Transcript Highlights:

• That takes care of 762.
• representative Maguire is basically representative Maguire is basically designed<02:26:38.120>
• But basically, you might say at a Catholic hospital, they say, well, you can't provide the care.
• That is the standard of care. The care is legal. The care is available.
• the care is available I care is legal the care is available I should<04:13:28.600> be<04:13:28.720

Keywords: 928, house, all

Summary: The House Judiciary Committee met in executive session and first took up HB 148, which would allow classification by biological sex in limited circumstances such as multi-use bathrooms, certain athletic events, and involuntary commitment facilities. Supporters argued the bill was needed to protect privacy and safety, especially for women and girls, and said it was consistent with recent federal actions and prior legislation. Opponents said the bill lacked a clear definition of biological sex, could create confusion and discrimination, and was unnecessary because existing law and sports rules already address the issues raised. After debate, the committee voted 10-8 to recommend ought to pass on HB 148. The chair asked for a majority report and noted that a minority report would likely be filed. The committee then considered HB 254, a bill related to end-of-life medical decision-making. Supporters framed it as a matter of liberty and relief from suffering for terminally ill patients, while opponents raised moral objections, concerns about suicide being normalized, and worries about deceptive wording and death-certificate reporting. HB 254 was approved on an 11-7 vote for ought to pass, with the chair indicating he would write the majority report and Representative Perez the minority report. The committee then moved to HB 611 with Amendment 2025-0638, a replace-all amendment restoring prior law on recoupment of appointed-counsel costs from indigent criminal defendants and juveniles. The chair explained the amendment as reversing 2020 changes that had limited cost recovery, and the discussion focused on financial affidavits and the Office of Cost Containment’s ability to review indigency claims. The transcript cuts off before the committee vote on HB 611.

Transcript Highlights:

• As people lose their health care coverage, we anticipate that UC Health's uncompensated care costs will
• , specialty care, and inpatient care.
• In addition to our extensive health care services, UC operates one of the largest health care professional
• As people lose their health care coverage, we anticipate that UC Health's uncompensated care costs will
• , specialty care, and inpatient care.

Summary: The Assembly Budget Subcommittee on Education Finance, chaired by Assemblymember Alvarez, held a hearing focused on University of California budget issues. The committee reviewed UC core operations funding, enrollment trends, federal funding threats, Title IX implementation, and basic needs support. Major themes included the end of the Governor’s multi-year UC compact, the state’s fiscal outlook, UC’s enrollment growth, and the potential impacts of federal policy changes on research, health care, and student aid. On core funding, the Department of Finance described the Governor’s proposal to continue compact-related support, defer some payments, and authorize a cash-flow loan. The LAO recommended a smaller or no base increase, earmarking some funds for capital renewal, retiring deferrals when possible, avoiding new compact commitments, and funding UC annually rather than through compacts. UC argued that the compact has supported enrollment growth, student services, and operating costs, but said campuses face rising expenses, structural deficits, and limited reserves. Members questioned the effects of deferrals on students and discussed the need to prioritize less harmful reductions if cuts become necessary. The enrollment panel focused on UC’s growth in California resident enrollment and the nonresident replacement plan at Berkeley, UCLA, and UC San Diego. The LAO recommended maintaining the current enrollment target, funding enrollment separately from base increases, pausing the nonresident replacement plan, and holding enrollment flat in 2027-28. UC said it has already met compact enrollment goals, grown California undergraduate enrollment by about 18,800 students, and that further growth depends on ongoing state support. The committee also discussed the cost of enrollment growth, possible differential nonresident tuition, and a reporting request for UC to analyze the nonresident replacement approach; the motion to adopt supplemental reporting language passed. The hearing also covered federal funding risks, with the LAO and UC warning that federal changes could affect research grants, medical center reimbursement, and student financial aid. UC said research cancellations and suspensions are disrupting labs and graduate student support, while federal health policy changes could increase uncompensated care at UC hospitals. In the Title IX update, UC described its systemwide civil rights structure, annual student training, and campus support offices, and members praised the work while asking about ongoing concerns and intersegmental collaboration. The final basic-needs item began with Finance stating the Governor’s budget does not change ongoing support, but the transcript cuts off before further discussion or action.

Transcript Highlights:

• basically basically going<00:02:16.720> to<00:02:16.880> be<00:02:17.000> the<00
• health care. health care.
• care? care? That's<00:04:15.400> the<00:04:15.520> resolution,<00:04:16.239> Mr.
• So uh this is about access to care. So, this is about access to care.
• care care the<00:25:56.400> health<00:25:56.600> care<00:25:56.760> system<00:25

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services met with a quorum and first took up Senate Joint Resolution 116, sponsored by President Stivers. The resolution directs the University of Kentucky, the University of Louisville, and Eastern Kentucky University to work over the next year on a statewide framework to improve health care access, especially in underserved and unserved areas. Members discussed physician shortages, maldistribution of doctors, recruitment and retention, loan forgiveness, scholarships, technology, and the connection between health care access and economic development in rural Kentucky. The resolution was reported favorably on a unanimous roll call vote. The committee then considered Senate Bill 116, relating to physician assistants and a shift from a supervisory to a collaborative practice model. The sponsor and PA witnesses explained that the bill was heavily revised through a committee substitute after discussions with the Kentucky Medical Association, physicians, and hospitals. They said the substitute keeps physician supervision in place while allowing health care teams to function more efficiently, and they emphasized that the bill is intended to improve access to care, particularly in rural areas with few doctors. Some members supported the compromise and the collaboration, while others raised concerns that expanding PA practice could worsen long-term physician shortages or reduce incentives for doctors to practice in rural Kentucky. The bill passed the committee 7-2 with favorable expression.

Transcript Highlights:

• This is basic information we share this on our website This is very basic information, but it forms a
• You provide a basic allotment, basic allotment goes up, school districts buy whatever they want with
• I've said we don't have health care, but we have sick care.
• We're the folks who take care of the folks who take care of everybody in the state.
• Those are the people that we take care of, and it's an absolute honor to take care of those people.

Keywords: 1184, house, all

Transcript Highlights:

• And basically...
• Care. We already have that stood up in Clovis.
• I told you that the crisis triage center would involve observation care, as well as residential care.
• Observation-type care that we need.
• So then you're basically...

Transcript Highlights:

• you<00:57:29.520> know, value care, low value care, you know, value care, low value care,
• in our health care.
• in our health care.
• in our health care.
• We are not paid. care. You all have a proprietary care.

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:

• From there, that gives us the basic background.
• Then just for the request for the Health Care Authority.
• There, of course, is the Health Care Authority and Medicaid.
• That is basically, I think, the summary.
• Are we talking about the Affordable Care Act, right?

Transcript Highlights:

• Health care related.
• One how they're doing in maternity care.
• health plans to provide care within the S and it's a statewide Medicaid managed care program.
• So access to care is always a focus of the agency.
• And I think what we're dealing with it, such a critical component of health care needs to be some basics

Keywords: 999, senate, all

Transcript Highlights:

• Primary care, we rank 39th. Primary care, we rank 39th.
• receive care. receive care.
• health care policy. health care policy.
• So, basically what percent they are on the hook for all the medical care costs is called the actual value
• <02:46:26.600> of advanced care that can take care of advanced care that can take care of

Keywords: 916, all

Transcript Highlights:

• , and our health care assets.
• System of care across health care settings to be known as Derek's Promise Study.
• There's a gap in care. I think, Mr.
• of that care, but a lot of those children don't have that care.
• ... ...care and the Pervasive Plus that those facilities can care for, but the thing is if they don't

Summary: The committee heard a personal privilege update on HB 1227, which Representative DeWitt said would return next week as a proposed HCR for a two-year study of the three-doctor panel after discussions with Dr. Nia Colotta. Better Louisiana also presented its new Leadership Louisiana Health Fellows Program, describing it as a data-driven leadership initiative focused on health care workforce, rural access, chronic disease, and other system issues; members discussed whether the program could also help generate policy research, including on managed care organizations. The committee then considered SB 427 on anatomical gifts. After adopting technical amendments, Senator Presley and Dr. Jeff White explained that the bill would strengthen organ donation law by creating a decision registry that records both yes and no choices, clarifying the legal effect of refusal, and codifying ethical principles such as the dead donor rule. Questions focused on organ viability, registry procedures, minors, and a Monroe case involving a disputed donor designation. Supporters included LOPA and the Louisiana Conference of Catholic Bishops, and the bill was reported favorably. HB 946, dealing with hospital price transparency and compliance with federal pricing rules, drew extensive testimony. Representative Landry and a witness from Patient Rights Advocate described it as a consumer transparency measure, but the Louisiana Hospital Association opposed the bill’s state-level enforcement and debt-collection provisions. Landry offered an amendment removing the debt-collection and affirmative-defense language, but after debate the substitute failed on a 5-6 vote and the bill was voluntarily deferred. The committee also reported favorably on SB 109, which revises membership qualifications for the Louisiana Emergency Medical Services Commission; SCR 20, urging federal flexibility on Medicaid redetermination for elderly and disabled beneficiaries; SB 216, allowing coroners to rely on licensed practical nurses for medical pronouncements of death; and SB 45, exempting certain gratuitous hospice houses from licensure, with testimony from hospice house operators and supporters. Finally, HCR 71 by Representative Chasson sought an LDH study of how Louisiana’s law and guidance on pregnancy-related emergency medications is working in hospitals, urgent care, and retail settings. Supporters said providers are hesitant to use medications such as misoprostol because of stigma and uncertainty, while opponents from Louisiana Right to Life argued the resolution was unnecessary and could create controversy. The discussion centered on whether the study should be narrowed or made more objective, but no final action on the resolution was reached in the portion provided.

Transcript Highlights:

• coordinate care better. coordinate care better.
• health care providers? health care providers?
• :04:45.720> primary<00:04:46.160> care increase in primary care increase in primary care
• basic things like have you had your flu shot, have you gotten these things taken care of, and helping
• taken care of, and helping that basic taken care of, and helping that basic stuff,<00:08:34.080>

Keywords: 918, senate, all

Summary: The interview focused on Senate File 3612, which the senator described as “patient-centered care” legislation for Minnesota’s Medicaid and MinnesotaCare programs. He said the bill would remove private insurers and HMOs from administering those public programs, replace them with a state contract for claims processing and administrative services, and shift care coordination directly to primary care clinics, counties, and nonprofits. He argued the current managed-care system creates churn, prior-authorization barriers, and fragmented care, and said providers should manage care rather than insurers. The senator repeatedly cited Connecticut as a model, saying that state moved away from managed care, improved primary care participation, and saved money. He also argued Minnesota’s current system lacks transparency and may be overpaying health plans, pointing to fraud concerns and a past example in which UCare returned money to the state after an overpayment. He said the bill would improve accountability, make fraud easier to detect, and could save taxpayers billions, though he emphasized his main goal was better care rather than savings. On support and prospects, he said the bill has backing from the governor and the American Cancer Society but currently only DFL co-authors. He said he does not expect it to become law this year because the fiscal note and details are still pending, and he does not expect insurance companies to support it. He added that he is open to discussion but sees the insurers as fundamentally opposed. The interview ended with him saying workers in insurance and claims processing should be treated fairly and offered retraining or dislocated-worker support if broader reforms reduce their roles.

Transcript Highlights:

• They need care, and we want to be here to provide that care.
• It also ensures that access to care for eye care is a top priority for this state.
• It also ensures that access to care for eye care is a top priority for this state.
• How is it that they can get their care?
• Senate Bill 32 by Senator McMath relative to prenatal care, to provide for the prenatal bereavement care

Summary: The House Committee on Health and Welfare met on April 28 with a quorum and took up several Senate bills, beginning with SB 113 on the local health care provider participation program in Calcasieu Parish. The committee adopted a technical amendment and heard that the bill would shift the local sponsor from the parish to the city if needed by a June 1 deadline. After brief discussion and no opposition, SB 113 was reported favorably with amendments. The committee then approved SB 23, which exempts certain assisted living facilities licensed by LDH from the definition of food service establishment, and SB 150, which would allow LDH to scan and electronically store vital records supporting documents and return originals to citizens. SB 221 also advanced after testimony that it would allow EMS providers to be reimbursed by Medicaid for emergency responses where treatment is provided on scene but the patient is not transported. Members discussed that the bill could reduce unnecessary ER use and likely would require some rulemaking, but it was reported favorably. A major portion of the meeting focused on SB 404, a broad vision benefit plan reform bill. Supporters, including optometrists, said the measure would improve transparency, patient choice, and access to eye care by limiting restrictive plan practices; opponents from the vision care plan industry argued it was an unprecedented, provider-driven overhaul that could raise costs and reduce flexibility. After extensive testimony and an agreed amendment clarifying network participation, the committee reported SB 404 favorably with amendments. The committee also reported SB 32 favorably with amendments after emotional testimony from parents and advocates about perinatal bereavement care, cooling devices, and training for hospitals to give grieving families more time and dignity after infant loss. Finally, the committee heard SB 43, which would create a psychedelic-assisted therapy initiative within LDH for clinical research and treatment involving ibogaine and psilocybin, with testimony from veterans, researchers, and advocates describing potential benefits for PTSD, substance use, and traumatic brain injury. The bill was reported favorably with amendments and set to pass a courtesy sheet. The committee then began SB 253, a bill regulating peptides and compounding pharmacies, adopted technical amendments clarifying provider liability, and continued discussion as the transcript ended.

Transcript Highlights:

• In practice, this delays access to medical care, financial decision-making assistance, and other basic
• I grew up in foster care.
• It also provides both Care Court agreements as well as Care Court plans.
• care coordination.
• These facilities house thousands of people who depend on them for food, shelter, medical care, and basic

Keywords: 988, house, all

Transcript Highlights:

• In total, basic care spending is projected to be about $1 billion higher per biennium than we projected
• Managed care is how most individuals on medical assistance access their basic healthcare services.
• In total basic care<00:24:35.760> spending<00:24:36.080> is<00:24:36.400> projected<
• through an managed care organization. through an managed care organization.
• of the incremental costs in the basic of the incremental costs in the basic care<00:35:22.480>

Keywords: 919, house, all

Summary: Minnesota Management and Budget Commissioner Aaron Campbell, State Economist Dr. Tony Becker, and State Budget Director Anna Mingi presented the November 2025 budget and economic forecast. Campbell said the state now projects a nearly $2.5 billion surplus at the end of the 2026-27 biennium, about $575 million better than the end-of-session estimate, but also a projected negative balance of about $2.9 billion in FY 2028-29, reflecting a worsening structural imbalance. He said the budget reserve stands at $3.4 billion, with cash flow and budget reserves totaling $3.8 billion after a $244 million addition, and emphasized that Minnesota’s AAA bond rating and reserve policy remain strengths even as future sessions will need to address the long-term gap. Becker said the national economic outlook has changed only modestly since February, but growth remains below trend through the forecast horizon. He cited slower consumer spending, weak private investment, continued tariff uncertainty, lower projected immigration, and modest inflation that stays near 3% through 2026 before easing. Revenue forecasts for the next biennium were revised up to $66.3 billion, driven mainly by higher individual income tax receipts and other revenue, partly offset by lower sales and corporate tax forecasts. He also noted risks from federal policy changes, the recent shutdown’s effect on data availability, and possible equity market volatility. Mingi said general fund spending is projected to rise sharply, with current biennium spending up $3.4 billion from end-of-session estimates and planning-year spending up $1.9 billion. She attributed much of the increase to carryforward from prior one-time appropriations, discretionary inflation, and especially Medical Assistance. MA costs are projected to be about $2.5 billion higher over 2025-29, largely because managed care rates rose more than expected due to higher utilization and higher-cost services, including pharmacy costs, while long-term care and disability waiver costs also increased. In response to questions, officials said the federal reconciliation bill had only a relatively small effect on the health care changes, and that the carryforward amounts reflect unspent prior appropriations that now show up in later years rather than new spending.

Transcript Highlights:

• It doesn't meet the basic requirements of basic local service.
• For those basic, for the basic, right? Like for the basic, I understood you said four times.
• They care about having 911 access, they care about for the disability services, they care about maybe
• Lifeline and the affordability aspect, they care about this basic service, which is why we have basic
• basic service.

Keywords: 988, house, all

Transcript Highlights:

• of basic workplace safety.
• of basic workplace safety.
• Every Arizonan needs to have health care freedom and health care choice.
• care, and left scrambling. ...like mine and my clients are discriminated against, denied basic care,
• I often care for them when they are fighting for their lives in the intensive care unit.

Bills: HB2086, HB2248, HB2688

Keywords: vaccination mandates, mask requirements, public health, government entities, COVID-19, medical freedom, healthcare mandates, employment requirements, government regulation, vacant positions, state budget, government efficiency, employment, full-time equivalent positions, 1182, all

Summary: The committee heard three bills, all on medical freedom or government staffing. HB 2248 would prohibit governmental entities, businesses, schools, and ticket issuers from denying employment, entry, services, or participation based on whether a person has received or used a medical intervention. Supporters framed it as protecting bodily autonomy and parental rights; opponents, including physicians, child care and public health advocates, warned it was drafted too broadly and could undermine vaccine-related protections, school and daycare illness policies, and hospital safety. After debate, the bill received a do pass recommendation on a 3-2 vote. HB 2086 would bar government entities and businesses from requiring vaccination or masks/face coverings, with stated exceptions for long-standing workplace safety and infection control measures, and it would apply to certain government-owned health care facilities. Supporters argued it was needed to prevent coercive mandates and protect individual freedom and business autonomy; opponents said it would interfere with private employers’ ability to protect customers and workers and could conflict with public health practices. The committee approved the bill on a 3-2 do pass vote. HB 2688 would require the Arizona Department of Administration to identify state budget-unit positions vacant for at least 150 days and eliminate those positions each fiscal year, with some exceptions such as corrections and DPS. The sponsor said the bill would reduce waste and prevent vacant positions from functioning as slush funds, while members raised concerns about specialized or hard-to-fill jobs. After brief testimony in support, the committee passed the bill on a 3-2 do pass vote, then adjourned.

Transcript Highlights:

• This basically, again, is just adding to the parental bill of rights.
• I see members from CARE in the room here.
• I think some people have a thought that that National CARE, as opposed to Arizona CARE, we have to draw
• National CARE, as opposed to Arizona CARE, we have to draw this line very carefully, right, might be
• I'm sorry, contacts and contracts with CARE due to evidence demonstrating a relationship between CARE

Keywords: 1182, all

Summary: The meeting covered a long list of House bills, mostly on third-read consent calendars, spanning appropriations, elections, education, public safety, water, taxation, and criminal law. Early discussion focused on HB 2148, which would give the legislature authority to appropriate non-custodial federal funds, described by the sponsor as a transparency measure. Other measures discussed included HB 2091 on insurance-related assessment limits, HB 2122 on reciprocity for BTR-related professions, HB 2138 clarifying firefighter workers’ compensation coverage, and HB 2008 barring public school libraries from using public money to pay library professional associations. HB 2110, removed from consent, would allow school governing body members to pray at meetings, with members noting Supreme Court precedent supporting such prayer. Several bills addressed school safety and parental rights. HB 2142 would create a School Safety Center at the Arizona Department of Education and allow up to 10% of school safety program funds for administration, with supporters citing an audit and lack of oversight. HB 2249 would expand the Parents’ Bill of Rights to require notice if a school employee facilitates social transitioning of a minor and to provide broader access to educational records, with penalties discussed for violations. HB 2074 would add mandatory reporting for anyone in a medical facility who knows a partial-birth abortion is occurring, and HB 2144 would allow child support calculations to begin during pregnancy based on a confirmed pregnancy test and related DNA testing provisions. The committee also took up election-related measures. HB 2022 would make permanent changes tied to the federal Electoral Count Act, including moving Arizona’s primary earlier to preserve military and overseas voting access, while keeping petition dates valid and preserving existing deadlines for candidates. HCM 2001 urged federal designation of the Muslim Brotherhood as a foreign terrorist organization, and HCM 2002 supported a separate congressional effort involving CARE and related federal review and designation processes; members debated the distinction between direct designation and a request for federal investigation. HCR 2001 proposed a constitutional amendment to limit voting to U.S. citizens, require government ID to register, prohibit foreign contributions, and end early voting by the Friday before an election. Water, land use, and tax bills were also reviewed. Measures included HB 2024 on snowpack augmentation as a water supply development project, HB 2029 and HB 2030 tightening how Water Conservation Grant Fund money is used, HB 2053 appropriating $100,000 for updated stormwater recharge mapping, HB 2096 expanding revolving fund uses to address cesspools, HB 2097 capping groundwater withdrawal in irrigation non-expansion areas, and HB 2116 funding potential Colorado River litigation. On the tax side, HB 2016 would remove late-filing penalties when no tax is due, HB 2104 and HB 2105 would protect agricultural property owners from repeated reclassification and require notice of inspections, and HB 2289 would update truth-in-taxation examples to reflect higher home values. The committee also heard bills on criminal penalties and other matters, including HB 2043 on felony murder involving an unborn child, HB 2045 on discharging a weapon near a vehicle, HB 2131 and HB 2132 on weapons trafficking and fentanyl penalties, and HB 2062 authorizing a Buffalo Soldiers memorial in Wesley Bolin Plaza.

Transcript Highlights:

• you know, we're this is basically it. you know, we're this is basically it.
• And so that's for primary care. I mean, I see my primary care provider probably twice a year.
• And so that's for primary care. I mean, I see my primary care provider probably twice a year.
• And so that's for primary care. I mean, I see my primary care provider probably twice a year.
• And so that's for primary care. I mean, I see my primary care provider probably twice a year.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.

Transcript Highlights:

• So basically, for doubling our money.
• of their children, parents struggle to meet their basic needs.
• drive the continued local need for basic diapering supplies.
• We are a basic needs organization.
• In my own primary care practice, which cares for about 17,000 children, nearly one in eight families

Keywords: 995, all

Summary: The House Committee on Children and Families held a hybrid hearing on a broad set of anti-hunger, family support, and basic-needs bills. Early testimony focused on SNAP and DTA operations: Rep. DeRosa and others urged passage of H. 196/S. 167 to require DTA to identify staffing, technology, funding, and operational needs to improve timeliness and customer service, warning that unanswered calls, delayed recertifications, and federal changes could sharply raise state costs through higher SNAP administrative burdens and payment-error penalties. Speakers from Massachusetts Law Reform Institute and Project Bread said DTA is under-resourced, caseloads have grown, and families are being denied or delayed due to phone and paperwork barriers. Another major SNAP-related bill, H. 254/S. 147, would require the Commonwealth to replace stolen EBT/SNAP benefits; testimony described more than $13 million stolen from about 27,000 households since June 2022 and argued families should not bear losses from organized theft rings. The committee also heard strong support for H. 207/S. 117, which would restore state-funded nutrition assistance for legally present immigrants excluded from federal SNAP under recent federal changes. Advocates from Project Bread, the Massachusetts Law Reform Institute, local immigrant services, and public health groups said the federal cuts would leave thousands of residents, including refugees, asylum seekers, trafficking survivors, and children, without food support, and argued Massachusetts has a history of filling this gap. Testimony also supported H. 222/S. 104 to make the Healthy Incentives Program permanent and year-round; supporters said HIP improves nutrition, boosts local farms and regional economies, and had already served more than 212,000 households in FY25. A related child-support bill, H. 201/S. 110, would increase the amount of child support passed through to TAFDC families and expand good-cause exemptions; witnesses said the change would put more money directly in families’ hands, reduce poverty, and better protect survivors of domestic violence and families with complicated co-parenting situations. A large portion of the hearing was devoted to deep-poverty and diaper-related legislation. Supporters of H. 214/S. 118 said cash assistance grants have lost value over time and should be raised annually until they reach half of the federal poverty level; advocates from Children’s HealthWatch, Hopewell, the Lift Our Kids Coalition, and parents described the links between deep poverty, poor child health, family stress, and child welfare involvement. They argued that higher grants would help families meet basic needs, reduce hospitalizations and neglect reports, and provide stability amid federal cuts. Finally, multiple witnesses backed diaper legislation, including H. 220/S. 151 and related bills, to create a diaper benefits pilot and/or diaper allowance commission. Testimony from the National Diaper Bank Network, MassCAP, Children’s HealthWatch, local diaper banks, and parents said diaper need is widespread, affects parental employment and mental health, and can cause health problems for infants; a federally funded pilot in Massachusetts was cited as showing improved employment, financial stability, reduced stress, and fewer diaper rashes. No votes or final actions were taken during the hearing; the committee heard testimony and asked questions throughout.

Transcript Highlights:

• It doesn't meet the basic requirements of basic local service.
• There's also this concept around what constitutes basic service and basic coverage.
• They care about having 911 access. They care about disability services.
• They care about this basic service, which is why we have basic service standards, right?
• basic service.

Summary: The committee held an informational hearing on Carrier of Last Resort (COLR) to examine its history, current operation, and possible future changes in California. Chair Tasha Berner said the hearing was prompted in part by AT&T’s 2023 request for relief from COLR obligations and by broader concerns about public safety, affordability, universal service, and access to modern broadband and telecommunications. The first panel featured a telecommunications expert who traced COLR back to universal service principles and explained how states have handled COLR differently, including full deregulation, limited rural obligations, or transition pathways tied to competition and customer protections. Members asked about affordability, federal and state processes for service withdrawal, and whether COLR remains necessary given modern competition. CPUC staff then described California’s COLR framework, explaining that universal service rests on access, reliability/quality, and affordability, and that COLR requires carriers to provide basic service, including voice-grade calling, 911 access, relay services, and Lifeline. Staff said AT&T’s application sought relief in nearly all of its territory, but no replacement COLR came forward during the proceeding, and public participation hearings drew thousands of comments and strong concern from rural and vulnerable customers. The CPUC outlined its ongoing rulemaking to reconsider whether the 1996 COLR rules and 2012 basic-service definition still fit current conditions, with workshops and public hearings scheduled and a proposed decision expected later in the year or into 2026. Members pressed staff on geographic outreach, wireless coverage, whether broadband can be part of basic service, public safety during wildfires, and what reporting and complaint processes currently exist. In the final panel, industry and public-interest witnesses sharply disagreed. A U.S. Telecom representative argued COLR is outdated, costly, and copper-focused, and said reform should allow technology-neutral alternatives such as wireless, fiber, and satellite while preserving reliable voice and emergency access. The CPUC Public Advocates Office countered that COLR remains a necessary public safeguard, especially for rural and low-income customers, and argued that any transition should maintain or improve service, with public benefits such as broadband investment and continued protections for 911, disability access, and affordability. Committee members focused on the difference between an obligation to serve everyone and a mere option to serve, and on whether the Legislature should provide clearer guidance as the CPUC’s rulemaking moves forward.