Video & Transcript Research : 'protest process'

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NY

New York 2025-2026 Regular Session

Senate Standing Committee on Health - 03/17/2026

Health

Transcript Highlights:
  • This extends due process protections for healthcare professionals in the instance that the insurance
  • This extends due process protections for healthcare professionals in the instance that the insurance
  • by these changes can participate in the process and can know that it's happening.
  • There is a process currently that exists, I mean, just be clear about that, but the process unfortunately
  • to Facility B with fundamental changes in what is delivered would likely trigger the process.
Keywords: 993, senate, all
Summary: The Senate Standing Committee on Health considered a series of health-related bills, many of which were reported favorably. Among the measures approved were SB 999, which would restructure Medicaid reimbursement for early and periodic screening, diagnosis, and treatment services for children with IEPs or disabilities; SB 1816, lowering the state definition of elevated blood lead levels to 3.5 micrograms per deciliter; SB 1911A, extending due process protections for health care professionals when insurers terminate or fail to renew them; and SB 3105, allowing reciprocity for out-of-state medical cannabis patients. The committee also advanced SB 4589 on federally qualified health center rate adequacy, SB 4955B on Medicaid Inspector General audit procedures, SB 9196 to ban new for-profit hospices, SB 9237 expanding the definition of family for certain foster care health facility services, and SB 9275 requiring Medicaid coverage for gender-affirming care and prohibiting related discrimination. Several of these bills were sent to Finance, while others were sent to First Reading or Higher Education as noted. The committee also discussed SB 2625, which would expand pharmacists’ authority to prescribe, administer, and dispense medication-assisted treatment for opioid use disorder. One member raised concerns about expanding scope of practice without coordination with primary care or a holistic review of patient conditions, and indicated opposition; the bill was nevertheless referred to Higher Education. SB 5056B, requiring the Department of Health to examine heat vulnerability and heat-related deaths, prompted discussion about whether the bill should explicitly require recommendations for prevention; the sponsor said the idea was to gather data and that recommendations could be added, and the bill advanced with some reservations. Other measures included SB 7460, reauthorizing a maternal infant care centers pilot program using an existing $350,000 appropriation, and SB 9388, requiring public notice and engagement when a general hospital closes or shuts down a psychiatric, mental health, or substance use unit. The hospital closure bill drew discussion about relocations and whether moves that shift services to a new site would trigger the community engagement process; the sponsor said they would. Most bills were approved by voice vote, with some members voting no or without recommendation on certain measures, and the committee adjourned after reporting the bills onward.
TX

Texas 89th 2nd C.S.

Elections Aug 25th, 2025

Elections

Transcript Highlights:
  • If you're disrupting the legislative process, you can't raise money. If you're breaking quorum.
  • If they, if they don't, uh, disrupt the legislative process, they can raise money.
  • That can be applied towards members that interfere with the quorum process.
  • I think members need due process.
  • You know, due process, and we would hope that all Texans have due process.
Bills: HB18
HI

Hawaii 2025 Regular Session

AGR Public Hearing - Wed Jan 29, 2025 @ 9:30 AM HST

Agriculture & Food Systems

Transcript Highlights:
  • and its intent to expand meat processing and its intent to expand meat processing capacity<00:40
  • <00:40:35.760> expansion and we support meet processing expansion and we support meet processing
  • <00:41:34.359> wild focus is on small animal processing wild focus is on small animal processing
  • <01:19:42.520> and confirming the rules and processes and confirming the rules and processes
  • <01:20:23.159> distribution<01:20:23.920> storage processing distribution storage processing
Keywords: 910, house, all
OK

Oklahoma 2026 Regular Session

Education 2ND REVISED Apr 21st, 2026 at 10:00 am

Education

Transcript Highlights:
  • What we ran into is really a violation of due process.
  • We actually are changing a little bit of that process.
  • a complaint and the process that currently exists.
  • In this process here and the process that have brought forward today, I can run through the whole thing
  • to that process.
CA
Transcript Highlights:
  • to make the process...
  • We can have more microbes working within our process, so to make the process much faster and more efficient
  • And the treatment system is processing 24,000 gallons of wastewater per day, and the entire process time
  • And this water is from a process that we produce within five hours from the anaerobic processes while
  • So while also, if we have more during the scale-up process, if we also confirm that our process can be
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.
TX
Transcript Highlights:
  • , no due process, no due process in these settings.
  • structures have mechanisms of due process.
  • We do not get due process. We're arrested.
  • OK, now we're talking about due process.
  • due process later.
FL

Florida 2026 Regular Session

Transportation Feb 11th, 2025

Transportation

Transcript Highlights:
  • So, meeting these growing needs is a process that FDOT has refined over many, many years.
  • But anyway, I found the process to be a really good process that was fair most of the time.
  • And so it's a great process.
  • So, again, it was a really good process and worked out well most of the time.
  • We do have a conflict resolution process.
Summary: The Senate Committee on Transportation met to hear presentations from the Florida Department of Transportation on rural arterial roadways and transportation resiliency, followed by a panel discussion on metropolitan planning organizations (MPOs). FDOT’s Will Watts described the state’s growing population and travel demand, emphasizing that rural arterials are critical for connectivity, freight movement, evacuation routes, and congestion relief. He outlined FDOT’s project selection factors, noted thousands of identified rural arterial needs with billions in unfunded demand, and explained that the department uses community input and long-range planning to prioritize safety, capacity, and economic development. Watts then discussed resiliency planning for hurricanes and flooding, focusing on structural design, storm readiness, and drainage. He highlighted efforts such as elevated bridges, wave attenuators, coastal armoring, drainage upgrades, and materials testing at FDOT’s research facilities to extend service life and reduce storm damage. Committee members asked about local project selection, materials research, LiDAR use, and legislative support; Watts said local coordination drives project priorities and asked lawmakers to protect the Transportation Trust Fund. The MPO panel, led by FDOT’s Kim Holland, explained that MPOs are federally required in urban areas over 50,000 population and that Florida has 27, the most in the nation. Holland said MPOs identify and prioritize transportation needs through long-range plans and public engagement, and she noted that several regions are exploring consolidation after the 2020 Census, especially in Tampa Bay and Southwest Florida. Representatives from MetroPlan Orlando, Forward Pinellas, Pasco MPO, and Hillsborough discussed their structures and the potential benefits and challenges of merging, including representation, governance, funding, and maintaining local voice. Members generally supported regional collaboration, urged patience as studies continue, and emphasized the need for transparent public engagement, while the committee adjourned after no further business.
WY

Wyoming 2026 Regular Session

Joint Minerals, Business & Economic Development Committee, June 4, 2026 - PM

Minerals, Business & Economic Development

Transcript Highlights:
  • process and transmission process. process. process.
  • evaluation process.
  • <02:19:19.519> for process uh and the phase two process for process uh and the phase two process
  • planning process.
  • We do that by process planning process.
Keywords: 916, all
CA

California 2025-2026 Regular Session

Assembly Judiciary Committee Mar 11th, 2025

Transcript Highlights:
  • And that starts at the time of booking at pretrial all the way through the court process.
  • We're involved daily with the court process. Yeah, but so is a prosecutor. So is a judge.
  • And watching that process, I thought it was elegant. People were moved for cause.
  • You want to make sure you have a fair process.
  • And so that being said, I think this is a time-consuming process.
Summary: The Assembly Judiciary Committee heard three bills. AB 250 by Majority Leader Aguiar-Curry would extend a limited window for survivors of sexual assault to seek civil recourse against perpetrators and entities that allegedly covered up abuse. The author and supporters, including survivor Maya Alexander and Equal Rights Advocates, said many survivors need years before they can come forward and that the bill would improve accountability and public safety. One member raised concerns about the bill’s application to private employers and the exclusion of public employees, but the bill was advanced on a motion to Appropriations and later placed on call until additional votes were added. AB 373 by Assemblymember Rubio would require appointed counsel for non-minor dependents in extended foster care to represent the young adult’s expressed wishes rather than substitute the attorney’s judgment. Supporters from California Youth Connection and the Children’s Law Center said 18- to 21-year-olds in foster care are legal adults and should have their voices fully respected in court. Members discussed how the bill would work in practice and whether it applied only to appointed counsel; the bill was moved to Human Services and later cleared after additional votes were added. AB 387 by Assemblymember Alanis, as amended, would exempt probation officers from criminal jury service. The author and supporters argued probation officers are deeply involved in the criminal justice process, often get dismissed anyway, and should be focused on supervision and court-related duties rather than jury duty. The Judicial Council opposed the bill, warning that categorical exemptions shrink the jury pool and set a bad precedent. After debate over fairness, precedent, and the role of probation officers, the committee voted the bill out on a do pass motion.
VT

Vermont 2025-2026 Regular Session

Senate Session - 2026-02-03 - 9:30AM

Vermont Senate Floor Meeting

Transcript Highlights:
  • <00:16:39.120> but weigh their decision-making process but weigh their decision-making process
  • kept in mind um throughout this process kept in mind um throughout this process from<00:17:23.839
  • Now, the JMV process is largely confidential, so I won't speak to that process, but I will say that despite
  • Um, that was process, it gave me pause.
  • process process and<00:44:54.701> [snorts]<00:44:54.800> then<00:44:55.119> did
Keywords: 927, senate, all
NM
Transcript Highlights:
  • We'll review SNAP processes, staffing and operations.
  • application process.
  • But on page 25, you explained the process, right?
  • Oh, in the application process, part of what we'll be looking... Into is the application process.
  • The RHCDF application process has improved over time.
Keywords: 996, all
NM

New Mexico 2025 Regular Session

IC - Land Grant Oct 7th, 2025

House Rural Development, Land Grants And Cultural Affairs

Transcript Highlights:
  • In that same process, Mr.
  • Process.
  • And so that process has started again.
  • Do you go through that same process?
  • Have a process where people can file claims.
NM

New Mexico 2025 Regular Session

IC - Legislative Finance May 15th, 2025

Transcript Highlights:
  • Uh, processing any animals in that meat lab yet.
  • Outside of the individual member governor sponsorship process.
  • Guide me through that process. Um, Mr. Chair, I think Mr. Chair, Mr.
  • They know the process now. They need to know the rules.
  • As far as looking at a process that would screen these projects, uh, Mr.
HI

Hawaii 2025 Regular Session

EEP Public Hearing - Tue Jan 28, 2025 @ 9:00 AM HST

Energy & Environmental Protection

Transcript Highlights:
  • Our process is not perfect.
  • in the process okay all right thank you in the process okay all right thank you and<00:34:42.119>
  • This is about a process.
  • This is about a process.
  • <01:03:22.079> if processes there's a rate case process if processes there's a rate case process
Keywords: 910, house, all
Summary: The House Committee on Energy and Environmental Protection opened its first hearing of the session and heard testimony on several energy and environmental bills. On HB 470, relating to noise and leaf blowers, the Department of Health supported the bill’s intent to reduce noise pollution but raised concerns about using decibel limits alone and suggested using dBA measurements; testimony also noted the bill would regulate future sales rather than current use, and there were three additional testimonies, two in support and one in opposition. No questions were raised before the committee moved on. The committee then heard HB 742 on transit-oriented development, which would require HCDA to prepare a programmatic EIS for Ewa, Kapalama, and West Oahu improvements. UH supported the bill, HHFDC said it was already preparing a master plan and programmatic EIS for the Ewa area, and HCDA explained that the projects are already underway or completed, including infrastructure work funded by prior appropriations. Supporters said the bill would streamline environmental review and potentially reduce costs for future housing, while HCDA emphasized the work is already in progress. On HB 340, concerning a streamlined grid-ready home interconnection process and related cost recovery, DCCA provided comments, the Attorney General suggested changing a deadline to a specific date, and the PUC said it wanted to study the matter further while still meeting the 180-day reporting requirement. Solar and clean energy groups strongly supported the bill as a way to speed interconnection and advance grid-interactive technologies, while Hawaiian Electric supported the goal of more DERs but opposed the process, saying its interconnection performance has improved and that collaboration would be preferable to legislation. Members asked about newer technologies, UL 1741, and ratepayer impacts, and the Consumer Advocate said removing the cost-recovery section would alleviate its concerns. The committee also heard HB 243, requiring PV- and EV-ready new residential construction, which the Hawaii State Energy Office described as a cost-saving no-brainer because installing these features during construction is much cheaper than retrofitting later. The hearing then shifted to HB 350, expanding the water-heater systems that can satisfy building-permit requirements to include heat pump water heaters alongside solar hot water systems. The Energy Office supported the bill, Solar Ray supported the concept but asked for amendments to align efficiency standards and noted the bill’s removal of a 15-year lifespan limit for solar thermal systems, and Hawaii Solar Energy Association raised questions about how heat pump performance should be measured and whether PV-plus-heat-pump combinations should qualify. Committee members asked about impacts on smaller homes and ADUs, and the discussion remained focused on technical standards and possible amendments; no votes or final actions were taken in the portion provided.
KY
Transcript Highlights:
  • , through the public regulatory process, through the public regulatory process, which<00:03:54.400
  • <00:09:06.760> concerns constitutional and due process concerns constitutional and due process
  • and the formal administrative process. and the formal administrative process.
  • administrative process. administrative process.
  • in a process that's not compatible<00:46:23.640> with<00:46:23.720> regulations.
Keywords: 958, all
Summary: The subcommittee considered an emergency regulation from the Kentucky Board of Optometric Examiners, 201 KAR 5021E, along with a staff amendment to conform the text to KRS Chapter 13A. The regulation was described as implementing an Attorney General opinion and a review of optometrists licensed during the 2020–2023 period when alternative testing and waivers were used during the COVID-19 era. The board explained that the rule requires affected licensees to complete specified examinations or an alternative certification before renewing in 2027, and that it now removes the OEBC Canadian exam as a future pathway while preserving recognition of OEBC results submitted during the period when that option was in effect. The staff amendment was approved without objection. Testimony was sharply divided. Board representatives and the Attorney General’s office said the regulation is needed to protect public health and to bring the licensure review into the formal administrative process. They said the NBEO Part 3 exam is the nationally recognized hands-on clinical licensure test, while the American Board of Optometry certification is a post-licensure credential for already licensed practitioners and is not a substitute for initial licensure testing. They also said no other state uses the ABOC certification for licensure, and that the board’s approach balances fairness, due process, and public protection. Opponents argued the regulation would allow individuals who were improperly licensed to continue practicing without meeting the same standards as other Kentucky optometrists. A representative from the Kentucky School for the Blind Charitable Foundation described cases of alleged inadequate care and urged the committee to require full national board passage before independent practice. Representatives from ARBO and NBEO said the emergency regulation is not justified as an emergency, does not adequately address public safety or fiscal impacts, and exceeds the board’s authority by creating a renewal path for licensees whose initial licensure was challenged. They emphasized that NBEO Part 3 is a practical, hands-on exam and that the ABOC certification is not designed or validated for initial licensure. The committee asked several questions about the differences between the exams, and no final vote on the regulation itself was described in the transcript beyond approval of the staff amendment.
CA

California 2025-2026 Regular Session

Assembly Education Committee Apr 22nd, 2026

Transcript Highlights:
  • So just it's a note about our process.
  • And... ...in every teaching and learning process.
  • The expedited removal process maintains due process while also ensuring school districts are not trapped
  • and through the regulatory process.
  • I think that's kind of the limitation of the legislative process, either through the budget process or
Summary: The committee heard several education-related bills, with the most extensive discussion focused on AB 2189, AB 2615, AB 2496, AB 1750, and AB 1644. AB 2189 would create an $800,000 grant program through the State Council on Developmental Disabilities to support a statewide parent network for special education advocacy and training. Supporters said families need stronger coordination and information to navigate special education, while an opponent argued the bill could duplicate existing family-led organizations. The bill passed 6-0 and was sent to Appropriations, held on call for add-on votes. AB 2615, a cleanup bill to AB 715 on antisemitism and instructional materials, drew the most controversy. The authors said it was intended to clarify prior commitments by removing references to professional responsibility standards, refining the “factually accurate” language, and clarifying how discriminatory materials are handled. Supporters said it would help protect students from discrimination, while many educators, civil rights groups, and other organizations opposed it unless amended, warning that the factual-accuracy language could chill teaching and be applied too broadly. The committee chair and members raised concerns about implementation but ultimately supported moving the bill forward; it passed 5-0 and was held on call. AB 2496 would streamline school accountability reporting by making the California School Dashboard the primary transparency tool, phasing out the School Accountability Report Card over time, and making mid-year LCAP reporting optional. Supporters said this would reduce duplication and administrative burden while preserving access to key data; opponents worried families could lose the simplicity and accessibility of the current SARC and that the mid-year update still serves an important purpose. The bill was approved 3-0 and held on call. AB 1750, which would extend full salary for an additional five months for school employees who exhaust sick leave due to illness or injury, was supported as a dignity and retention measure but opposed by administrators over staffing and cost concerns; it passed 4-0 and was held on call. AB 1644 would require a bell-to-bell smartphone ban in TK-8 and recommend it for high school, with exceptions for instructional and safety needs; supporters said phones are harming attention and learning, while opponents argued districts had just adopted local policies and needed more flexibility. The transcript ends during discussion of that bill.
CA
Transcript Highlights:
  • Let's get curious and identify the specific process connected to that value and improve that process.
  • mirrored really from our LCAP process.
  • The processes and systems are there.
  • I think it's the process.
  • Engaging with the community, you know, to have more of that collective process, decision-making process
Summary: The joint hearing focused on coherence in California’s education planning and reporting systems, especially the Local Control and Accountability Plan (LCAP) and related grant plans. Committee chairs and members described widespread frustration with duplicative, lengthy, and sometimes conflicting reporting requirements, while emphasizing that the goal was not to reduce accountability but to make planning more useful, stable, and student-centered. State Superintendent Tony Thurmond also previewed the Governor’s education budget priorities, including expanded learning, community schools, universal transitional kindergarten, literacy supports, and concerns about the proposed Prop. 98 deferral. Panelists from the State Board of Education, Fresno County Superintendent of Schools, and the Legislative Analyst’s Office said the LCAP was intended to balance local flexibility with statewide transparency, but has become overloaded by repeated revisions and additional requirements. They argued for fewer core reporting elements, more stability over time, better alignment of planning cycles, and integrated systems that reduce duplication. Fresno County staff described a multi-year calendar and support tools that help districts manage timelines, but said these tools only ease the burden rather than solve the underlying problem. The LAO noted that some newer plans, such as expanded learning and transportation plans, are narrative-heavy and often less informative than separate reporting requirements. Local district leaders and county officials described the practical effects of the current system: staff time diverted from instruction, multiple portals and forms, audit risk aversion, and planning documents that can exceed 100 pages. Several superintendents said coherent systems work best when districts have clear priorities, stable governance, and aligned budgets, and when state requirements are predictable and tied to outcomes like literacy, attendance, and student achievement. The California Federation of Teachers added that coherence also depends on meaningful collaboration with educators, classified staff, parents, and communities. Committee members repeatedly asked whether the state should streamline reporting, create a uniform portal, or develop a more unified grant-reporting structure, and Thurmond said the department was piloting a simplified common form and was willing to work with the Legislature and districts on broader solutions.
CA
Transcript Highlights:
  • , was a long and stressful process.
  • I’m sorry, the accreditation process— is it already in place?
  • re discussing this process at the federal level.
  • We operate as a consultant to help them navigate the process.
  • So the process begins with the VA, the federal side.
Summary: The Assembly Committee on Military and Veterans Affairs met with a quorum and first approved its consent calendar, which included AJR 15, SB 56, SB 296, and SB 855, with the roll left open for absent members. The committee then heard SB 694 by Senator Archuleta, a bill aimed at protecting veterans from unaccredited claims representatives and other for-profit entities that charge fees to assist with VA disability claims. The author and supporters, including county veterans service officers and veterans organizations, argued the measure would curb predatory practices, restore accountability, and steer veterans toward free, accredited assistance through CVSOs and other authorized representatives. Testimony in support emphasized that veterans are often targeted online and may pay large fees for services that are available for free, while supporters said unaccredited firms lack transparency and can exploit vulnerable veterans. Opposition witnesses, including representatives of claims-assistance companies and individual veterans, argued the bill would eliminate choice and that some contingency-based firms provide useful services, better outcomes, and faster claims processing. Committee members debated whether the bill would unlawfully bar legitimate assistance or whether it was needed to stop illegal business practices, with several members noting the issue is also being litigated in federal court and that an accreditation process already exists through the VA. After discussion, the committee voted to pass SB 694 and refer it to the Committee on Judiciary. The final vote was 6 ayes, with some members not voting. The committee then completed the consent calendar vote, which passed with eight votes, and adjourned.
FL

Florida 2026 Regular Session

Appropriations Committee on Agriculture, Environment, and General Government Feb 5th, 2025

Appropriations Committee on Agriculture, Environment, and General Government

Transcript Highlights:
  • right to due process.
  • In total, they're getting through the entire process in about 280 days.
  • that to you all as part of the application process, right?
  • So this is all of the mechanics and the plumbers and the... process.
  • It follows the ITM process.
Summary: The committee heard three informational presentations. First, Lieutenant Rob Rowe of the Florida Fish and Wildlife Conservation Commission discussed derelict vessel removal, explaining the legal definition of derelict and at-risk vessels, the causes of vessel abandonment, and the impact of recent hurricanes on the number of cases. He said FWC has nearly 1,000 active derelict vessel cases, with 576 ready for removal, and described the agency’s use of ARPA funds, grants to local governments, contractor lists, and the V-TIP vessel turn-in program to speed removals and prevent vessels from becoming derelict. Senators asked about how to expedite removals, insurance coverage, due process timelines, and storage challenges; Rowe said the 21-day process is constrained by constitutional due process and that more staffing and prevention funding would help. Next, Stephen Fielder of the Department of Financial Services presented on the My Safe Florida Home program, which provides grants for homeowners to harden homes before storms. He reviewed program eligibility, grant types, reimbursement averages, and performance data, and said the program has received $633 million in appropriations overall. He noted that the program is outsourced to private vendors, has low administrative overhead, and has processed large numbers of inspections and reimbursements. Senators questioned contractor requirements, permits, overhead costs, and whether the program should be brought in-house; Fielder said permits are required before reimbursement, contractor licensing is verified, and the department is considering several administrative clarifications, including townhome roof work, inspection expiration, and whether grants should be limited per person or per home. A retired educator also testified in support of more assistance for homeowners facing insurance problems. Finally, Tom Berger of the Department of Management Services outlined the Florida Facilities Pool and the state’s real estate development and management work. He described the bonded facility program, the state’s 112 managed facilities, lease administration, parking contracts, maintenance operations, and more than $1 billion in active construction projects. He highlighted major projects such as the Emergency Operations Center, Capitol complex upgrades, a new visitor screening center, and facilities for other agencies including veterans’ services, juvenile justice, and the courts. Senators asked about lease terms, appropriation language, vacancy in leased space, and whether the state uses a uniform lease form; Berger said the lease document is standardized and that agencies determine their space needs. The meeting ended with no further business and adjournment by motion.
CA
Transcript Highlights:
  • had to go through that process, and we wanted to eliminate as many barriers as possible in that process
  • Under that process, we implemented a very robust stakeholder process that started back in January 2022
  • This is a process, and it is a process in which this state is an active participant, and so they are
  • This process is still under development, and we will be mirroring current processes which are allowed
  • is a continuous onboarding process.
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.