Transcript Highlights:

• These are also very close to Elevate Quantum's new packaging facility to help assemble and test parts
• , these efforts also drew Quantinuum to Albuquerque, and who also testified last week, to open a facility
• Investment Council and efforts like the Roadrunner Quantum Lab and the Elevate Quantum packaging facility
• And in doing so, create distributed wealth and jobs for many years to come.
• The other thing that is important is: can quantum help with the energy distribution?

Bills: SB145, SB143

Keywords: auditing, financial reporting, state auditor, public agencies, capital outlay, compliance, federal audits, agriculture, New Mexico Department of Agriculture, fee update, regulatory fees, egg inspection, egg grading, egg dealer, pesticide control, pesticide registration, pesticide applicator, pest management consultant, plant protection, nursery license

Transcript Highlights:

• We also have approximately 1,100 acres of regional detention facilities that the drainage district manages
• saw a lot of catastrophic flooding. impact to our area, and I believe there's a handout that we distributed
• Then we'll go through a reverse osmosis treatment system, and it becomes ready to be distributed as potable
• The majority of our system is a linear conveyance system, but we do have detention facilities where we
• So these facilities, once water gets moved, then by gravity, they'll empty themselves out.

Keywords: 997, house, all

Transcript Highlights:

• rapid initial mental health evaluations by non-physician... professionals at designated crisis facilities
• is a group, a coalition of blood centers that represents the majority of the blood collected and distributed
• The chain of custody for the general blood supply is that it is manufactured, labeled, and distributed
• follow the state law, and I'm good with them, all the people that I could potentially help as a facility
• Or just did you say the lack of facilities? Yeah, or the...

Keywords: 1184, house, all

Transcript Highlights:

• request and receive market data relating to reliability, generation, transmission planning, and distribution
• I've written testimony if you need it; it should be distributed in your drop box if anyone wants a copy
• The strategy that's being proposed in my district is to develop a desalination water treatment facility
• We would suggest, if you would like, the Texas Facilities Commission that oversees our state buildings
• And Cyrus raises a good point about the Facilities Commission, given how much state office building square

Bills: HB842, HB1907, HB2844, HB2892, HB3439, HB4211, HB4536, HB5111, HB5138, HB5182, HB5247, HB5269, HB5323, HB5435, HJR201, SB871, HB3896, SJR40

Keywords: power lines, Gulf Coast, weather-related outages, Public Utility Commission, infrastructure, government contracts, Chinese companies, information technology, cybersecurity, state regulations, food safety, mobile vendors, licensing, permitting exemptions, health inspections, nonprofit organizations, personal information, government disclosure, privacy, criminal penalties

Transcript Highlights:

• state level is the distribution charges. state level is the distribution charges.
• a local facility. a local facility.
• If your facility up to 18 months.
• be convicted in the local facility. be convicted in the local facility.
• video lottery facilities as specified. video lottery facilities as specified.

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

Summary: The Senate reconvened with a quorum and first honored Nancy Crawford with a resolution recognizing her 46 years of state service, including 20 years as Senator Pam Beidle’s chief of staff. Senator Beidle then spoke at length about her own retirement plans and public service, reflecting on her career in the House and Senate, her work on the Finance Committee, and thanking her staff and colleagues. The chamber unanimously journalized the remarks. The Senate then moved into business on House and Senate messages, including House Bill 139 and Senate Bill 311, and adopted a conference committee report on House Bill 1532, the Utility Relief/Reducing Energy Load for Inflation measure. The report was described as a broad energy and utility package that had already passed the Senate 38-4 and was said to address short-, medium-, and long-term issues, including rate relief, in-state generation, data center policy, consumer transparency, and low-income utility assistance. During debate on the conference report, the majority leader explained several changes from prior versions: no legislative ban on forecast test years, instead deferring to the Public Service Commission; removal of gas programs from Empower to avoid inequities across service territories; modest opening of the retail supply market with guardrails; and rejection of some floor amendments, including a gas line extension provision and a study amendment. The minority leader argued the bill offered only limited relief, focused too much on talking points and short-term savings, and said many bipartisan amendments were not retained. The majority leader responded that the bill would save ratepayers real dollars through provisions on utility adders, executive bonuses, FERC-related returns, and new generation, and urged adoption of the conference report.

Transcript Highlights:

• Sometimes we're working with the power companies because they're relocating aerial facilities.
• Facilities, they're putting up new poles in the new right-of-way.
• So we certainly understand our obligations and commitment to relocate our facilities located there.
• S.B. 1408 is transportation facility designations. The bill designates a portion of...
• It's still got to be trucked to the facility or to the project.

Summary: The Transportation Committee heard and acted on a series of transportation, licensing, and memorial bills. The first major item was CS/SB 462, the Department of Transportation agency package, which included provisions on transportation trust fund revenue for electric vehicles, county project reporting, speed limits, workforce grants, procurement and utility relocation procedures, airport participation, metropolitan planning, and related DOT administration. The committee adopted a substitute amendment after extensive discussion, especially over utility relocation reimbursement, penalties, and whether the bill was too rigid while stakeholders continued negotiating. Testimony came from industry and utility representatives both supporting the need to address delays and opposing the bill’s prescriptive approach. The bill passed 8-3. The committee then approved several specialty license plate and memorial measures. CS/SB 1024 added a United States Military Academy plate alongside the Naval Academy plate. CS/SB 824 created a Florida Highway Patrol specialty plate. CS/SB 666 created a Miami Northwestern Senior High School alumni plate, with supporters emphasizing the school’s history and scholarship uses for the revenue. CS/SB 916 authorized indemnification and insurance arrangements for commuter rail operations on the Brightline corridor, modeled on SunRail law, and was reported favorably after technical amendments. CS/SB 1290 updated DHSMV rules to conform to IFTA and federal motor carrier standards, raised the crash-damage reporting threshold, and made other registration and email-notification changes; CS/SB 1292 created a public-records exemption for certain email addresses used in motor vehicle and vessel notifications. CS/SB 1408 designated memorial highways for fallen officers Jesse Madsen and Elio Diaz, and CS/SB 1502 authorized FDOT blanket permits for mobile cranes to travel at night under specified conditions. All of these bills were reported favorably. The committee also received a lengthy informational presentation from FDOT on aggregates and the state’s construction-material supply chain. The witness described aggregate sources, transportation methods, recycling efforts, the importance of the Lake Belt and out-of-state imports, and the department’s supply-chain grant program. Senators asked about long-term reserves, stranded reserves, pricing, and the impact of regulation on future supply, and requested the study and a summary of regulatory impacts for members. The meeting concluded with no further business and adjournment.

Transcript Highlights:

• as you're around and then you distribute as you're around and then you distribute them<00:18:38.280
• <00:19:53.320> them fit and then they can distribute them fit and then they can distribute
• This change in the definition of the elements of power distribution is taxed.
• This change in the definition of the elements of power distribution is taxed.
• Power distribution are taxed.

Keywords: 1187, senate, all

Summary: The committee first approved the prior day’s minutes, then heard Senate File 255, which would exempt American Legion and VFW buildings from property tax. The bill’s author and the American Legion Department of Minnesota testified that many posts are struggling financially, that the tax burden can threaten building ownership, and that the posts provide important community services such as charitable gambling support, youth sports, food insecurity assistance, suicide prevention training, and meeting space for veterans and local residents. Several members voiced support, and the bill was laid over for possible inclusion. The committee then took up Senate File 30, a proposal to allow Minnesota estate tax portability for married couples, so a deceased spouse’s unused $3 million exclusion could transfer to the surviving spouse, similar to federal law. The author said Minnesota is an outlier compared with other estate-tax states and that the bill would simplify planning and reduce tax burdens, especially for family farms and other illiquid assets. A CPA and a Minnesota Farm Bureau representative testified that the order of death should not determine tax liability and that portability would help keep family farms intact. The bill was laid over for possible inclusion. Next, the committee adopted an A1 amendment to Senate File 211 and heard the bill, which would create a Minnesota subtraction for Foreign Service pension income, treating it more like military pension income. The author said the change would cover a small number of retirees and would have a minimal fiscal impact, while the testifier described Foreign Service work and said the benefit would recognize their service. The bill, as amended, was laid over for possible inclusion. Finally, the committee heard Senate File 132, which would revise property tax language related to electric power systems by replacing references to attachments and impertinences with broader system-based language. The author said the bill would clarify tax treatment for power co-ops, restore the original intent of the law, and provide stability for Greater Minnesota, with an estimated property tax shift of a little over $700,000. Testimony was beginning when the transcript ended, and no vote on the bill was recorded in the excerpt.

Transcript Highlights:

• That facility needs to be retired.
• they can remove that facility.
• And then I break the news to them: this facility looks older than that.
• It's in greater disrepair than that facility.
• This facility has housed many of the people that I represent.

Transcript Highlights:

• major solid waste facility. major solid waste facility.
• existing capacity need for the facility. existing capacity need for the facility.
• says<01:16:39.440> we've facility an existing facility says we've facility an existing facility
• . facility. facility.
• you distribute state aid all the time. you distribute state aid all the time.

Keywords: 1191, senate, all

Transcript Highlights:

• It keeps these small facilities—some of them run with two nurses, one doctor, maybe a tech, and then
• been a champion for them, not only as a legislator, but also as a nurse and being in charge of a facility
• in obstetrics who had entered active labor at 24 weeks and required transfer to a tertiary care facility
• we can do to effectively provide the same patients with more care options without investing in facilities
• There have been times in my own clinical career where facilities have been filled to capacity or beyond

Bills: HB2014, HB2156, HB2180, HB2554, HCR2047, HR2002

Keywords: air emissions, fuel blends, environmental quality, feasibility study, Arizona Department of Agriculture, livestock, compensation, funding, ranching, agriculture, appropriation, University of Arizona, education, state budget, biennial budget, state funding, appropriations, budget procedures, fiscal years, Judea

Summary: The committee first took up HCR 2047 and the identical HCR 2002, both sponsored by the chair. The resolutions recognize the historical, biblical, and legal legitimacy of Judea and Samaria, encourage those terms in official state communications, and reject the term West Bank as a modern political construct. Staff and several proponents, including representatives of an Israel-Arizona business coalition, a rabbi, and a StandWithUs representative, argued the language is historically accurate and important for truth, legal clarity, and Arizona’s relationship with Israel. No one testified against either measure. HCR 2047 passed 10-6 with 2 not voting, and HCR 2002 passed 11-6 with 1 not voting, both with due pass recommendations. The committee then considered HB 2554, which would move Arizona to a biennial state budget process and biennial capital planning. The sponsor argued the change would make government smaller, more disciplined, and less prone to long budget fights and spending growth. JLBC staff provided historical context, explaining Arizona’s past use of annual, bifurcated, and biennial budgeting and noting that second-year budgets are often adjusted for revenue and caseload changes. Members raised concerns about legislative leverage, executive flexibility, and whether the state already effectively budgets on a multi-year basis. Testimony was mixed: one supporter said the change could improve budget clarity, while others voted present or no, citing uncertainty and the need for more study. HB 2554 received a due pass recommendation on a 9-7 vote with 2 present. Next, HB 2014 was amended and passed. The bill directs ADEQ and the Department of Agriculture to study gasoline blend emissions and feasibility for seasonal fuel use in certain areas, with appropriations for the studies. The sponsor said Arizona’s fuel supply is vulnerable because of federal EPA rules and reliance on out-of-state refineries, especially California. Some members supported the study as a way to address possible fuel shortages, while others said prior stakeholder work had shown little could be done and questioned the cost. After adopting the Livingston amendment, the committee gave HB 2014 a due pass recommendation on a 12-2 vote with 4 present. The committee also advanced HB 2180, which funds the University of Arizona’s AZ Reach program, after adopting an amendment reducing the appropriation from $2.5 million to $500,000. The sponsor and a rural physician testified that AZ Reach helps small hospitals coordinate patient transfers, freeing clinicians to focus on care and improving access for rural communities. A program director explained that AZ Reach handles the administrative logistics of transfers for sending hospitals. Some members supported the program but noted concerns about the amount and ongoing budget negotiations, while others said the receiving hospitals needed to be part of the discussion. The bill passed with a due pass recommendation. Finally, HB 2156, as amended, appropriates $250,000 for the livestock compensation fund to help ranchers with wolf depredation losses and conflict-avoidance measures. A Game and Fish representative said the current federal grant funding is insufficient and unstable, while members debated the use of general funds and the program’s priorities. The bill received a due pass recommendation on a 10-7 vote with 1 not voting.

Transcript Highlights:

• They said their concern is that if the goal is to go after the big dealer who is distributing to mid-
• They said their concern is that if the goal is to go after the big dealer who is distributing to mid-
• So you're stating that there's not enough substance abuse rehab facilities available.
• But I know from working in an ER that we try everything we can to get somebody to a rehab facility.
• But every single inmate that comes into our facility after an arrest, doesn't matter what you're arrested

Bills: HB2043, HB2044, HB2108, HB2131, HB2132

Keywords: felony murder, unborn child, homicide, Arizona Revised Statutes, life imprisonment, death penalty, abandonment, concealment, dead body, class 5 felony, criminal offense, unlawful flight, eluding police, fleeing law enforcement, police pursuit, vehicle pursuit, reckless endangerment, felony enhancement, class 4 felony, class 2 felony

Summary: The Judiciary Committee first conducted a sunset review of the Arizona Civil Rights Advisory Board. The board’s executive director described its history, membership, and recent work on civil rights issues such as human trafficking remedies, service animals, hate-based crimes, housing, disability access, and rural concerns. With no opposition and no further questions, the committee voted to recommend continuing the board for eight years. The committee then heard HB 2131, which would make weapons and explosives trafficking involving three or more items a prison-mandatory offense and remove the financial-gain requirement from the trafficking definition. Support came from the sponsor, the Attorney General’s Office, and county law enforcement, who said the bill targets criminal syndicates and would not affect lawful gun dealers or private sales. Some members raised concerns about limiting judicial discretion and the effect on plea negotiations, but the bill received a do-pass recommendation by a 7-0 vote with one present. Next, HB 2132 proposed lowering the fentanyl trafficking threshold for enhanced penalties from 200 grams to 100 grams. Law enforcement and county attorneys argued the change would better address mid-level dealers and the volume of fentanyl seen in their counties, while opponents and some members warned it could sweep in addicted users and rely too heavily on mandatory minimums instead of treatment. Testimony also highlighted county reentry and treatment programs, especially Yavapai County’s “Reach Out” model. The committee approved the bill 7-2. The committee also considered HB 2108, which increases penalties for unlawful flight when the conduct is especially dangerous, including when it causes serious injury, involves a child, or occurs during a DUI. Law enforcement supported the bill as a public-safety measure, while an opponent argued it could worsen tensions and discourage compliance with police. Members also raised concerns about unmarked vehicles and public fear. The bill received a 6-3 do-pass recommendation. Finally, HB 2044, as amended, would increase penalties for abandoning or concealing a dead human body when done to conceal a crime or when the offender caused the death. Supporters said it closes a gap in statute exposed by recent cases, while opponents warned the language could be overbroad and potentially reach unintended situations; the committee adopted an amendment and then approved the bill 6-3.

Transcript Highlights:

• Care may be delivered in long-term care facilities, which we're very proud to see that this...
• The Legislature has enacted legislation that does require training in long-term care facilities for those
• and professionals. to healthcare facilities and professionals.
• It's available in over 211 languages, and we are distributing these to anyone.
• It really is a process that is handled at the level of the clinic or the facility to really do that,

Transcript Highlights:

• This is a bill that would just protect local manufacturers from distribution that's unordered and protect
• you may remember I had an interim study last year that was dealing with abandoned marijuana grow facilities
• A lot of these facilities are just piling up trash of who knows what, human excrement being dumped on
• the Ground and what this does is it adds these facilities to the definition of public nuisance so that
• This is strictly dealing with the definition of public Nuisance and cleaning up these grow facilities

Bills: SB65, SB444, SB592, SB640, SB1242, SB1257, SB1304, SB1501, SB1642, SB1946, SB2178

Keywords: SB65, naloxone, Narcan, opioid overdose, overdose reversal, opioid antagonist, emergency opioid antagonist, substance abuse services, harm reduction, public health, overdose prevention, good samaritan, civil immunity, criminal immunity, controlled substances, addiction treatment, fentanyl, opioid crisis, school overdose response, first aid

Transcript Highlights:

• I have distributed a copy of a published article I wrote for the Water Report on this subject.
• I sent some slides in, I hope they've all been distributed to the group.
• Or maybe even relocate the facility as a whole if there's larger negative impact.
• Talk to the Walmart Distribution Center.
• So my question is, those wells that are supporting those, even the ones that your facility, facilities

Keywords: 1184, house, all

Transcript Highlights:

• SB 2420 by Paxton, relating to the regulation of platforms for the sale and distribution of software
• HB 2298 by Lalani, relating to a health care facility grant program supporting the use of artificial
• SB 2420 by Paxton, relating to the regulation of platforms for the sale and distribution of software
• SB 2420 by Paxton, relating to the regulation of platforms for the sale and distribution of software
• HB 5224 by Geren relating to the critical designation of certain natural gas facilities. Mr.

Bills: SB17, SB1569, SB2420, HB5138, HJR161, HB1937, HB3334, HB5444, HB5137, HB361, HB321, HB5447, HB464, HB678, HB2294, HB4172, HB3225, HB1769, HB5394, HB1837, HB1787, HB2271, HB2440, HB5134, HB5149, HB2151, HB2073, HB2186, HB2025, HB1936, HB1777, HB1663, HB 1306, HB 1290, HB1527, HB4802, HB3462, HB2963, HB2462, HB2560, HB644, HB2725, HB2621, HB2588, HB1443, HB1403, HB3032, HB1557, HB1664, HB2811, HB2088, HB2598, HB3062, HB3134, HB3940, HB4027, HB4097, HB4862, HB4170, HB4157, HB4205, HB4279, HB4377, HB4838, HB5424, HB5294, HB4870, HB4763, HB5639, HB4112, HB2275, HB1677, HB5014, HB3848, HB3797, HB3727, HB3709, HB3177, HB3057, HB4176, HB4202, HB2180, HB3528, HB3658, HCR76, HCR127

Keywords: foreign ownership, real property, national security, criminal penalties, civil penalties, personal information, higher education, privacy protection, governing board, institutional security, software applications, mobile devices, age verification, parental consent, data protection, app store regulation, HJR 161, Texas constitutional amendment, voting rights, non-citizen voting

Summary: The House convened with a quorum, received the invocation and pledges, and heard several announcements and recognitions before moving into floor action. Members honored the University of Texas Rio Grande Valley chess team for winning a share of the 2025 President’s Cup, recognized educator Jessica Lopez, and paid memorial tribute to Jennifer Maddenly, along with recognitions for Jeanette Valdez Duran’s food pantry work, TAMACC’s 50th anniversary, and Bernardine Steptoe’s retirement from WFAA. The House also granted permission for committees to meet while the House was in session, set a local consent calendar, and suspended posting rules for a Public Health Committee hearing on SB 2721. The chamber then considered a long series of Senate and House bills, with many passing on record votes. Measures addressed local law enforcement authority (SB 906), veterans highway designation (SB 1229), foster care medical billing (SB 855), massage therapy trafficking safeguards (SB 703), tax ballot language (SB 1025), occupational licensing for people with convictions (SB 1080), lien deadlines (SB 929), liquor sales complaints (SB 1355), higher education application fee waivers (SB 2231), utility data access (SB 1877), pediatric preceptorships (SB 1998), and several House bills on bond forfeiture notice, health workforce coordination, indigent civil commitment representation, consumer transaction cancellations, bird dispersal rules, theft venue for digital property, military grant applications, AI cancer-detection grants, cybersecurity contract language, in-state tuition for military-related programs, utility capital recovery, energy waste advisory oversight, gas utility rate recovery, psychedelic therapy study, teacher retirement funding transparency, pension changes, tax payment plans, and voter registration security. Some measures drew notable debate or amendments, including HB 5247, where a ratepayer-credit amendment failed, and HB 2298, HB 4014, HB 510, HB 561, HB 1128, HB 1904, HB 30, HB 200, HB 3045, and HB 5111, which all passed after recorded votes with varying margins. A major point of contention was SB 2420, the app store age-verification bill, which prompted extended debate over whether the bill should also require app developers to verify users’ ages. Representative Bryant offered an amendment to preserve developer verification obligations, arguing the bill would otherwise shift responsibility away from app makers; the author opposed it, saying the bill’s approach was more workable and raised concerns about First Amendment issues. Multiple points of order were raised and withdrawn during the debate, and the amendment discussion remained unresolved in the excerpt. The House also postponed further consideration of SB 17, SB 552, and SB 2420 at different points, and recessed for lunch after completing a large block of third-reading votes.

Transcript Highlights:

• And lastly, we put $250 million to the Board of Governors to distribute to our universities.
• The Board of Governors, working with our universities, will develop a methodology to distribute those
• ... ...less fortunate and food insecure Floridians, and to purchase, transport, and distribute fresh
• This bill simply revises the distributions from the gaming compact within natural resources.
• They should be distributed in the same format that we distribute alcoholic beverages in the state of

Summary: The Senate opened with prayer, the Pledge of Allegiance, doctor and guest introductions, and then took up Committee Substitute for Senate Bill 168, the Tristan Murphy Act, on mental health. Senator Bradley described the bill as a major criminal justice and behavioral health reform measure that would expand pretrial mental health diversion, strengthen treatment-based probation conditions, broaden grant uses for mental health and substance abuse programs, add Hillsborough County to a forensic hospital diversion pilot, require certain DOC mental health evaluations, and create a Florida Behavioral Health Data Repository. Senators from both parties spoke in strong support, emphasizing treatment over incarceration, public safety, data collection, and the Murphy family’s role in advancing the bill. The Senate passed the bill 37-0 and then approved 37 co-sponsors. The chamber then received the Senate’s 2025-26 General Appropriations Bill, SB 2500, with Chair Hooper outlining a $117.4 billion budget that he said reduces spending, preserves reserves, and includes major investments in water quality, transportation, education infrastructure, and reporting requirements. Committee chairs summarized their portions: K-12 funding at $34.7 billion with increases for FEFP, scholarships, VPK, school hardening, and school safety; higher education at $11.5 billion with workforce, nursing, reading, autism, and student aid investments; health and human services with a $1.8 billion increase for Medicaid, mental health, opioid response, disability services, and veterans programs; criminal and civil justice at $7.6 billion for corrections, juvenile justice, law enforcement, courts, and judgeships; transportation/tourism/economic development at about $18 billion including roads, housing, Visit Florida, and cultural grants; and agriculture/environment/general government with major Everglades, water quality, citrus, food bank, and agency IT funding. Members then questioned several budget items, especially education funding formulas, the shift of scholarship dollars below the line, the impact on public school districts, AP/IB and other accelerated program funding, the APD wait list, opioid settlement spending, arts grants, and the My Safe Florida Home and condo pilot programs. Chairs generally said scholarship and accelerated-program dollars were being restructured for transparency and flexibility rather than cut, that school districts would still receive funding based on enrollment, and that APD and other human services issues would continue to be worked out in conference. The budget discussion concluded with remarks praising staff and noting a 4% across-the-board pay raise for state employees and targeted increases for law enforcement and firefighters, followed by a recognition for FAMU Day at the Capitol.

Transcript Highlights:

• IATSSE, Local 13 Union, and print IATSSE, Local 13 Union, and print production<00:21:19.039> facilities
• <00:21:19.440> to<00:21:19.760> news, production facilities to news, production facilities
• If you want to submit any additional testimony, please feel free to do so, and we'll distribute that
• that information to the distribute that information to the committee.<01:01:46.480> Okay,<01:
• it to the make sure that we distribute it to the committee.<01:04:28.960> You<01:04:29.119>

Keywords: 1187, senate, all

Transcript Highlights:

• And our adult residential facilities, which serve adults 19 to 59, and a lot of smaller facility types
• So the PIN required facilities to post a non-discrimination notice in the facility, which is what I'm
• notice in the facility, which is what I'm hoping you saw when you went to that facility, and to provide
• And that requires all health care facilities, including DSS and CDPH facilities, to implement the policies
• That is called a facility-reported incident.

Summary: The committee held an inaugural hearing on the health care and support needs of older LGBTQ Californians, with members and witnesses emphasizing that this population has made major gains in rights and longevity but still faces discrimination, isolation, economic insecurity, and gaps in services. Opening remarks highlighted concerns about older LGBTQ people entering nursing homes and feeling forced back into the closet, as well as the growing number of Californians aging with HIV. The hearing was structured into three panels, with public testimony considered if time allowed. The first panel focused on the overall health and support landscape. Justice in Aging described survey findings showing discrimination, poor health, difficulty with errands, and economic insecurity among older LGBTQ Californians, and warned that federal Medicaid cuts and broader federal actions could worsen access to home- and community-based services and culturally competent care. CalHHS and the Department of Aging described the Master Plan for Aging, the first statewide LGBTQIA older adult survey, and efforts to support gender-affirming care, PACE, care management, and community supports. Witnesses stressed the need for better outreach, data collection, and a “no wrong door” approach so people can more easily find and access services. The chair and senators pressed the departments on how survey findings are being translated into concrete action and how state agencies are coordinating across silos. The second panel addressed health care for seniors living with HIV. A longtime survivor described severe financial and benefits consequences from a federal clawback and argued that California needs stronger legal, navigation, and housing supports, including HIV-specific housing funding. The Department of Aging reported on implementation of SB 258, saying it has educated area agencies on aging, added HIV data to planning tools, and found that 20 of 33 area agencies identified HIV as a target population, with 16 including specific strategies. The Office of AIDS outlined Project Cornerstone, Ryan White, ADAP, HOPWA, a Medi-Cal waiver, and PrEP-AP, noting these programs serve thousands of older clients and that local case managers are expected to coordinate whole-person care. Case managers and advocates said housing, food, transportation, mental health, and premium assistance remain major needs, and senators asked whether future ADAP rebate funds could support navigation, housing, and other gap-filling services. The final panel turned to transgender, gender nonconforming, and intersex seniors. The Department of Social Services described protections under SB 219, including nondiscrimination notices, resident rights postings, required records for preferred names and pronouns, and annual inspections of licensed facilities. The Department of Public Health and a TransLatin Coalition leader were introduced to discuss additional supports for TGI seniors. Across the hearing, members repeatedly returned to the themes of visibility, coordination, and implementation, asking departments to follow up on how they will better connect services, improve outreach, and ensure that existing laws and programs are actually reaching the people they are meant to serve.

Transcript Highlights:

• And would these facilities pay them?
• That will undoubtedly remove private-pay patients from current facilities that all facilities do rely
• skilled nursing facilities, and rehabilitation facilities be removed from the language of this bill.
• ,<00:20:52.080> skilled intermediate care facilities, skilled intermediate care facilities
• nursing facilities and rehabilitation nursing facilities and rehabilitation facilities<00:20:54.799

Keywords: 928, house, all

Summary: The Division 3 work session focused largely on amendment 1176 to HB 2, which would have incorporated the substance of HB 548FN, a House-passed bill creating a direct-pay or membership-based model for health care facilities. Representative Mlan described the proposal as a way to increase competition in health care by extending the direct-care model used in primary care to facilities, arguing it could encourage innovation and that concerns about widespread harm to critical access hospitals were overstated. He pointed to Oklahoma’s long-standing Surgical Center model as evidence that the approach had not spread broadly or displaced hospitals there. Several members and witnesses raised concerns. Representative Stringham questioned whether the model would shift profitable services and patients away from existing hospitals, potentially worsening their finances and affecting Medicaid-related funding. David Ross, speaking for county nursing homes, opposed the language because it also removed moratoriums on nursing home, skilled nursing, inpatient rehabilitation, and self-pay beds, warning that it could increase pressure on Medicaid rates and undermine community-based care. Ben Bradley of the New Hampshire Hospital Association said the proposal appeared to create a separate regulatory framework for direct-pay facilities and raised concerns about patient safety, CMS participation rules, and a separate patient bill of rights. The chair concluded that, because HB 548 was already moving through the Senate, the HB 2 process was not the best vehicle for the policy and that the issue should be left to the Senate’s more deliberative committee process. Representative Ferski moved to not accept or remove amendment 1176 from the agenda, and the committee approved the motion by roll call, 9-0, withdrawing the item from HB 2.

Transcript Highlights:

• There's 11 facilities involved.
• There's 11 facilities involved.
• 21.679> the come and go in those facilities, the come and go in those facilities, the citizens
• <02:50:01.840> the anticipation on cost of a facility the anticipation on cost of a facility
• They have a very nice facility.

Keywords: 916, all