Transcript Highlights:

• I've learned a lot by hearing that.
• So in our opening year, they will look a little bit higher than that due to escalation, and I'll show
• So lower toll rates correspond with slightly higher traffic.
• Scenario 4 has that higher net revenue, at least initially, from its higher toll rates, but with the
• I'm the Assistant Secretary for Urban Mobility Access and Megaprograms.

Summary: The Joint Committee on Interstate 5 Bridge met remotely with Washington legislative members to receive updates on the Interstate Bridge Replacement Program, including environmental review, cost and funding, tolling, and procurement for construction. Program staff said the final supplemental environmental impact statement was published in April 2026, with a federal record of decision expected in early summer. They described the recommended design as a single-level fixed-span bridge, centered I-5 alignment, C Street ramps, one auxiliary lane in each direction, and dispersed park-and-ride parking. Members raised concerns about transparency, the closed chat function, and the decision not to include two auxiliary lanes; staff said the one-lane option was recommended through consultation with partner agencies and analysis, but the final decision would come with the record of decision. Staff also said the diversion analysis projected less than 3% traffic diversion to I-205 in 2045, though members from Oregon and Washington expressed concern about impacts to their communities and asked for more detail on mitigation and decision-making. The committee also reviewed a major cost update. Staff said the full five-mile program is now estimated at $13.5 billion to $15.2 billion, with a likely cost of $14.4 billion, up from a 2022 estimate of $5 billion to $7.5 billion, citing inflation, schedule delays, scope changes, and more detailed risk modeling. They said the first funded phase has been reduced to a $5.68 billion package focused on the Columbia River bridge replacement, connections to I-5, Hayden Island and SR-14, bridge demolition, tolling infrastructure, and advancing light rail design. Funding for that phase was described as $5.69 billion, including $2.1 billion federal funds, $1 billion from each state, and $1.5 billion in projected toll revenue. Members asked what would happen if costs rise further; staff said the estimate includes substantial contingency, the project will use progressive design-build to manage risk, and the team will continue updating the finance plan annually. A separate tolling and traffic-revenue presentation explained that four toll scenarios were analyzed using regional travel demand modeling, a toll diversion model, and a post-processing review. All scenarios assume pre-completion tolling beginning July 1, 2028, a 50% low-income discount for eligible users, and exemptions for tribal preemptions, emergency vehicles, maintenance vehicles, and organized militia. Staff said the low-income discount would affect about 4% to 6% of annual transactions and reduce annual revenues by roughly 2% to 3%. They said Scenario 2 was used for the financial analysis and is sufficient to support the $1.5 billion toll contribution in the funded phase. Members asked about toll collection costs, revenue impacts of the discount, and how the scenarios differed; staff said collection costs are expected to be in line with other WSDOT toll facilities, but exact costs are not yet set because toll rates are not final. Finally, WSDOT staff outlined procurement and delivery steps for construction. They said WSDOT will be the lead contracting agency, using progressive design-build, with a request for qualifications targeted for early July 2026, a request for proposals in October, contractor selection in April 2027, construction starting in 2028, and tolling beginning in 2028. Staff said the approach is intended to consolidate scope, reduce interface risk, and allow transparent negotiation with an independent cost estimator, while preserving an off-ramp if a fair price cannot be reached. Members asked for more detail on timing, cost allocation, and the share of the first phase funded by tolls; staff estimated tolls account for about 26% of the first phase cost.

Transcript Highlights:

• Um, this bill would affect, uh, included in the definition of institutions of higher learning, uh, also
• Um, this bill would affect, uh, included in the definition of institutions of higher learning, uh, also
• definition of institutions of higher definition of institutions of higher learning<00:54:08.040>
• of higher education. I'm good with that. of higher education. I'm good with that.
• higher education, something like that. higher education, something like that.

Keywords: 1191, senate, all

Transcript Highlights:

• We have Senate Bill 426, relating to an early learning apprenticeship grant program.
• person will help you achieve higher person will help you achieve higher enrollment<00:32:34.440>
• Good afternoon, Chair, Vice Chair, members of the committees... accessibility for students who are accessibility
• well as provide opportunities to learn well as provide opportunities to learn and<00:44:26.200><
• neighbor Islands have Equitable access neighbor Islands have Equitable access to<01:14:49.760>

Keywords: 912, senate, all

Summary: The hearing covered Senate Bill 426, which would create an early learning apprenticeship grant program. Testimony was overwhelmingly supportive from the City and County of Honolulu, the Department of Human Services, the Executive Office on Early Learning, the University of Hawaiʻi College of Education, the Attorney General’s office, the Early Childhood Action Strategy, Hawaii Children’s Action Network, the University of Hawaiʻi’s early childhood educator project, and a Zoom testifier who described the importance of investing in high-quality early childhood education. Committee discussion focused on the program’s estimated cost, with figures of about $14.5 million in 2025-26 and $15 million in 2026-27, and on whether the program would require ongoing base-budget funding. The committee recommended technical, non-substantive amendments, including a statewide-concern amendment and a deferred effective date, and both committees adopted the recommendation by vote. The committees then heard Senate Bill 1622, which would appropriate funds to establish the Aloha Intelligence Institute within the University of Hawaiʻi to support statewide artificial intelligence initiatives. University representatives described the proposal as the product of campus-wide input and outlined five pillars: governance and policy, outreach and engagement, research and development, workforce development, and AI tools for key sectors such as health care, creative industries, manufacturing, data science, astronomy, and climate change. Members questioned staffing distribution, tuition, enrollment timing, housing, campus placement, and whether positions would be permanent or temporary; the university said it planned about 10 positions across campuses, would start with internal resources, and would house the effort under the Vice President for Research and Innovation initially. The committees recommended an SD1 with the appropriation amounts blanked out, a July 31, 2050 effective date, and committee-report language on housing and West Oʻahu, and the higher education and labor/technology committees adopted the amended recommendation. Finally, the Higher Education Committee took up Senate Bill 1488, a housekeeping measure to consolidate existing University of Hawaiʻi conference center statutes into a single revolving fund structure, and Senate Bill 636, which would fund retention and internship coordinator positions and broader enrollment management efforts at the University of Hawaiʻi at Hilo. SB 1488 drew university support and no opposition. SB 636 prompted substantial questioning about Hilo’s declining enrollment, current retention rate of 72.8 percent, and the scope of the request, which includes not only two named positions but also about $432,000 for enrollment management initiatives such as data analysis, IT support, and other student services. Hilo said it is targeting 3 to 5 percent annual enrollment growth and that the positions would support recruitment, retention, internships, and data-driven enrollment strategy. The committee pressed for a clearer broader plan, but the discussion in the transcript ended before a final vote on SB 636 was shown.

Transcript Highlights:

• Children with disabilities deserve access to that level of care.
• Children with disabilities deserve access to that level of care.
• As part of their learning, students have meaningful, real-world learning experiences paired with customized
• Did you learn any of those skills? Yeah.
• to health care, consistent education, mental health services, accessible inpatient treatment, accessible

Keywords: 995, all

Summary: The special legislative commission on the future of Pappas Rehabilitation Hospital for Children held a hybrid public hearing focused on the hospital’s future, admissions, staffing, infrastructure, and whether the facility should be preserved, expanded, or reimagined. Opening remarks from legislators, commissioners, parents, and union representatives emphasized that Pappas provides a unique combination of medical, rehabilitative, educational, and residential services for children with complex needs, and several speakers argued that the hospital is effectively being depopulated through reduced admissions and ongoing discharges despite public assurances that it remains open. Multiple speakers urged the commission to extend its authorization and continue its work before any closure or major change can occur. Testimony from labor leaders, including AFSCME, SEIU Local 509, and the Massachusetts Nurses Association, described a “silent closure” in practice, with staff reporting confusion about the hospital’s status, declining census numbers, blocked admissions, and uncertainty about the workforce’s future. They called for immediate action to stop admission denials and unnecessary discharges, and some proposed short-term solutions such as temporary modular structures to address infrastructure barriers and allow admissions to resume. Parents and former patients testified that Pappas provided life-changing independence, specialized therapy, and campus-based supports that they said could not be replicated elsewhere, and they criticized alternative placements as inadequate. Commissioner Robert Goldstein of the Department of Public Health said the administration supports keeping Pappas open and funded while the commission works, but he argued that admissions must comply with hospital-level-of-care rules and that the campus’s deteriorating infrastructure limits the kinds of children who can safely be served there. He said the department is continuing admissions for appropriate patients, working to expand outreach and services, and exploring long-term options, including broader statewide models of care. Commissioners pressed him on whether discharge status or lack of a clear discharge plan had been used as a barrier to admission, and requested de-identified data on patients recommended for admission but denied. No formal votes were taken during the hearing.

Transcript Highlights:

• They received a higher at-risk multiplier and an increase in their secondary weight.
• About half of these awardees actually had a higher at-risk index as a result of House Bill 63.
• to. but it's not, I think, publicly accessible through Open Books at the moment.
• This includes homeschools, learning pods, magnet schools, and micro schools.
• And hope to learn more once the Treasury Department releases those related regulations.

Transcript Highlights:

• Without access—excuse me—today, land access has never been more attainable.
• As we see the rapid rates of land access and soaring land prices.
• Adding higher costs, including this one, AB 367.
• Californians equal access to justice.
• And higher levels of incarceration.

Keywords: 988, house, all

Transcript Highlights:

• These are not the Ford Pintos we learned to drive stick on centuries ago.
• Our minimum wage was higher than New York's.
• Our minimum wage was higher than New Jersey's minimum wage.
• Our minimum wage was higher than Delaware's minimum wage.
• Our minimum wage was higher than Maryland's minimum wage.

Summary: The Senate convened with prayer and the Pledge of Allegiance, then received committee reports from Banking and Insurance and Judiciary. Several leaves of absence were granted, and the chamber took up calendar and procedural motions, including re-referrals and tabling actions on multiple bills. House Bill 1102 and Senate Bill 911 were re-referred to Appropriations, House Bill 96 and Senate Bill 599 were briefly laid on the table and then returned to the calendar, and House Bill 2400 and Senate Bill 746 were also sent to Appropriations. The Senate later agreed to consider a discharge-related motion on minimum wage, but the motion to make it a special order of business failed by a vote of 23-27. On final passage, Senate Bill 1182 passed 50-0 after Senator Boscola described it as a modernization of the Board of Vehicles Act to address software-based vehicle features, warranty reimbursement, data protections, loaner vehicles, and related dealer/manufacturer issues; she noted amendments had been adopted to address stakeholder concerns. Senate Bill 1334 also passed, 29-21, after the Senate rejected Amendment A44049, which would have exempted certain cardiology technicians from licensing requirements if credentialed and supervised; supporters argued the exemption reflected existing practice and credentialing, while opponents said the bill was needed for patient safety and consistent oversight. Senate Bill 1372 passed 50-0, and House Bill 2426 was re-referred to Appropriations. The latter part of the session focused heavily on minimum wage and budget timing. Senators Tartaglione, Hughes, and Costa argued Pennsylvania had gone 20 years without raising the minimum wage and urged action on a House-passed minimum wage measure, while Senator Pittman said Republicans were willing to “meet in the middle” but opposed the House proposal as written. Members also discussed the state budget, the rainy day fund, and whether the Senate should remain in session; after debate, Senator Pittman’s motion to recess to the call of the President pro tempore was adopted 27-23, and the Senate stood in recess.

Transcript Highlights:

• Who has access to mitigating treatment?
• That also means you have access to technology. It means you have access to broadband.
• It means you have access. That also means you have access to technology.
• That means you have access to broadband.
• I hope you have learned something today.

Keywords: 995, all

Summary: The Massachusetts Permanent Commission on the Status of Persons with Disabilities held a public hearing focused on health equity for people with disabilities. The chair opened by explaining that the session was not about specific legislation, but about sharing data, lived experience, and strategies to inform more inclusive health systems. Presenters included representatives from the Health Equity Compact, the Department of Public Health, MassHealth, UnitedHealthcare Community Plan, the Brain Injury Association of Massachusetts, UMass Chan Medical School, Spaulding Rehabilitation, and the Arc of Massachusetts/Operation House Call. Speakers described how structural racism and ableism contribute to poor health outcomes, unemployment, poverty, and barriers to care for disabled people, especially disabled people of color. Testimony highlighted access problems such as inaccessible medical equipment, transportation, inadequate provider training, lack of culturally competent care, and insurance barriers. Several speakers emphasized the importance of collecting and disaggregating disability data, training providers in disability-competent care, and screening for accommodation needs. MassHealth described its Quality and Equity Incentive Program under the 1115 waiver, including disability-related metrics on data completeness, staff training, and accommodation screening, and reported early increases in hospitals collecting self-reported disability data. Brain injury advocates focused on inequities in rehabilitation access, including the impact of CMS’s “three-hour rule,” which they argued denies needed inpatient rehab to people with severe traumatic brain injury. They called for policy changes, a TBI task force, and possibly bipartisan legislation if CMS cannot revise the rule. Other testimony described DPH efforts such as one-to-one navigation, health promotion workshops, mini-grants for accessible recreation, and the Massachusetts Health and Disability Partnership. The hearing also highlighted medical education efforts like Operation House Call, which uses home visits and disability-led teaching to reduce bias and improve provider competence. No votes were taken and no formal actions were announced.

Transcript Highlights:

• And what I learned in my travels is that our storied...
• What we're really interested in is, kind of, we've learned more today, including I've learned about birth
• more today including I've learned about birth control glasses something I've never learn more today
• And so this would give them access to it every day.
• It regards different standards; they're much higher.

Bills: SB1001, SB1011, SB1016, SB1052, SB1072, SB1100, SB1112, SB1113, SB1116, SB1118, SB1120, SB1121, SB1122, SB1123, SB1124, SB1125

Keywords: appropriation, economic security, blind individuals, older adults, state funding, medical examiners, sudden infant death, autopsy protocols, forensic pathology, public health, religious exemption, employment practices, COVID-19 vaccination, accommodation, discrimination, assisted living, health care, hyperbaric oxygen therapy, physician orders, informed consent

Summary: The committee began with member and staff introductions, then took up a series of health and human services bills. The first group focused on radiation protection in cardiac catheterization and other ionizing-radiation procedure rooms: SB 1120 would require at least half of procedure rooms in covered facilities to have a radiation protection system by July 1, 2027; SB 1118 would create a state grant program for rural hospitals to help pay for those systems; and SB 1121 would prohibit requiring lead aprons in rooms equipped with such systems, while allowing voluntary use with a real-time dosimeter. Physicians, nurses, and a hospital CEO testified that long-term radiation exposure and heavy lead aprons have caused cancer, cataracts, and orthopedic injuries, and that commercially available systems can reduce exposure to near zero. Some members raised questions about cost, vendor involvement, FDA clearance, and whether the bills should be discussed with stakeholders; the Health Systems Alliance of Arizona said it was neutral and wanted further stakeholder meetings. All three bills were adopted by 7-0 votes, with SB 1120 and SB 1121 amended. The committee then heard SB 1001, which would appropriate $1 million to the Department of Economic Security for the Older Individuals Who Are Blind program. Blind and low-vision speakers described long waitlists, the need for independent living training, and how services help seniors remain at home rather than enter more costly care. The bill passed 6-0 with one member not voting. Next, SB 1072 proposed ongoing General Fund and Medicaid spending to raise reimbursement rates for home- and community-based services for people with intellectual and developmental disabilities, plus room-and-board funding and a workforce survey/reporting requirement. Providers testified that the system is underfunded, staff turnover is high, overtime is extensive, and many people wait for services; the bill passed 6-0 with one not voting. The committee also approved SB 1125, requiring the Department of Child Safety to annually seek MOUs with tribes and improve tribal access to information about placements and enforcement actions involving licensed group homes, after members asked about the stakeholder process and tribal participation. SB 1123, which removes the requirement that a supervising forensic pathologist be board-certified before delegating autopsy-related tasks to trainees, passed after Maricopa County said the change would help address training delays and workforce shortages. SB 1052, allowing mild hyperbaric oxygen therapy in assisted living facilities under specified safeguards, drew support from the sponsor and an assisted-living operator but also opposition from a member concerned about off-label treatment in nonmedical settings; it passed 5-2. Finally, SB 1112, reducing the number of acquaintance witnesses required in court-ordered treatment proceedings from two to one and allowing a judge to waive the witness requirement in some cases, passed 5-2 after testimony from supporters who said the current rule often blocks treatment for seriously mentally ill people and from opponents who argued it weakens due process. The committee then began SB 1113, which would allow service of court-ordered evaluation and treatment documents by evaluation-agency employees or other court-authorized persons, but the transcript cuts off before action on that bill.

Transcript Highlights:

• It's far higher than the increase in pay.
• It's far higher than the rate of inflation.
• It's far higher than the is far higher than the rate of inflation, is far higher than the increase in
• We have also learned that New Jersey's rent laws allow localities to opting learned that New Jersey's
• Every time I have to renew the lease, it gets higher and higher. And I just have one job.

Keywords: 995, all

Summary: The Joint Committee on Municipalities and Regional Government held a long public hearing focused mainly on two sets of issues: proposals to amend or repeal the MBTA Communities Act, and bills to allow local rent stabilization. Committee chairs opened by explaining the hearing would be tightly managed because of the very large number of speakers, with testimony limited to two minutes per person and written testimony still accepted by email. Members and witnesses were called in a mix of in-person and virtual order throughout the hearing. On the MBTA Communities Act, several legislators and local officials argued the law is too rigid and should be revised to account for local conditions. Speakers from small, rural, or infrastructure-limited communities such as Hanson, Halifax, Marshfield, Winthrop, Dracut, Carver, Rehoboth, and others said the law’s one-size-fits-all approach does not fit towns with limited water, sewer, transit access, or buildable land. Some filed bills would repeal the law, exempt certain communities, or create appeals processes based on infrastructure, environmental, or historical constraints. Supporters of the law’s changes emphasized local control and the need to avoid forcing development where communities believe it is impractical or inconsistent with town character. A large portion of the hearing was devoted to rent stabilization legislation, especially S. 1447 and related House bills. Supporters included legislators, city councilors, tenant advocates, labor leaders, housing nonprofits, public health organizations, and residents who described sharp rent increases, displacement, homelessness risk, and the strain on working families, seniors, students, and people with disabilities. They argued local-option rent stabilization would let municipalities cap excessive increases and prevent no-fault evictions while preserving flexibility for local conditions. Opponents, including small landlords and property owners, said rent control would discourage investment, worsen housing quality, burden responsible owners, and drive small landlords out of the market. Some witnesses also supported a Cape Cod/Island transfer fee bill and a suburban infrastructure fund, arguing those would provide local revenue for housing or roads. No votes or formal committee actions were taken during the hearing.

Transcript Highlights:

• The meeting agenda and committee information is available on NELIS, which can be accessed through the
• But if they just don't have access to the information...
• or student learning goals, to ensure that teachers have outcomes.
• There's math on that that some of them have not learned yet.
• Nevada System of Higher Education, we stand in support of this legislation.

Keywords: 909, all

Transcript Highlights:

• And... ...in every teaching and learning process.
• not an accessible or practical tool.
• Accessibility for parents.
• What does education access really look like in California?
• Learn.

Summary: The committee heard several education-related bills, with the most extensive discussion focused on AB 2189, AB 2615, AB 2496, AB 1750, and AB 1644. AB 2189 would create an $800,000 grant program through the State Council on Developmental Disabilities to support a statewide parent network for special education advocacy and training. Supporters said families need stronger coordination and information to navigate special education, while an opponent argued the bill could duplicate existing family-led organizations. The bill passed 6-0 and was sent to Appropriations, held on call for add-on votes. AB 2615, a cleanup bill to AB 715 on antisemitism and instructional materials, drew the most controversy. The authors said it was intended to clarify prior commitments by removing references to professional responsibility standards, refining the “factually accurate” language, and clarifying how discriminatory materials are handled. Supporters said it would help protect students from discrimination, while many educators, civil rights groups, and other organizations opposed it unless amended, warning that the factual-accuracy language could chill teaching and be applied too broadly. The committee chair and members raised concerns about implementation but ultimately supported moving the bill forward; it passed 5-0 and was held on call. AB 2496 would streamline school accountability reporting by making the California School Dashboard the primary transparency tool, phasing out the School Accountability Report Card over time, and making mid-year LCAP reporting optional. Supporters said this would reduce duplication and administrative burden while preserving access to key data; opponents worried families could lose the simplicity and accessibility of the current SARC and that the mid-year update still serves an important purpose. The bill was approved 3-0 and held on call. AB 1750, which would extend full salary for an additional five months for school employees who exhaust sick leave due to illness or injury, was supported as a dignity and retention measure but opposed by administrators over staffing and cost concerns; it passed 4-0 and was held on call. AB 1644 would require a bell-to-bell smartphone ban in TK-8 and recommend it for high school, with exceptions for instructional and safety needs; supporters said phones are harming attention and learning, while opponents argued districts had just adopted local policies and needed more flexibility. The transcript ends during discussion of that bill.

Transcript Highlights:

• This bill cleans that up and will make it easier for builders to access the program.
• <00:07:20.319> the it easier for Builders to access the it easier for Builders to access the
• Because it has a longer amortization period, 30 to 40 years, gets a higher interest rate, and because
• I've learned just enough to be dangerous through this process.
• I've learned just enough to be dangerous through this process.

Keywords: 1191, senate, all

Transcript Highlights:

• from before of 1.25 n million is higher from before of 1.25 n million is higher than<00:18:34.200
• any public school student from learning any public school student from learning in<00:59:33.079>
• in a safe and healthy learning in a safe and healthy learning environment<00:59:36.440> would
• access access hospitals<03:28:17.640> for<03:28:17.880> this<03:28:18.120> reason
• another hospital in the critical access another hospital in the critical access exclusion<03:32:

Keywords: 1189, house, all

Transcript Highlights:

• These early gaps in access mean that by the time students are given the opportunity to learn, they're
• equal access to these vital resources. equal access to these vital resources.
• Um, we need to ensure ESPs continue to have access to a benefit every other seasonal worker has access
• It provides access to high-quality subscription-based e-resources like full access to newspapers, early
• <02:00:23.440> Thank only access to these services. Thank only access to these services.

Keywords: 1187, senate, all

Transcript Highlights:

• It also focuses on education through expanded access to our public libraries and early learning opportunities
• It also focuses on education through expanded access to our public libraries and early learning opportunities
• It also focuses on education through expanded access to our public libraries and early learning opportunities
• programs, helping to ensure that students have equitable access to robust summer learning programs that
• to robust summer equitable access to robust summer learning<01:31:23.000> programs<01:31:24.000

Keywords: 910, house, all

Transcript Highlights:

• Given how hard it is for rural families, many of whom are low income, to access exceptional learning
• My children are not just learning the curriculum.
• hands-on project-based learning, they were curious and telling us what they were learning at school.
• If a child needs speech therapy to learn, we ensure access to it. ABA is no different.
• It's not a luxury; it's access.

Keywords: 995, all

Summary: The Joint Committee on Education held a hearing on two late-file bills: H. 4867, concerning school choice, and H. 4927, concerning access to applied behavior analysis (ABA). For H. 4867, testimony focused on a DESE interpretation of M.G.L. c. 76, §12B(k) that would require small elementary-only districts with school choice students to pay secondary tuition when those students continue into high school. Superintendents, school committee members, parents, teachers, and a representative argued this creates large fiscal shortfalls for rural districts such as Hancock, Warwick, Richmond, and Worthington, which do not operate high schools and already rely on tuition agreements for their own resident students. Witnesses said the current interpretation has led some districts to stop accepting school choice students, reducing class sizes and limiting educational opportunities; they urged an exemption or amendment so these districts could continue school choice without assuming high school tuition obligations for nonresident students. Committee members asked about the number of affected districts, how the arrangement worked before 2023, and whether alternative statutory language might solve the issue more broadly. Representative Barrett described the bill as a simple fix to an unenforced provision that had only recently been raised by DESE, and the hearing later included testimony from both district officials and families supporting the bill. The committee closed testimony on H. 4867 and H. 4927 and then adjourned. H. 4927 drew testimony from educators, an ABA provider, and a parent of a child with autism in support of protecting in-school ABA access. Witnesses said the bill would clarify that qualified ABA providers, including BCBAs and RBTs under supervision, may deliver services in schools while allowing districts to maintain neutral safety and operational rules. They argued that inconsistent access to ABA can undermine districts’ obligations under IDEA, including free appropriate public education and placement in the least restrictive environment, and that school-based ABA can reduce removals from class, improve student progress, and support families. A parent testified that her young son needs ABA to function in school and that promised supports had been delayed or not delivered, while another witness said the bill would help ensure accountability and consistent services for students with autism.

Transcript Highlights:

• Uh, these policies also govern infrastructure access such as dig ones and access to the right of way,
• So when that higher cost of deployment exists, that often translates into higher prices for consumers
• We drive higher quality transactions and higher customer satisfaction.
• Turn into a a poll access, uh, discussion.
• and its rates are going to be higher as well.

Transcript Highlights:

• Diana Douglas with Health Access California.
• Diana Douglas with Health Access California, in support.
• Diana Douglas with Health Access California, in support.
• Access to covered services is a persistent problem.
• Diana Douglas, with Health Access California, in support.

Summary: The Assembly Health Committee heard several bills focused on health care access, oversight, and affordability. The first major item was SB 306 by Senator Becker, a prior authorization reform bill. Becker and supporters, including the California Medical Association and California Hospital Association, argued that prior authorization delays care, adds administrative burden, and can lead to serious patient harm. The bill was substantially amended late in the process to have DMHC and CDI identify services and drugs to exempt from prior authorization based on utilization data, with safeguards for fraud, waste, abuse, and patient safety. Health plans and insurers opposed the measure as written, saying prior authorization remains an important utilization-management tool and raising concerns about the 90% threshold, drug inclusion, and how modifications are counted. The committee also heard SB 35 by Senator Umberg, which would let cities or counties inspect unlicensed sober living homes if DHCS does not act promptly on complaints. Supporters said the bill would address weak enforcement and protect residents, while one behavioral health directors group opposed it unless amended. Members generally supported the measure, citing problems with unlicensed facilities and the need for local enforcement backup. The committee then heard SB 62, which would codify California’s updated essential health benefits benchmark if approved by the federal government. Senator Wiener said the package would add hearing aids, durable medical equipment, and infertility treatment including IVF, acknowledging that premiums could rise but arguing the benefits were worth it. Health Access California and other advocates supported the bill, while the California Family Council opposed it. The committee also took up SB 596 by Senator Menjivar, which would tighten the rules for hospitals claiming an on-call list as a defense to nurse staffing ratio penalties. Supporters, including nurses and SEIU, said hospitals have used vague or ineffective on-call practices to avoid accountability and that the bill would improve enforcement and patient safety. Hospital groups opposed it, arguing that staffing is highly dynamic, that hospitals need flexibility to manage acuity and emergencies, and that the bill could increase costs and interfere with collective bargaining arrangements. Finally, the committee heard SB 40 by Senator Wiener, the Insulin Affordability Act, which would cap insulin copays at $35 for a 30-day supply and restrict step therapy unless a plan covers at least one insulin in each drug type. Supporters, including physicians, diabetes advocates, nurses, students, and patient groups, said insulin is life-saving and too often unaffordable, forcing patients to ration or choose between medication and basic needs. There was no formal opposition testimony, though one member questioned why insulin remains so expensive. The committee also began discussion of SB 363, but the transcript cuts off before that bill’s full presentation or any action on the measures. No votes are recorded in the portion provided, and several bills were noted as consent items earlier in the hearing.

Transcript Highlights:

• >> Good afternoon and welcome to the Appropriations Committee on higher Education.
• This is that the Appropriations Committee in higher education. So we in particular.
• I work closely with employers K 12 institutions, higher education partners such as South Florida State
• She taught me that every child can learn.
• It's higher education programs.

Keywords: 999, senate, all