Transcript Highlights:

• I don't care who the president is.
• We basically...
• care contract.
• Similarly to the health care quality surcharge, which is on nursing facilities and intermediate care
• health care.

Transcript Highlights:

• medical care.
• basic medical care.
• And at the end of this month, we will be launching for the first time a care care care.
• I have a really basic question.
• Basic needs, excuse me, on the basic needs commitment, the basic underlying premise there hasn’t changed

Keywords: 907, all

Summary: The joint Senate and House Behavioral Health committee met for informational presentations on the Oregon State Hospital and civil commitment, followed by a planned tour of the hospital. Oregon Health Authority and Oregon State Hospital leaders reported that Sean Murphy will become the next permanent superintendent on July 13, with Sarah Castle to follow as permanent chief nursing officer on July 20. They described recent leadership turnover, a major organizational restructure, and efforts to build a culture of safety, transparency, and accountability. Officials said the hospital regained Joint Commission accreditation and CMS compliance, and they highlighted daily safety huddles, incident review processes, stronger escalation procedures, and improved management of seclusion and restraint. Committee members pressed hospital leaders on past prolonged seclusion practices, falls, staffing, and the need for better public reporting; OHA said it is building a public dashboard of key safety and workforce metrics. The committee then heard a civil commitment overview from the Oregon Judicial Department. The presenter explained that civil commitment is a separate legal process from criminal cases, usually beginning with a hospital hold, investigation, court review, appointed counsel, and a hearing within five days. She summarized changes made in House Bill 2005, including revised standards for danger to self, danger to others, and basic-needs commitments, plus a second 14-day diversion option. She cautioned that the new law has only been in effect since January and that it is too early to draw firm conclusions from the data, though there has been a recent uptick in commitments and a decrease in diversions. Testimony from NAMI Oregon and a forensic psychiatrist emphasized that Oregon still relies too heavily on jails and state hospitals because community services, housing, and outpatient supports are insufficient. They argued that the state needs more less-restrictive alternatives, including better use of assisted outpatient treatment or outpatient civil commitment, and more supported housing so people do not cycle between homelessness, incarceration, and hospitalization. A family member described a relative remaining psychotic in jail for more than 120 days before ending up back at the state hospital, urging faster intervention and better collaboration among courts, counties, hospitals, and state agencies. Committee members and witnesses also discussed workforce shortages, the expansion of secure residential treatment beds, and the need for broader system reforms beyond the hospital itself.

Transcript Highlights:

• It's also known as Kid Care.
• It's also known as Kid Care.
• They have the subsidized care, whether it be health care, or you're going to hear a lot about it in pre-K
• The legislature has consistently included premium requirements for Kid Care, and all the Kid Care partners
• Consistently included premium requirements for Kid Care, and all the Kid Care partners have maintained

Summary: The committee received a briefing from AHCA Deputy Secretary Brian Meyer and Florida Healthy Kids CMO Ashley Carr on implementation of HB 121, which was enacted in 2023 to expand Florida’s KidCare/CHIP eligibility from 200% to 300% of the federal poverty level and replace the sharp premium “benefits cliff” with a tiered premium glide path. Sponsor Rep. Bartleman described the bill as a bipartisan effort to help working families keep children insured while moving toward economic self-sufficiency. The presenters explained that the program remains a joint federal-state structure, with Medicaid unchanged and the bill affecting only the CHIP-related portions of KidCare. AHCA said implementation has been delayed by federal CMS actions. The agency reported that CMS first rejected a state plan amendment approach, then required revisions to the premium tiers under a new maintenance-of-effort interpretation, and later issued a new interpretation of continuous 12-month eligibility that would prevent disenrollment for nonpayment of premiums. AHCA said it submitted an 1115 waiver, but negotiations over special terms and conditions reached an impasse, and the state has filed litigation challenging CMS’s interpretation. Members asked about the cost of litigation, the effect on future bills, the review process for CMS documents, disenrollment and reenrollment rules, and whether any additional legislative action is needed; AHCA said no further state action is needed at this time and that the key issue is the pending federal litigation. Several members and the sponsor emphasized the need for immediate implementation and asked about possible interim relief. AHCA said current coverage remains in place under the preexisting program, that there is a 30-day grace period for premium payment, and that reenrollment does not require a penalty or back payment, though coverage is not active during lapsed periods. The committee also heard public comment from Nicholas Hessing of the Children’s Services Council of Broward County and the Florida Alliance of Children’s Councils and Trusts, who supported HB 121 and said the expansion could make about 17,600 additional children eligible in Broward County alone. The meeting ended with Rep. Bartleman thanking staff and expressing hope that the new federal administration would allow the program to move forward, and the chair adjourned the meeting.

Transcript Highlights:

• This is about 75% of the medical assistance budget here, and then families and children basic care and
• This is about 75% of the medical assistance budget here, and then families and children basic care and
• <00:20:16.000> care<00:20:17.000> um and elderly and disabled basic care um and elderly
• <00:20:28.440> kids<00:20:29.039> are basic care and adults without kids are basic
• The vast majority of these settings are adult foster care homes, and I believe the current basic room

Keywords: 1183, house

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

Transcript Highlights:

• So, basically, with inflation, please help our schools and our people and help us with the basic allotment
• allotment and the use of the basic allotment the districts and off the basic allotment and the use of
• the basic allotment, you know, the amount that we've increased the basic amount, which we have.
• impact of the basic allotment, sort of the... ...would be the impact, the financial impact of the basic
• So you're asking what's the current basic allotment, and then with the current basic allotment at just

Bills: HB2

Keywords: disaster preparedness, emergency management, flooding, mass fatality, mass casualty, fatality tracking, body recovery, autopsy, justice of the peace, medical examiner, county judge, sheriff, mayor, emergency coordinator, emergency manager license, volunteer management system, volunteer registration, criminal history check, background check, Texas Division of Emergency Management

Summary: The committee continued public testimony on House Bill 2, which would make major changes to public school funding, teacher pay, special education, early learning, school safety, and related programs. Many superintendents and education advocates supported the bill’s overall direction but urged changes, especially a larger basic allotment and more flexible funding for rural and small districts. Witnesses from Paint Creek, West Hardin, Cushing, Blooming Grove, Mildred, Buffalo, Plano, and rural school groups said the bill’s targeted raises and new requirements would not fully cover inflation, TRS/Medicare costs, transportation, insurance, or support staff salaries, and several asked the committee to restore the House version’s higher basic allotment and small-school allotment. Charter school representatives supported the facilities funding changes and said charter schools need state help because they cannot levy taxes, while also noting the funding gap with ISDs. Fine arts advocates asked the committee to restore the fine arts allotment, arguing arts improve engagement, attendance, and academic outcomes, especially in rural and at-risk communities. Early learning and special education witnesses supported parts of the bill but raised concerns about pre-K restrictions, disability-related pre-K access, and the need to preserve or clarify special education provisions and mental health oversight language. Several witnesses praised the teacher pay raise, teacher incentive allotment expansion, and teacher preparation investments, saying they would help recruit and retain educators and improve student outcomes. Others, including counselors and support staff advocates, argued the bill should also include raises for counselors, nurses, librarians, bus drivers, custodians, aides, and other non-teaching employees who keep schools running. One witness from the Texas Counseling Association opposed the substitute because it removed a counselor pay provision, warning of counselor shortages and inequities. A parent and special education advocate said the bill’s structure creates too many strings attached and asked for a larger basic allotment instead of more targeted funding. Another witness from Mental Health America urged keeping the collaborative task force on public school mental health services through 2031, and a disability rights advocate said the committee substitute appears to omit some special education items that were in the House version. The committee also briefly took up House Bill 6, a school discipline bill. After questions about automatic mandatory expulsion for vape possession and concerns about younger students, the committee adopted the substitute and voted to report HB 6 favorably to the full Senate by a 9-1 vote, with Senator Menendez voting no and Senators West and Menendez expressing reservations but supporting further discussion. After that vote, testimony on HB 2 resumed. Senators used the hearing to ask about the bill’s cost, the difference between the basic allotment and the bill’s targeted funding buckets, and whether the permanent teacher pay increase shifts pressure off districts. The bill’s supporters emphasized that it represents an historic, roughly $8 billion investment and that many of the new funding streams are intended to be permanent or to address specific district needs.

Transcript Highlights:

• currently have five Managed Care currently have five Managed Care organizations<00:05:12.759>
• function of program Integrity basically function of program Integrity basically is<00:09:21.839>
• <00:28:51.440> fraud prosecution of the healthc Care fraud prosecution of the healthc Care
• of death and in a a long-term care of death and in a a long-term care facility<00:31:18.200>
• <00:34:57.079> Organization Managed Care Organization Managed Care Organization whereby<00

Keywords: 958, all

Summary: The subcommittee met to review the Department for Medicaid Services’ program integrity work. Commissioner Lisa Lee and Program Integrity Director Jennifer Dudinsky outlined Kentucky Medicaid’s structure, funding, enrollment, and spending, including FMAP rates, the size of the Medicaid and KCHIP populations, the number of providers, and 2024 expenditures. They also described the managed care and fee-for-service populations, noting that managed care serves most members while fee-for-service is concentrated in long-term care and waiver populations. Most of the discussion focused on fraud, waste, abuse prevention, and provider oversight. The department described its provider enrollment and certification checks, revalidation requirements, site reviews, fingerprinting for some high-risk providers, and termination grounds such as false application information, Medicare actions, unreported ownership changes, and abandonment of a provider number. Members asked about nonprofit ownership reporting, MCO fraud oversight, and how the department tracks unusual CPT code utilization, especially in behavioral health. The department said it uses data analytics, audits, policy review, and collaboration with behavioral health staff to monitor those trends. Dudinsky explained the division’s four branches: provider licensing and certification, audits and compliance, recovery, and third-party liability/estate recovery. She described prepayment and postpayment audits, referrals of credible fraud allegations to the Attorney General, monthly meetings with the AG’s office, and coordination with the Office of Inspector General, CMS, HHS OIG, MCOs, and other partners. She also explained payment suspensions, stand-downs during law enforcement investigations, and recovery efforts for overpayments, provider/member fraud, and third-party liability. The department said its recovery and avoidance efforts produced more than $251 million in savings so far in 2025. No votes or formal actions beyond approving the minutes were taken.

Transcript Highlights:

• Uh again, I to eye care in Kentucky.
• Ellis, real quick, if you don't care, uh, where we are trying to work on time, uh, do you care if we
• trust in health care professions. trust in health care professions.
• One is the basic as three parts.
• It's the basic science knowledge.

Keywords: 0:22 – Roll Call 0:30 – Approval of minutes 1:04 – Department of Veterans Affairs 2:06 – Board of Pharmacy 3:20 – Board of Optometric Examiners 39:26 – Board of Nursing 40:07 – Board of Emergency Medical Services 41:52 – Department of Fish & Wildlife Resources 44:36 – Transportation Cabinet: Department of Vehicle Registration 45:36 – Department of Alcoholic Beverage Control 47:00 – Cabinet for Health & Family Services: Department for Medicaid Services 49:59 – Cabinet for Health & Family Services: Department for Community-Based Services, 958, all

Summary: The subcommittee approved the minutes from the previous meeting and then took up several regulations. The first was a Department of Veterans Affairs regulation, with a staff amendment, to allow nurse practitioners to apply for the Veterans Affairs nurse loan repayment program year-round and to make technical drafting changes. The committee heard from the Office of Kentucky Veteran Centers, then adopted the staff amendment and approved the regulation without objection. The main item of the meeting was the Board of Optometric Examiners’ proposed amendment to 201 KAR 5:010, which would allow applicants to use the Optometry Examining Board of Canada written exam in place of part one of the National Board of Examiners in Optometry exam for licensure. The board said the change would improve access to care, provide an additional pathway for Canadian-trained candidates, and still require applicants to pass the remaining national board parts. Opponents, including NBEO officials, ARBO, Pearson VUE, and several optometrists, argued the Canadian exam is not equivalent, does not test the same biomedical science content, is not validated for U.S. scope of practice, and raises concerns about test security, transparency, and portability across states. They urged the committee to find the amendment deficient or vote no. Committee members questioned both sides about prior communication with the board, whether Kentucky would be the first state to adopt such a change, the rationale for the proposal, and the cost difference between the exams. Supporters said the board had received some written comments and one phone call, and that the proposal was driven by access concerns and the presence of Canadian students. Opponents said they had not had direct discussions with the Kentucky board before the hearing. No final vote on the optometry regulation is reflected in the transcript excerpt, but the committee heard extensive testimony and rebuttal before moving on.

Transcript Highlights:

• care, dental, or specialty care, providing health education and patient navigation, managing care and
• by this this care. by this this care.
• When basic needs are not being met, your physical and mental health care are not a priority.
• When basic needs are not being met, your physical and mental health care are not a priority.
• care, behavioral health, or chronic care care, behavioral health, or chronic care management<01:

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board first approved the September 24 minutes and then heard a presentation from four certified community behavioral health clinic providers: Pathways, NorthKey, Seven Counties Services, and NewVista. The presenters explained the difference between traditional community mental health centers and CCBHCs, describing CCBHCs as an enhanced model that integrates behavioral health, primary care, wraparound services, and crisis response. They reviewed the federal history of the model, Kentucky’s entry into the Medicaid demonstration in 2022, and the scheduled end of the enhanced federal match on December 31, 2027. They also emphasized required services such as 24-hour mobile crisis, care coordination, and services for veterans, and described care coordination as a key feature that helps patients follow up after hospital or emergency discharge, manage medications, and connect to transportation and other supports. The presenters gave examples of improved outcomes, including a patient who was able to remain living independently because of coordinated home-based and telehealth support, and they argued that CCBHCs are helping Kentucky build a more responsive crisis system through 988, mobile crisis teams, and crisis stabilization units. They said the model is data-driven, uses performance metrics, and has led to stronger collaboration among community partners. One speaker said more than 100 agencies participated in a Jefferson County community health needs assessment and continued meeting afterward to reduce redundancies and barriers to care. They also said crisis call hub compliance and mobile crisis outreach compliance improved significantly over the past year. Members asked about how navigators and connectors fit into the model, how CCBHCs work with managed care organizations, and how the program could expand statewide. The presenters said navigators are not built into the CCBHC model but may be used through referrals, while the CCBHCs continue to bill MCOs the same way and receive a Medicaid wrap payment for the enhanced rate. They said the goal would be for all community mental health centers to become CCBHCs, but that a state plan amendment would be needed and could not be limited only to CMHCs if submitted to CMS. They estimated about $28 million would be needed statewide to continue the program in the next biennium, combining the loss of enhanced federal match and the state share of enhanced service costs. The board also discussed transportation, with one presenter explaining that their program arranges Medicaid transportation for eligible appointments, and members raised concerns about mental inquest warrant transport and whether sheriffs should remain involved. No votes were taken on the CCBHC or transportation items during the discussion.

Transcript Highlights:

• Do you want to talk about basic care? You said you had another amendment?
• The other amendment is actually regarding basic care and nursing home care.
• to individuals residing in nursing homes or basic care facilities with a medically based behavioral
• It's just to further clarify how the $2 million would be spent by the department to assist basic care
• That was added... ...behavioral health services for nursing homes and basic care facilities that was

Bills: SB2015

Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras

Summary: The Senate Appropriations Human Resources division met with a quorum and spent much of the meeting on a proposed “medical home” concept for people with significant disabilities and medical needs. Matt Schwartz described the need for small, community-based homes so adults like his daughter could live in a least-restrictive setting without losing housing if service providers change. Architect Jeff Eubel presented a conceptual budget for one roughly 5,000-square-foot facility for four residents, explaining that the design would likely include four large sleeping units, common space, support areas, and medical infrastructure such as emergency power, oxygen, sprinklers, and accessibility features. Committee members and George Sink, joining by phone, raised questions about layout, zoning, ownership, staffing, and whether families would actually move loved ones into such facilities if they were far from home. The department said the concept was not in the governor’s budget and identified staff who could continue discussions; the committee did not take final action and instead discussed refining the language with interested members. The committee then turned to amendments related to long-term care and behavioral health funding. One amendment would reduce a planned $4 million general fund incentive payment and instead create a withhold-based quality program for nursing facilities, to be developed collaboratively by the department and providers and reported to Legislative Management by September 2026. The department said it could live with the language but preferred the governor’s timing; several senators questioned whether the committee should be directing an operational policy change and whether the study would simply delay implementation. No vote was taken, and the amendment was set aside for later consideration. A second amendment would clarify use of an existing $2 million general fund item for behavioral health services in nursing homes and basic care facilities, directing it toward training, technical assistance, consultation, and direct patient care for residents with medically based behavioral health disorders. Members noted the funding was already in the bill and discussed it in the context of other budget items, but again deferred action. The committee also clarified that a separate $750,000 juvenile justice diversion appropriation in House Bill 1425 was distinct from a similar amount in the budget and should likely remain in that separate bill. The chair indicated a goal of having amendments ready by the end of the week, and the committee recessed without final votes on the discussed items.

Transcript Highlights:

• And they don't care. They obviously don't care. We're complaint driven.
• And they don't care. They obviously don't care. We're complaint driven.
• And they don't care. They obviously don't care. We're complaint driven.
• don't care. They obviously don't care. don't care. They obviously don't care.
• care. Child care is extremely important. care. Child care is extremely important.

Keywords: Appropriations - Room 409, 28 January, 2026; 10:30 A.M., 925, all

Summary: The meeting began with testimony from the Nursing Home Administrator Board, whose executive director explained the board’s role in licensing nursing home administrators, the AIT internship pathway, reciprocity, board composition, meeting schedule, and staffing. Members then shifted to an ice-storm-related discussion about nursing home emergency preparedness. Legislators asked whether any facilities lacked power, generators, or water, and urged clearer communication protocols so facilities would report problems directly through the Department of Health and emergency channels rather than through scattered calls to legislators. The board said facilities generally communicate with the Department of Health, that emergency contact information had been distributed before the storm, and that every facility has some form of generator, though not all can power the whole facility. The board also presented a small budget request, including modest salary increases for its two employees and a cloud-migration cost tied to House Bill 1491, with the understanding that statewide funding for that requirement might be handled separately. The discussion then moved to the Department of Health’s budget and operations. Agency leadership said the department has spent the last three years improving county health department efficiency, reducing overhead, and adjusting fees to eliminate program deficits, which has reduced spending by about $10 million and would shift roughly $8 million in general funds away from deficits. The department requested level funding overall, citing inflationary pressures and the possibility of another federal shutdown, but said it could absorb the impact for another year. Members discussed the public health trust created in a prior session, the need to rebuild county health departments, maternal and fetal care initiatives, and the importance of maintaining the $2.9 million in public health program support that has helped expand services such as obesity management, OB care, and home visitation for high-risk mothers and babies. Oversight and compliance issues were also reviewed. Legislators asked about prior problems with grants and sex education funding, and department officials said they had tightened oversight, adopted OpenGov for compliance, and corrected earlier violations so the programs are now in full compliance. They said the agency had improved accountability for both state and federal funds and that transparency remained a priority. The department also highlighted the cannabis program, saying it is now profitable, generating about $9 million in net revenue last year and about $12.5 million this year, with projections of $40 million to $50 million annually as it matures. Officials said they are asking for seed money for the public health trust from cannabis revenue so private-sector donations can be leveraged for long-term public health support. They described enforcement actions including fines, suspensions, license revocations, plant destruction, and referrals to law enforcement, the attorney general, and licensure boards for serious violations. The meeting ended with general support from legislators for the department’s work and acknowledgment of improved health outcomes, including Mississippi moving from 49th to 48th in overall health outcomes.

Transcript Highlights:

• Uh we long-term care imperative.
• <00:14:33.279> care<00:14:33.519> because<00:14:33.680> that's have some basic
• care because that's have some basic care because that's really<00:14:34.160> the<00:14:34.399
• <00:19:43.760> emergency for some training for basic emergency for some training for basic
• care. Thank you. care. Thank you. >> Good<00:19:47.280> morning.

Keywords: 1183, house

Transcript Highlights:

• care.
• These facilities house thousands of people who depend on them for shelter, food, medical care, and basic
• She was denied safe food and water, as well as critical medications and basic medical care for her chronic
• She was denied safe food and water, as well as critical medications and basic medical care for She was
• denied safe food and water, as well as critical medications, and basic medical care for her chronic

Keywords: 988, house, all

Summary: The Assembly Health Committee heard several bills focused on access to care, public health, and oversight. SB 989 would streamline Care Court referrals by allowing first responders to ask county behavioral health agencies to review and file petitions; supporters, including firefighters and mental health advocates, said it would reduce barriers, while opponents argued Care Court is coercive, costly, and not yet proven effective. SB 1089, as amended, would direct CalRx/HHS to help distribute GLP-1 medications more affordably; the author described personal experience with the drugs and supporters emphasized prevention and chronic disease management, while members asked about distribution, liability, and age limits. SB 1309 would eliminate cost sharing for medically necessary lung cancer follow-up care after abnormal screenings; cancer survivors and clinicians strongly supported it, while health plans and insurers opposed it, saying the bill could raise premiums and did not address low initial screening rates. The committee also heard SB 1284, which would require DHCS to publish an annual report identifying large employers with workers enrolled in Medi-Cal and estimating taxpayer costs; supporters framed it as transparency and corporate accountability, while the chair and others linked it to broader budget and fairness concerns. SCR 7, urging permanent standard time, was presented as a public health measure to reduce sleep disruption and related harms, and it passed with support from the California Medical Association. The committee also took up SB 995, which would create a statewide inspection and enforcement framework for large involuntary residential facilities, including private immigration detention centers and some youth facilities; supporters cited unsafe and inhumane conditions, while probation officials objected to overlap with existing oversight for secure youth treatment facilities. The committee approved the measures it heard, with roll calls showing SB 989, SB 1089, SB 1309, SB 1284, SCR 7, and SB 995 all advancing out of committee, along with consent items and add-on votes.

Transcript Highlights:

• > a<00:14:52.720> forensicon basically becoming more a forensicon basically becoming more
• Those are the hospital level of care.
• And then of care during that 72 hours.
• Basically, they're not treatment.
• /c> you know basically waiting for a you know basically waiting for a determination<01:01:01.359>

Keywords: 912, senate, all

Summary: The briefing focused on the Hawaii State Hospital’s overcrowding, construction defects in the new addition, and how Act 26 and related court-ordered processes are affecting admissions and discharges. The chair said the hospital has become increasingly forensic-focused, has lost beds after the closure of Kahimohala, and may face further costs and possible litigation over the defective addition. Hospital and Department of Health officials said they are working with the attorney general and contractors on repairs, and that the hospital is currently using all 292 licensed beds, including 13 waiver beds, while average daily census last fiscal year was 376. Officials explained that the high census is driven by both increased admissions and discharge barriers. They said the loss of Kahimohala returned patients to the state hospital, and that Act 26-related petty misdemeanor cases are contributing to admissions. They also said limited lower-level placement options delay discharges. Hospital staff reported that many patients are repeat admissions, about 22% were unhoused before admission, and a significant share are in categories such as fitness-to-proceed evaluations and conditional-release violations. They said these groups could potentially be reduced if evaluations were done elsewhere and if more community or supportive housing were available. The chair and senators questioned whether some fitness-to-proceed detainees need to be held at the state hospital at all, and whether the Clark consent order requires transfer to the hospital. The attorney general’s office said the Clark injunction does not govern unfitness-to-proceed cases; instead, the requirement comes from state statute, and the statute could be changed. Director Johnson said DCR cannot keep such detainees because the court orders them into the custody of the Department of Health, and the department cannot provide the needed therapeutic level of care in a correctional setting. The discussion also emphasized co-occurring substance use and mental illness, especially among petty misdemeanor defendants, and the need for supportive housing and a decompression plan to reduce readmissions and free beds for civil commitments.

Transcript Highlights:

• <00:02:41.040> center Uh did the did the child care center Uh did the did the child care center
• actions to assist uh new child care actions to assist uh new child care centers<00:04:52.880>
• in child care and um she was trapped in child care and um she was trapped between<00:07:22.000> the
• Seeing none, Secretary, please call the roll. a directed plan of care uh but the a directed plan of care
• > child<00:14:02.000> care,<00:14:02.240> and restructure funding for child care

Keywords: 958, all

Summary: The Senate Standing Committee on Families and Children met for its first meeting, established a quorum, and took up Senate Bill 160, sponsored by Chair Danny Carroll, which would change child care regulatory enforcement. Carroll said the bill is intended to give the cabinet and OIG more discretion when responding to complaints or self-reported incidents, including considering a center’s policies, training, supervision, self-reporting, corrective actions, and history before issuing plans of correction, directed plans of correction, suspensions, or revocations. He also said the bill would provide new child care centers with more support during a six-month probationary period, including at least two support contacts, one in person, and limit violations during that period unless a violation was knowingly committed after clear instruction or posed an immediate threat to children. Members discussed the bill in the context of child safety and enforcement. Senator Frommeyer raised a personal tragedy involving her infant niece’s death in child care and asked about inspection frequency and how quickly unsafe conditions are corrected. Carroll responded that serious incidents would trigger immediate reporting and likely Child Protective Services involvement, while less severe issues could take longer; he said inspectors would direct centers to correct unsafe items and that emergency suspension could follow noncompliance. He also noted existing rules on baby bed replacement and mattress requirements. Frommeyer and other members said the bill struck a balance between protecting children and giving centers more time and guidance, especially smaller private centers that struggle with staffing and funding. After discussion, the committee called the roll and Senate Bill 160 received a favorable expression by a vote of 10-0. Carroll then previewed other child-focused legislation expected later in the session, including a bill addressing pediatric ingestion of illegal substances, a House child care bill, a child welfare omnibus bill, and a resolution related to the Dolly Parton Imagination Library. The committee then adjourned.

Transcript Highlights:

• Um, so, the bill basically is an attempt to open up competition in the health care system.
• Basically, it would both provide an incentive to the managed care organizations and to the patients for
• Basically, it would both provide an incentive to the managed care organizations and to the patients for
• Basically, it would both provide an incentive to the managed care organizations and to the patients for
• The subject matter is basically having the transition of long-term care into the managed care organizations

Keywords: 928, house, all

Summary: The Division 3 work session focused largely on amendment 1176 to HB 2, which would have incorporated the substance of HB 548FN, a House-passed bill creating a direct-pay or membership-based model for health care facilities. Representative Mlan described the proposal as a way to increase competition in health care by extending the direct-care model used in primary care to facilities, arguing it could encourage innovation and that concerns about widespread harm to critical access hospitals were overstated. He pointed to Oklahoma’s long-standing Surgical Center model as evidence that the approach had not spread broadly or displaced hospitals there. Several members and witnesses raised concerns. Representative Stringham questioned whether the model would shift profitable services and patients away from existing hospitals, potentially worsening their finances and affecting Medicaid-related funding. David Ross, speaking for county nursing homes, opposed the language because it also removed moratoriums on nursing home, skilled nursing, inpatient rehabilitation, and self-pay beds, warning that it could increase pressure on Medicaid rates and undermine community-based care. Ben Bradley of the New Hampshire Hospital Association said the proposal appeared to create a separate regulatory framework for direct-pay facilities and raised concerns about patient safety, CMS participation rules, and a separate patient bill of rights. The chair concluded that, because HB 548 was already moving through the Senate, the HB 2 process was not the best vehicle for the policy and that the issue should be left to the Senate’s more deliberative committee process. Representative Ferski moved to not accept or remove amendment 1176 from the agenda, and the committee approved the motion by roll call, 9-0, withdrawing the item from HB 2.

Transcript Highlights:

• They basically will breach across the age.
• If basically will breach across the age.
• <00:50:49.359> the talks about uh basically the talks about uh basically the understanding
• This prohibits care facilities.
• And so there were some care facility.

Keywords: 916, all

Transcript Highlights:

• Yeah, and obviously our budget is reflective of their care, maintenance, and their future.
• Yeah, and obviously our budget is reflective of their care, maintenance, and their future.
• In the past, it has been funded through philanthropy, basically.
• This pilot is about ensuring that the home care and child care workforce, who are predominantly women
• Gabrielle Chavez with UDW, representing over 225,000 home care providers and child care providers, is

Keywords: 987, senate, all

Summary: The Senate Budget Subcommittee on Education heard May Revision proposals covering higher education, including the Bureau for Private Postsecondary Education, the University of California, California Community Colleges, the California Student Aid Commission, UC College of the Law, San Francisco, and trailer bill reporting changes. For the Bureau for Private Postsecondary Education, the administration proposed a one-time $10 million General Fund backfill to repay a special fund loan taken to cover litigation costs, plus provisional language to adjust for a pending legal expense and to repay the loan without interest. The LAO opposed shifting costs to the General Fund and raised legal concerns about an interest-free loan under Proposition 26. Senators asked about whether the $10 million would cover the litigation and about the estimated $245,000 in interest savings. For UC, the May Revision maintained the Governor’s ongoing support and included budget language requiring campuses to grow by 2,968 California undergraduates in 2026-27. UC also sought $1.5 million in one-time General Fund support for the First Star foster youth program. UC described strong outcomes for the UCLA program, while the LAO recommended rejecting the new spending because UC already has overlapping outreach programs, including the Early Academic Outreach Program, and because the need for new state funding was not clear. Senators debated whether the proposal duplicated existing services and discussed the program’s reported college-going and completion rates. The committee also heard a request for $1 million ongoing General Fund for UC College of the Law, San Francisco, to maintain campus safety services; the college described its shared-campus model and public-interest mission, while the LAO noted the college was also raising tuition and that the proposal would maintain, rather than expand, current security spending. The committee then reviewed community college proposals. Finance outlined a larger May Revision package centered on a 4.31% SCFF COLA, enrollment growth funding, categorical COLAs, a one-time Adult Learner Demonstration Project allocation, deferred maintenance, and other ongoing and one-time items. The Chancellor’s Office supported the package but asked for more enrollment growth funding, a higher growth rate, and additional policy changes. The LAO recommended at least funding the statutory 2.87% COLA, then considering whether to redirect remaining funds to enrollment growth, categorical COLAs, or one-time priorities; it recommended rejecting the Adult Learner Demonstration Project. Senators questioned the use of the discretionary COLA to cover paid pregnancy disability leave, the impact on hold harmless and basic aid districts, and whether the state should instead create a separate categorical. The Chancellor’s Office and Finance said the COLA approach was intended to provide flexibility, though Finance said it was open to further discussion about districts that would not receive direct funding. For student aid, Finance described May Revision changes to Cal Grant and the Middle Class Scholarship, including a one-time reduction tied to lower estimated costs and a later true-up, as well as proposals for the Golden State Teacher Grant Program and implementation of the federal Workforce Pell program. CSAC supported the financial aid investments but urged more time and clearer implementation planning for Workforce Pell, noting the need for state approval processes, data linkages, and likely ongoing administrative workload. The LAO recommended rejecting additional Golden State Teacher Grant funding and cautioned that the Workforce Pell trailer bill and one-time funding were premature given the new federal rules and unclear workload. Senators also raised concerns about the Middle Class Scholarship reduction, the need to support students facing higher living costs, and the decline in CADA/DREAM Act applications, with CSAC saying the drop did not reflect reduced need and that outreach should be strengthened. The final item was a set of technical trailer bill changes to shift some UC, CSU, and community college reporting from annual to biennial and consolidate reports; Finance said there were no programmatic changes.

Transcript Highlights:

• And basic program integrity measures.
• , send it back to the managed care organization.
• , send it back to the managed care organization.
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• <00:36:17.200> it's powers was that basically it's powers was that basically it's duplicative

Keywords: 918, senate, all

Summary: Senate Republican leaders held a press event to roll out a package of anti-fraud proposals focused on state welfare and human services programs. Mark Johnson opened by citing recent fraud scandals, including a shuttered housing program and reports of vulnerable adults being left without care while providers billed for full services, and said Republicans want top-down reform, stronger accountability, new technology, and tighter oversight of taxpayer dollars. Michael Kreun said Republicans support an independent Office of Inspector General and argued the Senate-passed bill should not be weakened in the House; he also said the Senate should restore its role in confirming agency commissioners, especially at DHS, which he described as central to the fraud problem. Jordan Rasmusson outlined a plan to stop “blank checks” for DHS and DCYF services by requiring legislative audit review when a program exceeds budget by 5 percent and legislative approval for additional spending at 10 percent over budget. He also said DHS should adopt basic integrity tools such as electronic visit verification and client sign-off. Steve Drazkowski described two bills: a statewide “do-not-pay” list to block payments to ineligible people or entities, and an “I’m Not a Robot” proposal for Medicaid managed care that would require enrollee verification forms, with a 2 percent payment withhold used to encourage compliance and potentially fund county system upgrades. Mark Krueger said the state should improve technology and data use for eligibility determinations, citing other states’ rapid fraud-fighting systems, and proposed penalties for false reporting to the Legislative Auditor after a DHS audit found falsified site-visit records. Steve Gruenhagen said his bill would require DHS and DCYF to resume annual fraud-prevention and oversight reports to the legislature, which he said had stopped after 2017 despite rising fraud cases. Michael Holmstrom proposed unannounced site visits for all DHS and DCYF providers before enrollment, reenrollment, and revalidation, funded through provider service fees, and cited a recent case involving a woman with autism who was billed for far more care than she received. In the Q&A, Kreun said House Democrats’ delete-everything amendment to the inspector general bill removed the law enforcement division and stripped the bill of its “teeth,” and he suggested the governor’s office may have been involved in efforts to replace the bill with a weaker coordination council model. No votes were taken in the press conference.

Transcript Highlights:

• You can also see MA basic care.
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Keywords: 1187, senate, all

Summary: The committee convened for an opening discussion of the 2025 Human Services session, with members emphasizing bipartisan collaboration, the committee’s mission to strengthen support systems for Minnesotans, and a focus on helping vulnerable people thrive. The chair and members welcomed new and returning senators and staff, including new pages and interim committee administration, and several members briefly introduced themselves and their backgrounds in public service and human services work. Members identified the main issues they expect to address this session: workforce shortages in human services professions, long-term care, program integrity, and efforts to limit waste, fraud, and abuse so funding reaches people who need it most. The chair also previewed upcoming hearings on eligibility and redeterminations for people with disabilities, MnCHOICES reassessments, assisted living and provider payment delays, and updates on direct care and treatment, noting that more detailed discussion would come in later meetings. The committee then received a budget overview from fiscal analyst Kyle Raymond. He explained the combined Health and Human Services budget area, noted jurisdiction changes tied to the creation of the Department of Children, Youth, and Families and the planned separation of Direct Care and Treatment, and said some figures may differ from the November forecast because of those shifts. He outlined the major funding sources for the budget area, including federal funds and the general fund, and said the presentation would focus on the fiscal year 2026-2027 budget the legislature will be considering.

Transcript Highlights:

• , which means we're basically budgeting to say we might be using the most expensive type of child care
• care.
• child care home in Alameda County, infant care is already above the cost of care.
• For infant care? For a large family child care home.
• Basically what it means is the pot will be bigger to distribute across the cost-of-care-plus payments

Keywords: 987, senate, all

Summary: The committee heard a lengthy budget and policy discussion on child care, child welfare, and related early education issues, beginning with child care funding and slot utilization. Department of Social Services officials outlined the Governor’s proposed 2026-27 child care budget, including $6.8 billion for child care programs, an $11.5 million Prop. 64-funded disaster repair mini-grant program for licensed facilities affected by 2025 disasters, and projected reductions tied to federal CCDF formula changes and lower Prop. 64 revenues. DSS said the reductions could mean about 4,176 CCTR slots, but emphasized they were assessing how to absorb the cuts without disrupting children currently in care. The LAO supported aligning funding to lower revenues and asked for more detail on the disaster grant program. Senators pressed the department on why so many slots remain uncontracted or unfilled, why unspent funds revert to the General Fund, and whether more flexibility could move dollars from contracts to vouchers; DSS said delays are largely due to infrastructure, licensing, staffing, and enrollment ramp-up, and that it is working on readiness reviews, technical assistance, and possible reallocation of relinquished slots. The committee also discussed Emergency Child Care Bridge reallocations among counties and confirmed that no currently enrolled children would be disenrolled under the proposed slot reductions. A second panel focused on the state’s broader commitment to expand child care and reform reimbursement rates. DSS said California has nearly doubled child care funding in five years and increased monthly children served from about 294,100 in 2019-20 to more than 366,700 currently, while also advancing the single rate structure process through the alternative methodology and a joint labor-management committee report. Stanislaus County Office of Education described local shortages, especially for infant and toddler care, and argued that rate disparities between programs make it harder to sustain mixed delivery systems. Parent Voices California testified that the current system is confusing, unstable, and inequitable, with one speaker describing repeated paperwork burdens, waiting lists, and periods of homelessness while trying to maintain child care. The California Budget and Policy Center argued that only 16% of eligible children were enrolled in 2024, that Universal TK has drawn major resources into school-based care, and that providers remain paid far below the cost of care; it urged more revenue, faster rate reform, and expansion across the mixed delivery system. The LAO estimated that aligning CCTR adjustment factors for three-year-olds and children with disabilities with CSPP would cost $88 million to $131 million ongoing. Senators and staff also discussed the need for deadlines on automation and implementation of the single rate structure, with DSS and CDE noting that policy decisions, system changes, and collective bargaining issues are still being worked through. The committee then reviewed several child care trailer bill proposals. DSS proposed applying the 2026-27 COLA as an increase to cost-of-care-plus payments rather than as a traditional COLA, with $87.8 million General Fund initially proposed; DSS later acknowledged it had omitted CalWORKs Child Care and the Emergency Child Care Bridge from the calculation and said the amount would be revised upward. The LAO recommended making the COLA treatment uniform across child care and state preschool programs. DSS also proposed replacing the market rate survey with the federally approved alternative methodology survey on a triennial schedule, limiting temporary absences for licensed family child care homes to 20% of care hours in a month, defining excessive unexplained absences as more than 30 days in a 12-month period, and aligning family fee collection so contractors collect the fee without reducing the voucher value. The department said these changes are intended to bring state law into compliance with federal requirements and to better reflect current practice. Finally, the committee discussed the Early Childhood Policy Council, including a reappropriation of previously unused funds and a new reporting requirement under AB 563; members questioned staffing needs and whether existing contractor support could absorb the work, while DSS said the funds are used for stipends, facilitation, translation, and contract oversight and may still be needed as participation patterns change.