Transcript Highlights:

• From the study conducted in July 2024.
• A couple of other studies with similar findings.
• The Arkansas Insurance Department studied this issue a lot.
• In the 79th legislative session.
• I am the vice president for Correctional managed care.

Transcript Highlights:

• know that even in this legislative cycle, you have a...
• And know that even in this legislative cycle, you have a package of legislation that is really focused
• know that even in this legislative cycle, you have a and know that even in this legislative cycle, you
• AB 1970 would remove utilization management practices health plans and insurers use to manage costs associated
• This is a study bill to study an issue. That's all it is.

Keywords: 988, house, all

Summary: The Assembly Health Committee heard a long agenda of health-related bills, with several measures held for later action until quorum was established. Early in the hearing, the committee approved a consent calendar of multiple bills to Appropriations and noted that AB 2029 was pulled from the agenda. The committee also took up AB 1973, which would expand the ability of trained advanced practice clinicians, including nurse practitioners, certified nurse midwives, and physician assistants, to provide procedural abortion care under consultation and transfer protocols. Supporters argued the bill would improve access and reflect existing training and safety evidence, while opponents raised safety concerns about later-term procedures. The author and committee members discussed training standards and collaboration requirements, and the bill was held pending quorum. The committee then heard AB 1558, which would adopt the Uniform Emergency Volunteer Health Practitioners Act to speed the use of out-of-state volunteer health professionals during declared emergencies. Supporters from the Uniform Law Commission and the Red Cross said the bill would reduce delays and fill gaps in disaster response; there was no opposition testimony. AB 2282 followed, proposing a temporary rural emergency stabilization center in Patterson to address the lack of nearby emergency care while a permanent hospital is built. Local EMS and health district witnesses described long transport times and ambulance shortages, while the California chapter of the American College of Emergency Physicians opposed the measure. The chair expressed support and joined as a co-author, and the bill was moved with a motion and second, to be considered when quorum was available. The committee also heard AB 1843 on hepatitis C treatment, AB 2247 on mental health services for youth impacted by gun violence, AB 2138 on peer support specialists in behavioral health, AB 1682 on insurance coverage for scalp cooling during chemotherapy, AB 1879 on standardized data reporting for substance use disorder treatment programs, AB 1906 on coverage for at-home cervical cancer screening kits, and AB 1556 on drug-free recovery housing. Most of these bills drew strong support from patient advocates, health providers, and community organizations, while insurers or industry groups opposed several of the coverage mandates on premium-cost grounds. AB 1906 was voted out on a roll call after quorum was established. AB 1556 drew support from recovery advocates and local officials but also opposition-unless-amended concerns from housing groups worried about relapse-related evictions and conflicts with Housing First principles; the bill was still under discussion at the end of the excerpt.

Transcript Highlights:

• LAO, Frank Jimenez with the Legislative Analysts.
• So to date, it's been a combination of studies.
• We do soil analysis, hydrology studies, and natural resource studies, such as all the various species
• You mentioned studies had to be redone.
• Those studies would be included in...

Keywords: 988, house, all

Transcript Highlights:

• Is not ready to manage it.
• This is a great piece of legislation.
• This is a great piece of legislation.
• We caught it in time to manage the disease.
• These are five existing management agreements.

Summary: The committee first heard SB 200, which would implement recommendations from DEP’s 2020 Recycling Goal Final Report by creating a technical assistance group to develop a comprehensive waste reduction and recycling plan by 2026. The bill focuses on recycling education and outreach, evaluating the former recycling grant program, and developing markets for recyclable materials. Supporters from the waste and recycling industry and counties said the bill would finally create a real plan to help Florida move toward its recycling goals. The bill was reported favorably. The committee then considered SB 50 on nature-based coastal resilience, which would promote green, gray, and hybrid infrastructure, direct USF’s Flood Hub to develop guidelines, require DEP rulemaking on erosion and mangrove protection, and study whether nature-based flood reduction could help lower insurance costs. Supporters appeared in favor, and the bill was reported favorably. The committee also passed SB 7000 as a committee bill to continue a public records exemption protecting site-specific location information for threatened and endangered species. Members next took up SB 56 on weather modification activities. The bill would prohibit the release of chemicals or substances into the atmosphere to affect weather or sunlight, define geoengineering, increase penalties through an amendment, and create a DEP reporting hotline with possible referral to DOH or emergency management. The sponsor and several supporters argued the bill was needed to address public concerns and lack of oversight, while several senators questioned the evidence, the role of state agencies, and whether the bill was ready for passage. Despite opposition from some members, the committee adopted the amendment and reported the bill favorably. The committee also approved CS for SB 62 creating a resilient building tax credit program, after amending it to shift agency references from DEP to DBPR and add university advisory members, and CS for SB 80 to clarify state park management as conservation-based, require public notice and advisory input for plan changes, and improve reporting on park repairs; both bills were reported favorably after testimony from supporters and conservation groups who sought tighter language to prevent incompatible uses. Finally, the committee received presentations from the Florida Fish and Wildlife Conservation Commission on gopher tortoise relocation, wildlife disease surveillance, and the Florida Keys National Marine Sanctuary. FWC described tortoise relocation and recipient-site programs, ongoing monitoring of wildlife diseases such as chronic wasting disease and feline leukomyelopathy, and efforts to address fish die-offs and update sanctuary agreements amid state-federal jurisdiction issues. No votes were taken on the presentations.

Transcript Highlights:

• Um, I legislative director for 100%.
• at<00:24:54.799> facilities studies were conducted at facilities studies were conducted
• And as the recent legislative-required study found, it is doing so while delivering benefits to Minnesotans
• required study the recent legislative required study found,<00:57:32.640> it<00:57:32.880>
• study required by this legislature. study required by this legislature.

Keywords: 1187, senate, all

Transcript Highlights:

• Right now, I presently have the support of two Wampanoag nations for this legislation.
• This legislation is vitally important.
• But the sponsors of this legislation, Representative, they want it to go through.
• , or I oppose this legislation.
• So I think, I support this legislation or I oppose this legislation.

Keywords: 995, all

Summary: The committee first heard testimony on H. 3599, a bill concerning access to historic Indian lands and easements for landlocked tribal parcels in Massachusetts. Witnesses, including members of the Mashpee Wampanoag and Herring Pond communities, said the bill would restore access to family lands that have long been treated as landlocked and had been denied easements by necessity in prior court rulings. They described heavy tax burdens, prior litigation, and support from the Mashpee Wampanoag Tribe, with conditional support from the Aquinnah Wampanoag Tribe pending language changes. Committee members asked about the tax assessments and the status of tribal support, and the chair said the committee would follow up on possible amendments. The committee then took up S. 2922, which would authorize an underground easement at Magazine Beach in Cambridge for the Greater Cambridge Energy Project. Eversource representatives said the easement is needed for a transmission line connecting the Brighton and Kendall Square substations, supporting grid reliability and the Commonwealth’s clean energy transition. They said DCR would receive fair market value and replacement land in Wendell to satisfy Article 97 requirements. No objections were raised, and the panel’s testimony concluded without a vote recorded in the transcript. Most of the hearing focused on H. 5047, which would authorize the Commonwealth to take the Norwood Hospital site by eminent domain so the hospital can be restored. Sponsors, local officials, hospital task force members, EMS and fire representatives, a chamber of commerce leader, and a former hospital administrator all argued that the 2020 flood and Steward’s bankruptcy left the region without adequate care, causing longer ambulance transports, emergency room boarding, staffing strain, and economic losses. They said the site remains a partially completed shell, that the state should be able to acquire it and bring in a nonprofit operator, and that the taking would not require state funding because an operator would pay the acquisition costs. Committee members from both chambers expressed support and asked about costs, timing, infrastructure, and whether a nonprofit operator is being pursued. The chair took the bill under advisement after extensive testimony; no vote was taken in the transcript.

Transcript Highlights:

• while managing service volume. while managing service volume.
• piece of legislation. Thank you. piece of legislation. Thank you.
• job as legislators here in this body. job as legislators here in this body.
• <06:27:02.080> Thank<06:27:02.240> you, study. Let's do the study.
• Thank you, study. Let's do the study. Thank you, Madam<06:27:03.080> Speaker.

Keywords: 910, house, all

Transcript Highlights:

• Father, bless the work done in this legislative body and the work of their hands.
• Legislation reducing the property tax burden on Texans and legislation imposing spending limits on entities
• Legislation making it a crime to provide hemp-derived products to children under 21.
• Legislation further protecting unborn children and their mothers from the harm of abortion, legislation
• Legislation protecting women's privacy in sex-segregated spaces, legislation that strengthens the Attorney

Transcript Highlights:

• We want to hear about why you're here to support certain legislation or oppose certain legislation, but
• and pharmacy benefit managers are agents of insurance Pharmacy benefit managers are agents of insurance
• This is why the legislation is also crucial.
• This is why the legislation is also crucial.
• Another study I want to mention is the Minnesota study that found that for every $1 spent on doula care

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.

Transcript Highlights:

• Is it a study that requires a third-party consultant, or did an in-department study?
• Is it a study by a legislative committee? Explain to me the study you're looking for.
• in-depth of a study are we looking at? in-depth of a study are we looking at?
• Is it a study by a in-department study? Is it a study by a legislative<00:19:54.120> committee?
• study you're looking for. Ms. Kaski? study you're looking for. Ms. Kaski?

Keywords: 916, all

Summary: The committee opened by taking roll for the Joint Transportation, Highways, and Military Affairs Committee and noting that 20 topics had been submitted for discussion, including one late addition. Members were asked to number the topics for reference, and the chair explained that each presenter should give a brief overview before the committee returned to the dais for questions and possible ranking or action. No votes were taken during the portion provided. The first topic was a request from the Associated General Contractors of Wyoming to have TRIP, a third-party transportation research organization, present a report on Wyoming’s highway system. The report is intended to identify transportation needs and 25 priority projects, and the committee generally supported hearing the report and methodology directly from TRIP. The next topic combined two similar railroad safety proposals. Representative Chestek described a bill addressing train length, wayside detectors, and track inspections, citing the East Palestine derailment and concerns about reduced inspection frequency. Committee members raised questions about federal preemption and enforcement authority; Chestek said states can be more protective of safety where federal rules leave gaps, and WYDOT said it would need additional expertise and staffing to administer such a program. No public testimony was offered on the railroad topic. The committee then heard two proposals from the Wyoming Military Department. One would study Tricare subsidies for mental health providers by comparing Tricare reimbursement rates with other insurers, gathering de-identified data on eligible members and provider participation, and then returning to the committee with findings before any legislative recommendation. Members discussed whether the issue might fit better in Labor, Health, and Social Services, but the military department said it believed the committee had a strong connection to the topic. The second military topic would study Service Group Life Insurance for state active duty, comparing state and federal death benefits for Guard members to identify any shortfalls. The committee also briefly discussed a VSO program review raised by Representative Neff, focusing on the number of veterans service officers and retention, but no action was taken in the excerpt.

Transcript Highlights:

• Will Lewis with the Legislative Analyst's Office?
• The key function of CalReady is to create and manage a disease incident.
• Looking over at the vaccine management system, this includes three different functional areas.
• a study that there's no parameters on, that we're not sure when this study is going to be done and how
• You have finished your study. You have data to present.

Summary: The Assembly Subcommittee on Health heard an overview of the California Department of Public Health budget, including a $5.1 billion department budget and 19 non-IT budget change proposals spanning environmental health, healthcare quality, infectious disease, healthy communities, health statistics, preparedness, and laboratory sciences. CDPH also presented estimates for WIC and the Genetic Disease Screening Program, both of which were described as relatively stable, with WIC food costs rising mainly due to inflation and participation holding near 1 million monthly participants. Members and public commenters raised support for several proposals, including funding for the California Reducing Disparities Project, AB 1264 implementation on school food standards, childhood lead poisoning prevention, the hospital bed capacity registry, sickle cell care networks, and WIC protections amid federal policy changes and shutdown-related uncertainty. Dr. Erica Pond then presented the 2026 State of Public Health report, highlighting major gains such as record-low mortality rates, all-time high life expectancy, and the first decline in overdose deaths in 14 years, while warning about persistent disparities in maternal and infant outcomes, rising severe maternal morbidity, and worsening mental and behavioral health trends, especially among younger adults. She emphasized racial and geographic inequities, the role of social drivers like poverty and education, and the importance of prevention investments through the Behavioral Health Services Act. Members discussed the need for upstream public health spending, environmental health preparedness, and how to translate data into action, while public comment largely focused on sustaining community-based prevention and equity programs. In a separate update on federal actions and public health partnerships, Dr. Pond and CDPH staff described California’s response to federal funding threats, vaccine policy changes, and measles outbreaks. They outlined new collaborations such as the West Coast Health Alliance, the Governor’s Public Health Alliance, the WHO outbreak network, and the FACT Coalition, along with CDPH’s process for reviewing and updating immunization and preventive service recommendations under AB 144. Members questioned the rise in measles and declining vaccination coverage, and CDPH said it is using trusted messengers and tailored outreach while continuing to evaluate federal recommendations. The committee then heard an ADAP estimate showing lower projected budget authority needs due to reduced caseload and one-time funding expiring, followed by public support for using ADAP rebate funds to expand HIV prevention, PrEP, testing, and disease intervention staffing. The final issue focused on public health information technology systems, including Sapphire, CalReady, CalConnect, CARE, MyTurn, MyCAVAC, and the digital vaccine record. CDPH explained how these systems support disease reporting, contact tracing, immunization tracking, vaccine ordering, and outbreak response, while the Department of Finance said only Sapphire and CalReady are funded in the Governor’s budget and the rest are under review because of the state’s budget deficit and declining utilization. Local health department representatives strongly opposed losing the systems, arguing that lower usage reflects post-pandemic conditions and that the tools save staff time, improve outbreak response, and prevent a return to manual spreadsheets and phone calls. Members echoed concern that cutting the systems would undermine public health capacity and waste prior state investment, and urged the administration to present a funding plan that matches its stated commitment to public health.

Transcript Highlights:

• And then flood management strategies.
• It's asset management.
• The intent of the study, as I understand it, was to study the relationship between water and power usage
• help manage water use.
• And if you were to work on legislation, I would say work to legislate at least the silver standard, You

Keywords: 1184, house, all

Transcript Highlights:

• They recognized that a legislative study commission could address the many uncertainties and resolve
• They recognized that a legislative<00:14:40.720> study<00:14:41.120> commission<00:14:42.000
• > could legislative study commission could legislative study commission could address<00:14:42.560
• So within the structure of this proposed legislation that would stand up a commission to study the concept
• So within the structure of this proposed legislation that would stand up a commission to study the concept

Keywords: 1189, house, all

Transcript Highlights:

• One special role the library plays is to manage the legislative website search function.
• One special role the library plays is to manage the legislative website search function.
• One special role the library plays is to manage the legislative website search function.
• One special role the library plays is to manage the legislative website search function.
• One special role the library plays is to manage the legislative website search function.

Keywords: 1187, senate, all

Transcript Highlights:

• I get to follow management, and we have workers and management on the same page on a bill.
• I would say for me personally, in terms of sponsoring this legislation, as someone who's managed a lot
• I know it's hard for management.
• This legislation is a workforce bill. This legislation is for the workers.
• This legislation is for patients.

Transcript Highlights:

• We also want to acknowledge we have a couple of members from legislative management, Senator Beckettal
• How could conflicting timelines be managed?
• Maybe it should just go to the Legislative Management, for example, or, yeah, I don't know if that answers
• We do the market rate study.
• They're not assigned to any specific legislator.

Summary: The Advanced Nuclear Energy Committee met to review prior minutes and hear a series of presentations on advanced nuclear technology and state readiness. The committee approved the April 21, 2022 minutes. Nucleon’s William Bridge outlined the advanced nuclear landscape, distinguishing near-term light-water SMRs from more advanced Gen 4 reactors and microreactors, and emphasized that fuel supply, especially HALEU, remains a developing supply chain. He said light-water designs are the most deployable in the near term, while advanced reactors may be better suited for industrial heat applications and could face a 2- to 3-year delay from fuel availability. Representatives from NASEO described how other states are supporting advanced nuclear through task forces, roadmaps, pilot programs, financing tools, workforce and supply-chain efforts, and regional coordination. They highlighted the Advanced Nuclear First Mover Initiative and stressed that states are focusing early on emergency preparedness, community engagement, waste management, affordability, and consumer protections. They also noted that some states are creating nuclear-ready community programs and cost-recovery guardrails, while public utility commissions are examining long-term lifecycle costs and rate impacts. North Dakota agencies then outlined their potential roles. The Public Service Commission said it would likely be involved in public-interest review, siting, and rate regulation, but noted current statutes may not fully address long-term nuclear projects, co-location, or decommissioning. The Department of Environmental Quality said it would continue to regulate radioactive materials and likely support emergency planning, while fission reactor oversight remains federal. The Department of Emergency Services said it would serve as the lead off-site preparedness agency, needing a radiological emergency program, training, exercises, equipment, and possibly industry funding. The Department of Water Resources said North Dakota has sufficient surface water, especially from the Missouri River, but that water planning would be important; it did not recommend statutory or budget changes at this time. The committee recessed for lunch after these presentations, with no additional votes or actions taken.

Transcript Highlights:

• I serve as the Operations and Communications Manager at Mass Now.
• This leaves families such as mine to manage on our own.
• So what happens if you ever—is there any studies on those individuals?
• There's a lot of studies that support that.
• I'm a research manager with the Energy and Policy Institute, or EPI.

Keywords: 995, all

Summary: The Joint Committee on State Administration and Regulatory Oversight heard testimony on several bills. Senator Mike Moore supported S. 2185, which would delay implementation of the heavy-duty omnibus/advanced clean truck requirements while requiring the Commonwealth to purchase or lease electric medium- and heavy-duty vehicles starting in 2025; he argued the delay is needed because infrastructure, grid capacity, vehicle availability, and costs are not yet ready. The committee also heard strong support for S. 2156/H. 3318, which would require free menstrual products in public buildings, with advocates and students describing period poverty and the need to treat menstrual products like other basic restroom supplies. Senator John Keenan testified for S. 2158, a bill to let municipal light plants protect proprietary and competitively sensitive information from public disclosure while keeping board meetings and minutes open, saying it would help level the playing field against larger competitors. A major portion of the hearing focused on S. 2125/H. 3384, the language access and inclusion bill. Testimony from the AAPI Commission, Mass Speaks coalition members, Mass Appleseed, MLRI, ATASK, MAPC, the Boston Bar Association, Mass Advocates for Children, and others described barriers faced by limited-English-proficient residents in accessing MassHealth, DCF, courts, domestic violence services, schools, and other state services. Witnesses cited untranslated documents, inadequate interpretation, delays, and the burden placed on bilingual staff and children; several also pointed to recent federal moves toward English-only policy as making state action more urgent. Committee members asked questions about implementation, interpreter availability, and the role of technology and remote participation, and the chair noted the bill had been reported favorably in a prior session and intended to be again. The committee also heard testimony on time-zone legislation. Dr. Karin Johnson, representing sleep medicine interests, supported H. 3405 for permanent standard time and opposed S. 2157 for permanent daylight saving time, arguing that standard time better aligns with circadian rhythms and health, while permanent daylight saving time would worsen morning darkness and sleep disruption. Members questioned the strength of the scientific evidence and discussed school start times, geography, and whether Massachusetts should align with neighboring states. No votes were taken during the hearing, and testimony continued on additional bills as the session progressed.

Transcript Highlights:

• for managing carbon and producing clean energy.
• increased costs that come with increased treatment, as well as energy management.
• increased costs that come with increased treatment, as well as energy management.
• I'm really not familiar with the agricultural industry and waste-management practices.
• But I'm not really sure what the dairy management...

Summary: The Assembly Select Committee on Biotechnology and Medical Technology held an informational hearing on the role of biotechnology industries in wastewater treatment, hosted at Bakar Labs on the UC Berkeley campus. Opening remarks emphasized California’s water scarcity, the rising cost of wastewater infrastructure, and the need to reuse and clean contaminated water. Committee members framed the hearing as a look at both current treatment challenges and emerging technologies that could improve water quality, affordability, and resilience over time. The first panel focused on statewide wastewater challenges. BACWA Executive Director Laurie Fono described wastewater plants as part of a broader circular economy, noting their roles in recycled water, environmental enhancement, biosolids management, carbon sequestration, and renewable energy generation. She highlighted major challenges including aging 1970s-era infrastructure, nutrient reduction mandates, sea level rise, evolving regulations, and PFAS source control. She said Bay Area agencies face about $11 billion in nutrient reduction costs, with rate increases, state revolving funds, WIFIA loans, and bonds as the main financing tools. Members asked about regional differences, energy revenue opportunities, smaller decentralized plants, and agricultural collaboration. The second panel featured researchers and lab experts discussing biotechnology solutions. Lawrence Berkeley National Lab’s Dr. Romine Chakarvati described using microbial communities and machine learning to help break down PFAS and treat produced water. CEL Analytical’s Dr. Yigi Dearborn explained pathogen testing for direct potable reuse, wastewater monitoring, and the need for larger sample volumes and more funding to validate methods for viruses and protozoa. Stanford’s Dr. Chunhung-Shin presented an anaerobic membrane system that turns domestic wastewater into clean water and energy with less biosolids and lower operating costs. Committee members asked about AI, assay development, scaling technologies, and funding priorities. Public comment from the California Association of Sanitation Agencies stressed the need to balance scalability, reliability, and affordability, and the hearing adjourned without any formal vote or action.

Transcript Highlights:

• I'm the founder-director of the 10-P Program, and we're in strong support of this legislation.
• This is the first comprehensive study to examine all major platforms. California drivers.
• We’ve all been a little busy on our respective legislation.
• To this day, management acts like it's a non-union warehouse.
• So we believe it's premature to make changes through this process in legislation.

Summary: The committee heard several labor-related bills, with AB 1424, AB 1340, AB 288, and AB 746 all advancing on due-pass motions to Appropriations after testimony and roll calls. AB 1424 would require climate resiliency and extreme-heat protections in CDCR facilities; supporters described dangerous heat conditions for incarcerated workers and staff, while no opposition testified. AB 1340 would allow rideshare drivers to unionize and collectively bargain; drivers, labor groups, and researchers testified that app-based work is low-paid and unstable, while TechNet, Uber, Lyft, and other business groups argued the bill conflicts with Proposition 22 and could raise costs. AB 288 would let PERB step in when federal labor remedies are unavailable; supporters said it is needed because of NLRB dysfunction, while the Chamber of Commerce raised preemption and enforcement concerns. AB 746 would create an inmate cooperative program and a green reentry reserve; supporters framed it as a recidivism-reduction and reentry strategy, and there was no opposition testimony. The committee also heard AB 858, which would extend hotel and hospitality worker recall rights after declared emergencies and extend existing COVID-era protections. Hospitality workers and unions supported the bill as a way to protect jobs after pandemics, wildfires, and other disasters, while hotel, chamber, retail, restaurant, trucking, travel, and attractions groups opposed it, saying the current recall rules were meant to sunset and that the bill would create broad liabilities and hiring complications. The bill was moved to Appropriations but remained on call after the roll. AB 291, creating a credentialed educator apprenticeship program to address teacher shortages and improve diversity, drew support from education groups and stakeholders who said apprenticeships could lower preparation costs and provide better support; it was also moved to Appropriations and placed on call. Later, the committee took up AB 1104, a solar-energy bill intended to clarify that private solar customers are not “awarding bodies” and to ease certain business-to-business solar transactions while preserving prevailing wage and apprenticeship requirements for contractors. Supporters said the current interpretation has chilled commercial solar adoption and harmed jobs, while opponents from electrical workers, PG&E, and others warned about expanded “over-the-fence” power sales and the need for clearer limits. Members questioned the lack of a definition of “small,” and the bill was held without a second. The committee also heard AB 338, which seeks $50 million for Los Angeles and Ventura wildfire workforce recovery; the author and county officials described major job loss and business destruction and said the funds would support displaced workers and rebuilding, with the testimony continuing beyond the excerpt provided.

Transcript Highlights:

• The first is in our managed care organization, so our managed care contract includes requirements for
• They manage their own value-based program. They set the rules for it.
• Assembly just put the next Legislative Assembly.
• Do we need to include the study in the bill, or would that happen anyway?" "Mr.
• So whether it's in the bill or not, it should be a department study, not a legislative study?" "Mr.

Keywords: 908, all

Summary: The Senate Appropriations HR Division met with all members present to review the medical services portion of the HHS budget. Sarah Aker, Executive Director of Medical Services, walked the committee through several budget items, including HCBS cost-to-continue adjustments, the DD bed assessment, expansion of value-based purchasing, targeted rate increases for home health and QSP services, and the cross-disability waiver. Members generally supported the targeted increases for home health and QSP, and Aker explained that the cross-disability waiver funding would support startup work, service design, and infrastructure ahead of a planned July 1, 2028 implementation. The committee spent significant time on rate-setting and provider payment issues. Members discussed ambulance rate rebasing, with several senators expressing concern that the proposed increase was too high relative to peer states; the committee ultimately moved toward reducing that item to $1 million rather than zero so it could be revisited in conference committee. They also discussed a House-added critical access hospital networking grant and similarly leaned toward reducing it to $1 million. Aker explained the department’s value-based purchasing plans, including use of a vendor selected through RFP, and clarified how the department’s existing Medicaid managed care and hospital value-based programs work. A major portion of the meeting focused on long-term care and basic care payments, including a House-added extension of the $5 per day basic care add-on and a proposed shift in nursing facility incentive grants toward a withhold-based model. Senator Mathern indicated he would bring an amendment to delay or modify the withhold change, and Aker said the department would prefer language that directly addresses whether a withhold may be implemented. Members also discussed 1915(i) services, FMAP changes, the Medicaid legacy system modernization carryover, and a House-added legislative intent section on medical assistance. The committee adjourned for the morning with plans to return later to continue Human Services budget work and revisit unresolved items in conference committee.