Transcript Highlights:

• And IT cost.
• Uh, we hear a lot about, uh, increasing costs.
• and reduce costs to students and indebtedness.
• , IT costs, and software subscriptions.
• We've absorbed a lot of the cost of the training in the past.

Transcript Highlights:

• a local cost share?
• This goes into some of the examples of what it costs for our high-cost students.
• incur that cost.
• and aren't special ed go to cover the cost of high cost and special ed.
• and aren't special ed go to cover the cost of high cost and special ed.

Keywords: 908, all

Transcript Highlights:

• This would be an allocation of $10,000 to go to each apprentice.
• This would be an allocation of $10,000 to go to each apprentice.
• It's coming in at half of that cost.
• It's coming in at half of that cost.
• It's coming in at half of that cost.

Keywords: 1183, house

Transcript Highlights:

• is allocated.
• reminder. and each one incurs a cost. reminder. and each one incurs a cost.
• uh email system which also has a cost. uh email system which also has a cost.
• Lean Underway, and from the True Cost Lean Underway, and from the True Cost Coalition, Coalition
• <02:21:23.680> of increasing the amount with the cost of increasing the amount with the cost

Bills: HB1977, HB1764, HB1934, HB2533, HB1790, HB2181, HB1870, HB2140, HB2468, HB2358, HB1588, HB1688, HB1986, HB2030, HB2195, HB1949, HB1695, HB1950, HB2094, HB2115, HB2297, HB2336, HB2416, HB2049

Keywords: maternal health, infant health, mobile application, Medicaid, healthcare access, state programs, music education, public concerts, Hawaii State Library, cultural collaboration, music accessibility, libraries, education, reading programs, early childhood, nonprofit, community engagement, teacher retention, Hawaiian language education, special needs schools

Transcript Highlights:

• Um, $31—that's what it cost. So I don't know if that's comparable.
• Um, so that cost ends up being fully on the retailers. Um, let's see.
• Um, so that cost ends up being fully on the retailers. Um, let's see.
• way. um one just for resource allocation way. um one just for resource allocation and<03:49:19.680
• And I'm here to tell effort and cost.

Keywords: 1189, house, all

Transcript Highlights:

• We have our co-op program, which actually buys down the cost of advertising, so we have participants
• Minnesota, move to Minnesota, state with the lowest cost of living, are highly ranked, and then they're
• to the agency for million was allocated to the agency for reinvestment<00:36:10.960> through<
• of production tax resources allocation of production tax resources board<00:37:05.040> members
• They were able to bridge the gap between development costs and affordable rent, maximizing resources

Keywords: 1187, senate, all

Summary: Explore Minnesota Executive Director Lauren Bennett McGinty gave the committee an agency overview focused on the state’s tourism, livability, business attraction, film, and outdoor recreation promotion work. She highlighted record 2023 tourism results, including 80.2 million visitors, $4.1 billion in economic impact, more than 180,000 hospitality jobs, and $2.3 billion in state and local taxes, and said tourism sales, hotel occupancy, and other metrics continued to improve. She also described the agency’s marketing strategy, including a new campaign centered on authentic Minnesota stories, expanded domestic and international advertising, and a strong emphasis on winter, diverse markets, and accessibility. McGinty reviewed several one-time-funded programs launched or expanded in the last year, including Explore Minnesota for Business, the tourism recovery grant program, the first Tribal Nations Grant program, and the outdoor recreation industry partnership with IRRR, DEED, and DNR. She said the recovery grants had distributed $1.15 million to 110 grantees, the tribal grant program had spent $1.4 million with eight tribal nations, and outdoor recreation was estimated at $13.5 billion annually with 10.5% growth. She also noted strong media and social media results, including a viral Timberwolves-related campaign, high video completion rates, and increased website traffic. In response to committee questions, McGinty said the workforce and business attraction campaign is aimed at showing why people choose to live and work in Minnesota, using stories from newer residents and businesses, and that it is performing well in markets such as Silicon Valley, Boston, and Seattle. She said the agency is investing more in winter advertising to promote Minnesota as a winter destination and is working with partners to highlight activities beyond outdoor cold-weather recreation. Members also discussed the agency’s new film program, resident retention efforts, and a planned music-themed tourism ad tied to Prince and Bob Dylan. No votes or formal actions were taken.

Transcript Highlights:

• Costs associated with general CTE programs.
• Those are what I'm calling high-cost industry specialists.
• There are base costs associated with starting a new CTE program.
• If you're doing CTE, we know it costs about $900 more per student, but if you're doing those high-cost
• rough analysis of those costs. initial estimates from our rough analysis of those costs.

Transcript Highlights:

• So this chart here — is this the only list that you have of funding allocations for either this year
• This slide shows the different buckets of water in Yakima and how they are allocated in dry years.
• The percentage that they are allocated depends on storage levels in the reservoir and projected snow
• This year, the proratable water-right holders had early indication that their water allocations were
• And it was a cost issue.

Summary: The committee heard first from Deputy State Climatologist Karen Bumbacco, who reviewed the weather and snowpack conditions that contributed to Washington’s 2025 drought. She said the state had a very warm and dry water year, with April through September ranking among the warmest and driest periods on record, and that three straight years of below-normal snowpack and precipitation had compounded drought impacts, especially in the Yakima Basin. She also explained that a weak La Niña could bring a wetter-than-normal winter, though temperature forecasts were less certain, and noted that long-term climate projections point to continued snowpack decline and earlier runoff timing. Department of Ecology staff Rea Burns and Caroline Melor then described the state’s drought declaration process and response. They said Washington’s statutory drought threshold is less than 75% of normal water supply plus a hardship finding, and that Ecology extended the Yakima drought declaration in April and expanded it statewide in June. They discussed reliance on federal monitoring data and staffing at NRCS, USGS, Reclamation, and NOAA, and said federal staffing and funding instability has created concerns for snowpack and water data. They also reviewed drought response funding, noting that grants have supported projects in the Yakima and Dungeness basins and that the drought emergency account still has a balance available for current needs. Burns gave a detailed update on the Yakima Basin, saying it experienced unprecedented conditions this year, including nearly empty reservoirs, curtailment orders sent to about 1,500 water users, and the first time even the most senior 1855 surface water rights were turned off. She said widespread compliance occurred, though the process exposed areas for improvement, especially coordination with federal partners. Committee members asked about the long-term basis for climate projections, the 75% drought threshold, federal impacts, drought insurance, reservoir storage, and whether the state should consider more drought funding or new storage projects. No votes or formal actions were taken during the meeting.

Transcript Highlights:

• while managing risk, which necessitates diversification of our portfolios and defrayal of reasonable costs
• while managing risk, which necessitates diversification of our portfolios and defrail of reasonable costs
• We take a very active role in, because we are an allocator.
• We decide what allocation of capital from the fund that we're going to entrust with a fund manager that's
• So that's all going to be factored into our decision-making as we make allocations every year.

Summary: The Government Operations Subcommittee met with a quorum and began with member introductions and remarks from the chair emphasizing the committee’s focus on government efficiency, accountability, and oversight of executive branch agencies. Members shared their districts and backgrounds, with several noting hurricane recovery in their communities and a shared interest in reducing bureaucracy and improving service to Floridians. The committee’s only presentation was from Chris Spencer, Executive Director of the State Board of Administration, who gave an overview of the SBA’s governance structure, investment responsibilities, and divestment policies. He explained the SBA’s management of more than $257 billion in assets, including the Florida Retirement System, the Florida Hurricane Catastrophe Fund, and Florida PRIME, and reviewed the Protecting Florida’s Investments Act restrictions covering Northern Ireland, Cuba, Venezuela, Israel, Sudan, Iran, and China. He also described the implementation of HB 7071, including the required divestment from direct holdings in Chinese companies, and said the SBA had reduced its direct Chinese holdings from 33 companies totaling over $172 million to 13 companies totaling about $64 million, with completion expected ahead of the September 1, 2025 deadline. Members asked detailed questions about the Israel boycott list, Morningstar and MSCI, how the SBA gathers information, whether Cuba’s federal designation changes affect Florida law, how companies are removed from scrutinized lists, and whether divestment timing could affect returns. Spencer said the SBA uses public and paid research sources, gives companies a 90-day cure period in some cases, and brings list changes to the trustees for approval. He also explained that the China benchmark change is intended to reduce passive exposure while still allowing active investment decisions, and said the PFIA restrictions have had a modestly positive overall effect on pension performance. The chair also asked about the Florida Retirement System funded ratio and the CAT Fund’s capacity; Spencer said the pension fund is at 80.7% funded, that actuarial assumptions are reviewed regularly, and that the CAT Fund currently has more than $10.5 billion in liquid claims-paying capacity and is expected to remain well positioned for hurricane losses. No votes were taken, and the meeting adjourned after the presentation and questions.

Transcript Highlights:

• Our students are not wealthy, but they live in a high-cost area.
• What is the cost associated with one free person going to school? Do we have that? I got it.
• has already been allocated through the Prop 98 funding.
• has already been allocated through the Prop 98 funding.
• The Bureau's oversight include those that cost under $2,500.

Summary: The Assembly Higher Education Committee met with a quorum and first approved a consent calendar containing AB 341, AB 1098, and AB 1316, sending those measures to the Human Services, Judiciary, and Appropriations Committees respectively. The committee then heard AB 977, which would require CSU to audit surplus land and work with California tribes to identify three regional burial sites for Native American remains that cannot yet be repatriated. Supporters, including tribal leaders and archaeology groups, said the bill is needed to honor ancestors and address the large number of remains still held by CSU; CSU said it is committed to repatriation but had no formal position. The bill passed to Appropriations on a 5-0 vote. Members also heard AB 1093, creating a California-Mexico higher education exchange program, and AB 1035, expanding the California College Promise to cover tuition for students pursuing community college bachelor’s degrees. AB 1093 drew support for strengthening cross-border educational and economic ties, but some members raised concerns about border-region sewage problems and the bill’s budget implications; it was held for later consideration. AB 1035 received strong support from community college leaders and faculty who said it would help low-income and first-generation students complete workforce-focused bachelor’s degrees, but several members questioned whether it would stretch Prop. 98 funding and whether the state should prioritize broader affordability concerns. AB 1035 passed to Appropriations on a 3-2 vote. The committee next approved AB 922, which would let the University of California keep access to federal criminal-history information for hiring background checks, avoiding delays and added costs if statutory authority is required. UC said the bill is needed to maintain safety and hiring operations, and it passed to Public Safety on a 5-0 vote. AB 1346, protecting military dependents from losing in-state residency status because of family travel, also passed unanimously to Military and Veterans Affairs. AB 1212, allowing UC to use low-income housing tax credits to build affordable housing for faculty and staff on UC land, drew support from UC and labor groups but opposition from members concerned about preferential access to public resources; it was held for later action. Finally, the committee approved AB 500 and AB 684, both aimed at increasing transparency around UC admissions policy changes and UC BOARS decision-making, sending AB 500 to Education and AB 684 to Governmental Organization, each on 5-0 votes. The hearing then moved on to AB 1122 on dual enrollment, with the author and witnesses presenting the bill as a way to expand college access for high school students.

Transcript Highlights:

• If a of the cost of the headstone.
• Are we covering the cost?
• Um, you could hire a programmer for at least a year on that cost. So, I don't understand that cost.
• Public Safety to the cost. Um, and I, Public Safety to the cost.
• time that can be allocated towards this. time that can be allocated towards this.

Bills: HF3919, HF3467, HF3741

Keywords: veterans benefits, Secret War, Laos veterans, eligibility process, burial fees, veteran designation, veterans affairs, food insecurity, homelessness, suicide prevention, state resources, reporting requirements, agency initiatives, veterans, educational assistance, tuition waiver, spouses, children, military service, benefits

Summary: The committee first approved the minutes, then heard an update from Metro Meals on Wheels on a veterans home-delivered meals grant funded by the committee in 2023. Testifiers said the program has served more than 82,000 meals to over 500 veterans, but funding is running short; enrollment was stopped in July 2025 and meal service was reduced to five per week to stretch dollars. They said the program is serving 168 veterans as of January 31 and will likely run out of funds in July unless additional money is provided. Members asked about eligibility and how the program ensures the grant is used only for veterans who do not qualify for other services; the organization said referrals come through county veteran service officers, MACV, hospitals, and other partners, and that it can provide confidential tracking information. No vote was taken on funding, but members expressed support and interest in more documentation. The committee then took up House File 3919, which implements recommendations from a task force on benefits for SGU veterans and irregular forces who served in the secret war in Laos from 1961 to 1975. The Department of Veterans Affairs said the bill largely reflects the task force report and technical recommendations, including adding SGU veterans to the burial fee statute so burial costs in state cemeteries can be covered, while noting there is still an unresolved issue about headstone costs for spouses and dependents. A testifier from the task force supported the bill but objected to creating a separate SGU veteran designation on driver’s licenses, arguing it could create two classes of veterans and add administrative costs; he urged using a single veteran designation instead. Other public testimony emphasized the service of Hmong, Lao, Cambodian, Vietnamese, and other allies in Laos and urged the legislature to adopt the recommendations broadly. The committee discussed the burial fee language and the purpose of the designation, but no final action or vote on HF 3919 was taken in the portion provided.

Transcript Highlights:

• They were really honing in on the Medicaid cost per resident.
• The Medicaid cost per resident, so they didn't like programs that were $150,000 per slot, whatever it
• So there was $25 million allocated and only $6.8 million was, as of that slide, which I know wasn't the
• But with the money that wasn't allocated in that fiscal year, was it reverted and reappropriated for
• The Swimming Lesson Voucher Program provides no-cost swimming lessons.

Summary: The committee opened with roll call, welcomed members back for the first committee weeks, and heard brief personal updates from several senators before moving into agency implementation updates on recently enacted health care laws. The Agency for Health Care Administration reported on Senate Bill 64 creating rural emergency hospitals, explaining that AHCA adopted the required rules effective June 1, 2025, but that no hospitals have yet been designated. Members asked about possible hospital conversions, accreditation and survey responsibilities, and whether Florida would apply for federal rural health transformation funding; AHCA said it intends to apply and has already been working on the issue with federal officials. AHCA also reviewed the non-emergent care access plan requirement under Senate Bill 7016. The agency said hospitals with emergency departments must submit plans that help redirect non-emergent patients to appropriate care settings while complying with EMTALA, and that 83 plans had been received and 63 approved as of September 30. Members asked about data collection, managed care coordination, and the state’s health information exchange; AHCA said it has moved to a new HIE vendor and will continue monitoring implementation and possible care gaps. AHCA then updated the committee on the TEACH program, saying $6.8 million was spent in 2024-25 across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed. The agency said rulemaking is nearly complete, a new nursing student category and expanded facility eligibility were added, and a federal 1115 workforce waiver remains stalled after CMS signaled it will not approve new workforce demonstrations. AHCA also reviewed House Bill 121 on KidCare eligibility, explaining that implementation of the 300% poverty-level expansion remains blocked by federal litigation and waiver issues tied to premium nonpayment rules; members and public speakers urged action to close the coverage gap. Public testimony on AHCA’s presentation came from representatives of health centers and advocacy groups, who said the non-emergent care access plan has improved hospital-health center coordination and reduced repeat emergency use, and who urged implementation of KidCare expansion for children in the coverage gap. The Department of Health then presented updates on FRAM, the Sanadi screening grant program, the Health Care Innovation Revolving Loan Program, telehealth maternity care, swimming lesson vouchers, and House Bill 159 on pharmacist dispensing of HIV post-exposure prophylaxis. DOH reported strong participation in FRAM and the telehealth maternity program, 24 Sanadi grant awards in 42 counties, 4,945 swimming lesson vouchers issued last year and 2,371 so far this year, and three approved certification courses with five pharmacist certifications issued under HB 159. Committee members asked about recruitment of dentists and other providers, telehealth maternity outcomes, and why participation in the maternity program remains below expected levels; DOH said outreach and regional referral networks are expanding and more detailed outcome data will be included in the upcoming legislative report.

Transcript Highlights:

• <00:09:13.680> to billion number it is not allocated to billion number it is not allocated
• It's setting a base so that we know what current law going forward would cost if nothing changes.
• It's setting a base so that we know what current law going forward would cost if nothing changes.
• It's setting a base so that we know what current law going forward would cost if nothing changes.
• The state pays 22.95% of the cost of services for individuals who are not enrolled in MA.

Keywords: 1183, house

Summary: The committee met for an introductory overview of its jurisdiction and staff roles. Nonpartisan House Research and House Fiscal staff explained that they draft bills and amendments, prepare bill summaries and background research, answer legal and fiscal questions, and help track revenue and budget effects. They also distributed a Budget Overview Brief intended to condense the larger budget materials into a more usable format for members. Staff then walked through the Human Services budget and the committee’s areas of responsibility. They described the department structure, noting that DHS oversees administration, compliance, rulemaking, and county support, and that the overall Human Services budget is large, with medical assistance as the dominant program. They also explained recent and upcoming reorganizations: many children and family-related functions are moving to the new Department of Children, Youth, and Families, Direct Care and Treatment is becoming its own agency, and some homelessness-related functions remain at DHS. Staff reviewed how the budget is organized by program and budget activity, the difference between direct appropriations and standing appropriations, and how forecasted programs and “tails” work in the budget process. The presentation also covered Medicaid financing and long-term care. Staff explained the federal-state FMAP match, including Minnesota’s current 51.16% federal match for most Medicaid spending, the CHIP match, and the 90% federal share for the expansion population. For long-term care, they outlined Medical Assistance services for elderly and disabled people, state-funded long-term care supports, and Board on Aging programs. They highlighted the personal care assistance program’s phaseout and replacement by Community First Services and Supports, and reviewed the five home- and community-based waivers. Members asked one question about refugee resettlement funding, specifically whether it covers flights; staff said they would need to follow up on the exact use of the federal funds. No bills were heard, and no formal votes or other committee actions were taken during this meeting.

Transcript Highlights:

• And then the second one was cost. You talked about, well, we know the cost.
• The cost, the cost, the cost. All right, just being sure. And then the second one was cost.
• You talked about, well, we know the cost. The cost is $20 billion.
• But at what cost? What cost are we considering?
• It needs to be considered at what cost. At what cost?

Summary: The hearing opened with budget framing from the chair and the LAO, who said the May Revision addresses roughly a $14 billion budget problem and that the environment and transportation subcommittee’s proposals account for about $1.9 billion of the solution. The LAO urged members to focus on solutions that do not worsen out-year deficits, to preserve reserves, and to defer major policy changes that are not necessary to pass the budget, including the newly introduced water-related trailer bills. Members also raised concern about a late-dropped Olympic-related trailer bill, which the LAO likewise suggested should be deferred for fuller review. The first major item was the Delta Conveyance Project and related water quality control plan trailer bills. The administration argued the proposals would streamline permitting, water rights proceedings, judicial review, and land acquisition, and would clarify DWR’s bond authority for the project. DWR said the project is needed to protect water supply reliability against drought, earthquakes, sea level rise, and other climate-related disruptions, and that the tunnel would help move water when conditions are wet and safer for the environment. Committee members from both parties questioned the timing, the use of budget trailer bills for major policy changes, the scope of the CEQA and water-rights changes, the lack of a bond cap, cost growth, and eminent domain protections. The LAO recommended deferring both water trailer bills without prejudice. Public comment was sharply divided, with labor, water agencies, and some business groups supporting the project as climate adaptation and reliability infrastructure, while environmental, tribal, fishing, county, and community groups opposed it as an attempt to bypass public process and weaken protections. The committee then briefly heard the DMV’s Digital Experience Platform fee trailer bill, which would reinstate a $1 system improvement fee to help fund the vehicle-registration phase of the project. DMV said the fee would raise about $7 million annually and offset roughly $59 million to $60 million of project costs, while the LAO noted it would help but would not solve the Motor Vehicle Account’s broader structural gap. The hearing then moved to California High-Speed Rail, where the new CEO presented an updated plan and said the project remains a major climate and infrastructure investment. He reported a revised Merced-to-Bakersfield cost range of $34.9 billion to $38.5 billion, said the agency is trying to reduce risk through direct procurement of materials, and argued that stable annual funding is needed to avoid higher costs from delays.

Transcript Highlights:

• cost of special education. cost of special education.
• total administrator cost. total administrator cost.
• > average<01:03:01.880> cost<01:03:02.560> in Total cost rather than average cost in
• Total cost rather than average cost in paragraph<01:03:03.280> four.
• administrator costs. administrator costs.

Keywords: 1189, house, all

Summary: The conference committee first discussed HB 1099, which creates a committee to study private business providing special education services and local school district reimbursement. Members explained that the issue is broader than special education alone, involving residential placements, foster care, court-ordered placements, and questions about which entity pays for education and care costs when students are placed in residential facilities. The House proposed an amendment to expand the study to include students placed in residential facilities by school districts as well as those placed through episodes of treatment or court order, and members agreed the existing commission would not resolve the issue before its July 1, 2026 expiration. Representative Coker raised concern about the phrase “but not limited to,” but members said the broader language was needed to capture placements beyond the existing statutory categories. The committee then agreed to accede to the Senate version of HB 1099 with a committee amendment, and the House voted unanimously to adopt amendment 2026-1845H. The bill was placed on the consent calendar, and the meeting adjourned. The transcript also includes a separate conference committee discussion on HB 1807, concerning mandatory reporting to voters. The main dispute was how to present administrator compensation: the House favored total administrative cost, while the Senate initially preferred average administrator salary. Members debated whether voters would be better informed by totals or averages, and whether the bill should define “administrator” more clearly by reference to DOE rules. The committee reached a tentative compromise to add both an average administrator salary graph and a total administrator cost graph, define administrators by reference to ED 501.02(B), scale the graph more precisely, and list the top 10 highest-paid administrators plus any employee earning over $100,000. Both chambers then gave unanimous support to the revised approach, with the understanding that the draft would be finalized and signed later.

Transcript Highlights:

• benefit-cost ratio is 2 to 1.
• And then the second one was cost. You talked about, well, we know the cost.
• cost estimate.
• But is it worth what it's gonna cost?
• If we have a blackout, that would cost Californians billions of dollars, in both economic costs and in

Keywords: 988, house, all

Transcript Highlights:

• settlement costs. settlement costs.
• questions and concerns around costs questions and concerns around costs then?
• But there's nothing in here about how much it costs or how much these pending lawsuits will cost local
• is the cost to the locals. is the cost to the locals.
• see increased costs to see increased costs in<02:12:31.360> litigation.

Keywords: 981, all

Summary: The Senate met with a quorum, approved the February 20, 2026 journal, and then moved into Committee of the Whole for second reading of bills on the consent calendar. Senate Bill 85, concerning military protection orders in domestic violence cases, and Senate Bill 25, concerning land survey monumentation, were both adopted on the consent calendar and later reported out as amended and placed on the calendar for third reading and final passage. The chamber also briefly recognized the Denver Alumni Chapter of Delta Sigma Theta Sorority, Inc., and welcomed a visiting family member of a sergeant during moments of personal privilege. The committee then took up Senate Bill 5, which creates a state court remedy for violations of federal constitutional rights during immigration enforcement. Senators Weissman and Gonzalez supported the bill, arguing it is meant to protect constitutional rights and provide a civil remedy when those rights are violated. Senator Gonzalez urged a strong vote in favor, while Senator Weissman explained the bill’s scope and later supported amendments as technical or clarifying changes. Two amendments to SB 5 were debated at length and both were defeated. Amendment L004, offered by Senator Baisley, would have required that a violation be done “knowingly and intentionally”; supporters argued it would add fairness and guard against frivolous claims, while opponents said it would raise the burden for injured people and was unnecessary because the bill already concerns federal constitutional rights. Amendment L005, offered by Senator Lon, would have barred claims where the plaintiff provoked the conduct; supporters said it would protect self-defense and limit abuse of the bill, while opponents called it victim-blaming and said it would undermine accountability. Both amendments failed on voice votes, and debate on the bill continued.

Transcript Highlights:

• allocation models, which means that the true cost for things can get moved all over the place, Place
• As an example, cost allocation models are not a perfect science.
• my costs.
• Costs are significantly positive. They reduce all kinds of health risks and health costs.
• Something happening with rising health care costs and drug costs.

Transcript Highlights:

• So the first is cost growth.
• what it costs for diabetes.
• Sometimes this comes at a cost, whether the cost is financial, emotional, or health-related.
• Sometimes this comes at a cost, whether the cost is financial, emotional, or health-related.
• We know we can do it in a cost-neutral and a cost-beneficial way.

Keywords: 995, all

Summary: The Joint Committee on Ways and Means held a Health and Human Services budget hearing in Clinton, with opening remarks from Chairs Meg Kilcoyne and Robin Kennedy, local officials, and many House and Senate members introducing themselves. The hearing focused on Governor Healey’s FY27 EOHHS and MassHealth budgets, with repeated themes of rising health care costs, federal funding uncertainty, workforce shortages, and access to care in underserved regions. Members also raised concerns about primary care shortages, rural and regional disparities, behavioral health access, maternal health, food insecurity, and the impact of federal policy changes on Massachusetts programs. EOHHS Secretary Kiame Mahaniah said the FY27 EOHHS budget totals $33.7 billion, reflecting mostly non-discretionary growth from health care costs, labor costs, caseload increases, and provider rate pressures. He highlighted targeted investments in foster care, family resource centers, maternal health, youth services, nutrition programs, immigrant legal services, and human service workforce rates, while warning that federal actions could strip roughly $3.5 billion annually from the state’s health care funding. In response to questions, he defended the administration’s cooperation with federal audits and program integrity efforts, discussed the primary care crisis, and said the state is trying to preserve core services while preparing for a more difficult FY28 budget cycle. MassHealth Undersecretary Mike Levine then described two major FY27 challenges: double-digit cost growth and the expected effects of the federal One Big Beautiful Bill Act. He said MassHealth’s proposed $22.7 billion gross budget includes a 7.5% increase and relies on a moratorium on new expansions plus targeted reductions, including a $1,000 annual adult dental cap, ending GLP-1 coverage for weight loss only, reducing care management to peer-state levels, and work groups to slow growth in PCA, adult foster care, and adult day health spending. Members questioned the impact on Boston Health Care for the Homeless, preventive care, and regional access; Levine said the changes are meant to preserve sustainability, that children and certain disabled populations remain protected, and that the administration will continue working with providers, advocates, and the Legislature on implementation and longer-term reforms.

Transcript Highlights:

• I WAS CURIOUS HOW MUCH IT COST TO RUN YOUR APP OR WAS IT ONE TIME DOLLARS?
• WE KNOW IT WILL ALWAYS BE COST PROHIBITIVE DISH COST PROHIBITIVE FOR US TO PUT PEOPLE IN THE GROUND SEARCHING
• Mooney: ONE OF MY CONSTITUENTS MADE THE CALL AND WAS TOLD IT WOULD COST HIM $175.
• AND WHEN I WAS TOLD WOULD COST THE HUNDRED $75 I WAS LIKE I DON'T KNOW IF THAT'S TRUE.
• FLOOD CONTROL INFRASTRUCTURE IS COSTING THE TAXPAYER MILLIONS OF DOLLARS.