Transcript Highlights:

• </c> certain kinds of diseases based on that. certain kinds of diseases based on that. the<01:48:56.159
• A physical disease or harm, right?
• So you can't analyze it from disease.
• It begins with reducing exposure before disease develops.
• </c> exposure before disease develops. exposure before disease develops.

Transcript Highlights:

• Alzheimer's disease is a progressive, irreversible, chronic neurological condition marked by abnormal
• Alzheimer's disease affects over 7 million people nationally, with 12% residing in California.
• For many years, little could be done to slow or stop the disease once identified, but that reality began
• These innovative medical breakthroughs... ...and slow clinical decline of early Alzheimer's disease.
• bill sharpens existing law and aligns coverage policies to reflect the necessary urgency of this disease

Summary: The Senate began with a roll call, a moment of silence for the shooting at the Islamic Center of San Diego, prayer, and the Pledge of Allegiance. The body then moved through gubernatorial appointments, confirming Julia Montgomery as General Counsel for the Agricultural Labor Relations Board and reappointing Dr. Cynthia Glover Woods, Dr. Brenda Lewis, and Gabriela Orozco Gonzalez to the State Board of Education, and George Cardona as Chief Trial Counsel for the State Bar. The Senate also heard a guest introduction welcoming Cal Lutheran University students, faculty, and staff to the gallery. The chamber then took up several resolutions, including SR 111 recognizing the International Day Against Homophobia, Biphobia, Intersex Phobia, and Transphobia; SCR 129 designating part of Highway 152 as the Rusty Arraes Highway; SCR 169 proclaiming October 2026 as Women's Small Business Month; and SCR 173 designating May 2026 as California Fairgrounds Appreciation Month. All of these resolutions passed, with members speaking in support of Arraes, women-owned businesses, and the public safety and community roles of fairgrounds. The Senate also passed a series of policy bills. These included SB 1154 on best-value procurement for community college public works, SB 1369 on judicial recall safeguards, SB 1106 shortening the data broker deletion timeline under the Delete Act, SB 1417 increasing transparency for mutual water companies, SB 1408 authorizing a future Contra Costa transportation sales tax measure, SB 1172 adding guardrails to local tax sharing agreements, SB 1383 protecting locally adopted labor standards in density bonus projects, SB 1371 barring waste haulers from suspending service during lawful labor disputes, SB 908 streamlining residential window replacement permits, SB 1361 limiting actions taken solely to avoid transit-oriented housing standards, SB 1014 requiring early fee and improvement estimates for housing projects, SB 1272 giving homeowners more time to fix preexisting code violations, SB 1406 targeting the Montana tax loophole, SB 1238 increasing HOA transparency and oversight, and SB 868 creating a plug-in solar framework. Most passed on largely party-line votes, with some Republican members objecting to labor-related or regulatory measures. Later in the day, the Senate approved additional health, education, privacy, and AI measures, including SB 950 on early-onset Alzheimer’s treatment coverage, SB 874 on Medi-Cal behavioral health treatment oversight, SB 1049 on correcting health plan claims, SB 1067 on early math screening, SB 1202 on Medi-Cal outreach amid federal changes, SB 944 on acupuncture coverage, SB 957 on notice for federal subpoenas to social media companies, SB 998 on discrimination prevention coordinators, and SB 1000 on AI content transparency. The final item shown, SB 1056 on protective orders for sexually explicit material involving adult victims, was introduced with the author noting ongoing work on amendments, but the transcript cuts off before final action is shown.

Transcript Highlights:

• and we know from the estimates that at least 50% of chronic disease is directly related to diet and
• nutrition that's not matching up with avoiding those chronic diseases and the money that has nutrition
• that's not matching up with avoiding those chronic diseases and the money that has spent on pharmaceuticals
• that we've never seen, and this is one that keeps me up at nighttime when we think about zoonotic diseases
• APHIS programs that fund a lot of our cooperative work on the ground for pests as well as animal diseases

Transcript Highlights:

• It looks like you're the only person that somehow has, like, Benjamin Button disease.
• If you catch one of these diseases that have been eradicated, doctors don't know how to treat polio and
• We have one of the greatest miracles in science: vaccines, to literally eradicate disease that our parents
• We have one of the greatest miracles in science: vaccines, to literally eradicate disease that our parents
• a bacteria that causes epiglottitis, pneumonia, meningitis, all very debilitating and crippling diseases

Summary: The Senate began with opening prayer, the Pledge of Allegiance, and recognitions, including the doctor of the day and a lighthearted “Cannoli Day” introduction. The chamber then held an extended farewell celebration for Senator Joe Gruters, with numerous senators, colleagues, and family members praising his loyalty, political skill, family focus, and service in the Legislature and Republican Party. Gruters was presented with a commemorative gift recognizing his work on a 2019 public-safety and immigration bill that prohibited sanctuary cities and required local cooperation with federal immigration enforcement. The Senate adopted a motion to spread Gruters’s remarks upon the journal and then recessed briefly. After recess, the Senate returned to regular business and took up third-reading bills. Committee Substitute for Committee Substitute for Committee Substitute for Senate Bill 354, relating to blue ribbon projects, was temporarily postponed. The chamber then considered Committee Substitute for Committee Substitute for Senate Bill 1758, relating to public assistance, with Senator Gates explaining that it contained five reforms to the public assistance system discussed earlier in session. During debate on SB 1758, Senator Berman opposed the bill, saying he could not support it in its current form because he believed the Medicaid-related provisions would create a coverage cliff after the one-year transition period and could leave people without care while increasing costs to hospitals and taxpayers. He also said SNAP error reduction should be a priority, but argued the state should focus on fixing administrative errors and fraud rather than imposing a work requirement whose costs and effects were uncertain.

Transcript Highlights:

• purposes of diagnosing, treating, and appropriately managing and ongoing monitoring of an enrolled disease
• purposes of diagnosing, treating, and appropriately managing and ongoing monitoring of an enrolled disease
• </c><00:02:22.800><c> or</c> monitoring of an enroles disease or monitoring of an enroles disease or
• <c> cost</c><00:04:08.879><c> associated</c><00:04:09.519><c> with</c><00:04:09.760><c> that</c> diseases
• and cost associated with that diseases and cost associated with that that<00:04:10.480><c> will</c><

Committee: Joint Appropriations

Transcript Highlights:

• And 10 million to the Norman Fixel Institute for Neurological Diseases at the University of Florida.
• Do you have the figures on how many people are on the wait list currently for the Alzheimer's Disease
• Right now, there's, I think, 3.5 allocated to serve the seniors in the Alzheimer's Disease Initiatives
• Do you have the figures on how many people are on the wait list currently for the Alzheimer's Disease
• Are you familiar with what those programs provide in terms of Alzheimer's disease initiatives, community

Summary: The House met on the final day of session, swore in Representatives Boyles and Hodgers, and observed a moment of silence for the Minnesota House Speaker Melissa Hortman and her husband, as well as for Representative Rosenwald’s father. The chamber then moved into final budget work, with leaders outlining the plan to take up H.J.R. 5019, HB 7031, HB 5017, HB 5015, and then the general appropriations act once the Senate transmitted it. H.J.R. 5019, a proposed constitutional amendment to expand the budget stabilization fund, was explained and amended to raise the rainy day fund cap, require annual deposits, and allow withdrawals for critical state needs by a two-thirds vote; it passed 100-1. The House then adopted the conference report on HB 7031, the tax package. The bill repeals the business rent tax and aviation fuel tax, delays the natural gas fuel tax, creates or expands several sales tax holidays and exemptions, including permanent exemptions for disaster-preparedness items, hunting/fishing/camping items, and ammunition and firearms-related purchases, and makes changes to property, corporate income, local tax, and economic development provisions. Members debated the removal of recurring housing trust fund and transit-related revenue streams, the new ammunition exemption, and the data center tax changes; supporters argued the package reduces taxes and preserves annual budget flexibility, while opponents raised concerns about housing, transportation, and gun violence. The conference report passed 93-7. HB 5017, creating a debt reduction program funded by a recurring transfer to retire state bonds early, passed unanimously. HB 5015, the state group insurance conforming bill, which directs DMS to develop a formulary management plan and codifies the administrative health insurance assessment, also passed. The House then began explanation and questions on the fiscal year 2025-26 general appropriations act, described as a $115.1 billion budget that is down $3.8 billion from the current year and includes more than $12 billion in reserves. Subcommittee chairs summarized major spending areas, including pre-K-12 funding increases, health care funding for Medicaid, KidCare, nursing homes, opioid treatment, and mental health, transportation and economic development funding, environmental and water projects, higher education, state administration, justice, and information technology. Questions focused on school vouchers, inflationary pressures on school districts, and the adequacy of funding for housing, transportation, and other priorities.

Transcript Highlights:

• lists and provide in-home services, including $3 million to serve 288 seniors in the Alzheimer's Disease
• Do you have the figures on how many people are on the wait list currently for the Alzheimer's Disease
• Right now, there's, I think, 3.5 allocated to serve the seniors in the Alzheimer's Disease Initiatives
• Do you have the figures on how many people are on the wait list currently for the Alzheimer's Disease
• Are you familiar with what those programs provide in terms of Alzheimer's disease initiatives, community

Summary: The House convened on the final day of session, observed a moment of silence for the Minnesota House Speaker Melissa Hortman and her husband, and for Representative Rosenwald’s father, then swore in and seated new members Boyles and Hodgers. The Speaker also outlined the chamber’s end-of-session priorities, including action on the budget and related conforming bills. The House then took up H.J.R. 5019, a constitutional amendment to expand Florida’s budget stabilization fund by raising the cap, requiring annual transfers, and allowing withdrawals for critical state needs. After sponsor explanations and questions about what would qualify as a critical need and how the fund might respond to possible federal funding cuts, the House adopted an amendment that added more flexibility for suspending transfers and withdrawals. The joint resolution then passed on final passage. Members next considered HB 7031, the tax package conference report. The bill repeals the business rent tax and aviation fuel tax, delays the natural gas fuel tax, creates or extends several sales tax exemptions and holidays, and makes changes affecting property taxes, local taxes, pari-mutuel taxes, and revenue distributions. Debate focused heavily on the new permanent exemption for ammunition and hunting-related items, the elimination of recurring housing trust fund and transit-related distributions, and the shift of some funding from recurring to nonrecurring status. Supporters argued the package provides tax relief and preserves annual budget flexibility, while opponents criticized the ammunition exemption and the reductions in recurring housing and transit support. The conference report was adopted and the bill passed. The House then passed HB 5017, which creates a debt reduction program funded by a recurring transfer from general revenue to retire state bonds early, and HB 5015, the state group insurance conforming bill, which directs DMS to develop a formulary management plan and codifies the administrative health insurance assessment. Finally, the chamber began explanation and questions on the General Appropriations Act conference report for fiscal year 2025-26, described as a $115.1 billion budget that is down from the current year and includes more than $12 billion in reserves. Subcommittee chairs summarized major budget areas, including K-12 education, health care, transportation and economic development, agriculture and natural resources, higher education, state administration, justice, and information technology, highlighting funding for school choice, Medicaid, housing, transportation infrastructure, Everglades restoration, workforce programs, cybersecurity, and technology modernization.

Transcript Highlights:

• <01:20:47.600><c> therapy</c><01:20:47.960><c> Physical</c><01:20:48.320><c> Therapy</c> occupational
• therapy Physical Therapy occupational therapy Physical Therapy speech<01:20:48.880><c> and</c><01:20
• </c><01:42:54.199><c> therapy</c> given that um occupational therapy given that um occupational therapy
• She had weekly occupational therapy sessions.
• I'm an occupational therapist, so I know how to read those documents.

Summary: The House Education Policy and Administration Committee heard testimony on HB 222, which would repeal the requirement that a chartered public school and the resident school district sign a memorandum of understanding on how students with disabilities will receive special education services. The prime sponsor, Rep. Peggy Balboni, said the bill was requested by the New Hampshire Association of Special Education Administrators and the New Hampshire Alliance for Public Charter Schools. She argued that federal and state law already require districts to provide FAPE and that the MOU requirement has created extra work, legal costs, and delays without improving services. She said many MOUs remain unsigned, but students are still receiving services and complaint numbers have not changed. Rep. Mooney also supported repeal, calling the MOU duplicative and impractical because IEPs and 504 plans already govern services. Testimony from Jane B. Brulu of the special education administrators’ association and Beth McLure of the charter schools alliance echoed that view, saying the MOU has not helped students, has added hours of work and legal fees, and has mostly been a source of disputes over funding and service costs. McLure said her school has worked with more than 15 districts and has always been able to reach agreements, though the first year of the requirement took substantial time and money. Committee members asked about the original purpose of the law, unsigned MOUs, and whether disputes could be resolved without the requirement. A representative from the Department of Education said the MOU was originally proposed to address reports that some students were not getting services on time and to provide some oversight, but the department has no authority to order charter schools or districts to agree and no appeal process if they cannot. The department also said it does not currently audit charter school special education services because it lacks authority to monitor charter schools directly, and it urged the committee to consider some alternative oversight if the MOU requirement is repealed. The hearing on HB 222 was then closed, and the committee announced it would begin the hearing on HB 699 after a short break.

Transcript Highlights:

• I have a condition called trigeminal neuralgia, which is a severe facial nerve disease.
• It's often nicknamed the suicide disease.
• Henningfield, even the Centers for Disease Control in the report that was referenced earlier had, thank
• As an example outside of overdoses, a person may have longstanding chronic obstructive pulmonary disease
• But chronic obstructive pulmonary disease would likely be identified as a contributing factor on the

Summary: The Kratom Working Group met to hear public testimony and expert presentations on whether North Dakota should prohibit or regulate kratom and 7-OH products. Early testimony split sharply between speakers who described natural kratom as a helpful, lower-risk alternative for chronic pain, opioid withdrawal, PTSD, and recovery, and speakers who urged prohibition because of dependence, overdose risk, and the growth of concentrated or synthetic 7-OH products sold in gas stations, smoke shops, and online. Several witnesses, including consumers and shop owners, argued that banning kratom would push people to more dangerous drugs or unregulated internet sources, while public health and medical witnesses said the marketplace is confusing and inadequately controlled. A number of witnesses, including representatives of the North Dakota Public Health Association, the state crime lab, and addiction-treatment and pediatric clinicians, emphasized risks from adulterated or concentrated products, lack of labeling and age restrictions, contamination concerns, and harms to adolescents, pregnant patients, and newborns. The crime lab described recent cases involving mitragynine, 7-OH, and pseudoindoxyl, and said products purchased in a smoke shop were inaccurately labeled. A Sanford pediatric hospitalist testified that kratom exposure in pregnancy can cause severe neonatal withdrawal and that adolescents are using the product. By contrast, American Kratom Association representatives and other advocates argued that natural leaf kratom should be distinguished from synthetic 7-OH, that deaths usually involve other substances, and that a regulatory framework with testing, labeling, age limits, and product registration would better protect consumers than a blanket ban. No formal bill was debated or voted on in this transcript. The working group heard testimony, asked questions, and took no final action before breaking for lunch and later resuming with additional presentations.

Transcript Highlights:

• ranging from those that you might expect, protecting plants and animals from invasive pests and diseases
• detected in dairy cows in early 2024, it marked a troubling evolution of an already devastating animal disease
• The state invested in expanded diagnostic devastating animal disease in the poultry sector.
• Having an appropriately staffed CDFA is essential for food safety, pest and disease, animal health, and
• Having an appropriately staffed CDFA is essential for food safety, pest and disease, animal health, and

Summary: The subcommittee heard a series of budget presentations from the Department of Food and Agriculture (CDFA), the Department of Cannabis Control (DCC), and related agencies. CDFA discussed its overall budget, ongoing support for the Farm to School program and climate-smart agriculture, and a proposed climate bond expenditure plan. Members focused heavily on whether the Farm to School proposal should become ongoing, how schools and suppliers are selected, whether the program is reaching disadvantaged and food-insecure communities, and whether the trailer bill language creates new duties. The LAO recommended rejecting the ongoing Farm to School proposal as presented, suggesting the Legislature consider Prop. 98 funding instead, while CDFA argued the program supports children, farmers, and local economies and helps build long-term supply-chain infrastructure. Several members also questioned the bond plan’s timing, program metrics, and workforce impacts, while LAO said the bond plan was generally reasonable and should be guided by legislative input. The committee also discussed CDFA’s proposal to eliminate vacant positions; the department said the positions were largely long-vacant or unfunded and could be reclassified if needed, while LAO recommended retaining the special-fund positions and weighing the General Fund positions on their merits. CDFA’s IT support request for additional ongoing funding and four positions was presented as necessary to address staffing shortages, legacy systems, and cybersecurity risks, and LAO had no concerns. The committee then took public comment and voted to approve items 9 through 13, including CDFA dog importation and carcass disposal items, a Gambling Control Commission IT item and tribal grant fund item, and an ABC office relocation item. DCC presented a request to strengthen enforcement against the illicit cannabis market by opening a North State office in Redding and adding sworn and non-sworn staff. The department said most cannabis consumed in California still comes from the illicit market, that it receives about 1,500 complaints annually but can close only about 400 cases, and that it has a backlog of roughly 4,000 cases. DCC argued that a northern office would reduce travel time, improve coordination with local agencies, and help target cross-county and cross-border criminal networks. Finance supported the request as a targeted investment, and LAO had no comment. Members asked about public safety, office security, and whether a North State presence would increase complaints or referrals; DCC said safety is considered in every office opening and that a local presence would likely improve case development. The director also described the broader regulatory strategy as balancing consumer safety, illicit-market enforcement, consumer awareness, and reducing friction for legal operators. The discussion continued into broader concerns about the size of the illicit market and the long-term goals for the cannabis program.

Transcript Highlights:

• And are those restrictions anticipated to be for chronic diseases, or what type of restrictions do you
• So the restrictions are monetary, not necessarily on the care that they need if it's a chronic disease
• how we can do our core mission, which is identifying, preventing, and responding to communicable disease
• local public health departments are forced to move slower like they are now, I mean, communicable disease
• people will go uninsured and be forced to the ER for basic care or die younger from preventable diseases

Summary: The joint informational hearing focused on the impacts of H.R. 1 on California’s Medi-Cal program and on community health effects from recent immigration enforcement actions. Committee leaders said H.R. 1 would sharply reduce federal funding, increase administrative burdens, and worsen access to care, especially for Medi-Cal enrollees, immigrant families, rural communities, and reproductive health patients. The second half of the hearing examined how ICE raids and related federal actions are creating fear, reducing clinic and emergency department use, and disrupting children’s access to schools and early childhood education. Department of Health Care Services Director Michelle Bass outlined the main H.R. 1 provisions affecting Medi-Cal: work requirements, semiannual eligibility redeterminations, shorter retroactive coverage, new cost-sharing, limits on provider taxes and state-directed payments, reduced federal support for emergency and lawful immigrant coverage, and a one-year ban on Medicaid funding for prohibited abortion providers. She estimated millions could lose coverage, with tens of billions of dollars in federal funding at risk. Planned Parenthood Affiliates of California warned the defunding provision could force clinic closures, service reductions, and loss of access to family planning, STI testing, and cancer screenings. The California Hospital Association said the financing changes could cut hospital revenue by tens of billions over 10 years and threaten access, especially for rural and safety-net hospitals. The Western Center on Law and Poverty argued the law would increase churn, paperwork, and uninsured rates, disproportionately harming working adults and people experiencing homelessness. Committee members asked about implementation timelines, notification systems, administrative costs, the effect on immigrant eligibility, and whether California could delay or mitigate some provisions. Bass said the state was still assessing federal guidance, planning county and provider outreach, and exploring a possible delay for work requirements and a transition period for provider-tax changes. Members also discussed how state budget actions may need to be revisited in light of H.R. 1, and how California might preserve access through state-only funding or other policy changes. In the second panel, CHIRLA, Los Angeles County Department of Health Services, and the Children’s Partnership described the health consequences of immigration enforcement. Speakers said raids and data-sharing fears are causing anxiety, trauma, and avoidance of care, with Los Angeles County reporting declines in emergency, urgent care, and clinic visits after enforcement actions. The Children’s Partnership said school and early childhood absences are rising in some communities and that enforcement is undermining children’s emotional well-being and access to education. Members asked for more data and discussed possible state protections, telehealth, mobile care, and legal and policy responses to reduce fear and preserve access to health and education services.

Transcript Highlights:

• How are we able to prevent disease rather than simply reacting to it?
• How are we able to prevent disease rather than simply reacting to it?
• Just as a reminder, I spent a previous lifetime as an emergency room doctor, and many of these disease
• Disease processes that were under control...
• Disease processes that were under control become unmanageable, and the need for emergency rooms to help

Summary: The hearing focused on the expected health coverage losses tied to H.R. 1, the resulting pressure on California’s county indigent care systems, and what data and policy changes the Legislature may need before the next budget cycle. Chair Hart and Assemblymember Addis framed the issue as a major rollback in coverage that could leave more Californians uninsured and push more people into county safety-net programs. Members repeatedly emphasized the need for baseline, county-by-county data on eligibility, benefits, caseloads, and funding before making larger structural decisions. The Legislative Analyst’s Office explained the history of county indigent care under Welfare and Institutions Code 17000, the shift in funding through 1991 realignment, and the later redirection of funds to CalWORKs. LAO said county programs vary widely in scope and eligibility, that current realignment funding does not automatically rise with demand, and that the Legislature faces tradeoffs if it changes the funding structure. Administration witnesses from Finance and DHCS projected large Medi-Cal and Covered California enrollment losses, with DHCS estimating more than 1 million Medi-Cal members could eventually lose coverage under work requirements and redeterminations, and noting that a new federal rule could make exemptions more restrictive. Officials also said there is no single statewide real-time data system for uninsured or indigent care populations, though some hospital and utilization data exists with significant lags. County representatives from Santa Barbara, San Diego, and Tulare described how their indigent care programs are being rebuilt or strained after years of low demand. They warned that many newly uninsured residents will need only basic, emergency-oriented care under county programs, not the preventive and continuous care available through Medi-Cal, and said that without new state support counties may have to divert funds from public health or reduce other services. Several counties asked for bridge funding, technical statutory changes, and flexibility to adjust realignment methodology. The California Health Care Foundation closed by arguing that the problem is statewide and needs a statewide solution rather than a patchwork county response.

Transcript Highlights:

• Kentucky is carrying a heavy chronic disease burden.
• Conditions like diabetes and heart disease are deeply connected to diet and access.
• They also know we cannot outspend chronic disease. This is a crisis.
• Kentucky is carrying a heavy chronic disease burden.
• They also know we cannot outspend chronic disease. This is a crisis.

Summary: The Senate convened with an invocation and Pledge of Allegiance, then established a quorum and approved the journal. The House clerk communicated that the House had passed House Bills 34 and 306 and requested concurrence. The State and Local Government Committee reported Senate Bills 20 and 68 favorably, and several new bills and resolutions were introduced, including measures on Kentucky-grown agricultural procurement, an endowed research fund, unemployment insurance, postsecondary education, wrongful conviction compensation, massage therapy, local fiscal reporting, and a resolution honoring John and Debbie Rogers. The main floor action was on Senate Joint Resolution 23, as amended by Senate Committee Substitute 1, declaring Kentucky a “food is medicine” state and directing state agencies to advance food-as-medicine initiatives. The sponsor described the resolution as a statewide framework to connect nutrition, health care, agriculture, and local food systems, emphasizing partnerships with the Kentucky Hospital Association and the Kentucky Department of Agriculture, better health outcomes, and support for Kentucky farmers and rural communities. Senators from Taylor and Callaway spoke in support, citing local examples and the goal of building Kentucky-based solutions rather than importing them. The committee substitute was adopted by voice vote, and the resolution then passed 35-0. The Senate also adopted Senate Resolution 56 honoring Elder Nathan Craig and Sister Amy Craig, and Senate Resolution 33 honoring Robert E. “Bob” Pernell, Sr. Senate Resolution 22, honoring Brian J. Hat, was likewise adopted. After the day’s business, the Senate recessed for meetings of the Rules Committee and the Committee on Committees. Later, the Committee on Committees referred Senate Bills 1-4 to Education, Senate Bill 48 to Judiciary, and Senate Bills 84 and 102 to Veterans, Military Affairs, and Public Protection. Several members made announcements about upcoming committee meetings and events, including the VMAP committee, Judiciary, the Kentucky Japan Caucus, the Kentucky Israel Caucus, and an American Cancer Society action day.

Transcript Highlights:

• higher rates of infant and maternal mortality, psychological distress, chronic life-threatening diseases
• Because there is no cure for this chronic disease, those affected must abide by strict avoidance.
• That summer, he was diagnosed with a motor neuron disease now thought to be Seven years, Will, that summer
• he was diagnosed with a motor neuron disease now thought to be a rare complication of long COVID.
• In 2024, our pharmacy had to let patients who had HIV, cancer, and heart disease know we could no longer

Committee: House Health

Summary: The committee heard several health-related bills. SB 27 by Senator Umberg would expand and clarify the CARE Court process, with amendments narrowing the new diagnosis category to bipolar I disorder with psychotic features, clarifying the “clinically stabilized” standard, and limiting the role of nurse practitioners and physician assistants. Supporters, including a psychiatrist, a family member, and several local and business groups, said the bill would help more people access needed services; opponents, including counties, disability rights, peer-run organizations, and consumer advocates, warned it would expand the program faster than counties can provide housing, staffing, and court-related services. The committee discussed capacity concerns at length, then passed SB 27 on a do pass motion to the Committee on Public Safety. SB 503 by Senator Weber Pearson would require AI used in health care facilities to be identified, monitored, and mitigated for bias when used in clinical decision-making or resource allocation. The author and supporters from Kaiser Permanente, the California Medical Association, hospitals, and psychiatrists said the bill would help prevent discriminatory outcomes and improve trust in AI tools. Committee members noted the need to clarify deployer and developer responsibilities and accepted amendments before voting. The bill passed as amended to the Privacy and Consumer Protection Committee. SB 68 by Senator Menjivar would require allergen disclosure on restaurant menus, with different requirements for larger chains and more flexible options for smaller restaurants. The bill was presented with emotional testimony from the author and a nine-year-old witness with severe food allergies, along with broad support from medical, nursing, parent, and allergy advocacy groups. The California Restaurant Association opposed the bill unless amended, seeking broader menu-format flexibility and additional liability language. After discussion of those concerns, the committee passed SB 68 as amended to Appropriations. SB 403 by Senator Blakespear would remove the sunset date from California’s End of Life Option Act, making the law permanent. Supporters, including a physician, a social worker, hospice professionals, and family members of terminally ill patients, described the law as a compassionate, carefully regulated option that has worked as intended. Faith-based and Catholic health organizations opposed the measure. The committee approved SB 403 and sent it to Judiciary. The hearing also included consent items, which were approved, and a vote change on SB 68 from no to aye by Senator Sanchez.

Transcript Highlights:

• University of Kentucky School of Medicine, with specific experience in or expertise in Parkinson's disease
• Yes, so as you recall, this bill would set up a Kentucky Parkinson's disease research registry.
• this bill would set up a Kentucky the this bill would set up a Kentucky Parkinson's<00:03:43.959><c> disease
• </c><00:03:44.400><c> research</c><00:03:45.120><c> registry</c> Parkinson's disease research registry
• Parkinson's disease research registry and<00:03:46.239><c> Parkinson's</c><00:03:46.760><c> is</c><00

Summary: The committee first took up Senate Bill 27, as amended by committee substitute, which would create a Kentucky Parkinson’s disease research registry. The sponsor said the substitute was developed with UK, U of L, the Michael J. Fox Foundation, and Parkinson’s in Motion to better define a movement disorder center, add Parkinson’s experts from both universities to the advisory committee, require automated reporting, and delay implementation until 2027. Testimony emphasized the need to track diagnoses and testing while protecting confidentiality and allowing people to opt out. The committee adopted the substitute and then voted unanimously to pass SB 27 with a favorable expression. The committee then heard Senate Bill 93, dealing with hearing aid coverage for children. A parent described the high cost of hearing aids for her son and the financial burden created by insurance limits, while a pediatric audiologist explained that early identification and treatment improve language outcomes and that families can spend about $30,000 on hearing aids from birth to age 18. The committee substitute removed adults from the bill and added an in-network requirement for pediatric audiologists, along with a replacement interval consistent with Medicaid guidelines and repair/loss coverage provisions. After questions about costs, replacement timing, and insurer practices, the committee voted unanimously to pass SB 93 with a favorable expression. Finally, the committee considered Senate Bill 153, a transparency and due-process bill concerning Medicaid prepayment review. The sponsor and witnesses from Addiction Recovery Care and Frontier Behavioral Health said prepayment reviews can be imposed with little notice or explanation, disrupt cash flow, and burden rural and smaller providers; they argued the bill would require clearer notice, reasons, and timelines without stopping legitimate reviews. Members asked about managed care organizations, contract issues, and whether the bill would conflict with existing agreements, and the sponsor said it would not. After discussion and an explanation of vote from Senator Douglas, the committee voted to pass SB 153 with a favorable expression.

Transcript Highlights:

• And that's why biosimilars are so important for illnesses like sickle cell, Crohn's disease, some cancers
• , anything that's going to be long-term. ...long-term effects of some type of disease.
• I know Humira for Crohn's disease, right? Great.
• I'm just curious, I know Humira for Crohn's disease, right?
• If you're specific for Crohn's disease. Yeah. Okay. I, we had a young man testify.

Summary: The committee heard several bills, but much of the meeting focused on House Bill 306, which would require disclosure when a consumer is interacting with a chatbot rather than a human. Sponsor Senator Townsend described it as a consumer protection measure and said the bill is meant to keep pace with rapidly changing AI technology. Committee members and witnesses raised concerns about the bill’s enforcement structure, especially private rights of action and penalties that could apply even without actual consumer harm. The Department of Justice said the bill would apply where the conduct has a Delaware nexus, and that the disclosure requirement is the key consumer protection. Industry witnesses and chambers of commerce opposed the bill as drafted, arguing it would create broad compliance burdens and expose businesses to excessive litigation risk without a harm requirement or clearer safe harbor language. Earlier in the meeting, the committee discussed House Bill 429, which would update Delaware’s step therapy exception process to include biosimilars and interchangeable biologics. Senator Poore and supporters from Highmark and the Department of Insurance said the bill would modernize insurance law, improve access to effective treatments, and reduce costs; they cited national savings from biosimilars and said the bill has agency support. Members asked about Delaware-specific savings, patient switching, and how the process would work, but no vote was taken during the discussion. The committee also heard House Bill 310, which would exclude large data centers from Blue Collar Jobs Act tax credits; the sponsor said the bill is intended to ensure large energy users contribute more to state and local revenues, while supporters and opponents debated competitiveness and community impacts. House Bill 406, on allowing insureds to choose their auto repair shop, and Senate Bill 347, a cleanup bill related to medical debt collection and personal property levies, were also presented without opposition in the hearing. House Bill 253, concerning who may receive letters testamentary or of administration, was described as a cleanup to align statute with existing practice. The committee approved the meeting minutes, but the transcript does not show final votes on the bills discussed.

Transcript Highlights:

• If there are injuries to the eye or there are eye diseases or other issues, that falls under your medical
• If there are injuries to the eye or there are eye diseases or other issues, that falls under your medical
• They don't actually address the underlying causes of these diseases.
• They don't actually address the underlying causes of these diseases.
• have been linked to the reduction in chronic inflammation, which is the number one cause of chronic disease

Bills: SCR37 , SB145 , SB237

Committee: House Health and Welfare

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

Transcript Highlights:

• And since then, he has something, it's a genetic disease called polycystic kidney disease, which was
• So from that, he has now had his two remaining diseased kidneys removed.
• As you probably already remember, my sister had polycystic kidney disease, and she passed.
• You probably already remember my sister had polycystic kidney disease, and she passed two years ago.

Committee: House Veterans and Armed Forces

Summary: The committee first took up House Bill 2535 in executive session. Members adopted a House committee substitute and two cleanup amendments, including clarifications related to Gold Star spouses and a correction to a property tax exemption amount for veterans. The substitute was then approved, and the committee voted the House Committee Substitute for HB 2535 do pass by a recorded vote of 15 ayes and 1 no. The committee then held a public hearing on Senate Committee Substitute for Senate Bill 974, which Senator Black described as a consumer-protection measure aimed at preventing exploitation of veterans by unaccredited claims assistance companies. The bill would restrict compensation for referrals and certain claims work, require written agreements, cap fees tied to benefit increases, and prohibit upfront fees and misleading practices. Supporters, including a former VA official and several veterans, argued the bill would provide needed guardrails and choice for veterans navigating a difficult claims process. Opponents, including the VFW and Missouri veterans groups, argued the bill conflicts with federal law and could legitimize paid claims assistance outside the VA accreditation system; they urged striking the contested section and relying on existing federal rules and Missouri consumer-protection law instead. Testimony also covered several other provisions folded into SB 974, including military leave for public employees, National Guard-related items, survivor benefit tax deductions, and the MoGives living organ donor language. Witnesses on the organ donor provision said it would help service members avoid financial hardship while donating organs. The hearing ended without a vote on SB 974, and the chair announced the committee was out of time and adjourned.

Transcript Highlights:

• voting no on this bill today because I think that we're treating a symptom and not the underlying disease
• voting no on this bill today because I think that we're treating a symptom and not the underlying disease
• The underlying disease. I think the sponsor of the bill would say this is not a fix for everything.
• losing tools, and the behavior is getting worse, and we are treating the fever and not the underlying diseases
• Diseases that cause the problems that we see in the education system and with behavior and with academic

Bills: HB1160 , HB1289 , HB1339 , HB1798 , HB1065 , HB1795 , HB2107 , HB2113 , HB2124 , HB2125 , HB2133 , HB2134 , HB2140 , HB2185 , HB2191 , HB2205 , HB2211 , HB2219 , HB2245 , HB2253 , HB2283 , HB2343 , HB2406 , HB2501 , HB2531 , HB2574 , HB1170 , HB1544 , HB1834 , HB2156 , HB2188 , HB2206 , HB2360 , HB2471 , HB2478 , HB2525 , HB2605 , HJM4012 , HB1104 , HB1152 , HB1254 , HB1443 , HB1710 , HB1750 , HB1903 , HB1941 , HB1974 , HB1982 , HB1983 , HB2006 , HB2034 , HB2105 , HB2179 , HB2203 , HB2215 , HB2223 , HB2239 , HB2247 , HB2297 , HB2303 , HB2322 , HB2329 , HB2334 , HB2338 , HB2345 , HB2348 , HB2350 , HB2353 , HB2355 , HB2363 , HB2367 , HB2379 , HB2388 , HB2399 , HB2418 , HB2420 , HB2428 , HB2441 , HB2462 , HB2464 , HB2467 , HB2495 , HB2505 , HB2534 , HB2539 , HB2544 , HB2551 , HB2554 , HB2557 , HB2575 , HB2577 , HB2588 , HB2594 , HB2604 , HB2636 , HB2714 , HB1160 , HB1289 , HB1339 , HB1798 , HB1065 , HB1795 , HB2113 , HB2124 , HB2125 , HB2134 , HB2140 , HB2185 , HB2191 , HB2205 , HB2211 , HB2219 , HB2245 , HB2253 , HB2283 , HB2343 , HB2406 , HB2501 , HB2574 , HB1170 , HB1544 , HB1834 , HB2156 , HB2188 , HB2206 , HB2471 , HB2478 , HB2605 , HJM4012 , HB1104 , HB1152 , HB1254 , HB1443 , HB1903 , HB1941 , HB1982 , HB2006 , HB2034 , HB2105 , HB2179 , HB2203 , HB2297 , HB2303 , HB2322 , HB2329 , HB2345 , HB2350 , HB2379 , HB2388 , HB2399 , HB2418 , HB2462 , HB2464 , HB2495 , HB2539 , HB2544 , HB2551 , HB2554 , HB2588 , HB2636 , HB1128 , HB1408 , HB1570 , HB1742 , HB1823 , HB2089 , HB2104 , HB2114 , HB2172 , HB2192 , HB2207 , HB2251 , HB2262 , HB2266 , HB2294 , HB2298 , HB2319 , HB2320 , HB2323 , HB2351 , HB2354 , HB2374 , HB2401 , HB2405 , HB2429 , HB2431 , HB2442 , HB2451 , HB2479 , HB2496 , HB2515 , HB2523 , HB2540 , HB2593 , HB2632 , HB2661 , HB1496 , HB1898 , HB2095 , HB2157 , HB2225 , HB2274 , HB2311 , HB2325 , HB2333 , HB2476 , HB2508 , HB2552

Keywords: design review, local government, land use, zoning, project permits, housing density, middle housing, affordable housing, parking minimums, single-family zoning, infill development, growth management, comprehensive plan, permit streamlining, objective development regulations, architectural review, administrative review, transit-oriented development, accessory dwelling units, ADU

Transcript Highlights:

• being heard, that there are solutions for them and for their neighbors that are suffering with the disease
• Adoptees may also face increased health costs to treat diseases which could have been prevented with
• Adoptees may also face increased health costs to treat diseases which could have been prevented with
• Lacking... ...health costs to treat diseases which could have been prevented with the knowledge of their
• Sealing only takes place at adoption because the intent is to protect... ...health costs to treat diseases

Committee: Senate Health