Transcript Highlights:

• Page 4, line 74, back to the Behavioral Health Forensic Facility. That's at Las Vegas? Mr.
• Chairman, on page 2, Kelly, On the new facility to house state forestry, is that in Las Vegas? Mr.
• This is essentially the facility that houses Forestry's Type 2 initial attack hands-on. Crews.
• I have is on 162, and that is for childcare facility upgrades.
• Western New Mexico University, early childhood facility.

Transcript Highlights:

• of health facility licensing at DHS.
• which includes the Health Facilities which includes the Health Facilities Administration,<00:48:
• network facilities is what we call them. network facilities is what we call them.
• Um, so we are disorder facilities.
• I think there are a large facilities.

Keywords: 928, house, all

Summary: The House Finance Division 3 work session opened with routine announcements, including new and absent members, a tribute to former chair Rep. Jess Edwards, and an explanation that Division 3 is advisory and will make recommendations to full Finance. Chair Mooney also distributed a self-created index to the budget binder and reviewed the committee’s options under House Rule 45. Members discussed scheduling a future visit to the Veterans Home in Tilton, with several October dates unavailable, and the chair said she would circulate possible dates. The committee also reviewed the second-year budget context and sources of funding, including surplus monies, existing and new revenue streams, grants, reappropriations, and the rainy day fund. The committee then took up several retained bills and repeatedly heard that their substance had already been addressed in the budget. House Bill 519, funding the Waypoint Youth and Young Adult Shelter, was moved ITL and passed 10-0. House Bill 547, county reimbursement funds, was also moved ITL and passed 10-0 after members noted the reimbursement had been included in HB 2. House Bill 570, repealing the prescription drug affordability board, was moved ITL and passed 10-0, with minority members saying they still believed the board had value but acknowledging the repeal had already occurred in HB 2. House Bill 704, concerning caregiver respite and senior volunteer programs, received the most discussion. Mr. Ripple explained that most items were already funded or suspended in the budget, leaving only the senior volunteer grant program unfunded. Chair Mooney offered amendment 2963H to fund the RSVP program at $180,000 for one year, contingent on surplus funds, and DHHS witnesses explained that RSVP is a federally funded AmeriCorps program that would be added to existing state licensing structures. The amendment was adopted unanimously, and the bill was reported ought to pass as amended on a 10-0 vote. The committee then heard House Bill 751, which would require licensure of outpatient substance use disorder treatment facilities and create an ombudsman-related complaint process. DHHS witnesses said the bill had been narrowed substantially from an earlier certification model with multiple positions and IT costs to a licensing model using existing department infrastructure, reducing the fiscal note to $211,000 for one position. They also said the ombudsman section was no longer needed because licensed facilities would fall under existing oversight. Members questioned how many facilities exist and whether licensing fees would cover costs; DHHS said it did not know the full provider landscape and that licensing revenue across the board does not cover the department’s costs. Rep. Daniels then proposed amendment 2964H to form a study committee because of the remaining questions and lack of a clear revenue stream, and the committee was still discussing that amendment when the transcript ended.

Transcript Highlights:

• California is varying references to commercial, industrial, and other facilities across 12 different
• California is varying references to commercial, industrial, and other facilities across 12 different
• One, that municipal stormwater permits do not directly regulate CII facilities.
• require municipalities to do site inspections and do post-construction requirements of CII-like facilities
• , assisted living facilities, and patients needing internal nutrition for home use.

Keywords: 988, house, all

Transcript Highlights:

• All I can tell you is that the need for this now came about last month because a solar facility in Garfield
• They are more expensive facilities.
• They actually locate those facilities on land that they purchase and own because they want total control
• over it, as opposed to solar and wind that lease their property for those particular facilities. ...
• Senate Bill 1400 combined several existing sales tax exemptions for aircraft maintenance facilities,

Summary: The committee took up a long series of Senate bills, beginning with SB 44, which extends a sales tax exemption to contractors working for nonprofits. It was presented briefly and reported out 24-0. The committee then considered SB 237, with a PCS and a written amendment that delayed the effective date and phased out the manufacturing exemption for solar and battery energy storage systems; members discussed the impact on ongoing projects, the treatment of solar and storage like prior wind and data center exemptions, and concerns from the renewable industry before the bill was advanced. Several other measures were heard and passed, including SB 248 on reinvesting proceeds from any sale of tourism real property back into state park maintenance and capital improvements; SB 1360 on the Pro Tem’s numeracy bill for the Department of Education; SB 985 codifying the local food for schools program; SB 1204 requiring three days of paid bereavement leave for school district employees; SB 1239 extending the bridge funding formula and moving certain motorcycle and moped fees to Service Oklahoma; SB 1307 cleaning up statutory language related to the ARCS Council, J.M. Davis Arms Museum, and Historical Society; and SB 2143 allowing county assessors to use aerial imagery, but not drones, to identify property changes. The aerial imagery bill drew the most debate, with questions about privacy, assessors’ authority, and whether the measure would save counties money; it passed 13-11. The committee also advanced SB 1428 creating an Alzheimer’s and related dementia services coordinator in the Health Department; SB 1390 extending a gross production tax sunset for tourism and water-related entities; SB 1400 combining sales tax exemptions for aircraft maintenance facilities; SB 1405 renewing the wildlife diversity check-off; SB 1732 raising fees for the construction industries board; SB 1832 adding voluntary ODVA checkboxes to licenses and hunting forms; SB 1859 creating a revolving fund for the OSBI cybercrimes and fraud unit; SB 1989 allowing electronic payment methods such as Cash App and Venmo for 529 accounts; SB 2018 changing valuation rules for new multifamily housing; and SB 1427, a bipartisan diabetes prevention and health bill. Most bills were reported out with overwhelming support, with a few receiving one or two no votes, and the committee adjourned after completing the agenda.

Transcript Highlights:

• Yeah, 2195, just to recall everyone, the purpose of this bill was to align skilled nursing facility inspections
• Representatives, House Bill 2830 restricts public schools from allowing an abortion provider or a medical facility
• Representatives, House Bill 2830 restricts public school from allowing an abortion provider or a medical facility
• disorder and illness screenings, evaluations, and treatment for persons confined in county jails and facilities
• House, House Bill 2380 requires a school district governing board to hold its meetings in a public facility

Summary: The Republican caucus reviewed a long list of House bills with Senate amendments, mostly hearing brief staff summaries and sponsor comments on whether they concurred. Topics included tax filing penalties, water and court procedures, vaccination and mask rules, bullion investment, nursing care complaint timelines, privacy protections for property and voter records, medical-record access, professional licensing procedures, school and family law changes, public records access for legislators, AI procurement, fingerprint clearance for traffic survival school instructors, development fees, infrastructure districts, distracted driving penalties, health aide scope of practice, eviction record sealing, backyard structure rules in planned communities, inmate transition services, nuclear-ready community designation, DCS parent-rights notices, domestic-violence evidence standards, inmate mental health study committee, legislative subpoena enforcement, trade office oversight, public power reporting, Native American language proficiency, mental health judicial review timelines, mobile food vendor licensing, medical-intervention requirements in schools, and school board training and meeting transparency. In most cases, the sponsor or a representative indicated concurrence with the Senate amendments, and the caucus generally moved through the bills without extended debate. A few bills drew brief explanation from sponsors about the policy purpose, such as aligning nursing-facility oversight with federal requirements, improving access to medical records, clarifying rules for licensed health aides, and adjusting school-related provisions. Some bills were noted as being sent back to the Senate or otherwise set aside, including HB 2035 and HB 2249. No formal votes were taken in the transcript; the meeting functioned as a caucus review of Senate amendments and sponsor concurrence before floor action. The caucus concluded after HB 2380, with members thanked for attending.

Transcript Highlights:

• The discussion that we were having about the facilities at UNM and NMSU, and one of them was for the
• I believe the intent that you all had was not to reduce the athletic facilities by that chunk.
• And I believe there's about 28 million for athletic facility upgrades. So 28 million, Mr. Chair.
• Well On the facility side, both of them have planned upgrades to their facilities.
• When we talk about our athletics, the facilities need to continue to make the improvements.

Keywords: 996, all

Transcript Highlights:

• For the House bills on the 10:35 agenda, HB 1156 HD1 SD1, relating to special facility revenue bonds.
• For the House bills on the 10:35 agenda, HB 1156 HD1 SD1, relating to special facility revenue bonds.
• For the House bills on the 10:35 agenda, HB 1156 HD1 SD1, relating to special facility revenue bonds.
• For the House bills on the 10:35 agenda, HB 1156 HD1 SD1, relating to special facility revenue bonds.
• For the House bills on the 10:35 agenda, HB 1156 HD1 SD1, relating to special facility revenue bonds.

Keywords: 910, house, all

Transcript Highlights:

• like this this will build facilities like this this will help<00:12:32.240> all<00:12:32.399>
• on a list at one of the um facilities on a list at one of the um facilities where<01:02:46.680><
• Now understand that all these facilities aren't the same. We have big ones, we have small ones.
• Now understand that all these facilities Now understand that all these facilities aren't<01:15:31.199
• Are we given the facilities too much? Uh, came back, they got a clean bill of health.

Keywords: 928, house, all

Summary: The committee held a public hearing on HB 530, a bill to increase funding for New Hampshire’s Affordable Housing Fund. Representative Jessica Lontine, the sponsor, described the state’s housing crisis, citing high rents, low vacancy, and the lack of affordable units. She said the bill would double the annual transfer-tax deposit into the fund from $5 million to $10 million, and she later presented an amendment to hold the Education Trust Fund harmless by directing the housing-fund deposit from remaining revenue after that trust fund is funded. She also explained a prospective appropriation idea tied to a possible future sale of the Laconia State School property, with the goal of supporting community housing for people with intellectual and developmental disabilities. Much of the testimony focused on the shortage of accessible and supportive housing for people with disabilities and aging family caregivers. Lontine, Ben Saul of Visions for Creative Housing Solutions, Lori McIntosh of Our Place NH, and Maddie Mandelbaum all described the difficulty families face in planning for adult children with disabilities as parents age or die. They emphasized that many people need not only affordable housing but accessible, supportive settings, and they argued that state investment would help nonprofit providers build such housing and prevent homelessness or inappropriate institutional placement. Several witnesses also noted that existing projects rely on capital funding and that operating revenues are limited because residents often depend on SSI and Medicaid. Committee members asked questions about the fiscal impact of the bill and amendment, including whether the proposal would shift money from the general fund or education trust fund and whether the Finance Committee should have final say over spending priorities. Lontine said she understood those concerns but argued that housing should be prioritized. Housing Action New Hampshire’s Tom Duroza also testified in support of the bill, saying the state’s housing shortage is driving record prices and vacancy rates below 1%, and that the Affordable Housing Fund has leveraged more than $500 million in private investment and helped build thousands of rental homes. He said his organization supported the underlying bill but had not yet reviewed the amendment. No vote or final action was taken at the hearing.

Transcript Highlights:

• The one caveat to that is that we do have a facilities budget, and our facilities budget carries forward
• facilities budget and our facilities facilities budget and our facilities budget<00:21:37.600>
• and the county nursing facilities.
• and the county nursing facilities and the county nursing facilities.<00:24:35.679> So<00:24:35.919
• expensive to provide such facilities expensive to provide such facilities you'll<01:03:37.760>

Keywords: 928, house, all

Summary: The committee met with DHS Chief Financial Officer Nathan White to receive an update on the department’s budget lapse and vacancy rates. White explained the difference between the “back-of-the-budget” reduction and lapse assumptions, saying DHS is facing a current biennium reduction of about $23 million and estimating roughly a $60 million general fund lapse in state fiscal year 2025, compared with about $13.5 million the prior year. He said DHS’s lapse is driven largely by program utilization, labor market conditions, contract spending, and statutory carry-forwards in areas such as Medicaid and developmental disabilities, which tend to produce a smaller lapse in the first year of the biennium and a larger one in the second year. He also noted that the House and Senate budgets differ on some operating items, including Medicaid rates, with the Senate having struck a House proposal to reduce rates by 3%. Members questioned White about whether DHS ever spends down lapse money on last-minute purchases. He said the department does not engage in that practice, though it does retain some flexibility in its facilities budget for emergencies. He also described the process for transferring funds within and between class lines, including the need for fiscal committee approval above statutory thresholds, and gave examples such as moving funds to cover overtime in the SYSC budget and to ensure Medicaid payments for nursing facilities. White said such transfers are public and transparent and are reviewed by the governor and Executive Council. The committee then discussed DHS staffing. White said the department has a little over 3,200 authorized positions, with a vacancy rate around 14.5%, and that a hiring freeze had been imposed a few months earlier while exempting direct care positions. He said DHS is planning for about a $30 million general fund reduction to personnel, equivalent to just under 400 positions, and is managing postings centrally to stay within budget by July 1. In response to questions about the loss of about $80 million in federal funds, White and Associate Commissioner Patricia Tilly said DHS avoided layoffs by shifting staff into vacant positions, but that the cuts affected community contracts, public health workers, laboratory work, and some IT/data projects. Tilly said roughly 20 positions were affected, most were reassigned, a few staff left voluntarily, and the department has less flexibility going forward if more federal funding ends.

Transcript Highlights:

• entity but I'll review the facilities entity but I'll review the facilities that<02:08:54.079>
• <02:09:18.320> and description of the proposed facility and description of the proposed facility
• but to ensure that the rural facilities but to ensure that the rural facilities that<02:15:01.360
• We should encourage to have more facilities.
• We should encourage to have more facilities.

Keywords: 1191, senate, all

Transcript Highlights:

• hydro power facilities that would be operational after the date of the bill.
• of 100 megawatts or nor but facilities of 100 megawatts or nor but not<00:24:27.919> new<00:24
• not new large Hydro power facilities not new large Hydro power facilities that<00:24:30.919>
• <00:25:05.080> thanks and not include new facilities thanks and not include new facilities
• some private held uh storage facilities some private held uh storage facilities for<01:10:02.760

Keywords: 1183, house

Transcript Highlights:

• And Oakley, my understanding is, is an old facility.
• And you're right, it's an old facility.
• I don't know if we have an abandoned correctional facility or, um, there was a job center facility, I
• counties that don't have a detention facility.
• you could if you had the facilities you could if you had the facilities >> I<01:17:22.400>

Keywords: Appropriations - Room 216, 28 January, 2026; 8:15 AM, 925, all

Summary: The committee heard a budget presentation from the Mississippi Development Authority (MDA), including its consolidated tourism and agency request. MDA said it has had strong recent results, citing about $65 billion in capital investment since 2020, roughly 25,000 jobs, record tourism, clean audits, and oversubscribed incentive programs. For FY27, the agency requested $26.4 million in general funds, level special-fund operating support, restoration of eight pins reduced in the LBR process, and several general-fund increases for a career ladder, a new HR system, training, and operating costs. MDA also discussed a $1.25 million request for America 250 activities, including a Mississippi event and participation in the National Mall “Great America State Fair,” plus an energy accelerator program tied to the governor’s energy initiative and a broader three-tier energy preparedness strategy. MDA also explained its incentive refill requests, saying it was not seeking additional funding for the ACE grant program this year and had shifted that support toward the governor’s port/rail/road investment fund and energy-ready sites. The agency highlighted a renewed request to restart funding for the small municipal and limited population counties grant program, which it said had previously helped smaller communities with water, sewer, downtown, and other projects. On tourism, MDA presented a breakout showing what the budget would look like if tourism were separated into its own department; officials said the current tourism budget within MDA is about $5.7 million in general funds and $7.9 million total, and estimated about $1.3 million in additional cost would be needed to stand up a separate tourism agency. A significant portion of the discussion focused on criticism from Senator Wiggins that MDA has not delivered enough economic development for the Mississippi Gulf Coast. He argued that constituents believe MDA does little for the coast and objected to the agency’s role in the GCRF and coastal projects, saying the coast has not seen meaningful results in years. MDA officials responded that complaints about uneven distribution are common across the state, that MDA works with local economic development partners rather than dictating project locations, and that it has helped support major coastal projects such as Relativity Space, Lockheed Martin expansions, PCC Gulf Chem, BWC Terminals, and AWS. The exchange also touched on the Port of Pascagoula and local leadership disputes, with both sides disagreeing over whether the port and the coast have been adequately supported. No votes or formal actions were taken in the excerpt.

Transcript Highlights:

• Anybody that needed to stay at our facility would need to be transferred out.
• Medical Facility Infrastructure Loan Fund.
• , generation facilities, and transmission facilities that cross state lines and have to be paid for by
• , locker room facilities on site.
• So some of the dollars could be used to build facilities.

Bills: HB1623

Keywords: HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid

Summary: The committee first heard House Bill 1624, the “Universal Lunch Bill,” from Rep. Mike Nathie. He argued the proposal should be placed in Century Code rather than the Constitution so future legislatures can adjust it if state finances tighten, and said the bill would start the program a year earlier with a $65 million appropriation for one school year. DPI testified that the estimate did not include nonpublic schools that do not participate, and members questioned the impact on Title I, free-and-reduced applications, private-school accountability, breakfast mandates for schools that do not currently serve breakfast, and whether the funding could come from the DPI budget or other sources. Supporters, including North Dakota United, the North Dakota Catholic Conference, a pediatrician, and the American Heart Association, said universal meals improve student health and learning, reduce family costs, and are better handled in statute than by constitutional amendment. No opposition testimony was offered, and the chair closed the hearing for later work-session action. The committee then took up House Bill 1627, introduced by Rep. Tye Dressler, which would raise the income threshold for the state-funded school lunch program from 225% to 300% of poverty, with an estimated cost of about $7 million for 2026-27. Dressler said the bill is intended as a targeted, budget-friendly alternative to the ballot measure and emphasized that the state should maximize federal meal dollars while improving participation in the current program. Members questioned whether raising the threshold would actually increase utilization, whether a dollar amount would be clearer than a percentage, and how the change would affect federal reimbursements and application rates. DPI said it could quickly calculate additional percentage levels, and the chair closed the hearing, directing DPI to prepare more numbers for the work session. Finally, the committee opened Senate Bill 2403, presented by Sen. Schiable, to create a short-term bridge-loan program for financially distressed hospitals, centered on Jacobson Memorial Hospital in Elgin. The bill would authorize up to $5 million per loan, with a $10 million appropriation available on a first-come, first-served basis, and would run only through June 30, 2027. Schiable said the hospital’s debt and operating problems threaten local health care, ambulance service, and the community’s economy, and that the proposal was designed narrowly with Bank of North Dakota review to avoid creating a broad precedent. Committee members asked whether the appropriation could be reduced and whether the bank would still apply commercial feasibility and repayment standards; Schiable said yes, the bank would still evaluate the loan and could reject it if it was not sound.

Transcript Highlights:

• <00:03:39.680> and<00:03:40.080> nursing<00:03:40.640> home living facility
• and nursing home living facility and nursing home licensing.<00:03:41.680> As<00:03:41.840>
• Bank because of the, uh, sports facilities authority?
• Bank because of the, uh, sports facilities authority?
• uh sports facilities authority? uh sports facilities authority?

Keywords: 919, house, all

Summary: The Legislative Audit Commission Evaluation Subcommittee met on October 6, 2025, to choose additional program evaluation topics for the Office of the Legislative Auditor. Deputy Legislative Auditor Jody Mson Rodriguez explained that the commission had previously selected seven topics from an initial list of 11, with background papers already prepared on five of those items, and that the subcommittee was now being asked to select five more topics for background papers before narrowing the full set to four recommendations later in the fall or early spring. Members discussed several possible topics, especially emergency medical services, non-emergency medical transportation, MinnesotaCare eligibility, child care assistance, medical assistance fraud prevention, and U.S. Bank Stadium. David Kersner of OLA said emergency medical services and non-emergency medical transportation are distinct programs, and noted the EMS topic was evaluated in 2022 while non-emergency medical transportation had not been reviewed since 2011. Auditor Judy Randall said MinnesotaCare eligibility, child care assistance, and medical assistance fraud prevention are better suited to OLA’s financial audit division or special review unit rather than program evaluation, and that financial audits and special reviews do not require Legislative Audit Commission nomination. On process, Mson Rodriguez said the subcommittee had already met its minimum required selections under the commission’s policy and was free to choose additional topics. The discussion also covered whether to broaden the stadium topic beyond U.S. Bank Stadium; staff said the U.S. Bank financing structure alone would be a major undertaking, but they could help craft a future topic focused on maintenance across multiple facilities. No final vote or motion was taken in the portion of the meeting provided, and the chair indicated the committee would continue nominations and discussion.

Transcript Highlights:

• And then really the state boards and commissions who have the facilities in most cases can do this.
• detention facilities, not just OJJ?
• The other thing that really we've been pushing is just evidence-based practices within the facilities
• I've gone on tours at different facilities over the years.
• If there's a complaint from a child about a facility that they're at, I will be there.

Bills: HCR95, HB4, HB244, HB615, HB648, HB1049, HB1201

Keywords: sales tax, exemptions, credits, rebates, uniformity, legislative rules, fiscal report, constitutional convention, Louisiana constitution, electoral process, government structure, delegate elections, delegates, state election, ratification, Louisiana, public meetings, broadcast, transparency, government accountability

Transcript Highlights:

• I was released from Central California Women's Facility in August after serving 19 years.
• Most of the care within the facilities is optional to our patients.
• So C-POST is what correctional officers have inside the correctional facilities. Yes.
• I guess if the concern was that they would go to a local facility, then I don't know.
• And so it's complicated, depending on where the facility is.

Summary: The Assembly Budget Subcommittee hearing focused on the Department of Corrections and Rehabilitation’s handling of mental health care in prisons and allegations of sexual abuse, retaliation, and excessive force in the state’s women’s facilities. CDCR officials described their PREA-based prevention and response efforts, including training, oversight, body-worn cameras, retaliation follow-up, and partnerships with outside groups. The Office of the Inspector General explained its monitoring role, noting increased authority under SB 1069, but also limited staffing and the ability to monitor only a portion of cases. The Legislative Analyst’s Office added that prison population trends could allow the state to close a prison and save over $100 million, with some savings potentially redirected to prevention or response efforts. Advocates and formerly incarcerated witnesses from Sister Warriors Freedom Coalition and the California Coalition of Women Prisoners testified that meaningful systemic change has not occurred and that retaliation, blocked programming, and unsafe reporting conditions remain widespread. They described alleged barriers to community-based services, forced or coercive treatment concerns involving Suboxone, and the need for survivor-centered reentry support, trauma-informed care, and more independent oversight. Sandra DeAnda gave detailed testimony about alleged staff abuse, retaliation, denial of mental health care, and a large use-of-force incident at Central California Women’s Facility, while Amika Mota and April Grayson urged release or resentencing for survivors housed with their abusers and greater investment in outside programs. Members of the committee pressed CDCR and OIG on accountability, use-of-force standards, criminal referrals, disciplinary outcomes, and whether investigations are completed within statutory timelines. CDCR acknowledged cultural problems at both women’s prisons and said it was retraining staff and working on reforms, while OIG said it had monitored 161 investigations and found most grievance routing appropriate, though some cases had lapsed due to time limits. Later exchanges revealed that CDCR has over 13,500 active cases and 109 investigators, and that some cases have exceeded deadlines, prompting concerns from members about whether the current system can adequately investigate misconduct and impose consequences. No votes were taken.

Transcript Highlights:

• who are pregnant, and I've seen it in my own facility once they come in the door.
• We transport the inmates to a facility to get those regular checks.
• , and I've seen it in my own facility once they come in the door.
• We transport the inmates to a facility to get those regular checks.
• <00:34:12.960> obviously work on and some facilities obviously work on and some facilities

Keywords: 1136, house, all

Transcript Highlights:

• And so that typically describes a state-inspected facility.
• describes a state inspected facility. describes a state inspected facility.
• facility because those carcasses<00:32:01.760> are<00:32:02.000> going<00:32:02.080>
• and USDA uh USDA uh cutting facilities and USDA uh USDA uh cutting facilities are,<00:35:27.200>
• >> Mr.<00:36:00.400> Chairman, >> Uh, that would be custom facilities. >> Mr.

Keywords: 916, all

Transcript Highlights:

• Under current law, any alcohol or drug treatment facility that provides recovery or detox services must
• run by the same operator to ensure that those facilities are in compliance.
• I think as well we had one of these facilities come into my hometown.
• Some of the eligible uses of Proposition 1 were for these types of facilities as well.
• SB 596 by Menjivar is item number 11, which regards health facilities and administrative penalties.

Summary: The Assembly Health Committee heard several bills focused on health care access, oversight, and affordability. The first major item was SB 306 by Senator Becker, a prior authorization reform bill. Becker and supporters, including the California Medical Association and California Hospital Association, argued that prior authorization delays care, adds administrative burden, and can lead to serious patient harm. The bill was substantially amended late in the process to have DMHC and CDI identify services and drugs to exempt from prior authorization based on utilization data, with safeguards for fraud, waste, abuse, and patient safety. Health plans and insurers opposed the measure as written, saying prior authorization remains an important utilization-management tool and raising concerns about the 90% threshold, drug inclusion, and how modifications are counted. The committee also heard SB 35 by Senator Umberg, which would let cities or counties inspect unlicensed sober living homes if DHCS does not act promptly on complaints. Supporters said the bill would address weak enforcement and protect residents, while one behavioral health directors group opposed it unless amended. Members generally supported the measure, citing problems with unlicensed facilities and the need for local enforcement backup. The committee then heard SB 62, which would codify California’s updated essential health benefits benchmark if approved by the federal government. Senator Wiener said the package would add hearing aids, durable medical equipment, and infertility treatment including IVF, acknowledging that premiums could rise but arguing the benefits were worth it. Health Access California and other advocates supported the bill, while the California Family Council opposed it. The committee also took up SB 596 by Senator Menjivar, which would tighten the rules for hospitals claiming an on-call list as a defense to nurse staffing ratio penalties. Supporters, including nurses and SEIU, said hospitals have used vague or ineffective on-call practices to avoid accountability and that the bill would improve enforcement and patient safety. Hospital groups opposed it, arguing that staffing is highly dynamic, that hospitals need flexibility to manage acuity and emergencies, and that the bill could increase costs and interfere with collective bargaining arrangements. Finally, the committee heard SB 40 by Senator Wiener, the Insulin Affordability Act, which would cap insulin copays at $35 for a 30-day supply and restrict step therapy unless a plan covers at least one insulin in each drug type. Supporters, including physicians, diabetes advocates, nurses, students, and patient groups, said insulin is life-saving and too often unaffordable, forcing patients to ration or choose between medication and basic needs. There was no formal opposition testimony, though one member questioned why insulin remains so expensive. The committee also began discussion of SB 363, but the transcript cuts off before that bill’s full presentation or any action on the measures. No votes are recorded in the portion provided, and several bills were noted as consent items earlier in the hearing.

Transcript Highlights:

• Will this be a burden on the Rockingham County Correctional Facility to be able to meet mental health
• challenges within the facility if we're using threats of suicide and acute depression as means to hold
• It's either going to cost you in your facility, it's going to cost Wolfeboro, right, potentially cover
• <01:28:17.199> so resources available at your facility so resources available at your facility
• and they have a mental health facility and they have a mental health crisis<01:33:42.360> or<

Keywords: 1191, senate, all