Transcript Highlights:

• Second, claim costs have gone up.
• And regarding liability tort claims, in particular auto tort claims, do we have any data that insurance
• Our actual loss, the claims payout. Our actual loss, the claims payout, for 2025 was $8.7 billion.
• adjusters that I have to deal with.
• , I could theoretically have 100 different claims adjusters that I have to deal with.

Keywords: 1185, senate, all

Transcript Highlights:

• , and that certainly has not helped with an understaffed workforce that’s trying to process these claims
• , and that certainly has not helped with an understaffed workforce that's trying to process these claims
• And on page two, there is a chart which indicates the amount in the last couple of years of adjusted
• The adjusted gross income...
• That has left the Commonwealth of Massachusetts, the adjusted gross income on which taxation is based

Keywords: 1212, all

Transcript Highlights:

• Uh, the first technical adjustment for this, the, the one technical adjustment for this agency is adopted
• E1 technical adjustment is adopted.
• The one technical adjustment is adopted.
• The one technical adjustment is adopted.
• In the middle of the page, technical adjustments item number 1, adjust certain items in writer two capital

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards

Transcript Highlights:

• Our members are not only responsible for financing claims, but also for developing and Our members are
• not only responsible for financing claims, but also for developing and implementing policies designed
• But what I wanted to say is since I've been working on the issue of these delayed claims for the last
• But what I wanted to say is since I've been working on the issue of these delayed claims for the last
• SB... any kind of chilling effect on investment then we'll try to make adjustments amendments to the

Summary: The committee heard SB 921, which would create a tax credit to help agricultural employers offset overtime premium costs for farmworkers. Senator Grove and supporters, including farmworkers, the California Farm Bureau, and agricultural groups, argued the bill would restore lost hours and take-home pay after California’s agricultural overtime law reduced schedules. Opponents, including the California Federation of Labor Unions and CRLA Foundation, argued the proposal would subsidize employers with taxpayer dollars and undermine the principle that employers should pay overtime themselves. The bill was held in subcommittee until more members arrived. The committee then took up SB 1083, a cleanup bill to the prior year’s school employee misconduct database law. The author and supporters said it would add due process protections for classified school employees, require an administrative law judge review before placement in the database, and improve notice and vetting rules for contractors and non-permanent staff. School employer groups and other opponents warned the bill could slow investigations and weaken child-safety protections. The committee approved the bill 3-0 and sent it to Senate Appropriations. Members also considered SB 1089, which would require CalPERS health plans to cover GLP-1 medications and expand access through CalRX for chronic weight management and related health conditions. The author and supporters, including the American Diabetes Association and medical groups, said the drugs can prevent diabetes and improve health outcomes but remain unaffordable for many. Pharma representatives expressed concerns about the bill as drafted but said they were open to continued discussions. The bill passed 4-0 to Appropriations. The committee also approved the consent calendar 4-0. Later, the committee heard SB 954, which would narrow and add guardrails to last year’s CEQA exemption for advanced manufacturing, including environmental review near disadvantaged communities and labor standards such as prevailing wage and skilled-and-trained workforce requirements. Labor, environmental, and community groups supported the bill as a cleanup of an overly broad exemption, while business and manufacturing groups opposed it, warning it would discourage investment and worsen California’s competitiveness. The bill passed 3-1 to Appropriations. Finally, SB 1299, a fire sprinkler fitter certification bill, was heard and passed 3-0 to Appropriations with support from the sprinkler fitters and building trades and no recorded opposition.

Transcript Highlights:

• set to send the Chancellor's Office reports identifying community college students who had not yet claimed
• We get questions regularly when they change their schedule, how to adjust, how to become an early or
• But the first is the COLA adjustment, and the second adjustment is the size of the program based on the
• So there's kind of two pieces to that current service level adjustment.
• The state has absolutely no claim.

Summary: The committee heard an update on the administration’s Career Education Master Plan and the new California Education Interagency Council. Administration and agency staff described efforts to better connect K-12, higher education, workforce, and data systems, including the California Cradle to Career Data System, e-Transcript California, and a proposed career passport. They emphasized regional coordination with workforce boards and community colleges, and said the new council’s immediate tasks are to hold its first meeting by the end of June, enter into a data-sharing MOU, and complete a strategic plan by the end of November. Members asked about the council’s authority, reporting requirements, and how it would relate to the broader Master Plan for Higher Education; staff said the council will make recommendations but does not have implementation authority. The committee then took up the Governor’s proposed $100 million one-time expansion of dual enrollment grants and related changes to instructional minute requirements. Finance and the Department of Education said the proposal would support middle college, early college, and CCAP programs, add technical assistance, prioritize high-need LEAs, and reduce the minimum instructional day for certain dual enrollment students from 240 to 180 minutes to ease scheduling barriers. The Chancellor’s Office strongly supported the investment, citing access, acceleration, and equity benefits, while the LAO recommended rejecting the funding, arguing the state already provides ongoing support and that the proposal does not address major barriers. Members raised questions about adult learners, A-G alignment, reporting on outcomes and expenditures, rural access, transportation, staffing, and whether the funding would create lasting program capacity. The item was left open after discussion. The committee also considered trailer bill language to align the definition of long-term English learners across data systems. Finance and CDE said the change would simplify identification by defining LTELs as students who have not attained English proficiency within seven years and RTELs as students not proficient within six years, matching the dashboard and research-based timelines. CDE said the current mismatch between dashboard and assessment definitions creates confusion and delays, while some members and advocates worried the change could reduce earlier intervention or should be handled through policy committees rather than the budget process. The committee voted to reject the proposal and refer it to policy, though the administration said it still supports the budget language. Finally, the committee heard a proposal to extend the Supporting Inclusive Practices project by one year, through June 30, 2027. CDE said the project is promising but raised concerns about the contract structure and fiscal management, while Marysville Joint Unified School District testified that SIP had helped expand inclusive preschool and district-wide practices and reduce reliance on more restrictive placements. Members questioned why funds had not been fully encumbered and whether the remaining money should be redirected to areas with greater implementation need. The item was discussed but no final action was described in the excerpt.

Transcript Highlights:

• The $27.3 million in interagency transfers comes from the Office of Risk Management for tort claims and
• , and then also some additional monies for a cost-of-living adjustment for staff.
• The one item I wanted to highlight is the staff pay plan adjustment, which is a one-time adjustment that
• Some weren't, and their staff got no cost-of-living adjustments.
• Over that same period, ...their staff got no cost-of-living adjustments.

Keywords: 965, house, all

Transcript Highlights:

• These are all current-year adjustments.
• The data that we have is from the Department of Health Care Services, and it's based on claims for the
• So the number of claims exceeded what we were thinking they were going to be.
• The data is based on actual claims that the Department of Health Care Services has received.
• Okay, and the claims are from where? Are they from all California citizens?

Summary: The Senate Budget and Fiscal Review Committee heard AB 106, an early-action budget bill providing $90 million one-time General Fund to support reproductive health providers affected by the federal H.R. 1 prohibition on Medicaid funding. Department of Finance staff explained that the money would be administered as grants through the Department of Health Care Access and Information because affected providers can no longer bill Medi-Cal during the federal restriction, which lasts through July 4, 2026. Members also discussed why the amount increased from an earlier $60 million estimate, with Finance saying the figure was updated based on additional claims data and provider information. The committee debate focused heavily on the policy implications of the funding. Supporters argued the bill is an emergency response to a targeted federal attack on Planned Parenthood and related family planning services, emphasizing that the funding would backfill non-abortion services such as cancer screenings, contraception, STI testing, mammograms, and prenatal care. Opponents questioned the use of General Fund dollars, the grant structure versus loans for other distressed providers, the Public Records Act exemption, and the bill’s priority compared with rural hospitals, developmental services, public safety, and other budget needs. Finance clarified that the federal funds at issue do not pay for abortion services and that the grant program would be open to eligible providers meeting criteria set by the department. Public testimony was overwhelmingly in support from Planned Parenthood affiliates, Essential Access Health, Western Center on Law and Poverty, the California Medical Association, family physicians, OBGYN groups, and others, while some commenters used the opportunity to raise unrelated budget concerns such as Medi-Cal dental cuts, IHSS, and CalHome funding. After discussion, the committee approved AB 106 on a 12-4 vote and reported it out. The chair also noted that a later hearing would examine broader H.R. 1 impacts in more detail.

Transcript Highlights:

• the only county in the 37 Act that requires legislation to be able to consider a cost-of-living adjustment
• The last time that there was a cost-of-living adjustment was in 2008, which means that retirees in that
• Our members continue to process claims, answer questions, support vulnerable Californians, and deliver
• You claim this worsens workforce shortages.
• You claim this worsens workforce shortages.

Keywords: 988, house, all

Transcript Highlights:

• Finally, the Division of Administration processes over 57,000 claims and oversaw over 2,200 contracts
• We'll begin our budget on page 8 with a statewide new decision item for the FMAP adjustment.
• We'll begin our budget on page 8 with a statewide new decision item for the FMAP adjustment.
• Qualified community-based faculty preceptors are allowed to claim a tax credit under Chapter 143.
• So they submit those claims.

Keywords: 959, house, all

Transcript Highlights:

• Finally, the Division of Administration processes over 57,000 claims and oversaw over 2,200 contracts
• We'll begin our budget on page 8 with a statewide new decision item for the FMAP adjustment.
• Qualified community-based faculty preceptors are allowed to claim a tax credit under Chapter 143.
• This line item gives us the ability to pay claims, premiums, and other legal expenses from our operating
• So they submit those claims.

Summary: The committee heard the Missouri Department of Health and Senior Services present its FY 2027 budget request, with Director Sarah Wilson and budget staff describing the department’s mission, major divisions, and the impact of federal funding shifts, especially the FMAP change that will shift costs to general revenue. Wilson emphasized prevention, public health infrastructure, workforce capacity, and data modernization, while several members praised the department’s responsiveness and cost-cutting efforts. The discussion repeatedly focused on lapses, excess authority, and the department’s stated practice of spending federal and other funds before general revenue where possible. Members asked detailed questions about local public health agency support, nutrition programs, rural health and primary care, newborn screening, the state public health lab, and the department’s use of flexibility and reallocations. There was extended discussion of substance use disorder funding: the department explained that some funding is being reduced in its own budget because transfer authority is being added for the Department of Mental Health and the Department of Corrections, while some other SUD-related lines are actual reductions. Members also questioned tobacco prevention and cessation cuts, maternal and infant health programs, fetal infant mortality review, and minority health initiatives, with staff explaining program purposes and noting that some reductions were tied to excess authority or to moving programs to other departments. The committee also reviewed specific operational items such as the Health Initiatives Fund transfer, debt offset escrow for loan repayment defaults, donated funds authority, emergency preparedness, environmental health, health informatics, HIV/STI/hepatitis services, local public health incentives, and the COVID/ARPA authority reductions. Several members requested follow-up information on vacancies, lapse trends, grant spending plans, and program details. No final vote or formal action was taken in the portion provided; the chair recessed briefly and the hearing continued with additional budget testimony.

Transcript Highlights:

• AB 1744 Addis, sunscreen marketing claims, due pass on an A roll call.
• AB 2253, Tasha Boerner Horvath, recycled content claims, do pass out on a B roll call.
• AB 1827, Chen, small claims, do pass out on an A roll call.
• AB 2431, Patel, downcoding medical claims, held in committee.
• AB 2468, Patel, downcoding medical claims, held in committee.

Summary: The Assembly Appropriations Committee held a suspense-file hearing on May 14, 2026, reviewing hundreds of Assembly bills and a few committee bills. The chair opened by explaining the committee’s budget constraints and the factors used in suspense decisions, including fiscal impact, return on investment, effects on constituents, and protection of the state’s social safety net. The agenda was organized alphabetically by author, and the committee noted that results would be posted later that day online. The committee then acted on a very large number of measures, sending many bills to the Assembly floor on do pass or do pass as amended motions, while holding many others in committee. Topics covered a broad range of policy areas, including housing, health care, education, labor, public safety, wildfire mitigation, water, energy, transportation, cannabis, immigration, and state governance. Many bills were amended to narrow scope, make implementation contingent on appropriations or existing resources, remove provisions, or clarify agency responsibilities; several bills were held without further action. Among the notable actions, the committee advanced bills on items such as Medi-Cal services, child care, wildfire-related programs, housing financing, school and college issues, public safety and criminal justice, environmental and energy policy, and various consumer and business regulations. Some measures were sent out on A or B roll calls, with Republicans often not voting on amended bills. The hearing concluded after the committee reported that a large number of bills had been moved to the Assembly floor, either as do pass or do pass with amendments, and the committee adjourned.

Transcript Highlights:

• to the code once in a while. ...and how we need to, in the Idaho Legislature, make adjustments to the
• It corrects internal numbering inconsistencies and aligns the statute's claims. Senator Kaiser. Mr.
• Corrects internal numbering inconsistencies and aligns the statute's claim. Idaho residents.
• This bill makes it explicit and enforceable at the point of claims submission.
• This bill makes it explicit and enforceable at the point of claims submission.

Summary: The Senate opened with roll call, prayer, and the Pledge of Allegiance, then approved the March 11 journal and received routine communications, including notice of a temporary substitute senator and several committee reports. The chamber also received a gubernatorial message transmitting signed Senate bills and House messages on enrolled bills and new legislation. Committee reports moved a number of bills forward, including measures on finance, judiciary, resources, education, local government, agriculture, and transportation, with some bills held for amendment or one legislative day. On the floor, the Senate considered several third-reading bills. Senate Bill 1351, concerning state office vacancies and limits on reappointed gubernatorial appointees, passed 34-0. Senate Bill 1364, revising the expiration of temporary administrative rules, passed 35-0. Senate Bill 1370, amending the abortion trafficking statute by removing the word “recruiting” after constitutional concerns raised by the Attorney General’s office, passed 28-6. Senate Bill 1337, allowing limited flexibility for small irrigation district boards, passed 34-0, and Senate Bill 1339, replacing continuous improvement plans with multi-year strategic performance plans for schools and reducing reporting requirements, also passed on a 34-0 vote. The Senate also passed House Bill 576 on the Consumer Asset Recovery Fund, House Bill 731 on participation in the federal tax credit scholarship program, House Bill 591 cleaning up obsolete indigent eligibility law, House Bill 663 shifting agricultural license plate design authority, House Bill 543 updating retirement system Roth contribution language, House Bill 563 revising CPA licensure pathways, and House Bill 652 designating hunting as Idaho’s state sport. Senate Bill 1303, revising provisions related to renewable/sustainable energy resources and the Office of Energy and Mineral Resources, passed 27-8. House Bill 822 was introduced, and Senate Bill 1227 received House amendments that the Senate concurred in. The major defeat of the day was Senate Bill 1375, the fiscal year 2027 Health and Human Services maintenance appropriation bill. After extensive debate over Medicaid rate reductions, provider impacts, federal funding losses, and the use of reserves versus cuts, the bill failed 10-25 and was retained by the Secretary. The Senate then returned to committee reports, received additional House and Senate messages, and adjourned until 10:30 a.m. the next day.

Transcript Highlights:

• And inflation-adjusted exports of consumer goods are the largest ever.
• And inflation adjusted exports record.
• Opponents falsely claim that the bill mandates strip searches.
• :49:46.638><c> Alvarado</c> administration claimed Ner Jose Alvarado administration claimed Ner Jose
• </c> colleagues claim is so sacred. colleagues claim is so sacred.

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, December 16, 2025, 1012, house, all

Transcript Highlights:

• There are minor differences, mostly adjustments for inflation, on this particular bill.
• It has not brought in more money than the cost of the claims going out.
• And we're also going to make adjustments to what employees pay.
• We didn't go as heavy into that area, but 6% error rate is what is claimed.
• We didn't go as heavy into that area, but 6% error rate is what is claimed.

Summary: The House convened, approved the journal, and spent much of the opening portion recognizing guests and interns from both parties, along with former lawmakers and a newly seated member, Representative Sylvia Allen. The chamber then took up House Concurrent Resolution 2065 honoring the late Alfredo Gutierrez. Members from both parties gave extended remarks about his life as a civil rights advocate, student activist, legislator, and mentor, and the resolution was unanimously adopted and transmitted to the Senate. Family members of Gutierrez were recognized in the gallery during the memorial tribute. The House then moved into Committee of the Whole on the first budget-related measures. On House Bill 4138, the “feed bill”/budget operations measure, Democrats argued the budget favored corporations and data centers over seniors, health care, housing, universities, and vulnerable families, while Republicans defended it as a continuation of prior policy and said it preserved tax conformity and modest agency cuts. After debate and questions, the committee recommended the bill do pass and the House adopted that report, sending HB 4138 to engrossing. The chamber next considered House Bill 4139, the amusement/gaming-related budget bill. Members debated whether it was essentially unchanged from last year’s budget language, with Republicans saying it was a continuation bill and that gaming-related provisions would support rural economies and tourism, while Democrats questioned the broader budget context and its effects on working families. The committee recommended HB 4139 do pass, and the House adopted that recommendation. The House then began debate on House Bill 4140, the state budget implementation bill, focusing on the budget stabilization fund and a proposed government efficiency initiative; discussion was still underway at the end of the transcript.

Transcript Highlights:

• The board has the ability to adjust the targets upward if that's the case.
• And these are all living platforms, see how we can adjust moving forward.
• A quick item: technical adjustments, BCP.
• We will continue monitoring reserves and prepare for future fee adjustments.
• Adjustments. Thank you. How much do people pay for this now? For which?

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

Transcript Highlights:

• For property taxes, the bill makes updates to administrative provisions related to the value adjustment
• Some have claimed that this bill is anti-business.
• Some have claimed that this bill is anti-business.
• This is simply a claims bill that rectifies negligence from the DCF. Mr.
• Speaker, this is simply a claims bill that rectifies negligence from the DCF.

Summary: The House opened with prayer, a moment of silence for fallen Oviedo Officer Jimmy Serrano-Torres, the Pledge of Allegiance, and recognition of Chief Joseph Tuminelli as law enforcement officer of the day. The Rules and Ethics Committee report setting the special order calendar was adopted, and the Speaker announced schedule changes for the following week, including canceling the floor session on Monday and starting Tuesday at 10:30 a.m. The main floor action centered on CS/HB 7033, the House tax package. Sponsor Rep. Duggan described broad tax changes, including reducing the state sales tax rate from 6% to 5.25%, exempting certain bullion sales, repealing the aviation fuel tax, delaying the natural gas fuel tax, changing corporate income tax treatment for charitable trusts, reducing the pari-mutuel tax on card rooms, and major changes to tourist development tax (TDT) use. The bill would redirect most TDT revenue toward property tax relief, dissolve tourist development councils, and include related property tax and local tax administration changes. Several amendments were debated: a Driscoll amendment to preserve local TDT flexibility failed; Duggan’s amendment giving local governments 25% discretion over TDT revenues was adopted; Eskamani’s combined-reporting amendment failed; and a Duggan amendment requiring audit certification of compliance with the TDT/property tax relief provisions was adopted. After debate, CS/HB 7033 passed 78-29. The House then took up CS/CS/HB 1221 on local option taxes, which was presented as a companion-style measure to give local governments more flexibility while redirecting TDT revenues toward property tax relief. Supporters argued the bill would provide immediate relief to property owners and restore accountability in local tax use, while opponents warned it would undermine tourism funding, infrastructure, and local services. An amendment allowing local governments to retain 25% of TDT revenues for general purposes was adopted, and the bill passed 62-45 after floor debate. The final item shown was the reading of CS/CS/HJR 1257, a proposed constitutional amendment related to property tax exemptions and assessment limits, but the transcript cuts off before debate or action on that measure.

Transcript Highlights:

• Our wage claim process is broken.
• Our wage claim process is broken.
• Of the claims submitted in our first session on June 1, 2024, not a single employer from these claims
• No extra costs, no consequences for dragging out the claim.
• None of these costs apply to Labor Commissioner claims, allowing employers to contest valid claims with

Summary: The committee heard several bills, beginning with AB 1521, the Judiciary Committee’s civil law omnibus measure. The bill makes a number of minor, mostly clarifying changes, including repealing obsolete Government Code provisions, allowing juvenile courts to hear petitions to establish records of birth, death, or marriage, requiring notice of probate petitions to the Department of Child Support Services, and correcting typos in existing law. It had no opposition and was moved on a do-pass basis to Appropriations, though it was later placed on call pending additional votes. Members then heard AB 57, which would reserve at least 10% of California’s Home Purchase Assistance Program funds for descendants of formerly enslaved people. The author and supporters framed it as a reparative, race-neutral-by-lineage effort to address historic housing discrimination and the racial wealth gap, while opponents argued it was an unconstitutional racial proxy and should instead be based on individual injury. The bill drew strong support and opposition testimony, was amended, and was approved on a do-pass as amended vote to Appropriations, then placed on call. AB 495, the Family Preparedness Plan Act, was heard next. The bill would expand and standardize caregiving and guardianship tools for families facing immigration-related separation, including broader use of caregiver authorization affidavits, recognition of non-relative extended family caregivers, and a new short-term guardianship process that preserves parental rights. Supporters said it would reduce trauma and help children remain with trusted caregivers; there was no opposition testimony. The committee approved it on a do-pass to Human Services vote and placed it on call. The committee also heard AB 392, which would address non-consensual sharing of sexually explicit media by requiring uploader consent certifications, faster takedown procedures, and civil remedies against uploaders and hosting sites. A survivor testified in support, and members discussed implementation details and possible amendments; the bill was moved on a do-pass as amended basis to Appropriations and placed on call. AB 692, which would prohibit employer “stay-or-pay” debt agreements that require workers to repay training or other costs if they leave or are terminated, also advanced despite opposition from business and industry groups concerned about impacts on signing bonuses and voluntary training programs. It was sent to Appropriations on a do-pass as amended vote and placed on call, along with AB 1234, a wage-claim enforcement bill aimed at reducing Labor Commissioner delays and adding consequences for employers who fail to participate in the process. The committee also heard AB 394, which expands protections for transit workers and allows transit agencies to seek restraining orders against violent riders; it received broad support, some concern about system-wide bans, and was discussed with amendments that preserved judicial discretion.

Transcript Highlights:

• We adjusted some of the language for the new section 13, which is again on page 45, and you'll see it's
• So, Madam Chair, if you're amenable, I'd like to roll the bill to make some of these adjustments and
• We can come back into a special session, and we can make adjustments if we need to do that.
• It's highly predictive of future auto claim experience.
• Is it going to reduce claims? I mean, what's the point of this, in a sense?

Transcript Highlights:

• </c> who might be given to making a claim who might be given to making a claim that<00:09:42.160><c>
• </c> experience, there has never been a claim experience, there has never been a claim that<00:16:11.920
• The present value adjustment reflects timing before age 50, not a penalty.
• The present value adjustment reflects timing before age 50, not a penalty.
• ><c> reflects</c> The present value adjustment reflects The present value adjustment reflects timing<

Keywords: 1187, senate, all

Transcript Highlights:

• </c><00:36:50.640><c> gross</c> um it's the modified adjusted gross um it's the modified adjusted gross
• </c> a different methodology for claiming a different methodology for claiming funds<01:13:59.920><c>
• </c><01:14:54.320><c> methodology</c> implement this new claiming methodology implement this new claiming
• </c> be fulfilled you have to be to claim be fulfilled you have to be to claim fmap<01:42:18.480><c>
• </c> uh uh no no real ability to uh adjust uh uh no no real ability to uh adjust copays<02:10:06.360>

Keywords: 928, house, all

Summary: The House Finance Division III held an informational hearing on Medicaid, Medicare, Choices for Independence, and related financing, while postponing nursing facility financing and the county cap discussion to a later date. DHHS officials Ann Landry, Jonathan Ballard, and Medicaid Director Henry Litman provided an overview of Medicaid’s role, noting it is a federal-state partnership with state-specific eligibility and benefits, and emphasizing that Medicaid is a major funding and programmatic support for other DHHS initiatives. They also distinguished Medicaid from Medicare and explained that Medicaid funding is not the same as grant funding, though some providers may also receive federal grants through other channels. The presentation focused on New Hampshire’s relatively small Medicaid program and why it differs from national averages. Officials said about 184,000 residents are covered, roughly one in seven Granite Staters compared with one in five nationally, and attributed the difference largely to the state’s higher per-capita income and older population. They highlighted that about 65% of Medicaid-enrolled adults in New Hampshire are working, that only 22% of births are covered by Medicaid versus 42% nationally, and that the state’s uninsured rate is lower than the national rate. Members asked about covered services, income limits, federal matching rates, and the names of optional eligibility groups; staff explained that New Hampshire offers the optional groups discussed, with matching rates varying by category, including 90% for Granite Advantage and certain other groups, and 65% for children above the required level. A substantial portion of the hearing covered eligibility rules and recent policy changes. Officials reviewed the history of Medicaid, including HCBS waivers, the CFI program, Katie Beckett, the Olmstead decision, the ACA, and the end of continuous enrollment after the public health emergency. They also discussed the 2023 legislative expansion of postpartum coverage from 60 days to 12 months and child eligibility changes. In response to questions, DHHS said it is tracking utilization and costs for the postpartum expansion and reported that many maternal deaths occur after the prior 60-day coverage period, often involving substance use disorder or suicide; they said the longer coverage is intended to improve access to treatment and prevention. The committee also walked through household-income examples, clarified that Medicaid eligibility is based on household income and categorical rules, and confirmed that Granite Advantage ends at 138% of the federal poverty level unless another categorical basis applies. No votes were taken, and the hearing remained informational.