Transcript Highlights:

• <00:30:07.559> the by medical assistance program the by medical assistance program the state's
• it's state's Medicaid Program but it's state's Medicaid Program but it's important<00:30:10.480>
• This is true for many other entitlement programs outside of Medicaid as well.
• for many other entitlement programs for many other entitlement programs outside<00:35:49.160>
• <00:36:17.400> at Medica Medicaid entitlement programs at Medica Medicaid entitlement programs

Keywords: 919, house, all

Summary: Minnesota Management and Budget presented the February 2025 budget and economic forecast, with Commissioner Aon Campbell, State Economist Anthony Becker, and Budget Director Anam Mingi outlining updated revenue, spending, and long-term balance projections. The state’s FY 2026-27 general fund outlook remains positive but weaker than in November, with an ending balance of $456 million, down $160 million from the prior forecast. Looking ahead, the planning years FY 2028-29 show a projected deficit of just under $6 billion, driven largely by spending growth outpacing revenues. Officials emphasized that discretionary inflation is a major factor in the forecast, but also noted that those amounts are not automatically appropriated and would require legislative action. Becker said the national outlook has changed since November, with higher expected inflation, higher interest rates for longer, and slower growth in later years. He highlighted uncertainty around tariffs, trade policy, immigration policy, federal spending, and possible changes to tax and debt-ceiling policy, all of which could affect Minnesota’s economy and revenues. Minnesota’s labor market remains tight, with low unemployment and rising wages, and the revenue forecast was revised upward overall for FY 2026-27, including higher income and sales tax receipts, though corporate tax revenue was slightly lower than previously projected. Mingi said projected general fund spending is up $79 million in FY 2026-27 and $960 million in FY 2028-29 compared with November. The largest increases are in education and health and human services, especially due to inflation, higher pupil counts, special education costs, long-term care, and higher Medical Assistance spending. She noted that higher utilization of weight-loss drugs also raises Medicaid costs, and that a smaller assumed bonding bill helps offset some debt service costs. The commissioner and staff repeatedly warned that federal policy changes, especially possible Medicaid reductions, pose a major risk; they said Minnesota could face billions in lost federal funding, including a potential $2.4 billion hit if the enhanced Medicaid match for adults without children were eliminated. No votes or legislative actions were taken in the presentation.

Transcript Highlights:

• But what if there was a program or a series of programs set to do exactly this at scale?
• The programs affiliated with a National Center for Teacher Residencies, for example, 81% of The programs
• We are a graduate program of NAU back in 2022.
• The program is a...
• called the Block program.

Keywords: 1182, all

Summary: The Education Committee began with a lengthy presentation from Dr. Victoria Dyson Homer on the Arizona Teacher Residency Program. She argued that Arizona faces a teacher shortage and high attrition, with many teachers uncertified or leaving early, and said research shows high-quality, practice-based residencies improve retention, teacher confidence, and student outcomes. She compared Arizona with Texas, described Arizona Teacher Residency’s structure as a year-long apprenticeship paired with coursework and mentorship, and said the program’s early data show strong retention and positive student feedback. Committee members asked about how the residency differs from traditional student teaching, its master’s-degree structure, and whether it should influence broader teacher-preparation and salary policies. The committee then heard and debated SCR 1006, a ballot referral dealing with school restroom and pronoun policies. The measure would require schools to provide reasonable accommodations for students unwilling or unable to use sex-designated multi-occupancy restrooms or sleeping quarters, and would bar school employees from using pronouns or names inconsistent with a student’s biological sex without written parental permission. The sponsor framed it as a parental-rights and student-safety measure, while opponents from education, civil liberties, and mental health backgrounds called it discriminatory, unnecessary, and harmful to transgender and non-binary students. After public testimony and member debate, the committee approved SCR 1006 on a 7-5 vote. The committee also considered SB 1126, which would require schools to provide certain student records and related information to Department of Child Safety caseworkers during abuse or neglect investigations and would prohibit schools from blocking staff from speaking directly with DCS. DCS testified neutrally, saying the bill could help resolve delays and improve information sharing, while members raised FERPA and guardianship concerns. The bill passed 10-0 with two members present. Finally, the committee took up SB 1210, which requires certain out-of-state private postsecondary institutions offering fully online programs to Arizona residents to register with the state’s private postsecondary regulator and comply with tuition recovery fund requirements unless covered by reciprocity. Supporters said the bill closes a regulatory loophole and protects students financially; it passed 11-1. The committee then adjourned.

Transcript Highlights:

• such as student work-study programs.
• over 50% drop.
• Currently, our largest financial aid program is the State University Grant program, which we award to
• Today, we offer 22 undergraduate programs and 10 graduate programs.
• our program.

Keywords: 988, house, all

Transcript Highlights:

• administer a riskmanagement program administer a riskmanagement program having<04:11:21.040>
• But that event certainly programs.
• be met by these programs. be met by these programs.
• structure that these programs have. structure that these programs have.
• We have the program. This that happen. We have the program.

Keywords: 928, house, all

Summary: The committee first heard Senate Bill 47, sponsored by Senator Regina Birdsell at the request of the Insurance Department. The bill would clarify that a birth mother’s health insurance is the primary policy for a newborn’s care unless the mother has no coverage or no employer-sponsored coverage. Birdsell and Insurance Commissioner DJ Benton Court said the measure simply codifies the department’s long-standing interpretation of existing law. Representative Miles asked whether the coverage would extend to a grandchild if a young woman on her parents’ plan had a baby, and Birdsell said it would. The hearing on SB 47 was then closed. The committee next heard Senate Bill 121, introduced by Grant Bosi for Senator Kevin Avard. The bill requires insurers to notify the Insurance Department when they stop writing an entire line of business or, in some cases, when they change Medicare Advantage offerings. Benton Court said the bill was prompted by disruption in the Medicare Advantage market, where consumers and the department were confused by carriers exiting, changing plans, or narrowing offerings. He said the department does not regulate Medicare Advantage itself, but does license the carriers, and the notice requirement would help the department advise consumers; he also said noncompliance could affect a carrier’s license and could lead to fines. Members discussed the notice period, and the department and AHIP indicated support for changing it from 120 days to 90 days to align with federal timing. The hearing was closed with plans to work on an amendment in subcommittee. Finally, the committee heard Senate Bill 247, introduced by Representative Brian Cole, which would prohibit network exclusion for pharmacies that refuse to dispense prescriptions when PBM reimbursement is below acquisition cost. Cole said the bill is meant to stop pharmacies from being forced to sell at a loss. Members questioned whether pharmacies voluntarily enter PBM contracts, whether the bill would raise consumer prices, and whether it would mainly affect independent pharmacies. Cole and others said the issue has changed over time because PBMs now control a much larger share of the market, and that the bill would let pharmacies refuse loss-making fills and direct patients to mail order instead. The discussion also noted that the bill excludes Medicare and Medicaid and that the current proposal does not create a middle-ground option for patients to pay a premium at the counter.

Transcript Highlights:

• It is the residential equivalent of the C-PACE program, which stands for commercial PACE.
• It will take a public-private partnership, which is what the programs are.
• The New Hampshire program is administered by the New Hampshire Business Finance Authority.
• telling you to drop everything can have. telling you to drop everything can have.
• <01:12:05.920> their of gasoline in their car, drops their of gasoline in their car, drops

Keywords: 1191, senate, all

Transcript Highlights:

• the legislature would do in regards to looking at the programs to see which programs are most impacted
• , what programs are priorities for the administration, and what can be done to preserve those programs
• I think a subsequent question was about the programs that are being looked at, and those programs that
• There's $200 million annually out of the cap and trade program that goes to forest health programs.
• we've had to cut programs.

Keywords: 988, house, all

Transcript Highlights:

• , but they definitely did drop.
• , but they definitely did drop.
• , but they definitely did drop.
• The Capital Investment Grant program, or the CIG, is the FTA discretionary grant program which funds
• The Capital Investment Grant program, or the CIG, is the FTA discretionary grant program which funds

Keywords: 1183, house

Transcript Highlights:

• , BDI program.
• and other important housing programs. grant program to help reduce those costs grant program to help
• program.
• program.
• program State programs if typically with program State programs if you<00:37:58.040> want<00:37

Keywords: 1183, house

Transcript Highlights:

• Drop it into section D-2, drop that language in the bill, and that would make parole on a DWI third or
• Your rehabilitation programs for the department.
• Okay, how long do these programs last?
• They have substance use programs, they have a DWI program, and they have sex offender programs. ...under
• go through that program in order to get out.

Bills: HB1482, HB2017, HB2103, HB2341, HB2756

Keywords: community supervision, repeat offenders, intoxication, Texas Penal Code, criminal justice reform, intoxication manslaughter, criminal penalties, mandatory supervision, parole eligibility, Grayson's Law, mental health, trauma, jailers, law enforcement, occupational health, diligent participation, state jail felony, time credits, rehabilitation programs, de-escalation

Transcript Highlights:

• Such programs typically cost more in the short term than a skilled nursing-based program, but if they
• Such programs typically cost more in the short term than a skilled nursing-based program, but if they
• Programs like ours cannot survive long term.
• One example is co-pay accumulator adjustment programs.
• And I'd like to highlight that our midwives lead a program called Curbside Care, a mobile health program

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.

Transcript Highlights:

• No, that was a pilot program.
• No, that was a pilot program.
• grant program. it is. grant program. it is.
• But right now, this is the program we have. This is a program that we have.
• even dropped out. even dropped out.

Keywords: 1136, house, all

Transcript Highlights:

• About 80% of the TK programs are full-day programs; 20% are not.
• Title III program, which is a literacy program during the questions with Ms.
• similar program, and I'm... ...either the same program or a very similar program, and I'm just curious
• similar program. and I'm either the same program or a very similar program and I'm just curious what
• health program.

Summary: The committee heard the May Revision presentation for the Assembly Budget Subcommittee on Education Finance, with public comment focused heavily on K-12 priorities such as universal school meals, kitchen infrastructure, food service and custodial support, youth leadership grants, Special Olympics funding, English learner support, universal pre-K, literacy investments, and concerns about community college funding shifts. Speakers also urged support for expanded learning, teacher recruitment and training, and maintaining or increasing funding for community colleges and student support programs. Finance and the LAO then reviewed the Proposition 98 outlook. Finance said the May Revision lowers the 2025-26 Prop. 98 guarantee to $114.6 billion, about $4.3 billion below January, due mainly to lower revenue estimates, with smaller effects from attendance and property tax changes. The administration also described rebenching for universal transitional kindergarten and a one-time rebench tied to Los Angeles fire-related property tax losses, along with changes to the Public School System Stabilization Account, deferrals, and updated COLA assumptions. The LAO said the budget relies too much on deferrals and one-time funds, creates a structural shortfall, and should instead align ongoing spending with the guarantee and preserve a reserve buffer. Members questioned the TK rebench and the shift of funding from community colleges to K-12, asking why it was being applied retroactively and how colleges would be held harmless. Finance said the changes align funding with where TK costs are being incurred and that reappropriation funding and other adjustments would offset impacts on community colleges. The LAO argued the historical split formula is outdated and should be abandoned in favor of budgeting around current priorities rather than fixed percentages. Members also raised concerns about draining the rainy day reserve and using deferrals, while the LAO said preserving reserves would better protect against future volatility. The committee then moved to specific K-12 and education proposals. Finance outlined May Revision changes including state operations adjustments for the Department of Education, technical trailer bill changes, a $100 million student teacher stipend program administered by Kern County, and updates to the charter school facility grant program. The LAO recommended rejecting the proposed increases for expanded learning, literacy coaches, and the student teacher stipend as currently structured, while supporting the minimum grant increase for expanded learning. Members expressed support for teacher recruitment efforts but questioned whether one-time funding can sustain ongoing programs and whether the student teacher stipend should be targeted to shortage areas or low-income communities.

Transcript Highlights:

• The interest on trust accounts program is commonly called the IOTA program or IOTA accounts.
• parameters for savings institutions participating in programs to fund programs providing or facilitating
• I represent Banks for a Sustainable IOTA Program.
• What I can say, Senator, is my program does not.
• No way, no how are trying to undo this program, to defund this program, or to make it go away.

Summary: The committee heard several bills and amendments, beginning with CS/SB 498 on trust fund interest for IOTA accounts. The sponsor said a 2023 Florida Supreme Court rule sharply increased interest paid into legal aid funding, creating a windfall and making participation difficult for banks. An amendment was adopted requiring savings institutions to pay the higher of 0.25% or the highest comparable rate offered on certain non-IOTA accounts, and the bill then passed favorably after testimony from banks, legal aid representatives, and other stakeholders both supporting and opposing the measure. The committee also approved CS/SB 232, which clarifies Florida’s consumer collection law applies only to phone calls during restricted hours and not emails or text messages, after a delete-all amendment and supportive testimony from industry groups. It then approved SB 132, as amended, to designate gold and silver as legal tender and set rules for custody, audits, electronic transfer, and government acceptance of payments; supporters called it a sound-money measure, while the banking association said it still had unresolved technical concerns. Later, the committee passed SB 1466 to create a trust fund for the My Safe Florida Home Program, with an amendment funding it from 20% of collected insurance premium tax revenue. It also considered SB 1206 on transportation network company insurance, reducing coverage during the “dead-leg” period before a rider is picked up from $1 million to lower limits; the bill drew sharp opposition from trial lawyers and support from insurers and some business groups, and the committee adopted a clarifying amendment before reporting the bill favorably. Finally, CS/SB 924 on fertility preservation for cancer patients was amended several times to narrow scope and clarify coverage rules, then passed favorably after debate over cost, preauthorization, and post-treatment storage obligations. The committee adjourned after allowing technical and conforming changes to implement the adopted amendments.

Transcript Highlights:

• Uh, section 508.145 and drop it into section D2, drop that language in the bill, and that would make
• If you dropped that under the government code 508.145 subsection D2.
• Uh, they have substance use, uh, programs. They have a DWI program.
• So they have a number of different programs that.
• OK, uh, how long have you guys been doing this program? Uh, long, long time.

Transcript Highlights:

• His new job title is deputy administrator for farm programs with USDA in the nation's capital.
• And that was anticipated that the program would grow for a couple of reasons.
• On the pessimistic side, you can see dropping down, falling...
• On the pessimistic side, you can see dropping down, falling.
• It's a revenue-neutral fund, so it's just money in and just to run that program.

Summary: The Government Finance Committee met with new leadership, approved the December 11 minutes, and received a series of informational updates on the state’s finances and related policy issues. The Office of Management and Budget reported the general fund is tracking very close to forecast, with revenues about $2 million above forecast and an estimated ending balance of about $397 million, higher than previously expected. OMB also reviewed balances in major funds, including the budget stabilization fund, legacy fund, foundation aid stabilization fund, social services fund, and strategic investment and improvements fund, and answered questions about oil tax revenues and fund management. The Tax Department provided updates on taxable sales and purchases by county and industry, noting Cass County as the largest county by taxable sales and that retail trade remains the largest industry sector. Tax Commissioner Brian Kroshus also discussed the federal One Big Beautiful Bill Act and its estimated effects on North Dakota income tax collections, explaining that the projected revenue impacts are measured against a 2025 baseline and that some provisions are temporary while others are permanent. He also reported that primary residence tax credit applications were running ahead of last year, with more than 154,000 received so far and an expectation of roughly 160,000-plus applications. The committee also heard fee-study presentations from the Department of Transportation and the Information Technology Department. DOT explained that driver’s license fees cover only about half of program costs and that the shortfall is subsidized by the highway fund, while also noting recent changes such as the blackout plate and motor vehicle excise tax distribution changes. NDIT described its internal service fund model, current billing structure, and possible future changes to simplify invoices and billing frequency. Legislative staff also updated the committee on office space needs in Bismarck-Mandan and on legislative branch space planning, and subcommittees reported progress on fixed-route transit funding and regional jail capacity, including a visit to the Burleigh-Morton detention facility and discussion of future prison bed needs. No formal votes or legislative actions beyond approving the minutes were taken, and the committee adjourned with its next meeting set for June 25.

Transcript Highlights:

• When the program ends, the support ends. The charges are dropped.
• When the program ends, the support ends. The charges are dropped. The system calls it a success.
• But these are expensive programs.
• or a TK program, or where there is a preschool program on campus, we are supporting those programs as
• And these are not just programs. They are not social media programs.

Summary: The hearing focused first on behavioral health, especially serious mental illness and anosognosia, a condition described by witnesses as a neurological symptom that prevents people from recognizing they are ill. The chair framed the issue around families cycling through emergency rooms, jails, conservatorships, and short-term stabilization without lasting treatment, and warned that federal changes under H.R. 1 could reduce Medi-Cal funding and worsen access. Dawn Marie Anderson gave a personal account of her son’s long history of psychosis, homelessness, arrests, repeated jail and state hospital stays, and eventual stability when he received sustained medication and coordinated support. She argued that the system often treats the problem as criminal rather than medical and that voluntary programs and short-term services are not enough for people who lack insight into their illness. Other panelists, including representatives from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association, agreed that anosognosia is not denial or noncompliance and said the system needs long-term, coordinated care, including assertive community treatment, mobile crisis, supportive housing, medication support, and stronger handoffs between county and managed care systems. They said CalAIM and other reforms have improved some coordination, but significant gaps remain, especially for people with serious mental illness, for those in jail or locked settings, and for people with private insurance, which witnesses said often offers little meaningful coverage for early psychosis or intensive behavioral health services. Several witnesses urged the Legislature to protect Medi-Cal, shore up county safety-net services, and invest in training and family engagement. The committee then turned to the Children and Youth Behavioral Health Initiative, with a focus on the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, saying the platforms provide free, culturally responsive, early-intervention support statewide and help connect users to higher levels of care when needed. On the fee schedule, DHCS said more than 500 LEAs, colleges, universities, and school-linked providers are participating, 181 LEAs have submitted claims, and $9.6 million has been reimbursed to date, with 41,556 students represented in claims. The chair and several members criticized the pace of implementation and the amount of money spent relative to reimbursement levels, saying the Legislature had requested data earlier and that the return on investment still appeared low. DHCS responded that many claims are still being submitted, that 70% of denials are correctable, that $400 million in capacity grants has been distributed locally, and that reimbursement is increasing rapidly as more districts come online. Public comment included a rural county behavioral health director who said private insurance denials leave counties with significant uncompensated work, especially for unlicensed staff providing case management and mobile crisis services.

Transcript Highlights:

• When the program ends, the support ends. The charges are dropped.
• When the program ends, the support ends. The charges are dropped. The system calls it a success.
• Schedule program.
• or a TK program, or where there is a preschool program on campus, we are supporting those programs as
• And these are not just programs. They are not social media programs.

Keywords: 988, house, all

Summary: The hearing focused first on behavioral health, especially hard-to-treat serious mental illness through the lens of anosognosia, and the impact of potential federal Medi-Cal reductions under H.R. 1. A family member, Dawn Marie Anderson, described her son’s long cycle of psychosis, homelessness, arrests, jail-based stabilization, and repeated relapse when treatment ended, arguing that anosognosia is a symptom of illness rather than refusal of care. She and other witnesses urged more consistent, long-term treatment, family involvement, medication support, and stronger county and state coordination. County and provider representatives said the current system still relies too heavily on crisis response and leaves people with serious mental illness falling through gaps between managed care, county specialty care, housing, and justice systems. Testimony from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association emphasized that people with anosognosia often cannot self-navigate care, making a “no wrong door” system essential. They said H.R. 1 could destabilize coverage and shift costs to counties, while existing private insurance coverage is inadequate for early psychosis and related services. Witnesses highlighted CalAIM, jail in-reach, assertive community treatment, mobile crisis, supportive housing, and LEAP-style family training as promising tools, but said counties still need more resources and that the state should strengthen both Medi-Cal and private insurance behavioral health coverage. A public commenter from Lake County said private insurers denied most claims, especially for unlicensed staff providing case management and mobile crisis services. The committee then heard an update on the Children and Youth Behavioral Health Initiative, including the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule program. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, and said the platforms are serving children and youth statewide, including many who had never previously accessed care. For the fee schedule, DHCS said 72% of school districts and 50 of 58 county offices of education are participating across six cohorts, with $9.6 million reimbursed to date and 41,556 students represented in claims. Members pressed the department on the program’s roughly $69.3 million administrative cost, the slow pace of reimbursement relative to the investment, and the late delivery of requested data. DHCS responded that many claims are still being submitted, most denials are correctable, and local implementation is still scaling up through technical assistance and capacity grants.

Transcript Highlights:

• Very important program.
• Very important program.
• Very proud of that program.
• You can run a program.
• or our state programs.

Keywords: 908, all

Transcript Highlights:

• All of them have successful programs.
• , including the Texas program, are run by prosecutors.
• They don't generally create the programs nor do they commit to those programs.
• But that is dropping dramatically. It's been up the last few years, but it is dropping.
• So, that has a lot to do with it dropping.

Keywords: 914, all

Transcript Highlights:

• Um, we also did rate increases on line 7 for program, for the program for all-inclusive care, and on
• We've kind of, we've invested those now, we're stabilizing the programs.
• Those are kind of our really big programs.
• Otherwise, the programs may have reducing ROI expectations.
• Um, programs.