Transcript Highlights:

• She is our 988 manager and she provides us.
• We provide this data in our.
• We provide the support to folks who pick up the call, and we also provide support to the Department of
• We're happy to provide materials.
• So we're able to provide...

Transcript Highlights:

• Both have been provided as attachments.
• And if not provided, the guests must be made aware that they need to provide their own linens.
• Second, the test provider that we're looking at provides these types of tests across the United States
• One individual attended and provided comments from notes, a copy of which was provided.
• of a respite care provider in a facility to provide services to the residents.

Keywords: 908, all

Summary: The committee first approved the December 3 minutes, then heard a request from the Board of Clinical Laboratory Practice to amend its proposed rule on exempt test methods to add certain closed-system DNA/RNA tests, including rhinovirus. After testimony explaining that the board had considered late comments from BioMérieux and wanted the rule record to reflect that review, the committee agreed to a limited amendment and passed the motion unanimously. The Department of Agriculture then outlined broad rule updates affecting dairy, eggs, poultry, pesticides, animal health, environmental mitigation, and the Egg Product Utilization Commission. The commissioner said the changes mostly clarified existing requirements, updated references, and reduced some burdens, such as easing dairy hauler training/licensing timing and clarifying out-of-state grade A milk language. Members asked about dairy industry decline, the APUC scoring system, and the rationale for the milk-hauler and out-of-state milk provisions. The State Board of Dental Examiners presented extensive rule changes tied to recent legislation and workforce issues, including a new professional health program for dentists, expanded duties for assistants and hygienists, broader local anesthetic authority for hygienists, and fee increases to fund the program and cover administrative costs. Testimony from Dr. Edward May strongly supported the professional health program based on his own recovery experience. The committee also heard from Game and Fish on rules easing some guide/outfitter experience requirements, allowing electronic exams, and modifying boating safety equipment rules, with no public comment and no fiscal impact. Later, Health and Human Services received approval for an extension to update tattoo/body art rules and a separate motion to repeal an obsolete nurse aide training chapter. HHS also described nursing facility rule updates, lodging sanitation revisions, and related clarifications on licensing, safety, pest control, and fire requirements. The Department of Environmental Quality received an extension for septic-system installer rules, and also presented rules for above-ground storage tanks and water/wastewater operator certification, including new fees and third-party testing options. The Industrial Commission’s oil and gas division described multiple rule changes, some withdrawn after comments, including drilling unit flexibility, site stability, wildfire authority, and streamlined transport/reporting procedures. Finally, DPI began presenting several rule packages, including school construction loan limits, school bus standards, cooperative agreements, special education rules for public charter schools, and new math curriculum and intervention requirements.

Transcript Highlights:

• We've got to have providers communicating with each other so that we're not providing duplicative services
• We've got to have providers being communicating with each other so that we're not providing duplicative
• They don't necessarily provide more charity care. They're not providing this.
• If you talk to any of our health care providers, If you talk to any of our health care providers, and
• safety-net providers.

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:

• Founded on January 24th, 1938, Jack and Jill was established to provide... ...by providing social, cultural
• and home health providers, is also mentioned.
• HB 5262 is mentioned but lacks specific details in the provided context.
• HB 5289 by Harris Davila, relating to the notice provided by a health care provider before initiating
• HB5439 by Kane relates to limiting damages recoverable against alcoholic beverage providers for providing

Keywords: 1184, house, all

Transcript Highlights:

• Examples of some of the supports that our provider members provide are things like residential supports
• So we are very focused on that subset of our provider membership.
• So we are very focused on that subset of our provider membership.
• The first finding: overall vacancy rates vary by provider.
• that you're sharing with your providers to share them with the direct support providers.

Keywords: 1212, all

Summary: The Workforce Support Subcommittee of the Status of Persons with Disabilities met, approved prior minutes, and heard a presentation from the Association of Developmental Disabilities Providers (ADDP) on its 2025 workforce metrics survey. ADDP described its membership and the survey’s scope, which covers community-based services for people with intellectual and developmental disabilities, autism, and brain injuries. The survey had strong participation, with 102 of 132 members responding, and this year included new questions on rising health insurance costs. ADDP reported that workforce conditions have improved for a third consecutive year, with the overall vacancy rate falling from 19% in 2024 to 15% in 2025, and vacancy declines across several program areas. However, vacancies remain high in key roles such as licensed practical nurses and clinicians, nearly 4,000 positions remain unfilled, and about 1,800 people are still waiting for day services. Providers also reported major health insurance premium increases, which they said make it harder to offer competitive wages and benefits and affect recruitment and retention. Committee members discussed the impact of federal immigration policy, workforce shortages, and the need to maintain recent gains in staffing. The subcommittee then elected Rachel Caprillion and Leo Sarkisian as co-chairs by vote. Members discussed possible topics and guests for the next meeting, including training, turnover, waiting lists, direct support professional pipelines, apprenticeships, and possible speakers from state agencies, advocacy organizations, other states, and workforce programs such as JVS. The meeting ended with a motion to adjourn.

Transcript Highlights:

• Maternal health care deserts because the provider rates are so low that providers opt out of providing
• </c> provider rates are so low that providers provider rates are so low that providers opt<01:31:10.719
• . providers. providers.
• </c> provide from Medicaid. provide from Medicaid.
• This is going to cause cause cause providers providers providers to<02:15:41.520><c> exit</c><02:15:41.840

Keywords: 981, all

Transcript Highlights:

• And we provide more than 627... Economic benefits to the community.
• And we provide more than $627 million in annual compensation.
• Any members of the audience who wish to provide public comments?
• Lee, can you provide any updates? Thank you, Madam Chair.
• Any members of the audience who wish to provide any public comments?

Keywords: 988, house, all

Transcript Highlights:

• providers, which can be licensed or unlicensed providers.
• providers, We have rural communities where we may have in-home providers, which can be licensed or unlicensed
• providers.
• Chairman, Senator Zidervel, I'd be happy to provide a listing of provider information to you, and also
• How many providers? How many children do we serve?

Keywords: 989, all

Summary: The Joint Finance-Appropriations Committee heard budget presentations from Legislative Services analyst Morgan Poloni and Department of Health and Welfare Director Juliet Sharon on the Division of Early Learning and Development, the Division of Public Health Services, and Family and Community Partnerships. Major topics included the Idaho Child Care Program (ICCP), the Idaho Home Visiting Program, the Idaho Immunization Assessment Fund, HIV and hepatitis prevention, ARPA-funded public health projects, kinship navigation services, and proposed agency reorganizations and transfer authority changes. Poloni explained that several divisions were recently reorganized, making year-to-year comparisons difficult, and outlined the governor’s and agency’s FY 2027 requests, including additional federal and dedicated funds for child care capacity, public health programs, and prevention services.

Transcript Highlights:

• But I wanted to provide some context here for, as a background of other services that we provide, we
• We provide supports through our adoption support program, and we also provide supports for youth and
• We also provide supports for families in conflict.
• We do this through providing policy advisement, funding services and providers, and establishing best
• So we provide direct access in that way, and then we help them connect to the providers who are in their

Summary: The Senate Human Services Committee held a work session focused on housing and services for youth and young adults, especially those exiting public systems of care. DCYF Assistant Secretary Vicki Ibarra described existing supports, including family reconciliation services and the youth and young adult housing response team, which coordinates with other agencies to help young people ages 12 to 24 avoid homelessness. Office of Homeless Youth Director Casey Hannawer Sutton outlined the office’s role in reducing youth homelessness, citing a 40% reduction since 2016, expansion of services to 37 counties, and ongoing work on prevention and “functional zero” efforts. Treehouse and the Mockingbird Society testified about education, transition, and housing barriers for foster youth and young adults, including funding cuts to Treehouse’s Graduation Success program, eligibility gaps, and the need for peer supports, financial literacy, and housing stability. A health impact review from the State Board of Health on a prior version of the extended foster care housing proposal found the bill would likely improve housing stability, health outcomes, and equity for some young adults in extended foster care. The committee then heard public testimony on Senate Bill 5911, which would stop DCYF from using Social Security benefits of young adults in extended foster care to reimburse the state for care costs. Sponsor Sen. Emily Alvarado said the bill would protect federal benefits that belong to the young person and help them meet basic needs; supporters from Partners for Our Children, TeamChild, Mockingbird Society, and a former foster youth testified that the current practice harms housing, education, and stability and urged the state to end it. Members discussed the need for financial literacy and the federal government’s recent direction discouraging the practice. The committee also heard Senate Bill 5940, a two-year extended foster care housing pilot that would provide rental assistance for up to 50 eligible youth in extended foster care who are homeless or at risk of homelessness, with transition planning required before age 21. Sen. Wilson said the bill is intended to keep young people in care from having to choose between foster care support and housing assistance. Testimony from Mockingbird Society, current and former foster youth, and Communities in Schools supported the bill as a way to reduce homelessness and improve educational and health outcomes. The committee briefly heard Senate Bill 5942, which would rename the DCYF Oversight Board as the DCYF Accountability Board and shift its reporting structure while keeping its oversight role, and Senate Bill 5957, which would expand the Office of Homeless Youth Advisory Committee to include additional members with lived experience and representation from disproportionately affected communities.

Transcript Highlights:

• So we see this bill as providing a way for the City of Houston to provide lower-cost critical services
• this property tax relief to providers.
• child care associations, and educational service providers.
• House Bill 1035 provides a much-needed technical fix.
• This is a simple cleanup that will help a lot more providers.

Bills: HB511, HB972, HB 1035, HB2481, HB2723, HB2742, HB2894, HB2962, HB3077, HB3093, HB3307, HB3684, HJR67, HJR72

Keywords: ad valorem taxation, caregiver exemption, Medicaid, long-term services, tax relief, assisted living, housing support, property tax exemption, caregiver support, residence homestead, tax exemption, unpaid caregiver, state tax code, property tax, caregiver, waiting list, intellectual disability, developmental disability, ad valorem tax, family support

Transcript Highlights:

• There's roughly about 17 providers in the state of New Mexico that provide this care that are certified
• Having this explicitly in the language ensures that it's not any willing provider that can provide it
• Having this explicitly in the language ensures that it's not any willing provider that can provide it
• Provide one. Madam Chair? Yes.
• Many forms of providers, such as behavioral health providers, specifically psychologists mentioned in

Summary: The committee heard House Bill 66, which would expand and restructure the Health Care Professional Loan Repayment Fund. The sponsor said the substitute narrows the bill to a $25 million fund, with 50% reserved for physicians and the rest for other health professionals, and raises physician awards to at least $75,000 per year for a four-year commitment. Supporters from nursing, physical therapy, health systems, social work, and advocacy groups said the program would help recruit and retain providers in New Mexico. The committee moved the substitute and then passed the bill on a do-pass motion. House Bill 38, dealing with coverage for prosthetics, orthotics, and mobility devices, drew extensive testimony from amputees, Paralympians, clinicians, and disability advocates. The bill would clarify and expand coverage for activity prosthetics, activity wheelchairs, and related complex rehab technology, with limits on the number of devices and replacement tied to physiological changes. Supporters said access to these devices is medically necessary for physical and mental health, independence, and participation in sports and daily life. After questions about provider qualifications, insurance contracting, and replacement for growing children, the committee adopted the substitute and passed the bill. House Bill 257 would appropriate funds to increase Medicaid reimbursement for vagus nerve stimulation implants for drug-resistant epilepsy. The sponsor and manufacturer’s representative argued current reimbursement is too low, leaving only UNM Hospital performing the procedures and limiting access statewide; they said better reimbursement could reduce emergency visits and long-term Medicaid costs. Members raised concerns about the bill’s language, including whether it could allow payment above allowable rates or create uncertainty about the reimbursement standard. A motion to table failed, and the committee then passed the bill 5-4, with several members noting they supported the concept but wanted the language tightened before the next committee. The committee also passed House Bill 178, which appropriates $3 million for shade structures in rural parks and outdoor recreation areas, after testimony that the project would reduce sun exposure, heat illness, and skin cancer risk. House Bill 198, which provides $2 million for peer-to-peer mental health training and treatment for first responders, also advanced on a do-pass without recommendation after members said they supported the goal but wanted clearer language on training standards, liability, and administration. Finally, House Bill 202, which would require data-sharing agreements to help the Office of Child Advocate access records from state agencies, drew support from child advocacy groups but concern from IT and family advocates about timelines, system complexity, privacy, and the need for family collaboration; the discussion continued with suggestions to refine the bill.

Transcript Highlights:

• We've also used exclusive providers where you try to steer populations to in-network providers to get
• To provide some foundation for it, we've provided some additional information in terms of turnover rates
• The employer providing—these are employer-provided surveys, not input.
• The employer providing—these are employer-provided surveys, not the input.
• However, we do provide family medical leave that provides up to 12 weeks of unpaid family leave.

Summary: The Employee Benefits Committee met to hear presentations on state employee health insurance, compensation, leave policies, labor market conditions, and prevailing wage issues, then later took up committee rules and bill-draft jurisdiction. PERS reviewed the history and structure of the state health plan, noting the state has paid the full family premium since 1979, described cost-control and benefit-enhancement changes over time, and explained current plan options, wellness incentives, employer wellness discounts, and the upcoming bid process for the 2027-29 contract. HRMS then presented compensation comparisons showing state classified pay generally trails private and regional markets, with larger gaps at higher-level jobs, and reviewed benefits and leave policies, including the new enhanced annual leave and new-hire leave, the state’s unpaid family leave structure, and varying tuition reimbursement practices. Job Service reported on labor force trends, low unemployment, high labor force participation, job openings, and wage growth, and OMB said there are no state prevailing-wage requirements beyond federal Davis-Bacon rules for federally funded projects. The committee then considered a proposed amendment to Joint Rule 211 to better align the health insurance mandate review process with recent statutory changes. Members discussed how the rule should reference both the committee’s required actuarial reports and the Legislative Council cost-benefit analysis, and the amendment was adopted on a roll call vote. The committee also discussed how its jurisdiction decisions affect whether a bill draft receives actuarial analysis, with staff explaining that a decision not to take jurisdiction means the bill is not treated as impacting the relevant retirement or health plans for purposes of that analysis. After that, the committee began reviewing bill drafts for jurisdiction. The first draft, bill draft 33, would automatically renew pre-tax elections for dental and vision coverage during open enrollment instead of requiring annual re-election. Members debated whether it had any actuarial impact, noting the state does not pay those premiums directly, and the discussion was still underway when the transcript ended.

Transcript Highlights:

• Care provided through safety net providers and to low-income and uninsured Texans.
• And your bill doesn't provide, as I understand it, doesn't provide a private cause of action.
• So I think we're providing the transparency. I don't know what more we could provide.
• It's good for the providers.
• also provide that delivery, provide pharmaceutical care afterwards.

Transcript Highlights:

• We also use it as a forum to provide critical updates on funding.
• To meet this vision through all of our programs, we provide access to resources.
• a linchpin for us and our community-based providers.
• They provide meals, food pantries, and food distribution.
• It would also provide fewer pathways out of poverty.

Summary: The Senate and Assembly Human Services Committees held a special oversight hearing on California’s 2026-27 Community Services Block Grant (CSBG) state plan, a federal anti-poverty funding stream. Committee members opened by citing statewide poverty and homelessness data and said the hearing was meant to review how CSBG dollars are used, how local agencies respond to community needs, and how the state is preparing for possible federal funding cuts. Jason Wimbley of the Department of Community Services and Development (CSD) explained that California’s CSBG network works through 60 organizations in 58 counties, serving about 1.5 million low-income Californians in 2023, and that the state received $68.4 million in federal CSBG funds in fiscal year 2025. He described the program as flexible funding used for housing, employment, education, food, health, transportation, and emergency response, and noted that the federal administration had proposed eliminating CSBG, though the Senate Appropriations Committee had voted to fully fund it for the coming year. Representatives from the California Community Action Partnership Association and several CSBG-funded agencies described how the program supports local anti-poverty work and leverages other funding. CalCAPA emphasized local flexibility, workforce development, partnerships, and data systems such as ROMA, while also warning that agencies are preparing for possible reductions by tightening budgets, planning staffing contingencies, and seeking private foundation support. Agency witnesses from Contra Costa County, Northern California Indian Development Council, Proteus, and Sacred Heart Community Service described services including housing assistance, food distribution, utility help, employment training, youth programs, and culturally specific services for Native communities and migrant farmworkers. They repeatedly said CSBG is essential because it funds staffing and infrastructure that allow them to braid other grants and serve people who do not qualify for standard safety-net programs. Members also asked about the impact of federal staffing changes and the Los Angeles fires. Wimbley said federal layoffs had affected some CSD programs but not CSBG administration, and that the department coordinated disaster response with state agencies and used CSBG-funded supply distribution, food, water, clothing, and documentation support during the fires. Witnesses said they were preparing for possible future cuts by diversifying funding, reducing expenses, and considering service changes, while county officials warned that state and federal reductions could not be backfilled locally. During public comment, one speaker urged stronger oversight of community action agencies and raised concerns about transparency and compliance with state law. The chair then thanked the witnesses, emphasized the importance of CSBG for low-income seniors, youth, and people with disabilities, and adjourned the hearing without any votes or formal action taken.

Transcript Highlights:

• This advisory committee must provide...
• I am both a provider and a parent of youth who have experienced homelessness.
• Just to quickly provide some background on this: community residential service business providers are
• We can't verify it for more than 85% of the people we provide ongoing support for.
• Further tracking staffing will help providers better support and advocate for their staff.

Summary: The Early Learning and Human Services Committee opened its 2026 session with member and staff introductions, then took up four bills. HB 2185 would expand the Homeless Youth Advisory Committee to include more members with lived experience of homelessness or involvement in public systems, broaden youth representation up to age 25, and allow members who turn 25 to finish their terms. The prime sponsor and testifiers from homeless youth advocacy organizations supported the bill, saying it would improve representation and the quality of advice to the Office of Homeless Youth. The hearing on HB 2185 was then closed. The committee next heard HB 2319, which renames Washington’s residential habilitation centers by removing the word “school” from their titles and updating related statutory references. The sponsor said the change is meant to reflect current services and reduce confusion, and advocates from The Arc of Washington, Disability Rights Washington, and self-advocates supported the bill as a needed terminology update that would better describe the facilities and avoid misleading the public. No opposition was heard. HB 2230 would limit DSHS to one annual routine review in specified subject areas for community residential service providers and require more document-sharing across divisions to reduce duplicate oversight. The sponsor and provider witnesses said the bill is intended to cut redundant audits and site visits so staff can spend more time on client care, while still preserving investigations and required oversight. HB 2200 would direct JLARC to review safety and stability outcomes across developmental disability residential settings and require a public dashboard comparing data such as 911 calls, ER boarding, placement terminations, and staff retention. The sponsor and several witnesses supported greater transparency, while provider representatives raised concerns about raw data being misleading without per-client or percentage-based context and about possible fiscal impacts. The committee did not take final votes on the bills in the transcript and adjourned after public hearings and caucus time were announced.

Transcript Highlights:

• And so then we'll just bring a money judgment against Medicaid providers.
• These generally stay low unless we have a big provider.
• So you're filing them in the jurisdiction where that provider is located.
• be a provider?
• I know there's also front-end education for providers provided by DHS.

Keywords: 1204, all

Transcript Highlights:

• So we charge a fee to the provider, an application fee, so the provider.
• We have legacy providers, what we call kind of legacy providers, I think that's what we term it. but
• It doesn't say how much of any kind of treatment you need to provide, it just says you need to provide
• It's a wider range of activities through that the provider providers can provide, the agency can probably
• agency has provided information on the new funding that was provided as far as the uses of that fund

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• use to self-harm, while also providing increased observation.
• They found out 68% of those providers were ghost providers, meaning that for a variety of reasons, they
• My current provider then would also be a ghost provider because he's not seeing any more patients directly
• of providers.
• We provide feedback on bills, rules, policy, and budgets.

Keywords: 985, all

Transcript Highlights:

• And so that provides Julie Meade: a bigger overview of the actual settlements.
• We have all the outside providers.
• They provide sick visits, well visits, sports physicals, take care of injuries, provide behavioral health
• They provide safe, supportive environments where students build trust with their providers, and even
• Not all of those provide data about the kind of services they're providing, but we know they're out there

Transcript Highlights:

• providers, non-TNCs.
• I think in general, what's been very helpful in both of the examples we provided today is providing enough
• Speaking of how Lyft provides...
• Have you all provided any kind of a formula for—” “Have you all provided any kind of a formula for the
• You're providing a service.

Summary: The hearing focused on transportation network companies in California, with the chair framing it as an informational hearing on the history, regulation, safety, climate, accessibility, and data issues surrounding Uber, Lyft, and smaller or autonomous TNC services. The CPUC described its decade-long regulatory role, including safety rules, background checks, insurance requirements, reporting obligations, and two major legislative programs from 2018: the Clean Miles Standard and the Access for All program. Members asked about complaint trends, data collection and disclosure, program implementation, and how the CPUC uses annual reports for policymaking, compliance, and program oversight. Uber and Lyft said the statewide framework has supported growth while providing safety and access benefits, but both companies emphasized that insurance is a major cost driver and argued that California’s UM/UIM requirement is unusually high compared with other vehicles. They said the Clean Miles Standard is pushing electrification but faces headwinds from EV affordability and charging infrastructure, while Access for All has expanded wheelchair-accessible service but still needs continued support. They also discussed transit partnerships, wildfire response, and the potential role of autonomous vehicles, with both companies saying human drivers will remain important and that future regulation should account for new technology. The final panel, including the San Francisco County Transportation Authority and UC Berkeley researchers, presented evidence that TNCs have increased congestion and reduced transit ridership, especially in dense urban areas. They described prior research showing TNCs contributed to congestion growth in San Francisco and noted that this work helped spur local taxes on ride-hailing trips to fund safety and transit improvements. The panel also discussed the CPUC’s evolving data-disclosure decisions, arguing that public access to TNC trip data is important for understanding transportation impacts and informing local policy.