Transcript Highlights:

• The format and the staff at Camp Bliss have facilitated phenomenal events that allow us to open up naturally
• The format and the staff at Camp Bliss have facilitated phenomenal events that allow us to open up naturally

Keywords: 1183, house

Transcript Highlights:

• This walkout led to the formation of an organization called, at the time, the Cowboy Turtles Association

Keywords: 995, all

Summary: The Joint Committee on Agriculture opened its first hearing by outlining procedures, including three-minute testimony limits, written testimony options, and the plan to hear 27 bills in docket order. The committee then took testimony on H.11/S.53, a resolve promoting equity in agriculture, with advocates from the Massachusetts Food System Collaborative, Southeastern Mass Agricultural Partnership, and urban farming organizations describing racial and economic disparities in farming, lack of data on BIPOC farmers, barriers to land and capital, and the need for a commission to collect information and recommend policy changes. Committee members asked questions about the importance of data collection and future policy development, and the bill was repeatedly urged to be reported favorably out of committee. Testimony also supported H.118, which would create a special commission to examine the strengths and sustainability of the Commonwealth’s emergency food network. The Amherst Survival Center described serving 1.6 million meals last year and explained that food pantries are now functioning as essential parts of the state’s food system while relying heavily on donations, volunteers, and unstable funding. Members discussed the need for a more holistic look at food security infrastructure. The committee then heard H.119/S.60 on climate change impacts on farms and fisheries, with regional planners and farm advocates describing flood damage, rising costs, canceled federal climate-smart funding, and the need for direct state support for adaptation, resilience, and infrastructure improvements. The committee also heard testimony on H.125/H.142/S.65, a healthy soils bill, from landscape professionals who said construction sites often leave poor or stripped soil and that the bill would require better post-construction soil standards to support healthier landscapes and reduce long-term maintenance and environmental problems. Finally, the committee took extensive testimony on H.127, which would prohibit aquaculture of octopus for human consumption. Supporters, including legislators, scientists, veterinarians, students, and animal welfare advocates, argued octopus are highly intelligent and sentient, cannot be farmed humanely, and that octopus aquaculture would create environmental harms such as waste runoff, pressure on wild fish stocks, and ecosystem disruption. No votes were taken during the hearing; the bills were heard and testimony was received.

Transcript Highlights:

• but it took essentially three or four years, maybe five years, to actually have that in a viable format

Keywords: 995, all

Summary: The Senate Committee on the Census met on December 8 at 9:32 a.m. to examine the dynamics that drive census undercounts and overcounts, with testimony first from Joseph Salvo and then from Susan Strait of the UMass Donahue Institute. Salvo explained the Census Bureau’s two main evaluation tools: demographic analysis, which uses vital records, migration estimates, and Medicare data to produce a national benchmark, and the post-enumeration survey (PES), which compares a separate sample-based count to the census. He said the 2020 census showed a small national net undercount, but larger age- and race-based disparities, including the highest undercount among children ages 0 to 4, higher undercounts for men, substantial undercounts for Black, Hispanic, and American Indian/Alaska Native populations, and overcounts among some older and college-age groups. He also described how self-response, non-response follow-up, administrative records, proxy responses, and imputation affected data quality, arguing that proxies and imputation were especially weak and that outreach remains critical for 2030. Committee members asked Salvo to clarify the methods and error bands, the role of international migration estimates, and how the PES differs from the census address list and LUCA. He explained that PES is based on a separate sample of blocks and can add units within sampled blocks, but it does not measure units missed entirely from the original address list; LUCA matters because it improves that list before enumeration. He also discussed age heaping, duplicate responses among older adults, and why group quarters and COVID-related disruptions complicated the 2020 count. Senator Driscoll briefly interrupted to describe Randolph’s successful appeal of its 2020 count after an undercount in disability care homes, and Salvo noted that the post-census group quarters review helped correct some missed facilities. Susan Strait then focused on Massachusetts-specific results. She said Massachusetts’ 2020 count was strong overall, with population growth above the national average and a PES-based finding that the state was overcounted by 2.24 percent, though she emphasized that this did not mean all areas were accurately counted. Using demographic analysis, she said Massachusetts had an estimated 4.15 percent undercount of children ages 0 to 4, with the largest county-level undercounts in Hampden, Suffolk, and Essex, and she linked higher child undercounts to lower educational attainment and female-headed households. Strait also reviewed operational metrics showing that Massachusetts had relatively strong internet self-response, but that non-response follow-up relied heavily on household interviews, administrative records, proxies, and imputation in different counties. She highlighted higher proxy use in college-heavy counties such as Hampshire and Suffolk, and said counties with more minority residents were more likely to have population-count-only cases and other indicators of harder-to-count populations. The hearing ended with discussion of how these findings could inform outreach and census planning for 2030.

Transcript Highlights:

• campuses and regions, and using technology to admit students faster, offer more courses in different formats

Summary: The Assembly Budget Subcommittee on Education Finance held an oversight hearing on the California State University system covering enrollment, core operations, Title IX/civil rights, and basic needs. The Department of Finance said the Governor’s 2026-27 budget does not change CSU enrollment targets from the prior year and proposes a 5% ongoing General Fund increase for core operations as the final year of the compact. The Legislative Analyst’s Office recommended a lower resident undergraduate enrollment target than the Governor’s proposal, separate funding for enrollment growth rather than folding it into base, a smaller or no base increase tied more closely to inflation, earmarking some base funds for capital renewal, retiring deferred payments, and avoiding new multi-year compact commitments. CSU said enrollment has rebounded for three straight years, but growth is uneven across campuses, with several Northern California campuses still facing structural declines tied to demographics and community college pipelines. CSU described a multi-year reallocation plan shifting about 10,000 FTE and $89 million in ongoing funding toward higher-demand campuses, plus $40 million in one-time support, and said seven campuses submitted turnaround plans aimed at recovering enrollment over the next several years. The system highlighted strategies such as dual enrollment, guaranteed admission pathways with community colleges, outreach to high school students, retention and advising efforts, and new degree models for working adults and military-connected students. Members raised questions about how campus targets are set, whether the May Board of Trustees discussion will address a systemwide enrollment framework, and how CSU will manage future deficits if projected out-year funding does not materialize. On core operations and facilities, CSU said it faces about $320 million in mandatory cost increases in 2026-27 and is pursuing shared services, procurement consolidation, campus administrative sharing, and program redesigns to reduce costs. CSU and the LAO emphasized the system’s large deferred maintenance backlog, estimated at $8.6 billion, and discussed whether CSU’s bond/debt capacity is sufficient to address it; CSU requested up to $1.1 billion for deferred maintenance, while the administration did not propose new funding. The committee also heard CSU’s annual Title IX and civil rights update: CSU said it has implemented 15 of 16 State Auditor recommendations, has dedicated Title IX coordinators at every campus, is using a systemwide case management dashboard, and is piloting centralized investigations at five campuses. Finally, on basic needs, the Governor maintained current funding levels for food assistance/basic needs, rapid rehousing, and mental health. CSU reported heavy use of food pantries, CalFresh support, emergency housing, and counseling services, while warning that federal changes to CalFresh and related funding could make it harder to serve students in need.

Transcript Highlights:

• demonstrates the importance of the right information being released to the right person in the right format

Bills: HF3521, HF1807, HF1270, HF2070, HF3136

Keywords: hospital moratorium, hospital construction, bed capacity, hospital expansion, health care facilities, hospital licensing, safety-net hospital, level I trauma center, Ramsey County, Minnesota health law, hospital beds, new hospital exception, certificate of need, inpatient capacity, emergency care, trauma services, health system regulation, state moratorium, hospital modernization, health infrastructure

Keywords: 1187, senate, all

Transcript Highlights:

• is similar to the House to the final House bill 18 but includes some recorders reorganization to format
• representative of Cortez's bill, which amends section 73.0145. of the health and safety code to allow entities

Bills: HB44, HB2200, HB1612, HB2747, HB2038, HB3717, HB1431, HB3800, HB3801, HB3560, HB3246, HB44

Keywords: HB 44, Life of the Mother Act, abortion exceptions, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, miscarriage, spontaneous abortion, fetal survival, Texas abortion law, abortion ban, physician liability, health care provider, disciplinary action, aiding and abetting, emergency abortion, obstetric care

Transcript Highlights:

• And despite the increased use of digital formats, the amount of space needed is not expected to decrease
• This space has been leased from a non-state entity since 2014.
• So since the Department of Fish and Wildlife is a separate entity and does not receive state funding,

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:05 Approval of Minutes 00:01:48 Welcome New Members 00:02:03 Information Items 00:02:35 Review of Executive Branch Agency Plans 00:03:33 A. Cabinet for Health and Family Services 00:04:00 B. Kentucky Department of Education 00:17:03 C. Education and Labor Cabinet 00:29:33 D. Energy and Environment Cabinet 00:42:38 E. Finance and Administration Cabinet 0:53:30 F. Justice and Public Safety Cabinet 01:13:28 G. Personnel Cabinet 01:31:04 H. School Facilities Construction Commission 01:41:39, 958, all

Summary: The meeting was the first of the year for the Capital Planning Advisory Board. Members were called, a quorum was confirmed, new co-chairs and members were welcomed, and the board approved the prior year’s meeting minutes. The chair also reviewed the capital planning timeline, packet organization, and the list of agencies that submitted plans but would not testify. The Cabinet for Health and Family Services presented first, outlining priorities centered on public safety, protecting existing infrastructure, preventive maintenance, and improving service delivery. Its major requests included a $21 million maintenance pool for 14 campuses and 175 buildings, phase 2 construction funding for a new public health laboratory, an 18-bed psychiatric hospital for children and adolescents with severe mental health needs, and several projects at Western State Hospital, Western State Nursing Facility, Hazlewood, and Oakwood. Members asked about the youth facility’s relationship to a separate DJJ project, vacant buildings, the high per-bed cost of the children’s hospital, and how the cabinet determined the need for the youth facility. CHFS said the youth project would be a separate facility serving high-acuity youth, the cost reflected the specialized nature of the unit and an 18-bed cap, and the broader youth plan also includes prevention, in-home services, and coordination across agencies. The Kentucky Department of Education then described projects for its three state-operated facilities: the Kentucky School for the Deaf, the Kentucky School for the Blind, and the FFA leadership training center. It requested additional funding for the FFA classroom and activity building after bids came in higher than expected, plus funding for a new education finance application system to support SEEK budgeting. Other priorities included a maintenance pool, FFA pool renovation, electrical upgrades, campus education enhancements, lighting improvements, safety and security work, door and window replacements, and HVAC maintenance. Members asked about student outcomes, the size of the FFA pool, and construction cost assumptions; the department said it tracks students through the schools and short-course programs, the pool size figure may have been a typo, and current construction estimates are being adjusted upward because of inflation and supply-chain pressures. The Education and Labor Cabinet began its presentation with 12 priority projects, including a state labor exchange system to connect job seekers and employers, renovation of the McDow Vocational Rehabilitation Center, and a new adult education and family literacy management information system. The cabinet said the labor exchange would help match workers with employers at no cost, while the McDow renovation was needed because the 30-year-old facility has safety and code concerns. The adult education system was described as outdated and lacking adequate case-management and tracking capabilities.

Transcript Highlights:

• The option for airmen to now carry their certificate in a readily accessible digital format is a priority
• now carry their certificate in a readily accessible<05:02:35.920> digital<05:02:36.240> format
• ><05:02:36.560> is<05:02:36.718> a<05:02:36.958> priority accessible digital format
• is a priority accessible digital format is a priority for<05:02:37.440> the<05:02:37.600>

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, March 24, 2026, 1012, house, all

Transcript Highlights:

• same And that’s fine when you’re doing that in debate, and we’re doing that in the proper format
• debate and we're doing that in the in debate and we're doing that in the proper<07:18:02.240> format
• 03.958> a<07:18:04.120> decorum<07:18:04.638> to<07:18:04.840> this proper format
• here but a decorum to this proper format here but a decorum to this hallowed<07:18:05.360> chamber

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, March 5, 2025, 1012, house, all

Transcript Highlights:

• There was an expansion of household formation during that time period that drove rents and drove home
• right there was an an expansion of was right there was an an expansion of household<01:23:56.239> formation
• <01:23:57.040> during<01:23:57.320> that<01:23:57.480> time household formation
• during that time household formation during that time period<01:23:57.960> that<01:23:58.159>

Keywords: 910, house, all

Summary: The Committee on Finance held its first informational briefing for 2025, beginning with member introductions and then hearing an economic outlook presentation from Dr. Eugene Tian of the Department of Business, Economic Development and Tourism. Dr. Tian said Hawaii’s economy was in relatively good shape in several areas, especially construction, which he described as at a historical high, with construction employment above 40,000 monthly and building permit values and contracting tax base both up sharply. He also noted real estate sales had rebounded in 2024, the labor market had stabilized with unemployment around 2.9%, and initial unemployment claims were below 2019 levels. At the same time, he highlighted challenges including inflation running above the national rate, a shrinking labor force, lower employment compared with 2023, and continued weakness in visitor spending and arrivals. He said future growth would likely come from health care, professional services, construction, tourism recovery, and diversified sectors such as renewable energy, aquaculture, creative industries, and technology. Dr. Tian also discussed Hawaii’s economic structure and recovery, saying the state remains more concentrated in a few industries than the U.S. overall, with government and hospitality making up larger shares of the economy. He said non-tourism sectors had recovered, but tourism-related jobs and output were still below pre-pandemic levels, with Maui and the visitor industry still affected by the wildfire and COVID-19 impacts. He projected tourism and non-agricultural wage and salary jobs would not fully recover until 2027, and said population trends remain a concern because of aging, the likelihood of deaths outpacing births in coming years, and reliance on in-migration. After his presentation, the chair said questions would be taken later and the committee took a short break. After the break, Dr. Carano of the Hawaii Executive Director’s office presented a second outlook, saying Hawaii’s economy in 2025 looked better than 2024 overall, though he emphasized substantial uncertainty tied to the incoming federal administration. He said possible changes to tariffs, tax policy, immigration, and federal spending could raise inflation and keep interest rates higher than previously expected, which would affect housing, consumer debt, the dollar, and Hawaii’s visitor industry. He noted that U.S. visitors account for roughly three-quarters of visitor spending in the state, making federal policy especially important. He also said deregulation could be a long-term positive but would not likely have much effect in 2025 or 2026. As an additional risk, he pointed to bird flu and its effect on livestock, poultry, and egg prices. No votes or formal actions were taken during the briefing.

Transcript Highlights:

• So privacy and confidentiality is a big benefit to moving to an electronic format.
• this was to not have it be an unfunded mandate on local districts and to help them in providing this format
• this was to not have it be an unfunded mandate on local districts and to help them in providing this format
• This is a school-based health clinic where we got our federal grant from that entity.

Keywords: 928, house, all

Summary: The committee took up HB 651, a school-funding bill that would raise the base cost of an adequate education and increase differentiated aid for students in poverty, English language learners, and special education. The chair opened with housekeeping notices about parking and eating in committee spaces, and noted a revised fiscal note would be distributed. Representative David Luneau presented the bill as part of a broader package of public school funding measures, explaining that HB 651 builds on HB 550 and is intended to respond to court rulings and the ongoing school-funding litigation by adjusting both the base adequacy amount and equity-based funding factors. Luneau said the bill would raise the state’s adequacy grant from about $4,100 to $7,351 per student and increase differentiated aid, while also updating statutory language so future recalculations include the court-identified resource elements. He argued the measure is about fairness and shifting more of the burden from local property taxpayers to the state, not about increasing overall education spending. He reviewed fiscal-note figures indicating the bill would add roughly $576 million to the state share of school funding, bringing the total state share to about $1.65 billion, and said the note also mentions possible effects on charter schools and vouchers. Committee members asked about the evidence supporting higher costs for low-income and English learner students, how long ESL funding should continue, why free-and-reduced-lunch aid remains higher than special education aid, whether the formula is based on enrollment or average daily membership, and whether the bill is truly equitable across districts of different sizes and needs. Luneau and later witness Zach Shen of the New Hampshire School Funding Fairness Project said the bill is supported by research and court findings, that the current formula relies heavily on local property taxes, and that shifting more funding to the state would reduce property-tax pressure and help address disparities among districts. Shen also cited broad public support for the related HB 550 testimony and said HB 651 is intended as a step toward a more equitable funding system. No vote or final action was taken in the portion provided.

Transcript Highlights:

• Like, if it's a privately held building, but it's being contracted by a government entity, does that
• something why we have the preemption in place and why I would... being contracted by a government entity
• . being contracted by a government entity.
• Friday in bill format. You know, I didn't want to bring a half-done proposal.
• c><03:13:32.640> Friday<03:13:33.359> in<03:13:33.680> bill<03:13:34.000> format

Keywords: 1187, senate, all

Transcript Highlights:

• I'm seeing that you're giving an option here that can go to NIFA or, you know, other state-level entities
• of parking when making a decision to purchase a property to put it into that type of a co-living format
• c><03:16:42.399> of<03:16:42.479> a<03:16:42.640> co-living<03:16:43.120> format
• it into that type of a co-living format. it into that type of a co-living format.

Keywords: 1189, house, all

Transcript Highlights:

• grant for $150,000 annually for up to five years to support compact operations, including commission formation

Keywords: 995, all

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

Transcript Highlights:

• And so that's why they have the opportunity to load up on those college courses in the dual credit format

Keywords: 908, all

Transcript Highlights:

• And so that's why they have the opportunity to load up on those college courses in the dual credit format

Summary: The committee reconvened at North Dakota State College of Science for a presentation from President Dr. Flanagan and college leaders about NDSCS’s mission, enrollment growth, workforce training, and facilities needs. Flanagan highlighted student success in national competitions, strong placement and retention, growing enrollment, and new or expanding programs in aviation maintenance, fire science, dental hygiene, community health worker training, surgical technology, HVAC/plumbing, and precision agriculture. He also emphasized the college’s partnerships with industry, including John Deere, Fargo Jet Center, Sanford, and Comdel Innovation, and said NDSCS plans to seek approval next session for a revenue bond to build a new dorm and to remodel the library into academic and allied health space. Allied health dean Deb Smith testified that her division is at capacity and needs a simulation center, more lab and classroom space, and expanded dental and OTA facilities to meet demand and accreditation needs. Committee members questioned Flanagan and staff about workforce shortages, especially faculty pay, and whether the college can staff additional growth. Flanagan said the biggest challenge is recruiting instructors because industry pays more, but noted some health care and adjunct hiring is possible because of schedule flexibility and benefits. He also discussed shifting resources away from lower-demand programs like power sports toward higher-demand areas such as automotive and aviation maintenance. Members also asked about the college’s identity as a technical institution, with Flanagan arguing North Dakota would benefit from a more defined tech-school system. The committee then received a University System presentation from Jamie Wilkie on the cost of delivering dual credit. Wilkie explained the methodology used to allocate direct and overhead costs across subsidized and unsubsidized dual credit, noting that dual credit and early entry account for about 5.9% of total credit hours and 2.7% of formula funding. The analysis showed subsidized dual credit tuition revenue of about $5.5 million and unsubsidized revenue of about $2.9 million, with some institutions showing margins and others losses depending on the model. Members discussed whether K-12 funding should also be reflected, how payments to high schools and teachers are structured, and whether tuition-free dual credit would require replacing both tuition revenue and the current dual credit scholarship. No votes were taken; the committee simply received the presentations and discussed the findings.

Transcript Highlights:

• It also requires those notices be made publicly available in a searchable format, strengthening transparency

Keywords: 993, senate, all

Summary: The Senate convened, approved the journal, and took up a series of motions to discharge identical Assembly bills to the Third Reading Calendar, along with committee reports and amendments. The chamber also received an introduction from Senator Gonzalez honoring Maria Raine and her advocacy for guardrails on AI chatbots after the death of her son, and later adopted a Rules Committee report sending several General Business Law bills directly to Third Reading. The resolution calendar was adopted with some exceptions, and the Senate recognized several previously adopted resolutions honoring individuals and observances, including Barnabas McHenry, Arthur Jones Jr., Floyd Todd Peterson III, the Lexington School for the Deaf, Tadeusz Kosciuszko, Apraxia Awareness Month, Fibromyalgia Awareness Day, Prevention Week, Physician Anesthesiologists Week, and Golf Day in New York. The Senate then considered and passed numerous bills, many on consumer protection and public policy topics. Measures included bills on General Business Law, Public Health Law, Correction Law, Environmental Conservation Law, Executive Law, Vehicle and Traffic Law, Public Officers Law, Not-for-Profit Corporation Law, Public Housing Law, Education Law, Labor Law, and Public Service Law. Several bills were laid aside, including a Public Health Law bill by Senator Fernandez and a Public Service Law bill by Senator Parker. The chamber also passed a concurrent constitutional resolution by Senator Stec proposing an amendment to Article 14. During floor debate, senators explained votes on several measures. Senator Ramos spoke in support of paid sick leave for domestic workers, describing the bill as a long-overdue labor protection for a workforce historically excluded from such rights. Senator Fernandez described her bill as the Manufacturer Disclosure and Transparency Act, aimed at requiring notice and public disclosure of certain pharmaceutical patent settlement agreements to improve transparency and competition in prescription drug pricing. Senator Ryan and Senator Martins supported a bill restricting hidden algorithmic price manipulation online, and Senator May supported a bill limiting excessive rental car fuel charges as part of a broader consumer protection package. The Senate also passed a memorial highway bill naming a portion of Route 19 in LeRoy for Lieutenant Gary A. Scott, with Senator Borrello explaining the veteran’s service and sacrifice.

Transcript Highlights:

• We have, in some ways, not met their needs, and they have either gone to other formats or other platforms

Keywords: 996, all

Transcript Highlights:

• We're testing it on, it's running sort of in a test format on real-world information.

Summary: The joint informational hearing of the Assembly Health and Privacy Committees focused on generative AI in health care, with opening remarks emphasizing both its potential to improve care and its risks around privacy, bias, liability, workforce impacts, and unequal access. Chair Bauer-Kahan and Chair Bonta framed the discussion around how California can encourage beneficial innovation while protecting patients, especially given the sensitivity of health data and the possibility that AI could worsen existing disparities if not carefully governed. The first panel featured representatives from Cedars-Sinai, Kaiser Permanente, Penguin AI, and Google, who described current uses of AI such as ambient clinical scribes, nursing documentation tools, imaging triage, maternal-fetal risk prediction, and administrative automation. Speakers said these tools can reduce clinician burden, improve patient experience, speed treatment, and in some cases improve outcomes, including a reported mortality benefit from a Kaiser predictive model and faster thrombectomy times at Cedars-Sinai. Members raised concerns about accuracy with accents and multilingual visits, whether predictive tools could reinforce bias or lead to more interventions such as C-sections, and how to ensure a human remains in the loop for important decisions. The second panel, including representatives from the California Health Care Foundation, UC Berkeley, and Stanford, focused on policy and governance challenges. Testimony highlighted examples of AI supporting homelessness outreach and community health work, but also warned that biased algorithms can encode inequities, especially when trained on data that reflect under-treatment of Black, rural, or low-income patients. Witnesses urged clearer standards for trustworthy AI, stronger monitoring and governance structures, better data access for accountability, and attention to the safety net’s limited resources. Several speakers argued that states should require health systems to have AI governance processes, clarify liability between developers and deployers, and regulate downstream uses of AI while preserving access to data for lifesaving research and oversight.