Transcript Highlights:

• </c> affect counties and providers? affect counties and providers?
• to 3400 providers from 2200 providers to 3400 providers with<01:07:36.480><c> licensed</c><01:07:36.960
• Another requirement for any provider before they start providing any services.
• </c> their providers, and now each provider their providers, and now each provider is<01:36:55.480><c
• </c> not everybody should be a provider. not everybody should be a provider.

Bills: HF1767, HF2068, HF4725, HF4637, HF4638

Keywords: human services, community support, integrated care, disability services, stakeholder consultation, homeless youth, grants, funding, Minnesota, mental health, substance use disorder, education, workforce development, licensure, direct care services, healthcare, long-term care, personal care assistants, employment support, medical assistance

Transcript Highlights:

• What providers are being paid the most in different intervals, or which providers have seen the largest
• Provided services may be an option.
• or nonprofit provider.
• Most of the providers are private providers.
• And when we talk about providers, they're not grantees; they're private. providers.

Bills: HF3043, HF2891

Keywords: public safety, illegal remunerations, healthcare fraud, grants, criminal penalties, state law, grants management, state employees training, certification, monitoring grants, accountability, grant fraud

Transcript Highlights:

• And what we do is provide technical assistance and trainings to providers who work with medical complexity
• For example, where there was a change in emerging topics on housing prices, a provider, a provider had
• They've been able to interact among providers and meet other providers from other programs and engage
• But what you're doing, the kind of training you're providing and supports you're providing, would be
• , engage with more providers.

Keywords: 995, all

Summary: The Permanent Commission on the Status of Persons with Disabilities equity subcommittee met, approved the prior minutes, and heard a presentation from the Massachusetts Department of Public Health’s Cater Center (Care Coordination Assistance, Training, Education, and Resources for Kids). Presenters Toria Haffey and Patty Loza explained that Cater provides training and technical assistance to MassHealth’s Cares for Kids providers serving children with medical complexity, with a focus on enhanced care coordination, family partnership, racial/cultural/linguistic equity, community resources, education systems, shared plans of care, and transition support. They described five e-learning modules, flexible one-on-one and group technical assistance, case review support, and informal virtual “cafes” for providers. They also noted the program has been operating for about two to three years and currently works with five hospital-based providers, including Boston Children’s, BMC, Tufts, NeighborHealth, and Baystate. Committee members asked about the number of families served, the relationship to MassHealth, and whether the model could be expanded beyond Boston-area providers. The presenters said Cater does not track enrollment numbers because that is handled by providers and MassHealth, and they agreed there is room to broaden reach and improve data collection. Members suggested connecting Cater with regional disability and case management networks, the Health Equity Compact, ACOs, and DDS-related contacts. Questions also focused on funding stability amid federal Medicaid cuts and workforce shortages in family engagement roles; Cater said the work remains a priority for MassHealth, though funding is a concern, and acknowledged staffing gaps, especially for family partners with lived experience. After the presentation, the committee discussed a NIH strategic plan for disability health research that had been circulated for future review. Because members had not yet read it, they agreed to place it on the agenda for the next meeting. The meeting then adjourned with no further business.

Transcript Highlights:

• This instrument provides relative to health insurance to provide for hearing aid coverage for certain
• provide for network adequacy, To provide non-discrimination provisions, to provide for network adequacy
• for definitions, to provide for applicability, and to provide for related matters.
• sanctions; to provide for definitions; and to provide for related matters.
• This substitute bill provides relative to pharmacy benefit managers, to provide for definitions, to provide

Keywords: 965, house, all

Transcript Highlights:

• This instrument provides relative to health insurance to provide for hearing aid coverage for certain
• drivers to provide for uninsured and underinsured motorist coverage and to provide for related matters
• for definitions, to provide for applicability, and to provide for related matters.
• sanctions; to provide for definitions; and to provide for related matters.
• This substitute bill provides relative to pharmacy benefit managers, to provide for definitions, to provide

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

Transcript Highlights:

• </c> exceptions a tool that provides exceptions a tool that provides providers<00:04:21.799><c> utilize
• services we provide.
• There was good provider input.
• There was good provider input.
• </c><00:47:27.760><c> access</c> providers to help provide strong access providers to help provide strong

Keywords: 1183, house

Transcript Highlights:

• It provides relative to vital record forms and fees for certified copies, to provide for commemorative
• It provides relative to vital record forms and fees for certified copies, to provide for commemorative
• of rules, to provide for a state plan amendment, to provide for an implementation date, and to provide
• We provide all services across the board. In Iota, I am the only provider.
• We provide all services across the board. In Iota, I am the only provider.

Summary: The committee met on April 1 and considered several health-related bills and one resolution. HB 933, by Rep. Charles Owen, would create commemorative birth certificates and adjust vital records fees; after adopting a technical amendment, the committee reported the bill favorably. HB 288, by Rep. Boyer, would require the term “miscarriage” to appear alongside “spontaneous abortion” in medical documentation and billing; after an amendment changed the bill from mandatory “shall” language to permissive “may,” the committee heard emotional testimony both in support and opposition and then reported the bill favorably as amended. HB 420, by Rep. Berault, would require criminal background checks and registry review for all DCFS employees, not just those with direct contact with children; it was reported favorably. The committee also voluntarily deferred HB 927 and HB 962. The committee then heard HB 971, by Rep. Stagney, which seeks to equalize Medicaid reimbursement rates for independent rural health clinics and hospital-owned provider-based clinics. Supporters, including clinic owners and practitioners, testified that independent clinics provide the same services under the same rules but receive far lower reimbursement, making it difficult to retain staff and avoid sale to hospital systems. The author said the bill is intended to prompt discussion and eventual parity without harming hospitals, and the committee reported the bill favorably. HB 815, by Rep. Carver, would allow federally insured financial institutions to receive death certificate information from vital records to reduce losses and help reconcile account issues after a death; credit union representatives supported the measure, and it was reported favorably. The committee also adopted HR 74, by Rep. Sterling, which urges the Department of Education and local school authorities to report on how schools accommodate students with seizure disorders. Sterling described personal experience with epilepsy and said the resolution is meant to gather data on implementation of existing seizure action plan law and identify gaps in access to rescue medication and training. Finally, the committee took up HB 915, by Rep. Dickerson, which would place Medicaid prior authorization and utilization management timelines into statute. After technical and substantive amendments, including changing some deadlines from five business days to seven calendar days, the bill drew support from providers and health groups concerned about delays in care, and the committee reported it favorably as amended. The committee also began consideration of HB 944, by Rep. Hilferty, creating a women’s consortium within LDH focused on menopause and related women’s health issues; technical amendments were adopted and testimony emphasized coordination of existing research and resources, but the transcript cuts off before final action on that bill.

Transcript Highlights:

• Provide service across settings.
• I mean, most of Our providers at our local hospital are traveling providers, okay?
• Mostly physical health providers, lab providers, and hospitals are part of the HIE.
• Now you have specialty providers who provide specialty pharmaceutical providers who deliver services
• , providing them the resources to do that, sometimes providing financing.

Transcript Highlights:

• dollars and backfill dollars to provide stability to all the Title X providers across the state.
• PACE providers in L.A.
• There's provider rate increases.
• of over 300 providers.
• be hitting the public providers.

Summary: The Assembly Budget Subcommittee on Health began with a hearing on the impacts of H.R. 1 on California health programs, focusing first on reproductive health state investments. HCAI outlined five state-funded reproductive health programs created after Dobbs, including uncompensated care, practical support, capital and clinical infrastructure, and workforce programs. Essential Access Health and Planned Parenthood testified that these funds have served hundreds of thousands of patients, but warned that the uncompensated care program is fully awarded and needs renewal, and that Title X and Medicaid-related federal uncertainty continues to threaten access. Members questioned who the uncompensated care program serves, why Medi-Cal covers a large share of abortions, and whether Planned Parenthood could expand prenatal services; public commenters urged continued support for reproductive health access. The committee then took up long-term care services and supports, starting with the HCBA and Assisted Living Waiver programs. DHCS reported large wait lists for both programs and said enrollment is limited by workforce and provider capacity, while LAO noted that increasing slots alone may not increase access without additional programmatic changes. Members pressed the department on whether more slots should be added given the lower cost of home- and community-based care compared with skilled nursing facilities, and public testimony argued that the wait lists should be reduced and that staffing concerns do not fully explain unused capacity. The committee also heard testimony on congregate living health facilities, where providers and a patient family described the homes as critical, lower-cost alternatives to nursing facilities for younger, medically complex people. Witnesses requested short-term bridge funding, while DHCS said it is proposing to transition CLFs into a managed care benefit by January 1, 2028, which would remove caps and expand access statewide. The final long-term care topic was PACE. DHCS explained that it has paused new PACE applications and service expansions for at least two years to reassess oversight capacity and develop a statewide strategic growth framework, while existing programs continue operating. CalPACE supported the pause as a planning measure but asked for four additional state nurse positions to reduce delays in level-of-care determinations and speed enrollment for frail older adults. Members shared personal stories about how PACE has helped family members and asked how the state will meet growing demand; DHCS said stakeholder engagement will begin later in the year and that some existing applications already in process will continue. Public commenters broadly supported PACE, HCBA, and CLF funding requests. The hearing then moved to the Department of Health Care Services’ 2026-27 Medi-Cal budget and related trailer bills. DHCS said Medi-Cal spending has grown due to coverage expansions, higher acuity, rising utilization, and especially pharmacy costs, and it described proposals to extend the current skilled nursing facility financing framework for one year while the state develops a new value-based payment strategy. LAO said most recent Medi-Cal spending growth has been driven more by higher per-enrollee costs than by caseload growth, with pharmacy spending growing especially quickly, and recommended better and more timely data to analyze the drivers. Members expressed concern about the rapid rise in Medi-Cal spending and asked for more detail on the largest cost increases.

Transcript Highlights:

• providers providers or other providers uncompensated<00:39:26.880><c> care</c><00:39:27.079><c> we</
• </c> not provide them they have to provide not provide them they have to provide them<01:17:21.040><c
• provider</c> in our uh provider in our uh provider newsletter<01:56:04.280><c> one</c><01:56:04.400><
• Providing this type of structure would provide us funding and oversight.
• Providing this type of structure would provide us funding and oversight.

Keywords: 1191, senate, all

Transcript Highlights:

• 00:38:22.359><c> sud</c> to a provider to um access sud to a provider to um access sud Assessment<00:
• Counties may provide services directly or contract with private entities to provide services, and they
• </c><01:11:06.239><c> and</c> investigations provider screening and investigations provider screening
• </c> care assistance program provider care assistance program provider investigations<01:11:19.560><c
• again providing uh conducting provider<01:11:35.040><c> screening</c><01:11:35.560><c> visits</c><01

Keywords: 1183, house

Transcript Highlights:

• an emergency, and providing an effective date. providing for conditions, limitations, and restrictions
• Providing for Idaho drug-free youth oversight; providing exemptions from program transfer limitations
• short title to provide a declaration of necessity, to define terms, to provide for a list of authorized
• to provide for state use of authorized payment stable coins and to provide for interstate coordination
• , providing severability, and declaring an emergency and providing an effective date.

Summary: The House began with roll call, prayer, the Pledge of Allegiance, and approval of the journal. Members also received communications including the designation of a substitute legislator and committee reports on pending and temporary administrative rules, with several rules approved and some recommended for rejection or exception. The Speaker outlined the day’s plan, noting the chamber would work through orders of business, suspend rules for selected bills, and likely finish for the day before returning the following week. A major floor debate centered on Senate Bill 1397, which would bring certain private sewer districts under Public Utilities Commission oversight for rates and related matters. Supporters argued the bill would protect private property owners in large private sewer districts from monopoly-like control, lack of recourse, and arbitrary rate or hookup decisions. Opponents argued sewer districts are already heavily regulated through DEQ and other requirements, that costs vary by system, and that the bill would expand government and create accountability problems. After debate, the House voted 18-51 with one pair recorded, and the bill failed to pass. The House then passed House Bill 952, the Secretary of State enhancement budget, which included funding for a voter pamphlet on constitutional amendments and initiatives and a 2% ongoing general fund reduction. It also passed Senate Bill 1426, the Idaho Transportation Department enhancement budget, and Senate Bill 1427, the Department of Lands enhancement budget. The chamber also introduced and referred several new bills, including measures on child care, taxation, abatement districts, homestead property tax relief, education, homeowners associations, and appropriations for Fish and Game, species/minerals/energy coordination, and corrections. Later, after recess, the House received additional Senate messages, introduced Senate bills on public health, stable coins, behavioral health, and water resources, and adjourned until Monday, March 30, 2026.

Transcript Highlights:

• Provider tax limitations: H.R. 1 does a few things related to provider taxes, such as our managed care
• equally to all providers.
• As enacted, this provision prohibits any provider tax that either imposes a lower tax rate on providers
• Provider taxes are essential to keeping hospitals, nursing homes, and other providers stable, as I've
• to be able to provide that care.

Summary: The joint informational hearing focused on the impacts of H.R. 1 on California’s Medi-Cal program and on community health effects from recent immigration enforcement actions. Committee leaders said H.R. 1 would sharply reduce federal funding, increase administrative burdens, and worsen access to care, especially for Medi-Cal enrollees, immigrant families, rural communities, and reproductive health patients. The second half of the hearing examined how ICE raids and related federal actions are creating fear, reducing clinic and emergency department use, and disrupting children’s access to schools and early childhood education. Department of Health Care Services Director Michelle Bass outlined the main H.R. 1 provisions affecting Medi-Cal: work requirements, semiannual eligibility redeterminations, shorter retroactive coverage, new cost-sharing, limits on provider taxes and state-directed payments, reduced federal support for emergency and lawful immigrant coverage, and a one-year ban on Medicaid funding for prohibited abortion providers. She estimated millions could lose coverage, with tens of billions of dollars in federal funding at risk. Planned Parenthood Affiliates of California warned the defunding provision could force clinic closures, service reductions, and loss of access to family planning, STI testing, and cancer screenings. The California Hospital Association said the financing changes could cut hospital revenue by tens of billions over 10 years and threaten access, especially for rural and safety-net hospitals. The Western Center on Law and Poverty argued the law would increase churn, paperwork, and uninsured rates, disproportionately harming working adults and people experiencing homelessness. Committee members asked about implementation timelines, notification systems, administrative costs, the effect on immigrant eligibility, and whether California could delay or mitigate some provisions. Bass said the state was still assessing federal guidance, planning county and provider outreach, and exploring a possible delay for work requirements and a transition period for provider-tax changes. Members also discussed how state budget actions may need to be revisited in light of H.R. 1, and how California might preserve access through state-only funding or other policy changes. In the second panel, CHIRLA, Los Angeles County Department of Health Services, and the Children’s Partnership described the health consequences of immigration enforcement. Speakers said raids and data-sharing fears are causing anxiety, trauma, and avoidance of care, with Los Angeles County reporting declines in emergency, urgent care, and clinic visits after enforcement actions. The Children’s Partnership said school and early childhood absences are rising in some communities and that enforcement is undermining children’s emotional well-being and access to education. Members asked for more data and discussed possible state protections, telehealth, mobile care, and legal and policy responses to reduce fear and preserve access to health and education services.

Transcript Highlights:

• If founding ideals provided the framework, frontier conditions provided the testing ground.
• for state use of authorized payment stable coins to provide require a certain report and provide for
• certain legislative authority to provide for state use of authorized payment stable coins to provide
• a short title to provide a short title to provide legislative findings and intent to define terms to
• providers for emergency services.

Keywords: 989, all

Transcript Highlights:

• House Bill 195 provides protections for physicians' personal assets, House Bill 195 provides protections
• You said it provides personal... No. You said it provides personal...
• Oh, that a provider, right, and now without this law, a provider has to provide the personal address?
• It's not so much that the providers are... Madam Chair: A provider in New Mexico.
• I'm curious: what data is provided now? You gave a list earlier of the data that was provided.

Bills: HB195, HB279, SB30, HB234, HB292, SB100, SB23, SB221, SB261, SB264

Keywords: medical malpractice, judgments, independent providers, insurance, personal assets, settlements, healthcare, healthcare privacy, electronic medical records, reproductive health, gender-affirming care, data protection, location tracking, confidentiality, SB30, induced abortion, abortion reporting, vital statistics, public health reporting, medical records

Summary: The committee first took up House Bill 195, which would protect the personal assets of certain health care providers from collection in medical malpractice judgments. Supporters said the bill would help recruit and retain physicians, especially in high-liability fields like obstetrics, while opponents argued broader malpractice reform should focus on insurance and legal representation. Members discussed whether the bill’s definition of “independent provider” matched existing law, and the committee adopted a friendly amendment to add osteopathic physician. HB 195 then passed on a 9-0 vote. The committee then heard House Bill 279, a health care privacy and safety measure for reproductive and gender-affirming care. The sponsor said it would strengthen protections for sensitive health information, limit geofencing around clinics, allow providers to keep personal addresses confidential, and remove provider names from medication abortion packaging. Supporters framed it as a privacy and safety bill; opponents said it would weaken parental access, create confusion for emergency physicians, and shield abortion access. After extensive questions about HIPAA, emergency care, and data collection, the bill passed 6-3. Senate Bill 30, which would repeal the requirement that induced abortions be reported to the state registrar, drew similar testimony. The sponsor and supporters argued the reporting requirement is outdated, medically unnecessary, and exposes providers to surveillance and possible out-of-state targeting; opponents said the data supports transparency and public health oversight. Members questioned what data would be lost and how the state currently uses the reports. SB 30 passed 6-3. The committee also heard House Bill 234 on fentanyl definitions, with law enforcement and business groups supporting clearer criminal penalties; members and the sponsor worked through possible amendment language to better align the bill with existing controlled-substance definitions, and the discussion was continued for a revised draft. Finally, House Bill 292, the New Mexico Prison Rape Elimination Act, received broad support from advocacy groups and passed the committee substitute 7-0.

Transcript Highlights:

• I've always heard state hospitals sort of provide good jobs, so to speak.
• We want to award providers that are going to provide safe services for individuals.
• Previously stated position, please only provide name or organization position.
• provided by school-affiliated behavioral health providers.
• We're also working closely with community-based providers across the state to provide technical assistance

Summary: The hearing opened with remarks from the chair and members about recent federal cuts to public health, mental health, family planning, and Title X funding, with strong concern about the impact on California programs and providers. The committee then turned to the Department of State Hospitals, which presented its 2025-26 budget proposal of $3.4 billion, including new positions, capital improvements, and funding tied to increased patient costs and incompetent-to-stand-trial services. DSH reported major progress in reducing the IST waitlist and wait times, said it had met the court’s 28-day treatment benchmark for those without extenuating circumstances, and described workforce recruitment and retention efforts such as residency programs, fellowships, outreach, and hiring streamlining. Members asked about future IST referral trends, SB 1323’s effect on diversion and community treatment, and workforce lessons in high-cost regions; public comment urged reconsideration of county IST growth cap methodology in light of new criminal justice initiatives. The committee next received an informational overview of Proposition 1 and its changes to behavioral health funding and governance. The Legislative Analyst’s Office explained that Prop. 1 restructured county MHSA funding buckets, expanded the Commission for Behavioral Health, shifted prevention and early intervention responsibilities, and authorized a $6.4 billion bond, including $4.4 billion for behavioral health facilities through BHCIP. DHCS said it had released guidance for county integrated plans and was receiving extensive public comment. Members focused on BHCIP application requirements, especially letters of support and tribal projects, and raised concerns about whether DHCS’s implementation matched statutory intent. DHCS said it had authority to set application requirements and that tribal entities were treated differently because of sovereignty and funding structure. DHCS then updated the committee on BHCIP, the Behavioral Health Bridge Housing Program, and related bond implementation. The department said BHCIP had awarded about $1.7 billion across five rounds, with more than 130 projects and 223 distinct facilities funded, and that it was preparing to award the new bond funds after receiving nearly $8 billion in applications. The LAO’s assessment found that more than half of awards served at least 80% Medi-Cal enrollees, but also raised concerns that the regional allocation model could reinforce inequities, that the program had not sufficiently addressed the highest-need regions such as the southern San Joaquin Valley, and that smaller counties and less launch-ready applicants faced barriers. For bridge housing, DHCS said more than $1.1 billion had been awarded, serving over 5,000 people and supporting more than 2,000 operational beds, but the Governor’s budget proposes to eliminate Round 4 funding as the administration weighs other statewide investments and Proposition 1 implementation workload. Public commenters and members urged more accountability, better regional equity, stronger labor and community involvement, and caution about funding for for-profit psychiatric facilities. Finally, the committee heard on the Children and Youth Behavioral Health Initiative. CalHHS and DHCS described CYBHI as a broad prevention- and equity-focused effort with more than 1,300 organizations funded, over $2.1 billion awarded, and multiple work streams spanning schools, community programs, workforce, and digital supports. DHCS highlighted school-based services, the fee schedule rollout, and digital platforms BrightLife Kids and Soluna, which it said are reaching users statewide and providing low-barrier access to coaching and support. Members and public commenters raised concerns about delays in school fee schedule implementation, the large share of funding going to digital tools, the need for more in-person services, and whether the initiative is sufficiently tracking outcomes and equity impacts. No formal votes were taken during the hearing.

Transcript Highlights:

• </c><00:19:44.960><c> provider</c> feedback from providers, from provider feedback from providers, from
• </c> provider location and concentration. provider location and concentration.
• , many of them who are legitimate providers providing legitimate services.
• providers providing who are legitimate providers providing legitimate<01:17:30.800><c> services.
• </c> confidence in the provider networks. confidence in the provider networks.

Bills: HF3378

Keywords: human services, Optum reports, data privacy, transparency, legislative oversight, 1183, house

Transcript Highlights:

• They provide services at all of those locations.
• We provide 24/7 nursing, primary care.
• I actually know an individual who provides...
• That hopefully provides some context. Okay, so, Mr.
• So if you could provide us more of that detail.

Summary: The committee heard an overview from the Office of the Inspector General and California Correctional Health Care Services on prison oversight, medical care, reentry, and related budget requests. The OIG requested $275,000 General Fund for two additional intake analysts, citing a sharp rise in complaints from 3,200 in 2022 to 7,860 in 2025 and explaining that the unit reviews and routes complaints, including PREA and staff misconduct allegations, within 30 days. Its medical inspection unit reported on cycle seven prison health inspections, noting generally adequate case-review performance but weak policy-compliance results, especially in medication management and health care environment indicators, and said it was beginning cycle eight with revised inspection methods. Members questioned the OIG about what kinds of complaints were driving the increase, whether the office tracks validity or systemic patterns, and how it distinguishes duplicative complaints from those already handled by CDCR. OIG said the largest categories were prison conditions and staff misconduct, that it does not determine whether complaints are “valid” in a statistical sense, and that it forwards issues to CDCR or other entities as appropriate. Senators also asked about the medical inspection findings, the remaining prisons not yet delegated back from federal receivership, and whether more detail should be provided in future reports. LAO and Department of Finance staff said they had no concerns with the OIG proposal. The committee then reviewed the correctional health care budget, including staffing, pharmacy, contract medical costs, and the state’s progress toward ending the Plata medical receivership. CDCR said it is trying to reduce vacancies through hiring events, social media outreach, new classifications, and more on-site care, while also using CalAIM to improve reentry services; CalAIM officials reported 89% Medi-Cal activation at release, 87% managed care assignment, 88% reentry care plans, and 59% warm handoffs, with about $14.7 million in reimbursements to date. Members pressed staff on the cost of receivership, the pace of delegation, whether more care could be consolidated into fewer facilities, and whether the state should seek more federal reimbursement or alternative staffing models. Finally, the committee discussed the new mental health receivership and a telemental health staffing proposal. The receiver’s office requested $33.9 million from the Mental Health Special Deposit Fund, including $8.2 million for the receiver’s office and $25.3 million to make court-ordered bonus payments permanent; CDCR also sought about $8.9 million for telemental health staffing, growing to $13 million ongoing. LAO recommended approving the action plan and portions of the telehealth request, but urged the Legislature to monitor progress, consider out-of-state recruitment and expanded telehealth, and avoid across-the-board salary increases; Finance cautioned that out-of-state licensure would require major statutory changes and that staffing-ratio changes would need receiver approval. Senators raised concerns about the high cost of receiverships, vacancy-driven fines, the need for more detailed benchmarks, and whether the state should consolidate mental health populations and better target recruitment to fill hard-to-staff positions.

Transcript Highlights:

• So, for providers to participate in the SR program, they must execute a provider contract with their
• And then ELCs must provide the provider or recipient, that would be the family or parent, due process
• We reimburse providers only for services actually delivered and do not provide prospective or advanced
• And then provider staff, as part of their provider contract, are of course required to participate in
• Remember, for SR we have 6,900 providers, and for VPK we have 6,300 providers.

Summary: The Pre-K through 12 Budget Subcommittee met with a quorum and first heard House Bill 731, which would address coach and extracurricular sponsor compensation and change how student-athlete transfer eligibility is determined. The bill would allow local school boards to adopt policies letting booster clubs or similar associations support coaches and activity sponsors, and it would let superintendents treat certain coaches and athletic leaders as administrative personnel for compensation purposes. It would also shift eligibility decisions for transferred student-athletes to the governing athletic association and require clearer bylaws and timelines for those determinations. Members raised questions about booster club oversight, pay equity, the new athletic administrator language, and safeguards against abuse or unequal treatment, while supporters argued the bill would help retain coaches and better support student athletics. The bill was debated and then reported favorably by roll call vote. The committee then received presentations from the Department of Education’s Division of Early Learning and the Florida Association of Early Learning Coalitions on school readiness fraud prevention and mitigation. Speakers explained that Florida’s school readiness program pays providers based on verified attendance rather than enrollment, requires daily parent sign-in/sign-out records, and uses multiple layers of oversight including coalition anti-fraud plans, annual audits, programmatic monitoring, DCF inspections, and referrals to state fraud investigators when needed. They emphasized that Florida delayed implementation of a federal rule that would have required prospective enrollment-based payments, and said the state’s current system makes fraud difficult. Members asked about military and grandparent guardianship situations, audit findings, and the number of fraud referrals; presenters said fraud cases are relatively limited and that the existing controls and public enforcement act as deterrents. The meeting ended after members thanked the presenters and the committee adjourned without further business.

Transcript Highlights:

• is provided through the internet.
• Through Live statewide community briefing, providers, access to affirming providers.
• provide care.
• The more you put to provider rate increases, you have the benefit then of providing provider rate increases
• can be provided at that rate.

Summary: The Assembly Budget Subcommittee on Health held a May Revision hearing covering several health-related budget proposals and broader concerns about the state’s budget structure. The Chair opened by praising some May Revision changes, such as added health IT funding, county administration support tied to Medi-Cal changes, a delay in Medi-Cal cuts for some lawfully present immigrants, and additional support for Covered California subsidies, while criticizing proposed increases in Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other reductions affecting counties, mobile crisis units, workforce incentives, and physician shortages. The Legislative Analyst’s Office said the state’s budget condition remains weak despite progress on the structural deficit, and the Department of Finance said the May Revision uses a mix of reductions, reforms, revenue proposals, and fund shifts to cut out-year deficits. The committee first heard Department of State Hospitals proposals, including adjustments to county bed billing authority, contract exemption language for online clinical/pharmacy subscriptions, reversion of unspent funds, a revised Metro Central Utility Plant replacement project, electronic health record implementation, and workforce development funded partly through Behavioral Health Services Act resources. DSH also described savings and realignments in incompetent-to-stand-trial and conditional release programs, including extending the independent placement panel program and shifting funds to support additional bed capacity and a mental health rehab center. Members asked about the use of BHSA funds for workforce programs, and the department said the proposal would replace General Fund support with BHSA reimbursements. The Emergency Medical Services Authority proposed funding for statewide behavioral health crisis response guidance and for enterprise system development, and the Department of Managed Health Care proposed modernization of its complaint system and claims-settlement data system to improve oversight and comply with AB 3275. The largest discussion centered on the administration’s BHSA spending plan under Proposition 1, including state-directed prevention, workforce, and other uses, plus General Fund offsets for existing programs. The LAO questioned whether some proposed offsets fit Proposition 1’s non-supplant and eligible-use requirements, while the administration argued the uses were consistent with the measure and that the state-directed share can be adjusted annually. The Commission for Behavioral Health’s proposals drew the most public and member concern. The administration proposed cutting the commission’s Innovation Partnership Fund from $20 million to $10 million and reducing the Community Advocacy Program by $6.7 million, while redirecting BHSA dollars to other state purposes and direct services. Commissioners, advocates, and several members argued the cuts would weaken community voice, reduce support for underserved populations, and disrupt grants already in process; they also objected to using BHSA funds to backfill General Fund commitments. Public commenters, including youth, disability, behavioral health, LGBTQ, tribal, veteran, immigrant, and community-based organization representatives, overwhelmingly opposed the cuts and urged preservation of prevention, advocacy, mobile crisis, and innovation funding. No votes or final actions were taken during the hearing.