Transcript Highlights:

• The federal funding for our worker training program is secure, at least for now, but even that is not
• Other members of our union who work in federally funded programs are not so fortunate.
• That federal program was rescinded before the proposals were even reviewed.
• , and that federal program, as you probably know, has also been rescinded.
• And AANAPISI programs, the federal funding, and the programs exist to close these gaps.

Keywords: 995, all

Summary: The committee on Economic Development held a hearing on the DRIVE Act, a proposal to invest $400 million in Massachusetts research and innovation without new taxes. Governor Healey and administration officials said the bill would direct $200 million to public higher education research and regional partnerships and $200 million to a research funding pool for hospitals, universities, and other institutions, with the goal of retaining talent, leveraging private and philanthropic dollars, and offsetting major federal R&D cuts. They argued that research is a core economic engine for the state, supporting jobs across labs, construction, services, and surrounding businesses, and said the bill would help protect the Commonwealth’s tax base and competitiveness during a period of federal uncertainty and cuts to SNAP, Medicaid, and other programs. Committee members raised concerns about whether Fair Share surtax dollars should instead be used for K-12 and other community needs, whether the proposal is enough given the scale of lost federal grants, and how the money would be allocated. The governor responded that the funds are one-time surplus dollars, that most surtax revenue already supports education, and that the bill is meant as a bridge to stabilize public higher education and research. She also said the legislation includes a review board and could support a revolving or matched-fund approach in some cases. Several members pressed for more detail on selection criteria, future funding, and whether private companies and large endowments should contribute more. University of Massachusetts leaders and researchers testified that federal grant cancellations and delays are already causing layoffs, furloughs, rescinded admissions, and lost research capacity. UMass officials said the bill would help preserve faculty, postdocs, graduate students, and research programs in medicine, climate science, marine science, Braille instruction, and AI decision-making. They emphasized that the funding should be merit-based and that the state needs to act quickly to prevent talent from leaving Massachusetts. Business, labor, and industry groups, including MassBio, the Massachusetts Taxpayers Foundation, AIM, the AFL-CIO, and Building Trades, supported the bill, saying it would protect jobs, sustain the innovation ecosystem, and reinforce Massachusetts’ national leadership in research and life sciences. No vote was taken in the hearing.

Transcript Highlights:

• <00:02:07.719> where programs represent uh are programs where programs represent uh are programs
• This excludes the federal funding, and on Medicaid, um, and about today um and 3% is in Grant programs
• Housing support is a state-only program, so we don't have a federal match here, hence the large cost
• a state only program so we don't<00:06:54.759> have<00:06:55.199> a<00:06:55.360> federal
• , which is a different federal funding source than the new CFSS program.

Keywords: 1183, house

Transcript Highlights:

• It's funded with general revenue, federal funds, and various program support.
• It's funded with general revenue, federal funds, and various program support for a total appropriation
• It's funded with general revenues, federal funds, and various program support.
• is funded through general revenues, federal funds, and various program support at $12.7 million.
• the RIF program or the process, but also the closed-out program with the federal side.

Summary: The committee heard budget presentations and took executive recommendations on several Department of Human Services divisions, including Aging, Adult and Behavioral Health Services; Children and Family Services; County Operations; Developmental Disability Services; and Medical Services, with most divisions showing little or no significant change in total appropriations. Staff and agency witnesses repeatedly explained that many large appropriations are maintained for flexibility, federal matching requirements, or contingency needs, even when actual spending is much lower than the authorized amount. Members also raised concerns about staffing vacancies, long-vacant budgeted positions, and the use of excess appropriation authority across DHS. In Aging, Adult and Behavioral Health, members questioned federal funding levels for mental health and substance abuse grants, the status of senior centers and Meals on Wheels, the Medicaid tobacco settlement program, community alcohol safety grants, and the veterans mental health grant. Agency officials said federal block grants are largely committed, that senior center funding had been delayed by shutdown timing but was now back on track, that the tobacco settlement program had been moved internally within DHS, and that the veterans mental health appropriation remains unfunded. Senators also criticized the adequacy of support for seniors and asked for more detail on how transportation, meal services, and local contributions are funded. In Children and Family Services, members asked about rising appropriation levels, foster care and adoption subsidies, professional fees, the number of children in foster care, and the Children’s Trust Fund. DHS said increases reflect added flexibility for residential treatment, adoption subsidies, and prevention services, while the foster care population has remained fairly steady at about 3,400 children. The Children’s Trust Fund was described as supporting primary prevention programs such as Baby and Me and community schools, and members asked whether it could be administratively combined with other efforts. Questions also covered TANF subgrants, with DHS explaining that it had reduced outside subgrants after discovering over-obligation and was rebuilding reserves. In County Operations, members focused on the summer EBT program, SNAP employment and training, the farmer’s market program, and the state’s TANF reserve position. DHS said summer EBT is still being funded through temporary appropriations because it is a newer program, SNAP employment and training is largely federally funded and may expand under a pending policy change, and TANF reserves were drawn down after prior over-obligation but are now being stabilized. In Developmental Disability Services, members asked about vacancies, human development center staffing, facility construction funds, and the Booneville work program, and DHS said the program has reopened and staffing recruitment continues. In Medical Services, members asked about FMAP, the Our Kids B CHIP program, school-based Medicaid reimbursements, nursing home distress funds, and several large appropriation lines that far exceed actual spending; DHS said these are maintained for claims payment, nursing home receivership contingencies, and other flexibility needs. Each division reviewed was adopted by executive recommendation after questions concluded.

Transcript Highlights:

• As we can see, the energy community revitalization program is the bulk of federal funds.
• As one of the most common is the Federal Restore Program.
• Due to federal regulations, most administrative costs for this program can't be federally funded, which
• Item 8 is significantly federally funded programs.
• federal program at USDA NRCS called the Watershed Rehabilitation Program.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• Item 7 is the Federal Restore Program.
• Turning to page 12, item eight. is significantly federally funded programs.
• are not federally funded are cost recovery programs.
• We cooperate with a federal program called the Texas Cooperative Inspection Program.
• Federal funds, so the child nutrition programs that we're operating are federally funded, so there's

Keywords: 1184, house, all

Transcript Highlights:

• We'll have difficulty covering the full federal gap, and if these advocacy programs close, Minnesotans
• We'll have difficulty covering the full federal gap, and if these advocacy programs close, Minnesotans
• We have a transitional housing program that is totally funded by federal dollars.
• We have a transitional housing program that is totally funded by federal dollars.
• We have a transitional housing program that is totally funded by federal dollars.

Keywords: 1187, senate, all

Transcript Highlights:

• I can tell you, sir, since the full implementation of the federal program on January 1, 2023, that's
• , state and federal.
• to maximize federal funding and to expand the TEACH Program along with other programs that were noted
• two programs combine what we call in Florida the Florida KidCare program.
• Program.

Summary: The committee met to receive implementation updates on recently enacted health care laws from AHCA and the Department of Health. AHCA reported on rural emergency hospitals, explaining the new Class 4 hospital designation, rule changes completed June 1, 2025, and that no Florida hospitals have yet converted, though one North Walton/DeFuniak Springs-area hospital has expressed interest. AHCA also reviewed the non-emergent care access plan requirement for hospitals with emergency departments, saying 83 plans had been received since July 1 and 63 approved, with plans emphasizing patient education, referrals to primary care or urgent care, and coordination for Medicaid managed care enrollees through the Florida HIE/ENS system. Members asked about HIE capacity, data collection, and whether the plans would identify shortages or trigger accountability measures; AHCA said it had moved to a new HIE vendor and would continue gathering data. AHCA also updated the committee on the TEACH workforce program, reporting $6.8 million in FY 2024-25 spending across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed, and said a federal 1115 workforce waiver was unlikely to move forward under CMS. On KidCare, AHCA said House Bill 121’s expansion to 300% of the federal poverty level remains blocked by federal litigation and CMS action tied to premium nonpayment rules, and members and public witnesses urged prompt implementation and asked for enrollment/disenrollment data and the rural health transformation funding outlook. Public testimony largely supported the NCAP and TEACH programs and pressed for action on KidCare. Representatives from health centers said NCAP has strengthened hospital-health center relationships and improved care coordination, including reduced recidivism in some hospitals. A Bond Community Health Center physician said TEACH is helping offset the burden of training students and could help address workforce shortages, especially in rural and underserved areas. Advocacy groups urged the committee to push for implementation of the KidCare expansion, citing children in the coverage gap and rising uninsured rates. The Department of Health then presented on several programs from the 2024-25 session. It reported on the Florida Reimbursement Assistance for Medical Education (FRAME) program, including 78 dentists and 15 dental hygienists funded under the dental track and nearly 1,300 medical professionals funded overall, with 123 dental applications and 71 funded dentists in the most recent cycle. DOH also updated the Screening and Services Grant Program, the Health Care Innovation Revolving Loan Program, the statewide telehealth maternity care program, and the swimming lesson voucher program, noting strong participation and outcomes such as reduced ER visits and improved postpartum follow-up in the maternity program. Finally, DOH said implementation of the HIV prevention drug/pharmacist dispensing law is underway, with three certification courses approved and five certifications issued. Members asked about barriers to wider use of HIV prevention drugs, more detailed maternal outcome data, and the dental workforce program report; DOH said more detailed reports would follow.

Transcript Highlights:

• In general revenue to support the federally qualified health center incubator program and strategy b2
• And there are a number of programs that receive a pretty good portion of federal funds. HIV is one.
• programs that are largely supported with federal dollars. 65% of our funding goes for federal funds and
• Examples of programs that are fully funded with federal dollars?
• My last question is based on the program, the federal program that was in place to provide reimbursements

Keywords: 1184, house, all

Transcript Highlights:

• First, House Bill 196 and Senate Bill 167 enact maximizing participation in federal nutrition programs
• And with our federal safety net programs under daily threat, it's more crucial than ever that we step
• Unfortunately, the only federal assistance program that can be used for diapers is TANF, not SNAP or
• And in recent months, as you know, federal grants for our farmers, for school food programs, and our
• With the federal government cutting funding for SNAP and Medicaid, state support for programs like HIP

Keywords: 995, all

Summary: The House Committee on Children and Families held a hybrid hearing on a broad set of anti-hunger, family support, and basic-needs bills. Early testimony focused on SNAP and DTA operations: Rep. DeRosa and others urged passage of H. 196/S. 167 to require DTA to identify staffing, technology, funding, and operational needs to improve timeliness and customer service, warning that unanswered calls, delayed recertifications, and federal changes could sharply raise state costs through higher SNAP administrative burdens and payment-error penalties. Speakers from Massachusetts Law Reform Institute and Project Bread said DTA is under-resourced, caseloads have grown, and families are being denied or delayed due to phone and paperwork barriers. Another major SNAP-related bill, H. 254/S. 147, would require the Commonwealth to replace stolen EBT/SNAP benefits; testimony described more than $13 million stolen from about 27,000 households since June 2022 and argued families should not bear losses from organized theft rings. The committee also heard strong support for H. 207/S. 117, which would restore state-funded nutrition assistance for legally present immigrants excluded from federal SNAP under recent federal changes. Advocates from Project Bread, the Massachusetts Law Reform Institute, local immigrant services, and public health groups said the federal cuts would leave thousands of residents, including refugees, asylum seekers, trafficking survivors, and children, without food support, and argued Massachusetts has a history of filling this gap. Testimony also supported H. 222/S. 104 to make the Healthy Incentives Program permanent and year-round; supporters said HIP improves nutrition, boosts local farms and regional economies, and had already served more than 212,000 households in FY25. A related child-support bill, H. 201/S. 110, would increase the amount of child support passed through to TAFDC families and expand good-cause exemptions; witnesses said the change would put more money directly in families’ hands, reduce poverty, and better protect survivors of domestic violence and families with complicated co-parenting situations. A large portion of the hearing was devoted to deep-poverty and diaper-related legislation. Supporters of H. 214/S. 118 said cash assistance grants have lost value over time and should be raised annually until they reach half of the federal poverty level; advocates from Children’s HealthWatch, Hopewell, the Lift Our Kids Coalition, and parents described the links between deep poverty, poor child health, family stress, and child welfare involvement. They argued that higher grants would help families meet basic needs, reduce hospitalizations and neglect reports, and provide stability amid federal cuts. Finally, multiple witnesses backed diaper legislation, including H. 220/S. 151 and related bills, to create a diaper benefits pilot and/or diaper allowance commission. Testimony from the National Diaper Bank Network, MassCAP, Children’s HealthWatch, local diaper banks, and parents said diaper need is widespread, affects parental employment and mental health, and can cause health problems for infants; a federally funded pilot in Massachusetts was cited as showing improved employment, financial stability, reduced stress, and fewer diaper rashes. No votes or final actions were taken during the hearing; the committee heard testimony and asked questions throughout.

Transcript Highlights:

• Medi-Cal program.
• The asset test elimination, federal success, federal flexibilities.
• to another program.
• Medi-Cal program.
• Essential Access administers the Title X federal family planning program in California.

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:

• You know, if we can get federal funding to really grow certain programs or do something really novel
• Currently, that program is 100% funded by the federal government.
• Additionally, some of the other federal programs include the Commodity Supplemental Food Program. the
• That program is also looking at potential reductions with the federal reconciliation bill, and the impacts
• But we'll sometimes augment these programs with state funding, but some have state, some have federal

Transcript Highlights:

• This is a federal program.
• This is a federal program. It is not a state program. Accessible to Floridians.
• This is a federal program. It is not a state program. It's 100% federal dollars.
• The program combines two long-term existing federal grants: the Flood Mitigation Assistance Grant and
• Program eligibility: These are federal guidelines. These are not state guidelines.

Summary: The Committee on Community Affairs met with a quorum present and heard several housing and disaster-recovery items. The committee heard SB 48 by Senator Gates, which would require local governments to allow voluntary accessory dwelling units, preserve homestead treatment for the owner-occupied portion of the property, limit undue parking restrictions, require 30-day minimum rentals, extend certain density bonuses for military families, and allow reusable tenant screening reports. The bill drew strong support from the Florida Association of Mortgage Professionals and several others, and it was reported favorably. The committee also heard SB 34 by Senator Sharif, creating a historic cemeteries program to help preserve historic African-American cemeteries and allow sale of excess vacant land if proceeds are used for long-term maintenance; it was also reported favorably. The committee then considered and recommended confirmation of Fox Henderson to the Board of Directors of the Florida Housing Finance Corporation. Members also received a presentation from the Department of Commerce on the Community Development Block Grant Disaster Recovery program and Rebuild Florida. Deputy Secretary Justin Domer described the state’s administration of HUD disaster recovery funds, including more than $4.3 billion received since 2017, housing repair and replacement programs that have completed 5,271 homes, and infrastructure and mitigation projects such as sewer conversion in Alford, the new Calhoun-Liberty Hospital, and the Florida Keys desalination plant. Members asked about average project costs, contractor oversight, corrective actions for deficient work, and audit procedures; Domer said the department uses inspections, vendor oversight, and financial penalties, and noted stricter contract consequences in newer programs. The Division of Emergency Management also presented on Elevate Florida, a federal mitigation program that allows homeowners to apply directly for elevation, reconstruction, acquisition/demolition, or wind-mitigation projects, with a 75/25 federal-homeowner cost share and no state funds. Director Kevin Guthrie said the program is designed to reduce repetitive flood losses and keep homeowners in place, and that it has received more than 12,000 applications, with about 1,500 prioritized, 500 on a wait list, and 305 submitted to FEMA for final approval. Members asked about the 25% match for seniors, the wait list, contractor procurement, and how projects are classified; Guthrie said the program uses insurance proceeds where available, has competitively procured 27 contractors, and may shift projects from elevation to reconstruction depending on damage and flood rules. The committee adjourned after the presentations and discussion.

Transcript Highlights:

• About federal threats to CSD programs. We will have public comment at the end.
• Federal programs have different income thresholds, definitions of households, and other eligibility criteria
• The federal program CSD...
• So as noted in the... agenda, program staff were recently laid off in the Federal Division of Energy
• This remains the case for all of our federal programs, which continue to receive funding and operate,

Keywords: 988, house, all

Transcript Highlights:

• This program is funded with both federal funds and state matching funds.
• Additionally, the federal government caps the administrative spending for this program at 5%.
• Noncompliance with federal programs puts future federal awards at risk and can lead to increased federal
• We have seen increased attention by the federal government specifically for the CCDF program.
• CCDF program, as well as other federal programs.

Keywords: 1182, all

Transcript Highlights:

• The federal funds would cover 2023 and 2024, and the Child Care Infrastructure Grant Program would cover
• programs that are ongoing programs?
• Are they limited programs? It's a mix of programming.
• or existing programs.
• by federal funds.

Keywords: 987, senate, all

Summary: The subcommittee first heard May Revision items for child support, child care, and related human services. The Department of Child Support Services described two technical adjustments, which the LAO said raised no concerns. The Department of Social Services then walked through child care proposals, including a shift in how federal and Proposition 64 funding reductions would be absorbed, a 2.01% COLA, disaster-related child care infrastructure grants, an increase in in-contract administrative support costs for alternative payment agencies, reversion of prospective-pay implementation funding after a federal rule change, a one-time allocation to cover the first quarter of Cost of Care Plus payments in the next fiscal year, reappropriation for existing infrastructure grant closeout work, and estimates of unspent child care funds. The department also outlined trailer bill language on a single rate structure, site safety and emergency procedures, CalWORKs child care data sharing, and child care oversight. The LAO recommended that the Legislature seek more justification for shifting reductions from General Child Care to the Alternative Payment Program, noting that CAP reductions affect more slots and that General Child Care has had significant unspent funds. It supported removing prospective-pay funding, but recommended rejecting the administrative cost shift to a percentage-based rate because it could create future General Fund pressure. It also suggested the Legislature review alignment between the disaster grants and the child care infrastructure program. Senators and members pressed the administration on why the budget would reduce child care slots and COLA percentages while the state still has waitlists and unspent funds, and questioned the need for early funding of Cost of Care Plus payments and the move from a flat administrative amount to a percentage. Public commenters, including providers, advocates, county offices, and infrastructure partners, urged full COLA funding, preservation of child care slots, support for prospective pay, and continued investment in child care access and facilities. After a short recess, the committee moved to Part B on health and heard the Department of State Hospitals. DSH presented a May Revision budget of $3.2 billion and described proposals for a central utility plant replacement at Metropolitan State Hospital, an electronic health record implementation, reduced county bed billing authority due to phased-in LPS bed capacity, limited contract exemption authority for online clinical subscriptions, reversion of prior-year unspent operating funds, and a workforce development proposal shifting some costs to Behavioral Health Services Act funds, including support for an additional psychiatric training cohort at Napa. The department also outlined IST-related savings and a trailer bill to remove the sunset on the independent placement panel program.

Transcript Highlights:

• He said the federal government looks to their division with respect to program compliance.
• He explained that the adult community re-entry program is for the first time federally allowing states
• He explained that the adult community re-entry program is for the first time federally allowing states
• He said that the adult community re-entry program is for the first time federally allowing states to
• <01:50:38.840> program<01:50:39.560> and restrictive is the federal program and restrictive

Keywords: 928, house, all

Summary: The House Finance Division Three work session on February 21, 2025 focused on the Division of Medicaid Services budget. The chair opened with procedural guidance, noting the division’s role is to make recommendations to the full Finance Committee, that the budget must be balanced, and that members should track possible amendments ahead of a March 26 target for House Bills 1 and 2. Members also discussed the importance of using official budget documents and online resources, and the chair said no motions would be taken at this session. A major early topic was concern over a five-point Medicaid policy document and the timing of House Bill 2. Representative Tarki objected that the document appeared to be an unofficial draft and argued that significant Medicaid policy changes should have been transmitted by February 15 under state law. He said the lack of an official, posted document raised transparency concerns because the changes could affect tens of thousands of residents. Committee leadership responded that the five-point document was a working document, that it would be posted online within minutes, and that House Bill 2 is often delayed while the Office of Legislative Services finalizes and formats the governor’s proposed trailer bill. DHHS Chief Financial Officer Nathan White and Medicaid Director Henry Litman then began the budget presentation. White said the committee would use the PowerPoint as the document of record, starting with the governor’s operating budget pages 885-893, and noted that Medicaid is the largest accounting area in the state budget. He said the governor’s budget reflects about $60 million in reductions within the Medicaid area, with Granite Advantage handled off-budget and another $10 million in reductions there, for roughly a $70 million difference overall. Members asked whether the comparison was being made against an efficiency budget or a prioritized-needs budget, and White said the department could look at it different ways. The presentation then outlined Medicaid’s role in New Hampshire: it provides health coverage, serves as the state’s direct interface with the federal Centers for Medicare & Medicaid Services, and helps finance related services such as long-term supports, school-based services, adult dental coverage, and re-entry programs for people leaving correctional settings. White also reviewed enrollment and program context, saying New Hampshire has about one in seven residents enrolled in Medicaid, making it the fourth smallest Medicaid program in the country by enrollment, and described recent efforts such as youth re-entry and the Medicaid unwind after the end of the federal continuous coverage period. He said the state had to process more than 238,000 redeterminations after the public health emergency and that the department tried to avoid unnecessary coverage loss during that transition.

Transcript Highlights:

• Earlier, Congress proposed sweeping changes to the federal Medicaid program that would kick tens of millions
• Earlier, Congress proposed sweeping changes to the federal Medicaid program that would kick tens of millions
• Program, California Children’s Services, and the Every Woman Counts Program.
• rebate program.
• programs.

Summary: The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56. DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement. The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.

Transcript Highlights:

• > that of federal services and programs that of federal services and programs that aren't<00:29
• Then in early February, the Federal Highway Administration suspended the NEVI program.
• analysis of all of their federal financial<00:50:53.680> assistance<00:50:54.160> programs
• terminated the federal government terminated the Americanore<01:01:24.400> programs<01:01:25.040
• in the law um uh for these federal in the law um uh for these federal programs<01:24:00.000>

Keywords: 912, senate, all

Summary: The Judiciary Committee held an informational briefing on the State of Hawaii’s affirmative litigation against the federal administration, with no public testimony. Attorney General Lopez and deputies said the office’s goal is to enforce the rule of law, not make partisan points, and noted that Hawaii is involved in 27 ongoing cases. They grouped the cases into four broad areas: immigration, funding freezes and grant terminations, federal agency dismantling/reductions in force, and protecting elections, health, and safety. Several immigration-related cases were discussed in detail. These included a challenge to the federal sharing of Medicaid data with DHS for immigration enforcement, a similar challenge to USDA’s demand for SNAP applicant and recipient data, and litigation over immigration-enforcement conditions attached to federal grants. The office also described the birthright citizenship executive order, saying it conflicts with the 14th Amendment and Supreme Court precedent; lower courts granted preliminary relief, and the U.S. Supreme Court later addressed only the scope of nationwide injunctions, not the merits. In the Department of Transportation case, the court granted a preliminary injunction against the “Duffy directive,” finding the immigration conditions lacked statutory authority, were arbitrary and capricious, and violated the Spending Clause and APA. The briefing also covered multiple funding disputes. In the education funding freeze case, the Department of Education and OMB withheld about $6 billion in formula funds, including roughly $33 million for Hawaii; after suit was filed, the funds were released. Other cases included the termination of over $11 billion in public health grants, which affected Hawaii Department of Health grants, the NIH indirect cost cap case, and NIH grant terminations tied to DEI, transgender issues, and vaccine hesitancy. The speakers said some cases have already resulted in preliminary or permanent injunctions, while others remain on appeal or are still being litigated.

Transcript Highlights:

• And the federal grant would be that Basic Center Program grant that I made reference to.
• in society with federal dollars and doing those programs.
• This is the annual census used by every state to report to the Federal Office of Special Education Programs
• So is this a federal program? Are these federal dollars, or are these?
• Our program support comes from federal and competitive grants and cooperative agreements through HRSA

Keywords: 908, all

Summary: The Human Services Committee met in interim session and first approved the previous meeting minutes before receiving a series of presentations on homelessness and housing stability. Jennifer Henderson of the North Dakota Housing Finance Agency updated members on the new Interagency Council on Homelessness, describing its executive-order mandate to review resources, gather input from stakeholders, identify gaps, and develop recommendations. She said the council’s first work is building a statewide program matrix of existing homeless services and funding sources, with attention to youth, tribal communities, and other vulnerable populations. Members raised concerns about youth homelessness, homeless veterans, and how the council will stay focused on a practical framework rather than getting lost in details. The committee also discussed possible connections to the rural health transformation grant and agreed to continue the topic later in the spring. Beth Olson of Presentation Partners in Housing described the organization’s housing-first model in Cass County and Clay County, including homeless prevention/diversion, housing navigation, and Cooper House, a 42-unit permanent supportive housing building in Fargo. She said the organization focuses on people with long-term and chronic homelessness, many with mental health, addiction, health, domestic violence, and Indigenous identity-related barriers, and reported strong outcomes: 85 of 86 people housed in 2025, 91% still housed after one year, and major reductions in emergency room use, ambulance rides, jail stays, detox days, and shelter use. She also explained that state funding has grown from a small share of the budget to about $1.1 million in state-connected funding for fiscal 2026, largely through contracts tied to supportive services. Members asked about vouchers, rent contributions at Cooper House, length of stay, and whether similar projects could be expanded elsewhere. Andrea Olson of the Community Action Partnership of North Dakota outlined statewide homeless and housing-related services delivered through six community action agencies in all 53 counties. She explained the Community Services Block Grant structure, said housing was identified as the top need in the most recent statewide needs assessment, and described programs including Supportive Services for Veteran Families, North Dakota Homeless Grant services, and Home ARP supportive services. She emphasized that the end of North Dakota Rent Help has increased pressure on the system, that the current $2 million annual homeless grant is far smaller than prior rent-help assistance, and that community action is using case management and financial assistance to move households toward self-sufficiency. Members asked about funding formulas, rural service delivery, and coordination with Presentation Partners to avoid duplication. YouthWorks then began a presentation on youth homelessness, describing services for ages 12 to 24, the special needs of youth and former foster youth, and the organization’s use of federal and state funds to support transitional housing, emergency shelter, maternity housing, and diversion services.

Transcript Highlights:

• programs we run thanks to Federal programs we run thanks to Federal funding<00:06:33.039> that
• <00:27:28.520> I federal side of that state program I federal side of that state program I
• federal standards, and we run good programs.
• federal standards, and we run good programs.
• federal standards, and we run good programs.

Keywords: 1187, senate, all