Transcript Highlights:

• This is largely driven by the recent passage of HR1, which has resulted in significant impacts to counties
• food assistance services in light of the significant reductions by the federal government included in HR1
• And we have heard loud and clear... ...federal government included in HR1, and we have heard loud and
• maintenance for infrastructure, the need to fund public safety services, police and fire, and the impact of HR1

Summary: The Assembly Revenue and Taxation Committee heard several bills, mostly related to Proposition 19, voluntary tax checkoffs, and local tax authority. SB 288 would clarify that the one-year residency and exemption deadline for inherited homes held in probate begins when legal ownership is established; it received support from the Howard Jarvis Taxpayers Association and others, no opposition, and was referred to suspense. SB 974 would explicitly include special needs trusts in Prop. 19-related inheritance rules; it had support from the Riverside County Board of Supervisors and Howard Jarvis Taxpayers Association and passed 5-0 to Appropriations as amended. The committee also heard SB 575, which would restore the Sea Otter Voluntary Contribution Fund for voluntary tax return donations to sea otter conservation. Supporters cited sea otter recovery, research, and habitat protection needs; there was no opposition, and the bill passed 5-0 to Appropriations. SB 999 would delay the Franchise Tax Board’s annual report on the health care individual mandate from March 1 to June 1 to allow more complete data; Health Access California supported it, and it passed 5-1 to Appropriations. SB 762 would authorize certain cities and counties, including Hercules, Santa Cruz, and Santa Barbara, to seek voter approval for local transaction and use taxes to address budget pressures, public safety, infrastructure, and safety-net service cuts. Local officials, labor groups, and health advocates supported it, while the Howard Jarvis Taxpayers Association opposed it; the committee adopted the urgency clause and then passed the bill to Local Government with urgency, with some no votes. SB 1073 would create a voluntary tax contribution fund to support the Historic South Los Angeles Black Cultural District; arts advocates and community supporters backed it, and the bill passed unanimously to the Arts, Entertainment, Sports, and Tourism Committee as amended.

Transcript Highlights:

• <00:12:36.160> the<00:12:36.639> effects<00:12:36.959> of<00:12:37.360> HR1
• we're feeling the effects of HR1 we're feeling the effects of HR1 reduction<00:12:38.880> of<
• requirement of HR1 requirement of HR1 but<00:58:50.000> the<00:58:50.240> reality<
• So that's one of HR1 to begin with. So that's one consideration. Consideration.
• Reporting requirements in HB 2 are more than HR1 requires.

Keywords: 00:00:00 - Call to Order/Roll Call 00:02:20 - Discussion of 26RS HB 689 00:13:13 - Discussion of 26RS SB 201 00:27:45 - Discussion of 26RS HB 583 00:46:37 - Discussion of 26RS HB 488 00:48:13 - Discussion of 26RS HB 2 01:14:34 - Discussion of Kentucky State Plan Amendment (SPA) 26:0001: School-based Medicaid Services Program 01:18:24 - Public Comment, 958, all

Summary: The Medicaid Oversight Board met on March 9 with a quorum present and no minutes to approve. The chair reordered the agenda to hear House Bill 689 first. Representative Amy Neighbors presented HB 689, which would authorize Kentucky to seek CMS approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning January 1, 2026, with retroactive payments for that year. She said the bill is intended to improve access to care in rural and underserved areas, support workforce retention, and generate about $29 million annually in federal Medicaid funds without using general fund dollars. Representatives from Owensboro Health and St. Elizabeth Healthcare testified in support, describing staffing and subsidy pressures, lower Medicaid and Medicare reimbursement, and the importance of the program for maintaining access and quality in rural and safety-net settings. Committee members noted the bill had already passed the House Health Services Committee unanimously and discussed broader concerns about Kentucky’s low reimbursement rates and the need to consider other systems not covered by the proposal. The board then heard Senate Bill 2011 from Senator Donald Douglas and Cody Hunt of the Kentucky Medical Association. The bill would address a Medicaid coding issue by ensuring that coverage limits do not reduce payment to fewer than two evaluation and management service units per provider, per patient, per day. Douglas argued the current one-visit, one-issue limitation forces multiple visits, increases no-shows, and prevents providers from treating the whole patient. Hunt explained that the bill is meant to correct a longstanding regulation that limited E&M services to one per physician per recipient per date of service, which can prevent providers from coding additional medically necessary work during the same visit. He said DMS has already filed a regulatory amendment to fix the problem, but a statutory change is still needed to prevent the issue from returning. He also said the bill is not intended to change reimbursement policy, only coding rules, and that MCO payment practices vary. Members generally supported the concept. Senator Berg asked about fiscal impact and private-payer billing; Hunt said there should be no fiscal impact because the bill does not change payment policy, only coding. Representative Moore said the proposal could reduce costs and improve convenience by avoiding extra visits. Chairman Meredith said the bill illustrated problems with fee-for-service care and supported moving toward a more holistic delivery model. Dr. Schuster raised a drafting concern about the bill summary language, and Hunt responded that the regulatory amendment should address the issue generally for providers. No votes were taken on either bill during this portion of the meeting.

Transcript Highlights:

• HR1 changed... ...allowed by HR1 or any other federal law.
• But HR1 did not change the federal law that governs mandatory SNAP-E&T work requirements.
• These provisions go further than what is currently required by the federal HR1 and will result in more
• Not only does this go further than what is mandated by HR1, these requirements will essentially make
• HR1 does not require that.

Bills: S0006, S0026, S0206, S0532, S0576, S1012, S1110, S1178, S1192, S1758, S1760, S7046, S7048

Keywords: child welfare, negligence, settlement, injury compensation, Department of Children and Families, motorcycle accident, compensation, Department of Transportation, legal claim, autism, autism spectrum disorder, ASD, special education, exceptional student education, ESE, teacher preparation, educator certification, micro-credential, loan forgiveness, student loan repayment

Summary: The Appropriations Committee met and considered a large agenda of bills, reporting several measures favorably. Early action included SB 6, a settled claim bill involving the Department of Children and Families and the estate of Leila Estrada and Sapphire Williams, which was approved for $3.8 million. The committee also passed a cybersecurity internships bill creating a Department of Commerce program with Cyber Florida, and SB 532, which lets clerks of court retain the full amount of certain excess revenue and clarifies foreclosure-sale procedures. Veterans housing measures, CS for CS for SB 1602 and SB 1604, were approved to create a pilot program and a related trust fund for vacancy relief and risk mitigation for veteran housing. The committee also favorably reported SB 1110 on Medicaid and insurance coverage for orthotics and prosthetics, with emotional testimony from a student and family describing the high cost and importance of activity-specific prosthetics. Members also approved CS for CS for SB 1012 after adopting an amendment that removed inmate emergency and specialty medical service compensation provisions while retaining changes to the contractor-operated institutions inmate welfare trust fund. Another bill, CS for CS for SB 1614, was narrowed by a delete-all amendment to focus on limiting the use of excess fees for new building construction by local governments. All of these measures were reported favorably after brief debate, with some support testimony submitted in writing or waived. The most extensive discussion centered on CS for CS for SB 17, a major Medicaid and public assistance overhaul. The bill would create a Joint Legislative Committee on Medicaid Oversight, allow the Legislature to retain its own actuary, tighten Medicaid program oversight, update encounter-data reporting, set performance standards for managed care plans, revise pharmacy benefit manager rules, and require DCF to implement SNAP fraud-reduction and payment-accuracy reforms, including photo IDs on EBT cards and updated work requirements. It also would direct agencies to seek federal waivers for Medicaid work requirements for able-bodied adults and expanded behavioral health services. After lengthy questioning and testimony, the committee adopted amendments adding a transitional medical benefits glide path for people who gain employment and later lose Medicaid eligibility, and exempting hospice patients with six months or less to live. Supporters argued the bill would improve accountability, reduce fraud, and save money, while opponents warned it would create administrative burdens, increase paperwork, and cause eligible people to lose coverage or food assistance. The committee ultimately reported the bill favorably as amended.

Transcript Highlights:

• One provision of HR1 was to increase the percentage of SNAP program administrative cost that the states
• Another element of the federal HR1 bill was to require an administrative error rate below 6%.
• Uh HR1 is a federal law that passed Uh HR1 is a federal law that passed three<00:42:52.640> days
• One provision of HR1 was to effect.
• <00:44:22.079> bill Another element of the federal HR1 bill Another element of the federal

Keywords: 1189, house, all

Transcript Highlights:

• That is, under HR1, HR1 imposed, as you know, work requirements, but even if you meet the work requirement
• second reason for the bill is entirely different, and yet the solution is the same, and that is under HR1
• , HR1 imposed, as you know, work requirements, but even if you meet the work requirement, you still have
• This bill is needed because HR1 creates significant risk for Californians losing their Medi-Cal coverage
• As we've just discussed, HR1 creates new and expanded work requirements for both CalFresh, which went

Summary: The Assembly Insurance Committee heard several bills, with most of the discussion focused on insurance transparency, claims handling, privacy, and regulatory enforcement. SB 877 and SB 878 by Senator Pérez addressed post-disaster claims practices: SB 877 would require insurers to disclose original and revised loss estimates and related claim materials to policyholders, while SB 878 would add automatic interest penalties for delayed claim decisions or payments and require written identification of disputed items. Fire survivors, consumer groups, AARP, the Department of Insurance, and other advocates supported both bills, while insurer groups moved to neutral after amendments. Both bills were voted out on roll call and reported to the Committee on Appropriations. The committee also considered SB 1054 by Senator Cabaldon, which would expand data sharing and reporting to improve workforce program evaluation and help counties verify work requirements for Medi-Cal and CalFresh using employer-reported hours worked. County officials, workforce advocates, and the Department of Insurance supported the measure, and no opposition was heard. The bill passed on a due-pass-as-amended motion to the Committee on Labor and Employment. SB 1209 by Senator Allen, presented with Insurance Commissioner Ricardo Lara, would give the commissioner stronger enforcement tools to require insurers to carry out corrective actions identified in market conduct examinations, including fines and hearings for noncompliance. The commissioner and author said the bill would close an enforcement gap and improve accountability; there was no opposition testimony, but the bill was left on call after the roll. The committee also heard SB 354 on insurance privacy, presented by Senator Padilla on behalf of Pro Tem Limón, which would modernize insurance privacy rules by expanding consumer rights over personal data, limiting sale and use of sensitive information, and increasing disclosure requirements. Supporters said the bill updates outdated 1980s-era rules, while insurers, agents, and business groups raised concerns about scope, compliance burdens, and small-business impacts. Members indicated the bill was still being negotiated and would return in a revised form in the Privacy Committee.

Transcript Highlights:

• <00:13:39.839> HR1<00:13:40.480> 176<00:13:40.959> by<00:13:41.200> Klouse
• HR1 176 by Klouse >> Oppose is adopted.
• HR1 176 by Klouse commending<00:13:41.920> the<00:13:42.000> inaugural<00:13:42.480>

Keywords: 1136, house, all

Transcript Highlights:

• these even without HR1 reductions. these even without HR1 reductions.
• <00:14:40.720> The<00:14:40.839> dark<00:14:41.120> purple the impact of HR1
• The dark purple the impact of HR1.
• <00:14:50.480> payments HR1 will phase out directed payments HR1 will phase out directed payments
• HR1. HR1.

Transcript Highlights:

• does not ensure we will avoid all negative impacts due to the impact of onerous policies coming from HR1
• does not ensure we will avoid all negative impacts due to the impact of onerous policies coming from HR1
• a governor's proposal, but it's also Senator Boldon's Senate File 4359, dealing with the changes in HR1
• This one deals with HR1.
• In HR1, there's a requirement that reduces the federal contribution to SNAP administrative costs.

Keywords: 1187, senate, all

Transcript Highlights:

• So the question is to what extent did the HR1 federal reconciliation bill impact the health care costs
• So the question is to what extent did the HR1 federal reconciliation bill impact the health care costs
• So the question is to what extent did the HR1 federal reconciliation bill impact the health care costs
• So the question is to what extent did the HR1 federal reconciliation bill impact the health care costs
• the federal reconciliation bill the HR1 the federal reconciliation bill impact<00:34:57.839> um

Keywords: 919, house, all

Summary: Minnesota Management and Budget Commissioner Aaron Campbell, State Economist Dr. Tony Becker, and State Budget Director Anna Mingi presented the November 2025 budget and economic forecast. Campbell said the state now projects a nearly $2.5 billion surplus at the end of the 2026-27 biennium, about $575 million better than the end-of-session estimate, but also a projected negative balance of about $2.9 billion in FY 2028-29, reflecting a worsening structural imbalance. He said the budget reserve stands at $3.4 billion, with cash flow and budget reserves totaling $3.8 billion after a $244 million addition, and emphasized that Minnesota’s AAA bond rating and reserve policy remain strengths even as future sessions will need to address the long-term gap. Becker said the national economic outlook has changed only modestly since February, but growth remains below trend through the forecast horizon. He cited slower consumer spending, weak private investment, continued tariff uncertainty, lower projected immigration, and modest inflation that stays near 3% through 2026 before easing. Revenue forecasts for the next biennium were revised up to $66.3 billion, driven mainly by higher individual income tax receipts and other revenue, partly offset by lower sales and corporate tax forecasts. He also noted risks from federal policy changes, the recent shutdown’s effect on data availability, and possible equity market volatility. Mingi said general fund spending is projected to rise sharply, with current biennium spending up $3.4 billion from end-of-session estimates and planning-year spending up $1.9 billion. She attributed much of the increase to carryforward from prior one-time appropriations, discretionary inflation, and especially Medical Assistance. MA costs are projected to be about $2.5 billion higher over 2025-29, largely because managed care rates rose more than expected due to higher utilization and higher-cost services, including pharmacy costs, while long-term care and disability waiver costs also increased. In response to questions, officials said the federal reconciliation bill had only a relatively small effect on the health care changes, and that the carryforward amounts reflect unspent prior appropriations that now show up in later years rather than new spending.

Transcript Highlights:

• He also said that with the HR1 changes, there are a lot of requirements and changes being discussed,
• there changes required through the HR1 there changes required through the HR1 and<00:09:26.560><
• <00:20:52.720> which<00:20:53.039> requires HR1 which requires HR1 which requires significant
• So members, please vote no with HR1.
• We'll be doing more with HR1. And I would ask the body to vote no.

Keywords: 919, house, all

Summary: The House first adopted non-controversial motions, then approved an urgency motion to suspend the rules so Senate File 4476, the human services program integrity package, could move quickly to conference committee before the end of session. The House then adopted a DE amendment to insert House language into the bill, and proceeded to debate several amendments focused on program integrity, fraud prevention, and reporting requirements in human services programs. Representative Schultz offered Amendment A5 to remove a sunset on the periodic data matching report requirement, arguing the report helps ensure only eligible people receive medical assistance and welfare benefits and should continue to be delivered annually. Supporters said the report had been inconsistently delivered, cited past findings of ineligible recipients, and framed the amendment as a low-cost accountability measure. Opponents, including Representative Nor, said the report had been sent to the chairs, that the issue should be handled through broader HR1-related changes and negotiations with the Senate, and that the amendment was not the right vehicle. After roll call, A5 failed on a 63-67 vote. Schultz then offered Amendment A6, which would require reporting on homelessness programs, including how many people are served, total costs, outcomes, and possible recoupment of funds if reporting is inadequate. Schultz said the state spends tens of millions on homelessness programs without clear results and that better data would help the legislature make decisions and protect taxpayers. Several members supported the idea of more accountability, while others said the state already receives reports, that homelessness work is being done in partnership with stakeholders, and that the amendment was not the best approach. The discussion continued with further comments on homelessness data and program oversight, but no final vote on A6 is shown in the transcript excerpt.

Transcript Highlights:

• So HR1 was the... ...introduction to the cost sharing as it relates to the payment error rate.
• That was introduced with HR1. We also did a year-to-year comparison.
• is, we do anticipate a 10% decrease overall in SNAP participation due to some of the provisions in HR1
• So again, with HR1, there is a cost component to the payment error rate.
• The timing with HR1 and the quick turnaround after the rule was passed into law on July 4, 2025, with

Keywords: 908, all

Summary: The committee was called to order, the roll was taken, and the March 18 minutes were approved. Members then received several project and program updates, beginning with CHI St. Alexius’s behavioral health buildouts in Bismarck, Williston, and Grand Forks. St. Alexius reported that the Bismarck project remains on track for June 2027 completion, with demolition underway and final design work nearing completion. Williston reported construction is progressing, staffing recruitment is underway for psychiatrists and other staff, and an air handler replacement is creating a roughly $750,000 unbudgeted barrier that will slightly delay the timeline. Grand Forks reported its expansion is about 30% complete, with no major barriers beyond weather, and leaders said the project should be substantially complete in the first quarter of 2027. The Department of Health and Human Services then presented a series of budget and program updates. Donna Ockland explained several recent line-item transfers as technical corrections that net to zero and do not require new spending, then reviewed salaries, wages, and FTE counts, noting the department remains within its authorized staffing levels. Pat Rainer followed with an update on the Rural Health Transformation Program, saying 12 opportunities have been posted, 422 applications received, and $8.4 million obligated so far, with a goal of obligating the full $199 million by September. He described grants for workforce retention, rural rotations and housing, community gardens, school wellness, behavioral health promotion, safety net services, equipment, technology, EMS, and other initiatives, emphasizing that the program is intended to be transformational and tied to metrics. Members asked extensive questions about how rural eligibility is defined, how grants will support both rural facilities and hub hospitals, and how future years of funding will build on current awards. The committee also heard an update on certified community behavioral health clinics from Elena Zeller, who said North Dakota has been accepted as a demonstration state, implementation is underway in Williston, North Central/Minot, Fargo, and Dickinson, and care coordination and service counts are increasing. Rebecca Askins then reviewed SNAP payment error rates, saying the 2025 rate was finalized at 9.89%, with the state aiming to get below 6% through policy updates, training, data tools, and a quality assurance team. Members pressed her on the causes of the error rate, the role of the SPACES software system, and the need for accountability and improvements. Finally, Dirk Wilkie reported the state laboratory project reached substantial completion on June 12 and is on budget at about $69.95 million, though a service elevator had to be redesigned because it was too small for equipment.

Transcript Highlights:

• Um, in HR1, Medicaid and SNAP benefits are being cut.
• That is what HR1 does.
• That is what HR1 does.
• You know, housing in Minnesota was expensive before HR1.
• You know, housing in Minnesota was expensive before HR1.

Keywords: 918, senate, all

Summary: The Senate Finance Committee took up Senate File 203, a broad housing bill authored by Senator Port. Port described the measure as a package including $50 million in housing infrastructure bonds, MHFA administrative and investment reforms, expanded Greater Minnesota infrastructure grants for workforce housing, manufactured housing bill of rights provisions, and a private equity restriction on large investors buying certain single-family homes starting in 2026. Fiscal analyst Eric Olafson walked through the spreadsheet and said the $50 million bond authorization would add debt service costs over time, with the total estimated debt service for that authorization at about $75.8 million. Senator Draheim raised concern about the growing cost of bonding and said the state should rely more on cash than debt. The committee then adopted two technical amendments. The A21 amendment, described by Port as correcting manufactured housing bill of rights language, aligning MHFA board meeting language, conforming a lived-experience exemption to federal law, and fixing a capacity-building grants reference, was approved without objection. The A20 amendment, offered by Draheim, was also adopted and would give the legislature more control and visibility over MHFA funding and how quickly program dollars are reinvested after agency operations. Members then debated Draheim’s A22 amendment, which would delete the manufactured home park provisions from the bill. Draheim and several Republicans argued the section could function like rent control, could burden good park owners, and might have unintended consequences for park operations and purchases. Port, Senator Boldon’s allies, and other supporters said the provisions were needed to protect residents from rent spikes and private equity abuses in manufactured home communities, where residents own their homes but not the land. The transcript ends during that debate, before any final disposition on A22 or the bill itself is shown.

Transcript Highlights:

• We'll also plan to continue offering HR1 specific webinars and We'll also plan to continue offering HR1
• to address the last question on the agenda, DHCS was asked to confirm whether we have generated an HR1
• Are we, and I know there hasn't been an analysis, at least on the HR1, but is there an analysis, I think
• We also urge the Legislature to consider funding pressures on counties due to HR1, as well as to reject
• finally, we urge you to integrate the over 9,000 certified Medi-Cal peer support specialists to do HR1

Keywords: 987, senate, all

Transcript Highlights:

• established by Congress in program was established by Congress in 2025 2025 2025 under<00:04:21.680> HR1
• 23.120> The<00:04:23.440> program<00:04:23.759> will<00:04:24.080> be under HR1
• The program will be under HR1.
• >> and HR1 specified that these SGOs be >> and HR1 specified that these SGOs be certified
• That was<00:43:03.359> HR1 was HR1 was HR1 in<00:43:05.440> 2025. in 2025. in 2025.

Keywords: Call to Order and Roll Call: 0:03 Bills for Consideration: 3:10 Adjournment: 56:19, 958, all

Summary: The Senate Education Committee heard House Bill 1, which would have Kentucky opt into a federal education freedom tax credit program allowing donations to scholarship-granting organizations (SGOs) for K-12 educational expenses. The bill sponsors said it would not use Kentucky general funds, would be administered through the Secretary of State, and would let donors claim up to a $1,700 federal tax credit for contributions to SGOs. They argued the program could support public, private, religious, and homeschool-related educational needs, including tutoring, transportation, technology, special needs services, and other school expenses. Several senators raised concerns about whether the bill would favor larger districts with more school-choice options over rural counties with only one public school, creating a two-tier system. The sponsors responded that public school districts could also create SGOs and that the federal rules limit eligibility to families at or below 300% of area median gross income. They also said the program would not reduce existing state or federal school funding, but would instead redirect federal tax credit dollars that Kentucky donors might otherwise send to other states or back to the federal government. Members asked about the structure and oversight of SGOs, including whether they must be nonprofits, how broad their missions could be, and whether funds could be earmarked for specific purposes. The sponsors said SGOs must be certified, serve at least two schools and 10 students, spend at least 90% of receipts on scholarships, and cannot be directed to a specific student, though they can be targeted to categories such as elementary students or special needs services. They also said homeschool families would need to organize through a co-op or existing approved SGO. No vote was taken during the portion of the meeting provided.

Transcript Highlights:

• And in this moment I am talking about HR1.
• And in this moment I am talking<00:43:36.000> about<00:43:36.240> HR1.
• Um and we are going talking about HR1.
• , if if the the idea is to blame HR1, if if the the idea is to blame HR1, then<01:04:15.839> I
• And those are uh able-bodied adults HR1.

Keywords: 1187, senate, all

Transcript Highlights:

• HR1<00:19:14.440> is<00:19:14.520> adopted. HR1 is adopted. HR1 is adopted.

Keywords: 1136, house, all

Transcript Highlights:

• But it's certainly not going to plug the crater that's left by HR1.
• You know, the immediate reaction to HR1 You know, the immediate reaction to HR1 was<00:13:17.000>
• But it's certainly not going to plug the crater that's left by HR1.
• But it's certainly not going to plug the crater that's left by HR1.
• But it's certainly not going to plug the crater that's left by HR1.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board received a presentation from Dr. Stack and Commissioner Langfeld on Kentucky’s application for a federal Medicaid-related funding opportunity tied to House Resolution 1. They described a compressed six-week stakeholder process that produced more than 50 responses and letters of support, and said the application was organized around five broad priorities: maternal health, behavioral health and substance use disorder, oral health, EMS/trauma response, and chronic disease. They emphasized that the proposal was designed to align with CMS goals, use allowable funding categories, and focus on sustainability rather than a short-term grant. Commissioner Langfeld outlined five core initiatives: rural community hubs for chronic care innovation, beginning with obesity and diabetes; a maternal and infant health effort called POWER; a behavioral health and substance use model called IMPATH; an oral health initiative called Rooted in Health; and an integrated crisis-to-care EMS and trauma response effort. He said the chronic disease work would include prevention, food-as-medicine concepts, and technology tools, while the maternal health effort would expand team-based care around mothers and infants using community health workers and doulas. The behavioral health proposal would build on existing crisis intervention models, oral health would address workforce and access gaps through training, mobile vans, and telehealth, and the EMS proposal would better connect emergency response with home-based and community care. Several senators questioned whether the proposal would meaningfully address rural hospital closures or the broader rural health care crisis. Senator Meredith said the plan was not transformational and would not save rural hospitals, while Senator Berg asked how success would be measured. In response, the presenters said they would use both lagging and leading indicators, with an emphasis on rapid-cycle feedback and data use that is more actionable in real time. They also said the work could help existing models that already show promise, such as behavioral health units and dental workforce expansion, even if it would not solve the larger funding gap created by HR1. Senator Douglas asked how the proposals would motivate patients to participate in their own health care. The presenters responded that the chronic disease prevention work would focus on obesity, diabetes prevention, nutrition, and consumer-facing technology tools to help people engage in their own care, and that EMS-community health worker partnerships could identify unmet needs in the home and reduce preventable problems. The board then moved on to its next agenda item, Medicaid managed care delivery models, with Tom Stevens, Katherine North, and Dr. Patel scheduled to present.

Transcript Highlights:

• , or if you prefer the one big HR1, or if you prefer the one big beautiful<00:51:49.440> bill,
• So if HR1 were effective today, we would be in the 15% cost-share band.
• So if HR1 were in the most recent month.
• So if HR1 were effective<01:00:14.079> today,<01:00:15.280> we<01:00:15.520> would
• That, the BBB or HR1, how is that going to affect us at the state level?

Keywords: Appropriations - Room 216, 28 January, 2026; 8:15 AM, 925, all

Summary: The committee heard a budget presentation from the Mississippi Development Authority (MDA), including its consolidated tourism and agency request. MDA said it has had strong recent results, citing about $65 billion in capital investment since 2020, roughly 25,000 jobs, record tourism, clean audits, and oversubscribed incentive programs. For FY27, the agency requested $26.4 million in general funds, level special-fund operating support, restoration of eight pins reduced in the LBR process, and several general-fund increases for a career ladder, a new HR system, training, and operating costs. MDA also discussed a $1.25 million request for America 250 activities, including a Mississippi event and participation in the National Mall “Great America State Fair,” plus an energy accelerator program tied to the governor’s energy initiative and a broader three-tier energy preparedness strategy. MDA also explained its incentive refill requests, saying it was not seeking additional funding for the ACE grant program this year and had shifted that support toward the governor’s port/rail/road investment fund and energy-ready sites. The agency highlighted a renewed request to restart funding for the small municipal and limited population counties grant program, which it said had previously helped smaller communities with water, sewer, downtown, and other projects. On tourism, MDA presented a breakout showing what the budget would look like if tourism were separated into its own department; officials said the current tourism budget within MDA is about $5.7 million in general funds and $7.9 million total, and estimated about $1.3 million in additional cost would be needed to stand up a separate tourism agency. A significant portion of the discussion focused on criticism from Senator Wiggins that MDA has not delivered enough economic development for the Mississippi Gulf Coast. He argued that constituents believe MDA does little for the coast and objected to the agency’s role in the GCRF and coastal projects, saying the coast has not seen meaningful results in years. MDA officials responded that complaints about uneven distribution are common across the state, that MDA works with local economic development partners rather than dictating project locations, and that it has helped support major coastal projects such as Relativity Space, Lockheed Martin expansions, PCC Gulf Chem, BWC Terminals, and AWS. The exchange also touched on the Port of Pascagoula and local leadership disputes, with both sides disagreeing over whether the port and the coast have been adequately supported. No votes or formal actions were taken in the excerpt.

Transcript Highlights:

• Our first issue will be impacts of HR1 for the IDD community in California.
• So, separate from HR1, these are just the state budget solutions.
• to the fact that this has been an extraordinarily hard year on the counties in terms of particularly HR1
• monumental shifts right now due to the structural deficit that the state has, the federal cuts due to HR1
• Sorry, the combined impacts of federal HR1 changes and proposed Medi-Cal and IHSS reductions threaten

Keywords: 988, house, all

Summary: The Assembly Budget Subcommittee on Human Services held a hearing focused on the Department of Developmental Services (DDS), related safety-net programs, and several administration trailer bill proposals. Members and witnesses discussed the impacts of H.R. 1 on people with intellectual and developmental disabilities, including changes to Medi-Cal and CalFresh eligibility, the need for automatic exemption processes for people with disabilities and caregivers, and the risk that loss of health coverage could shift costs to regional centers or reduce access to services. DDS and the Department of Social Services said they are working on data matching and automation to identify exemptions, with implementation for CalFresh set to begin June 1, 2026. Public testimony from consumers and advocates emphasized that Medi-Cal, IHSS, CalFresh, and regional center services are essential to community living and that cuts or administrative barriers could destabilize households and force people back into more restrictive settings. The committee also reviewed the governor’s IHSS proposals. CDSS described three budget items: setting a baseline for average authorized hours and shifting costs above that baseline to counties, automating IHSS disenrollment and reinstatement tied to Medi-Cal eligibility, and eliminating the IHSS backup provider system. The LAO noted that if Medi-Cal or IHSS access is reduced, regional centers may have to fill gaps as payer of last resort, potentially at higher cost. Several members expressed strong concern about cost shifts to counties and warned that counties are already under severe fiscal pressure. The chair requested a harm-mitigation strategy before the May Revision and asked for more information on how the administration would prevent service reductions or instability for clients. The committee then heard a trailer bill proposal on DDS rate reform and the Quality Incentive Program. DDS asked to extend the contract exemption through December 31, 2030 and extend the deadline for finalizing rate reform regulations to December 31, 2030, saying the changes are budget-neutral and would give the department more time to complete implementation. DDS reported that about 81% of providers met the current Quality Incentive Program prerequisites, while providers and advocates said the 90-10 structure can function like a penalty and may destabilize providers that fail to qualify. Members asked for clearer guidance, more technical assistance, and redlined language before the May Revision, and indicated they may reject the proposal if concerns are not addressed. Finally, DDS presented a trailer bill to revise regional center governance and operations, including consolidating multiple contracts into one, giving DDS more flexibility to allocate funds through fiscal letters, strengthening board training and oversight, and removing barriers to provider capacity such as outdated office-location requirements and courtesy vendorization. The hearing ended without any votes, but members repeatedly emphasized protecting consumers, avoiding harmful cost shifts, and ensuring that any policy changes preserve services and community living for people with developmental disabilities.

Transcript Highlights:

• Concern two, there was a provision buried in the multi-hundred page HR1 that Congress passed last year
• themselves classified through federal government process into that status because that provision of HR1
• in the there was a provision buried in the multi-hundred<00:41:52.880> page<00:41:53.320> HR1
• <00:42:12.560> said,<00:42:12.880> "If because that provision of HR1 said, "If because
• that provision of HR1 said, "If you<00:42:13.280> get<00:42:13.520> that<00:42:14.280>

Keywords: 981, all

Summary: The Senate met with a quorum, approved the journal, and then proceeded out of order to consider Senate Joint Resolution 20, recognizing April 9, 2026, as Home Education Day in Colorado. Senator Pelton spoke in strong support of home education, describing it as a parent-led choice that benefits students and families. The resolution was adopted on a 30-0 vote, and the current roll was added as co-sponsors. The chamber then took up the consent calendar and passed House Bill 1229, House Bill 1244, and Senate Bill 153. HB 1229, which concerns the human-animal bond as a social determinant of health, drew three no votes from Senators Pelton, Zamora Wilson, and Baeza; the other two measures passed unanimously. The Senate also laid over third reading of bills until Friday, April 10. In Committee of the Whole, senators considered Senate Bill 72, which increases criminal penalties for assaultive conduct involving a motor vehicle and adds causing death with a motor vehicle to criminally negligent homicide. The committee adopted the report and advanced the bill on second reading. Later, the chamber laid over Senate Bill 134 and House Bill 1084 until April 10, and then took up Senate Bill 140, which would exempt certain rare disease and plasma therapies from review by the Prescription Drug Affordability Review Board. Sponsors and supporters argued the bill protects access for patients with rare diseases and prevents harm to treatment development, while opponents said it would weaken the PDAB’s affordability work and was too broad. Senators Weisman and Gonzales spoke against the bill, with Weisman citing concerns about the federal definition used and Gonzales defending the PDAB’s role in lowering drug costs; the debate continued in the transcript without a final vote shown.