Transcript Highlights:

• Research and Development Foundation to search for solutions to citrus greening and citrus canker disease
• for the Citrus Health Response Program to survey citrus groves for pests and prevent the spread of diseases
• Research and Development Foundation to search for solutions to citrus screening and citrus canker disease
• for the Citrus Health Response Program to survey citrus groves for pests and prevent the spread of diseases
• . $5 million for the continuation of the e-com. prevent the spread of diseases. $5 million for the continuation

Summary: The committee convened with a quorum, welcomed new member Senator Ralph Massullo, and first took up confirmation of five appointees to water management district and basin board positions. Senator McLean moved favorable confirmation of Ted Everett, Jerome Pate, Michael Romano, Paul Bissfam, John Hall, and Virginia Johns, and the motion passed by roll call. The main agenda item was the Governor’s Florida First budget presentation for the environmental agencies. Kim Kramer and DEP Secretary Alexis Lambert outlined proposed environmental funding of about $5.8 billion, including more than $1.4 billion for water resources, $810 million for Everglades restoration, $408 million for water quality, $202 million for Resilient Florida, $75 million for beach renourishment, $150 million for Florida Forever, $70 million for state park infrastructure, and $221 million for hazardous waste cleanup. They also highlighted proposed funding for FWC operations, manatee care, python removal, oyster reef restoration, forestry and wildfire equipment, and citrus research and disease response. Members asked about Florida Forever funding, state park wastewater and septic needs, a cut to the Florida Wildlife Research Institute, and how beach renourishment is handled after storms. The committee then heard the general government budget presentation. Agencies highlighted included DBPR, Gaming Control, the Lottery, DMS, PERC, DFS, OIR, and Revenue. DBPR discussed funding for license processing, an animal abuse hotline, vehicle replacement, and IT recruitment; Gaming Control requested new law enforcement squads and a licensing/enforcement IT system; the Lottery emphasized marketing, retail engagement, IT, and retention funding; DMS proposed building, fleet, telecommunications, cybersecurity, and local government grant investments; PERC described workload growth after SB 256 and requested staffing, operations, and pay increases; OIR sought more staff for consumer protection and market oversight plus building renovations; DFS highlighted My Safe Florida Home funding, fire marshal and first responder support, financial investigations, and gold and silver legal tender implementation; and Revenue requested operational, IT, and fiscally constrained county funding. Members questioned DBPR about unfunded HOA fraud and condo transparency items, DMS about cybersecurity grants, and DFS about My Safe Florida Home funding levels, abandoned grants, and reduced program uptake. No further action was taken, and the committee adjourned without additional votes.

Transcript Highlights:

• Research and Development Foundation to search for solutions to citrus greening and citrus canker disease
• for the Citrus Health Response Program to survey citrus groves for pests and prevent the spread of diseases
• Research and Development Foundation to search for solutions to citrus screening and citrus canker disease
• for the Citrus Health Response Program to survey citrus groves for pests and prevent the spread of diseases
• . $5 million for the continuation of the e-com. prevent the spread of diseases. $5 million for the continuation

Committee: Senate Appropriations Committee on Agriculture, Environment, and General Government

Summary: The committee first took up confirmation of five water management district appointees: Ted Everett and Jerome Pate to the Northwest Florida Water Management District, Michael Romano to the Big Cypress Basin Board of the South Florida Water Management District, and Paul Bissfam, John Hall, and Virginia Johns to the Southwest Florida Water Management District. Senator McClain moved confirmation, the roll was called, and the committee recommended all appointees favorably. Members then received the Governor’s Florida First budget presentations for environmental agencies. The environmental package totaled about $5.8 billion and emphasized Everglades restoration, water quality, resilience, land conservation, state parks, hazardous waste cleanup, wildlife management, wildfire response, and citrus support. DEP highlighted more than $1.4 billion for water resources, including $810 million for Everglades restoration, $202 million for Resilient Florida, $150 million for Florida Forever, $70 million for state parks, and $221 million for contamination cleanup. FWC, Agriculture, and Citrus funding priorities were also outlined. Members asked about Florida Forever funding, state park wastewater and septic needs, a reduction at the Florida Wildlife Research Institute, and beach renourishment funding for storm damage. The committee also heard the General Government portion of the budget, which totaled about $2.9 billion and covered DBPR, Lottery, Financial Services, Management Services, Revenue, PERC, and the Gaming Control Commission. DBPR requested funds for license processing, an animal abuse hotline, fleet replacement, and IT retention. FGCC sought new enforcement squads and an IT licensing/enforcement system. The Lottery proposed marketing, retail engagement, IT, and retention funding. DMS emphasized building modernization, fleet telematics, 911 and radio upgrades, cybersecurity, a local government cybersecurity grant program, and data interoperability. PERC described a sharp increase in labor cases and elections after SB 256 and requested staffing, election administration, and hearing officer pay increases. DFS highlighted My Safe Florida Home, fire marshal and first responder support, financial investigations, and gold and silver legal tender implementation. Revenue requested operational and IT funding and support for fiscally constrained counties. Questions focused on DBPR’s condo and HOA initiatives, cybersecurity grant reductions, and the My Safe Florida Home program’s abandoned grants and matching requirements. No additional votes were taken, and the committee adjourned.

Transcript Highlights:

• </c> program forign animal disease program forign animal disease investigations<00:19:03.240><c> import
• </c><00:19:04.880><c> investigations</c> reportable disease investigations reportable disease investigations
• </c> in Staffing and diminished disease in Staffing and diminished disease response response response
• </c><00:41:48.520><c> we</c> they don't have some of the diseases we they don't have some of the diseases
• We hope it never does, but foot and mouth disease is also another big concern.

Committee: Senate Agriculture, Veterans, Broadband, and Rural Development

Keywords: 1187, senate, all

Transcript Highlights:

• And then issuance of certificate of occupancy: no more than 10 business days, 10 calendar days.
• I’m down on line 30, 104A3, issuance of certificate of occupancy. Got it. Okay.
• <01:11:28.960><c> no</c><01:11:29.280><c> more</c> occupancy no more occupancy no more than<01:11:31.280
• </c> occupancy. Gota okay. occupancy. Gota okay.
• </c> occupancy or completion. That's all new. occupancy or completion. That's all new.

Committee: House Housing

Keywords: 1189, house, all

Transcript Highlights:

• One is under statute 175.45, talking about employment and occupations that advance manufacturing, health
• One is under statute 175.45, talking about employment and occupations that advance manufacturing, health
• One is under statute 175.45, talking about employment and occupations that advance manufacturing, health
• One is under statute 175.45, talking about employment and occupations that advance manufacturing, health
• </c> can have a financially viable occupation can have a financially viable occupation in<01:13:49.760

Committee: Senate Jobs and Economic Development

Keywords: 1187, senate, all

Transcript Highlights:

• Disease prevention and women and children's health will come to order.
• Of this protein can slow disease progression and improve outcomes, such as delaying loss of ambulation
• And while the disease primarily afflicts boys, females who are carriers are also at risk for other diseases
• It's a life-threatening disease where bacteria attack the intestines, which may require surgery, and
• This reduces the burden of chronic disease, lowers health care costs, and improves quality of life.

Bills: HB321 , HB 1027 , HB 1295 , HB1782 , HB2295 , HCR29 , HCR56

Committee: House S/C on Disease Prevention & Women's & Children's Health

Keywords: Medicaid, child health, express lane option, income verification, supplemental nutrition assistance, telepharmacy, healthcare access, remote dispensing, rural clinics, pharmacy regulations, health literacy, state health plan, health care, patient outcomes, public health, economic impact, healthcare, breast cancer, cervical cancer, insurance eligibility

Transcript Highlights:

• of the disease.
• of the disease.
• of the disease.
• The disease.
• of the disease.

Committee: House Commerce and Consumer Affairs

Keywords: 1189, house, all

Transcript Highlights:

• And as I’ve said before, this is a belligerent military United States occupation.
• And as I’ve said before, this is a belligerent military United States occupation.
• </c><00:57:12.720><c> so</c><00:57:13.200><c> it's</c><00:57:13.400><c> really</c> belligerent occupation
• so it's really belligerent occupation so it's really important<00:57:13.880><c> to</c><00:57:14.000>
• peoples shall not be forcibly removed from their lands, territories, due to belligerent military occupation

Committee: House Judiciary & Hawaiian Affairs

Keywords: 910, house, all

Summary: The committee heard testimony on House Bill 410, the Office of Hawaiian Affairs’ biennium operating budget. OHA asked for a modest increase over its base budget, including $1.2 million to fund 13 new full-time positions for a strategy and implementation team tied to its long-term plan, with emphasis on housing, education, health, and economic resilience. OHA also described a broader effort to work directly with executive branch departments to improve outcomes for Native Hawaiians. Testimony was largely supportive, with several individuals speaking in favor and one testifier expressing strong frustration about Native Hawaiian rights and access to resources. The chair noted there were 38 additional written/supporting testimonies and three in opposition. Members asked about OHA’s funding sources and public land trust revenues; OHA said it is not receiving the full 20 percent share, described a public land trust working group and system issues, and said a related bill would seek funding to begin an inventory. No vote was taken in the portion provided. The committee then considered House Bill 304, which would make the Hawaiian version of a law binding when the law was originally drafted in Hawaiian and later translated into English. The Judiciary supported the bill, saying it reinforces Hawaiian as an official language and looks to the original language for legislative intent. The Attorney General supported the intent but recommended narrowing the bill with a proviso to avoid ambiguities, limiting it to laws originally drafted in Hawaiian that were not later amended, codified, recodified, or reenacted in English. Public testimony was generally supportive, though one speaker raised broader sovereignty concerns. Members questioned how many laws would be affected and whether the proposed amendment would undercut the bill; the Attorney General said the amendment was meant to address uncertainty in interpretation. No final action was reported. Finally, the committee heard House Bill 603, which would direct OHA to administer a Native Hawaiian business marketing program to promote Native Hawaiian-owned businesses through marketing and technical assistance. OHA supported the concept, saying a label or branding program could help consumers identify and support Native Hawaiian-owned businesses, but requested that funding be redirected to a working group to study program design, implementation, enforcement, and long-term viability. The chair noted four supportive testimonies had been received, and a member asked OHA to confirm that its programs serve all Hawaiians, not only those eligible for homelands; OHA said it serves all Hawaiians in the state. The transcript ends before any vote or further action on HB 603.

Transcript Highlights:

• </c><00:13:36.959><c> Uh</c><00:13:37.200><c> we</c> against vaccinereventable disease.
• Uh we against vaccinereventable disease.
• Permanent Subcommittee on Alzheimer's Disease and Other Related Dementias annual report.
• as individuals living with the disease as well<00:33:10.640><c> as</c><00:33:10.880><c> their</c><00
• ,</c><00:36:10.800><c> dementia,</c> between Alzheimer's disease, dementia, between Alzheimer's disease

Keywords: 928, house, all

Summary: The committee first handled routine business, including roll call and approval of the prior meeting minutes, with one member abstaining because of absence and one member opposing. The main informational items were a Department of Health and Human Services update on the rural health transformation grant and a public health briefing on vaccines, followed by a quarterly budget and staffing update and an annual report from the Permanent Subcommittee on Alzheimer’s Disease and Other Related Dementias. Commissioner Lori Weaver reported that the department submitted the rural health transformation grant application on November 4, described it as reflecting input from communities and providers statewide, and said CMS review and budget negotiations would follow before final approval on December 31. She said the grant could support hiring as long as administrative costs stay within the 10% cap, and that the governor’s office will oversee administration with HHS. Ian Watt then testified that New Hampshire remains committed to vaccine access, including through the universal purchase program and annual respiratory virus guidance for flu, RSV, and COVID-19. He said the state continues to use evidence-based review for vaccine policy, noted the CDC’s change regarding the combined MMRV vaccine for the first dose in young children, and said New Hampshire’s school vaccine mandates remain at nine for schoolchildren and 10 for child care, with statutory exemptions still in place. Department staff also said there have been no supply or funding problems affecting childhood vaccine access. Nathan White, the department’s CFO, reviewed the DHHS budget and vacancy trends. He said DHHS makes up a large share of the state budget, that about 31% of its budget is general funds subject to lapse, and that lapse projections are difficult because much of the budget is driven by utilization rather than personnel. He reported current projected general fund lapse of just under $20 million, compared with about $39 million in the statewide surplus statement, and explained that only about a third of DHHS general funds can actually lapse because of statutory restrictions. He also said the department has about 400 unfunded positions, contributing to roughly a $30 million general fund reduction across the biennium, and that the hiring freeze has pushed vacancy trends upward while critical direct-care positions are being prioritized. The Alzheimer’s subcommittee reported six meetings this year, presentations on state services, silver alerts, brain health awareness, and palliative/hospice care, and work toward a new state Alzheimer’s plan. The subcommittee is developing a needs-assessment survey for people living with dementia, caregivers, and service providers, with the goal of using the results and other data sources to inform the plan. Its recommendations focus on integrating Alzheimer’s and dementia materials into chronic disease and aging outreach, embedding brain health into systems of care, adding cognitive health measures to BRFSS, and continuing partnerships with statewide organizations. Members also discussed recent research and prevention efforts, and the committee noted that a separate bill is being pursued to include Alzheimer’s and dementia in existing public health awareness campaigns.

Transcript Highlights:

• <01:19:28.400><c> Licensing,</c><01:19:28.880><c> and</c> Occupational Licensing, and Occupational Licensing
• </c> occupational license. occupational license.
• We exempt out license for an occupation?
• :23:29.760><c> individual</c> occupational license, the individual occupational license, the individual
• Health Occupations Parinatal Behavioral Health<02:20:32.319><c> Conditions.

Keywords: Senate streaming session for Monday, April 13, 2026, 960, senate, all

Transcript Highlights:

• Occupancy costs, utility, non-personnel, educational, food costs.
• Could be health, it could be retirement.<00:17:07.760><c> Occupancy</c><00:17:08.400><c> costs,</c><00
• Occupancy costs, uh utility, retirement.
• Occupancy costs, uh utility, non-personnel,<00:17:11.319><c> educational,</c><00:17:12.319><c> food</
• So, it's also called the invisible disease because most of us don't realize that children have it.

Keywords: 958, all

Summary: The committee first approved the minutes from its September 24 meeting after a motion and second. It then heard a presentation from New Mexico Early Childhood Education and Care Secretary Elizabeth Gragensky on that state’s early childhood system and planned universal child care rollout. She described how New Mexico consolidated multiple prenatal-to-age-five programs into a cabinet-level department, expanded pre-K to a longer day, and uses a cost model to set reimbursement rates intended to cover true provider costs, including wages, benefits, occupancy, food, and reserves. She also said the state created an Early Childhood Trust Fund and secured a constitutional amendment to dedicate 0.60% of the land grant permanent fund to early care and education, with the department’s budget growing from about $400 million in 2021 to just under $1 billion this year. Gragensky said families can begin applying for universal child care on November 1, with participation voluntary for both families and providers. She reported that New Mexico is aiming to expand capacity by adding 1,000 registered home providers, 120 group homes, and about 55 more centers, supported in part by a $13 million low-interest loan fund and a request for an additional $20 million. She said the state has seen growth in early childhood professionals, including a 64% increase over the last three to four years, and pointed to reported outcomes such as a 21% increase in literacy and a 75% kindergarten readiness rate, while noting that some measures are new and baseline comparisons are still being developed. Members asked about the funding sources, provider profitability, workforce development, and measurable outcomes. Gragensky said the program is designed to support provider sustainability through rates tied to true cost and includes allowances for sick leave, vacation, benefits, and reserves. She also said maternal labor force participation is 10% higher than the national rate and attributed that in part to child care access. The committee then moved to a separate presentation by Department for Community Based Services Commissioner Lisa Dennis and Division of Family Support Director Roger McCann on anticipated cuts to TANF and SNAP, beginning with an overview of TANF as a federal block grant with a fixed annual Kentucky allocation of about $180.7 million.

Transcript Highlights:

• Some of us are in remission or with no evidence of disease. This does not mean we are cured.
• So please allow Californians struggling with cancer and other life-threatening diseases to receive the
• but it would dangerously expand existing law, which is intended for people with life-threatening diseases
• She added that the definition of life-threatening disease and care is pretty limited, and said the committee
• She said the definition of life-threatening disease and care is pretty limited.

Committee: Senate Business, Professions and Economic Development

Summary: The Senate Business, Professions and Economic Development Committee met first without quorum and heard several bills in subcommittee before later reconvening and taking formal votes. The consent calendar included SB 1263, SB 1148, SB 1376, and SB 1391. The committee also heard SB 1002, SB 1311, and SB 1416, all of which were ultimately advanced to the Senate Appropriations Committee, with SB 1311 amended. After quorum was reached, the committee later ratified the earlier actions and adjourned. SB 1002 by Senator Niello would expand the David Hall Act to allow certain patients who were originally eligible for out-of-state telehealth care because of an immediately life-threatening diagnosis to continue receiving that care after entering remission. Supporters, including a cancer survivor, said the bill would preserve continuity of care for patients who still need specialist monitoring. The Medical Board of California and the California Medical Association opposed the bill, arguing that licensure is an important consumer protection and that the bill would weaken oversight and standards of care. Senator Caballero supported the measure, emphasizing access to care, especially for rural patients. SB 1311, presented by the chair, updates the Dental Practice Act so unlicensed dental assistants can satisfy infection control training requirements either through the Dental Assisting National Board exam or approved courses. The California Dental Association and California Association of Orthodontists supported the bill, saying it would help strengthen the dental workforce and improve patient access. The California Academy of General Dentistry raised concerns that the exam option lacked hands-on training and should be limited unless amended. The committee approved the bill as amended. SB 1416 by Senator Wahab would shorten from 30 days to 21 days the time a physician or dentist has to refund duplicate payments to consumers. Support was brief and largely focused on the bill’s consumer affordability benefits, and no opposition was voiced. The committee passed the bill to Appropriations.

Transcript Highlights:

• Some of us are in remission or with no evidence of disease. This does not mean we are cured.
• So please allow Californians struggling with cancer and other life-threatening diseases to receive the
• He argued the current law is meant for people with life-threatening diseases who have not been accepted
• She said the current definition of life-threatening disease and care is limited, and that the state can
• She said the current definition of life-threatening disease and care is pretty limited, and that the

Committee: Senate Business, Professions and Economic Development

Keywords: 987, senate, all

Transcript Highlights:

• For the past 12 years, I've worked and developed therapies for genetically defined diseases.
• Massachusetts residents, including those that have a family history of cancer or other genetically defined diseases
• therapies, especially as we move forward toward more personalized medicine and ultimately curing this disease
• A genetic predisposition does not mean someone will ever develop a disease.
• A genetic predisposition does not mean someone will ever develop a disease.

Committee: Joint Joint Committee on Financial Services

Summary: The Joint Committee on Financial Services held a fully virtual public hearing because the State House was closed due to the prior day’s blizzard and ongoing cleanup and travel concerns. Chairs Paul Feeney and James Murphy opened by thanking first responders, DPW crews, plow operators, healthcare workers, and others who responded to the storm, and they explained the hearing was kept on schedule because of upcoming reporting deadlines. The committee heard testimony on H. 5112, An Act Prohibiting Genetic Discrimination, and also noted two other bills on the docket: H. 4914, An Act Relative to the Massachusetts Uniform Commercial Code, and S. 2921, An Act Relative to Travel Insurance. Representative Dave Rogers testified in support of H. 5112, joined by constituent Robin Biggs, who described her experience as a BRCA2 mutation carrier and said she was advised to secure life insurance before genetic testing because results could affect coverage. Biggs said genetic knowledge helped her make preventive health decisions, but she and others fear financial discrimination if insurers can use genetic information. Lindsay Jack of the ALS Association also supported the bill, arguing that people should not have to choose between learning about their health risks and protecting their financial future, and saying the measure would encourage testing and early intervention without harming the insurance market. Lisa Schlager of FORCE likewise backed the bill, saying many people with hereditary cancer risks avoid testing because of insurance concerns and that the federal law does not fully protect against discrimination in life, long-term care, and disability insurance. Committee members asked questions about whether insurers currently request genetic testing information and whether such information is used in underwriting. Testifiers said insurers routinely ask about genetic testing or obtain the information from medical records, and that the bill would prohibit using genetic test results in underwriting and would prevent insurers from requiring testing. No votes were taken; after testimony concluded and no additional witnesses came forward, the chairs closed the hearing and adjourned the meeting.

Transcript Highlights:

• When we get the MOS, which is the military occupational specialty, and marry it with the curriculum in
• When we get the MOS, which is the military occupational specialty, and marry it with the curriculum in
• When we get the MOS, which is the military occupational specialty, and marry it with the curriculum in
• So it's a mixed bag in terms of occupancy.
• On behalf of the Association for Occupational Education, we are urging the legislature...

Summary: The Senate Budget Subcommittee on Education heard updates on several higher education budget items, beginning with a pulled follow-up item on the State Library’s administration of the Imagination Library. The chair said the committee had received new documentation from the State Library and the Department of Finance late the prior evening, and staff would review it before deciding whether additional oversight or accountability measures are needed. The committee then turned to the California Community Colleges budget request, with Chancellor Christian outlining strong post-pandemic enrollment recovery, asking for 3% enrollment growth funding, changes to the three-year average formula, removal of the 10% growth cap, and support for several one-time and ongoing initiatives including the Common Cloud Data Platform, credit for prior learning, AI literacy, Rebuild L.A., veterans services, Calbright College, and the Chancellor’s Office. Senators raised concerns about district reserves, part-time faculty conditions, veterans’ credit pathways, and fraud prevention in enrollment systems; the chancellor said the system is using DMV and other identity verification tools, AI screening, and audits, and that reported final enrollment numbers are clean. The committee then reviewed the student-centered funding formula. The Department of Finance described the governor’s proposal to fully repay $408.4 million in deferrals, provide a 2.41% COLA, and add one-time funding to cover current-year apportionment costs, while the Legislative Analyst’s Office recommended prioritizing the proposals within available Proposition 98 funding. Community college finance staff said most districts are growing, many would benefit from current-year funding rules, and that without the proposed apportionment funding districts could face a deficit factor and reduced course access. Members asked about infrastructure prioritization, deferred maintenance, safety, accessibility, and campus police; staff explained that life safety projects are prioritized first, followed by modernization and growth-related facilities, and that colleges are built to high safety standards under the Field Act. Enrollment growth was discussed separately, with Finance and LAO supporting the governor’s 1.5% growth proposal split across two fiscal years, while noting that growth is being driven in part by dual enrollment, regional demographic shifts, and unemployment. The Chancellor’s Office said 54 of 72 districts grew year over year and that funding more growth could help districts move off hold harmless status, though some districts face long-term demographic challenges. The committee also heard from Calbright College President Agita Menon, who described Calbright’s role serving adult learners statewide, its completion and wage gains, and the governor’s proposed $38 million ongoing funding. The LAO recommended transitioning Calbright to the student-centered funding formula beginning in 2027-28, arguing that the current proposal lacks a clear funding rationale and performance linkage; Calbright responded that its competency-based, non-credit model is structurally different and should be funded separately, while agreeing to continued accountability reporting. Finally, the committee received an update on the Community College Higher Education Student Housing Program. Finance said the governor proposes about $11 million ongoing General Fund for debt service on approved student housing projects, and that 11 projects are in the financing pipeline, with two completed, three under construction, four in working drawings, and two in preliminary plans. Finance also noted that some projects have withdrawn and that about $81 million in bond authority remains unallocated, which the Legislature may need to address going forward.

Transcript Highlights:

• As you know, chronic disease across America, and if you read any studies, it's As you know, chronic disease
• I always want to include that with chronic disease. And so he is an expert in that.
• And so this is a challenging disease, and you need care, and eventually in the disease you're going to
• But, you know, it's changed a lot in the way that we look at this disease.
• Like my mother has Alzheimer's, or my mother-in-law has Alzheimer's disease.

Keywords: 908, all

Summary: The committee was called to order, the roll was taken, and the March 18 minutes were approved. Members then received several project and program updates, beginning with CHI St. Alexius’s behavioral health buildouts in Bismarck, Williston, and Grand Forks. St. Alexius reported that the Bismarck project remains on track for June 2027 completion, with demolition underway and final design work nearing completion. Williston reported construction is progressing, staffing recruitment is underway for psychiatrists and other staff, and an air handler replacement is creating a roughly $750,000 unbudgeted barrier that will slightly delay the timeline. Grand Forks reported its expansion is about 30% complete, with no major barriers beyond weather, and leaders said the project should be substantially complete in the first quarter of 2027. The Department of Health and Human Services then presented a series of budget and program updates. Donna Ockland explained several recent line-item transfers as technical corrections that net to zero and do not require new spending, then reviewed salaries, wages, and FTE counts, noting the department remains within its authorized staffing levels. Pat Rainer followed with an update on the Rural Health Transformation Program, saying 12 opportunities have been posted, 422 applications received, and $8.4 million obligated so far, with a goal of obligating the full $199 million by September. He described grants for workforce retention, rural rotations and housing, community gardens, school wellness, behavioral health promotion, safety net services, equipment, technology, EMS, and other initiatives, emphasizing that the program is intended to be transformational and tied to metrics. Members asked extensive questions about how rural eligibility is defined, how grants will support both rural facilities and hub hospitals, and how future years of funding will build on current awards. The committee also heard an update on certified community behavioral health clinics from Elena Zeller, who said North Dakota has been accepted as a demonstration state, implementation is underway in Williston, North Central/Minot, Fargo, and Dickinson, and care coordination and service counts are increasing. Rebecca Askins then reviewed SNAP payment error rates, saying the 2025 rate was finalized at 9.89%, with the state aiming to get below 6% through policy updates, training, data tools, and a quality assurance team. Members pressed her on the causes of the error rate, the role of the SPACES software system, and the need for accountability and improvements. Finally, Dirk Wilkie reported the state laboratory project reached substantial completion on June 12 and is on budget at about $69.95 million, though a service elevator had to be redesigned because it was too small for equipment.

Transcript Highlights:

• . ...life-saving functions, including responding to health threats such as infectious diseases, natural
• Natural disease did not cause the death.
• For these substances, our local public health labs test for pathogens and communicable diseases.
• And we have consumers that have Crohn's disease, all these different autoimmune disorders, and they go
• It is nicknamed the suicide disease. I am, in fact, a suicide survivor.

Committee: Senate Health

Summary: The committee held an informational hearing on kratom and 7-hydroxymitragynine (7-OH), focusing on public health risks, overdose deaths, and regulatory gaps in California. The chair opened by noting that FDA and CDPH consider kratom and 7-OH products unlawful for consumption, yet they remain widely sold in smoke shops, vape stores, gas stations, and convenience stores. The hearing was framed as part of ongoing legislative work, including a future review of AB 1088, and members emphasized the need to weigh potential benefits against risks and consider whether stronger safeguards are needed. Expert testimony from a toxicology professor and several public health and medical officials described kratom as a plant with multiple alkaloids, with 7-OH identified as the more potent opioid-like compound associated with tolerance, dependence, withdrawal, and respiratory depression. CDPH reported 362 kratom-related overdose deaths in California from 2019 to 2023 and 15 deaths involving 7-OH, while Los Angeles County officials described unexplained deaths in young adults that led them to expand toxicology testing and identify 7-OH as a common factor. County and state public health representatives said they have issued advisories, contacted retailers, removed products from shelves, and taken enforcement actions, but they stressed that local enforcement is patchy, under-resourced, and limited by unclear jurisdiction and lack of testing capacity. Medical witnesses said patients are presenting with 7-OH dependence and withdrawal in ways similar to fentanyl-related cases, sometimes requiring buprenorphine, methadone, or repeated naloxone. They argued that unregulated retail sales and misleading marketing make the products especially risky, and that a statewide framework would be more effective than a patchwork of local ordinances. Some officials said the safest current policy is to keep kratom and 7-OH unlawful for consumption, while others said any new regulation would need resources, packaging rules, and clearer authority for enforcement. Industry and consumer advocates urged the committee to distinguish natural kratom leaf from concentrated or synthetic 7-OH products. They argued that kratom leaf has long-standing use, that 7-OH should be targeted rather than the whole plant, and that regulation should focus on age limits, labeling, testing, serving-size caps, and restrictions on adulterated products rather than prohibition. Several speakers warned that bans could push demand to the black market and reduce access for people using the products for pain relief or harm reduction, while critics of the industry said the products are being marketed deceptively and that more comprehensive regulation is needed.

Transcript Highlights:

• We break those down by industry and by occupation.
• occupation is nursing.
• </c><01:37:25.920><c> in</c> nurses are your largest occupation in nurses are your largest occupation
• </c> you know which of those occupations are you know which of those occupations are projected<01:41:
• occupational occupational based<01:42:19.520><c> thank</c><01:42:19.639><c> you</c><01:42:19.840><c>

Committee: House Labor, Industrial and Rehabilitative Services

Keywords: 1189, house, all

Transcript Highlights:

• you have no employees and you're a sub, no employees, we need to determine whether you can buy occupational
• So you want to study the feasibility of occupational accident insurance coverage or possibly mandating
• you have no employees and you're a sub, no employees, we need to determine whether you can buy occupational
• So you want to study the feasibility of occupational accident insurance coverage or possibly mandating

Summary: The Senate Labor Committee met on March 14 and adopted the prior minutes. It voluntarily deferred Senate Bill 358, which would have addressed workers’ compensation coverage for independent contractors and sole-proprietor subcontractors. Senator Abraham said the bill would instead be studied to determine whether such workers should be able to buy occupational accident coverage or be required to carry workers’ compensation coverage, particularly where no employees are involved. The committee then heard House Bill 456, which would expand and clarify workers’ compensation petition requirements and broaden employers’ and payers’ ability to file disputed claims beyond fraud and medical-director appeals to other disputes under the chapter. The bill drew strong support from business groups and strong opposition from injured-worker attorneys, who argued it would revive problems seen in 2012 when employers could sue injured workers without a ripe dispute, burden unrepresented claimants, and increase litigation and administrative costs. Supporters said it would improve access to the courts and help employers investigate questionable claims. After debate, the committee voted 5-1 to report HB 456 favorably, with Senator Barrow voting no. The committee also heard House Bill 549, which creates the Bayou Growth Opportunity Workforce Program, or Bayou Works, a proposed statewide workforce training grant program aimed at helping employers quickly train workers for specific skill needs. The sponsor and Louisiana Workforce Commission representatives said it would be privately funded, modeled on Michigan’s “Going Pro” program, and coordinated with technical colleges, apprenticeships, internships, and other workforce partners. Members asked about statewide reach, youth pipeline efforts, and timing; the department said implementation would likely begin later next year. The committee reported HB 549 favorably by unanimous consent and then adjourned.

Transcript Highlights:

• And then, secondarily, I have a number of workforce and occupational data to share with you.
• But I know we can get I have a number of workforce and occupational data to share with you.
• more personal aid, not necessarily around-the-clock care, but more people coming, more visits, occupational
• order to operate and maintain the care needed within a skilled nursing facility, by far the largest occupation

Keywords: 994, senate, all

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.