Transcript Highlights:

• recommendations to the legislature that support and improve access to the critical interpreting services
• This important work will help direct the actions needed to increase access to quality interpreter services
• </c> access to the critical interpreting access to the critical interpreting Services<01:15:09.440><c
• to Quality interpreter increase access to Quality interpreter services<01:15:34.520><c> for</c><01:15
• limit access to these critical services, especially in rural communities.

Keywords: 1187, senate, all

Transcript Highlights:

• All Californians deserve access to critical health care services without fear.
• All Californians deserve access to critical health care services without fear.
• Many Californians struggle to access behavioral health services.
• AB 2540 will expand equitable access to medication abortion services for students attending community
• AB 2540 will expand equitable access to medication abortion services for students attending community

Keywords: 988, house, all

Transcript Highlights:

• access the aid that is available to those students.
• to the career and counseling services.
• Oftentimes, what I'm doing is walking to them to an existing service.
• about the transition to CWU, to understand what kinds of support services are available to them, to
• And access to that education is so very important.

Summary: The Senate Higher Education and Workforce Development Committee heard two work sessions focused on student access and retention, then held public hearings on gubernatorial appointments before taking executive action. Washington Student Achievement Council staff presented the Washington Completes FAFSA campaign, created by Executive Order 2508, describing its advisory board, outreach strategy, dashboard tracking, and progress toward goals of 46,000 FAFSA/WASFA completions and improved equity in completion rates. They also highlighted broader college access tools such as trainings, printed materials, completion events, Otterbot texting support, and the new “Changing the Narrative” report and College Toolkit, which emphasize multiple postsecondary pathways, relatable messengers, and short video content. The committee then heard from the Council of Presidents and Central Washington University and Evergreen State College on student support services. Presenters discussed retention data, FERPA-related limits on parent communication, and the impact of budget cuts on advising, tutoring, wellness, and other services. Evergreen described the Shelton Promise program, including recruitment, summer bridge, basic-needs supports, peer mentoring, texting outreach, and early retention results showing 52 of 53 students continuing. Central Washington outlined its learner access and support plan, including required advising, University 101, early academic alerts, peer mentoring embedded in coursework, the Students First Center, and a Paying for College Guide, while noting that budget reductions have limited some support offerings. In the public hearing, the committee considered Latasha Wortham’s appointment to the Tacoma Community College Board of Trustees and a panel of student appointees to various boards and councils, including Evergreen, Washington Student Achievement Council, the Workforce Education Investment Accountability and Oversight Board, Washington State University, Eastern Washington University, Edmonds College, and Western Washington University. Testimony emphasized first-generation and immigrant backgrounds, student advocacy, basic needs, and the importance of student voice in governance. In executive session, the committee adopted a substitute and gave Senate Bill 6325 a due pass recommendation to Ways and Means; the bill would shift certain higher education cost increases from tuition to state funds over time and direct a WSIPP study on essential student services. The committee also recommended confirmation for the listed gubernatorial appointments.

Transcript Highlights:

• It limits access to confidential reproductive health care services for young people.
• access certain services.
• should not be the option of a parent to deny their child access to life-saving health care services
• And you told me this was all possible without access to the services on my own.
• access to health care.

Keywords: 999, senate, all

Transcript Highlights:

• The child support program also provides families with access to a broad range of services, and...
• The child support program also provides families with access to a broad range of services, including
• Without access to child care support, a single mother of an infant, Without access to child care support
• play in communities and that, to promote access to care, cities and counties need to plan.
• access to nutritious foods.

Summary: The committee heard a series of child and family services bills, with testimony from authors, county officials, advocates, and members of the public. AB 2083 would authorize a regional child care special district for Marina Valley and Paris; there was no public opposition, but a vice chair raised concerns about lack of outreach to Riverside County and possible added fees for residents. The bill was held pending quorum and later noted as enjoying a due pass recommendation, though no final roll was taken in the excerpt. AB 1579, which expands the Children’s Crisis Continuum Pilot Program to allow additional CDSS-approved residential models, drew strong support from San Francisco County, Seneca Family of Agencies, and several counties and advocacy groups, who argued the current crisis residential model is financially and operationally unworkable and leaves youth in hospitals or emergency departments. The Youth Law Center and allied organizations opposed the bill, saying it departs from the original small, community-based crisis model and could lead to more institutional care. The committee passed the bill 6-0 to Appropriations. AB 1628 would extend California’s safe surrender window for newborns from 72 hours to 30 days. The author and fire service supporters said the change would better reflect postpartum recovery and help prevent unsafe abandonment; there was no opposition, and the bill passed 6-0. AB 1634, dealing with the “Kids” specialty license plate program, sought to raise plate fees and revise distribution formulas to generate more revenue for child safety and child care programs. Supporters said the update would modernize outdated 1992 pricing and expand county access, while a committee member objected that the bill would reallocate funds away from state agencies and private nonprofits; the bill was moved on a 5-0 vote with some members not voting. AB 1643 would streamline child support enrollment by having courts transmit support orders directly to child support agencies unless a custodial parent opts out. Supporters said automatic enrollment would reduce poverty and remove paperwork barriers, while opponents warned it could undermine parent choice and create problems for families with sensitive circumstances. The committee passed the bill 6-0. AB 1708 would require regions receiving HHAP homelessness funds to more meaningfully engage smaller cities; many city officials supported it as a way to include jurisdictions that are doing local homelessness work, while Los Angeles’ mayor’s office opposed it. The bill passed 5-0. AB 2395 would standardize access to the child support debt reduction program; supporters described it as a way to help low-income obligors escape uncollectible government-owed debt, while receiving parents and child support agencies warned it could reduce money owed to families and needs more work. The bill passed 4-0. The committee then began AB 1914, which would require local governments to plan for child care in general plans; supporters framed child care as essential infrastructure, while at least one member raised concerns about state mandates on local jurisdictions, and the excerpt ends before any vote.

Transcript Highlights:

• access to the digital world across New Mexico.
• of that food goes into landfills, and it goes to people who need access to it.
• I am going to share some of the resources that you can use to get access to that food, and for it to
• County by county, having service integration hubs so that community members have easier access to a host
• Are having to drive an hour, an hour and a half, two hours one way just to get access to groceries.

Keywords: 996, all

Transcript Highlights:

• We were able to protect access to life-saving health care.
• We were able to also reject cuts to home supportive services, protect child care access, provide services
• back to California and provide services to California veterans.
• members to fee-for-service instead of preserving their access to care through managed care.
• members to fee-for-service instead of preserving their access to care through managed care.

Summary: The Assembly Budget Committee met to consider the final three-party agreement for the 2026-27 state budget and 19 implementing bills, including two budget bill juniors and 17 trailer bills. Committee leadership and administration officials described the budget as a balanced plan that reduces out-year structural deficits, maintains large reserves, and makes major investments in health care, education, housing, child care, public safety, and other core services while also responding to expected federal cuts and fiscal uncertainty. The Department of Finance outlined the package’s major components, including Medi-Cal adjustments, education funding increases, higher education changes, child care and human services updates, housing and homelessness funding, energy and transportation provisions, and tax and general government changes. Members asked questions about several provisions, including CSU enrollment targets and turnaround plans, the Prop. 98 settle-up mechanism, the plastics market development payment program, housing accountability measures, NextGen 9-1-1 implementation, and veteran services. Staff and administration witnesses explained that the higher education language is intended to improve campus-by-campus reporting and oversight, that Prop. 98 settle-up would be finalized later through the statutory certification process, and that NextGen 9-1-1 now includes one-time funding, quarterly reporting, an independent technical review, and a state audit. Members also discussed the HAP homelessness funding increase to $900 million and the balance between accountability and timely distribution of funds. The most extended exchange centered on comparisons between funding for veterans and Medi-Cal/immigrant health coverage. Republican members argued the budget spends far more on undocumented immigrant services than on veterans, while Democratic members and Finance staff responded that the comparison was misleading because many veterans’ services are federally funded and the state budget also includes dedicated veteran support. The chair and other members emphasized that the budget reflects difficult tradeoffs and that the package protects vulnerable populations, preserves health care access, and advances affordability. No final vote was described in the excerpt, but members indicated support for the overall package and said they would support it on the floor.

Transcript Highlights:

• The child support program also provides families with access to a broad range of services, and...
• The child support program also provides families with access to a broad range of services, including
• do without reliable access to state resources.
• play in communities and that, to promote access to care, cities and counties need to plan.
• access to nutritious foods.

Keywords: 988, house, all

Transcript Highlights:

• to services.
• and be able to access what the estimated cost sharing would be to receive a specific service at a specific
• It's easy to access.
• does that translate to utilization of services, access, quality?
• that translate to utilization of services, access, quality?

Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.

Transcript Highlights:

• Kind of basic fairness, access to programs, timely transition to services, more understandable processes
• Access to respite services begins with knowing about the service and discussing the need with their regional
• So, there's lots of ways to talk about that, or access to services, meaning that we know you're eligible
• , has a fair and just opportunity to access Resources, services, and opportunities to achieve their full
• access to employment services.

Keywords: 988, house, all

Transcript Highlights:

• be able to receive care and services as well.
• to receive care and services as well. for individuals and families to be able to receive care and services
• They're connected to social services, and they have chances to build support networks.
• We do need to improve access to care. We do not have enough OB-GYNs.
• , given that we as a legislature or as a committee have worked to try to ensure that there's access to

Summary: The Senate Health and Long-Term Care Committee met on July 30, 2026, to hear two main briefings. The first, from the Health Care Authority, focused on implementation of federal H.R. 1 Medicaid changes and Washington’s rural health transformation funding. HCA said the state is preparing for major eligibility changes, including the October 1 loss of Medicaid coverage for about 14,000 lawfully present non-citizens and January 1, 2027 work requirements, six-month renewals, and reduced retroactive coverage for roughly 600,000 Medicaid expansion adults. Officials described outreach efforts, new automated verification systems, a verification hub, and plans to use available data sources to reduce manual paperwork, while noting that about one-third of the affected population may still need manual processing. They also said H.R. 1 will limit state-directed payments over time, with an estimated long-term impact of up to $1.5 billion in hospital reimbursements. On rural health transformation, HCA said it is moving quickly to obligate its $181 million federal award through contracts and competitive grants for rural hospitals, workforce, behavioral health, technology, and tribal and community partners. Committee members asked about the impact on rural providers, community service as a work-requirement pathway, emergency Medicaid, tribal and federal reimbursement issues, and whether the state would submit comments on the federal work-requirement rule. HCA said it would file comments, that emergency Medicaid coverage for certain services remains available, and that it is working with tribes and other agencies to avoid erroneous terminations and to move eligible people into other coverage where possible. Members also raised concerns about the administrative burden on families and providers and the need for congressional attention on issues such as TRICARE reimbursement. The second briefing addressed maternal health and the Department of Health’s Maternal Mortality Review Panel report. DOH said maternal mortality in Washington increased for the first time in the report series, but most pregnancy-related deaths remain preventable. Nearly half were linked to behavioral health conditions, especially overdose deaths, with suicide, cardiovascular disease, and COVID-19 also significant causes; most deaths occurred postpartum rather than during delivery. The report found higher mortality rates among American Indian and Alaska Native, Black, Native Hawaiian, Pacific Islander, multiracial, rural, and Medicaid-covered populations, and identified lack of access to care, financial hardship, housing instability, discrimination, bias, and systemic inequities as major contributors. DOH highlighted existing state actions such as one-year postpartum coverage, doula reimbursement, inpatient substance use treatment coverage for birthing people, and vaccine coverage requirements, and offered 12 legislative recommendations focused on affordable and high-quality care, basic needs and community supports, and equitable, culturally responsive services. Presenters from the Suquamish Tribe and Kitsap OBGYN described how the tribe acquired and stabilized a threatened OB-GYN practice to preserve regional access amid provider shortages and hospital service losses. They said rural obstetric care is difficult to sustain because of thin margins, workforce shortages, long travel distances, and higher-risk patients, and emphasized that tribal health systems can offer stronger reimbursement and integrated family-centered care. The Foundation for Healthcare Quality and the Bree Collaborative then outlined statewide maternity-care quality efforts, including work on perinatal behavioral health, care coordination, postpartum screening, doula support, and better-aligned payment models. They said Washington has strengths in innovation but still needs more OB-GYN capacity, better transitions of care, and more culturally responsive, trauma-informed maternal and Native health services.

Transcript Highlights:

• They now don't have access or restricted access to care.
• to key services.
• to CalFresh this year. access to CalFresh this year.
• other populations to ensure they have access to benefits.
• simultaneously stripping their access to the vital programs and services they desperately need.

Summary: The Senate Budget and Fiscal Review Subcommittee held an oversight hearing on the impacts of H.R. 1 on California’s safety net, focusing on Medi-Cal and CalFresh. The chair and vice chair framed the discussion around major federal changes to work requirements, eligibility redeterminations, immigrant eligibility, and financing rules, while noting the state’s own structural budget deficit and the need for a second hearing later in March on county and safety-net impacts. The first panel included the Legislative Analyst’s Office, the Department of Finance, the UC Berkeley Labor Center, and the Food Research and Action Center. LAO and Finance described H.R. 1 as driving major enrollment losses and cost shifts. LAO estimated that Medi-Cal work requirements and six-month redeterminations could affect 3.5 million people, with 1 to 2 million potentially disenrolled, while CalFresh changes could subject more than 800,000 people to work requirements and cause over 600,000 to lose food assistance. They also highlighted new ineligibility for certain non-citizens, reduced federal matching for emergency Medi-Cal services, tighter provider tax rules, and higher state and county administrative costs for CalFresh. Finance said the governor’s budget reflects about $1.4 billion in new General Fund costs in 2026-27 and a $2.4 billion reduction in federal funds, with larger out-year impacts and up to 2 million Medi-Cal disenrollments by 2029-30. The UC Berkeley Labor Center projected up to 3 million Californians could lose full-scope Medi-Cal by 2028 when H.R. 1 is combined with state budget changes, though it said the state could limit losses by choosing not to apply some new requirements to state-funded populations and by keeping some immigrants in full-scope state-funded coverage. The Food Research and Action Center argued that CalFresh cuts and time limits would increase hunger, homelessness risk, and health costs, while also hurting local economies and increasing administrative burden. Committee members from both parties questioned the fiscal sustainability of Medi-Cal growth, the 11% CalFresh error rate and possible $2 billion penalty, county indigent care costs, and the effect of work requirements; several Democratic members argued the federal changes and state cuts would disproportionately harm low-income Californians, immigrants, and communities of color, while Republican members emphasized program growth, work incentives, and the need for budget restraint. No votes were taken in the portion provided.

Transcript Highlights:

• to reduction in services because of open access.
• to reduction in services because of open access.
• Wait lists continue to be long and truly accessible services scarce.
• Weight lists continue to be long and truly accessible services scarce.
• be put into place making the services more accessible to clients.

Keywords: 995, all

Summary: The Joint Ways and Means Committee held its final public hearing on the FY26 state budget, with chairs and members emphasizing that public testimony would help shape the budget and asking speakers to keep remarks brief. Committee leaders introduced members, explained the hearing process, and repeatedly thanked residents, students, and advocates for participating. No votes were taken during the hearing. Testimony focused heavily on education funding and the Chapter 70 formula. Students from Amherst, Northampton, Gateway Regional, Chester Elementary, and other districts described budget-driven cuts to electives, special education supports, paraprofessionals, counselors, transportation, and building maintenance. They urged higher Chapter 70 aid, increased minimum aid, rural school aid, and a reopening or restructuring of the funding formula, arguing that current formulas leave many districts unable to meet student needs and force local layoffs and overrides. Other speakers urged funding or protection for a range of programs and facilities, including the Louis D. Brown Peace Institute for homicide survivor services, the Museum of African American History, the Massachusetts Commission for the Deaf and Hard of Hearing and CART/interpreter services, the Access to Counsel housing legal aid program, the Department of Mental Health and Pocasset Mental Health Center, and Pappas Rehabilitation Hospital for Children. One speaker opposed offshore wind-related spending and urged a reset of the state’s energy approach, while another advocated ending the aircraft sales tax exemption. Committee members responded sympathetically to many speakers, asked a few follow-up questions, and several expressed support for maintaining or expanding the programs discussed.

Transcript Highlights:

• reimbursement on access to care.
• to things that can improve our access to care?
• to things that can improve our access to care?
• to things that can improve our access to care?
• </c> services to your to your point, Senator. services to your to your point, Senator.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.

Transcript Highlights:

• This bill streamlines access to services, reduces barriers to service, and supports dignity, independence
• to create a social safety net that is robust enough to support areas where access to resources, services
• they're going to never be able to walk or be able to not have to use the services.
• maintain access to essential services.
• Limiting access to food is just wrong.

Keywords: 988, house, all

Transcript Highlights:

• to services, which As one of the CYBHI investments focused on improving access to services which address
• expand access to upstream, preventative resources and services by continuing to scale best practices
• That same scaling and access to upstream services that we heard from the panel earlier today, although
• It's trying to, it's important to note that these services are accessible to law enforcement, to schools
• The counties then continue to provide timely access to services for individuals found incompetent to

Summary: The hearing focused first on behavioral health, especially serious mental illness and anosognosia, a condition described by witnesses as a neurological symptom that prevents people from recognizing they are ill. The chair framed the issue around families cycling through emergency rooms, jails, conservatorships, and short-term stabilization without lasting treatment, and warned that federal changes under H.R. 1 could reduce Medi-Cal funding and worsen access. Dawn Marie Anderson gave a personal account of her son’s long history of psychosis, homelessness, arrests, repeated jail and state hospital stays, and eventual stability when he received sustained medication and coordinated support. She argued that the system often treats the problem as criminal rather than medical and that voluntary programs and short-term services are not enough for people who lack insight into their illness. Other panelists, including representatives from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association, agreed that anosognosia is not denial or noncompliance and said the system needs long-term, coordinated care, including assertive community treatment, mobile crisis, supportive housing, medication support, and stronger handoffs between county and managed care systems. They said CalAIM and other reforms have improved some coordination, but significant gaps remain, especially for people with serious mental illness, for those in jail or locked settings, and for people with private insurance, which witnesses said often offers little meaningful coverage for early psychosis or intensive behavioral health services. Several witnesses urged the Legislature to protect Medi-Cal, shore up county safety-net services, and invest in training and family engagement. The committee then turned to the Children and Youth Behavioral Health Initiative, with a focus on the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, saying the platforms provide free, culturally responsive, early-intervention support statewide and help connect users to higher levels of care when needed. On the fee schedule, DHCS said more than 500 LEAs, colleges, universities, and school-linked providers are participating, 181 LEAs have submitted claims, and $9.6 million has been reimbursed to date, with 41,556 students represented in claims. The chair and several members criticized the pace of implementation and the amount of money spent relative to reimbursement levels, saying the Legislature had requested data earlier and that the return on investment still appeared low. DHCS responded that many claims are still being submitted, that 70% of denials are correctable, that $400 million in capacity grants has been distributed locally, and that reimbursement is increasing rapidly as more districts come online. Public comment included a rural county behavioral health director who said private insurance denials leave counties with significant uncompensated work, especially for unlicensed staff providing case management and mobile crisis services.

Transcript Highlights:

• </c> apply to collaborative care services. apply to collaborative care services.
• Contracting exists to limit access for people to have access to the care they need.
• for people to have access to the care for people to have access to the care they<01:14:10.960><c> need
• They are also a key access point to developmental disability waiver services, and there are no county
• and inadvertent delays in services that have been created through lack of access to these testings,

Keywords: 1187, senate, all

Transcript Highlights:

• can access services and support one another to contribute to their communities.
• access to vital resources.
• services to others.
• to enhance care services provided to veterans.
• constituents more access to utilize our web-based services.

Keywords: 995, all

Summary: The hearing opened with remarks from Senate Chair Robyn Kennedy and House Chair Chynah Tyler, who emphasized that the fiscal year 2026 hearing was focused on the Health and Human Services budget, asked members to keep questions budget-related, and noted that no public testimony would be taken. They also highlighted the choice of Doherty Memorial High School as the venue to showcase Worcester’s investment in career and technical education. Committee members then introduced themselves before the first panel, the Executive Office of Veterans Services and the state veterans homes, began testimony. Secretary John Santiago said the governor’s FY26 proposal would support implementation of the HERO Act, which he said is now about 95% implemented, including higher disabled veteran annuities, expanded behavioral health benefits, and other service expansions. He described efforts to reduce veteran homelessness, including nearly $20 million in ARPA-funded housing and outreach initiatives, and said the agency has delivered more than 100,000 supportive services to nearly 8,500 veterans. Leaders from the Chelsea and Holyoke veterans homes reported on staffing, quality measures, electronic medical records, and major construction projects at both facilities, including a new Chelsea campus and the new Holyoke home. Members asked about funding transfers, geographic equity in access to the homes, outreach to women veterans and veterans of color, suicide prevention, Gold Star family support, and the impact of federal uncertainty; Santiago said the homes are now licensed and certified, that the current budget is sufficient, and that the agency is expanding engagement and data collection. The second panel, the Office of the Veteran Advocate, testified that its FY26 request is about $3.3 million, up from the current $2 million, to cover staffing, a larger office, and higher technology costs. Veteran Advocate Bob Notch said the office is a new independent oversight agency created in 2022 to examine systems, coordinate with local veteran service officers, and investigate fatalities or serious harm involving veterans in state care. He said the office’s work depends on research, data, and collaboration with other agencies, and that current funding is only enough for minimum operations. In response to questions, Notch and Deputy Commissioner David O’Callaghan discussed the difficulty of tracking veteran suicides, the need for better data across agencies, and the office’s role as an oversight body rather than a direct service provider. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• service to the communities.
• services to our community the opportunity to do so.
• And for us to be able to provide these services that we do every day, I could tell you as the medical
• option to offer medication abortion services.
• and potentially technical support to students accessing medication abortion services off-campus or via

Summary: The Ways and Means Committee held public hearings on several bills before moving into executive session. Substitute Senate Bill 6037 would change how single-city fire protection districts are funded by ending the requirement that a city reduce its levy dollar-for-dollar and instead reducing the city’s statutory maximum rate; testimony was generally supportive from cities and firefighters, while public hospital districts opposed it over prorationing concerns and some witnesses sought amendments on governance and accountability. Senate Bill 6194 would allow cost-based Medicaid reimbursement for rural hospitals on federally recognized Indian reservations, with strong support from Toppenish/Astria representatives and the Yakama Nation, who said the bill is needed to address severe funding inequities and preserve services. Senate Bill 5963 would make Passport to Careers students automatically income-eligible for the Washington College Grant; it drew support from student advocates and foster-youth advocates, with staff noting modest estimated costs. Senate Bill 5909 would require public universities to review and report low-enrollment undergraduate programs and potentially discontinue them after repeated low enrollment; Eastern Washington University supported it as an accountability measure, while faculty and student representatives opposed it as unnecessary, costly, and potentially politicized. Senate Bill 5826 would require public postsecondary student health centers to provide access to medication abortion or referrals and related web information; testimony was sharply divided between supporters who framed it as needed student health access and opponents who raised moral, safety, and budget objections. In executive session, staff briefed a series of bills, including measures on opioid treatment accreditation fees, a pre-K donation account, JLARC report elimination, retirement trust fund expense authority, pension lump-sum thresholds, port employee retirement exemptions, lemon law arbitration fees, LEAP website disclosures, limits on corporate ownership of single-family homes, a permanent senior center property tax exemption, timber tax distributions for school districts, capital project administration rules, and a real estate excise tax exemption for affordable housing. The committee then took action on the listed bills. The committee voted to give due pass recommendations to the Rules Committee for Senate Bills 5872, 5879, 5834, 5835, 5905, 5832, 6177, 5496, 5970, 5994, 6047, and 5647. Amendments were adopted on SB 5834, SB 5905, SB 6047, and SB 5647 before those bills were advanced as substitutes. SB 5988 was noted as taking action later, but no vote on it was recorded in the transcript excerpt.

Transcript Highlights:

• They now don't have access or restricted access to care.
• Access to health care and food.
• to key services.
• They're not going to not need access to care.
• simultaneously stripping their access to the vital programs and services they desperately need.

Summary: The Senate Budget and Fiscal Review Subcommittee held an oversight hearing on the impacts of H.R. 1 on California’s safety net, focusing on Medi-Cal and CalFresh. The chair and vice chair framed the issue as a major federal disruption that would reduce benefits and shift costs to the state, counties, hospitals, and other local systems. The first panel included the Legislative Analyst’s Office, the Department of Finance, the UC Berkeley Labor Center, and the Food Research and Action Center, each describing projected enrollment losses, higher state and county costs, and implementation challenges. The LAO outlined H.R. 1’s main changes: new and expanded work requirements, more frequent eligibility redeterminations, restrictions on certain non-citizen eligibility, and financing changes affecting provider taxes and federal matching rates. The LAO estimated that 1 to 2 million people could be disenrolled from Medi-Cal and more than 600,000 could lose CalFresh, with additional costs from reduced federal support and possible state and county administrative burdens. The Department of Finance said the Governor’s budget includes about $1.4 billion General Fund in 2026-27 to respond to H.R. 1, with larger out-year reductions in federal funds and projected Medi-Cal caseload losses of up to 2 million by 2029-30. The UC Berkeley Labor Center projected up to 3 million Californians could lose full-scope Medi-Cal by 2028 when H.R. 1 is combined with state budget changes, while noting the state could choose policies that would reduce some of those losses. The Food Research and Action Center warned that CalFresh cuts and time limits would increase hunger, worsen health outcomes, and strain local economies and emergency systems. Members questioned the witnesses about procedural disenrollments, regional variation, the overall growth in Medi-Cal spending, the future of the MCO tax, the CalFresh error rate, and the downstream effects on hospitals and county indigent care. Several senators argued that the federal law was driven by tax cuts for high-income earners and would disproportionately harm low-income Californians, immigrants, and communities of color. Administration witnesses said some impacts are still being analyzed, that counties and departments are working on implementation, and that the Legislature may need to use statute, reporting, and oversight tools as federal guidance develops. No votes or formal actions were taken during this portion of the hearing.