Transcript Highlights:

• hospital care.
• health care systems.
• This means a lot less money going to direct care and more spent on paperwork.
• This means a lot less money going to direct care and more spent on paperwork.
• A lot less money going to direct care and more spent on paperwork.

Summary: The Assembly Budget Subcommittee on Accountability and Oversight held its fifth hearing of the year to examine the newly enacted federal H.R. 1 and its effects on California. Members and the chair described the law as a major threat to state health, food, education, and climate programs, and emphasized that California would not be able to fully backfill the federal cuts. Several members also highlighted the bill’s tax provisions, including temporary deductions for tips, overtime, seniors, and auto loan interest, while warning that the largest benefits flow to higher-income taxpayers and that major cuts to Medi-Cal, CalFresh, and clean-energy incentives are delayed or phased in over time. The Legislative Analyst’s Office and the Department of Finance presented detailed overviews of the bill’s likely impacts and implementation timelines. They identified the main affected areas as health care coverage and financing, food assistance, higher education, personal income taxes, and clean-energy/electric-vehicle credits. They explained that H.R. 1 limits provider taxes used to finance Medi-Cal, adds work and redetermination requirements, restricts CalFresh eligibility and increases state costs, changes student loan and Pell Grant rules, extends and modifies federal tax provisions, and phases out many clean-energy credits. Finance also noted major rescissions of Inflation Reduction Act funds, new border and immigration enforcement spending, and the possibility of PAYGO sequestration if Congress does not act to offset the deficit increase. During member questions, the committee focused on likely enrollment losses, administrative burdens, and fiscal exposure for the state and counties. Witnesses said many details still depend on federal guidance, but they estimated significant impacts on Medi-Cal, CalFresh, and graduate/professional student borrowing, and noted that California’s high CalFresh error rate could increase state costs. UC testified that the elimination of Graduate PLUS loans would affect thousands of professional students, especially in health, law, and other high-cost programs. Members asked for follow-up data on county, health, and tax impacts, and staff agreed to provide additional tables and estimates as implementation guidance becomes clearer. Public commenters from counties, early childhood advocates, health coalitions, disability rights groups, immigrant-rights organizations, and other stakeholders urged the Legislature to mitigate the law’s effects. They warned of higher county costs, reduced access to health care and food assistance, increased administrative burdens, and harm to children, immigrants, people with disabilities, and low-income families. Several urged new state revenue solutions and stronger protections for Medi-Cal, CalFresh, child care, and home- and community-based services. No votes were taken; the hearing was informational and ended with a commitment to continue monitoring federal guidance and to work on state responses in the budget process.

Transcript Highlights:

• </c><01:07:48.160><c> care</c> pay for anything except for direct care pay for anything except for direct
• We can call it removing a factor, but the end result is a direct reduction in the daily rate to care
• ,</c><02:03:24.080><c> the</c> direct care and treatment places, the direct care and treatment places
• </c><02:03:39.040><c> that's</c> direct care and treatment because that's direct care and treatment because
• </c><02:21:42.399><c> care</c><02:21:42.560><c> and</c> The direct care and treatment process, how we're

Keywords: 1183, house

Transcript Highlights:

• The first one is for the Agency for Health Care Administration.
• That's what this program here does; it covers uncompensated care.
• outpatient services to Medicaid-managed care enrollees.
• If so, does that mean that some of our residents are not accessing the care that they need?
• It is not impacting the care that's delivered to members in those institutions.

Summary: The Legislative Budget Commission met with a quorum present and considered two Agency for Health Care Administration budget amendments related to Medicaid supplemental payments. The first amendment, EOGB 2026-0831, authorized $2.1 billion in budget authority for the Low-Income Pool to support safety-net providers with uncompensated charity care. Members asked about the timing of AHCA’s submission to CMS and whether the program addressed hospital shortfalls for insured patients and CHIP-related concerns. AHCA said approvals have generally been slower under the current federal review process, and the amendment was adopted without objection. The second amendment, EOGB 2026-0875, placed $7.9 billion in reserve for Florida’s Directed Payment Program for Hospitals pending final CMS approval. Senators and representatives questioned the role of hospital attestations regarding hold harmless agreements, whether any agreements had to be unwound, and how long final approval might take. AHCA said all hospitals had submitted attestations, no unwinding was known to be necessary, and approval was expected soon. Members also raised concerns about cancer hospitals, including Moffitt and the University of Miami, not participating in the directed payment program. AHCA responded that those institutions participate instead in a separate Florida Cancer Hospital supplemental payment program, which had already been approved. Both amendments were adopted without objection, and the commission then adjourned.

Transcript Highlights:

• Patients are encouraged to provide a copy of the advanced directive to all their health care professionals
• Oftentimes they might be asked they have any advance directives when they see a new health care professional
• The voluntary dot opioid directive does not alter any other advance health care directives and it can
• You like all advanced directives.
• It was actually at turning into better care, quality of care for patients in nursing homes.

Keywords: 999, senate, all

Transcript Highlights:

• People didn't get paid or people didn't get cared for.
• Both of those things were get cared for.
• </c><00:12:59.760><c> the</c> requirement um directing the requirement um directing the commissioner<
• 13:09.440><c> commissioner</c> subdivision 4 directs the commissioner subdivision 4 directs the commissioner
• As a result, providers must divert already limited direct care dollars to new compliance infrastructure

Keywords: 1183, house

Transcript Highlights:

• Meanwhile, patients who could have been cared for by a primary care provider or social worker can end
• The CARES programs varied in the services they provided.
• State law does not impose many requirements on CARES programs. Thanks.
• for older adults transitioning out of hospital care back to the home.
• Out of hospital care back to the home.

Summary: The Joint Legislative Audit and Review Committee’s Initiative 900 subcommittee held a hybrid public hearing on two State Auditor performance audits. The first audit examined efforts to reduce non-emergency use of emergency systems through CARES programs. Auditors reported that Washington has 52 fire-agency-led CARES programs in 26 counties, but many communities without programs said they need one. Major barriers included unstable funding, difficulty hiring qualified staff, volunteer-based rural departments, and lack of statewide guidance. The audit also found that only about half of programs tracked both required performance measures, and it recommended that the legislature consider private insurance reimbursement options and convene a statewide work group to develop guidance, standards, and possible changes to the role of the Department of Health. Agency representatives and fire officials largely supported the findings and emphasized that short-term grants and one-year contracts make programs hard to sustain. Committee discussion focused heavily on financing, especially Medicaid reimbursement and accountable communities of health (ACHs). Auditors clarified that the 10% figure cited in the report referred to direct Medicaid reimbursement for treat-and-refer services, which some agencies do not pursue because the $115 rate is too low relative to the administrative effort. Several fire officials testified that their programs rely on grants and ACH support, but that funding is often year-to-year and uncertain. They also described the value of CARES programs in reducing emergency room use, jail detentions, and long ambulance wait times, while noting barriers to sharing patient records across systems. Members asked whether the new public safety sales tax authority could help, but fire district representatives said it is not a direct funding option for them. The second audit reviewed performance management in the Department of Commerce’s Office of Economic Development and Competitiveness. Auditors found that the division does not yet have a statewide economic development strategic plan and that performance management is inconsistent across its 16 programs. In a limited review, all six sampled programs had goals, but only half clearly identified performance measures and targets, and only three tracked outcomes and published results. The audit highlighted leading practices from other states, including strategic planning, regular progress reporting, aligning program goals with agency goals, and using performance-based contracts and grant monitoring. Recommendations urged Commerce to seek stakeholder input, assess internal and external conditions, set goals and measures, align programs with the strategy, and strengthen monitoring and evaluation. Commerce officials agreed with the audit and said the division is already working toward a strategic plan, with a new assistant director to be hired and a target of completing the work by mid-next year. Members pressed the department on how the plan would connect to workforce, higher education, housing, and other economic development systems, and asked Commerce to return to JLARC next year with progress updates. The meeting ended with instructions for submitting written public comments and notice of the next JLARC meeting schedule.

Transcript Highlights:

• </c><00:33:53.320><c> access</c> will backfill the healthc care access will backfill the healthc care
• development block grants Ma Care development block grants Ma Minnesota<00:35:28.480><c> care</c><00:
• </c><00:43:27.119><c> directed</c><00:43:27.640><c> to</c> would be direct directed to would be direct
• ." to uh go the direction of tax cuts or to uh go the direction of tax cuts or rebates<01:11:05.960><
• </c><01:20:08.719><c> Social</c> this Education Health Care Social this Education Health Care Social

Keywords: 1183, house

Transcript Highlights:

• Speaker, under Article 7, that is the direct care and treatment; we hold resources ready to support the
• They're not supposed to be using exceptions to pay for anything except for direct care for the one.
• I support the DC&T, the direct care and treatment process.
• Members, we also made some progress regarding direct care and treatment from last year, our last session
• We transferred 10 individuals from the hospitals to direct care and treatment. That was progress.

Transcript Highlights:

• We are still getting rebates through direct dispense and We are still getting rebates through direct
• Next, Senator Chair Trumbull, health care. Chair Trumbull, health care.
• Next, Senator Chair Trumbull, Health Care. Chair Trumbull, health care.
• Senator Trumbull, health care?
• The Community Care for the Elderly serves 637 new folks, and then the Home Care for the Elderly, $3.5

Summary: The Senate convened with prayer and the Pledge of Allegiance, then moved to the conference report on House Bill 501E, the General Appropriations Act for fiscal year 2026-27. Budget chairs presented the major spending areas, describing a $114.5 billion overall budget that they said was fiscally responsible and below the prior year’s spending. Highlights included pay increases and retirement adjustments for public safety employees, education funding for K-12, higher education, health and human services, criminal justice, transportation, environmental programs, and agriculture/regulatory agencies. Members then questioned chairs on several items. In education, senators discussed K-12 declining enrollment funding, teacher salary set-asides, private school scholarship spending, mental health funding, preeminence funding for universities, the Hamilton Center at UF, and charter school PICO funding. In health and human services, questions focused on the iBudget waiver waitlist, provider rates, ADAP/HIV funding and the return of Biktarvy to the formulary, KidCare, rural health funding, SNAP-related IT and error reduction efforts, and the IDD managed care program. In criminal justice, senators asked about correctional officer pay, prison staffing and infrastructure, air conditioning in prisons, juvenile justice facilities, law enforcement recruitment, and court system funding. Environmental and transportation questions covered Florida Forever, water quality, state parks, water projects, housing, elections funding, and emergency management. Several specific actions and explanations were given during debate: the budget includes $8.8 million for state attorney competitive area differentials but no funding for public defender CAD requests; assistant state attorneys will start at $70,000 and assistant public defenders at $65,000; the battery disposal issue was described as a temporary study/preemption approach; and the Senate said the budget does not fund Medicaid expansion, preeminence funding, or the SunBucks Summer EBT state share. Senators also noted that some proposals discussed in committee did not make it into the final budget. The transcript ends with debate statements from members praising the budget process and Chair Hooper, while also expressing concerns about public schools, health care access, affordability, and the lack of funding for certain priorities.

Transcript Highlights:

• Next, continuing health care subsidies for Cascade Care.
• Working Connections Child Care, reductions in child care center subsidy rates, and cuts to professional
• in a lower level of care setting. 70% of all care days provided were for Medicare beneficiaries.
• In addition to food, housing, and health care assistance, we are urging the legislature to direct CCA
• In addition to food, housing, and health care assistance, we are urging the legislature to direct CCA

Bills: SB5998

Keywords: fiscal appropriations, budget, state funding, financial management, operating expenses, 904, all

Transcript Highlights:

• Hawai's health care system care costs.
• For over 70 years, we've provided direct care services to children and adults with intellectual and developmental
• As a direct care provider, our ability to provide quality care rests entirely on the strength and stability
• </c> For over 70 years, we've provided direct For over 70 years, we've provided direct care<02:19:50.720
• Mahalo for caring. boxes. Mahalo for caring.

Keywords: 912, senate, all

Summary: This joint informational briefing focused on Act 310 grants and aid, with committee members hearing one-minute testimony from organizations first in person and then by Zoom. At the outset, the chairs explained there would be no Q&A during the briefing and asked testifiers to focus on how federal cuts were affecting their work. The meeting was organized by registration number and included both neighbor island and Oʻahu applicants. Testimony centered on organizations seeking state support to offset federal funding losses or anticipated reductions. Health and social service providers described impacts from Medicaid, SNAP, ACA subsidy, Title X, and other federal changes, including Aloha Care, Community Clinic of Maui, Healthy Mothers Healthy Babies, West Hawaiʻi Community Health Center, Hawaiʻi Disability Rights Center, Hawaiʻi Youth Services Network, Alcoholic Rehabilitation Services of Hawaiʻi, and Kokua Kalihi Valley. Other groups highlighted losses affecting food security, housing, disaster preparedness, and climate resilience, including the Kohala Center, Feeding Hawaiʻi Together, Hawaiian Lending and Investments, Dynamic Community Solutions, and the Pacific Tsunami Museum. Several arts, youth, and education organizations also testified, including Hawaiʻi Literacy, Hawaiʻi Youth Symphony, Honolulu Theatre for the Youth, Sounding Joy Music Therapy, Big Brothers Big Sisters Hawaiʻi, Girl Scouts of Hawaiʻi, Kids Hurt Too Hawaiʻi, and US Vets, each requesting funding to preserve programs and staffing. No votes or formal committee actions were taken during the briefing. The only action was procedural: the chairs moved through the applicant list, limited testimony time, and then transitioned from neighbor island in-person testimony to Oʻahu and later Zoom participants.

Transcript Highlights:

• For decades, child care has been a critical part of ECAP.
• We have reached out to Child Care Aware.
• care, and have an average length of stay of 96 hours or less.
• by making health care less affordable.
• And as we talk about access to health care and all those things, making health care more expensive doesn

Summary: The Ways and Means Committee held a public hearing on nine bills. Senate Bill 5872 would create the Pre-K Promise Account to receive philanthropic donations for ECAP preschool slots; supporters, including DCYF, the governor’s office, and early learning advocates, said it would help expand access to high-quality pre-K with a 10-year Ballmer Group commitment for up to 10,000 new seats annually. Senators asked how the money would flow, and staff and witnesses explained it would be governed by an MOU and deposited annually; no vote was taken. Senate Bill 5879 would eliminate two JLARC studies, one on lodging tax reporting and one on training benefits; supporters said the reports were duplicative and burdensome, while the hospitality industry warned against losing transparency, and no action was taken. Senate Bill 6047 would permanently codify various capital budget administration rules, including minor works flexibility and early learning grant changes; testimony focused on technical cleanup and on provisions affecting co-located child care and community projects, with no vote taken. Senate Bill 5988 would authorize the Department of Health to charge fees for accrediting opioid treatment programs, with support from DOH and tribal/nontribal providers who want the state to continue providing the service; no vote was taken. Senate Bill 5923 would allow Island Hospital in Skagit County to qualify as a critical access hospital, with local hospital leaders and residents supporting the measure to improve reimbursement and sustain rural care; no vote was taken. Senate Bill 5832 would raise the Lemon Law arbitration fee from $3 to $6 to fund the Attorney General’s consumer protection work, and the AG’s office, dealers, and the sponsor said the program is effective and underfunded; no vote was taken. Senate Bill 5970 would make permanent the property tax exemption for multipurpose senior citizen centers, with AARP supporting the bill as a benefit to seniors and caregivers; no vote was taken. Senate Bill 5994 would preserve timber tax distributions for school districts that recently had qualifying levies, and forest industry witnesses supported the bill while suggesting a possible amendment for state forest transfer lands; no vote was taken. Senate Bill 5949 would narrow the B&O tax exemption for insurance-related businesses so it applies only to the entity paying the insurance premiums tax, retroactive to 2019; the Department of Revenue and bill supporters argued it restores tax equity, while insurers, health plans, and business groups opposed it as retroactive, ambiguous, and likely to raise premiums. The committee heard extensive testimony on that bill, but the transcript ends with adjournment and no recorded vote or executive action.

Transcript Highlights:

• There's a lot of resources in the health care space, and I think that having access to health care helps
• We also recently issued a birthing care pathways report that was informed by direct, sustained engagement
• Pear Team is a community care hub that works with CBOs and the medical managed care, excuse me, to deliver
• Pereteam is a community care hub who works with CBOs and the medical managed care, excuse me, to deliver
• Now that might be absurd to the other direction.

Summary: The Senate Rules Committee established quorum and first approved several non-appearing gubernatorial appointees and procedural items on unanimous 5-0 votes, including Hampus Eitsiter to the Boating and Waterways Commission, Peter Stern to the California Horse Racing Board, Dean White to the State Mining and Geology Board, references of bills to committees, and floor acknowledgements. The committee then heard testimony on Tyler Sadwith’s appointment as Chief Deputy Director of Healthcare Programs at the Department of Health Care Services. Sadwith emphasized protecting Medi-Cal access and equity, continuing CalAIM and behavioral health transformation, and drawing on personal experience with family members needing care. Senators focused heavily on hospital financial distress, rural access, eligibility redeterminations, fraud oversight, provider reimbursement, dental access, labor and delivery closures, and the impact of federal changes; Sadwith said the department is working on expedited payments, monitoring distressed hospitals, county technical assistance, and strategies to reduce disenrollments and improve program integrity. Public commenters from county, hospital, and care organizations supported his confirmation, and the committee advanced his nomination to the full Senate on a 5-0 vote. The committee next considered Chris Thayer, PhD, for Director of the Office of Environmental Health Hazard Assessment. Thayer described OEHHA’s role as providing transparent, scientifically rigorous health assessments and supporting tools such as Prop 65, CalEnviroScreen, and risk communication. Senators pressed him on the use of models versus real-world data, fenceline monitoring, PFAS, wildfire health impacts, and whether OEHHA’s work adequately reflects lived experience and local conditions. Thayer responded that the office often must rely on the best available evidence, including animal, human, and alternative methods, while continuing to improve communication and community engagement; he also discussed EnviroScreen updates, Prop 65 warning reforms, and research gaps. Public testimony in support highlighted OEHHA’s scientific role and the importance of biomonitoring and PFAS work. The committee approved Thayer’s nomination to the full Senate on a 3-1 vote, with Senator Grove voting no and Senator Jones not voting.

Transcript Highlights:

• And to this... the right direction.
• One that is kind of a combination of family-directed and agency- or participant-directed, and agency
• of the people that they care about.
• If we implement direct support professional university, that equals pay for the direct support professionals
• getting preventative health care.

Summary: The Assembly Budget Subcommittee on Human Services held a hearing on developmental services, rehabilitation, and related supports, with no votes taken. The first major topic was the Master Plan for Developmental Services. Administration officials described a year-long, community-driven process that included a steering committee, work groups, and statewide engagement sessions, and said the final draft would be released that Friday with about 170 recommendations. The Department of Developmental Services said the plan would inform future work, but did not offer a detailed implementation roadmap. The LAO said the plan contains significant policy and budget implications, may require statutory changes, and needs further analysis to turn recommendations into actionable proposals. Advocates and regional center representatives urged the Legislature and administration to avoid letting the plan sit on a shelf, called for prioritization and ongoing stakeholder oversight, and emphasized the need to address equity, workforce, service coordination, and cross-system collaboration. The chair said he wanted to work with the LAO on trailer bill language and future reporting to create a clearer path forward. The second topic was the Office of Employment First and competitive integrated employment. Administration witnesses said California has ended subminimum wage under SB 639, but that moving people into competitive integrated employment remains a major priority. They described existing efforts such as DDS’s coordinated career pathways pilot, paid internships, job development services, benefits counseling, and DOR’s career counseling and referral services, along with pilot projects in San Diego and Orange County. The State Council on Developmental Disabilities and advocates argued that employment outcomes have remained stuck at roughly 15% and that a dedicated Employment First Office is needed to coordinate across agencies, align goals, and improve outcomes. The LAO recommended regular legislative oversight on people transitioning out of subminimum wage and asked for technical assistance on coordinated career pathways. The chair criticized the administration’s decision to effectively eliminate funding for the office, requested a detailed implementation timeline and quarterly transition reports, and said the committee would continue pressing for the office to be implemented. The final issue was respite services, utilization trends, and access. DDS reported that in-home respite use and spending have risen sharply over several years, with about 150,000 people using respite in 2023-24 and expenditures reaching about $1 billion. Officials said access depends on families knowing the service exists, service coordinators identifying need, and having enough providers, especially in rural and linguistically diverse communities. The San Diego Regional Center said utilization generally mirrors statewide trends, but access is stronger in some areas, such as Imperial County, where families often prefer family-directed or agency-supported models that allow them to hire trusted workers. Committee members emphasized the importance of respite for family health and caregiver well-being, asked whether service coordinators are asking practical questions about sleep and stress, and discussed the need for better identification of complex behavioral and medical needs. DDS said a standardized family support tool and updated IPP process are intended to improve consistency, transparency, and person-centered assessment for respite and related services.

Transcript Highlights:

• :53.000><c> care</c><00:31:53.120><c> and</c> uh the department of direct care and uh the department
• </c><00:32:30.760><c> care</c> 3.4% um the department of direct care 3.4% um the department of direct
• He then moves to direct care and treatment, noting that Direct Care and Treatment is going to be presenting
• This has the Direct Care and Treatment all-funds total.
• Care wages um historically low Direct Care wages um particularly<00:51:35.559><c> in</c><00:51:35.799

Keywords: 1187, senate, all

Transcript Highlights:

• care.
• and take care of more uninsured and unreimbursed care than 340B hospitals.
• , environmental care, and community care.
• company, HMO, or health care service contractor from interfering with, controlling, or otherwise directing
• increase the administrative burden on physicians, pulling them further away from direct patient care

Summary: The Ways and Means Committee held a public hearing on multiple bills, beginning with a motion to suspend the five-day notice rule for a long list of Senate bills, which passed on a voice vote. The committee first heard Substitute Senate Bill 6026, a governor-request housing bill that would require cities and counties over 30,000 population to allow residential uses in commercial and mixed-use zones, limit mixed-use/ground-floor commercial requirements in some areas, and allow added height where such requirements are imposed. The lieutenant governor testified strongly in support, arguing the bill would add needed housing capacity without requiring ground-floor retail burdens. The hearing on SB 6026 was then suspended so the committee could move through the agenda. The committee then heard Senate Bill 6294, a broad local government finance measure with eight parts, including expanded uses for certain REET revenues, a new county public utility tax, a new local sales tax for children and family services, expanded housing-related tax uses, changes to county levy structure, longer lid lift periods, and expanded use of rental car tax revenue. Local government, housing, and public health witnesses largely supported the bill, emphasizing flexibility for affordable housing, rental assistance, children’s services, and county fiscal stability. Opponents, including wireless industry, water/sewer district, auto dealer, realtors, energy, and cannabis representatives, objected to specific tax provisions as regressive, costly, or likely to raise consumer prices. Several witnesses requested amendments, including adding public health clinic funding and flood recovery language from House bills. The committee also heard Substitute Senate Bill 5400 on local news sustainability, which would create a state grant program funded by a surcharge on large search engines and social media platforms to support journalism jobs and the Murrow Fellowship program. News organizations, the League of Women Voters, open government advocates, and local journalism supporters testified in favor, saying local news is essential to civic life and that the bill would help sustain reporting without using general fund dollars. Technology industry representatives opposed the bill, arguing it unfairly singles out tech companies and could face legal challenges. The committee then heard Senate Bill 6211, which would let opt-in GMA jurisdictions impose REET-2 without voter approval; cities and counties supported it as a parity and infrastructure funding measure, while Realtors opposed the loss of voter approval. Senate Bill 5650, authorizing local cannabis excise taxes, drew support from some local officials but strong opposition from cannabis businesses, which argued Washington’s cannabis taxes are already too high and drive sales to the illicit market. Senate Bill 6033, waiving penalties and interest for taxpayers who failed to collect new sales tax on certain services, was supported by NFIB as a compliance and fairness measure. Senate Bill 6297, exempting temporary staffing services for nonprofit behavioral health providers from sales tax, drew strong support from behavioral health organizations citing workforce shortages and unsustainable costs. Finally, Senate Bill 6343, extending and expanding tax relief for disaster-damaged property and repairs, was presented as aid for flood recovery; local officials testified in support. No final committee votes on the bills were taken in the portion of the meeting provided.

Transcript Highlights:

• This is only public comment on child care issues. Only child care. The health care.
• Child care, I have a comment about your child care discussion.
• care.
• care arrangements.
• model of care.

Keywords: 987, senate, all

Transcript Highlights:

• THE NEEDS ASSESSMENT IS AN UNNECESSARY BARRIER TO PROVIDING CARE.
• , WOULD IT BE OKAY TO BILL FOR THE CARE UNDER THE MEDICAID PROGRAM?
• RIGHT NOW DIRECT SUPPORT PROFESSIONALS ARE COUPLED WITH HOME HEALTH AIDES, PERSONAL CARE PROFESSIONALS
• ARE COUPLED WITH HOME HEALTH AIDES, PERSONAL CARE ATTENDANTS AND ON AND ON.
• SO I WANTED TO BE DIRECT ABOUT PROFESSIONAL NURSING, IT'S VERY DIFFICULT TO GET.

Keywords: 999, senate, all

Transcript Highlights:

• There's a lot of resources in the health care space, and I think that having access to health care helps
• Because it's specifically for rural health care.
• We also recently issued a birthing care pathways report that was informed by direct, sustained engagement
• We also recently issued a birthing care pathways report that was informed by direct sustain engagement
• Pear Team is a community care hub that works with CBOs and the medical managed care, excuse me, to deliver

Summary: The Senate Rules Committee met to consider several governor’s appointees and routine committee actions. Members approved, by unanimous 5-0 votes, three not-required-to-appear appointments: Hampus Eitsiter to the Boating and Waterways Commission, Peter Stern to the California Horse Racing Board, and Dean White to the State Mining and Geology Board. The committee also approved references of bills to committees and floor acknowledgements, each by 5-0 vote. The committee then heard testimony on Tyler Sadwith’s appointment as Chief Deputy Director of Healthcare Programs at the Department of Health Care Services. Sadwith emphasized protecting Medi-Cal access for 14 million Californians, navigating federal changes, and continuing CalAIM and behavioral health reforms. Senators focused heavily on hospital financial distress, rural access, Medi-Cal redeterminations, work requirements, provider reimbursement, fraud oversight, dental access, labor and delivery closures, and the effectiveness of CalAIM and community supports. Public commenters from county, hospital, and provider groups largely supported the nomination, citing his experience and collaborative approach. The committee voted 5-0 to send his appointment to the full Senate. The committee also considered Chris Thayer’s appointment as director of the Office of Environmental Health Hazard Assessment. Thayer described OEHHA’s role as providing transparent, science-based health assessments, improving risk communication, and supporting tools such as CalEnviroScreen and Prop 65 guidance. Senators raised concerns about reliance on models versus real-world data, PFAS, environmental justice, wildfire and battery-fire impacts, and whether CalEnviroScreen and Prop 65 are working as intended. Public testimony from environmental and health organizations supported the nomination and highlighted OEHHA’s scientific role. The committee approved Thayer’s appointment 3-1, with one senator not voting, and forwarded it to the Senate floor.

Transcript Highlights:

• I know that, but preventative care is a lot.
• versus emergency care?
• care.
• When people aren't able to get that health care coverage, they're only really able to get that care through
• emergency care.

Summary: The committee first heard SB 145, which would require adult residential care providers, especially assisted living centers, to have generators or other backup power arrangements and to submit preparedness plans to LDH. After technical amendments and testimony from the sponsor, LDH, and the assisted living industry clarifying the bill’s scope and cost concerns, the committee adopted the amendments and reported the bill favorably. It then took up SB 433, which would require Medicaid coverage of medically necessary FDA-approved weight loss drugs, including GLP-1 medications, subject to appropriations and fiscally sustainable coverage criteria; the bill was reported favorably after discussion of current Medicaid coverage and costs. The committee also approved SB 52, which requires better coordination between DCFS and LDH so SNAP and Medicaid benefits can follow children more quickly when they are removed from or returned to a home. Technical amendments changed reporting deadlines and required written notice, and the bill was reported favorably. SB 4 on public water fluoridation was amended to allow local governments or voters to opt out through a petition and election process, with support from the Louisiana Dental Association and others after compromise language was adopted; it was reported favorably with amendments. SB 152, which would prohibit the sale of cultured or lab-grown food products for human consumption, was also reported favorably with amendments after brief testimony in support and opposition. The committee next approved SCR 37, which asks the Surgeon General to review Louisiana’s informed consent laws and report back on any gaps, after discussion that the existing medical disclosure panel had not met since 2018. It then considered SB 194, a public assistance bill aligning Louisiana Medicaid and SNAP rules with recent federal changes on non-citizen eligibility and tightening Medicaid’s reasonable opportunity period for citizenship verification. After extensive debate over immigration, emergency care, and whether the bill could harm eligible applicants or rural hospitals, the committee adopted an amendment allowing LDH discretion for emergency health care services and reported the bill favorably by an 8-3 vote. Finally, HCR 113 created a task force to study gestational carrier agreements and assisted reproductive regulation; after debate over surrogacy, ethics, and referral to Civil Law, the committee rejected the referral motion and then reported the resolution favorably, and the meeting moved on to SB 333 on child-in-need-of-care proceedings and legal representation funding.