Transcript Highlights:

• Yeah, that's specific for direct services for veterans as opposed to just general. Oh, I get it.
• of guardianship services.
• Directly directed towards us.
• Aging and Long-Term Services has been trying to work with the Health Care...
• Aging and Long-Term Services has been trying to work with the Health Care Authority to integrate its

Committee: Senate Senate Finance

Keywords: 996, all

Transcript Highlights:

• practices and primary care providers, and which services should be considered routine primary care.
• Assembly by January 15, 2027, on the baseline per person per month spending on primary care services
• should be for primary care services and to develop a schedule to increase the target over time.
• to care delivered in community settings and directs AHS to incorporate the recommendations into the
• A primary care fee-for-service payment system designed primarily around episodic in-office encounters

Keywords: 926, house, all

Transcript Highlights:

• and our health care assets.
• And so this is a step in the right direction.
• If it's, say, needlework, direct, most procedures fall under direct supervision.
• HB 584 is about our children in foster care.
• H.P. 584 is about our children in foster care.

Committee: Senate Health and Welfare

Summary: The Senate Committee on Health and Welfare met on May 6, 2026, with five members present and adopted the April 28 minutes. The committee first heard a presentation on the new Leadership Louisiana Health Fellows Program, a leadership and networking initiative focused on Louisiana health care challenges such as workforce shortages, rural access, chronic disease, and the economic impact of health care. Speakers described it as a cross-sector program intended to build informed leaders and support collaboration with health systems, insurers, providers, LDH, and the Louisiana Hospital Association. The committee then moved through a series of bills, generally adopting amendments and reporting measures favorably. SB 57, a nutrition/labeling bill, was amended to delay the effective date for the labeling provision until December 31, 2028, and was reported as amended. HB 62 increased membership of the Louisiana Women’s Policy and Research Commission and was reported as amended, and HB 193 adjusted membership rules for the Sickle Cell Commission foundations and was also reported as amended. HB 815 would allow financial institutions to receive death certificates to help close accounts and avoid problems with automatic payments and federal benefit clawbacks; it was reported favorably. SB 405, which had been heard earlier, was reworked to codify LDH’s new Ascend nursing home quality initiative, including short- and long-term quality oversight goals, stakeholder involvement, internal expertise, and reporting requirements; after reconsidering prior amendments, the committee adopted the new amendment and reported the bill as amended. The committee also advanced several health and human services bills. HB 222 would allow Medicaid dental coverage when needed to clear a patient for another covered medical procedure, and it was reported as amended after LDH said the cost could be absorbed. HB 420 expanded DCFS background-check requirements to cover staff with access to sensitive records, and HB 475 required verbal consent before AI is used to record or transcribe a medical visit; both were reported favorably. HB 246 updated membership of the Children’s Cabinet Advisory Board and the council for grandparents raising grandchildren, including replacing an inactive coalition seat with the state police, and was reported as amended. HB 486 joined Louisiana to the psychology interjurisdictional compact to expand access to psychologists through telepsychology and temporary practice across state lines, and HB 574 updated outdated board names in the Mental Health Advisory Services Board statute; both were reported favorably. Later, the committee heard HB 949, which would create a licensure framework for radiologist assistants to help address radiologist shortages and improve imaging access, especially in rural areas. Testimony emphasized that RAs work under radiologist supervision and would extend capacity without replacing physicians; the bill was reported favorably. HB 584 required foster children to be provided luggage or similar items instead of trash bags when moving placements, and also corrected language in the Foster Youth Bill of Rights from “privileges” back to “rights” while extending the bill’s applicability to children from birth to age 18; it was reported as amended. The committee also reported HB 1214, which restructures certain LDH state facilities into a more unified system, and HB 1092, a technical renaming/terminology cleanup bill, both favorably. Finally, HB 203 added members from Christus Health System and Xavier University’s College of Medicine to the uterine fibroids commission and was reported favorably before the committee adjourned.

Transcript Highlights:

• We are required to provide appropriate services immediately.
• services provided at school?
• services provided at school?
• Cost alone is not a valid reason to deny those services.
• So we are required to provide these services.

Committee: House Education

Summary: The committee heard testimony on Senate Bill 1288, which would create a high-cost special education student fund to reimburse school districts for extraordinary special education expenses above $30,000 per student. The sponsor and supporters said the bill is a response to federal and state obligations to serve students with disabilities, and that the initial $5 million appropriation would provide limited relief to districts, especially rural and charter schools, that must absorb unpredictable costs. Testifiers from school districts, Idaho Parents Unlimited, parents, and Idaho Educational Services for the Deaf and the Blind described very high costs for aides, therapies, assistive technology, and specialized services, and said the bill would help districts maintain services for all students. Some members raised concerns about whether schools are being asked to provide health-related services and about the long-term fiscal burden, but the bill was advanced to the floor with a due pass recommendation. The committee also took up Senate Bill 1339, which would replace the current continuous improvement plan framework with strategic performance plans and related training for districts and charters. The sponsor and supporters argued that the bill would encourage long-term goal setting, stakeholder involvement, annual review, and more local flexibility, while reducing redundant reporting and focusing oversight on schools that are not meeting goals. Supporters said many high-performing districts already use similar practices and that the bill would help align resources with student outcomes. One testifier said her district already has strategic and continuous improvement plans and questioned whether the proposal added value without new funding, while another superintendent said the bill improved clarity and community engagement. The committee voted to send Senate Bill 1339 to the floor with a due pass recommendation and also approved the March 12 and March 13 minutes.

Transcript Highlights:

• Health services in Idaho.
• They may be forced to curtail services or close, leaving tens of thousands of Idahoans without care,
• Without Medicaid, she'll be unable to care for her son. Without medical care, her son might die.
• The safety net systems I'm referring to are Medicaid, CHIP, SNAP, rural health care services for foster
• youth, senior services, and services for victims of domestic violence.

Committee: House Revenue and Taxation

Keywords: 989, all

Transcript Highlights:

• This bill will create stability in child care services for eligible New Mexican families.
• This bill will create stability in child care services for eligible New Mexican families.
• early intervention providers from accessing the child care setting to provide early intervention services
• the care, what is the structure of the different child care programs: family child care, registered
• , whether that's senior care, personal care services, keeping rural facilities open.

Summary: The committee met late in the evening and announced that Senate Bill 132 would be rolled until the next day. The only bill heard was Senate Finance Committee substitute for Senate Bill 241, which would codify New Mexico’s Child Care Assistance Program in statute, establish eligibility, payment, wait-list, and co-payment rules, require reporting and transparency, and tie reimbursement rates to a cost-estimation model and wage scale/career lattice. The sponsor and administration described the bill as creating a durable framework for universal child care, with protections for program integrity, inclusion of children with developmental needs, and requirements to maximize state and federal child care tax benefits. Public testimony was largely supportive of the bill’s child care expansion goals, with endorsements from State Police, firefighters, early childhood advocates, and women’s policy groups, but many providers and educators said they could not support it without stronger wage and career-ladder protections and clearer guarantees that funding would reach staff salaries rather than owners or institutions. The committee adopted Vice Chair Dixon’s amendment, which lowered the proposed transfer from the Early Childhood Education and Care Trust Fund from $1 billion to $700 million and added reporting requirements on the wait list, consultation requirements for rate-setting, additional facility reporting, a prohibition on supplanting certain public education funds, tribal facility participation, and food program reporting. A separate amendment from Representative Duncan to require first-come, first-served enrollment was debated at length but was tabled by a 9-7 vote after the sponsor and secretary said it conflicted with federal prioritization rules and the bill’s targeted access goals. Members also questioned how the bill would affect public entities, nontraditional-hour providers, co-pay triggers, and whether the wage scale would adequately compensate educators. After debate, the committee voted 10-7 to give the amended bill a do-pass recommendation. Supporters said the bill would strengthen workforce stability, improve access for working families, and help sustain New Mexico’s universal child care system; opponents warned about the long-term fiscal impact, the potential growth of the program, and whether the bill sufficiently protected early childhood educators’ wages and other state priorities. The meeting adjourned with notice that the committee would reconvene at 8 a.m. the next day to hear the Senate’s actions on House Bill 2.

Transcript Highlights:

• who are providing a service.
• at all, surgical services at all in those areas, and so that that may result in the... ...services at
• As directed by the legislature, OPAGA examined how states licensed and regulate health care practitioners
• Health care practitioners are subject to occupational licensure, and health care boards are involved
• In In contrast, health care boards in some states have direct access to fees and fines revenue without

Summary: The Senate Health Policy Committee met with a quorum and considered several health-related bills, most of them focused on drowning prevention and public safety. SB 428, by Senator Yarborough, would expand Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7. The sponsor and supporting testimony from a pediatric emergency physician and YMCA representatives emphasized Florida’s high drowning rates, especially among very young children, and argued that swim lessons can significantly reduce risk. Senator Harrell noted the need to revisit the funding allocation as eligibility expands. The bill was reported favorably. The committee also heard SB 606, by Senator Smith, which adds drowning prevention and safe bathing practices to postpartum education provided by hospitals, birthing centers, and, after amendment, no longer requires home birth providers to maintain proof of compliance. A parent who lost a child to drowning and Senator Berman spoke in strong support, stressing that the bill would educate new parents at a critical time. The committee adopted the amendment and reported the bill favorably as a committee substitute. SB 162, by Senator Davis, would require hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during procedures that generate surgical smoke. The sponsor said the equipment is relatively low-cost and already used in many facilities, while several witnesses supported the bill as a worker-safety measure. Other senators raised concerns about the lack of data, possible rural hospital impacts, and whether the mandate could add costs without clear evidence of harm. Despite those concerns, the bill was reported favorably. The committee also passed SB 340, by Senator Harrell, requiring nursing students to complete a two-hour human trafficking course before licensure, after amending the bill to shift the requirement from nursing programs to the students themselves. Testimony from a trafficking survivor and nursing advocates supported the measure, and it was reported favorably as a committee substitute. Finally, SB 192, presented by Senator Trumbull on behalf of Senator Martin, removed the $1,500 cap on advances chiropractic physicians may collect for examinations or treatment; chiropractic industry representatives supported the change, and the bill was reported favorably.

Transcript Highlights:

• And so it was, like, you know, a direct interaction there.
• I want to be careful about generalizing from these studies.
• services.
• Well, in the context of the services that they provide, so many of those services, one service, for example
• I don't care from others.”

Summary: The Assembly Privacy and Consumer Protection Committee held an informational hearing on the impact of social media on LGBTQ+ youth, focusing on benefits, risks, and possible safeguards. Chair members framed the discussion around the tension between protecting young people from addictive design, harassment, hate speech, exploitation, and mental health harms while preserving access to affirming resources, community, and crisis support that many LGBTQ+ youth rely on online. Members emphasized that the hearing was meant to inform future policy rather than relitigate prior bills, and several members of the LGBTQ+ Caucus attended or participated. The first panel featured lived experience and advocacy testimony from Madi Roby of Alliance for Trans Youth Rights, Shea Gardner of LGBT Tech, and Casey Pick of the Trevor Project. Roby described social media as essential to exploring identity, finding trans language and safety information, and connecting to Trevor Project resources during a family crisis, while also acknowledging online hate and bullying. Gardner argued that lawmakers should regulate harms more precisely rather than impose broad age-based exclusions, warning that account bans and age-gating could cut off access to community, privacy-protective pseudonymity, and crisis resources. Pick testified that LGBTQ+ youth are more likely than peers to attempt suicide, that social media can be both a lifeline and a risk, and that Trevor Space and other moderated online spaces can improve mental health and reduce isolation; she also cautioned against policies that would push youth into less visible, less moderated spaces. Committee members questioned the witnesses about algorithmic feeds, addictive design, age verification, and whether platforms should be required to do more to protect youth. Several lawmakers distinguished between personalized feeds and addictive features such as infinite scroll and autoplay, and asked for more targeted prescriptions. Witnesses generally supported stronger privacy protections, limits on data collection and use, better reporting and moderation tools, digital literacy, and design changes that reduce harmful engagement patterns without eliminating access to community. The discussion also touched on the loss of LGBTQ-specific 988 services at the national level and the importance of maintaining alternative support pathways. The second panel presented research from Common Sense Media, UC Irvine, Hope Lab, and LGBTQ+ Health Australia. Researchers reported that LGBTQ+ youth often arrive online with higher depressive symptoms and limited in-person support, encounter homophobic and transphobic content at high rates, and may self-censor because of fear of harassment. At the same time, many said social media helps them feel less alone and find affirmation. Dr. Sean Young emphasized a harm-reduction approach, noting that online environments can be designed to support health and that policymakers should measure whether restrictions actually reduce harm or simply displace it. Dr. Amy Green echoed that social media is both harmful and supportive for LGBTQ+ youth, underscoring that the policy goal should be to make youth safer rather than less visible online.

Transcript Highlights:

• The Department of Health Care Services is the single state agency responsible for financing and administering
• the state's Medicaid program, which provides health care services to low-income families who meet eligibility
• The Medi-Cal program covers a full breadth of services: physical, mental, substance use disorder services
• Children and youth in foster care.
• During the LA fires, local Community Services Block Grant (CSBG) and LIHEAP agencies provided services

Keywords: 988, house, all

Transcript Highlights:

• Senators, Senate Bill 1404 creates a new memory care services specialty license type, which an assisted
• They must obtain this memory care services license if the ALF serves one or more memory care residents
• services for such memory care residents.
• An ALF is not required to obtain a memory care license simply to provide supportive services to residents
• Also, we must be mindful that DOH has directed their vendor that processes the health care payments to

Committee: Senate Appropriations Committee on Health and Human Services

Keywords: 999, senate, all

Transcript Highlights:

• And so we lay before you all our cares and believe that you care for us.
• </c> care for us. care for us.
• >> Without objection, the gentleman is recognized for one minute. service. service.
• But these guys don't care. They don't care. They just go along to get along.
• , other services, u professional services, other services, u retail<05:47:51.360><c> items,</c><05:47

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, December 2, 2025, 1012, house, all

Transcript Highlights:

• And we cannot put a price on the values that we express through human services and through our care for
• And we cannot put a price on the values that we express through human services and through our care for
• Section 21 requires anyone providing direct care to a recipient of waiver services to enroll as an individual
• /c><00:59:50.800><c> of</c><00:59:50.920><c> waiver</c> direct care to a recipient of waiver direct care
• Services. Services.

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• , including disparities in access to diagnostic and early intervention services, primary care, dental
• , timely, efficient, and equitable health care services for all.
• Three: the nurse will review and instruct all those involved with the direct care of the person on how
• , including a long-term acute care hospital, a skilled nursing facility, or home care services.
• Okay, up next we have House Bill 284, An Act Improving Frontline Service Coordinator's Quality of Care

Committee: Joint Joint Committee on Children, Families and Persons with Disabilities

Keywords: 995, all

Summary: The Joint Committee on Children, Families and Persons with Disabilities held a hybrid hearing focused largely on DDS-related bills, with chairs Kennedy and Livingstone outlining strict time limits, accessibility procedures, and a 5 p.m. stop to preserve ASL and CART services. The committee heard testimony on several measures, including a bill from Sen. Mike Moore to create a centralized electronic education records system for students in out-of-home placements, which supporters said would improve communication, preserve IEP continuity, and reduce missed services. Paul DePaulo also testified in support, describing the educational and justice-system harms that can follow when foster youth do not receive coordinated records and supports. A major portion of the hearing centered on H. 242/S. 149, a bill to enhance standards of care for people with autism and intellectual and developmental disabilities. Rep. Garballey and many advocates, parents, clinicians, and disability leaders supported the bill, saying it would require provider training, statewide standards, and better emergency department practices to reduce misdiagnosis, trauma, and unnecessary ER boarding. Testimony described sensory and communication barriers in medical settings, lack of provider training, and the need for continuing education and license-related requirements. Related testimony also supported H. 213/S. 111, which would improve access to behavioral health services for children involved with state agencies by requiring better discharge planning, coordination with hospitals and agencies, and more appropriate post-hospital placements. The committee also heard strong support for H. 256/S. 102, requiring universal changing stations in public buildings, from parents, advocates, and the Massachusetts Developmental Disabilities Council. Witnesses said current restroom accommodations often force unsafe or undignified changes on floors, in cars, or in inaccessible spaces, and argued the cost of adding changing stations to new or renovated buildings would be modest compared with the benefits to dignity, safety, and community access. Another major topic was H. 261/S. 155 on supported decision-making agreements for certain adults, which supporters described as a less restrictive alternative to guardianship that preserves autonomy while providing trusted support. Finally, testimony on Tommy’s bill (S. 168/H. 282) described a preventable death after a hospital discharge and urged clearer communication and training requirements for residential staff handling life-sustaining equipment; the bill was presented as a safeguard for people with disabilities relying on such equipment.

Transcript Highlights:

• That is a direct quote.
• States, doctors, and patients involved in legally protected reproductive health care services in California
• or gender-affirming care services.
• AB 2164, the Care Without Fear Act, is the next step in protecting this care.
• The Care Without Fear Act is the next step in protecting this care.

Summary: The committee heard a long agenda of public safety bills, with several measures pulled off calendar and one consent calendar adopted. AB 2419 by Assembly Member Quirk-Silva would extend body-worn cameras to Los Angeles County juvenile probation officers. Supporters said cameras would improve accountability, youth and officer safety, and public trust; opponents argued the bill would not solve deeper problems in juvenile halls and raised concerns about officer discretion, privacy, and labor issues. The bill passed to Appropriations on a roll call vote. AB 1902 by Assembly Member Pellerin, co-sponsored by Santa Cruz County, would revise the juvenile detention extension hearing process in response to the Madison Middleton case. Supporters, including the victim’s mother and county officials, said the bill would clarify jurisdiction, allow continuances, permit hearsay at the probable cause stage, extend the maximum detention period, and better protect the public and victims from repeated trauma. Opponents from public defender, youth justice, and civil liberties groups argued the bill expands civil commitment, reduces review frequency, and could lead to inappropriate adult placement. The committee approved the bill to Appropriations, with some members noting remaining concerns. AB 2052 by Assembly Member Stephanie would allow continuity in prosecution for elder and dependent adult abuse cases, including a limited continuance so the same prosecutor can stay with a case. Supporters said older victims and those with dementia or other impairments benefit from a single point of contact and less repeated trauma; opponents said the bill could undermine speedy-trial rights and was broader than necessary. The bill passed to Judiciary. AB 1588, also by Assembly Member Stephanie, would strengthen sideshow and street takeover enforcement by adding motorcycles and dirt bikes to the law and increasing penalties. Supporters framed it as a public safety and accountability measure, while opponents warned it would expand punishment, surveillance, and fines without addressing root causes; the bill was sent to Transportation on a roll call vote. AB 1753, another Stephanie bill, would tighten firearm relinquishment and protective-order enforcement, expand remote hearing access, and align firearm prohibitions across protective order categories; it passed to Judiciary. The committee also heard AB 1739 by Assembly Member Ward, which would criminalize clergy sexual exploitation when clergy provide therapeutic services, with survivors and advocates testifying in support.

Transcript Highlights:

• And I'm also a registered nurse and have experience in providing direct health care services.
• </c><00:04:57.120><c> health</c><00:04:57.360><c> care</c><00:04:57.600><c> services.
• </c> providing direct health care services. providing direct health care services.
• Care coordination improved, health services were used more efficiently, and a more complete picture of
• SJR 26 directed the Cabinet for Health and Family Services and the Department for Medicaid Services to

Keywords: 1. Call to Order and Roll Call – 00:00:00 2. Approval of Minutes – 00:01:32 3. Getting to Know the Foundation for a Healthy Kentucky – 00:02:26 4. Healthy Kids Clinic – 00:26:58 5. Pharmacy Payment Parity – 00:56:36 6. Ibogaine – 01:17:37 7. Consideration of Referred Administrative Regulations – 01:53:05 8. Adjournment – 01:53:19, 958, all

Summary: The committee first approved the prior meeting minutes and recognized Eric Clark for his service, noting this may be his last meeting before he leaves state government. The main presentation was from Allison Adams, president and CEO of the Foundation for a Healthy Kentucky, who described the organization’s history, nonpartisan mission, and focus on health equity, prevention, and upstream policy solutions. She said Kentucky’s poor rankings in chronic disease, preventable hospitalizations, and life expectancy show the need to shift resources toward prevention and community-driven strategies rather than relying mainly on treatment after people become sick. Adams emphasized leading health indicators, arguing that lawmakers should track actionable measures such as quit attempts and smoke-free policies instead of only lagging indicators like disease rates and mortality. In response to questions, she said accountability should be shared across communities and systems, with possible incentives and disincentives tied to outcomes, and she supported creating a public data utility or dashboard, ideally with university partners, to help legislators and communities monitor progress. She also cited examples of accountable health community models and said Kentucky could adapt similar approaches. The committee then heard from Meade County Schools Superintendent Mark Martin and district health coordinator Karen Kotche about the Healthy Kids Clinic partnership with Cumberland Health. They described a seven-year effort that led to full implementation in the district, which now has a nurse in every school and a nurse practitioner, allowing services such as sports physicals and other clinic functions to be provided on campus. They said the program has been a strong investment for students and the community and began explaining how the district built the partnership after earlier efforts and delays, including the pandemic.

Transcript Highlights:

• For us at the Health Care Authority, which is obviously Washington's chief payer of health care services
• services, and also has a number of different components of behavioral health care, primary care, rural
• They receive and administer funding that supports different projects to offer direct clinical services
• patient abortion clinical care services across the state.
• The traditional fee-for-service structure does not adequately support comprehensive health care for our

Summary: The Senate Health and Long-Term Care Committee held a public hearing on six bills, with the chair repeatedly emphasizing one-minute testimony limits because of the large number of sign-ins. The committee first heard SB 6292, which would create a joint legislative-executive committee on health care financing to study strategies for improving statewide access and coverage and report in 2027. Supporters, including the Health Care Authority, the Office of the Insurance Commissioner, community health centers, carriers, and provider groups, said the bill could help the state respond to affordability and system sustainability challenges and coordinate policy work across branches of government. The committee then heard SB 6258, which would create a non-disciplinary pathway for voluntarily relinquishing certain Washington Medical Commission licenses. The sponsor and supporters said the bill would provide a humane exit option for physicians and other licensees who are medically disabled or otherwise leaving practice, without forcing them into a disciplinary process. Testimony was overwhelmingly supportive, and the hearing closed with 17 people signed in pro and 2 con. The committee also heard SB 6182, establishing an abortion savings program funded by a new assessment on health carriers. Supporters argued it would recapture funds originally set aside for abortion care under the ACA and protect access amid federal changes, while opponents raised concerns about hidden taxes, lack of opt-out, and the impact on premiums and conscience rights. The hearing drew very large public interest, with 245 signed in pro and 1,775 con. The committee next took testimony on SB 5947, which would establish the Washington Health Care Board and prepare a state universal health care plan contingent on federal authorization and funding. Supporters from labor, health care, tribal, and universal coverage advocacy groups said the bill would position Washington to act quickly if federal waivers become available and argued that health care should be treated as a human right; opponents warned about costs, vagueness, and government overreach. The hearing then moved to SJR 8206, a proposed constitutional amendment declaring access to affordable health care a fundamental right. Supporters framed it as an aspirational commitment and a necessary step toward universal coverage, while opponents argued the language was vague, legally risky, and could create costly obligations. Finally, the committee heard SB 5823, which would require hospitals to employ or provide access to patient advocates to help patients navigate bills, records, and appointments. Hospital and patient coalition witnesses supported the goal but asked for amendments to clarify staffing, exemptions, and scope; the hearing closed with 20 signed in pro, 792 con, and 3 other. No votes were taken on the bills during the hearing.

Transcript Highlights:

• You don't care if we're Democrat or Republican. You don't care what our policies are.
• She's so caring and empathetic, and you're people-driven.
• Thank you for your service to the Senate.
• And it's not because I don't care. That's absurd.
• Clearly, his community service was evident.

Keywords: 987, senate, all

Transcript Highlights:

• of Health Care Services.
• The Department of Health Care Services is the single state agency responsible for financing and administering
• the state's Medicaid program, which provides health care services to low-income families who meet eligibility
• Health care services to low-income families who meet eligibility requirements.
• disorder services, pharmacy, dental, vision, and other long-term services and supports.

Summary: The Assembly Budget Subcommittee on Human Services heard an overview of efforts to streamline access to safety net programs and move toward more automatic, person-centered enrollment. CDSS, DHCS, and CalHHS described current cross-enrollment between Medi-Cal, CalFresh, and CalWORKs, including data showing high overlap among programs and a text-message outreach pilot that increased CalWORKs applications and enrollments but reached only a small share of potentially eligible people. Witnesses emphasized barriers such as differing federal eligibility rules, data-sharing limits, privacy concerns, and the need for better technology, consent management, and stakeholder engagement. Members pressed the administration on how to institutionalize these efforts across administrations and asked for concrete budgetary and regulatory steps to support “no wrong door” enrollment and automatic referrals. The committee also reviewed several chair priorities. On the proposed foster care multi-agency office, CDSS said existing coordination structures already address much of the intended work and asked to verify prior fiscal scoring. On the Employment First Office, CalHHS explained that the office’s $1 million budget was eliminated in the 2024-25 budget as part of deficit reductions, while noting that employment for people with intellectual and developmental disabilities remains an administration priority through existing departmental coordination. For the food insecurity proposal, CDSS said it could provide technical assistance but would need new data-sharing agreements, could not separately calculate a CFAP participation rate with current data, and would likely need until July 1, 2027, plus ongoing staffing, to complete the requested report. The mandated reporter proposal drew support for reform, with CDSS estimating low-millions in one-time training costs and ongoing costs in the hundreds of thousands. The subcommittee also discussed a guaranteed income proposal. CalHHS suggested drafting new statutory language and considering a county-administered model rather than a state-run competitive grant process to reduce administrative burden, while members and public commenters urged support for AB 661 and a study of a permanent statewide guaranteed income program. Public testimony also supported automatic enrollment, community-supporting mandated reporting reforms, and cash assistance for fire recovery. In the final items, CSD described how local nonprofit partners helped during the Los Angeles fires with food, housing vouchers, transportation, and emergency energy assistance, and explained that LIHEAP and CSBG remain important but limited tools for disaster response. CSD also said recent federal staffing cuts and possible future federal budget threats could affect LIHEAP and CSBG administration, though no immediate service disruptions had occurred and additional LIHEAP funds were expected to be released soon.

Transcript Highlights:

• care availability and impacts to families who relied on these services.
• It is a tool; the alternative methodology estimates that true cost of care in delivering services rather
• and not just IHSS, but we would have to defer to the Department of Health Care Services regarding the
• The next question was what home and community-based services alternatives to care for these people.
• services, foster care services, and adoptions.

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

Transcript Highlights:

• At the state level, Medi-Cal is administered by the Department of Health Care Services, and CalFresh
• As an example, the Department of Health Care Services has estimated that about 40% of individuals that
• Then we'll have Ying Zhen Wang from the Department of Health Care Services.
• I'm the Deputy Director for the Department of Health Care Services, leading a lot of the House Resolution
• We are regularly engaging with the Department of Health Care Services to align our policy and operations

Summary: The Assembly Budget Subcommittee on Accountability and Oversight held a hearing on how H.R. 1’s new federal work and community engagement rules will affect Medi-Cal and CalFresh, especially for Californians with behavioral health needs, people experiencing homelessness, and justice-involved individuals. The Legislative Analyst’s Office outlined the scope of the changes, including Medi-Cal work requirements beginning in January 2027 and CalFresh changes beginning in June 2026, and estimated large potential coverage losses if people cannot document exemptions or comply with reporting rules. State departments said they are still awaiting some federal guidance but are already building implementation plans, data matching, outreach campaigns, and system changes to reduce disruption and automatically identify exemptions where possible. Department of Health Care Services and Department of Social Services officials described efforts to use existing data, CalSAWS, and cross-program coordination to streamline exemption screening, including for medical frailty, serious mental illness, substance use disorders, and student status. They said outreach will include text messaging, webinars, county training, and community-based partners, while also acknowledging that many people will still need direct worker contact. County representatives stressed that the new rules will create major administrative burdens, require significant new staffing, and could lead to coverage loss if counties are not adequately funded. They urged the Legislature to release the $20 million in current-year General Fund for CalFresh implementation and to consider a much larger county augmentation next year. Assembly members pressed the administration on outreach strategy, county funding, consistency across counties, and how to avoid harming eligible people through overly aggressive implementation. They also asked about coordination with universities, CDCR, and community-based organizations, and about how exemptions would be documented for mental health and substance use conditions. Department officials said they are working with counties, education institutions, and correctional agencies, and that they are trying to align Medi-Cal and CalFresh rules where possible, but not all federal definitions match. Public commenters from legal aid, counties, labor, and public hospitals warned that work requirements do not increase employment, will worsen food insecurity and health outcomes, and will strain county systems unless the state provides more funding and support.