Transcript Highlights:

• First, when reading the exemptions, you'll see that the exemptions conflict with Minnesota's Medicaid
• </c> conflict with Minnesota's Medicaid conflict with Minnesota's Medicaid program<00:21:19.039><c> and
• </c> draconian restrictions on Medicaid draconian restrictions on Medicaid eligibility<00:31:55.679><
• </c><00:32:25.279><c> include</c> federally funded Medicaid include federally funded Medicaid include
• </c><00:59:42.400><c> cuts</c> sweeping federal Medicaid cuts sweeping federal Medicaid cuts and<00:59

Summary: The committee took up House File 4466, the sub health supplemental budget bill, and moved it to the Ways and Means Committee after a walkthrough of the fiscal spreadsheet and the DE1 amendment. Nonpartisan staff explained that the bill produces general fund savings of about $2.4 million in FY27 for the 2026-27 biennium and about $97.7 million in the next biennium, with most savings tied to HR1-related Medical Assistance changes affecting adults without children. The Department of Health provisions were described as largely cost-neutral, with some increases for implementation, data, and IT work. Staff then reviewed the DE1, which combines several bills into four articles. The bill includes health licensing board changes, Department of Health provisions such as all-payer claims database fees, newborn screening fee exceptions, loan forgiveness and scholarship program extensions, workforce shortage grant changes, and reciprocal licensure and mortuary science provisions. The federal conformity article makes changes related to MA work and community engagement requirements, six-month renewals, retroactive eligibility limits, contact information updates, cost sharing for MA expansion enrollees, and related provider tax and disability-notice provisions. Article 4 and Article 5 were described as forecast adjustments for DHS and the Department of Children, Youth, and Families. Public testimony focused largely on the federal conformity and eligibility provisions. Legal aid testified that the work requirements and retroactive eligibility changes would be confusing, could expand requirements beyond intended groups, and would increase uncompensated care. The Minnesota Hospital Association said shortening retroactive eligibility would increase uncompensated care and strain hospital finances, and Unidos Minnesota criticized the immigrant eligibility changes as harmful to lawfully present immigrants and Native communities. Blood Cancer United supported the all-payer claims database provisions and urged attention to fertility coverage. Representative Elkins offered an amendment to add $55,000 for the Department of Health to include denied-claims data in the all-payer claims database; Department of Health staff said the idea was useful and provided a one-time setup cost, but the amendment was not acted on in the portion of the transcript provided.

Transcript Highlights:

• </c> medically needy Medicaid. medically needy Medicaid.
• </c><00:06:19.240><c> state</c> or um they are in the Medicaid state or um they are in the Medicaid state
• </c> Jillian Landry, uh Division of Medicaid Jillian Landry, uh Division of Medicaid Services.
• </c> uh through the New Hampshire Medicaid uh through the New Hampshire Medicaid State<00:10:03.760><
• </c> Medicaid Services. Medicaid Services.

Summary: The committee first handled routine business, approving the minutes and consent calendar, then moved to the regular calendar of administrative rules. Department of Energy rule 25-220 was postponed until June at the sponsor’s request so stakeholders would have more time to review revised language. Several Department of Health and Human Services Medicaid-related rules were then considered, including 25-240, 25-265, and 26-33, each of which drew staff comments mainly about expired rule provisions and the agencies’ reliance on federal law, the Medicaid state plan, or other manuals. The committee approved those rules after brief questions, with the agencies stating they were already operating under the relevant federal or state-plan authority and, in one case, that rulemaking was underway to update an expired citation. The most extended discussion was on HHS Bureau of Aging rule 25-304, which had an amended conditional approval request. Staff explained the amendments clarified how case management agencies accept or deny cases, how telehealth participation is evaluated, and that the department sets the timing for accepting or denying cases under its existing authority. Staff also noted a separate issue about whether reimbursement rates must be in rule, but said the agency had long interpreted the statute to allow its approach and that any change would likely require legislation rather than committee objection. A provider representative testified against parts of the rule, arguing the case management agencies should not be required to accept referrals before contacting the participant, that telehealth decisions for other providers should remain with those providers, and that the quality-management section was duplicative and burdensome. Committee members questioned whether the telehealth language merely allowed case managers to say a service fit the client’s plan or instead gave them authority over another provider’s delivery method. The agency responded that case managers may determine what services an individual needs, but should not control how another licensed provider delivers those services. The discussion continued with no final action shown in the excerpt.

Transcript Highlights:

• Medicaid. Medicaid.
• Medicaid? Medicaid?
• In Medicaid alone, is absolutely not.
• Medicaid Medicaid funded<01:02:01.520><c> programs</c><01:02:02.400><c> in</c><01:02:02.640><c> the<
• </c><01:11:29.040><c> funded</c> people providing uh Medicaid funded people providing uh Medicaid funded

Transcript Highlights:

• Medicaid. So this is to help catch more fraud.
• He's been a longtime advocate now. ...for criminal justice reform and trying to improve public safety
• We've talked about bail reform; we're further criminalizing it.

Bills: SB31 , SB33 , SB20 , SB217 , SB264 , SB269 , SB650 , SB681 , SB528 , SB502 , SB740 , SB916 , SB995 , SB10 , SB2581 , SB2570 , SB3031 , SB24 , SB379 , SB1171 , SB1121 , SB1120 , SB1061 , SB1036 , SB1019 , SB890 , SB11 , SB868 , SB1188 , SB1254 , SB2778 , SB2543 , SB2443 , SB1333 , SB1259 , SB1401 , SB1404 , SB2139 , SB2165 , SB2237 , SB2268 , SB1202 , SB1198 , SB1212 , SB1451 , SB1470 , SB1498 , SB965 , SB1547 , SB1667 , SB1818 , SB1902 , SB2129 , SB2078 , SB2069 , SB1737 , SB1589 , SB1318 , SB387 , SB1150 , SB1574 , SB2127 , SB3034 , SB860 , SB1278 , SCR5 , SCR32 , SB4 , SB23 , SB1762 , SB34 , SB60 , SB706 , SB1814 , SB1220 , SB523 , SB565 , SB1253 , SB840 , SB764 , SB2383 , SB2155 , SB1535 , SB1423 , SB1566 , SB1804 , SB1728 , SB1816 , SB1952 , SB75 , SB2068 , SB1455 , SB213 , SB627 , SB2037 , SB670 , SB896 , SB917 , SB1184 , SB971 , SB1255 , SB1261 , SB1283 , SB991 , SB1733 , SB21 , SB231 , SB739 , SB1252 , SB1371 , SB646 , SB3 , SCR27 , SB552 , SB1405 , SB1948 , SB243 , SJR1 , SB31 , SB33 , SB20 , SB217 , SB264 , SB269 , SB650 , SB681 , SB528 , SB502 , SB740 , SB916 , SB995 , SB10 , SB2581 , SB2570 , SB3031 , SB24 , SB379 , SB1171 , SB1121 , SB1120 , SB1061 , SB1036 , SB1019 , SB890 , SB11 , SB868 , SB1188 , SB1254 , SB2778 , SB2543 , SB2443 , SB1333 , SB1259 , SB1401 , SB1404 , SB2139 , SB2165 , SB2237 , SB2268 , SB1202 , SB1198 , SB1212 , SB1451 , SB1470 , SB1498 , SB965 , SB1547 , SB1667 , SB1818 , SB1902 , SB2129 , SB2078 , SB2069 , SB1737 , SB1589 , SB1318 , SB387 , SB1150 , SB1574 , SB2127 , SB3034 , SB860 , SB1278 , SCR5 , SCR32 , SB546 , SB647 , SB648 , SB1493 , SB1709 , SB2001 , HB5669 , HB3115 , HB5655 , HB5675 , HB5689 , HB5690 , HB5653 , HB3228 , HB2802 , HB45 , HB1318 , HB5560 , HB2894 , HB4344 , HB2775 , HB33 , HB 12 , HB148

Keywords: SB 31, Life of the Mother Act, Texas abortion law, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, spontaneous abortion, miscarriage, unborn child, abortion exception, abortion ban, physician liability, health care liability claim, aiding and abetting, Texas Medical Board, State Bar of Texas, continuing medical education

Transcript Highlights:

• </c> the second year of the Medicaid program. the second year of the Medicaid program.
• </c> by investing in adult dental Medicaid by investing in adult dental Medicaid services<00:52:31.280
• </c><01:14:03.120><c> to</c> consent is embedded in the Medicaid to consent is embedded in the Medicaid
• </c><02:01:09.760><c> rate</c> power for the uh uh medic Medicaid rate power for the uh uh medic Medicaid
• </c> spend a lot of money in the Medicaid spend a lot of money in the Medicaid program<02:05:30.639><

Summary: The committee met in Division 3 work session on HB 2 and began by noting a delayed start to allow the Legislative Budget Assistant to finish a large packet of updated amendments and revisions. The chair said the goal for the day was to move as many items as possible, with any cleanup deferred to a Friday follow-up. Members also discussed the process for handling public and department testimony on selected items before votes. Several early amendments were taken up and voted on. The committee unanimously recommended items dealing with repealing the liquor transfer to the alcohol fund and redirecting liquor-related revenue to the general fund, and it also approved an amendment revising Granite Advantage funding so there would be no automatic transfer from the liquor fund, instead using a general fund appropriation. Members then approved repealing the foster grandparent program by a 5-4 vote, and later approved an amendment requiring DHS contractors to comply with the patients’ bill of rights by a 9-0 vote. The committee also approved incorporating House Bill 94 on Medicaid coverage of circumcision by a 5-4 vote, while deferring the Wick Farmers Market Nutrition Program repeal for more discussion. The committee spent substantial time on the youth risk behavior survey amendment. Supporters said the change was intended to clarify opt-out procedures and ensure parents, guardians, and students are clearly notified that they may opt out without negative consequences. Some members raised privacy concerns and said the language could add administrative burden, but the amendment was ultimately recommended to Finance by a recorded vote of 8-1. Another amendment on civil rights and contractor standards for DHHS was discussed but not voted on after concerns were raised about vague enforcement language and possible penalties. The committee also struck amendment 1026 as redundant, with members noting related work in existing law and Senate Bill 134, and then moved on to other items, including a revised equity/access-related amendment that was postponed for later discussion.

Transcript Highlights:

• The Minnesota Medicaid Fraud Unit is currently understaffed for the size of state Medicaid spending.
• We hope to continue and strengthen our work in prosecuting Medicaid fraud. Mr.
• </c> compare information and detect Medicaid compare information and detect Medicaid payment<01:21:16.120
• </c> use AI to flag anomalies for Medicaid use AI to flag anomalies for Medicaid providers<01:35:57.480
• </c> oversight of Minnesota's Medicaid oversight of Minnesota's Medicaid Program<01:36:17.760><c> Safeguard

Committee: Senate State and Local Government

Transcript Highlights:

• </c><00:09:00.560><c> to</c> individuals uh receiving Medicaid to individuals uh receiving Medicaid to
• It's Medicaid.
• Medicaid stuff out because it would we Medicaid stuff out because it would we would<01:11:40.159><c>
• </c> they do site visits on Medicaid they do site visits on Medicaid providers<01:15:01.120><c> if</c
• </c> Flags them then they call DHS Medicaid Flags them then they call DHS Medicaid oig<01:15:05.560><

Bills: HF1 , HF1384

Committee: House Children and Families Finance and Policy

Transcript Highlights:

• House Bill 3722 is a needed reform for our good system that we have for voting.

Bills: HB4104 , HB3722 , HB3787 , HB3700 , HB3701 , HB3310 , HB3404 , HB2964 , HB2398 , HB3024 , HB3499 , HB3278 , HB3279 , HB3645 , HB3649 , HB2293 , HB3260 , HB3176 , HB3177 , HB3114 , HB3172 , HB3322 , HB3323 , HB4248 , HB3720 , HB2210 , HB1322 , HB1937 , HB3301 , HB4107

Keywords: Oklahoma criminal law, felony classification, Class B5, Class D1, sentencing enhancement, repeat offender, domestic violence, stalking, voyeurism, peeping tom, clandestine recording, hidden camera, privacy offense, sex offender registry, Sex Offenders Registration Act, protective order violation, animal cruelty, cockfighting, dogfighting, public safety

Bills: HB4104 , HB3722 , HB3787 , HB3700 , HB3701 , HB3310 , HB3404 , HB2964 , HB2398 , HB3024 , HB3499 , HB3278 , HB3279 , HB3645 , HB3649 , HB2293 , HB3260 , HB3176 , HB3177 , HB3114 , HB3172 , HB3322 , HB3323 , HB4248 , HB3720 , HB2210 , HB1322 , HB1937 , HB3301 , HB4107

Keywords: Oklahoma criminal law, felony classification, Class B5, Class D1, sentencing enhancement, repeat offender, domestic violence, stalking, voyeurism, peeping tom, clandestine recording, hidden camera, privacy offense, sex offender registry, Sex Offenders Registration Act, protective order violation, animal cruelty, cockfighting, dogfighting, public safety

Bills: SR29 , SB667 , SB1466 , SB1942 , SB1989 , SB1670 , SB1716 , SB1521 , SB1273 , SB1433 , HJR1032 , SB1969 , SB1953 , SB1277 , SB1287 , SB1061 , SB1916 , SB1589 , SB2178 , SB1444 , SB1438 , SB1501 , SB1873 , SB1364

Keywords: Black History Month, Black Oklahomans, civil rights, Tulsa Race Massacre, Greenwood, Jim Crow, segregation, all-Black towns, Boley, Langston University, Clara Luper, NAACP Youth Council, Oklahoma Civil Rights Trail, Black history, African American history, racial justice, commemorative resolution, Black excellence, state history, heritage month

Bills: HF2393 , HF2052 , HF2218 , HF2307 , HF2003 , HF2366 , HSB725 , HF2078 , HSB554 , HSB676 , HSB717 , HF2270 , HSB718 , HF2306 , HSB746 , HF332 , HF460 , HSB680 , HF2051 , HSB677 , HF2187 , HSB719 , HF2123 , HF2451 , HF621 , HSB608 , HSB683 , HSB735

Committee: Joint Education

Keywords: education savings account, general fund, school districts, funding flexibility, teacher salary, professional development, preschool, education, community-based providers, instruction, school district agreements, special education, classroom cameras, video surveillance, school safety, student privacy, FERPA, Iowa school districts, charter schools, innovation zone schools

Bills: HB1 , HB198 , HB11 , HB32 , HB33 , HB34 , HB56 , HB68 , HB72 , HB101 , HB102 , HB110 , HB154 , HB166 , HB168 , HB274 , SB114 , HB1 , HB198 , HB11 , HB32 , HB33 , HB34 , HB56 , HB68 , HB72 , HB101 , HB102 , HB110 , HB154 , HB166 , HB168 , HB274 , SB114

Committee: House Public Safety and Homeland Security

Keywords: DUI, driving under the influence, ignition interlock, interlock device, driver license suspension, restricted license, motor vehicle, alcohol offense, first offense, repeat offender, blood alcohol concentration, BAC, license revocation, Alabama State Law Enforcement Agency, ALEA, public safety, traffic safety, chemical dependency, substance abuse, court referral program

Transcript Highlights:

• As we saw as recently as last week, $1.6 billion in Medicaid reimbursements are being withheld from California
• through Medicaid's Contra Costa County faces similar cost pressures as federal cuts cascade through Medicaid
• over allegations—mind you, allegations—of fraud in terms of how the state is administering Medicaid
• The federal government has never paid through Medicaid for people that were not citizens. ...through
• Medicaid for people who were not citizens of the United States, and we added them anyway, knowing that

Summary: The Senate committee heard AB 1768, which would authorize Los Angeles County and Contra Costa County to place local sales tax measures before voters to help offset federal funding cuts affecting Medi-Cal, nutrition assistance, and related health and safety-net services. Assembly Member Brian and supporters argued the bill would preserve local control and allow voters to decide whether to raise revenue to prevent clinic closures, layoffs, and service reductions. Testimony in support came from the California Primary Care Association, Planned Parenthood Affiliates of California, labor organizations, Contra Costa County, and others, while the cities of Glendale and Burbank opposed the measure. Committee discussion focused on whether the bill was an appropriate response to federal cuts or an unnecessary tax increase. Supporters said the measure did not impose a tax directly but simply let county voters decide how to respond to the funding losses. Opponents argued California and local governments should address spending and affordability concerns without additional taxes, and questioned whether the federal cuts were the sole cause of the budget pressure. Several members also raised broader concerns about cost of living, health care financing, and local versus state responsibility. Senator Arreguín moved the bill for a due pass recommendation. The committee voted 5-2 to send AB 1768 to the Senate floor, with Senators Choi and Seyarto voting no. The bill was briefly held on call before the final tally was announced and the measure was reported out.

Transcript Highlights:

• counties that we are, you know, we see ongoing unemployment figures that are above the state average, Medicaid
• the state<00:25:28.240><c> average</c><00:25:29.240><c> um</c> state average um state average um Medicaid
• c> participation,</c><00:25:31.240><c> which</c><00:25:31.440><c> is</c><00:25:32.160><c> or</c> Medicaid
• participation, which is or Medicaid participation, which is or utilization,<00:25:33.000><c> which</
• with the Cabinet for Economic Development, and the provisions in this bill and also 619, you know, reform

Committee: House Appropriations & Revenue

Transcript Highlights:

• are certified by the Texas Certification Board, to provide peer services that are reimbursable by Medicaid
• certified by the state of Texas, and when they are employed in an organization that can bill for Medicaid
• services, they are eligible to receive Medicaid dollars.
• services, they are eligible to receive Medicaid dollars.
• services, they are eligible to receive Medicaid dollars.

Summary: The Select Committee on Veterans Affairs met to hear testimony on interim charge 2, focused on military-to-civilian transition, and later on the role of the Military Veteran Peer Network and broader transition supports. The committee first heard from representatives of Midwestern State University and Wichita Falls, who described partnerships with Sheppard Air Force Base, expanded military student services, scholarship support, and the importance of helping service members connect to education, employment, and community before separation. Witnesses emphasized that successful transition is not just about finding a job, but about creating a warm handoff to local employers, colleges, civic groups, and veteran organizations, and they urged earlier outreach while service members are still on active duty. Testimony from Texas A&M University–Central Texas and the Texas A&M University System focused on the Military Talent Pipeline, credentialing, and workforce alignment. Witnesses said Texas should better capture service members’ skills earlier, improve information-sharing with employers, and expand pathways that translate military training into civilian credentials. A major recommendation was a Texas “medic/corpsman to registered nurse” pathway modeled on Wisconsin’s WISMAC program, along with broader reciprocity and bridging programs for military certifications in fields such as aircraft maintenance, trucking, and other high-demand occupations. Members also discussed the need for more staffing and resources at university veteran offices, and the value of measuring the return on state investment in veteran education benefits such as Hazelwood. The committee then heard from the Texas Veterans Commission’s Mental Health Department on the Military Veteran Peer Network. The witness described peer support coordinators and rural veteran counselors who provide warm handoffs, suicide prevention support, and counseling, especially during the first 18 months after separation, which was identified as a high-risk period. She said the network is effective but too small and needs growth, and noted barriers to base access and TAP participation. Additional testimony from a retired Army officer and transition leader stressed that Texas has many strong programs but weak coordination, and recommended using installation-specific approaches, commander engagement, consent-based data sharing, and stronger links between TAP, state resources, and local communities. A final witness from Onward Ops described upstream enrollment, risk screening, certified peer mentors, and data-sharing to proactively support separating service members; he said the current system leaves veterans to navigate stovepiped programs on their own and called for more community partners, especially in rural areas. No votes were taken during the hearing.

Transcript Highlights:

• 49.440><c> I</c><01:10:49.520><c> don't</c> Representative Frasier, if we can work on significant reform
• But if you look at what's happening, you know, the DOJ sued UnitedHealth on Medicaid fraud because they
• But if you look at what's happening, you know, the DOJ sued UnitedHealth on Medicaid fraud because they
• But if you look at what's happening, you know, the DOJ sued UnitedHealth on Medicaid fraud because they
• But if you look at what's happening, you know, the DOJ sued UnitedHealth on Medicaid fraud because they

Bills: HF1976

Committee: House Workforce, Labor, and Economic Development Finance and Policy

Transcript Highlights:

• </c><02:09:52.400><c> Many</c> Medicaid enrolles are children. Many Medicaid enrolles are children.
• </c><02:10:39.520><c> assistance</c> people who commit Medicaid assistance people who commit Medicaid
• Today, I'm the Medicaid fraud unit.
• </c><02:21:46.960><c> Uh,</c> to investigate Medicaid fraud? Uh, to investigate Medicaid fraud?
• We're not asking for less, but as our state Medicaid budget has grown, our Medicaid fraud control unit

Committee: Senate Judiciary and Public Safety

Transcript Highlights:

• Medicaid. Medicaid.
• So in Medicaid, for older population.
• </c> The next one is retroactive Medicaid eligibility.
• The next change is related to access to Medicaid for legal non-citizens.
• Currently, legal non-citizens are eligible for Medicaid coverage.

Committee: Senate Health and Human Services

Transcript Highlights:

• There is Medicaid in both of these bills.
• There is Medicaid in both of these bills.
• Again, there's a lot of Medicaid and IT-type programs in here.
• But I would be remiss if I did not remind us all that it is the Medicaid, the unchecked advances of Medicaid
• But of that, and a lot's been said about Medicaid.

Summary: The House convened with prayer, the Pledge of Allegiance, approval of the prior day’s journal by roll call, and a long series of special guest introductions recognizing family members, interns, public servants, nonprofit leaders, students, and a park ranger honored for life-saving actions. Committee reports and Senate messages followed, including Senate nonconcurrence on numerous amendments to Senate Bill 1421 and the appointment of a conference committee on another bill. The main floor action centered on budget conference committee reports, especially House Bill 2002 on public education. Members debated whether the conference version fully funded the foundation formula, with supporters arguing it maintained record-level funding and opponents saying it left schools about $190 million short and relied on uncertain funding sources such as blind pension, lottery, and possible ARPA dollars. After a substitute motion to send the bill back to conference was defeated, the House adopted the conference report 83-68 and then third-read and passed House Bill 2002 by the same margin. The House then took up House Bill 2003 on higher education, where members discussed a move toward a future performance-based funding model while keeping current funding flat; the conference report passed 119-28 and the bill was third-read and passed 109-32. The chamber next considered House Bill 2004, covering the Departments of Revenue and Transportation. Debate focused on transportation funding, rural roads, and a small local safety project in Lebanon that had already been addressed by MoDOT. The conference report was adopted 128-21 and the bill was third-read and passed 127-27. Finally, the House began debate on House Bill 2005 for the Office of Administration and IT-related functions, with the sponsor and supporters emphasizing IT accountability, the Movers project, and the transfer of some staff to DSS; the transcript ends during discussion of that bill.

Transcript Highlights:

• As such, HHS may disqualify any doctors or hospitals that provide such care from Medicaid and Medicare
• If that proposed rule goes into effect, every patient, regardless of whether they receive Medicaid or
• If that proposed rule goes into effect, every patient, regardless of whether they receive Medicaid or
• I'm the State Medicaid Director at the Department of Health Care Services.
• The second proposed rule would prohibit Medicaid,... ...gender dysphoria in minors.

Summary: The joint hearing focused on access to gender-affirming care in California, with opening remarks emphasizing the state’s legal protections, the importance of decorum, and the impact of federal actions on transgender, gender-diverse, and intersex Californians. The Department of Justice, Department of Managed Health Care (DMHC), and Department of Health Care Services (DHCS) described current state protections, including nondiscrimination rules, privacy and shield laws, Medi-Cal and commercial coverage requirements for medically necessary care, and ongoing litigation challenging federal executive orders, proposed rules, and HHS actions that could restrict care or threaten provider participation in Medicare and Medicaid. Officials also noted that California continues to oppose federal proposals through lawsuits and public comments, and that the state is preparing strategies if those proposals are finalized. Members asked about hospital closures or pauses in care, continuity of care, provider network adequacy, whether additional legislation or funding is needed, and how the state can better track access and enforce existing protections. DMHC said it monitors complaints and independent medical reviews, but does not have a specific provider category for gender-affirming care and does not collect utilization data by service type; DHCS said Medi-Cal covers medically necessary gender-affirming care and that federal proposals are not yet final. Finance staff said the previously approved $15 million allocation is still being implemented through Covered California. The second panel heard from a physician, clinic leaders, parents, and a transgender youth about how families and providers navigate access to care. Dr. Johanna Olson-Kennedy described the history of transgender medical care, the role of puberty blockers and hormones, and said minors need parental consent for medical interventions, while emphasizing that care should be individualized and that supportive parents improve outcomes. She also described the closure of the Children’s Hospital Los Angeles youth program and the difficulty of rebuilding care in private practice, including insurance contracting barriers and inadequate reimbursement. J.M. Jaffe of Lyon Martin Community Health Services said the clinic has expanded to serve minors after hospital programs closed, but that the shift has created major financial strain and increased demand, and asked for a $26 million state investment to stabilize transgender health services. Parents and youth described delays, cancellations, and uncertainty at Kaiser, Stanford, UCSF, and Rady Children’s, along with the emotional and medical consequences of interrupted care. One parent said TRICARE stopped covering her son’s care after federal changes and that Rady later closed its clinic; her family urged California to backfill lost access and funding. A 16-year-old trans student and other witnesses argued that California should remain a reliable source of care and that current protections are not enough without funding, provider support, and stronger enforcement.