Transcript Highlights:

• we disagree is because you must be certified in those courses to be able to teach those advanced placement
• we disagree is because you must be certified in those courses to be able to teach those advanced placement
• optometrists may prescribe and administer the generic or therapeutic equivalent of drugs included in the formulary

Summary: The House convened with prayer, the Pledge of Allegiance, quorum established, and several recognitions, including a legislative intern, a guest in the gallery, and Representative Bruce Antone’s upcoming induction into the Tuskegee Athletic Hall of Fame. The Speaker also gave brief remarks about the end of session and the freshman class. The chamber then took up a series of Senate-returned messages and concurred or insisted on several amendments while moving bills toward final passage. The House unanimously approved CS/CS/HB 1299 on Department of Health matters, CS/HB 1549 on financial institutions after adopting a House amendment to remove the IOTA-related provision, and CS/CS/SB 768 on foreign ties and business interests after a House concurrence motion. It also insisted on its amendment to CS/CS/CS/SB 184 on housing. CS/CS/HB 875 on educator preparation was amended to restore House provisions on teacher-prep courses, the Florida Center for Teaching Excellence at Miami-Dade College, and related testing and mentor-qualification changes; it passed 91-22 after debate over teacher certification, testing, and “identity politics” language. HB 1101 on out-of-network providers was amended to keep the House’s original notice and referral framework with a good-cause exemption; it passed 87-27 despite objections that it placed too much responsibility on doctors. After recess, the House took up CS/CS/SB 180 on emergency preparedness and response. Members described changes including removal of some homestead-assessment and debris-removal provisions, a study requirement for a post-hurricane county restriction concept, and a Florida Keys evacuation-time change paired with a 10-year cap of 900 permit allocations; the bill passed 116-0. The House also refused to concur in a Senate amendment to HB 1609 on waste incineration and requested the Senate recede. Later, the House returned to HB 1101 and insisted on its amendment after the Senate refused to concur. The longest debate came on CS/CS/HB 1115 on education, where the House amendment replaced the Senate version with the substance of HB 1267, including Schools of Hope, higher education governance, and course transparency. Members questioned provisions expanding Schools of Hope co-location and sponsorship authority beyond traditional opportunity zones, the role of the Department of Education versus school districts, transportation and facility-cost issues, and performance-based agreements. Supporters said the changes would expand options for students and use vacant or underutilized facilities; opponents argued the language was added late, lacked transportation funding, and could allow charter operators to enter high-performing schools. The bill remained under debate at the end of the transcript, with no final vote shown.

Transcript Highlights:

• PBMs started off as small administrative entities designed for health plans to put together formularies
• and negotiate drug prices. ...designed for health plans to put together formularies and negotiate drug
• And they have huge leverage in determining what goes on to a formulary, setting the costs, and really
• want to do this, we do need a process, and we have had no privacy issues, and it's just a simple placement

Summary: The committee heard testimony on several bills, beginning with SB 41 by Senator Wiener, which would regulate pharmacy benefit managers by increasing transparency, banning patient steering and spread pricing, and requiring full pass-through of rebates. Supporters, including independent pharmacists and health advocates, said PBM practices are driving up drug costs and closing neighborhood pharmacies. Opponents from PBM and health plan groups argued the bill overlaps with recently enacted licensing and reporting requirements, would not lower consumer prices, and may be preempted by ERISA. Members discussed confidentiality issues, consumer savings, and the relationship between SB 41 and the new budget trailer bill; the author asked for an aye vote. The committee then took up SB 378, also by Senator Wiener, aimed at online marketplaces that advertise illegal intoxicating hemp and unlicensed cannabis products. Supporters from labor, public health, and the licensed cannabis industry said online sales are undermining regulated businesses and exposing children to unsafe products. Opponents from tech and hemp industry groups warned the bill is overbroad, could sweep in general-purpose platforms and lawful hemp wellness products, and raises Dormant Commerce Clause and First Amendment concerns. The author said he would narrow the bill, remove industrial hemp references, and address strict liability and standing issues; members largely focused on how to target illegal products without capturing lawful marketplaces. SB 243 by Senator Padilla addressed AI companion chatbots, with supporters including Common Sense Media and transparency advocates warning that these systems can be addictive, manipulative, and dangerous for minors and vulnerable users, citing studies and the death of a Florida teenager. The bill would require disclosures, anti-addiction design limits, self-harm protocols, audits, reporting, and a private right of action. Tech and business groups opposed the measure as overly broad and said its definitions could sweep in general-purpose AI tools; several members supported the goal but questioned the breadth of the definitions and the private right of action. Finally, SB 522 by Senator Wahab would extend just-cause eviction protections to rental units that were previously covered by the Tenant Protection Act but were destroyed in disasters and later rebuilt. Supporters, including Los Angeles city officials and tenant advocates, said the bill would help keep displaced renters housed after wildfires and other disasters. Apartment and realtor groups opposed it, arguing it would remove a key exemption needed to finance rebuilding and could discourage post-disaster reconstruction. Members expressed support for tenant protections in disaster areas, and the author asked for an aye vote.

Transcript Highlights:

• Representative Turner is an act to amend Title 22 relative to health insurance to establish requirements for formulary
• placement.

Bills: SR125 , SCR70 , SCR12 , HB4 , HB251 , HB623 , HB819 , HB944 , HB986 , HB1098 , HB1222 , HB1257 , HB221 , HCR58 , SCR22 , SCR24 , SB29 , SB30 , SB32 , SB41 , SB42 , SB43 , SB47 , SB84 , SB93 , SB113 , SB192 , SB199 , SB219 , SB220 , SB221 , SB222 , SB241 , SB253 , SB255 , SB289 , SB292 , SB306 , SB314 , SB351 , SB399 , SB404 , SB14 , SB102 , SB133 , SB151 , SB165 , SB169 , SB170 , SB200 , SB217 , SB280 , SB291 , SB300 , SB303 , SB330 , SB449 , SB489 , SB521 , SB45 , SB156 , SB181 , SB203 , SB274 , SB304 , SB379 , SB396 , SB410 , SB425 , SB427 , SB436 , SB424 , SCR61 , SCR9 , SB35 , SB65 , SB215 , SB246 , SB249 , SB269 , SB282 , SB296 , SB323 , SB363 , SB369 , SB474 , SB490 , SB492 , SB500 , HCR31 , HB296 , HB299 , HB322 , HB364 , HB519 , HB535 , HB538 , HB568 , HB571 , HB622 , HB635 , HB676 , HB772 , HB784 , HB1006 , HB1018 , HB1043 , HB1070 , HB1134 , HB1239 , HB62 , HB193 , HB203 , HB210 , HB220 , HB228 , HB246 , HB420 , HB475 , HB486 , HB574 , HB584 , HB750 , HB813 , HB815 , HB826 , HB870 , HB949 , HB953 , HB1045 , HB1092 , HB1151 , HB1162 , HB1176 , HB1177 , HB1196 , HB1214 , HB1241 , HB22 , HB28 , HB33 , HB41 , HB47 , HB87 , HB115 , HB162 , HB195 , HB214 , HB217 , HB233 , HB283 , HB290 , HB319 , HB324 , HB345 , HB362 , HB363 , HB368 , HB377 , HB380 , HB382 , HB386 , HB392 , HB406 , HB431 , HB441 , HB466 , HB503 , HB533 , HB559 , HB575 , HB590 , HB593 , HB618 , HB636 , HB655 , HB664 , HB685 , HB692 , HB707 , HB715 , HB732 , HB738 , HB741 , HB748 , HB776 , HB807 , HB822 , HB856 , HB860 , HB868 , HB887 , HB888 , HB905 , HB908 , HB961 , HB980 , HB990 , HB992 , HB999 , HB1000 , HB1010 , HB1146 , HB1157 , HB1233 , HB1236 , HB1243 , HB54 , HB137 , HB180 , HB192 , HB310 , HB321 , HB396 , HB512 , HB552 , HB578 , HB638 , HB663 , HB708 , HB717 , HB718 , HB1009 , HB1082 , HB1104 , HB1107 , HB1198 , HB1246 , HB1250 , HB17 , HB36 , HB73 , HB119 , HB126 , HB129 , HB133 , HB140 , HB159 , HB166 , HB211 , HB226 , HB245 , HB271 , HB280 , HB337 , HB351 , HB354 , HB399 , HB677 , HB712 , HB723 , HB726 , HB728 , HB759 , HB789 , HB844 , HB850 , HB966 , HB1036 , SB149 , SB382 , SB441 , HB134 , HB258 , HB359 , HB782

Summary: The Senate convened with a quorum, received an opening prayer from Pastor Elizabeth Ali Frank, and adopted the journal. The chamber then handled a large number of messages, committee reports, resolutions, and House bills, including several ceremonial resolutions and many House measures returned with amendments. Notable resolutions included recognition of World Preeclampsia Awareness Day, commendations for Louisiana sports honorees, and a resolution urging higher reimbursement rates for behavioral health crisis centers, which was adopted. The Senate also concurred in SCR 22 on opioid settlement fund reporting, with Senator Myers explaining the House changes were technical and improved the reporting deadline and detail. A major portion of the meeting was devoted to concurrence or rejection of House amendments on Senate bills. The Senate concurred in several bills involving telehealth, prenatal bereavement care, official journals, ambulance Medicaid coverage, insurance and licensing disclosures, peptide regulation, psychosocial rehabilitation services, university records confidentiality, the Inspector General, religious exercise protections, child care assistance, eye care coverage, teacher retirement, and electronic service of pleadings. The chamber rejected House amendments to SB 42 on AI-created child sexual abuse materials and SB 43 on psychedelic-assisted therapy, and also rejected amendments on SB 29 and SB 32 before later concurring in many other technical or clarifying House changes. Several members explained that the House amendments were mostly technical, clarified effective dates, or adjusted definitions and contact information. The Senate then took up numerous House bills on final passage. Bills passed included measures on inmate workforce development cleanup, jury bond filing by mail, free transcripts for victims testifying before pardon/parole hearings, public awareness on illegal firearm discharge, special masters in complex litigation, paternity acknowledgments in hospitals, juvenile court filing fees in East Baton Rouge Parish, drug-free school zone penalties, criminal history record confidentiality, body brokering/fraudulent patient referrals, bail notice and residence requirements, sex offender registration updates, parish court jurisdictional amounts, court technology fees, deferred retirement options, shared custody standards, women’s policy and research commission membership, sickle cell and uterine fibroids commission membership, child exploitation reporting on online platforms, recreation of the state civil service department, children’s cabinet membership, DCFS employee background checks, AI disclosure in health care visits, the psychology inter-jurisdictional compact, mental health advisory board updates, foster children’s rights, automatic renewal contract disclosures, Orleans sheriff term alignment, access to death records for financial institutions, insurance referral disclosures, radiologist assistant regulation, plumbing licensure reforms, legislative auditor thresholds, developmental disabilities office renaming, insurer investment rules, Medicare Advantage coverage for integrative care services, and more. Some bills were returned to the calendar for further work, including HB 571, HB 475, HB 750, and HB 1162, and HB 490 was set aside after extensive debate on private-use electrical networks and data-center power arrangements. The most prominent floor action was final passage of HB 636, the Caleb Wilson Hazing Prevention Act, which Senator Boudreaux described as a comprehensive response to hazing tragedies on Louisiana campuses. He said the bill was developed by a task force that included the Wilson family and would strengthen education, reporting, accountability, and penalties, including permanent banishment for organizations involved in hazing deaths. After the bill passed 37-0, the Senate recognized the Wilson family and presented flags in Caleb Wilson’s honor. Throughout the day, many bills passed overwhelmingly, though a few drew dissent, including HB 296, HB 538, HB 568, HB 635, and HB 784. The meeting ended with continued consideration of additional House bills and unfinished items returned to the calendar for later action.

Transcript Highlights:

• Representative Turner is an act to amend Title 22 relative to health insurance to establish requirements for formulary
• placement.

Bills: SR125 , SCR70 , SCR12 , HB4 , HB251 , HB623 , HB819 , HB944 , HB986 , HB1098 , HB1222 , HB1257 , HB221 , HCR58 , SCR22 , SCR24 , SB29 , SB30 , SB32 , SB41 , SB42 , SB43 , SB47 , SB84 , SB93 , SB113 , SB192 , SB199 , SB219 , SB220 , SB221 , SB222 , SB241 , SB253 , SB255 , SB289 , SB292 , SB306 , SB314 , SB351 , SB399 , SB404 , SB14 , SB102 , SB133 , SB151 , SB165 , SB169 , SB170 , SB200 , SB217 , SB280 , SB291 , SB300 , SB303 , SB330 , SB449 , SB489 , SB521 , SB45 , SB156 , SB181 , SB203 , SB274 , SB304 , SB379 , SB396 , SB410 , SB425 , SB427 , SB436 , SB424 , SCR61 , SCR9 , SB35 , SB65 , SB215 , SB246 , SB249 , SB269 , SB282 , SB296 , SB323 , SB363 , SB369 , SB474 , SB490 , SB492 , SB500 , HCR31 , HB296 , HB299 , HB322 , HB364 , HB519 , HB535 , HB538 , HB568 , HB571 , HB622 , HB635 , HB676 , HB772 , HB784 , HB1006 , HB1018 , HB1043 , HB1070 , HB1134 , HB1239 , HB62 , HB193 , HB203 , HB210 , HB220 , HB228 , HB246 , HB420 , HB475 , HB486 , HB574 , HB584 , HB750 , HB813 , HB815 , HB826 , HB870 , HB949 , HB953 , HB1045 , HB1092 , HB1151 , HB1162 , HB1176 , HB1177 , HB1196 , HB1214 , HB1241 , HB22 , HB28 , HB33 , HB41 , HB47 , HB87 , HB115 , HB162 , HB195 , HB214 , HB217 , HB233 , HB283 , HB290 , HB319 , HB324 , HB345 , HB362 , HB363 , HB368 , HB377 , HB380 , HB382 , HB386 , HB392 , HB406 , HB431 , HB441 , HB466 , HB503 , HB533 , HB559 , HB575 , HB590 , HB593 , HB618 , HB636 , HB655 , HB664 , HB685 , HB692 , HB707 , HB715 , HB732 , HB738 , HB741 , HB748 , HB776 , HB807 , HB822 , HB856 , HB860 , HB868 , HB887 , HB888 , HB905 , HB908 , HB961 , HB980 , HB990 , HB992 , HB999 , HB1000 , HB1010 , HB1146 , HB1157 , HB1233 , HB1236 , HB1243 , HB54 , HB137 , HB180 , HB192 , HB310 , HB321 , HB396 , HB512 , HB552 , HB578 , HB638 , HB663 , HB708 , HB717 , HB718 , HB1009 , HB1082 , HB1104 , HB1107 , HB1198 , HB1246 , HB1250 , HB17 , HB36 , HB73 , HB119 , HB126 , HB129 , HB133 , HB140 , HB159 , HB166 , HB211 , HB226 , HB245 , HB271 , HB280 , HB337 , HB351 , HB354 , HB399 , HB677 , HB712 , HB723 , HB726 , HB728 , HB759 , HB789 , HB844 , HB850 , HB966 , HB1036 , SB149 , SB382 , SB441 , HB134 , HB258 , HB359 , HB782

Keywords: SR125, Senate Resolution 125, MUSV, Medium Unmanned Surface Vessel, MASC, Modular Attack Surface Craft, Conrad Shipyard, Morgan City, Louisiana shipbuilding, U.S. Navy, Department of the Navy, unmanned naval vessels, autonomous ships, defense procurement, military contracting, shipyard jobs, maritime workforce, advanced manufacturing, robotics, software engineering

Transcript Highlights:

• It also prevents insurers from using specialty tiers, formulary placement, co-insurance structures, and

Committee: House Insurance

Summary: The committee first took up HB 774, which would extend required hearing-aid coverage for certain individuals up to age 26. Representative Boyer said the bill helps young adults maintain access to hearing aids during school and early work years. The Louisiana Academy of Audiology supported the measure, and the committee adopted technical amendments and reported the bill favorably as amended. The committee then heard extensive testimony on HB 702, which would require transportation network companies to provide uninsured/underinsured motorist coverage. Representative Landry and supporters argued that current law and court rulings have left injured drivers and passengers without meaningful coverage in some cases, especially for riders who do not own cars and therefore lack personal UM coverage. Insurance agents and legal witnesses said they cannot currently find a product to cover the driver in certain ride-share phases, while Uber representatives opposed the bill, warning it would raise fares and noting that drivers already have optional occupational accident coverage and that passengers’ own UM coverage would generally apply. After debate over costs, coverage gaps, and whether the issue should instead be studied further, the committee voted to voluntarily defer the bill. The committee next considered HB 477, as substituted, which would require coverage for prosthetic and custom orthotic devices and associated services. Representative Ebert and witnesses described the bill as a modernization of existing coverage rules so people with limb loss can obtain more than one medically necessary device, including activity-specific prosthetics. Testimony from amputees and a physical therapist emphasized the impact on mobility, work, sports, and quality of life. The committee adopted the substitute and reported the bill favorably by substitute. The committee also reported HB 76, which updates oral anti-cancer medication parity rules, by adopting amendments that clarify applicability and exempt certain limited-benefit and ERISA self-funded plans. HB 903, which increases the commissioner of insurance’s fine authority, was amended to set higher aggregate caps and then reported favorably. Finally, HB 291, which would prohibit health plans from penalizing hospitals when a member of the care team is out of network, drew support from the sponsor and the Louisiana Hospital Association as a preventative measure against insurer pressure tactics; Louisiana Blue opposed it, citing cost concerns and questioning the need for the bill. The transcript ends during that bill’s hearing, before final action is shown.

Transcript Highlights:

• ADAP has expanded to an open formulary aligned more closely with Medi-Cal's broad medication coverage
• ADAP now covers nearly all FDA-approved medications, and an open formulary is especially critical for
• And now, as of January 15th, they have the full formulary of FDA-approved medications, so they cover

Transcript Highlights:

• ADAP has expanded to an open formulary aligned more closely with Medi-Cal's broad medication coverage
• ADAP now covers nearly all FDA-approved medications, and an open formulary is especially critical for
• And now, as of January 15th, they have the full formulary of FDA-approved medications, so they cover

Summary: The committee held an inaugural hearing on the health care and support needs of older LGBTQ Californians, with members and witnesses emphasizing that this population has made major gains in rights and longevity but still faces discrimination, isolation, economic insecurity, and gaps in services. Opening remarks highlighted concerns about older LGBTQ people entering nursing homes and feeling forced back into the closet, as well as the growing number of Californians aging with HIV. The hearing was structured into three panels, with public testimony considered if time allowed. The first panel focused on the overall health and support landscape. Justice in Aging described survey findings showing discrimination, poor health, difficulty with errands, and economic insecurity among older LGBTQ Californians, and warned that federal Medicaid cuts and broader federal actions could worsen access to home- and community-based services and culturally competent care. CalHHS and the Department of Aging described the Master Plan for Aging, the first statewide LGBTQIA older adult survey, and efforts to support gender-affirming care, PACE, care management, and community supports. Witnesses stressed the need for better outreach, data collection, and a “no wrong door” approach so people can more easily find and access services. The chair and senators pressed the departments on how survey findings are being translated into concrete action and how state agencies are coordinating across silos. The second panel addressed health care for seniors living with HIV. A longtime survivor described severe financial and benefits consequences from a federal clawback and argued that California needs stronger legal, navigation, and housing supports, including HIV-specific housing funding. The Department of Aging reported on implementation of SB 258, saying it has educated area agencies on aging, added HIV data to planning tools, and found that 20 of 33 area agencies identified HIV as a target population, with 16 including specific strategies. The Office of AIDS outlined Project Cornerstone, Ryan White, ADAP, HOPWA, a Medi-Cal waiver, and PrEP-AP, noting these programs serve thousands of older clients and that local case managers are expected to coordinate whole-person care. Case managers and advocates said housing, food, transportation, mental health, and premium assistance remain major needs, and senators asked whether future ADAP rebate funds could support navigation, housing, and other gap-filling services. The final panel turned to transgender, gender nonconforming, and intersex seniors. The Department of Social Services described protections under SB 219, including nondiscrimination notices, resident rights postings, required records for preferred names and pronouns, and annual inspections of licensed facilities. The Department of Public Health and a TransLatin Coalition leader were introduced to discuss additional supports for TGI seniors. Across the hearing, members repeatedly returned to the themes of visibility, coordination, and implementation, asking departments to follow up on how they will better connect services, improve outreach, and ensure that existing laws and programs are actually reaching the people they are meant to serve.

Transcript Highlights:

• ADAP has expanded to an open formulary aligned more closely with Medi-Cal's broad medication coverage
• ADAP now covers nearly all FDA-approved medications, and an open formulary is especially critical for
• And now, as of January 15th, they have the full formulary of FDA-approved medications, so they cover

Summary: The Select Committee on Older LGBT Californians held an inaugural hearing focused on the health care and support needs of older LGBTQ Californians, including older adults living with HIV and transgender, gender non-conforming, and intersex seniors. Committee members and state officials discussed the California Master Plan for Aging, the first statewide survey of LGBTQIA older adults, and the need to address discrimination, social isolation, housing insecurity, economic instability, and gaps in culturally competent care. Several speakers emphasized that older LGBTQ adults often lack traditional family caregiving supports and may face vulnerability in nursing homes or other institutional settings. Testimony from advocates and people with lived experience highlighted the impact of federal actions, including H.R. 1, on Medi-Cal, housing, and benefits, and called for stronger state action, outreach, and navigation services. Justice in Aging urged more investment in home- and community-based services and warned that Medicaid cuts could increase institutionalization. The Department of Aging described its survey findings and said it had convened a lived-experience advisory board, updated data tools, and incorporated HIV as a factor in local aging plans under SB 258, though members pressed for clearer implementation and accountability. CalHHS described coordination across departments, Medi-Cal coverage of gender-affirming care, PACE, and other services, while the Department of Public Health outlined Ryan White, ADAP, HOPWA, Medi-Cal waiver, and PrEP-AP programs serving older adults with HIV. The hearing also featured extensive testimony from people aging with HIV, who described fragmented systems, benefits cliffs, housing costs, and the need for legal and case-management support. One witness urged funding for HIV-specific housing and navigation services, while another described how case management and safety-net programs help clients manage medication, food, transportation, and housing needs. In the final panel, the Department of Social Services reviewed protections for TGI seniors in licensed care facilities, including SB 219, nondiscrimination notices, resident rights postings, required staff training, and complaint investigations. No formal votes were taken; the chair repeatedly asked departments to follow up on implementation gaps, data visibility, and possible budget or policy responses.

Bills: SB206 , SB904 , SB933 , SB1436 , SB1500 , SB1553 , SB1557 , SB1567 , SB1644 , SB1645 , SB1651 , SB1794 , SB1833 , SB1849 , SB1984

Committee: House Public Health

Keywords: SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health, health care facility, municipality, county, ambulance service district, tribal entity, public entity, contract ambulance service, Oklahoma, 63 O.S. 2021 Section 1-2502, emergency clause

Bills: HB4248 , HB3194 , HB3849 , HB4095 , HB4302 , HB3342 , HB3344 , HB3287 , HB3645 , HB3647 , HB3930 , HB3931 , HB1818 , HB4454 , HB4336

Committee: House Health and Human Services Oversight

Keywords: HB4248, hemp beverage, hemp drinks, THC beverage, cannabis beverage, intoxicating hemp, age restriction, under 21, minor possession, youth access, public health and safety, Title 63, Oklahoma Statutes, retail sales, alcohol-style regulation, controlled substances, beverage regulation, pregnancy centers, abortion, abortion-inducing drugs

Bills: HB4139 , HB4143 , HB4144 , HB3974 , HB3303 , HB3790 , HB3697 , HB3262 , HB4226 , HB2936 , HB3322 , HB4296 , HB3278 , HB4202 , HB3648 , HB3500 , HB3037 , HB3428 , HB3257 , HB3432 , HB3043 , HB3044 , HB3078 , HB3940

Keywords: home warranty, service contracts, transparency, insurance regulation, consumer protection, motor vehicles, traffic collisions, car accident, auto accident, crash report, collision report, property damage threshold, Department of Public Safety, DPS, law enforcement reports, insurance claims, financial responsibility, uninsured motorist, private property accidents, public roadway

Transcript Highlights:

• including a student with a disability who is exhibiting dangerous behaviors and whose continued placement
• Disciplinary alternative education program placements have also seen a significant rise.
• 2023-2024 school year, In the 2023-2024 school year, 121,000 students were sent to alternative placements
• For example, are overrepresented in ISS placements.
• to also be provided for virtual placements as well.

Bills: HB 120 , HB20 , HB150 , HB6 , HB 100 , HB 124 , HB210 , HB215 , HB1393 , HB1587 , HB 1151 , HB 1268 , HB142 , HB451 , HB39 , HB 102 , HB 126 , HB290 , HB300 , HB2143 , HJR2 , HB147 , HJR6 , HB 120 , HB20 , HB150 , HB6 , HB 100 , HB 124 , HB210 , HB215 , HB1393 , HB1587 , HB 1151 , HB 1268 , HB142 , HB451 , SB1

Keywords: career readiness, education reform, workforce training, public schools, financial aid, applied sciences, career education, high school diploma, certificate program, work-based learning, job placement, high-growth jobs, technical training, cybersecurity, state command, information resources, data protection, incident response, mental health, telehealth

Summary: The House convened with prayer, pledges, and several ceremonial recognitions, including Wilson County Day, San Antonio Mission Indian Descendants Day, and Blue Ribbon Lobby Day, along with acknowledgments of visiting groups and a birthday greeting. The chamber also announced committee meetings and then moved into floor business, including conference committee action on Senate Bill 1, the state budget. A series of motions to instruct House conferees on SB 1 were debated and voted on. One motion sought to restore salary for Attorney General Ken Paxton after his impeachment-related suspension; it passed 88-56. Another, from Rep. Olcott, directed conferees to support amendments requiring data collection on the costs of undocumented immigrants in hospitals and prisons; after extended debate and a failed amendment from Rep. Martinez Fischer to also study immigrants’ economic contributions, the motion passed 86-61. The House also adopted instructions to eliminate Texas Lottery Commission funding, to support amendments restricting public education institutions from affirming gender identities inconsistent with biological sex, and to seek an additional $4 billion in property tax relief, with each motion passing on recorded votes. The House then took up a supplemental calendar and passed several bills, including HB 39 on veteran death data, HB 102 on priority registration for certain students entering military service, HB 126 on student-athlete compensation and representation, HB 290 on tuition and fee assistance for members of the Texas military forces, HB 300 on Texas Armed Services Scholarship Program updates, and HB 2143 naming a highway in honor of Army Specialist Joey Lins. The chamber also postponed consideration of HJR 2 and HJR 6. Later, the House considered HB 120 on career and technology education pathways and HB 20 on applied science pathway programs for high school students. HB 120 received a perfecting amendment and was advanced after discussion about workforce preparation. HB 20 prompted extensive questioning about transportation, costs, and how students would access partner campuses such as community colleges and TSTC sites; debate continued as the transcript ended, with members examining how the program would operate and whether approval authority would rest with TEA.

Transcript Highlights:

• Courts were forced to quickly identify alternative placements for high-risk individuals, often without
• Prosecutors were required to litigate the placement of individuals, and yet as that was occurring, these
• Without first putting in place adequate supports to transition people to less restrictive placements,
• The law already states that placement in a less restrictive setting won't be approved if it would pose
• This requirement prevents plans from updating their formularies as new data emerges and limits them from

Committee: Senate Health

Summary: The committee first took up SB 1377, a bill on medical exemptions for school immunizations. The author and supporters said the measure was a narrow reform to restore physician discretion and reduce what they described as chilling effects from audits and license discipline; opponents from pediatric, medical, public health, and school groups argued the current system already works, protects against fraudulent exemptions, and should not be weakened. Committee members debated the data, the number of exemptions reviewed or revoked, and the effect of the proposed amendments. The bill was amended in committee, but because there was no quorum it was not formally voted on at that time. The committee then heard SB 995, the Masuma Khan Justice Act, which would create a statewide inspection and compliance framework for large private detention facilities. The author and supporters described severe conditions in immigration detention, including denial of medication, unsafe food and water, and lack of oversight, and the bill was presented as a response to those abuses. The California Hospital Association raised concerns about duplicative regulation and overlapping standards, but said it was continuing to work on a solution. The committee discussed constitutional and jurisdictional issues, and the bill was moved on a do-pass motion to the Committee on Judiciary with a 5-0 vote placed on call. Next, SB 1089 was heard, proposing expanded access through CalPERS and CalRX to GLP-1 medications for chronic weight disease and diabetes prevention. The author and supporters from the American Diabetes Association and medical groups argued the drugs are effective tools to prevent type 2 diabetes, reduce long-term costs, and improve health equity, while the author also shared personal experience with weight loss and medication access barriers. There was no opposition testimony. The bill was moved on a do-pass motion to the Committee on Labor, Public Employment, and Retirement with a 5-0 vote placed on call. Finally, the committee heard SB 1221, dealing with Murphy conservatorships for people found not guilty by reason of insanity or otherwise under criminal-mental health conservatorship. Supporters, including prosecutors and psychiatrists, said the bill addresses a gap created by a court decision and would improve public safety and placement decisions for a small population of high-risk individuals. Opponents from county behavioral health and disability rights groups warned it would turn a civil process into a quasi-criminal one, expand district attorney involvement, and disrupt bed prioritization and least-restrictive-placement principles. The discussion centered on the scope of the bill and its amendments, but no final vote was taken in the portion provided.

Transcript Highlights:

• ADAP has expanded to an open formulary aligned more closely with Medi-Cal's broad medication coverage
• ADAP now covers nearly all FDA-approved medications, and an open formulary is especially critical for
• And now, as of January 15th, they have the full formulary of FDA-approved medications, so they cover

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:

• They create formularies. They negotiate prices, discounts, and rebates.
• and they use this power to drive up costs through opaque rebate structures and restrictive drug formularies

Bills: AB93 , AB204 , AB414 , AB504 , AB598

Committee: Assembly Commerce and Labor

Transcript Highlights:

• a higher level of care, and just over 24% qualified for inpatient rehab or skilled nursing home placement
• A hospital can have something like a non-opioid, a novel non-opioid, on their formulary and now in that
• I would say generally based on the numbers I've seen fairly decent access or placement, again, in terms
• Fairly decent access or placement, again, in terms of appropriateness, but again, I don't have the exact

Committee: Joint Health Care Committee

Summary: The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important. The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further. Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach. After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.

Transcript Highlights:

• that commercial plans are following, like writing out, you know, complete medications out of our formulary

Summary: The House Democratic Caucus met on Minority Caucus Calendar items and reviewed several Senate-amended House bills. HB 2003 would lower the learner’s permit age from 15½ to 15 and increase supervised driving time; the Senate added a delayed effective date of December 1, 2026, and the sponsor was said to have refused the amendment after previously concurring. HB 2693 would allow chambers of commerce to set up insurance purchasing pools for small businesses, and the Senate added a third-party-funded feasibility study by ADOA on what it would cost for state health insurance to enter the marketplace; members raised concerns that the study could be used to undermine the state self-insured plan, but no action was taken. HB 2133, dealing with synthetic sexual depictions and online sexual material verification, had multiple Senate changes that removed the synthetic-depiction expansion, added parody/artistic-expression exceptions, altered verification and record-retention rules, and removed AG inspection authority; the sponsor was expected to refuse the changes, and members were directed to stakeholder emails outlining concerns.

Transcript Highlights:

• that commercial plans are following, like writing out, you know, complete medications out of our formulary

Summary: The House Democratic Caucus reviewed several Senate-amended bills on the Minority Caucus Calendar. HB 2003, which lowers the learner’s permit age and increases supervised driving time, had a Senate delayed effective date added; members were told the sponsor had previously concurred but now intends to refuse. HB 2693, allowing chamber-of-commerce insurance purchasing pools and adding a third-party-paid feasibility study on state health insurance entering the marketplace, drew questions about possible impacts on the state employee health plan and whether the study could be used to undermine the current self-insured system. HB 2133, dealing with sexual material consent and synthetic depictions, generated the most discussion. The Senate removed the synthetic-depiction language from the revenge porn statute, added parody/comedy/artistic-expression exceptions, narrowed and expanded various verification provisions for commercial entities, removed limits on retaining identifying information, and eliminated AG inspection authority; members were told the sponsor intends to refuse the changes and that stakeholder concerns were outlined in emailed comments from the ASEO of Arizona and the Motion Picture Association. HB 2013, requiring ADEQ to submit exceptional-event demonstrations to EPA for certain wildfire impacts, had a Senate amendment limiting it to wildfires over 25,000 acres and tied to smoke or land damage; the sponsor was expected to concur, though stakeholders’ concerns remained unresolved. HB 2226, which requires courts to ask about veteran status at initial appearance and provide information about veterans’ services, was amended by the Senate to have the court rather than the prosecutor provide the information; members said the sponsor likely would concur. HB 2032, adjusting statewide assessment testing windows and related deadlines, was amended to extend the testing window to six consecutive school weeks and move the start of testing for grades 3-8 to the second week of April; the sponsor concurred, and members noted that organizations previously opposed had shifted to support. The caucus then adjourned.

Transcript Highlights:

• The Strong Readers Act money is state dollars that we put into a separate formulary based on a percentage
• The Strong Readers Act money is state dollars that we put into a separate formulary based on a percentage

Bills: SB1726 , SB1236 , SB1633 , SB1413 , SB1317 , SB1360 , SB1342 , SB1477 , SB1189 , SB1546 , SB1524 , SB1338 , SB1193 , SB1812 , SB1617

Committee: Senate Education

Summary: The Senate Education Committee heard and advanced a large slate of education bills. Early measures included SB 1726, requiring formal training for university teaching assistants before they teach classes and evaluate students, with emphasis on First Amendment rights; SB 1236, creating an Administrative Report Consolidation Act to reduce duplicative reporting by schools and agencies; SB 1633, codifying existing higher education residency tuition practices; SB 1413, requiring notice to parents when a teacher is emergency certified and limiting adjunct teachers to 270 clock hours per semester; SB 1317, allowing career teacher status to be portable across districts with local board approval; and SB 1360, expanding the state’s math initiative by restoring instructional coaches and creating a math office at the State Department of Education. Most of these bills passed on favorable votes, with SB 1413 drawing some concern over teacher shortages and the adjunct-hour cap, but still passing.

Transcript Highlights:

• And we're going to be limited in the formulary of things we pick.
• And so it will be a limited formulary. We will be under tight control.
• And we're going to be limited in the formulary of things we pick.
• And so it will be a limited formulary. We will be under tight control.

Summary: The committee heard House Bill 2433, which would require insurers offering Medicare supplement policies to also offer them to people under 65 who qualify for Medicare because of ALS or end-stage renal disease, with enrollment periods and premium protections. Supporters, including patient advocates and an ALS patient, said the bill would improve access to needed coverage and transplant-related care and could have only a small premium impact. Opponents, including Blue Cross Blue Shield/AHIP, argued it would shift significant costs onto older seniors and shrink the Medigap risk pool. The bill was ultimately given a do-pass recommendation on a 12-0 vote. House Bill 2593 would appropriate $1.5 million to the University of Arizona for the Arizona Perinatal Psychiatry Access Line. The sponsor and physicians testified that the line helps providers quickly treat pregnant and postpartum patients with depression, psychosis, OCD, and suicide risk, and also supports pediatric mental health care. Supporters said it improves outcomes and reduces emergency and referral costs. The committee approved the bill with a do-pass recommendation by a 10-1 vote, with one member present. The committee also passed House Concurrent Resolution 2013, proclaiming June 2026 as Celebrate Life Month, after emotional testimony from a woman born with spina bifida and another supporter. Several members objected that the state should focus on concrete supports such as health care and family leave, but the resolution still received a 7-5 do-pass recommendation. House Bill 4010, creating a licensing and regulatory board for genetic counselors, also advanced 11-1 after testimony from genetic counselors and a cancer survivor who said licensure would protect patients and improve access. House Bill 2196, addressing pharmacy benefit manager reimbursement and dispensing fees, passed 11-1 despite opposition from PBMs and employers who warned of higher costs; independent pharmacies argued the bill would help them cover costs and stay open. The committee then adopted a strike-everything amendment to House Bill 2182 requiring insurers and health plans to report claims denial and prior authorization data to DIFI, which would publish aggregated information and hold a later stakeholder review. Supporters said Arizona needs state-specific transparency data, while opponents called it redundant to federal CMS reporting; the amended bill passed 12-0. House Bill 2189, directing the Board of Nursing to update rules for licensed health aides and collect annual data, also passed unanimously after the board said it was already working on curriculum and implementation. The committee held House Bill 2813 and 2725, and began discussion of House Bill 2404, as the transcript ended.