Transcript Highlights:

• Blood spots, pulse oximetry, hearing checks—simple tests a rookie nurse could do.
• It is important to remember that hospital-based nurses have immediate access to a team of physicians
• clinical assessment and interpretation, should be performed by the pediatrician, family physician, or nurse
• I'm also the former clinical director for the largest certified professional midwifery program in the
• ... that do the child nutrition program about the feasibility of being able to comply with the law.

Bills: SB87 , HB491 , SB43 , SB101

Committee: House Health

Keywords: midwifery, licensed midwives, State Board of Midwifery, licensure fees, professional liability insurance, complaints investigation, emergency care plan, out-of-hospital care, HB491, public schools, K-12, school nutrition, school lunch, cafeteria, artificial dyes, food additives, food coloring, synthetic dyes, Red Dye No. 3, Red Dye No. 40

Transcript Highlights:

• Back to our regularly scheduled program, read the next bill.
• A BILL TO BE ENTITLED AN ACT RELATING TO VETERANS NURSING HOMES.
• NURSING FACILITY.
• Senator: Senate Bill Level 4 degrades a pilot program designed to drug and...
• The new program for the probationer, the parolee, the person on parole?

Bills: SCR46 , SB31 , SB39 , SB227 , SB330 , SB401 , SB407 , SB467 , SB482 , SB500 , SB506 , SB512 , SB527 , SB584 , SB619 , SB636 , SB646 , SB647 , SB648 , SB659 , SB663 , SB715 , SB732 , SB758 , SB801 , SB816 , SB847 , SB870 , SB884 , SB1020 , SB1055 , SB1065 , SB1137 , SB1169 , SB1181 , SB1283 , SB1383 , SB1395 , SB1410 , SB1433 , SB1490 , SB1558 , SB1574 , SB1626 , SB1666 , SB1718 , SB1727 , SB1756 , SB1757 , SB1845 , SB1924 , SB1964 , SB1972 , SB2018 , SB2031 , SB2075 , SB2076 , SB2080 , SB2111 , SB2117 , SB2154 , SB2161 , SB2173 , SB2206 , SB2225 , SB2253 , SB2268 , SB2314 , SB2322 , SB2351 , SB2371 , SB2476 , SB2533 , SB2540 , SB2570 , SB2589 , SB2623 , SB2658 , SB2660 , SB2692 , SB2693 , SB2717 , SB2722 , SB2753 , SB2779 , SB2877 , SB2880 , SB2900 , SB2920 , SB3031 , HJR4 , SB5 , SB260 , SB1786 , SJR3 , SJR18 , SB1 , SJR36 , SJR50 , SJR63 , SJR84 , SJR59 , SCR12 , SCR39 , SCR46 , SCR48 , SCR19 , SB2023 , SB62 , SB666 , SB847 , SB284 , SB854 , SB1073 , SB810 , SB1505 , SB583 , SB1502 , SB507 , SB1026 , SB1433 , SB1434 , SB1376 , SB1585 , SB1772 , SB2016 , SB1163 , SB619 , SB1122 , SB732 , SB731 , SB397 , SB508 , SB1436 , SB287 , SB261 , SB1882 , SB393 , SB1791 , SB529 , SB209 , SB2429 , SB1999 , SB511 , SB2309 , SB510 , SB1924 , SB2253 , SB2018 , SB2206 , SB584 , SB1085 , SB1490 , SB2314 , SB2046 , SB1975 , SB2717 , SB1262 , SB1524 , SB1137 , SB636 , SB2056 , SB1558 , SB884 , SB227 , SB517 , SB1200 , SB1410 , SB1626 , SB1845 , SB1863 , SB2681 , SB2200 , SB2199 , SB1757 , SB2050 , SB2458 , SB2201 , SB1055 , SB2660 , SB2662 , SB1065 , SB801 , SB2533 , SB3014 , SB3013 , SB758 , SB648 , SB647 , SB512 , SB1721 , SB2268 , SB2366 , SB1013 , SB2692 , SB2570 , SB2797 , SB2111 , SB2371 , SB2383 , SB646 , SB1169 , SB1754 , SB1718 , SB2779 , SB2004 , SB1756 , SB2119 , SB527 , SB2322 , SB2448 , SB1777 , SB1283 , SB407 , SB2392 , SB2076 , SB2786 , SB3031 , SB2877 , SB2876 , SB2284 , SB2225 , SB1540 , SB2920 , SB2929 , SB1395 , SB1972 , SB2540 , SB2742 , SB2595 , SB2217 , SB2117 , SB715 , SB2330 , SB1964 , SB1383 , SB500 , SB1640 , SB2001 , SB2080 , SB2722 , SB506 , SB2514 , SB2623 , SB2658 , SB1574 , SB2900 , SB2753 , SB2398 , SB401 , SB1241 , SB2927 , SB2173 , SB2538 , SB898 , SB467 , SB1449 , SB2529 , SB1531 , SB2846 , SB2476 , SB2031 , SB986 , SB1181 , SB2075 , SB2154 , SB2864 , SB31 , SB2880 , SB1359 , SB2386 , SB771 , SB2844 , SB2550 , SB1351 , SB1423 , SB1931 , SB2245 , SB2589 , SB2707 , SB2807 , SB2351 , SB410 , SB659 , SB816 , SB2776 , SB2693 , SB2580 , SB1980 , SB1886 , SB1234 , SB739 , SB482 , SB456 , SB127 , SB1666 , SB2843 , SB2801 , SB800 , SB2055 , SB784 , SB2986 , SB735 , SB1012 , SB324 , SB2926 , SB2938 , SB2007 , SB2138 , SB1242 , HJR4 , HB135 , HB 1109 , SCR30 , SCR3 , SB2615 , SB1049 , SB2310 , SB1224 , SB2972 , SB1568 , SB2841 , SB2885 , SB3016 , SB2858 , SB2610 , SB2139 , SB1856 , SB2035 , SB2308 , SB2306 , SB2041 , SB1528 , SB1681 , SB1141 , SB2401 , SB2530 , SB2375 , SB547 , SB1266 , SB1373 , SB1467 , SB2069 , SB2269 , SB2480 , SB2544 , SB672 , SB904 , SB2695 , SB2891 , SB2422 , SB2543 , SB1854 , SB317 , SB2539 , SB2532 , SB2925 , SB1250 , SB2082 , SB2203 , SB457 , SB2357 , HCR35 , HCR64 , SB227 , SB401 , SB512 , SB527 , SB648 , SB1490 , SB1558 , SB1574 , SB1626 , SB1756 , SB1924 , SB1964 , SB2018 , SB2031 , SB2111 , SB2117 , SB2206 , SB2570 , SB2658 , SB2692 , SB2900 , SB3031 , SB407 , SB1395 , SB1433 , SB1718 , SB2322 , SB2877 , SR453 , SR461 , SJR86 , SB3060 , SB3061 , HB18 , HB26 , HB36 , HB37 , HB48 , HB 126 , HB150 , HB252 , HB503 , HB517 , HB581 , HB742 , HB754 , HB972 , HB 1024 , HB 1041 , HB 1089 , HB1442 , HB1562 , HB1633 , HB1689 , HB1690 , HB1696 , HB1718 , HB1732 , HB1741 , HB2103 , HB2216 , HB2733 , HB2884 , HB2986 , HB3700 , SB1888 , SJR86 , SB3060 , SB3061 , HB18 , HB26 , HB36 , HB37 , HB48 , HB 126 , HB150 , HB252 , HB503 , HB517 , HB581 , HB742 , HB754 , HB972 , HB 1024 , HB 1041 , HB 1089 , HB1442 , HB1562 , HB1633 , HB1689 , HB1690 , HB1696 , HB1718 , HB1732 , HB1741 , HB2103 , HB2216 , HB2733 , HB2884 , HB2986 , HB3700 , SB1888

Transcript Highlights:

• Similar programs to this exist program.
• </c> program through end of season program program through end of season program evaluations. evaluations
• Thank you for... programs? programs?
• program.
• . program. program.

Committee: House Health, Human Services and Elderly Affairs

Transcript Highlights:

• Do registered nurses now qualify under that, as they are now, or why the exchange there?
• And in this, we're asking for these other licensed types of nurses to get this EMT training.
• And in this, we're asking for these other licensed types of nurses to get this EMT training.
• </c> difference between skilled nursing difference between skilled nursing facilities<00:26:36.559><c
• </c> nursing and uh assisted living overall. nursing and uh assisted living overall.

Transcript Highlights:

• Chair SB 1072 establishes the expedite DNA Testing Grant program within FDLE.
• and the Hillsborough County Sheriff's Office will manage program.
• This pilot program will provide an alternative to the drug court. You see around the state.
• There is a strike all nursing home type setting.
• So under federal law, any crime in a nursing home must be reported under Florida law.

Transcript Highlights:

• Yeah, Madam Chair, Representative Lujan, everything that we do, particularly because of the programs
• Yeah, Madam Chair, Representative, everything that we do, particularly because of the programs that we
• But it also allows our educator prep programs to train on one standard form for the IEP so that when
• And so this monitoring program, the evaluation program, this is what that is referencing.
• "To support that family for their benefit programs and medical and health care provisions.

Summary: The committee first heard House Bill 124, which would create a permanent Office of New Americans within the Department of Workforce Solutions. The sponsor and supporters said the office would help immigrant and refugee workers access training, licensing, language support, and other workforce resources, while also helping employers fill labor shortages in industries such as construction, agriculture, oil and gas, health care, and child care. Support came from advocates, business groups, faith organizations, and immigrant-rights groups; there was no opposition. Members asked about data protection, the number of other states with similar offices, and whether the office could help recruit and credential foreign-trained medical professionals. The bill passed on a do-pass motion with several yes votes and some no votes recorded, and the sponsor explained the vote as a way to support families and workforce integration. The committee then considered House Bill 314, which would authorize zero-interest loans through the Local Government Division for political subdivisions to repair flood- and debris-damaged public infrastructure and remove debris from the October 19, 2024 storm event. There was no public testimony in support or opposition. Members briefly asked about the $150 million appropriation and whether it was already in the budget, and the sponsor said it was. The bill received a do-pass motion, a second, and was approved without opposition. Finally, the committee took up Senate Bill 64, as amended, to codify the Office of Special Education and a deputy secretary position within the Public Education Department. The sponsor and department officials said the bill would formalize an office already created by executive order, improve statewide coordination, support compliance with IDEA and the Yazzie-Martinez case, and develop a statewide IEP template to reduce inconsistency across districts. They emphasized that gifted education would remain in Curriculum and Instruction and that the bill would not add new paperwork or mandates for districts. Supporters included education leaders, disability advocates, vocational rehabilitation, and special education professionals; there was no opposition. Members raised questions about parent understanding of IEPs, monitoring and enforcement, funding, charter school coverage, and the treatment of gifted and twice-exceptional students. The bill passed on a do-pass motion with unanimous support from those present.

Transcript Highlights:

• :04:54.840><c> integrity</c> asking about the program integrity asking about the program integrity language
• </c> on public programs. on public programs.
• </c> executive talking about the nurse executive talking about the nurse uh<01:14:40.480><c> nursing<
• Um, the Senate demonstrated support for the 340B program, which is an existing program that allows us
• A little history the BI program.

Committee: Senate Health and Human Services

Transcript Highlights:

• And administer their Medicaid programs.
• </c> administer the Medicaid program. administer the Medicaid program.
• We don't have enough nurses.
• The one good thing one nurses.
• </c> in the Medicaid program. in the Medicaid program.

Summary: The Medicaid Oversight and Advisory Board met on September 24, 2025, approved the minutes from the September 9 meeting, and then continued its discussion of Medicaid waivers with Leslie Hoffman and Carmen Hancock from the Department for Medicaid Services. Members asked for updates on the 2024 waiver waitlist management assessment recommendations, including aligning waiver policies, standardizing applications and waitlist placement, and modernizing data systems. DMS said that work is being done jointly with Aging and Independent Living and Behavioral Health/Developmental and Intellectual Disabilities through task forces, that ARPA spending delayed action, and that implementation timelines extend through March 2027. The board also reviewed per-member waiver cost averages for fiscal years 2023 through 2025 for ABI, ABI long-term care, HCBS, Model II, Michelle P, and SCL. DMS emphasized these figures were benefit-only averages based on paid claims, not full waiver costs, and explained that true budget neutrality is calculated on an aggregate basis against institutional care comparisons approved by CMS. DMS said all six waivers remain in compliance with budget neutrality and that the most recent 18-month lag review for FY 2022 and FY 2023 found costs at or below institutional care. Members also asked about unused waiver slots; DMS said slots generally cannot be reallocated mid-year if they have been used, except in cases such as death or reserved capacity, because CMS treats participants as unduplicated for the waiver year. A major portion of the meeting focused on the new child waiver created under House Bill 6. Legislators questioned whether the waiver’s design, including the exclusion of participant-directed services and the emphasis on high-acuity children with behavioral health, DCBS, or juvenile justice involvement, matched the bill’s intent to keep children at home. DMS said it used the $14.7 million appropriated for FY 2026 to develop the program, that there is no priority list, and that the waiver is intended to serve the highest-acuity children while also addressing residential needs for those sleeping in offices or placed out of state. Members also raised concerns about the rapid growth of the HCBS waiting list and asked for more detail on age and timing patterns, which DMS said it would provide later. Finally, DMS gave average processing times from application to eligibility determination and from approval to service start, and said the overall average from application to services beginning was about 80 days, while members requested follow-up information on the Carewise assessment contract and related costs.

Transcript Highlights:

• JP Hanna on behalf of the California Nurses Association, in support.
• JP Hanna on behalf of the California Nurses Association in support.
• Arianna-Montez on behalf of the California Nurses Association in support.
• Finger Nurses Association in support.
• By CalHR under what is known as the Merit System Services Program.

Committee: House Labor and Employment

Summary: The Assembly Labor and Employment Committee heard and advanced a series of labor, workplace, and pay equity bills. SB 703 on port trucking misclassification would require ports to collect and report data to help identify misclassified independent contractors; supporters said the bill would improve enforcement and protect workers, while trucking and retail groups said recent amendments addressed many concerns. The bill passed 5-0 and was re-referred to Transportation. The committee also approved a consent calendar including SB 275, SB 648, SB 355, and SB 693. Members then heard SB 294, the Workplace Know Your Rights Act, which would require the Labor Commissioner to create a template for employers to annually notify workers of labor and civil rights protections, with supporters arguing workers need clearer information amid federal uncertainty and opponents from the restaurant industry raising concerns. SB 7, dealing with automated decision-making systems in employment discipline and termination, would require notice and human review; labor groups supported it as a safeguard against biased or opaque algorithmic management, while employer groups objected to broad definitions and burdens on businesses. Both bills passed and were re-referred to Judiciary and Privacy and Consumer Protection, respectively. The committee also approved SB 238 on workplace AI/surveillance transparency, SB 442 on self-checkout staffing standards, and SB 464 on expanding public-sector pay data reporting tied to reparations and pay equity goals. Supporters of SB 238 emphasized transparency and privacy, while business and public-sector groups warned about security and administrative burdens; SB 442 drew support from labor and retail workers who said self-checkout reduces hours and increases safety risks, while grocers argued it would raise costs and reduce flexibility; SB 464 was backed as a way to better measure representation and pay gaps, though counties and local government groups said the bill needed narrowing to avoid covering county workers. Finally, SB 642 on equal pay reforms and a longer recovery period for wage claims passed 5-0 after labor advocates said it would help workers recover lost pay, while business groups opposed the 10-year lookback as too burdensome.

Transcript Highlights:

• You know, CMA sharing that what their members have not submitted any concerns of the program.
• The program provides coverage to over 1,200 public agencies and schools.
• with how few people have completed the Care Court program.
• SB 874 takes meaningful steps to strengthen... ...in the Medi-Cal program.
• As an autistic consumer of public programs, my survival depends on Medicaid.

Committee: Senate Health

Summary: The committee first took up SB 1377, a bill on medical exemptions for school immunizations. The author and supporters said the measure was a narrow reform to restore physician discretion and reduce what they described as chilling effects from audits and license discipline; opponents from pediatric, medical, public health, and school groups argued the current system already works, protects against fraudulent exemptions, and should not be weakened. Committee members debated the data, the number of exemptions reviewed or revoked, and the effect of the proposed amendments. The bill was amended in committee, but because there was no quorum it was not formally voted on at that time. The committee then heard SB 995, the Masuma Khan Justice Act, which would create a statewide inspection and compliance framework for large private detention facilities. The author and supporters described severe conditions in immigration detention, including denial of medication, unsafe food and water, and lack of oversight, and the bill was presented as a response to those abuses. The California Hospital Association raised concerns about duplicative regulation and overlapping standards, but said it was continuing to work on a solution. The committee discussed constitutional and jurisdictional issues, and the bill was moved on a do-pass motion to the Committee on Judiciary with a 5-0 vote placed on call. Next, SB 1089 was heard, proposing expanded access through CalPERS and CalRX to GLP-1 medications for chronic weight disease and diabetes prevention. The author and supporters from the American Diabetes Association and medical groups argued the drugs are effective tools to prevent type 2 diabetes, reduce long-term costs, and improve health equity, while the author also shared personal experience with weight loss and medication access barriers. There was no opposition testimony. The bill was moved on a do-pass motion to the Committee on Labor, Public Employment, and Retirement with a 5-0 vote placed on call. Finally, the committee heard SB 1221, dealing with Murphy conservatorships for people found not guilty by reason of insanity or otherwise under criminal-mental health conservatorship. Supporters, including prosecutors and psychiatrists, said the bill addresses a gap created by a court decision and would improve public safety and placement decisions for a small population of high-risk individuals. Opponents from county behavioral health and disability rights groups warned it would turn a civil process into a quasi-criminal one, expand district attorney involvement, and disrupt bed prioritization and least-restrictive-placement principles. The discussion centered on the scope of the bill and its amendments, but no final vote was taken in the portion provided.

Transcript Highlights:

• I'm the Port of San Francisco's Waterfront Resilience Program Director.
• I started our program about four years after I came home.
• But in the next days, obviously these programs are effective also in reducing recidivism.
• and Prevention (RAMP), San Bernardino County Medical Society, Society of Latina Nurses, St.
• Pernardino County Medical Society, Society of Latina Nurses, St.

Summary: The committee heard several bills, beginning with AB 1938, which would create a voluntary process for local governments to designate California surf reserves through the Ocean Protection Council. The author and supporters, including Save the Waves Coalition, the League of California Cities, and the California State Association of Counties, argued the bill would recognize surf breaks as important natural and economic assets. The bill received a due pass recommendation to Appropriations and passed on a roll call vote, with the measure left on call. The committee also approved the consent calendar, which included AB 1699, AB 1780, AB 1891, AB 1893, and AB 2566. The committee then took up AB 2051, which would convene a coastal resilience permitting working group to develop a roadmap for streamlining permits for coastal resilience projects. The author and supporters from the Bay Area Council, Port of San Francisco, and others said the bill would reduce duplicative permitting delays while preserving environmental protections. One member raised concerns about giving too much authority to the Coastal Commission, but the bill still received a due pass recommendation to Water, Parks and Wildlife and passed on a roll call vote. AB 2494, dealing with the management of demonstration state forests, drew substantial debate. The author said the bill would update outdated 1947-era management goals to emphasize biodiversity, carbon sequestration, wildfire resilience, recreation, research, and tribal co-governance, with strong support from Mendocino County, tribal representatives, and environmental groups. Opponents from the Farm Bureau, California Forestry Association, and others argued it would shift the forests away from sustainable timber production, create funding instability, and invite litigation. After extensive questioning about forest science, old growth, funding, and tribal co-management, the bill received a due pass recommendation to Appropriations and passed on a roll call vote. The committee also approved AB 2483, which would create a permanent certification pathway for formerly incarcerated firefighters who served on Cal Fire hand crews. Supporters said the bill would recognize their training and improve job prospects after release, and it passed unanimously to Public Safety. Finally, AB 1777, the California Clean Skies Act, was heard; it would affirm CARB’s authority to adopt indirect source rules to address pollution from vehicle-heavy facilities such as warehouses and ports. Environmental, health, and labor supporters backed the bill as a tool to protect public health, while trucking, business, port, and industry groups opposed it as costly and overly broad. The bill remained under discussion at the end of the transcript, with members debating whether it clarified existing authority or created new regulatory power.

Transcript Highlights:

• </c> Board of Nursing. Good afternoon. Board of Nursing. Good afternoon.
• </c> consumer-directed services program. consumer-directed services program.
• When<00:48:16.600><c> this</c><00:48:16.800><c> program</c> When this program When this program &gt;&
• Medicaid program that exists. So, so did Medicaid program that exists.
• </c> program that doesn't exist anymore. program that doesn't exist anymore.

Summary: The committee first approved the minutes and then took up a series of administrative regulations from several agencies. Early items included Attorney General consumer protection rules on removal sales, health spas, liquidation sales, and nonresident sellers of visual aid glasses; Finance and Administration Controller rules on clearinghouse validation and fraud prevention; and Board of Dentistry rules updating exam requirements, controlled substance prescribing, training for neuromodulators and dermal fillers, infection control, sedation/anesthesia continuing education, and required education on pediatric abusive head trauma and controlled substance ingestion prevention. The committee also approved staff amendments on these items, generally to conform to KRS Chapter 13A, and members asked a brief question about the dentistry controlled-substances changes, which was answered as an alignment with statute. The committee next approved regulations for the Board of Ophthalmic Dispensers, Board of Nursing, and Board of Emergency Medical Services. The ophthalmic dispensers package would revise meeting and recordkeeping language, raise renewal fees, set reinstatement and apprentice-license rules, add complaint and hearing procedures, and repeal a duplicative regulation. The nursing regulations would streamline approval of training programs and require notice and documentation of site visits and deficiencies. EMS rules would create five EMS medical director certifications, set expiration and renewal requirements, require publication of disciplinary sanctions, and exempt currently approved directors before October 1, 2026. Staff amendments were adopted without objection on each set. The Education and Labor Cabinet’s school transportation regulation drew extended discussion. The agency explained the changes were intended to implement Senate Bill 46 and update references affected by later legislation, including an oral amendment to delete a subsection reference tied to KRS 160.380. The committee adopted both the agency and oral amendments without objection after brief questions about the scope of the bill changes and van transportation for students. The committee then heard a lengthy package from the Department for Public Health on WIC and related nutrition program regulations, including updates to infant and child certification periods, documentation requirements, vendor criteria, sanctions, hearing procedures, and high-risk vendor standards. Staff amendments were adopted without objection. Finally, the committee considered the Inspector General’s regulation for freestanding birthing centers, which included both staff and agency amendments. The agency changes would require two neonatal resuscitation program-certified staff, set rules for medical director vacancies and appeals, revise facility and staffing terminology, adjust transfer-agreement requirements, and allow waivers when agreements cannot be secured. Mary Katherine DeLodder of the Kentucky Birth Coalition testified in support, saying the parties had worked through concerns and were ready to move forward. The committee then moved on to Medicaid’s 1915C child waiver regulations, where staff amendments were adopted, but Lucy Heskins of Kentucky Protection and Advocacy testified against the package because it did not include person-directed services, which she said are required by Kentucky law and important for families using the waiver.

Transcript Highlights:

• . programs. programs.
• Nurses Week.
• Nurses Week tribute for Na Nurses Week.
• nursing.
• Nurses.

Transcript Highlights:

• Decades ago, our state started a warm water fisheries program.
• It also clarifies the pilot program is only available to international medical graduates and corrects
• The underlying bill is concerning the 340B drug pricing program. Thank you, Mr. President.
• She also holds a practical nursing diploma and an associate of science in nursing.
• She founded the children's nursing services at-home community health care service in Renton.

Transcript Highlights:

• a space program and wants to do space mining, so she wants to go down to U of A to do her PhD.
• We use it to recruit people into rural health positions, nurse practitioners.
• We use it to recruit people into rural health positions, nurse practitioners.
• Rural health positions, nurse practitioners.
• like there's a program for housing to refinance if you're having problems.

Committee: House House Artificial Intelligence & Innovation Committee of Reference

Summary: The committee first heard Senate Bill 1020, which would create Arizona Space Commission special license plates. Staff explained that by December 31, 2026, an applicant would pay a $32,000 implementation fee to ADOT, with $8 going to an administrative fee and $17 from each plate donation going to the Space Exploration and Aeronautics Research Fund. Senator Shamp and Arizona Space Commission representatives spoke in support, describing the bill as a way to raise awareness for Arizona’s space economy and support future aerospace and research efforts. A commission chair also noted that the commission has no dedicated funding stream and that the bill would help generate revenue for its aerospace and innovation work. After discussion, members asked about the bill’s timing and a likely floor amendment to extend the implementation deadline from 2026 to 2027. The committee then voted 5-0, with two members absent, to return SB 1020 with a do-pass recommendation. The chair and members made several supportive remarks about Arizona’s space industry, including Yuma’s future role and the state’s broader competitiveness in aerospace. The committee then received a Deloitte presentation on artificial intelligence in government. Deloitte described how AI and large public data sets can be used to improve state services, but emphasized questions of accountability, privacy, workforce impacts, and responsible use. In response to member questions, the presenters explained their data sources, how they handle minors through household-level records, and how they use predictive models to identify likely needs such as veteran benefits or rural health outreach, while stressing that the models are not used to make final eligibility decisions. A final presentation from Pano AI focused on wildfire detection technology. The presenter explained that the system uses high-definition cameras, AI, and human review to detect smoke early, provide location data to responders, and improve initial attack on fires. Members asked about coverage, weather limitations, funding, and future improvements. The presenter said the system is already deployed across Arizona through public and private partners, including utilities and fire agencies, and that it has helped identify fires early and support faster containment. The committee adjourned after the presentations.

Transcript Highlights:

• There are programs all across the state.
• Right now we're just putting the program in place.
• And this is in no way to invalidate programs for mothers. I fully support programs for mothers.
• And we put in the representative from the statewide organization of nurses, or emergency nurses, could
• And we put in the representative from statewide organization of nurses or emergency nurses could be members

Committee: House Children and Families

Summary: The committee heard testimony on House Bill 2688, sponsored by Representative Chappell, which would recognize unborn children as persons entitled to due process and other constitutional protections. Chappell said the bill is intended to prompt a court ruling on personhood and to align Missouri law with his reading of the Fifth and Fourteenth Amendments, while emphasizing that it would not criminalize women for miscarriages or abortions. Supporters from Missouri Right to Life and the Missouri Catholic Conference argued the bill simply clarifies existing state law and protects human dignity; several members raised concerns about possible effects on miscarriage investigations, abortion, citizenship, and IVF, but no opposition testimony was offered. The committee also heard House Bill 1948 from Representative Gragg, a fatherhood support bill that would create a state program to help fathers overcome barriers to involvement with their children, especially in foster care and reunification cases. Gragg and supporters described the measure as a way to improve child outcomes, reduce time in foster care, and save state money by providing mentorship, navigation help, and grants to fatherhood programs. Committee members generally supported the concept but questioned the fiscal note and whether the bill duplicated existing services; a Department of Social Services witness said the department was working to revise the fiscal impact and viewed the bill as an expansion rather than duplication. In executive session, the committee adopted a substitute and passed several measures: House Committee Substitute for House Bills 1667 and 2299 by an 11-5 vote; House Bill 2498 by a 15-0 vote with one present; House Committee Substitute for House Bills 1908 and 2337 by a 16-0 vote; and House Committee Substitute for House Bills 2273, 1946, 1814, and 2551 by a 17-0 vote after adopting an amendment. The committee then returned to public hearing for House Bill 1818, sponsored by Representative Laubinger, which would regulate monetized social media content featuring minors by requiring trust accounts for earnings, record retention, removal requests, and limits on exploitative content. Laubinger said the bill is aimed at child influencers and not ordinary family posting; committee members discussed platform implementation, child protections, and how the bill would work in practice.

Transcript Highlights:

• Will have an impact in group homes, will have an impact in nursing homes, will have an impact on those
• If you're in a nursing home, we wanted to make sure that the staff who are working in that nursing home
• Yes, we understand shelter saves lives, and we're making sure that we fund some of the shelter programs
• Is it going to be our nursing homes and our elderly care?

Transcript Highlights:

• In fact, you know, I tried an educational program to teach parents because, you know, we had pens, we
• My name is Laura LaRose, and, as the Senator said, I'm an oncology nurse practitioner.
• Maybe the doctor or nurse practitioner? Sorry, nurse. So the follow-up tests might...
• Nurse practitioner, but. Sorry, nurse. So the follow-up tests might. Sorry, nurse.
• and patient eligibility rules for those programs at any time.

Committee: Senate Health

Summary: The committee heard several health-related bills, beginning with SB 1124 on lung cancer screening awareness. The author and supporters said the bill would require CDPH signage about lung cancer screening eligibility at tobacco point-of-sale locations to address low awareness and low screening rates. Support came from medical students, physicians, and the California Academy of Family Physicians, while retailers raised concerns about sign size, retailer notification, and implementation. Committee members generally supported the bill and noted the need to work through those concerns. SB 1150 sought to require clearer patient notice when cancer cases are reported to the California Cancer Registry. The author described the bill as a response to inconsistent notification practices and privacy concerns, and the chair and other members shared personal stories about learning they or family members were in the registry without knowing it. Cancer registry and university stakeholders expressed appreciation for amendments but continued to have concerns or wanted more time to review the language. The bill was discussed as a patient-awareness measure rather than a change to reporting requirements. The committee also heard SB 1400 on Alameda Health System governance, SB 1094 on biosimilar substitution and health plan policies, SB 1314 on smoke shop regulation and nitrous oxide restrictions, and SB 1309 on eliminating cost-sharing for medically necessary follow-up after lung cancer screening. SB 1400 and SB 1314 drew support from local officials, labor, and public health advocates, with members emphasizing youth protection and local oversight. SB 1094 passed after extensive debate over pharmacist substitution authority and notification requirements, with a 6-0 vote and opposition from biotechnology and physician groups. SB 1309 also passed after members discussed the cost of follow-up care and the value of early detection, despite opposition from health plans over premium impacts; it received a 7-0 vote and was placed on call.

Transcript Highlights:

• A really large one is called the 340B drug discount program.
• There's Star, Star Plus, Star Kids, Star Health, and the CHIP program.
• Those of you familiar with these programs know there are challenges.
• And we have a Safety net program that is basically 100% government run.
• And we had a couple of programs, 100% results.

Committee: House Health Care Affordability, Select

Transcript Highlights:

• </c> psychiatric mental health nurse psychiatric mental health nurse practitioner<00:27:58.240><c> I<
• ><c> should</c><00:50:17.280><c> focus</c><00:50:17.559><c> on</c> program we should focus on program
• Can we afford another program to be added to our existing programs that we still have to fund?
• to our existing programs that we added to our existing programs that we still<01:41:32.560><c> have<
• Who is funding these programs?

Committee: House Health

Summary: The Committee on Health heard testimony on several bills. On SB 1441, which would repeal the transfer of the Oahu Regional Health Care System from HHSC to the Department of Health, the Department of Health said it strongly supports the measure and requested clarifying amendments. HHSC/Oahu Region also supported the bill and said it had no objection to the department’s amendments. In response to questions, witnesses said the agencies have been working on an MOU to support transfers of long-term care patients to Leahi, with the current goal being about 10 to 15 patients, but transfers would occur only as space and staffing allow; one patient was reportedly being admitted at the time, and the process was described as slow and case-by-case. The committee then heard SB 1443 on payment rates for state hospital patients and related Department of Health services. The hospital administrator said the bill would allow rates above Medicaid for community or foster-home placements if patients cannot be placed at Leahi or elsewhere, and would set Medicaid-level reimbursement for outside medical services used by state hospital patients. He said at least one provider was interested in offering services at that rate and that the population involved is largely non-ambulatory long-term care patients. Members asked about availability and training, and the witness said special training could be provided. SB 1322, a broad mental health bill, drew mixed testimony. The Department of Law Enforcement supported giving crisis-intervention-trained officers more discretion to transport people to medical care instead of arresting them. The Attorney General supported the bill but recommended revisions to emergency-transport language and restoring liability protections. HHSC and Queens Hospital supported the overall goal but sought amendments to preserve the mental health emergency worker role in decision-making and to avoid negative impacts on emergency departments. The Disability Rights Center and ACLU opposed parts of the bill, arguing that it weakens due process, reduces protections in involuntary treatment and transport, and should retain a three-person treatment panel rather than reduce it to one. A Queens representative said the current program works well and reported that more than 90% of MH1 cases once went to hospitals, but that figure has dropped to about 60-70%, with about 20% now diverted to community settings or the behavioral health crisis center. No votes or final committee actions were taken in the portion provided.