Transcript Highlights:

• the cost savings that Programs are providing the cost savings that these programs are providing and
• , and provider orientations.
• Third is a statewide provider network that can provide individuals with the services that they need.
• For our local partners and providers in the aging network, there are immediate concerns about the Federal
• food among our TEFAP network.

Summary: The joint Assembly Budget Subcommittee hearing focused first on long-term services and supports for older adults, especially the “forgotten/overlooked middle” who earn too much for Medi-Cal but cannot afford private long-term care. Administration witnesses from DHCS, the Department of Aging, and Social Services described Medicare’s limited long-term care coverage, Medi-Cal’s role, the elimination of the Medi-Cal asset test, and ongoing state studies and listening sessions on financing options. Testimony from advocates and researchers emphasized rising homelessness among older adults, the need for better navigation and coordination across health, aging, housing, and social service systems, and short-term policy steps such as share-of-cost reform, housing stability supports, and protecting home- and community-based services. Members highlighted the need for a coordinated, no-wrong-door approach and asked for the most impactful budget investments to address affordability and homelessness risk. The second major topic was the Community-Based Adult Services (CBAS) program. CDA reported that CBAS helps participants remain in the community, that 304 centers operate statewide serving about 42,000 people, and that demand is stable but access gaps remain in some regions. DHCS explained that a 2024 rate increase authorized by SB 159 became inoperative after Proposition 35, and that a separate 10% rate change on the fee schedule was the result of a DHCS system error; the department said it would not require recoupment, though managed care plans may act under their contracts. CBAS providers and advocates warned that reimbursement rates have not kept pace with costs, that several centers have closed, and that clawbacks could trigger more closures. They requested $74.8 million ongoing General Fund to close part of the rate gap and preserve the program, while members expressed concern about closures and the cost savings of keeping people out of more expensive institutional care. The hearing then moved to In-Home Supportive Services (IHSS) and statewide collective bargaining. CDSS reviewed provider recruitment and retention efforts, including electronic timesheets, direct deposit, and the now-completed IHSS Career Pathways program, which trained more than 59,000 providers. CDSS also summarized its AB 102 workgroup report on statewide versus regional bargaining, saying the final report would be sent to the Legislature soon and that statewide bargaining appeared more viable than regional bargaining, though it would require clear statutory scope and major fiscal changes. The department estimated that each $1 per hour statewide wage increase would cost at least $1.3 billion to $1.5 billion annually. Labor advocates argued that IHSS wages, benefits, and training are too inconsistent across counties and called for statewide bargaining, consumer participation, and ongoing state funding. County representatives supported stronger wages but cautioned that counties need protection from new costs and administrative burdens, and consumer advocates warned that moving bargaining to the state could weaken local consumer control and the program’s consumer-driven structure.

Transcript Highlights:

• They're designed to provide security for networks. We're just getting off the ground with this.
• We have a mandated affiliate network that has grown.
• We also provide quarterly legislative updates.
• We provide technical assistance and partnership.
• You have providers that are providing services to the families and the kids.

Summary: The committee held its first meeting of the session and received an overview of the Higher Education Appropriations budget from staff director Tim Elwell. He explained the committee’s broad jurisdiction over universities, state colleges, district workforce programs, vocational rehabilitation, blind services, student financial aid, private colleges, and the Board of Governors, and reviewed key budget concepts such as local funds, funds per FTE, performance funding, and the distinction between the total appropriation and the recurring base budget. He noted that higher education is funded largely through state and local sources, with substantial flexibility compared with other state budgets, and that the base budget is heavily weighted toward lump-sum allocations to the public systems. The committee then heard a presentation from the University of South Florida’s Florida Center for Cybersecurity (Cyber Florida), led by retired Marine Gen. Frank McKenzie and USF representative Mark Walsh. They described Cyber Florida as a statewide cybersecurity platform created by the Legislature in 2014 to support education, research, workforce development, public policy, and community engagement. McKenzie emphasized the growing cyber threat environment, Florida’s leadership role, and several funded initiatives, including K-12 outreach, workforce training, a cyber range for county governments, critical infrastructure assessments, grant development, and public conferences and outreach. Members asked about public cyber awareness, the lack of a national cyber defense strategy, school district participation in Cyber Launch, and which counties are most at risk; McKenzie said smaller counties with limited cybersecurity staffing are generally more vulnerable and offered to provide follow-up information. Finally, the committee heard from the Florida Center for Students with Unique Abilities at the University of Central Florida, led by Dr. Drew Andrews, along with program and parent representatives from participating institutions. Andrews explained the center’s role in coordinating Florida’s postsecondary comprehensive transition programs for students with intellectual disabilities, supporting program development, distributing grants and scholarships, and monitoring outcomes. He reported that the state now has 33 approved programs at 35 institutions, including universities, state colleges, and technical colleges, and that scholarship and grant funding has grown significantly. He said student retention is about 88 percent, many graduates are employed, and median hourly earnings have increased over time. A representative from Southeastern University described how the center’s support helped build and sustain SEU Link, including a new third-year employment-focused option for students.

Transcript Highlights:

• And providers, because no one has a crystal ball, and by providers, I mean doctors, I mean hospitals.
• be free care that they provide later?
• So, for the large PPO network, they have a pricing for that and another one for their HMO network.
• And so, the fact that the large employers want the large PPO network, then in the large PPO network,
• But the reality is, you know, the employee, we provide, and we try to keep the amount, employee, we provide

Keywords: 1184, house, all

Transcript Highlights:

• </c> 8 as the chair referenced that provides 8 as the chair referenced that provides the<00:04:11.400
• </c> Article 8 of the Constitution provide Article 8 of the Constitution provide for<00:04:20.720><c>
• </c> network at an off-site location. network at an off-site location.
• </c> and the Feeding Our Future network. and the Feeding Our Future network.
• </c> from the network. from the network.

Keywords: 1183, house

Transcript Highlights:

• We can provide those reports, and have provided them to the interim committee before.
• And so created the board to provide some oversight.
• Our network, as I mentioned, is a statewide network.
• As was mentioned earlier, NDSU provides all of the human resources. as was mentioned earlier, NDSU provides
• Our transportation learning network serves four state DOTs and tribal nations and trains and provides

Keywords: 908, all

Summary: The committee first reviewed the 2024-25 tuition waiver report for the North Dakota University System. Staff explained that waivers were reported for degree-seeking students and broken out by residency, institution, and waiver type. Members asked about partial versus full waivers, institutional discretion, athletic waivers, and whether campuses have published guardrails or transparency requirements. Staff said most waivers are set by institutions, with some statutory and board-required categories, and that athletic waivers are a small share of total waiver dollars. The report showed total gross tuition of $354.5 million, tuition waived of $38.9 million, and 11,193 of 42,040 students receiving some waiver. Members also discussed how waivers affect net tuition revenue, housing and food collections, and whether campuses are using waivers strategically compared with scholarships and other funding sources. The committee then heard a presentation on tuition rates by campus and State Board policy. Staff explained the board’s tuition factors for resident, Minnesota reciprocity, contiguous-state/U.S. nonresident, and international students, and noted that campuses often seek exceptions based on program-specific competition and enrollment goals. Members asked whether rates are based on cost or competition, and staff said campuses typically bring forward estimates and market comparisons when requesting special rates. The presentation also reviewed general fund appropriations versus net tuition revenue by campus, and members discussed how local tuition decisions and waivers do not directly affect the state funding formula, though they do affect institutional revenue and reserves. Questions were also raised about the Higher Learning Commission’s financial composite indicator and how it differs from the more intuitive reserve and revenue figures. The committee next received a broad overview of non-higher-education entities affiliated with the State Board of Higher Education, beginning with NDSU agriculture-related units. Dr. Greg Lardy described the State Board of Agricultural Research and Education, the NDSU Extension Service, the Agricultural Experiment Station, and the branch research centers, emphasizing their statewide role in crop and livestock research, extension education, and county-based outreach. He outlined funding mixes for extension, the experiment station, and branch stations, noting that grants and contracts support both research and education, while the agronomy seed farm is self-funded through seed sales. Members asked about the new and vacant FTE pool, R1 research status, matching requirements for grants, and whether state appropriations count toward research expenditures. Dr. Lardy also highlighted major research impacts, including crop varieties, virtual fencing, AI-assisted weed control, and NDAWN weather data. The Northern Crops Institute and the Upper Great Plains Transportation Institute also presented. NCI described its role in market development, technical services, and education for regional agriculture, its governance through the Northern Crops Council, and its funding from state appropriations, other states, and earned revenue. Members asked about the source of out-of-state funding, intellectual property, and the institute’s international reach. UGPTI then outlined its transportation research, federal and state funding structure, and work on road and bridge condition assessments, travel demand modeling, and workforce training. No votes were taken during the portion of the meeting reflected in the transcript.

Transcript Highlights:

• There is a local community provider.
• Does that mean if there's a new provider? For services with the new provider.
• This provides licensure and monitoring for home care organizations that provide non-medical services
• This provides licensure and monitoring for home care organizations that provide non-medical services
• This bill provides a couple of different pieces to it.

Keywords: 987, senate, all

Transcript Highlights:

• By strengthening regional supply chains, providing farmers with stable markets, and improving student
• Vince McKayley on behalf of the California Food and Farming Network and Californians Against Waste in
• So I'm really excited to hear about the work that's been done to provide...
• And that means storing them for a long time, means you're not providing fresh.
• Secura Moskow on behalf of Pesticide Action Agroecology Network, California.

Summary: The Senate Committee on Agriculture heard five bills and took up four consent items. AB 312 would shorten from six months to three months the time agricultural commissioners must hold proceeds from the sale of seized agricultural commodities before unclaimed funds go to the county general fund. The author said it is a narrow administrative change that preserves existing ownership and recovery protections; there was no opposition, and the bill advanced on a 5-0 vote. AB 1731 would create the California Healthy Food Procurement Fund Program to connect schools with California farmers and food businesses through an approved vendor system and procurement support, with a priority for climate-smart agricultural practices. Supporters included school nutrition, farm, environmental, and consumer groups, as well as a rural school district and a farm that described the bill as helping local markets and student access to fresh food. Senators raised questions about climate-smart eligibility and school budgets, but the bill was supported and passed 5-0 to Appropriations. AB 2380 would raise the maximum county fee used to support county agricultural commissioner operations, with a three-year phase-in. The author and the county commissioners’ association said the increase is needed because fees have not been updated in decades and the work is essential for pest control, pesticide enforcement, and public safety. The bill passed 4-0. The committee also heard AB 1603, as amended, which would require DPR to list PFOS pesticides in the pesticide use reporting database and share the information with county agricultural commissioners; the author and supporters described it as a transparency measure, while agricultural and industry groups said they would remove opposition once amendments were in print. It passed 4-1. The four consent items—AB 1711, AB 2326, AB 2685, and AB 2778—were also approved.

Transcript Highlights:

• The aging network line...
• We have an incredible network to provide these services.
• Another mandated thing that is provided or mandated in statute is that we provide training.
• And that was a service that we were able to provide. We are mandated to provide that.
• and what they provided us as far as not being open, or an open network.

Keywords: 996, all

Summary: The committee first heard an Aging and Long-Term Services Department budget presentation comparing the LFC and executive recommendations. The main differences were in the Aging Network, Adult Protective Services, Program Support, and Long-Term Care Division, especially the executive’s proposed $10 million infusion into the Kiki Savadra Senior Dignity Fund and $6.2 million for expanding New Mexico Care. LFC staff explained that the committee recommendation was lower in general fund and fund-balance use, while the executive emphasized rising senior population needs, meal and transportation costs, and the cost savings of keeping older adults at home. The secretary also reviewed the department’s special requests, including the conference on aging, outreach, emergency preparedness, and the Kiki fund, and described New Mexico Care’s growth, its evaluation results, and the department’s plan to separate Kiki into its own accounting fund. Members largely focused on senior services, rural meal delivery, transportation, caregiver support, and the Kiki fund. Several members urged stronger support for non-metro aging providers and for New Mexico Care, citing its role in keeping seniors out of nursing homes and the program’s reported savings and outcomes. Questions also covered eligibility, background checks for caregivers, respite care, dementia and Alzheimer’s screening, and whether Kiki funds can support home modifications such as ramps. The committee then voted to adopt the LFC recommendation with one executive language change: adding the executive’s page 14 language allowing an additional 12.5% distribution for initial payments to aging network providers at the start of FY27. Representative Dow opposed the motion. The committee then moved to the Attorney General’s budget. LFC staff explained that the office’s budget relies heavily on the Consumer Settlement Fund, with both recommendations reducing general fund revenue while increasing settlement-fund use, and that performance measures were in consensus. The Attorney General said the office was not seeking more general fund, but wanted greater ability to use funds it recovers. He highlighted major consumer and public safety work, including litigation against major social media and AI platforms, a case involving Snapchat and child exploitation/extortion, the statewide crime gun intelligence center, efforts to address oilfield theft, work on missing and murdered Indigenous persons, and efforts to protect federal funds coming into New Mexico.

Transcript Highlights:

• help that is currently not being provided.
• We provided a solution.
• , or to provide bonuses or other remuneration.
• They provide a service.
• Today, as we know, children of vloggers provide click...

Summary: The committee heard several bills focused on civil rights, housing, public safety, and administrative process. Early items included SB 46, which would authorize the Secretary of State to remove constitutionally ineligible presidential and vice presidential candidates from California ballots; SB 1078, requiring notice to the Civil Rights Department when court filings involve civil rights violations; SB 989, expanding access to Care Court by letting first responders refer cases through county behavioral health agencies; SB 998, clarifying and expanding discrimination prevention coordinators in the new Office of Civil Rights; SB 1146, requiring disclosure for AI-generated health advertisements and giving physicians a limited private right of action; SB 1164, a California Voting Rights Act expansion responding to federal voting-rights rulings; SB 1256, a housing bill aimed at limiting repeated litigation over the Harmony Grove Village South project; SB 1267, addressing HOA liability and indemnification for EV charger installations; and SB 1425, authorizing an encroachment permit program for high-speed rail right-of-way management. The committee also later heard SB 873, restricting ICE arrests near courthouses, and SB 1160, requiring eviction data reporting by zip code. Most bills drew support from sponsors, advocacy groups, labor organizations, or local officials, while opposition centered on concerns about county workload, due process, fire safety, civil liberties, or the scope of the policy changes. Members generally expressed support for the bills while noting unresolved issues and the need for amendments or further stakeholder work, especially on SB 1164, SB 1256, SB 1267, SB 1425, and SB 1160. The Judicial Council opposed SB 1160 because of the burden of adding zip-code reporting to court systems, while the author and supporters argued the data would help target eviction-prevention efforts. SB 873 drew strong support from public defenders, immigrant-rights groups, and court-related stakeholders, with the San Bernardino County Sheriff’s Department opposing. SB 989 drew support from firefighters and family advocates, while Disability Rights California opposed, arguing Care Court is too costly and diverts resources from community-based services. SB 1164 received broad civil-rights and voting-rights support, with cities opposing unless amended over definitions, cure periods, and litigation risk. SB 1256 drew support from housing and labor interests and opposition from local residents and environmental groups concerned about fire safety and evacuation. SB 1267 was supported by the HOA and utility stakeholders after amendments addressing liability concerns. After quorum was established, the committee voted to pass a consent calendar and then approved the listed bills, sending them to the appropriate committees or to Appropriations, including SB 46, SB 873, SB 989, SB 998, SB 1078, SB 1146, SB 1164, SB 1256, SB 1267, and SB 1425. The transcript ends with SB 1160 still under discussion, with members indicating support for the bill’s goals but acknowledging the Judicial Council’s implementation concerns and the need for further work.

Transcript Highlights:

• This loophole is exactly how these predators' networks operate.
• This loophole is exactly how these predators' networks operate.
• members of these predatory online networks.
• SB 1015 provides a clear and targeted solution.
• They provide essential electricity, water, and natural gas service. We have...

Keywords: 987, senate, all

Transcript Highlights:

• This bill is not to close out schools, it's to help make them better and provide the resources or provide
• As a result, mental health care is predominantly provided by primary care providers.
• In urban areas, we have more mental health care providers, yet these providers are not evenly distributed
• A review of the health provider shortage area data provided by HRSA for Miami-Dade County shows the highest
• Patients then can see the provider of their choice.

Summary: The Health Professions and Programs Subcommittee heard and advanced several health care bills. HB 909, joining the Occupational Therapy Licensure Compact, was presented with a strike-all amendment and reported favorably as amended by a 13-0 vote. HB 911, the related public records exemption protecting certain biological information, was also adopted and reported favorably as amended by a 14-0 vote. CS for HB 597, allowing schools to procure and administer glucagon for students with diabetes under trained personnel, passed unanimously 14-0 after a technical amendment. HB 519, aligning state law with federal language on controlled substances administered by paramedics, passed as amended 14-0. The committee then took up HB 919 on nursing education programs. Sponsor Rep. Overdorf argued the bill would create accountability for underperforming nursing schools by requiring remediation, tuition refunds in the lowest-performing programs, and public reporting of passage rates. Supporters said it would improve quality and protect students from debt without licensure success, while opponents from private nursing schools warned it could close programs and reduce nurse supply. After extensive debate, the bill was reported favorably 15-0. HB 1553, which would require health care providers to submit identified uterine fibroid data so the Department of Health can implement the research database previously authorized by law, passed unanimously 15-0. The final bill, HB 883, would allow psychiatric mental health nurse practitioners to practice autonomously; supporters said it would expand access to mental health care, especially in rural and underserved areas, while opponents raised concerns about quality and physician oversight. After lengthy testimony and debate, the bill was reported favorably 14-3.

Transcript Highlights:

• the award on provider payments.
• It's just us providing essentially through... ...the grant of payments to the provider.
• Similarly, they will need to send information to their provider network about what the latest guidelines
• In terms of ECM, provider network growth has grown substantially.
• Managed care plans report steady increases in executed provider contracts and expanding network growth

Summary: The hearing began with a stakeholder presentation from Let California Kids Hear urging coverage of pediatric hearing aids for children in the large group market. Advocates described the issue as a long-running developmental emergency, argued that existing state efforts have been inefficient, and said the new proposal would cover about 70% to 80% of affected children without new spending by redirecting existing dollars. Public commenters, including parents, audiologists, and children’s advocates, strongly supported the proposal and emphasized the need for timely access to sound. The chair thanked the group and noted hope for a future fix, including continued work on the exchange market. The Department of Finance then gave a broad budget warning about the state’s more than $20 billion structural deficit and said new investments must be weighed against out-year shortfalls. HCAI followed with an overview of its programs, including CalRx insulin and naloxone, reproductive health grants, the Office of Health Care Affordability, seismic hospital compliance, workforce programs, and the Data Exchange Framework. Members asked about geographic targeting of workforce funds, behavioral health pipeline programs, the status of the 21st Century Nursing Initiative, and future CalRx products such as EpiPens and GLP-1s. HCAI also described its enforcement approach for health care spending targets, saying the board would not change the targets in response to H.R. 1, and outlined the diaper access initiative, which will distribute diapers through hospitals in higher-need areas. Several HCAI budget items were discussed and held open, including additional expenditure authority, the transfer of the Data Exchange Framework and Office of the Patient Advocate, long-term care payment transparency staffing, and reporting on health care worker waiting periods. The department also presented its Behavioral Health Services Act workforce initiative and a proposed $100 million General Fund offset, which both the LAO and the chair questioned as unclear and potentially one-time in nature. HCAI said the final workforce plan would be adjusted after stakeholder consultation if the offset proceeds. The department also described the Rural Health Transformation Program, saying California received $233.6 million in federal funds, had to revise its proposal to satisfy CMS, and must obligate the money by October 30; the program will fund rural care models, workforce development, and technology, with grants rolled out on a phased basis. The Department of Managed Health Care then presented its budget and three legislative implementation requests: SB 41 on PBM reform, SB 306 on prior authorization transparency, and AB 1041 on provider credentialing timelines. Finally, the administration outlined a menopause care proposal requiring coverage and education for menopause-related services, provider training, and an outreach campaign, with DMHC requesting staffing and funding to implement and enforce the new requirements. Throughout the hearing, most items were held open for later action, and no final votes were taken in the portion provided.

Transcript Highlights:

• This bill requires FDLE to provide protective services to major party nominees for Governor and Lieutenant
• This bill hopefully will provide relief to then 71-year-old Patricia Moni, who was awarded funds by a
• This bill would provide Ms.
• After working on a CPT team for 6 months, they can apply to take the medical provider exam and obtain
• -based support network.

Transcript Highlights:

• The provider costs have increased.
• and lawfully authorized provider.
• or not provide.
• One of the ways that we keep people in-network and say, if you go out of network, you can use an out-of-network
• As anesthesia providers, we provide nearly three quarters of the anesthesia provided in an outpatient

Summary: The committee heard testimony on several health-related bills. HB 2726 would require coverage for diagnosis and treatment of mild obstructive sleep apnea, including a tongue-muscle stimulation device. The sponsor and medical witnesses said the device is a less burdensome alternative to CPAP and could improve adherence and reduce long-term complications, while Access said it already covers medically necessary sleep apnea treatment but was neutral and concerned the bill could narrow review and limit cost-effectiveness analysis. The committee adopted the Bliss amendment and then gave HB 2726 a due-pass recommendation by an 8-4 vote. HB 2435, as amended, would create a provisional licensing pathway for internationally trained physicians who meet specified ECFMG-related criteria, with supervision, fees set by the Medical Board, and automatic conversion to a full license after four years if conditions are met. Supporters argued Arizona faces severe physician shortages, especially in rural and tribal areas, and that the bill would bring in experienced doctors while preserving oversight. Opponents, including the Arizona Medical Board, said current law already allows case-by-case licensure review and warned the bill could weaken safeguards and bypass existing scrutiny. After adopting the amendment, the committee approved HB 2435 on a due-pass recommendation. HB 2958 would require Access coverage for comprehensive dental care for pregnant women age 21 and older, with a $500,000 general fund appropriation for a pilot program. The sponsor and public health witnesses said dental care during pregnancy is linked to better maternal and infant outcomes and could reduce emergency room use and complications. The committee adopted the bill and sent it out with an 11-1 due-pass recommendation. HB 2176, which sets timelines and standards for health care institution complaint investigations and dispute resolution, also received broad support from hospitals and was approved unanimously on a 12-0 due-pass recommendation. The committee then heard HB 2447, which would bar insurers from reimbursing certified registered nurse anesthetists at a lower rate than anesthesiologists for the same service. Opponents argued the bill would interfere with private contracting, ignore differences in training and liability, and likely raise costs for the state and taxpayers; supporters said anesthesia demand has outpaced reimbursement and that parity is needed to protect access, especially in rural areas. The transcript ends during testimony on HB 2447, before any vote is taken.

Transcript Highlights:

• You know, I think one of the items I outlined in my remarks was we have a very robust network of providers
• The capacity of managed care plan provider networks for community supports varies across regions, and
• Some plans have established robust networks; other plans face challenges with securing adequate provider
• The department plans to collect key data on measures related to provider networks and utilization and
• The department plans to collect key data on measures related to provider networks and utilization and

Summary: The committee heard a budget oversight hearing on the Department of Health Care Services, focusing first on the overall Medi-Cal budget and a March General Fund loan to cover a current-year shortfall. DHCS said the 2025-26 budget proposal totals $193.4 billion, with Medi-Cal projected at $188.1 billion total funds and $42.1 billion General Fund, driven by higher enrollment, pharmacy costs, managed care growth, and costs tied to eligibility expansions and the COVID-era redetermination unwinding. The department said the $3.44 billion loan was needed to manage cash flow and ensure timely payments to providers and plans, while the LAO noted Medi-Cal’s cash-basis budgeting creates volatility and that more detailed estimates would come with the May Revision. Members discussed federal Medicaid threats, the need for transparency on cost drivers, and the impact of pharmacy spending, long-term care, and immigration-related coverage expansions. The second major topic was family health programs, including California Children’s Services, the continuous coverage unwinding, and opioid settlement fund spending. DHCS described CCS funding methodology changes, ongoing county stakeholder work, and a delayed rollout of CCS monitoring and oversight until July 1, 2025, while county representatives and advocates argued the program is underfunded and asked for more technical assistance and a delay in implementation. On the unwinding, the department explained that federal redetermination flexibilities helped maintain coverage after the pandemic, but the Governor’s budget proposes ending them at the end of June 2025; advocates urged making the flexibilities permanent to avoid coverage losses. For opioid settlement funds, DHCS and Finance said the budget increases funding for naloxone distribution while reducing other harm-reduction spending based on updated settlement revenues, prompting criticism from members and public commenters who argued the change would weaken effective harm-reduction programs. The hearing also included an update on Proposition 35 implementation. DHCS said the voter-approved measure continuously appropriates MCO tax revenues beginning in 2025, with up to $4.6 billion annually available for specified Medi-Cal and provider investments in 2025 and 2026, but implementation depends on consultation with the required stakeholder advisory committee. The department and LAO noted uncertainty about future federal rules affecting the MCO tax after 2026. Public testimony largely supported maintaining Medi-Cal expansions, protecting immigrant coverage, preserving harm-reduction funding, and increasing support for community health workers, pediatric dental care, and CCS county administration. No votes were taken during the portion of the hearing provided.

Transcript Highlights:

• He said but it's idea of networking.
• Networks that could have invited to.
• And so that's their out of that network and out of that information network and opportunities to build
• </c><01:23:26.400><c> for</c> talk getting connected to networks for talk getting connected to networks
• </c> And so that's their out of that network And so that's their out of that network and<01:23:36.480

Keywords: 958, all

Summary: The committee heard testimony focused on barriers facing minority-owned businesses and on local programs intended to improve access to capital and contracting opportunities. A representative from the U.S. Black Chambers described disparities in minority spending, argued for more intentional and transparent investment in Black communities, and emphasized the need to disaggregate data, hold officials accountable, and expand tools such as the byBlack certification directory. He also stressed that businesses need technical assistance, resources, and opportunities to grow through mergers, consortiums, and joint ventures. The main presentation then came from Larry Forester and Tyrone of Commerce Lexington, who outlined what they called eight major barriers for minority businesses, including limited access to capital, weak mentorship networks, discrimination and bias, bureaucratic hurdles, branding and visibility challenges, stereotyping, generational knowledge gaps, and limited financial literacy. They described several Commerce Lexington initiatives: the Access Loan Program, which brings small businesses before a pool of 26 lenders; a Minority Business Accelerator to help firms scale and connect with prime contractors; and an Opportunity Exchange for business owners to share experiences and lessons learned. They said the Access Loan Program has funded nearly $26 million in loans with an average loan size of about $62,000. Members asked about bias in lending and how to make contracting and certification easier for minority firms. Forester said applications are vetted by a subcommittee before reaching the full lender group, with attention to completeness and readiness, and that only one lender needs to say yes. On contracting, the witnesses said certification can be burdensome and suggested more hands-on help from the state, relationship-building events that include decision-makers, and incentives rather than mandates. They also relayed policy ideas from a business owner, including culturally informed underwriting, public-private matching grants, supplier diversity enforcement, and mentorship tied to capital access. No votes or formal committee actions were taken in the portion provided.

Transcript Highlights:

• those providers have service providers those providers have 2.5<00:08:15.240><c> years</c><00:08:15.520
• What we are not is we are not cellular providers, and we're not VoIP providers, mobile VoIP providers
• What we are not is we are not cellular providers, and we're not VoIP providers, mobile VoIP providers
• </c> providers and we're not vo providers providers and we're not vo providers mobile<00:31:38.799><c
• c> over</c> large provider who provid service over large provider who provid service over great<00:37

Keywords: 1187, senate, all

Transcript Highlights:

• these funding because the providers these particular<00:13:38.320><c> providers</c><00:13:38.720><c>
• people for payments to Providers million people for payments to Providers um<00:21:15.240><c> and</c
• </c> HIV Supportive Services uh which provide HIV Supportive Services uh which provide critical<00:43
• </c><00:46:43.839><c> that</c> around a long time to provide that around a long time to provide that
• Is that the nursing home provider?

Keywords: 1187, senate, all

Transcript Highlights:

• So why should my local provider get a lower property tax?
• Louis City is provided by AT&T.
• So not many people want to bid to provide where we're going to provide the service.
• We have provided pictures.
• That's my testimony, and I'll provide maps with these.

Summary: The committee first took up House Bill 2383, Representative Simmons’s bill addressing theft of copper and other infrastructure-related property. After a brief executive session and no further discussion, the committee voted the bill do pass by a roll call of 17 ayes, 1 no, and 1 present. The committee then heard House Bill 2711, sponsored by Representative Deal, which would lower the assessed valuation of broadband communications equipment from 33.5% to 12% for new broadband equipment placed in service after August 28, 2026, with a proposed sunset period discussed as part of a substitute. Representative Deal and several industry witnesses, including AT&T, Verizon, Missouri Cable Association, Missouri Broadband Providers Association, Missouri Chamber, and electric co-ops, argued the measure would improve Missouri’s competitiveness, encourage private investment, and help expand broadband in rural and underserved areas. Opponents, including county assessors, argued the bill would reduce local tax revenue, create unequal treatment, and could become a precedent for other industries. Committee members questioned whether the bill would apply only to new builds or also to upgrades and existing infrastructure, and whether the tax relief would actually drive expansion into rural areas. The committee then began hearing House Bills 2402 and 2816, which deal with solar energy siting and taxation. The sponsors described the bills as setting local assessment rules for solar projects, establishing a per-megawatt valuation, requiring larger setbacks from homes, schools, and churches, and limiting the amount of tillable land that can be used for solar in a county, while also addressing Chapter 100 agreements and decommissioning concerns. Supporters, including Missouri Farm Bureau and county officials, said the bills would provide needed guardrails, local control, and more consistent taxation. Opponents and affected landowners said existing solar projects have caused glare, dust, noise, and property value concerns, while some developers said they wanted clearer statewide rules and consistency for future projects. The committee did not take final action on the solar bills before going into recess.

Transcript Highlights:

• Unless a patient has provided informed consent, this bill would prevent health care providers or any
• Make sure to provide your witness form and state your name.
• I'm a health care provider myself. I think that's important.
• I request the laboratory result from their biopsy, from the provider, or from the provider, or result
• from their biopsy, from the provider or from the lab.

Summary: The Committee on Health and Mental Health heard testimony on several bills. Senate Bill 1019, sponsored by Sen. Crawford, would let district and municipal hospitals invest up to 50% of non-operating funds, up from 25%, and would also allow municipal hospitals in third-class cities to operate in areas where hospital district and county hospitals operate. The sponsor and a hospital representative said it would improve returns and rural access; there was no opposition, and the hearing closed without questions. House Bill 2606, sponsored by Rep. Caton, would give patients stronger control over their health records by requiring informed consent before providers or medical entities sell or disclose information for marketing or research, with civil remedies and damages for violations. Supporters argued it restores patient ownership, strengthens privacy beyond HIPAA, and closes loopholes, citing Minnesota’s law as a model. Opponents, including the Missouri Hospital Association, Missouri State Medical Association, Washington University, and the Missouri Ambulance Association, warned it could disrupt care coordination, quality improvement, research using de-identified data, and data reporting obligations, and could create administrative burdens and lawsuits. The Secretary of State’s office said it wanted an amendment so records could still be used 50 years after a patient’s death for archival and genealogy purposes. House Bill 1638, sponsored by Rep. Overcast, would extend the Alzheimer’s State Plan Task Force to 2033, add an assisted living facility representative, create staggered terms, remove Senate confirmation requirements, and require updated reports every five years. The sponsor and the Alzheimer’s Association said the task force has been delayed by appointment problems and needs to be fully staffed to continue its work. The committee also discussed the task force’s prior incomplete staffing and the need for continuity, and the hearing concluded with no opposition.