Transcript Highlights:

• THE BUDGET IMPACT IS ZERO ON THIS AS WELL AS IT REPRESENTS CHANGES TO THE WORK PROGRAM ONLY. >> Rep.
• UNDER THIS PROGRAM FEDERAL LAW REQUIRES THAT STATE MEDICAID PROGRAMS MAKE PAYMENTS TO CERTAIN QUALIFIED
• WHY DOES THE COST OF THIS PROGRAM INCREASE AND WHAT IS DRIVING THE COST? >> MR. CHAIR? >> Rep.
• OF THE TRANSFER FROM THE KID CARE PROGRAM FROM MEDICAID OVER TO THE KID CARE TO THE CHIP PROGRAM.
• IN THE PREPAID HEALTH PLAN HOSPITAL DIRECT PAYMENT PROGRAM APPROPRIATION.

Keywords: 999, senate, all

Transcript Highlights:

• 00:07:47.920> in<00:07:48.080> particular programs that have been in particular programs
• find a way to uh to get the program find a way to uh to get the program integrity<00:10:30.400><
• regard to program integrity. regard to program integrity. 16<00:19:31.480> is<00:19:31.600
• . program. program.
• . programs. programs.

Keywords: 1187, senate, all

Transcript Highlights:

• My units do of Program Integrity.
• Um for the program of specifically.
• for program for program again<00:45:47.440> we're<00:45:47.680> responsible<00:45:
• support program. Again, Lisa Decatowski. support program. Again, Lisa Decatowski.
• The child support support program.

Keywords: 1189, house, all

Transcript Highlights:

• programs.
• Is this an expansion of a current program, or is this a new program?
• Is this an expansion of a current program, or is this a new program?
• program, or is this a new program? program, or is this a new program?
• How does the program go forward? How does the program go forward?

Keywords: 958, all

Summary: The committee first approved the September 19 meeting minutes and then took up a deferred University of Kentucky personal services contract amendment for guardianship services. UK officials explained that the contract covers court-appointed guardians for patients who cannot make medical decisions and are not eligible for state guardianship, with the work funded by UK Medical Center agency dollars rather than the general fund. Members questioned the large increase in the not-to-exceed amount, the number of cases, the hourly billing structure, and whether there are safeguards to prevent unnecessary costs or reimbursement issues if a patient later has resources. UK said the increase reflects shifting work from a prior firm, anticipated new cases, a move from a monthly fee to hourly billing, and the need for a second firm because one prior attorney died and another firm has had difficulty appearing in court promptly. The committee ultimately approved the contract, while Senator Thomas said he would vote aye but urged future review of attorney fee limits and broader guardianship statutes, which he described as outdated and inconsistent. The committee then deferred three Office of Energy Policy memorandum of agreement items to the November 2025 meeting without objection. After that, it approved the remaining agenda items, including the contract lists and deferred items not separately selected for review. The final major item was a University of Kentucky personal services contract related to fundraising and philanthropic outreach. UK representatives said the contract supports marketing and donor engagement efforts to grow the university’s endowment pipeline and philanthropic support. The transcript cuts off before the committee finished its questions or took final action on that item.

Transcript Highlights:

• Uh, every session we adjust because of the programs that we run based on focused program, so that we
• Uh, every session we adjust because of the programs that we run based on focused program, so that we
• Medicaid program but have children that have a disability and require services under the Medicaid program
• into the Medicaid program through fees. into the Medicaid program through fees.
• already um changing the program already um changing the program requirements,<00:07:00.560> so

Bills: HF2995, HF2434

Keywords: human services, funding, appropriations, MinnesotaCare, behavioral health, general assistance, healthcare, personal care assistance, worker retention, disability services, state funding, 1183, house

Transcript Highlights:

• Soil and Water Conservation Board programs.
• I will turn to John Foster, who is our programs director, to dive deeper into each program, and then
• Program. which focuses on even other resource concerns that don't fall into one of our existing programs
• Major program administered by the agency is the flood control dam program, which is separated into two
• Additionally, the repair portion of the program.

Bills: HB294, HB405, HB519, HB294

Keywords: food production, property owners' association, home gardening, cottage food, urban agriculture, livestock, community standards, renewable energy, ethanol, biodiesel, incentives, agriculture, grants, honey production, beekeeping, food safety, local regulation, energy efficiency, tax exemption, residential properties

Transcript Highlights:

• program if one is ever developed. program if one is ever developed.
• Upper Basin program.
• program, he cannot use any water. program, he cannot use any water.
• can obtain program information. can obtain program information.
• obtain program information. obtain program information.

Bills: SF0050, SF0084, HB0133, HB0116, HB0011, HB0044

Keywords: groundwater, water resource management, state engineer, aquifer study, corrective controls, monitoring wells, public reporting, water conservation, Colorado River, drought, irrigation, water rights, voluntary program, interstate agreements, conservation districts, supervisors, elections, agriculture, local governance, beneficial use

Transcript Highlights:

• Students in bilingual or dual-language programs.
• Programs. That includes American Sign Language.
• Chair, and our ASL programs. Thank you, Mr. Chair, and our ESL programs. That is wonderful.
• We have robust language programs.
• licensure,' that is the licensure program.

Bills: SB234, SB210, SB243, SB244, SM16, HB8

Keywords: foster children, school transportation, education funding, public education, child welfare, New Mexico Highlands University, soccer field, women's sports, infrastructure improvement, funding allocation, student athletes, appropriation, New Mexico State University, nutrition, travel support, funding, education, university support, financial assistance, parenting students

Transcript Highlights:

• It's a wonderful program.
• So, you must choose either the master's program or the JD program.
• When this program was first permitted by the ABA, one of choose either the master's program or the JD
• program.
• So whether that be evening programs, whether that be longer-term programs that account for that.

Bills: SB1, SB3

Keywords: interstate medical licensure compact, physician licensure, medical license reciprocity, expedited licensure, medical practice act, New Mexico medical board, compact commission, physician mobility, telemedicine, license portability, background check, disciplinary action, joint investigation, reproductive health care, gender-affirming care, scope of practice, medical board transparency, multistate compact, licensure renewal, health care workforce

Transcript Highlights:

• I'm a public assistance program trainer at Dakota County. Thank you.
• We're also ready to work on program integrity.
• What we don't understand is all these programs operate in different programs.
• And some of these programs are 75/25, 50/50.
• I think we've identified the importance of this program.

Keywords: 1183, house

Transcript Highlights:

• The department raised fees and then added staff to the program.
• The department raised fees and then added staff to the program.
• You heard that 35 states like us have a program of this sort.
• You heard that 35 states like us have a program of this sort.
• We took deep cuts to the PEBB and SEB program.

Summary: The committee heard a JLARC presentation on the Department of Health’s oversight of hospital inspections, complaints, and reporting. JLARC said DOH was late on 72% of acute care hospital inspections as of December 2024, had not verified that third-party accrediting standards were substantially equivalent to state standards, did not consistently require proof of those inspections, did not review adverse health event corrective plans, and could make hospital data more accessible. JLARC also raised a possible language-access barrier in the complaint system. Members asked about complaint filing by staff, the meaning of adverse health events, inspection outcomes, and whether the audit compared DOH to other agencies. JLARC said it had not reviewed inspection results or cross-agency comparisons, but noted inspectors were dedicated and working long hours. DOH later said it concurred with the recommendations and outlined a strategic plan with target dates for improving timeliness, verifying accreditation standards, expanding language access, reviewing adverse event laws, and improving public data access, with annual reporting to the Legislature expected. The committee then heard a Department of Health presentation on certificate of need modernization. DOH described the current certificate of need process, which reviews need, financial feasibility, quality, and cost containment for certain facility changes and new services, and said the program has not been modernized since the 1980s. DOH proposed 10 statutory modernization recommendations, including clarifying the program’s purpose, creating a planning entity, adding flexibility, reducing legal costs, updating access-to-care standards, expanding oversight to freestanding emergency departments and urgent care, addressing equity, improving cost control coordination, strengthening long-term funding, and using better data systems. Members asked about oversight of freestanding urgent care and EDs, funding sources, and whether the process could be streamlined or made more responsive to complaints or other triggers. A third panel discussed artificial intelligence in health care. Lucy O’Rourke of the Coalition for Health AI described CHAI’s work on responsible AI principles, technical standards, model cards or “nutrition labels,” testing and governance tools, and educational resources for providers. She said the group is focused on trust, transparency, fairness, safety, security, and privacy, and noted Washington’s AI-related policy work as among the more progressive in the country. No questions were asked. The final portion focused on the financial impact of federal and state health care policy changes. The Washington State Hospital Association said hospitals are facing low or negative operating margins, service reductions, layoffs, and closures, and that state cuts and taxes enacted in 2025, combined with federal HR1 changes, will significantly worsen finances. Providence Swedish leaders described staffing reductions, service cuts, delayed capital investments, and pressure from denials, tariffs, and reimbursement changes, while emphasizing that frontline staffing cuts are tied to service reductions rather than nurse-to-patient ratio changes. The Washington Health Benefit Exchange then began a presentation on expiring federal ACA premium tax credits, state Cascade Care Savings assistance, and eligibility changes affecting lawfully present non-citizens, with examples showing large premium increases for customers if federal subsidies expire.

Transcript Highlights:

• exactly this program that we're talking about today.
• <00:01:54.799> that the K12 credit assignment program that the K12 credit assignment program
• grant program was exactly this program grant program was exactly this program that<00:04:50.800>
• making $5 an hour um for a program making $5 an hour um for a program that's<00:05:13.880> pretty
• Folks who oftentimes have income requirements for programs like WIC or SNAP.

Keywords: 1183, house

Transcript Highlights:

• This bill, Senate File 379, establishes a grant program to address cybersecurity needs of county and
• and local cyber security grant program and local cyber security grant program dollars<00:15:14.440
• <00:15:29.160> support collectively these programs support collectively these programs support
• It's a program designed to maintain accounting records and keep various sensitive information.
• Now, to be clear, we like this program. We recommend it to our users.

Keywords: 1187, senate, all

Transcript Highlights:

• What, what, what, what What program or line item is it in? Mr.
• Vice Chair— ...potential vulnerabilities in the program. So, Mr.
• Vice Chair, and then, yeah, for the state-only program—Senator Finch next—which are optional programs
• rather, and that's under the Medicaid program.
• Opposed nay.” day-to-day programming and nursing care.

Keywords: 1182, all

Transcript Highlights:

• those work programs, are there? those work programs, are there?
• you have in the work programs? you have in the work programs?
• because it's the new this entire program because it's the new program. program. program.
• program is not taken away?
• program is not taken away?

Keywords: 1189, house, all

Transcript Highlights:

• So this is an existing program. It 2023. So this is an existing program.
• meal programs. meal programs.
• , social programs?
• , social programs?
• A program that uses the EFA program? A program that uses taxpayer<02:19:20.240> money?

Keywords: 1189, house, all

Transcript Highlights:

• So now we have the assisted living program.
• So now we have the assisted living program.
• I think one of the components of the ALW program and also the assisted living transitions program, and
• So this is a very lucrative program for providers.
• Program for providers.

Summary: The Assembly Aging and Long-Term Care Committee met on June 24 with a substitute chair presiding and considered three measures. SB 352 by Senator Reyes was placed on the consent calendar and approved unanimously, 7-0, to be re-referred to the Committee on Emergency Management. SB 433 by Senator Wahab, presented on behalf of Senator Stern, was heard next and focused on room-and-board protections for participants in the assisted living waiver and CalAIM assisted living transition community support programs. Supporters, including Justice in Aging, CANHR, the Western Center on Law and Poverty, the California Commission on Aging, and the Long-Term Care Ombudsman Association, argued the bill would prevent low-income Medi-Cal residents from being charged unaffordable rates and losing their housing. Opponents, including the California Assisted Living Association, LeadingAge California, and Six B’s, said they remained concerned about the bill’s rent-control implications and statutory scope, though they acknowledged recent amendments addressed some eligibility issues. After committee discussion, SB 433 was approved 5-1 with one abstention and re-referred to the Committee on Human Services. The committee also heard SB 582 by Senator Stern, presented by Senator Wahab, which would allow state departments to issue disaster suspensions of active licenses for facilities rendered inoperable by declared emergencies, waive some licensing fees, and provide temporary flexibility for community-based adult services, child care, and evacuation planning requirements for skilled nursing and residential care facilities. Support came from the California Assisted Living Association, LeadingAge California, the California Commission on Aging, the Long-Term Care Ombudsman Association, CANHR, and a child care resource center, all describing the bill as helpful for rebuilding and continuity of services after disasters. There was no recorded opposition, and SB 582 passed unanimously, 7-0, to the Committee on Health. The meeting then adjourned.

Transcript Highlights:

• The Health Professions and Program Subcommittee will now come to order.
• that's been created, so you have to create the program.
• After that, it's three years in a dental therapy program. So it's most likely a four-year program.
• Having said that, there are four-year program...
• But because the program is broken, they can't get the services they need. ...program.

Summary: The Health Professions and Programs Subcommittee heard and advanced three bills. HB 21 would create a new licensed profession of dental therapy under the Department of Health and Board of Dentistry, allowing trained dental therapists to provide a limited scope of care under a supervising Florida-licensed dentist through a collaborative management agreement. Sponsor Rep. Cheney argued the bill would help address severe dental shortages and improve access in underserved areas; opponents from the Florida Dental Association and oral surgery groups warned that the bill would allow irreversible procedures by less-educated providers and could compromise patient safety. Supporters, including dentists, hygienists, and community health center leaders, said dental therapists would expand access and free dentists to handle more complex care. An amendment was adopted to require proof of local anesthesia training, adverse-incident reporting, and updated background screening language. The bill was reported favorably as amended by a 14-1 vote. The committee then considered HB 27, which creates the Social Work Licensure Interstate Compact to allow licensed social workers to practice across member states, including through telehealth, and to help military families and address workforce shortages. Supporters from the National Association of Social Workers and other advocates said the compact would improve mobility, reduce administrative burdens, and expand access to mental health services, especially in underserved and rural areas. A technical amendment restoring model language and setting an effective date of July 1, 2025 was adopted, and the bill was reported favorably as amended on a 15-0 vote. Finally, the committee heard HB 29, the public-records companion to the social work compact, which creates exemptions needed for compact compliance and allows the compact commission or its committees to meet in closed session when discussing information exempt under law. After a technical amendment authorizing closed meetings for exempt matters was adopted, the bill was reported favorably as amended on a 15-0 vote. The meeting then adjourned.

Transcript Highlights:

• I am grateful that my degree program is an approved LPI, but UCLA has over 15 programs that unfortunately
• And I'm inclined to support the overall concept of this program.
• But we actually have this program that's implemented.
• It requires them to go through a credentialing program or a graduate school program, 600 hours of clinical
• It's a four-year evening program.

Summary: The Assembly Higher Education Committee heard several Senate measures focused on student access, workforce needs, and institutional stability. Senator Laird presented SJR 4, which urges the federal government to restore NIH funding cuts and protect California’s research universities; UC testified in support and there was no opposition. Senator Ashby presented SB 761, the CalFresh for Students Act, to connect Cal Grant applicants with potential CalFresh eligibility and expand qualifying programs; the bill drew broad support from higher education, student, anti-hunger, and county groups, with members sharing personal experiences with food insecurity and no opposition. Senator Cabaldon presented SB 520 to create a California Nurse Midwifery Education Fund for a new master’s-level nurse midwifery program, citing maternal health disparities and provider shortages, especially in rural and Central Valley communities. Supporters from the California Nurse Midwives Association and the Black Wellness and Prosperity Center emphasized workforce shortages and maternal mortality; one member raised concerns about the bill’s use of inclusive language, but the bill was otherwise well received. Cabaldon also presented SB 640, which would create a statewide direct admissions process to CSU for eligible high school seniors using existing data systems; supporters said it would reduce barriers, improve equity, and help declining-enrollment campuses, while members raised questions about special education students, rural access, dual enrollment, and measuring effectiveness. The committee voted SB 640 out on a 6-0 roll call. Cabaldon’s SB 744 would preserve California students’ access to enrollment and financial aid if a federally recognized accrediting agency loses approval, by treating affected institutions as accredited for state purposes; the bill drew no public testimony and advanced on a 4-2 roll call. Senator Cortese’s SB 494 would require classified school employees’ disciplinary appeals to be heard by an administrative law judge, matching protections already available to teachers and community college faculty; labor groups supported the bill, while school districts and administrators opposed it over cost, local control, and implementation concerns. The committee also heard SB 550, a revised pilot to allow San Jose State and a nonprofit, state-accredited law school to jointly develop a public law school pathway; supporters argued it would expand affordable legal education and public-interest careers, while UC and independent colleges opposed it as inconsistent with the Master Plan. Members debated access, jurisdiction, funding, and bar pass rates, and the bill advanced on a 4-2 roll call to the Judiciary Committee.

Transcript Highlights:

• The highway priority program and incorporating that into the annual program to get funding.
• Program, but all of the LTIF work, inclusive of that.
• program, but all of the LTIF work, inclusive of that.
• That's our construction program. That's what we're building with the program. Okay.
• and the road program.

Summary: The committee met for an information-only hearing with no votes or other action items. DOTD Secretary Glenn LaD and Deputy Secretary Beau Black gave an update on the department’s transformation efforts, focusing on faster project delivery, improved construction administration, and new technology. They said monthly contractor payment approvals have been reduced from roughly 35 days to 15 days or less, change orders from about 40-45 days to around five days, and that DOTD delivered 86% of its advertised projects in the last fiscal year. They also described new tools such as Headlight for field inspections, Smart PM for schedule tracking, Hall Hub for e-ticketing and work-zone mapping, and a pilot using advanced sensors on district vehicles to identify potholes, guardrail damage, and other asset issues. The department also outlined a district reorganization that replaces the area engineer model with dedicated district points of contact for construction, maintenance, and operations, with no increase in total staff. Members raised concerns about local maintenance issues, especially mowing, drainage, culverts, potholes, and communication with district offices. Several members asked for clearer coordination on jurisdictional questions, more frequent meetings with district administrators, and better public updates on long-running projects. LaD said DOTD would schedule follow-up meetings, use the coming customer service portal to track complaints, and improve public communication through project information officers, social media, and other outreach. Questions also covered contractor accountability, utility relocations, road transfer maps on the DOTD website, and whether maintenance work adjacent to capital projects should be handled by district crews or through new IDIQ contracts. The secretary also reviewed the Highway Priority Program process, saying DOTD will work between June and September to review projects not included in the prior program, explain why, and refine a five-year fiscally constrained plan before the fall road show. He said the department is using IDIQ authority to award bridge maintenance and other task-order work, and that this should help address a two-year bridge repair backlog. Members discussed whether current funding levels are enough to reduce the statewide backlog, and DOTD said the current program likely maintains rather than eliminates it absent new revenue. The hearing ended with a project-specific update that a barge struck the Black Bayou Pontoon Bridge that morning, causing significant damage; DOTD said divers and staff would inspect it and determine emergency repairs. After DOTD’s presentation, Archie Chesson of the Office of Louisiana Highway Construction gave a brief update on that office’s first year, describing its use of consultant pools, master service agreements, a public GIS map, and a data tool to prioritize rural road and bridge projects, with several early projects already completed or under construction.