers and other large users. Opponents said the measure would shift risk and cost overruns to ratepayers, cited past nuclear cost overruns and safety concerns, and argued Missouri voters had previously rejected such financing. After extended debate and several inquiries, the House adopted the committee substitute and ordered the bills perfected and printed. The chamber then perfected and printed House Bill 1881, which would make xylazine a Schedule III controlled substance. The sponsor and supporters said the drug is a dangerous animal tranquilizer increasingly used in illicit fentanyl mixtures, while the bill preserves legitimate veterinary and agricultural uses. Members from both rural and urban districts supported the measure, and the House adopted an amendment clarifying penalties for knowingly starving an animal and false reporting in animal abuse cases. Finally, the House took up House Bill 2292, which would encourage cross-reporting among agencies handling child, elder, and companion animal abuse. The sponsor said abuse in one area often correlates with abuse in the others and that the bill would use existing agencies rather than create a new department. An amendment was also offered to strengthen elder-abuse investigations by allowing post-certified investigators in the Department of Health and Senior Services to assist law enforcement and obtain records. The discussion emphasized protecting vulnerable Missourians and improving coordination among investigators and local police.

Transcript Highlights:

• , uncompensated care, and other community benefits, such as transportation to and from appointments,
• for improving health care outcomes and they reduce costs to our health care system.
• Speaker, savings from the 340B program allows Harborview to provide $454 million in uncompensated care
• Thank you. $454 million in uncompensated care.
• And a huge part of what's wrong with the health care system... ...our health care system.

Bills: HB2720 , HB2073 , HB2487 , SB5816 , SB5919 , SB5831 , SB6137 , SB6244 , SB6044 , SB6132 , SB5109 , SB5877 , SB6258 , HB2720 , HB2073 , HB2487 , SB5816 , SB5919 , SB5831 , SB6137 , SB6244 , SB5420 , SB5868 , SB6044 , SB6132 , SJM8002

Keywords: behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, insurance tax, state regulation, insurers, taxation, budget impact, juice grapes, agriculture, commerce, market access, fire safety, insurance incentives

Transcript Highlights:

• The Uncompensated Care Grant, we're going to need that to be replenished.
• Care will still happen; it will just take longer. People will have to wait longer for care.
• It doesn't provide abortion care; however, who it hurts does provide abortion care.
• Care—that's one provider, right?
• this year gain access to care.

Keywords: 988, house, all

Transcript Highlights:

• It doesn't matter who it's from; we'll figure it out and take care of it.
• I want to always remember that the person who's getting care is at the center of the discussion.
• care.
• ><01:44:41.320><c> find</c> uncompensated care and you will find uncompensated care and you will find
• </c><01:46:12.719><c> care</c> creates additional uncompensated care creates additional uncompensated

Bills: HF2228 , HF46 , HF856 , HF2149 , HF2215

Committee: House Commerce Finance and Policy

Keywords: homeowners insurance, property insurance, commercial property insurance, insurance affordability, insurance market stabilization, reinsurance, catastrophic reinsurance fund, self-insured pool, premium costs, coverage notice, liability reform, climate risk, climate change, housing affordability, multifamily housing, rental housing, common interest communities, cooperatives, small business insurance, Minnesota Commerce Department

Transcript Highlights:

• federal payments to UC medical centers and increase uncompensated care if some patients are losing their
• Medicare and Medi-Cal care.
• As people lose their health care coverage, we anticipate that UC Health’s uncompensated care costs will
• , specialty care, and inpatient care.
• , specialty care, and inpatient care.

Keywords: 988, house, all

Transcript Highlights:

• of um people that get care.
• might have heard the terminology Centennial Care, now we're on turquoise care for a managed care, uh
• That's that ACA group, that Affordable Care Act group.
• But, uh, we will end up having to look at uncompensated care quite a bit more like we did prior to the
• Um, because of uncompensated care and some of the other, uh, contractual opportunities they have, I say

Committee: House Federal Funding Stabilization Subcommittee

Transcript Highlights:

• Thank you for your time. school my daughter deserves better care school my daughter deserves better care
• </c><00:21:25.159><c> for</c> of resources and Continuum of Care for of resources and Continuum of Care
• Available in the correct care setting and with the correct care teams, especially for youth boarding
• </c> Medicaid as a result acute care Medicaid as a result acute care hospitals<01:18:17.239><c> are</
• </c> units to Alternative levels of care units to Alternative levels of care further<01:18:37.159><c>

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• They've taken care of those changes to make sure that we did that.
• This will lose about 3,000 to 4,000 jobs in Idaho from the health care sector.
• This forces a very high level of uninsured and uncompensated care in the state.
• This force is a very high level of uninsured and uncompensated care in the state.
• Right now, all of those people, those 40,000 people, uncompensated care in the state.

Keywords: 989, all

Transcript Highlights:

• For uncompensated care, mental health centers, if you will, are giving services to people who medically
• </c><02:30:37.359><c> care</c><02:30:37.960><c> for</c><02:30:38.200><c> those</c> in uncompensated care
• There's only 10 of them; that's a lot of uncompensated care for 10 organizations to absorb.
• In 2023, even with Granite Advantage, they had $14.5 million of uncompensated care.
• In 2023, even with Granite Advantage, they had $14.5 million of uncompensated care.

Keywords: 928, house, all

Summary: The House Finance Committee opened a public hearing on House Bills 1 and 2, which concern the governor’s proposed FY 2026-2027 budget. The chair explained that the committee must fit the budget to House Ways and Means revenue, which is about $800 million below the governor’s estimate in an almost $16 billion budget. He also noted a projected current-budget overspend, the impact of recently passed legislation, possible fee updates, no new tax proposals at that time, and the importance of federal funding and Medicaid stability. Testimony was limited to three minutes, with the chair asking speakers to avoid duplication. Much of the testimony focused on Medicaid, disability services, and home- and community-based care. Speakers urged the committee to restore or protect funding for transportation, Medicaid, day programs, in-home supports, and behavioral health services. Several individuals and providers described how cuts would affect people with disabilities, medically fragile children, and families who rely on services to remain employed and avoid institutional care. A home care provider argued that a proposed 3% Medicaid cut would increase hospitalizations and costs, while a behavioral health representative asked for sustainable Medicaid rates, uncompensated care support, housing resources, and continued funding for community behavioral health clinics. Another major topic was the Group II retirement provisions in HB 2 for public safety workers. Representatives from police, fire, corrections, probation/parole, and related associations testified in support, saying prior pension changes hurt recruitment and retention, pushed experienced workers to neighboring states, and should be reversed to restore promised benefits. They argued the provisions would help keep public safety careers viable and honor commitments made to first responders. An executive counselor also warned that when the state shifts costs away from itself, local property taxpayers bear the burden, and she opposed cost shifts such as Medicaid premiums and universal vouchers. A separate speaker urged funding public schools rather than universal vouchers, arguing vouchers can leave other students behind as resources are diverted.

Transcript Highlights:

• , very basic care.
• spending, increased uncompensated care for hospitals and clinics, and costs associated with untreated
• to medical care through community-based care management.
• care.
• These changes will also increase uncompensated care costs, which for UC hospitals already totaled $1.3

Committee: Senate Budget and Fiscal Review

Summary: The Senate Budget and Fiscal Review Subcommittee held an oversight hearing on the impacts of H.R. 1 on California’s safety net, focusing on Medi-Cal and CalFresh. The chair and vice chair framed the discussion around major federal changes to work requirements, eligibility redeterminations, immigrant eligibility, and financing rules, while noting the state’s own structural budget deficit and the need for a second hearing later in March on county and safety-net impacts. The first panel included the Legislative Analyst’s Office, the Department of Finance, the UC Berkeley Labor Center, and the Food Research and Action Center. LAO and Finance described H.R. 1 as driving major enrollment losses and cost shifts. LAO estimated that Medi-Cal work requirements and six-month redeterminations could affect 3.5 million people, with 1 to 2 million potentially disenrolled, while CalFresh changes could subject more than 800,000 people to work requirements and cause over 600,000 to lose food assistance. They also highlighted new ineligibility for certain non-citizens, reduced federal matching for emergency Medi-Cal services, tighter provider tax rules, and higher state and county administrative costs for CalFresh. Finance said the governor’s budget reflects about $1.4 billion in new General Fund costs in 2026-27 and a $2.4 billion reduction in federal funds, with larger out-year impacts and up to 2 million Medi-Cal disenrollments by 2029-30. The UC Berkeley Labor Center projected up to 3 million Californians could lose full-scope Medi-Cal by 2028 when H.R. 1 is combined with state budget changes, though it said the state could limit losses by choosing not to apply some new requirements to state-funded populations and by keeping some immigrants in full-scope state-funded coverage. The Food Research and Action Center argued that CalFresh cuts and time limits would increase hunger, homelessness risk, and health costs, while also hurting local economies and increasing administrative burden. Committee members from both parties questioned the fiscal sustainability of Medi-Cal growth, the 11% CalFresh error rate and possible $2 billion penalty, county indigent care costs, and the effect of work requirements; several Democratic members argued the federal changes and state cuts would disproportionately harm low-income Californians, immigrants, and communities of color, while Republican members emphasized program growth, work incentives, and the need for budget restraint. No votes were taken in the portion provided.

Transcript Highlights:

• So, about taking care of Minnesotans.
• </c> significant increases in health care significant increases in health care costs. costs. costs.
• And the waiver health care system.
• What is uncompensated care?
• What is uncompensated care?

Bills: HF4502 , HF3388 , HF4106 , HF400 , HF4138 , HF4118 , HF4203

Committee: House Commerce Finance and Policy

Keywords: trusted contact, financial exploitation, elder abuse, elder financial abuse, fraud prevention, financial institution, banking, credit union, broker-dealer, account security, dormant account, consumer protection, scam, suspicious activity, protective services, law enforcement reporting, Minnesota Statutes chapter 45A, HF3388, Minnesota premium security plan, reinsurance