Transcript Highlights:

• </c><00:23:07.760><c> the</c> bill seeing none uh we will close the bill seeing none uh we will close
• We’re not close.
• This does make that designation in the primary and the presidential primary.
• I had a neighbor who wanted to vote in the primary and said to me, ‘Oh, the primary was yesterday.’
• </c><01:35:55.800><c> those</c> close so we're already closing those close so we're already closing those

Keywords: 928, house, all

Summary: The hearing opened on House Bill 192, which concerns the Joint Committee on Employee Classification process for state employee positions. Representative Peter Schmidt explained that the bill is a procedural step to send already-reviewed classifications to Korn Ferry and then into statute and the budget. Department of Corrections staff and Commissioner Helen Hanks testified that one Deputy Director of Medical Services position had been omitted from the bill by mistake even though it had already gone through the JCEC process, and they asked for an amendment to add it. Hanks clarified that the position is an existing classified job being converted to unclassified status, not a new position. The committee discussed how the amendment would work and the quorum requirements for the JCEC, then closed the hearing on HB 192 after no further testimony. The committee then heard House Bill 435, sponsored by Representative Don McFarland, which would clarify professional engineering licensure law. McFarland said the bill is intended to make clear that work in IT security, electronics, digital systems, computing, and software is not the practice of engineering requiring a professional engineer license, while preserving licensure requirements for fields such as civil, structural, and building-related engineering. He said he had consulted with the American Council of Engineering Companies and that the bill is meant to remove ambiguity and legal risk, not deregulate engineering. Several members with engineering backgrounds spoke in support, describing the distinction between licensed PE work and other technical fields, and one member noted that software development and regulated software work typically do not require a PE license. The committee voted ought to pass on HB 435 by a roll call of 16-0 and placed it on consent. Finally, the committee opened House Bill 210, which would create a commission to study the New Hampshire state flag. Representative Tom Corman argued that the current flag is a generic “state seal on a blue bedsheet” and does not meet common vexillological design principles such as simplicity, meaningful symbolism, limited colors, and distinctiveness. He said the proposed commission would include legislative members plus representatives of the New Hampshire Historical Society and the New England Vexillological Association, and would review the flag’s history and recommend whether to redesign it and how to do so. He also indicated he intended to add language to avoid costs, but the bill discussion was not completed in the portion provided.

Transcript Highlights:

• And so inside state code, we have a section for what we call direct primary care, where providers can
• We're defining direct primary care services means those services that a primary care provider is licensed
• She said the bill’s definition of direct primary care services includes services that primary care providers
• I've experienced so much, and seeing these kids, I grew very close to them.
• Representative Wheeler, any closing comments? I hate to strain your voice.

Keywords: 989, all

Transcript Highlights:

• But you may go ahead and close.
• But you may go ahead and close.
• AB 2753 closes that gap.
• And with that, Assembly Member Berman, close us out, right? Close it? We'll get there.
• Close us out.

Keywords: 988, house, all

Transcript Highlights:

• Open enrollment did close on January 31st, and we are very closely tracking the impacts and what we're
• Recently, a Rite Aid in King City closed.
• We also do not operate primary care clinics.
• To be fair, I'm primary care trained.
• So, of course, we're invested in primary care.

Summary: The joint informational hearing of the Senate and Assembly Health Committees focused on the cost of federal instability for California health coverage, access, and affordability. Opening remarks from members of both houses emphasized that California’s coverage gains under the Affordable Care Act are now threatened by federal policy changes, including the expiration of enhanced premium tax credits, H.R. 1, and new federal regulatory actions. Members repeatedly cited rising premiums, skipped care, medical debt, and the risk that low-income, immigrant, and working Californians could lose coverage or be pushed into less comprehensive plans. The first panel reviewed the federal landscape and state response. Don Joyce described the ACA’s coverage expansions and warned that H.R. 1, regulatory changes, and broader federal retrenchment could reduce coverage and weaken meaningful benefits. Covered California Executive Director Jessica Altman said the loss of enhanced premium tax credits is driving major affordability problems, with average monthly premiums projected to rise sharply and enrollment already down, especially among middle-income consumers. HCAI’s Elizabeth Lansberg explained the Office of Health Care Affordability’s role in slowing spending growth, monitoring consolidation, and setting spending targets, including lower targets for high-cost hospitals and new primary care investment goals. Members asked about bronze plans, high-cost hospitals, administrative burdens, provider taxes, and whether federal advisory changes could affect required benefits such as immunizations. The second panel examined population impacts and cost drivers. UC Berkeley Labor Center’s Miranda Dietz said most Californians get coverage through employers, Medi-Cal, or Covered California, and that affordability problems are widespread across all groups. She projected that California could have up to 2 million more uninsured residents by 2030, largely from Medi-Cal losses, and said higher premiums reduce wages and increase medical debt. Christoph Stremakis of the California Health Care Foundation highlighted survey data showing widespread concern about medical bills, skipped care, and medical debt, and argued that a large share of spending is wasted through administrative complexity, inflated prices, and underinvestment in prevention. Committee members pressed the panel on whether California can sustain coverage without new revenue, how cost-growth targets affect workers and families, how medical debt relief programs like Los Angeles County’s could be expanded, and how OCA can address uncompensated care, consolidation, and prior authorization burdens.

Transcript Highlights:

• I have no other primary witnesses. Okay, then seeing opposition witnesses?
• Do we have any other primary witness in favor of the bill?
• Do we have any other primary witness in favor of the bill?
• Do we have another primary witness in opposition to the bill?
• Seeing no other comments, you may close. Respectfully ask for an aye vote. That's a great close.

Keywords: 987, senate, all

Transcript Highlights:

• used FY 25 funding to cover primary costs which occurred in FY 24.
• These are primary elections, general elections, and regular local elections.
• So in closing, Mr. Chairman, on slide 25.
• To us being able to close that $1.9 trillion annual deficit.
• And in our funding formula, we're probably spending close to $800 million.

Transcript Highlights:

• </c><01:37:55.199><c> With</c> primary care measures, right? With primary care measures, right?
• </c> health and primary care access burden. health and primary care access burden.
• So working closely with our said.
• access to primary care. The drive times access to primary care.
• We work very closely with our primary care association and the healthcare workforce coalition that sits

Keywords: 928, house, all

Summary: The committee first approved the draft minutes from its May 29 meeting and then received an informational update from the Commission for the Deaf and Hard of Hearing about the state’s ASL interpreter pipeline. Representative Woods and Associate Commissioner Ann Landry explained that the American Sign Language program at UNH Manchester, the nation’s first fully accredited program, is facing viability concerns because high tuition has left only two of a potential 20 students committed so far. They warned that if enrollment does not recover, the program could face a teachout and eventually be lost, which they said would be detrimental because many state services and legal proceedings require qualified interpreters. Members discussed possible alternatives, including whether community colleges could help, and asked for follow-up research and contact information for UNH officials. The committee also heard that interpreter demand across DHHS continues to rise and that the department must ensure compliance with civil rights and service-access requirements. The committee then turned to Medicaid policy changes tied to Senate Bill 134 and a new federal interim final rule on Medicaid community engagement, or work, requirements. DHHS officials Olivia May and Ann Landry explained that the state law and federal rule align in many areas, but the committee still needed to decide how to implement several remaining policy choices. The department recommended adopting all four short-term hardship exceptions because the federal rule requires states to take them all or none: inpatient or institutional care, federally declared emergencies, high-unemployment areas, and extensive out-of-state travel for serious medical care. Members generally supported the exceptions but raised concerns about how they would be defined and applied, especially the emergency and medical-travel categories. Several legislators asked for more clarity on terms like “extensively” and “serious or complex medical care,” and DHHS said the federal rule does not rigidly define them, though the state could refine implementation through rulemaking if authorized. The department also said the emergency exception would apply only to federally declared emergencies, not state declarations, and would be tied to the emergency event itself. No final vote on the Medicaid policy was recorded in the portion provided, but the discussion indicated the committee was reviewing the remaining decisions needed to implement Senate Bill 134 under the new federal framework.

Transcript Highlights:

• an adjustment on this allocation, it has to conform as closely as possible to the primary results.
• We've had previous bills like this over the years in elections is the idea of closed primaries versus
• the open primary system we have right now.
• So I have some issues with not having a closed primary connected to any of these bills related to presidential
• Thank you. ...get as close as they can.

Summary: The Elections Committee met in executive session first and adopted a House Committee substitute for House Bill 2387, which combined HB 2387 and HB 2480. The substitute removed provisions on extending no-excuse in-person absentee voting and shortening the absentee voting window, shifted the presidential candidate filing fee to be set by state party committees, and added language to bind presidential delegates to primary results while allowing national party rules to control where required. Members discussed the legal basis for delegate binding, party input on the substitute, and the role of closed primaries, then the committee voted 10-2-1 to do pass HB 2387 as substituted. The committee also passed House Bill 1987 and House Concurrent Resolution 23 without opposition, and passed House Bill 1802 after members discussed election transparency and concerns about applying the measure uniformly across counties; the vote was 11-2. In public hearing, the committee heard House Bill 2605, which would update election notice requirements, especially for bond elections. Sponsor Rep. McGaugh and the State Auditor’s office said the bill would address technical publication errors that had jeopardized voter-approved bond issues by allowing notice defects to be cured if no election contest is filed within 30 days, while also allowing one newspaper publication and one direct mailing notice. Testimony from county clerks, school administrators, a fire district, the Missouri Press Association, and others generally supported the bill as a practical fix, though one witness urged broader website posting of notices. The hearing also covered House Bill 2301, a campaign finance cleanup bill that would clarify definitions and reporting rules in Chapter 130, especially for continuing committees and indirect political spending; the sponsor said it was intended to fix ambiguity from prior law, and the only testimony in favor called for additional restrictions on recurring donations and more transparency. Finally, the committee heard House Bill 1787, which would require schools used as polling places to treat election days as school holidays beginning in the 2026-27 school year. The sponsor said the bill was intended to improve child safety and could also help with staffing and voter participation, while members raised concerns about school calendars already being set and whether the mandate should instead be optional or delayed to a later school year. A witness in favor supported the safety goal but asked for local control and a later effective date. No opposition testimony was presented, and the committee adjourned after the hearing.

Transcript Highlights:

• circumstances that occurred in the primary election.
• And so, just kind of as an overview, what I can say is that our primaries, how we conduct our primary
• They had some problems with supply issues with the primary.
• So we were not even using TEAM for our primaries. We...
• The race is close, and there aren't that many bettors out there.

Keywords: 1184, house, all

Transcript Highlights:

• Is there any primary opposition?
• Seeing none, would you like to close? Do we have any primary witnesses? Do you have any witnesses?
• Is there any primary opposition?
• Seeing none, would you like to close? Seeing none, would you like to close?
• Would you like to close? Oh, I did. Would you like to close? Oh, I did.

Summary: The committee heard a series of child care, social services, immigrant support, disability services, and language access bills, with many measures drawing strong support and no opposition. Early in the hearing, AB 450 proposed a Department of Aging task force to study and recommend policies for undocumented adults age 55 and older; AB 593 would let CDSS identify data-sharing opportunities to improve CalFresh administration and participation; and AB 904 would clarify child care subsidy eligibility so families do not lose care during pregnancy leave, family leave, caregiving, or job search periods. All three were presented as ways to reduce barriers and improve access to essential services, and AB 904 was moved out on a 1-0 call after support testimony from child care advocates and a member of the public. AB 617, which would expand and standardize respite care access for people with intellectual and developmental disabilities by requiring licensing and registry participation, drew both support and significant opposition from respite providers and disability service organizations concerned about added regulation, cost, and possible delays; the author said she would continue working with opponents, and the bill was moved out on a 2-0 call. The committee also heard AB 1220, which would require regional centers to document denials, notices of action, and appeals in individual program plans and include that data in annual reports to improve transparency and equity in developmental services. The bill drew extensive public support from parents, advocates, and disability organizations, with no opposition, and passed 5-0. AB 752 would make child care centers by right in certain residential zones when co-located with multifamily housing or institutional uses, and supporters argued it would reduce zoning barriers and help expand child care capacity; it also passed 5-0. AB 1242 would create a CalHHS language access director, require human review of machine translation, and improve language coverage determinations for state and local agencies; supporters emphasized health equity and the need for better access for limited-English communities, and the bill was moved out on a 4-0 call. Later, AB 548 would continue and expand the Asylee and Vulnerable Non-Citizen Program, which provides case management and integration services for asylees and certain visa holders; supporters said the program had been effective but had run out of funding, and the bill passed 4-0. AB 495, the Family Preparedness Plan Act, would strengthen family safety planning for immigrant families, standardize acceptance of caregiver authorization affidavits, and create a joint guardianship process for temporary separations; testimony focused on fear of family separation and the need for clear school and medical procedures, and the bill passed 4-0. AB 1357 would exclude guaranteed income payments from being counted as income for state public assistance eligibility, with supporters arguing it would prevent recipients from falling off the “benefits cliff”; it passed 4-1. Finally, AB 1201, the Reunity Act, was introduced to require individualized court assessments before denying reunification services to parents with certain violent felony convictions after a five-year period, with the author and a witness describing the bill as a trauma-informed approach to family reunification.

Transcript Highlights:

• Any primary witnesses in opposition to the bill?
• And I will just close.
• Senator, would you like to close? Well, Mr.
• Any primary witnesses in opposition to the bill?
• Yeah Sandra would you like to close?

Keywords: 988, house, all

Transcript Highlights:

• What mitigation strategies do you have in place to address those primary risks?
• Residents are going into primary care, Madam Chair.
• In terms of primary care, as you heard, our intent is to... ...continue to grow our primary care capacity
• I just really want to appreciate everything that's going on in primary care.
• Those are the top four, and they are all very closely related.

Transcript Highlights:

• That concludes testimony and closes the hearing on Senate Bill 6226.
• I mean, federal policy shifts, worsening workforce for primary care, a severe shortage for primary care
• Otherwise, we feel like it aligns pretty closely with the Sunrise.
• We know that they have a primary care provider.
• With that, this closes testimony and closes a hearing on Senate Bill 5924.

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

Transcript Highlights:

• In closing, I'd like to again thank you for the invitation to be here today.
• </c><00:11:41.839><c> I'd</c> basis next slide please in closing I'd basis next slide please in closing
• </c> supports the replacement of primary supports the replacement of primary electrical<00:36:48.280>
• </c> replacement and replacement of primary replacement and replacement of primary equipment<00:37:01.160
• </c> imp parks and they are working closely imp parks and they are working closely with<00:50:38.520>

Keywords: Reuploaded to restore full meeting 00:13 Call to Order and Roll Call 01:14 Approval of Minutes 01:40 Tourism, Arts, and Heritage Cabinet 27:44 Department of Parks 59:23 Adjournment, 958, all

Summary: The committee met for its second Budget Review on Economic Development, Public Protection, Tourism, and Energy and first approved the minutes from the prior meeting. Members then heard a presentation from the Tourism, Arts, and Heritage Cabinet and the Kentucky Department of Tourism on the 1% tourism marketing fund. Witnesses explained that the fund supports statewide tourism promotion, advertising, research, regional marketing, and matching grants to local tourism commissions, and that it cannot be used for capital construction. They reported that the General Assembly and governor increased appropriations in the 2024 session, adding $3 million in FY25 and $7 million in FY26, and set aside funding for the Kentucky Mountain Regional Recreation Authority, the National Quilt Museum, and the Southern Kentucky Tourism Initiative. Tourism officials emphasized that Kentucky tourism is a major economic driver, citing 2023 figures of $13.8 billion in economic impact, 79.3 million visitors, $9.7 billion in direct spending, more than 95,000 jobs supported, and nearly $1 billion in state and local tax revenue. They said the department now uses targeted digital and over-the-top advertising in selected domestic and international markets, with 62% of media placements digital and 80% of the budget spent out of state. Members asked about market selection, how the department measures return on investment, and what attracts visitors from places such as Dallas, Orlando, Toronto, and Washington, D.C.; officials said research shows a mix of family visits, outdoor recreation, and varied Kentucky offerings, and that 81% of overnight visitors are repeat visitors. They also discussed the potential impact of tariffs and trade tensions on bourbon-related tourism and international visitation, especially from Canada, and officials said they were monitoring the situation with U.S. Travel Association and Brand USA. The committee then heard from Kentucky State Parks officials on capital projects funded through HJR 76, HJR 56, and House Bill 6. They said they are providing quarterly project reports and have been meeting regularly with the Finance Cabinet’s engineering and contract staff. The presentation focused on campground utilities, broadband, and structural upgrades, including $40 million for campground improvements across the park system, with completed bathhouse renovations at Barren River and Nolin Lake and additional projects underway or in planning. Officials said the work is based on camper survey feedback, such as requests for better Wi-Fi, sewer and electric upgrades, frost-free spigots, and improved site layouts, and noted that the My Old Kentucky Home campground project is under construction and expected to be completed by spring 2026.

Transcript Highlights:

• The Secretary will close the key and take the tally.
• The Secretary will close the key and take the tally.
• The secretary will close the key and take the tally.
• The secretary will close the key and take the tally.
• The secretary will close the key and take the tally.

Bills: SB2401, SB2402, SB2403, SB2404

Keywords: SB 2401, North Dakota, Century Code, occupational therapy, occupational therapy board, criminal history record check, background check, licensee investigation, physician continuing education, medical license renewal, nutrition education, metabolic health, chronic disease prevention, health occupation boards, medical board, licensure fee, audit response, disciplinary action, Title 43, board of medicine

Summary: The Senate convened with prayer, roll call, and a quorum present, then took up second reading and final passage of several House bills related to the Rural Health Transformation Program and other matters. House Bill 1621, requiring the presidential fitness test in school physical education with exceptions and a delayed effective date, passed 43-3. House Bill 1623, appropriating federal rural health transformation grant funds and creating a related loan program and reporting structure, passed 46-0 after extensive debate about using the federal money for community health, infrastructure, and sustainability. House Bill 1622, joining the physician assistant licensure compact, also passed unanimously 46-0. House Bill 1625, authorizing the Ray Richards Golf Course land sale to support a Grand Forks transportation project and golf course improvements, passed 46-0. House Bill 1626, clarifying that the primary residence credit is applied after the early payment discount so taxpayers receive the full $1,600 benefit, passed 40-6.

Transcript Highlights:

• poll books, processing provisional ballots in federal elections, administering closed party primary
• Elections, administering closed party primary procedures, operating and monitoring voting machines and
• , processing provisional ballots in federal elections, administering closed party primary procedures,
• operating elections, administering closed party primary procedures, operating and monitoring voting
• And the other thing is, this year, we've thrown on closed primary, and we're having extra trainings.

Summary: The committee met on March 31 with a quorum present and heard three bills by Representative Bacala. House Bill 205 sought to increase compensation for election commissioners, with the author and several clerks of court and commissioners testifying that pay had not changed in 19 years despite greater responsibilities, longer hours, and additional training tied to election security and new voting systems. To avoid a state fiscal note, the committee adopted amendment set 2855, which removed the base pay increase and instead allowed parish governing authorities to provide a supplemental payment of up to $100 for commissioners in charge and those who complete instruction. The bill was then reported favorably. House Bill 67 addressed protected information for certain public officials and aligned the rules for clerks of court with those already applied to the Secretary of State’s office. The author described it as a technical correction to prior legislation governing what personal information may be published or removed. Stephen Procopio of PAR raised broader concerns about transparency, possible constitutional issues, and inconsistent treatment of information depending on the source, suggesting the law may need a larger review. The committee did not amend the bill and reported it favorably. House Bill 73 would allow local public bodies to vote by electronic voting machine, so long as the vote is publicly displayed, instead of being limited to voice votes. Bacala said the change was intended to clarify that electronic in-place voting is permissible and does not affect quorum, proxy voting, or remote participation. Representatives asked about whether members and the public must be able to see the vote and whether the bill changed existing procedures; the author said it did not. Support came from local government associations, and the bill was reported favorably.

Transcript Highlights:

• You may close. I just want to thank you guys.
• Tangipa, please feel free to close. Yeah.
• Any primary witnesses? No. No. Okay.
• You may close.
• Tangipa, would you like to close?” “Of course.

Summary: The Assembly Committee on Revenue and Taxation held its second regular hearing of the 2025-26 session and announced that, under reinstated suspense-file rules, every bill on the agenda would be referred to suspense rather than voted on immediately. The committee first heard AB 53, which would create a state income tax exemption of up to $20,000 for military retirees and certain survivor benefits. Supporters, including veterans’ groups, military retirees, and local officials, argued California is the only state taxing military retirement pay in full and that the exemption would help retain veterans and their families. Committee members voiced strong support, but the bill was sent to suspense. The committee then heard several wildfire-related tax relief bills. AB 429 would exempt certain wildfire settlement payments from gross income for victims of fires from 2020 through 2026; the author and a Greenville fire victim described the burden of taxing settlement funds, and rural county and forestry groups supported the measure. AB 97 proposed similar relief for Bobcat Fire settlement payments, and AB 389 would create a personal income tax credit for home-hardening expenses in high fire-risk areas, with Cal Fire and realtor representatives supporting the bill as a way to reduce future losses. Each of these measures drew no formal opposition in the hearing and was referred to suspense. AB 386 would create a tax credit for employers that help full-time employees repay student loans, up to $3,000 per employee per year. Supporters said it would help recruit and retain workers and reduce student debt burdens, while the California Tax Reform Association opposed the bill because it lacked allocation criteria and would reduce General Fund and education revenues. Committee members expressed interest but asked for clearer eligibility standards, and the bill was sent to suspense. AB 490 would allow a deduction for interest paid on qualified personal vehicle loans; the author framed it as relief for families dependent on cars, but opposition again came from the tax reform group, which argued the deduction would mainly benefit higher-income taxpayers. The bill also went to suspense. The committee also heard AB 547, which would create a tax credit of up to $5,000 for IVF and other fertility-treatment expenses. The author and a witness who described a long and costly IVF journey said the credit would help families afford treatment and support parenthood; members responded sympathetically and asked why the proposal was structured as a tax credit rather than a health coverage mandate. Finally, AB 330 would extend the prepaid mobile telephony services collection act through 2031, preserving an 80-cent surcharge that supports 911 and local government revenues; local government representatives and cities supported the extension, and it too was referred to suspense. The hearing ended with the committee adjourning after all measures were held for suspense-file consideration.

Transcript Highlights:

• Not anything close.
• Primary care... Primary care integration of SUD has a very good retention rate.
• My primary care practice My primary care practice of 23 years has been with a federally qualified health
• So number one is I work closely with DMH.
• I'm close to retirement, thankfully.

Summary: The task force meeting opened with a brief organizational update, including new leadership, roll call, and an explanation of the task force’s statutory duties: to study current and future drug and substance use in Missouri, explore solutions, draft or modify legislation, and report recommendations on prevention and treatment. The chair outlined the summer hearing plan, which would feature field experts, with future sessions expected to cover alternative therapies such as psilocybin and ibogaine and testimony from the Department of Mental Health. Members were encouraged to think about legislative ideas and policy recommendations for the upcoming session. The first major testimony came from Dr. Rachel Winograd, who described Missouri’s overdose crisis as evolving into a “fourth wave” marked by fentanyl mixed with animal tranquilizers such as xylazine and medetomidine, along with methamphetamine and other synthetic drugs. She said overdose deaths have declined for a third straight year, with preliminary 2025 data around 1,200 deaths, but emphasized that the crisis remains severe. Her main recommendations were to focus on demand reduction rather than repeated supply crackdowns, expand evidence-based treatment—especially methadone and buprenorphine—broaden naloxone access, and improve practical supports like housing, transportation, and case management. She also said peer services are valuable but should not be used as a substitute for clinical care, and noted that Missouri Medicaid generally covers evidence-based treatment but reimbursement for peer recovery services remains a gap. Dr. Heidi Miller, the state medical director at the Department of Health and Senior Services, reinforced the call for integrating substance use disorder care into whole-person health care. She highlighted the state naloxone standing order, which supports more than 11,000 Medicaid naloxone prescriptions annually, and urged five best practices: integrating SUD treatment into primary care, maternal health, general medical training, EMS initiation of buprenorphine after overdose, and expanded methadone access. She also argued for team-based reimbursement, stronger parity enforcement between behavioral health/SUD and physical health, and caution in regulating emerging substances so policy does not outrun the science. Dr. Doug Burgess of University Health in Kansas City echoed the integration theme, arguing that Missouri’s system is too fragmented and that patients are often stabilized and then left to coordinate their own next steps. He compared ideal SUD care to the coordinated response used for heart attacks, with seamless transitions from emergency care to inpatient treatment, rehab, and outpatient follow-up. He said treatment courts can be effective when they are well coordinated and informed by addiction science, and he stressed the importance of discharge planning, peer recovery coaches, information-sharing, and maintaining Medicaid coverage during justice involvement. No formal votes or committee actions were taken during this portion of the meeting.

Transcript Highlights:

• With that, would you like to close?
• Would you like to close? Yes.
• Are there any primary witnesses in opposition? Are there any primary witnesses in opposition?
• AB 2431 closes this clear gap.
• AB 2431 closes this clear gap.

Summary: The Assembly Health Committee heard a long agenda of health-related bills, beginning with AB 2651 by Bonta, which would require schools to notify parents when school vaccination rates fall below herd immunity thresholds. Supporters, including family physicians, PTA representatives, and medical groups, said the bill would improve transparency and help parents protect children and vulnerable family members. Opponents argued the data could be misleading, could identify medically exempt or conditional students, and might lead to stigma or discrimination. The bill was later moved out of committee on a due-pass-as-amended motion, with one no vote recorded on the roll call. The committee also heard AB 2123 by Aguirre-Curry on medical debt relief, AB 1570 by Wilson to eliminate out-of-pocket costs for medically necessary breast diagnostic and supplemental imaging, AB 2201 by Berner to restore Medi-Cal eligibility and renewal flexibilities, AB 2448 by Berman to strengthen privacy protections for reproductive and gender-affirming care records, AB 2034 by Addis on food additive safety and transparency, and AB 2598 by Krell to require better notification of next of kin when a patient dies in a hospital. Each bill drew strong support from authors, advocates, and affected individuals, while some drew opposition from insurers, industry groups, or transparency critics who raised concerns about cost, duplication, implementation, or unintended harm. Several bills were moved forward on due-pass-as-amended motions, including AB 2123, AB 2201, AB 2448, AB 2034, and AB 2598. The committee also heard AB 2551 by Elhawary, which would require health plans to collect and publish data on how often enrollees must go out of network for behavioral health care and why. Supporters said the measure would expose access barriers and high out-of-pocket costs, especially for communities of color and people with language access needs; opponents said it would add another reporting mandate and might not solve provider shortage problems. Members generally expressed support for the bill’s goals and several described personal or district-level experiences with behavioral health access problems. The bill was then moved out of committee on a due-pass motion. The committee also took up consent items and other procedural motions, with multiple bills reported out and some placed on call.

Transcript Highlights:

• We will take up to two primary witnesses in support and up to two primary witnesses in opposition.
• Two primary witnesses in support and up to two primary witnesses in opposition for the remaining bills
• Any primary witnesses in opposition?
• Any primary witnesses in opposition? Seeing no one, there is no primary opposition.
• Any primary witnesses in opposition? Seeing no one, there is no primary opposition.

Summary: The Local Government Committee met on March 25, 2026, hearing eight bills, with several measures focused on housing, water, and local government administration. AB 1621 by Assemblymember Wilson sought to speed post-entitlement housing permits by setting clearer timelines, limiting repeated plan checks, and restricting field changes that conflict with approved plans. Supporters from the building, apartment, business, and housing sectors said the bill would reduce delays and costs, while county and city representatives opposed it unless amended, warning it could limit local enforcement of building and environmental codes and create problems for incomplete applications. The bill passed after a roll call vote, with the committee noting it would continue working with local government groups on amendments. The committee also heard AB 1712, which would help Santa Fe Springs sell its small, financially strained water system to a larger regulated provider without requiring a municipal election, using a protest process instead. The author and city officials said the system faces contamination, major deferred maintenance, and rate increases that could otherwise triple; water industry representatives supported the bill and no opposition was heard. AB 2080, sponsored by county treasurers, would make county delegations of investment authority to treasurers ongoing until revoked rather than requiring annual renewal, with supporters saying it would reduce administrative burden and avoid technical lapses. AB 2640 would allow local governments to offset reductions in reimbursement for disallowed state mandate claims against other unpaid mandate reimbursements; Shasta County testified in support, describing a large audit disallowance and long-delayed state payments. Both bills passed. The committee also approved consent items AB 1622 and AB 1834. AB 2180, which would codify a framework for proportional water rates under Proposition 218 based on the Dreher decision, drew broad support from water agencies and local government groups, but opposition from the Howard Jarvis Taxpayers Association and the California Association of Realtors, who argued the bill was premature while the Supreme Court reviews related case law. Despite that opposition, the bill passed on a 6-2 vote, and the remaining bills were advanced with roll calls left open for additional votes before adjournment.