Transcript Highlights:

• of uncompensated care, which had cost impacts across the health care system.
• care system.
• care system.
• care system.
• care system.

Keywords: 1189, house, all

Summary: The House Finance Division 3 work session continued its review of the Department of Health and Human Services’ Medicaid budget and related policy issues, with CFO Nathan White and Medicaid Director Henry Litman presenting updated materials. The discussion focused on a crosswalk between the adjusted FY 2025 Medicaid budget and the governor’s FY 2026 recommendation, plus handouts showing service additions, eligibility changes, dental rates, and other Medicaid changes since 2019. The department also said it would provide a clearer breakdown of the pharmacy cost-sharing item by general, federal, and other funds. Members asked detailed questions about the Medicaid enhancement tax, the 80% plan, and how funds are allocated between hospital payments, directed payments, and DSH uncompensated care. The department explained that the MET is being used more toward rates and directed payments to better align with federal matching rules, while DSH remains important for uncompensated care. They also noted that a pending Senate Bill 249 would keep the 80% structure and move to Senate Finance. On the trigger law, the department identified the governing provision as Chapter 342:12, Laws of 2018, and explained that if the federal match for Medicaid expansion falls below 90%, the state must notify legislative leaders and participants and the program would sunset after 180 days unless the legislature acts. The committee also reviewed current Medicaid expansion enrollment and program trends. Officials said enrollment was just under 59,000 as of March 3, with about 87,000 people enrolled over the past year and more than a quarter-million residents having used the program over its lifetime. They said enrollment has fallen from a post-pandemic high of nearly 97,000 and may eventually settle in the low 50,000s. Finally, the department discussed federal DSH funding risk, saying New Hampshire could face a significant reduction if Congress does not extend current protections, which is part of why the state has shifted more funding toward payment rates and directed payments.

Transcript Highlights:

• The last part is basically an updated regulation to HMOs.
• The last part is basically an updated regulation to HMOs.
• The last part is basically an updated regulation to HMOs.
• responsible Pet Care responsible Pet Care Community<00:27:56.120> thank<00:27:56.519>
• there so I guess we want to be careful there so I guess we want to be careful how<00:38:11.280><

Bills: HF2543, HF2566, HF2627

Keywords: garnishment, wage garnishment, earnings levy, bank levy, execution, judgment debtor, judgment creditor, exemption notice, exempt property, bank account freeze, financial institution levy, employer disclosure, garnishee, writ of execution, debt collection, consumer debt, collections, bankruptcy exemptions, public benefits, means-tested benefits

Transcript Highlights:

• We are proud that SEIU member child care providers at home-based care and center-based care have the
• I'm proud that SEIU member child care providers at home-based care and center-based care have the opportunity
• health care access.
• basic needs like food.
• health care for all.

Summary: The Select Committee on Latina Inequities met at Los Angeles Mission College in Sylmar, hosted by Assemblymember Celeste Rodriguez and joined by Assemblymember Mia Bonta. Rodriguez opened by framing the committee’s work around the economic status of Latinas and the effects of federal policies on the economy and social safety net, while the college president welcomed the committee and described campus services for undocumented and housing-insecure students. Rodriguez also emphasized the local impact of immigration enforcement in the San Fernando Valley and said the hearing would focus on Latinas’ economic conditions, immigration enforcement impacts on the workforce and safety, and H.R. 1’s effects on the safety net. The first panel featured HOPE’s Maria Morales and Dr. Elsa Macias, who presented findings from HOPE’s National Economic Status of Latinas report. They said Latinas are a major and growing part of California’s population and workforce, but face persistent inequities, including a large wage gap, higher unemployment, high uninsured rates, student debt, and affordability pressures around child care, housing, and education. They also discussed entrepreneurship, noting both the growth of Latina-owned businesses and barriers such as limited access to capital, technical assistance, and retirement and health coverage. In response to committee questions, they said higher education can still offer a strong return on investment, but only if students can complete degrees without being overwhelmed by debt and care costs; they also pointed to policy solutions such as SB 642, mentorship, financial literacy, CalSavers access, and support for community development financial institutions. The second panel focused on immigration enforcement and Latina safety in the workforce. Luis Nolasco of the ACLU described arrests tied to apparent ethnicity and Spanish-speaking, the chilling effect on families, and the loss of wages, school attendance, and mobility. Dr. Amada Armenta said immigration enforcement harms California’s economy, public health, and mixed-status families, and noted that undocumented workers are concentrated in agriculture, construction, and child care. SEIU’s Jen Baca Beltran said raids and school-based enforcement traumatize children and families and highlighted the need for Know Your Rights trainings. Megan Ortiz of IDEPSCA described repeated Border Patrol raids on day labor centers, injuries to staff, and the need to protect worker centers, domestic workers, and street vendors. Inclusive Action’s Shannon Camacho said raids have forced many informal workers to stop working, prompted emergency cash assistance and rent relief efforts, and strengthened advocacy for vendor protections and CDFI support. CHIRLA’s Jeanette Zanipatine said the rapid response network has expanded, documented widespread arrests and detention conditions, and is providing direct support and legal referrals; committee members asked about detention, maternal health, and what the state can do, and panelists urged stronger oversight, more legal representation, and protections for pregnant and detained people.

Transcript Highlights:

• Basically some of the highlights. I he's correct.
• care treatment and serve a larger number of patients.
• And it's also to help with the continuation of care continuum of care, and it helps families such as
• It basically this local, a product that became available and then chilly vastly basically this is the
• This art that is given at an inpatient emergent care.

Transcript Highlights:

• So, basically, supportive of the bill, but had questions about some of the details.
• Sutter Health is a nonprofit health care system, nationally recognized for the quality of care that we
• We are investing heavily across our service area to maintain access to care by reimagining existing care
• And I think access to care is one of the most vital things our communities need.
• Our institutions are premier institutions that are basically guaranteed.

Summary: The committee first established a quorum, adopted the consent calendar for SB 423 and SB 581, and then heard a series of bills, most of which were presented as streamlining or safety measures tied to transportation, climate, public lands, health care, and higher education. SB 71 by Senator Wiener would extend and expand a CEQA exemption for sustainable transportation projects, adding modes such as microtransit, paratransit, shuttles, and ferries, while also accepting committee amendments that narrowed a Tier 4 diesel rail provision, restored existing right-of-way language with utility protections, and set a new sunset date. Support came from transit agencies, local governments, and advocacy groups; some members raised concerns about the diesel rail language and possible interactions with housing-related legislation, but the bill advanced on a due pass vote as amended. The committee then heard SB 614 by Senator Stern on carbon dioxide pipeline safety. The bill would direct the State Fire Marshal to adopt safety standards for intrastate CO2 pipelines, building from federal draft rules and adding state discretion and possible enhanced protections such as planning zones and more detailed exposure modeling. Supporters argued California needs to fill a federal regulatory gap to advance carbon capture and climate goals, while environmental justice and conservation groups opposed unless amended, citing risks from CO2 leaks and asking for stronger siting restrictions and more specificity. The bill passed on a due pass vote to Appropriations, with members noting the need for continued work on the safety provisions. Senator Arreguín also presented SB 304, which would temporarily lift public trust use restrictions on specific land at Jack London Square to allow the Port of Oakland more leasing flexibility under conditions and annual reporting. The measure was described as a limited, time-bound effort to address high vacancy and revitalize the waterfront, and it drew support from Oakland city and county representatives with no opposition in the room. The committee then approved SB 304 on a due pass vote. Arreguín’s SB 830 followed, creating CEQA streamlining for Sutter Health’s new Emeryville hospital campus and designating the City of Emeryville as lead agency; supporters said it would preserve East Bay hospital access before seismic deadlines, and the bill passed with broad support and no opposition. Finally, Senator Caballero presented SB 486, a higher education planning bill intended to align UC and CSU enrollment growth with regional sustainable communities plans and to remove the need to analyze a no-project alternative in certain long-range development plans. Supporters said the bill would better integrate university enrollment forecasting into regional planning, while opponents warned that eliminating the no-project analysis could weaken accountability for housing and infrastructure impacts around campuses. Committee members expressed mixed views and asked for further clarification, but the bill was moved out on a due pass as amended vote to Appropriations. The transcript then shifted to SB 629, a fire response and rebuilding bill, with the author describing amendments to apply fire safety requirements in wildfire-burned areas, update fire mapping, and require annual defensible space inspections, though the discussion was cut off before any final action was shown.

Transcript Highlights:

• Yeah, basically available funding.
• Yeah, basically available funding.
• Basically go back to the way it came to us from the Senate.
• And so, And, you know, with the PPO plan and the basic plan that's currently there, the basic plan is
• . ...was that young people consume less health care.

Keywords: 908, all

Summary: The committee met to consider four policy bills and discussed a possible later return to handle DOCR amendments and budget work. They first took up HB 1327, funding for the Agricultural Diversification and Development Fund, and adopted an amendment striking language that would have capped up to $10 million for agricultural infrastructure grants to political subdivisions. The bill was then passed as amended on a 22-0 vote, with Rep. Belts assigned as carrier. Next, the committee considered SB 2256, the Research Technology Park grant. Rep. Stemen offered an amendment reducing the appropriation amounts from the original figures to $10 million and $5 million levels, citing available funding; the amendment passed 19-3. The bill then passed as amended 22-0, and Rep. Stemen agreed to carry it. The committee then debated SB 2093, which combined a retired peace officers/surviving spouses benefit with an added income tax reduction. Rep. Munson moved to remove the income tax portion, and the committee agreed 17-4. The remaining peace officer benefit portion was then passed as amended 21-0, with Rep. Kempenich carrying it. Finally, the committee considered HB 2160, changing the state health plan from grandfathered to non-grandfathered status. Members discussed cost shifting, employee retention, out-of-pocket exposure, and the updated fiscal note; the committee adopted an amendment updating the appropriation figures to match the current PERS/Deloitte analysis, then passed the bill as amended 15-7-1, with Rep. Worry originally the carrier.

Transcript Highlights:

• Basically, positions within the OMCCR.
• Um the basically it is insurance Um the basically it is insurance coverage<02:18:35.679> for<02
• > directives advanced healthc care directives advanced healthc care directives advanced<02:22:
• advanced mental health care directives. advanced mental health care directives.
• It basically modernizes our advanced health care directives and mental health care directives that we

Keywords: 910, house, all

Transcript Highlights:

• So when I was in foster care, I was disempowered at every turn.
• So when I was in foster care, I was disempowered at every turn.
• Extended foster care is a specialized program.
• It's specifically for those young adults who turned 18 while still in foster care.
• educational situations, and improve health care access.

Summary: The Assembly Committee on Human Services heard and advanced a series of foster care, benefits, housing, and poverty-related bills. AB 373 would require appointed counsel for nonminor dependents in dependency proceedings to represent the young adult’s expressed wishes rather than substitute counsel’s judgment; supporters said it would respect autonomy for foster youth ages 18 to 21, and the bill passed 4-0, later updated to 6-0 and then 7-0 as absent members were added. AB 42 would exempt merit-based scholarships, grants, loans, and fellowships from income calculations for CalWORKs and CalFresh and align the two programs’ exclusions; student and anti-poverty advocates said it would prevent students from losing benefits when they pursue education, and it passed 6-0, later updated to 7-0. AB 534 would encourage transitional housing providers serving foster youth to move from leasing to owning properties by extending contract terms and improving access to financing; witnesses said ownership would improve stability and reduce landlord barriers, and it passed 4-0, later updated to 7-0. AB 562 would require counties below the state average for family placements to use a family-finding checklist and best-practice support; supporters emphasized family-first placements for foster youth, and it passed 6-0, later updated to 7-0. AB 661 would direct the Department of Social Services to develop an implementation plan for a permanent statewide guaranteed basic income program; supporters described positive results from pilot programs and the bill passed 5-2, later updated to 7-0. The committee also approved a consent calendar of additional bills, all without opposition.

Transcript Highlights:

• <00:39:46.960> person<00:39:47.440> or of care uh like a child care person or of care
• criminal negligence standard, basically criminal negligence standard, basically it's,<01:00:33.359
• <01:10:28.880> a basically you're aware it's basically a basically you're aware it's basically
• <01:11:38.560> to<01:11:38.719> you, care, whose care is entrusted to you, care, whose
• sufficient to take care of that? sufficient to take care of that?

Keywords: 1189, house, all

Transcript Highlights:

• Right now, too many Texans are being denied the basic essential health care that they need, simply because
• But the Care No Matter What Act is the solution.
• Health care is a basic deliverable under our Texas Constitution.
• health and limiting access to that care.
• Perolale care no matter what.

Transcript Highlights:

• These are much lower care settings. They don't require intensive care.
• Um, personal care homes are of care.
• for<00:09:47.040> the personal care homes that cared for the personal care homes that cared
• care for.
• As owners of 16 personal care care for.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services heard a presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults with serious mental illness who do not qualify for nursing home care but need structured support, medication assistance, meals, housekeeping, transportation, and supervision. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and rely on a state supplementation rate of about $50.70 per day, which they argued no longer covers operating costs because of rising food, labor, insurance, and maintenance expenses. The presenters said the sector has shrunk significantly over time, citing a drop from 64 homes in 2002 to 34 today among the homes serving this population, with 30 closures over 23 years and two more closures since August. They argued that the closures have contributed to homelessness, hospital overcrowding, and longer stays in psychiatric hospitals, and they gave examples of residents who had spent many months in hospitals before stabilizing in a personal care home. One provider also described spending more than $800,000 on capital improvements after acquiring Kentucky facilities and said reimbursement is too low to sustain safe operations. They asked for an incremental reimbursement increase over two years and said they have also proposed an assisted-living model for people with mental illness. Members asked about staffing, reimbursement, and the number of people still needing placement. The presenters said there is no requirement for licensed or certified staff in these facilities, though some homes use medication technicians and occasional LPNs. They estimated they are currently serving about 2,000 residents and said they receive roughly 30 referrals for every one person admitted, with many referrals involving people whose needs exceed the personal care home level. Senator Meredith and Representative Fleming said any funding request would need documentation of savings and corresponding budget offsets, while Representative Duval expressed support and asked about possible staffing and program improvements. The witnesses also compared Kentucky’s flat-rate reimbursement to a more individualized reimbursement model in Minnesota, saying a needs-based system would better match staffing and reduce hospitalizations.

Transcript Highlights:

• If they go from uncompensated care.
• <00:14:12.480> spiral uncompensated care, it's a spiral uncompensated care, it's a spiral
• payroll mix being uncompensated care. payroll mix being uncompensated care.
• But we have a the basic firefighter.
• c> relief,<01:33:33.040> general basically, if we had relief, general basically, if we had

Keywords: Appropriations - Room 210; 22 January, 2026: 1:30 PM, 925, all

Summary: The meeting began with a budget presentation from the insurance commissioner’s office. The commissioner said most of the request was for personnel costs, including an increase above LBO and two additional IT positions tied to a possible conversion to a state-based system and cybersecurity needs. The office also discussed travel costs, contractual expenses, vehicle replacement, and hurricane mitigation funds, noting that some funds are in trust accounts and require legislative authority to spend. The commissioner also briefed members on possible policy changes affecting the ACA exchange and a proposed low-cost plan for the high-risk pool, warning that if coverage options are not developed, more people could shift into uncompensated care. Members asked about the budget request, the IT positions, and a constituent question about propane meter regulation, which the commissioner said falls under the Department of Agriculture and Commerce, though his office sometimes checks related issues informally. The committee then moved to the State Fire Academy hearing. The academy director described a workforce stabilization proposal focused on retaining and recruiting fire instructors, citing competition from local fire departments that pay more, a shrinking applicant pool, and a growing number of retirement-eligible staff. He said the academy’s instructors are being recruited away by municipalities, that recent applicant pools have produced very few qualified candidates, and that the academy may soon have to cut advanced courses if staffing does not improve. He referenced a State Personnel Board review that supported the need for compensation changes and said the academy is trying to remain competitive while continuing to train firefighters, hazmat responders, EMS personnel, and fire officers statewide. No formal votes or legislative actions were taken in the portion provided. Members mainly asked questions, requested written follow-up on some budget items, and indicated they would work with the agencies later in the session if pending bills or funding needs changed.

Transcript Highlights:

• Basically, this is a problem.
• and the health care industries.
• That's basically what it does.
• That's basically what it does.
• care, we must do what's right.

Bills: HB2072, HB2251, HB2279, HB2308, HB2323, HB2342, HB2400, HB2408, HB2456, HB2660, HB2697, HB2868, HB2873, HB2877, HB2910, HB2946, HB2955, HB2991, HB4001, HB4010

Keywords: Cesar Chavez, public holiday, state law, holiday repeal, Arizona Revised Statutes, midwifery, medication administration, healthcare, patient safety, advisory committee, licensed midwives, river trips, liability, outfitter, Grand Canyon, negligence, risk management, contractual waiver, dental practice, business registration

Summary: The committee first heard House Bill 2308, which would prohibit dental insurers and their holding companies from owning dental practices or other businesses regulated by the Arizona Board of Dental Examiners. The sponsor and Arizona Dental Association argued the bill is meant to prevent vertical integration and payer control over provider care, while Delta Dental of Arizona opposed it, saying the measure would block nonprofit insurers from investing in clinics for indigent care and create regulatory burdens. After discussion about private equity ownership in dentistry and whether nonprofit insurers should be exempted, the committee voted 7-0 to give HB 2308 a do pass recommendation. The committee then took up House Bill 4001, as amended, which creates a licensing and enforcement framework for alternative nicotine products beginning in 2028, restricts youth-targeted marketing, and increases penalties for selling to minors or manufacturing/distributing without a license. Supporters, including the sponsor, Border Security Alliance, and industry representatives, said the bill would improve supply-chain transparency, curb illegal products, and strengthen youth access enforcement. Opponents, including the American Cancer Society Cancer Action Network, argued the bill should instead create a full tobacco retail licensing system and include broader nicotine definitions, while also warning that enforcement resources would be insufficient. The committee adopted the amendment and then approved the bill 6-1. House Bill 2873, as amended, was also approved unanimously. The bill allows a person or organization that files a city or town referendum petition to withdraw it before it qualifies for the ballot, with retroactive application to withdrawals filed beginning January 1, 2026. The committee then heard House Bill 2408, which revises Arizona Board of Nursing complaint procedures, confidentiality rules, investigation timelines, expungement authority, and board oversight of nursing education programs. The sponsor said the bill responds to long-standing audit findings and aims to improve fairness and timeliness, while nursing board officials opposed provisions affecting education oversight and warned about patient safety, costs, and liability. Nurses and other supporters described delayed investigations and the need for expungement relief. The committee adopted the amendment and passed HB 2408 on a 5-2 vote. Additional bills heard included House Bill 2342, which limits HOA restrictions on backyard shade structures and related installations; it passed 7-0 after supporters described a family hardship case and committee members criticized HOA overreach. House Bill 2323, which extends Arizona’s motor vehicle lemon law protections to lessees, also passed unanimously after testimony from the sponsor, attorneys, and a consumer describing repeated repair failures on a leased vehicle. The committee also began hearing House Bill 4010, which would establish a Board of Genetic Counselors under the Arizona Board of Osteopathic Examiners and set licensure and disciplinary rules, but the transcript ends before any final action on that bill.

Transcript Highlights:

• with that, it just it impacts basically with that, it just it impacts basically every<00:04:10.720
• often you know kind of you know do basic often you know kind of basic<00:04:58.160> things<00
• Um so a have the care that they need.
• Our health care access care are great.
• And I am profits instead of care.

Keywords: 1187, senate, all

Transcript Highlights:

• telemonitoring program to provide information regarding dementia care and best practices to health care
• The grant is to train health care providers on dementia care and best practices.
• The grant is to train health care providers on dementia care and best practices.
• care providers statewide.
• The grant is to train health care providers on dementia care and best practices.

Keywords: 1182, all

Summary: The meeting covered a long series of bills, mostly in health, education, commerce, federalism, and government. In health, members discussed radiology technology updates (HB 2050), a tribal Medicaid waiver/drawdown measure with no state cost (HB 2177), an emergency medicine study committee (HB 2183), fetal death certificate and remains-transfer requirements (HB 2184), a physician assistant licensure compact (HB 2190), dementia care telemonitoring funding (HB 2202), SNAP error-rate reduction and fraud/eligibility oversight bills (HB 2206, HB 2442, HB 2797), child welfare protections like credit freezes and recorded interviews (HB 2321, HB 2322), and podiatric licensure compacts (HB 2438). Several of these were described as consent-calendar items, while HB 2206 and the SNAP-related measures drew discussion about fraud reduction, administrative burden, and work requirements. In commerce and finance, the committee heard bills on mobile food vendors and local permits (HB 2118), earned wage access services with fee caps and disclosure rules (HB 2309), CPA licensure changes (HB 2476), cash acceptance for retail purchases under $100 (HB 2555), drone delivery and unmanned aircraft guardrails (HB 2875), timeshare salesperson licensing (HB 2877), and a prohibition on state-mandated social credit scoring in lending decisions (HB 2903). The tax and retirement-related items included 529 plan conformity and Roth IRA transfer rules (HB 2477), annual tax conformity to the Internal Revenue Code (HB 2785), ASRS technical and disability-related changes (HB 2089, HB 2090, HB 2092), and a bill on employee health insurance definitions (HB 2089). The Arizona Commerce Authority bill (HB 2754) would add legislative members to the board and shift more control over trade offices and Arizona Competes Fund spending to the legislature. The education section focused heavily on school governance and finance. Bills included patriotic youth group presentations in schools (HB 2312), school board term limits (HB 2318), mandatory training for governing board members (HB 2379), independent municipal advisors for bond elections (HB 2320), restrictions on districts buying operating charter/private school sites to game enrollment formulas (HB 2376), conflict-of-interest limits for school facilities board architects and engineers (HB 2378), public meeting and travel transparency rules for districts (HB 2380), limits on long-term school property leases and reporting requirements (HB 2384), tighter bidding rules for school construction job orders using Building Renewal Grant funds (HB 2482), and a voluntary computer science proficiency seal (HB 2764). Sponsors repeatedly framed these as transparency, accountability, and anti-abuse measures, while some opposition centered on local flexibility, housing use, and existing training providers. In federalism and government, the committee heard bills to give counties more time to mail sample ballots (HB 2006), require courts to identify veterans at first appearance for possible veterans court referral (HB 2226), study veterans’ awareness of benefits (HB 2406), broaden military leave protections (HB 2663), require SAVE verification for voter registration and certain state services (HB 2806), require U.S.-sourced voting machine components by 2029 (HB 2901), affirm the Electoral College (HB 2902), and establish due process protections for justice of the peace courts against outside administrative action (HB 2976). Government committee items included a later deadline for library trustees’ annual reports (HB 2129), a two-year limit on certain adult protective services reports to the Attorney General (HB 2228), and an exemption for public and semi-public cold plunges from ADEQ spa rules (HB 2439). Several bills were reported as consent-calendar items, and a number of sponsors noted committee votes, fiscal neutrality, or favorable testimony in support of the measures.

Transcript Highlights:

• <00:33:12.720> I care. Those are leaving anything out. I care.
• from that child care provider.
• from that child care provider.
• from that child care provider.
• have an elderly parent to take care of. have an elderly parent to take care of.

Keywords: Public Health and Welfare - Room 216, 21 January, 2026; 3:30 PM, 925, all

Summary: The committee first took up House Bill 3, a certificate-of-need measure that had passed last year but was vetoed by the governor because of one objectionable provision. The chair explained that the House had just passed the bill unanimously and urged quick Senate action so it could be sent to the governor again. He said the bill is intended to restore the prior law, with the main policy focus on rural hospitals and other future certificate-of-need changes. A question was raised about language affecting the University of Mississippi Medical Center’s academic exemption; the chair said the intent was to preserve the teaching hospital’s core exemption around its main campus while requiring certificate-of-need review for facilities it operates elsewhere, and the committee then voted title sufficient, due pass. The committee then considered Senate Bill 2476, requested by the Board of Pharmacy. Senator Hill explained that it would let licensed pharmacists self-report substance abuse or mental health issues and enter treatment before disciplinary action, similar to programs already available for nurses and with comparable provisions for physicians and dentists. Board representatives said participants would have to stop practicing until cleared, and that failure to comply would trigger discipline; the bill was described as an alternative to professional discipline, not immunity from criminal law. After questions about definitions and how many times a person could use the program, the committee voted title sufficient, due pass. The meeting concluded with an informational presentation from Mr. Anderson on child care funding and program operations. He said the state used ARPA funds during the pandemic to support child care certificates and providers, but those funds were exhausted, leading to a pause and a waiting list of about 20,000 families; the program currently serves about 18,000 children. He said the department is continuing $15 million in state support, is converting 30% of the TANF state assistance grant to child care, and is exploring additional TANF direct-assistance options, though cautiously because the state has not done that before. He also discussed child care tax credits, employer-based child care, and efforts to expand capacity through provider support and technical assistance.

Transcript Highlights:

• We also have large areas that are only covered by basic life support ambulances, so when advanced care
• <00:52:06.319> life pain management uh that basic life pain management uh that basic life
• level of care if needed.
• level of care if needed.
• Those are our certified child care providers and our licensed child care providers.

Keywords: 1187, senate, all

Summary: The Health and Human Services Finance and Policy Committee met on February 6, 2025, for an update on emergency medical services (EMS) policy and implementation. Senator Seberger described the work of the EMS Task Force, which traveled statewide to hear concerns from providers about staffing, reimbursement, and retention. She said the task force led to the Sprint Medic model and two innovation zones in Otter Tail and St. Louis counties, and she urged continued monitoring and possible reconstitution of the task force to evaluate what is working and what could be expanded statewide. She also said future EMS work should continue to explore alternative response models and telemedicine, but that the most immediate need is additional funding, especially to address unpaid non-transport calls. Dylan Ferguson, director of the newly formed Minnesota Office of Emergency Medical Services, gave a detailed update on the office’s structure and priorities after the transition from the Emergency Medical Services Regulatory Board. He described the office’s three divisions, the appointment of deputy directors, the first meetings of the advisory councils, and work on a statewide EMS strategic plan. He also reviewed the $24 million emergency ambulance aid program, explaining its 40-40-20 formula, the emphasis on rural services, the reporting and spending deadlines, and the positive response from ambulance providers. He noted that the $6 million Sprint paramedic grant program is underway, with Otter Tail County moving forward and St. Louis County still finalizing its application. Ferguson also outlined the office’s budget request for modest staffing and contract-cost increases, two rulemaking efforts to update outdated ambulance vehicle standards and expand medication options for basic life support services, and ongoing data collection on workforce needs, violence against EMS providers, and ambulance crashes. He highlighted the paramedic scholarship program administered by the Office of Higher Education, saying nearly 300 scholarships have been awarded. Members and Senator Seberger praised the EMS reforms and emphasized that non-transport calls create significant unreimbursed costs, especially for rural and volunteer services, but no votes or formal committee actions were taken during the meeting.

Transcript Highlights:

• to sustain ourselves for each fiscal year. the care the most um the other part part the care the most
• expenditures are going to be basically expenditures are going to be basically about<00:32:37.679
• Another ask is that Alternative Care site for the low-level folks who may not need that level of care
• Because you're talking about the community care foster care homes as well as the adult residential care
• <02:11:27.639> foster<02:11:28.040> care about the community care foster care about

Keywords: 912, senate, all

Summary: The joint Ways and Means and Health and Human Services committees heard Hawaii Health Systems Corporation’s biennium budget request, with testimony from HHSC leadership on the Hilo/Big Island region (HTH 212) and the Oahu region (HTH 215), plus discussion of capital improvement projects and systemwide partnerships. HHSC described its role as the rural healthcare safety net, serving a high share of Medicare, Medicaid/Quest, and uninsured patients, and said its costs are elevated by state employee fringe benefits, which it said are about 64% compared with roughly 30% in the private sector. HHSC also said pandemic-era federal aid, including relief funds and PPP loans totaling about $100 million, reduced the need for general fund support in prior years. For HTH 212, HHSC said its general fund request for fiscal years 2026 and 2027 was higher than the governor’s recommendation because of rising insurance, pharmaceutical, and contractor labor costs, and because it includes $13.2 million in FY 2026 and $2.3 million in FY 2027 for Epic electronic medical record implementation in East Hawaii. For HTH 215, HHSC said the requested general funds were aligned with the governor’s recommendation, in part because of increased Medicaid reimbursement rates for long-term care facilities under prior legislation. HHSC also said it was restoring a special fund ceiling so the region could spend its cash collections on operations. Members asked about the 64% fringe rate, and HHSC explained the difference was mainly due to defined-benefit pension and retiree health insurance costs, which private hospitals generally do not bear at the same level. Members also asked about the Daniel K. Akaka State Veterans Home, and HHSC said operations would be funded through the general fund corporation for the home when it opens, with management by Ohana Pacific, but no additional legislative operating funds were being requested at that time. Other questions focused on staffing and vacancies, including an abolished procurement position and an ongoing IT help desk recruitment need. HHSC highlighted several capital and partnership projects, including a $25 million state CIP request matched by $25 million from the Benioff family for the Benioff Health Center, an ER expansion and reconfiguration at Corner Community Hospital, and $7.5 million in each fiscal year for Kauai EMR capital funds to join the Epic platform. Testimony also described collaborations with Queen’s, the University of California San Francisco, Hawaii Pacific Health, the Hawaii Cancer Consortium, the Department of Health, and the state hospital to improve specialty access, clinical trials, behavioral health, and patient placement across the system.

Transcript Highlights:

• 23.640> coordination,<00:07:24.919> uh care models, new care coordination, uh care models
• site and care for the child. site and care for the child.
• type of things, really basic type of things, really basic basic<00:45:09.120> information
• > for uh dental care uh basic cleaning for uh dental care uh basic cleaning for their<00:55:12.240
• care and dental hygiene care. care and dental hygiene care.

Keywords: 958, all

Transcript Highlights:

• We are removing some constraints currently tied to the basic allotment.
• So, we have the basic allotment in the Texas budget.
• allotment outside of the basic allotment.
• I don't care that you're a top performer.
• It's not about the basic allotment anymore. Basic allotment is a tool that does a certain function.

Bills: SB26, SB28, SJR36, SB26, SB616, SB565, SB384, SB28

Keywords: teacher compensation, education funding, public school educators, teacher retention, teacher designation, lottery, gambling, internet gaming, mobile application, criminal offenses, aquifer, water management, Edwards Aquifer, sustainability, regulatory framework, SB 565, Texas Water Code, TCEQ, Texas Commission on Environmental Quality, compliance agreement