Transcript Highlights:

• They have limited networks, and again that has caused real problems, especially given the fact we've
• other things like that I can networks other things like that I can give<00:03:36.319> more<00
• and again they that has caused networks and again they that has caused real<00:03:43.640> problem
• our doctors who we say are in the network are seeing new patients.
• among plans and Who's got what network among plans and Who's got what network and<00:42:05.480><

Keywords: 1187, senate, all

Transcript Highlights:

• counties have already been doing to get the word out along with our community-based organization network
• and that many areas in California have support from and are connected to the Promise Neighborhood network
• On Monday, our network met with over a dozen of your colleagues.
• It's this invisible network that helps families move between resources. That's hard.
• La Cooperativa and this network, 82 offices across 34 counties, are ready partners to help deliver this

Summary: The Assembly Budget Subcommittee on Human Services held an informational hearing focused on the impacts of federal HR1 on CalFresh and Medi-Cal, along with related state mitigation efforts. CDSS, DHCS, DDS, county representatives, LAO, and Finance discussed automatic exemptions, data-sharing between departments, county workload, and the timing of implementation. CDSS said about two-thirds of adults ages 18 to 64 are already known to be exempt in CalFresh, and that administrative data matches could newly exempt about 200,000 of the roughly 955,000 adults potentially at risk. DHCS said Medi-Cal work requirements would begin in 2027 and the department is working to automate exemptions, including for IHSS recipients and some caregivers, while DDS said its population is expected to be covered by auto-exemptions. County welfare directors emphasized that individualized worker contact is critical, that counties need more staffing and stable funding, and that without it they expect delays, higher error rates, and reduced exemption screening capacity. Members pressed for written timelines, county-by-county impact data, and clearer guidance; the administration said it would provide follow-up materials and technical assistance. No votes were taken. The committee then heard a separate discussion on a proposed CFAP expansion or “CFAP Plus” concept to provide state-funded benefits to additional populations affected by HR1, including lawfully present non-citizens and ABODs. CDSS said implementation could not occur before October 1, 2027 because of policy and system-design constraints, and that adding unique eligibility rules would increase complexity and cost. Finance cautioned that any expansion would have General Fund impacts likely in the hundreds of millions to multiple billions. Members asked for cost estimates and technical feedback on trailer bill language, and CDSS said it would review the proposal and respond. The hearing also covered CDSS’s CalFresh strategic plan and mandated reporter training updates. CDSS said it is hiring a strategic plan lead to develop a long-term, data-informed CalFresh plan, and that the revised mandated reporter training is on track for launch in fall/winter 2026, ahead of the July 1, 2027 statutory deadline. The training will include updated content on structural racism, ICWA protections, implicit bias, and the distinction between reporting and supporting families. Members praised the work and asked for continued updates. Later panels focused on Promise Neighborhoods, Stop the Hate, and housing programs. Promise Neighborhood advocates and CDSS described the state’s prior $12 million investment, a positive evaluation showing roughly a 4-to-1 return, and a new proposal to support place-based partnerships and community schools through AB 1969. Stop the Hate grantees and CDSS reported that the program has provided direct services, prevention, and statewide coordination to millions of Californians, and urged reauthorization before funding expires; members asked for best-practice language and discussed focusing future funding on solidarity work, harm reduction, legal services, and education. Finally, CDSS presented on the CalWORKs Housing Support Program and Housing and Disability Advocacy Program, saying proposed General Fund investments of $105 million and $55 million would prevent funding cliffs and allow the programs to continue through 2026-27, while the absence of new funding would force reductions in housing assistance, subsidies, and enrollments.

Transcript Highlights:

• Representative Albert and others, House Bill 1101, a bill to be entitled an act relating to out-of-network
• And then adding a layer of liability just because somebody's in or out of network is problematic.
• House Bill 1101, a bill to be entitled an act relating to out-of-network providers.
• Is there anything about the out-of-network providers in the new amendment?
• This amendment doesn't include the out-of-network providers, is that correct, this new amendment that

Summary: The House took up a series of Senate messages and concurred in several amendments before passing multiple bills. Early actions included unanimous passage of CS/CS/HB 1299 on Department of Health matters, CS/HB 1549 on financial institutions after removing a Senate-added trust-account provision, and CS/CS/SB 768 on foreign ties in business ownership after trimming registration requirements. The chamber also insisted on its housing amendment to CS/CS/CS/SB 184 after the Senate refused to concur. A major portion of the meeting focused on CS/CS/HB 875 on educator preparation. The House adopted an amendment restoring two teacher-prep courses, preserving the Florida Center for Teaching Excellence at Miami-Dade College in partnership with USF, and modifying the teacher candidate testing framework and mentor qualifications. Supporters said it reduced barriers while keeping standards; opponents raised concerns about the remaining “identity politics” language and other provisions. The bill then passed 91-22. The House also passed HB 1101 on out-of-network providers after adopting a House amendment that kept the original bill’s notice and referral provisions with a good-cause exemption, despite objections that it placed too much responsibility on doctors. Later, the chamber approved CS/CS/SB 180 on emergency preparedness and response, with members highlighting debris management, emergency planning, crane safety, and hurricane recovery provisions; it passed unanimously. The House then rejected concurrence in a Senate amendment to HB 1609 on waste incineration, and later spent substantial time debating CS/CS/HB 1115 on education, especially Schools of Hope, expanded co-location authority, funding, transportation, and school-district agreement terms. Critics argued the language was added late and could disadvantage traditional public schools, while supporters said it would expand options for students; the debate continued with the bill still under consideration at the end of the excerpt.

Transcript Highlights:

• think about our road network think about our road network differently.<01:30:52.880> We<01
• We have the fourth largest road network in the country.
• And why do we have the fourth largest road network in the country?
• But everyone benefits from our robust road network. it feeds the world.
• They make it so of our road network.

Keywords: 1183, house

Transcript Highlights:

• I work for the Rural AIDS Action Network.
• <00:48:20.480> I'm<00:48:20.640> the<00:48:20.839> executive Action Network
• I'm the executive Action Network I'm the executive director<00:48:22.240> and<00:48:22.720>
• AIDS Action Network serves approximately uh<00:49:35.440> 550<00:49:36.440> people<00:
• a network of other services<00:54:38.960> and<00:54:39.200> supports<00:54:39.640>

Keywords: 1187, senate, all

Transcript Highlights:

• I'm Molly Montigue with the Rape, Abuse & Incest National Network, better known as RAINN.
• I'm Molly Montigue with the Rape, Abuse & Incest National Network, better known as RAINN.
• We're also working this year to expand our volunteer network.
• um a lot of our volunteer network um a lot of our children<01:38:31.960> need<01:38:32.239>
• It's very well respected in the bar, and it does have a very high-quality pro bono network.

Keywords: 1187, senate, all

Transcript Highlights:

• We're also working to create a digital opportunity network, and we plan to pilot a digital opportunity
• leader network.
• Your competitors can use that network as well.
• an Open Access Network then you're not<00:36:43.839> guaranteed<00:36:44.319> to<00:36
• as well and I will tell you in Network as well and I will tell you in my<00:36:50.960> almost

Keywords: 1187, senate, all

Transcript Highlights:

• short here, and Kristen Niemers, the policy and campaign manager with the California Black Power Network
• I'm Kristen Nimmer's, Policy Campaigns Manager with the California Black Power Network.
• statewide campaign to engage Black communities in the state redistricting process and support our network
• Staff attorney and campaign director for the National Day Laborer Organizing Network, or NDLON, and Mr
• I'm here with NDLON and as a member of Grupo Autodefensa Pasadena, my local rapid response network.

Summary: The committee heard several bills focused on civil rights, housing, public safety, and administrative process. Early items included SB 46, which would authorize the Secretary of State to remove constitutionally ineligible presidential and vice presidential candidates from California ballots; SB 1078, requiring notice to the Civil Rights Department when court filings involve civil rights violations; SB 989, expanding access to Care Court by letting first responders refer cases through county behavioral health agencies; SB 998, clarifying and expanding discrimination prevention coordinators in the new Office of Civil Rights; SB 1146, requiring disclosure for AI-generated health advertisements and giving physicians a limited private right of action; SB 1164, a California Voting Rights Act expansion responding to federal voting-rights rulings; SB 1256, a housing bill aimed at limiting repeated litigation over the Harmony Grove Village South project; SB 1267, addressing HOA liability and indemnification for EV charger installations; and SB 1425, authorizing an encroachment permit program for high-speed rail right-of-way management. The committee also later heard SB 873, restricting ICE arrests near courthouses, and SB 1160, requiring eviction data reporting by zip code. Most bills drew support from sponsors, advocacy groups, labor organizations, or local officials, while opposition centered on concerns about county workload, due process, fire safety, civil liberties, or the scope of the policy changes. Members generally expressed support for the bills while noting unresolved issues and the need for amendments or further stakeholder work, especially on SB 1164, SB 1256, SB 1267, SB 1425, and SB 1160. The Judicial Council opposed SB 1160 because of the burden of adding zip-code reporting to court systems, while the author and supporters argued the data would help target eviction-prevention efforts. SB 873 drew strong support from public defenders, immigrant-rights groups, and court-related stakeholders, with the San Bernardino County Sheriff’s Department opposing. SB 989 drew support from firefighters and family advocates, while Disability Rights California opposed, arguing Care Court is too costly and diverts resources from community-based services. SB 1164 received broad civil-rights and voting-rights support, with cities opposing unless amended over definitions, cure periods, and litigation risk. SB 1256 drew support from housing and labor interests and opposition from local residents and environmental groups concerned about fire safety and evacuation. SB 1267 was supported by the HOA and utility stakeholders after amendments addressing liability concerns. After quorum was established, the committee voted to pass a consent calendar and then approved the listed bills, sending them to the appropriate committees or to Appropriations, including SB 46, SB 873, SB 989, SB 998, SB 1078, SB 1146, SB 1164, SB 1256, SB 1267, and SB 1425. The transcript ends with SB 1160 still under discussion, with members indicating support for the bill’s goals but acknowledging the Judicial Council’s implementation concerns and the need for further work.

Transcript Highlights:

• Last year, we delivered nearly 170 million pounds of food to our neighbors and to a network of more than
• of more than a need and to a network of more than a thousand<00:04:50.280> food<00:04:50.560>
• Minnesota is fortunate to have a strong statewide hunger relief network, and at Second Harvest Heartland
• We do receive about— and the entire network probably receives— we receive less than 10% of our budget
• Etc that the hunger relief Network Etc that the hunger relief Network relies<00:21:19.400> on

Keywords: 1183, house

Transcript Highlights:

• We have a mandated affiliate network that has grown.
• We have a mandated affiliate network that has grown.
• We do that with the help of our affiliate network that I mentioned.
• So we also offer additional training and networking opportunities.
• Our network is Grow Center Advisory Committee members.

Summary: The committee held its first meeting of the session and received an overview of the Higher Education Appropriations budget from staff director Tim Elwell. He explained the committee’s broad jurisdiction over universities, state colleges, district workforce programs, vocational rehabilitation, blind services, student financial aid, private colleges, and the Board of Governors, and reviewed key budget concepts such as local funds, funds per FTE, performance funding, and the distinction between the total appropriation and the recurring base budget. He noted that higher education is funded largely through state and local sources, with substantial flexibility compared with other state budgets, and that the base budget is heavily weighted toward lump-sum allocations to the public systems. The committee then heard a presentation from the University of South Florida’s Florida Center for Cybersecurity (Cyber Florida), led by retired Marine Gen. Frank McKenzie and USF representative Mark Walsh. They described Cyber Florida as a statewide cybersecurity platform created by the Legislature in 2014 to support education, research, workforce development, public policy, and community engagement. McKenzie emphasized the growing cyber threat environment, Florida’s leadership role, and several funded initiatives, including K-12 outreach, workforce training, a cyber range for county governments, critical infrastructure assessments, grant development, and public conferences and outreach. Members asked about public cyber awareness, the lack of a national cyber defense strategy, school district participation in Cyber Launch, and which counties are most at risk; McKenzie said smaller counties with limited cybersecurity staffing are generally more vulnerable and offered to provide follow-up information. Finally, the committee heard from the Florida Center for Students with Unique Abilities at the University of Central Florida, led by Dr. Drew Andrews, along with program and parent representatives from participating institutions. Andrews explained the center’s role in coordinating Florida’s postsecondary comprehensive transition programs for students with intellectual disabilities, supporting program development, distributing grants and scholarships, and monitoring outcomes. He reported that the state now has 33 approved programs at 35 institutions, including universities, state colleges, and technical colleges, and that scholarship and grant funding has grown significantly. He said student retention is about 88 percent, many graduates are employed, and median hourly earnings have increased over time. A representative from Southeastern University described how the center’s support helped build and sustain SEU Link, including a new third-year employment-focused option for students.

Transcript Highlights:

• Let me start with the Rural Health Information Network.
• Let me start with the Rural Health Information Network.
• Let me start with the Rural Health Information Network.
• This is about This Information Network.
• It’s going to be a network of five respite sites.

Bills: HB20, HB276, HB644, HB812, HB816, HB916, HB1131, HB1247, HB1518, HB1525, HB1537, HB1541, HB1546, HB1553, HB1562, HB1565, HB1566, HB1576, HB1577, HB1591, HB1605, HB1612, HB1613, HB1614, HB1618, HB1620, HB1650, HB1656, HB1658, HB1661, HB1664, HB1668, HB1676, HB1707, HB1711, HB1713, HB1715, HB1718, HB1727, HB1749, HB1756, HB1774, HB1776, HB1801, HB1802, HB1805, HB1813, HB1815, HB1831, HB1838, HB1853, HB1854, HB1859, HB1863, HB1871, HB1872, HB1918, HB1920, HB1952, HB1965, HB1966, HB1967, HB1969, HB1972, HB1973, HB1974, HB1975, HB1980, HB1985, HB2005, HB2023, HB2031, HB2033, HB2062, HB2113, HB2114, HB2116, HB2138, HB2139, HB2156, HB2158, HB2159, HB2171, HB2208, HB2268, HB2270, HB2272, HB2273, HB2276, HB2289, HB2310, HB2315, HB2335, HB2338, HB2339, HB2340, HB2343, HB2361, HB2384, HB2387, SB2338, SB2431, SB2438, SB2593, SB2907, SB2671, SB2321, SB3084, SB2401, SB3033, SB2972, SB3032, SB2806, SB3014, SB2108, SB2981, SB2973, SB2423, SB2078, SB2322, SB2397, SB2896, SB2088, SB2347, SB2408, SB2970, SB2851, SB2713, SB2697, SB2312, SB2192, SB2363, SB2530, SB3028, SB2024, SB3007, SB2599, SB2596, SB2662, SB2930, SB3334, SB2378, SB3019, SB3231, SB2240, SB2372, SB2175, SB2046, SB2298, SB2922, SB2835, SB3263, SB2174, SB2128, SB2006, SB2489, SB3134, SB2982, SB2425, SB2849, SB2797, SB2795, SB2575, SB2521, SB2765, SB2386, SB2852, SB2022, SB2117, SB2277, SB2387, SB2688, SB2885, SB3132, SB3219, SB2169, SB2591, SB2090, SB2983, SB888, SB3249, SB2611, SB2429, SB2463, SB3154, SB3131, SB3152, SB3315, SB2448, SB2054, SB2140, SB2520, SB2377, SB2986, SB2010, SB2189, SB2026, SB3010, SB2818, SB2002

Keywords: lava insurance, homeowners, insurance market, subsidy, Hawaii, condominiums, annual report, filing fee, real estate, developer, residency, property regime, PFAS, single-use plastics, environmental health, food ware, pollution reduction, local produce, agriculture, Hawaii Revised Statutes

Transcript Highlights:

• Thriving communities depend on safe, reliable, and resilient transportation networks.
• Thriving communities depend on safe, reliable, and resilient transportation networks.
• Of course, our transportation network is not just roads.
• highway projects that are not eligible for federal aid but are just as critical to our transportation network
• $100 million that's distributed based on road miles, which ensures that communities with vast road networks

Keywords: 995, all

Summary: The Joint Committee on Bonding, Capital Expenditures and State Assets held a public hearing on H. 5279, a bill financing long-term improvements to municipal roads and bridges. MassDOT and A&F testified in support, describing the bill as a more than $5 billion transportation bond package centered on a four-year, $1.2 billion Chapter 90 authorization, plus funding for MBTA rail reliability and modernization, housing-related transportation improvements, a new DCR/MassDOT PRISM program for parkways and other DCR assets, and reauthorizations of the Municipal Pavement Program, Shared Streets and Spaces, and highway programs. They said the bill would support safety, resilience, housing production, and multimodal transportation, and noted that some bonds could be issued as special obligation bonds backed by the Commonwealth Transportation Fund and Fair Share revenues. Committee members asked about the size and structure of the authorizations, the federal match for highway projects, the source of MBTA vehicle procurement, bridge repair needs, and whether the housing-related funds could be used flexibly for items like sidewalks, bike lanes, bus stops, and other local transportation improvements. Administration witnesses said the bill is intended as a temporary refill of existing programs until a larger transportation bond bill is filed next session, that the federal-aid line includes the full spending authority while the state only borrows the 20% match, and that the housing-related program is deliberately broad and not limited to MBTA communities. They also said Chapter 90 includes a road-mile component that especially helps rural communities and that preservation and safety are built into the programs. The Massachusetts Municipal Association also testified in strong support, emphasizing that Chapter 90 is the most important tool municipalities have to maintain the roughly 30,000 miles of local roads and bridges they are responsible for. MMA urged timely passage before construction season and praised the continued $300 million Chapter 90 level, especially the $100 million road-mile distribution that helps communities with large road networks and smaller populations. No votes were taken on the bill, and the hearing concluded with adjournment after testimony ended.

Transcript Highlights:

• condemns the Russian Federation's abduction and forcible transfer of Ukrainian children, the large network
• of<00:16:55.519> camps<00:16:55.920> and<00:16:56.160> centers the large network
• of camps and centers the large network of camps and centers that<00:16:56.720> facilitate<00:
• condemns the Russian Federation's abduction and forcible transfer of Ukrainian children, the large network
• condemns the Russian Federation's abduction and forcible transfer of Ukrainian children, the large network

Keywords: 927, senate, all

Transcript Highlights:

• , also known as SoCalCAN, comprised of almost 100,000... ...College Attainment Network, also known as
• The network collectively serves over 350,000 students and families.
• As a network working with... ...especially for historically marginalized students.
• As a network working with student advocates, it is central to our systems change strategy, and every
• This is a big reason why many of our network members go far beyond helping students apply for college

Summary: The Assembly Committee on Human Services heard several homelessness, public benefits, and aging-related bills. SB 748 would expand Encampment Resolution Funding to support safe parking sites for people living in cars or RVs, require quarterly reporting from HCD on outcomes, and direct LAO evaluation; supporters said it would help local governments reduce RV encampments while connecting people to housing and services. SB 290 would repeal the CalWORKs immunization sanction that reduces aid when parents cannot provide acceptable proof of a child’s vaccination; supporters argued the penalty unfairly harms families already in poverty and can worsen instability, while no opposition testified. SB 606 would define “functional zero” for overall and unsheltered homelessness and require local jurisdictions to plan for and report on the housing and interim shelter needed to reach that goal; supporters said it would add accountability and focus on reducing unsheltered homelessness, and one group moved from opposition to neutral after amendments. SB 433 would create an income-based room-and-board cap and personal needs allowance for all Medi-Cal assisted living participants in residential care facilities for the elderly, not just SSI recipients; supporters said it would prevent eviction and homelessness among low-income seniors and people with disabilities, and facility groups withdrew opposition or moved to neutral after amendments. SB 761 would require students applying for Cal Grants to be notified that they may be eligible for CalFresh and given information on how to apply; supporters said it would address widespread student food insecurity and low enrollment among eligible students. The committee accepted amendments on the bills, and all of the measures discussed were reported out on 7-0 or similar unanimous votes to the Assembly Appropriations Committee, with the consent calendar also approved unanimously.

Transcript Highlights:

• We also continue to build on the rare disease network that has we launched in this state a few years
• We also continue to build on the rare disease network that has we launched in this state a few years
• We also continue to build on the rare disease network that has we launched in this state a few years
• <00:10:56.720> that<00:10:56.959> has<00:10:57.200> we the rare disease network
• that has we the rare disease network that has we launched<00:10:57.839> in<00:10:58.079> this

Bills: HF2436, HF2435

Keywords: child welfare, economic assistance, child care, grant program, video security cameras, healthcare, dementia services, public health funding, opioid prevention, women's health, community health boards, mental health, 1183, house

Transcript Highlights:

• Brian Shobe on behalf of the California Climate and Agriculture Network in support.
• Yes, Brian Chauvin on behalf of the California Climate and Agriculture Network and Californians Against
• Waste. the California Food and Farming Network in support.
• I'm the Policy Director with the California Climate and Agriculture Network.
• We are a network of farmers and ranchers, scientists, and organizations that advocate... to ensure that

Keywords: 988, house, all

Transcript Highlights:

• Um, Energy Justice Network Mike Ewall, in opposition on Zoom. Okay. Welcome.
• > Mike<00:07:42.920> Ewall, Um, Energy Justice Network Mike Ewall, Um, Energy Justice Network
• ,<00:19:48.280> Mike Energy Energy Justice Network, Mike Energy Energy Justice Network, Mike
• Um, also Energy Justice Network, Mike Iwalani, opposition on Zoom.
• Mike Iwalani, Energy Justice Network.

Bills: HB1986, HB1694, HB1695, HB2030, HB1673

Keywords: clean fuel standard, alternative fuels, carbon intensity, emission reduction, greenhouse gases, transportation, sustainable aviation fuel, tax credit, greenhouse gas emissions, renewable energy, Hawaii, economic development, carbon footprint, aviation sector, renewable fuels, local production, energy resilience, agricultural innovation, job creation, clean vehicles

Summary: The committee on Energy and Environmental Protection heard testimony on three measures related to cleaner fuels. On HB 1986, which would require the Department of Transportation to adopt rules for a clean fuel standard by January 1, 2028 and include reporting and public informational sessions, testimony was largely supportive from state commissions, fuel companies, airlines, and other industry and advocacy groups. Supporters said the bill would create a long-term framework for reducing emissions and developing cleaner fuels in Hawaii. Opposition came from Energy Justice Network, which argued that so-called clean fuels are not carbon-free, would be costly, and could delay a needed transition to electrification. The department later said it was monitoring the bill and was concerned about costs. No vote or final action was taken in the hearing. The committee then heard HB 1694, a sustainable aviation fuel tax credit bill that would provide a per-gallon credit for SAF, cap annual credits at $20 million, require reporting, and sunset in 2035. The Department of Taxation testified on administration, while the Department of Transportation said it supported the measure as a short-term strategy to jump-start SAF until the clean fuel standard ramps up. Airlines, fuel companies, the Hawaii Food Industry Association, the Hawaii Renewable Fuels Coalition, and others supported the bill, saying it would send a market signal, help close the cost gap with conventional jet fuel, and encourage local production and investment. Opponents, including Energy Justice Network, Life of the Land, and Ted Metros, argued the bill would be expensive, could lock in a transitional fuel system, and would not produce enough fuel to meet demand. Committee members asked about the likely impact and the share of total fuel demand the credit could support; DOT said the supported gallons would be only a very small percentage of annual demand and that the credit was intended to work alongside the future clean fuel standard. Finally, the committee took up HB 1695 HD1 on renewable fuel, which expands the renewable fuels production tax credit. Testimony was again mixed but generally supportive from the Department of Transportation, Department of Taxation, Island Energy Services, airlines, the Tax Foundation, Pana Pacific, and the Hawaii Farm Bureau. Supporters said the measure would encourage local feedstock production, create agricultural opportunities, and help attract investment in renewable fuels. Pana Pacific requested an amendment to explicitly include camelina in the definition of renewable feedstocks. Opponents, including Energy Justice Network and Life of the Land, repeated concerns about cost, imported feedstocks, and the risk of undermining full electrification goals. The hearing transcript does not show any vote or final committee action on HB 1694 or HB 1695 HD1.

Transcript Highlights:

• Third is a statewide provider network that can provide individuals with the services that they need.
• Some AAAs do maintain wait lists at their discretion, but this is not a consistent across the network
• With the intent of strengthening the aging network, the department has embarked on the CA 2030 effort
• I've been asked to talk about the federal threats to California's aging network.
• Each of these food banks that is part of the TEFAP network has a distribution network that connects with

Summary: The joint Assembly Budget Subcommittee hearing focused first on long-term services and supports for older adults, especially the “forgotten/overlooked middle” who earn too much for Medi-Cal but cannot afford private long-term care. Administration witnesses from DHCS, the Department of Aging, and Social Services described Medicare’s limited long-term care coverage, Medi-Cal’s role, the elimination of the Medi-Cal asset test, and ongoing state studies and listening sessions on financing options. Testimony from advocates and researchers emphasized rising homelessness among older adults, the need for better navigation and coordination across health, aging, housing, and social service systems, and short-term policy steps such as share-of-cost reform, housing stability supports, and protecting home- and community-based services. Members highlighted the need for a coordinated, no-wrong-door approach and asked for the most impactful budget investments to address affordability and homelessness risk. The second major topic was the Community-Based Adult Services (CBAS) program. CDA reported that CBAS helps participants remain in the community, that 304 centers operate statewide serving about 42,000 people, and that demand is stable but access gaps remain in some regions. DHCS explained that a 2024 rate increase authorized by SB 159 became inoperative after Proposition 35, and that a separate 10% rate change on the fee schedule was the result of a DHCS system error; the department said it would not require recoupment, though managed care plans may act under their contracts. CBAS providers and advocates warned that reimbursement rates have not kept pace with costs, that several centers have closed, and that clawbacks could trigger more closures. They requested $74.8 million ongoing General Fund to close part of the rate gap and preserve the program, while members expressed concern about closures and the cost savings of keeping people out of more expensive institutional care. The hearing then moved to In-Home Supportive Services (IHSS) and statewide collective bargaining. CDSS reviewed provider recruitment and retention efforts, including electronic timesheets, direct deposit, and the now-completed IHSS Career Pathways program, which trained more than 59,000 providers. CDSS also summarized its AB 102 workgroup report on statewide versus regional bargaining, saying the final report would be sent to the Legislature soon and that statewide bargaining appeared more viable than regional bargaining, though it would require clear statutory scope and major fiscal changes. The department estimated that each $1 per hour statewide wage increase would cost at least $1.3 billion to $1.5 billion annually. Labor advocates argued that IHSS wages, benefits, and training are too inconsistent across counties and called for statewide bargaining, consumer participation, and ongoing state funding. County representatives supported stronger wages but cautioned that counties need protection from new costs and administrative burdens, and consumer advocates warned that moving bargaining to the state could weaken local consumer control and the program’s consumer-driven structure.

Transcript Highlights:

• network adequacy got the stringent network adequacy requirements<00:35:22.800> that<00:35:23.040
• <00:35:32.240> adequacy need to meet the network adequacy need to meet the network adequacy
• . and network adequacy, to access care. and network adequacy, which<00:36:11.760> I<00:36:11.920
• The the issue of the network it.
• entering into contracts with in network entering into contracts with in network providers<01:46:

Keywords: 928, house, all

Summary: The committee first heard Senate Bill 47, sponsored by Sen. Regina Birdsell at the request of the Insurance Department. The bill would codify the department’s interpretation that a birth mother’s health insurance is the primary coverage for a newborn, unless the mother has no insurance or coverage under an employer-sponsored plan. Birdsell and Insurance Commissioner DJ Benton Court said the measure is a clarification of existing practice and intended to protect vulnerable newborns; a question from Rep. Miles clarified that if a young woman is on her parents’ policy, the newborn would generally be covered under that family coverage. The hearing on SB 47 was then closed. The committee then took up Senate Bill 121, introduced by Grant Bosi for Sen. Kevin Avard, which would require insurers to notify the Insurance Department when they stop writing an entire line of business or, in some cases, Medicare Advantage plans. Commissioner Benton Court said the bill arose from disruption in the Medicare Advantage market, where consumers, brokers, and the department were confused by carriers changing or ending offerings; he said the department wanted a simple notification requirement so it could better advise consumers. Members discussed network adequacy, county-based service areas, and the fact that the bill would make notice a condition of licensure, with possible fines or license action for noncompliance. Witness Paula Rogers of AHIP said her group supported the bill if amended, and the department indicated it would support a change from a 120-day notice period to 90 days to align with state rules; the committee planned to work on an amendment in subcommittee. Finally, the committee heard Senate Bill 247, introduced by Rep. Brian Cole, which would prohibit network exclusion of pharmacies that refuse to dispense prescriptions when PBM reimbursement is below acquisition cost. Cole argued the bill is meant to stop pharmacies from being forced to sell drugs at a loss, describing PBMs as middlemen and saying the measure is a compromise that protects local pharmacies. Members questioned whether consumers would pay more and whether pharmacies voluntarily enter PBM contracts; Cole responded that the bill would let pharmacies refuse unprofitable fills while consumers could still obtain the drug through mail order or other channels. He also said the issue has changed over time because the practice now affects a much larger share of generics and is concentrated among a few PBMs. The hearing remained open as questions continued, with no vote taken in the excerpt.

Transcript Highlights:

• I want to especially thank Representative Neimis and Barry Massa with Network for Hope for their work
• know that all these actions that are incorporated in this bill have already been incorporated in Network
• know that all these actions that are incorporated in this bill have already been incorporated in Network
• know that all these actions that are incorporated in this bill have already been incorporated in Network

Keywords: 958, all

Summary: The House Health Services Committee took up House Bill 510, which concerns organ donation procedures and the timing of donation after death is in question. Testimony in support emphasized that the bill’s “pause” requirement when there is uncertainty is intended to protect public trust, ensure death is confirmed with certainty before donation proceeds, and preserve confidence in the organ, tissue, and eye donation system. Witnesses also said the bill largely reflects practices already used by Network for Hope and would help honor donors’ choices while saving lives. Committee members expressed support for the clarification in the bill and noted its importance. After a motion and second, the committee proceeded to a roll call vote. The bill received favorable votes from the members present, with House Bill 510 passing the committee with favorable expression. The chair announced that the committee’s next meeting would be Thursday, February 26 at noon in the same room, and then adjourned the meeting.