Transcript Highlights:

• Funds on that mitigation and we just got our federal funds released going back to a thing you had Chairman
• for a pilot type of program that we can do using state funds to fuel and to fund mitigation efforts,
• The Bead program is a federal initiative, part of the Infrastructure Investment and Jobs Act, designed
• But Are you aware of any funding opportunities that would be available to Uh, or programs that could
• So do you know of any programs or funding sources that would be available. To deploy.

Transcript Highlights:

• It fully funds Florida's $35.1 billion Medicaid program to Utilize budget and funding authority.
• We were able to increase funding for affordable housing programs to $435 million.
• the Bright Futures Program and other financial aid programs, and a total of $62 million to restore funding
• Although we didn't fund through that specific program, we put $200 million.
• Although we didn't fund through that specific program, we put $200 million.

Summary: The House met on the final day of session, swore in Representatives Boyles and Hodgers, and observed a moment of silence for the Minnesota House Speaker Melissa Hortman and her husband, as well as for Representative Rosenwald’s father. The chamber then moved into final budget work, with leaders outlining the plan to take up H.J.R. 5019, HB 7031, HB 5017, HB 5015, and then the general appropriations act once the Senate transmitted it. H.J.R. 5019, a proposed constitutional amendment to expand the budget stabilization fund, was explained and amended to raise the rainy day fund cap, require annual deposits, and allow withdrawals for critical state needs by a two-thirds vote; it passed 100-1. The House then adopted the conference report on HB 7031, the tax package. The bill repeals the business rent tax and aviation fuel tax, delays the natural gas fuel tax, creates or expands several sales tax holidays and exemptions, including permanent exemptions for disaster-preparedness items, hunting/fishing/camping items, and ammunition and firearms-related purchases, and makes changes to property, corporate income, local tax, and economic development provisions. Members debated the removal of recurring housing trust fund and transit-related revenue streams, the new ammunition exemption, and the data center tax changes; supporters argued the package reduces taxes and preserves annual budget flexibility, while opponents raised concerns about housing, transportation, and gun violence. The conference report passed 93-7. HB 5017, creating a debt reduction program funded by a recurring transfer to retire state bonds early, passed unanimously. HB 5015, the state group insurance conforming bill, which directs DMS to develop a formulary management plan and codifies the administrative health insurance assessment, also passed. The House then began explanation and questions on the fiscal year 2025-26 general appropriations act, described as a $115.1 billion budget that is down $3.8 billion from the current year and includes more than $12 billion in reserves. Subcommittee chairs summarized major spending areas, including pre-K-12 funding increases, health care funding for Medicaid, KidCare, nursing homes, opioid treatment, and mental health, transportation and economic development funding, environmental and water projects, higher education, state administration, justice, and information technology. Questions focused on school vouchers, inflationary pressures on school districts, and the adequacy of funding for housing, transportation, and other priorities.

Transcript Highlights:

• It is not clear whether there is federal funding or a match available to support this program.
• So, the SNAP education program that was funded by the federal government really went beyond what currently
• funding and federal in loss federal funding and federal grants.<04:29:01.520> And<04:29:01.680
• The refugee program office is fully funded by the federal government, not by New Hampshire taxpayers.
• by the program office is fully funded by the federal<04:53:29.280> government,<04:53:29.840><

Keywords: 928, house, all

Summary: The House Committee on Health, Human Services, and Elderly Affairs heard HB 1790-FN, which would address involuntary admissions for certain individuals with a substance use disorder. Representative Lucy Weber introduced the bill for Representative Long, and the committee heard extensive testimony both in support of and in opposition to the proposal. Opponents, including John Burns of SOS Recovery and Jake Barry of New Futures, argued that involuntary commitment is not well supported by research, can retraumatize people, may increase overdose risk after release, and could undermine New Hampshire’s existing recovery and harm-reduction efforts. They emphasized that treatment should be voluntary, trauma-informed, and paired with housing, recovery supports, and other community-based services. Representative Long said he was willing to accept DHHS’s request to amend the bill into a study commission, though he expressed concern that a prior state study had not led to action. He said the commission should focus on implementation details, including where people would be placed, staffing, withdrawal management, elopement prevention, length of commitment, and aftercare. He described involuntary commitment as one tool for people with severe dangerous addictions, distinct from drug court, and said it could help avoid criminal records. Committee members asked about capacity at New Hampshire Hospital and how the proposal would work in practice. DHHS officials Katya Fox and Cynthia Pabonis testified that the bill raises major policy and fiscal concerns. They said New Hampshire’s current system has benefited from investments in naloxone, medication-assisted treatment, recovery centers, and community-based services, and that those investments have helped reduce overdose deaths. They estimated the bill would require a new 70-bed facility costing about $40 million to build and about $33.3 million annually to operate, with only a small portion offset by insurance, plus more than $600,000 in annual legal costs and additional staffing and system changes. They also said New Hampshire Hospital has 185 beds, with about 100 patients typically ready for less restrictive settings, and that housing shortages are a major bottleneck. NAMI New Hampshire also testified in opposition, saying families often want any possible treatment for loved ones but still opposed the bill. No vote or final action was taken in the hearing.

Transcript Highlights:

• The base funding for the program is $10.7 million moving forward, and what we hear—and what you will
• That funding notice was challenged in multiple federal lawsuits that are ongoing.
• We all know federal funding is scarce and uncertain, and if there is to be an improvement at the federal
• We all know federal funding is scarce and uncertain.
• We all know federal funding is scarce and uncertain, and if there is to be an improvement at the federal

Keywords: 1187, senate, all

Transcript Highlights:

• the federal level.
• But these are not programs that the federal government mandates that we cover.
• other agencies and other programs that will be looking at that rainy day fund.
• their Medicaid programs, I think that is going to continue. ...fund their Medicaid programs, I think
• And so, you know, I think you're going to, you know, with the federal funding being pulled out, you know

Keywords: 995, all

Summary: The subcommittee opened with roll call and approved the November 2025 minutes. Commissioner Charlie Carr then introduced Leslie Darcy, chief of LTSS at MassHealth, who provided an update on the PCA working group and on federal and state budget pressures affecting MassHealth and long-term services and supports. Darcy said the PCA working group had completed its work and submitted recommendations, including reinstating the 66-hour overtime cap, strengthening program integrity, and ending paid paperwork time for EVV users; she said those changes were implemented on 11/26 and were expected to save $7.4 million. She also described additional consensus recommendations to lower the overtime cap from 66 to 60 hours, create a seven-hour weekly meal-prep support limit, and continue exploring benchmarks, though the group could not reach consensus on a benchmark standard. Darcy warned that a federal bill enacted about six months earlier would significantly affect MassHealth, with an estimated $3.5 billion loss to the Commonwealth by 2028. She outlined upcoming changes including revised immigrant eligibility rules in October 2026, work requirements for certain non-disabled adults beginning in January 2027, six-month redeterminations for some adults, and shorter retroactive coverage periods. In response to questions, she said people with disabilities and Medicare beneficiaries would be exempt from the work and six-month redetermination requirements. She also explained that reduced federal ACA subsidies were being offset in Massachusetts by state spending, including $250 million in additional state support to keep premiums lower for middle-income families. Members raised concerns about community hospitals, the health safety net, and the impact of federal funding changes on provider rates and uncompensated care. Darcy said restrictions on provider taxes would limit MassHealth’s ability to use those revenues to support rates, and she noted a current $300 million shortfall in the health safety net. She said FY27 would likely include a rate freeze, targeted reductions, one-time budget measures, and further work groups to examine programs such as adult foster care, which she said had grown 40% in two years. Carr emphasized that the situation was serious but potentially fluid, and the meeting ended with no further business; the subcommittee agreed to adjourn before the next meeting and noted an upcoming February presentation from the Department of Public Health.

Transcript Highlights:

• We have received funds from CDC, and they federally...
• We have received funds from CDC, and they federally recognize us, although the state doesn't.
• On a basic level, this means that federal funds cannot pay for any services provided to beneficiaries
• federal funding reimbursement for services provided by institutions for mental diseases to Medicaid
• And then during this next biennium, seek a Medicaid waiver to allow federal funding for reimbursement

Summary: The meeting focused heavily on behavioral health and substance use treatment, especially the IMD exclusion and whether North Dakota should pursue a Section 1115 waiver to allow Medicaid reimbursement for services in institutions for mental diseases for adults ages 21 to 64. Turtle Mountain representatives described major local needs, including limited access to care, high syphilis rates, and the importance of timely public health data. They also discussed the tribe’s recovery center, which opened the prior year, now operating five levels of care with 16 beds, and the desire to expand capacity, possibly through an IMD waiver or related policy changes. Committee members also raised related issues such as rural health transformation funding, telehealth, workforce retention, and the need for better coordination between tribal and state public health systems. A central issue was Turtle Mountain Public Health’s long-running effort to secure a data use agreement with the state so it can receive surveillance data and respond directly to infectious disease cases among tribal members. Speakers said the tribe had a successful COVID-era agreement that allowed faster contact tracing and case management, but that agreement ended with the pandemic. They argued that current delays in sharing data, especially for sexually transmitted infections, leave the tribe unable to respond quickly, while the state and county epidemiology workload is too distant and stretched to be effective. Committee members expressed support and said they would look into the issue, noting that other tribes have secured similar agreements. The committee also heard a detailed presentation from the National Health Law Program on the IMD exclusion. The presenter explained that federal Medicaid law generally bars payment for care in facilities with more than 16 beds, but that states can use other tools such as state plan amendments, managed care arrangements, telehealth, and community-based services. He said IMD waivers are administratively complex, time-limited, and have shown mixed results in other states, with some gains in residential treatment access but limited evidence of improved overdose outcomes or stronger community-based care. He urged the committee to consider broader continuum-of-care solutions and cautioned that waivers alone are not a cure-all. No final vote was taken on the bill draft during the portion shown, but the committee discussed the proposal to appropriate $49,000 and one FTE to HHS to pursue an IMD waiver and report back in the next interim. Members also debated the policy rationale for the 16-bed limit, the role of the state versus tribal sovereignty, and whether the bill should move through the Health Care or Human Services committee in the future.

Transcript Highlights:

• This program has been funded by a mix of general fund and greenhouse gas reduction funds since about
• I love this program, but should this program be funded with new general fund dollars, or should we, with
• Of the CDA program, you know, the existing school nutrition funding programs.
• Programs, but those federal programs are distinct from these funds.
• On your specific farm-to-school program, it's not contingent on federal funds being available.

Keywords: 988, house, all

Transcript Highlights:

• So the UPL program, or the upper payment limit program, was established by federal statute to be used
• those federal funds to be paid.
• So that it is a flow-through of state funds to pull down the federal funds.
• type of program.
• When the federal government makes overall decisions that say, hey, this program that has been working

Summary: The subcommittee met to review Department of Human Services hospital payments in Arkansas Medicaid, with DHS Secretary Janet Mann and Deputy Secretary Misty Eubanks presenting first, followed by Arkansas Hospital Association Executive Vice President Jody Ann Tritt and a brief comment from Arkansas Children’s. DHS outlined the main hospital payment streams: fee-for-service per diem payments, upper payment limit (UPL) supplemental payments, cost settlements, and smaller payments such as graduate medical education and disproportionate share hospital funds. Members asked for plain-language explanations of cost settlements, why per diem rates vary by hospital type, and why UPL applies to private hospitals. DHS said cost settlements and UPL are mechanisms to help offset Medicaid underpayment, with SFY 2025 hospital payments totaling hundreds of millions of dollars and no general revenue used for supplemental payments beyond the state share funded through hospital assessments and related financing structures. Committee members focused heavily on whether Arkansas hospitals are adequately reimbursed and why rural hospitals struggle. Tritt explained that critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals operate under different federal and state rules, and said lower per diem rates for some facilities help with cash flow and later cost settlement adjustments. She said Arkansas hospitals are under financial strain, citing a negative patient services margin statewide and noting that Medicaid, Medicare, and commercial payers all contribute to the problem. She also said the association had just authorized a statewide survey of hospital finances and costs, which she expected would take about a year to complete. A major theme was commercial insurance reimbursement. Tritt argued Arkansas hospitals are paid far less than hospitals in neighboring states even though premiums are similar, and said administrative burdens, prior authorizations, and denials add to the problem. She said hospitals receive about 52 to 53 cents on the dollar for Medicaid costs without UPL and about 78 cents with UPL, still below cost. Members also discussed Medicare wage index issues, Medicare Advantage, and whether hospitals could use technology or alternative arrangements to improve finances. No votes were taken on the hospital presentation. At the end of the meeting, DHS provided a brief update on Living Choices and assisted living reimbursement. Officials said one assisted living facility, Pillars of the Community in Crossett, had announced closure, with nine waiver clients being transitioned to other settings. DHS said the current cost reporting period was underway and that a new rate study could be ready for review before the end of the fiscal year if reports were submitted on time. Members also asked about the broader waiver plan, and DHS said the next waiver iteration would likely be brought back to the committee in the summer.

Transcript Highlights:

• The program is based off the former federal reinsurance program under the ACA, lowering premiums by paying
• The program is based off the former federal reinsurance program under the ACA, lowering premiums by paying
• Once these claims are verified and the matching federal funds are received, the state makes payments
• Once these claims are verified and the matching federal funds are received, the state makes payments
• He said one thing he appreciates from last session is moving from a general fund cost for this program

Keywords: 1183, house

Summary: The committee took up House File 3388, and an A1 amendment was adopted by voice vote. The bill, as amended, would direct the Department of Commerce to seek another federal waiver to continue Minnesota’s reinsurance program and preserve the assessment-and-tax-credit funding model adopted last session. Chair O’Driscoll said the measure is intended to give future legislators options before the current reinsurance structure ends, warning that without it individual-market premiums could rise substantially and more people could lose coverage. Testimony was largely supportive. Dan Andre of the Minnesota Council of Health Plans said reinsurance has been a success since 2018, has lowered premiums by covering a portion of high-cost claims, and helped subsidize care for more than 5,000 Minnesotans in 2024. Ann New Brindley of the Minnesota Business Partnership and Steven Rubis of the Health Plan Partnership of Minnesota also backed the bill, saying market stability is important amid the loss of federal premium tax credits and that continued reinsurance would help prevent further premium increases and cost shifting. Jonathan Carter of the Minnesota Chamber of Commerce likewise supported the bill, citing the program’s role in keeping Minnesota’s individual-market premiums among the lowest in the country. Members also discussed how the assessment and tax-credit mechanism works, with Chair O’Driscoll describing it as an assessment on plans followed by a tax credit against state liability. Representative Elkins questioned how insurers self-assess, and Representative Smith said the assessment model is preferable to a general-fund approach if the program continues. Representative Kaggel raised concerns about taxpayer costs and the broader health care system, while also saying the current system is unsustainable and in need of more fundamental change. The committee then renewed the motion to lay House File 3388, as amended, over for possible inclusion in an omnibus bill.

Transcript Highlights:

• Ninety-four percent of their operating funding comes from federal sources.
• And so it's not a sustainable type of funding program, especially for the small states.
• They're also requesting $950,000 from general fund and another request to transfer federal funding of
• But basically what it does is it doesn't change how much we fund this particular program.
• A significant portion of the federal funds has to do with Infrastructure Investment and Jobs Act funding

Keywords: 908, all

Summary: The committee met to consider three measures, beginning with Senate Bill 2016 for Job Service. Testimony described Job Service’s workforce, unemployment insurance, and labor market functions, its long-term reduction in FTEs and budget, and its reliance on federal funding that does not keep pace with inflation. The bill included funding for an additional FTE for the H-2A housing inspection program, continued support for the JP3 offender placement pilot, and one-time funding for IT and mainframe costs tied to a system modernization effort. The committee approved the bill 20-0, with Representative Swiontek named as carrier. The committee then discussed Senate Bill 2305, which would allow family members to be paid as caregivers for certain young people with disabilities instead of only licensed outside providers. Members noted the specialized, 24-hour nature of the care, workforce shortages, waiting lists, and the potential to avoid more expensive institutional care. Questions focused on how the program would be structured, including certification requirements and whether it would remain a pilot or become part of the broader human services budget. The committee passed the bill 20-0, with Representative Roar as carrier and Representative Nelson available as backup. Finally, the committee took up Senate Bill 2024 for the Department of Environmental Quality. The House change was limited to increased special-fund support for water and wastewater operator certification testing to expand availability, while the Senate version already included added FTEs for emerging contaminants and fuel inspection work. Members discussed federal funding uncertainty, including IIJA and ARPA-related concerns, but the department said its major projects, including the new laboratory, were not currently in jeopardy. The committee adopted the amendment and then passed the bill as amended 22-0, with Representative Berg as carrier.

Transcript Highlights:

• So, if federal funding for this project.
• Um, and we can with those federal funds.
• <00:25:33.120> funds, regardless we're seeking federal funds, regardless we're seeking federal
• officials seeking those federal funds. officials seeking those federal funds.
• For the first dollar is federal >> Yeah. For the first dollar is federal funds. funds. funds.

Keywords: 1191, senate, all

Transcript Highlights:

• Under the current federal rules for federal funding, there is a 10% match for... ...aviation improvement
• putting federal funds on them as the first choice at that rate.
• Also, in the past, other programs through COVID, the federal government has done 95-5. ...to 100% funding
• eligible for federal funds.
• Lancaster is eligible for federal funding, right? Yes, sir.

Bills: SB 1493, SB 1598, SB 1895, SB 1919, SB 2039, SB 2226, SB 2243, SB 2425

Keywords: SB 1493, Texas Transportation Code, motor vehicle lighting, vehicle lighting standards, high-mounted stoplamp, center high mount stop lamp, CHMSL, brake light, stop lamp, federal motor vehicle safety standards, 49 C.F.R. 571.108, FMVSS 108, vehicle inspection, automotive compliance, Transportation Committee, Texas vehicle equipment, motor vehicle collision report, crash report, accident report, traffic accident

Summary: The committee meeting focused on two primary bills, SB1598 and SB1493. SB1598, introduced by Senator Hagen Booth, addresses the clarity of collision report information access for law enforcement, aiming to enhance the tools available to police agencies across Texas for solving crimes. The meeting featured strong support from police representatives, including Sheriff Brian Hawthorne of Chambers County, who emphasized the significance of the CARFAX program for police in facilitating access to vital vehicle information, free of charge. Public testimony reflected a consensus on the necessity of the bill for improved investigatory processes.

Transcript Highlights:

• This allows new SGOs to set up for operation under the federal tax credit scholarship program so they
• And many of these same taxpayers are going to take advantage of this program on the federal level.
• It doesn't go to the general fund or the federal government either. Yeah, but it's redirecting.
• Are you, your organization again, the SD, the federal SGO program?
• It's dangerous to keep putting more and more funding into unaccountable education programs.

Bills: SB1042, SB1043, SB1044, SB1135, SB1136, SB1142, SB1180, SB1221, SB1252, SB1254, SCR1003

Keywords: public funds, virtual currency, bitcoin, investment, Arizona Strategic Digital Asset Reserve Act, state treasurer, retirement system, state payments, cryptocurrency, Arizona law, payment methods, government transactions, property tax, tax exemption, Arizona Revised Statutes, digital currency, workers' compensation, death benefits, burial costs, spousal compensation

Summary: The committee began with staff and page introductions, then took up a series of previously heard bills, mostly related to cryptocurrency and tax administration. SB 1042, SB 1043, SB 1044, and SCR 1003 dealt with allowing public entities to invest in virtual currency, accept cryptocurrency payments, and exempt virtual currency from property tax. Supporters framed the measures as modernization, while opponents argued crypto is risky, fraudulent, and a poor use of public funds. All four measures were recommended do pass on narrow 4-3 votes, with Democrats generally opposed. The committee also heard SB 1221, which would require the Department of Revenue to notify legislative tax chairs before adopting a new interpretation or application of tax law that could adversely affect taxpayers. The sponsor said the bill was meant to front-load disputes and avoid surprise tax changes; it passed 4-3. SB 1142, which would have Arizona opt into a new federal scholarship tax credit program and require ADOR to administer it, drew extensive testimony. Supporters said it would expand scholarship opportunities for students in public, charter, private, and home education settings and keep donations in Arizona. Opponents argued it would divert money from public schools, lack accountability, and primarily benefit wealthier families. The bill passed 4-3 after lengthy debate. The committee then questioned Department of Revenue officials about a press release on Arizona tax forms and federal conformity after H.R. 1. Members focused on why the department told taxpayers not to wait to file, how the state conforms to federal changes, and whether amended returns would be needed if the Legislature changes the forms later. DOR said the forms were issued assuming conformity, that most taxpayers would not be affected by pending changes, and that amended returns could be required for some retroactive provisions; members criticized the guidance as confusing and potentially costly. Finally, the committee heard SB 1254, which would require both grantor and grantee signatures on conveyance documents before recording, to reduce deed fraud and clarify acceptance of property transfers. County assessors supported the bill, saying it would close a loophole and improve records; it passed 6-0 with one member not voting. The committee then began SB 1252, the Uniform Assignment for Benefit of Creditors Act, with testimony from the Arizona Uniform Laws Commission explaining that it would create a more uniform framework for asset assignments and creditor claims, but the transcript cuts off before any vote on that measure.

Transcript Highlights:

• for federal data sustainable funding for federal data sources.<00:05:12.240> Lines<00:05:13.039
• In the tails, it's in the federal child care development fund.
• Line 701 is funding from the federal Child Care Development Fund for administration related to child
• funds to spend federal funding and save money in the general fund.
• funding and save money in the federal funding and save money in the general<00:18:19.640> fund.

Keywords: 1187, senate, all

Transcript Highlights:

• We don't do anything as far as which state funds on that mitigation and we just got our federal funds
• Using a coming to the panhandle to ask for funding for a pilot type of program that we can do using state
• from the federal HOOP program. Can you address that, anyone?
• The BEAT program is a federal initiative, part of the Infrastructure Investment and Jobs Act. designed
• Are you aware of any funding opportunities that would be available to or programs that could help support

Keywords: 1184, house, all

Transcript Highlights:

• , and those are that's funded at the federal level.
• are available, using some of IED's funds for veteran programs within the, the, the tribes and nations
• Did I hear that you were concerned about funding for honors federal funding to be cut for honors?
• Yes, um, the, the federal funding stream that comes in that supports the, the funeral honors programs
• So these are things that I think that on the federal side that federal funding is In their budget And

Transcript Highlights:

• involving pandemic related federal involving pandemic related federal program<02:48:51.760> funds
• entities administering federally funded programs and for other purposes.
• for<03:25:17.680> other federally funded programs and for other federally funded programs
• Treasury to provide the training program to state and local agencies administering federally funded programs
• entities administering federally funded programs, and for other purposes.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, June 8, 2026, 1012, house, all

Transcript Highlights:

• in funding, potentially to plug the gaps that are being left by the federal government.
• We work hard to continue to seek federal funds, to work with our philanthropic partners.
• We work hard to continue to seek federal funds, to work with our philanthropic partners.
• We work hard to continue to seek federal funds, to work with our philanthropic partners.
• > of seeking federal funds from department of seeking federal funds from department of agriculture

Bills: HB2488, HB2456

Keywords: disability, communication access, deaf, hard-of-hearing, deaf-blind, healthcare, sign language interpreters, auxiliary aids, weight loss, GLP-1 drugs, obesity, Medicaid, healthcare costs, 910, house, all

Summary: The committee heard testimony on HP 1972, which would create a nonrefundable family caregiver tax credit, and on a related tax measure to increase the existing dependent care tax credit. Supporters of HP 1972, including AARP, the Executive Office on Aging, the Hawaii Public Health Institute, Hawaii Children’s Action Network, and others, said unpaid caregivers are essential to keeping kūpuna and other loved ones at home and described significant out-of-pocket costs. The Department of Taxation and the Tax Foundation raised technical concerns, including the need to avoid overlap with existing credits and to prevent double-dipping. The department said taxpayers can claim credits to the extent allowed, but recommended explicit language barring the same costs from being claimed under more than one credit. No vote was taken in the excerpt, and the chair moved the bill along after questions. The committee then heard HP 1975, which would repeal the sunset on the state rent supplement program for kūpuna. AARP, Catholic Charities Hawaii, the Executive Office on Aging, and others supported making the program permanent, saying it helps low-income older adults avoid eviction and homelessness and allows them to remain in affordable housing. Catholic Charities described clients who were paying unsustainable shares of income for rent before receiving the supplement. Members also shared a constituent example of an elderly retiree who needed the subsidy to stay housed. Written support was noted from additional organizations and individuals. Next, the committee took up HB 1706, which would expand Medicaid prospective payment reimbursement to include mental health services furnished in federally qualified health centers and rural health clinics by mental health professionals under supervision. The Office of Hawaiian Affairs supported the bill, and DHS said it appreciated the intent to address workforce shortages and expand training, but cautioned that unlicensed professionals cannot currently bill Medicaid and that a state plan amendment would be needed, with limited precedent for approval. Members asked about the likelihood and timing of federal approval and whether the bill could help rural areas; DHS said approval is uncertain and the process can take time, though it saw possible alignment with the state’s rural health transformation efforts. The committee also discussed HB 546, a three-year health coverage continuity pilot program for people losing Medicaid coverage. DHS, the Attorney General’s office, DCCA, Catholic Charities, the University of Hawaii, and others testified, with DHS warning that federal changes could increase uninsured rates and that the state may need to act quickly. Catholic Charities and others emphasized the risk to Medicaid recipients, including homeless and near-elderly residents, while DHS explained the state’s existing premium assistance program for certain immigrants and compared it to the proposed pilot. The excerpt ends during discussion of that comparison, with no vote shown.

Transcript Highlights:

• Many of the services older adults rely on are supported through federal programs: the Older Americans
• When those programs face funding instability, policy shifts, or lack of coordination at the federal level
• They are shaped by how federal policy defines, funds, and prioritizes the systems themselves.
• about Project Cornerstone, which is funded through the AIDS Drug Assistance Program, ADAP.
• program, CDPH OA administers the HOPWA program for 40 counties in California that are not directly HOPWA-funded

Keywords: 987, senate, all

Summary: The Select Committee on Older LGBTQ Californians held an inaugural hearing focused on health care, long-term services, and supports for older LGBTQ Californians, including older adults living with HIV and transgender, gender diverse, and intersex seniors. Opening remarks emphasized the historical discrimination faced by these communities, the growth of the older LGBTQ population, and the need to address gaps in care, especially in nursing homes, home- and community-based services, and access to affirming providers. Senators present framed the hearing as timely in light of federal policy changes and the state’s aging population. The first panel featured Justice in Aging, CalHHS, the Department of Aging, and the Aging and HIV Institute. Testimony highlighted statewide survey findings showing both resilience and significant disparities: many respondents reported discrimination, low incomes, health challenges, social isolation, and unmet needs, with worse outcomes for transgender adults and adults of color. Speakers stressed the importance of Medi-Cal, PACE, home- and community-based services, gender-affirming care, and the Master Plan for Aging, while also criticizing the limited explicit attention to LGBTQ older adults in state planning and the impact of federal Medicaid cuts and other federal actions. Committee members asked about translating survey findings into concrete actions, improving outreach in rural areas, and creating more coordinated, “no wrong door” access to services. The second panel focused on seniors living with HIV. A long-term survivor described the “survivorship penalty,” including benefits problems, housing insecurity, and the need for legal and navigation support, as well as HIV-specific housing and protections against outdated disability standards. The Department of Aging reported on implementation of SB 258, which added HIV status to the definition of greatest social need in area plans; it said 20 of 33 area agencies on aging identified HIV as a target population and many included specific strategies. The Office of AIDS described Project Cornerstone, Ryan White, ADAP, HOPWA, the Medi-Cal waiver, and PrEP-AP, noting these programs serve thousands of older clients and are intended to support whole-person care. Committee members pressed agencies on how ADAP rebate funds might be used, how to improve implementation of SB 258, and how to better connect people to existing benefits and services. The final panel addressed supports for transgender, gender diverse, and intersex seniors. The Department of Social Services reviewed protections in long-term care facilities under SB 219, including nondiscrimination rules, required training, preferred pronouns and gender identity records, and complaint investigations, and also described IHSS as a self-directed program that can help older adults choose affirming providers. The hearing ended without formal votes or legislative action, but members repeatedly requested follow-up on implementation, outreach, data collection, and possible budget or program changes to better serve older LGBTQ Californians.

Transcript Highlights:

• the state grant that we could uh fund the state grant program<00:16:05.920> and<00:16:06.160>
• <01:42:33.520> Is<01:42:33.760> that<01:42:33.920> correct, federal funds.
• Is that correct, federal funds. Is that correct, Commissioner<01:42:35.360> Olsen?
• wouldn't have been funded by a federal<02:14:09.520> agency.
• We pull in federal and private grant funds, quite a bit more than the state puts in.

Keywords: 919, house, all

Summary: The Higher Education Finance and Policy Conference Committee met publicly to compare House and Senate positions on the higher education budget, with the chairs emphasizing transparency and alternating gavel control. Nonpartisan fiscal staff walked through a spreadsheet of differences across the Office of Higher Education and Minnesota State, including major items such as state grants, childcare grants, work study, tribal college grants, emergency assistance grants, hunger-free campus grants, student parent support, direct admissions, paramedic scholarships, and several medical residency and fellowship programs. The House and Senate also differed on administrative funding, campus sexual assault reporting, and a House FY25 cancellation that would be carried forward. Members discussed several of the larger policy and funding choices. The Senate explained its increase for Minitex as support for operating costs and statewide access to information. The House explained its cuts to student parent support and other items as necessary to work within a zero target and to prioritize direct aid to students, while the Senate said it focused on direct appropriations and access-related programs. On hunger-free campus grants and emergency assistance grants, the Senate said it was changing the distribution method and direct appropriations rather than reducing the overall money, while the House noted differences in whether nonprofit institutions remained included. The committee also reviewed Senate-only additions and reductions in Minnesota State, including free course materials, Lake Superior College remediation, and changes to the Kids on Campus appropriation. A representative from Lake Superior College testified that the PAS remediation funding would help address contamination issues at an emergency training site near Lake Superior and that the money was shifted from the Kids on Campus initiative. No final conference agreement or vote was taken in the portion of the meeting provided; the committee continued discussing differences and testimony.