Transcript Highlights:

• um access to audio only teleaalth teleaalth teleaalth services.<00:05:42.919><c> Um</c><00:05:43.919>
• services to include kinship-related services.
• services to include kinship-related services.
• Extending access to audio-only telehealth, this investment ensures ongoing access to mental health services
• services ongoing access to mental health services as<00:59:29.920><c> well</c><00:59:30.000><c> as</c

Keywords: 1187, senate, all

Transcript Highlights:

• It allows a person who was providing earned wage access services to continue to provide such services
• access to a service.
• Yeah, yeah, we don't have any access to any unique data that isn't available to any other financial services
• We don't have any access to any unique data that isn't available to any other financial services company
• financial services that provide the hardworking people of Arizona with quick and convenient access to

Summary: The House Commerce Committee heard House Bill 2181, which would extend the deadline for funeral establishments or responsible individuals to complete and submit death certificates. The committee adopted an amendment reducing the maximum extension to 14 days and clarifying that the medical certification deadline for health care providers excludes weekends and holidays. Testimony from a mortuary owner and the sponsor described delays caused by doctors’ schedules, county processing, holidays, and families needing more time; some members argued the bill did not address the underlying accountability problems for doctors and counties, while others supported the added flexibility. HB 2181 was approved 6-4-1 with a due pass recommendation. The committee then heard House Bill 2682, which creates a DES rental assistance program providing up to two months or $5,000 in aid and appropriates $5 million from the general fund for administration. Supporters said the bill would help families facing short-term crises stay housed, reduce evictions, and serve as a preventive measure that could save money downstream; a constituent testified in Spanish about receiving emergency rental help after falling behind. Some members raised concerns about the program’s cost, the limited target population, and whether seniors should be included, while others supported it as a pilot and asked for possible amendments. HB 2682 passed 7-4. House Bill 2698, which creates a rental assistance study committee to evaluate the effectiveness of such programs and repeals the committee in 2028, was heard next and passed on a 7-4 vote. The committee then considered House Bill 2476, revising CPA certification and reciprocity requirements by creating multiple pathways to licensure and updating related rules and fees. Supporters said the bill would help address a CPA workforce shortage and align Arizona with other states; after questions about whether the bill made licensure harder or easier, the committee unanimously approved HB 2476, 11-0. Finally, the committee began House Bill 2308, which would bar dental insurers and certain holding companies from owning dental practices. The sponsor and Arizona Dental Association argued the bill would prevent conflicts of interest and preserve separation between payers and providers, while Delta Dental opposed the measure as overbroad and potentially burdensome for nonprofit insurers and investors. After discussion about private equity, nonprofit charity care, and vertical integration, the bill was approved 8-0 with three members present. The committee then started House Bill 2118 on mobile food vendors, with the sponsor and food truck operators arguing it would streamline duplicate local permitting, while cities and some vendors opposed it as a loss of local oversight and control; testimony continued, but no final action on HB 2118 appears in the excerpt.

Transcript Highlights:

• They did not have access to a dentist.
• access to those living in hard-to-reach areas.
• But at the end of the day, this is about access to care, providing quality access to care.
• Providing quality access to care.
• We need access to care to poor Floridians. This is a way to do it.

Summary: The Health Professions and Programs Subcommittee heard and advanced three bills. HB 21 would create a new licensed profession of dental therapy under the Department of Health and Board of Dentistry, allowing trained dental therapists to provide a limited scope of care under a supervising Florida-licensed dentist through a collaborative management agreement. Sponsor Rep. Cheney argued the bill would help address severe dental shortages and improve access in underserved areas; opponents from the Florida Dental Association and oral surgery groups warned that the bill would allow irreversible procedures by less-educated providers and could compromise patient safety. Supporters, including dentists, hygienists, and community health center leaders, said dental therapists would expand access and free dentists to handle more complex care. An amendment was adopted to require proof of local anesthesia training, adverse-incident reporting, and updated background screening language. The bill was reported favorably as amended by a 14-1 vote. The committee then considered HB 27, which creates the Social Work Licensure Interstate Compact to allow licensed social workers to practice across member states, including through telehealth, and to help military families and address workforce shortages. Supporters from the National Association of Social Workers and other advocates said the compact would improve mobility, reduce administrative burdens, and expand access to mental health services, especially in underserved and rural areas. A technical amendment restoring model language and setting an effective date of July 1, 2025 was adopted, and the bill was reported favorably as amended on a 15-0 vote. Finally, the committee heard HB 29, the public-records companion to the social work compact, which creates exemptions needed for compact compliance and allows the compact commission or its committees to meet in closed session when discussing information exempt under law. After a technical amendment authorizing closed meetings for exempt matters was adopted, the bill was reported favorably as amended on a 15-0 vote. The meeting then adjourned.

Transcript Highlights:

• It's really critical to make sure that they have access to the services they need.
• And access to these programs is critical for vulnerable children in particular to get them access to
• The efficiency of ensuring that they get in there quickly and that they get access to that service is
• They lose access to services like early intervention sometimes because they move into a different service
• Many of our members have expressed frustration as they report families not being able to access services

Keywords: 995, all

Summary: The committee held a hybrid hearing on a range of bills affecting children, families, disability rights, homelessness, and social services. Early testimony focused on H.215, which would support children experiencing homelessness by speeding access to child care vouchers and early intervention screenings. Boston officials, Horizons for Homeless Children, Head Start, pediatric and early education advocates, and families described delays in child care and early intervention, the developmental risks of homelessness, and the need for automatic referrals and faster access to services. Testimony also supported H.216, which would improve emergency housing assistance by restoring presumptive eligibility, reducing documentation barriers, extending shelter stays from six to nine months, and creating an ombudsperson; providers and legal advocates said current rules leave families sleeping in cars or outside and create unnecessary administrative hurdles. The committee also heard strong support for H.210, which would repeal the “Learn Fair” school attendance sanction that cuts cash assistance to families when children miss school. Advocates from legal aid, education, and anti-poverty organizations argued the policy is punitive, burdensome, and ineffective, disproportionately affecting low-income, disabled, and Hispanic/Latino families. Several speakers said chronic absenteeism should be addressed through supports such as family outreach, wraparound services, and school engagement rather than benefit cuts. Legislators and school officials from Salem also testified that their districts reduced absenteeism through supportive strategies, not sanctions. Additional testimony addressed children’s vision bills H.202 and H.166, with optometrists and researchers urging better screening, data systems, and treatment access to close achievement gaps caused by untreated vision problems. Senator Lovely also presented S.2714, proposing a study of discrimination in public accommodations for people with service animals. Later, testimony on H.279 supported changing social work licensure rules to remove exam requirements that speakers said disproportionately exclude multilingual candidates and candidates of color. The hearing also included testimony on bills related to the Judge Rotenberg Center and electric shock devices, with disability rights advocates opposing continued use of the devices and urging the committee to reject licensing or authorization for them. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• AB 470 puts consumers first by guaranteeing that no household will lose access to telephone service and
• will continue to have access to affordable, reliable phone service.
• No one should be left without access to communications or 911 services, especially during an emergency
• . without access to communications or 911 services, especially during an emergency.
• The result is one less broadband provider that they could have access to for services.

Summary: The committee first heard AB 470, which would change California’s carrier-of-last-resort rules and allow a phased transition away from copper landlines in areas deemed well served by alternative phone options. The author and AT&T argued the bill would protect consumers, preserve 911 access, require public notice and CPUC review, and direct investment toward modern fiber and emergency communications. Supporters included a wide range of business, civic, tribal, and community groups, while opponents from TURN, rural counties, labor, digital equity organizations, and local governments warned the bill could let AT&T shed service obligations too quickly, weaken protections for rural and underserved households, and harm workers. After extensive member discussion about CPUC authority, rural carveouts, labor impacts, and reinvestment, AB 470 was passed do pass as amended to Appropriations, with one no vote and one not voting, and the roll left open. The committee then took up AB 1532, a committee omnibus bill extending funding and surcharge authority for the Deaf and Disabled Telecommunications Program and the TNC Access for All program, while also adding CPUC accountability provisions. Chair Boerner Horvath explained the bill would not raise consumer costs and would require the CPUC to appear at hearings when requested and adopt rules for commissioner attendance. There was no opposition testimony, and the bill was moved do pass and re-refer to Utilities and Energy, though the roll was left open because it had not yet reached the threshold for immediate transmission. Finally, the committee heard AB 353, the Affordable Home Internet Act of 2025, which would establish an affordability floor for home broadband for low-income Californians after the expiration of the federal Affordable Connectivity Program. Supporters said broadband costs remain too high and that families, students, and vulnerable communities need a state solution now; opponents from the wireless industry and rural county representatives argued the bill would amount to an artificial price mandate and could complicate existing rural broadband buildouts. Members generally supported the goal but raised concerns about impacts on small ISPs and rural areas, and the bill was moved forward with a motion and second while discussion continued about possible exemptions and amendments.

Transcript Highlights:

• best to try to preserve health care access for all.
• to preventive services, as mentioned here, which are crucial to health.
• has access to care, which we should do.
• I implore our Legislature to do what they can to protect access to health care.
• coverage is closely linked to children's ability to access care.

Summary: The joint informational hearing of the Senate and Assembly Health Committees focused on the “cost of uncertainty” in health coverage, access, and affordability amid federal policy changes. Opening remarks from committee leaders and members emphasized that California’s gains under the Affordable Care Act and Health for All policies—high coverage rates, consumer protections, and lower uninsured rates—are now threatened by federal rollbacks, including the expiration of enhanced premium tax credits and H.R. 1. Members repeatedly cited rising premiums, skipped care, medical debt, and the risk of coverage losses, especially for low-income Californians, workers, seniors, and immigrant communities. The first panel featured federal policy and state implementation experts, including Don Joyce, Jessica Altman of Covered California, and Elizabeth Lansberg of HCAI’s Office of Health Care Affordability. Testimony described the ACA’s coverage expansions and the current federal threats: shorter open enrollment, more verification requirements, loss of enhanced subsidies, and changes affecting immigrants and preventive coverage. Covered California reported that average monthly premiums could nearly double without the subsidies, new enrollment is down sharply, and more consumers are shifting into bronze plans with higher deductibles. HCAI explained its affordability strategy through spending targets, consolidation review, and primary care investment, while members asked about the impact of federal cuts on provider taxes, uncompensated care, and whether California can sustain coverage without new revenue. The second panel, with UC Berkeley Labor Center’s Miranda Dietz and California Health Care Foundation’s Christoph Stremikis, broadened the discussion to statewide cost drivers and consumer impacts. They highlighted that more than half of Californians under 65 rely on job-based coverage, yet premiums, deductibles, and out-of-pocket costs have risen faster than wages. They also pointed to medical debt, administrative waste, market consolidation, and underinvestment in primary care as major drivers of unaffordability. Members asked about the 25% of health spending that does not improve patient care, the role of fraud versus administrative friction, the effect of cost growth targets on workers, and the need for preventive care and possible revenue solutions. The hearing then moved to a third panel on human impacts, beginning with testimony from a Central Valley promotora describing how families are choosing lower-tier coverage, struggling with diabetes care, and facing higher premiums after subsidy losses.

Transcript Highlights:

• of and access to patient health care, where DSH historically has received only one bid for these services
• Access to medications and pharmacy will remain the same through Medi-Cal Rx, which is already a fee-for-service
• The first is ensuring access to Medicaid services budget change proposal adjustment.
• The first is ensuring access to Medicaid services budget change proposal adjustment.
• If a fee-for-service transition moves forward, safeguards must be included to ensure equitable access

Summary: The committee first heard May Revision child care and human services items. The Department of Child Support Services described two technical adjustments, which the analyst supported. The Department of Social Services then walked through child care proposals, including a reduction in federal and Proposition 64 funding absorbed through a shift from General Child Care to the Alternative Payment program, a 2.01% child care COLA, disaster-related infrastructure grants, a new administrative support cost structure for Alternative Payment agencies, the removal of prospective pay funding after a federal rule change, a reappropriation for existing infrastructure grants, and estimates of unspent child care funds. The Legislative Analyst’s Office recommended asking for more justification for shifting reductions to CAP, supported the COLA reduction but wanted consistency across programs, recommended removing prospective pay funding, opposed the administrative cost shift, and suggested further review of disaster grant alignment. Members pressed the administration on why more slots would be cut for the same savings, why the COLA was reduced, and whether the administrative percentage would grow over time. The administration said the changes were intended to avoid disrupting currently enrolled families, reflect point-in-time relinquishments and unspent funds, and stabilize contractor operations. Public commenters, including providers, advocates, and county representatives, urged full COLA funding, rejection of child care slot reductions, preservation of prospective pay, and continued investment in child care infrastructure and access. The subcommittee then recessed before moving to health items. In Part B, the Department of State Hospitals presented its May Revision proposals, including a central utility plant replacement project at Metropolitan State Hospital, funding for a continuum electronic health record system, reduced county bed billing authority to reflect phase-in of additional LPS beds, limited contract exemption authority for online clinical subscription services, reversion of prior-year unspent operating funds, and a workforce development proposal to use Behavioral Health Services Act funds instead of General Fund for training programs. The department said the EHR would modernize records and improve continuity of care, and that the contract exemption would prevent delays in essential clinical information services. No votes were taken in the excerpt provided.

Transcript Highlights:

• timely continuity of services to patients.
• I am doing what I can to provide services to kids in the state, but insurers are not accountable to me
• a moment when access to basic health care is shifting, right?
• Every day, the residents of Idaho are able to benefit from the convenient ease of access to care that
• is able and willing to offer CDTA signing services.

Summary: The Senate Health and Long-Term Care Committee first met in executive session and advanced five bills out of committee. SB 5999, as amended by a substitute, would let rural counties under 100,000 population appoint an APRN or physician assistant as an acting local health officer; SB 5185 would create a pathway for international medical graduates to physician licensure through a Washington Medical Commission pilot; SB 5845 would revise timely payment rules for health carriers, including longer acknowledgment and payment timelines and clarifications on scope; SB 6071 would standardize overpayment recovery timelines for carriers; and SB 6258 would create a non-disciplinary pathway for relinquishing Washington Medical Commission licenses. Each bill received a due pass recommendation and was sent to Rules, with the bills passed subject to signatures. The committee then heard SB 6226, which would protect the clinical autonomy of audiologists and ensure hearing-instrument and communication-device rules are applied consistently across care modalities, including telehealth. Testimony was overwhelmingly supportive, emphasizing access for rural and mobility-limited patients and the importance of teleaudiology, though one association cautioned the bill could affect broader regulatory authority. The hearing closed with 54 pro, zero con, and two other sign-ins. Next, the committee heard SB 6305, the Truth in Mental Health Coverage Act, which would require carriers to submit standardized annual data to the Office of the Insurance Commissioner on mental health and substance use disorder coverage, access, utilization, reimbursement, and network participation, with public posting in raw and dashboard form. The sponsor and supporters said the bill would improve transparency and accountability without changing benefits, while opponents argued it could duplicate recent parity reforms and add administrative burden. The hearing closed with 396 pro, two con, and zero other sign-ins. Finally, the committee heard SB 5924, a proposed substitute expanding pharmacists’ prescriptive authority for certain limited conditions and products, including some preventive and minor-illness treatments, and allowing limited diagnosis within defined bounds. Supporters said it would improve access, especially in rural and underserved areas, reduce administrative barriers from collaborative drug therapy agreements, and align with the sunrise review; opponents, including the medical association, said the bill went beyond the review and needed more time, while some testimony raised concerns about psychiatric prescribing. The hearing closed with 279 pro, six con, and four other sign-ins, and the committee adjourned after concluding its business.

Transcript Highlights:

• When you talk about access to care, are you talking access to a provider or access to, like, a navigator
• What this bill would do is require comparable access to behavioral health services and medications regardless
• So for adult access to behavioral health, to mental health and substance use services, we ranked pretty
• looking for ways to introduce access to healing.
• And so that really does create its own barrier to being able to access what it is you need to access

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use and Recovery held a public hearing on 14 bills focused on insurance, parity, opioids, behavioral health access, and mental health system reform. Chair Mindy Domb and Vice Chair Robyn Kennedy outlined hearing procedures and noted the committee would accept written testimony. The hearing featured testimony from legislators, providers, advocates, and behavioral health organizations, with most speakers urging favorable reports on the bills they addressed. A major topic was psychiatric collaborative care, including H. 222/S. 1390, which would raise reimbursement for collaborative care codes to at least Medicare levels and allow billing outside the MassHealth primary care subcapitation model. Supporters said the model improves access, outcomes, and cost savings by embedding behavioral health in primary care, and several witnesses described successful implementation in practices and schools. Committee members asked questions about how the model works, what specialties use it, barriers to adoption, and whether copays, deductibles, and subcapitation rules should be changed. Witnesses also supported related innovation legislation, including H. 2224, which would create a mental health innovation fund and support nontraditional trauma-healing approaches. Other bills discussed included H. 2212, which would require prescribers to discuss opioid and pain-medication risks, alternatives, and addiction/overdose concerns with patients or guardians; H. 2232 and H. 2233, which would address equitable payment and equitable access for behavioral health providers serving MassHealth patients; and S. 1406, which would add opioid maintenance treatment information to MassPAT and allow patient-authorized access to that information. Witnesses also strongly backed S. 1399, which would set targets to increase behavioral health spending within the overall health care cost benchmark, arguing that Massachusetts underinvests in behavioral health and that greater investment could reduce emergency, hospitalization, homelessness, and criminal justice costs. No votes were taken; the hearing concluded after testimony and committee questions.

Transcript Highlights:

• clarity and maybe some additional language about how to streamline access to those wraparound services
• Programs and to support a $50 million increase so more families can have access to these critical services
• to support a $50 million increase so more families can have access to these critical services.
• Programs and to support a $50 million increase so more families can have access to these critical services
• So access to immigration legal services is key to preventing unjust deportations in our communities.

Summary: The committee heard an extensive Department of Social Services presentation on child care budget issues, including the Governor’s proposed 2026-27 budget, federal CCDF changes, Prop. 64 revenue adjustments, and a one-time $11.5 million disaster-related infrastructure grant for licensed child care facilities affected by 2025 declared disasters. DSS said federal formula updates and lower Prop. 64 revenues would reduce funding and could result in about 4,176 CCTR slots being reduced, but the department said it was working to avoid impacts to currently enrolled children. The LAO supported aligning general child care funding with lower revenues and asked for more detail on the disaster grant. Members pressed DSS and Finance on why reductions were not being backfilled and why so many awarded slots remain uncontracted or unused; DSS said delays are largely due to providers building new infrastructure, licensing, staffing, and enrollment challenges, and that some unspent funds revert to the General Fund. The committee also discussed whether some contract dollars should be shifted to vouchers and whether more flexibility should be allowed for infrastructure and expansion costs. A second panel focused on the state’s commitment to expand child care and on rate reform. DSS reported that nearly 125,000 new slots have been awarded since 2021-22, but speakers from Stanislaus County Office of Education, Parent Voices California, and the California Budget and Policy Center argued that unmet need remains large and that the system still leaves many families without access. Stanislaus County described a large local shortage of infant and toddler care and said reimbursement disparities between child care programs and state preschool create disincentives for providers. Parent Voices gave testimony about the burdens and instability families face when trying to access care, especially for survivors and low-income parents, and called for a universal, publicly funded system. The Budget Center said only about 16% of eligible children were enrolled in 2024, urged expansion across the mixed delivery system rather than concentrating investment in TK, and called for faster rate reform and new revenue. LAO estimated that bringing certain CCTR adjustment factors up to CSPP levels would cost $88 million to $131 million ongoing. Members and witnesses discussed the single rate structure, automation needs, and the need for deadlines and a ramp-up plan; DSS said the goal is to eliminate disparities, but that policy decisions are still needed before automation can proceed. The committee then reviewed several trailer bill proposals. DSS outlined a 2026-27 COLA proposal that would apply a 2.41% increase through cost-of-care-plus payments, though the department said it had inadvertently excluded CalWORKs Child Care and the Emergency Child Care Bridge Program and would revise the proposal; LAO recommended making the COLA methodology uniform across programs. DSS also proposed replacing the market rate survey with the federally approved alternative methodology on a triennial schedule, limiting temporary absences in family child care homes to 20% of monthly hours, defining excessive unexplained absences as more than 30 days in a year, and aligning family fee deductions with new federal requirements so providers receive the full voucher value. Members generally supported the temporary absence change and asked about implementation timing for the family fee deduction, with DSS saying it was in contact with Riverside County. The committee also heard a brief update on the Early Childhood Policy Council reappropriation, which would extend unused funds through June 30, 2028 because prior costs came in higher than expected.

Transcript Highlights:

• It would only be limited to ...would still have access to a year's supply.
• do with a lack of access to contraception.
• to a year's supply of contraception as the primary driver, ...immediate access to a year's supply of
• services to be able to work together.
• That could provide services or already are providing services to be able to work together.

Summary: The House Committee on Health and Mental Health met in executive session and first adopted a substitute for House Bill 3401, Representative Phelps’s workplace violence bill, then voted the House Committee Substitute do pass. The substitute broadened language by removing a specific reference to bodily fluids, based on testimony from hospital security personnel that broader wording would be easier to prosecute. The roll call showed the substitute adopted and the bill passed out of committee. The committee then heard House Bill 2370, sponsored by Representative Peters, which would require private insurance to cover a one-year supply of self-administered hormonal contraceptives at one time, similar to Missouri HealthNet. Supporters included ACOG, the Missouri State Medical Association, Beacon Reproductive Health Network, and the Missouri Nurses Association, who argued the bill would improve access, reduce missed doses and unintended pregnancies, and save costs by reducing barriers such as transportation, work schedules, and pharmacy refill gaps. The Missouri Insurance Coalition opposed the bill, arguing it would impose a mandate on private plans, increase costs—especially for brand-name products—and raised questions about whether the bill would require bulk dispensing and how it would interact with existing refill rules. The committee also heard informational testimony from MoSPI noting rural access barriers, higher adherence with 12-month supplies, and that Missouri HealthNet already covers an annual supply. Finally, the committee heard House Bill 3278, sponsored by Representative Lobbinger, which would create a multidisciplinary adult protection team framework for adults 60 and older and adults 18 and older with cognitive impairments or disabilities. The bill is intended to improve coordination among agencies handling abuse, neglect, and exploitation cases by allowing limited information sharing and reducing duplicated investigations while preserving confidentiality and guardianship protections. DHSS testified in support, saying the bill would provide a clearer framework for existing multidisciplinary teams, streamline coordination, and help protect vulnerable adults without creating new positions or infrastructure. Committee members asked about membership, meeting frequency, conflicts of interest, and how the bill differs from the ombudsman system; the sponsor and DHSS explained that the teams would be case-specific, generally meet as needed or quarterly, and apply to community cases rather than facility residents. The sponsor also submitted letters of support from existing multidisciplinary teams and related organizations.

Transcript Highlights:

• access to reproductive rights.
• access to gender-affirming care.
• protecting access to, and expanding access to, care.
• care services. ...access those records related to reproductive health care and gender-affirming health
• be able to get access to care.

Keywords: 995, all

Summary: The Senate Committee on Steering and Policy held a public hearing on potential updates to Massachusetts’ 2022 Shield Law to strengthen protections for reproductive and gender-affirming health care. Chair Cindy Friedman said the hearing was prompted by escalating federal and out-of-state threats, and testimony was sought on loopholes and clarifications involving emergency abortion care, limits on cooperation with outside investigations, protection of patient data, and safeguarding licenses of providers and attorneys involved in this care. The Attorney General’s Office, ACLU of Massachusetts, GLBTQ Legal Advocates and Defenders, Reproductive Equity Now, the Massachusetts Medical Society, TransHealth, and Health Imperatives all supported strengthening the law. Witnesses urged broader bans on sharing health data with hostile states, explicit AG enforcement authority, exclusion of reproductive and gender-affirming prescriptions from the prescription monitoring program, protections for electronic medical records, and allowing clinicians to use practice names on prescription labels. Several speakers also called for protections for parents of transgender youth, attorneys, and nonprofit organizations, and some raised related concerns about insurance discrimination and the burden of post-24-week abortion restrictions. Committee members asked questions about enforcement mechanisms, data privacy, patient consent, and how to balance interoperability with privacy protections in electronic records. Witnesses said the goal was to prevent immediate harm while preserving patient control and access to care. No votes were taken during the hearing, and the chair closed by inviting written testimony and then moved to adjourn the hearing.

Transcript Highlights:

• of counties to provide safety net services.
• avoid people losing access to benefits.
• action to restructure it to avoid additional cuts to health care access in the future.
• action to restructure it to avoid additional cuts to health care access in the future.
• We're also concerned about potentially those individuals losing access to community-based services such

Summary: The Assembly Budget Subcommittee on Accountability and Oversight held its fifth hearing of the year to examine the newly enacted federal H.R. 1 and its effects on California. Members and the chair described the law as a major threat to state health, food, education, and climate programs, and emphasized that California would not be able to fully backfill the federal cuts. Several members also highlighted the bill’s tax provisions, including temporary deductions for tips, overtime, seniors, and auto loan interest, while warning that the largest benefits flow to higher-income taxpayers and that major cuts to Medi-Cal, CalFresh, and clean-energy incentives are delayed or phased in over time. The Legislative Analyst’s Office and the Department of Finance presented detailed overviews of the bill’s likely impacts and implementation timelines. They identified the main affected areas as health care coverage and financing, food assistance, higher education, personal income taxes, and clean-energy/electric-vehicle credits. They explained that H.R. 1 limits provider taxes used to finance Medi-Cal, adds work and redetermination requirements, restricts CalFresh eligibility and increases state costs, changes student loan and Pell Grant rules, extends and modifies federal tax provisions, and phases out many clean-energy credits. Finance also noted major rescissions of Inflation Reduction Act funds, new border and immigration enforcement spending, and the possibility of PAYGO sequestration if Congress does not act to offset the deficit increase. During member questions, the committee focused on likely enrollment losses, administrative burdens, and fiscal exposure for the state and counties. Witnesses said many details still depend on federal guidance, but they estimated significant impacts on Medi-Cal, CalFresh, and graduate/professional student borrowing, and noted that California’s high CalFresh error rate could increase state costs. UC testified that the elimination of Graduate PLUS loans would affect thousands of professional students, especially in health, law, and other high-cost programs. Members asked for follow-up data on county, health, and tax impacts, and staff agreed to provide additional tables and estimates as implementation guidance becomes clearer. Public commenters from counties, early childhood advocates, health coalitions, disability rights groups, immigrant-rights organizations, and other stakeholders urged the Legislature to mitigate the law’s effects. They warned of higher county costs, reduced access to health care and food assistance, increased administrative burdens, and harm to children, immigrants, people with disabilities, and low-income families. Several urged new state revenue solutions and stronger protections for Medi-Cal, CalFresh, child care, and home- and community-based services. No votes were taken; the hearing was informational and ended with a commitment to continue monitoring federal guidance and to work on state responses in the budget process.

Transcript Highlights:

• Children with access to hearing aids are better equipped Children with access to hearing aids are better
• urge you to increase access to ostomy care and their products.
• So I am speaking to H. 4162, an act to access ostomy care.
• So I am speaking to H-4162 and act to access osteomy care.
• Preventive Services Task Force, if it gives an A rating to a preventive service, it has to be covered

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a public hearing on a wide range of bills, with testimony first focused on H. 1315/S. 824, which would require insurance coverage for pain management options during IUD insertion. Representative Sabadosa, Planned Parenthood clinicians, and policy advocates said sedation can reduce fear and trauma, improve access to effective contraception, and should be reimbursed so providers can continue offering it. A Tufts OB-GYN resident also testified that pain control should be standard care for intrauterine procedures. No votes were taken during the hearing. The committee then heard extensive testimony on firefighter health bills, especially H. 1230/S. 690 requiring insurance coverage for cancer screenings for firefighters. Professional Fire Fighters of Massachusetts leaders, a Dana-Farber oncologist, and firefighters themselves described occupational exposure to carcinogens and personal stories of late-stage cancer detection, arguing that early screening can save lives and reduce long-term costs. Representative Crichton and Representative Howitt also spoke in support, and Representative Ayers testified for H. 4012, which would require neurological disorder screenings for firefighters. Committee members expressed support and sympathy, but no action was taken. The hearing also covered H. 3946/S. 756 on hearing aid coverage, with testimony from students, adults with hearing loss, disability advocates, and HLAA representatives describing the educational, social, and financial barriers caused by lack of coverage and urging broader insurance mandates. Later, Representative Donahue and Representative Vargas testified for H. 1337 to expand insurance coverage for opioid antagonists and related medications, including naloxone dispensed at discharge. The committee additionally heard testimony on H. 1134 to improve chronic pain care coordination and non-opioid access, and H. 4162 to improve ostomy supply coverage and access to certified ostomy care, with patients and clinicians describing denials, quantity limits, and non-medical switching. The transcript ends while testimony on H. 1315/S. 824 is still ongoing; no votes or formal committee actions are recorded in the excerpt.

Transcript Highlights:

• And those particular things to be able to easily access services earlier so that you wouldn't necessarily
• have access to the services, supports, and resources they need.
• They would establish a pilot program to expand access to dental care services at the RHCs across the
• That would establish a pilot program to expand access to dental care services at the RHCs across the
• access to dental services.

Summary: The committee began with a work session on recommendations from the Children and Youth Behavioral Health Work Group. Tisha Kirshbaum of the Health Care Authority described the Washington Thriving Strategic Plan, a prenatal-to-25 system-of-care framework meant to reduce fragmentation, improve coordination across multiple state agencies, and expand early, community-based behavioral health supports. Members asked about duplication among agencies, simplification of the system, and upstream services such as community health workers, school-based supports, and crisis access. The committee then heard House Bill 2429, which would direct the governor and state agencies to align with the Washington Thriving plan, create an executive coordination officer and leadership council, extend the work group, and require broader alignment by state, tribal, local, and nonprofit entities. The bill received strong support from the governor’s office, the Health Care Authority, parents, youth, providers, and advocates, while a few testifiers raised concerns about government overreach, cost, or the need to address non-psychiatric causes of distress. No vote was taken during the hearing. The committee then heard House Bill 2364, which renames and expands the Legislative Executive Work First Poverty Reduction Oversight Task Force into the Legislative Executive Economic Justice and Well-Being Task Force and updates the related advisory council to align with the state’s 10-year plan to dismantle poverty. Staff and the prime sponsor said the bill reflects the evolution of the poverty-reduction effort and adds agencies such as the Department of Revenue, Health Care Authority, and Workforce Training and Education Coordinating Board. Testimony from DSHS and advocates was uniformly supportive, emphasizing bipartisan collaboration and the need to update statute to match current work. Next, the committee heard House Bill 2171 on supporting foster youth. The bill would create an endangered foster youth alert system, require county rapid-response protocols, establish a foster youth empowerment account, create an oversight board through the Ombuds office, and expand training for foster parents and child welfare workers. The prime sponsor and several advocates described the bill as a response to lived experience and a way to improve accountability and long-term support. DCYF said it supports the intent but raised legal and cost concerns, and some youth advocates warned that public alerts could increase risk or trauma for youth who run away from unsafe placements. The hearing then moved to House Bill 2314, which would create a pilot allowing certain community-based clients with developmental disabilities to receive dental care at residential habilitation centers. Supporters said the bill would use existing dental capacity to address severe access gaps and long waits in the community, while opponents from disability advocacy groups argued it would pull people back into institutional settings instead of building community-based dental capacity. Testimony on the bill was mixed, and no final committee action was taken in the transcript.

Transcript Highlights:

• However, many adolescents continue to face barriers to accessing these services, including provider shortages
• However, many adolescents continue to face barriers to accessing these services, including provider shortage
• Adolescence continue to face barriers to accessing these services, including provider shortages and low
• We think it's very important to make sure that young adults are able to access services and supports
• able to access mental health services.

Summary: The Select Committee on Youth Mental Health and Treatment Access held its third hearing to review the state of youth mental health, progress under the Children and Youth Behavioral Health Initiative (CYBHI), and remaining implementation and funding challenges. The chair emphasized that schools are often the main point where education, health care, and social services intersect for students, and that the committee’s goal is to ensure public investments translate into better access and outcomes. The hearing featured testimony from researchers, a youth advocate, state officials, and local practitioners. PPIC researcher Shalini Mostala reported that teen mental health remains a serious concern, with high rates of chronic sadness, hopelessness, and suicidal thoughts, though recent California data show some improvement since the pandemic. She noted persistent disparities by gender, race, and rural status, and said school-based health centers, wellness centers, and community schools are associated with lower suicidal thoughts. Youth advocate Ella Cruz, speaking for NAMI California, described her own mental health struggles and argued that youth voice, peer-to-peer support, and reducing stigma are essential; she also said technology and AI cannot replace trusted adults or trained professionals. Committee members asked about phone use, stigma, cultural barriers, and how to make supports more accessible and relatable to students. Dr. Sohill Sood of the California Health and Human Services Agency said statewide survey data show declining stigma, increased counseling use, and lower suicide ideation among students, and he highlighted CYBHI’s certified wellness coaches, digital tools, awareness campaigns, and the first-in-the-nation fee schedule that allows schools and colleges to bill health plans for behavioral health services. He said the program is growing quickly, with more than 230,000 claims and over $11 million in new revenue to date, while acknowledging that billing systems and coordination are still being built. Trina Frazier of Fresno County described a multi-tiered system of care supported by CYBHI, CalAIM, and other grants, serving thousands of students through school-based services, wellness centers, and mobile therapy units; she said ongoing funding and flexibility are critical. Rachel Kroberniski of El Segundo High School’s James Morehouse Project described a long-running wellness center and peer mentorship model that supports students in multiple languages, and said peer programs help students feel seen, connected, and more willing to seek help. Members broadly praised the flexibility, collaboration, and peer-based approaches described by the witnesses. Questions focused on sustaining funding after one-time grants expire, improving coordination among schools, counties, and providers, expanding the fee schedule to higher education, and ensuring continuity of care for students after high school. Officials said county offices of education, DHCS, and other partners are using communities of practice and technical assistance to spread best practices, and that CYBHI services can follow some young adults through age 25, with additional supports through community-based programs and digital platforms.

Transcript Highlights:

• of counties to provide safety net services.
• to navigate these cuts, to stop losses in care and services, to drive our economy forward, and to find
• avoid people losing access to benefits.
• We're also concerned about potentially those individuals losing access to community-based services such
• to reduce administrative burden on families and help them access all services that they may apply for

Keywords: 988, house, all

Transcript Highlights:

• But in the other 28 counties we serve, we struggle to connect people to services through access lines
• Because this is a new service to the state, but it's not a new service to us.
• These access lines are designed to connect Medi-Cal beneficiaries with services, including behavioral
• These access lines are designed to connect Medi-Cal beneficiaries with services, including behavioral
• access line services.

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.

Transcript Highlights:

• to our services.
• by having employment services, health services, social services, allowing them to acclimate to the U.S
• um to receive access to or disability um to receive access to our<00:18:32.320><c> services.
• ><c> the</c> services allow them to accolate to the services allow them to accolate to the US<00:19:35.600
• at access to care in rural all looking at access to care in rural in<00:20:28.400><c> rural</c><00:20

Keywords: 1189, house, all

Transcript Highlights:

• get access to services.
• impacts access to vaccines and preventive services guidelines.
• access to those screening tests and preventive services that we really rely on to to prevent chronic
• So you will see legislation come forward related to preserving access to preventive services.
• access to preventive services for the folks who choose to use them.

Summary: The committee first welcomed new DSHS Secretary Angela Ramirez, who introduced herself and described her background in public service, federal and state legislative work, and health and human services leadership. Members emphasized the importance of building strong relationships with her and noted her focus on protecting services, using strategic approaches in a tight budget environment, and improving partnerships with the Legislature. Ramirez said she wanted to keep communication open and that her priorities would be shaped by what she learns from lawmakers and agency partners. The next work session focused on the West Coast Health Alliance and the broader Governor’s Public Health Alliance. Department of Health and governor’s office staff said the West Coast alliance, involving Washington, Oregon, California, and Hawaii, was formed to coordinate science-based public health guidance, especially around vaccines, return-to-work guidance, and responses to federal changes. They said the alliance is intended to reduce confusion, counter misinformation, and preserve access to evidence-based recommendations, with early actions including vaccine guidance for COVID-19, flu, and RSV, a statement rejecting any vaccine-autism link, and preparation for possible ACIP changes. Members asked about workload and coordination with other regional alliances, and staff said there is informal coordination but no formal regular meetings. The committee then heard from the Washington State Health Benefit Exchange about open enrollment and the effects of federal policy changes. Exchange leaders said the expiration of enhanced premium tax credits, HR1 provisions, and immigration-related eligibility changes are affecting affordability and enrollment, with some customers facing large premium increases and some counties becoming harder to serve. They reported early open-enrollment traffic increases, nearly 10,000 new sign-ups, and nearly 12,000 active coverage drops so far, while noting that many more people may disenroll later if subsidies are not extended. They also described mitigation efforts such as silver loading, Cascade Care Savings, outreach through navigators and community partners, and planning for future HR1 requirements like ending auto-renewal and adding verification steps. In the final work session, staff from the Health Care Authority and Insurance Commissioner’s office reviewed Washington’s health reform history and the state’s current affordability and access efforts. They highlighted past ACA-related coverage gains, continued work on prescription drug affordability, PBM oversight, primary care and behavioral health access, and a pending legislative proposal to preserve access to preventive services. They also discussed federal changes affecting Medicaid and the exchange, including work requirements, six-month redeterminations, and the need to coordinate across agencies to implement new rules. Members raised concerns about network adequacy, provider access, and the complexity of the health care system, while staff said they are trying to mitigate harm, simplify administration, and keep coverage and access as stable as possible.