Transcript Highlights:

• <02:16:22.920> without that prohibits this practice without that prohibits this practice without
• I work with many, many private practices. I own some primary care practices myself.
• Care practices myself my mission Primary Care practices myself my mission is<02:42:13.520> to
• practice practice um<02:43:12.520> what's<02:43:12.800> very<02:43:13.080> important
• service and people in private practice service and people in private practice often<02:43:43.560

Keywords: 1191, senate, all

Transcript Highlights:

• I'll briefly walk through members what changed and what it means in practical terms.
• In practical terms, section one and two largely retain the Senate-passed findings and legislative intent
• In practical terms, the section attempts to create more clarity and consistency to create more clarity
• In practical terms, this means students should receive more consistent recognition for work completed
• Practice law in the state of Vermont. It's part of the Vermont bar.

Keywords: 927, senate, all

Transcript Highlights:

• But, for example, in math, we have the standards for mathematical practice.
• I just don't know how it practically would be implemented. Can you help me with that?
• How will that practically work? I understand what you're saying.
• I don't know practically how it will work, but I'll yield my time. I love the goal of this bill.
• I don't know practically how it will work, but I'll yield my time to Rep. Freiberg. Thank you, Rep.

Summary: The committee met on May 19, 2026, with a quorum present and first heard a presentation from Superintendent Cade Brumley on Louisiana’s recent education scorecard, which showed the state ranked first nationally in reading growth, second in math growth, and first overall in academic growth from 2022 to 2026. Members praised teachers and the department for the results. The committee then deferred SB 507 at the author’s request. The committee reported several bills favorably. SB 484 by Sen. Abraham, as amended, transfers selected duties from the Board of Regents to university management boards and Louisiana Works, adjusts authority over certain higher-education initiatives, creates a study of LUMCON’s placement, and adds financial reporting and early-warning requirements for universities. SB 157 by Sen. Jenkins, as amended, creates six weeks of paid parental leave for eligible public K-12 employees for birth, adoption, or fostering, with a reimbursement fund subject to appropriation; testimony emphasized family support, recruitment and retention, and health benefits. SB 83 by Sen. Edmonds, as amended, requires human trafficking prevention and victim-identification training in schools and updates coordination and service language; the amendment made implementation subject to appropriation and clarified the governor’s office role. The committee also reported SB 450 by Sen. Edmonds, as amended, requiring mandatory reporting of school threats and physical security assessments, with student witnesses and members stressing school safety and the need for funding and practical security measures. SB 132 by Sen. Klein-Peter, as amended, requires exterior master key boxes and updated school mapping data for emergency response, with an amendment exempting districts already using such boxes. Finally, Rep. Carver presented HR 251 on recess for K-3 students, citing Oklahoma’s expanded recess law and research on physical activity and learning, but said he would keep the resolution parked for further discussion rather than seek a vote.

Transcript Highlights:

• This amendment would end that practice and draw a clear line in the sand so that it doesn't happen again
• ><00:03:42.560> would<00:03:42.920> end<00:03:43.160> that<00:03:43.560> practice
• This amendment would end that practice This amendment would end that practice and<00:03:45.520><
• /c><00:09:53.720> they<00:09:53.880> end<00:09:54.040> up<00:09:54.160> practicing
• very law that they end up practicing in. very law that they end up practicing in.

Keywords: 919, house, all

Summary: House File 3679, which would allow mandatory reports to legislative committees to be submitted electronically instead of on paper, was presented as a bipartisan efficiency measure by Representative Nash. The bill also carried an A1 amendment, adopted by voice vote, that addressed interim administrative authority for the Chief Clerk during a gap in caucus leadership and was described as a procedural fix worked out with caucus leaders. A second amendment, A2, offered by Representative Engen, sought to prohibit legislators from participating in appropriations to named nonprofit recipients that later employ or contract with them, arguing this created conflicts of interest and self-serving governance. Supporters said the amendment was needed for institutional integrity and taxpayer trust, while opponents argued it was too narrow, not well defined, and would unfairly single out certain jobs or industries; the debate included references to direct appropriations, conflict-of-interest rules, and examples involving nonprofits, law firms, farmers, teachers, and other outside employment. The A2 amendment was put to a roll call and failed on a 66-66 tie. After the amendment vote, the bill was read a third time and received broad support. Representatives Nash and Cleborne urged a green vote, and the House passed House File 3679 as amended by a vote of 132-0, with its title agreed to.

Transcript Highlights:

• It's just overwhelming in New Orleans, as those of us who actually practice there now.
• It's just overwhelming in New Orleans as those of us who actually practice there now.
• And where do you practice? You're an attorney? Yes, ma'am.
• And where do you practice, or where did you practice? In New Orleans Parish.
• And while you were practicing in New Orleans Parish, have you ever worked in Civil District Court?

Bills: HCR11, HB153, HB278, HB424, HB454, HB455, HB687, HB816, HB833, HB942, HB1053, HB1097, HB1147, HB1148, HB1190, SB75, SB85, SB197, SB200, SB217

Keywords: Camp Beauregard, Louisiana National Guard, Youth Challenge Program, military affairs, Pineville, National Guard training, emergency response, youth development, alternative education, high school equivalency, GED, at-risk youth, leadership training, job skills, citizenship, veterans, state military operations, mobilization, logistics staging area, public service

Transcript Highlights:

• group searches to true emergencies, requires female officers, and promotes humane and less invasive practices
• About it, you know, they see policy, we see practice.
• These practices not only cause harm but also discourage participation in critical rehabilitation programs
• Yet beyond these basic counts, detailed routine data to assess the impact of this practice is not readily
• House Bill 4764 provides the transparency needed to understand and responsibly manage a practice with

Bills: HB1826, HB1969, HB2708, HB2729, HB3618, HB4515, HB4764, SB1021, SB1610

Keywords: mental health, women's health, county jail, depression screening, criminal justice, inmate release, identification certificate, Texas Department of Corrections, personal identification, driver's license, state law, reentry services, nondisclosure, criminal history, criminal defendants, community supervision, misdemeanors, felonies, rehabilitation, hearsay

Transcript Highlights:

• put children at greater risk for heat-related illness, especially during sports, recess, and band practice
• This resolution calls for a study on current heat management practices and the use of wet bulb globe
• /c><00:19:02.080> study<00:19:02.400> on<00:19:02.640> the<00:19:02.960> practices
• <00:19:03.520> of conduct a study on the practices of conduct a study on the practices of
• This resolution calls for a study on current heat management practices and the use of wet bulb globe

Keywords: 910, house, all

Summary: The Committee on Health met on April 2, 2025, and heard several resolutions focused on student mental health, autism data collection, school heat exposure, and climate change as a public health issue. Testimony on HCR 96/HR 92 supported encouraging the University of Hawaii to evaluate and expand student mental health services; the University of Hawaii testified in support, and a student speaker said expanded services would make students more likely to seek help. The committee also heard HCR 145/HR 139, which urges state agencies to collaborate on planning for Hawaii’s participation in CDC autism prevalence surveillance; supporters included the Hawaii State Council on Developmental Disabilities and an autism advocate who said Hawaii needs better local representation in the data. The committee then heard HCR 186/HR 179, requesting a study of heat exposure management in Department of Education and charter schools. The Department of Health and the climate change and health working group supported the measure, citing rising temperatures, heat-related illness risks during outdoor activities, and the value of wet bulb globe temperature standards. Finally, the committee heard HCR 188/HR 182, declaring climate change a public health emergency and calling for statewide coordination on cross-sector solutions. Supporters from the Hawaii Public Health Institute, the climate change and health working group, and a Native Hawaiian physician emphasized climate-related health harms such as heat illness, wildfire impacts, chronic disease, and inequities; one member opposed the measure as politicized and said it could dilute attention from other urgent problems. In decision-making, the committee adopted recommendations to pass HCR 96/HR 92, HCR 145/HR 139, and HCR 186/HR 179 as is. For HCR 188/HR 182, the committee recommended passage with amendments, specifically a House draft one for technical clarity, consistency, and style. During the vote on the climate emergency resolution, Representatives Elos and Garcia voted no, while the rest of the members present supported the recommendation. The meeting then adjourned.

Transcript Highlights:

• access to grant opportunities that they may wish to take advantage of, this aligns us with best practices
• This aligns with best practices in the field.
• The best practice we feel is always to obtain additional consent After an IEP has been formalized, there
• This was always MDE guidance based on best practice and federal requirements, but if we can make that
• That data is critical to support educators in this shift in instructional practice from balanced literacy

Transcript Highlights:

• I am a doctor of nursing practice. I am an advanced practice registered nurse.
• And so, corporate practice of area.
• <01:50:35.120> and the unlicensed practice and the unlicensed practice and misrepresentation
• . practice. practice.
• ,<01:52:55.040> and competencies, and scope of practice, and competencies, and scope of practice

Keywords: 1187, senate, all

Transcript Highlights:

• As a result, the provider's practice had approximately... ...$120,000 withheld, with roughly $60,000
• I don't know how big your practice is, but I'm sure that that is not something that is sustainable.
• But clearly in practice there is a problem, and this bill is a common-sense reform to fix that problem
• fields and practices for considering conviction history in other health and caregiving fields to CNA
• Patterson. and practices for considering conviction history and other health and caregiving fields to

Summary: The Assembly Health Committee heard a series of bills focused on behavioral health, cancer screening, provider reimbursement, research funding, workforce licensing, and tobacco regulation. SB 16 would require counties to maintain procedures for designating and training professionals authorized to perform 5150 evaluations and initiate involuntary holds; supporters said it would expand the pool of qualified clinicians and reduce reliance on law enforcement, while opponents raised concerns about local control and implementation. SB 1124 would require CDPH to create and post lung cancer screening eligibility signage at tobacco point-of-sale locations; supporters emphasized low screening awareness and early detection, and the bill was advanced with amendments. SB 28, a CARE Court cleanup bill, proposed an ombudsperson, reporting, electronic petitions, remote participation, and other changes to improve accountability and access; it drew both strong support and significant opposition over concerns about coercion, scope, and whether the program is working as intended, but it passed the committee as amended to Judiciary. The committee also heard SB 874, which would strengthen oversight of Medi-Cal behavioral health treatment services, including background checks for providers and a stakeholder workgroup to develop standards; it passed to Public Safety. SB 1049 would let providers resubmit corrected claims within 90 days after a plan’s denial or recoupment action when the original claim had a correctable technical defect; supporters described delayed and withheld payments harming practices, while insurers argued the bill could duplicate existing dispute processes. The bill passed to Appropriations on call. SB 1224 would create a state framework to compete for federal ARPA-H funding for emerging therapies research, with testimony from a UC Davis psychiatrist and veterans’ advocates supporting expanded research into treatments for PTSD, depression, and other conditions; it passed to Military and Veterans Affairs. Later, SB 1057 would change how the Department of Public Health evaluates conviction history for certified nurse assistants and home health aides, shifting from automatic denial toward individualized assessment based on the offense, time elapsed, and rehabilitation; it passed to Appropriations with some no votes. Finally, SB 1314, a tobacco-related bill, sought to create a 600-foot buffer around schools and day care centers for certain tobacco retailers and address related issues such as cigar lounge definitions and nitrous oxide sales; several local government and public safety groups supported it, while health organizations and business groups opposed it unless amended. The chair announced that committee amendments were being set aside for now and the bill would move forward to Business and Professions with a commitment to continue working on the language; it passed out of committee.

Transcript Highlights:

• We fully agree with them on that policy and practice.
• We fully agree with them on that policy and practice.
• We fully agree with them on that policy and practice, but if artificial intelligence is as powerful as
• It should be there to support them in the practice of medicine.
• This is just a practical solution that will continue to maintain safety.

Keywords: 987, senate, all

Transcript Highlights:

• In practice now, a manufactured home has to be permitted to be put in a particular location, but the
• In practice, again, the local building official already has to verify the utility hookups.
• In practice, again, the local building official already has to verify the utility hookups.
• In practice, we may have missed something.
• You can have a cosmetologist and an esthetician in the same practice. Is that correct?

Summary: The House Committee on Commerce met on May 11, 2026, with a quorum present and took up a series of Senate bills, a resolution, and one House bill. The committee reported favorably Senate Bill 79 to recreate Louisiana Economic Development, Senate Concurrent Resolution 5 to establish the Louisiana-Ireland Trade Commission, Senate Bill 375 on firefighting foam with amendments clarifying use in declared emergencies, Senate Bill 398 moving manufactured and modular housing oversight under the Contractors Licensing Board with technical and substantive amendments, Senate Bill 163 on virtual currency business licensing with an amendment providing for federal preemption if Congress enacts a national licensing regime, and Senate Bill 287 on virtual currency kiosks with consumer-protection provisions and technical amendments. The committee also reported favorably House Resolution 197, as amended, urging the Public Service Commission to study distributed energy generation and storage resources with LSU involvement, and Senate Bill 54, which would allow estheticians to blow-dry hair after certain services; that bill drew extensive testimony from supporters and opponents in the cosmetology and aesthetics industries before being reported favorably. Several bills prompted detailed discussion and testimony. On Senate Bill 398, the sponsor and Contractors Licensing Board representatives said the change would improve enforcement and consumer safety for manufactured-home installation, especially tie-downs, leveling, and foundation blocking, while not affecting HUD-regulated construction. On the virtual currency bills, OFI said it currently licenses 37 virtual currency businesses with 33 pending applications, and supporters described the kiosk bill as a response to fraud complaints by requiring clearer disclosures, refund procedures, live customer support, and reporting to OFI. For House Resolution 197, the sponsor, PSC officials, and energy stakeholders said the study would examine the value of distributed energy resources, including rooftop solar and battery storage, in light of rising demand and grid reliability concerns; PSC staff and LSU energy experts described the study as focused on market value and avoided-cost benefits. House Bill 744, which would have shifted regulation of certain New Orleans utilities from the city council to the PSC, generated discussion about constitutional history, rate impacts, and utility consolidation. PSC officials and the sponsor said the current city-council regulation is a constitutional exception dating back to 1921, and they argued that PSC regulation could reduce costs and simplify oversight, but the sponsor ultimately moved to defer the bill rather than force a floor fight, and the committee agreed. The committee then began consideration of Senate Bill 386, the Louisiana Data Privacy Act, adopting technical amendments and then a larger amendment package that revised definitions and compliance provisions; the transcript ends while that bill’s amendment process is still underway, with no final action shown in the excerpt.

Transcript Highlights:

• I'm a practicing doctor of optometry in Sulphur, Louisiana, and I'm also the executive director of the
• I'm a practicing doctor of optometry in Covington, Louisiana, and I'm a past president.
• I'm a practicing doctor of optometry in Covington, Louisiana, and I'm a past president of the Optometry
• And while I could have practiced in any other state afterwards, I chose to stay in this community and
• Where can I practice the way I was trained? Where will my clinical judgment be respected?

Bills: SCR37, SB145, SB237

Keywords: informed consent, healthcare, medical procedures, patient rights, surgeon general, regulatory review, adult residential care, generators, emergency power, health safety, Louisiana Department of Health, compliance, regulations, child welfare, Department of Children and Family Services, mandatory reporting, abuse prevention, investigative teams, child ombudsman, forensic interviews

Summary: The House Committee on Health and Welfare met on April 28 with a quorum and took up several health-related bills. SB 113, concerning the local health care provider participation program in Calcasieu Parish, was amended with a technical set and reported favorably with amendments after the author explained it would shift the local sponsor from the parish to the city. SB 23, which exempts certain assisted living facilities from the definition of food service establishment, was reported favorably. SB 150, allowing LDH to scan and return supporting documents for vital records changes, was also reported favorably. SB 221, which would allow EMS providers to be reimbursed by Medicaid for treating patients on scene without transport, drew questions about billing, coding, and implementation but was reported favorably, with members noting it could reduce unnecessary ER use and costs.

Transcript Highlights:

• In current law, medical consultant is limited to physicians licensed to practice medicine in Minnesota
• registered nurse certified to practice as a clinical nurse specialist or nurse practitioner.
• registered nurse certified to practice as a clinical nurse specialist or nurse practitioner.
• registered nurse certified to practice as a clinical nurse specialist or nurse practitioner.
• registered nurse certified to practice as a clinical nurse specialist or nurse practitioner.

Keywords: 1187, senate, all

Transcript Highlights:

• we can investigate under the Arkansas Deceptive Trade Practices Act.
• And we're going to collaborate on best practices on how to combat this going forward.
• Best practices on this, I would tell consumers, is be cognizant of your coverage. at CID.
• And we're going to collaborate on best practices on how to combat this going forward.
• Best practices on this when I would tell consumers is be cognizant of your coverage.

Summary: A joint House-Senate Insurance and Commerce meeting focused on the growing threat of financial fraud in Arkansas, with members and witnesses describing scams targeting seniors, small businesses, and working families. The committee first approved the November 3, 2025 minutes, then heard from the Arkansas Bankers Association, the American Bankers Association, banks, the Attorney General’s Consumer Protection Division, the Arkansas Mortgage Bankers Association, the State Bank and Securities Department, the Insurance Department, and AARP. Witnesses described common schemes including spoofed bank calls and texts, government imposter scams, romance and investment scams, business email compromise, fake job postings, gift card scams, check fraud, wire fraud, reverse mortgage scams, identity theft, and insurance fraud. Several witnesses emphasized that cryptocurrency kiosks and crypto transfers make recovery difficult or impossible, and that artificial intelligence is making scams more convincing and scalable. Witnesses repeatedly stressed education, verification, and coordination among banks, law enforcement, regulators, and consumers. Bank and mortgage representatives urged consumers to slow down, independently verify wire instructions, avoid clicking unexpected links, use tap-to-pay rather than chip or swipe when possible, and never share account credentials or one-time codes. The Attorney General’s office said it investigates consumer complaints, mediates disputes, works with social media platforms to remove scam ads, and recently created a Financial Fraud Task Force with bankers and other stakeholders. The State Bank and Securities Commissioner highlighted the Safe AR Act, the state’s crypto kiosk framework, and fraud education efforts such as “fraud bingo,” while the Insurance Department described its law-enforcement role and a range of insurance-related fraud schemes it prosecutes. AARP said fraud is widespread and underreported, especially among older adults. Members asked about reporting scams, how losses are handled, whether tap is safer than chip, how crypto fraud works, whether Arkansas has model legislation to address telecom and social media impersonation, and how local law enforcement and state agencies coordinate investigations. Witnesses said banks generally absorb much of the financial loss under federal rules, while consumers bear the inconvenience and account changes. Several witnesses said Arkansas should consider additional legislation to hold telecom companies and social media platforms accountable for spoofed caller IDs and impersonation ads, and one witness said a federal Scam Act is moving in Congress. No additional votes or formal actions were taken beyond approval of the minutes, but witnesses agreed to share consumer education materials and model legislation with committee staff.

Transcript Highlights:

• I have my family there, my business, my law practice, and everything that I love is here in Florida.
• I have my family there, my business, my law practice, and everything that I love is here in Florida.
• Professionally, I now work in healthcare administration, which gives me a very practical lens on how
• Prior to joining General Dynamics, I practiced...
• Prior to joining General Dynamics, I practiced law in Tampa and served in the United States Air Force

Summary: The Appropriations Committee on Higher Education met to consider a large slate of confirmations and reappointments to boards of trustees for Florida’s colleges, universities, and the Florida Prepaid College Board. Chair Harrell opened by emphasizing the importance of trustee appointments to maintaining Florida’s higher education system, and the committee heard brief testimony from each nominee about their background, ties to the institution, and priorities such as student success, workforce alignment, fiscal stewardship, and community partnerships. Several nominees highlighted personal connections to their schools, including alumni status, family legacy, or prior service on the board, while others emphasized experience in business, law, education, health care, or public service. Testimony focused heavily on workforce development and institutional growth. Speakers cited nursing, dual enrollment, applied programs, military and veteran support, broadband access, agriculture, law enforcement, and technical training as key areas for colleges to meet regional labor needs. University nominees discussed research expansion, affordability, strategic planning, and partnerships with industry and government, with Florida Atlantic, Florida Polytechnic, the University of West Florida, and the University of South Florida each described as being in periods of growth or transition. Miami-Dade College, Tallahassee State College, Polk State College, and other state colleges were praised for enrollment, economic impact, and job placement outcomes. The committee also heard from the Florida Prepaid College Board reappointee, who described the program as a long-term promise backed by public trust and reported recent technology and customer-service improvements. After testimony, the committee took up the nominations as a group. One nominee, Drew Weatherford, had withdrawn and was not voted on. The remaining trustees were approved unanimously by roll call and reported favorably to the Ethics and Elections Committee. The meeting then adjourned.

Transcript Highlights:

• The second document that you see there, implementing AI, a practical guide for the classroom, really
• And one of the things that is really important to us is inclusive practices and, in that, really sound
• pedagogy in those inclusive practices.
• And importantly, a practicing K-12 educator, thinking about considering a task force or a subcommittee
• member, a practicing practitioner who is going through it right now with students.

Summary: The committee met to hear an overview of Washington’s alternative learning experience (ALE) programs and then an update on artificial intelligence in schools. OSPI’s Anissa Sherritt explained that ALE is a course-level funding designation for instruction that occurs partly or wholly away from the traditional seat-time model, with online, site-based, and remote course types. She emphasized that ALE is still basic education, subject to the same public school requirements, and that OSPI provides technical assistance, annual reporting review, and program reviews. Representatives from several programs described different models: Washington Virtual Academy (a large online ALE operated through Omak School District and partnered with for-profit Stride), Columbia Virtual Academy in Valley School District (a district-run, nonprofit online/remote program), Pearl in Quilcene (a K-8 remote parent partnership program), and River Home Link in Battleground (a site-based hybrid program). They discussed student supports, special education, enrichment, family choice, transportation, and how they measure outcomes. Members asked for follow-up information on funding, demographics, racial and ethnic data, multilingual learners, and post-graduation outcomes, and OSPI agreed to provide additional data where available. The committee then heard from OSPI and several districts about AI guidance and implementation. OSPI’s Holly Ryan Calloway described the agency’s human-centered AI framework, three guidance documents for schools, statewide professional learning, an AI innovation summit, and new AI literacy and informatics course frameworks and CIP codes. Quincy School District described a multi-year effort to integrate AI by centering student needs, creating district policy and classroom guidance, and training teachers to use AI responsibly while building an AI readiness plan from elementary through high school. Peninsula School District described its AI action research team, teacher professional learning, and classroom uses of generative AI to support science instruction, communication, and prompt engineering, while stressing that AI should enhance rather than replace learning. Members raised questions about privacy, energy and water use, prompt engineering, workforce and university connections, and the need for clear standards and ongoing educator training. No votes were taken.

Transcript Highlights:

• Very aligned states around public health policy and practice.
• Health care infection control prevention and practices guidance is another area.
• You want to talk about utilization management practices? Sure.
• I'm going to hang my shingle, and I'm just going to do a cash-only practice.”
• I'm going to hang my shingle, and I'm just going to do a cash-only practice.”

Summary: The committee first welcomed new DSHS Secretary Angela Ramirez, who introduced herself and described her background in public service, federal and state legislative work, and health and human services leadership. Members emphasized the importance of building strong relationships with her and noted her focus on protecting services, using strategic approaches in a tight budget environment, and improving partnerships with the Legislature. Ramirez said she wanted to keep communication open and that her priorities would be shaped by what she learns from lawmakers and agency partners. The next work session focused on the West Coast Health Alliance and the broader Governor’s Public Health Alliance. Department of Health and governor’s office staff said the West Coast alliance, involving Washington, Oregon, California, and Hawaii, was formed to coordinate science-based public health guidance, especially around vaccines, return-to-work guidance, and responses to federal changes. They said the alliance is intended to reduce confusion, counter misinformation, and preserve access to evidence-based recommendations, with early actions including vaccine guidance for COVID-19, flu, and RSV, a statement rejecting any vaccine-autism link, and preparation for possible ACIP changes. Members asked about workload and coordination with other regional alliances, and staff said there is informal coordination but no formal regular meetings. The committee then heard from the Washington State Health Benefit Exchange about open enrollment and the effects of federal policy changes. Exchange leaders said the expiration of enhanced premium tax credits, HR1 provisions, and immigration-related eligibility changes are affecting affordability and enrollment, with some customers facing large premium increases and some counties becoming harder to serve. They reported early open-enrollment traffic increases, nearly 10,000 new sign-ups, and nearly 12,000 active coverage drops so far, while noting that many more people may disenroll later if subsidies are not extended. They also described mitigation efforts such as silver loading, Cascade Care Savings, outreach through navigators and community partners, and planning for future HR1 requirements like ending auto-renewal and adding verification steps. In the final work session, staff from the Health Care Authority and Insurance Commissioner’s office reviewed Washington’s health reform history and the state’s current affordability and access efforts. They highlighted past ACA-related coverage gains, continued work on prescription drug affordability, PBM oversight, primary care and behavioral health access, and a pending legislative proposal to preserve access to preventive services. They also discussed federal changes affecting Medicaid and the exchange, including work requirements, six-month redeterminations, and the need to coordinate across agencies to implement new rules. Members raised concerns about network adequacy, provider access, and the complexity of the health care system, while staff said they are trying to mitigate harm, simplify administration, and keep coverage and access as stable as possible.

Transcript Highlights:

• point I wanted to make is that for those of us who have districts with very rural parts, the state practices
• You have the power, Governor, to stop this practice.
• But as it relates to the fundamental practice of having people placed in To the fundamental practice
• put that into practice in the community, but in a very controlled setting.
• You don't have to engage in that practice.

Summary: The Joint Legislative Audit Committee held an oversight hearing on the state auditor’s October 2024 report on California’s Forensic Conditional Release Program (CONREP) for sexually violent predators. Members and witnesses discussed public safety, the long delays in finding community housing, the role of local housing committees, and the Department of State Hospitals’ oversight of Liberty Healthcare, which operates much of the program. Several legislators from rural and high-desert districts said their communities have been disproportionately affected by placements and questioned why many placements end up in remote areas. State Auditor Grant Parks said the audit found that CONREP participants were convicted of new offenses less often than sexually violent predators who were unconditionally released, but that 18 of 56 participants had been revoked and returned to state hospitals for noncompliance. He said it took an average of 17 months to place current participants in the community, with 20 additional people awaiting placement for an average of 20 months, and that the program incurred significant pre-placement costs. Parks also said local officials were often unclear about their role, DSH had not given clear guidance at the time of the audit, and California lacks a transitional housing option used in some other states. He reported that DSH had implemented four of the five audit recommendations, while declining the recommendation to explore state-owned transitional housing. DSH Director Stephanie Clendendon and Liberty representative Ken Carabello defended the program as a court-ordered, highly supervised treatment model intended to reduce reoffending and support reintegration. They said DSH is actively involved in placement review, that Liberty searches countywide under statutory restrictions, and that community feedback and court approval are part of the process. DSH said it has now implemented guidance for housing committee designees, formal program reviews, an outcome tracker, and an analysis of whether to separate some Liberty services into different contracts. DSH continued to oppose transitional housing, arguing it would not solve the core siting and statutory problems and would add cost. Several members remained critical, arguing the program is broken, costly, and unfairly concentrated in certain communities, and some called for major statutory changes or suspension of the program.

Transcript Highlights:

• And you can be licensed in New Mexico and not practice.
• I believe the governor vetoed that, but what we're trying to do is to Have everybody practice to the
• So just some for those of you who No scope of practice.
• Try to start thinking about it as a level of competency as opposed to a scope of practice.
• Physicians, PAs, nurse practitioners want to practice rather than leave the state.