Transcript Highlights:

• </c> just um you know, we have our child just um you know, we have our child development<00:14:50.800
• Their present enrollment is 126 students.
• <c> that</c> your enroll your enrollment for that your enroll your enrollment for that school<01:02:08.720
• </c><01:08:09.039><c> or</c> the greater of last year's enrollment or the greater of last year's enrollment
• <01:51:29.040><c> still</c><01:51:29.440><c> remains</c> child still remains child still remains enrolled

Committee: Joint Education

Transcript Highlights:

• </c><00:05:21.440><c> and</c> years um we have some enrollment and years um we have some enrollment and
• at a different rate than the first child.
• Enrollment dropped by nearly half among the affected population.
• Enrollment dropped by nearly half among the affected population.
• Enrollment dropped by nearly half among the affected population.

Summary: The House Finance Division 3 work session continued its review of the Department of Health and Human Services’ Medicaid budget and related policy issues, with CFO Nathan White and Medicaid Director Henry Litman presenting updated materials. The discussion focused on a crosswalk between the adjusted FY 2025 Medicaid budget and the governor’s FY 2026 recommendation, plus handouts showing service additions, eligibility changes, dental rates, and other Medicaid changes since 2019. The department also said it would provide a clearer breakdown of the pharmacy cost-sharing item by general, federal, and other funds. Members asked detailed questions about the Medicaid enhancement tax, the 80% plan, and how funds are allocated between hospital payments, directed payments, and DSH uncompensated care. The department explained that the MET is being used more toward rates and directed payments to better align with federal matching rules, while DSH remains important for uncompensated care. They also noted that a pending Senate Bill 249 would keep the 80% structure and move to Senate Finance. On the trigger law, the department identified the governing provision as Chapter 342:12, Laws of 2018, and explained that if the federal match for Medicaid expansion falls below 90%, the state must notify legislative leaders and participants and the program would sunset after 180 days unless the legislature acts. The committee also reviewed current Medicaid expansion enrollment and program trends. Officials said enrollment was just under 59,000 as of March 3, with about 87,000 people enrolled over the past year and more than a quarter-million residents having used the program over its lifetime. They said enrollment has fallen from a post-pandemic high of nearly 97,000 and may eventually settle in the low 50,000s. Finally, the department discussed federal DSH funding risk, saying New Hampshire could face a significant reduction if Congress does not extend current protections, which is part of why the state has shifted more funding toward payment rates and directed payments.

Transcript Highlights:

• This causes a lack of social cohesion and stability for a child or families with more than one child.
• </c><00:39:53.599><c> or</c> cohesion and stability for a child or cohesion and stability for a child
• </c> decides which students will be enrolled decides which students will be enrolled and<00:41:42.800
• </c> and challenges of open enrollment? and challenges of open enrollment?
• amendments, enrolled enrolled build amendments, enrolled bills<03:17:57.040><c> reports</c><03:17:57.439

Transcript Highlights:

• </c><00:10:41.519><c> um</c> Providers who are already enrolled.
• So, for terminations, because provider enrollment also, as we enroll providers, we are in charge of terminating
• </c> provider enrollment also as we enroll provider enrollment also as we enroll providers<00:13:26.199
• Those slots that are allocated are slots where people are actually enrolled in the program.
• Those slots that are allocated are slots where people are actually enrolled in the program.

Summary: The subcommittee met to review the Department for Medicaid Services’ program integrity work. Commissioner Lisa Lee and Program Integrity Director Jennifer Dudinsky outlined Kentucky Medicaid’s structure, funding, enrollment, and spending, including FMAP rates, the size of the Medicaid and KCHIP populations, the number of providers, and 2024 expenditures. They also described the managed care and fee-for-service populations, noting that managed care serves most members while fee-for-service is concentrated in long-term care and waiver populations. Most of the discussion focused on fraud, waste, abuse prevention, and provider oversight. The department described its provider enrollment and certification checks, revalidation requirements, site reviews, fingerprinting for some high-risk providers, and termination grounds such as false application information, Medicare actions, unreported ownership changes, and abandonment of a provider number. Members asked about nonprofit ownership reporting, MCO fraud oversight, and how the department tracks unusual CPT code utilization, especially in behavioral health. The department said it uses data analytics, audits, policy review, and collaboration with behavioral health staff to monitor those trends. Dudinsky explained the division’s four branches: provider licensing and certification, audits and compliance, recovery, and third-party liability/estate recovery. She described prepayment and postpayment audits, referrals of credible fraud allegations to the Attorney General, monthly meetings with the AG’s office, and coordination with the Office of Inspector General, CMS, HHS OIG, MCOs, and other partners. She also explained payment suspensions, stand-downs during law enforcement investigations, and recovery efforts for overpayments, provider/member fraud, and third-party liability. The department said its recovery and avoidance efforts produced more than $251 million in savings so far in 2025. No votes or formal actions beyond approving the minutes were taken.

Transcript Highlights:

• I remember that as a child.
• Apparently, when we take roll, it makes a difference in working child connections.
• I would ask for a no, although we certainly want children to have quality child care.
• For several years, it was losing enrollment very, very quickly.
• President, is our failure to add more frontline folks with child protection services.

Bills: SB6061 , SB6234 , SB6170 , SB6176 , SB6182 , SB6335 , SB5647 , SB6047 , HB2367 , HB2606 , SB5998 , SB6005 , SB6003 , SB6129 , SB6225 , SB6228 , SB6231

Summary: The Senate met on February 23, 2026, opened with the usual roll call, pledge, prayer, and approval of the previous journal. Members then adopted Senate Resolution 8698 recognizing piano teachers, with several senators sharing personal remarks about their own teachers and the role of music education in families and communities. Guests from the Washington State Music Teachers Association and the National Guild of Piano Teachers were recognized in the gallery. The chamber then moved into budget debate, considering a series of amendments to the operating budget. Several proposals focused on housing costs, local planning, utility rates, and state spending restraint. Amendment 0772, which would have created a housing-related task force and increased funding, was rejected after debate over housing affordability and regulatory costs. Amendment 0785, restoring growth management planning funding for local governments, was also rejected. Amendment 0791, directing the Department of Commerce to study the effects of climate and clean energy laws on utility costs, and Amendment 0769, related to grid capacity and clean energy investments, were both adopted. Other amendments drew sharper partisan debate. Amendment 0798, which would have reduced the Supreme Court from nine justices to five and redirected savings to public defense, failed. Amendments 0794 and 0795, seeking funding for ballot measure costs tied to initiatives, also failed. Amendment 0799, intended to redirect Pacific Tower lease savings to developmental disability services, was rejected after discussion of the building’s current public uses. Amendment 0773, capping state spending growth and tying it to median wage growth, failed on a roll call vote, while Amendment 0777, addressing concurrent use of paid family and medical leave and sick leave by state employees, also failed after extended debate. Later, Amendment 0776 on tort liability reporting was adopted, as were Amendment 0758 creating a DSHS work group on community-based services for people with intellectual and developmental disabilities, and Amendment 0786 was introduced to reduce cash and food assistance work-related funding, with debate beginning before the transcript ends.

Transcript Highlights:

• And what you see here is the enrollment.
• Plus children were enrolled to give you a little bit more information in regards to our elsie's.
• Another example, maybe English language, learner child as I share the district is who is responsible
• If they lease had one child that was eligible, they had to provide an AI.
• Early Child childhood advocacy fellowship to the Capitol for the next few days.

Transcript Highlights:

• </c><00:27:03.240><c> care</c> reliable and affordable child care reliable and affordable child care
• </c> problem of why we're not able to enroll problem of why we're not able to enroll more<00:29:53.720
• We just got the recent enrollment or application numbers.
• </c><00:32:00.559><c> Care</c> current DHS licensed Child Care current DHS licensed Child Care Facilities
• </c><00:32:16.600><c> or</c> we just got the recent enrollment or we just got the recent enrollment or

Committee: Senate Health and Human Services

Summary: The committee heard testimony on several health-related bills. HB 72 on pharmacy drew only support, with testimony from the University of Hawaiʻi system, the Board of Pharmacy, pharmacists, and others; no questions were raised. HB 237 on peer support programs also received broad support from the Department of Health, DHS, early learning officials, families, and advocates, with testimony emphasizing the value of peer-to-peer mentoring and support for parents, youth, and people with disabilities; no opposition or questions were noted. HB 250, the prior authorization bill, generated the most discussion. SHPDA supported a revised version focused on reporting prior authorization practices and creating a nonbinding working group to develop automation standards, while PCMA, HMSA, Kaiser Permanente, and others raised concerns about duplicative pharmacy requirements, unintended consequences, and alignment with federal timelines and reporting. Several medical groups and individual patients supported the measure, describing delays and burdens caused by prior authorization. A committee member asked whether the bill’s working group differed from a similar group in Senate Bill 1449, and the witness said it was intended to be the same. HB 303 on health care preceptors was supported by the Department of Health, University of Hawaiʻi, nursing and health care organizations, and the Hawaii Pharmacists Association, which asked that pharmacists’ residency programs be specifically tied to national accreditation standards. HB 341, relating to issuance of SPURS to assist the Hawaii Island Community Health Association, drew support from the health center and related groups. HB 692 on Preschool Open Doors received extensive support from early learning, education, family, labor, and community organizations; testimony stressed the shortage of child care and preschool slots, especially on Kauai, and the need to expand access for families. Committee members asked about adding family child care providers and about licensing/certification barriers, and DHS said the bill was focused on current licensed child care facilities and that certification issues were a separate, broader problem. HB 700 on cognitive assessments also drew strong support, with the Department of Health, the Executive Office on Aging, disability advocates, the Alzheimer’s Association, caregivers, and others urging use of a validated cognitive assessment tool during annual wellness visits and asking that the age 65 threshold be removed; some witnesses supported keeping the data-collection portion as a pilot and emphasized early detection and reporting.

Transcript Highlights:

• since 2011, we have seen an enrollment decline in Black students throughout the nation, but also in
• And the concern about enrollment is not just about enrolling our Black students on our campuses; it's
• , since 2011, we have seen an enrollment decline in black students throughout the nation, but also in
• And the concern about enrollment is not just about enrolling our black students on our campuses, it's
• I am a parenting student enrolled in the recipient education program at Moreno Valley College.

Summary: The committee first adopted its 2025-26 rules on a 7-0 roll call, then approved three consent items—AB 88, AB 240, and AB 313—on a due-pass motion to Appropriations. The hearing then moved to AB 648, which would give community college districts the same zoning authority as the UC and CSU systems to build student and staff housing on property they own or lease. The author and supporters argued the bill would help address severe housing insecurity and homelessness among community college students, while opponents and some members raised concerns about local control, zoning exemptions, and the impact on nearby communities. AB 648 passed the committee on a 5-2 vote and was sent to the Local Government Committee. The committee next heard AB 466, which would require California Community Colleges and CSU campuses to provide organ and tissue donor registry information during student orientation, and request UC campuses to do the same. Supporters shared personal stories about transplants and donation, saying college orientation is a good opportunity to increase registrations. Some members worried about information overload during orientation and suggested campuses have flexibility in how they present the material, but the bill advanced on a unanimous 7-0 vote to Appropriations. AB 326 followed, proposing campus-by-campus external audits of the CSU every three years and public release of the audits. The author, faculty supporters, and a student argued that systemwide audits do not provide enough transparency about how money is spent at individual campuses, citing examples of financial mismanagement and fee increases. CSU opposed the bill, saying it already conducts annual consolidated external audits and that campus-level audits would add cost without added benefit. After extensive discussion about transparency, audit scope, and implementation, the bill passed 6-1 to Appropriations. The committee then took up AB 335, which would create a California Black-Serving Institution Grant Program to support Black student success and broader underserved student services; supporters emphasized persistent equity gaps and low completion rates, while an opponent argued the bill needed to be carefully amended to comply with Proposition 209 and equal protection requirements. The transcript ends during that item’s discussion, before a final vote is shown.

Transcript Highlights:

• Scenario B: child in DCS custody, ALTCS-eligible, enrolled in DDD, enrolled in Access, DCS pays placement
• So you can have a child enrolled, and it doesn't even have to be a real child.
• Child X needs Y. Child X has these needs. They are from X background.
• We move for return of child. We move... we move for return of child.
• They interviewed the child, identified an arrest, and sent the child immediately to Child Help under

Committees: House Government , House House Government Committee of Reference

Transcript Highlights:

• I actually like it because I am a big proponent of dual enrollment and... proponent of dual enrollment
• One of them is the dual enrollment... One of them is the dual enrollment, right?
• I think we need child care support for working families.
• My child has been brutally killed!" My child has been brutally killed and gunned down.
• A delinquent child is a child that has committed a crime, like an assault or theft or something like

Transcript Highlights:

• So this bill will cover child care centers as well, but we took the language of child care centers out
• If the child gets out and damages someone's property, the parents failed to supervise their child.
• And so if I'm choosing not to have my child in school, this would allow my child to still reap the benefits
• You received a child pornography or a deepfake image of a child; that is against the law.
• of your naked child that's fake.

Bills: HR72 , HR73 , HR74 , HR75 , HR76 , HR77 , HR78 , HR79 , HR80 , HR81 , HR82 , HR83 , HCR36 , HCR37 , HCR38 , HCR39 , HCR40 , HCR41 , HB368 , HB433 , HB1017 , HB1018 , HB1019 , HB1020 , HB1021 , HB1022 , HB1023 , HB1024 , HB1025 , HB1026 , HB1027 , HB1028 , HB1029 , HB1030 , HB1031 , HB1032 , HB1033 , HB1034 , HB1035 , HB1036 , HB1037 , HB1038 , HB1039 , HB1040 , HB1041 , HB1042 , HB1043 , HB1044 , HB1045 , HB1046 , HB1047 , HB1048 , HB1049 , HB1050 , HB1051 , HB1052 , HB1053 , HB1054 , HB1055 , HB1056 , HB1057 , HB1058 , HB1059 , HB1060 , HB1061 , HB1062 , HB1063 , HB1064 , HB1065 , HB1066 , HB1067 , HB1068 , HB1069 , HB1070 , HB1071 , HB1072 , HB1073 , HB1074 , HB1075 , HB1076 , HB1077 , HB1078 , HB1079 , HB1080 , HB1081 , HB1082 , HB1083 , HB1084 , HR70 , HR71 , HCR35 , HB31 , HB326 , HB1013 , HB1014 , HB1015 , HB1016 , SB192 , SB196 , SB198 , SB203 , SB204 , SB214 , SB216 , SB257 , SB291 , SB383 , HB13 , HB23 , HB25 , HB32 , HB41 , HB42 , 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 , HR15 , HR20 , HCR14 , HB53 , HB57 , HB64 , HB102 , HB106 , HB111 , HB137 , HB152 , HB155 , HB177 , HB238 , HB256 , HB258 , HB337 , HB359 , HB363 , HB386 , HB434 , HB546 , HB557 , HB584 , HB661 , HB697 , HB726 , HB727 , HB747 , HB756 , HB758 , HB759 , HB765 , HB767 , HB825 , HB858 , HB930 , HB941 , HB957 , HB964 , HB58 , HB69 , HB93 , HB166 , HB199 , HB201 , HB202 , HB218 , HB223 , HB224 , HB231 , HB235 , HB246 , HB338 , HB349 , HB352 , HB379 , HB405 , HB429 , HB535 , HB547 , HB577 , HB588 , HB626 , HB636 , HB652 , HB653 , HB669 , HB688 , HB691 , HB721 , HB738 , HB806 , HB851 , HB857 , HB861 , HB889 , HB904 , HB907 , HB908 , HB929 , HB1009 , HB868 , HB119 , HB140 , HB739 , HB842 , HB875 , HB919 , HB61 , HB185 , HB233 , HB613 , HB848 , HB52 , HB228 , HB289 , HB735 , HB796 , HB722 , HB284 , HB301 , HB827 , HB953 , HB901 , HB9 , HB46 , HB193 , HB400 , HB436 , HB468 , HB570 , HB582 , HB733 , HB746 , HB923 , HB952

Summary: The House met on March 26, 2026, established a quorum, opened with prayer and the Pledge of Allegiance, and then moved through a large number of introductions, resolutions, and committee reports. The chamber recognized Women of the Storm on its 20th anniversary, honored Saint-Amant FFA for winning a national coastal restoration championship, and later recognized Elevate Louisiana. The House also received Senate bills on topics including freshwater fishing limits, bridge preservation, emergency medical services, ambulance reimbursement, eye care coverage, and other matters, and introduced numerous House resolutions and bills covering education, ethics, transportation, elections, public records, criminal law, and appropriations. Several measures were referred to committees or were allowed to lie over, while some resolutions were adopted without objection. The House then considered and passed a series of bills, many by wide margins. Criminal justice and public safety measures included HB 53, adding illegal gambling as a RICO predicate offense; HB 57, allowing courts to consider criminal histories when issuing temporary restraining orders; HB 64, authorizing magistrates to recall arrest warrants; HB 102, creating second-degree cruelty to the elderly and persons with infirmities; HB 106, requiring written parental consent before melatonin is administered to children; HB 137, strengthening penalties and school notification procedures for terroristic threats against schools; HB 152, updating controlled dangerous substances schedules; HB 155, restricting drone use near the Capitol; HB 177, allowing retired court reporters to return on contract; and HB 727, allowing burning of certain untreated construction lumber and wood mats. Members also approved HB 11, adding associate degrees to sentence-diminution eligibility, and HB 726, increasing penalties for abandoning vessels, with discussion noting the need for future funding to remove derelict boats. Education and workforce-related bills also advanced, including HB 238, easing ethics restrictions so former school board members who are certified teachers or school psychologists can return to work sooner; HB 256, clarifying mandatory reporter training for school employees; HB 363, allowing virtual-school students to participate in extracurricular activities and athletics at their resident public school; HB 386, allowing locally authorized charter schools to operate as their own LEA under local rules; HB 434, giving superintendents more authority over probationary school bus employees; HB 557, defining long-term care pharmacies; and HB 584, ending the practice of giving foster children trash bags for belongings and providing proper luggage instead. The House also passed HB 661, expanding nepotism exceptions for certain lower-paid school positions such as paraprofessionals, custodians, cafeteria workers, and bus drivers, and HB 697, recreating the Department of Environmental Quality through 2030. Most bills passed unanimously or with strong bipartisan support, though HB 137 on school threats drew significant debate over parental liability and juvenile intervention before passing 71-26.

Transcript Highlights:

• to give our children the best start in life, and no one enters into parenthood expecting to have a child
• With my sister, who is a single mom to a special needs child, I know how hard it can be to identify the
• Because with the right supports in place, fear turns into hope, and into a supported child and later
• Yes, we do care about the child who has the violent behavior, but we first have to remove them.
• I don't want to put any child in D.A.E.P., but these behaviors persist.

Bills: HB 1022 , HB2856 , HB3114 , HJR5 , HB6 , HB 120 , HB210 , HB1458 , HB 1188 , HB3126 , HB6 , HB120 , HB210

Committees: Senate Education , Senate Education K-16

Transcript Highlights:

• The next slide, we wanted to look at subgroups who we're enrolling in the Quitline.
• Enrolling beyond that, we wanted to look at some subgroups to see who was enrolling, and we found that
• We also know, as we've seen even in the enrollment numbers of those.
• These in-school hours cover a total enrolled student population of almost 81,000.
• On slide 15, looking at the MCO quitline enrollments.

Committee: House Tobacco Settlement Revenue Oversight Committee

Transcript Highlights:

• Our enrollment has increased over 5% every semester since 2020, and we're continuing to grow.
• Dual enrollment has been, I think in many cases, a lifesaver for students.
• We have more than 23,000 students enrolled in a health care program.
• Exemption, so the law provides that a principal can go ahead and promote a child if that child has special
• What they're doing, we want every child in... ...but we want every child in this state to have an experience

Transcript Highlights:

• As you've heard, the child care industry is not in a great place.
• advance living wages for child care workers and affordable access to child care for families.
• As you've heard, the child care industry is not in a great place.
• Two, the incentives that will increase those that are enrolled or can enroll, which is unique to existing
• Two, the incentives that will increase those that are enrolled or can enroll, which is a unique existing

Bills: HB1316 , HB2401 , HB2557 , HB2720 , HB1073 , HB2685 , HB2640 , HB2403

Committee: House Appropriations

Keywords: postsecondary education, homelessness, foster youth, education access, support programs, commission, gender equity, boys, men, advocacy, state policy, special education, parental rights, educational access, evaluation reports, disability services, behavioral health, emergency services, health insurance, provider access

Transcript Highlights:

• Former foster youth enrolled in the young adult transitional program and Arizonans designated as having
• Individuals have to navigate layoffs, child care disruptions, family health issues, and temporary health
• In particular, I always think about our water services and our services to help people with child care
• deserve us to be down here voting on things that will make their lives better, not trying to rob a child
• We should reduce barriers to enrollment and improve outreach to those that need it most. I vote no.

Transcript Highlights:

• are more than 30% of students enrolled.
• A parent, so long as it benefits the child.
• The child is self-harming. Okay, but the child was found to have a bruise on his forehead.
• or any child.
• A child whose parent has opted out of the library— if the child got access to the library, the materials

Bills: SB 13 , SB 27 , SB 57 , HB1325 , HB1655 , HB3312 , HB5526 , SB13 , SB57 , SB207 , HB441 , HB591 , HB5019 , SB27 , SB843

Committee: House Public Education

Keywords: lobbying, public funds, political subdivision, local government, county association, municipal lobbying, registered lobbyist, Texas Legislature, taxpayer lawsuit, injunctive relief, attorney's fees, government finance, county dues, state association of counties, sheriffs association, law enforcement officers, legislative advocacy, bill tracking, legislative alerts, Government Code Chapter 556

Transcript Highlights:

• If you want to take a look at our enrollment, we're very proud that our enrollment continues to grow.
• So that's our enrollment: 358.
• , we're very proud that at our enrollment, we're very proud that our<00:36:44.640><c> enrollment</c><
• </c> enroll with us. They're in our hangers. enroll with us. They're in our hangers.
• It's child care.

Summary: The task force meeting began with approval of the July 14 minutes and then heard a presentation from the Kentucky Aviation Association. Association leaders described general aviation airports as important to rural access, commerce, emergency response, tourism, agriculture, and workforce development, and cited statewide economic impacts they said exceed $1.6 billion and support more than 9,400 jobs. They thanked the legislature for prior airport funding and said it had helped airports with basic operations and repairs. The association asked lawmakers for four things: continued appropriations for general aviation airports; relief or a more workable process for required financial audits, which they said can cost $10,000 to $20,000 or more and sometimes exceed a small airport’s annual budget; a regularized statewide appropriations process for airport infrastructure needs, which they said total about $100 million and are currently addressed unevenly; and funding for the Aerospace Education Reinvestment Opportunity Act to support scholarships and aviation workforce training. Members of the task force asked follow-up questions about the audit burden, the difference between financial and safety audits, and the difficulty of finding audit firms. The presenters said they would bring specific ideas back on audit reform. Eastern Kentucky University then presented on its aviation program. EKU leaders thanked the committee for prior support, including a $25 million appropriation for a new flight school building at Central Kentucky Regional Airport, and said the project is expected to break ground in 2026. They reported strong enrollment growth, with 502 aviation majors, most of them Kentuckians, and said the program has expanded flight hours and job placement. EKU also outlined plans to add an air traffic control program in response to Senate Bill 87 and the national shortage of controllers, saying it could train students to FAA standards if the university receives the needed investment in simulators, equipment, space, and faculty. They also discussed the need to replace an aging fleet of training aircraft, saying the current planes are decades old and costly to maintain, and that newer aircraft would improve training quality and reduce student costs.

Transcript Highlights:

• So, it's a little over 500, but 483 are enrolled right now. unannounced site visits.
• Providers enroll for the service.
• Conley on the provider enrollment process, but my understanding is providers attest.
• but</c><00:41:16.840><c> my</c> provider enrollment process, but my provider enrollment process, but
• <01:10:34.840><c> needs</c><01:10:35.360><c> to</c><01:10:35.560><c> reach</c> child needs to reach child

Bills: HF3542

Committee: House Fraud Prevention and State Agency Oversight Policy

Transcript Highlights:

• We saw that Latino new enrollment fell even further.
• Latino new enrollment fell even further, at 39%.
• enrollment period—shortened from 12 weeks to nine weeks, giving people less time to enroll.
• in enrollment from the same time last year.
• to last year during this open enrollment.

Summary: The Assembly Budget Subcommittee on Health held a hearing on the impacts of H.R. 1 and related federal actions on Covered California, Medi-Cal, and immigrant access to care. The chair framed the discussion around three main issues: expected losses in marketplace coverage as enhanced federal premium subsidies expire, new federal work and renewal requirements that would add administrative burden to Medi-Cal, and the loss of eligibility for certain lawfully present immigrants. Covered California testified that H.R. 1 and new federal rules, combined with the end of enhanced premium tax credits, are driving higher premiums, lower new enrollment, and more cancellations, especially among middle-income, Latino, and Black enrollees. The agency said California’s $190 million state subsidy program is helping lower-income enrollees but cannot replace the lost federal assistance, and it noted that roughly 120,000 lawfully present immigrants in Covered California will lose federal tax credits in 2027. On Medi-Cal, the Department of Health Care Services said H.R. 1 will require work and community engagement verification, six-month renewals for certain adults, and other changes that the department expects will reduce enrollment substantially. DHCS estimated 233,000 members could lose coverage by June 2027 from the work requirement and 289,000 from six-month renewals, with losses rising much higher by 2028; it also said it is using automation, outreach, clinic navigators, coverage ambassadors, community health workers, and street medicine providers to reduce procedural disenrollments. The department described a two-phase outreach plan and said it is working with counties on implementation, while the Department of Finance said the Governor’s budget maintains $190 million for the state subsidy program and does not propose additional changes at this time. The LAO said its independent forecast is somewhat higher than the administration’s, estimating about 2.1 million fewer Medi-Cal enrollees by June 2028, and urged the Legislature to review county administrative workload and readiness. Public testimony and member comments focused on the human and fiscal consequences of coverage losses. A representative from the Sacramento Native American Health Center warned that reduced reimbursement and coverage losses would destabilize community health centers, increase uncompensated care, and worsen outcomes by pushing patients into emergency care. Members raised concerns about paperwork burdens, county capacity, outreach effectiveness, and whether the state should do more to preserve coverage, including possible modeling of additional H-CARF spending and support for middle-income consumers and immigrant enrollees. The hearing did not take any votes or formal actions, but it ended with public comment and continued discussion of implementation and budget options.