Transcript Highlights:

• So the reality is that people are accessing treatment and housing that they wouldn't be able to access
• Under existing law, large employers are already required to offer affordable coverage.
• Their stories reflect a broader affordability crisis where our essential workers cannot afford health
• Their stories reflect a broader affordability crisis where our essential workers cannot afford health
• How can they afford health care when their hours get cut week to week?

Committee: House Health

Transcript Highlights:

• The company cannot support House File 4236 since we do not believe it effectively addresses affordability
• . affordability. affordability.
• House File 4377 expense.
• We support House File 4377.
• We support House File 4377. Advocacy. We support House File 4377.

Bills: HF4236 , HF4122 , HF4377

Committee: House Energy Finance and Policy

Transcript Highlights:

• 2 3 The House Committee on Insurance will come to the audit. The clerk will call the roll.
• So what we'll do we'll start off with layout housing. That's bill 138 okay.
• That's folks I've talked to, they just, they can't afford it. And it's unfortunate.
• Chairman and I am Annie Spillman here on behalf of Texans for Affordable Health Care for House Bill 138
• Small employers are not able to afford to cover their employees anymore.

Bills: HB138 , HB335 , HB388 , HB138

Committee: House Insurance

Keywords: health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, education, funding, classroom resources, teacher support, student outcomes, health benefits, provider dentists, payment reimbursement, insurance code, noncontracting, dental care, reimbursement, health benefit plans, noncontracting providers

Transcript Highlights:

• It basically makes long-term care more affordable for you, and it covers AL as well.
• Again, affordability is the issue. Private pay does exist; it's very expensive.
• Given the amount of services, Medicaid really becomes the only affordable...
• issues housed in the state hospitals?
• ...difficult to house because of their behavioral issues, were they housed in the state hospitals?

Summary: The committee met with a quorum present and heard a presentation from Marty Wright, CEO of the West Virginia Healthcare Association, on the state’s long-term care system. He described the continuum from home care to assisted living to skilled nursing facilities, emphasizing that these settings increasingly serve short-term rehab-to-home patients as well as older adults needing round-the-clock care. He also outlined the number of facilities in West Virginia, the predominance of Medicaid as the payer for long-term nursing home care, the private-pay nature of assisted living, and the role of OFAC/CMS in regulation. A major focus of the presentation was workforce shortages and turnover, especially for CNAs, LPNs, and RNs, along with declining interest in nursing careers and the impact of regulatory burden and burnout. Wright said the system is also struggling to serve younger patients with substance use disorder, mental illness, or other behavioral needs, who are often not well suited for traditional nursing home placement but have limited alternatives. Senators raised concerns about where such patients are being housed, the long-term effects of opioid and behavioral health issues, and the gap between school-age special needs populations and adult care needs. Wright said Medicaid can cover long-term nursing home care for those who meet financial and medical eligibility requirements, but affordability and spend-down requirements remain major barriers. He also warned that Medicare Advantage can create confusion and shorter covered stays for rehab patients, and he urged early planning around long-term care insurance and estate planning. No votes were taken on the presentation, and the committee adjourned after questions and discussion.

Transcript Highlights:

• <00:26:52.960><c> big</c> affordability and housing is a big affordability and housing is a big challenge
• <01:19:02.159><c> housing</c><01:19:02.480><c> and</c><01:19:02.800><c> rental</c> affordable housing
• can put more of their community members in housing that they can afford so they can continue to live
• put more of their community members in housing that they can afford so they can continue to live in
• While housing affordability certainly While housing affordability certainly has<01:22:26.080><c> become

Transcript Highlights:

• </c> should be um house file 3439 and house should be um house file 3439 and house file<00:03:32.400>
• Section 10 was in House File 3763 and also in House File 4969.
• </c> was also in house file 4969. was also in house file 4969.
• </c> house file 4969. house file 4969.
• You know, I think when we talk all this session about affordability, affordability, affordability, what

Summary: The committee took up House File 4466, the sub health supplemental budget bill, and moved it to the Ways and Means Committee after a walkthrough of the fiscal spreadsheet and the DE1 amendment. Nonpartisan staff explained that the bill produces general fund savings of about $2.4 million in FY27 for the 2026-27 biennium and about $97.7 million in the next biennium, with most savings tied to HR1-related Medical Assistance changes affecting adults without children. The Department of Health provisions were described as largely cost-neutral, with some increases for implementation, data, and IT work. Staff then reviewed the DE1, which combines several bills into four articles. The bill includes health licensing board changes, Department of Health provisions such as all-payer claims database fees, newborn screening fee exceptions, loan forgiveness and scholarship program extensions, workforce shortage grant changes, and reciprocal licensure and mortuary science provisions. The federal conformity article makes changes related to MA work and community engagement requirements, six-month renewals, retroactive eligibility limits, contact information updates, cost sharing for MA expansion enrollees, and related provider tax and disability-notice provisions. Article 4 and Article 5 were described as forecast adjustments for DHS and the Department of Children, Youth, and Families. Public testimony focused largely on the federal conformity and eligibility provisions. Legal aid testified that the work requirements and retroactive eligibility changes would be confusing, could expand requirements beyond intended groups, and would increase uncompensated care. The Minnesota Hospital Association said shortening retroactive eligibility would increase uncompensated care and strain hospital finances, and Unidos Minnesota criticized the immigrant eligibility changes as harmful to lawfully present immigrants and Native communities. Blood Cancer United supported the all-payer claims database provisions and urged attention to fertility coverage. Representative Elkins offered an amendment to add $55,000 for the Department of Health to include denied-claims data in the all-payer claims database; Department of Health staff said the idea was useful and provided a one-time setup cost, but the amendment was not acted on in the portion of the transcript provided.

Transcript Highlights:

• this in my speech yesterday: challenges in terms of our ability to deliver health care, food, and housing
• We have people that are struggling with housing, with access to health care.
• Number one is housing.
• Healthcare affordability.
• Yeah, so the initial House budget did not have the rainy day fund last year.

Summary: State legislative leaders held a press availability to preview a difficult session focused on responding to federal policy changes they said were threatening Washingtonians’ access to health care, food assistance, housing, and energy stability. They said the House and Senate would prioritize affordability, budget balancing, and protecting residents from federal overreach, while also advancing bills on issues such as preventive health care, housing costs, child care, transportation, and energy/data center impacts. A major topic was a proposed state income tax on high earners. Leaders said the basic mechanics were agreed to between the House and Senate prime sponsors, including a 9.9% tax on adjusted gross income over $1 million, though drafting and stakeholder outreach were still ahead. They said any new revenue would not solve the current 2025-27 budget gap in time, so the immediate budget would rely mainly on cuts and transfers, with some discussion of smaller revenue measures and possible use of the rainy day fund. They also said the tax proposal would be paired with reductions in more regressive taxes, though details were not yet set. The press conference also focused heavily on a school face-covering bill and related public safety concerns. Leaders defended the bill as a response to fears about masked individuals, impersonation of law enforcement, and recent ICE activity, citing testimony from law enforcement and advocacy groups. They also discussed a public records exemption bill for child care providers, saying concerns about privacy and safety justified limits on public access and emphasizing existing oversight through DCYF, the state auditor, and legislative audits. On initiatives and other bills, leaders said two initiatives would go to voters rather than receive hearings, and they indicated Senate Bill 5926 was not moving forward in the Senate committee process. No votes were taken during the availability.

Transcript Highlights:

• district, underscoring that manufactured housing is not a niche issue, but a critical component of affordable
• Manufactured housing is Minnesota's largest source of naturally occurring affordable housing, excuse
• <c> low-income</c> manufactured housing, in low-income manufactured housing, in low-income housing<00
• </c><00:50:59.240><c> in</c> housing tax credit housing, and in housing tax credit housing, and in rental
• stability for housing because housing stability for housing stability,<00:55:04.120><c> housing</c><

Committee: Senate Housing and Homelessness Prevention

Transcript Highlights:

• The sad truth is that they are dropping out because they just cannot afford to stay housed and also be
• housing near transit... ...obligations whole or in part by funding affordable housing near transit through
• And the state has validated VMT reductions from earlier affordable housing projects.
• , agreed to a 40% affordable housing as part of the project.
• and therefore reduce the cost, as well as some combination of affordable housing as part of that.

Summary: The committee heard a series of bills focused on environmental policy, public infrastructure, housing, and energy. AB 1812, dealing with compostable plastics and compost contamination, drew strong support from farmers, composters, counties, cities, and waste companies, while manufacturers and compostable-product companies opposed it unless amended, arguing it would undermine compostable packaging and SB 54 goals. AB 2216 to expand the Delta Conservancy’s service area also received broad support and no opposition. AB 2481, which would allow leftover glass quality incentive funds to support recycled glass used in fiberglass insulation and other products, was supported by insulation manufacturers, recyclers, and waste advocates and passed with no opposition. AB 2152, streamlining fire station construction and tying CEQA relief to project labor agreement requirements, was supported by firefighters and construction trades but opposed by contractors and wildlife groups over the PLA mandate and environmental review provisions; the committee discussed amendments and sent it forward. AB 1536, the Save Our Shores Act, aimed at offshore oil and gas safety and decommissioning, was supported by coastal and environmental groups and opposed by the petroleum industry, with members debating pipeline safety, drilling risks, and carbon intensity before advancing the bill. AB 1849, a study bill on decarbonized gaseous fuels, split supporters from hydrogen, bioenergy, and propane interests against environmental and justice groups who said it favored biomethane and hydrogen without clear definitions; the author said it was only a study measure, and it moved ahead. AB 1732, which would expand CEQA streamlining for public university and community college housing projects, was backed by students, UC representatives, housing advocates, and labor, with no opposition heard; members raised concerns about environmental impacts and evacuation planning, but the bill was approved. Several measures were taken on consent and others were held open for absent members or quorum issues, with multiple bills receiving due pass recommendations as amended.

Transcript Highlights:

• </c><00:33:02.240><c> Bill</c> on House Bill on House Bill 494<00:33:04.159><c> and</c><00:33:04.399>
• House Bill 677.
• And we will move right into House 781. And we will move right into House Bill<01:27:22.320><c> 115.
• </c> support of House Bill 115 FN. Thank you. support of House Bill 115 FN. Thank you.
• We certainly saw it in the House.

Committee: Senate Education

Transcript Highlights:

• Affordable housing, for instance, requires a complex capital stack of 15 or more different funding sources
• We sure want an affordable city.
• We sure want an affordable city.
• housing.
• So having a public bank in place can make lending, home building, and affordable housing development

Summary: The committee first received a JLARC work session on the 2025 tax preference performance reviews, covering nine tax preferences and recommending legislative action on eight. JLARC reviewed natural gas transportation fuel preferences, travel agent and tour operator B&O rates, a property tax exemption for nonprofit low-income housing developers, and several shorter reviews including senior center property tax relief, a disabled veteran adapted housing remittance, trade convention nexus treatment, wholesale sales of fertilizer/pesticides/seed, a hazardous substance tax exemption for pesticides stored for out-of-state shipment, and three energy-related preferences for a silicon smelter. JLARC generally recommended continuing preferences that met stated or inferred objectives, modifying some to improve reporting or performance metrics, and allowing the unused silicon smelter preferences to expire. The Citizen Commission endorsed JLARC’s recommendations, and committee members asked a few clarifying questions, including about trends in travel agent/tour operator beneficiaries and the housing exemption’s performance metric and data issues. The committee then heard a work session and public hearing on Senate Bill 5754, which would create a Washington State public bank. A presentation from California public banking advocates and the Bank of North Dakota described public banks as government-owned financial institutions intended to keep public funds working locally, support lending for housing, infrastructure, and community development, and partner with community banks and credit unions. Committee questions focused on leverage, liquidity, constitutional issues, and how the model would interact with existing state investment and debt structures. Staff summarized the bill’s structure, including activation conditions, governance, powers, and fiscal impacts, noting the fiscal note was largely indeterminate and startup costs could be significant. Public testimony on SB 5754 was divided. Supporters included statewide elected officials, county and city officials, labor, educators, community advocates, and residents, who argued the bank could lower borrowing costs, improve access to capital, keep public money in Washington, and help finance infrastructure, housing, and disaster resilience. Opponents included community bankers and county treasurers, who warned about risks to safety and liquidity of public funds, questioned the need for a new institution given existing programs, and argued the proposal lacked a proven track record in Washington. The hearing concluded with no vote taken in the transcript.

Transcript Highlights:

• Let's read in House Bill 1215 by Representative Baham.
• We bring House Bill 1079. Members of the committee... House Bill 1079.
• Most people can't afford the fees.
• Nobody, hardly anybody at Nicholls could afford to go to Harvard, but they can't afford to go to Nicholls
• House Bill 1058.

Committee: Senate Education

Summary: The Senate Education Committee met to hear several education-related measures. It reported favorably, without objection, on House Bill 1215, which would transfer certain removed historical statues and monuments to the Office of State Parks, prohibit re-erection in the parish where they were removed, and require interpretive signage. The committee also advanced House Bill 682, which creates a school guardian program for honorably discharged veterans employed or contracted by local school systems or charter schools; testimony emphasized that guardians would be unarmed, trained, and used for mentoring and school safety. House Bill 1079, giving enrollment preferences in charter schools to children in early childhood programs, military families, foster children, and children in custody disputes, was also reported favorably, as was House Concurrent Resolution 81, directing the Department of Education to study options for districts facing declining enrollment. The committee then took up House Bill 1084, which would allow public postsecondary institutions to raise tuition and mandatory fees by up to 15 percent annually, with higher increases requiring Board of Supervisors approval. The bill drew extended debate over affordability, TOPS, student retention, and whether universities should have more autonomy to set prices. Members raised concerns about fee burdens on families and whether the state should first study the issue; supporters argued the bill would increase transparency and let institutions respond to funding needs and market conditions. Senator Mazzell offered an amendment lowering the cap from 15 percent to 10 percent, and the committee adopted the amendment before reporting the bill favorably as amended. Finally, the committee heard House Bill 342, which would shift the burden of proof in special education due process hearings from parents to local education agencies. The author and parents testified that the current system places an unfair burden on families of children with disabilities, who often lack access to records and legal resources, and that schools already control the documentation and should have to show compliance with IEP obligations. Jefferson Parish school officials opposed the bill, arguing it would increase legal costs, require more staff and attorney time, and potentially lead to more hearings; they also questioned the fiscal note. The Legislative Fiscal Office said the fiscal impact was indeterminable, and the committee continued hearing testimony from parents and school representatives as the transcript ended.

Transcript Highlights:

• House File 2582 would do a couple of things.
• </c> created child in the senior housing created child in the senior housing space<00:35:32.920><c> which
• <01:12:36.320><c> file</c> house file house file 2266<01:12:38.199><c> um</c><01:12:38.280><c> to</c>
• </c> so with that the chair lays over house so with that the chair lays over house file<01:36:37.800>
• Thank you. house Val 2039 is amended thank you house Val 2039 is amended thank you chair<01:43:32.719

Bills: HF2582 , HF2266 , HF2518 , HF2039 , HF1941

Committee: House Workforce, Labor, and Economic Development Finance and Policy

Transcript Highlights:

• This will be funded by the Veterans and Affordable Housing Bond Act of 2026, if approved by voters this
• These ongoing challenges create significant barriers to developing affordable and stable housing.
• SB 1388 establishes the Affordable Housing Risk Reduction Program to help affordable housing providers
• California is facing a dual crisis: an affordable housing crisis and an insurance crisis.
• Many affordable housing providers are facing limited availability of insurance coverage, significant

Summary: The Assembly met in session, established a quorum, and heard a prayer and pledge before moving through a long concurrence calendar and later Senate bill items. Early procedural actions included rereferrals of several bills to committees, approval of journal dispensation and adjournment-memory requests, and multiple unanimous-consent motions. The chamber also took up a brief moment of silence honoring Dolly Parton before returning to business after caucus recesses and a vote change on AB 1775. On concurrence, members acted on a wide range of Assembly bills covering housing, health, education, environmental regulation, elections, corrections, wildfire relief, tribal issues, alcohol regulation, and consumer protections. Many were described as technical, clarifying, or support measures and passed overwhelmingly or unanimously, including bills on behavioral health licensing, common course numbering, medical supervision sunsets, tribal child welfare, wildfire mortgage relief, Prop 65 oversight, water quality, and tied-house alcohol rules. A few measures drew some opposition, such as AB 1645, AB 1775, and AB 2348, but still concurred. The Assembly also adopted an urgency measure on AB 2663 to extend the Cocktails to Go program in time for New Year’s Eve. The chamber then considered numerous Senate bills. These included SB 608 on youth sexual health and contraceptive access, SB 633 on recycled plastic verification, SB 675 restructuring the Imperial County Air Pollution Control District, SB 747 on civil rights accountability against government officials, SB 772 on housing infrastructure grants, SB 891 and SB 1379 on missing and murdered Indigenous people and custody-death transparency, SB 1077 on CalFresh shutdown contingency planning, SB 1105 on limits for joint law-enforcement operations, SB 1114 on protecting sensitive state data, SB 1125 on water rate assistance, SB 1208 on returning stolen cryptocurrency to victims, SB 1213 on zero-emission vehicle pricing transparency, SB 1237 on pay data enforcement, SB 1276 on child sexual exploitation and AI-generated content, SB 1322 on tribal housing grants, SB 1388 on affordable housing insurance, SB 1393 on fisheries management, SB 329 on drug treatment facility complaint timelines, SB 758 on nitrous oxide sales restrictions, SB 828 on fireworks licensing disclosures, SB 909 on public works enforcement fees, and SB 920 on gambling fee transparency. Most passed with strong margins; some drew notable opposition, including SB 675, SB 747’s urgency vote, SB 1105, SB 1114, SB 1125, SB 1237, SB 1379, and SB 1388. The transcript ends amid debate on SB 920, with Assembly Member DeMaio raising budget concerns before the record cuts off.

Transcript Highlights:

• At its core, this bill is about housing affordability and access and the relationship between affordability
• You know, I love affordable housing. I’m a huge advocate for affordable housing.
• The fact that it’s being branded as an affordable housing entity, yet there’s no affordability targets
• The fact that it’s being branded as an affordable housing entity, yet there’s no affordability targets
• The fact that it's being branded as an affordable housing entity, yet there's no affordability targets

Committee: House House Commerce Committee of Reference

Summary: The Commerce Committee heard and passed several bills dealing with insurance fraud funding, education scholarships, apprenticeships, workers’ compensation fraud, credit unions, manufactured home installation licensing, short-term rentals, homeowners associations, condo disclosures, and an advanced manufacturing infrastructure reimbursement program. HB 4020 would raise the annual insurer assessment cap for the Department of Insurance and Financial Institutions fraud unit from $1,050 to $1,350; it passed after testimony from Nationwide supporting the added resources. HB 2255 would extend Arizona Teachers Academy scholarship eligibility for community college students from two academic years to four, and HB 2591, as amended, would revise the definition and requirements for registered apprenticeships under DES standards; both passed unanimously. HB 2680, as amended, would narrow and clarify workers’ compensation fraud-related provisions and insurance disclosure requirements, and HB 2979, as amended, would modernize credit union bylaws, name changes, and operating powers; both also received due pass recommendations. HB 2868, which adds insurance and fingerprint-clearance requirements for manufactured home/mobile home installation licensees and gives the Department of Housing additional licensing authority, passed with some members present or voting no. The committee also took up HB 2429, a strike-everything amendment on short-term rentals that would let local governments set occupancy limits, extend the violation window for suspension actions from 12 to 24 months, and allow suspension after certain building code violations. The sponsor and city officials described it as a compromise giving communities more local control, while short-term rental owners and neighborhood advocates raised concerns about overbroad enforcement and the scale of the housing impacts; the bill passed 8-2 with one present. HB 4011, which would codify duties for condominium and planned community associations to act reasonably and provide access to information, was heard without the proposed Carter amendment and passed 11-0 after testimony from homeowners, attorneys, and HOA representatives about fairness and enforceability. HB 2397, another HOA-related bill, would expand disclosure requirements for condo and association purchases and escrow information; it passed unanimously after supporters said it would improve consumer transparency. Finally, the committee heard HB 4026, which would change the public infrastructure reimbursement program for advanced manufacturing projects by replacing the current statewide cap with a $75 million annual cap and requiring more transparency for related agreements. Supporters, including Queen Creek’s mayor, GPEC, and the Arizona Chamber, said the program helps fund roads, water, wastewater, and other infrastructure needed to attract large manufacturing investments and jobs, while some members questioned the budget impact and whether the program benefits rural areas. The discussion emphasized projects such as LG in Queen Creek and other major manufacturing investments, with supporters arguing the bill preserves Arizona’s competitiveness and generates long-term tax revenue.

Transcript Highlights:

• availability and affordability of homeowners' insurance.
• The second is becoming a major complicating factor for making progress on housing affordability.
• And I think we should start by putting our own house in order first.
• They cannot afford to do a lot of these requirements, and the money is with fire.
• And as my colleague said, we need to get our own house in order.

Summary: The committee met to hear four Senate bills, with SB 345 (Hurtado) and SB 793 (Arreguín) placed on the consent calendar and both approved without discussion. The committee then heard SB 326, presented by Assembly Member Calderon on behalf of Senator Becker, which would create a framework for evaluating wildfire mitigation investments and require the State Fire Marshal’s office to develop planning tools, risk baselines, and mitigation scenarios. The only testimony was in support from the League of California Cities, and the bill was moved and passed to the Committee on Natural Resources on a vote of 5-0, with two members not voting. The final bill heard was SB 629 by Senator DeRazo, also presented by Assembly Member Calderon, as part of the Senate’s fire response, recovery, rebuilding, and prevention package. The bill would apply WUI building code and defensible space requirements to areas burned in wildfires, require urban conflagration modeling in fire maps, and mandate annual defensible space inspections in fire-prone areas. Local government representatives said they had concerns but appreciated amendments worked out with the author, while Assembly Members DeMaio and Hadwick spoke in opposition, citing burdens on private property owners and local governments. Despite those concerns, the bill was moved as amended to the Committee on Natural Resources and passed 4-3, with no roll held open before adjournment.

Transcript Highlights:

• That was HB 2347, which passed the House unanimously. Washington.
• of housing, food, and child care is close to $1,500.
• This does not solve the affordability crisis.
• I support House Bill 6296.
• I support House Bill 6296.

Bills: SB5962 , SB6105 , SB6203 , SB6296

Committee: Senate Law & Justice

Keywords: spring blade knives, knife legislation, weapon regulation, public safety, law enforcement, medical debt, garnishment, wage garnishment, earnings exemption, exempt wages, debt collection, consumer debt, student loan debt, private student loans, disposable earnings, minimum wage, writ of garnishment, exemption claim, judgment debtor, creditor

Transcript Highlights:

• We'll call the House Tax Committee to order.
• <00:00:56.399><c> file</c> house file house file 355<00:00:58.559><c> to</c><00:00:58.840><c> your</c
• </c><00:34:34.800><c> file</c> uh um oh house file uh um oh house file 881<00:34:37.440><c> thank</c>
• </c> Association I'm here to support house Association I'm here to support house file<00:52:12.000><c
• </c> amendments okay chair Yuki moves house amendments okay chair Yuki moves house file file file 805

Committee: House Taxes

Transcript Highlights:

• Housing deposits achieved a 32% net cost reduction.
• Health Net, with Sole Housing, both in Los Angeles as well as in Fresno County, where Sole Housing was
• Sole Housing was...
• Sole Housing was, it's all an individual case-by-case issue, but in many cases, Sole Housing was admitting
• California cannot afford to... Thank you.

Summary: The hearing began with a stakeholder presentation from Let California Kids Hear urging coverage of pediatric hearing aids for children in the large group market. Advocates described the issue as a long-running developmental emergency, argued that existing state efforts have been inefficient, and said the new proposal would cover about 70% to 80% of affected children without new spending by redirecting existing dollars. Public commenters, including parents, audiologists, and children’s advocates, strongly supported the proposal and emphasized the need for timely access to sound. The chair thanked the group and noted hope for a future fix, including continued work on the exchange market. The Department of Finance then gave a broad budget warning about the state’s more than $20 billion structural deficit and said new investments must be weighed against out-year shortfalls. HCAI followed with an overview of its programs, including CalRx insulin and naloxone, reproductive health grants, the Office of Health Care Affordability, seismic hospital compliance, workforce programs, and the Data Exchange Framework. Members asked about geographic targeting of workforce funds, behavioral health pipeline programs, the status of the 21st Century Nursing Initiative, and future CalRx products such as EpiPens and GLP-1s. HCAI also described its enforcement approach for health care spending targets, saying the board would not change the targets in response to H.R. 1, and outlined the diaper access initiative, which will distribute diapers through hospitals in higher-need areas. Several HCAI budget items were discussed and held open, including additional expenditure authority, the transfer of the Data Exchange Framework and Office of the Patient Advocate, long-term care payment transparency staffing, and reporting on health care worker waiting periods. The department also presented its Behavioral Health Services Act workforce initiative and a proposed $100 million General Fund offset, which both the LAO and the chair questioned as unclear and potentially one-time in nature. HCAI said the final workforce plan would be adjusted after stakeholder consultation if the offset proceeds. The department also described the Rural Health Transformation Program, saying California received $233.6 million in federal funds, had to revise its proposal to satisfy CMS, and must obligate the money by October 30; the program will fund rural care models, workforce development, and technology, with grants rolled out on a phased basis. The Department of Managed Health Care then presented its budget and three legislative implementation requests: SB 41 on PBM reform, SB 306 on prior authorization transparency, and AB 1041 on provider credentialing timelines. Finally, the administration outlined a menopause care proposal requiring coverage and education for menopause-related services, provider training, and an outreach campaign, with DMHC requesting staffing and funding to implement and enforce the new requirements. Throughout the hearing, most items were held open for later action, and no final votes were taken in the portion provided.

Transcript Highlights:

• SO FIRST UP WE HAVE HOUSE BILL 313, HOUSING BY REPRESENTATIVES MIX, I BELIEVE YOU HAVE TWO AMENDMENTS
• IT MAY NOT SUPPORT AFFORDABLE HOUSING. >> Chair Salzman: YOU ARE RECOGNIZED TO ANSWER THE QUESTION. >
• HOUSING STRATEGY INTO A PARTY HOUSE BILL.
• WITH THIS AMENDMENT THIS IS NO LONGER AN AFFORDABLE HOUSING BILL, IT IS A PARTY HOUSE BILL AND I RESPECTFULLY
• AND I UNDERSTAND THE NEED FOR AFFORDABLE HOUSING AND I DEFINITELY SUPPORT THAT.