Transcript Highlights:

• Just to be clear, Director, if it was a new facility and it was using taxable bonds, it'd be fine?
• it'd be fine yes okay thank<00:44:41.160> you<00:44:42.119> any<00:44:42.319> further
• There's no clear budget, no cap on assessment fees and fines, no financial transparency, no fiduciary
• There's no clear budget, no cap on assessment fees and fines, no financial transparency, no fiduciary
• <02:21:34.399> no<02:21:34.760> Financial and fines no Financial and fines no Financial

Keywords: 910, house, all

Transcript Highlights:

• Did your amendment close the loophole that will allow high school graduates to teach fine arts and possibly
• ... ...the AP classes that are associated with fine arts teaching college-level classes?
• At the loophole is you are... ...certified under fine arts, which it does for a fine arts AP history
• found out we had an extra 825 because the model was running wrong. 23 hours to 24 hours, and that's fine
• As previously stated, that would be something that is fine by the Department of Education. **Rep.

Bills: HJR 138, HB 42, HB 104, HB 129, HB 677, HB 426, HB 668, HB 1699, HB 2017, HB 2128, HB 2038, HB 3783, HB 3717, HB 2316, HB 3686, HB 2563, HB 3883, HB 4021, HB 2788, HB 2663, HB 3305, HB 3173, HB 3474, HB 1105, HB 3531, HB 3490, HB 3597, HB 1295, HB 3512, HB 3010, HB 3112, HB 4215, HB 3223, HB 3464, HB 3120, HB 4214, HB 4511, HB 3704, HB 4081, HB 4783, HB 4063, HB 2783, HB 4937, HB 5085, HB 2510, HB 3426, HB 4361, HB 1169, HB 2516, HB 2347, HB 4034, HB 4700, HB 3560, HB 5150, HB 3860, HB 3146, HB 3924, HCR 98, HCR 92, HB 1520, HB 1545, HB 5265, HB 1887, HB 1914, HB 2402, HB 2306, HB 2350, HB 3000, HB 3237, HB 3326, HB 3211, HB 1056, HB 2081, HB 2187, HB 3092, HB 3308, HB 3526, HB 3750, HB 4219, HB 4230, HB 4290, HB 5238, HB 4804, HB 4749, HB 245, HB 1465, HB 294, HB 793, HB 809, HB 3928, HB 334, HB 2037, HB 1973, HB 285, HB 4341, HB 1043, HB 1234, HB 1193, HB 1729, HB 2498, HB 1314, HB 1353, HB 3960, HB 3923, HB 2221, HB 2517, HB 2518, HB 2213, HB 5092, HB 3748, HB 5246, HB 4344, HB 1482, HB 4044, HB 2702, HB 4264, HB 2807, HB 2898, HB 3181, HB 3250, HB 2091, HB 2115, HB 2542, HB 2768, HB 3349, HB 4406, HB 1593, HB 1899, HB 3133, HB 3133, HB 4960, HB 3214, HB 2145, HB 1201, HB 5061, SB 29, SB 879, SB 65, SB 1745, SB 412, SB 412, SB 1746, SB 1238, SB 1341, SB 522, SB 1532, SB 1378, SB 1062, SB 2066, SB 1963, SB 2204, SB 1366, SB 2077, SB 1967, SB 1151, HB 1618, HB 2156, HB 2615, HB 2615, HB 2349, HB 1926, HB 569, HB 1762, HB 38, HJR 138, HB 42, HB 104, HB 104, HB 129, HB 677, HB 426, HB 668, HB 1699, HB 2017, HB 2128, HB 2038, HB 3783, HB 3717, HB 2316, HB 3686, HB 2563, HB 3883, HB 4021, HB 2788, HB 2663, HB 2663, HB 3305, HB 3173, HB 3474, HB 1105, HB 3531, HB 3531, HB 3490, HB 3490, HB 3597, HB 1295, HB 3512, HB 3010, HB 3112, HB 4215, HB 3223, HB 3223, HB 3464, HB 3120, HB 4214, HB 4511, HB 3704, HB 4081, HB 4783, HB 4063, HB 2783, HB 4937, HB 5085, HB 2510, HB 3426, HB 4361, HB 1169, HB 2516, HB 2347, HB 4034, HB 4700, HB 3560, HB 5150, HB 3860, HB 3146, HB 3924, HCR 98, HCR 92

Keywords: carbon tax, carbon emissions, greenhouse gas, climate policy, fuel tax, emissions tax, Texas Constitution, Article VIII, tax limitation, environmental tax, fossil fuels, energy policy, legislative taxing authority, ballot proposition, constitutional amendment, higher education, funding, financial allocation, state budget, Texas A&M University

Transcript Highlights:

• Some of those efforts include upgrades to building automation systems, automatic lights that turn off
• If you want to put it somewhere publicly where parents can access it, that's fine.

Bills: HJR138, HB42, HB 104, HB 129, HB677, HB426, HB668, HB1699, HB2017, HB2128, HB2038, HB3783, HB3717, HB2316, HB3686, HB2563, HB3883, HB4021, HB2788, HB2663, HB3305, HB3173, HB3474, HB 1105, HB3531, HB3490, HB3597, HB 1295, HB3512, HB3010, HB3112, HB4215, HB3223, HB3464, HB3120, HB4214, HB4511, HB3704, HB4081, HB4783, HB4063, HB2783, HB4937, HB5085, HB2510, HB3426, HB4361, HB 1169, HB2516, HB2347, HB4034, HB4700, HB3560, HB5150, HB3860, HB3146, HB3924, HCR98, HCR92, HB1520, HB1545, HB5265, HB1887, HB1914, HB2402, HB2306, HB2350, HB3000, HB3237, HB3326, HB3211, HB 1056, HB2081, HB2187, HB3092, HB3308, HB3526, HB3750, HB4219, HB4230, HB4290, HB5238, HB4804, HB4749, HB245, HB1465, HB294, HB793, HB809, HB3928, HB334, HB2037, HB1973, HB285, HB4341, HB 1043, HB 1234, HB 1193, HB1729, HB2498, HB1314, HB1353, HB3960, HB3923, HB2221, HB2517, HB2518, HB2213, HB5092, HB3748, HB5246, HB4344, HB1482, HB4044, HB2702, HB4264, HB2807, HB2898, HB3181, HB3250, HB2091, HB2115, HB2542, HB2768, HB3349, HB4406, HB1593, HB1899, HB3133, HB3133, HB4960, HB3214, HB2145, HB 1201, HB5061, SB29, SB879, SB65, SB1745, SB412, SB412, SB1746, SB1238, SB1341, SB522, SB1532, SB1378, SB1062, SB2066, SB1963, SB2204, SB1366, SB2077, SB1967, SB1151, HB1618, HB2156, HB2615, HB2615, HB2349, HB1926, HB569, HB1762, HB38, HJR138, HB42, HB 104, HB 104, HB 129, HB677, HB426, HB668, HB1699, HB2017, HB2128, HB2038, HB3783, HB3717, HB2316, HB3686, HB2563, HB3883, HB4021, HB2788, HB2663, HB2663, HB3305, HB3173, HB3474, HB 1105, HB3531, HB3531, HB3490, HB3490, HB3597, HB 1295, HB3512, HB3010, HB3112, HB4215, HB3223, HB3223, HB3464, HB3120, HB4214, HB4511, HB3704, HB4081, HB4783, HB4063, HB2783, HB4937, HB5085, HB2510, HB3426, HB4361, HB 1169, HB2516, HB2347, HB4034, HB4700, HB3560, HB5150, HB3860, HB3146, HB3924, HCR98, HCR92

Keywords: carbon tax, carbon emissions, greenhouse gas, climate policy, fuel tax, emissions tax, Texas Constitution, Article VIII, tax limitation, environmental tax, fossil fuels, energy policy, legislative taxing authority, ballot proposition, constitutional amendment, higher education, funding, financial allocation, state budget, Texas A&M University

Transcript Highlights:

• That's fine.
• That's fine. You can get a... Three. That's fine.
• That's fine. And they get a vote. So, where's the consistency in the numbers making sense?
• We spent a lot of time on that with some other fine lawyers from other places as well.

Bills: HB 1520, HB 1545, HJR 110, HJR 203, HB 245, HB 1465, HB 1482, HB 294, HB 793, HB 809, HB 3928, HB 334, HB 2037, HB 1973, HB 285, HB 4341, HB 4264, HB 1043, HB 837, HB 1234, HB 1193, HB 1194, HB 1646, HB 1729, HB 2498, HB 1314, HB 2295, HB 1353, HB 1531, HB 1988, HB 5398, HB 3960, HB 3923, HB 1407, HB 1764, HB 2221, HB 2214, HB 2517, HB 2518, HB 2213, HB 5008, HB 5092, HB 3421, HB 3663, HB 3748, HB 3800, HB 3756, HB 2613, HB 3782, HB 5246, HB 4344, HB 4044, HB 4066, HB 2702, HB 2807, HB 2869, HB 2898, HB 3181, HB 3250, HB 4153, HB 2091, HB 2115, HB 2542, HB 2768, HB 3349, HB 3352, HB 4406, HB 1593, HB 1899, HB 3133, HB 4432, HB 4960, HB 3214, HB 3915, HB 3508, HB 2145, SB 304, SB 608, SB 2312, SB 494, SB 530, HB 45, HB 2520, HB 35, HB 47, HB 318, HB 349, HB 554, HB 1359, HB 1373, HB 2254, HB 2259, HB 2853, HB 3073, HB 3088, HB 353, HB 355, HB 786, HB 762, HB 705, HB 932, HB 849, HB 1119, HB 3041, HB 713, HB 3104, HB 3970, HB 4042, HB 4490, HB 1731, HB 2607, HB 3689, HB 1788, HB 1612, HB 138, HB 15, HB 1971, HB 1338, HB 2989, HB 267, HB 1201, HB 2954, HB 5265, HB 1804, HB 5061, HB 1520, HB 1545, HJR 110, HJR 203, HB 1887, HB 1914, HB 2402, HB 2306, HB 1809, HB 2350, HB 3000, HB 3237, HB 3326, HB 3211, HB 1056, HB 2081, HB 2187, HB 3092, HB 3308, HB 3526, HB 3750, HB 3527, HB 4219, HB 4230, HB 4290, HB 5238, HB 4804, HB 4749, HB 245, HB 1465, HB 1482, HB 294, HB 793, HB 809, HB 3928, HB 334, HB 2037, HB 1973, HB 285, HB 4341, HB 4264, HB 1043, HB 837, HB 1234, HB 1193, HB 1194, HB 1646, HB 1729, HB 2498, HB 1314, HB 2295, HB 1353, HB 1531, HB 1988, HB 5398, HB 3960, HB 3923, HB 1407, HB 1764, HB 2221, HB 2214, HB 2517, HB 2518, HB 2213, HB 5008, HB 5092, HB 3421, HB 3663, HB 3748, HB 3800, HB 3756, HB 2613, HB 3782, HB 5246, HB 4344, HB 4044, HB 4066, HB 2702, HB 2807, HB 2869, HB 2898, HB 3181, HB 3250, HB 4153, HB 2091, HB 2115, HB 2542, HB 2768, HB 3349, HB 3352, HB 4406, HB 1593, HB 1899, HB 3133, HB 4432, HB 4960, HB 3214, HB 3915, HB 3508, HB 2145, HCR 6, HCR 12, HCR 34, HCR 50, HCR 55, HCR 58, HCR 70, HCR 71, HCR 72, HCR 74, HCR 75, HCR 78, HCR 80, HCR 93, HCR 100, HCR 107, HCR 116, HCR 117, HCR 90

Keywords: Angelina and Neches River Authority, river authority, Sunset Advisory Commission, Texas Sunset Act, Special District Local Laws Code, local government, natural resources, board of directors, director training, board governance, public testimony, open meetings, public information, conflict of interest, ethics, complaint system, general manager, board president, staggered terms, removal of director

Transcript Highlights:

• don't want them there, but the owners of that second private property say they're— they're perfectly fine
• Shelby Davenport, a proud Texan who has a rare disability that impacts her ability to walk and use fine
• Members, this amendment brings the fine from $10,000 back to $4,000, which is the current law for. any

Bills: HB1520, HB1545, HJR110, HJR203, HB245, HB1465, HB1482, HB294, HB793, HB809, HB3928, HB334, HB2037, HB1973, HB285, HB4341, HB4264, HB 1043, HB837, HB 1234, HB 1193, HB 1194, HB1646, HB1729, HB2498, HB1314, HB2295, HB1353, HB1531, HB1988, HB5398, HB3960, HB3923, HB1407, HB1764, HB2221, HB2214, HB2517, HB2518, HB2213, HB5008, HB5092, HB3421, HB3663, HB3748, HB3800, HB3756, HB2613, HB3782, HB5246, HB4344, HB4044, HB4066, HB2702, HB2807, HB2869, HB2898, HB3181, HB3250, HB4153, HB2091, HB2115, HB2542, HB2768, HB3349, HB3352, HB4406, HB1593, HB1899, HB3133, HB4432, HB4960, HB3214, HB3915, HB3508, HB2145, SB304, SB608, SB2312, SB494, SB530, HB45, HB2520, HB35, HB47, HB318, HB349, HB554, HB1359, HB1373, HB2254, HB2259, HB2853, HB3073, HB3088, HB353, HB355, HB786, HB762, HB705, HB932, HB849, HB 1119, HB3041, HB713, HB3104, HB3970, HB4042, HB4490, HB1731, HB2607, HB3689, HB1788, HB1612, HB138, HB15, HB1971, HB1338, HB2989, HB267, HB 1201, HB2954, HB5265, HB1804, HB5061, HB1520, HB1545, HJR110, HJR203, HB1887, HB1914, HB2402, HB2306, HB1809, HB2350, HB3000, HB3237, HB3326, HB3211, HB 1056, HB2081, HB2187, HB3092, HB3308, HB3526, HB3750, HB3527, HB4219, HB4230, HB4290, HB5238, HB4804, HB4749, HB245, HB1465, HB1482, HB294, HB793, HB809, HB3928, HB334, HB2037, HB1973, HB285, HB4341, HB4264, HB 1043, HB837, HB 1234, HB 1193, HB 1194, HB1646, HB1729, HB2498, HB1314, HB2295, HB1353, HB1531, HB1988, HB5398, HB3960, HB3923, HB1407, HB1764, HB2221, HB2214, HB2517, HB2518, HB2213, HB5008, HB5092, HB3421, HB3663, HB3748, HB3800, HB3756, HB2613, HB3782, HB5246, HB4344, HB4044, HB4066, HB2702, HB2807, HB2869, HB2898, HB3181, HB3250, HB4153, HB2091, HB2115, HB2542, HB2768, HB3349, HB3352, HB4406, HB1593, HB1899, HB3133, HB4432, HB4960, HB3214, HB3915, HB3508, HB2145, HCR6, HCR12, HCR34, HCR50, HCR55, HCR58, HCR70, HCR71, HCR72, HCR74, HCR75, HCR78, HCR80, HCR93, HCR100, HCR107, HCR116, HCR117, HCR90

Keywords: Angelina and Neches River Authority, river authority, Sunset Advisory Commission, Texas Sunset Act, Special District Local Laws Code, local government, natural resources, board of directors, director training, board governance, public testimony, open meetings, public information, conflict of interest, ethics, complaint system, general manager, board president, staggered terms, removal of director

Transcript Highlights:

• I think that would work, and if it seems more clear to the committee, that's fine.
• energy for resale solely by the use' would work, and if it seems more clear to the committee, that's fine
• Um, and trying to fine-tune something is presenting other questions that have come up.
• because when a new customer signs up for power supply or, you know, distribution service, they automatically
• go into the utility automatically go into the utility default<05:26:41.120> service.

Keywords: 1189, house, all

Transcript Highlights:

• I did speak with Miss Severson, so if you want to go through it, that's fine.
• You can also ask her to walk through it if you prefer, but we're fine with you walking through it.
• I did speak with Miss Severson, so if you want to go through it, that's fine.
• You can also ask her to walk through it if you prefer, but we're fine with you walking through it.
• it that's fine you can also<00:13:04.120> ask<00:13:04.360> her<00:13:04.680> to

Keywords: 1187, senate, all

Transcript Highlights:

• That's fine.
• That's fine.
• That's fine.
• That's fine.
• a $300,000 fine.

Keywords: 1189, house, all

Transcript Highlights:

• Uh, she paid a hefty fine. Um, it had nothing to do with a patient safety issue.
• Paid the fine. She, um, you know, did the requirements of the board.
• Paid the fine. She, you know, did the requirements of the board.
• So, it's not automatic.
• So, it's not automatic.

Keywords: 1189, house, all

Transcript Highlights:

• authority to seize illegal fireworks, authority that remarkably they did not have, and it increases fines
• And we think that the bill strikes a fine balance and maintains this ability for small businesses to
• And we think that the bill strikes a fine balance and maintains this ability for small businesses to
• Or once the county declares it abandoned, it's automatically someone else's responsibility—the cemetery

Summary: The committee heard a long agenda of local government and housing-related bills, with testimony often centered on regional coordination, permitting reform, and local control. SB 802 by Senator Ashby would require Sacramento-area jurisdictions to form a joint powers authority to coordinate homelessness and housing response; supporters argued the region has long lacked accountability and coordination, while Sacramento County, Folsom, and others opposed the mandate as an unprecedented state-imposed JPA. The bill drew extensive support from local officials, business groups, service providers, and advocates, and opposition from county, city, and nonprofit representatives who said a local process was already underway. Committee members expressed support for the concept, but the bill was held pending a quorum and later discussed again with strong encouragement for regional collaboration. The committee also heard SB 222, SB 677, SB 908, SB 226, SB 828, and SB 1193. SB 222 would streamline permitting for residential heat pump and water heater installations; supporters said it would lower costs and speed clean-energy adoption, while local government groups argued the main barrier is upfront cost, not permits. SB 677 would curb what the author described as abusive appeals and delays in affordable housing approvals, with developers testifying about frivolous subdivision map appeals and TEFRA hearing delays; the California Native Plant Society sought an amendment to preserve appeals on habitat lands. SB 908 would simplify permits for energy-code-compliant window replacements, and SB 226 would clarify financing authority for a West Sacramento baseball stadium proposal; both passed unanimously. SB 828, prompted by the Esparto fireworks warehouse explosion, would tighten fireworks storage and licensing rules, expand inspection and seizure authority, and increase fines; it also passed unanimously after testimony from fire officials and a pyrotechnic operator who opposed it unless amended. SB 1193, a county-specific Alameda County transparency bill, generated the sharpest debate. The author argued it would prevent waste, favoritism, and conflicts of interest in discretionary spending by requiring board approval, a public spending log, and clearer whistleblower procedures. Alameda County and county associations opposed it as overly broad and burdensome, saying existing processes already provide transparency and that the bill would reduce flexibility during fiscal stress. After committee questions about the bill’s purpose and the county’s current practices, the measure passed 7-0, with the author indicating willingness to accept an amendment restoring a four-fifths vote threshold. The committee then moved out of order to SB 1090, which would impose a temporary moratorium on state housing density laws in Altadena through 2030 in response to post-fire displacement concerns. The author said the bill is intended to protect long-term residents from investor-driven redevelopment after the Eaton Fire, while acknowledging amendments to align the moratorium with affordable housing development timelines. The transcript cuts off during the presentation of this bill, so no final action is shown for SB 1090 in the excerpt.

Transcript Highlights:

• These bills would replace criminal penalties with connections to resources, automatically expunge past
• David Higgins and Dan Moss, and I think they're online, but they'll be followed by Samantha Fine, who
• Samantha Fine, followed by Orlando Rivera virtually, and then Taylor McAndrew. Thank you.
• Dear Chair Velis, Chair Domb, and members of the Joint Committee: My name is Samantha Fine, and I'm a

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use, and Recovery held a public hearing on several harm reduction bills, including measures to decriminalize simple possession and paraphernalia, authorize overdose prevention centers, and expand access to naloxone for first responders. Chair Mindy Domb and Senator John Velis opened by describing harm reduction as an evidence-based public health strategy and noting Massachusetts’ recent decline in fatal overdoses. They emphasized that testimony would help shape whether and how the bills advance, and explained the hearing process, including time limits and written testimony. Testimony was sharply divided. Supporters, including Rep. Kate Donaghue, Sen. Cindy Friedman, Rep. Marjorie Decker, Rep. Manny Cruz, public health professionals, recovery advocates, and people with lived experience, argued that harm reduction saves lives, reduces stigma, and can connect people to treatment. They supported overdose prevention centers and decriminalization as tools to keep people alive long enough to enter recovery, and several speakers described personal losses to overdose or family experiences with addiction. Some supporters also framed the bills as racial justice measures, arguing that criminal penalties for possession have disproportionately harmed Black and brown communities. Opponents, including Sen. Nick Collins and several South End residents, argued that overdose prevention centers and decriminalization would worsen public drug use, crime, and neighborhood disorder, especially around Mass and Cass. They said current approaches such as Section 35, diversion, and police leverage into treatment are more effective, and they urged more treatment beds and recovery facilities instead of harm reduction sites. Committee members questioned witnesses about research, local siting, crime data, and the relationship between harm reduction and treatment, and several members said neighborhood impacts must be considered alongside overdose prevention. The committee did not take a vote during the hearing; it continued receiving testimony and announced a later break before resuming on H. 2196 and S. 1393.

Transcript Highlights:

• no-reclose position, where if we get a fault in our transmission line, the system just doesn't automatically
• Yeah, mine's fine. While he's testing, I need to ask all the sidebar. Conversations.
• Oh, they have Ben's slides show up, so maybe he should go next That's fine.
• This is something we need to fix statutorily, and so if you don't have the specific answer, that's fine

Transcript Highlights:

• There is no automatic increase to the container deposit in this bill.
• They took out a $10,000 fine per violation because they decided, and we concurred, that the Consumer
• <01:24:22.040> out<01:24:22.200> a<01:24:22.240> $10,000<01:24:23.240> fine
• <01:24:23.600> per They took out a $10,000 fine per They took out a $10,000 fine per violation

Keywords: 927, senate, all

Transcript Highlights:

• An ex officio member of any board or governing body is someone who joins the board automatically because
• I think the law as it currently is is fine.
• c><01:37:04.320> currently<01:37:04.639> is<01:37:04.880> is<01:37:05.199> fine
• <01:37:05.520> I<01:37:05.760> also law as it currently is is fine.
• I also law as it currently is is fine.

Keywords: 1191, senate, all

Transcript Highlights:

• I'm just wondering with that eight-month qualifier, wouldn't that automatically mean we wouldn't have
• I'm fine with the idea of going with $3 million of market value.
• <01:20:52.880> I<01:20:53.040> I'm<01:20:53.360> fine<01:20:53.600> with<
• I I'm fine with >> Thank you, Mr. Chairman.
• I I'm fine with the<01:20:54.000> idea<01:20:54.159> of<01:20:54.320> going<01:20

Bills: HB0045

Keywords: property tax, exemption, homeowners, long-term, aged, 916, all

Transcript Highlights:

• I think my understanding is that if you're on an entitlement benefit program, they're automatically in
• Email is fine. Okay. I'll do that. To Beth. Okay. I will do that.

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's fine. If you want to...
• I'm automatically a no on this amendment. Are you ready for the question? Senator from Washington.

Keywords: 927, senate, all

Transcript Highlights:

• And then, I'm fine. ...to oppose all the IHSS proposed cuts. Thank you for your recommendations.
• be remiss if I did not thank CDSS for recognizing the need for those affected by the fires and automatically

Summary: The Assembly Budget Subcommittee on Human Services held a hearing on the Governor’s May Revision, with no votes taken. The first major topic was child care and early education, where the Department of Social Services and Department of Finance outlined proposed changes to absorb federal Child Care and Development Fund and Proposition 64 revenue reductions, shift some funding between child care programs, end funding for prospective pay implementation now that the federal requirement has been rescinded, adjust the alternative payment administration structure, and fund child care infrastructure grants and a Low-Income Investment Fund contract closeout. The Legislative Analyst’s Office said the budget makes progress on the structural deficit but recommended maintaining the administration’s solution level, making reserve deposits, and avoiding new ongoing commitments; it also raised concerns about shifting reductions to the California Alternative Payment Program and about the proposed administrative-rate change. Committee members strongly criticized the proposed loss of child care slots and said they would oppose eliminating those slots, while also expressing support for child care as essential infrastructure. The committee then reviewed California State Preschool Program proposals. Finance and CDE described reductions to the preschool COLA from 2.41% to 2.01%, removal of prospective pay funding, and increases for the QRIS block grant, audit support, and rate reform implementation. Trailer bill language would codify age-based rate categories, inclusion-rate documentation, family fee collection rules, portability, and excused absences. CDE supported the QRIS increase and some attendance and family-fee changes, but warned that aligning three- and four-year-old rates could reduce support for three-year-olds and that the budget does not fully cover enrollment growth. Members also questioned whether the preschool and child care slot reductions should be reallocated rather than terminated, and the administration said the reductions were intended to reflect current utilization and avoid harm to currently enrolled families. The hearing then moved to CalFresh and nutrition programs. CDSS said the May Revision includes a one-time CalFood augmentation, funding to cover federal SNAP administrative cost-share pressures, and additional staffing and technical assistance to implement HR 1 changes, including the able-bodied adults without dependents time limit and new non-citizen eligibility rules. The department estimated HR 1 could cut CalFresh funding by $2.3 billion to $3.7 billion annually and affect about 500,000 people, with roughly 806,000 adults potentially subject to the time limit and about 34,000 non-citizens expected to lose eligibility once fully implemented. Members pressed for stronger harm mitigation, including a $98 million backfill to protect families from losing food benefits, and raised concerns about county workload and the “chilling effect” on immigrant participation. The final portion of the transcript began the IHSS presentation, noting a revised budget of $33.7 billion total funds and $12.8 billion General Fund, with proposed reductions tied to Medi-Cal asset-limit changes and other federal conformity items.

Transcript Highlights:

• which would, I think, ultimately lead to a raise in the fee, and I didn't realize, but yes, it automatically
• is an hour and a half to two hours in the life of Yurok and living on the Klamath River, and that's fine

Keywords: 988, house, all

Transcript Highlights:

• which would, I think, ultimately lead to a raise in the fee, and I didn't realize, but yes, it automatically
• is an hour and a half to two hours in the life of Yurok and living on the Klamath River, and that's fine

Summary: The joint Assembly Health and Select Committee on Native American Affairs held an oversight hearing on AB 988, California’s 988 crisis line and mobile crisis response system, followed by a discussion of suicide prevention and intervention in California Indian communities. Members and witnesses repeatedly emphasized that AB 988 was intended to create a true alternative to 911 for behavioral health crises, with “someone to call, someone to come, and somewhere to go,” and that Native communities continue to face disproportionately high suicide rates and barriers to culturally responsive care. The first panel of call center and stakeholder witnesses largely argued that implementation is falling short of the law’s intent. They said 988 call centers are underfunded, text/chat answer rates remain far below call answer rates, staffing is strained, and the system still lacks meaningful statewide interoperability between 988 and 911. Several witnesses said mobile crisis teams are not being dispatched through 988 as envisioned, and that funding formulas and governance are too opaque. San Joaquin County was presented as a local success story, with integrated 988, access lines, and mobile crisis handoffs that have reduced reliance on emergency departments and involuntary holds. Witnesses also discussed the need for better tribal outreach, the role of CCBHCs, and the importance of culturally competent services. State officials from CalHHS and DHCS described the five-year 988 implementation plan, the current governance structure across multiple agencies, and efforts to support training, public awareness, and referral tools. They reported growth in 988 contacts, ongoing training with the Trevor Project, a statewide resource directory, and a tribal awareness campaign. DHCS also outlined proposed trailer bill language that would create a formal designation process for 988 centers, set statewide standards, and require existing centers to obtain designation by 2029. Officials said current funding includes SAMHSA grants, block grant dollars, and an expected $67.3 million from the 988 fund in the next budget year, with a large share earmarked for Medi-Cal mobile crisis services. No formal vote or committee action was taken in the portion of the hearing provided.