Transcript Highlights:

• , and $100 million into the workforce development capitalization. ...through a funding model, and $100
• The bill creates a model process for pretrial misdemeanor and felony mental health diversion.
• This amendment clarifies the roles and responsibilities of the Northwest Regional Data Center as the
• This amendment clarifies the role in responsibilities of the Northwest Regional Data Center as the lead
• Senator Bradley, having closed, Alicia, please call the role on CS for CS for SB 168.

Summary: The Appropriations Committee met for Budget Day and heard presentations on the Senate’s proposed 2025-2026 budget, SPB 25-200, totaling $117.4 billion. Chair Hooper said the plan reduces overall spending from the prior year, keeps strong reserves, includes a 4% pay raise for state employees, maintains employee health care contributions, and makes major investments in water quality, transportation, and education infrastructure. Committee chairs then summarized their budget silos, including K-12 education, higher education, health and human services, criminal and civil justice, transportation/tourism/economic development, and agriculture/environment/general government. Members asked questions mainly about school funding, AP and dual enrollment support, voucher and scholarship impacts, and the My Safe Florida Home program. The committee adopted a large consent package of amendments and then approved three late-file amendments: funding virtual college tours for high school students, funding the FSU Sunshine Genetics program, and providing money for the Port of Fernandina customs facility. The committee then voted to report SPB 2500, the General Appropriations Bill, as a committee bill. It also favorably reported SPB 2502 (implementing bill), SPB 2504 (state employees placeholder), SB 7022 (Florida Retirement System contribution rates and DROP changes), CS/SB 1320 (recreating the Resilient Florida Trust Fund), SPB 2506 (gaming compact revenue distributions, including water projects and rural lands), SPB 2508 (29 new judgeships), SB 7014 (ending the court mediation and arbitration trust fund), SPB 2510 (K-12 conforming bill), SPB 2512 (higher education conforming bill), and SPB 2514 (health and human services conforming bill). The committee also took up several policy bills. It approved SB 7028 on cancer research, creating grant parameters, reporting requirements, a five-year pediatric cancer research incubator, and the Bascom Palmer Eye Institute VisionGen Initiative. It approved CS/CS/SB 170 on nursing home quality, adding resident satisfaction surveys, medical director standards, safety culture reviews, electronic health record requirements, financial reporting penalties, and a study of best practices. It approved CS/CS/SB 168, the Tristan Murphy Act, which expands mental health diversion options, adds Hillsborough County to a forensic hospital diversion pilot, expands grant uses, and creates a behavioral health data repository. It also approved SB 114 creating the Florida Center for Excellence in Insurance and Risk Management at FSU and moving the public hurricane loss model there. The committee then began considering SB 180 on emergency preparedness and response, including a late-file amendment, but the transcript cuts off before final action on that bill.

Transcript Highlights:

• Is it going to be like a system-wide model? Yeah, I really appreciate the question.
• We are really shifting from a model that's aimed at graduation as the goal to a model where graduation
• Are there models that are being looked at?
• The Chancellor's Office looking at that and whether that model of administration is sustainable?
• I'm just curious if there's national models or...

Summary: The Assembly Budget Subcommittee on Education Finance held an oversight hearing on the California State University system covering enrollment, core operations, Title IX/civil rights, and basic needs. The Department of Finance said the Governor’s 2026-27 budget does not change CSU enrollment targets from the prior year and proposes a 5% ongoing General Fund increase for core operations as the final year of the compact. The Legislative Analyst’s Office recommended a lower resident undergraduate enrollment target than the Governor’s proposal, separate funding for enrollment growth rather than folding it into base, a smaller or no base increase tied more closely to inflation, earmarking some base funds for capital renewal, retiring deferred payments, and avoiding new multi-year compact commitments. CSU said enrollment has rebounded for three straight years, but growth is uneven across campuses, with several Northern California campuses still facing structural declines tied to demographics and community college pipelines. CSU described a multi-year reallocation plan shifting about 10,000 FTE and $89 million in ongoing funding toward higher-demand campuses, plus $40 million in one-time support, and said seven campuses submitted turnaround plans aimed at recovering enrollment over the next several years. The system highlighted strategies such as dual enrollment, guaranteed admission pathways with community colleges, outreach to high school students, retention and advising efforts, and new degree models for working adults and military-connected students. Members raised questions about how campus targets are set, whether the May Board of Trustees discussion will address a systemwide enrollment framework, and how CSU will manage future deficits if projected out-year funding does not materialize. On core operations and facilities, CSU said it faces about $320 million in mandatory cost increases in 2026-27 and is pursuing shared services, procurement consolidation, campus administrative sharing, and program redesigns to reduce costs. CSU and the LAO emphasized the system’s large deferred maintenance backlog, estimated at $8.6 billion, and discussed whether CSU’s bond/debt capacity is sufficient to address it; CSU requested up to $1.1 billion for deferred maintenance, while the administration did not propose new funding. The committee also heard CSU’s annual Title IX and civil rights update: CSU said it has implemented 15 of 16 State Auditor recommendations, has dedicated Title IX coordinators at every campus, is using a systemwide case management dashboard, and is piloting centralized investigations at five campuses. Finally, on basic needs, the Governor maintained current funding levels for food assistance/basic needs, rapid rehousing, and mental health. CSU reported heavy use of food pantries, CalFresh support, emergency housing, and counseling services, while warning that federal changes to CalFresh and related funding could make it harder to serve students in need.

Transcript Highlights:

• Is the role of government...
• It's not per se our role to force you to contract with somebody. That's what this bill says.
• So between neural nets, visual learning... models are large language models, and soon, within the next
• As that does change, it's appropriate for the state to consider a regulatory role for appraisers and
• Appraisers and umpires are not supposed to step into that role.

Bills: HB813, HB1680, HB3569, HB4074, HB4635, HB5178, SB527, SB1307, SB1822

Keywords: autism, health insurance, coverage, medical treatment, health benefit plan, HIV prevention, prescription drug, prior authorization, health benefits, insurance coverage, insurance, contract termination, property and casualty, insurance agents, discrimination, appraiser, umpire, licensing requirements, continuing education, admin penalties

Transcript Highlights:

• And all of you to build a behavioral health model in Minnesota that others will want to replicate.
• And all of you to build a behavioral health model in Minnesota that others will want to replicate.
• He said the collaborative care model is a proven innovative care model with efficacy demonstrated in
• and making the collaborative care model and making the collaborative care model a<01:43:06.239><
• innovative care care model is a proven innovative care model<01:43:15.360> with<01:43:15.679>

Bills: HF2434

Keywords: healthcare, personal care assistance, worker retention, disability services, state funding, 1183, house

Transcript Highlights:

• been a vital part of the Inglewood Police Department for nearly three decades, taking on various. roles
• STEM fields like engineering play a crucial role in California's status as the fifth largest economy
• This year's celebration is a powerful reminder of the critical role engineers play.
• California is a leader in innovation in the development of treatments and care models.
• She was a role model and a mentor, shaping the lives of many young people in the community.

Keywords: 988, house, all

Transcript Highlights:

• STUDENTS TEACHERS AND THE WORKFORCE PIPELINE AND ON HEALTHCARE THIS BILL CONTAINS MEANINGFUL ACCESS TO ROLE
• GRANT IS DESIGNED TO IMPROVE HEALTHCARE ACCESS TO RURAL COMMUNITIES BY SUPPORTING INNOVATIVE CARE MODELS
• AROUND THE PRINCIPLE THAT EVERYONE INCLUDING RURAL COMMUNITIES MATTER AND THAT STATE GOVERNMENT HAS A ROLE
• THE AUDITOR GENERAL SCRUTINIZES OUR FUNDING MODEL AS PAY AND CHASE THEY DON'T MEAN IT AS A COMPLIMENT
• SCHOOLS, CHARTER SCHOOLS, PRIVATE SCHOOLS, GREAT VIRTUAL SCHOOLS BUT EVERYBODY DOESN'T FIT INTO THAT MODEL

Keywords: 998, house, all

Transcript Highlights:

• And so that's the model that we had been using.
• And so that's the model that we had been using. If asked, we will send folks out.
• And so that's the model that we had been using. If asked, we will send folks out.
• said, what feels like a million times, and will probably be said a million times more, the state’s role
• said, what feels like a million times, and will probably be said a million times more, the state's role

Bills: SB2199, SB2200, SB2201, SB2949, SB2332

Keywords: overweight vehicle, vehicle weight limits, hazardous materials, hazmat, cargo tank, fuel transport, trucking, commercial vehicle, Transportation Code, criminal penalty, second-degree felony, loading violation, truck weight, axle weight, gross weight, public safety, commercial carrier, Texas, commercial truck, truck route

Summary: The Senate Committee on Border Security heard several bills related to border security, law enforcement databases, DPS aviation maintenance, and transportation motor fuels. SB 2199, after brief invited testimony from the Texas Trucking Association and DPS, was left pending at first and later reported favorably to the full Senate on a 4-1 vote. SB 2332, relating to aircraft owned and operated by the Department of Public Safety, was laid out by Senator Parker, with DPS and TechSOT witnesses explaining that it would centralize DPS aircraft maintenance under DPS, align state law with FAA responsibility rules, and potentially reduce costs and downtime; it was later reported favorably on a 5-0 vote and placed on the local and uncontested calendar. SB 2949, relating to the regulation of transportation motor fuels, was also adopted as a committee substitute and reported favorably on a 4-1 vote, with a member noting continued interest in refining port-of-entry transloading issues. The committee spent the most time on SB 2201, which would revise Texas intelligence database criteria for criminal street gangs and foreign terrorist organizations. Senator Birdwell described the bill as adding safeguards such as requiring officer identification on submissions, setting retention and validation rules, and updating criteria to reflect technology and social media use. Invited witnesses from the district attorney’s office, DPS, and the Texas Anti-Gang Center generally supported the bill and said it would improve reliability and accountability. Public testimony included support from the Texas Public Policy Foundation and opposition from the Texas Civil Rights Project and the ACLU of Texas, which argued the bill’s language on implied or demonstrated self-admission and other criteria was vague, overly broad, and could lead to erroneous inclusion in the database and downstream consequences. After debate, SB 2201 was reported favorably to the full Senate on a 4-1 vote, with Senator Eckhardt voting no. During questioning on SB 2201, members discussed how gang-database entries are used in investigations and prosecutions, the meaning of “family member,” the scope of self-admission, and how “previously documented areas” would be identified in practice. Opponents raised concerns about due process, First and Fourth Amendment issues, racial profiling, and possible federal consequences if state database information is shared. Supporters emphasized that the database is a law-enforcement tool for identifying organized criminal activity and that the committee substitute adds training, audits, and accountability measures. The committee then completed its business and recessed subject to the call of the chair.

Transcript Highlights:

• A third element is to streamline judicial review, and that is really modeled off the site's proposal
• that this body approved, I believe it was two years ago, and also modeled off of streamlined judicial
• It's like a core role of government.
• I think for everybody in the future doing your presentation, she was a model of efficiency.
• Our members play a central role in reducing GHG emissions.

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:

• I want to talk about the current funding model a little bit.
• So that's kind of where the current model is.
• If the funding model If the funding model puts in money for one-to-one computers, are we creating an
• Across the entire model, we have been limited to 2.6 FTE.
• funding model in the other categories.

Keywords: 916, all

Transcript Highlights:

• I'm gonna tell you why the knowledge I'm dropping today has a role in your life, and what I'm gonna try
• We believe this bill misapplies the construction tools of bonding to a professional services role.
• Policies that reflect the distinct role of professional project managers in public construction.
• By requiring proper credentialing, documentation, implementation, and licensing for those roles, we can
• They're still required to operate under the old model.

Bills: HB178, HB178, HB1551, HB1939, HB2040, HB2354, HB2674, HB3029, HB3460, HB3631, HB3662, HB5201, HB5381

Keywords: efficiency audit, political subdivision, tax rate, fiscal management, government accountability, Texas education, public schools, curriculum, social studies, high school graduation requirements, State Board of Education, Education Code, ethnic studies, world history, world geography, U.S. history, government, economics, personal financial literacy, free enterprise

Transcript Highlights:

• <00:02:58.080> and yourselves to us in your new roles and yourselves to us in your new roles
• I up until just before I took this role.
• <00:04:39.120> and working with you in this new role and working with you in this new role
• The other role is I'm some of my roles.
• data submission, including many models data submission, including many models that<01:26:37.679>

Keywords: 00:00:00 - Call to Order/Roll Call 00:02:17 - Approval of June 18, 2025 Minutes 00:02:33 - Introductions and Discussion on Priorities 00:07:27 - Health Data Discussion-KY Health Information Exchange (KHIE) 00:34:02 - Health Data Discussion-Public Health Data 01:19:24 - Health Data Discussion-Other Health Data Platforms 01:42:40 - Consideration of Referred Administrative Regulations (Except 201 KAR 005:010) 01:44:48 - Discussion of Optometry Regulation 201 KAR 005:010 02:25:29 - Hearing on Unified Community Mental Health and Substance Abuse Prevention and Treatment Block Grant Application for FFY 2026 - 2027 Funds 02:33:40 - Administrative Regulation 201 KAR 005:010 Vote Clarification 02:34:03 - Adjournment, 958, all

Summary: The Interim Joint Committee on Health Services met to approve the June 18 minutes and hear introductory remarks from new Cabinet Secretary for Health and Family Services Dr. Steven Stack and new Department for Public Health Commissioner Dr. John Langfeld. Both described their backgrounds and emphasized a shared focus on using health data to improve quality, coordination, and outcomes across Kentucky. They highlighted the Kentucky Health Information Exchange (KHI) as a central tool for connecting hospitals, labs, providers, public health systems, Medicaid, and other state and federal data sources, and said the system supports notifications, immunization records, surveillance, and care coordination. They also outlined priorities such as continued investment in KHI, stronger interoperability, privacy protections, and expanded analytic capacity to turn data into action. Committee members then asked about COVID-19 vaccine recommendations and informed consent, particularly for pregnant women and children. Dr. Stack said informed consent should come through a licensed health care provider, that Kentucky did not mandate the COVID vaccine, and that the evidence still supports vaccination for high-risk groups, including pregnant women, citing professional medical guidance. A follow-up exchange focused on concerns about past vaccine policies and the need for patients to receive full information before making decisions. Senator Heron asked how KIPRC/KIPR could be used to address firearm injuries. Dr. Langfeld said the key opportunity is to make data more real-time and usable for day-to-day response, while Dr. Stack said the department would continue its long-standing partnership with KIPRC and noted his view that gun violence is a public health emergency. He added, however, that because firearms are a deeply divided issue, the Department for Public Health’s current role is mainly to make data available for authorized research rather than to take a broader policy role. No votes or formal actions beyond approving the minutes were taken.

Transcript Highlights:

• We have a model for statewide replication and continued legislative support. What can I say?
• to really hammer plan do study act model to really hammer out<01:07:51.280> what<01:07:51.440
• How much of a role does that play in alternatives and what you all do in your program?
• How how much of a role for students.
• How how much of a role does<01:22:16.880> that<01:22:17.199> play<01:22:18.080> in

Keywords: Meeting Start: 00:00:00 Roll Call: 00:00:08 Agency Updates: 00:01:27 Truancy: 00:01:43, 958, all

Summary: The Juvenile Justice Oversight Council met on October 8, 2025, approved the minutes from the August 29 meeting, and then focused its agenda on truancy and chronic absenteeism. Chad Butler, director of pupil personnel for Meade County and president of the Kentucky Department of Pupil Personnel directors, said chronic absenteeism remains a major problem statewide, citing recent Kentucky rates around 28% to 30% and noting that schools are trying to identify best practices to get students back in class. He said causes appear to include post-COVID social-emotional distress and confusion about when students should stay home, and he described a local effort to use a Healthy Kids Clinic model to keep some students in school when possible. In response to questions, he said chronic absenteeism has only been tracked seriously in the last two to three years and that House Bill 611 appears to have increased the number of youth entering the court system for habitual truancy; AOC said it would provide county-by-county data and outcomes later in the meeting. The council then heard from John Tyson of Alabama, a former Mobile district attorney, who described the Helping Families Initiative as a school-community partnership designed to address truancy and related behavior issues without arrest. Tyson said Alabama defines chronic absence as missing 10% of the school year and emphasized that the program is preventive rather than punitive, using warning letters, family engagement, assessments, individualized intervention plans, and referrals to community services. He said the program has operated since 2003, now includes 20 district attorneys and 44 school systems, and served more than 95,000 students, 73,000 families, and 162,000 parents in the most recent year. Tyson reported that in Mobile County the program was associated with a 3.15% attendance improvement in 2023-24 and a 4% reduction in the issue in 2024-25, along with a 50% reduction in truancy and 58% reduction in chronic absenteeism, and he said the program produced a large return on investment. Tyson also stressed that student absenteeism wastes tax dollars and that better attendance improves educational outcomes and community safety. He described the program’s use of a case-management database, real-time data tracking, and more than 1,000 referral agencies, and said the model is intended to be replicated statewide. He closed with examples of students whose attendance and family circumstances required coordinated support rather than punishment, including a teen mother and a disruptive child, to illustrate his view that schools, courts, and social services should work together to address underlying needs and keep children in school.

Transcript Highlights:

• This legislation aligns very similarly to an ALEC model policy, the Judicial Deference Reform Act.
• This legislation aligns very similarly to an ALEC model policy, the Judicial Deference Reform Act.
• This legislation aligns very similarly to an ALEC model policy, the Judicial Deference Reform Act.
• Thank you. judicial branch's role judicial branch's role um<00:29:53.640> and<00:29:54.160>
• That preventive role is essential, not only to oral health, but to overall health.

Keywords: 1191, senate, all

Transcript Highlights:

• Threshold, then, that they move into the all our profit share model.
• So, as you see, the COLA model, we paid out almost $37,000 under that model this past July, and over
• You're in that risk-share, profit-share model. You have to be age 75.
• Adding 2,700 new members to the roles is great for us.
• What are some of the key roles or positions that you're looking for?

Transcript Highlights:

• The PPP program, which was intended to model this, means that if you hire the folks, you don't pay back
• And what you don't know on day one, you know, when you're looking at a New York model versus what you
• That model just does not work. Okay, so that's helpful.
• And that's really the standard venture capital model.
• Just because it doesn't fit their model. So what is the routing of that?

Transcript Highlights:

• In my mind, California is the model and should be the leader on every important issue, none more important
• There has been no progress in implementing a true cost of care model and no immediate measures to ensure
• It was envisioned like the DSS alternative rate model.
• Additionally, we believe that the trigger language under... cuts the legislative role in the process,
• We think Department of Health Care Services and Social Services is a better model.

Keywords: 988, house, all

Transcript Highlights:

• This new model is designed to deliver short and industry-aligned workforce training programs.
• So everything that we offer will stack toward a four-year program, thinking it's really a good model
• or they can come in through the Polytechnic and then become a traditional student in the four-year model
• Do you have ownership, equity, or a role in the...? The management of that corporation.
• Yes, and I think we modeled that off of other similar programs.

Bills: HB173, HB184, HB484, HB678, HB 1211, HB1507, HB1705, HB1868, HB2290, HB2851, HB2856, HB3041, HB3204, HB173, HB184

Keywords: foreign donations, higher education, public institutions, national security, funding, prohibition, Texas law, healthcare, insurance, affordability, access, public health, foreign influence, education policy, student loan repayment, prosecuting attorneys, border prosecution unit, financial assistance, tobacco, cigarettes

Transcript Highlights:

• And so they're using AI to model those things.
• So they're not AI to model those things.
• <01:36:06.480> that think about taking the models that think about taking the models that
• <01:37:36.239> to to to design a predictive model to to to design a predictive model to identify
• make a difference because for our models make a difference because for our models to<01:46:11.440

Keywords: 958, all

Summary: The Intelligence Task Force met with a quorum present and approved the minutes from the August 14 meeting. The first presentation was from the National Retail Federation on artificial intelligence in the retail sector. NRF described AI use cases in three areas: consumer-facing tools such as chatbots, product descriptions, and marketing; employee-facing tools such as company-specific apps trained on employee manuals; and internal uses such as supply chain forecasting, inventory planning, fraud detection, cybersecurity, and coding support. The presenters said retail has been among the top deployers of AI and emphasized that the goal is to improve both customer and employee experience. NRF also outlined its principles for responsible AI use, organized around governance and risk management, customer engagement and trust, workforce applications, and business partner accountability. The group said retailers should maintain strong internal oversight, be transparent with customers, ensure compliance with existing laws, closely review workforce-related uses because they can be high-risk, and clearly define responsibilities between retailers and third-party developers. In policy discussion, NRF urged a tiered approach focused first on high-risk uses such as hiring, health care, financial, mortgage, and rental decisions, warned against fragmented rules that could favor only the largest firms, and encouraged voluntary standards and worker upskilling incentives. In response to a question about dynamic pricing, NRF said its members do not target consumers based on pricing and offered to follow up with more information. The committee then moved to a follow-up discussion on energy policy and data centers, hearing from Bartley Cleland of NetChoice. He explained that AI runs largely in data centers and that cloud computing shifts processing and storage away from individual devices, which he argued improves efficiency and can reduce costs. He said electricity demand has been rising over time and that AI will increase compute-related electricity use, but framed electricity as a normal input to economic growth. No votes or formal actions were taken after these presentations.

Transcript Highlights:

• So each business model is very different, and most of them are set up this way from the beginning.
• So for 2027 rates, OHA is moving to release the rate model on August 12th to provide 21 2027 rates.
• OHA is moving to release the rate model on August 12th to provide 21 days for CCO review.
• And this thing is like one of the most fundamental pieces of our model.
• And this thing is like one of the most fundamental pieces of our model.

Keywords: 907, all

Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.

Transcript Highlights:

• We open up the leadership model.
• On this team, the leadership model is open for everybody.
• It's not just the conventional model.
• On this team, the leadership model.
• Over time, model is open for everybody.

Bills: HCR1, HCR2, SB2001, SB2002, SB2003, SB2004, SB2005, SB2006, SB2007, SB2008, SB2009, SB2010, SB2011, SB2012, SB2013, SB2014, SB2015, SB2016, SB2017, SB2018, SB2019, SB2020, SB2021, SB2022, SB2023, SB2024, SB2025, SB2026, SB2027, SB2028, SB2029, SB2030, SB2031, SB2032, SB2033, SB2034, SB2035, SB2036, SB2037, SB2038, SB2039, SB2040, SB2041, SB2042, SB2043, SB2044, SB2045, SB2046, SB2047, SB2048, SB2049, SB2050, SB2051, SB2052, SB2053, SB2054, SB2055, SB2056, SB2057, SB2058, SB2059, SB2060, SB2061, SB2062, SB2063, SB2064, SB2065, SB2066, SB2067, SB2068, SB2069, SB2070, SB2071, SB2072, SB2073, SB2074, SB2075, SB2076, SB2077, SB2078, SB2079, SB2080, SB2081, SB2082, SB2083, SB2084, SB2085, SB2086, SB2087, SB2088, SB2089, SB2090, SB2091, SB2092, SB2093, SB2094, SB2095, SB2096, SB2097, SB2098, SB2099, SB2100

Keywords: recess, legislative session, Hawaii State Legislature, 2026, Governor address, joint session, legislature, Hawaii, state of the state, Banyan Drive, Waiakea peninsula, Makaokū, Hilo, Hawaii Island, HCDA, Hawaii Community Development Authority, community development district, redevelopment, urban renewal, blight