Transcript Highlights:

• patient access to care.
• and patient access to care. disruptions can affect day-to-day operations and patient access to care.
• Under the state's care.
• Requiring a security freeze within 30 days of a child entering care is simple, practical, and life-changing
• care?”

Summary: The committee heard a JLBC presentation on H.R. 1’s SNAP impacts, including expanded work requirements, higher state administrative costs, and a potential state share of benefits if Arizona’s payment error rate remains above 6%. JLBC estimated the administrative cost increase at about $33 million in FY 2027 and $44 million in FY 2028, and said a 2024 error rate of 8.8% could expose the state to about $139 million in benefit costs starting in FY 2028. The chair also opened the meeting by asking members and speakers to keep remarks shorter to improve efficiency. The committee then considered several SNAP-related bills. HB 2797, which requires DES to more frequently verify eligibility through data matching, post fraud/noncompliance data, and address out-of-state EBT purchases, passed 7-5. HB 2442, requiring certain able-bodied SNAP adults with school-age children to participate in employment and training unless exempt, also passed 7-5. HB 2448, which limits DES’s ability to seek work-requirement waivers or discretionary exemptions without legislative authorization, passed 7-5. HB 2206, which sets a goal of reducing the SNAP payment error rate to 3% by 2030 and adds reporting and corrective-action requirements, passed 7-5 after debate over staffing, technology, and whether the target was realistic. The committee also advanced HB 2180, appropriating $2.5 million to the University of Arizona for AZ REACH, a hospital transfer coordination program serving rural facilities. Supporters said it improves patient transfers and reduces burdens on rural hospitals; some health system representatives were neutral but asked for operational improvements. HB 2180 passed 11-1. HB 2184, as amended, passed 7-4-1; it would extend fetal death certificate filing and require patients to be informed of the option to transfer fetal remains to a funeral home, with supporters describing it as a matter of parental dignity and closure. HB 2188, as amended, creating a Language Acquisition Grant Program for deaf or hard-of-hearing infants and toddlers, passed unanimously after testimony about balancing spoken-language and ASL options. The committee then began hearing HB 2194, a bill requiring insurers to provide a contact for detailed explanations after claim or prior-authorization denials, but the transcript ends before action on that bill.

Transcript Highlights:

• I hope that one day they take care of us equally when I get to be a senior.
• But hopefully, the way we're taking care of our seniors today, they take care of us one day.
• and gender-affirming care, putting money into care for seniors and dental care, and Covered California
• Taking care of our veterans is an extraordinary priority, I think, for everyone on this dais.
• Care is going to get health care.

Keywords: 988, house, all

Transcript Highlights:

• I urge you to support this change to protect health care providers who serve our community every day.
• I urge you to support this change to protect health care providers who serve our community every day.
• I urge you to support this change to protect health care providers who serve our community every day.
• to 5 business subdivision 4A from 5 days to 5 business days, days, days, so<00:15:43.880><c> that</c
• </c> depend on them every day. depend on them every day.

Keywords: 919, house, all

Summary: The committee took up House File 729, an omnibus policy bill, and walked through a series of amendments before moving the bill forward. Early amendments addressed adult maltreatment accountability, senior nutrition flexibility, MA provider enrollment and fraud prevention, Direct Care and Treatment data and staffing provisions, disability and aging policy changes, technical corrections from DHS, behavioral health language, and MDH policy updates. Most amendments were adopted without public opposition, and several members and testifiers described them as clarifications or technical fixes to existing policy. Testimony focused on the practical effects of the bill’s provisions. Direct Care and Treatment representatives said the changes would help with data sharing, governance, staffing, patient care, and longer return stays for certain patients. Several witnesses from the substance use disorder and health care provider community supported changes to discharge summary deadlines and claims recoupment rules, arguing that business-day timelines and limits on late clawbacks would reduce administrative burden and financial uncertainty. A disability advocate also urged passage of the bill, saying services for people with disabilities were at risk if it did not advance. After public testimony and member discussion, the committee adopted the DE2 amendment as amended and then approved the bill as amended. Chair Noor renewed the motion to re-refer House File 729 to the Committee on Ways and Means, and that motion passed.

Transcript Highlights:

• Today is Primary Care Day at the Capitol. It's also FFA Day at the legislature.
• Today is Primary Care Day at the Capitol. It's also FFA Day at the legislature.
• homes, licensed family child care homes, licensed group child care homes, or licensed child care centers
• home, licensed family child care home, or licensed group child care home.
• And we really learned a lot about health care and the struggles of health care.

Keywords: 996, all

Transcript Highlights:

• They need care, and we want to be here to provide that care.
• It also ensures that access to care for eye care is a top priority for this state.
• It also ensures that access to care for eye care is a top priority for this state.
• Senate Bill 32 by Senator McMath relative to prenatal care, to provide for the prenatal bereavement care
• So you had a great day to day, Mr. Chairman. Thank you. Mr. Chairman. Thank you very much.

Summary: The House Committee on Health and Welfare met on April 28 with a quorum and took up several Senate bills, beginning with SB 113 on the local health care provider participation program in Calcasieu Parish. The committee adopted a technical amendment and heard that the bill would shift the local sponsor from the parish to the city if needed by a June 1 deadline. After brief discussion and no opposition, SB 113 was reported favorably with amendments. The committee then approved SB 23, which exempts certain assisted living facilities licensed by LDH from the definition of food service establishment, and SB 150, which would allow LDH to scan and electronically store vital records supporting documents and return originals to citizens. SB 221 also advanced after testimony that it would allow EMS providers to be reimbursed by Medicaid for emergency responses where treatment is provided on scene but the patient is not transported. Members discussed that the bill could reduce unnecessary ER use and likely would require some rulemaking, but it was reported favorably. A major portion of the meeting focused on SB 404, a broad vision benefit plan reform bill. Supporters, including optometrists, said the measure would improve transparency, patient choice, and access to eye care by limiting restrictive plan practices; opponents from the vision care plan industry argued it was an unprecedented, provider-driven overhaul that could raise costs and reduce flexibility. After extensive testimony and an agreed amendment clarifying network participation, the committee reported SB 404 favorably with amendments. The committee also reported SB 32 favorably with amendments after emotional testimony from parents and advocates about perinatal bereavement care, cooling devices, and training for hospitals to give grieving families more time and dignity after infant loss. Finally, the committee heard SB 43, which would create a psychedelic-assisted therapy initiative within LDH for clinical research and treatment involving ibogaine and psilocybin, with testimony from veterans, researchers, and advocates describing potential benefits for PTSD, substance use, and traumatic brain injury. The bill was reported favorably with amendments and set to pass a courtesy sheet. The committee then began SB 253, a bill regulating peptides and compounding pharmacies, adopted technical amendments clarifying provider liability, and continued discussion as the transcript ended.

Transcript Highlights:

• Family planning and abortion care coverage, preserves direct access to hospice care, long-term care coverage
• at the end of the day.
• , the total cost of care.
• Quality care.
• Emergency Child Care Bridge.

Keywords: 988, house, all

Transcript Highlights:

• The middle-sized hospitals have just a flat per diem of about $850 a day for day one through 20, I believe
• that $3,900 a day, the same as that NICU patient that's a 24-weeker down there getting intensive care
• We cut uncompensated care costs, yes. Are there other costs besides uncompensated care?
• It's health care heroes with servant hearts taking care of our patients.
• And that's where we went from the baseline of $675 a day to the baseline of what you see is $8.50 a day

Summary: The subcommittee met to review Arkansas DHS hospital spending and reimbursement methods, with Secretary Janet Mann and Deputy Secretary Misty Eubanks explaining Medicaid hospital payments. They described fee-for-service per diem payments, cost settlements, and the upper payment limit (UPL) program, noting that SFY 2025 hospital payments included $688 million in inpatient/outpatient claims, $473 million in UPL payments, $248 million in cost settlements, and about $47 million in other payments such as graduate medical education and disproportionate share hospital funds. Members asked about why per diem rates vary, how cost settlements work, why UPL applies mainly to private hospitals, and how assessment fees are structured and funded. DHS said the hospital assessment fee is broad-based and uniform, used as the state share to draw federal funds, and that supplemental hospital payments after federal match totaled $548 million with no general revenue used. The Arkansas Hospital Association’s Jody Ann Tritt then gave a broader overview of the hospital landscape, explaining the different hospital types in the state, including critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals. She said Arkansas hospitals face financial strain, citing a negative 5.18% patient service margin statewide and lower reimbursement than surrounding states. She argued that Arkansas hospitals are paid less than hospitals in neighboring states for similar services, that commercial payer rates and administrative burdens are a major problem, and that Medicaid and Medicare rates remain below cost even with UPL support. She also said hospitals are the backbone of community care, provide emergency and public health functions, and are looking for ways to invest in technology and telehealth but often lack the revenue to do so. Members pressed for clearer data on hospital finances, reimbursement adequacy, and the impact of commercial insurers. Tritt said the association had just authorized a statewide survey to gather updated financial information from hospitals, which she said would take about a year to complete. She also explained that Medicaid pays weekly, Medicare and commercial plans can involve delays and denials, and that hospitals often spend significant resources on revenue cycle work. The discussion ended with a brief update on assisted living reimbursement: DHS said one facility, The Pillars of the Community in Crossett, had announced closure, nine Living Choices waiver clients were being transitioned, and the updated rate study would be available after cost reports are collected, likely before the end of the fiscal year. The meeting then adjourned.

Transcript Highlights:

• If the health care service plan or insurer does not meet the 90-day deadline, the applicant's credential
• Patients in crisis shouldn't have to wait days for care when trained emergency physicians are available
• Patients in crisis shouldn't have to wait days for care when trained emergency physicians are available
• Instead, sometimes patients are forced to wait hours and even days to get these patients the care they
• care.

Summary: The Assembly Health Committee heard a long series of health-related bills, with most measures focused on access to care, administrative simplification, and behavioral health. Early items included AB 583, allowing nurse practitioners to sign death certificates; AB 492, requiring DHCS to notify local governments when new alcohol or drug recovery facilities are licensed; and AB 280, which would tighten provider directory accuracy requirements, add enforcement benchmarks, and allow use of a centralized database. Testimony on AB 280 highlighted the harms of “ghost networks,” while insurers and some provider groups opposed the bill as written, arguing it placed too much responsibility on plans and did not fully address provider-side data problems. AB 280 passed on a roll call vote, and several other bills were placed on consent and approved. The committee also advanced AB 636, expanding Medi-Cal coverage for medically necessary diapers for children up to age 21 and lowering the age threshold for access; AB 1041, streamlining physician credentialing with a uniform form and 90-day review deadline; and AB 787, requiring health plans to help enrollees find in-network providers quickly when directories fail. Supporters of these bills emphasized family financial strain, delays in care, and the burden of administrative red tape, while opponents of AB 1041 and AB 280 raised concerns about provider participation, accuracy, and liability. All three measures were approved and sent to Appropriations. The committee then took up AB 4 and AB 29. AB 4 would allow income-eligible Californians to buy Covered California coverage regardless of immigration status, and AB 29 would authorize Medi-Cal reimbursement for community health workers and doulas conducting ACE screenings. Both bills drew strong support from immigrant-rights, health access, and community-based organizations, and both passed on roll call votes, with AB 4 receiving some no votes. The committee also approved AB 416, which would allow emergency physicians to place 5150 holds in certain circumstances; supporters said it would reduce delays and overcrowding in emergency departments, while Disability Rights California and others warned it could increase unnecessary involuntary hospitalization and transfers to locked facilities. Despite those concerns, the bill passed and was sent onward for further consideration.

Transcript Highlights:

• And so before there was a King Day or a César Chávez Day, there should have been a Native American Day
• are provided care at a fraction of the administrative costs of private health care plans.
• , providing primary care services, dental and vision care, mental health care, substance use disorder
• I have cared for approximately 15 people as an IHSS care provider.
• CARE. Mark Persico, S.F. CARE, support. Cora McCoy, CARE, strongly support.

Summary: The committee heard several bills focused on public employment, retirement, and recognition of cultural and public service issues. AB 569 would allow local governments and unions to negotiate supplemental pension contributions for certain employees; AB 989 would make California Native American Day an official paid state holiday; AB 268 would recognize Diwali as an official state holiday; AJR 3 would urge protection of Social Security, Medicare, and Medi-Cal from federal cuts; AB 1067 would require misconduct investigations to continue even if an employee retires during the process; AB 1510 made technical and conforming changes to state employee pay and benefits laws and to Santa Clara Valley Transportation Authority labor law; and AB 1233 would create a statewide database of classified school employee employment history and serious misconduct records. The committee also took up AB 1383, which would lower the retirement age for certain first responders and restore some bargaining rights over retirement benefits, drawing extensive testimony for and against. Supporters of the holiday bills emphasized long-overdue recognition of Native American and South Asian communities and the importance of honoring California’s diversity. Supporters of AJR 3 described the reliance of seniors, people with disabilities, and families on federal and state health and retirement programs, warning that cuts would cause serious harm. AB 1067 was presented as a way to prevent employees from retiring to avoid accountability, while AB 1233 was framed as a student-safety measure to help schools identify applicants with prior egregious misconduct. Opposition to AB 1233 focused on due process and the breadth of the misconduct records, and opposition to AB 1383 argued it would reverse PEPRA reforms, raise pension costs, and strain local budgets, while supporters said firefighters and other first responders face unique health and safety risks and deserve earlier retirement. Most bills were reported out of committee on unanimous or near-unanimous votes and placed on hold for add-ons or referral to Appropriations or another committee. AB 912 was taken up on the consent calendar and held; AB 569, AB 989, AB 268, AJR 3, AB 1067, and AB 1510 all advanced with do-pass recommendations and were placed on hold. AB 1233 was moved to the Committee on Education. AB 1383 drew the most extensive debate, with many witnesses in support and opposition, and committee members largely expressing support for first responders while also noting concerns about cost and pension policy.

Transcript Highlights:

• Day in and day out, I work 60 plus hours a week.
• care of them.
• care of them.
• get care.
• A clerical note: 90 days versus 60 days. Was your intention to always have 90 days?

Summary: The committee first approved the January 21 minutes and then heard SB 1179, which would remove the delayed repeal date and appropriation contingency from the Developmental Disabilities Group Home Monitoring Program. Testimony from Disability Rights Arizona and program managers described the program’s monitoring and investigative work, including identified systemic concerns in group homes, while the sponsor said the effort should continue. SB 1179 received a do-pass recommendation on a 6-1 vote, with some members reserving their right to revisit the bill on the floor. The committee then took up SB 1114, appropriating $1 million for the Maricopa County Attorney’s Office to investigate behavioral health patient brokering. Witnesses, including Native advocates, described widespread recruitment of vulnerable people—especially Native Americans—into fraudulent treatment and sober-living schemes, often through social media and across state lines. Members and the sponsor framed the bill as an enforcement response to long-running abuse. SB 1114 passed 6-0. The committee also heard SB 1115, which would require AHCCCS/Access employees to work in person rather than remotely; supporters argued remote work had harmed oversight and service delivery, while Access said it would need substantial office space and warned of costs and staffing impacts. SB 1115 passed 4-3. The committee next considered SB 1051, requiring hospitals that accept Access payments to collect patients’ citizenship or immigration status on intake forms and report aggregate data to DHS. Supporters said it was a data-collection and accountability measure; opponents, including nurses and physicians, said it would deter care, undermine trust, and function as immigration surveillance. The bill passed 4-3. SB 1122, dealing with prior authorization and prepayment review for behavioral health services under the American Indian Health Plan, was amended to require a corrective action plan before 100% prepayment review; Access said it had minimal concerns with the amended version. It passed unanimously 7-0. SB 1132, a blank appropriation for a new Arizona State Hospital wing, drew testimony from families and advocates about the shortage of psychiatric beds and the effects of the Arnold v. Sarn consent decree; it passed 7-0. The committee also approved SB 1169 for graduate medical education funding, SB 1171 on dual enrollment checks between AHCCCS and exchange plans, and SB 1172 on DCS investigations and court notification, with votes ranging from 4-2 to unanimous support. Finally, the committee heard SB 1173, which would require owners and applicants for outpatient behavioral health facility licenses to be U.S. citizens or lawfully present, with an amendment clarifying lawful permanent resident status. The sponsor said the bill was intended to curb fraud tied to behavioral health licensing and patient brokering; discussion focused on whether the bill language matched that intent. The transcript ends before a final vote on SB 1173.

Transcript Highlights:

• </c> of that care plan. of that care plan.
• </c> in adult day services? in adult day services?
• </c> care of? care of? Take<00:51:16.000><c> that.</c> Take that. Take that.
• . care. care.
• adult day services.

Keywords: 1183, house

Transcript Highlights:

• So I'm going to be able to be a day, one day, one day, one day, and I'm a day. Thank you.
• Every day, health care workers show up to provide care and treat every person with dignity and respect
• safe care environments.
• When students, for our health care providers also means better care for patients.
• Seven days suspended.

Keywords: 995, all

Summary: The House opened with the Pledge of Allegiance and adopted a Rules Committee resolution commending the National Alliance for Children’s Grief for Children’s Grief Awareness Day. It also concurred in several Senate petitions referred under suspension of Joint Rule 12, including proposals on manufactured home insurance costs, firefighting water supplies and a state cistern program, Medicare coverage for end-stage renal disease, and short-term rental building inspections. The chamber then took up several bills and local matters. It advanced and later enacted measures including a workplace violence prevention bill for health care employers, a bill amending use restrictions at Foxborough State Hospital, a bill authorizing disposal of certain Upton land, a sick leave bank for Amy Tangway, and local bills for Ipswich, Palmer, Wareham, North Carver Water District, Lowell easements, and Westford agricultural preservation restrictions. The House also adopted a resolution rescinding prior Massachusetts Article 5 Convention applications, with Rep. Peisch explaining that the measure would withdraw old state requests for a constitutional convention; the resolution passed 155-3. Much of the floor debate focused on House 4767, the workplace violence prevention bill. Supporters, including Reps. Lawn, Kane, and Fields, described frequent assaults and threats against health care workers, cited injury statistics, and said the bill would require facility-specific risk assessments, prevention plans, training, incident reporting, and paid leave for injured workers. An amendment narrowing language about covered workers was adopted, and the bill ultimately passed to be engrossed by roll call 158-0 before later final enactment. The House also heard a commemorative resolution recognizing the Iwagua, Taino, Lukyu, and Cario Tribal Nations and other Taino tribes and their heritage in the Commonwealth, with Leader González and other members speaking in support. Several final passage votes were taken by roll call or voice vote, with the bills and emergency preambles adopted and the House adjourning to meet the next day in informal session.

Transcript Highlights:

• She begged them several times a day, every single day.
• Preventative care and direct immediate care. able to live, preventative care and direct immediate care
• medical care.
• That's 200 days that a family is waiting while their child goes without care.
• That's 200 days that a family is waiting while their child goes without care.

Summary: The committee first took up SB 1377, a bill on medical exemptions for school immunizations. The author and supporters said the measure was a narrow reform to restore physician discretion and reduce what they described as chilling effects from audits and license discipline; opponents from pediatric, medical, public health, and school groups argued the current system already works, protects against fraudulent exemptions, and should not be weakened. Committee members debated the data, the number of exemptions reviewed or revoked, and the effect of the proposed amendments. The bill was amended in committee, but because there was no quorum it was not formally voted on at that time. The committee then heard SB 995, the Masuma Khan Justice Act, which would create a statewide inspection and compliance framework for large private detention facilities. The author and supporters described severe conditions in immigration detention, including denial of medication, unsafe food and water, and lack of oversight, and the bill was presented as a response to those abuses. The California Hospital Association raised concerns about duplicative regulation and overlapping standards, but said it was continuing to work on a solution. The committee discussed constitutional and jurisdictional issues, and the bill was moved on a do-pass motion to the Committee on Judiciary with a 5-0 vote placed on call. Next, SB 1089 was heard, proposing expanded access through CalPERS and CalRX to GLP-1 medications for chronic weight disease and diabetes prevention. The author and supporters from the American Diabetes Association and medical groups argued the drugs are effective tools to prevent type 2 diabetes, reduce long-term costs, and improve health equity, while the author also shared personal experience with weight loss and medication access barriers. There was no opposition testimony. The bill was moved on a do-pass motion to the Committee on Labor, Public Employment, and Retirement with a 5-0 vote placed on call. Finally, the committee heard SB 1221, dealing with Murphy conservatorships for people found not guilty by reason of insanity or otherwise under criminal-mental health conservatorship. Supporters, including prosecutors and psychiatrists, said the bill addresses a gap created by a court decision and would improve public safety and placement decisions for a small population of high-risk individuals. Opponents from county behavioral health and disability rights groups warned it would turn a civil process into a quasi-criminal one, expand district attorney involvement, and disrupt bed prioritization and least-restrictive-placement principles. The discussion centered on the scope of the bill and its amendments, but no final vote was taken in the portion provided.

Transcript Highlights:

• How does that shifting and changing policy impact the day-to-day lives of workers?
• The last major shutdown was 43 days. That's 43 days without paychecks.
• The last major shutdown was 43 days. That's 43 days without paychecks.
• Forty-three days. The last one before, 37 days. Forty-three days. The last one before, 37 days.
• You can't afford child care, food. Bills. You can't afford child care. Food.

Summary: The Senate Labor and Public Employment Committee held an oversight hearing on federal policy impacts on California’s labor market. In opening remarks, the chair argued that federal actions, including immigration enforcement, tariffs, and cuts to safety-net programs, are harming workers, employers, and communities, and said the committee wanted to document impacts and identify state responses. The first panel featured economist Enrique Lopez Lira of UC Berkeley, who described slow job growth, wage pressures, high housing and care costs, and the large share of California workers in low-wage jobs. He said federal cuts to Medi-Cal and SNAP/CalFresh and increased immigration enforcement would worsen insecurity, especially in health care, retail, hospitality, agriculture, and care work. The chair asked about recession indicators, middle-wage stagnation, and which sectors rely most on safety-net programs, and Lopez Lira said worker organizing and unions were a source of hope. A second panel focused on federal immigration enforcement. UC Merced’s Edward Orozco Flores presented research finding that private-sector employment in enforcement-targeted states fell during escalated enforcement periods, with California experiencing unprecedented declines in 2025. He urged policymakers to consider wage-replacement or stimulus-style support for affected workers, including excluded workers who cannot access unemployment insurance. Shannon Sedgwick of the Los Angeles County Economic Development Corporation said undocumented workers are deeply embedded in the county economy, generating substantial economic activity and supporting over a million jobs. She reported that intensified enforcement in Los Angeles County was associated with business disruptions, reduced sales and customer traffic, workforce instability, lower transit ridership in vulnerable areas, and losses from the downtown curfew. Committee members asked about impacts on small businesses, tax revenue, and recovery, and witnesses pointed to local resiliency funds, business toolkits, and know-your-rights efforts as partial responses. The hearing then heard from worker representatives. Flore Melendres of the Clean Car Wash Worker Center said car washes have been heavily targeted by federal agents, with hundreds of workers taken from workplaces, many businesses disrupted or closed, and workers living in fear; she urged support for AB 2271 to provide financial benefits to families who lost income because of DHS activity. California Nurses Association president Michelle Gutierrez-Vos said H.R. 1’s Medi-Cal and Covered California cuts threaten hospital finances, jobs, and patient care, and she backed CalCare (AB 1900), a hospital closure moratorium, and more support for nursing education. UAW 4811 president Rafael Jaime said federal research cuts are putting UC research funding and postdoctoral jobs at risk and endorsed SB 895, a proposed bond measure for health and scientific research. AFGE representatives Wallace Wade and Kendrick Roberson described the strain on federal workers during shutdowns, unpaid work, staffing losses, and the effects on TSA, Social Security, VA services, and worker housing stability; they supported SB 1155 to protect federal workers from eviction. Committee members thanked the witnesses and said the testimony showed both the human and economic consequences of federal policy. In the final panel, employer groups began responding to the same federal pressures. California Retailers Association president Rachel Michelin said retail is a major private-sector employer and a key entry point for young workers, and that retailers are seeing the effects of rising costs, supply-chain shifts, and consumer pressure at the checkout counter. The hearing continued with additional employer testimony beyond the provided excerpt.

Transcript Highlights:

• God, we'll give thanks for a day more.
• So bless us this day. To care for all of your people. Bless us this day and every day.
• I hope you've had a good day, and thanks for lunch. Excellent. Day and thanks for lunch. Excellent.
• You're asking a hypothetical about care. This is about reporting care.
• She said delaying care. Those were the exact words, delaying care.

Summary: The Senate convened with prayer, the Pledge of Allegiance, a roll call showing 27 present, and approval of the prior journal. Members then introduced guests, including representatives of the Arizona Fair Association, Mohave County fair staff, a constituent guest, a physician candidate shadowing a senator, Father David Myers, and the Doctor of the Day. The chamber also received messages and read a long list of bills placed on second reading. The Committee of the Whole considered three measures. SB 1268, a veterans property tax exemption cleanup bill, was explained as clarifying that the exemption applies to a veteran’s primary residence and, if jointly owned, still counts as 100 percent; it received a do pass recommendation. SB 1051, requiring hospitals to collect and report patient immigration-status information for accounting purposes, drew extensive debate. Supporters said it would improve accountability for hospital spending and taxpayer costs, while opponents argued it would intimidate patients, discourage care, burden hospitals, and target immigrants unfairly. Despite repeated points of order and appeals over germaneness and remarks, the bill advanced on a 16-13 vote. SB 1316, creating a rural health transformation fund process with public hearings and JLBC involvement, was presented as a transparency measure for roughly $167 million in federal rural health funds; supporters favored legislative input, while opponents said it added bureaucracy and could delay care. It advanced 17-13. The Committee of the Whole reported all three bills do pass, and the Senate adopted the report. HB 2792 was substituted for SB 1268 as an identical measure and passed with the emergency clause by a 29-1 vote. SB 1123 and SB 1145 also passed, and SB 1125, dealing with child safety and communication with tribal nations regarding group homes, passed unanimously 30-0. SB 1316 passed 17-13, and SB 1051 passed 17-13 after a lengthy floor debate in which supporters framed it as a fiscal/accountability measure and opponents called it harmful, anti-immigrant, and likely to deter medical care. The Senate then announced committee meetings for the next day and adjourned until Wednesday, February 11, 2026.

Transcript Highlights:

• day, and they weren't taking care of him properly.
• So these are for certain primary care clinics, adult day care, adult day health care centers, and home
• health care... ...adult day care, adult day health care centers, and home health agencies that exclusively
• So these are for certain primary care clinics, adult day care, adult day health care centers, and home
• health care adult day care, adult day health care centers and home health agencies that are exclusively

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

Transcript Highlights:

• to longer-term care.
• Optimal care pathways model.
• the next day.
• It was about a 10-day length of stay. And 20 years prior to that, it was 30 days.
• It's developing every day.

Summary: The hearing focused on youth mental health and treatment access in California, with opening remarks emphasizing that youth distress, self-harm-related emergency visits, and difficulty obtaining care remain elevated, while workforce shortages and reliance on one-time funding continue to limit access. Assemblymember Lori Davies echoed concerns about unstable funding and said lawmakers need to hear directly from providers and families as they prepare for the budget and legislation. The chair framed the hearing as a chance to hear from county, school, provider, and student perspectives, especially in San Diego County, where needs are high and investments have not always matched demand. County and school officials described the current system and recent state initiatives, including the Children and Youth Behavioral Health Initiative, school-linked fee schedules, payment reform, and the Behavioral Health Services Act transition. San Diego County Behavioral Health said it serves Medi-Cal youth with specialty mental health needs through a broad continuum of care, including outpatient clinics, school-based services, crisis response, residential treatment, and new crisis and residential facilities. San Diego County Office of Education and San Marcos Unified School District described efforts to expand school-based services and reimbursement through CYBHI, but said implementation is slowed by complex billing rules, insurance-data collection concerns from families, administrative burden, and uncertainty about sustaining staff positions funded by grants or soft money. School counselor testimony highlighted reduced stigma through campus outreach and clubs, but also noted that counselor-to-student ratios remain well above national standards and that budget cuts threaten supports. Provider testimony stressed that the system remains fragmented and that youth often move between emergency rooms, inpatient care, outpatient therapy, schools, and county programs without smooth handoffs. A child psychiatrist described crisis cases in which the main choices are brief hospitalization or discharge with limited follow-up, and argued for stronger warm handoffs, more outpatient and intensive outpatient options, better school-clinic coordination, and broader use of mobile crisis and 988. Rady Children’s Hospital and Aurora Behavioral Health described large increases in behavioral health demand, expansion of integrated care, and major barriers tied to low reimbursement rates, delayed payments, and administrative complexity. Across the panel, witnesses called for more stable funding, clearer reimbursement rules, better parent education on warning signs, and stronger collaboration among schools, counties, hospitals, and community providers to reduce stigma and improve timely care for youth.

Transcript Highlights:

• 44 of the 60-day legislative session.
• On the child care cuts, the Working Connections Child Care program, some of the reductions there are
• for some of the days.
• I think that it's hard to try to take care of everybody when the state is failing to take care of its
• I think that it's hard to try to take care of everybody when the state is failing to take care of its

Summary: House and Senate Republican leaders held a media availability focused on the final stretch of the legislative session, with most of the discussion centered on budget proposals, a proposed income tax on high earners, and several policy bills they oppose. They criticized the operating budget for relying on a new income tax, using one-time fund sweeps and pension-related financing, and drawing down the rainy day fund, while saying the capital budget was more bipartisan and the transportation budget had some positive emphasis on road preservation but still included concerns such as Public Works Trust Fund sweeps and ferry funding. A major topic was allegations that sign-ins on the income tax bill included duplicates or fraudulent entries. Republicans said they took the issue seriously, supported verification improvements, and argued that even after removing duplicates the bill still drew over 100,000 unique emails opposing it. They rejected claims that their side had manipulated the process and said the Legislature should fix the sign-in system, possibly with more IT safeguards, while also arguing the bill should lose its emergency clause so voters could weigh in through a referendum. Republicans also criticized bills they described as anti-police or anti-law-enforcement, including measures related to face coverings and sheriff qualifications, and they opposed a bill requiring arbitration before claims against the state or local governments can go to jury trial, saying broader tort reform is needed instead. They said the state’s liability problems stem from harm done in areas like juvenile rehabilitation and child welfare. On the budget side, they objected to cuts to Medicaid, child care, transitional kindergarten, rural school funding, and other programs, while also warning against using pension funds to balance the budget and against a proposed 75-year Sound Transit bond, which they called financially irresponsible. No votes were taken in this media availability.

Transcript Highlights:

• You have up to 90 days before that approval takes place, and that care can be—or that coverage can be
• They provide that care that day, relying on the fact that they will be approved in the next 90 days,
• You move that to 60 days—60 days to the 30-day mark.
• The cost of that machine is the same day after day after day, but if you have high usage of that machine
• or primary health care.

Transcript Highlights:

• I WANT TO BE TAKEN CARE OF.
• WE ALSO HAVE A 30 DAY SURVEY AND A 60 DAY SURVEY AND THEN THE PALM GARDEN MILESTONES SURVEY.
• IT NOTED THE TOP PERFORMING CENTERS STAND OUT FOR HANDS ON CARE, AND STAFFING PER DAY THAN THE NATIONAL
• THE DAY THAT WE QUIT TRYING TO IMPROVE IS THE DAY WE NEED TO QUIT.
• THREE DAY 90 PICKING UP A POSITIVE ASPECT OF SERVING THESE TEAM MEMBERS THEY ONE DAY SEVEN DAY THREE