Transcript Highlights:

• I know we're conducting training.
• Where are you folks with your active shooter prevention training? I know we're conducting training.
• Our program is called Nōnō, and one of the parents, her name is Kipo, has been a part of our program
• > does<00:18:19.840> the this program how many programs does the this program how many programs
• in programs and training candidates in programs and training candidates in structured<01:36:24.040

Keywords: 910, house, all

Summary: The committee heard testimony on HB 627, which concerns Department of Education school safety funding and staffing. DOE said the bill would restore two positions and related funding that had been removed from the governor’s budget: a targeted violence prevention and threat assessment program manager and a security technology manager. DOE described ongoing work on school vulnerability assessments, fire suppression measures, security camera research, panic buttons, and active shooter prevention training. Testifiers from DOE, the Department of Law Enforcement, fire services, HSTA, and an individual witness all supported the bill, with the individual citing a past school shooting experience as a reason to increase school resource officers and safety measures. Members asked about the positions’ duties, how the request differed from existing security funding, and the status of active shooter training; DOE said it would provide more information on training statistics. The committee then took up HB 249, relating to Executive Office on Early Learning family child interaction learning programs. The Early Learning Board, EOEL, Commit to Kids, Early Childhood Action Strategies, Partners in Development Foundation, and others testified in support. EOEL said it currently spends about $800,000 annually on FCI program contracts and supports expanding state funding for FCIL programs, including infant and early childhood mental health, if the appropriation covers the broader scope. Testifiers emphasized that FCIL programs are trauma-informed, evidence-based, and help families and children, with one provider sharing a long-term example of a parent and child benefiting from the program. Members asked how many programs are supported, whether FCIL exists on all islands, and whether the request was in the governor’s budget; EOEL said the expansion was requested by the office but not included in the governor’s budget. HB 429, concerning pre-K expansion, drew broad support from the Lieutenant Governor, EOEL, HSTA, and community groups. Supporters said the Ready Keiki initiative has already opened more than 50 classrooms and would add another 50 over the next two years, including Hawaiian immersion classrooms. EOEL said it currently administers 72 public pre-K classrooms across 74 campuses and that the bill’s funding was included in the governor’s budget request. Testimony stressed kindergarten readiness, affordability for working families, equity across islands, and inclusion classrooms. Members asked about national quality benchmarks, with EOEL stating Hawaii meets 10 of 10 benchmarks and that only five states had done so at the time referenced. The Lieutenant Governor also described construction and delivery efforts, including refurbishing existing classrooms, modular options, possible use of state buildings, and even collaboration with libraries to expand child care access. Finally, the committee heard HB 439 on J-1 teacher licensure. DOE supported the bill, while the Hawaii Teacher Standards Board opposed it, arguing licensure standards are not place-based and should remain rigorous and uniform for all educators. The Attorney General’s office offered technical comments, including replacing “educators” with “teacher” and clarifying the bill’s language on issuance and renewal conditions. Several organizations and individuals testified in support, including school, cultural, business, and educator groups. One witness, a teacher from the Philippines, said J-1 educators are highly qualified and described the rigor of teacher preparation in the Philippines. No votes were taken in the portion of the meeting provided.

Transcript Highlights:

• THE SERVICES ARE PROVIDED TO CLIENTS AT APD AND I BUDGET PROGRAM AND ARE CONTRACTED WITH APD.
• AM SUSAN NIPPER AND I HAVE THE PRIVILEGE OF SERVING AS THE ASSISTANT DIRECTOR OF OPERATIONS AND PROGRAMS
• AND ADULT TRAINING FOR VOCATIONAL SERVICES.
• Tant: IN RESPECT OF ADULT DAY TRAINING PROGRAMS ARE YOU LOOKING AT WHERE THEY ARE IN THE MAPS TO MAKE
• MEMBERS, THIS CONCLUDES THE PROGRAMS FOR TODAY'S MEETING.

Transcript Highlights:

• I can pull out the program.
• We have four programs. We have a buffalo program. We have outdoor stewardship.
• And in August, she'll be completing training in Gang Resistance Education and Training, the GREAT program
• And so that is probably our largest two-year program, is our nursing program.
• Our other program that's probably our largest is our business administration program.

Summary: The Tribal and State Relations Committee met at Standing Rock with tribal council members, state legislators, and agency representatives to discuss state-tribal coordination and local priorities. Early discussion focused on process concerns, including the short agenda time and the need for better communication, more advance notice, and more relevant state department staff at future meetings. Tribal leaders asked for lists of state tribal liaisons and bills affecting tribes, and state members said they would follow up, share grant and deadline information, and plan another meeting in Bismarck with program experts and agency staff. A major portion of the meeting centered on health, child welfare, law enforcement, housing, infrastructure, and sovereignty issues. Tribal speakers said rural health transformation funding and other state programs often do not fit direct-service tribes or IHS-funded systems, and they raised concerns about Medicaid, ICWA, foster care delays, human service zones, housing shortages, and the placement of Native children off-reservation. They also discussed missing and murdered Indigenous people, search-and-rescue cooperation, cross-deputization, extradition and banishment ordinances, and the need for stronger law enforcement partnerships that respect tribal sovereignty. Other concerns included poor roads, water and sewer needs in Sioux County communities, census accuracy, and the impact of data centers and other development on water and health. Economic development and regulatory issues were also discussed. Standing Rock representatives raised concerns about charitable gaming and e-pull tabs, saying the machines function like Class III gaming and have harmed tribal revenue while spreading into local businesses. They also described problems with county-issued fireworks permits and state/county liquor licensing rules that they said undermine tribal authority within reservation boundaries. In response, legislators said the committee would continue to look at these issues, and one member suggested possible legislation such as limiting e-tabs near tribal lands. The committee also heard from Joseph McNeil of Sage Development Authority about a 235-megawatt wind project on tribal, allotted, and fee land; he said federal permitting delays have stalled the project and asked for state support to help move it forward. The meeting concluded with a presentation from Dave Archambo of Wojou, a nonprofit focused on land regeneration, buffalo, food sovereignty, cultural programming, and youth wellness. He described the organization’s work on buffalo processing, gardening, fishing, hunting, language, and arts programs, and framed it as a response to historical trauma and community healing. The committee then broke for lunch and planned to resume with the Wojou presentation after the recess.

Transcript Highlights:

• Since 1990, we have helped thousands of job seekers and business owners gain the education, training,
• Since our first direct appropriations, HAP has served nearly 3,000 Hmong in workforce programs.
• Among them, over 630 enrolled in job training, with an impressive 74% completion rate.
• Program graduates see real impact, earning wages averaging $20.20 per hour.
• 3,000 motans in Workforce programs 3,000 motans in Workforce programs among<00:05:00.680> them

Keywords: 1183, house

Transcript Highlights:

• Both free and low-cost training programs exist, and according to the staff analysis, costs associated
• Senator Smith, the training question was already asked, the definition of training.
• And I'm glad you took that training.
• I surrendered my addiction to the program of recovery. I know that this program works.
• It also requires training for students and staff in basic first aid, cardiopulmonary resuscitation, training

Summary: The Senate convened with an opening prayer by Rabbi Moshe Umatz, the Pledge of Allegiance led by pages, and several introductions and recognitions, including guests from Miami Northwestern Senior High School, Clay County, and a moment of silence for Pope Francis. The chamber then moved to the special order calendar after a motion to reconsider SB 1080, which was temporarily postponed. Several bills were also set aside during the day, including measures on social media use by minors, veterans’ nursing homes, Parkinson’s disease, mental health and substance use disorders, education, educator preparation, and school social workers. The Senate passed a series of bills, often substituting House companions for Senate bills. These included funding for expedited DNA testing grants for local law enforcement (SB 1072/HB 847), additional aggravating factors in capital cases involving religious, school, or government gatherings (SB 984/HB 693), fertility preservation coverage for cancer patients (SB 924/HB 677), commuter rail indemnification for Miami-Dade and Broward counties (SB 916/HB 867), restrictions on disposing of migrant vessels in Florida waters (SB 830), specialty license plates including Miami Northwestern and several colleges and institutions (SB 824), an Alzheimer’s and dementia awareness campaign (SB 398), relocation of the Council on the Social Status of Black Men and Boys to Florida Memorial University (SB 364), charter school changes allowing parent conversion and municipal job-engine charter schools (SB 140), sex offender registration reporting changes (SB 1654/HB 1351), penalties for assaulting utility workers (SB 1386), juvenile justice revisions and truancy process updates (SB 1344), reporting of student mental health outcomes (SB 1310/HB 969), foster home license transfer simplification (SB 1174/HB 989), water access facility funding and boating industry incentives (SB 1162/HB 735), Florida Virtual School operational changes (SB 1122), school readiness program support for children with disabilities (SB 1102), sexual image offenses involving minors (SB 1180/HB 757), age-related defenses in child sex offense cases (SB 1136/HB 777), tampering with electronic monitoring devices (SB 1054/HB 437), certified recovery residences and local zoning accommodations (SB 954), and the FSU Election Law Center (SB 892). Most of these bills passed with strong bipartisan support, though SB 984 and SB 140 drew some opposition. One of the most extensive debates centered on SB 820, codifying the Office of Faith and Community. Senator Polsky offered an amendment to bar political activity by office staff, citing emails and campaign-related communications tied to Amendment 4; the amendment failed on a 13-23 vote. Senators then debated the bill’s relationship to state election law, free speech, and the role of faith-based outreach. Supporters emphasized the office’s service network and reported benefits to children and families, while some senators raised concerns about interfaith representation and political use of government resources. The bill was then read a third time and the Senate proceeded toward a final vote as the transcript ended.

Transcript Highlights:

• Thousands of apprentices and journeymen are trained at our training centers every year.
• Thousands of apprentices and journeymen are trained at our training centers every year.
• Thousands of apprentices and journeymen are trained at our training centers every year.
• Thousands of apprentices and journeymen are trained at our training centers every year.
• Thousands of apprentices and journeymen are trained at our training centers every year.

Keywords: 1189, house, all

Transcript Highlights:

• You talked about the training and or education. Can you just repeat that?
• This is a proven program that has stood the test of time.
• The CalVet Home Loan Program exemplifies fiscal responsibility.
• Years, no one can ever create this program in the country.
• , which I would not call scraps, and other important programs.

Summary: The Assembly Committee on Military and Veteran Affairs heard several veteran-focused measures, with extensive testimony in support from veterans’ organizations and individual veterans. SB 888 would exclude VA service-connected disability compensation from household income calculations for the low-income disabled veterans’ property tax exemption, addressing a situation where disability benefits can disqualify veterans from tax relief. SB 1354 would prohibit military personnel from another state, territory, or district from entering California to perform military or law enforcement functions without the Governor’s express permission, while preserving Title X activity, training, and mutual aid arrangements. SB 623 would place the Veterans Bond Act of 2026 on the ballot to authorize a $1.25 billion general obligation bond for the CalVet Home Loan Program, which supporters said is nearing depletion of bond authority and remains a critical path to homeownership for veterans and military families. SB 1407 would increase the state income tax exclusion for military retirement pay and surviving spouse benefits to the first $40,000, subject to income caps, as a retention measure to keep military retirees in California. Supporters for the bills emphasized housing stability, affordability, retention of veterans in California, and the economic benefits of keeping military retirees and their income in the state. SB 888 and SB 623 drew broad support from veterans’ groups, county veterans service officers, and related organizations, with no opposition testimony. SB 1354 also received support from veterans’ advocates, while committee members sought clarification on training, mutual aid, and the bill’s scope, and the author agreed to work on amendments. SB 1407 drew strong support from veterans and military organizations, but also formal opposition from the California Tax Reform Association, which argued the state already provides generous veteran benefits and that the tax break would be unfair to other public servants. The committee voted to advance all four measures. SB 888 was approved and re-referred to Revenue and Taxation; SB 1354 was approved as amended and re-referred to Public Safety; SB 623 was approved as amended, given urgency, and re-referred to Housing and Community Development; and SB 1407 was approved and re-referred to Revenue and Taxation. The consent item, SCR 143, was adopted unanimously. After the initial votes, the committee later took add-on votes to confirm passage of SB 888 and SB 1354, and the meeting adjourned.

Transcript Highlights:

• leveraging every doctorate level trained leveraging every doctorate level trained provider<00:24
• <00:26:37.039> so I'm in my final year of the program so I'm in my final year of the program
• <00:27:41.679> to that pharmacists are already trained to that pharmacists are already trained
• participate in the 340b program participate in the 340b program everything<00:39:02.000> is
• <01:28:00.600> of know following that sort of train of know following that sort of train of

Keywords: 910, house, all

Summary: The committee heard several measures, beginning with SB 1046 SD1 on condominiums. Testimony on that bill focused on reserve funding and enforcement of reserve study requirements. The Community Associations Institute opposed the bill, saying it would create hardship, confusion, and be difficult to administer, while also urging stronger penalties for boards that fail to comply with reserve study rules. The Real Estate Commission offered comments, and one testifier spoke in support. No vote was taken during the portion provided. The committee then heard SB 532 SD2 HD1 relating to the Department of Education, which would improve access to pre-approved medications for students with health conditions at school and during off-campus activities. The Department of Health, University of Hawaiʻi nursing and medical programs, and the Department of Education all supported the measure, with DOH suggesting amendments to better identify the correct student and improve medication safety. Members had no questions, and the bill moved on. Next was SB 1245 SD2 HD1 relating to pharmacists, a bill to allow reimbursement for clinical services pharmacists are already trained and licensed to provide. The University of Hawaiʻi, Board of Pharmacy, Walgreens, Mikai Drugs, and the Hawaiʻi Pharmacists Association supported the bill, emphasizing improved access to care, recruitment and retention of pharmacists, and better chronic disease management. The Hawaiʻi Pharmacists Association also discussed proposed amendments to prevent plans from denying coverage or network participation when pharmacists meet credentialing requirements. Members questioned whether insurers would actually use pharmacists and how the bill would affect pay and contracting; no vote was taken in the excerpt. The committee also heard SB 1279 SD2 HD1, another pharmacists bill focused on telepharmacy and 340B-related issues. The Department of Corrections and Rehabilitation supported it, saying telehealth could reduce costs and avoid travel for audits, while the Board of Pharmacy opposed it. Lānaʻi representatives opposed the bill and asked for an exemption, arguing the island already has close in-person access to a resident pharmacist and clinics. The Hawaiʻi Primary Care Association supported the measure, citing large patient savings from 340B pricing, while Mikai Drugs opposed it, arguing that mail-order and telepharmacy are not necessary on some islands and can create delivery and medication-safety problems. Members asked questions about insurer participation, scope of practice, and whether the bill would meaningfully change reimbursement; the transcript ends before any final action or vote.

Transcript Highlights:

• I urge you to protect this program.
• Lastly, we all remember the program D.A.R.E., which was an incredibly successful program across the country
• Use Disorder Treatment and Recovery Act Loan Repayment Program, which is the STAR LRP program.
• They have to have training. They can't be trained on a pickup truck how to drive a dump truck.
• I mean, on any program. Whether, you know, whether it's a Medicare program, Medicaid program.

Keywords: opioid crisis, overdose, naloxone, drug trafficking, law enforcement, treatment, prevention, older adults, Medicaid expansion

Summary: The meeting convened to address the dire opioid crisis affecting communities nationwide, with a particular focus on the alarming rise of opioid use disorder among older adults. Key testimonies highlighted the critical need for a comprehensive approach that encompasses prevention, treatment, and strict law enforcement actions against drug traffickers. Sheriff Dennis Lima from Seminole County outlined successful strategies implemented in Florida, including increased access to naloxone and legislative changes to hold drug dealers accountable for overdoses. Various members expressed a united front on tackling this multifaceted issue, advocating for the expansion of Medicaid and better access to treatment as essential steps to curbing the epidemic.

Transcript Highlights:

• , allowing state special schools to offer work-based learning programs, and removing academic program
• Work-based learning programs, removing academic program references to work-based learning activities,
• The program to offer work-based learning activities.
• Districts want to expand youth apprenticeship programs.
• , not just within the narrow work experience education program.

Keywords: 988, house, all

Transcript Highlights:

• responsible for purchasing programming responsible for purchasing programming and<00:25:06.799><
• counties also serve as the training counties also serve as the training Authority<00:26:23.200><
• state we also expanded training state we also expanded training offerings<00:30:05.640> to
• our election security Navigator program our election security Navigator program and<00:30:48.080
• to those systems are properly trained to those systems are properly trained and<00:34:40.520>

Keywords: 1187, senate, all

Transcript Highlights:

• When I look that up, it says you would complete a commission-approved basic recruit training program.
• from that kind of training?
• Additionally, some of our kids may be in different habilitation programs.
• This allows for more local law enforcement to get properly trained in the subject.
• We put $10 million to employ different programs at the Chief Immigration Officer's division.

Transcript Highlights:

• . training. training.
• <01:21:17.360> That early literacy programming. That early literacy programming.
• This program pairs highly trained volunteers with underresourced community members who are struggling
• This program<01:44:25.920> pairs<01:44:26.639> highly<01:44:27.199> trained<01:44
• :27.600> volunteers program pairs highly trained volunteers program pairs highly trained volunteers

Keywords: 1187, senate, all

Transcript Highlights:

• <00:04:49.160> to and we have delivered programming to and we have delivered programming to
• <00:47:05.040> a essential community supports program a essential community supports program
• funding supports an existing program funding supports an existing program that<00:48:01.040>
• Is this a forecasted program? Kyle, yes, this is a forecasted program. Well, thank you, Mr. Chair.
• counties that are served by this program counties that are served by this program uh<01:30:20.480

Keywords: 1187, senate, all

Transcript Highlights:

• Regarding preparedness efforts and training, we trained all of our field staff back in the fall before
• Currently, we have over 60 of our field staff trained.
• Workforce development includes leveraging partnerships with APHIS to lead student training programs in
• Program. They've been doing that for 16 years.
• Colts, training dogs, taking care of cattle.

Keywords: 1184, house, all

Transcript Highlights:

• to continue to train doulas.
• There just aren't training slots to do it, and training slots take funding.
• And so we have 11 Moms Do Care programs across the state, and we have six First Steps Together programs
• And these are programs that specifically support parents that are in recovery or using substances.
• Programs that are subject to specific eligibility by substance to be able to support people.

Keywords: 995, all

Summary: The commission met to reopen its work for the year, with roll call and attendance confirmations followed by remarks from the co-chairs and members. Senator Liz Miranda stepped down as co-chair, citing multiple responsibilities and personal losses, and Senator Adam Gomez was welcomed as the new Senate co-chair. Gomez said he would listen and learn from commissioners and advocates, and both outgoing and incoming leaders emphasized continuing the commission’s work on maternal health, postpartum depression, and equity. Members discussed several current policy and implementation issues. The Department of Public Health reported a new regulation to implement the 2024 midwifery access law, including temporary licenses for licensed certified professional midwives. Commissioners also raised concerns about birthing hospital and inpatient obstetric unit closures, OB-GYN workforce shortages, reimbursement changes, and the need to expand midwifery, doula, and birth center capacity. Other topics included substance use and perinatal mental health supports, the limited $220,000 appropriation for community-based perinatal mental health organizations, and the need for stronger funding in the budget to implement the maternal health law. The commission also focused on future priorities and information sharing. Members suggested more presentations from clinicians, regulators, infant and early childhood mental health experts, and PSI of Massachusetts; greater attention to parent-child relational health and postpartum screening in pediatric settings; and possible commission action such as a letter to the governor on workforce and access issues. The group agreed that there was not enough time to plan a May event and instead would use the commission to publicize related events, including Black Maternal Health Week activities. Commissioners voted to create a biweekly digest for sharing updates, with urgent items to be sent by email, and then adjourned the meeting.

Transcript Highlights:

• As you know, I mentioned it's an expansive programming that we have with those 25 programs through the
• So that's the lowest that will go on this program in both programs really.
• Okay The GROW program balance.
• And again, these out-of-school time programs fund programs at schools, so before and after school programming
• A CTE pilot program created a seven-year CTE pilot program.

Keywords: 996, all

Transcript Highlights:

• Having worked with you on the original pilot program, I appreciate the expansion of the pilot program
• programs, that are going to pass, that students who finish these programs are going to be able to...
• These structured programs provide job shadowing, clinical and non-clinical training, and direct patient
• Imagine when our program directors walks up to some students and say, because our program was...
• Imagine when our program directors walks up to some students and say, because our program was put on

Summary: The committee took up a series of health and human services bills, beginning with CS/SB 1602, which would require emergency departments to have evidence-based pediatric care protocols, training, appropriate child-sized equipment and medications, a designated care coordinator, and participation in a pediatric readiness assessment. It was reported favorably. CS/SB 1224 followed, aligning Florida law with federal requirements so paramedics may administer controlled substances in the field under physician or nurse practitioner protocols; it also passed favorably after supportive testimony from fire chiefs. The committee then adopted a strike-all for SB 890, the Emily Adkins Family Protection Act, which addresses venous thromboembolism by creating a statewide registry, requiring screening and training in hospitals and long-term care settings, and adding assisted living facility response requirements. Assisted living representatives objected to the ALF provisions as unrealistic and potentially harmful, while supporters argued the bill would save lives; the bill was reported favorably. CS/SB 1182, requiring continuous glucose monitors to be covered as both durable medical equipment and a pharmacy benefit, also passed favorably with support from AARP. The committee next considered CS/SB 12, a claim bill for a child severely injured after a DCF home visit allegedly failed to meet standards, and it was reported favorably without opposition. CS/CS/SB 954, dealing with substance abuse treatment centers and recovery residences, drew substantial debate. The bill would limit local zoning restrictions on treatment facilities and allow larger recovery residences if staffing ratios are increased; a late-filed amendment reduced the maximum active patients from 500 to 300. Municipal and county representatives warned that the bill could override local reasonable-accommodation efforts and create institutional-scale facilities, while supporters said housing is essential to recovery and that clustering concerns are overstated. The committee ultimately reported the bill favorably. CS/SB 1050, expanding the developmental disabilities pilot program statewide and creating a statewide family care council, also passed after extensive testimony from families and advocates. Supporters emphasized the long waitlist and the need for more services, while some speakers opposed managed care and warned about provider shortages and loss of individualized supports. Later, CS/SB 614, requiring a public educational webpage about background screening clearinghouse and level two screening requirements, was reported favorably. CS/SB 1578, which would require coverage for mammograms and supplemental breast cancer screening in certain circumstances, was also reported favorably. CS/SB 1060 created a joint legislative oversight committee to review Medicaid operations and financing; members discussed the need for stronger oversight of large midyear spending adjustments, and the bill passed favorably. CS/SB 1240, a Department of Children and Families substance abuse and mental health bill, was amended to clarify Baker Act transfer timing and notification requirements after debate over whether facilities could hold patients too long; it was then reported favorably. Finally, Senator Harrell presented CS/SB 526, a major nursing education bill aimed at Florida’s low NCLEX passage rates. The bill would require nursing programs to use exit exams, remediation, reporting, and stricter oversight, and the strike-all would add graduate preceptorships for low-performing programs and temporary provisional licenses for graduates pending NCLEX passage. The transcript ended while that bill was still being explained, before final action was taken.

Transcript Highlights:

• Such programs typically cost more in the short term than a skilled nursing-based program, but if they
• Such programs typically cost more in the short term than a skilled nursing-based program, but if they
• Programs like ours cannot survive long term.
• One example is co-pay accumulator adjustment programs.
• And I'd like to highlight that our midwives lead a program called Curbside Care, a mobile health program

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.

Transcript Highlights:

• This bill relates to a small but very important program within the larger Medi-Cal program called the
• It's not just a program.
• Testifying in support today is Elena Chavez, program manager for Teach, which stands for Training and
• Testifying in support today is Elena Chavez, Program Manager for Teach, which stands for Training and
• My name is Alina Chavez, and I'm the program manager for Teach, which stands for Training in Early Abortion

Summary: The Assembly Health Committee met on March 25, 2025, with Chair Mia Bonta presiding and initially operating as a subcommittee until quorum was established. The committee heard several health-related bills, including AB 73 on creating a Black Mental Health Navigator certification, AB 499 on lowering the state reimbursement trigger for the Robert F. Kennedy Farm Workers Medical Plan, AB 843 on aligning California health insurance language-access rules with federal standards, AB 257 on a specialty care network using telehealth and virtual services for Medi-Cal and underserved communities, AB 64 on allowing diacritical marks on vital records, AB 315 on the Home and Community-Based Alternatives waiver, and AB 40 on clarifying that emergency services include reproductive health services such as abortion. Testimony generally emphasized disparities in access, culturally competent care, language access, rural provider shortages, and the importance of preserving or expanding programs that help vulnerable populations. Supporters included authors, state and local health organizations, advocacy groups, and affected individuals. AB 73 was backed as a way to address stigma, mistrust, and culturally competent mental health access for Black Californians. AB 499 was described as helping keep a self-insured farmworker health plan operational while maintaining a low-cost, labor-management model. AB 843 was supported as a way to prevent children and families from having to translate sensitive medical and insurance information and to protect limited-English-proficient Californians. AB 257 drew support as a demonstration project to improve specialty care access through California-based clinicians and virtual care, with examples of reduced wait times and costs. AB 64 received emotional testimony from the author, a child and his family, and others about the importance of accurately recording names with accents and other marks. AB 315 was presented as a cost-neutral or cost-saving way to expand home- and community-based care for medically fragile people, with strong support from disability, health, and provider groups. AB 40 drew support from reproductive health and medical organizations, while one opposition witness argued it could conflict with emergency care standards and overburden emergency departments. The committee took roll-call votes and advanced AB 499, AB 73, AB 843, AB 257, AB 64, AB 315, and AB 40 to Appropriations, with AB 40 receiving some no votes. The committee also adopted its 2025-26 rules and approved a consent calendar that included AB 225, AB 304, AB 403, AB 688, and AB 951. Several measures were initially placed on call and later lifted and recorded as passing out of committee before adjournment.