Transcript Highlights:

• multi-year plan by the osteopathic medicine to clean up some of its laws and make sure that their physicians
• multi-year plan by the osteopathic medicine to clean up some of its laws and make sure that their physicians

Bills: SB378, SB985, SB1246, HB3720, SB1500, SB1984, HB4118, SB1644, SB1546, SB483

Keywords: bail bondsman, bondsman license, multicounty agent bondsman, surety bondsman, Insurance Commissioner, bail bond regulation, bond deposit, forfeiture, deposit ratio, writing capacity, license transfer, power of attorney, surety bond, bail industry, Oklahoma insurance law, financial solvency, administrative action, Oklahoma Local Food for Schools, school meals, local food procurement

Summary: The House convened, called the roll, and heard an invocation focused on “leading with the farewell,” followed by the Pledge of Allegiance and a series of floor recognitions honoring guests and student groups. Presentations included the nurse of the day, Susan Hollingsworth, and multiple student champions and visitors, including the Clinton High School 4A hip hop state champions, Pryor High School’s Life Smarts state champions, the Elgin High School wrestling team, the Fort Gibson FFA livestock judging team, Putnam City North’s girls basketball champions, visiting students from Douglas, OSU environmental science graduate students, and Oklahoma Energy Resource Board teachers of the year. The chamber then took up several Senate bills. SB 378, updating bail bondsman regulations, passed 77-3. SB 985, codifying the local food for school program in statute, passed 79-0. SB 1246, which would update and speed up DEQ permitting while preserving transparency, drew questions about agency outreach and environmental impacts; after a division vote on advancing the bill passed 30-28, the bill itself passed 81-0. Later, SB 1500 on pharmacy benefit managers passed 81-0, SB 1984 on osteopathic medicine passed 74-0, and SB 1644 creating a reporting mechanism for suspected alpha-gal syndrome passed 82-0. The House also adopted Senate amendments to HB 3720, the local food freedom bill, and passed it 81-0. HB 4118, the family caregiver credit, also passed 81-0 after the Senate amendment restored the title “Caring for Caregivers Act.” A motion was made to reject Senate amendments to HB 2992 and request conference. House Joint Resolution 1100, relating to OMES proposed major rule changes, was read on second reading and referred to administrative rules. A lengthy debate centered on an amendment to SB 1546, a teacher-related bill, which would expand the Oklahoma Equal Opportunity Scholarship Fund tax credit to support the Strong Readers Act, the Oklahoma Math Proficiency Act, and certain capital projects for scholarship-granting organizations. Supporters said it would encourage private investment in education and add instructional capacity; opponents argued it would favor wealthy private schools, do little for rural or high-poverty districts, and divert scholarship resources. The amendment was adopted unanimously, and the bill was advanced to final passage, with debate continuing at the end of the transcript.

Transcript Highlights:

• Lou is a current second-year resident physician at Abrazo Central, dedicated to providing compassionate
• Lou is a current second-year resident physician at Abrazo Central, dedicated to providing compassionate

Keywords: 1182, all

Summary: The Senate opened with prayer, the Pledge of Allegiance, attendance, and several ceremonial introductions and proclamations, including a Coolidge centennial proclamation, recognition of guests tied to Pre-born Day of Rights, a proclamation honoring Carmen Green Smith’s retirement, and a memorial resolution for Brad Brower. The chamber also heard a Game and Fish outdoor expo announcement and welcomed student visitors and other guests in the gallery. The main legislative action centered on House Bill 2072 and House Bill 2307 in Committee of the Whole. SB 1396 was the subject of an unsuccessful motion to suspend the rules and move it immediately to third reading; that motion failed 12-16. HB 2072, dealing with holidays and the César Chávez Day repeal, drew extensive debate over a Miranda floor amendment to rename the day as Farm Worker Day and preserve the farm worker movement’s recognition. The Miranda amendment failed 12-15, a subsequent committee amendment was adopted, and the bill was ultimately reported out as amended and later passed on third reading. HB 2307, concerning dangerous and incompetent defendants and a state facility/restoration process, was amended with an Angus floor amendment addressing funding, bed capacity, a sunset, and a study committee. The bill passed the Committee of the Whole and then passed third reading 27-2, with several members explaining support as a public safety measure and others noting remaining concerns. HB 2874, relating to campaign committee termination statements and expenses, also received a technical floor amendment and passed as amended on third reading 18-11, without the emergency clause. The Senate also adopted HCR 2053, a death resolution for Brad Brower, with a moment of silence and unanimous adoption. At the end of the meeting, the Committee of the Whole report was adopted, the bills were properly assigned, and the chamber recorded the final passage of HB 2307 and HB 2874 and the passage of HB 2072 as amended.

Transcript Highlights:

• unique identifier to be connected to the name so that if people would like to know the name of the physician
• It relates to a requirement that certain injuries to children be reported by physicians, nurses, teachers

Keywords: March 12, 2026 - Regular Session, 976, house, all

Transcript Highlights:

• with the services and the care, and allow our social workers to work in a mechanism similar to how physicians
• the services and the care and allow our a social workers to work in a mechanism similar to how physicians

Keywords: 1183, house

Transcript Highlights:

• Masked men with assault weapons refusing to leave patient rooms when a physician needs to do a physical
• 00:07:03.199> with Masked men with assault weapons refusing to leave patient rooms when a physician

Keywords: 1187, senate, all

Summary: Senate Majority Leader Erin Murphy and several DFL senators held a press conference after a floor session to announce a package of bills responding to recent ICE operations in Minnesota. Murphy said the proposals are meant to restore and protect Minnesotans’ rights after the deaths of Renee Good and Alex Prey, arguing that authorities should render aid when they injure someone. She said one bill, to be heard the next day in Sen. Ron Latz’s Judiciary and Public Safety Committee, would create a civil remedy for victims of constitutional violations by federal agents and their leaders. Another bill would give the Minnesota Bureau of Criminal Apprehension independent investigative authority in cases where federal agents kill Minnesota residents, after the BCA was reportedly shut out of recent investigations. Sen. Lindsey Port described a bill to bar federal law enforcement from hiding their identities while on duty, citing masked ICE agents, alleged use of fake license plates and impersonation tactics, and a recent incident in which a health care worker was allegedly boxed in by masked men. Sen. Elise Mann said the package would designate hospitals, schools, daycares, colleges, and courthouses as protected spaces and require a judicial warrant for ICE entry, arguing that federal agents have been entering hospitals and schools and detaining people at vulnerable moments. The senators framed the effort as a response to unconstitutional enforcement tactics rather than immigration policy, and said they hoped for bipartisan support, though they acknowledged the legal issues may be challenged under federal supremacy and could reach the courts. In response to questions, the senators said the civil-rights bill is intended to create a state-court cause of action against federal officials acting under color of law, because current remedies are limited. They said people in schools or hospitals should not put themselves in danger if confronted by armed agents, and that the law would provide later accountability. Latz said the Judiciary Committee would take up the bills and that Minnesota must have a seat at the table in seeking justice for affected residents. Asked about funding for related community burdens, Murphy said it was not a budget year but the state has a rainy day fund and balance available from last session.

Transcript Highlights:

• I previously worked as an emergency physician, medical toxicologist, and occupational physician.

Bills: HB2207, HB2225, HB2602, HB2641

Keywords: braille, disability access, education funding, state corrections, inclusion, HB 2225, Yavapai County, northern Arizona regional training academy, training academy, public safety training, law enforcement training, police academy, first responder training, capital appropriation, state general fund, state treasurer, lapsing appropriation, section 35-190, capital costs, regional training facility

Summary: The committee first heard HB 2641, which would ban firefighting foam containing intentionally added PFAS chemicals. The sponsor said the bill was intended to protect firefighters and the public from carcinogenic and persistent chemicals that can contaminate groundwater, and noted Arizona had already banned the foam for training. A University of Arizona public health researcher testified that firefighters have higher PFAS levels than the general public and that AFFF use is associated with elevated exposure, while a firefighters’ association representative said alternatives exist and that the bill would remove uncertainty for departments. The committee passed HB 2641 unanimously, 15-0. The committee then heard HB 2602, a $24,000 appropriation for a 10% pay increase for Department of Public Safety employees in fiscal year 2027. The sponsor and supporters from the Arizona Troopers Association argued the raise was needed for recruitment and retention, citing vacancies, departures, and the cost of training new troopers. Several members supported the idea but raised concerns about the budget impact and the broader issue of pay disparities across agencies and state employees. The bill received a do pass recommendation on a 10-0-3 vote, with two members voting no and three voting present. Finally, the committee considered HB 2225, which would appropriate $10 million for capital costs at the Northern Arizona Regional Training Academy in Yavapai County and keep the funds from lapsing until 2029. The sponsor and Yavapai County law enforcement witnesses said the academy is overcrowded, serves multiple agencies across northern Arizona, reduces travel and lodging costs, and provides both basic and in-service training. Some members questioned whether the state should fund a county-based facility and raised concerns about the size and structure of the appropriation, while others supported the training mission but wanted the issue handled in the budget process. The committee voted to give HB 2225 a do pass recommendation, with several members voting no or present.

Transcript Highlights:

• ventilated support in a hospital, experience brain death or non-survivable injury, and be declared by a physician
• only after death has been declared either by brain death or circulatory criteria, and hospital physicians

Summary: The committee met to hear introductory briefings from the Department of Health and the Health Care Authority on agency priorities, federal changes, and implementation challenges. Secretary of Health Dennis Worsham said his department’s listening tour is focused on strengthening governmental public health, improving health care quality and access, and responding to federal funding disruptions and the shutdown’s effects on programs such as WIC. HCA Director Ryan Moran said the agency is prioritizing coverage preservation, oversight of major contracts, affordability, behavioral health integration, rural health transformation, and internal agency operations. Members asked about licensure delays; Worsham said the backlog had been reduced from about four months to six weeks and should be caught up by January 1, with possible further process changes if needed. A major portion of the meeting focused on H.R. 1 and its Medicaid-related implementation. Governor’s health policy advisor Caitlin Stafford, HCA staff, and interim Medicaid Director Trinity Wilson said the state is working with DSHS, the Health Benefit Exchange, tribes, and other partners to prepare for eligibility changes, work requirements, and six-month redeterminations. They said the state expects up to 30,000 Apple Health enrollees could lose coverage under the law’s non-citizen eligibility changes, and that the work requirement/redetermination provisions could affect about 620,000 adults, with roughly 80,000 also enrolled in SNAP. HCA said it hopes to automate most verification, but about 15% to 20% of cases may require manual review, with technology costs estimated at up to $30 million. Staff also said they are trying to keep H.R. 1 implementation mostly in budget language rather than statute, and that communication and navigator support will be important to minimize confusion and coverage loss. The committee also received an update on the Rural Health Transformation Program created in H.R. 1. HCA said Washington submitted its application to CMS on November 5 after extensive stakeholder engagement, including more than 310 written comments, webinars, and tribal consultation. The application centers on six initiatives: rural hospital innovation, community care and prevention, tribal investments, technology and data, workforce development, and rural behavioral health. HCA said the state is likely to receive less than the full $200 million annual amount assumed in the federal program, and that an advisory committee may be created to help guide spending over the five-year program. Members asked about palliative care, small business impacts, and communication with enrollees; HCA said it expects to share outreach toolkits and that no 2026 statutory changes are currently anticipated, though that could change. The final panels covered organ donation and transplant services. Department of Health staff explained the 2023 “Lights and Sirens” law for organ transport vehicles, including licensing, driver qualifications, insurance requirements, and use of emergency lanes and traffic preemption; the department said one company is currently licensed and there have been no complaints. LifeCenter Northwest described the organ procurement process, the legal framework under the Uniform Anatomical Gift Act, and the rarity and complexity of deceased donation, noting Washington has seen strong growth in donation and transplants over the past decade. University of Washington Medical Center staff then outlined its transplant programs for kidney, liver, heart, lung, pancreas, and multi-organ transplants, describing the multidisciplinary evaluation and waitlist process and the coordination required with donor organizations and hospitals.

Transcript Highlights:

• but the public hospital system constitutes 50% of all burn and trauma center visits, 50% of all physicians
• you thank you i'm kat deburg with the health officers association of california representing the physician

Keywords: 988, house, all

Transcript Highlights:

• So on behalf of the families that I represent, the future physicians of the Central Valley, I want to
• patient's homes via interstate carrier, but only after obtaining valid medical documentation from a physician

Keywords: 988, house, all

Transcript Highlights:

• statement that said... ...administering over-the-counter medications without a valid order from a physician
• not only counterintuitive, but it also places an undue burden on parents who now need to find a physician

Bills: HB178, HB178, HB1551, HB1939, HB2040, HB2354, HB2674, HB3029, HB3460, HB3631, HB3662, HB5201, HB5381

Keywords: efficiency audit, political subdivision, tax rate, fiscal management, government accountability, Texas education, public schools, curriculum, social studies, high school graduation requirements, State Board of Education, Education Code, ethnic studies, world history, world geography, U.S. history, government, economics, personal financial literacy, free enterprise

Transcript Highlights:

• would actually probably be better. to create residency opportunities because that's what brings the physicians
• but we could have prevented that, and I just feel like this is a massive gap. in our training as physicians

Keywords: 1184, house, all

Transcript Highlights:

• act to create a new subsection to section 43-17-27.1 of the North Dakota Century Code, relating to physician
• act to create a new subsection to section 43-17-27.1 of the North Dakota Century Code, relating to physician

Keywords: 908, all

Summary: The House convened with prayer, the Pledge of Allegiance, and a quorum present, then approved journal corrections and recognized visiting students from Underwood School. The chamber also handled several conference committee appointments after failing to concur with Senate amendments on House bills 1022, 1049, 1229, and 1029, and after the Senate failed to concur on House amendments to Senate bills 2010 and 2113. The House then concurred in or passed a series of amended measures, including House Bills 1481 (dental insurance loss ratio and reporting), 1511 (physician guidance on abortion law, with an emergency clause), 1562 (mandated reporter training), 1197 (correctional facilities study), 1095 (child protective services liaison work group), 1317 (barber licensing board changes), 1549 (corrections facility grants and reentry-related provisions), 1354 (appraiser evaluations), 1374 (open meeting exemption for township supervisors during on-site inspections), 1355 (abbreviated notice for administrative rulemaking), 1025 (advanced nuclear energy study), 1470 (Game and Fish fee changes), 1592 (Lignite Research Council updates), and 1375 (alcohol service/photo ID provisions). Final passage votes were recorded on each bill, with most passing comfortably and some drawing notable opposition, especially HB 1470 and HB 1549. The House spent substantial time on Senate Bill 2011, the Highway Patrol appropriation. Members discussed shifting one-time funding from the general fund to the Electronic Motor Carrier Permit Fund, including body armor, preliminary breath tests, an emergency vehicle course, resurfacing, fleet costs, and handgun/taser replacement, while also noting a federal grant and no new FTEs. Questions focused on salary-line increases and the new-and-vacant FTE pool, with Appropriations explaining that those dollars had been moved back into agency budgets from OMB. The bill passed 84-6. The House also passed Senate Bill 2013, the Commissioner of University and School Lands appropriation, after discussion of Trust Lands operations, unclaimed property staffing, and distributions from the Common Schools Trust Fund; one member was excused for a conflict, and the bill passed 67-22. Senate Bill 2023, the Racing Commission appropriation, passed 65-25 after a brief explanation of the agency’s responsibilities and funding. A major policy debate centered on Senate Bill 2385, which revises mobile home park regulation. Supporters said it creates receivership procedures if a license is revoked, requires clearer tenant notices, limits certain fees, and strengthens protections against eviction and utility overcharges. Two members were excused from voting due to conflicts tied to mobile home park ownership, and the bill passed 84-4. Another extended debate occurred on Senate Bill 2159, which allows the State Energy Research Center to study nuclear-related projects with approval from the Industrial Commission and consultation with the radioactive waste advisory council. Supporters said it is meant to help study advanced nuclear energy while preserving existing prohibitions on high-level radioactive waste storage; opponents raised concerns that the language could weaken prior protections and open the door to waste-related research or storage. The transcript ends during that debate, before a final vote on SB 2159 is shown.

Transcript Highlights:

• I'm a white, Christian, straight mother of four and a critical care physician.
• The mortality penalty for Black newborns was reduced by 58% when cared for by Black physicians.

Summary: The committee first confirmed Heather L. Turnbull to the Florida Commission on Community Service without debate. It then took up SPB 7022, which sets Florida Retirement System employer contribution rates beginning July 1, 2025, updates rates to address unfunded liability, and preserves the 3% employee contribution rate. Senator Fine said the bill would increase FRS Trust Fund revenue by about $310 million annually and also gives certain elected officers an option related to DROP accumulations. An amendment was adopted, the bill was submitted as a committee bill, and it was reported favorably. The committee then heard SB 1710, a bill by Senator DeSantis/DeSigley to prohibit state agencies, vendors, and grant recipients from using state funds for DEI-related policies, trainings, and programs, and to impose related restrictions on medical institutions of higher education. Senator Polsky and others questioned the bill’s broad and vague language, its effect on health-related work, public-facing agency positions, private contractors, and medical school admissions. The sponsor said the bill was intended to stop DEI from influencing state agencies and that the medical-school portion would likely be amended out later. Public testimony was overwhelmingly opposed, with speakers arguing the bill would harm health care, education, access, and minority communities; a few supporters said DEI is ideological and should be removed from government and public institutions. After debate, the bill was reported favorably on a party-line style vote, with Senator Errington voting no. The committee then began SB 1678, relating to entities that boycott Israel, with a delete-all amendment. Senator Leak said the bill would expand Florida’s anti-BDS framework to cover nonprofits, foreign educational institutions, foreign government funds, academic boycotts, political subdivisions, and certain grants, while the amendment aligned the bill with existing law and clarified procurement and divestment provisions. Testimony included support from proponents who said Florida should not do business with entities engaged in boycotts of Israel, and opposition from speakers who argued the bill would restrict academic freedom and conscience. Debate continued as the transcript ended, with no final vote shown in the excerpt.

Transcript Highlights:

• I'm here on behalf of Physicians Committee for Responsible Medicine. I vote yes.
• I'm here on behalf of Physicians Committee for Responsible Medicine. I vote yes. ...medicine?

Summary: The Assembly Education Committee met for its first hearing of the session, adopted its committee rules on a 6-0 vote, and then heard several bills. AB 347, which would require written notice to students about the right to opt out of animal dissection and receive a comparable assignment, drew strong support from the author, a student, and multiple advocacy and education groups, while opponents argued it would burden teachers and duplicate existing law. The committee approved AB 347 on a 7-0 vote and sent it to Appropriations. AB 281, which would expand parent access to sex education materials and require disclosure of outside consultants’ credentials, drew mixed testimony. Supporters framed it as a transparency and parent-rights measure, while school administrators and county education officials said current law already allows inspection and that the bill would create an unfunded administrative burden. After extended member discussion, the bill failed on a 4-3 vote with one abstention, though reconsideration was granted. AB 65, which would provide paid pregnancy leave for educators without requiring them to exhaust sick leave first, was supported by teachers, CTA, and the State Treasurer, but opposed by school administrators and business officials over cost concerns; it passed 6-0 to Higher Education. The committee also approved AB 361, which would extend and expand LAUSD’s best-value procurement authority for school construction to all school districts for five years, on a 5-0 vote with one abstention. AB 86, which would require the State Board of Education to adopt standardized K-8 health education instructional materials, passed 5-0. Finally, AB 228, the Zaki Fast Act, was introduced to clarify that schools may stock any federally approved epinephrine delivery system, including newer devices beyond auto-injectors, and was presented with testimony from the bill’s young namesake and his family; the transcript cuts off before the committee vote on that measure.

Transcript Highlights:

• seem to want to seek health care through the emergency room departments instead of primary care physicians
• So with a lot of that, I dug in, and especially... ...primary care physicians.

Summary: The subcommittee met to review agency travel, budget reduction exercises, and member reports from agency meetings. Early discussion focused on the Department of Management Services (DMS), where members questioned the cost of travel for four out-of-state data/cyber staff and the secretary’s absence. DMS defended the hires as highly specialized enterprise cybersecurity and data personnel, said the positions were lawfully paid and posted, and explained that the staff work on statewide data cataloging and cyber risk reduction rather than agency-by-agency systems. Members also raised concerns about fleet inventory discrepancies and requested follow-up information on hiring, travel, and data inventory timelines. The chair said she would consider travel guardrails and possible reductions, and noted that DMS, the Lottery, and the Florida Commission on Human Relations did not meet the requested reduction target, while the Public Employee Relations Commission did not submit reductions. The committee then heard from the Florida Lottery about the secretary’s trip to Paris for the World Lottery Convention. Lottery staff said the trip was reimbursed through the multi-state lottery organization and was intended to share best practices and improve operations, though members questioned the value of the travel and requested reimbursement records and the trip agenda. The subcommittee also reviewed agency reduction exercises from several agencies. The Department of Revenue exceeded its target and was praised for frugality; DFS, the Florida Gaming Control Commission, the Office of Financial Regulation, the Office of Insurance Regulation, the Public Service Commission, the Division of Administrative Hearings, and the Department of Business and Professional Regulation each described how they met or approached their reduction goals, often through vacancies, reversions, or expense cuts. OIR warned that further reductions could hurt insurance regulation capacity, while OFR and PSC said their reductions were based on historical reversions and lower post-COVID travel or vacancy levels. Members then reported back on agency meetings. DMS members raised fleet tracking, real property audits, salary studies, and health plan savings ideas, and asked for follow-up on the Florida PALM project, cybersecurity grants, and state IT modernization. DFS members said the agency was efficient and that its Palm-related work and insurance consumer programs were important. Lottery members emphasized the agency’s revenue generation for education and its low administrative overhead. Gaming Control members highlighted storage costs for seized gaming equipment and suggested technology-based alternatives. PERC members said a union-related law had doubled their workload and asked for more staffing and possible AI assistance. OIR members stressed the need for a Tampa satellite office and more resources to recruit and retain specialized staff. The chair closed by saying the committee would continue reviewing travel, staffing, and reductions with an eye toward taxpayer value and transparency.

Transcript Highlights:

• thought that maybe they should bring an excuse from a healthcare provider, which would have been a physician
• Payments, because PIP is going to continue to pay the physicians. So just a clarification there.

Bills: SJR 1, SB 9, SB 40, SJR 36, SJR 1, SJR 5, SB 9, SB 40, SR 61, SR 91, SR 97, SR 103, SR 104, SR 112, SR 115, SR 116, SCR 16, SB 26, SB 26

Keywords: bail denial, illegal aliens, felony offenses, constitutional amendment, law enforcement, bail reform, defendants, pretrial detention, public safety, criminal justice, charitable bail organizations, bail bonds, public funds, political subdivision, injunctive relief, taxpayer rights, bail, criminal justice reform, Texas Music Advocacy Day, music industry

Transcript Highlights:

• <02:43:49.520> assistant<02:43:50.080> practice, therapy, physician assistant practice
• , therapy, physician assistant practice, social<02:43:51.680> worker<02:43:52.080> practice
• Um, if there are issues with not being able to get a physician to work with, um, I think we could, you
• Um, if there are issues with not being able to get a physician to work with, um, I think we could, you
• to work with, um I I think we physician to work with, um I I think we could,<02:52:56.479> you

Keywords: 1187, senate, all

Transcript Highlights:

• Californians who have asked for things like mobile crisis, reproductive and gender-affirming care, physician
• Vanessa Cahina, on behalf of the California Family Physicians, we thank the Assembly for your hard work
• Vanessa Cahina, on behalf of the California Family Physicians, we thank the Assembly for your hard work

Keywords: 988, house, all

Summary: The Assembly Budget Committee met to consider the 2026 Budget Act, which leaders described as the compromise budget expected to move to the floor later that evening. Opening remarks emphasized that the plan balances the budget over two years, reduces the structural deficit, and builds reserves, while also protecting core programs from federal cuts. Jason Sisney outlined the legislative budget plan, saying it uses higher-than-expected revenues and reserve balances to reject some proposed reductions and fund temporary restorations and new spending in areas such as education, child care, health care, housing, homelessness, and public safety. Department of Finance representatives said the administration appreciated the two-year balanced framework and the effort to address out-year deficits, while noting the plan includes additional spending and revenue changes. Sisney also previewed floor bills including AB 109, SB 110, SB 122, and SB 125, with SB 122 described as a modification to the tax credit proposal and SB 125 as the managed care organization tax proposal. Subcommittee chairs then described the major policy choices in their areas. Health chair Addis said the budget responds to federal health care rollbacks by protecting Medi-Cal, clinics, hospitals, dental care, and other safety-net services, while also supporting reproductive care, gender-affirming care, and county health systems. Education chair Alvarez highlighted increased school funding, expanded learning, special education, teacher support, community colleges, and a change to Cal Grant eligibility for older community college students. Other chairs emphasized child care expansions, homelessness and housing funding, prison closure and criminal justice savings, wildfire mitigation, county support for Medi-Cal and CalFresh administration, and accountability measures tied to homelessness and corrections spending. Several members also raised concerns or priorities, including the impact of the MCO tax on providers, the need for more support for local journalism, transit and climate funding, biotech and R&D incentives, and continued work on Prop 98 and long-term revenue solutions. No formal votes were taken in the portion provided, but members broadly expressed support for the budget framework and the need to continue negotiations with the administration before final passage. The committee discussion repeatedly framed the budget as a response to federal policy changes and a choice to protect vulnerable Californians while maintaining fiscal responsibility. The vice chair, citing LAO warnings about future volatility and limited reserves, pressed Finance on whether the budget represented a record-sized state budget and whether revenues were also at record levels, underscoring concerns about the state’s preparedness for a downturn.

Transcript Highlights:

• We certainly provide, you know, we have an entire team of internal physicians that work on our teams
• Just like you and I may go see our physician in the community, we have physicians that provide our general

Keywords: 987, senate, all

Summary: The subcommittee heard updates from the Department of State Hospitals on its proposed 2026-27 budget, including a $3.2 billion total budget, patient-driven operating cost increases, savings in the IST solutions program, and progress in meeting the Stiavedi court-ordered 28-day treatment standard. DSH reported it has met court benchmarks, reduced the IST pending placement list from a pandemic high of 1,953 to about 250, and is now averaging about five days to initiate treatment. Members asked about the effects of Proposition 36 and SB 1323 on referrals, outside hospitalization costs, Medicare coverage, and whether IST solution funds were being overbudgeted; DSH said referrals are slightly down overall, outside medical costs are rising due to inflation and an aging population, and the IST savings reflect slower-than-expected activation of community programs rather than a service gap. The department also outlined proposed funding for electrical infrastructure upgrades at Napa and Patton, a feasibility study under SB 380 for transitional housing for the CONREP SVP program, and a dental services expansion at Metropolitan and Patton. The committee held those DSH items open after discussion. The Commission for Behavioral Health presented its role in overseeing the transition from MHSA to BHSA, including data, evaluation, transparency, grantmaking, and technical assistance. It described the new Innovation Partnership Fund, a statewide innovation grant program funded at up to $20 million annually for five years, with small and large grants, and said it had received strong interest ahead of the May 8 application deadline. Members asked about what qualifies as innovation, whether grants could be renewed, and how the state would ensure the program supports service delivery rather than general outreach or training. The commission also sought a liquidation deadline extension for up to $4.062 million in remaining Alcove Youth Drop-in Center funds so sites can finish implementation and Stanford can complete the final evaluation; that item was also held open. DHCS provided an overview of behavioral health policy changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, the access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation, transitional rent, and upcoming youth-focused guidance such as high-fidelity wraparound and activity funds. On BHSA implementation, DHCS said it is not tracking specific local program cuts, but is monitoring county plans and outcomes while noting that counties must still preserve Medi-Cal specialty mental health and DMC-ODS services. The department also discussed its H.R. 1 implementation strategy, including outreach, streamlined renewals, ex parte exemptions, and proposed clinic navigator and outreach funding to reduce Medi-Cal coverage loss, especially for people with behavioral health needs. In response to questions, DHCS said it has not produced a specific H.R. 1 impact estimate for county behavioral health populations, and later explained that counties can still use BHSA and other funding streams for prevention and early intervention while the state tracks impacts through integrated plans and new performance measures. The department also reported on BH-CHIP bond spending, saying it has awarded $5.8 billion for 437 infrastructure projects creating 546 new or expanded facilities and more than 9,553 residential beds, with tribal set-asides exceeding the original allotment.

Transcript Highlights:

• We certainly provide, you know, we have an entire team of internal physicians that work on our teams
• And then we provide specialty care, just like you and I may go see our physician in the community.
• We have physicians that provide our general medical care, and then we may have to see a specialty...

Summary: The subcommittee heard presentations from the Department of State Hospitals (DSH), the Commission for Behavioral Health, and the Department of Health Care Services (DHCS) on budget proposals and implementation updates. DSH outlined its proposed 2026-27 budget, including funding for patient operating expenses, IST solutions savings, conditional release program costs, LPS bed allocation changes, electrical infrastructure projects at Napa and Patton, SB 380 transitional housing feasibility work, and expanded dental services at Metropolitan and Patton. DSH also reported that it has met court-ordered IST treatment benchmarks in the Stiavedi v. Clinton case, with average time to initiate treatment down to about five days and pending placements reduced to roughly 250, while noting that Proposition 36 could increase referrals and SB 1323 may divert some individuals earlier into community-based treatment. Members asked about rising outside hospitalization costs, Medicare enrollment, the timing and structure of capital projects, and whether IST solution funds are being fully used; DSH said the savings reflect slower-than-expected ramp-up of community programs and that the Central California FACT replacement program is still on track for January 2027 activation. The Commission for Behavioral Health described its role under the Behavioral Health Services Act (BHSA), including data, evaluation, grantmaking, technical assistance, and transparency work. It highlighted the new statewide Innovation Partnership Fund, a five-year, $20 million-per-year program with small and large grant categories; the first RFA drew strong interest, with more than 400 questions and over 1,000 bidders’ conference participants. The Commission also discussed a proposed extension to spend down about $4.1 million remaining for the Alcove Youth Drop-in Center grants so sites can finish implementation and Stanford can complete the final evaluation. Members asked about grant duration, whether projects can be renewed, what qualifies as innovation, and whether the fund could support service delivery rather than awareness campaigns or training; the Commission said awards are expected to be three-year contracts and that proposals must be new or meaningfully expanded approaches that support BHSA priority populations. DHCS reviewed major behavioral health changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, updated specialty mental health access criteria, and new substance use treatment standards based on ASAM’s fourth edition. DHCS reported strong contingency management results, with more than 13,000 members served and 95% testing negative for stimulant use during treatment, and said 21 Indian health care providers have been approved to offer traditional health care practices. It also described BH Connect initiatives such as the $1.9 billion access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation by four counties, and transitional rent services. On BHSA implementation, DHCS said it is not tracking individual county contract cuts but is monitoring county plans and statewide outcomes, while stakeholders raised concerns about local prevention and service gaps. DHCS also outlined its H.R. 1 implementation strategy, including outreach, streamlined renewals, exemptions for disabled, substance use, and medically frail individuals, and proposed clinic navigator and outreach funding; it said it has not yet produced a focused estimate of H.R. 1 impacts on behavioral health populations. The discussion ended with DHCS noting that B-CHIP bond funding has supported 437 infrastructure projects, creating 546 new or expanded facilities and more than 9,500 residential beds across the state.