Transcript Highlights:

• They have trouble accessing health care and food.
• They have trouble accessing health care and food.
• , and so those costs will shunt over to the private health care system.
• university is the only health care available.
• Chairman, and this committee to prioritize student basic needs.

Summary: The Assembly Higher Education Committee held an oversight hearing on how federal actions are affecting California higher education, with opening remarks from the chair and members emphasizing the importance of state-federal shared governance and the need to protect access, affordability, and campus diversity. The first panel included leaders from the CSU, University of the Pacific, California Community Colleges, and UC, who described broad impacts from federal grant terminations, changes to student aid, loan limits, visa and immigration policy, and proposed reductions to research support. Testimony focused on the elimination of Grad PLUS loans, caps on Parent PLUS and Pell-related changes, the loss or suspension of hundreds of grants, and the resulting harm to student support services, research, workforce pipelines, food assistance, and health care training. UC and CSU representatives warned of major losses in research funding, indirect cost reimbursement, and student opportunities, while community college leaders highlighted uncertainty around federal grants and the need to maintain services for low-income, first-generation, undocumented, and other vulnerable students. Committee members asked how the state could respond, including through intersegmental partnerships, dual enrollment, transfer pathways, and support for basic needs and nutrition programs. Witnesses said California could help by sustaining financial aid, protecting minority-serving institution programs, and investing in research, housing, and workforce development. Several speakers stressed that federal changes were creating instability for students and campuses, and that the effects would likely be long-lasting, especially in health care, teaching, STEM, and social work pipelines. A second panel then focused on equitable access. The California Student Aid Commission described state efforts such as the $3.9 billion investment in aid programs, the Cal Grant system, the Dream Act, and possible reforms to better serve adult learners, foster youth, undocumented students, and students with dependents. The Los Angeles Community College District reported that federal cuts and policy shifts are discouraging students from applying for aid, threatening TRIO and MSI/HSI-funded services, and reducing support for basic needs, counseling, and workforce programs. The Association of Independent California Colleges and Universities and the CSU Academic Senate echoed concerns about FAFSA confusion, international student restrictions, grant losses, and the erosion of equity-focused programs. No formal votes or legislative actions were taken during the hearing; the committee primarily received testimony and discussed possible state responses.

Transcript Highlights:

• I also think increasing the basic allotment.
• When I think about the basic allotment.
• But our basic allotment is not.
• The basic allotment is. As it's named, it's basic, it's the building block.
• The basic allotment was raised, uh, back in 2019.

Bills: HB2, HB2

Keywords: public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, disaster preparedness, emergency management, flooding, mass fatality, mass casualty, fatality tracking, body recovery, autopsy, justice of the peace

Transcript Highlights:

• Health care has been a priority of ours since our first contract in December of '22.
• Our members care deeply about student safety and well-being.
• So here on the title, short title on the FIR, it says UNM Basic Needs Project.
• Obviously, I'm assuming that one is for basic needs.
• But I also understand that the basic needs already—there's not enough money to cover basic needs.

Bills: SB106, SB171, SB179

Keywords: graduate scholarship, higher education funding, New Mexico, appropriation, financial aid, education, documentary, historical figure, Padre Antonio Jose Martinez, Northern New Mexico State School, SB179, Senate Bill 179, UNM, University of New Mexico, medical Spanish, Spanish-language curriculum, health sciences, health professions education, language access, bilingual healthcare

Transcript Highlights:

• And $1.8 billion is spent, or 19%, is spent on Children and Families basic care.
• billion is for um what we call the basic billion is for um what we call the basic care<00:05:49.120
• basic care um just Children and Families basic care um just 295<00:06:05.039> million<00:06:05.400
• Medicaid basic care or maybe fewer Medicaid basic care or maybe fewer people<00:48:39.000> on
• care adults without four uh the basic care adults without kids<01:25:07.040> so<01:25:07.239>

Keywords: 1183, house

Transcript Highlights:

• So basically holding the Medicaid managed care organizations, as the lady from 64 said, accountable for
• uh so basically holding the med manage uh care<00:18:58.080> organizations<00:18:59.280> as
• to life saving or sustaining care. to life saving or sustaining care.
• get the care they need.
• : getting the care and getting to the care in the first place.

Keywords: 958, all

Summary: The House convened with an invocation and Pledge of Allegiance, established a quorum, excused absent members, suspended rules to allow co-sponsorships and vote modifications, and approved the journal from February 26, 2026. The clerk then reported several bills on second reading, including measures on state personnel, domestic violence, fish and wildlife resources, open records, workforce investment, data centers, guardians ad litem and domestic relations, along with Senate Concurrent Resolution 9 on a Medicaid pilot feasibility study and Senate Joint Resolution 23 declaring Kentucky a “food is medicine” state. The main floor business was House Bill 2, the Medicaid reform and appropriation bill. The sponsor described it as a response to rising Medicaid costs and federal changes, saying it would improve transparency, oversight, fraud prevention, and program operations. He said the bill would apply mainly to the Medicaid expansion population and include community engagement, cost-sharing, eligibility safeguards, stronger managed care oversight, transportation and dental delivery changes, waiver program prioritization, greater legislative access to CHFS data, a transparency dashboard, periodic auditor review, and limits on certain weight-management drug coverage. A House committee substitute was adopted, and a floor amendment on phasing in a marginal medical loss ratio requirement over four years was offered as a friendly amendment and adopted. The House then debated House Floor Amendment 1, which would have removed state-mandated co-payments and limited cost sharing to the federal minimum, while also prohibiting reporting medical debt to credit agencies. Supporters argued the amendment would protect low-income Kentuckians from barriers to care and prevent medical debt from worsening poverty. Opponents said the bill’s co-pays were intended to encourage appropriate use of care, especially to reduce non-emergency emergency room visits, and noted that providers and MCOs could waive or work around some charges. After a roll call vote, the amendment failed 20-39. After the amendment vote, the House continued discussion of the bill, with the sponsor defending the co-payment structure as a way to promote personal responsibility and sustainability while preserving access to primary care. The transcript ends during further debate on House Bill 2, and no final passage vote is shown in the provided excerpt.

Transcript Highlights:

• , and mental health care.
• 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 She was
• denied safe food and water, as well as critical medications, and basic medical care for her chronic

Summary: The Assembly Health Committee heard several bills focused on mental health access, preventive care, health care costs, detention oversight, and daylight saving time. SB 989 would streamline Care Court referrals by allowing first responders to ask county behavioral health agencies to review and file petitions; supporters, especially firefighters and families, said the current process is too burdensome, while Disability Rights California and other opponents argued Care Court is coercive and unproven. SB 1089, as amended, would direct CalRx/HHS to help distribute GLP-1 medications more broadly and more affordably; the author described her own experience with the drugs, and the bill drew support from medical and life sciences groups with no opposition. SB 1309 would eliminate out-of-pocket costs for medically appropriate lung cancer screening follow-up care; cancer advocates and survivors strongly supported it, while health plans and insurers opposed it as costly and said the bigger problem is low initial screening rates. The committee also heard SB 1284, which would require DHCS to report large employers whose workers are enrolled in Medi-Cal and estimate taxpayer costs, framed by supporters as a transparency measure about corporate reliance on public coverage. SCR 7, urging permanent standard time for health reasons, passed with support from medical groups and no opposition. SB 995, the Masuma Khan Justice Act, would create statewide inspection and enforcement standards for large involuntary residential facilities, including private immigration detention centers and certain youth facilities; supporters cited unsafe and inhumane conditions, while county probation officials objected to duplicative oversight for secure youth treatment facilities. The committee took votes on each measure, and the bills and resolution advanced, with SB 1309 and SB 1284 moving on amended and the others also reported out; the consent calendar was approved as well.

Transcript Highlights:

• Basic freedoms are under attack. Health care premiums are skyrocketing.
• Don't talk about how much you care about low-income people and vote no tonight to deny them food, basic
• Don't talk about how much you care about low-income people and vote no tonight to deny them food, basic
• MEDICAL CARE.
• They said it's about health care. Health care for illegals?

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, November 12, 2025, 1012, house, all

Transcript Highlights:

• So that's basically it.
• So that's basically it.
• Uh, so that's basically it.
• That's basically it. And then, um, back. That's basically it.
• they're cooperating with paint care. they're cooperating with paint care.

Keywords: 1191, senate, all

Transcript Highlights:

• The basic allotment is nowhere to be seen in that bar chart, because the basic allotment is... a calculation
• So everything above basically what my fingers are showing here, that... is on top of the basic allotment
• Why, if they care as their... their associations down here tell us they care so much about accountability
• We also manage two health care programs, the first being TRS Care, which is for our retirees.
• Contribution for TRS care active care.

Keywords: 1184, house, all

Transcript Highlights:

• This is about access to basic health care.
• This is about access to basic health care.
• Without it, patients are traveling 100, maybe 200 miles, just to get their basic health care services
• Without it, patients are traveling 100, maybe 200 miles, just to get their basic health care services
• This is not complicated, this is not ideological, this is basic common sense health care policy, and

Summary: The Assembly convened after a quorum call, completed the roll, and opened with prayer, the Pledge of Allegiance, and several guest introductions recognizing visitors, students, and a long-serving committee secretary, Tabitha Volga-Sang, who was honored for 32 years of service. Members also took up a procedural motion by Assembly Member DeMaio to immediately consider ACA 14, the Taxpayer Protection Act, without reference to file; that motion failed on a 14-44 vote. The main policy debate centered on SB 106 by Senator Laird, a budget appropriation to provide $90 million in one-time funding for Planned Parenthood and related women’s health and family planning services after federal cuts. Assembly Member Tangipa offered amendments arguing the money should be directed more broadly to women’s health and hospitals, but the Assembly voted 41-13 to lay the amendments on the table. Supporters, including Gabriel, Sharp-Collins, Gibson, Krell, Bonta, and others, said the bill was needed to preserve access to cancer screenings, contraception, STI testing, and reproductive care, especially in rural and underserved communities, and to offset the effects of federal defunding. Opponents, including Johnson, DeMaio, Patterson, and Tangipa, criticized the bill as lacking transparency, favoring a politically connected organization, and diverting attention from hospital funding and other health needs. After extended floor debate, SB 106 passed the Assembly 55-10 and was transmitted immediately to the Senate. The chamber then took up H.R. 84, a resolution condemning racism after President Trump circulated racist imagery depicting former President Obama and Michelle Obama. Members from the Black, LGBTQ, Latino, AAPI, Jewish, Native American, and other caucuses spoke in support, saying the post normalized dehumanization and had real-world consequences; Assembly Member Tangipa also stated the post was wrong and apologized on the record. The transcript ends during continued debate on H.R. 84, before a final vote is shown.

Transcript Highlights:

• Thank you. would basically continue the perpetual would basically continue the perpetual groundskeeping
• epinephrine delivery system, basically epinephrine delivery system, basically an<00:10:39.519>
• state's health care programs.
• receiving Medicaid and Minnesota Care receiving Medicaid and Minnesota Care already<00:26:25.679
• as not to drop anybody who needed care. as not to drop anybody who needed care.

Keywords: 1183, house

Transcript Highlights:

• Aloha Care. Mike >> In support. Thank you. Aloha Care.
• investigations into healthc care investigations into healthc care provider<00:39:50.720> activities
• drafted, it forces healthc care drafted, it forces healthc care facilities<00:47:15.359> to
• We recommend acute care hospitals.
• And basically, issue for a long time.

Keywords: 912, senate, all

Summary: The committee heard testimony on SB 3025, relating to medical debt, with multiple organizations and individuals, including the Office of Wellness and Resilience, Healthcare Association of Hawaii, Queens Health Systems, the American Cancer Society Cancer Action Network, Aloha Care, Hawaii Health and Harm Reduction, Hawaii Data Collaborative, and Hawaii Appleseed, all speaking in support. No opposition was heard, and the member present had no questions. The committee then took up SB 3199, which would establish a mental health emerging therapies task force. Testimony was overwhelmingly in support, with speakers including veterans, clinicians, researchers, and advocacy groups describing personal experiences with PTSD, depression, traumatic brain injury, and treatment-resistant conditions, and arguing that Hawaii should prepare for regulated access to emerging therapies such as MDMA, psilocybin, ketamine, and ibogaine. The Department of Health and some medical organizations provided comments, and one opposition witness was called but not present. The chair noted broad support, especially from veterans, and no vote was taken during the excerpt. The final measure discussed was SB 3324, relating to Medicaid. The Department of Human Services, Department of Health, Hawaii State Council on Developmental Disabilities, Hawaii Disability Rights Center, Aloha Care, and numerous care-provider and aging/disability organizations testified in support, while one witness was in opposition and several others offered comments. The discussion then moved to SB 2563, relating to homelessness, where the Department of the Attorney General offered comments on specific sections and recommended adopting suggested amendments if the bill proceeds. Additional testimony on SB 2563 began with support from several individuals, including Shelby Pikachu, who emphasized the severity of homelessness and related social problems in the community.

Transcript Highlights:

• I am not a health care worker.
• I am not a health care worker.
• I am not a health care worker.
• We've all heard the stories: families struggling to pay for basic care, seniors unable to afford prescriptions
• to pay for basic care seniors unable to pay for basic care seniors unable to afford afford afford

Keywords: 1189, house, all

Transcript Highlights:

• Basic care assistance, we spent 5%...
• In case you were interested in it, basic care assistance, we spent 5% of the grant on that, or $1.4 million
• Another thing is child care.
• Another thing is child care.
• No health care worker, no care. So we need well-trained health care professionals.

Keywords: 908, all

Summary: The committee first approved the December 10 minutes and then received a DEQ base budget summary and agency overview. DEQ staff explained that the agency is largely federally and special funded, with major ongoing costs in salaries, operating expenses, grants, and continuing appropriations. Director Dave Glatt and accounting director Beth Jacobson highlighted core programs, the move to a new chemistry laboratory, the new state fuel inspection program, wastewater-related funding from HB 1577, and implementation of SB 2267 for on-site wastewater rules. They also noted the agency’s spending patterns, possible federal EPA cuts, and the likelihood of some fee adjustments or program changes if federal support declines. Members asked about DEQ’s travel, field offices, future staffing, and how the agency would respond to reduced federal regulation. DEQ said most staff are based in Bismarck, with field offices in Fargo, Sawyer, and Gwinner, and that travel is driven by inspections and spill response. Glatt said the agency would continue to rely on science and law, and that any future federal retrenchment could mean more state responsibility but likely not a wholesale increase in FTEs. The committee also discussed a feedlot enforcement case in the Minot area, with DEQ explaining its role in ensuring compliance, permitting, and animal-waste management standards. The Department of Health and Human Services then presented on FTE block grant reporting, TANF balances, child care transfers, and the Rural Health Transformation Program. Donna Ockland explained that no line-item transfers had occurred yet for the new rural health work, but about 33 positions were planned and some current staff time could be reimbursed through approved cost allocation. HHS also reviewed TANF’s frozen eligibility and block grant structure, the transfer of up to 30% of TANF funds to child care, and recent program changes that increased benefits and raised the income limit. Staff said the department is using TANF more strategically to support child care and other allowable uses, while still carrying over unused funds as many states do. Finally, Pat and HHS staff gave an update on the Rural Health Transformation Program, saying the first funding opportunity was being posted and that the state is on track to obligate the federal funds within the required timeline. They described priorities such as workforce retention, preceptor development, technical assistance for critical access hospitals, community wellness projects, and ambulance upgrades. Members asked about rural versus urban eligibility, immigrant recruitment, evaluation of year-two funding, and how the program would address varied local workforce needs. The meeting then shifted to an Office of Management and Budget update on the new State Hospital project, where Lindsay Ashley reported continued construction progress, updated cost information, and selected alternates, with photos and details showing work underway in multiple building sections.

Transcript Highlights:

• medical care.
• And at the end of this month, we will be launching for the first time a care care care. Thank you.
• And at the end of this month, we will be launching for the first time and 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 committees held an informational meeting focused first on the Oregon State Hospital (OSH). OHA Director Sajal Hathi introduced the hospital’s incoming permanent superintendent, Sean Murphy, and praised interim superintendent Jim Deagle for stabilizing operations, restoring CMS compliance, and helping drive a culture change centered on safety, accountability, and transparency. Deagle and Chief Medical Officer Dr. Amit Bavon described OSH’s role as the state’s highest-level forensic psychiatric hospital, the patient populations it serves, its partnerships with courts, counties, jails, hospitals, and advocates, and recent leadership changes across the hospital. They also reported improved accreditation and regulatory status, including Joint Commission accreditation and CMS compliance, and said the hospital is now using daily safety huddles, incident review meetings, stronger escalation procedures, and revised seclusion/restraint practices to reduce risk and improve oversight. Members pressed hospital leaders on past seclusion practices, asking how prolonged seclusions could have occurred under federal standards. Leaders said they could not explain past decisions but emphasized that current leadership has changed processes, training, reporting, and oversight so that seclusion and restraint are reviewed in real time and cannot be normalized. Questions also covered staffing, falls, and future planning. OSH said it is generally staffed to budget, though it still has RN and mental health technician vacancies and is working on recruitment, training, and better staffing distribution. Hathi said the hospital is building a public dashboard with key performance and safety metrics, including workforce data, and described the long-term goal as a consistently safe, disciplined, high-functioning institution that responds quickly to mistakes and remains accountable to the public. The committee then shifted to an informational overview of civil commitment. Oregon Judicial Department representative Chanah Newell explained the civil commitment process, including who can initiate it, the role of community mental health providers and courts, the five-day timeline to hearing, and the standards for danger to self, danger to others, and inability to meet basic needs. She summarized changes made in House Bill 2005, including revised statutory language and new provisions allowing a second diversion period, but cautioned that the data are too early to show clear trends. Testimony from NAMI Oregon’s Chris Bonif and psychiatrist Dr. Stephanie Lopez argued that Oregon still relies too heavily on jails and state hospital commitments because the broader community system lacks enough treatment, housing, and less restrictive alternatives. They urged the legislature to focus on upstream services, supported housing, and possible outpatient commitment tools so people can receive treatment before reaching crisis. The meeting ended with acknowledgment that additional reports and follow-up discussions are expected, including on residential treatment capacity and related behavioral health system reforms.

Transcript Highlights:

• Basically, this is how the market was in, you know, the goal after the Affordable Care Act was that this
• , and now managed care is...
• I mean, health care sharing is different. Health care sharing is different.
• Pay less for care.
• health care expenditures.

Keywords: 1184, house, all

Transcript Highlights:

• are very important to the functioning of our ends in their care. care of patients.
• I won't belabor the point about access to care and the potential to reduce care.
• To continue to take care of our patients in our community and also to be able to care for them in the
• the care every patient deserves.
• I know those of us who love patient care struggle with the huge challenges of caring for our patients

Transcript Highlights:

• We did have the Child Care Basics training requirement in draft one.
• Orientation and Child Care Basics training also may count towards in-service training hours now, which
• One topic I mentioned is that Child Care Basics training would be that foundational training, and that's
• On the training requirement for sort of the Child Care Basics training, indicating that DHS is going
• care Basics training indicating child care Basics training indicating that<00:56:21.280> DHS<00

Keywords: 1183, house

Transcript Highlights:

• Care.
• effective care. effective care.
• , and if you automatically think they're below the limit, you enroll them basically in charity care.
• <00:43:11.800> Is<00:43:11.880> that basically in charity care.
• Is that basically in charity care. Is that accurate? accurate? accurate?

Transcript Highlights:

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

Summary: The committee heard an extensive Department of Social Services presentation on child care budget issues, including the Governor’s proposed 2026-27 budget, federal CCDF changes, Prop. 64 revenue adjustments, and a one-time $11.5 million disaster-related infrastructure grant for licensed child care facilities affected by 2025 declared disasters. DSS said federal formula updates and lower Prop. 64 revenues would reduce funding and could result in about 4,176 CCTR slots being reduced, but the department said it was working to avoid impacts to currently enrolled children. The LAO supported aligning general child care funding with lower revenues and asked for more detail on the disaster grant. Members pressed DSS and Finance on why reductions were not being backfilled and why so many awarded slots remain uncontracted or unused; DSS said delays are largely due to providers building new infrastructure, licensing, staffing, and enrollment challenges, and that some unspent funds revert to the General Fund. The committee also discussed whether some contract dollars should be shifted to vouchers and whether more flexibility should be allowed for infrastructure and expansion costs. A second panel focused on the state’s commitment to expand child care and on rate reform. DSS reported that nearly 125,000 new slots have been awarded since 2021-22, but speakers from Stanislaus County Office of Education, Parent Voices California, and the California Budget and Policy Center argued that unmet need remains large and that the system still leaves many families without access. Stanislaus County described a large local shortage of infant and toddler care and said reimbursement disparities between child care programs and state preschool create disincentives for providers. Parent Voices gave testimony about the burdens and instability families face when trying to access care, especially for survivors and low-income parents, and called for a universal, publicly funded system. The Budget Center said only about 16% of eligible children were enrolled in 2024, urged expansion across the mixed delivery system rather than concentrating investment in TK, and called for faster rate reform and new revenue. LAO estimated that bringing certain CCTR adjustment factors up to CSPP levels would cost $88 million to $131 million ongoing. Members and witnesses discussed the single rate structure, automation needs, and the need for deadlines and a ramp-up plan; DSS said the goal is to eliminate disparities, but that policy decisions are still needed before automation can proceed. The committee then reviewed several trailer bill proposals. DSS outlined a 2026-27 COLA proposal that would apply a 2.41% increase through cost-of-care-plus payments, though the department said it had inadvertently excluded CalWORKs Child Care and the Emergency Child Care Bridge Program and would revise the proposal; LAO recommended making the COLA methodology uniform across programs. DSS also proposed replacing the market rate survey with the federally approved alternative methodology on a triennial schedule, limiting temporary absences in family child care homes to 20% of monthly hours, defining excessive unexplained absences as more than 30 days in a year, and aligning family fee deductions with new federal requirements so providers receive the full voucher value. Members generally supported the temporary absence change and asked about implementation timing for the family fee deduction, with DSS saying it was in contact with Riverside County. The committee also heard a brief update on the Early Childhood Policy Council reappropriation, which would extend unused funds through June 30, 2028 because prior costs came in higher than expected.