Transcript Highlights:

• Across Rolette County.
• The county loses revenue.
• to the county people. ...community and as a county, this has not been relayed to the county people who
• There's county funds that funnel through the county to public health.
• Counties, yes. Yes, Mr.

Summary: The meeting focused heavily on behavioral health and substance use treatment, especially the IMD exclusion and whether North Dakota should pursue a Section 1115 waiver to allow Medicaid reimbursement for services in institutions for mental diseases for adults ages 21 to 64. Turtle Mountain representatives described major local needs, including limited access to care, high syphilis rates, and the importance of timely public health data. They also discussed the tribe’s recovery center, which opened the prior year, now operating five levels of care with 16 beds, and the desire to expand capacity, possibly through an IMD waiver or related policy changes. Committee members also raised related issues such as rural health transformation funding, telehealth, workforce retention, and the need for better coordination between tribal and state public health systems. A central issue was Turtle Mountain Public Health’s long-running effort to secure a data use agreement with the state so it can receive surveillance data and respond directly to infectious disease cases among tribal members. Speakers said the tribe had a successful COVID-era agreement that allowed faster contact tracing and case management, but that agreement ended with the pandemic. They argued that current delays in sharing data, especially for sexually transmitted infections, leave the tribe unable to respond quickly, while the state and county epidemiology workload is too distant and stretched to be effective. Committee members expressed support and said they would look into the issue, noting that other tribes have secured similar agreements. The committee also heard a detailed presentation from the National Health Law Program on the IMD exclusion. The presenter explained that federal Medicaid law generally bars payment for care in facilities with more than 16 beds, but that states can use other tools such as state plan amendments, managed care arrangements, telehealth, and community-based services. He said IMD waivers are administratively complex, time-limited, and have shown mixed results in other states, with some gains in residential treatment access but limited evidence of improved overdose outcomes or stronger community-based care. He urged the committee to consider broader continuum-of-care solutions and cautioned that waivers alone are not a cure-all. No final vote was taken on the bill draft during the portion shown, but the committee discussed the proposal to appropriate $49,000 and one FTE to HHS to pursue an IMD waiver and report back in the next interim. Members also debated the policy rationale for the 16-bed limit, the role of the state versus tribal sovereignty, and whether the bill should move through the Health Care or Human Services committee in the future.

Transcript Highlights:

• This bill would prevent the county from holding the county accountable under the Subdivision Map Act
• general fund of the county to establish county programs or to fund other programs that are necessary
• general fund of the county to establish county programs or to fund other programs that are necessary
• Alameda County is the seventh largest, most populous county in the state.
• beyond Alameda County?

Committee: Senate Local Government

Transcript Highlights:

• This bill would prevent the county from holding the county accountable under the Subdivision Map Act
• in the County of San Diego.
• general fund of the county to establish county programs or to fund other programs that are necessary
• Alameda County is the seventh largest, most populous county in the state.
• beyond Alameda County?

Committee: Senate Local Government

Summary: The Senate Committee on Local Government met to hear a long agenda of local government, housing, labor, and transparency bills. The committee first adopted the consent calendar for SB 1187 and SB 1388, then heard SB 983, which would authorize the Port of San Diego to use job order contracting for repairs and repetitive maintenance work. Supporters said the bill would speed emergency and small repairs and reduce costs, while opponents raised concerns about construction definitions and project labor agreement language. The bill was ultimately moved forward on a 2-2 vote after discussion of amendments and labor negotiations, and later the committee’s final roll call showed it passing out on a 5-2 vote. The committee also heard SB 1256, aimed at limiting duplicative litigation over a San Diego County housing project, and SB 992, which would make permanent and expand a small special-district audit flexibility by raising the revenue threshold from $150,000 to $250,000. SB 1256 drew support from the author and project counsel, who argued the project had already been litigated and was delaying needed housing, while opponents said the bill would interfere with wildfire and subdivision-map review. SB 992 had support from county auditors and special districts, with no opposition, and was approved 5-0. SB 1115, addressing governance failures at the Tulare County Public Cemetery District by allowing county supervisors to remove an individual trustee for cause, also passed unanimously after testimony describing serious dysfunction and opposition from the California Special Districts Association. The committee then took up SB 1193, which would impose transparency and approval requirements on Alameda County discretionary funding to nonprofits and other entities. The author and supporters described the bill as a response to grand jury findings and alleged conflicts of interest, while Alameda County argued its current process is already transparent and that the bill would add burdens and could harm services. After amendments and discussion, the bill passed 5-0. SB 1383, a density bonus law bill clarifying that local labor standards cannot be waived through density bonus concessions, was supported by labor groups and moved forward despite no opposition, with the final roll call showing it passing out 5-1. SB 1361, intended to prevent local governments from undermining transit projects because of SB 79 density concerns, also passed after support from L.A. Metro and labor and no formal opposition, with the final vote recorded as 5-2. The committee later resumed to hear SB 1272, the CASH Act, which would limit certain sanctions on homeowners for prior unpermitted work by previous owners; the transcript cuts off before that bill’s full testimony and vote.

Transcript Highlights:

• County because L.A.
• So this will never hit LA County because LA County is one big, gigantic county with lots and lots of
• If, for example, in Napa County, the people of Napa County were to decide to to the people of Napa County
• San Mateo County, Napa County, Alpine County, and Mono County absolutely, by law, do not have to come
• Mike Callagy, the county executive, San Mateo County.

Summary: The subcommittee first heard an item on the vehicle license fee backfill for counties, focused largely on San Mateo County and the related excess ERAF calculation. Department of Finance staff said the administration does not propose the requested $119 million backfill, arguing the payment is discretionary and that the existing statutory formula should continue to operate as written. Senators and public witnesses, including Senator Becker and former Senator Jackie Speier, argued the state has a longstanding obligation to local governments and that San Mateo County faces severe service cuts without the funds; they also discussed whether the issue could be solved through local school district boundary changes or other structural fixes. The chair held the item open after testimony. The committee then reviewed Secretary of State budget proposals. The department presented SB 851 implementation funding of $1.1 million General Fund in 2026-27 and $807,000 ongoing for four positions and software to track election-related litigation, update voting system standards, and expand vendor notice requirements. Members asked about election security, the impact of recent federal court decisions, the end of federal HAVA funds in 2027-28, and the staffing and timeline needed to implement the law. The committee also heard a $11.8 million General Fund request for the Cal Access Replacement System, intended to replace the outdated campaign finance and lobbying disclosure platform; staff said the project is on track for a November 2026 go-live with a stabilization period afterward. A separate item sought $9.795 million Business Fees Fund for the Notary Automation Program replacement, with the department explaining delays were due to more planning, a 2025 special election, and the need to secure a contractor, with go-live now projected for 2029. All three items were held open. The Department of Veterans Affairs presented its overall status and then its Yountville skilled nursing facility project. CalVet described progress on veterans homes, home loans, housing programs, and mental health initiatives, while noting higher-acuity needs among older veterans and continued support for underserved groups. For Yountville, the department said the new 240-bed skilled nursing facility is nearing completion and will replace the aging Holderman Hospital building, though some functions will remain in the old building and other campus projects, including roof and steam system work, are still underway. Members also raised concerns about retroactive tax liabilities for employees whose housing fringe benefits had not been reported, and CalVet said it has corrected the reporting, retrained staff, and is working with employees on repayment and lease adjustments. The committee also discussed a proposal to eliminate vacant positions under Control Section 4.12; CalVet said the positions were long vacant and could be given back without harming operations, while the LAO noted the Legislature had not concurred and keeping them would increase General Fund costs. The item was held open. Finally, the California Arts Council gave an informational update on its work and the cultural districts program. The director described the council’s grantmaking, technical assistance, and support for 24 cultural districts statewide, while members emphasized the economic and preservation value of arts funding and urged more investment, including a proposed $50 million General Fund augmentation and a $10 million carve-out for cultural districts. Staff explained that the original cultural district funding was reduced and that the program is currently unfunded and lacks dedicated staff, limiting its ability to expand beyond a small share of applications. Members from different regions noted that many parts of the state still lack cultural district designations and pressed the council to broaden access beyond major urban areas. The item was informational only, with no vote taken.

Transcript Highlights:

• I believe that it is time for Merced County to join these counties.
• Merced County would be the second-smallest county that would have to do this.
• Merced County would be the second smallest county that would have to do this.
• size of the county.
• And I've seen what crunch time looks like for the county registrars in my own county.

Summary: The committee heard a long agenda of elections-related bills. It first approved three consent items: AB 808, AB 1029, and AB 1072. The committee then took up AB 1249, which would require non-Voter’s Choice Act counties to offer at least one Saturday early-voting location before statewide elections and allow in-person return of vote-by-mail ballots at designated county offices or satellite locations. Supporters said it would expand access for working voters and those with transportation barriers; some members raised concerns about ballot verification and added workload for rural counties. The bill passed the committee on a divided vote and was placed on call for absent members. The committee next considered AB 25, a voter ID and election integrity measure that would require citizenship verification, government ID for voting, tighter voter-roll audits, and a 72-hour ballot-counting deadline. The author and supporters argued it would restore public trust and improve election integrity, while opponents from the League of Women Voters, ACLU California Action, labor groups, disability advocates, and others said it would restrict access, burden vulnerable voters, and amount to voter suppression. After extensive debate, the committee voted the bill out on a narrow split and kept it on call. Members also approved AB 1164, which clarifies when voters are entitled to a replacement ballot and updates the Voter Bill of Rights language; AB 1441, which would create an independent citizens redistricting commission in Merced County despite opposition from the county board over cost and local control; and AB 16, which would clarify county election officials’ authority to begin processing vote-by-mail ballots earlier and clean up outdated code. The committee also heard AB 1411, which would require non-VCA counties to prepare voter education and outreach plans and use a Secretary of State template, with the sponsor saying it would improve voter information statewide.

Transcript Highlights:

• In 11 counties, I call them the Article 13 counties.
• In 11 counties, I call them the Article 13 counties.
• Michelle Walgaba representing Contra Costa County, Lake County, Imperial County, and Yolo County.
• The county operates one county hospital and 14 community clinics.
• County residents.

Committee: House Health

Transcript Highlights:

• , to county finances.
• , to county finances.
• Your first- and second-class counties are your large counties.
• Third-class counties are most of your smaller counties, and they have fourth-class counties.
• county.

Committee: House Local Government, Elections and Pensions

Summary: The Committee on Local Government met in executive session and first adopted a substitute for Senate Substitute for Senate Bill 975, which replaced Senator Black’s version with Representative Farnan’s bill. Members discussed that the controversial community-agreement language had been removed and that related community paramedic language had been moved to another bill. The committee then voted 16-0 to do pass the substituted bill. The committee next considered House Bill 3496, dealing with county officials’ salary schedules and county classification issues. Representative Reedy explained the substitute added election authorities language, incorporated another bill on sheriffs and prosecuting attorneys, and changed the title and substance to address county valuation rules for certain fourth-class counties. Members discussed the impact on county classifications and the inclusion of abated and tax-exempt property in valuation calculations. The substitute was adopted, and the committee voted 15-1 to do pass the bill. In public hearing, Representative Sharp presented House Bill 3028 as a Lewis County fix to allow more at-large members on a county board instead of requiring one from each township; a retired Lewis County commissioner testified in support, and no opposition appeared. Representative Thompson presented House Bill 2431 to let Lexington ask voters for a public safety sales tax after a major gas explosion; supporters said it would fund police, fire, and ambulance needs without reducing current budgets, while an opponent argued against new taxes and special laws. Representative Violet presented House Bill 2732 to raise the voter-approved cap on water service line repair fees from $12 to $24 annually; St. Peters officials said costs have risen and the program helps residents avoid large repair bills, while an opponent said existing programs are solvent and opposed the increase. No votes were taken on the public hearing bills, and the committee adjourned after the hearings.

Transcript Highlights:

• Luis Obispo County.
• And 24% of the nation's counties support a county veteran service officer.
• these small counties, medium counties, are just not getting what they need?
• County Board of Supervisors, these five top... County Board of Supervisors, L.A.
• County.

Summary: The joint informational hearing focused on the work of County Veterans Service Officers (CVSOs), CalVet’s role in supporting them, and the growing problem of for-profit, unaccredited claims companies. Committee leaders and witnesses emphasized that CVSOs are often the first point of contact for veterans and their families, helping with disability claims, survivor benefits, education waivers, health care access, and broader wraparound support. Several speakers argued that California’s veteran population is underserved relative to demand, that CVSOs produce a strong return on investment, and that the state should increase funding to reduce backlogs, expand staffing, and meet the Legislature’s stated goal of funding 50% of county veterans’ services operations. Testimony from county officials highlighted local models of service. Los Angeles County described a “no wrong door” approach, the Veteran Peer Access Network, suicide review efforts, justice-involved veteran services, and coordinated homelessness response, all supported by county leadership and partnerships with the VA and community organizations. San Luis Obispo County described rural outreach, mental health grants, suicide prevention work, and a food pantry, while also noting reduced subvention funding despite increased workload and high client satisfaction. Witnesses repeatedly warned that unaccredited claims consultants charge veterans large fees, sometimes seek access to VA and banking logins, and can delay or harm claims; they urged stronger enforcement and more accessible free alternatives through accredited offices. CalVet Deputy Secretary Roberto Herrera explained the accreditation system, CalVet’s training academy, district office review process, and the role of CVSOs in improving claim quality and appeals outcomes. He said California’s claims filed under CalVet power of attorney are completed faster than many others and that appeals representation has favorable outcomes above the national average. A researcher from the Center for a New American Security said California’s CVSO structure is a strong model nationally and that higher investment in CVSOs correlates with better claims outcomes and improved service delivery. Committee members asked about collaboration, funding formulas, suicide prevention, and how to curb predatory claims businesses; witnesses said the state should strengthen county partnerships, expand resources, and continue pursuing legislation targeting for-profit claims companies and veteran tax relief.

Transcript Highlights:

• Until then, they're a county prisoner.
• Until then, they're a county prisoner.
• So I've been a county commissioner or city councilman. In Casha County, we built a pretty.
• where we hold them as Ada County.
• And in fact, there's smaller jails where I'll use Adams County, for instance, or Valley County, where

Committee: House Judiciary, Rules and Administration

Transcript Highlights:

• That's Isanti County and a little bit of Sago County.
• County uh representative Ben Davis from County uh representative Ben Davis from District<00:02:44.440
• They tend to be the biggest counties, and most of the rest of your counties, as you know, the person
• When ballot errors were identified, county election officials and county attorneys moved quickly upon
• County auditors.

Committee: House Elections Finance and Government Operations

Transcript Highlights:

• literally every section and every service in the county and every city within the county.
• As you know, every county is currently dealing with the impacts of HR1 cuts, and for us in our county
• Alpine County has 1,200 population. Mono County has 12,000. San Mateo County is like 700,000.
• It's pretty clear that these counties in San Mateo County, in particular, are my neighboring county,
• I'm the county executive.

Summary: The hearing began with a vote-only agenda and then focused first on San Mateo County’s request to restore in-lieu vehicle license fee (VLF) funding. County officials, city leaders, labor representatives, nonprofits, and public safety advocates argued that the loss of roughly $157 million would force major cuts to homelessness services, housing assistance, mental health programs, libraries, parks, fire and police staffing, and other local services. They described the current formula as outdated and unfair, tied to school funding and basic-aid dynamics that no longer work for San Mateo County, and urged both an immediate budget restoration and a permanent legislative fix. The Department of Finance said the payments are discretionary, not statutorily required, and noted the administration does not view the expenditure as sustainable in the current fiscal climate. Committee members expressed sympathy, questioned the formula, and said they would keep the issue under consideration; the committee later voted to move the two vote-only items on the agenda. The committee then received an update from the Department of General Services on state property redevelopment, including the Hillcrest DMV site in San Diego, the Fell Street DMV site in San Francisco, and other state-owned properties. DGS explained that Hillcrest is not currently an active project, while the Fell Street project shifted from an integrated DMV-housing plan to a more feasible relocation of the DMV into leased commercial space, with a budget change proposal pending. Members pressed DGS on the slow pace of redevelopment, the potential for housing on state sites, and the costs and feasibility of adaptive reuse. DGS said many state buildings are aging and that adaptive reuse depends heavily on building design, floorplate depth, light, and risk from unknown conditions behind walls. The Government Operations portion then turned to the California Education Learning Lab, which supports intersegmental higher education innovation grants. The Lab asked for permanent restoration of $4 million in ongoing funding and a move of its home agency from the Office of Land Use and Climate Innovation to GovOps, along with technical trailer bill changes. Supporters said the program has funded more than 120 projects reaching thousands of faculty and hundreds of thousands of students, including work on generative AI in higher education. The Legislative Analyst’s Office recommended rejecting the restoration and continuing the wind-down, citing the state’s projected deficit and suggesting the California Education Interagency Council could pursue non-state-funded grant opportunities instead. The committee held the item open. Finally, GovOps presented the new California Education Interagency Council staffing request, seeking four ongoing positions to support the council, with funding already included in last year’s budget. The department said the governor has appointed Debbie Cochran as executive officer and that the remaining positions are being recruited. Finance and LAO had no objections, and the committee began questions about how the council will be staffed and organized.

Transcript Highlights:

• It is the fifth wealthiest county, the seventh largest county, and the highest-tax county in California
• Alameda County is the seventh most populous county in the state.
• Allameda County is the seventh most populous county in the state.
• I'm the county administrator for Tulare County.
• , but for large counties or any county over a million or something.

Summary: The committee heard a long agenda of local government and housing-related bills, with testimony often centered on regional coordination, permitting reform, and local control. SB 802 by Senator Ashby would require Sacramento-area jurisdictions to form a joint powers authority to coordinate homelessness and housing response; supporters argued the region has long lacked accountability and coordination, while Sacramento County, Folsom, and others opposed the mandate as an unprecedented state-imposed JPA. The bill drew extensive support from local officials, business groups, service providers, and advocates, and opposition from county, city, and nonprofit representatives who said a local process was already underway. Committee members expressed support for the concept, but the bill was held pending a quorum and later discussed again with strong encouragement for regional collaboration. The committee also heard SB 222, SB 677, SB 908, SB 226, SB 828, and SB 1193. SB 222 would streamline permitting for residential heat pump and water heater installations; supporters said it would lower costs and speed clean-energy adoption, while local government groups argued the main barrier is upfront cost, not permits. SB 677 would curb what the author described as abusive appeals and delays in affordable housing approvals, with developers testifying about frivolous subdivision map appeals and TEFRA hearing delays; the California Native Plant Society sought an amendment to preserve appeals on habitat lands. SB 908 would simplify permits for energy-code-compliant window replacements, and SB 226 would clarify financing authority for a West Sacramento baseball stadium proposal; both passed unanimously. SB 828, prompted by the Esparto fireworks warehouse explosion, would tighten fireworks storage and licensing rules, expand inspection and seizure authority, and increase fines; it also passed unanimously after testimony from fire officials and a pyrotechnic operator who opposed it unless amended. SB 1193, a county-specific Alameda County transparency bill, generated the sharpest debate. The author argued it would prevent waste, favoritism, and conflicts of interest in discretionary spending by requiring board approval, a public spending log, and clearer whistleblower procedures. Alameda County and county associations opposed it as overly broad and burdensome, saying existing processes already provide transparency and that the bill would reduce flexibility during fiscal stress. After committee questions about the bill’s purpose and the county’s current practices, the measure passed 7-0, with the author indicating willingness to accept an amendment restoring a four-fifths vote threshold. The committee then moved out of order to SB 1090, which would impose a temporary moratorium on state housing density laws in Altadena through 2030 in response to post-fire displacement concerns. The author said the bill is intended to protect long-term residents from investor-driven redevelopment after the Eaton Fire, while acknowledging amendments to align the moratorium with affordable housing development timelines. The transcript cuts off during the presentation of this bill, so no final action is shown for SB 1090 in the excerpt.

Transcript Highlights:

• County.
• Louis County, and St. Charles County. St.
• Louis County, and St. Charles County. St.
• Louis County, and St. Clair County.
• And I believe the county chairman in Illinois, the county chairman of Madison County and St.

Committees: House Transportation , House Joint Committee on Transportation Oversight

Transcript Highlights:

• </c> County uh but it was the county County uh but it was the county delegation<01:06:34.559><c> that
• </c> in a county they deserve a county in a county they deserve a county commissioner<01:13:06.040><c
• county...
• County.
• County.

Committee: House Municipal and County Government

Transcript Highlights:

• I mentioned Monterey County in the context of being one of seven counties who qualifies for an exemption
• We've also hosted a monthly county operations meeting series where counties have given County operations
• It’s eligibility staff at the county level.
• We have a crisis a day, but I do know, as a former county supervisor, there is no way counties have the
• County staffing for these changes.

Transcript Highlights:

• Cities and counties, including Santa Cruz County, Santa Barbara County, the cities of Santa Maria, Santa
• The Pajaro River actually serves as the county line between Monterey County and Santa Cruz County, and
• to 2023, and I quote, made the county system... ...made the county system the second deadliest in the
• to 2023, and I quote, made the county system. county jails from 2020 to 2023 and I quote made the county
• How would the bill impact the county and staff? It will impact the county and staff.

Committee: House Local Government

Transcript Highlights:

• Louis County will record her vote. Veteran St. Louis County. Thank you. Has everyone voted?
• And she advocates not only for Sykeston, but for Scott County, New Madrid County, and Mississippi County
• And she advocates not only for Sykeston, but for Scott County, New Madrid County, and Mississippi County
• And she advocates not only for Sykeston, but for Scott County, New Madrid County, and Mississippi County
• And she advocates not only for Sykeston, but for Scott County, New Madrid County, and Mississippi County

Summary: The House convened with prayer, the Pledge of Allegiance, and approval of the previous day’s journal by a 132-0 vote. Members then used personal privilege remarks to recognize Black History Month, honor several Black colleagues and public servants, observe a moment of silence for the late Dr. Steven Leon, and deliver a lengthy tribute to the late Freeman Bosley Sr. The chamber also welcomed numerous guests and school groups, including congressional and local officials, mental health advocates, FFA students, championship volleyball players, elementary and junior high students, and other district visitors. The House then took up several bills on third reading. The most contentious debate was over House Committee Substitute for House Bills 1663, 1607, and 1973, which removed a sunset from Missouri’s restrictions on transgender athletes in school sports. Supporters framed it as protecting fairness and women’s sports; opponents argued it targeted a very small number of students, was discriminatory, and distracted from more pressing issues. After extended debate, the measure passed 98-37. The House also passed House Bill 2682, a school-related First Amendment bill, after debate over whether it would protect hateful student speech; it passed 99-47. Lawmakers next passed House Bill 2274, the Interstate Teacher Mobility Compact, to make it easier for teachers to transfer credentials across states, especially for military families, by a vote of 133-13. House Committee Substitute for House Bill 1883, dealing with sales tax on durable medical goods and certain auction items, passed 98-36 after criticism that it was too broad and would benefit high-end auction sales. House Committee Substitute for House Bill 2085, a tobacco preemption bill that also allows localities to enforce a tobacco age of 21, passed 93-43 amid debate over local control and youth tobacco access. House Bill 2145, allowing businesses on two-lane highways to place signs across the road, passed overwhelmingly 142-2. Finally, the House passed House Committee Substitute for House Joint Resolution 169, which would limit state and local spending growth to prior-year levels plus inflation and population growth, with emergency exceptions. Supporters called it a way to restrain government spending and align with the Hancock Amendment; opponents raised concerns about how it could interact with future tax policy, including the proposed income tax elimination plan. The resolution was discussed at length but ultimately advanced by vote.

Transcript Highlights:

• County, Dallas County, Tarrant County, and Collin County.
• County.
• And I'm the county and district clerk for Sherman County and the legislative chair for the county and
• It ranges from my largest county, Tarrant, which I don't have the whole county, my largest whole county
• I'm the county judge in Jefferson County.

Bills: SB16 , SB76 , SB310 , SB311 , SB396 , SB505 , SB827 , SB964 , SB1209 , SB1210 , SB1386 , SB1470 , SB2035 , SJR37 , SB 16

Committee: Senate State Affairs

Transcript Highlights:

• on that county alone.
• Michelle Walgaba representing Contra Costa County, Lake County, Imperial County, and Yolo County.
• Michelle Walgaba representing Contra Costa County, Lake County, Imperial County, and Yolo County.
• The county operates one county hospital and 14 community clinics.
• County residents.

Summary: The Assembly Health Committee held an informational hearing on the impact of federal H.R. 1 and related state budget actions on California’s health care system. Opening remarks framed the federal changes as a major threat to Medi-Cal, Covered California, hospitals, clinics, and the broader safety net, with warnings that millions could lose coverage and that costs would shift to providers, counties, and consumers. Testimony from the California Health Care Foundation and the Legislative Analyst’s Office focused on implementation challenges, the administrative burden of work requirements and more frequent renewals, the loss of federal funding, and the need for California to consider long-term structural changes to Medi-Cal, county safety-net programs, and cost containment. A Covered California enrollee, Chas Franklin, described sharply rising premiums for his family after losing subsidies, illustrating the personal impact of federal policy changes. Committee members raised concerns about whether premium increases were driven by H.R. 1 or insurer pricing, the cost of rebuilding county-based indigent care systems, and the need to account for the cost of inaction. Dr. Hernandez pointed to pre-ACA models such as Healthy San Francisco as examples of coordinated local safety-net care, while also emphasizing the importance of primary care, data interoperability, and the Office of Health Care Affordability in reducing waste and improving access. Department of Health Care Services officials then outlined the state’s implementation plan for H.R. 1, including work requirements, six-month redeterminations, reduced retroactive coverage, cost-sharing, and immigration-related eligibility changes. They said the department would try to automate eligibility checks, expand outreach, and train counties and partners, but estimated up to 2 million Californians could lose coverage over time. Covered California reported that the expiration of enhanced federal premium tax credits and new federal marketplace rules are already raising costs and reducing enrollment, with an estimated 400,000 enrollees at risk of dropping coverage. County, hospital, and safety-net representatives warned that coverage losses will increase uncompensated care and strain local systems, while one coalition proposed a temporary state-funded coverage option as a bridge if full-scope Medi-Cal cannot be maintained. The hearing concluded with a policy analyst urging stakeholder engagement, immigrant protections, and new state revenue options to preserve coverage and offset federal cuts.

Transcript Highlights:

• in the county.
• . county. county.
• ><c> County,</c><00:04:11.200><c> which</c> My county, which Harrison County, which My county, which
• county.
• In 1972, Loun County passed somehow we have radar in Loun County.

Committee: Joint Highways and Transportation