Transcript Highlights:

• House File 4462 is a practical and efficient solution.
• ><c> their</c> Applicants can better assess their Applicants can better assess their financial<00:21:
• </c><00:43:17.080><c> for</c> has been fairly standard practice for has been fairly standard practice
• That is not standard practice. There were actually two members that did.
• c><01:06:59.800><c> while</c> pre-risk assessment framework while pre-risk assessment framework while

Bills: HF3643, HF4470, HF4462, HF4366, HF4172, HF3629, HF4356, HF3093

Keywords: Melissa Hortman, Mark Hortman, memorial park, state park, working group, Minnesota Historical Society, Capitol Area Architectural and Planning Board, Saint Paul, Department of Natural Resources, Department of Administration, Legislative Coordinating Commission, general fund appropriation, park planning, interpretive services, public engagement, state memorial, land use, natural resources, commemorative legislation, HF4470

Transcript Highlights:

• they want to progress from driverless testing to deployment, will have to provide an operational assessment
• they want to progress from driverless testing to deployment, will have to provide an operational assessment
• It also doubles the base penalty and assessments for using a personal electronic device while driving
• It also doubles the base penalty and assessments for using a personal electronic device while driving
• This would allow the permitting authority to determine that it is not practical or necessary to meet

Keywords: 904, all

Transcript Highlights:

• There's a let's assessments are made.
• </c><00:20:15.920><c> assessment</c> those the clinical assessment assessment those the clinical assessment
• assessment and<00:20:16.560><c> the</c><00:20:16.719><c> safety</c><00:20:17.120><c> assessment</c><
• . assessment. assessment.
• </c> China participating in our practice. China participating in our practice. Why?

Keywords: 928, house, all

Summary: The Judiciary Committee opened a hearing on House Bill 1067-FN, which would formalize and expand mental health courts in New Hampshire and create a grant-based funding structure for them. Representative Mark Pearson, the prime sponsor, described the bill as a bipartisan, compassionate, and cost-effective approach that would connect people with mental illness to treatment and supervision instead of incarceration, while still holding them accountable. He said the proposal was developed with input from the judicial branch, law enforcement, corrections, mental health organizations, and others, and emphasized that local courts could tailor programs to their needs. Committee members questioned the bill’s fiscal note, whether the legislature had previously studied the issue, how the program would be funded, and whether the bill should more explicitly address treatment, prevention, and data collection. Representative Buzz Sher, who helped develop the bill, explained how mental health courts work, including referral, clinical and public-safety assessments, case management, goal-setting, and graduation from the program. He said existing New Hampshire mental health courts are mostly partial and county-funded, and that the bill would formalize them, set standards, and allow grant funding. He also cited data from Georgia and New Hampshire suggesting significant savings from reduced incarceration and related costs. Members also raised concerns about due process, whether people not formally charged could be swept into the system, and whether individuals with violent offenses or domestic violence histories could be diverted inappropriately. Sher responded that only people already in the criminal justice process are eligible and that courts use safety assessments to screen out most violent cases. The committee requested that Sher file supporting financial data from other jurisdictions, and he agreed to do so. No vote or final action was taken during the hearing.

Transcript Highlights:

• HB 2032, statewide assessment testing window revisions. Education.
• When we look at merit and hiring practices, and especially recruiting practices, we really should be
• And when we look at just the practical things that need to be done, it includes smart measures.
• Because alternative options exist, health practices...
• HB 2033, statewide assessment written form requirements. Education.

Keywords: 1182, all

Transcript Highlights:

• I'm a practicing attorney today.
• they may need to make an educated assessment about it.
• It is not to assess or improve parenting skills. There are classes for that.
• And assess.
• We have best practices and not-so-great best practices, so I look forward to, you know, keep chewing

Summary: The committee heard several bills, with the most detailed discussion focused on AB 316, AB 251, AB 474, AB 1201, AB 464, and AB 614. AB 316 would prevent AI developers or deployers from arguing in civil cases that an AI system’s alleged autonomy absolves them of responsibility. Supporters framed it as a narrow guardrail to protect families, especially children, from harms like dangerous chatbots and deepfakes; opponents, including TechNet and the Chamber of Progress, raised concerns about possible strict-liability implications. The bill was moved out of committee to Privacy and Consumer Protection. AB 251 would let judges lower the burden of proof in elder abuse cases when a skilled nursing facility or RCFE intentionally destroys evidence. Supporters said the measure is needed because elder abuse victims are often unable to testify and records are vulnerable to spoliation, while opponents argued existing sanctions are sufficient and warned of more litigation. The bill passed, with committee members emphasizing the vulnerability of elder abuse victims. AB 474 sought to expand nonprofit home-sharing programs, including tax incentives for low-income homeowners and changes to housing law and lodger rules. Supporters said it would help older adults and low-income Californians avoid homelessness, but several members and the California Apartment Association raised concerns about removing lodger-law protections for homeowners; the author committed to keep working on the issue. The bill passed to Human Services. AB 1201 would give courts discretion to provide family reunification services to parents with certain violent felony convictions, rather than applying an automatic bypass. Supporters from Starting Over Inc. described personal experiences with permanent family separation and argued the bill would give parents a fair chance when the conviction is unrelated to child safety. Some members supported the measure but questioned whether domestic violence histories should be treated differently; the author said the bill still allows courts to deny services when reunification would endanger a child. The bill passed to Human Services. AB 464 addressed sexual abuse and retaliation in state prisons by extending reporting time after release, adding 90-day monitoring after reports, barring rehiring of confirmed abusers, and strengthening reporting and anti-retaliation rules. Survivors testified about abuse, retaliation, and failures in CDCR’s response; the bill passed to Appropriations. AB 614 would standardize the Government Claims Act filing deadline at one year for all claims. The author and supporters argued the current six-month deadline for injury and wrongful death claims is too short for victims to learn the process, find counsel, and gather evidence, while businesses often get a full year. A civil rights attorney and a family member of a deceased jail detainee testified in support, describing how the current deadline can block meritorious claims. The bill was presented for committee consideration as the hearing continued.

Transcript Highlights:

• It's simply a matter of historical practice. So turning to page 2 in our assessment.
• And just to my specific question around the practical...
• Office of the president is taking a 10% reduction by lowering the campus assessment.
• It's from the campus assessments specifically. OK. All right.
• I want to focus my questions on the Cal Grant numbers and really trying to better assess.

Keywords: 988, house, all

Transcript Highlights:

• Counties would be required to do an assessment.
• Counties would be required to do an assessment.
• Counties would be required to do an assessment.
• Counties would be required to do an assessment.
• </c> used improperly and it is is practically used improperly and it is is practically impossible<00:

Keywords: Elections - Room 210; 29 January, 2026: 2:30 PM, 925, all

Transcript Highlights:

• So the first thing is the state law: the tax rates will increase, the additional assessment goes up,
• Wade Swenson, the founder of the Rural Cancer Institute and current practicing rural oncologist.
• in rural oncology practices, giving them firsthand experience in communities that need the most.
• </c><01:09:26.000><c> His</c> practicing rural oncologist. His practicing rural oncologist.
• </c> medical students, and advanced practice medical students, and advanced practice students<01:09:50.960

Keywords: 1187, senate, all

Transcript Highlights:

• Stock replied that it is in the budget every year but is completely funded by the insurance assessment
• , and that the line item started in the next... ...insurance assessment, and so that line item started
• So right now, the assessment for this last year, I think, came in at $53 million total.
• It clarifies permissible and prohibited sales practices and the applicability of Massachusetts' unfair
• trade practices law.

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a public hearing with about 43 witnesses and a 1:00 p.m. hard stop, and the chair repeatedly asked speakers to keep testimony to three minutes. Much of the hearing focused on S. 747/H. 1336, which would extend paid family and medical leave and unemployment insurance to graduate student workers. Supporters included legislators, union leaders, graduate workers from MIT, Harvard, BU, WPI, UMass Lowell, and others, and legal advocates. They argued graduate workers perform full-time teaching and research work, pay taxes, and should not be excluded from basic safety-net benefits; several witnesses described personal hardships involving childbirth, serious illness, mental health crises, funding cuts, or fear of losing income. Testifiers also said the change would be revenue-neutral or revenue-generating and would not create major administrative burdens for universities, which already provide similar benefits to other employees. The committee also heard testimony on insurance-related bills. Christopher Stock of the Massachusetts Insurance Federation supported H. 1113 on public adjusters and H. 1345/S. 753 on flood-zone notifications for homebuyers, but opposed H. 4112, which would add a $2 surcharge on home insurance policies to fund fire cistern programs. The Metropolitan Area Planning Council strongly supported H. 1345, saying flood disclosure is needed because Massachusetts lacks statewide flood-notification requirements and flooding risks are increasing. Karen Alvarado supported H. 4352 on travel insurance, and John Fielding supported H. 1186 on pet insurance; both said the bills would create uniform regulatory frameworks and consumer protections. Rep. LeBoeuf testified for H. 4061 on workers’ compensation premium fraud, describing the bill as a transparency measure to combat fraud in construction by creating a public certificate-of-insurance database and QR-code verification system. Joe Bright of the carpenters’ union also supported H. 4061, citing fraud, misclassification, and the harm to injured workers. The hearing also included testimony on H. 4112, a bill to create a statewide fire suppression water resource fund and cistern program. Rep. Hogan and a Stowe fire chief described drought, brush fires, and the need for dedicated cisterns in communities without municipal water systems, saying the tanks provide reliable water for firefighting and are relatively low-tech once installed. Committee members asked questions about tank capacity, siting, maintenance, and funding. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• Fundamental rights are ignored. as a matter of habit and practice.
• it imposes... ...severe penalties on doctors who are wrong in their assessment.
• I've been licensed to practice law for over 20 years in the... ...state of Texas.
• It goes on to say that nurses are also to preserve, protect, and support those rights by assessing. assessing
• To assess it as an opioid use disorder.

Bills: SB31, SB33, SB510, SB871, SB1868, SB2024, SB2166, SB2309, SB2880, SJR27, SJR39, SJR40, SB 31, SB 33

Keywords: SB 31, Life of the Mother Act, Texas abortion law, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, spontaneous abortion, miscarriage, unborn child, abortion exception, abortion ban, physician liability, health care liability claim, aiding and abetting, Texas Medical Board, State Bar of Texas, continuing medical education

Transcript Highlights:

• </c> programs or min choices assessment programs or min choices assessment results<00:30:13.520><c> or
• assessment assessment data?
• </c> the Minnesota Government Data Practices the Minnesota Government Data Practices Act.<00:58:08.960
• It's just an assessment of if of fraud.
• </c> Data Practices Act. Data Practices Act. &gt;&gt; Chair<01:37:16.400><c> Nor.

Bills: HF3378

Keywords: human services, Optum reports, data privacy, transparency, legislative oversight, 1183, house

Transcript Highlights:

• And so I'll explain what their practice is.
• types are practicing.
• The final one would be assessment models.
• Actually became part of the Practice Act.
• In addition to private practice, chiropractors are increasingly being integrated into medical practices

Keywords: 988, house, all

Transcript Highlights:

• ; areas of improvement; metrics to assess support coordinator performance; prerequisites for employment
• as a support coordinator; methods to assess core competencies; efficacy of the mentoring program; recruitment
• ; areas of improvement; metrics to assess support coordinator performance; prerequisites for employment
• This information will then recommend core competencies for waiver support coordinators, ways to assess
• competencies, and standardize the assessment of support coordinator service provisions.

Keywords: 999, senate, all

Summary: The committee first took up CS/SB 1600, which included a strike-all amendment and a technical amendment to correct the effective date. The bill would require insurers and child welfare lead agencies/subcontractors to respond to information requests within 30 days, authorize fines or penalties for noncompliance, and include a repeal date for the new subsection. After brief support from child welfare groups and comments from Senator Harrell about insurance access for CBCs and providers, the committee adopted the amendment and reported the bill favorably. The committee then heard CS/SB 556, which would allow students with disabilities to satisfy the physical education requirement through participation in Special Olympics if included in their IEP, and would clarify that two years of marching band participation can satisfy both PE and fine arts credit. Special Olympics Florida, a student athlete, and parents testified in support, and Senator Simon praised the bill’s flexibility and recognition of student effort. The committee voted to report the bill favorably. Next, the committee considered CS/SB 794, which requires background screening for employees of residential facilities and day training programs serving people with developmental disabilities and directs a review of waiver support coordination, including quality, caseloads, training, recruitment, retention, and geographic access gaps, with recommendations due to the Legislature and Governor in February 2027. An amendment to match the House version was adopted, multiple supporters appeared, and the bill was reported favorably. Finally, the committee held a confirmation hearing for Taylor Hatch to continue as Secretary of the Department of Children and Families. Hatch discussed DCF’s mission, data showing reductions in out-of-home care, Baker Acts, opioid deaths, and public assistance reliance, and described efforts on youth advisory input, missing children recovery, provider capacity, peer support, and technology improvements. Senators Sharief, Harrell, and Rouson raised concerns about child welfare system delays, parent notification, funding formulas, opioid settlement use, and interoperability; Hatch committed to continued work on those issues. The committee voted to recommend her confirmation favorably, with Chair Grall voting no.

Transcript Highlights:

• I've been licensed to practice medicine in California since 1982.
• After medical school, I completed family practice residency.
• So it's an important part of our practice.
• So I can only talk about my practice and the practice in our office because we talk to each other and
• So I can only talk about my practice and the practice in our office because we talk to each other and

Summary: The committee held an outcomes review hearing on AB 744 and AB 32, two telehealth bills authored by Majority Leader Aguiar-Curry. Members and witnesses discussed how AB 744 established payment parity for telehealth in the commercial market, while AB 32 expanded Medi-Cal access to audio-only telehealth and helped make telehealth a more permanent part of California’s health care system. The chair and author emphasized that the hearing was meant to assess implementation, identify remaining gaps, and consider future policy changes. First-panel testimony from policy experts described telehealth’s growth before and after COVID-19, noting strong patient satisfaction, continued higher utilization than pre-pandemic levels, and particular value for behavioral health, chronic care, rural communities, older adults, and patients facing transportation, work, child care, broadband, or language barriers. Witnesses said audio-only remains especially important for patients without reliable internet, but gaps remain in asynchronous care, FQHC/RHC billing, remote-only provider participation, and public data availability beyond 2022. Committee members asked about reimbursement, clinical safeguards, disparities, data collection, e-consults, commercialization concerns, and cross-state licensure. The second panel featured providers and advocates who said the laws have improved access in practice. A family physician described telehealth as useful for established patients, follow-up care, mental health, and rapid triage, while Planned Parenthood said AB 744 and AB 32 support confidential reproductive health care and that Medi-Cal should allow more asynchronous care and new-patient access. A rural behavioral health clinician said telehealth has been essential for low-income and geographically isolated patients, though broadband and device access remain barriers. Public comment largely supported telehealth expansion while urging the Legislature to close remaining Medi-Cal gaps, modernize licensure, and preserve timely in-person care. No votes were taken; the hearing concluded with members and the author thanking witnesses and saying the review would inform future legislation.

Transcript Highlights:

• scope of practice, but if as we do this, you know, we might want to have some language in there, or
• scope of practice, but if as we do this, you know, we might want to have some language in there, or
• So, you know, Start with some facility technology assessments.
• So we're doing an assessment on the front end.
• We have heard from a number of providers who said, you know, hey, we already do assessments.

Summary: The Rural Health Transformation Committee met to receive an overview from Department of Health and Welfare Director Juliet Sharon on Idaho’s Rural Health Transformation Program application and the federal rules governing the five-year funding. Sharon explained the program was created by the One Big Beautiful Bill Act, that Idaho’s award is about $186 million annually in year one, and that the state must obligate the funds by October 30 or risk losing them. She reviewed the application timeline, the federal scoring process, reporting and audit requirements, and the state’s plan to hire a 12-person limited-term team to manage solicitations, monitoring, and compliance. Committee members asked about scope-of-practice issues for dental hygienists and physician assistants, the risk of losing or gaining funds, survey methodology, telehealth, and how the state will use the money for workforce, technology, behavioral health, infrastructure, and tribal set-asides. Sharon said the department would continue working with the legislature on scope-of-practice policy, provide more detail on survey data and funding caps, and set up a shared information space with LSO for committee access. Sharon also walked through the five main initiative areas in Idaho’s plan: technology and access, innovative models, workforce, chronic disease and behavioral health, and rural infrastructure/partnerships. She emphasized that allowable uses include telehealth and EHR modernization, cybersecurity, EMS support, workforce recruitment and retention incentives, evidence-based behavioral health and chronic disease programs, renovations and mobile units, and a 3.5% tribal set-aside. She said the department is still refining what is allowable with CMS and that the committee will receive monthly summaries, procurement information, and performance reports. Members raised concerns about the survey’s heavy use of “other” responses, the amount of money going to administration, and whether telehealth spending is the best use of funds. Chris Jones of Catalyst Policy Group then offered outside perspective on rural health strategy and the federal program. He praised Idaho’s application but urged the committee to think in terms of integrated, patient-centered systems rather than isolated projects. He highlighted examples from other states involving community health workers, telehealth hubs, remote monitoring, value-based care networks, rural training pipelines, and partnerships among hospitals, FQHCs, and tribal providers. He cautioned against focusing on social determinants of health funding, encouraged use of technology to reduce labor burden and improve sustainability, and emphasized that training providers in rural areas tends to keep them there. No votes were taken. The committee agreed to tentatively meet again on May 28 during CMS’s planned Idaho visit, and the meeting adjourned.

Transcript Highlights:

• By integrating practical skills into education, we can also produce employees who are or well equipped
• The best practices associated with them. HB 4361 will have the higher.
• Including process in assessing and improving the institution's regional recruitment efforts.
• It would not, again, decreasing to a 50% cap on top 10% would not affect my practices in terms of the
• Here's how this practice will work.

Bills: HB42, HB 125, HB 1233, HB2853, HB3148, HB3326, HB3701, HB4066, HB4361, HB4762, HB4909, HB4912, HB42, HB125

Keywords: higher education, funding, financial allocation, state budget, Texas A&M University, University of Houston, education funding, medical education, osteopathic medicine, healthcare workforce, Tarleton State University, industry-recognized credentials, workforce development, career opportunities, feasibility study, student fees, university funding, student union, education, UT El Paso

Transcript Highlights:

• It's just hard to assess what bandwidth the system would have to do that ahead of October 1.
• This is consistent with current law, current practice, and that's what you see in the proposal.
• So those are some of the challenges we've uncovered working together to assess this proposal.
• So those are some of the challenges we've uncovered working together to assess this proposal.
• I can say I practiced for 10 years representing people in detention.

Keywords: 988, house, all

Transcript Highlights:

• </c><00:20:32.240><c> and</c> a there needs to be that assessment and a there needs to be that assessment
• </c><00:37:45.880><c> that</c> Council uh made the um assessment that Council uh made the um assessment
• Prominent Republicans have spoken out against these practices.
• Prominent Republicans have spoken out against these practices.
• I don’t have any more pink cards. practice when better methods are practice when better methods are available

Keywords: 928, house, all

Summary: The committee held a work session on a bill arising from the Lee case involving animal seizures and humane society involvement. Members and the commissioner discussed concerns about due process, lack of clear notice to animal owners, the need for owners to understand when they are surrendering ownership, and whether humane agents should have additional training or certification. Several members also questioned the role of the NH SPCA and humane societies, the absence of oversight, and whether there was any financial or policy conflict in their involvement. The commissioner said the Department of Agriculture does not have a direct relationship with humane societies, but does coordinate with police on seizures, and noted that problems tend to arise when agencies do not consult the department first. Testimony and discussion focused on possible fixes to the bill, including clearer written notice of rights, requiring a third-party qualified veterinarian or other neutral evaluator, establishing the condition of animals at the time of seizure for later court proceedings, and possibly using teleconferencing with a veterinarian in limited circumstances. Some members suggested the bill may need a broader study committee, while others said it should be amended now rather than delayed. The chair said the bill would be worked on further and sent to the subcommittee for more detailed review. The committee then opened a hearing on HB 250, which would allow local governing bodies to regulate dog muzzling. Representative Jodi Newell testified that the bill was intended to let municipalities respond to dangerous dogs, citing Keene’s attempt to require muzzling after a serious incident but lack of clear authority under current law. Deborah LeBlanc also testified about a dog attack that seriously injured her dog and said a muzzle requirement could have prevented the attack. Committee members asked about the incident, existing dog-control laws, and whether the dog had been leashed; the discussion suggested the bill was meant to clarify local authority over muzzling as a public safety measure.

Transcript Highlights:

• The amounts included are estimated based on evaluation tax assessments.
• The amounts included are estimated based on evaluation tax assessments identified by LLA based on the
• McMacon, being you deferred. doing practices, whatever, and I'm at a mile getting ready to land.
• And also I think of persons with disabilities that, you know, have good practical, tactical, kinetic
• And also I think of persons with disabilities that, you know, have good practical, tactical, kinetic

Bills: HB345, HB502, HB511, HB655, HB667, HB713, HB714, HB730, HB743, HB777, HB803, HB836, HB871, HB1037, HB1167, HB1174, HB1175

Keywords: rail infrastructure, ports, Class II railroads, Class III railroads, transportation, Caddo Parish, property taxes, abatement, payment in lieu of taxes, taxing entities, governmental approval, pursuit intervention, law enforcement, safety technology, GPS tracking, public safety, ferries, Department of Transportation, contracts, state legislation

Summary: The committee heard several transportation and aviation measures. HB 1175, by Rep. Turner, updated aeronautics-related definitions and was reported favorably without objection. HB 655, by Rep. Brough, authorized DOTD to use cost-plus contracts for operation and maintenance of state ferry systems, with Secretary Glenn LaDay explaining it was intended to give DOTD flexibility for possible privatization or contracting of ferries such as Cameron; it was also reported favorably. HB 1037, by Chairman Borek, shifted certain DOTD operational responsibilities to a chief operating officer and was reported favorably, and HB 1174, also by Chairman Borek, recreated DOTD and was reported favorably as a cleanup measure. HB 714 and HB 502 were voluntarily deferred. The committee then considered several port-related bills. HB 871, by Rep. Carver, would have added two St. Tammany Parish appointees to the Port of New Orleans board, but the author asked to voluntarily defer it, saying the timing was premature given ongoing work on the Louisiana International Terminal and related access projects. HB 345, by Rep. McMakin, expanded the Rail Infrastructure Improvement Program to include rail infrastructure at ports and was reported favorably. HB 713, by Rep. McCormick, would cap the Caddo-Bossier Port executive director’s compensation at the statewide average of the top ten port directors; after extensive debate and testimony from the port, the Port Association, and Caddo Parish opposing the bill, the committee voted 12-1 to involuntarily defer it. HB 667, also by Rep. McCormick, would change Caddo-Bossier Port commissioners from appointed to elected; witnesses argued it would politicize the board, create election costs, and conflict with the port’s current structure, and the committee again voted 12-1 to involuntarily defer the bill. The committee also advanced local infrastructure and flood-protection measures. HB 743, by Rep. St. Blanc, creating the Harry P. Williams Memorial Airport District in St. Mary Parish, was reported favorably after testimony that the district would help the parish manage the airport as an economic development asset. HB 836, by Rep. Hilferty, would reconfirm members of the Southeast Louisiana Flood Protection Authority East by Senate confirmation; after concerns that the original August 1 date could interfere with hurricane-season operations, the committee adopted an amendment moving the reconfirmation date to December 1, 2026, and then reported the bill favorably by substitute. Finally, HB 730, by Rep. Cruz, was presented to prohibit the use of ADS-B aircraft tracking data to assess taxes or fees on aircraft owners, with an amendment narrowing the bill to smaller aircraft; the discussion continued into questions about enforcement and exemptions for carrier airports.

Transcript Highlights:

• One would be scope of practice: are they allowed to, according to state law or their practice board?
• One would be scope of practice.
• The department is assessing gaps in all home and community-based services.
• DHCS provides that level of care assessment, just for some context.
• DHCS provides that level of care assessment just for some context.

Summary: The committee heard a budget oversight hearing on the Department of Health Care Services, focusing first on the overall Medi-Cal budget and a March General Fund loan to cover a current-year shortfall. DHCS said the 2025-26 budget proposal totals $193.4 billion, with Medi-Cal projected at $188.1 billion total funds and $42.1 billion General Fund, driven by higher enrollment, pharmacy costs, managed care growth, and costs tied to eligibility expansions and the COVID-era redetermination unwinding. The department said the $3.44 billion loan was needed to manage cash flow and ensure timely payments to providers and plans, while the LAO noted Medi-Cal’s cash-basis budgeting creates volatility and that more detailed estimates would come with the May Revision. Members discussed federal Medicaid threats, the need for transparency on cost drivers, and the impact of pharmacy spending, long-term care, and immigration-related coverage expansions. The second major topic was family health programs, including California Children’s Services, the continuous coverage unwinding, and opioid settlement fund spending. DHCS described CCS funding methodology changes, ongoing county stakeholder work, and a delayed rollout of CCS monitoring and oversight until July 1, 2025, while county representatives and advocates argued the program is underfunded and asked for more technical assistance and a delay in implementation. On the unwinding, the department explained that federal redetermination flexibilities helped maintain coverage after the pandemic, but the Governor’s budget proposes ending them at the end of June 2025; advocates urged making the flexibilities permanent to avoid coverage losses. For opioid settlement funds, DHCS and Finance said the budget increases funding for naloxone distribution while reducing other harm-reduction spending based on updated settlement revenues, prompting criticism from members and public commenters who argued the change would weaken effective harm-reduction programs. The hearing also included an update on Proposition 35 implementation. DHCS said the voter-approved measure continuously appropriates MCO tax revenues beginning in 2025, with up to $4.6 billion annually available for specified Medi-Cal and provider investments in 2025 and 2026, but implementation depends on consultation with the required stakeholder advisory committee. The department and LAO noted uncertainty about future federal rules affecting the MCO tax after 2026. Public testimony largely supported maintaining Medi-Cal expansions, protecting immigrant coverage, preserving harm-reduction funding, and increasing support for community health workers, pediatric dental care, and CCS county administration. No votes were taken during the portion of the hearing provided.