Transcript Highlights:

• The extension of the microloan program to CNMI will be critical to support business growth, create jobs
• THE EXTENSION OF THE MICROLOAN PROGRAM TO CNMI WILL BE CRITICAL TO SUPPORT I have long supported efforts
• The 504 CDC program supports small businesses in accessing capital for the development of major fixed
• SBDC AI program and ensures that AI support is consistent, accessible, and nationwide, not just in major
• In fiscal year 2025, the program supported $7.8 billion in loans To small businesses nationwide.

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, January 20, 2026, 1012, house, all

Transcript Highlights:

• Assistance Program.
• We wholeheartedly support this.
• This would be a small program.
• It's the value of their program and the effectiveness of their program.
• and Human Services included a fiscal impact for various vendor supports to implement this program.

Bills: AB6, AB102, AB131, AB212, AB213, AB220, AB259, AB282, AB376, AB396, AB479, AB503, AB570, AB572, AB574, AB576, AB593, SB185, SB207, SB507, AB6

Keywords: fetal alcohol spectrum disorder, FASD, prenatal alcohol exposure, children's health, developmental disability, early intervention, treatment assistance, Aging and Disability Services Division, Department of Health and Human Services, Autism Treatment Assistance Program, public health, parent education, evidence-based treatment, Nevada NRS 427A, disability services, behavioral health, emergency medical services, ambulance, licensing, health district

Transcript Highlights:

• and ASES programs together.
• Are there extra supports? How are districts accommodating inclusion in the ELOP program?
• And then making sure that the California Community Schools program, which supports now more than 2,000
• Finally, we have a set of programs that, as you know, have been trying to support the teacher workforce
• Linda Hammond's comments on the National Board Certification Program, which we strongly support.

Summary: The committee heard presentations on the Governor’s education budget proposals for the Local Control Funding Formula (LCFF), Learning Recovery Block Grant, and Expanded Learning Opportunities Program (ELOP), followed by testimony from State Board of Education President Linda Darling-Hammond. On LCFF, Finance outlined the proposed 2.43% COLA, repayment of prior deferrals, and a trailer bill penalty for LEAs that fail to adopt Local Control Accountability Plans on time. The LAO said its COLA estimate was slightly lower and raised concerns that the Governor’s proposed TK staffing ratio increase may be more costly than estimated. Members also discussed whether the current COLA formula should better reflect California-specific or district staffing costs, and whether TK should be more clearly separated from the K-3 grade span adjustment to avoid larger K-3 class sizes. The chair asked staff to work with the LAO on both the TK/K-3 issue and alternative COLA calculations. For the Learning Recovery Block Grant, Finance proposed restoring the first of three delayed payments, $378.6 million one-time Proposition 98 General Fund, while the LAO recommended adopting the proposal but extending the expenditure deadline by at least a year. The LAO reported that districts had spent $1.6 billion of the $6.8 billion received through 2023-24 and said most districts were only now shifting from federal COVID relief to block grant spending. Members questioned whether the large state and federal investments were improving outcomes, citing declining reading and math trends, while Finance and the State Board president pointed to some signs of improvement, especially in math, attendance, and gains for some student groups. Darling-Hammond emphasized that student needs have grown, that recovery spending has gone to devices, ventilation, staffing, tutoring, summer school, and community schools, and that targeted interventions appear to be helping some districts recover faster than others. On ELOP, Finance proposed adding $435 million to expand universal access by lowering the Tier 1 threshold from 75% to 55% unduplicated pupils, bringing ongoing funding to $4.4 billion. The LAO said the estimate was reasonable but recommended delaying implementation for a year, aligning ELOP with ASES to reduce overlap, moving toward funding based on participation rather than enrollment, and considering a fixed Tier 2 rate. Members and witnesses discussed staffing challenges, the use of funds for students with disabilities, and uncertainty in Tier 2 funding caused by unspent dollars and opt-outs. Darling-Hammond supported ELOP as part of California’s broader after-school and summer learning strategy, said most districts are now offering full-day TK and expanded learning, and urged the state to reduce fragmentation across categorical programs and build more unified systems for funding, reporting, and support.

Transcript Highlights:

• Fenway Health strongly supports an act prohibiting discrimination against 340B drug discount program
• Through our program, we were able to support her medication management process, and I am happy to report
• The 340B program is a federal program, and let me be clear: the 340B program has been a great program
• To be clear, PhRMA supports the original intent of the 340B program to help low-income and vulnerable
• But we do not support the ongoing misuse of a program that was intended to serve patients, but today

Keywords: 995, all

Summary: The committee held a lengthy hearing on a large docket of pharmacy and drug-pricing bills, with most testimony focused on PBM reform, 340B drug discount program protections, specialty medication access, and medication adherence. Chair James Murphy and Senator Paul Feeney opened the hearing and took testimony from legislators, patient advocates, pharmacists, health center leaders, industry representatives, and policy groups. Several speakers described delays, denials, high out-of-pocket costs, and pharmacy closures tied to PBM practices, while others emphasized the importance of community health centers and independent pharmacies in serving patients. On the 340B program, supporters including Senator Eldridge, Senator Payano, Community Care Cooperative, Fenway Health, the Massachusetts League of Community Health Centers, and several community health center leaders argued that bills such as H. 1107 and S. 819 would stop discriminatory PBM and manufacturer practices, preserve contract pharmacy access, and protect safety-net providers that say they reinvest savings into care, pharmacy expansion, interpreter services, behavioral health, and other services. Opponents including PhRMA, the Community Liver Alliance, and a public policy analyst argued the program lacks transparency and accountability, has grown beyond its original purpose, and may benefit large hospitals and for-profit entities more than low-income patients. They urged more reporting and oversight rather than expanding protections. On PBM reform, testimony supported bills including H. 1157, H. 1234, S. 724, S. 831, and related measures that would require rebate pass-through, ban spread pricing, limit steering to PBM-owned pharmacies, and improve reimbursement for community pharmacies. Independent pharmacists and patients said current PBM practices raise costs, create administrative burdens, and threaten access to local pharmacies. PCMA, representing PBMs, opposed the reforms, arguing PBMs lower costs, that plan sponsors choose to contract with them, and that the Health Policy Commission and CHIA should complete their ongoing study before new mandates are adopted. The committee also heard support for H. 1322 and S. 734 on specialty medications, and for H. 781 and H. 1305 on medication synchronization to improve adherence. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• He froze all programs.
• He specifically, in the OMB, called out programs related to illegal DEI programs and programs that effectively
• The SBA Disaster Loan Program, you know, it's critical in supporting small businesses, as you mentioned
• I was proud to help create the State Trade Expansion Program, the STEP Program.
• I would hope that again you would commit to continuing to support that program and helping our small

Transcript Highlights:

• programs that support the Early programs that support the Early Childhood<00:21:12.120> care<
• This is primarily the child support program, which is about $640 million per year.
• assistance, adoption and kinship assistance, child care support, and early childhood programs.
• <00:46:15.680> programs<00:46:16.240> in million for those support programs in million
• turn<01:09:08.719> it support program operations I'll turn it support program operations

Keywords: 1183, house

Transcript Highlights:

• Also caregiver education, caregiver support, Alzheimer's and dementia programming.
• Also caregiver education, caregiver support, Alzheimer's and dementia programming.
• Um, one supports program at that time.
• <00:34:12.639> programming,<00:34:13.520> we services and supports programming, we
• The long-term services and supports The long-term services and supports program<00:36:38.079>

Keywords: 928, house, all

Summary: The committee to study long-term managed care met to approve the prior meeting minutes, with a clarification that “OB3” referred to the “one big beautiful bill.” The minutes were then approved. Chair Jim Kofalt outlined the day’s agenda, which included testimony from the Granite State Home Health and Hospice Association, the New Hampshire Association of Counties, and later DHHS. He also noted that future meetings were expected soon and that the meetings were being livestreamed on YouTube. Granite State Home Health and Hospice Association, represented by Kellyanne Totten and Amy Moore, urged inclusive planning and a cautious, phased approach if managed care is considered. They emphasized that home care providers are not uniform, with different licensing and service models, and said any pilot should include varied provider types, rural and southern regions, and agencies of different sizes. They warned that workforce shortages, inflation, and a possible 9% CMS cut to Medicare home health payments could force agencies to reduce service areas or service types. They also said the 2023 Medicaid CFI rate increase has begun to lose its effect. In response to questions, they said the rural health transformation fund may help with planning and telehealth but likely cannot be used directly for rates or recruitment/retention. They also described the New England Home Care Nurse Residency Program, a Department of Labor grant, as a way to bring new registered nurses into home care with added training and school partnerships. The New Hampshire Association of Counties, through county nursing home administrators Craig Labore and David Ross, revisited the earlier Step Two managed care discussions from 2016-2018. They said prior consultants found the long-term services and supports system was underfunded and needed investment to stabilize providers and expand community-based care. They argued the same concerns remain today and said a managed model would jeopardize the Medicaid quality incentive payment program and, for county nursing homes, the proportionate share payment program. Their testimony was generally opposed to moving forward with managed long-term services and supports without significant additional funding and safeguards.

Transcript Highlights:

• I feel that he feels ready for a program designation, but as far as from HTDC, we could use more support
• The accelerator program is a separate $2 million fund that will support organizations that are supporting
• The accelerator program is a separate $2 million fund that will support organizations that are supporting
• The accelerator program is a separate $2 million fund that will support organizations that are supporting
• The accelerator program is a separate $2 million fund that will support organizations that are supporting

Keywords: 912, senate, all

Summary: The Senate Committee on Economic Development and Tourism heard testimony on several bills, with much of the discussion focused on Enterprise Zones and related economic development measures. On SB 125, the committee heard support from DBEDT, the Department of Taxation, the Tax Foundation of Hawaiʻi, the Hawaiʻi Farm Bureau, and the Farmers Union. Members questioned how the bill would affect job-creation requirements and learned that existing companies and new companies are treated differently under the program, with existing companies generally subject to a 15% annual employment increase and new companies to a 10% increase, while the bill would extend the program period from seven to nine years. DBEDT also said the program has been effective, citing 1,162 jobs created or maintained at a cost of about $1.2 million, and noted that agriculture, manufacturing, and wholesaling are the main sectors involved. The committee then took up SB 729, also relating to Enterprise Zones, which would expand eligibility to better accommodate local manufacturers and value-added businesses that sell directly to retail rather than only wholesale. Testifiers from the Holua Collaborative and Hawaiʻi Farm Bureau supported the measure, saying it would help small manufacturers and agricultural producers add value and adapt to internet-era sales patterns. A committee discussion clarified that the bill would add value-added processing as an allowable activity within the zones, and DBEDT explained that the current rules were written for a wholesale-dominated market. The Attorney General’s office also testified, raising a supremacy clause concern and recommending language changes to avoid conflict with federal law. On SB 129, relating to labeling requirements for fish, the Attorney General and the Department of Agriculture both raised concerns about federal preemption and enforcement. The AG explained that federal law governs fish labeling but includes an exception for processed fish, and recommended narrowing the bill to processed fish and defining that term to fit the federal carve-out. The Hawaii Longline Association supported the bill but suggested excluding canned tuna while including products such as poke, sashimi, and sushi. The Department of Agriculture said it does not currently enforce this kind of labeling requirement and would need to determine whether another agency should handle enforcement. The committee also heard SB 581, which would establish an aerospace and aeronautics development program within DBEDT. Testimony was generally supportive, but members pressed for a fiscal estimate, and the bill’s sponsor said a prior version of the office had operated on about $400,000 annually with a small staff. No votes or final committee actions were taken during the portion of the hearing provided.

Transcript Highlights:

• The Bureau of Employment Supports with respect to work programs and what they can do to support the paying
• to cooperate with the child support to cooperate with the child support program<00:56:32.640>
• > from<00:56:34.880> the program to pursue child support from the program to pursue child
• so we have a program that intentionally and actively supports bullet 4.
• implement the post tanif support implement the post tanif support programs<03:04:11.439> that

Keywords: 928, house, all

Summary: The committee held a Division 3 budget work session focused on the Department of Health and Human Services’ Division of Economic Stability. Karen Hebert, the division director, and Nathan White, DHHS chief financial officer, walked members through the governor’s operating budget pages and a briefing book, explaining that the division was consolidated in 2018 and serves programs aimed at financial stability, poverty reduction, child care access, and related supports. Members repeatedly asked for clearer breakdowns of general fund spending, historical growth since consolidation, and how the division’s broad mission areas map onto specific budget lines. A major portion of the discussion centered on the Bureau of Child Development and Head Start collaboration and the child care subsidy program. Hebert said the child care scholarship/subsidy helps low- and moderate-income families access daycare so parents can work, attend school, or receive treatment, and that eligibility is based on state median income up to 85%. She reported a 45% increase in utilization, 4,032 children receiving daycare support as of the end of January, and about 15% of eligible children being served. She also described the quality improvement system “Granite Steps for Quality,” with 160 providers enrolled out of 717 licensed programs, and noted that 1,200 child care professionals added credentials in the last year. Members pressed for cost-benefit information, asking for data on how much the state pays, how many providers and children are served, and whether the department could quantify unmet need. The witnesses said some projects were funded with short-term ARPA child care dollars and that detailed cost data for specific examples, such as the Gorm Community Learning Center expansion, would need to be looked up. They also explained that the child care fund is a federal block grant with required spending set-asides of 9% for quality, 3% for infants and toddlers, and up to 5% for administration, and that unused funds remain available. The committee also reviewed slide 10’s accounting units, including that the Child Care Workforce Fund is 100% general funds and was created as a priority item under HB 2 from the 2024 session, while some other child care-related units are 100% federal funds.

Transcript Highlights:

• Is that PED is utilizing several programs and strategies that are supported by existing research.
• We chose those three districts because they already have very strong programs to support students who
• They already have the staffing, infrastructure, programming, and supports that can help navigate our
• That they get that TESOL training support while they're still in their higher education program.
• Child care can go up to age 12, so that could also help support out-of-school time programming, right

Transcript Highlights:

• FIRST WILL TAKE UP TAB ONE A PROGRAM REVIEW OF THE DISTRICT SUPPORT PROGRAMS AS PART OF OUR REVIEW OF
• OF THREE SMALLER PROGRAMS IN TERMS OF FUNDING WITH THE RECURRING FUNDS IN THE GAA SUPPORT SCHOOL DISTRICTS
• HAS BEEN A 5 MILLION APPROPRIATION THAT HAS BEEN FUNDED THROUGH THE GAA TO SUPPORT THIS PROGRAM.
• AS NEEDING THE MOST SUPPORT IN OUR RAISE PROGRAM.
• BOOKS AND SCHOOL SUPPLIES TO SUPPORT THE IDENTIFIED PROGRAM ACTIVITIES.

Keywords: 999, senate, all

Transcript Highlights:

• There are a lot of programs that both treatment and recovery support places people can go for...
• peer support specialists in our program, and I didn't quite follow that.
• programs, you have the behavioral health wraparound supports, but you cannot walk in.
• Our recovery support programs, we had to work to restore.” “Grow STL in St.
• Our recovery support programs, we had to work to restore. grow STF Our recovery support programs, we

Summary: The meeting focused on Missouri’s substance use prevention and treatment system, with repeated emphasis on recovery support services, peer support, recovery housing, transportation, and harm reduction. Dan Haniken of Into Action described his own recovery from addiction and incarceration and argued that treatment alone is not enough; he urged greater investment in recovery housing, peer support, employment, and community-based supports that help people stay sober and avoid relapse. Members asked about funding sources, program capacity, referrals, treatment court, transportation, and how Into Action supports people on medication-assisted treatment (MAT). Haniken said the organization is funded through a mix of federal, state, county, city, foundation, and private donations, and that housing and transportation remain major barriers, especially because support is often funded for too short a period compared with the longer time people need to stabilize. Matt Cushman of the Raytown Fire Protection District gave a strong endorsement of harm reduction, including naloxone distribution, syringe service programs, and broader decriminalization of harm reduction tools. He argued that stigma is a major barrier to care and that Missouri should expand access to clean needles, test strips, and other services, while also improving access to MAT in jails and communities. Committee members questioned the evidence base, the role of faith-based providers, and whether safe consumption sites should be pursued; Cushman said syringe exchange decriminalization should be the immediate priority, while safe consumption sites are a longer-term issue. He also described community paramedicine and mobile integrated health as valuable but funding-dependent, and said naloxone distribution is improving but still uneven, especially in rural and minority communities. Representatives from Central Ozarks Medical Center and Four Rivers Community Health Center highlighted the importance of peer support specialists, community health workers, care coordinators, and wraparound services in rural health centers. COMC’s Morgan McClure and Monet Lehman described a jail reentry program in Pulaski County, with Lehman sharing her trauma and recovery story and explaining how she helps incarcerated people prepare for release with housing, employment, benefits, transportation, and treatment connections. Four Rivers’ Devon Polarys and Cassandra Trout said their CEO would change Missouri policy to allow FQHCs to receive reimbursement for peer support and community health worker services similar to CCBHCs, arguing that these roles are essential for addressing barriers like transportation, housing, food insecurity, and insurance. Members discussed confusion over reimbursement rules, the differences between FQHCs and CCBHCs, and the need for better funding and clearer policy for peer and community health worker services. No votes were taken; the discussion ended with a suggestion to bring in a subject matter expert on community health workers for a future session.

Transcript Highlights:

• He's a certified peer support worker and a certified family peer support worker.
• And our staff are certified peer support workers. We also have family peer support workers.
• They don't have to wait long to connect with a peer support worker or a family peer support worker.
• Statistics, and our program has shown that we're able to provide additional support to these students
• At supporting within the different health councils, such as, you know, a program to have warnings about

Transcript Highlights:

• Wagner-Peyser programs to 30% in our re-enrollment programs.
• I urge you to support House Bill 15. you to support House Bill 15. Thank you.
• you are in support.
• That we need a waiver program to serve this population, and I urge the committee's support.
• and support.

Transcript Highlights:

• There are a lot of programs that both treatment and recovery support places people can go for... ...and
• And I think the data supports that individuals that utilize syringe service programs are four to five
• peer support specialists in our program, and I didn't quite follow that.
• programs, you have the behavioral health wraparound supports, but you cannot walk in.
• Our recovery support programs, we had to work to restore. GrowSTL in St.

Keywords: 959, house, all

Transcript Highlights:

• It includes financial support for the programs as well.
• It includes financial support for the programs as well.
• It includes financial support for the programs as well.
• It includes financial support for the programs as well.
• It includes financial support for the programs as well.

Keywords: 910, house, all

Summary: The committee first heard House Bill 707, which would create a state income tax deduction for contributions to Hawaii 529 college savings accounts and conform state law to federal changes allowing 529 funds to be used for K-12 expenses. The Department of Taxation said it could administer the bill as written. The Hawaii State Council on Developmental Disabilities supported the measure but asked that ABLE accounts be included and that the program title be changed; the Department of Taxation indicated the title issue could be a problem because the bill’s expanded purpose may not fit the current program name. No vote was taken. The committee then heard House Bill 617, which would fund a Bachelor of Science in Nursing program at the University of Hawaiʻi Community Colleges. UH Community Colleges supported the bill, and Maui nursing staff testified that faculty recruitment is challenging but manageable, clinical placements are available, and the campus already has a statewide RN-to-BSN pathway; they said the new program would create two tracks, including a four-year BSN option. Members also heard support from several organizations, including the Office of Hawaiian Affairs, nursing groups, and health care associations. No action was taken. Next were several UH-related measures. HB 718 would fund faculty and staff positions at the John A. Burns School of Medicine; the dean and other supporters testified in favor. HB 1279 would create a medical education liaison position tied to Project ECHO; the Attorney General raised constitutional concerns about statewide concern and grant standards, while an individual witness supported the concept but suggested the bill should focus on liaison/support functions rather than program administration. HB 1169 would consolidate conference center revolving funds, and HB 1168 would authorize up to $800 million in UH revenue bonds; UH’s CFO said both were procedural/housekeeping measures and supported them. On HB 1168, members questioned debt service, possible uses, and whether deferred maintenance would be included; the CFO estimated annual debt service could be about $33 million to $41 million at current rates, said likely uses could include student housing and research facilities, and said deferred maintenance was not the current strategy. The CFO also explained that revenue bonds require both legislative authorization and a Board of Regents resolution approving the project and amount. Finally, the committee heard HB 548, which would authorize revenue bonds and appropriations to acquire the St. Francis School campus for UH Mānoa. UH supported the bill but noted the property is privately owned and not known to be for sale. A supporter described the site as a unique 11-acre parcel contiguous to the main campus and urged the committee to seize the opportunity for future generations. No vote or final action was taken on the bills in the transcript.

Transcript Highlights:

• We support Senate Bill 107.
• a critical space to support young people, to support young people's mental health and development.
• Data in New Mexico shows that parents strongly support state funding for out-of-school time programs.
• We are in full support of this.
• We are evaluating our program and stand in strong support of this initiative, both in terms of one-time

Transcript Highlights:

• That was a two-tunnel program. project that Governor Newsom is supporting is a single tunnel has 6,000
• , the demand-side grid support program.
• 1.4 million service lines that are supported by the program.
• , the Demand Side grid support and distributed energy electricity backup assets program.
• energy and we fully support funding the program.

Keywords: 988, house, all

Transcript Highlights:

• However, it maintains investments to the core of our health and safety net programs that support Californians
• Fund, extends the sunset for the climate catalyst program that provides financing and credit support
• Program.
• This bill extends the surcharge supporting the deaf and disabled telecommunications program at the CPUC
• , affordable housing program, and the Wildfire County Coordinator program.

Keywords: 988, house, all

Transcript Highlights:

• Thank you for your support.
• We have outstanding programs.
• Our Weslaco Citrus Center is the only research program devoted to supporting the $500 million Texas citrus
• develop those new programs and wraparound student support services.
• We support wildlife services through water conservation programs, we teach critical management. practices

Keywords: 1184, house, all