Transcript Highlights:

• We're in support.
• We're in support. I think that bills. We're in support.
• Uh, Hawaii Disability Rights support.
• I support this bill.
• written testimony in support. We have written testimony in support.

Bills: SB2094

Committee: Senate Agriculture and Environment

Summary: The committee first took up SB 2094, which would require state agencies monitoring environmental toxins and pollutants to establish environmental action levels and limit changes to those levels without meeting procedural requirements. The chair recommended passing the bill with amendments, including inserting estimated costs for a secure portal website and webinars into the committee report and deferring the effective date to July 1, 2050. The motion passed unanimously among those voting, with excused members noted. The committee then considered several other measures and adopted recommendations to pass them with amendments, generally adding technical and clarifying changes and setting a defective date of 2525. SB 2862 was amended to broaden the preamble, make additional appointees confirmable, clarify reporting requirements for gubernatorial appointees, and was held for further discussion. SB 2781 on lei production created a working group to review existing studies and conduct a statewide study of Hawaii’s floriculture industry. SB 3015 adopted California’s definition of PII, applied it to government agencies and political subdivisions, created a private cause of action, and required a compliance report. SB 3230 removed a categorical prohibition on certain third-party project management procurements while preserving state oversight responsibility, in line with procurement office requests. The joint GVO Health and Human Services agenda then focused on two related bills requiring universal changing accommodations in public restrooms. SB 2932 would apply to new state building construction beginning July 1, 2026, and testimony from disability advocates, the Hawaii State Council on Developmental Disabilities, and others supported the measure while asking for language clarifying that the requirement applies only where technically feasible and, in some cases, only to state-managed buildings. SB 2268 was described as broader, extending beyond government buildings into the private sector and including a private right of action; witnesses supported the concept but raised implementation concerns, especially for smaller businesses, and requested the same technically infeasible language and other clarifications. Both bills were advanced with amendments, and the committee noted adoption of the recommendations.

Transcript Highlights:

• I urge your support.
• We are in support of the budget.
• We are in support of the budget.
• I think it's important that the state is supporting life services and all kinds for our folks with disabilities
• It demonstrates Arizona's commitment to supporting individuals with disabilities and helping them live

Summary: The joint House and Senate Appropriations committees met to hear the FY 2027 budget package, beginning with the General Appropriations Act (HB 4154/SB 1847). Staff outlined the overall budget, including one-time fund transfers, lump-sum reductions, funding for state employee health insurance, school facilities, corrections, flood and wildfire relief, education and child care, and other ongoing and supplemental items. Members briefly discussed the absence of a requested $1.5 million for the oversight office, but the chair said no amendments would be taken in committee and that only limited technical changes were likely later in the process. Public testimony on the feed bill was largely supportive but focused on specific funding concerns. Testimony highlighted school safety funding, Alzheimer’s services, small business tax expensing provisions, disability oversight for group homes, county use of opioid settlement dollars, adult education/community college funding, victim notification funding, and ESA oversight. Several speakers praised the budget for funding DDD and other services, while others opposed or sought changes to items such as the COMIT group home monitoring program, Maricopa Community Colleges’ lack of operating aid, and a possible cut to the victim notification program. The chair repeatedly emphasized that changes to the negotiated budget would be difficult and should be routed through leadership. The committee then moved quickly through the remaining budget reconciliation bills. Staff summarized bills covering amusement and wagering, capital outlay, commerce, criminal justice, environment, health care, higher education, human services, and K-12 education. Notable provisions included continued wagering assessments, highway and building renewal funding, defense innovation and economic development changes, corrections and wrongful conviction provisions, groundwater and water banking measures, health insurance oversight and opioid settlement provisions, higher education funding and ABOR operating caps, SNAP and housing trust fund changes, and a 2% inflation increase for K-12 formula components. The K-12 bill also included a biometric school safety pilot and a child sexual abuse prevention pilot. No votes were taken in the portion provided, and the chair indicated the committee would continue through the remaining bills.

Transcript Highlights:

• </c> autistic, one has physical disability. autistic, one has physical disability.
• Cordy, I'm support services. And Mr.
• </c><00:13:44.639><c> services</c> through public disability services through public disability services
• </c> and support? and support? &gt;&gt; Mr.<00:46:11.599><c> Cordy,</c> &gt;&gt; Mr.
• </c> skills can we support them in learning. skills can we support them in learning.

Transcript Highlights:

• I urge you to support this.
• So support your favorable support on this good bill, and thank you very much.
• So I support this bill, and again... So I support this bill.
• And I'd appreciate your support. And I'd appreciate your support. I'm thanking you.
• And with that, I'll support it for today. And with that, I'll support it for today.

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The committee took up a series of health and human services bills, beginning with CS/SB 1602, which would require emergency departments to have evidence-based pediatric care protocols, training, appropriate child-sized equipment and medications, a designated care coordinator, and participation in a pediatric readiness assessment. It was reported favorably. CS/SB 1224 followed, aligning Florida law with federal requirements so paramedics may administer controlled substances in the field under physician or nurse practitioner protocols; it also passed favorably after supportive testimony from fire chiefs. The committee then adopted a strike-all for SB 890, the Emily Adkins Family Protection Act, which addresses venous thromboembolism by creating a statewide registry, requiring screening and training in hospitals and long-term care settings, and adding assisted living facility response requirements. Assisted living representatives objected to the ALF provisions as unrealistic and potentially harmful, while supporters argued the bill would save lives; the bill was reported favorably. CS/SB 1182, requiring continuous glucose monitors to be covered as both durable medical equipment and a pharmacy benefit, also passed favorably with support from AARP. The committee next considered CS/SB 12, a claim bill for a child severely injured after a DCF home visit allegedly failed to meet standards, and it was reported favorably without opposition. CS/CS/SB 954, dealing with substance abuse treatment centers and recovery residences, drew substantial debate. The bill would limit local zoning restrictions on treatment facilities and allow larger recovery residences if staffing ratios are increased; a late-filed amendment reduced the maximum active patients from 500 to 300. Municipal and county representatives warned that the bill could override local reasonable-accommodation efforts and create institutional-scale facilities, while supporters said housing is essential to recovery and that clustering concerns are overstated. The committee ultimately reported the bill favorably. CS/SB 1050, expanding the developmental disabilities pilot program statewide and creating a statewide family care council, also passed after extensive testimony from families and advocates. Supporters emphasized the long waitlist and the need for more services, while some speakers opposed managed care and warned about provider shortages and loss of individualized supports. Later, CS/SB 614, requiring a public educational webpage about background screening clearinghouse and level two screening requirements, was reported favorably. CS/SB 1578, which would require coverage for mammograms and supplemental breast cancer screening in certain circumstances, was also reported favorably. CS/SB 1060 created a joint legislative oversight committee to review Medicaid operations and financing; members discussed the need for stronger oversight of large midyear spending adjustments, and the bill passed favorably. CS/SB 1240, a Department of Children and Families substance abuse and mental health bill, was amended to clarify Baker Act transfer timing and notification requirements after debate over whether facilities could hold patients too long; it was then reported favorably. Finally, Senator Harrell presented CS/SB 526, a major nursing education bill aimed at Florida’s low NCLEX passage rates. The bill would require nursing programs to use exit exams, remediation, reporting, and stricter oversight, and the strike-all would add graduate preceptorships for low-performing programs and temporary provisional licenses for graduates pending NCLEX passage. The transcript ended while that bill was still being explained, before final action was taken.

Transcript Highlights:

• I'm a disabled veteran. And I'm representing myself, and I am for this bill.
• So those are the parameters for disabled veterans.
• Veterans with supportive housing.
• So, I support House Bill 26.
• We would also thank you if you would support the bill.

Bills: HCR7 , HB1557 , HB1608 , HB2061 , HB2201 , HB2210 , HB2426 , HB2754 , HJR165 , HB2513 , HCR7

Committee: House S/C on Defense & Veterans' Affairs

Keywords: Veterans of Foreign Wars, veterans, commemoration, military service, recognition, September 29, waiver programs, toll roads, discount programs, transportation, affordable housing, land bank program, low-income households, Texas State Affordable Housing Corporation, HB 2061, Texas Transportation Code, Chapter 225, State Highway 242, Interstate Highway 69, Montgomery County

Transcript Highlights:

• We have maintenance facilities, aviation support. support facilities, as well as four joint military
• We support them with training.
• support the...
• Based on a lot of the support and service support functions and high skill level positions that...
• And ESGR provides the resources and they provide support.

Committee: House S/C on Defense & Veterans' Affairs

Transcript Highlights:

• It's great to rise in support of this bill.
• And so I rise in support of this motion today, this bipartisan effort that In support of this motion
• So I'm deeply supportive of this, Madam President.
• People, including those with disabilities.
• rise today in strong support for the bill before us.

Transcript Highlights:

• Anyone on Zoom in support? Anyone in opposition? Questions from... Zoom in support?
• Anybody in the audience in support? Anybody got two in support?
• We stand in support.
• And of course, I support the 35 years plus of the Americans with Disabilities Act.
• I'll support it.

Bills: SB132 , SB241

Committee: Senate House Appropriations & Finance

Summary: The committee first heard HB 158 as amended, which would require state agencies receiving appropriations from the Grow Fund to submit accountability and evaluation plans to the State Budget Division and the Legislative Finance Committee. LFC staff said the bill would put existing practice into statute and formalize agency reporting and evaluation responsibilities. The bill drew no opposition testimony, and after questions about whether agencies or LFC would do the evaluations, it passed on a 9-0 due pass vote. HB 255, the Public Safety Workforce Building Program, was then presented as a bipartisan measure to consolidate public safety workforce funding into a competitive grant program for local law enforcement, fire, detention, and public attorney offices. The sponsor said it would not require a new appropriation. There was no opposition testimony, and the committee approved it on a 9-0 due pass vote. The committee then took up SB 309, which would replace the lottery’s 30% return requirement with a fixed floor return for several fiscal years, with a reversion to the current law if the floor is not met. Lottery officials and supporters argued the change would let the lottery offer more competitive prizes, including higher-value scratchers, and potentially increase scholarship revenue; opponents, including Think New Mexico and a nursing student, warned it could cap long-term growth and reduce scholarship funding. After extended debate, the bill passed on a 7-2 due pass vote. Later, SB 79, creating a statewide mosquito-borne disease prevention program through the Department of Health, was presented by its sponsor as a response to West Nile virus and warmer winters. Testimony from the sponsor and the state entomologist emphasized rising mosquito risk and the need for county grants and statewide coordination. Although the committee initially moved to table the bill because funding had already been included in the budget, that motion failed and the bill ultimately received a due pass vote. The committee also heard HB 295, which would create a centralized accessibility reporting position in the Department of Health; after testimony for and against, an amendment stripping the appropriation was adopted, and the bill passed 5-3. The committee then heard HB 124, establishing an Office of New Americans within Workforce Solutions to coordinate workforce integration for immigrants with lawful status. Supporters described barriers faced by immigrant workers and the need for bilingual training and centralized assistance, while the sponsor said the office would have no first-year budget impact. The bill passed 6-4. Finally, the committee considered SB 273 and SB 274, both involving state financial support for affected entities and the Patient Compensation Fund. SB 273, which would provide temporary state assistance to communities affected by economic disruption, passed after debate about precedent and economic recovery. SB 274, which sought repayment from the Patient Compensation Fund for prior state infusions, drew opposition from hospitals and physicians who warned of higher surcharges and questioned the timing and legality; discussion continued around the committee substitute and the fund’s statutory restrictions.

Transcript Highlights:

• So, we're in support. getting smaller. So, we're in support.
• Again, we support this issue. down. Again, we support this issue.
• We have testimony and support from Brian Mick from the Disability and Communication Access Board.
• We support we support the amendments.
• </c> on Zoom in support. on Zoom in support. Not<00:47:20.720><c> present.

Committee: House Economic Development & Technology

Summary: The Economic Development Technology Committee met on April 17, 2025, to hear STR 121, a resolution to form a working group to explore legalized gaming in Hawaii. Supporters, including DBED, labor representatives, and some industry interests, argued the measure would allow the state to gather more information, consider economic growth, job creation, investment, and tax revenue, and include a range of viewpoints before any final policy decision. Several supporters emphasized that a working group would help ensure informed decision-making and community input. Opponents argued that legalized gambling would disproportionately harm low-income residents and Native Hawaiians, increase addiction and related social harms, and bring crime, corruption, and human trafficking. Some cited examples from other states, illegal game rooms in Hawaii, and concerns that gambling revenue would be limited while social costs would be high. Others said the conversation should be led by local communities rather than industry stakeholders, and one testifier requested community representation on any working group for a potential stadium-area project. The committee also heard from witnesses who framed the measure as a way to address money leaving the state and to create a regulated alternative to illegal gambling. No vote or final action on STR 121 was taken during the hearing, and the chair noted the committee would need to adjourn in time for floor session if the hearing ran long.

Transcript Highlights:

• And I'm hoping that in support of this.
• I want to support that. I do, in various ways, support that.
• I'm testifying in support of the bill.
• Anyone who genuinely supports a woman's right to choose would support abortion pill reversal.
• I urge you to support these bills.

Committee: Joint Joint Committee on Public Health

Summary: The committee opened by explaining hearing procedures and time limits, then heard testimony on House 2499, a bill to create a public awareness campaign on menopause and related midlife health issues. Supporters, including a nurse, the Massachusetts Commission on the Status of Women, and other advocates, said menopause is widely misunderstood by patients and providers, leading to delayed care, unnecessary suffering, workplace impacts, and inequities in women’s health. Several speakers shared personal experiences with symptoms being dismissed or misdiagnosed and urged the committee to advance the bill. The committee then took testimony on a package of endometriosis bills, including House 2527 and Senate 1564, calling for a task force and broader awareness efforts. Patients, a physician, and advocates described long diagnostic delays, severe pain, infertility, medical gaslighting, and limited access to specialists and effective treatment. They argued for more research, provider education, and a coordinated state strategy, and several asked for favorable reports. The chair also noted the hearing was running behind and extended time to allow more testimony. Later, the committee heard Senate 1579, which would eliminate parental consent and judicial bypass requirements for abortion access for minors under 16. Planned Parenthood representatives, physicians, legal advocates, and students argued the current law creates unnecessary delays and harms vulnerable youth, especially those in unsafe homes or foster care, while supporters said minors can already consent to other reproductive health care. A pro-life witness opposed the bill and emphasized parental involvement and support services. The committee also heard House 2403 and Senate 1560, which would create a Human Service Transportation Consumer Advisory Board; disability advocates and riders described past safety problems and current service gaps, and supported the board as a low-cost way to improve accountability, rider input, and reliability. No votes or final actions were taken in the excerpt.

Transcript Highlights:

• disabilities.
• who require limited supports.
• In terms of students, since 2012, 70 students have been supported by autism support program.
• I think autism and related disabilities that require a high level of support in adulthood need to have
• more support around that.

Committee: All TASK FORCE ON AUTISM

Transcript Highlights:

• , and direct support professionals, but people with disabilities themselves should be considered for
• I do have some admin support and some support around invoicing and financial stuff.
• And then not just how do you support employers of recruitment, but how do you support employers with
• But I'm a real supporter of it.
• , of all disabilities.

Summary: The Workforce Support Subcommittee met to discuss how registered apprenticeships could help address workforce shortages in disability services, human services, and other high-need fields. Co-chairs and staff introduced the session as a practical overview of apprenticeship pathways, with a focus on how employers, intermediaries, and training providers can work together to build programs. The discussion emphasized that apprenticeships can be used not only in the trades, but also in health care, early childhood education, medical interpreting, and other occupations facing recruitment and retention problems. Amara Ramon of the Division of Apprenticeship Standards explained the structure of registered apprenticeships in Massachusetts, including employer-led on-the-job training, related technical instruction, wage progression, credentialing, and state support through templates, compliance oversight, and grants. Melissa Sebeli described her role as an intermediary at the MassHire Hampden County Workforce Board, saying intermediaries help employers design, register, and manage programs, recruit apprentices, and keep programs compliant. She said the model offers employers a pipeline of workers, retention benefits, tax credits, and flexibility to tailor training to local needs. Lisa Morris described a new apprenticeship for medical interpreters, built from an existing training program and employer demand for experience, with a pre-apprenticeship, 2,000 hours of work-based learning, and related technical instruction tied to certification requirements. Members and attendees asked about where apprentices come from, how employers recruit, how wages are set, and whether state agencies or workforce boards can serve as intermediaries. Speakers said recruitment can come from career centers, youth programs, incumbent workers, community colleges, job fairs, ESL centers, and community-based organizations. They also discussed accommodations and modified curricula for people with intellectual, developmental, and neurodiverse disabilities, citing Bridgewater State’s Excel program as an example. No votes were taken; the meeting concluded with encouragement for organizations to contact the presenters or Division of Apprenticeship Standards to explore apprenticeship options and with notice that materials and the recording would be posted online.

Transcript Highlights:

• One is for CSPP auditing support.
• That kind of support.
• long-term services and supports system.
• , identifying whether it is substantially disabling.
• Thank you very much for your continued support.

Summary: The Assembly Budget Subcommittee on Human Services held a hearing on the Governor’s May Revision, with no votes taken. The first major topic was child care and early education, where the Department of Social Services and Department of Finance outlined proposed changes to absorb federal Child Care and Development Fund and Proposition 64 revenue reductions, shift some funding between child care programs, end funding for prospective pay implementation now that the federal requirement has been rescinded, adjust the alternative payment administration structure, and fund child care infrastructure grants and a Low-Income Investment Fund contract closeout. The Legislative Analyst’s Office said the budget makes progress on the structural deficit but recommended maintaining the administration’s solution level, making reserve deposits, and avoiding new ongoing commitments; it also raised concerns about shifting reductions to the California Alternative Payment Program and about the proposed administrative-rate change. Committee members strongly criticized the proposed loss of child care slots and said they would oppose eliminating those slots, while also expressing support for child care as essential infrastructure. The committee then reviewed California State Preschool Program proposals. Finance and CDE described reductions to the preschool COLA from 2.41% to 2.01%, removal of prospective pay funding, and increases for the QRIS block grant, audit support, and rate reform implementation. Trailer bill language would codify age-based rate categories, inclusion-rate documentation, family fee collection rules, portability, and excused absences. CDE supported the QRIS increase and some attendance and family-fee changes, but warned that aligning three- and four-year-old rates could reduce support for three-year-olds and that the budget does not fully cover enrollment growth. Members also questioned whether the preschool and child care slot reductions should be reallocated rather than terminated, and the administration said the reductions were intended to reflect current utilization and avoid harm to currently enrolled families. The hearing then moved to CalFresh and nutrition programs. CDSS said the May Revision includes a one-time CalFood augmentation, funding to cover federal SNAP administrative cost-share pressures, and additional staffing and technical assistance to implement HR 1 changes, including the able-bodied adults without dependents time limit and new non-citizen eligibility rules. The department estimated HR 1 could cut CalFresh funding by $2.3 billion to $3.7 billion annually and affect about 500,000 people, with roughly 806,000 adults potentially subject to the time limit and about 34,000 non-citizens expected to lose eligibility once fully implemented. Members pressed for stronger harm mitigation, including a $98 million backfill to protect families from losing food benefits, and raised concerns about county workload and the “chilling effect” on immigrant participation. The final portion of the transcript began the IHSS presentation, noting a revised budget of $33.7 billion total funds and $12.8 billion General Fund, with proposed reductions tied to Medi-Cal asset-limit changes and other federal conformity items.

Transcript Highlights:

• </c> state would have to incur to support state would have to incur to support mitigation<00:07:32.319
• The main data supports that.
• The main data supports that.
• Thank you, Madam Chair. disability justice. disability justice.
• </c> um a disability plate and the disable um a disability plate and the disable the<01:01:06.400><c>

Committee: Senate Transportation

Transcript Highlights:

• Next up in support. Anyone else to testify in support? Okay, my name is Allison Gordon.
• We support transparency 100%. We support transparency 100%. We support transparency 100%.
• Anyone else here in support?
• I am here in support of House Bill 2072, and I respectfully ask for your support. All right.
• Next up in support.

Committee: House Health and Mental Health

Transcript Highlights:

• Red cards are in opposition, green cards in support.
• Kevin Hayes present in support. Not wishing to speak.
• I just ask for your support. I'd like to close on your bill. I just ask for your support. Okay.
• Because I'd like to support the bill as well. Yes, ma'am.
• Present willing to provide information in support.

Committee: House Appropriations

Summary: The House Committee on Appropriations met on April 7, 2026, with a quorum present. After housekeeping and announcements, the committee noted several bills were voluntarily deferred, including HB 603, HB 619, HB 763, HB 810, HB 222, HB 490, and HB 981. The committee also recognized a visiting Jack and Jill group before taking up legislation. The committee reported favorably HB 82 on DWI penalties, HB 670 on wood pellet manufacturing, HB 672 on brick manufacturing, HB 773 on state procurement preferences for prison enterprises and nonprofits serving blind, disabled, and veteran workers, HB 145 on extraordinary medical and dental expenses for injured police and firefighters, HB 430 on health insurance coverage for families of Lafayette Parish officers killed in the line of duty, HB 143 on the per diem for housing state inmates in parish jails, HB 874 on adding credentials to LA Wallet, HB 160 on penalties for domestic violence strangulation offenses, HB 445 on moving the STEM Advisory Council to Louisiana Works, and HB 781 on fleet vehicle registration. HB 82, HB 670, and HB 773 were amended before passage; HB 430 also received amendments narrowing coverage terms and age limits. Most of the discussion centered on fiscal impact and policy scope. Members questioned whether several bills created new costs or unfunded mandates, and sponsors repeatedly emphasized zero or already-budgeted fiscal notes. HB 773 drew the most debate, with members raising concerns about competition, preferential treatment, and the shift from a 15% cap to fair market value; the sponsor said the bill was intended to give blind, disabled, and veteran-serving nonprofits a fair chance to compete. HB 145 prompted questions from the Louisiana Municipal Association about exposure and whether the benefit should already be covered by workers’ compensation, while HB 430 was narrowed to Lafayette Parish after concerns about statewide costs. The meeting ended with all remaining bills reported favorably and the committee adjourned.

Transcript Highlights:

• Hal Mahu in support. Pacific Commercial Realty in support. On Zoom, not present.
• Green Party of Hawaiʻi, in support. Maui Chamber of Commerce, in support. Stella Kaman, in support.
• We're looking at the disabled, the physically disabled, the mentally disabled, and the poverty-stricken
• We're looking at the disabled, the physically disabled, the mentally disabled, and the poverty-stricken
• We're looking at the disabled, the physically disabled, the mentally disabled, and the poverty-stricken

Committee: House Housing

Summary: The Housing Committee met on March 19 for a brief public hearing on two bills. SB 79 SD1, relating to historic preservation reviews, drew support from HHFDC, DLNR/SHIPY, and NAOP Hawaiʻi, with NAOP recommending a technical amendment to ensure applications submitted to the department are complete and accurate. No opposition or questions were raised during the hearing. The committee also heard SB 170 SD2 HD1, relating to the expeditious redevelopment and development of affordable rental housing. Testimony was generally supportive, including from HHFDC, Hal Māhu, Pacific Commercial Realty, KCOM Corporation, the Green Party of Hawaiʻi, the Maui Chamber of Commerce, and several individuals, with one person testifying in opposition. Supporters emphasized the need to speed affordable housing redevelopment, especially for Lahaina fire victims, displaced residents, workers, and people experiencing homelessness. A KCOM representative described proposed technical amendments to avoid special-law concerns and to clarify that a permit in process with the county should be sufficient if an emergency proclamation expires before completion. In decision-making, the committee voted to pass SB 79 SD1 with amendments and to pass SB 170 SD2 HD1 with substantial amendments. For SB 170, the chair described amendments to incorporate Pacific Commercial Realty’s proposed changes, clarify application-completeness requirements, exclude shoreline- and erosion-impacted parcels, remove references to flooding and tsunami, clarify an exemption from HRS 343 for certain permanently affordable multifamily projects in the SMA on historic properties, and move the bill’s provisions into statute. Representatives Cochran, Kagawa, and Peric were excused on the vote. The hearing then adjourned.

Transcript Highlights:

• This includes $199.3 billion in local assistance to support program costs and $1.4 billion in support
• medically supported weight loss in our patient population.
• If we support medically supported weight loss in our patient populations that are experiencing obesity
• Just because we are disabled, we have the right to own stuff.
• to help support the cost of this rate growth.

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:

• from possessing a firearm to the same extent as is true in federal law and would hope to have member support
• So our hands are tied disability.
• It's very clear as to what the path is to have this specific firearms disability removed.
• So the state court cannot give them relief from this disability under federal law. >> Oh, okay.
• disability for these offenses based on disability for these offenses based on whatever<00:08:32.719><

Transcript Highlights:

• of a temporary or permanent disability benefit.
• We rely on that state funding to support public health, to support indigent care, and we will have to
• Randy Hicks, California Disability Rights.
• That includes seniors, disabled folks, and youth.
• It includes legal support, legislative support, a variety. Issue six is CalFresh-specific.

Summary: The Budget Subcommittee on Health and Human Services heard an overview of the expected California budget and program impacts from H.R. 1, including changes to Medi-Cal and CalFresh eligibility, redeterminations, work requirements, immigration-related coverage rules, retroactive coverage limits, and reductions in federal matching for certain services and provider financing mechanisms. DHCS and CDSS described implementation plans focused on automation, data matching, clearer communications, county training, and outreach, while noting that many federal details are still pending. The Legislative Analyst’s Office also reviewed how H.R. 1 could increase pressure on county indigent care systems, explaining the history of county responsibility under Section 17000, 1991 realignment, and AB 85, and warning that counties may face large increases in uninsured residents seeking care without corresponding funding flexibility. An independent policy expert urged consideration of a more standardized statewide approach to indigent care and raised questions about governance, benefits, and financing. Department witnesses estimated substantial coverage losses and fiscal effects: DHCS projected major Medi-Cal disenrollment tied to work requirements, six-month renewals, narrowed immigrant eligibility, and reduced retroactive coverage, while CDSS estimated large CalFresh benefit losses and a significant increase in administrative workload and payment accuracy pressure. Members questioned how exemptions would work for older adults, people experiencing homelessness, undocumented residents, and cash workers, and asked about the effect on the CalFresh Minimum Nutrition Benefit Pilot and on county administrative funding. Officials said they would use available data and self-attestation where possible, but acknowledged that many cases would require manual screening and that the county workload estimates remain in dispute. They also said the state is still evaluating the impact of H.R. 1 on provider taxes and state-directed payments, which could create additional budget pressure. County representatives from Los Angeles, Santa Clara, Tulare, and San Bernardino described major local consequences if H.R. 1 is implemented as written. They warned of higher uninsured rates, more strain on emergency rooms and public hospitals, increased homelessness and food insecurity, and a likely need to rebuild or expand county indigent care programs that were largely scaled back after the ACA. Counties said they are already freezing hiring, cutting positions, reducing overtime, deferring spending, and launching outreach and coordination efforts with managed care plans and community partners, but argued that these steps are not enough without additional state support. Several counties backed the California County Welfare Directors Association’s request for $373 million in General Fund support for eligibility work and asked for a CalFresh match waiver to soften the new county share of administrative costs; Los Angeles and Santa Clara also emphasized that their local revenue measures would not close the projected gaps. No votes or formal actions were taken in the portion provided.