Bills: HB3767 , HB3934 , HB4199 , HB4336 , HB2947 , HB3834 , HB4302 , HB4095 , HB3287 , HB3649 , HB4430 , HB4431 , HB2059 , HB3647 , HB3986 , HB3548 , HB3661 , HB4346 , HB3075 , HB4273 , HB3391 , HB4128 , HB3557 , HB3239 , HB3982 , HB2123 , HB2979 , HB2997 , HB3148 , HB4108 , HB4143 , HB4266 , HB2053 , HB4058 , SR30

Keywords: controlled dangerous substances, controlled substances, drug scheduling, Schedule I, Schedule IV, anti-drug diversion, drug diversion, synthetic opioids, fentanyl analogs, designer drugs, synthetic cannabinoids, benzodiazepines, benzodiazepine analogs, opioids, hallucinogens, depressants, pharmacy regulation, narcotics control, Oklahoma State Bureau of Narcotics and Dangerous Drugs Control, DEA scheduling

Transcript Highlights:

• That resolution comes H.R. 348.
• That resolution comes H.R. 349.
• That resolution comes H.R. 350.
• H.R. 330. Without objection.
• Regular Order 1. Regular Order 1. Mr.

Bills: SCR59 , SCR70 , HR275 , HR279 , HR282 , HR289 , HR307 , HCR112 , SCR61 , SCR62 , SCR64 , SB121 , HR310 , HR314 , HR316 , HR317 , HR321 , HCR117 , SCR5 , SCR29 , SCR33 , SCR37 , SCR63 , SCR30 , SCR40 , SCR65 , HCR3 , HCR49 , HCR66 , HCR67 , HB54 , HB137 , HB321 , HB368 , HB386 , HB414 , HB431 , HB552 , HB555 , HB578 , HB590 , HB593 , HB618 , HB638 , HB670 , HB692 , HB707 , HB708 , HB715 , HB718 , HB732 , HB741 , HB748 , HB776 , HB796 , HB807 , HB822 , HB848 , HB856 , HB887 , HB888 , HB917 , HB921 , HB1082 , HB1243 , HB1246 , HB1 , HB2 , HB42 , HB45 , HB71 , HB79 , HB126 , HB133 , HB159 , HB213 , HB218 , HB222 , HB289 , HB291 , HB312 , HB313 , HB324 , HB352 , HB383 , HB398 , HB403 , HB429 , HB457 , HB459 , HB549 , HB571 , HB579 , HB591 , HB608 , HB616 , HB624 , HB766 , HB769 , HB783 , HB804 , HB864 , HB874 , HB909 , HB951 , HB971 , HB983 , HB1005 , HB1017 , HB1051 , HB1056 , HB1126 , HB1186 , HB1193 , HB1223 , HB1224 , HB1235 , HB1249 , SB259 , SB295 , SB312 , SB348 , SB444 , SB485 , SB441 , SB149 , HB359 , SB29 , SB43 , SB78 , HB463 , HB998 , SB197 , SB268 , SB123 , SB276 , SB326 , SB80 , HB901 , HR20 , HR74 , HCR65 , HCR71 , HCR98 , HB284 , HB306 , HB341 , HB366 , HB393 , HB458 , HB577 , HB603 , HB605 , HB614 , HB625 , HB646 , HB733 , HB752 , HB773 , HB798 , HB911 , HB955 , HB996 , HB1035 , HB1069 , HB1113 , HB1140 , HB1180 , HB1191 , HB1240 , HB1255 , SB82 , SB89 , SB97 , SB479 , HB74 , HB119 , HB134 , HB210 , HB258 , HB468 , HB784 , HB870 , HB953 , HB956 , HB1117 , HB1236 , SB42 , SB208 , SB217 , SB274 , SB300 , SB341 , SB379 , SB382 , SB387 , SB401 , SB449 , SB487

Keywords: Major Richard Star Act, veterans, military retirement, disability compensation, VA benefits, combat-wounded, medically retired, military retirees, service members, veterans benefits, Department of Veterans Affairs, Department of Defense, concurrent receipt, retirement offset, combat-related disability, bipartisan support, memorial resolution, Congressional memorial, Louisiana delegation, Richard Star

Transcript Highlights:

• 2027, to conform with the new stringent federal requirements in H.R. 1.
• Now I will turn it over to Deputy Director Yindu Wang to go through our H.R. 1 updates.
• The May Revision projects H.R. 1 disenrollment of 44,000 in 2026–27 and 1.3 million by 2029–30.
• H.R. 1 has directed states to make their provider taxes proportionate.
• We support H.R. 1 navigators for clinics and appreciate the dollars for county H.R. 1 administrative

Transcript Highlights:

• So, this is in H.R. 1. And as I understand it, the CBO always scores such bills.
• So this is in H.R. 1. And as I understand it, the CBO always scores such bills.”
• I'm sorry, did you say H.R. 1 is creating the chaos? Well, because H.R. 1 caused the change.
• No, I think H.R. 1 created the chaos. I want to come back to a third of taxpayers.
• The bulk of H.R. 1 was retroactive to '25. Okay.

Committee: Senate Senate Finance Committee of Reference

Summary: The Senate Finance Committee heard a series of bills, many dealing with cryptocurrency and tax administration. SB 1042 would allow certain state retirement and treasury funds to invest up to 10% in virtual currency; SB 1043 would let state agencies accept cryptocurrency payments; SB 1044 and SCR 1003 would exempt virtual currency from property tax, with SB 1044 contingent on voter approval of the referral. All four measures advanced on 4-3 votes, with Democratic members largely opposing them as risky, speculative, and favoring wealthy crypto interests. The committee also considered SB 1221, which would require the Department of Revenue to notify legislative tax chairs before adopting a new tax interpretation or application that would adversely affect taxpayers and to testify if a hearing is held. Supporters framed it as transparency and good governance, while opponents worried about added red tape and administrative burden. The bill passed 4-3. Another major item, SB 1142, would opt Arizona into a new federal scholarship tax credit program administered through certified scholarship-granting organizations; supporters said it would expand scholarship opportunities for public, charter, private, and homeschool students, while opponents argued it would deepen inequities, lack accountability, and divert resources from public schools. That bill also passed 4-3. A lengthy discussion followed on the Department of Revenue’s press release about tax conformity and the governor’s executive order. DOR explained that the forms were issued assuming conformity with federal changes, including the standard deduction and certain below-the-line adjustments, and said taxpayers generally should file on time but may need amended returns if the Legislature later changes the law. Members pressed DOR on the cost and clarity of the guidance, with estimates that widespread amendments could cost the department about $20 million. Finally, the committee heard SB 1254, which would require both grantor and grantee signatures on real property conveyances before recording; county assessors said it would reduce deed-fraud risk and fix recording gaps. County officials from Maricopa and Mohave supported the bill.

Transcript Highlights:

• I'm sorry, July 1, 2027.
• It's less than 1%, but it's still, like I said, many races are decided by less than 1%.
• If you're here for H.R. 285 with Representative Brass, he's asked us to defer this bill, so H.R. 285.
• If you're here for H.R. 285 with Representative Brass, he's asked us to defer this bill, so H.R. 285.
• H.R. 196, we reported favorable. You have one more. Two. We have H.R. 237. Mr. Shooter.

Bills: HR118 , HR196 , HR237 , HR285 , HCR85 , HB442 , HB443 , SCR5 , SCR29 , SCR33 , SCR63 , SB25 , SB202 , SB319

Committee: House House and Governmental Affairs

Keywords: water utility, tax credit, excessive rates, residential service, subcommittee, fallen trees, property damage, insurance, property values, hurricanes, storm damage, local government, homeowners, risk management, committee study, census, military population, Department of Defense, representation, federal funding

Transcript Highlights:

• Speaker, the only resolution of notice given is H.R. 32.
• H.R. 32 by Rep. S.
• That resolution comes as H.R. 256.
• Agriculture reports H.R. 188 favorably, H.R. 205 favorably, respectfully submitted.
• Commerce meets at 9:30 a.m. in Committee Room 1.

Bills: HR252 , HR253 , HR254 , HR255 , HR256 , HCR103 , HCR104 , HR244 , HR245 , HR246 , HR247 , HR248 , HR249 , HR250 , HR251 , HCR101 , HCR102 , SCR40 , SCR60 , SB112 , SB131 , SB145 , SB194 , SB268 , SB307 , SB312 , SB319 , SB333 , SB341 , SB346 , SB464 , SB466 , SB488 , SB495 , SB503 , SB507 , SB509 , HR9 , HR196 , HCR27 , HCR28 , HCR50 , HCR62 , HCR67 , HCR71 , HCR78 , HCR81 , SCR20 , HB123 , HB251 , HB625 , HB662 , HB709 , HB769 , HB775 , HB783 , HB895 , HB1011 , HB1057 , HB1155 , HB1186 , HB1224 , HB1245 , HB1247 , HB1253 , HB1254 , HB1255 , HB1256 , SB8 , SB10 , SB11 , SB12 , SB13 , SB14 , SB16 , SB17 , SB18 , SB20 , SB21 , SB22 , SB40 , SB48 , SB55 , SB69 , SB75 , SB77 , SB78 , SB85 , SB102 , SB115 , SB133 , SB140 , SB148 , SB151 , SB165 , SB169 , SB170 , SB185 , SB197 , SB200 , SB217 , SB235 , SB278 , SB280 , SB291 , SB300 , SB303 , SB315 , SB324 , SB330 , SB411 , SB416 , SB420 , SB436 , SB438 , SB449 , SB455 , SB456 , SB477 , SB489 , SB521 , SB97 , SB105 , HR171 , HCR49 , HCR65 , HCR72 , HR37 , HCR64 , HR170 , HR191 , HR206 , HR207 , HR208 , HR217 , HCR11 , HCR53 , HCR60 , HCR66 , HCR68 , SCR19 , SCR3 , SCR6 , SCR18 , SCR11 , SCR22 , SCR2 , HCR6 , HB64 , HB68 , HB92 , HB130 , HB258 , HB633 , HB801 , HB61 , HB98 , HB102 , HB139 , HB142 , HB170 , HB185 , HB194 , HB199 , HB231 , HB247 , HB294 , HB336 , HB474 , HB661 , HB842 , HB852 , HB66 , HB153 , HB165 , HB326 , HB387 , HB455 , HB513 , HB603 , HB660 , HB719 , HB762 , HB766 , HB802 , HB816 , HB833 , HB940 , HB950 , HB975 , HB1028 , HB1039 , HB1051 , HB1053 , HB1080 , HB1201 , HB1215 , HB1228 , HB1251 , HB1252 , SB1 , SB23 , SB32 , SB42 , SB43 , SB46 , SB51 , SB110 , SB113 , SB150 , SB154 , SB161 , SB218 , SB220 , SB221 , SB253 , SB289 , SB310 , SB351 , SB399 , SB404 , SB502 , SB26 , SB28 , SB29 , SB30 , SB41 , SB44 , SB64 , SB84 , SB87 , SB93 , SB98 , SB107 , SB118 , SB142 , SB192 , SB195 , SB199 , SB219 , SB222 , SB234 , SB241 , SB255 , SB275 , SB277 , SB292 , SB294 , SB306 , SB314 , SB482 , HCR32 , HB798 , HB998 , HB1084 , HB1223 , HB59 , HB955 , HB1191 , HB1234 , HB646 , HB824 , HB341 , SB397 , SB442 , HB901 , HB79 , HR20 , HR74 , HB284 , HB306 , HB366 , HB393 , HB458 , HB577 , HB582 , HB605 , HB614 , HB682 , HB733 , HB752 , HB773 , HB911 , HB926 , HB996 , HB1035 , HB1069 , HB1113 , HB1140 , HB1180 , HB1240 , SB47 , SB82 , SB89 , SB149 , SB382

Keywords: consumer protection, credit card fees, cash transactions, rounding practices, transparency, low-income, economic impact, residential construction, building codes, inspection practices, housing costs, task force, HR254, House Resolution 254, Ty Hebert, Acadiana Legislative Delegation, Louisiana State University, LSU, graduation, commendation

Transcript Highlights:

• That resolution becomes H.R. 210.
• That resolution becomes H.R. 211.
• H.R. 69 by Rep.
• And H.R. 86 by Representative Lecombe.
• That resolution becomes H.R. 216.

Bills: HR210 , HR211 , HR212 , HR213 , HR214 , HR215 , HR216 , HR217 , HR196 , HR197 , HR198 , HR199 , HR200 , HR201 , HR203 , HR204 , HR205 , HR206 , HR207 , HR208 , HR209 , HCR87 , HCR88 , HCR89 , HCR90 , HR118 , HCR63 , HCR69 , HCR86 , SCR6 , SCR18 , HB79 , HB165 , HB175 , HB198 , HB437 , HB457 , HB488 , HB603 , HB646 , HB763 , HB902 , HB909 , HB971 , HB981 , HB1066 , HB1089 , HB1099 , HB1125 , HB1154 , HB1231 , HB1245 , HB1246 , HB1247 , HB1248 , HB1249 , SB47 , SB82 , SB106 , SB206 , SB210 , SB248 , SB305 , SB376 , SB397 , SB441 , HCR41 , HCR76 , HCR77 , SCR19 , SCR3 , HB64 , HB68 , HB92 , HB316 , HB549 , HB578 , HB748 , HB798 , HB824 , HB988 , HB989 , HB1001 , HB1032 , HB1081 , HB1108 , HB1129 , HB1140 , HB1157 , HB1192 , HB1195 , HB1198 , HB1244 , HB167 , HB227 , HB243 , HB321 , HB335 , HB398 , HB492 , HB624 , HB689 , HB708 , HB804 , HB906 , HB926 , HB955 , HB968 , HB969 , HB978 , HB985 , HB1005 , HB1029 , HB1069 , HB1077 , HB1095 , HB1104 , HB1107 , HB1187 , HB1203 , HB1217 , HB1220 , SB73 , SB89 , SB128 , SB149 , SB191 , SB196 , SB238 , SB318 , SB340 , SB66 , SB68 , SB76 , SB139 , SB336 , SB475 , HCR32 , HB181 , HB1118 , HB1082 , HB225 , HB864 , HB1166 , HB1189 , HB59 , HB617 , HB897 , HB911 , HB1223 , HB901 , HR20 , HR74 , HB284 , HB306 , HB366 , HB393 , HB458 , HB459 , HB577 , HB582 , HB605 , HB614 , HB682 , HB733 , HB752 , HB773 , HB996 , HB1035 , HB1113 , HB1180 , HB1234 , HB1240

Summary: The House met on April 27, 2026, with prayer, the Pledge of Allegiance, and a series of personal privileges recognizing Domestic Violence Prevention and Advocacy Day, Guarantee Corporation’s 100th anniversary, Delta Waterfowl, FFA and 4-H students, St. Bernard Parish Day, the Louisiana Notary Association, and New Orleans Day. The chamber also received Senate messages, committee reports, and introduced several resolutions, including measures on Gulf States renewable energy, asthma and allergy awareness, St. Bernard Parish Day, and other commemorations. The floor then took up a long series of bills and resolutions. Among the notable measures were House Bill 316 on literacy and tutoring, House Bill 578 changing statutory references from gender to sex, House Bill 748 expanding toll exemptions for school board vehicles, House Bill 101 redesignating a portion of U.S. Highway 190 as the Jesse Jackson Memorial Highway, House Bill 1032 cleaning up DWI terminology, House Bill 1081 transferring the Louisiana Ports and Waterways Investment Commission, House Bill 1108 creating a homeschool pride prestige plate, House Bill 1129 giving in-state auctioneers preference for selling surplus state property, House Bill 1157 creating a Louisiana State Infrastructure Bank, House Bill 1192 creating a dental hygienist prestige plate, House Bill 1195 revising athletic commission rules and NIL-related provisions, House Bill 1198 barring arbitration in child custody and visitation matters, House Bill 181 allowing limited tax-data sharing for Medicaid/SNAP integrity, House Bill 1118 requiring disclosure of hospital ownership by real estate investment trusts, House Bill 1082 changing venue rules in suits involving municipal police employees’ retirement systems, House Bill 225 proposing a lifetime two-term limit for governor, House Bill 864 on municipal fire limits and storage of flammables, House Bill 1189 requiring captain’s licenses for certain freshwater charter guides, and House Bill 549 creating the Bayou Growth Opportunity Workforce Program. Most measures passed, often after brief debate and technical amendments. Several bills were recommitted or returned to the calendar, including House Bill 902, House Bill 1245, and House Bill 1247, while House Bill 225 failed on final passage. The House also considered and passed multiple Senate bills dealing with tax administration, child custody testimony, Supreme Court disciplinary jurisdiction over out-of-state lawyers, civil investigation demands in Medicaid fraud cases, service of process fees and notice, and permanent homestead exemption registration. The session ended with the House in recess after completing its bill agenda for the day.

Transcript Highlights:

• Their record was 23 and 1.
• It's an 8-to-1, 10-to-1 factor. Recreational fishing accounts for 10 times more economic impact.
• Our Constitution and Article 1. Thank you, Mr. Speaker.
• Education meets at 9:00 a.m. in Committee Room 1.
• Education meets at 9:00 a.m. in Committee Room 1.

Bills: HR133 , HR134 , HR135 , HR136 , HR137 , HR138 , HR139 , HR140 , HR141 , HR142 , HR143 , HR144 , HR145 , HR146 , HR147 , HR148 , HR149 , HR150 , HR151 , HR152 , HR119 , HR120 , HR121 , HR122 , HR123 , HR125 , HR126 , HR127 , HR128 , HR129 , HR130 , HR131 , HR132 , HCR53 , HCR54 , HCR55 , HCR56 , SCR3 , SCR22 , SB4 , SB18 , SB66 , SB106 , SB201 , SB256 , SB274 , SB292 , SB326 , SB386 , SB406 , SB422 , SB423 , SB456 , SB475 , HCR3 , HB1 , HB3 , HB27 , HB71 , HB214 , HB225 , HB241 , HB244 , HB306 , HB312 , HB313 , HB314 , HB345 , HB366 , HB383 , HB446 , HB473 , HB511 , HB514 , HB655 , HB730 , HB743 , HB836 , HB983 , HB1027 , HB1037 , HB1043 , HB1082 , HB1091 , HB1096 , HB1103 , HB1126 , HB1167 , HB1174 , HB1175 , HB1230 , HB1237 , HB1238 , SB162 , SB349 , SB350 , SB382 , SB383 , HB76 , HB132 , HB181 , HB210 , HB250 , HB265 , HB275 , HB291 , HB322 , HB342 , HB475 , HB486 , HB616 , HB635 , HB639 , HB690 , HB740 , HB757 , HB761 , HB774 , HB808 , HB855 , HB872 , HB883 , HB886 , HB903 , HB949 , HB962 , HB996 , HB1003 , HB1036 , HB1054 , HB1071 , HB1076 , HB1078 , HB1113 , HB1132 , HB1146 , HB1232 , HB1233 , HB21 , HB24 , HB29 , HB31 , HB39 , HB45 , HB77 , HB136 , HB150 , HB263 , HB273 , HB299 , HB315 , HB376 , HB377 , HB431 , HB444 , HB450 , HB519 , HB533 , HB538 , HB559 , HB562 , HB663 , HB664 , HB715 , HB717 , HB805 , HB822 , HB823 , HB834 , HB864 , HB867 , HB1017 , HB1018 , HB1068 , HB1134 , HB1137 , HB1234 , HB1235 , HB1236 , HB961 , HB399 , HB868 , HB905 , HB180 , HB192 , HB284 , HB476 , HB915 , HB952 , HB1006 , HB401 , HB51 , HB58 , HB140 , HB982 , HB1010 , HB750 , HB911 , HB977 , HB901 , HR20 , HR74 , HB9 , HB151 , HB193 , HB310 , HB393 , HB459 , HB577 , HB582 , HB605 , HB614 , HB615 , HB682 , HB733 , HB773

Summary: The House met with a quorum and spent much of the day on personal privileges, recognizing visiting groups and designating several commemorative days, including Sigma Gamma Rho Day, Alpha Kappa Alpha Day, Italian Festival royalty, Acadiana’s Red and White Day, and Louisiana Automobile Dealer Day. Members also welcomed students, civic leaders, former legislators, a state pageant titleholder, and a visiting African law enforcement delegation focused on combating human trafficking. The chamber received Senate bills and committee reports, and several resolutions were adopted without objection, including condolences resolutions and commendations for schools, festivals, and public service organizations. The House then took up a long series of bills, with many passing on final passage after brief debate or technical amendments. Measures addressed topics such as notification of inmate releases from parish jails and DOC facilities (HB 76), ethics and financial disclosure, video voyeurism involving deceased persons (HB 265, renamed the Jacob Carter Dignity and Death Act), health insurance claim practices (HB 291), victim access to parole testimony without fees (HB 32), special education due process burden of proof (HB 342), AI disclosure in medical settings (HB 475), the psychology interjurisdictional compact (HB 486), homelessness provider oversight (HB 616), AI disclosure in campaign calls (HB 639), Medicaid managed care claim review (HB 740), menhaden fishing restrictions (HB 757 and HB 855), HIV exposure law modernization (HB 808), and rare cancer treatment advisory board changes (HB 761). Most of these bills passed with strong support; HB 342 passed 98-3, HB 639 passed 86-9, HB 808 passed 99-0, and HB 855 drew the most extended debate, with supporters citing science-based conservation and opponents warning about harm to the menhaden industry and coastal jobs. The House also adopted committee amendments and set several major fiscal measures as special orders for April 16, including HB 1, HB 2, HB 3, HB 313, HB 383, HB 983, and HB 1126. Additional bills were advanced to third reading from committee reports, and the chamber returned some measures to the calendar for later consideration. Overall, the meeting was marked by ceremonial recognitions, a heavy legislative agenda, and multiple substantive policy votes across education, health, criminal justice, transportation, ethics, and natural resources.

Transcript Highlights:

• That resolution comes as H.R. 66.
• That resolution comes as H.R. 66.
• That resolution comes as H.R. 67.
• H.R. 33 lies over.
• H.R. 33 lies over.

Bills: HR65 , HR66 , HR67 , HR68 , HR69 , HCR33 , HCR34 , HB1006 , HB1007 , HB1008 , HB1010 , HB1011 , HR58 , HR59 , HR60 , HR61 , HR62 , HR63 , HR64 , HCR32 , SCR2 , SCR5 , SCR6 , SCR11 , SCR16 , SCR17 , HB43 , HB447 , HB573 , HB1000 , HB1001 , HB1002 , HB1003 , HB1004 , HB1005 , SB8 , SB10 , SB12 , SB16 , SB20 , SB21 , SB22 , SB29 , SB32 , SB41 , SB42 , SB44 , SB49 , SB58 , SB68 , SB75 , SB77 , SB81 , SB97 , SB103 , SB159 , SB163 , SB172 , SB180 , SB182 , SB244 , SB248 , SB253 , SB254 , SB279 , SB306 , SB318 , SB334 , SB380 , SB385 , SB397 , HB53 , HB57 , HB64 , HB100 , HB102 , HB106 , HB111 , HB137 , HB152 , HB155 , HB177 , HB238 , HB256 , HB258 , HB272 , HB337 , HB350 , HB359 , HB363 , HB386 , HB434 , HB445 , HB546 , HB557 , HB584 , HB661 , HB697 , HB726 , HB727 , HB747 , HB752 , HB756 , HB758 , HB759 , HB765 , HB767 , HB825 , HB858 , HB930 , HB941 , HB957 , HB964 , HB203 , HB228 , HB234 , HB260 , HB268 , HB271 , HB285 , HB289 , HB351 , HB400 , HB413 , HB469 , HB534 , HB551 , HB552 , HB574 , HB576 , HB634 , HB649 , HB677 , HB735 , HB739 , HB779 , HB784 , HB796 , HB842 , HB850 , HB919 , HB8 , HB9 , HB10 , HB15 , HB16 , HB17 , HB18 , HB19 , HB22 , HB33 , HB34 , HB35 , HB44 , HB46 , HB47 , HB48 , HB61 , HB101 , HB126 , HB135 , HB142 , HB164 , HB185 , HB215 , HB226 , HB232 , HB233 , HB242 , HB284 , HB292 , HB297 , HB301 , HB334 , HB436 , HB468 , HB548 , HB571 , HB582 , HB593 , HB594 , HB609 , HB613 , HB712 , HB722 , HB732 , HB746 , HB827 , HB845 , HB848 , HB921 , HB923 , HB951 , HB953 , HB999 , HB733 , HB875 , HB952 , HB868 , HB119 , HB140 , HB52 , HB901 , HB193 , HB570

Summary: The House convened with a quorum, opened with prayer and the Pledge of Allegiance, and then spent much of the morning on personal privileges recognizing guests and honoring individuals and organizations. Recognitions included the Zachary High School girls’ and boys’ basketball teams for back-to-back state championships, Zeta Phi Beta Sorority and Phi Beta Sigma Fraternity for Blue and White Day, visitors from Natchitoches Parish, the Louisiana Community and Technical College System, the Parish Presidents Association, Crime Stoppers of Greater New Orleans, student parents pursuing higher education, and a delegation from Alexandria honoring the late Dr. Joe S. Green. The House also adopted or laid over several condolence and commendation resolutions, including tributes to former Northwestern State football coach Sam Goodwin, Michael B. Jordan, Richard Williams, and others. The chamber received a large batch of Senate bills and House bills for referral, covering topics such as retirement systems, highway memorial designations, criminal justice, education, health and welfare, municipal governance, insurance, natural resources, and tax policy. Committee reports were read across multiple committees, with many bills reported favorably or with amendments, and several measures advanced to third reading or were recommitted to other committees. Among the actions taken, the House adopted resolutions honoring community figures and organizations, concurred in several Senate resolutions, and moved a number of bills forward, including measures on criminal penalties, school policy, environmental regulation, insurance, and public retirement. Near the end of the session, the Speaker outlined plans for the next day’s floor debate, noting 54 bills scheduled and explaining that questions on bills would send them to the bottom of the list rather than removing them. The House then recessed until 3:30 p.m., with members instructed to return for regular order and continued debate on the calendar.

Transcript Highlights:

• That is H.R. 127 by Assembly Member Haney. File item number 30.
• That is H.R. 127 by Assembly Member Haney. Clerk will read.
• This is why I introduced H.R. 129, which recognizes July...
• Today I respectfully ask for your support for H.R. 129.
• Members, today I rise as a proud joint author of H.R. 129.

Summary: The Assembly convened after a quorum call, prayer, and pledge, then moved through a largely ceremonial and floor-action-heavy session. Early business included unanimous consent motions, removal of several Senate bills from the consent calendar, and recognition of the 2025-26 Assembly Fellows and California Council on Science and Technology Policy Fellows. The chamber also welcomed several student and community guests, including National Science Bowl champions from Mission San Jose High School and a group of fifth graders touring the Capitol. One concurrence item, AB 2106, was adopted 65-0 after the author explained Senate amendments expanding enhanced vote-vetting requirements to geologists and geophysicists. The floor then took up several resolutions and one appropriations bill. ACR 199 recognizing India’s Independence Day was adopted by voice vote after remarks highlighting Indian American contributions and the role of the Sikh community in India’s independence movement. HR 119 recognizing International Referees Day was adopted, with 59 coauthors added, and the chamber honored referee Marcia Barclay. HR 125 declaring August as Chicano Heritage Month was adopted with 61 coauthors, with members speaking about Chicano history, civil rights, military service, and economic contributions. ACR 221 on sudden cardiac arrest awareness among student athletes was adopted by voice vote, and AB 2597, an urgency appropriation bill paying specified claims against the state, passed 60-0 on both the urgency clause and the measure. The Assembly also adopted ACR 231 designating Coastal Stewardship Day, with members discussing coastal protection, wetlands, climate change, and marine ecology, and ACR 234 declaring California Wine Month, which passed after remarks on the wine industry’s economic importance and challenges. HR 126 proclaiming September as Suicide Prevention Awareness Month drew extensive, emotional testimony from the author and several members about suicide loss, youth mental health, LGBTQ+ youth, Native communities, and prevention resources; it was adopted with 63 coauthors. HR 127 recognizing Transgender History Month was also adopted after debate focused on transgender history in California, current attacks on transgender people, and the importance of dignity and safety; 47 coauthors were added. Finally, HR 129 recognizing Sarcoma Awareness Month passed with 60 coauthors after members discussed pediatric sarcoma, rare cancer awareness, and a cluster of Ewing sarcoma cases in South Orange County. The consent calendar, including ACR 233 on Sepsis Awareness Month, was adopted 63-0, and the chamber then moved toward adjournments in memory.

Transcript Highlights:

• That resolution comes H.R. 295.
• H.R. 290 by Representative M.
• H.R. 290 by Rep.M.
• Criminal Justice reports H.R. 73 favorably, H.R. 272 favorably, H.R. 278 favorably, H.C.R. 100 with amendments
• House and Criminal Affairs reports H.R. 118 with amendments, H.R. 196 with amendments, H.R. 237 favorably

Bills: HR295 , HR296 , HR297 , HR298 , HR299 , HR300 , HR301 , HR302 , HR303 , HR304 , HR305 , HR306 , HR307 , HCR115 , HCR116 , HCR117 , HR286 , HR287 , HR288 , HR290 , HR291 , HR292 , HR293 , HR294 , SCR61 , SCR68 , SB121 , SB250 , SB348 , SB444 , SB485 , HR252 , HR253 , HCR96 , HCR103 , HCR108 , SB268 , SB283 , SB414 , HCR98 , HR179 , HR223 , HR225 , HR274 , HCR89 , HCR26 , HB250 , HB265 , HB339 , HB427 , HB445 , HB463 , HB468 , HB606 , HB639 , HB649 , HB665 , HB746 , HB781 , HB853 , HB861 , HB872 , HB886 , HB916 , HB937 , HB1054 , HB1068 , HB1117 , HB1237 , HB74 , HB108 , HB956 , HB1085 , HB1137 , HB75 , SB39 , SB99 , SB111 , SB112 , SB124 , SB134 , SB174 , SB189 , SB190 , SB201 , SB233 , SB236 , SB258 , SB270 , SB273 , SB288 , SB307 , SB313 , SB320 , SB321 , SB325 , SB326 , SB331 , SB339 , SB341 , SB345 , SB346 , SB347 , SB353 , SB357 , SB359 , SB387 , SB393 , SB401 , SB415 , SB419 , SB422 , SB426 , SB435 , SB437 , SB440 , SB451 , SB464 , SB470 , SB487 , SB488 , SB495 , SB504 , SB505 , SB518 , SB523 , HR84 , HB646 , HB998 , HB1191 , SB78 , SB81 , SB97 , SB100 , SB109 , SB123 , SB125 , SB208 , SB385 , SB479 , SB56 , SB163 , SB197 , HB901 , HR20 , HR74 , HR168 , HCR65 , HCR71 , HB284 , HB302 , HB306 , HB341 , HB366 , HB393 , HB458 , HB577 , HB603 , HB605 , HB614 , HB625 , HB733 , HB752 , HB773 , HB798 , HB911 , HB955 , HB996 , HB1035 , HB1069 , HB1113 , HB1140 , HB1180 , HB1240 , HB1255 , SB82 , SB89 , HB134 , HB258 , HB359 , HB782 , SB29 , SB42 , SB43 , SB149 , SB382 , SB441

Summary: The House met on May 18, 2026, with a quorum present, and began with prayer, the pledge, leave requests, and several personal privileges recognizing visitors and groups at the Capitol, including early education advocates, a poster contest winner, Entergy’s River Bend Nuclear Station on its 40th anniversary, a Children’s Miracle Network champion, Community Action leaders, and Leadership Tangipahoa participants. The chamber also received Senate messages, enrollment reports, a conference committee report on Senate Bill 149 that was allowed to lie over, and a long list of House resolutions and Senate bills that were either introduced, referred, or set aside for later consideration. Several resolutions were adopted without objection, including measures recognizing Early Education Day, World Preeclampsia Awareness Day, Dora’s Voyager, Tourism Day, and National Mississippi River Day, while House Concurrent Resolution 98 on SNAP grocery delivery fees failed on reconsideration by a vote of 46 yeas to 39 nays. The House then took up a series of Senate bills. Among the measures passed were SB 39 on provisional massage therapist licenses; SB 111 on freshwater recreational fish limits in the Atchafalaya Basin; SB 124 on peer review confidentiality for health systems; SB 134 on child sexual abuse material and sexting involving minors under 17; SB 99 on electronic DEQ notifications; SB 190 on special-focus nursing facilities; SB 201 on juvenile life-without-parole sentencing procedures; SB 233 on a statewide data exchange compact; SB 236 on annual kidney disease reporting; SB 258 on juvenile traffic offenses; SB 270 on medical marijuana use by terminally ill patients in health care facilities; SB 273 on hospice care requirements; SB 307 on educational displays and a Ten Commandments monument on Capitol grounds; SB 320 on CODIS hit tracking; SB 321 on electronic bonds; SB 325 on excluding threatening persons from sports wagering; SB 331 on temporary exceptions to the Scenic Rivers Act for lower Pearl River Basin work; SB 339 on gaming-related background checks; SB 345 on annual OJJ reporting; SB 346 and SB 347 on deepfake misuse in schools and on campuses; SB 357 on judiciary cleanup provisions; SB 359 on hospital district commissioner terms; SB 387 on pharmacy benefit managers; SB 393 on explosives regulation; SB 401 creating a Prescription Drug Affordability Board; SB 415 creating the Empower Louisiana Food Purchase Program; SB 419 on pre-charged pneumatic devices for deer hunting; SB 422 on unsupervised probation for certain repeat DWI offenders; SB 426 on the Addictive Disorder Regulatory Authority and peer support credentials; SB 435 creating a Commission on Fatherhood Engagement; SB 437 on licensed treatment services in facilities housing judicially referred residents; SB 440 creating a Renaissance District in Rapides Parish; SB 451 on newborn hearing screening and intervention; SB 464 on severe obesity treatment coverage; SB 470 on pregnancy-related rules in correctional facilities; SB 487 on gaming premises rental agreements; and SB 488 creating a school safety drone response pilot program. Several bills were returned to the calendar for later action, including SB 189 on atmospheric releases affecting weather and climate, SB 326, SB 341, SB 353, and SB 495. A number of bills drew debate over policy and fiscal effects. SB 112 on school release time for religious instruction prompted questions about public-school participation, sponsoring entities, and parental consent; SB 189 on prohibiting intentional atmospheric release of substances for climate or weather modification passed 75-21 after questions about aircraft fuel dumping and agricultural exceptions; SB 201 on juvenile sentencing led to discussion of Supreme Court precedent and appellate review; SB 233 raised privacy concerns about interagency data sharing; SB 313 on electronic filing fees in criminal matters was criticized as a possible unfunded mandate and failed 25-68; and SB 451 on newborn hearing screening drew questions about board expansion, Medicaid coverage, and added administrative costs before passing 94-1. Most other bills passed with little or no opposition, and the House repeatedly adopted motions to table reconsideration after final passage votes. The chamber also announced it would stop debate at 5:00 p.m. and continued working through Senate bills as the Natural Resources Committee finished its meeting.

Transcript Highlights:

• Section 1.
• </c><00:08:51.760><c> to</c><00:08:51.880><c> the</c> H.R. 410, an act relating to the H.R. 410, an act
• Section<00:10:23.360><c> 1.</c> Section 1. Section 1.
• Senate Finance will meet at 1:30. Senate Appropriations will also meet at 1:30.
• </c> at 1:30. at 1:30.

Transcript Highlights:

• I have a feeling we'll have a few more conversations surrounding the impact of H.R. 1.
• But this way predates H.R. 1. And I'm not dismissing the impact of what H.R. 1 might have.
• eye on the ball for the issues that we talked about before H.R. 1 was even a piece of legislation.
• And we're really concerned about H.R. 1 for further accelerating these challenges.
• That is the one that we’ve already said is, will be, is at risk with H.R. 1.

Summary: The Assembly Budget Subcommittee on Health held a hearing focused first on the impact of H.R. 1 on medical student financing and physician access, then on state residency-support programs. The chair framed the discussion around expected federal Medicaid and student loan changes, warning that higher borrowing barriers could reduce access to medical school for lower-income students and worsen physician shortages, especially in underserved regions. The LAO explained that H.R. 1 would cap federal loans for professional students, eliminate Grad PLUS for new borrowers, and likely shift more students toward private loans with less favorable terms; it said the bigger concern may be who can afford to attend medical school rather than a sharp drop in enrollment. HCAI described three physician loan repayment programs—the State Loan Repayment Program, the Stephen M. Thompson Physician Corps Loan Repayment Program, and the County Medical Services Program loan repayment program—and said retention data show many awardees remain in California and in underserved or safety-net settings after service obligations end. University of California and UCSF witnesses described California’s physician workforce shortages, especially on the Central Coast and in rural and agricultural communities, and said affordability, limited medical school capacity, and burnout are pushing some doctors into concierge practice or out of underserved areas. They emphasized that students from low-income backgrounds and underrepresented communities are more likely to be affected by loan limits and that residency location strongly influences where physicians ultimately practice. Members asked about medical school capacity, out-of-state students, residency retention, and whether the state could expand slots or better target aid to keep physicians in California and in high-need communities. Public commenters urged the Legislature to consider shortages in anesthesia, pediatric subspecialties, midwifery, and culturally concordant care, and to support broader workforce pathways and public-service loan programs. The second panel reviewed graduate medical education programs, especially CalMedForce, CalMedForce Plus, and Song-Brown. UC and HCAI said CalMedForce has supported new residency slots since 2018, while Song-Brown funds primary care residency training and has recently supported new programs in rural areas such as Del Norte County. The LAO said the state should decide whether residency support should remain a budget priority, whether these competitive grant programs are the best mechanism, and whether their structures are too rigid or duplicative. It noted that most awardees receive funding more than once and that the programs overlap substantially, suggesting possible coordination or consolidation. A family physician from the California Academy of Family Physicians argued that stable funding for primary care residencies is essential, that many California-trained physicians stay where they train, and that future funding should be more deliberately directed to primary care and high-need communities. The hearing ended with discussion of emergency room crowding, geographic inequities in residency distribution, and HCAI’s plan to develop supply-and-demand models to guide future funding decisions.

Transcript Highlights:

• In implementing anything related to H.R. 1 in particular, and the work that we have also committed to
• But overall, I think our goal is to keep a lot of the things related to H.R. 1 out of statute.
• But overall, I think our goal is to keep a lot of the things related to H.R. 1 out of statute.
• This is, the next slide shows sort of an overview of all the major provisions related to H.R. 1.
• We are working with, And state-directed payment provisions that are in H.R. 1.

Committee: Joint Joint Select Committee on Health Care and Behavioral Health Oversight

Summary: The committee met to hear updates from state health leaders on current priorities, including agency leadership transitions, licensure backlogs, federal policy changes, and rural health funding. Secretary of Health Dennis Worsham and HCA Director Ryan Moran described their recent listening tours and said their agencies are focused on access, affordability, quality, patient safety, and stronger coordination across public health, Medicaid, behavioral health, and rural systems. In response to questions, Worsham said health profession licensure delays have been reduced from about four months to six weeks, with the backlog expected to be caught up by January 1, and that the department is adding staff and using dashboards to improve turnaround times. A major portion of the meeting focused on implementation planning for H.R. 1 and its effects on Medicaid and SNAP. Governor’s Office health policy advisor Caitlin Stafford, HCA interim Medicaid director Trinity Wilson, and HCA staff said the state is analyzing eligibility changes, work requirements, and six-month redeterminations, while trying to keep most changes out of statute and instead handle them through budget and administrative action. They emphasized close coordination with DSHS, the Health Benefit Exchange, the Office of the Insurance Commissioner, employers, and tribal partners, and said the state hopes to make the process as invisible as possible for enrollees. Wilson said the October 2026 eligibility change for certain lawfully present non-citizens could affect up to 30,000 Apple Health enrollees, while the December 2026 work requirement and redetermination provisions could affect about 620,000 adults, with automated verification expected to cover most cases but 15% to 20% likely needing manual review. Officials also said they are concerned about the cost of technology changes, estimating a possible $30 million system solution, and about the lack of federal guidance. The panel also reviewed Washington’s successful application for the federal Rural Health Transformation Program, which was submitted to CMS on November 5. HCA said the application was shaped by more than 310 public comments, webinars, and tribal consultation, and includes six initiatives: rural hospital innovation, community-based prevention and care management, tribal investments, technology and data, workforce development, and rural behavioral health. Officials said the proposal includes support for rural hospital collaboratives, maternal and obstetric services, dementia and EMS supports, tribal workforce and data investments, telehealth and AI tools, rural training pipelines, and behavioral health services such as mobile crisis and school-based care. They noted that Washington is unlikely to receive the full $200 million annual amount available to each state, and that an advisory committee will likely help guide spending over the five-year program. Later, the committee heard a brief update on the 2023 organ transport law from Department of Health EMS program supervisor Don Felt, who said the state has licensed one organ transport company, has received no complaints, and has seen no operational problems. LifeCenter Northwest then described the organ donation system, explaining the legal framework, donor referral process, and the role of hospitals and organ procurement organizations. The organization said Washington has seen a 140% increase in organ donors over the past decade and a 103% increase in lives saved, while also noting common misconceptions that donation affects emergency care decisions. The final panel from the University of Washington Medical Center began an overview of its transplant programs, including kidney, liver, heart, lung, pancreas, and living donor transplants, but the transcript ends before that presentation was completed.

Transcript Highlights:

• We were anticipating H.R. 1.
• As a reminder, H.R. 1 restricts med school loans.
• So this issue of H.R. 1 is a big deal for us.
• H.R. 1 will certainly harm this network.
• H.R. 1 fundamentally...

Summary: The Assembly Budget Subcommittee on Health began with a hearing on the impacts of H.R. 1 on California health programs, focusing first on reproductive health state investments. HCAI outlined five state-funded reproductive health programs created after Dobbs, including uncompensated care, practical support, capital and clinical infrastructure, and workforce programs. Essential Access Health and Planned Parenthood testified that these funds have served hundreds of thousands of patients, but warned that the uncompensated care program is fully awarded and needs renewal, and that Title X and Medicaid-related federal uncertainty continues to threaten access. Members questioned who the uncompensated care program serves, why Medi-Cal covers a large share of abortions, and whether Planned Parenthood could expand prenatal services; public commenters urged continued support for reproductive health access. The committee then took up long-term care services and supports, starting with the HCBA and Assisted Living Waiver programs. DHCS reported large wait lists for both programs and said enrollment is limited by workforce and provider capacity, while LAO noted that increasing slots alone may not increase access without additional programmatic changes. Members pressed the department on whether more slots should be added given the lower cost of home- and community-based care compared with skilled nursing facilities, and public testimony argued that the wait lists should be reduced and that staffing concerns do not fully explain unused capacity. The committee also heard testimony on congregate living health facilities, where providers and a patient family described the homes as critical, lower-cost alternatives to nursing facilities for younger, medically complex people. Witnesses requested short-term bridge funding, while DHCS said it is proposing to transition CLFs into a managed care benefit by January 1, 2028, which would remove caps and expand access statewide. The final long-term care topic was PACE. DHCS explained that it has paused new PACE applications and service expansions for at least two years to reassess oversight capacity and develop a statewide strategic growth framework, while existing programs continue operating. CalPACE supported the pause as a planning measure but asked for four additional state nurse positions to reduce delays in level-of-care determinations and speed enrollment for frail older adults. Members shared personal stories about how PACE has helped family members and asked how the state will meet growing demand; DHCS said stakeholder engagement will begin later in the year and that some existing applications already in process will continue. Public commenters broadly supported PACE, HCBA, and CLF funding requests. The hearing then moved to the Department of Health Care Services’ 2026-27 Medi-Cal budget and related trailer bills. DHCS said Medi-Cal spending has grown due to coverage expansions, higher acuity, rising utilization, and especially pharmacy costs, and it described proposals to extend the current skilled nursing facility financing framework for one year while the state develops a new value-based payment strategy. LAO said most recent Medi-Cal spending growth has been driven more by higher per-enrollee costs than by caseload growth, with pharmacy spending growing especially quickly, and recommended better and more timely data to analyze the drivers. Members expressed concern about the rapid rise in Medi-Cal spending and asked for more detail on the largest cost increases.

Transcript Highlights:

• H.R. 1 is a betrayal of all of our communities. H.R. 1 is a betrayal of all of our communities.
• H.R. 1 is not a budget. It's a moral statement.
• And I want to remind us that before ACA subsidies were cut, before H.R. 1 was enacted, California had
• It's H.R. 1 that has done that, not California. Yeah.
• At this moment, it's H.R. 1 that has done that, not California.

Summary: The Assembly convened in Sacramento, established a quorum, and opened with prayer and the Pledge of Allegiance. After routine procedural motions, members voted to withdraw SB 106 from committee for third reading and to suspend the rules so AJR 25 could be taken up immediately. AJR 25, authored by Assembly Member Bonta, urged Congress to restore and extend enhanced Affordable Care Act premium tax credits that expired on January 1, with supporters arguing the lapse would sharply raise premiums for millions of Californians, including veterans, working families, and other vulnerable residents. Opponents, led by Assembly Member DeMaio, argued the resolution blamed federal action for California’s high health care costs and said state mandates and spending choices were the real problem. The resolution was adopted 58-4, and Assembly Member Addis was added as a joint author. The chamber also took up H.R. 76 on affordable homeownership, presented by Assembly Member Schultz and supported by Assembly Member Wicks, who emphasized the importance of homeownership for wealth-building and noted ongoing efforts to expand programs such as CalHome. H.R. 79, by Assembly Member Valencia, recognized February 2026 as Unclaimed Property Month; supporters highlighted the large amount of unclaimed property held by the state and encouraged residents to search for funds owed to them. Both resolutions received broad support, with co-author rolls opened before final adoption. The second-day consent calendar, including ACR 127 on National School Counseling Week, was adopted 64-0. Members also heard a lengthy adjournment in memory from Assembly Member Soria honoring Pablo Rodriguez, a Central Valley organizer and civic leader remembered for his work with United Farm Workers, Communities for a New California, and AB 1441 on the Merced County Independent Redistricting Commission. The Assembly observed a moment of silence for Rodriguez, welcomed his family and colleagues, and then adjourned until Monday, February 9, at 1 p.m.

Transcript Highlights:

• The populations that are at risk of losing their benefits was briefly talked about due to H.R. 1.
• Moving to item 9, H.R. 1 impacts on IHSS related to qualified non-citizens.
• H.R. 1 impacts on IHSS related to qualified non-citizens.
• Moving on to the proposal on H.R. 1 impacts on qualified non-citizens, we would just note that as the
• As safety net supports are scaled back under H.R. 1, more families are... ...diaper bank program.

Summary: The Assembly Budget Subcommittee on Human Services held a hearing on the Governor’s May Revision, with no votes taken. The first major topic was child care and early education, where the Department of Social Services and Department of Finance outlined proposed changes to absorb federal Child Care and Development Fund and Proposition 64 revenue reductions, shift some funding between child care programs, end funding for prospective pay implementation now that the federal requirement has been rescinded, adjust the alternative payment administration structure, and fund child care infrastructure grants and a Low-Income Investment Fund contract closeout. The Legislative Analyst’s Office said the budget makes progress on the structural deficit but recommended maintaining the administration’s solution level, making reserve deposits, and avoiding new ongoing commitments; it also raised concerns about shifting reductions to the California Alternative Payment Program and about the proposed administrative-rate change. Committee members strongly criticized the proposed loss of child care slots and said they would oppose eliminating those slots, while also expressing support for child care as essential infrastructure. The committee then reviewed California State Preschool Program proposals. Finance and CDE described reductions to the preschool COLA from 2.41% to 2.01%, removal of prospective pay funding, and increases for the QRIS block grant, audit support, and rate reform implementation. Trailer bill language would codify age-based rate categories, inclusion-rate documentation, family fee collection rules, portability, and excused absences. CDE supported the QRIS increase and some attendance and family-fee changes, but warned that aligning three- and four-year-old rates could reduce support for three-year-olds and that the budget does not fully cover enrollment growth. Members also questioned whether the preschool and child care slot reductions should be reallocated rather than terminated, and the administration said the reductions were intended to reflect current utilization and avoid harm to currently enrolled families. The hearing then moved to CalFresh and nutrition programs. CDSS said the May Revision includes a one-time CalFood augmentation, funding to cover federal SNAP administrative cost-share pressures, and additional staffing and technical assistance to implement HR 1 changes, including the able-bodied adults without dependents time limit and new non-citizen eligibility rules. The department estimated HR 1 could cut CalFresh funding by $2.3 billion to $3.7 billion annually and affect about 500,000 people, with roughly 806,000 adults potentially subject to the time limit and about 34,000 non-citizens expected to lose eligibility once fully implemented. Members pressed for stronger harm mitigation, including a $98 million backfill to protect families from losing food benefits, and raised concerns about county workload and the “chilling effect” on immigrant participation. The final portion of the transcript began the IHSS presentation, noting a revised budget of $33.7 billion total funds and $12.8 billion General Fund, with proposed reductions tied to Medi-Cal asset-limit changes and other federal conformity items.

Transcript Highlights:

• So H.R. 1's putting the squeeze on you. What's your goal?
• And the top is the NDIs for the H.R. 1 implementation.
• H.R. 1 is a very aggressive timeline.
• . 1 implementation hub, and this is going to our social services website and clicking on H.R. 1, which
• Data is a huge component of the H.R. 1 strategy.

Committee: House Budget

Summary: The House budget hearing focused on the Department of Social Services’ budget and a detailed briefing on how federal H.R. 1, referred to by the director as the “Big Beautiful Bill,” will affect Missouri’s SNAP and Medicaid programs. The director outlined the department’s divisions, current caseloads, staffing challenges, and the need to modernize eligibility systems and processes. Members repeatedly asked for breakdowns of enrollment, spending, provider rates, and the impact of federal changes on the department’s budget request. A major portion of the hearing covered H.R. 1’s new eligibility and integrity requirements. The department said SNAP work requirements will expand to groups previously exempt, certain noncitizen categories will lose eligibility, and utility deductions will be narrowed. For Medicaid, the bill requires work requirements for the adult expansion group, more frequent redeterminations, and shorter retroactive coverage periods. Members questioned how these changes interact with Missouri’s constitutional expansion language, and the director said the department’s view is that federal requirements must be followed under the supremacy clause, though she acknowledged the legal issue could ultimately be resolved by a court. The committee also discussed program integrity and error rates. The department said Missouri’s Medicaid PERM error rate was 35% in the last full review, with most errors tied to eligibility processing, and that H.R. 1 could create major financial penalties if error rates are not reduced by 2029. For SNAP, the department said the most recent federal error rate was 10.79%, with a current combined rate around 8.6%, and that future state cost-sharing could be substantial if the rate remains high. Members asked about the use of contractors, automation, and verification tools to reduce backlogs and improve accuracy. No votes were taken; the hearing was informational, and the chair said public testimony would not be taken that day.

Transcript Highlights:

• . 1 and The combination of H.R. 1 and recent federal policy changes is expected to significantly disrupt
• And one unfortunate factor to consider as a result of H.R. 1 is that of the slightly over 1 million people
• But some of these impacts predate H.R. 1, and some of them are being exacerbated by H.R. 1.
• It impacts predate H.R. 1, and some of them are being exacerbated by H.R. 1.
• Like you've heard, H.R. 1 has profound impacts on our residents.

Transcript Highlights:

• But overall, I think our goal is to keep a lot of the things related to H.R. 1 out of statute.
• At a high level, from a federal H.R. 1 background, you have seen this briefing before.
• The next slide shows sort of an overview of all the major provisions related to H.R. 1.
• The next slide shows sort of an overview of all the major provisions related to H.R. 1.
• We are working with, And state-directed payment provisions that are in H.R. 1.

Committee: Joint Joint Select Committee on Health Care and Behavioral Health Oversight

Summary: The committee met to hear introductory briefings from the Department of Health and the Health Care Authority on agency priorities, federal changes, and implementation challenges. Secretary of Health Dennis Worsham said his department’s listening tour is focused on strengthening governmental public health, improving health care quality and access, and responding to federal funding disruptions and the shutdown’s effects on programs such as WIC. HCA Director Ryan Moran said the agency is prioritizing coverage preservation, oversight of major contracts, affordability, behavioral health integration, rural health transformation, and internal agency operations. Members asked about licensure delays; Worsham said the backlog had been reduced from about four months to six weeks and should be caught up by January 1, with possible further process changes if needed. A major portion of the meeting focused on H.R. 1 and its Medicaid-related implementation. Governor’s health policy advisor Caitlin Stafford, HCA staff, and interim Medicaid Director Trinity Wilson said the state is working with DSHS, the Health Benefit Exchange, tribes, and other partners to prepare for eligibility changes, work requirements, and six-month redeterminations. They said the state expects up to 30,000 Apple Health enrollees could lose coverage under the law’s non-citizen eligibility changes, and that the work requirement/redetermination provisions could affect about 620,000 adults, with roughly 80,000 also enrolled in SNAP. HCA said it hopes to automate most verification, but about 15% to 20% of cases may require manual review, with technology costs estimated at up to $30 million. Staff also said they are trying to keep H.R. 1 implementation mostly in budget language rather than statute, and that communication and navigator support will be important to minimize confusion and coverage loss. The committee also received an update on the Rural Health Transformation Program created in H.R. 1. HCA said Washington submitted its application to CMS on November 5 after extensive stakeholder engagement, including more than 310 written comments, webinars, and tribal consultation. The application centers on six initiatives: rural hospital innovation, community care and prevention, tribal investments, technology and data, workforce development, and rural behavioral health. HCA said the state is likely to receive less than the full $200 million annual amount assumed in the federal program, and that an advisory committee may be created to help guide spending over the five-year program. Members asked about palliative care, small business impacts, and communication with enrollees; HCA said it expects to share outreach toolkits and that no 2026 statutory changes are currently anticipated, though that could change. The final panels covered organ donation and transplant services. Department of Health staff explained the 2023 “Lights and Sirens” law for organ transport vehicles, including licensing, driver qualifications, insurance requirements, and use of emergency lanes and traffic preemption; the department said one company is currently licensed and there have been no complaints. LifeCenter Northwest described the organ procurement process, the legal framework under the Uniform Anatomical Gift Act, and the rarity and complexity of deceased donation, noting Washington has seen strong growth in donation and transplants over the past decade. University of Washington Medical Center staff then outlined its transplant programs for kidney, liver, heart, lung, pancreas, and multi-organ transplants, describing the multidisciplinary evaluation and waitlist process and the coordination required with donor organizations and hospitals.