Video & Transcript : 'H.R. 6039' :

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TX

Texas 89th Regular

89th Legislative Session Mar 19th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • . 537 and H.R. 557.
  • H.R. 538. by Lozano, H.R. 539 by Schofield, H.R. 540 by Lozano, H.R. 541 by Fairley, H.R. 542 by Coffner
  • H.R. 547 by Oliverson, H.R. 548 by Hernandez, H.R. 549 by Hernandez, H.R. 550 by H.R. 551 by Kerwin,
  • H.R. 552 by Lopez de Cameron, H.R. 553 by Martinez, H.R. 554 by Martinez.
  • H.R. 555 by Paul, H.R. 556 by Guillen, and H.R. 558 by Schofield. . .
CA

California 2025-2026 Regular Session

Assembly Floor Session Apr 13th, 2026

California House Floor Meeting

Transcript Highlights:
  • And so with that, I respectfully ask for your aye vote on H.R. 98. Thank you.
  • I urge your support for H.R. 98. Thank you, Assembly Member Ramos.
  • That is H.R. 100 by Dr. Bains. The clerk will read.
  • Speaker, and members, I respectfully ask for your aye vote on H.R. 100.
  • I urge all to support H.R. 60. Thank you, Assembly Member Ramos. I urge all to support H.R. 60.
Summary: The Assembly convened without a quorum, then quorum was established and the chamber proceeded with prayer, the Pledge of Allegiance, journal approval, and a series of procedural motions. Members approved multiple unanimous-consent requests to suspend rules, re-refer bills to committees, and allow committees to notice bills pending re-referral. The day also included several guest introductions recognizing student leaders, public power executive Randy Howard, a family member of Assemblymember Gallagher, higher education leaders, Leadership Torrance, and the Vacaville PAL program. On the floor, the Assembly adopted several resolutions and heard extensive remarks in support of them. ACR 160, proclaiming April 2026 as Parkinson’s Disease Awareness Month, was adopted by voice vote after co-authors were added. H.R. 98, designating California Holocaust Memorial Day, received broad bipartisan support and was adopted after 76 co-authors were added. H.R. 100, recognizing Vaisakhi, also passed by voice vote after 73 co-authors were added, with members highlighting Sikh history, service, and cultural contributions. The Assembly then took up several bills on the third-reading file. AB 1977, relating to online notarization and notaries public, passed 69-5. AB 1987, which would direct wildlife-area fees back to operation and maintenance of state wildlife areas, passed 69-0. Other items on the second- and third-reading files were passed and retained, continued, or placed on the consent calendar as noted by the presiding officer. The session concluded with adjournment-in-memory tributes for La Mesa Police Officer Lauren Craven, community organizer Cynthia Brantley Pierce, coach John Beam, and Ralph Cavallo. The Assembly then adjourned until Thursday, April 16, at 9 a.m.
CA

California 2025-2026 Regular Session

Assembly Budget Committee Sep 11th, 2025

Transcript Highlights:
  • Jackson on the budget sub to make sure that we had adequate adaptations to H.R. 1.
  • And finally, thinking and reflecting on H.R. 1, as you worked hard, as many know, against H.R. 1, engaged
  • And finally, thinking and reflecting on H.R. 1, as you worked hard, as many know, against H.R. 1, engaged
  • And finally, thinking and reflecting on H.R. 1, as you worked hard, as many know, against H.R. 1, engaged
  • This is not enough to meet the anticipated need when H.R. 1 goes into effect.
Summary: The Assembly Budget Committee held an informational hearing on the September budget package, which included SB 105 and a series of trailer bills covering health, human services, education, resources, child care, transportation, labor, public safety, housing, revenue, background checks, collective bargaining, and a special election. The Department of Finance described the package as largely technical and clarifying, but also responsive to state and federal changes, especially H.R. 1. Key items included roughly $3.3 billion in Proposition 4 climate and environmental spending, $540 million in discretionary greenhouse gas reduction funds, and major responses to H.R. 1 such as CalFresh error-rate mitigation, food bank support, and Medicaid-related changes. Other notable provisions included vaccine policy flexibility, an Abortion Access Fund, a gender-affirming care program, community college basic-needs and aid changes, CEQA and coastal permit exemptions tied to the 2028 Olympics, invasive mussel prevention funding, a civic media program, labor and pension-related provisions, and special election administration changes. Members raised questions and concerns about several parts of the package. There was support for climate, water, transit, offshore wind, food security, and health investments, but also significant criticism of the lack of cleanup language for SB 131 and its advanced manufacturing exemptions, with multiple members saying promised fixes had not materialized and expressing concerns about tribal consultation, labor standards, and environmental protections. Members also questioned the scale and timing of some Proposition 4 allocations, including fairground upgrades, regional conveyance, and a UC Davis alternative protein research center. The Department of Finance said some programs would roll out over time and that certain funding levels reflected current implementation capacity. The hearing also featured discussion of Bay Area transit financing, with Finance saying SB 105 directs the department and CalSTA to examine loan or other financing options rather than immediately providing loans. Members and public commenters also discussed the state’s response to H.R. 1, with advocates supporting food bank, health care, and immunization provisions while warning of ongoing harm to immigrants, foster youth, and other vulnerable groups. Public testimony broadly supported the health, food, water, offshore wind, and golden mussel provisions, while many speakers echoed legislative concerns about SB 131 and urged cleanup action in the next session. No votes were taken because the hearing was informational only, though the chair noted votes on the bills were expected later that night or the next morning.
LA

Louisiana 2026 Regular Session

House of Representatives Mar 25th, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • That resolution comes as H.R. 66.
  • That resolution comes as H.R. 66.
  • That resolution comes as H.R. 67.
  • H.R. 33 lies over.
  • H.R. 33 lies over.
Bills: HR65 , HR66 , HR67 , HR68 , HR69 , HCR33 , HCR34 , HB1006 , HB1007 , HB1008 , HB1010 , HB1011 , HR58 , HR59 , HR60 , HR61 , HR62 , HR63 , HR64 , HCR32 , SCR2 , SCR5 , SCR6 , SCR11 , SCR16 , SCR17 , HB43 , HB447 , HB573 , HB1000 , HB1001 , HB1002 , HB1003 , HB1004 , HB1005 , SB8 , SB10 , SB12 , SB16 , SB20 , SB21 , SB22 , SB29 , SB32 , SB41 , SB42 , SB44 , SB49 , SB58 , SB68 , SB75 , SB77 , SB81 , SB97 , SB103 , SB159 , SB163 , SB172 , SB180 , SB182 , SB244 , SB248 , SB253 , SB254 , SB279 , SB306 , SB318 , SB334 , SB380 , SB385 , SB397 , HB53 , HB57 , HB64 , HB100 , HB102 , HB106 , HB111 , HB137 , HB152 , HB155 , HB177 , HB238 , HB256 , HB258 , HB272 , HB337 , HB350 , HB359 , HB363 , HB386 , HB434 , HB445 , HB546 , HB557 , HB584 , HB661 , HB697 , HB726 , HB727 , HB747 , HB752 , HB756 , HB758 , HB759 , HB765 , HB767 , HB825 , HB858 , HB930 , HB941 , HB957 , HB964 , HB203 , HB228 , HB234 , HB260 , HB268 , HB271 , HB285 , HB289 , HB351 , HB400 , HB413 , HB469 , HB534 , HB551 , HB552 , HB574 , HB576 , HB634 , HB649 , HB677 , HB735 , HB739 , HB779 , HB784 , HB796 , HB842 , HB850 , HB919 , HB8 , HB9 , HB10 , HB15 , HB16 , HB17 , HB18 , HB19 , HB22 , HB33 , HB34 , HB35 , HB44 , HB46 , HB47 , HB48 , HB61 , HB101 , HB126 , HB135 , HB142 , HB164 , HB185 , HB215 , HB226 , HB232 , HB233 , HB242 , HB284 , HB292 , HB297 , HB301 , HB334 , HB436 , HB468 , HB548 , HB571 , HB582 , HB593 , HB594 , HB609 , HB613 , HB712 , HB722 , HB732 , HB746 , HB827 , HB845 , HB848 , HB921 , HB923 , HB951 , HB953 , HB999 , HB733 , HB875 , HB952 , HB868 , HB119 , HB140 , HB52 , HB901 , HB193 , HB570
Summary: The House convened with a quorum, opened with prayer and the Pledge of Allegiance, and then spent much of the morning on personal privileges recognizing guests and honoring individuals and organizations. Recognitions included the Zachary High School girls’ and boys’ basketball teams for back-to-back state championships, Zeta Phi Beta Sorority and Phi Beta Sigma Fraternity for Blue and White Day, visitors from Natchitoches Parish, the Louisiana Community and Technical College System, the Parish Presidents Association, Crime Stoppers of Greater New Orleans, student parents pursuing higher education, and a delegation from Alexandria honoring the late Dr. Joe S. Green. The House also adopted or laid over several condolence and commendation resolutions, including tributes to former Northwestern State football coach Sam Goodwin, Michael B. Jordan, Richard Williams, and others. The chamber received a large batch of Senate bills and House bills for referral, covering topics such as retirement systems, highway memorial designations, criminal justice, education, health and welfare, municipal governance, insurance, natural resources, and tax policy. Committee reports were read across multiple committees, with many bills reported favorably or with amendments, and several measures advanced to third reading or were recommitted to other committees. Among the actions taken, the House adopted resolutions honoring community figures and organizations, concurred in several Senate resolutions, and moved a number of bills forward, including measures on criminal penalties, school policy, environmental regulation, insurance, and public retirement. Near the end of the session, the Speaker outlined plans for the next day’s floor debate, noting 54 bills scheduled and explaining that questions on bills would send them to the bottom of the list rather than removing them. The House then recessed until 3:30 p.m., with members instructed to return for regular order and continued debate on the calendar.
CA

California 2025-2026 Regular Session

Senate Budget and Fiscal Review Committee Feb 4th, 2026

Budget and Fiscal Review

Transcript Highlights:
  • So we are aware of Planned Parenthood's, you know, the situation with respect to H.R. 1.
  • So we are aware of Planned Parenthood's, you know, the situation with respect to H.R.1.
  • H.R. 1 had only one cut that went into effect with the signing of the bill.
  • There are slated 1,300 layoffs that are now being planned in our area because of H.R. 1.
  • First, we will be having our next hearing on H.R. 1.
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Tuesday, May 19, 2026)

US Federal House Floor Meeting

Transcript Highlights:
  • H.R. 4684 provides a straightforward solution.
  • H.R. 1352 would designate the General George C.
  • H.R. 1352 would designate the General George C.
  • H.R. 1352 would designate the General George C.
  • The House first passed H.R. 6644 back in February.
CA
Transcript Highlights:
  • One, H.R. 1, or the One Big Beautiful Bill.
  • One, in your slides, I did include an H.R. 1 timeline.
  • Yeah, so that's largely the impact of H.R. 1.
  • And that's without the full implementation of H.R. 1.
  • H.R. 1 would also significantly affect the state's H.R. 1 would also significantly affect children's
Summary: The joint informational hearing of the Senate and Assembly Health Committees focused on the “cost of uncertainty” in health coverage, access, and affordability amid federal policy changes. Opening remarks from committee leaders and members emphasized that California’s gains under the Affordable Care Act and Health for All policies—high coverage rates, consumer protections, and lower uninsured rates—are now threatened by federal rollbacks, including the expiration of enhanced premium tax credits and H.R. 1. Members repeatedly cited rising premiums, skipped care, medical debt, and the risk of coverage losses, especially for low-income Californians, workers, seniors, and immigrant communities. The first panel featured federal policy and state implementation experts, including Don Joyce, Jessica Altman of Covered California, and Elizabeth Lansberg of HCAI’s Office of Health Care Affordability. Testimony described the ACA’s coverage expansions and the current federal threats: shorter open enrollment, more verification requirements, loss of enhanced subsidies, and changes affecting immigrants and preventive coverage. Covered California reported that average monthly premiums could nearly double without the subsidies, new enrollment is down sharply, and more consumers are shifting into bronze plans with higher deductibles. HCAI explained its affordability strategy through spending targets, consolidation review, and primary care investment, while members asked about the impact of federal cuts on provider taxes, uncompensated care, and whether California can sustain coverage without new revenue. The second panel, with UC Berkeley Labor Center’s Miranda Dietz and California Health Care Foundation’s Christoph Stremikis, broadened the discussion to statewide cost drivers and consumer impacts. They highlighted that more than half of Californians under 65 rely on job-based coverage, yet premiums, deductibles, and out-of-pocket costs have risen faster than wages. They also pointed to medical debt, administrative waste, market consolidation, and underinvestment in primary care as major drivers of unaffordability. Members asked about the 25% of health spending that does not improve patient care, the role of fraud versus administrative friction, the effect of cost growth targets on workers, and the need for preventive care and possible revenue solutions. The hearing then moved to a third panel on human impacts, beginning with testimony from a Central Valley promotora describing how families are choosing lower-tier coverage, struggling with diabetes care, and facing higher premiums after subsidy losses.
CA

California 2025-2026 Regular Session

Assembly Floor Session Apr 13th, 2026

California House Floor Meeting

Transcript Highlights:
  • And so with that, I respectfully ask for your aye vote on H.R. 98. Thank you.
  • And so with that, I respectfully ask for your aye vote on H.R. 98. Thank you.
  • I urge your support for H.R. 98. Thank you, Assembly Member Ramos.
  • That is H.R. 100 by Dr. Bains. The clerk will read.
  • I urge all to support H.R. 100. Thank you, Assembly Member Ramos.
CA
Transcript Highlights:
  • One, H.R. 1, or the One Big Beautiful Bill. You're very familiar with that.
  • “That's largely the impact of H.R. 1.
  • And that's without the full implementation of H.R. 1.
  • H.R. 1 threatens to destabilize the health care safety net in California.
  • H.R. 1.
CA

California 2025-2026 Regular Session

Assembly Floor Session Apr 21st, 2025

California House Floor Meeting

Transcript Highlights:
  • Colleagues, I rise in support of H.R. 25. But I want to commend the author of this.
  • So with that, colleagues, I rise in support of H.R. 25. Thank you. Assembly Member Consala.
  • I respectfully urge an aye vote on H.R. 25. Thank you. Assembly Member Haney.
  • I respectfully urge and I vote on H.R. 25. Thank you, Assembly Member Haney.
  • I respectfully request your support for H.R. 25. Thank you. Thank you.
Summary: The Assembly convened after a quorum call, observed a moment of silence for Pope Francis, and later held a separate remembrance ceremony for the 110th anniversary of the Armenian Genocide. Members and guests heard extensive remarks in support of HR 25, which was adopted by voice vote after 70 co-authors were added. Speakers from both parties and several caucuses emphasized historical truth, remembrance, and solidarity with Armenian Californians, and the chamber also observed a moment of silence for the genocide victims. On the floor, members also passed AB 789 on health insurance rate oversight, ACR 56 recognizing Parkinson’s Disease Awareness Month, AB 652 on San Diego County Air Pollution Control District alternates despite opposition from one member over regional balance concerns, AB 1414 protecting renters from mandatory internet provider subscriptions, AB 931 regulating litigation finance agreements, AB 890 easing residency rules for foster youth moving counties, AB 40 clarifying emergency reproductive health care coverage with urgency, AB 322 encouraging school-based health and mental health reimbursement programs, and AB 639 narrowing the definition of dams for certain weir operators. Most measures passed by wide margins, including several unanimous votes. The consent calendar, including AB 1149, AB 484, AB 859, AB 1105, and AB 1384, was adopted without objection. The Assembly also handled procedural motions, committee notices, and bill re-referrals earlier in the day. The house then announced upcoming committee meetings and adjourned until Thursday, April 24 at 9 a.m.
CA
Transcript Highlights:
  • You also asked about H.R. 1 impact estimates.
  • Taken together, H.R. 1 results in more Californians...
  • would have been under pre-H.R. 1 rules.
  • The May Revision also reflects H.R. 1 impacts to conform...
  • H.R. 1 impacts on IHSS related to qualified non-citizens.
CA

California 2025-2026 Regular Session

Senate Budget and Fiscal Review Committee Jun 15th, 2026

Budget and Fiscal Review

Transcript Highlights:
  • I believe that was 1.1 million at full implementation as a result of H.R. 1.
  • I did want to get to the H.R. 1 comments a little bit.
  • But H.R. 1 also did increase our SALT limit, which was a big...
  • I would share that concern, except that the Medi-Cal changes by H.R. 1...
  • We're supportive of many elements in the legislative budget agreement on H.R. 1.
LA

Louisiana 2026 Regular Session

House of Representatives Apr 8th, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • H.R. 47.
  • Joseph; that resolution comes as H.R. 12 and lies over.
  • The resolution becomes H.R. 114. House Concurrent Resolution by Representative St.
  • That resolution comes as H.R. 51.
  • That resolution becomes H.R. 52 and lies over. Representative Freiburg for personal privilege.
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Monday, April 28, 2025)

US Federal House Floor Meeting

Transcript Highlights:
  • H.R. 1721.
  • So, H.R. 2458 helps meet these objectives.
  • H.R. 2482 helps achieve this goal.
  • I rise today in support of my legislation, H.R. 866, the ROUTERS Act. H.R. 866, the ROUTERS Act.
  • Union Calendar No. 49, H.R. 859.
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Friday, March 27, 2026)

US Federal House Floor Meeting

Transcript Highlights:
  • I rise in support of H.R. 7084, the Defending American Property Abroad Act of 2026.
  • I rise in support of H.R. 7084, the Defending American Property Abroad Act of 2026.
  • H.R. 7084 does not help the Coast Guard address violations of the law at sea.
  • H.R. 7084 ensures there are enforceable consequences for those actions.
  • I urge my colleagues to support H.R. 7084. And I thank my friends.
Bills: HB7147 , HR1142
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Tuesday, February 10, 2026)

US Federal House Floor Meeting

Transcript Highlights:
  • I urge a yes vote on H.R. 2189. I yield back my time.
  • I urge a yes vote on H.R. 2189. I yield back my time. >> Gentleman yields.
  • I urge a yes vote on H.R. 2189. I yield back my time. >> Gentleman yields.
  • I urge a yes vote on H.R. 2189. I yield back my time. >> Gentleman yields.
  • I urge a yes vote on H.R. 2189. I yield back my time. >> Gentleman yields.
Bills: HCR74 , HJR72 , HR1042 , HR1048
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Monday, May 19, 2025)

US Federal House Floor Meeting

Transcript Highlights:
  • H.R. 1453 allows us to do precisely that.
  • I rise today in support of H.R. 1286, as amended.
  • I rise today in support of H.R. 1286, as amended.
  • I rise today in support of H.R. 1823 as amended.
  • Both will be taken in the following order: motions to suspend the rules and pass H.R. 1263 and H.R. 1286
CA
Transcript Highlights:
  • The only major part of the federal H.R. 1 that took effect immediately was on Planned Parenthood.
  • So we are aware of Planned Parenthood's, you know, the situation with respect to H.R. 1.
  • H.R. 1 had only one cut that went into effect with the signing of the bill.
  • There are slated 1,300 layoffs that are now being planned in our area because of H.R. 1.
  • First, we will be having our next hearing on H.R. 1.
Summary: The Senate Budget and Fiscal Review Committee heard AB 106, an early-action budget bill providing $90 million one-time General Fund to support reproductive health providers affected by the federal H.R. 1 Medicaid funding prohibition. Department of Finance staff explained that the money would be administered as grants by the Department of Health Care Access and Information because affected providers can no longer bill Medi-Cal during the federal restriction, which runs through July 4, 2026. The Legislative Analyst’s Office had no additional comments. Members also discussed related budget context, including the broader estimated loss to California providers, the use of grant funding rather than loans, and provisions exempting some contract and records information from public disclosure. Committee debate focused on whether the funding was an appropriate priority amid other budget pressures. Supporters argued the bill is an emergency response to a targeted federal attack on Planned Parenthood and other family planning providers, emphasizing that the clinics provide broader primary care services such as cancer screenings, STI testing, contraception, and prenatal care, and that the funding is not for abortion services because federal Medicaid dollars cannot be used for abortion. Opponents questioned the size of the appropriation, the use of General Fund dollars, the transparency exemptions, and why similar aid was not being directed to rural hospitals, disability services, Proposition 36, or other budget needs. Public testimony was overwhelmingly in support from reproductive health, medical, and health equity organizations, with some unrelated comments urging funding for dental care, disability services, housing, and county health systems. After public comment, the committee voted on AB 106 and passed it on a 12-4 vote. The bill was reported out of committee.
LA

Louisiana 2026 Regular Session

House of Representatives May 27th, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • That resolution comes H.R. 348.
  • That resolution comes H.R. 349.
  • That resolution comes H.R. 350.
  • That resolution comes H.R. 351.
  • H.R. 330. Without objection.
Bills: SCR59 , SCR70 , HR275 , HR279 , HR282 , HR289 , HR307 , HCR112 , SCR61 , SCR62 , SCR64 , SB121 , HR310 , HR314 , HR316 , HR317 , HR321 , HCR117 , SCR5 , SCR29 , SCR33 , SCR37 , SCR63 , SCR30 , SCR40 , SCR65 , HCR3 , HCR49 , HCR66 , HCR67 , HB54 , HB137 , HB321 , HB368 , HB386 , HB414 , HB431 , HB552 , HB555 , HB578 , HB590 , HB593 , HB618 , HB638 , HB670 , HB692 , HB707 , HB708 , HB715 , HB718 , HB732 , HB741 , HB748 , HB776 , HB796 , HB807 , HB822 , HB848 , HB856 , HB887 , HB888 , HB917 , HB921 , HB1082 , HB1243 , HB1246 , HB1 , HB2 , HB42 , HB45 , HB71 , HB79 , HB126 , HB133 , HB159 , HB213 , HB218 , HB222 , HB289 , HB291 , HB312 , HB313 , HB324 , HB352 , HB383 , HB398 , HB403 , HB429 , HB457 , HB459 , HB549 , HB571 , HB579 , HB591 , HB608 , HB616 , HB624 , HB766 , HB769 , HB783 , HB804 , HB864 , HB874 , HB909 , HB951 , HB971 , HB983 , HB1005 , HB1017 , HB1051 , HB1056 , HB1126 , HB1186 , HB1193 , HB1223 , HB1224 , HB1235 , HB1249 , SB259 , SB295 , SB312 , SB348 , SB444 , SB485 , SB441 , SB149 , HB359 , SB29 , SB43 , SB78 , HB463 , HB998 , SB197 , SB268 , SB123 , SB276 , SB326 , SB80 , HB901 , HR20 , HR74 , HCR65 , HCR71 , HCR98 , HB284 , HB306 , HB341 , HB366 , HB393 , HB458 , HB577 , HB603 , HB605 , HB614 , HB625 , HB646 , HB733 , HB752 , HB773 , HB798 , HB911 , HB955 , HB996 , HB1035 , HB1069 , HB1113 , HB1140 , HB1180 , HB1191 , HB1240 , HB1255 , SB82 , SB89 , SB97 , SB479 , HB74 , HB119 , HB134 , HB210 , HB258 , HB468 , HB784 , HB870 , HB953 , HB956 , HB1117 , HB1236 , SB42 , SB208 , SB217 , SB274 , SB300 , SB341 , SB379 , SB382 , SB387 , SB401 , SB449 , SB487
CA
Transcript Highlights:
  • So today, after H.R. 1, all of these requirements still remain in place.
  • H.R. 1 was never approved.
  • Yeah, yeah, you can move into the H.R. 1 interaction.
  • The limits that are in H.R. 1 are on a gross basis.
  • California is at a crossroads due to H.R. 1 and recent federal guidance.
Summary: The subcommittee heard a lengthy Department of Health Care Services presentation on the governor’s Medi-Cal budget, including a $229.1 billion total-funds proposal, projected Medi-Cal enrollment declines as redeterminations continue, and several major cost drivers such as managed care growth, Medicare-related costs, pharmacy spending, and changes tied to federal policy. Members focused heavily on the elimination of Prop. 56 dental supplemental payments beginning July 1, 2026, questioning the likely impact on provider participation and utilization. DHCS said it is completing the required rate reduction/access analysis for CMS, has been holding stakeholder meetings and issuing provider bulletins, but could not yet quantify the real-world effect. The committee also discussed a $50 million savings proposal tied to new hospice utilization management authority and asked about possible effects on emergency dental care and provider participation. The hearing then moved through the November 2025 family health estimate and several county and program administration issues, including CCS, GHPP, and Every Woman Counts. DHCS said family health costs are rising despite slight caseload declines because of higher utilization and medical costs, and members raised concerns about CCS website accessibility, county administrative funding, and the transition of youth aging out of CCS. The department said most CCS beneficiaries are also on Medi-Cal, that counties have long raised funding concerns, and that it had clarified use of maintenance-and-operations dollars to address some county workload issues. Members also asked about Every Woman Counts potentially seeing higher demand as Medi-Cal changes take effect; DHCS said that is possible and that the program has multiple funding sources including General Fund. A major portion of the hearing focused on provider taxes and federal changes under H.R. 1, especially the Medi-Cal managed care organization tax and the hospital quality assurance fee. DHCS explained that H.R. 1 restricts new or increased health care-related taxes, phases down allowable tax levels over time, and tightens “generally redistributive” rules, which could sharply reduce the state’s ability to use the MCO tax for Medi-Cal financing. Members asked whether the Legislature could amend Prop. 35 or whether voters would need to act; DHCS said a three-fourths legislative amendment may be possible if it aligns with the measure’s purpose, but the department is still evaluating options. The committee also discussed hospital financing, with DHCS describing recent increases in state-directed payments and the effect of H.R. 1 in capping those payments at Medicare levels, and the LAO noting the tradeoff between preserving provider taxes and maintaining Medi-Cal funding. The subcommittee also reviewed a series of DHCS budget change proposals and trailer bill items, including managed care final-rule implementation, managed care operations, a hospital value strategy, a one-year extension of skilled nursing facility financing, long-term care payment transparency, and interoperability/prior authorization requirements. Members repeatedly questioned the use of limited-term versus permanent positions, the overlap among proposals, and the timing of new financing reforms. DHCS said the SNF extension would preserve current workforce standards, sanctions, growth limits, and the SNF quality assurance fee while the department develops a broader 2027-28 redesign. No votes were taken; items were repeatedly held open for later action. Covered California then presented on the expiration of the federal enhanced premium tax credit and the resulting affordability crisis. The agency said Californians will lose about $2.5 billion in premium assistance for 2026, average premiums could nearly double for many enrollees, and as many as 400,000 people could eventually leave marketplace coverage. Open enrollment ended with 1.9 million sign-ups, down 3% from the prior year, with especially steep declines among middle-income consumers and increased movement into bronze plans. Covered California said the state’s $190 million affordability subsidy is helping lower-income enrollees retain coverage, but cannot fully replace the lost federal assistance. Members also asked about the Health Care Affordability Reserve Fund, repayment of loans from that fund, the status of federal review of California’s essential health benefits benchmark, and implementation of the new gender-affirming care benefit under AB 144.