Video & Transcript Research : 'harm reduction'
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CA
California 2025-2026 Regular Session
Joint Hearing Assembly Environmental Safety and Toxic Materials Committee and Senate Environmental Quality Committee Aug 20th, 2025
Transcript Highlights:
- We are committed to our mission to protect communities from environmental harm.
- First, I'll talk a little bit about household hazardous waste and source reduction.
- Next, I’d like to discuss some of the past and current source reduction activities at DTSC.
- Children and adults are being harmed.
- Children and adults are being harmed.
Summary:
The joint oversight hearing focused on DTSC’s implementation of SB 158 reforms, including enforcement, community engagement, fee stability, the hazardous waste management plan, permitting backlogs, and the Safer Consumer Products program. Senators and Assembly members emphasized protecting overburdened communities and asked how DTSC and the Board of Environmental Safety are using their authority to improve accountability, reduce delays, and address hazardous waste facilities and consumer product chemicals. The hearing also included discussion of extended producer responsibility programs and whether DTSC can support them more efficiently, including through coordination with CalRecycle.
DTSC Director Katie Butler said the department is now more transparent, accountable, and fiscally stable, citing stronger enforcement actions, an interactive inspections map, expanded community outreach, and emergency response work on the Los Angeles wildfire cleanup. She said DTSC has made progress on fee reform, the hazardous waste management plan, cleanup grants, permit renewals, and safer consumer products rulemaking, including adding microplastics to the candidate chemical list. Board Chair Andrew Rakestraw said the board has held multiple public meetings and hearings, is working on fee rates and performance metrics, and is revising the hazardous waste management plan after public comment, including removing a proposal to send certain contaminated soil to municipal landfills. He also noted remaining concerns about fee structure, permit delays, and the pace of the safer consumer products program.
Public witnesses offered sharply different views. A representative of the California Council for Environmental and Economic Balance said SB 158 reforms have improved permitting and transparency, but urged more attention to risk-based decision-making, reduced duplication, and possible General Fund support for plan implementation rather than relying only on fees. Earthjustice argued DTSC remains too slow and that communities continue to suffer from long-delayed permits and weak protections, urging the Legislature to take a more active role and to prioritize eliminating hazardous substances rather than minimizing costs. Committee members pressed the witnesses on permit renewals, community impacts, and the pace of the safer consumer products program, while DTSC defended its progress and said further legislative collaboration may be needed on hazardous waste management and emerging waste streams.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health Feb 24th, 2025
Transcript Highlights:
- My name is Celina, and I'm a co-director at the Yuba Harm Reduction Collective.
- We need to continue leading the way for harm reduction services to keep overdoses down.
- I just want to say a little bit about harm reduction.
- Harm reduction programs helped me to get free, non-judgmental medical care when I needed it.
- I know that harm reduction saves lives, and it saved my life. Please continue funding it.
LA
Transcript Highlights:
- It will not harm anything that we're currently doing.
- This is an ideologically driven thing to harm our way of life.
- talking about a behavioral health crisis, a mental crisis, whereby people who are on the brink of harming
- reimbursement to the hospital-based ones, and is there a possibility of some offset in terms of a reduction
Bills:
HB165, HB175, HB198, HB272, HB457, HB488, HB566, HB603, HB763, HB902, HB909, HB971, HB981, HB1066, HB1125, HB1154, HB1231
Keywords:
HB165, lottery proceeds, Lottery Proceeds Fund, Veterans Service Grant Fund, constitutional amendment, veterans, military veterans, veterans' benefits, veterans services, family support, state lottery, education funding, Minimum Foundation Program, problem gambling, compulsive gaming, state treasurer, ballot proposition, constitutional referendum, lottery revenue, Louisiana resident veterans
AZ
Transcript Highlights:
- Any reduction in that use presented here today only relates to La Paz County, not the deepest part of
- did i get that right this my apologies um i guess my argument would be and i appreciate any any reduction
- county jurisdiction for the sole purpose of issuing, revising, or enforcing a permit for emission reduction
- the director or control officer from issuing a permit or permit revision that requires additional reductions
- This voluntary program allows participants to generate ERCs by creating permanent emission reductions
Bills:
HB2014, HB2031, HB2078, HB2102, HB2103, HB2117, HB2261, HB2262, HB2264, HB2278, HB2428, HB2494, HB2756, HB2758, HB2762, HB2782, HB2932, HB2933, HB2986
Keywords:
air emissions, fuel blends, environmental quality, feasibility study, Arizona Department of Agriculture, water rights, groundwater, Willcox, active management area, certificate of grandfathered rights, Arizona legislature, aggregate mining, reclamation plans, environmental protection, public safety, land use, domestic water, improvement district, water delivery, water hauling
Summary:
The committee began with an informational presentation from Gordon Shemp of Nemecu Analytics on Arizona transportation fuel supply and pricing. He explained that Arizona sits at the end of the pipeline system, relies on limited terminal inventories, and can experience only about a seven-day fuel supply if pipelines are disrupted. He attributed recent price spikes to constrained pipeline capacity, Kinder Morgan pressure reductions after PHMSA anomaly reviews, and recovering demand, and he also discussed California refinery closures, increased imports from overseas, and proposed new pipeline capacity into Phoenix from the east. Committee members asked about fuel formulations and pipeline logistics, and Shemp said the proposed project would not change fuel specifications, only transport capacity.
The committee then took up House Bill 2758, which would allow eligible entities in La Paz County’s McMullen Valley groundwater basin to transport groundwater to AMAs under specified limits and conditions, with related provisions on fees, districts, and water improvement programs. Supporters, including Stan Barnes, Jim Downing, and Barry Arons, argued the bill follows the Harquahala model, provides needed augmentation for urban Arizona, and includes local benefits and guardrails. Opponents, including La Paz County Supervisor Holly Irwin, Devonna Sater, and Ed Curry, said the bill would worsen groundwater decline, subsidence, and well failures in Salome and Wenden and favored outside investors over rural residents. After debate, the committee approved HB 2758 on a 4-3 vote.
The committee also heard and advanced several other water-related bills. HB 2031, extending the deadline to apply for grandfathered groundwater rights in the Wilcox AMA from 15 to 27 months, passed 5-2 after some members said the extension was unnecessary and would delay protections. HB 2102, allowing county improvement districts in subsequent AMAs or groundwater transportation basins to use eminent domain for a well and standpipe site and water hauling, passed 4-3 after Sierra Club testimony called it a limited “band-aid” rather than a real solution. HB 2103, which would let water improvement programs accept gifts and dedicate groundwater transportation fee revenue to local residential water hauling and delivery, also passed 4-3. HB 2117, a technical cleanup bill shifting Environmental Special Plate Fund administration to the Natural Resource Conservation Board and raising education-center distributions from $5,000 to $10,000, passed 5-2 despite concerns about the fund’s administration.
The committee then considered HB 2261, which changes agricultural property tax terminology and valuation rules. County assessors and the Arizona Association of Counties opposed it, warning it would effectively exempt many agricultural improvements from taxation and shift costs to residential taxpayers; the Arizona Farm Bureau supported it as a clarification that would provide certainty for agriculture. The bill passed 4-3. Finally, HB 2262, transferring the Resource Analysis Division from the State Land Department to the Arizona Geological Survey and revising geospatial advisory responsibilities, was introduced, with State Land Department staff saying they were neutral but noting the bill would need clearer statutory duties if RAD is removed.
AL
Alabama 2026 1st Special Session
Alabama Senate Finance and Taxation Education Committee Mar 4th, 2026
Finance and Taxation Education
Bills:
HB125, HB116, HB183, HB342, HB341, SB280, SB245, SB159, HB125, HB116, HB183, HB342, HB341, SB280, SB245, SB159
Keywords:
HB125, sunset law, Alabama Sunset Committee, Alabama State Board of Veterinary Medical Examiners, veterinary medical examiners, veterinary board, veterinary licensing, veterinary regulation, professional licensing board, state board continuation, sunset review, regulatory board, animal health, veterinarians, disciplinary authority, HB116, Alabama Sunset Law, sunset bill, Alabama Professional Bail Bonding Board, bail bonding
OK
Oklahoma 2026 Regular Session
Criminal Judiciary REVISED: HB3996 - Added Feb 17th, 2026 at 03:00 pm
Criminal Judiciary
Transcript Highlights:
- image, likeness, or voice, without written consent, and with the intent to cause emotional financial harm
Bills:
HB1322, HB3053, HB3180, HB3244, HB3269, HB3299, HB3301, HB3302, HB3430, HB3497, HB3584, HB3586, HB3587, HB3606, HB3742, HB3743, HB3755, HB3764, HB3767, HB3835, HB3848, HB3903, HB3905, HB4108, HB4130, HB4142, HB4227, HB3996
Keywords:
domestic violence, offenders registry, public safety, law enforcement, victim protection, conviction records, elderly, parole, criminal justice reform, inmate rehabilitation, Oklahoma statutes, firearms, handgun permits, self-defense, training requirements, Oklahoma Self-Defense Act, elderly exploitation, identity theft, crimes and punishments, criminal offenses
NH
New Hampshire 2026 Regular Session
House Health, Human Services and Elderly Affairs (04/08/2026)
Health, Human Services and Elderly Affairs
Transcript Highlights:
- harm reduction measures. harm reduction measures.
- <03:04:59.120>
reduction for, you know, for harm reduction for, you know, for harm reduction - and identifying harm reduction measures. and identifying harm reduction measures.
- with harm reduction. with harm reduction.
- <03:54:57.120>
That to talk about harm reduction. That to talk about harm reduction.
HI
Bills:
SB3123, HB1853, HB1961, HB1965, HB1962, HB1959, HB2505, HB2576, HB1801, HB1804, HB1864, HB2319, HB2314, HB2115, HB1854, HB2062, HB1511, HB1535, HB2614, HB2282, HB1870, HB1695, HB1626, HB1643, HB1972, HB1550, HB1974, HB1966, HB1973, HB2545, HB1946, HB1939, HB1721, HB1741, HB1700
Keywords:
conditional gifts, private education, scholarships, donor conditions, Hawaii education law, HB1853, dementia, Alzheimer's disease, cognitive impairment, memory care, memory clinic, Hanai Memory Network, Executive Office on Aging, aging services, kupuna, caregiver support, long-term care, elder care, geriatrics, public health
HI
Bills:
SB3123, HB1853, HB1961, HB1965, HB1962, HB1959, HB2505, HB2576, HB1801, HB1804, HB1864, HB2319, HB2314, HB2115, HB1854, HB2062, HB1511, HB1535, HB2614, HB2282, HB1870, HB1695, HB1626, HB1643, HB1972, HB1550, HB1974, HB1966, HB1973, HB2545, HB1946, HB1939, HB1721, HB1741, HB1700
Keywords:
conditional gifts, private education, scholarships, donor conditions, Hawaii education law, HB1853, dementia, Alzheimer's disease, cognitive impairment, memory care, memory clinic, Hanai Memory Network, Executive Office on Aging, aging services, kupuna, caregiver support, long-term care, elder care, geriatrics, public health
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 7 on Accountability and Oversight Aug 20th, 2025
Transcript Highlights:
- Today's hearing is an opportunity to evaluate the harm.
- But I think we can clearly anticipate some of the harm that will occur.
- But I think we can clearly anticipate some of the harm that will occur.
- I think “serious harm” is exactly the right word, as you described it.
- For the Inflation Reduction Act repeals and rescissions, it repeals the Greenhouse Gas Reduction Fund
Summary:
The Assembly Budget Subcommittee on Accountability and Oversight held its fifth hearing of the year to examine the newly enacted federal H.R. 1 and its effects on California. Members and the chair described the law as a major threat to state health, food, education, and climate programs, and emphasized that California would not be able to fully backfill the federal cuts. Several members also highlighted the bill’s tax provisions, including temporary deductions for tips, overtime, seniors, and auto loan interest, while warning that the largest benefits flow to higher-income taxpayers and that major cuts to Medi-Cal, CalFresh, and clean-energy incentives are delayed or phased in over time.
The Legislative Analyst’s Office and the Department of Finance presented detailed overviews of the bill’s likely impacts and implementation timelines. They identified the main affected areas as health care coverage and financing, food assistance, higher education, personal income taxes, and clean-energy/electric-vehicle credits. They explained that H.R. 1 limits provider taxes used to finance Medi-Cal, adds work and redetermination requirements, restricts CalFresh eligibility and increases state costs, changes student loan and Pell Grant rules, extends and modifies federal tax provisions, and phases out many clean-energy credits. Finance also noted major rescissions of Inflation Reduction Act funds, new border and immigration enforcement spending, and the possibility of PAYGO sequestration if Congress does not act to offset the deficit increase.
During member questions, the committee focused on likely enrollment losses, administrative burdens, and fiscal exposure for the state and counties. Witnesses said many details still depend on federal guidance, but they estimated significant impacts on Medi-Cal, CalFresh, and graduate/professional student borrowing, and noted that California’s high CalFresh error rate could increase state costs. UC testified that the elimination of Graduate PLUS loans would affect thousands of professional students, especially in health, law, and other high-cost programs. Members asked for follow-up data on county, health, and tax impacts, and staff agreed to provide additional tables and estimates as implementation guidance becomes clearer.
Public commenters from counties, early childhood advocates, health coalitions, disability rights groups, immigrant-rights organizations, and other stakeholders urged the Legislature to mitigate the law’s effects. They warned of higher county costs, reduced access to health care and food assistance, increased administrative burdens, and harm to children, immigrants, people with disabilities, and low-income families. Several urged new state revenue solutions and stronger protections for Medi-Cal, CalFresh, child care, and home- and community-based services. No votes were taken; the hearing was informational and ended with a commitment to continue monitoring federal guidance and to work on state responses in the budget process.
HI
Transcript Highlights:
- We need more money in the harm reduction.
- <00:22:39.760>
reduction outpatient we represent harm reduction outpatient we represent harm - > people<00:23:10.360>
where harm reduction is reaching people where harm reduction is reaching - we<00:23:33.960>
are pay for the harm reductions so we we are pay for the harm reductions - > didn't<00:55:21.480>
get the harm reduction so they didn't get the harm reduction so they
Summary:
The Public Safety Committee held a hearing on House Bill 433, which would appropriate $4 million for Department of Corrections and Rehabilitation re-entry services to connect offenders with community-based services. Director Tommy Johnson said the department supports the bill’s intent but noted the governor’s executive budget already includes $4 million for the same purpose and asked that the measure defer to that budget. Supporters, including the Hawaii Correctional System Oversight Commission, Community Alliance on Prisons, and the ACLU, backed the funding but urged that it be tied to a clear re-entry plan, performance measures, transparency, and regular reporting to the legislature. They emphasized that re-entry should begin at intake and involve community partnerships, housing, treatment, employment, and family reunification services.
Committee members questioned the department about current re-entry services, pre-trial detainees, and how the new funds would be used. Johnson said the department’s current statewide re-entry budget is about $1.5 million to $1.7 million, separate from the larger Corrections Program Services Division budget for in-facility programs. He described the proposed $4 million as supporting a mix of services, including a pilot apprenticeship program, substance abuse treatment, navigator or warm-handoff services, and short-term transitional housing. He also said the department already tracks performance outcomes in its annual report and can provide a matrix showing the intake-to-discharge process, program contracts, and volunteer organizations.
The discussion also covered pre-trial detainees, electronic monitoring, and mental health services. Johnson said the department has limited jurisdiction over pre-trial detainees but works with courts to seek supervised release when possible; he noted that many requests are denied, though electronic monitoring has improved release rates somewhat. On mental health, he said the jail is not an ideal therapeutic setting for people found unfit to proceed and suggested a secure community-based step-down facility run by the Department of Health for those needing care above what the jail can provide but below forensic-level treatment. No vote or final action on the bill was taken during the hearing.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Mental Health, Substance Use and Recovery Jun 21st, 2026 at 01:00 pm
Joint Committee on Mental Health, Substance Use and Recovery
Transcript Highlights:
- I co-founded a local harm reduction organization, and I'm someone who is deeply concerned about...
- Seeing harm reduction as enabling people struggling with addiction.
- He never learned about naloxone or harm reduction.
- It's empowering to teach harm reduction at such an influential age.
- It's empowering to teach harm reduction at such an influential age to a new generation.
Summary:
The Joint Committee on Mental Health, Substance Use and Recovery opened its first public hearing of the 2025–26 session with remarks from the Senate and House chairs outlining the committee’s priorities. They noted recent work on addiction and recovery legislation, the ongoing youth behavioral health crisis, and that members might need to leave periodically for floor votes. The chairs explained hearing procedures, including three-minute testimony limits, written testimony deadlines, and reporting deadlines for Senate and House bills. The hearing then focused on several bills related to youth mental health, overdose prevention, and psychedelic treatment research.
A major portion of the hearing centered on bills to improve youth crisis response and overdose prevention. Testimony strongly supported bills to print the 988 Suicide and Crisis Lifeline on student ID cards, with speakers from mental health organizations, crisis centers, and individuals sharing personal stories of depression, suicide attempts, and the importance of making 988 as familiar as 911. Another set of bills would require schools to stock naloxone and provide overdose prevention education. Physicians, harm reduction advocates, students, and grieving family members testified that school-based Narcan access and education could save lives, reduce stigma, and help students recognize overdoses and understand Good Samaritan protections. Senator O’Connor and Tamika Perry also testified for a bill to strengthen substance use prevention education and reduce overdose abandonment, emphasizing the need to teach students about overdose risks and the legal protections for calling 911.
The committee also heard testimony on a bill to authorize a pilot program for psychedelic treatment in licensed facilities. Senator Friedman and several medical and behavioral health professionals argued the proposal was a narrow, research-based approach distinct from the broader ballot question rejected in 2024. They said the bill would allow only a small number of supervised clinics to use psychedelics for conditions such as depression, PTSD, anxiety, and substance use disorders, with data reporting and Department of Public Health oversight. Supporters described it as a cautious way to study promising treatments while avoiding unsupervised or commercialized use.
Finally, the committee heard support for a bill to create a special commission and five-year strategic plan for children’s behavioral health services, with testimony that the current system is fragmented, difficult for families to navigate, and strained by workforce and funding challenges. No votes or final actions were taken during the hearing; the committee primarily received testimony and questions on the bills.
MA
Massachusetts 2025-2026 Regular Session
Public Health Effects of Xylazine Jun 21st, 2026 at 09:00 am
Transcript Highlights:
- You know, often we see harm reduction outreach programs that do have some wound care treatment, but some
- So I think there are areas around Boston where there's a density of harm reduction programs and there's
- , where should we place harm reduction programs to cover the most number of people where there's gaps
- That's another set of challenges that often gets left to the harm reduction programs to fill in those
- They'll encompass different drug contaminants and harm reduction efforts generally. Great.
Summary:
The Working Group on Outreach and Treatment of the Special Commission on Xylazine held its first meeting, chaired by Gabe Adams-Cain in Senator John Villis’s absence. Members introduced themselves and described priorities such as improving education about xylazine, expanding first responder and clinical training, and ensuring patients and providers know how to respond to xylazine-related wounds and complications. Several participants emphasized that outreach should reach both people who have not been exposed and those already affected, and that stigma is a major barrier for patients and families.
Discussion focused on the main challenges to treatment and outreach, including limited awareness, inconsistent wound care access, gaps in geographic coverage, cost of supplies, and the need for better training in both outpatient and inpatient settings. Dr. Kimmel noted that harm reduction and outreach programs are already providing much of the care, but often lack specialized staff, sufficient supplies, and standardized protocols. He also said xylazine can complicate withdrawal and make it harder for people to engage in substance use treatment. Members discussed the value of non-stigmatizing, consensus messaging, family support organizations, and existing resources such as PARI, StreetCheck, and state-funded syringe service and naloxone networks.
The group also reviewed the commission timeline and next steps. Staff said materials for the December 11 full commission meeting should be submitted by December 2, with draft presentation materials to be shared by December 4 and reviewed by December 9. Members agreed to do additional follow-up research on topics including the cost-effectiveness and contents of self-care wound kits, outreach to family and recovery organizations, incarcerated populations, and geographic access gaps. The meeting ended with agreement to use a PowerPoint-style presentation and to continue compiling research through a shared folder, followed by adjournment at 9:55 a.m.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health Mar 17th, 2025
Transcript Highlights:
- Continuous coverage unwinding or the overdose prevention and harm reduction initiatives.
- But I'm worried that they're coming at the expense of known, effective harm reduction programs.
- I'm a co-director at the Yuba Harm Reduction Collective.
- These are incredibly important funds to keep in harm reduction, and we hope you'll do that.
- Of course, we need more definition on that, the opioid settlement, and harm reduction.
NH
New Hampshire 2025 Regular Session
House Health, Human Services and Elderly Affairs (01/29/2025)
Health, Human Services & Elderly Affairs
Transcript Highlights:
- <01:32:09.440>
reduction good definition of what harm reduction good definition of what harm - reduction to reduction of societal and individual harm.
- reduction of society individual harm reduction of society individual harm every<01:39:41.400>
- > the and label it harm reduction and the the and label it harm reduction and the the legislature
- <02:01:15.960>
reduction are are legitimate harm reduction are are legitimate harm reduction
MN
Minnesota 2025-2026 Regular Session
Human services finance bill, HF3, passes MN House during 2025 special session 6/9/25
Minnesota House Floor Meeting
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 7 on Accountability and Oversight Aug 20th, 2025
Transcript Highlights:
- stakeholders reached out and were eager to participate and share their concerns about the serious harm
- Today's hearing is an opportunity to evaluate the harm California now faces and to begin shaping our
- I think serious harm is exactly the right word, as you described it.
- For the Inflation Reduction Act Repeals and Rescissions, it repeals the green house gas reduction fund
- So all of the programs under the Inflation Reduction Act that are being rescinded.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Environment and Natural Resources Jun 21st, 2026 at 01:00 pm
Joint Committee on Environment and Natural Resources
Transcript Highlights:
- It harms marine animals mainly through ingestion.
- It harms marine animals mainly through ingestion.
- So it's becoming clear that harm is occurring every day.
- So it's becoming clear that harm is occurring every day.
- And three, it creates actionable targets for waste reduction.
Summary:
The Joint Committee on Environment and Natural Resources held a heavily attended hybrid hearing focused primarily on plastics reduction bills, along with a few local and related waste-management measures. Chair Rauch and Chair Barber outlined strict testimony rules because of the large number of speakers. Before the plastics docket, the committee heard support for a local Sharon sewer-extension bill for a Sunrise Senior Living project, and the bill’s proponents said the project would help address senior housing needs and would still require MWRA and local approvals. The chairs also noted a separate local matter involving Sharon and the MWRA.
A major portion of the hearing centered on the Plastics Reduction Act and related bills addressing single-use plastics, including plastic bags, polystyrene, black plastic, plastic beverage bottles, non-flushable wipes, skip-the-stuff provisions, and truth-in-labeling. Sponsors and supporters said the bills would reduce litter, microplastics, greenhouse gas emissions, and municipal waste costs, while creating statewide consistency and supporting environmental justice communities. Several speakers cited local bans already adopted by many Massachusetts cities and towns, and many urged the committee to advance comprehensive statewide action. The committee also heard testimony on a boat wrap recycling bill, a mattress recycling bill, and a bill to prohibit hotels from providing small plastic toiletries.
Municipal officials and waste professionals supported extended producer responsibility for paint and labeling for non-flushable wipes, saying these measures would shift costs away from cities and towns and reduce strain on wastewater systems. The Massachusetts Municipal Association, Mayor Ruth Ann Fuller of Newton, and a Franklin County waste official all backed paint EPR and wipes labeling. Fire Chief Brian Nardelli testified for the Fire Chiefs Association in support of lithium-ion battery legislation, citing fire safety and disposal concerns. Other speakers, including environmental groups, local activists, and business representatives, supported bag and polystyrene bans, though the Retailers Association of Massachusetts urged any bag policy to be truly statewide and said any bag fee should be retained by retailers. No votes were taken during the hearing.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health Mar 17th, 2025
Transcript Highlights:
- So can you speak to... ...known effective harm reduction programs. So can you speak to this?
- reduction project or program, and it also includes $5 million in the budget year to support the harm
- I'm a co-director at the UBA Harm Reduction Collective. Thank you.
- We're a co-funded program and the only harm reduction program serving Nevada County, California.
- Please vote to continue co-funded funding and allow harm reduction programs to continue saving lives.
Summary:
The committee heard a budget oversight hearing on the Department of Health Care Services, focusing first on the overall Medi-Cal budget and a March General Fund loan to cover a current-year shortfall. DHCS said the 2025-26 budget proposal totals $193.4 billion, with Medi-Cal projected at $188.1 billion total funds and $42.1 billion General Fund, driven by higher enrollment, pharmacy costs, managed care growth, and costs tied to eligibility expansions and the COVID-era redetermination unwinding. The department said the $3.44 billion loan was needed to manage cash flow and ensure timely payments to providers and plans, while the LAO noted Medi-Cal’s cash-basis budgeting creates volatility and that more detailed estimates would come with the May Revision. Members discussed federal Medicaid threats, the need for transparency on cost drivers, and the impact of pharmacy spending, long-term care, and immigration-related coverage expansions.
The second major topic was family health programs, including California Children’s Services, the continuous coverage unwinding, and opioid settlement fund spending. DHCS described CCS funding methodology changes, ongoing county stakeholder work, and a delayed rollout of CCS monitoring and oversight until July 1, 2025, while county representatives and advocates argued the program is underfunded and asked for more technical assistance and a delay in implementation. On the unwinding, the department explained that federal redetermination flexibilities helped maintain coverage after the pandemic, but the Governor’s budget proposes ending them at the end of June 2025; advocates urged making the flexibilities permanent to avoid coverage losses. For opioid settlement funds, DHCS and Finance said the budget increases funding for naloxone distribution while reducing other harm-reduction spending based on updated settlement revenues, prompting criticism from members and public commenters who argued the change would weaken effective harm-reduction programs.
The hearing also included an update on Proposition 35 implementation. DHCS said the voter-approved measure continuously appropriates MCO tax revenues beginning in 2025, with up to $4.6 billion annually available for specified Medi-Cal and provider investments in 2025 and 2026, but implementation depends on consultation with the required stakeholder advisory committee. The department and LAO noted uncertainty about future federal rules affecting the MCO tax after 2026. Public testimony largely supported maintaining Medi-Cal expansions, protecting immigrant coverage, preserving harm-reduction funding, and increasing support for community health workers, pediatric dental care, and CCS county administration. No votes were taken during the portion of the hearing provided.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Committee Jun 15th, 2026
Budget and Fiscal Review
Transcript Highlights:
- And this budget does not have spending reductions sufficient to cover... ...does not have spending reductions
- The budget locks in savings from coverage reductions as a structural baseline.
- The budget locks in savings from coverage reductions as a structural baseline.
- Any reduction in costs are currently used to balance the budget.
- Thank you for rejecting many of the governor's harmful proposals to cut IS.
Summary:
The Senate Budget and Fiscal Review Committee heard AB 109, the Budget Act of 2026, and related discussion of the legislative budget agreement. Committee staff and the Department of Finance described a two-year balanced plan with about $253 billion in General Fund spending, roughly $5.5 billion in higher assumed revenues than the May Revision, and about $36.5 billion in combined reserves. They said the package preserves or expands funding for schools and community colleges, child care, IHSS, Medi-Cal-related county administration, housing and homelessness programs, public hospitals, courthouse construction, and some criminal justice and prison-closure savings, while delaying or modifying several prior health care reductions and some Medi-Cal changes.
Much of the member discussion focused on Medi-Cal, H.R. 1, and the impact on low-income and immigrant Californians. Several Democrats argued the budget protects vulnerable residents by delaying some cuts, funding county eligibility work, indigent care, public hospitals, and food banks, and rejecting the Governor’s IHSS cuts and asset-limit proposal. Republicans criticized the budget for assuming future revenues, relying on new taxes, and not doing enough to address the structural deficit or improve accountability. Members also raised concerns and support around homelessness funding, Prop. 36, judgeships and courthouse funding, transit and GGRF allocations, local journalism, Caltrans fleet spending, and a proposed “fair share” revenue measure that was not yet before the committee.
Public testimony was largely supportive of the budget’s health and human services provisions, especially the rejection of IHSS cuts and the asset-limit proposal, and the inclusion of funding for child care, sickle cell centers, domestic violence services, trauma recovery centers, distressed hospitals, county eligibility work, and transit programs. Some witnesses representing hospitals and health plans cautioned about the effects of moving certain Medi-Cal populations to fee-for-service and about proposed tax changes affecting health care providers. The chair said revenue trailer bills were still being finalized and would likely come back later in the week; the committee then moved to public comment, with the chair limiting speakers to about one minute each.