Transcript Highlights:

• the outcomes for patients. approach that allows primary care approach that allows primary care physicians
• Aye. the primary care doctors don't feel like the primary care doctors don't feel like they<00:02:21.760
• </c><00:02:31.120><c> care</c> works with with multiple primary care works with with multiple primary
• This bill uses an existing federal mechanism to help close that gap.
• </c> metrics and aligns payments more closely metrics and aligns payments more closely with<00:12:03.560

Keywords: 958, all

Summary: The committee met with a quorum and took up a series of health-related measures. House Bill 178, on the psychiatric collaborative care model, was presented by Rep. Kim Mosher and psychiatrist Arthur Oliva. They said the bill would let primary care providers address mental health needs more quickly with psychiatrist consultation, reduce long wait times, and save money. Members voiced support, and the bill passed 7-0 with favorable expression and consent. House Bill 387, presented by Speaker Pro Tem David Meade, would keep veterinarians excluded from KASPER reporting requirements and instead add two veterinarians to the Controlled Substance Council. Meade argued that veterinary prescribing is difficult to track by animal, that prior efforts created complications, and that rural Kentucky needs the flexibility. A senator asked about possible diversion of veterinary opioids to humans; Meade said there was no substantial evidence of widespread abuse. The bill passed 9-0 with favorable expression and consent. House Bill 676, by Rep. Rebecca Raymer, was amended from creating a health data utility to directing LRC to study best practices for one during the interim, with a report due December 1, 2026. Members said the state needs a coordinated way to use health data. The amended bill passed 9-0 with favorable expression and consent. House Bill 689, presented by Rep. Amy Neighbors and Dr. Heidi Marley, would authorize a Medicaid state-directed payment program for qualifying hospital-affiliated physician and non-physician services, pending federal approval, with supporters saying it would improve access in underserved areas, support provider retention, and bring in about $29 million annually in federal funds without using state dollars. It also passed 9-0 with favorable expression and consent. Finally, House Joint Resolution 24, presented by Rep. Kim Fleming, would direct the administration to withdraw a previously required community engagement waiver request because it is no longer needed. The resolution passed 9-0 with favorable expression and consent. The chair noted the next meeting might be April 1, though no bills were currently scheduled, and the committee adjourned.

Transcript Highlights:

• Assembly Member Hart, would you like to close?
• We want to close this loophole.
• We want to close this loophole.
• Any primary witnesses in opposition to the bill? Any primary witnesses in opposition to the bill?
• Primary witnesses in opposition to the bill?

Summary: The Assembly Business and Professions Committee heard a full agenda of bills covering travel consumer protections, cannabis commerce with tribes, medical record integrity, pest control licensing, pawn and gold-buying regulation, pharmacy discipline, land surveying, and expedited licensing for veterans separated under a federal transgender military policy. Members also later heard AB 1973, which would expand the ability of advanced practice clinicians to provide abortion care, with supporters arguing it would improve access and opponents warning about safety and scope-of-practice concerns. Several bills were presented before quorum was reached, and the chair repeatedly urged absent members to arrive so the committee could vote. Testimony on the bills was largely in support. Authors and witnesses said AB 1758 would raise the seller-of-travel assessment cap to keep the Travel Consumer Restitution Fund solvent; AB 2506 would allow state cannabis licensees to sell products from tribal licensees while respecting tribal sovereignty; AB 1637 would prevent non-physicians from altering physician-authored medical notes; AB 2477 would create a short provisional period for pest control workers awaiting licensure; AB 2633 would close a loophole involving remote gold-buying events and stolen property reporting; AB 2141 would let the Board of Pharmacy resolve some cases through stipulated settlements before formal accusations; and AB 1933 would make technical clarifications to land surveying law. AB 1775 drew emotional testimony from transgender service members and advocates describing the impact of federal separation policies and the need for California licensing and support. Once quorum was established, the committee voted out the consent calendar and each of the heard bills, generally on party-line or near-unanimous votes. AB 1637, AB 1758, AB 1775, AB 1933, AB 2141, AB 2477, AB 2506, and AB 2633 all passed out of committee, most to Appropriations or another policy committee as noted. AB 1973 also passed, despite a no vote from some members and an opposition witness from the California Family Council. The committee later took vote changes and additional roll calls for absent members before adjourning.

Transcript Highlights:

• I am a practicing primary care physician trained in internal medicine.
• You’ve heard that we are focused primarily on primary care.
• that the primary care workforce itself is near retirement.
• that the primary care workforce itself is near retirement.
• I guess, you know, I would just close my comments by saying that I hope as we, I would just close my

Summary: The Assembly Budget Subcommittee on Health held a hearing focused first on the impact of H.R. 1 on medical student financing and physician access, then on state residency-support programs. The chair framed the discussion around expected federal Medicaid and student loan changes, warning that higher borrowing barriers could reduce access to medical school for lower-income students and worsen physician shortages, especially in underserved regions. The LAO explained that H.R. 1 would cap federal loans for professional students, eliminate Grad PLUS for new borrowers, and likely shift more students toward private loans with less favorable terms; it said the bigger concern may be who can afford to attend medical school rather than a sharp drop in enrollment. HCAI described three physician loan repayment programs—the State Loan Repayment Program, the Stephen M. Thompson Physician Corps Loan Repayment Program, and the County Medical Services Program loan repayment program—and said retention data show many awardees remain in California and in underserved or safety-net settings after service obligations end. University of California and UCSF witnesses described California’s physician workforce shortages, especially on the Central Coast and in rural and agricultural communities, and said affordability, limited medical school capacity, and burnout are pushing some doctors into concierge practice or out of underserved areas. They emphasized that students from low-income backgrounds and underrepresented communities are more likely to be affected by loan limits and that residency location strongly influences where physicians ultimately practice. Members asked about medical school capacity, out-of-state students, residency retention, and whether the state could expand slots or better target aid to keep physicians in California and in high-need communities. Public commenters urged the Legislature to consider shortages in anesthesia, pediatric subspecialties, midwifery, and culturally concordant care, and to support broader workforce pathways and public-service loan programs. The second panel reviewed graduate medical education programs, especially CalMedForce, CalMedForce Plus, and Song-Brown. UC and HCAI said CalMedForce has supported new residency slots since 2018, while Song-Brown funds primary care residency training and has recently supported new programs in rural areas such as Del Norte County. The LAO said the state should decide whether residency support should remain a budget priority, whether these competitive grant programs are the best mechanism, and whether their structures are too rigid or duplicative. It noted that most awardees receive funding more than once and that the programs overlap substantially, suggesting possible coordination or consolidation. A family physician from the California Academy of Family Physicians argued that stable funding for primary care residencies is essential, that many California-trained physicians stay where they train, and that future funding should be more deliberately directed to primary care and high-need communities. The hearing ended with discussion of emergency room crowding, geographic inequities in residency distribution, and HCAI’s plan to develop supply-and-demand models to guide future funding decisions.

Transcript Highlights:

• Seeing none, Senator, you may close. Thank you, Madam Chair.
• Are there any primary witnesses in opposition to the bill?
• Senator you may close. Well thank you very much.
• But I managed to get here on time before you close.
• Senator, you may close. Thank you.

Keywords: 988, house, all

Transcript Highlights:

• You’ve heard that we are focused primarily on primary care.
• that the primary care workforce itself is near retirement.
• that the primary care workforce itself is near retirement.
• Primary care and maternal health workforce are next.
• I guess, you know, I would just close my comments by saying that I hope as we, I would just close my

Keywords: 988, house, all

Transcript Highlights:

• the primary.
• In this case, the election is decided in the primary.
• that it's the primary which counts versus the general that counts, and the primary is just to select
• Senator Umberg would you like to close?
• Would you like to close? Well, I thank you. Sounds like it's time for me to make my close.

Keywords: 988, house, all

Transcript Highlights:

• And this closes the loophole, and I think it closes it in a thoughtful way.
• Clearly, the closed primary was a disaster. It was horrible.
• You guys know you've implemented the closed party primary.
• Would you like to close? I'll waive close.
• Would you like to close? I’ll waive close.

Summary: The committee first heard Senate Bill 319, which would tighten and standardize voter identification rules at polling places. Senator Presley and Secretary of State Nancy Landry said the bill replaces the current “generally recognized” photo ID standard with a specific list of acceptable IDs, removes the affidavit-only option, and allows voters without a photo ID to cast a conditional paper ballot at the registrar of voters office or during early voting if they later provide approved documentation within two days after the election. Supporters argued the bill improves consistency, election integrity, and poll-worker guidance while still preserving access through alternative documents and free state IDs; opponents warned it could create confusion and burden seniors, students, homeless voters, and others without easy access to the required documents. After debate, the committee reported SB 319 favorably by a 7-2 vote. The committee then approved Senate Bill 202, which adds one day of compensated meeting time for parish boards of election supervisors in certain elections, and Senate Bill 25, which revises the compensation schedule for registrars of voters and related staff. SB 25 was amended to remove outdated step references and make conforming technical changes, and supporters said the pay structure has not been updated since 2007 despite increased duties and workload. The committee also adopted and reported favorably Senate Concurrent Resolution 29, creating a legislative study committee on water quality in the Chafalalaya Basin, and House Concurrent Resolution 85, creating a task force on illegal dumping, both with technical amendments. In addition, the committee advanced Senate Concurrent Resolution 63, which asks the legislative auditor to review how fiscal notes are prepared during session, and Senate Concurrent Resolution 33, which creates a work-based learning coordination task force to improve alignment among education, workforce, and employer partners. SCR 33 was amended to change the appointing authority for two members. The committee also approved Senate Concurrent Resolution 5, establishing the Louisiana-Ireland Trade Commission, and House Resolution 196, which creates a study committee on the impact of fallen trees on residential property and insurance issues. Several of these measures were supported by agency representatives or outside groups, and the committee adopted technical amendments where needed before reporting the bills and resolutions favorably.

Transcript Highlights:

• </c> conditions by fostering close conditions by fostering close communication<00:10:34.200><c> and</
• </c> Services are often siloed from primary Services are often siloed from primary care<00:10:58.000>
• </c><00:12:16.680><c> care</c> then given back to the primary care then given back to the primary care
• </c><00:15:52.160><c> behind</c> regions they're following closely behind regions they're following closely
• Seeing no one, public testimony is now closed.

Bills: HF958, HF688, HF702

Keywords: mental health, behavioral health, psychiatric care, collaborative care model, healthcare funding, service dog, service animal, service dog in training, assistance dog, guide dog, disability rights, housing accommodations, fair housing, landlord, rental housing, homeowners association, HOA, Minnesota human services, accessible housing, reasonable accommodation

Transcript Highlights:

• We also have a primary care committee to help monitor that primary care measurement.
• So that will be a primary focus for us this year, as well as primary care.
• So that will be a primary focus for us this year, as well as primary care.
• So we'll be watching those closely as well.
• Pull primary care out, fund it differently, maybe pull primary care out of some of the consolidation

Summary: The Senate Health and Long-Term Care Committee opened its 2026 session with a work session focused on the committee’s priorities of access, quality, and affordability. Health Care Authority staff Michelle Needham and Ross Florey reviewed the Health Care Cost Transparency Board’s work, noting Washington’s uninsured rate has fallen from 15% in 2010 to 5%, but health care spending growth remains above the benchmark. They said 2023 spending grew 6.2% versus a 3.2% target, with prescription drugs, hospital outpatient care, professional services, and non-claims spending driving growth. They highlighted ongoing work on market transparency, hospital spending, primary care, and federal policy changes that could reduce coverage and increase uncompensated care. Dr. Drew Oliva of the Washington Health Alliance added quality and safety data, saying many measures remain below top national performance, primary care attachment is weak, hospital pricing varies widely, and behavioral health data are limited. He urged stronger primary care investment, more transparency, and better patient safety oversight. Committee members then introduced themselves and staff before moving to public hearings. The committee first heard Senate Bill 5877, a technical fix expanding the physician health program surcharge to certified anesthesiologist assistants so they can participate in the Washington Physicians Health Program and related educational resources. The bill sponsor and witnesses from the Washington Medical Commission, the Washington Academy of Anesthesiologist Assistants, and the Washington Physicians Health Program all supported the measure, describing it as a consistency and access fix for a newly licensed profession. The bill drew 12 pro, 2 con, and 0 other sign-ins. The committee then heard Senate Bill 5967, which would preserve access to preventive services by allowing the Department of Health to issue immunization recommendations based on multiple expert sources and by freezing state insurance coverage protections for preventive services and vaccines as of mid-2025, with OIC rulemaking authority to keep coverage at least as favorable. The sponsor, Insurance Commissioner Patty Kuderer, Secretary of Health Dennis Worsham, and Governor’s office staff said the bill is intended to protect existing coverage, not create new vaccine mandates, and to keep recommendations grounded in science amid federal uncertainty. Supporters included Dr. Helen Chu, Dr. Beth Harvey, Dr. Maria Huang, Dr. J. Miller, and Dr. Matt LaGalbo, who emphasized vaccine safety, rising vaccine-preventable diseases, and the importance of no-cost preventive care. Opponents, including Bob Runnels and Natalie Chavez, argued the bill politicizes vaccines, reduces transparency, and expands state authority without adequate fiscal detail. The hearing continued with additional testimony after the excerpt ended.

Transcript Highlights:

• They are no longer, and that was in an urban area very close to my home. So they are closing.
• They are no longer, and that was in an urban area very close to my home. So they are closing.
• They are no longer, and that was in an urban area very close to my home. So they are closing.
• They are no longer, and that was in an urban area very close to my home. So they are closing.
• They are no longer, and that was in an urban area very close to my home. So they are closing.

Keywords: 1183, house

Transcript Highlights:

• We have six, so not close. We need 10 for a quorum. We have six, so not close.
• We want to close this loophole.
• We want to close this loophole.
• Any primary witnesses in opposition to the bill? Any primary witnesses in opposition to the bill?
• Primary witnesses in opposition to the bill?

Keywords: 988, house, all

Transcript Highlights:

• Seeing none, I'm going to invite the author to close.
• Well, I'll invite the author to close. Thank you.
• Do we have any primary witnesses in opposition?
• Any primary witnesses in opposition?
• If not, I will invite the author to close.

Summary: The Assembly Human Services Committee heard a lengthy agenda focused largely on CalWORKs, child care access, early childhood supports, and family stability. Measures discussed included AB 1655, which would protect CalWORKs benefits for families when a child or family member is temporarily absent due to immigration detention; AB 1746, which would require counties to give CalWORKs applicants the actual child care request form and respond within 10 days; and AB 1755, which would repeal the CalWORKs 100-hour work penalty for two-parent families. Supporters across these bills emphasized reducing poverty, preventing administrative barriers, and avoiding punishments that can destabilize working families. No opposition witnesses appeared on these items. All three bills were moved forward on party-line or near-unanimous votes, with committee amendments accepted where noted. The committee also heard AB 2072, creating a state contingency fund to keep CalFresh and WIC benefits flowing during a federal shutdown, with support from the California Retailers Association and anti-poverty groups; AB 2429, which would make targeted changes to the early childhood mental health consultation model by making one screener optional and reducing required observations; AB 1969, the "It Takes a Village Act," establishing a grant program for cradle-to-career place-based partnerships; and AB 2092, giving the Department of Social Services lead authority over an early childhood integrated data system and creating an interagency governance structure. Testimony on these bills stressed the need for coordinated services, better data, and more flexible implementation. Each advanced out of committee, with AB 1969 receiving the most discussion and a split vote before later being finalized on the record. Two additional bills addressed county administration and emergency aid. AB 2278 would authorize a Contra Costa County pilot to test technology to speed IHSS eligibility and reassessments amid heavy caseloads and penalties, while AB 2567 would let counties issue emergency CalWORKs aid without first requiring applicants to apply for all other potentially available income sources. Both were presented as ways to reduce delays and help families in crisis faster. The committee also approved a consent calendar containing several other measures. At the end of the hearing, the committee returned to open votes and finalized the roll on all items before adjourning.

Transcript Highlights:

• give more time between the primary and the general.
• As Jen notes, there were auto recounts after that 2024 primary.
• In the year of the primary, we need this issue to move quickly.
• In the year of the primary, we need this issue to move quickly.
• to see a May primary date.

Summary: The committee convened with roll call, member and staff introductions, and a review of amendment deadlines and decorum rules. Members also suspended the committee rule on late-distributed amendments to allow consideration of a Kolodin amendment. The chair then moved to the agenda bills, beginning with HCM 2001, a memorial urging Congress and the President to designate the Muslim Brotherhood as a foreign terrorist organization and asking Arizona agencies to monitor related organizations. Testimony on HCM 2001 was sharply divided, with supporters arguing the Muslim Brotherhood and CAIR are linked to terrorism and Sharia law, and opponents calling the memorial discriminatory, unsupported by evidence, and an attack on Muslim civil rights organizations and free speech. The committee voted 4-3 to pass HCM 2001 out of committee. The committee then heard HCM 2002, which urges a federal review of CAIR for possible foreign terrorist organization designation and supports related congressional action. Testimony again split along similar lines: opponents, including CAIR representatives, a veteran, and community members, said the measure was scapegoating, lacked legal basis, and would stigmatize Muslim communities; supporters cited the Holy Land Foundation case, FBI concerns, and alleged ties between CAIR, the Muslim Brotherhood, and Hamas. After debate, the committee voted 4-3 to pass HCM 2002 out of committee. Following a brief recess, the committee took up HB 2009, which would prohibit committees primarily organized to influence constitutional amendments from accepting foreign national contributions and require disclosure of out-of-state funding. The sponsor said the bill was intended to improve transparency and keep constitutional initiatives focused on Arizona voters; members discussed whether the measure should apply to all ballot initiatives and how donor verification would work. HB 2009 was also approved 4-3. The committee then began HCR 2001, a proposed constitutional amendment on election procedures, including citizenship requirements for voting, limits on foreign contributions to candidate and ballot measure campaigns, government-issued ID requirements, and changes to early voting and mail ballot rules. The committee adopted a late amendment after procedural discussion, and the sponsor described the resolution as a broad election-security reform modeled on Florida. Members raised concerns that the proposal could reduce access, increase lines, and create confusion for mail voters, while the sponsor argued it would improve security and voter confidence. The transcript cuts off during this bill’s discussion, before final action is shown.

Transcript Highlights:

• By having us in the primary, we can really get out and differentiate our...
• But putting that aside, when we look at primary versus general elections...
• When we look at primary versus general elections, this election is decided in the primary.
• In this case, the election is decided in the primary.
• Senator Umberg, would you like to close? Thank you very much.

Summary: The Assembly Education Committee met without a quorum for much of the hearing and heard several bills out of order. SB 249 by Senator Umberg would move county board of education elections from the primary to the statewide general election. Supporters, including the League of Women Voters and many educators, argued the change would increase turnout and make the electorate more representative. The Orange County Board of Education opposed the bill, saying it would increase costs, reduce local control, and bury education races on crowded general-election ballots. The chair and members discussed turnout, cost, and representation, but the bill was held pending a quorum. Senator Grove presented SB 373, which adds safeguards for California students placed in out-of-state non-public schools through IEPs. The bill would require more robust LEA and CDE oversight, including annual site visits, student interviews, quarterly contact, stronger certification standards, and restrictions on prone, supine, and mechanical restraints. Testimony from a survivor of an out-of-state placement and from advocates emphasized abuse, neglect, and the need for stronger monitoring. There was broad support and no opposition testimony, but the measure was also held pending a quorum. Senator Ashby presented SB 568, the epinephrine in schools modernization act, to clarify and expand requirements for stocked epinephrine so they clearly apply to all public schools, including preschool programs. School nurses and medical experts said the bill would close gaps created by universal preschool and ensure life-saving treatment is available for anaphylaxis. The committee discussed dosing and implementation, and the bill was supported without opposition testimony. The committee also heard SB 414, the Charter School Accountability Act, which would strengthen fiscal oversight, audit standards, and transparency for charter schools and authorizers. Supporters said it responds to fraud and audit findings while preserving charter flexibility; opponents, including school employees and teachers, said it did not go far enough on authorizer accountability and small-district oversight. After discussion, the committee voted 7-0 to pass SB 414 as amended to Appropriations. The committee also briefly heard SB 743 by Senator Cortese, which would create an equalization reserve account to provide additional funding to underfunded school districts and reduce funding inequities tied to ZIP code. The author said the bill would support student achievement and teacher retention over time. The transcript cuts off before testimony or action on SB 743 was completed.

Transcript Highlights:

• Right, closed.
• </c><00:35:35.960><c> care</c> know the the rural Health primary care know the the rural Health primary
• </c> rates uh in speaking with the primary rates uh in speaking with the primary sponsor<00:36:05.200
• </c> fully and properly explore its primary fully and properly explore its primary recommendations<00
• </c><00:55:21.960><c> the</c> 251 with that I'll close the 251 with that I'll close the hearing<00:55

Keywords: 1191, senate, all

Transcript Highlights:

• that's necessary for the primary election in particular.
• My second issue is we are a non-joint primary county.
• Based on the primary, 2026 primary, 6,600 voters could have been disenfranchised by the language. 6,600
• And so the other thing is when I was the county chair, you had to run the primaries, and I ran two primaries
• And that was in the primary.

Keywords: 1184, house, all

Transcript Highlights:

• Is there a close vote?
• Yeah, lots of them do before the primaries, in the early primaries along the way. Yes.
• So this bill reinstates the presidential primary, and we want a truly counted presidential primary.
• The parking lot was full to capacity from opening to close.
• A person who files for a primary, presidential primary, should not be prohibited from filing as a candidate

Keywords: 959, house, all

Transcript Highlights:

• We also have a primary care committee to help monitor that primary care measurement.
• So that will be a primary focus for us this year, as well as primary care.
• I'm curious to know you touched on primary care.
• I think we have a weak primary care system.
• So pull primary care out, fund it differently, maybe pull primary care out of some of the consolidation

Bills: SB5877, SB5967

Keywords: anesthesiology, medical personnel, surcharges, licensing, healthcare regulations, preventive services, state authority, healthcare access, insurance coverage, public health, 904, all

Transcript Highlights:

• In fact, we've had a few very close calls, very close calls.
• Those primary care providers supplied primary care to about 8,000 people in the Gallup community.
• That's going to close in six months, right?
• They are the primary.
• Back to primary care and primary care cuts: studies show that if you add ten primary care physicians

Transcript Highlights:

• Clerk, close the board and tally the vote.
• Clerk, close the board and tally the vote.
• Seeing none, gentleman from Clay, you are recognized to close. I close.
• Seeing none, gentleman from Clay, you recognize to close. I close.
• This is still my primary residence.

Summary: The House convened with prayer and the Pledge of Allegiance, then approved the House Journal for the 40th day by roll call vote, 122-1. Members used points of personal privilege to recognize the departure of Scott Bell and to honor the life of Ernie Dempsey of St. Charles, and the chamber welcomed numerous special guests, including Child Advocacy Day participants, school groups, local civic leaders, and visitors from across the state. The main floor business centered on House Bill 3239, which would make the Missouri Workforce Diploma Program permanent and move it into the MOCAP framework with a $4 million annual cap and pay-for-performance funding. Supporters said the program has helped about 1,200 adults earn diplomas, especially women and parents needing flexible online access, while opponents argued it would divert foundation formula money from K-12 students and duplicate existing adult education options. An amendment adding a college admissions and financial aid task force was offered but failed, 55-82; the previous question was then ordered, and HB 3239 was perfected and printed. The House also perfected and printed House Bill 1786, which would prevent county assessors from reclassifying single-family homes used as short-term rentals from residential to commercial for tax purposes. Supporters framed it as a property-rights and tax-relief measure for homeowners and small LLCs, while opponents raised concerns about local control and the line between mom-and-pop rentals and larger business operations. House Bill 2944, dealing with the senior property tax freeze, was amended to clarify that the freeze applies across taxing districts and to simplify annual filing and notification requirements; a later amendment was ruled out of order, and the bill was perfected and printed as amended. The House then moved to announcements and recessed until 2 p.m.