Transcript Highlights:

• land that hasn't been developed, but it's clearly within the confines of an urban area, ensuring that
• in those areas.
• Director of Economic and Workforce Development from AltaSea at the Port of Los Angeles.
• Again, Director of Economic and Workforce Development, I work with a number of different MCDR researchers
• and developers.

Summary: The committee hearing centered first on AB 1243, the Polluters Pay Climate Superfund Act of 2025, which would direct CalEPA to identify major fossil fuel companies, study California’s climate damages, and assess fees on the largest polluters to fund resilience, recovery, and related projects. The author and supporters argued the bill would make polluters help pay for climate harms, protect taxpayers, create jobs in construction and clean energy, and dedicate at least 40% of funds to disadvantaged communities. Support testimony came from environmental justice groups, labor, youth advocates, health organizations, and many individual witnesses, while opponents from the building trades, chambers of commerce, petroleum, and business groups warned it would raise fuel and consumer costs, threaten refinery jobs, and create legal and economic uncertainty. Committee members debated the bill’s impact on affordability, jobs, refinery closures, and whether cap-and-trade already addresses climate funding needs. The committee ultimately voted to give AB 1243 a due pass recommendation to the Judiciary Committee, with the roll left open. After AB 1243, the committee moved to another bill on wildfire mitigation and related resilience work. The author said the measure addresses a long-running wildfire problem and accepted committee amendments, describing the bill as a response to increasingly severe wildfire seasons and the need to help communities stay safe and rebuild after disasters. The transcript cuts off as that presentation begins, so no final action on the second bill is shown in the excerpt.

Transcript Highlights:

• For example, we're working out in Texas with the developer on how to site a reactor for a large area
• So developing these transportation packages that can go up to those HALU levels is also another area.
• Education and workforce development, as I mentioned, is a key piece of this.
• There's a Education and workforce development, as I mentioned, is a key piece of this.
• So that's shown in the middle with EWD, that education and workforce development.

Summary: The meeting opened with remarks about the value of public engagement and the availability of presentation materials, then moved into a series of technical briefings from Idaho National Laboratory staff. Joe Renovitz described recent federal and DOE efforts to streamline nuclear regulation for advanced reactors, including NRC Part 53 and upcoming Part 57 rulemaking, DOE authorization updates, crosswalks between DOE and NRC requirements, and use of AI to speed licensing communications and document review. He emphasized that the goal is to align safety standards for advanced technologies, reduce rework for developers, and support deployment for commercial, defense, and research uses. In response to questions, he said there is no current plan to merge agencies, but there is more information-sharing and embedded NRC staff at DOE facilities; he also noted public outreach is supported through groups like GAIN and NEI. David Tolman then discussed the nuclear fuel cycle, covering uranium mining, conversion, enrichment, fuel fabrication, spent fuel storage, transportation, disposal, and recycling. He explained high-assay low-enriched uranium (HALEU), DOE’s HALEU Availability Program, and the need to expand domestic enrichment, deconversion, and transportation capacity to support advanced reactors and the 2050 nuclear growth goal. He also reviewed used fuel management, including on-site storage at operating and shutdown reactors, the Center for Used Fuel Research at INL, a high-burnup research cask project, and the long-term repository question, which he said is ultimately political as well as technical. He outlined reprocessing approaches—aqueous/Purex, pyrochemical, and fluoride volatility—describing INL’s work on electrochemical processing of EBR-II fuel and noting industry interest from several companies in recycling technologies. Ashley Shields presented on AI for nuclear applications, describing INL’s use of generative AI, high-performance computing, and digital-twin tools to accelerate reactor design, licensing, operations, and materials development. She highlighted the Prometheus effort to pursue highly automated reactor design and operation, the large documentation burden for reactor licensing, and ongoing work on autonomous control, remote operation, and AI-assisted materials qualification through the Vulcan challenge and related data platforms. In questions, she said AI tools are used under data-governance and security controls, with different models chosen for different tasks, and argued that software engineers and human oversight remain necessary. The session ended with a brief recess announcement and a transition to a later presentation on critical minerals and materials.

Transcript Highlights:

• This program wasn't developed in a vacuum.
• This program wasn't developed in a vacuum.
• So, members, 949 is a workforce and access care bill.
• Members, 949 is a workforce and access care bill.
• to advanced imaging is limited due to the shortage of workforce.

Keywords: 974, senate, all

Summary: The Senate Committee on Health and Welfare met on May 6, 2026, with five members present. After adopting the April 28 minutes, the committee heard a brief presentation on the new Leadership Louisiana Health Fellows Program, which is intended to bring together health care, business, policy, and education leaders to study Louisiana health challenges and build a network for action. Members expressed support for the program and its potential value to health policy work. The committee then advanced several bills, often with technical or substantive amendments. SB 57, a nutrition-labeling bill, was amended to push its effective date to December 31, 2028 and reported as amended. HB 62 increased the membership of the Louisiana Women’s Policy and Research Commission to 27 members and was reported as amended. HB 193 updated membership rules for the sickle cell commission foundations so long-serving executive directors would not have to reapply repeatedly, and it was reported as amended. HB 815 would allow financial institutions to receive death certificates to help families manage accounts after a death; it was reported favorably after a question about state-licensed banks. SB 405 was substantially revised to codify LDH’s new Ascend nursing-facility quality initiative, including statewide quality oversight goals, stakeholder involvement, reporting requirements, and tools such as dashboards and surveys; after reconsidering prior action and adopting the new amendment, the bill was reported as amended. The committee also approved HB 222, which provides Medicaid dental coverage when needed for another covered medical procedure, and HB 420, which requires background checks for all DCFS employees with access to sensitive information. HB 475 requires verbal consent when AI is used to record or transcribe a medical visit and was reported favorably after a technical question. HB 246 updated membership of the Children’s Cabinet Advisory Board and the council on grandparents raising grandchildren, including replacing an inactive coalition seat with the state police superintendent or designee. HB 486 would enter Louisiana into the psychology inter-jurisdictional compact to expand access to mental health care, and HB 574 updated outdated board names on the Mental Health Advisory Services Board; both were reported favorably. Later, the committee reported HB 949, which creates a licensure framework for radiologist assistants to help address imaging workforce shortages, especially in rural areas, and HB 584, which requires foster children to be provided luggage instead of trash bags for their belongings and restores “rights” language in the Foster Youth Bill of Rights. The committee also reported HB 1214, restructuring certain LDH facilities into a single system under the secretary’s office; HB 1092, a technical renaming/terminology cleanup bill; and HB 203, which adds members to the uterine fibroids commission. Throughout the meeting, members and witnesses emphasized access to care, workforce shortages, child welfare, and quality improvement, and the committee repeatedly adopted amendments and reported the bills favorably or as amended before adjourning.

Transcript Highlights:

• This is a district bill which would direct California's Labor and Workforce Development Agency to work
• What does the Labor and Workforce Development Agency bring to this that local initiatives do not, and
• what's the nature and form of the economic development organizations in this area?
• So what is the nature of the economic development, local economic development efforts in this area?
• So what is the nature of the economic development, local economic development efforts in this area?

Keywords: 987, senate, all

Summary: The committee began with announcements about consent items and then heard AB 72, which would create an electric vehicle economic opportunity zone in Riverside County. Supporters said the bill would help bring EV manufacturing jobs and training to the Inland Empire, while some senators questioned whether the state should favor one region over others and whether local economic development groups should handle the effort. The bill was passed on a roll call vote and sent to Senate Labor, Public Employment and Retirement. Members then took up AB 685, which would establish the Small Business Resiliency and Innovation Fund to support technical assistance and capital infusion programs for small businesses. The author and supporters emphasized the importance of TAP and related programs for women-owned, minority-owned, immigrant-owned, veteran-owned, and rural businesses, while some chambers of commerce raised concerns about amended eligibility language and whether the funding would be truly supplemental. After discussion, the bill was passed and sent to Senate Appropriations. The committee also approved ACR 173 on a 7-0 vote, and consent items AB 375 and AB 1587 were adopted 10-0. Later, AB 1760, a Dental Practice Act cleanup bill, and AB 1637, which would limit who may alter physician-authored medical records, both passed unanimously. AB 1785, allowing online sales of pseudoephedrine products with existing safeguards, also passed 10-0. AB 1973, expanding abortion-care authority for advanced practice clinicians, drew strong support and opposition and passed 7-3 after senators raised safety and training questions. AB 2025, requiring disclosures for digitally altered rental listings, passed 8-1, and AB 2697, allowing locally approved drive-through cannabis sales with security requirements, passed 7-3. The committee then heard AB 2249, which would tighten cannabis packaging rules to reduce child appeal, and the author described it as a response to poison-control calls and an audit finding that current law is too vague.

Transcript Highlights:

• This is true whether you're in a rural area or suburban or an urban area like San Francisco.
• The clerk will read: Assembly Bill 338 by Assembly Member Solache and others, relating to workforce development
• from the workforce development that is here.
• So we have workforce development for workers across California.
• like the Central Valley and San Diego and the Bay Area creating new opportunity, new jobs, new workforce

Summary: The Assembly met after a quorum call and first dealt with a procedural dispute over four amendments to AB 1240. The Speaker ruled the amendments out of order as not germane, and the Assembly sustained that ruling on a 49-16 vote. Members then added co-authors to several consent-calendar resolutions, including measures on the National Conference of State Legislators, Suicide Prevention Awareness Month, ALS Awareness Month, and Men’s Mental Health Month, before adopting the consent calendar. The chamber also heard guest introductions, including a welcome for Oakland Mayor Barbara Lee, and took up a motion to bring AB 41 up out of file, which failed 19-48. The bulk of the meeting was floor action on a long series of bills and resolutions, many of which passed with broad bipartisan support. Measures approved included ACR 40 supporting immigrant students and FAFSA privacy; AB 917 on permanent status for certain school employees; AB 985 on anesthesia access; AB 7 and AB 42 on higher education and student services; AB 245 providing property tax relief for wildfire victims; AB 255 allowing funding for drug-free recovery housing; AB 279 updating K-12 library standards; AB 289 creating a pilot for automated speed enforcement in highway construction zones; AB 291 on an educator apprentice program; AB 327 addressing swatting; AB 340 on confidential union communications; AB 341 creating an oral health technical assistance center for people with disabilities; AB 356 on San Diego health care infrastructure; AB 410 on bot disclosure; AB 476 on copper theft enforcement; AB 477 on educator pay targets; AB 485 on stolen wages and business licensing; AB 487, the insurance committee’s technical omnibus bill; AB 573 on tobacco retail license fees; AB 598 on school mapping technology; AB 635 on mobile home law enforcement referrals; AB 651 on remote participation for incarcerated parents in dependency hearings; AB 654 on homelessness hotline assistance in Los Angeles County; AB 662 creating a South County higher education task force; AB 667 on language access in professional licensing; AB 669 limiting early denial of addiction treatment; AB 670 on naturally occurring affordable housing; AB 695 on online continuation of community college for deported students; AB 723 on disclosure for digitally altered real estate images; AB 727 placing Trevor Project information on student IDs; and AB 736, a $10 billion affordable housing bond for the June 2026 ballot, which passed on a 61-11 urgency vote after extensive debate. Debate on AB 736 was the most extensive of the day, with supporters arguing the bond would help address California’s housing crisis and give voters a chance to weigh in, while opponents criticized the state’s bond debt and past spending results. The Assembly then recessed for caucus meetings and later returned to continue the daily file, where additional measures were taken up, including AB 798 adding diapers and wipes to the emergency food bank reserve program, which passed 56-0, and AB 821 on career technical education, which was presented as bipartisan-supported as the transcript continued.

Transcript Highlights:

• Workforce, Workforce shortages remain one of the largest structural barriers.
• And the effect that it has on workforce is tremendously different.
• The last piece that I want to speak to is workforce.
• So if we're looking to workforce, we have to find a way to support them.
• It's developing every day.

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

Transcript Highlights:

• we do have alignment workforce we do have alignment workforce development<01:11:13.600> which
• <01:11:35.120> development, workforce development, workforce development, and<01:11:36.880>
• development, but this about workforce development, but this just<01:34:53.199> shows<01:34:53.360
• Have you guys ever thought about developing in that area? mentioned about sports.
• You know, right workforce development.

Keywords: 910, house, all

Transcript Highlights:

• data collection and sharing between the new internet agency council, the Workforce Development Board
• data collection and sharing between the new internet agency council, the Workforce Development Board
• data collection and sharing between the new internet agency council, the workforce development board
• data in order to accomplish both goals: better data to improve workforce development programs and outcomes
• And obviously, this is not my area of expertise.

Summary: The Assembly Labor and Employment Committee heard several bills focused on labor standards, worker safety, and public transparency. SB 954 by Senator Blakespear would revise last year’s CEQA exemption for advanced manufacturing by adding worker protections such as prevailing wage, a skilled and trained workforce, high-road employment standards, and environmental guardrails. Supporters from labor, environmental justice, and conservation groups said the bill restores promised safeguards after SB 131, while business groups argued the added requirements would undermine the exemption and discourage investment. The committee voted 5-0 to do pass and re-refer SB 954 to Appropriations, leaving the roll open for absent members. The committee then considered SB 966 by Senator Gonzalez, which would codify refinery worker participation and safety protections adopted in 2017 after the 2012 Chevron Richmond fire. Supporters, including United Steelworkers and a former refinery worker, said the bill would preserve workers’ ability to report hazards, select representatives, and stop unsafe work, preventing future disasters. The Western States Petroleum Association opposed the bill, arguing it could be preempted by federal labor law and would add regulatory uncertainty. The committee passed SB 966 3-0 and re-referred it to Appropriations, with the roll left open. Next, SB 1203 by Senator Smallwood-Cuevas sought to modernize private security guard training, expand de-escalation instruction, strengthen accountability, and create a clearer professional pathway for the industry. The author and many security workers testified that guards are often first responders in volatile situations and need more practical training and better standards; opponents from industry and business groups warned the bill would raise costs, worsen staffing shortages, and create implementation problems, especially around third-party training and a new wage order. The committee voted 4-1 to do pass and re-refer SB 1203 to Public Safety, with one no vote and the roll left open. The committee also heard SB 1284 by Senator Smallwood-Cuevas, a transparency bill requiring DHCS to publish the names of large employers with workers enrolled in Medi-Cal and the estimated taxpayer cost. Supporters said the measure would show how low wages and unaffordable coverage shift health costs to the public, while opponents argued Medi-Cal enrollment depends on many factors and that naming employers would be misleading and amount to public shaming. After discussion, the committee voted 4-2 to do pass and re-refer SB 1284 to Appropriations, leaving the roll open. The transcript then began discussion of SB 1054 by Senator Cabaldon, which would improve workforce data collection and sharing to better evaluate job-training pathways, but the excerpt cuts off before testimony or action on that bill.

Transcript Highlights:

• There are a few other areas where there's additional funding that we would recommend rejecting.
• Yeah, Shaday and Area, Department of Finance. So... Yeah, Shaday and Area, Department of Finance.
• Our organization focuses on advancing equality, leadership, the environment, STEM, workforce development
• I'm grateful for this. on behalf of the consortium for developing leadership and science.
• in the Bay Area in eight different school districts.

Keywords: 987, senate, all

Summary: The committee heard the Governor’s May Revision proposals for TK-12 education, beginning with a Proposition 98 overview from the Department of Finance and the Legislative Analyst’s Office. Finance said the May Revision increases the Proposition 98 minimum guarantee by about $6.4 billion relative to the Governor’s January budget across the three-year window, with higher guarantees in each year, continued full payment of the outstanding settle-up obligation in 2024-25, and a reduced $3.9 billion settle-up amount in 2025-26. Finance also described larger mandatory and discretionary deposits into the Proposition 98 reserve, ending with an estimated $10.3 billion reserve balance. The LAO said the overall estimates were reasonable, but urged the state to fully fund the guarantee and use other budget tools, including reserves, to manage volatility rather than delay settle-up payments. Members questioned the remaining settle-up amount, the risk of revenue volatility, and possible alternatives such as advance payments or other reserve strategies. The second panel covered Department of Education proposals and trailer bill language. Finance outlined additional state operations funding and positions for CDE, along with trailer bill changes affecting community schools, preschool, literacy, special education, charter accountability, teacher-related programs, and other technical cleanups. The LAO supported the overall structure of the package but recommended changes to several items, including rejecting some additional one-time community schools, literacy, math, multilingual screener, and inclusive college proposals, while supporting the ongoing LCFF and special education increases and raising concerns about the paid pregnancy disability leave proposal’s cost and implementation complexity. CDE supported the special education increase, community schools, literacy and math investments, homelessness funding, and the paid pregnancy leave proposal, while asking for more funding for county office support, clearer homelessness definitions, and continued preschool parity. Members also asked about immigrant student supports, community schools reporting, and the rationale and cost estimate for the paid pregnancy leave proposal, which Finance estimated at $218 million annually. The final panel addressed the Commission on Teacher Credentialing. Finance proposed additional legal staffing for SB 848 implementation and educator misconduct caseloads, a fee increase for clear credential renewals from $100 to $125, a $5 million one-time Proposition 98 investment to build a transcript review platform, $2 million ongoing for transcript review staffing, and $30 million one-time for the statewide residency technical assistance center. The LAO had no concerns about the legal staffing, supported the transcript review platform if the fee increase and ongoing staffing were adopted, and recommended rejecting the residency technical assistance center expansion because existing funding runs through 2029. The Commission explained that the misconduct workload has grown over several years, that AI would assist but not replace human review in transcript matching, and that the residency technical assistance center helps recruit and retain teachers and support rural districts. Public commenters largely supported special education, discretionary block grants, community schools, literacy investments, homelessness funding, and teacher credentialing alternatives, while some urged rejection of the settle-up proposal and preschool COLA reduction.

Transcript Highlights:

• This is, this signals an exciting development.
• , you know. etc. and also very rural areas.
• This is certainly an area that I think would.
• And, you know, one of the areas of, of concern for, for all of us, I guess too is every, every area that
• Is it congregated in just one area? Is it in the metro?

Transcript Highlights:

• Welcome to the December 5th Post-Secondary Education Workforce Committee.
• into those areas of supporting community members and behavioral health?
• Finally, our colleges are also part of the long-term workforce solution.
• Another opportunity is software development.
• To use and develop cutting-edge AI to produce impactful solutions.

Summary: The committee spent much of the meeting hearing presentations on student mental health supports at Central Washington University, Washington State University, the University of Washington, and the State Board of Community and Technical Colleges. CWU described high levels of student distress, loneliness, anxiety, depression, suicidal ideation, and basic-needs insecurity, along with a campus-wide holistic well-being model that includes behavioral intervention teams, emergency aid, peer outreach, community partnerships, and a collegiate recovery community. WSU emphasized loneliness, common presenting concerns such as anxiety, depression, PTSD, and relationship distress, and the role of housing and residence life, resident advisors, living-learning communities, and coordinated crisis response in identifying and supporting students. UW highlighted prevention and support programs through LiveWell, including alcohol and other drug consultations, confidential advocacy, suicide intervention, student needs navigation, peer health educators, and peer wellness coaches. The community and technical college system reported persistent access barriers, especially for students ages 18 to 24 and those facing housing or food insecurity, and said the legislature-funded mental health pilot at four colleges expanded counseling access, telehealth, and referral pathways, while broader system efforts focus on awareness, telehealth, basic-needs supports, and workforce training in behavioral health fields. Members asked each panel how they gather student feedback, and the institutions said they use surveys, evaluations, and ongoing outreach to students in services. Questions also focused on substance-use and recovery resources, Greek life outreach, and whether colleges have enough licensed mental health staff versus academic advisors; the community college board said not all colleges have licensed mental health providers on staff, and some rely on community contracts or telehealth. The committee also discussed whether counseling services are increasing because of post-pandemic effects or because students are more willing to seek help, with presenters saying both factors likely play a role. The committee then shifted to artificial intelligence in higher education. Washington State University, the University of Washington, Western Washington University, and the community and technical college system described campus AI task forces, governance structures, and efforts to set policies for students, faculty, and staff. Presenters said institutions are requiring course-level AI use statements, promoting ethical and transparent use, expanding access to approved tools such as Microsoft Copilot, and using AI for teaching, research, advising, and administrative support while guarding privacy, equity, and academic integrity. Members raised concerns about deepfakes, bias, student monitoring, and whether AI should be used to screen applications or evaluate student work; presenters said human review remains essential and that some institutions prohibit AI use in hiring or admissions screening. The final presentation, from OSPI, described the statewide rollout of the School Links high school and beyond plan platform under 2023 legislation, saying it will standardize career and college planning across K-12, provide better data and student guidance, and connect students to postsecondary pathways and employers; OSPI said the rollout is underway but current funding only extends through June 30, 2026.

Transcript Highlights:

• As we mentioned, substantial harm develop.
• It was and it was up in your area. Senator Perry, it was in your area.
• On Florida's workforce and economy.
• The study aims to provide policymakers with data driven insights to guy workforce development, education
• Chair. >> This bill allows charter schools directly access funding through the workforce development

Keywords: 999, senate, all

Transcript Highlights:

• So turning to page 5, what areas require further federal guidance?
• It'll exacerbate our... our health workforce shortage in this state.
• We recommend expanding workforce development supports and creating clarity around student eligibility
• The second area is related to Medicaid program changes.
• They are our lifeblood, our workforce, and as Dr.

Keywords: 988, house, all

Transcript Highlights:

• And so staff has developed a supplemental agenda for your review today.
• Each of these clinics provides services to a different area of the state.
• Each of these clinics provides services to a different area of the state.
• This is for intensive in-home services for DCFS clients in service areas.
• Those vendors are in two separate areas of the state. Okay.

Summary: The committee met to review a supplemental agenda, procurement rule revisions, methods of finance, discretionary grants, contracts, and a member disclosure. The Office of State Procurement presented rule changes tied to 2025 legislative changes, including Act 782, with updates to sole-source definitions, unrealistic bids, protest requirements, debarment procedures, and recodification references; the committee voted to accept the supplemental agenda and approve the rules. Members also approved eight methods of finance covering university repairs, equipment replacement, property purchase, and capital projects, along with a large slate of discretionary grants for courts, health, DHS, historic preservation, and tobacco prevention programs. The committee then reviewed RFQs and six ratifications. The ratifications included a Workforce Connections payment to ACT WorkKeys, Department of Health costs from an ice-storm-related water leak, a large Department of Public Safety ratification for Motorola’s Arkansas Wireless Information Network upgrade, Veterans Affairs HVAC and medical-service payments, and a UA Little Rock painting contract. The Department of Public Safety ratification drew extended questioning about why the expired Motorola contract had not been renewed sooner and why the issue took months to reach the committee; agency officials said the project was bond-funded, had not been tracked in ASIS, and involved ongoing negotiations and system updates. Despite concerns, the committee approved the ratifications. Members also reviewed a long list of construction, intergovernmental, out-of-state, and in-state contracts, including numerous university, DHS, health, corrections, and state agency agreements. Several contracts were discussed in more detail, including an SAU custodial contract question about sales tax and transparency reporting, and Department of Corrections aerial application contracts for Tucker and Cummins farms, which officials said served separate facilities in different parts of the state. The committee approved the contract lists, reviewed reports, and accepted a disclosure from Representative Andrew Collins regarding his investment interest in a company leasing property to Arkansas Rehabilitation Services before adjourning.

Transcript Highlights:

• to this area.
• They're, they're leaving rural areas and they're not coming back.
• the workforce.
• Um, and the NMSU will be very happy to work with the state and also the industry to develop the workforce
• that should be included in the patent in the development.

Transcript Highlights:

• <00:13:59.920> in significantly decreased in areas in significantly decreased in areas in
• certain<00:14:00.560> areas.
• But unfortunately it certain areas.
• <00:14:06.240> For fraud have moved to other areas. For fraud have moved to other areas.
• This impacts our entire workforce.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board reconvened and heard a presentation from the Attorney General’s Office Medicaid Fraud and Abuse Control unit. AG staff described the unit’s structure and work: it investigates and prosecutes Medicaid provider fraud, and also handles abuse, neglect, and exploitation cases involving vulnerable adults in facility settings when asked to assist. They said the office has prosecutors, detectives, auditors, and support staff, works with federal partners, Commonwealth’s attorneys, CHFS, DMS, OIG, and MCOs, and uses a hotline and referral line for complaints. They also explained the MCO referral process, including monthly meetings, stand-down lists, and review of referrals for a “credible allegation of fraud” before the AG office decides whether to open a criminal or civil investigation. The presentation focused heavily on current fraud trends. Staff said behavioral health is a major concern, along with participant-directed waiver services, medically assisted treatment, cash billing for services, controlled-substance billing, and vision and dental fraud. They gave examples such as duplicate time sheets for family caregivers, questionable Suboxone counseling and urine drug screening practices, and a prior optometry case involving false claims for children’s glasses. They also discussed CMS’s estimate that about 5% of Medicaid payments are improper, noted that most improper payments are at the fee-for-service level, and said there is no reliable overall fraud-rate estimate. They highlighted a sharp shift in behavioral health billing after the cabinet’s November 1, 2024 policy changes, saying individual psychotherapy spending dropped while group billing increased, suggesting providers may have moved billing to different codes. Members asked about the scale and timing of cases, how MCO referrals are screened, and whether the data reflected more people being served or just higher spending. The AG office said investigations can take years, with some federal cases still awaiting sentencing from 2018 and 2019 matters, and that they currently had nine individuals awaiting sentencing in federal court. They also reported 58 hotline reports during the referenced period, six cases opened from MCO referrals, and four additional MCO referrals not accepted for active cases. Several members raised concerns about home-based services and the risk of abuse or fraud when family members are reimbursed, and asked whether the process could be streamlined; the AG office said it had no immediate recommendations but would be willing to return with suggestions after further review.

Transcript Highlights:

• was an area we wanted to focus on. was an area we wanted to focus on.
• One of the areas is what does our workforce look like?
• c><00:08:02.920> does<00:08:03.080> our<00:08:03.160> workforce the areas is what
• does our workforce the areas is what does our workforce look<00:08:03.960> like?
• workforce development. workforce development.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board received a presentation from Dr. Stack and Commissioner Langfeld on Kentucky’s application for a federal Medicaid-related funding opportunity tied to House Resolution 1. They described a compressed six-week stakeholder process that produced more than 50 responses and letters of support, and said the application was organized around five broad priorities: maternal health, behavioral health and substance use disorder, oral health, EMS/trauma response, and chronic disease. They emphasized that the proposal was designed to align with CMS goals, use allowable funding categories, and focus on sustainability rather than a short-term grant. Commissioner Langfeld outlined five core initiatives: rural community hubs for chronic care innovation, beginning with obesity and diabetes; a maternal and infant health effort called POWER; a behavioral health and substance use model called IMPATH; an oral health initiative called Rooted in Health; and an integrated crisis-to-care EMS and trauma response effort. He said the chronic disease work would include prevention, food-as-medicine concepts, and technology tools, while the maternal health effort would expand team-based care around mothers and infants using community health workers and doulas. The behavioral health proposal would build on existing crisis intervention models, oral health would address workforce and access gaps through training, mobile vans, and telehealth, and the EMS proposal would better connect emergency response with home-based and community care. Several senators questioned whether the proposal would meaningfully address rural hospital closures or the broader rural health care crisis. Senator Meredith said the plan was not transformational and would not save rural hospitals, while Senator Berg asked how success would be measured. In response, the presenters said they would use both lagging and leading indicators, with an emphasis on rapid-cycle feedback and data use that is more actionable in real time. They also said the work could help existing models that already show promise, such as behavioral health units and dental workforce expansion, even if it would not solve the larger funding gap created by HR1. Senator Douglas asked how the proposals would motivate patients to participate in their own health care. The presenters responded that the chronic disease prevention work would focus on obesity, diabetes prevention, nutrition, and consumer-facing technology tools to help people engage in their own care, and that EMS-community health worker partnerships could identify unmet needs in the home and reduce preventable problems. The board then moved on to its next agenda item, Medicaid managed care delivery models, with Tom Stevens, Katherine North, and Dr. Patel scheduled to present.

Transcript Highlights:

• But we see four general areas where the bill could be improved.
• We would like to see significant improvements in those areas.
• Key benefits include increased accessibility, enhanced workforce development, and alignment with national
• Key benefits include increased accessibility, enhanced workforce development, and alignment with national
• Key benefits include increased accessibility, enhanced workforce development, and alignment with national

Summary: The Assembly Insurance Committee met as a subcommittee and heard several bills focused on insurance transparency, wildfire mitigation, market access, and workforce issues. AB 75 would require insurers to give homeowners 30 days’ notice before collecting aerial images of their property and allow homeowners to review those images; supporters said it would improve privacy and prevent inaccurate non-renewals, while consumer and industry groups both sought amendments. AB 234 would add the Assembly Speaker and Senate President pro Tem, or designees, as non-voting members on the California FAIR Plan governing committee; the Department of Insurance supported it as an oversight measure, while Consumer Federation of California said it was only a small first step toward broader transparency reforms. AB 428 would let water corporations join joint powers authorities for pooled insurance, with supporters citing rising insurance costs for small water systems and no remaining opposition after amendments. AB 943 would streamline producer pre-licensing education by removing the 20-hour per-line requirement while keeping ethics training; industry sponsors said it would reduce barriers to entry, while consumer advocates warned it could lower professional standards. AB 1209 would create a pathway for cannabis employers to secure workers’ compensation coverage and related services through a state-coordinated network; supporters said it would help bring the industry into compliance, while one member raised concerns about creating a special carveout for a federally restricted industry. AB 1 would require periodic review of the state’s Safer from Wildfire regulations every five years, and it drew broad support from the department, insurers, local governments, and industry groups as a way to keep wildfire mitigation incentives current. The committee also took up a consent calendar including AB 69, AB 487, and AB 570, all of which were sent to Appropriations. The committee approved AB 75 to Privacy and Consumer Protection, AB 234 to the Assembly Floor, AB 428 to Local Government, AB 943 to Appropriations, AB 1209 to Business and Professions, and AB 1 to Appropriations. Most measures passed on strong or unanimous votes after members added coauthor requests and expressed support for the bills’ consumer protection, transparency, or wildfire-related goals.

Transcript Highlights:

• it<00:14:47.120> was workforce development fund and it was workforce development fund and
• The same workforce development fund.
• is<00:19:51.039> to the workforce development fund is is to the workforce development
• <00:30:37.279> development from the state's workforce development from the state's workforce
• <00:35:25.440> development objective of the workforce development objective of the workforce

Keywords: 1187, senate, all

Transcript Highlights:

• Um, this is a software that was developed in 1986.
• I'm in the Houston area.
• Uh, I'm in the Dallas area.
• Uh, career development kind of parts of the job.
• As far as the workforce, is there any level of deficit?