Transcript Highlights:

• We're one hour behind schedule right now. Um, so we're, uh, yeah, on HB 1409. All right.
• </c> or drug use. or drug use.
• Uh if they for alcohol, drugs, whatever.
• And now we're only 42 minutes behind schedule. What does lottery see? What does lottery see?
• We scheduled this bill. The sponsor of the bill is in front of us.

Committee: House Ways and Means

Transcript Highlights:

• There are always new drugs that are coming out, and as opposed to just stopping the flow of the drugs
• , which we know we need to do, we need to understand where the demand for those drugs is coming from.
• there always new drugs that are coming<00:30:29.559><c> out</c><00:30:30.559><c> um</c><00:30:31.360
• And we do everything from drug development to clinical studies and interventional trials.
• of Minnesota develop drug in University of Minnesota develop drug in partnership<01:13:12.760><c> with

Committee: Senate Higher Education

Transcript Highlights:

• addiction or alcohol drug treatment program,... ...participants in a drug addiction or alcohol drug
• Let's schedule a meeting so we can talk offline too. All right. Thank you.
• Let's schedule a meeting so we can talk offline too. All right. Thank you. Thank you very much.
• Let's schedule a meeting so we can talk offline, too. All right. Thank you. Thank you very much.
• And now you have to schedule some other appointment and find another ride to go somewhere else, right

Summary: The joint informational hearing focused on the impact of H.R. 1 on older Californians and related county administration issues. Chair Jackson and Chair Addis opened by emphasizing California’s rapidly aging population and the need to protect seniors’ access to food, health care, housing, and in-home support services. Testimony from the Department of Social Services, Department of Health Care Services, and Department of Aging described how H.R. 1 would expand work and reporting requirements in CalFresh and Medi-Cal, increase redeterminations, and create new eligibility barriers. Witnesses and advocates warned that these changes could lead to large coverage losses, especially for adults ages 55 to 64, people experiencing homelessness, caregivers, and some immigrant groups, while also increasing administrative burden on counties. The LAO noted that many provisions do not directly apply to Californians 65 and older, but highlighted indirect effects and some direct impacts, including a new home equity limit for certain long-term care recipients and narrower immigration eligibility rules. Committee members pressed the administration and counties on how exemptions would be identified and implemented, whether data systems could automatically protect eligible people, and how outreach would reach older adults, women, LGBTQ seniors, and people with limited digital access. DHCS and CDSS said they are working to use existing data, cross-program information sharing, and human-centered communications to maximize exemptions and reduce churn, including text outreach, print and radio campaigns, and navigator support. Members also raised concerns about the need for legal aid and county eligibility workers to help people navigate complex rules, and requested updated analyses on the number of people likely to lose both Medi-Cal and CalFresh and the broader human and system impacts. No votes were taken. The second major topic was the administration’s proposal to shift some future IHSS costs to counties by establishing a statewide baseline for average authorized hours per case. CDSS said the proposal is intended to improve consistency in assessments and not reduce services, while counties and labor groups strongly opposed it, arguing that rising hours reflect real increases in need, an aging and higher-acuity caseload, and state-mandated assessment tools rather than county error. County representatives said the proposal would strain already limited local revenues, worsen the effects of H.R. 1, and could force cuts to other safety-net services. Committee members questioned the proposal’s timing and impact, but the hearing ended without action, with the chairs asking for continued updates, additional analysis, and more information before May Revision.

Transcript Highlights:

• What my House Bill 3496 does is set salary schedules for county officials.
• The old schedules went to 300 million. After that, the counties have grown...
• The old schedules went to 300 million.
• We want to make sure that And all the other schedules.
• This is a minimum salary schedule, is what this is.

Committee: House Local Government, Elections and Pensions

Summary: The committee first met in executive session and unanimously voted Senate Substitute for Senate Bill 914 and House Committee Substitute for House Bill 3467 due pass. HB 3467 was amended before passage; the sponsor said the changes clarified that any tax authority would apply only if a tax change is actually approved, corrected county/city references, and fixed ballot-language issues involving sheltered workshops. Members generally praised the sponsor’s work, though one member noted concern about shifting more burden to sales taxes. The main public hearing was on H.J.R. 107, which would place before voters a constitutional question allowing Jackson County to consider separating Kansas City from the county or otherwise altering its charter government. Sponsor Rep. Steinmeyer argued the measure was about voter sovereignty and local control, citing prior Jackson County ballot measures and saying entrenched local power had blocked reform. Supporters echoed that Jackson County residents were frustrated with representation, taxes, and county governance. Opponents, including Kansas City and chamber representatives, argued the proposal was unnecessary, costly, procedurally unclear, and potentially destabilizing; several members also questioned the 10-year resubmission clause, the exclusion of local officials from the transition process, and the statewide fiscal impact. No action was taken on the resolution during the hearing. The committee then heard Senate Substitute for Senate Bill 975, dealing with ambulance district mergers and community paramedic/mobile integrated health services. Senator Black and supporters said the bill would help struggling rural ambulance districts merge without disrupting billing, contracts, or service, and would expand community paramedic care for low-acuity patients and hospital-at-home models. Several witnesses from ambulance and fire districts described successful programs and said the bill would improve patient care and help rural areas. Opponents, including ambulance and fire district representatives, supported the merger provisions but objected to Senate-added language they said would let districts provide community paramedic services across jurisdictional lines without memorandums of understanding, undermining local control and negotiating power. The hearing ended with testimony still ongoing after a recess for floor session; no vote on SB 975 was reported in the transcript.

Transcript Highlights:

• Originally, the Treasurer was hoping to be here in person, and I think with the schedule being delayed
• Bayer supports the governor's budget proposal and the related budget trailer bill on prescription drug
• supports the governor's budget proposal and the related budget trailer trailer bill on prescription drug

Summary: The Assembly Budget Subcommittee on Health heard updates on five health-related budget items. First, members reviewed state support for distressed hospitals and health facilities. The California Health Facilities Financing Authority and HCAI described the Distressed Hospital Loan Program as a lifeline for 16 hospitals, many of which remain financially strained and are expected to seek loan forgiveness rather than repayment. Speakers cited reduced contract labor, new service lines, strategic partnerships, and the reopening of Madera Hospital as signs of progress, but also warned that federal policy changes under H.R. 1 will likely increase uncompensated care and pressure emergency departments. Public commenters from hospital, dental, and consumer groups supported additional funding, including a request to refresh the program with another $300 million. The committee then heard HCAI’s update on the California Rural Health Transformation Program, a five-year federal initiative funded at $233.6 million for California. HCAI said the program will focus on rural care models, workforce development, and health technology, with grants to be rolled out on a fast timeline and all funds obligated by October 30, 2026. Members raised concerns about rural provider capacity to apply for grants, and HCAI said it will use a third-party administrator, a technical assistance center, webinars, and other supports to help applicants. HCAI also presented its budget request for the health care payments database, seeking ongoing non-General Fund support to continue operations and expand data, including pharmacy benefit manager data. The Emergency Medical Services Authority presented three budget change proposals: funding to replace disaster medical services fleet vehicles, funding for IT security work, and additional positions for HR, enforcement, and legal workload. A member also raised concern that EMSA has not yet completed the annual ambulance rate reporting required by AB 716, and EMSA said it remains committed to the requirement but lost prior funding through later budget reductions. Covered California reported that it is still finalizing its own budget, but expects a lower operating budget due to efforts to reduce baseline costs and align spending with actual expenditures; it also projected enrollment declines tied to the expiration of enhanced premium tax credits, H.R. 1, and federal rule changes, while noting that revenues may still rise because premiums are expected to increase. Finally, the Department of Managed Health Care outlined budget proposals tied to menopause coverage and education, PBM licensure and enforcement under AB 116 and SB 41, credentialing reforms under AB 1041, and prior authorization reporting under SB 306. Public testimony generally supported the menopause and PBM proposals, while also urging clearer language and attention to Medi-Cal parity. The hearing concluded after public comment, including additional advocacy for sickle cell services and rural health workforce funding.

Transcript Highlights:

• From drugs to bullying and suicide, I've learned the hard way that no student is immune from these challenges
• It will save many lives and save many kids from bullying and suicide and drugs. Thank you.
• This is to your schedule, so if you'd like to do something else, let me know.

Committee: Senate Education

Transcript Highlights:

• They were using drugs that the gang members or the shot callers were having them use to keep them under
• Every time a scheduled visit came up, my heart would start racing, my stomach would be in knots, and
• They were first removed from their parents at just six months old during a drug bust.

Committee: Senate Judiciary and Rules

Transcript Highlights:

• They do have a replacement schedule that they follow. Okay, thank you, Senator Lanier.
• Lab to design molecules in silico that we can then engineer into our drug delivery platform.
• five to 10 years, and that they are seeing intergenerational youth who have come from families with drug

Bills: HB2 , SB152

Committees: Senate Senate Finance , Senate House Appropriations & Finance

Keywords: general appropriation, budget, Medicaid, education funding, public safety, telecommunications, low-income assistance, lifeline, broadband, rural broadband, universal service fund, public regulation commission, PRC, 911 surcharge, telecommunications relay service, VoIP, mobile service, internet affordability, digital equity, digital inclusion

Transcript Highlights:

• to operate over them, so that already, we ain't talking about that now, but you want to get them drugged
• If these procedures, whether via surgeries or utilizing drugs, are done on kids, they are harmed in such
• multiple times, and I'm really happy to hear you guys support them because they also support a vaccine schedule

Summary: The House met with prayer and the Pledge of Allegiance, then approved the House Journal for February 5, 2026 by roll call vote, 134-2. During personal privilege remarks, a member recognized Bridget Williams, the first Black woman to lead the Heavy Constructors Association of Kansas City, in honor of Black History Month. The chamber then took up several bills. House Committee Substitute for House Bills 2273, 1946, 1814, and 2551, a large anti-trafficking package addressing sex trafficking, grooming, sextortion, terminology changes from “child pornography” to “child sexual abuse material,” a statewide anti-trafficking council, training requirements, expungement for some trafficking victims, and related criminal penalties, was debated at length over constitutional concerns but ultimately passed third reading 148-2. House Committee Substitute for House Bill 1757, which helps school districts identify gifted students by the end of third grade, passed 142-8. House Committee Substitute for House Bill 2375, a workers’ compensation reform measure clarifying the burden of proof and compensability standards, passed 86-62 after supporters said it would streamline claims and opponents called it unnecessary. House Committee Substitute for House Bill 1788, regulating recurring political donations and increasing transparency, passed 134-16. House Bill 1628, a cleanup bill updating higher education and workforce development statutes and repealing outdated provisions including the Vietnam Veterans Survivors Grant, passed unanimously 153-0. The House also perfected House Committee Substitute for House Bills 2033, 1608, 1672, and 1854, a package centered on removing the sunset from the SAFE Act and continuing Missouri’s restrictions on gender-related medical treatment for minors; debate was sharply divided, with supporters citing child protection and opponents arguing it harms transgender youth and intrudes on parental and medical decision-making. The House then announced upcoming committee meetings and adjourned until February 10, 2026.

Transcript Highlights:

• This enhancement line comprises five multi-year grants, which are scheduled to sunset at various times
• like the issue that we're seeing in the uptick might be more related to the sharing of needles for drugs
• , drug abuse, things of that nature.

Summary: The Joint Finance-Appropriations Committee heard budget presentations from Legislative Services analyst Morgan Poloni and Department of Health and Welfare Director Juliet Sharon on the Division of Early Learning and Development, the Division of Public Health Services, and Family and Community Partnerships. Major topics included the Idaho Child Care Program (ICCP), the Idaho Home Visiting Program, the Idaho Immunization Assessment Fund, HIV and hepatitis prevention, ARPA-funded public health projects, kinship navigation services, and proposed agency reorganizations and transfer authority changes. Poloni explained that several divisions were recently reorganized, making year-to-year comparisons difficult, and outlined the governor’s and agency’s FY 2027 requests, including additional federal and dedicated funds for child care capacity, public health programs, and prevention services.

Transcript Highlights:

• Federal policy changes under H.R. 1, combined with the scheduled expiration of enhanced federal premium
• Approximately 85% of Americans' premium dollars go to cover the cost of hospital-based services, prescription drugs
• unless it begins to focus on the 90% of health care spend, which is hospital systems and pharmaceutical drugs

Bills: HB2261 , HB2283 , HB2425 , HB2110 , HB2113 , HB2122 , HB2152

Committee: House Health Care & Wellness

Keywords: healthcare, transparency, patient communication, credentials, professional standards, medical loss ratio, insurance, health plans, cost management, nursing delegation, registered nurse, RN, home care aide, nursing assistant, certified nursing assistant, CNA, medical assistant, home health, hospice, community-based care

Transcript Highlights:

• So they're still smuggling, there are still drugs, and they're still trying to navigate and get away
• It's either people or drugs.
• It's scheduled like a Geneva 3 convention on non-interstate. conflict, right?

Bills: HB 1065 , HB2929 , HB2956 , HB3009 , HB3420 , HB3626 , HB3649 , HB4956 , HB4993 , HB5293 , HB5308 , HB5528 , HCR118 , SB36 , HB4023 , SB 36

Committee: House Homeland Security, Public Safety & Veterans' Affairs

Keywords: employee classification, private security, misclassification, workforce regulations, Texas Workforce Commission, autism, peace officers, training program, law enforcement, intervention, communication, developmental disability, family violence, central database, criminal offense, registration, public safety, violent offenses, criminal database, Department of Public Safety

Transcript Highlights:

• The chair lays out his pending business, HB1464 by Tallarico, relating to a prescription drug purchasing
• These denials can come at the last minute, sometimes the day before a scheduled procedure, causing delays
• It's hospitals and drugs.

Bills: HB345 , HB721 , HB2580 , SB815 , HB3057 , HB4603 , HB3233 , SB495 , HB3863 , HB3914 , HB4570 , HB5099 , HB5173 , SB458

Committee: House Insurance

Keywords: insurance, appraisal process, disputed losses, residential property, policyholder rights, insurer obligations, natural disasters, appraisal expenses, umpire selection, policyholder, insurer, umpire, claims management, health care, cost disclosure, benefit plan, administrators, traumatic brain injury, health benefit plans, insurance coverage

Transcript Highlights:

• The first budget entity is drug interdiction and prevention.
• The first budget entity is drug interdiction and prevention.
• So they are awarded on a regular schedule.

Summary: The committee met to review agency program funding as it prepared to build the budget, hearing brief presentations from six agencies and then taking member questions. Florida Division of Emergency Management highlighted its role in response, preparedness, recovery, and mitigation, describing a largely federal pass-through budget, major technology investments, and large disaster and preparedness grant activity. The Department of Commerce, Department of State, Florida Housing Finance Corporation, Department of Transportation, Department of Military Affairs, Florida State Guard, and Department of Highway Safety and Motor Vehicles also summarized their budgets, staffing, and major programs, including workforce and economic development, elections and arts funding, housing assistance, transportation work programs, military readiness, state guard expansion, and highway safety and motorist services. Members focused questions on several issues: arts and library grant funding and whether award criteria had changed; Commerce’s rural infrastructure and job growth grants and why funds were not being disbursed faster; Florida Housing’s use of SAIL, Live Local, Hometown Heroes, and SHIP funds and how smaller agencies learn about and access funding; and DOT’s work program gap between agency and governor proposals. The most extensive questioning was directed to Highway Safety and Motor Vehicles about long DMV lines, vacancies, overtime, staffing shortages, and the ability to shift funds between divisions. The department said staffing and pay constraints, especially in South Florida, were driving service delays and vacancy rates, and that overtime was being used because troopers were leaving for better-paying jobs. The Florida State Guard was also questioned about its spending and procurement pace, including aircraft purchases and facilities. Its director said long procurement timelines explained the low initial spending and that obligations had risen sharply as contracts matured. Members also asked about the department’s public opposition to Amendment 3 and whether agency resources were used in that effort; the director said no contracts or purchases were made to influence the vote and said the colonel’s comments were made off the clock. The meeting ended with the chair asking agencies to respond promptly to unanswered questions, and the committee adjourned without any recorded votes or formal actions beyond receiving the presentations and questions.

Transcript Highlights:

• As you all know, it's a busy hearing schedule as we come back.
• That is a class of drugs called SSRI, serotonin reuptake inhibitors.
• This allows us to routinely perform a number of injection techniques using drugs to help manage pain.
• Yet LPNs actually are granted the opportunity to administer these drugs.
• They provide employment, they sponsor community events and organizations like our anti-drug coalition

Committee: Joint Joint Committee on Consumer Protection and Professional Licensure

Summary: The committee opened a hearing of the Joint Committee on Consumer Protection and Professional Licensure focused on health care and human services, reviewed testimony logistics, and then heard a long series of witnesses on several bills. Much of the testimony centered on interstate licensure compacts for dentistry, social work, and occupational therapy, with supporters arguing these compacts would improve workforce mobility, continuity of care, and access while preserving state oversight and public protection. Dental witnesses were split on H.455/S.257, with supporters backing the AADB dental compact for its hands-on exam, background checks, and disciplinary safeguards, while opponents argued a competing compact would better promote portability and avoid conflicts tied to proprietary testing and outside commissions. Social work witnesses strongly supported H.380/S.252, emphasizing continuity of care for clients who move across state lines, reduced costs and delays for practitioners, and the compact’s public-protection features; occupational therapy witnesses similarly supported H.427/S.256, citing access, telehealth, military families, and maintained standards. The committee also heard testimony on S.242, which would expand licensure for lactation care providers. Supporters, including lactation counselors and health center staff, said adding certified lactation counselors and related credentials would expand access, improve breastfeeding support, and allow reimbursement for services now often provided without billing. They described the training required and said the bill would help families, especially in underserved communities. Representative James O’Day also testified in support of the social work compact, and a Council of State Governments witness provided background on compact mechanics and state participation. Another major topic was H.419/S.214 on medical debt. Physicians and researchers testified that cancer patients experience long-lasting medical debt and collections burdens, and they supported limits on the sale and collection of medical debt, bans on reporting it to credit bureaus, and related consumer protections. The hearing also included H.465 on a pathway to special licensure for certain long-term limited-registration dentists serving MassHealth patients, which Representative Senna supported as a way to allow immigrant dentists to practice independently. Finally, the committee heard sharply divided testimony on H.444/S.284, which would allow trained dental hygienists to administer Botox and dermal fillers: supporters framed it as a safe, preventive, and access-expanding tool for TMJ, bruxism, and pain management, while dermatologists opposed it as outside hygienists’ training and a patient-safety risk. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• I had a girl tell me one time that she witnessed another girl being drugged by a horse.
• The horse drug her, and staff continued to watch her.
• The horse drug her, and staff continued to watch her being drugged by a horse without trying to stop.
• If we schedule family visits already, if they're with our privately placed people, we would love to follow

Summary: The committee continued a public hearing on House Bill 2897, which would expand optometrists’ scope of practice. Supporters, including Dr. Kelly Deering, said optometrists are trained to perform the listed office-based procedures, that rural Missouri lacks access to ophthalmologists, and that the bill would reduce wait times, travel burdens, and costs while helping retain students and practitioners in the state. Opponents, including representatives of the Missouri Association of Osteopathic Physicians and Surgeons, argued the bill does not guarantee rural access and said the procedures should remain within the medical/surgical training of physicians. Members also questioned training on live human eyes and how suspicious lesions would be handled. No vote was taken, and the hearing on HB 2897 was closed. The committee then heard House Bill 2353, which would create a licensing and sign-and-seal framework for interior designers and move oversight to the board that includes architects, engineers, land surveyors, and landscape architects. Sponsor Rep. Sherri Gallick and supporters said the bill modernizes regulation, recognizes accredited education and NCIDQ testing, and would let licensed interior designers take responsibility for non-structural interior design work without hiring an architect to stamp plans. Opponents from the Missouri Society of Professional Engineers and others said they were still negotiating but remained concerned about scope-of-practice language, especially phrases like “all interior design of buildings” and “publicly occupied buildings,” which they said could create overlap with architecture and engineering or unintended obligations for public entities. Testimony also focused on whether unlicensed interior designers would still be allowed to work under carve-outs. No final action was taken. Finally, the committee heard House Bill 2241, which would create a separate framework for certain faith-based residential child care facilities to operate without a state license while registering with the state and meeting background-check, reporting, and oversight requirements. Sponsor Rep. Jamie Gregg and MACA representatives said the bill is intended to expand foster placement capacity for children in need while preserving the religious mission of Christian homes, and they cited federal and state initiatives encouraging partnerships with faith-based providers. Opponents argued the bill would create a two-tier system, weaken state licensing protections, and risk placing vulnerable children in facilities without the same direct oversight, inspections, and reunification safeguards as licensed foster homes. Members raised concerns about abuse history at some faith-based homes, the role of the proposed board, and whether religious practices or other mission-based rules would conflict with child welfare standards. The hearing continued with additional testimony; no vote was reported.

Transcript Highlights:

• Again, a lot of the detoxification for alcohol and drugs is done at the jails.
• These synthetic drugs that are being out there.
• So it's not any more about you know the drug for adults.
• All the drugs that are out there being sold, it's also what's being put in the food for the children,
• We've been on our schedule at 9am. 9am.

Committee: House House Rural Development, Land Grants And Cultural Affairs

Transcript Highlights:

• Sole liability for the manufacture and provision of abortion-inducing drugs. To engrossment. Mr.
• relating to abortion, including civil liability for the manufacturer and provision of abortion-inducing drugs
• relating to abortion, including civil liability. the manufacturing provision of abortion-inducing drugs
• But if it's just an allegation that any random drug addict could have made or any upset person I've arrested
• That will enable the commissioner to increase standards or change indicators outside of the schedule

Bills: SB8 , SB4 , SB43 , SB1 , SB2 , SB13 , SB6 , SB10 , SB16 , SB14 , SB3 , SB8 , SB4 , SB43 , SB1 , SB2 , SB13 , SB6 , SB10 , SB16 , SB14 , SB3

Transcript Highlights:

• time, which if you think that there would be a correlation between maybe people, maybe there's not a drug
• time, which if you think that there would be a correlation between maybe people, maybe there's not a drug
• They're going into bad spots with people on drugs. They don't have guns. They don't have cops.
• The Department for Community Based Services should implement a process and schedule for evaluating all
• for evaluating all structured schedule for evaluating all structured decision-making<01:13:21.760><c

Summary: The Legislative Oversight and Investigation Committee met without a quorum, so no votes were taken. Staff presented a study of the Kentucky Fire Commission focused on firefighter minimum training standards and administrative spending. The presentation explained that Kentucky’s training standards are built from NFPA guidelines, that the commission currently requires 115 hours for volunteer firefighters and 300 hours for paid firefighters, and that those reduced hours were adopted by removing electives and other non-NFPA content. Staff also said the commission’s IFSAC certification testing for firefighter 1 and firefighter 2 aligns with NFPA standards, but the commission cannot require local departments to train or certify firefighters. Staff recommended that the commission formally promulgate regulations establishing the reduced training hours and work with KCTCS to better separate administrative costs for certain programs so compliance with the statute can be demonstrated. The finance portion of the report said the commission is funded by general fund appropriations for State Fire Rescue Training and by an insurance premium surcharge that supports the Firefighter Foundation Program Fund. Staff reported that the commission stayed within the 5% administrative cap tied to the overall surcharge allotment, but could not confirm compliance with a separate 5% cap for specific programs because KCTCS accounting does not break out those costs in enough detail. Staff suggested the General Assembly may want to clarify what counts as administrative cost in statute. Members asked about investment returns, local fire department funding, and whether training documentation is required; staff said some of those topics were outside the study scope and that IFSAC testing relies on chief certification that a candidate is ready to test. Representatives from the Fire Commission then responded, saying they agreed with the report’s recommendations and would work to clarify the 5% issue with legislators and KCTCS. They explained that the reduction in training hours was intended to remove electives, better align with NFPA standards, and address the difficulty volunteer departments have in getting members to complete lengthy training. Commission officials said training is documented through rosters and annual compliance reviews, and that IFSAC-certified firefighter testing is based on demonstrated skills rather than a required number of training hours. They also said the difficulty in tracking the second 5% cap stems from the way KCTCS’s PeopleSoft system records reimbursements as single transactions, making it hard to isolate administrative costs by program.

Transcript Highlights:

• person, which could also be individuals in that age group, or who are regularly participating in a drug
• Drug rebates are invoiced quarterly and then due four months after that quarter.
• in the current year and three quarters of drug rebates ...million General Fund to be collected in the
• current year, and three-quarters of drug rebates totaling $435 million to be collected in the budget
• We're not going to do it ahead of schedule.

Summary: The subcommittee heard an extended briefing on the impacts of H.R. 1 on Medi-Cal and CalFresh, followed by testimony from the Legislative Analyst’s Office and county officials. DHCS described major Medi-Cal changes in H.R. 1, including work/community engagement requirements, six-month redeterminations, reduced federal matching for some emergency services, narrower immigrant eligibility, reduced retroactive coverage, and limits on provider taxes and directed payments. CDSS outlined CalFresh changes, especially the expanded able-bodied adults without dependents time limit, reduced exemptions and waivers, and the new federal-state-county administrative cost split. Both departments emphasized implementation plans, automation, outreach, and county coordination, while acknowledging significant expected coverage losses and administrative burden. The LAO and an independent policy expert discussed how H.R. 1 could increase demand on county indigent care systems and public hospitals as people lose Medi-Cal. They reviewed the history of county indigent care, 1991 realignment, and AB 85, explaining that counties already rely on a patchwork of funding and that current realignment revenues are often used for public health rather than indigent care. They warned that counties may face large increases in uninsured residents, with wide variation in how counties respond, and raised concerns about equity, financing, and whether a more standardized state-county program should be created. Committee members pressed witnesses on county funding, exemptions, homelessness, older adults, undocumented residents, and the effect of administrative burden versus true ineligibility. County representatives from Los Angeles, Santa Clara, Tulare, and San Bernardino described the expected local impacts and asked for additional state support. They said H.R. 1 would drive major losses in Medi-Cal and CalFresh enrollment, increase uncompensated care, strain eligibility staff, and worsen homelessness and food insecurity. Several counties urged the Legislature to fund eligibility workers, preserve enrollment, and consider a CalFresh match waiver; Santa Clara and San Bernardino also cited local tax measures and staffing reductions already underway. No formal vote or committee action was taken in the portion provided.