Transcript Highlights:

• I have patients who have suffered from vaccine-preventable diseases. They're unamined patients.
• And now they're spending time educating patients or reassuring patients about the safety of vaccines.
• As a registered nurse, my role is to advocate for my patients.
• It protects doctors who act in the best interests of their patients.
• And patients love a provider who understands and cares for them.

Committee: Joint Joint Committee on Public Health

Summary: The Joint Committee on Public Health held a hearing on several vaccination-related bills, including proposals to eliminate non-medical or religious exemptions for school immunizations (notably H. 2554 and S. 1557), a bill to require or improve reporting and administration of immunization data and exemptions (described as the Community Immunity Act, S. 1618), and H. 2431, which would prohibit COVID-19, mRNA, or gene-altering vaccine requirements. The committee also heard testimony on H. 2463, which would classify funeral directors as public health workers for vaccine-priority purposes during emergencies. The chair reviewed testimony rules and repeatedly asked speakers to keep comments orderly and brief so the committee could hear as many people as possible. No votes were taken during the hearing. Testimony on H. 2554 and S. 1557 was sharply divided. Pediatricians, infectious disease specialists, public health advocates, and groups such as the Massachusetts Chapter of the American Academy of Pediatrics, Massachusetts Medical Society, March of Dimes, Massachusetts Families for Vaccines, and several parents supported eliminating religious exemptions, arguing that vaccination protects medically vulnerable children and adults, improves herd immunity, and helps prevent outbreaks of measles, pertussis, and other diseases. They cited local school data showing pockets of lower coverage and incomplete reporting, and several speakers referenced outbreaks in other states and the need for stronger, more consistent reporting and exemption management. Opponents argued the bills would infringe on religious freedom and parental rights, force families to choose between faith and education, and unfairly target a small number of families; some also said Massachusetts already has high vaccination rates and that the real issue is incomplete data or the gap population rather than religious exemptions. H. 2431 drew testimony from supporters who said COVID-era mandates caused job losses, privacy concerns, and harm, and that the bill would prevent future requirements for COVID, mRNA, or gene-altering vaccines in schools, workplaces, and public settings. Supporters described personal experiences with alleged vaccine injury or mandate-related hardship. H. 2463 was supported by the Massachusetts Funeral Directors Association, which argued funeral directors work in infection-facing settings and should be eligible for vaccine priority during public health emergencies. The hearing featured extensive public testimony but no committee action beyond hearing the bills and taking questions from members.

Transcript Highlights:

• what sort of care they're offering to other patients at the outset.
• Um, but just making the patient seem like they just couldn't get one at all.
• No. bill um would be helpful for patients bill um would be helpful for patients who<00:50:25.599><c>
• </c><00:50:51.839><c> at</c> they're offering uh to other patients at they're offering uh to other patients
• However, I about the patients per se.

Summary: The committee first recessed for a subcommittee meeting on HB 313, which concerned an open-meetings-related issue. In the subcommittee, members discussed concerns that the bill might be unnecessary because current law already allows a person to request an open meeting in advance; the subcommittee then voted ITL on HB 313 by voice vote and closed its work session. The full Judiciary Committee then reconvened and took up CACR 6, the proposed constitutional amendment on a “right to compute,” with members debating whether the language was too broad and could create unintended consequences. Supporters framed it as a forward-looking protection for computation resources and strong encryption, while opponents said it was too open-ended and better addressed by future legislation. The committee voted ITL on CACR 6 by a 17-0 roll call. The committee next turned to HB 232, as amended, concerning the rights of conscience for medical professionals. The amendment narrowed the bill to abortion-related objections, removed sterilization and artificial contraception, aligned the abortion definition with existing state law, and reduced damages from treble damages to actual damages. Supporters said the bill would protect conscience rights, give physicians and patients more choice, and could help attract providers to New Hampshire. Opponents argued it was overly broad, unclear in key definitions, and could interfere with employers’ ability to assign staff, especially in rural health settings. Members also raised concerns about the bill’s scope and enforcement, including the broad definition of “participate,” the lack of clarity around exceptions for providers whose services include abortion as a “major part,” emergency determinations, and the inclusion of nursing homes in the definition of health care institution. Some members argued the bill singled out abortion while other controversial medical procedures were not treated similarly, and others criticized the minimum-damages provision as potentially punitive and designed to deter participation. The discussion continued without a final vote shown in the transcript excerpt.

Transcript Highlights:

• areas needing investigation include long COVID treatment, the implementation of the New Hampshire Patient
• Some doctor office who decided to use this document to inform their patients—what's the nature of this
• for me, it looks like it's a good example of what one chain medical provider communicates to the patients
• We may have to actually go to the patient inserts for both the Moderna Spikevax and the Pfizer-BioNTech
• I think some further research on my part is done looking at exactly what it says in the patient inserts

Summary: The Special Committee on COVID Response Efficacy met to review its mission, approve prior minutes at a future meeting, and discuss materials related to COVID-19 vaccination guidance. Members examined a pediatric vaccination handout from a private pediatric practice and compared it with New Hampshire DHHS and AAP/AAFP immunization guidance, focusing on how COVID-19 vaccine recommendations are presented for children and adults. Committee members also discussed the scope and accuracy of the committee’s endnotes and supporting documents. The main business was a draft letter urging the governor to direct state agencies to stop recommending COVID-19 mRNA vaccines. Members revised the letter paragraph by paragraph, including changing wording about age ranges for children, clarifying references to the American Academy of Pediatrics, and adding discussion of vaccine safety concerns, alleged suppression of safety data, and federal investigations. They also debated whether to reference specific reporting systems such as VAERS and V-safe, and whether to include examples from other states, including Tennessee, Arizona, Minnesota, and Florida, as evidence of broader concern about mRNA vaccines. After the edits were completed, Representative Villio moved to accept the letter as amended, Representative Leroy seconded, and the committee approved it by voice vote 4-0. The chair said the revised letter would be finalized and distributed later in the week. The meeting then adjourned at approximately 11:57 a.m.

Transcript Highlights:

• However, current law puts outdated limits on what these providers can do, meaning patients lose access
• The bill ensures that patients can access quality reproductive care when they need it.
• The bill ensures that patients can access quality reproductive care when they need it.
• is safe, and appropriately trained APCs can provide this care with the same safety, quality, and patient
• protocols for medications treating serious mental illness and substance use disorders, allowing patients

Summary: The Assembly Appropriations Committee met on May 13, 2026, and began by taking up a large consent calendar, moving a first group of bills to the floor consent calendar and a second group by due pass. The committee then heard and advanced a series of measures covering housing, public safety, health care, education, and local government issues. Among the bills discussed were AB 2641 on a sales tax exemption for pawnbroker redemptions, AB 2525 on a narrow Surplus Lands Act exemption for Mission Bay Park, AB 1732 and AB 2433 on student housing and the Affordable Homes Bonus Law, AB 2055 on boating safety and enforcement, AB 1579 on children’s crisis residential services, AB 2139 on a Surplus Lands Act amendment for an Inland Empire soccer project, AB 2041 on EMS reporting, AB 1973 on reproductive health scope for advanced practice clinicians, AB 1929 on health plan investment disclosures, AB 2700 on utility rates and wildfire victim compensation, AB 1809 on school job order contracting, SB 73 on election security, AB 2418 on commercial building permit timelines, AB 1970 on step therapy limits for serious mental illness and substance use treatment, AB 2361 on peer-to-peer vehicle-sharing liability, AB 1976 on bike and pedestrian project approvals, AB 2110 on tax increment financing for workforce housing, and AB 2146 on supportive housing documentation and vacancy rules. Testimony was generally supportive for the measures heard. Authors and sponsors emphasized consumer fairness, housing production, public safety, access to care, and administrative streamlining. Supporters included local governments, housing advocates, school districts, law enforcement groups, health care organizations, and affected individuals. AB 2700 drew especially extensive public testimony from wildfire survivors and local officials who urged stronger compensation for victims of PG&E-caused fires and relief from high utility costs. AB 2034 and AB 1790 were raised during public comment on bills not heard in committee, with several industry groups opposing AB 2034 and both supporters and opponents speaking on AB 1790’s Waters Edge issue. Most bills were reported out of committee on due pass motions, with several noted as amended or with members not voting on particular roll calls. The committee also read and approved a lengthy suspense calendar, then opened public comment on bills not presented that day before adjourning.

Transcript Highlights:

• The Secretary will read: An act relating to permitting the medical use of cannabis by qualifying patients
• nursing homes, and hospice care centers to allow for the limited use of medical cannabis for those patients
• President, this bill truly can improve quality of life for patients as they face their final days, so
• President, can be costly and they can also be very detrimental to patients.
• So this is just a simple step that we can take to help prevent delays and make patient care better.

Bills: SB6061 , SB6234 , SB6176 , SB6335 , SB6047 , HB2235 , HB2272 , HB2340 , HB2543 , HB2554 , HB2632 , HB2464 , HB2619 , HB1376 , HB1796 , HB2091 , HB2249 , HB2254 , HB2353 , HB2431 , HB2441 , SB5808 , SB5949 , SB6006 , SB6260 , SB6297 , SB6351 , SB6354 , SB6355 , HB2124 , HB1069 , HB2104 , HB2624

Keywords: tourism, self-supported assessment, funding, statewide promotion, economic development, sewage, grinder pumps, residential buildings, regulation, construction, vehicle registration, enforcement, renewal, transportation, state law, state commission, infrastructure, traffic safety, responsibilities, state capital projects

Transcript Highlights:

• The Secretary will read: An act relating to permitting the medical use of cannabis by qualifying patients
• nursing homes, and hospice care centers to allow for the limited use of medical cannabis for those patients
• President, this bill truly can improve quality of life for patients as they face their final days, so
• President, can be costly and they can also be very detrimental to patients.
• So this is just a simple step that we can take to help prevent delays and make patient care better.

Bills: SB6061 , SB6234 , SB6176 , SB6335 , SB6047 , HB2235 , HB2272 , HB2340 , HB2543 , HB2554 , HB2632 , HB2464 , HB2619 , HB1376 , HB1796 , HB2091 , HB2249 , HB2254 , HB2353 , HB2431 , HB2441 , SB5808 , SB5949 , SB6006 , SB6260 , SB6297 , SB6351 , SB6354 , SB6355 , HB2124 , HB1069 , HB2104 , HB2624

Keywords: tourism, self-supported assessment, funding, statewide promotion, economic development, sewage, grinder pumps, residential buildings, regulation, construction, vehicle registration, enforcement, renewal, transportation, state law, state commission, infrastructure, traffic safety, responsibilities, state capital projects

Summary: The Senate considered and passed several House bills. Substitute House Bill 2152, known as Ryan’s Law, would allow limited medical cannabis use for qualifying end-of-life patients in hospitals, nursing homes, and hospice facilities; supporters said it would improve quality of life, and it passed 46-2. Engrossed Substitute House Bill 1604, dealing with search procedures for transgender and intersex individuals confined in local jails and codifying federal Prison Rape Elimination Act-related standards, drew debate over whether amendments were needed and whether the bill would burden or protect staff and inmates; two amendments were rejected, and the bill passed 30-19. Second Substitute House Bill 1906, as amended, increased transparency and consumer protections for water system rates, especially for older or smaller systems, and passed unanimously 49-0. Engrossed Substitute House Bill 1916 tightened voter registration challenge procedures and gave county auditors more discretion in handling challenges; an amendment to broaden who could challenge voters statewide was rejected, and the bill passed 49-0. Engrossed Substitute House Bill 2110, as amended, allowed registered nurses without EMT certification to staff certain inter-facility ambulance transports under specified conditions to reduce delays, and it also passed 49-0. The Senate also passed Second Substitute House Bill 2429, which extends and updates the Children and Youth Behavioral Health Work Group and aligns agency planning with the Washington Thriving Strategic Plan; a committee striker was adopted despite concerns about added government structure, and the bill passed 49-0. Second Substitute House Bill 2384, increasing oversight of continuing care retirement communities through actuarial review and Office of Insurance Commissioner oversight, passed 37-12 after the chamber rejected the committee striker and adopted a revised striking amendment. The session ended with a point of personal privilege from Senator Lovick and an adjournment motion, and the Senate adjourned until March 4, 2026.

Transcript Highlights:

• House Bill 408, an act relating to patient directed care at the end of life. Representative Camuel.
• an<00:18:47.039><c> act</c><00:18:47.200><c> relating</c><00:18:47.440><c> to</c><00:18:47.600><c> patient
• </c><00:18:47.919><c> directed</c><00:18:48.320><c> care</c> an act relating to patient directed care
• an act relating to patient directed care at<00:18:48.640><c> the</c><00:18:48.720><c> end</c><00:18:
• House Resolution 33, a resolution honoring cancer patients, survivors, and their families, and remembering

Transcript Highlights:

• gap between the hospitals are paid by Medicaid and the actual cost of delivering care to Medicaid patients
• had for you and that one, my if you want to get back to it's okay when it comes to wait time for patients
• Also to address the wait time for patients seeking care?
• Wait times as somebody receiving Medicaid, new patients. Can somebody get employment within ever?
• That limits for the non Medicaid. >> Patients. My other question, sir, is on Page 6 of your slides.

Transcript Highlights:

• Without meaningful oversight, we risk creating situations where patients could be left without where
• patients could be left without help when their claims are denied.
• Otherwise, the burden of challenging denied claims falls entirely on patients who are often at their
• most vulnerable. on patients who are often at their most vulnerable.
• Without it, these plans could operate in a gray area, leaving patients unprotected and without recourse

Committee: Senate Banking and Insurance

Transcript Highlights:

• ,</c> in restoring mobility in patients, in restoring mobility in patients, reducing<00:08:52.560><c>
• ><c> importance</c><00:09:00.080><c> of</c> patients highlights the importance of patients highlights
• </c> patients across Georgia. We thank Mr. patients across Georgia. We thank Mr.
• </c><00:09:43.440><c> for</c> compassionately caring for patients for compassionately caring for patients
• </c> patients medical interests or decisions. patients medical interests or decisions.

Transcript Highlights:

• Stavi Wawat, pediatric anesthesiologist who cares for some of our youngest and most vulnerable patients
• ALREADY STRETCHING EVERY DOLLAR, A SENIOR LIVING ON FIXED INCREASE INCOME OR PATIENT TRYING TO MANAGE
• President, no, this machine is usually used by frequent patients of certain clinics already known in
• This is for patients and clients of certain programs to make better informed decisions before they use
• SO NO, THEY ARE NOT COMING TO TEST WHAT ELSE IS OUT THERE, THIS IS FOR PATIENTS AND CLIENTS OF CERTAIN

Summary: The Senate convened, approved the journal, and took up a series of motions to discharge identical Assembly bills to the Third Reading Calendar, along with committee reports and amendments. The chamber also received an introduction from Senator Gonzalez honoring Maria Raine and her advocacy for guardrails on AI chatbots after the death of her son, and later adopted a Rules Committee report sending several General Business Law bills directly to Third Reading. The resolution calendar was adopted with some exceptions, and the Senate recognized several previously adopted resolutions honoring individuals and observances, including Barnabas McHenry, Arthur Jones Jr., Floyd Todd Peterson III, the Lexington School for the Deaf, Tadeusz Kosciuszko, Apraxia Awareness Month, Fibromyalgia Awareness Day, Prevention Week, Physician Anesthesiologists Week, and Golf Day in New York. The Senate then considered and passed numerous bills, many on consumer protection and public policy topics. Measures included bills on General Business Law, Public Health Law, Correction Law, Environmental Conservation Law, Executive Law, Vehicle and Traffic Law, Public Officers Law, Not-for-Profit Corporation Law, Public Housing Law, Education Law, Labor Law, and Public Service Law. Several bills were laid aside, including a Public Health Law bill by Senator Fernandez and a Public Service Law bill by Senator Parker. The chamber also passed a concurrent constitutional resolution by Senator Stec proposing an amendment to Article 14. During floor debate, senators explained votes on several measures. Senator Ramos spoke in support of paid sick leave for domestic workers, describing the bill as a long-overdue labor protection for a workforce historically excluded from such rights. Senator Fernandez described her bill as the Manufacturer Disclosure and Transparency Act, aimed at requiring notice and public disclosure of certain pharmaceutical patent settlement agreements to improve transparency and competition in prescription drug pricing. Senator Ryan and Senator Martins supported a bill restricting hidden algorithmic price manipulation online, and Senator May supported a bill limiting excessive rental car fuel charges as part of a broader consumer protection package. The Senate also passed a memorial highway bill naming a portion of Route 19 in LeRoy for Lieutenant Gary A. Scott, with Senator Borrello explaining the veteran’s service and sacrifice.

Transcript Highlights:

• For the patients I work with, because a lot of them isolate. They're afraid of the stigma.
• And it's hard on patients when they lose medications and have no way to get it.
• And I have 65 patients, and every month I get maybe 15 patients that will get cards, so I have to rotate
• our HIV patients are mental health, and most of them are older.
• How do you ensure that the training actually translates into patient safety?

Summary: The Select Committee on Older LGBTQ Californians held an inaugural hearing focused on the health care and support landscape for older LGBTQ Californians, including people aging with HIV and transgender, gender non-conforming, and intersex seniors. Opening remarks emphasized the long history of discrimination faced by older LGBTQ adults, the growth of the aging LGBTQ population, and the need to translate existing state commitments into concrete services. Senators highlighted concerns about nursing home vulnerability, the aging of people living with HIV, and the impact of federal actions and Medicaid cuts on California’s safety net. The first panel featured Justice in Aging, CalHHS, the Department of Aging, and the Aging and HIV Institute. Testimony described widespread inequities, including discrimination, social isolation, economic insecurity, and gaps in culturally competent care. State officials outlined the Master Plan for Aging, the first statewide survey of LGBTQIA older adults, gender-affirming care protections in Medi-Cal, and efforts to improve coordination across departments. Advocates argued the state has been too slow to respond to federal threats and that services are often hard to find or fragmented. Committee members pressed the departments on how survey findings are being turned into action, how rural and underserved communities are being reached, and whether more formal stakeholder coordination or “no wrong door” access systems are needed. The second panel focused on seniors living with HIV. A long-term survivor gave emotional testimony about the “survivorship penalty,” loss of benefits, housing insecurity, and the need for legal and navigation support, housing assistance, and protection from outdated disability standards. The Department of Aging reported on implementation of SB 258, which added HIV status to the definition of greatest social need for area agencies on aging; it said 20 of 33 area plans now identify HIV as a target population and many include specific strategies, such as LGBTQIA mental health connections programs. The Office of AIDS described Project Cornerstone, Ryan White, ADAP, HOPWA, the Medi-Cal waiver, and PrEP-AP, noting these programs serve thousands of older clients and rely on whole-person case management. Case management testimony underscored persistent needs for medication subsidies, transportation, food, and housing. Committee members questioned how ADAP rebate funds might be used, how SB 258 is enforced across local agencies, and how to reduce administrative barriers and auto-connect eligible people to benefits. The final panel began with the Department of Social Services outlining protections for TGI seniors in licensed care facilities, including SB 219’s nondiscrimination requirements and related provider notices and resident rights materials. The hearing remained focused on identifying service gaps, improving coordination across aging, health, and social service systems, and ensuring state programs better reflect the lived experience of older LGBTQ Californians.

Transcript Highlights:

• The typical Medicare patient is a completely different entity than workers' comp.
• The specific diagnosis and or treatment of these patients, The over-65 population.
• The specific diagnosis and or treatment of these patients are often different than the younger worker
• ' comp fee schedule threaten patient access to quality care and reductions in practicing orthopedics
• who are willing to treat workers' comp patients.

Summary: The Labor and Industrial Relations Committee first took up House Bill 680 by Rep. Weibel, which proposes a major overhaul of Louisiana’s workforce development system. The bill and a large amendment package were described as modernizing workforce planning, consolidating some state-level strategy and administration, and strengthening coordination with local workforce partners, employers, and regional stakeholders. A transition advisory team with an 18-month sunset was added to help implement the changes, and members repeatedly raised concerns about preserving local input for different regions, parishes, and cities. Rep. Weibel, the secretary of Louisiana Works, parish officials, and other supporters said the goal is to shift more resources from overhead to training and direct services while keeping local boards and parish involvement in place. Testimony from a Utah official and from local government and business representatives emphasized that similar consolidations can create efficiencies without eliminating local responsiveness. The committee adopted the amendments and then reported HB 680 with amendments. The committee then heard House Bill 780 by Rep. Furman on workers’ compensation. The bill seeks to streamline disputes over compensation and medical benefits, reduce litigation, and lower costs by restoring an expedited preliminary determination process and changing the standard for penalties and attorney fees to an arbitrary-and-capricious standard. Supporters, including lobbyists and defense attorneys, argued that the current process is outdated, overly technical, and too litigious, especially because adjusters now often work remotely and the statute still relies on fax and certified-mail procedures. They said the bill would speed up decisions, reduce unnecessary attorney-fee claims, and help employers and injured workers alike. Opponents, including attorneys for injured workers, argued the bill would make it harder for workers to recover penalties when benefits are delayed, shift the burden in favor of insurers, and fail to address understaffing and defense costs. Members debated whether the bill’s new standard should replace the current “reasonably controverted” language; an amendment to restore that language was offered but opposed by the author and other members and was not adopted. The committee adopted technical amendments and other committee amendments, heard additional testimony, and continued debating the bill’s substantive changes.

Transcript Highlights:

• Most importantly, the changes will have a tremendous positive impact on patient care.
• </c> a tremendous positive impact on patient a tremendous positive impact on patient care.<00:21:47.600
• care on behalf of our patients, clients, and staff.
• It also strengthens<00:41:30.160><c> patient</c><00:41:30.480><c> protection,</c> strengthens patient
• protection, strengthens patient protection, clarifies<00:41:31.680><c> medical</c><00:41:32.079><c>

Bills: HF729

Committee: House Human Services Finance and Policy

Transcript Highlights:

• We do oppose the $98 million being taken out of the Patient Compensation Fund.
• And only certain hospitals were allowed in the Patient Compensation Fund.
• Very few people understand even what the Patient Compensation Fund is about.
• I mean, messing with a patient compensation fund... ...serious issue.
• I mean, messing with a patient compensation fund.

Bills: SB132 , SB241

Committee: Senate House Appropriations & Finance

Summary: The committee first heard HB 158 as amended, which would require state agencies receiving appropriations from the Grow Fund to submit accountability and evaluation plans to the State Budget Division and the Legislative Finance Committee. LFC staff said the bill would put existing practice into statute and formalize agency reporting and evaluation responsibilities. The bill drew no opposition testimony, and after questions about whether agencies or LFC would do the evaluations, it passed on a 9-0 due pass vote. HB 255, the Public Safety Workforce Building Program, was then presented as a bipartisan measure to consolidate public safety workforce funding into a competitive grant program for local law enforcement, fire, detention, and public attorney offices. The sponsor said it would not require a new appropriation. There was no opposition testimony, and the committee approved it on a 9-0 due pass vote. The committee then took up SB 309, which would replace the lottery’s 30% return requirement with a fixed floor return for several fiscal years, with a reversion to the current law if the floor is not met. Lottery officials and supporters argued the change would let the lottery offer more competitive prizes, including higher-value scratchers, and potentially increase scholarship revenue; opponents, including Think New Mexico and a nursing student, warned it could cap long-term growth and reduce scholarship funding. After extended debate, the bill passed on a 7-2 due pass vote. Later, SB 79, creating a statewide mosquito-borne disease prevention program through the Department of Health, was presented by its sponsor as a response to West Nile virus and warmer winters. Testimony from the sponsor and the state entomologist emphasized rising mosquito risk and the need for county grants and statewide coordination. Although the committee initially moved to table the bill because funding had already been included in the budget, that motion failed and the bill ultimately received a due pass vote. The committee also heard HB 295, which would create a centralized accessibility reporting position in the Department of Health; after testimony for and against, an amendment stripping the appropriation was adopted, and the bill passed 5-3. The committee then heard HB 124, establishing an Office of New Americans within Workforce Solutions to coordinate workforce integration for immigrants with lawful status. Supporters described barriers faced by immigrant workers and the need for bilingual training and centralized assistance, while the sponsor said the office would have no first-year budget impact. The bill passed 6-4. Finally, the committee considered SB 273 and SB 274, both involving state financial support for affected entities and the Patient Compensation Fund. SB 273, which would provide temporary state assistance to communities affected by economic disruption, passed after debate about precedent and economic recovery. SB 274, which sought repayment from the Patient Compensation Fund for prior state infusions, drew opposition from hospitals and physicians who warned of higher surcharges and questioned the timing and legality; discussion continued around the committee substitute and the fund’s statutory restrictions.

Transcript Highlights:

• We're providing hands-on care to California patients.
• They're providing hands-on care to California patients.
• Nurses see the impacts of corporate profiteering on patients.
• And how when these benefits are cut off, patients and their families... ...help patients and their families
• Programs that patients truly lean on to survive. Thank you.

Summary: The joint informational hearing examined California’s taxation of multinational corporations, especially the state’s water’s-edge election versus worldwide combined reporting. The LAO and Franchise Tax Board explained the basic mechanics of unitary taxation, apportionment, and how water’s-edge generally excludes most foreign subsidiaries while worldwide reporting includes the full unitary group. FTB officials said water’s-edge filers are a small share of corporate filers but account for a large share of tax liability, and they described filing trends, industry mix, and the administrative steps needed to administer either system. Members and witnesses debated the policy trade-offs. Supporters of moving away from water’s-edge argued that it enables profit shifting, especially for large multinational and IP-heavy firms, and that eliminating it could raise significant revenue and improve fairness for smaller domestic businesses. They cited estimates of billions in potential revenue and said California already has the audit and reporting infrastructure to handle worldwide reporting, though some transition time would be needed. Opponents argued that worldwide reporting would tax foreign activity unrelated to California, create double taxation, increase compliance burdens and litigation, and could be difficult for foreign-based multinationals to document. They also warned that some of the revenue estimates are highly uncertain because foreign affiliate income is not directly observable. Committee members asked about foreign government pushback, the risk of companies leaving California, the effect on intellectual property shifting, and whether federal or Supreme Court action could block a change. Witnesses generally said major firms would be unlikely to leave because California taxes sales rather than physical presence, but some costs could be passed on to consumers. The panel also discussed alternatives such as conforming to federal international tax rules like NCTI/GILTI and adding anti-abuse rules. No vote or bill action was taken; the hearing was informational only.

Transcript Highlights:

• Earlier, my talking points said good afternoon, so I want to say thank you to all of you for patiently
• increases so doctors And health care providers can keep their doors open for our most vulnerable patients
• Their health centers provide more than a million patient visits annually for people from all 58 counties
• Eighty-five percent are patients enrolled in Medi-Cal and Family Pact.
• It's important to note that medical necessity is still evaluated, and if the patient or member requires

Transcript Highlights:

• >> Um, nurses are advocates for all of their patients, and they inform patients of all of their rights
• </c> that needs to be explained to patients. that needs to be explained to patients. &gt;&gt; Okay.
• </c><02:09:46.079><c> and</c> recommendations that uh patients and recommendations that uh patients and
• </c><02:37:42.720><c> for</c> clinical trial monitor patients for clinical trial monitor patients for
• </c> things that affect direct patient things that affect direct patient outcomes. outcomes. outcomes

Committee: House Health, Human Services and Elderly Affairs

Transcript Highlights:

• And I will ask, are the blue tarps still up in the intake area and in the kitchen area?
• still</c><00:25:04.440><c> up</c><00:25:04.679><c> in</c><00:25:04.919><c> the</c><00:25:05.640><c> intake
• </c><00:25:06.279><c> area</c> Blue tarps still up in the intake area Blue tarps still up in the intake

Summary: The committee heard a Department of Corrections capital budget presentation on HB 25, focused largely on urgent maintenance and security needs at the New Hampshire State Prison for Men and other DOC facilities. DOC officials described the governor’s proposed priorities: boiler surge and radiator tank replacements, electronic controls and camera upgrades, and replacement of HVAC units using R22 refrigerant. They also outlined additional requested projects totaling $15.4 million, including a body alarm/man-down system at Northern New Hampshire Correctional Facility, steam line and trap repairs, fire alarm replacements, and removal of an underground diesel tank in favor of above-ground storage. DOC testified that many systems are well beyond their expected service life, including 40-year-old boilers, outdated analog cameras, and HVAC equipment using discontinued R22 refrigerant. They said the men’s prison is relying on a leased temporary boiler, has significant steam leaks causing major water loss and reduced boiler efficiency, and is dealing with frequent fire alarm faults and deteriorating wiring. On the body alarm system, they said the vendor no longer supports the equipment and replacement parts are no longer available. On the diesel tank, members questioned whether it could be abandoned in place or whether fuel could be reused; DOC said it had not explored all alternatives and would follow up, while noting the tank is underground and tied into the warehouse system. Members also asked whether some current investments could be reused in the planned new men’s prison. DOC said some items, such as air handlers, might potentially be moved, but most projects are needed to keep the current facility operational and would not be practical to transfer. Questions were also raised about the leased boiler arrangement, the use of the man-down system by staff and visitors, and whether the kitchen project could be converted to a modular unit. DOC said the modular kitchen approach is necessary because the existing kitchen cannot remain fully operational during repairs. The committee then moved to lapse extensions, and DOC identified several projects no longer needing extensions, including items numbered 64, 65, and 66 in HB 25, with the chair noting those balances would be deleted and that the lapse amount was $550,500.

Transcript Highlights:

• Basically, it's also patient choice, right?
• The patient has to choose where they are going.
• The patient has to choose where they are going.
• It's an attempt to get patients more access to generics.
• There is an amendment. patients more access to generics. There is an amendment.

Committee: House Appropriations

Summary: The House Appropriations Committee met on April 27 and first took up House Bill 175 and its companion House Bill 165, both dealing with lottery proceeds for veterans. HB 175 was amended to create a Veterans Service Grant Board within the Department of Veterans Affairs and direct $500,000 annually from Louisiana Lottery net proceeds into a Veterans Service Grant Fund, with unused money returned to the lottery proceeds fund that supports the MFP. Supporters, including the bill sponsor, The Boot Louisiana, LDVA Secretary Charlton McGinley, and Bastion Veterans Organization, argued the grants would help veteran services, workforce placement, mental health, housing, entrepreneurship, and retention of veterans in Louisiana. Members raised concerns about drawing from lottery proceeds that traditionally support education, but the committee adopted amendments and reported HB 175 favorably as amended. HB 165, the constitutional amendment companion, was also amended for technical and ballot-language changes and then reported favorably as amended for voter consideration. The committee then considered House Bill 457, which would authorize the Louisiana Department of Health and the State Fire Marshal to set minimum housing standards for homeless shelters, group homes, and halfway homes. The sponsor said the bill responded to a state auditor recommendation and to unsafe conditions in some facilities; he also explained an amendment changing the Fire Marshal’s duties from mandatory to permissive to reduce fiscal impact and allow agencies flexibility. Some members questioned whether local standards already existed and how enforcement and funding would work, while others supported the need for statewide minimum standards for human housing. The committee adopted the amendment and reported HB 457 favorably as amended. House Bill 488, by Representative Brough, sought to create a Belle Chasse Bridge Merit-Based Special Fund using recurring severance tax revenues from Plaquemines Parish to help buy out the Belle Chasse toll bridge and end what the sponsor described as excessive tolls and fees. He and several local witnesses, including business owners, a YMCA representative, and a parish council member, testified that the tolling arrangement had harmed access, businesses, and quality of life. The committee adopted a technical amendment clarifying the revenue source and then reported HB 488 favorably as amended. House Bill 566, which would prohibit state funds from supporting net-zero greenhouse gas initiatives tied to the 2022 Louisiana Climate Action Plan, drew significant debate over whether it would interfere with agency funding and economic development efforts; the sponsor argued the plan lacked legislative approval and should be repudiated, while members urged caution and suggested hearing from affected agencies. The sponsor agreed to consider deferring the bill, and the committee did not advance it at that time. House Bill 603, a constitutional amendment authorizing investment of state funds in digital assets and precious metals, was discussed as a way to hedge inflation and preserve value; members asked about limits and safeguards, and the bill was reported favorably. The committee then began hearing House Bill 763, a transparency measure creating a public database for settlement agreements involving state agencies.