Transcript Highlights:

• these legacy commercial districts that we've inherited upon... ...to transform these legacy commercial
• Really transforming those into walkable, mixed-use, urban neighborhoods and also to be a part of the
• Some of the things that I would expect to see would be some of the paper-to-digital jurisdictions that
• are still moving things around on paper moving to a more digital system.
• that are still moving things around on paper, moving to a more digital system.

Committee: Senate Housing

Summary: The committee heard presentations on several housing finance and permitting tools. Chattanooga described its payment-in-lieu-of-taxes (PILOT) affordable housing program, which ties property tax abatements to the number and affordability level of units provided, using a calculator based on market rents and HUD affordability levels. Senators asked about the 15-year term, auditing, and whether the program was attracting private market-rate developers; the presenter said the first mixed-income project would include 278 units with 42 affordable units and that annual compliance monitoring is conducted. Shoreline then described its MFTE and inclusionary housing approach, emphasizing that longer 20-year exemptions helped make projects pencil out and that most recent development has clustered around light rail station areas; city staff said they will study whether the program should be adjusted further and noted the importance of the new state inclusionary housing law. The Department of Commerce and MRSC discussed tax increment financing, proportional impact fees, and the CHIP program. Commerce explained that TIF can fund public improvements such as roads, utilities, parks, broadband, and some affordable housing or child care facilities, but jurisdictions should only use it when development is likely to occur and the public benefit justifies the investment. On impact fees, Commerce said fees should be proportional to the actual infrastructure demand of a project and based on capital facility plans; it also noted that fee reductions for affordable housing must be backfilled through CHIP. Senators asked for more information on CHIP funding levels, project selection, and how much of it supports affordable housing. Commerce also presented the first annual permit-timelines report under the 2023 permitting reforms, saying 2024 data showed timelines still exceeding statutory goals and that future reports will examine factors such as paper versus electronic processing and local reform efforts. Auburn and Bellevue highlighted local permitting innovations. Auburn said it has moved to fully electronic review, uses MyBuildingPermit.com, has internal performance standards, and offers a stock-plan program that can cut later review to about a week; staff said most stamped plans still require at least two review cycles and that the city is watching how middle-housing code changes affect development. Bellevue described a pilot with GovStream AI to use artificial intelligence for pre-application assistance, document triage, and plan-review support, with the goal of reducing back-and-forth and improving application quality. Finally, Seattle presented a pilot for accessory dwelling unit co-development in which a mission-driven partner would finance, build, and manage backyard ADUs for homeowners, with the owner eventually buying out the partner; senators raised questions about rent-setting, management fees, liability, and what happens if a homeowner sells early. The committee also heard from community land trust representatives, who explained how ground leases and resale restrictions keep homes permanently affordable and allow public subsidies to serve multiple generations.

Transcript Highlights:

• these legacy commercial districts that we've inherited upon... ...to transform these legacy commercial
• districts that we inherited upon incorporation of the city back in '95, really transforming those into
• Some of the things that I would expect to see would be some of the paper-to-digital jurisdictions that
• are still moving things around on paper moving to a more digital system.
• that are still moving things around on paper, moving to a more digital system.

Summary: The Senate Housing Committee heard presentations on a range of housing finance, permitting, and affordability tools. Chattanooga described its affordable housing PILOT program, which uses a per-unit property tax abatement tied to the rent loss from providing affordable units, with a 15-year term and annual compliance monitoring. Committee members asked about the program’s structure, whether it had been used elsewhere, and who was participating; the presenter said the first mixed-income project would bring 278 units with 42 affordable units and that the model was attracting private market-rate developers. Shoreline then described its MFTE and inclusionary zoning approach, emphasizing that longer tax exemption periods and station-area zoning changes had helped spur development, with most current pipeline projects concentrated near light rail stations. The committee also heard from the Municipal Research Services Center and the Department of Commerce on tax increment financing, proportional impact fees, and permit timelines. Commerce explained that TIF can fund public improvements such as roads, utilities, broadband, and some affordable housing or child care facilities, while proportional impact fee guidance is intended to help jurisdictions charge fees more closely aligned with actual project impacts. On permit timelines, Commerce presented its first annual report under recent law changes, using 2024 as a baseline year and noting that reported timelines were generally longer than statutory goals; members asked about outliers, paper versus electronic processing, and whether back-and-forth between applicants and staff was driving delays. Commerce said it would follow up with more data, including on CHIP funding and permit reform practices. Several local governments then shared permitting process improvements. Auburn reported relatively short review cycles and described its move to fully electronic permitting, internal performance standards, and a stock plan program that speeds review for repeated home designs. Bellevue described an AI permitting pilot with a local startup to help with pre-application questions, document triage, and plan review, aiming to reduce incomplete applications and revision cycles. Seattle presented a pilot for accessory dwelling unit co-development in which a mission-driven partner would help homeowners split lots, finance, build, and manage ADUs, with the homeowner eventually buying out the partner and retaining ownership; committee members asked about rent setting, management fees, and default risk, and staff said they would follow up. The committee also heard brief overviews of community land trusts and limited equity cooperatives as permanent affordability models, with presenters urging continued state and local funding support and policy recognition for these approaches.

Transcript Highlights:

• work over the last 15 years at Paxa, every company and organization we've worked with has somehow transformed
• </c><00:04:21.400><c> into</c><00:04:21.680><c> a</c><00:04:21.880><c> technology</c> somehow transformed
• into a technology somehow transformed into a technology firm<00:04:23.240><c> whether</c><00:04:23.520
• </c> including with her time at transform including with her time at transform Hawaii<00:49:16.319><c
• </c><00:50:13.040><c> Hawaii</c> support we have a transform Hawaii support we have a transform Hawaii

Committee: Senate Labor and Technology

Summary: The committee heard a series of Governor’s messages for confirmation to several boards and councils, with the chair noting the meeting would continue on Monday and that testimony would be limited due to the large volume of submissions. For Governor’s Message 660, Kelly Oka was nominated to the Hawaii Technology Development Corporation. Oka described her work in workforce development and technology, emphasizing equitable access to tech jobs for local residents, keeping young talent in Hawaii, and using HTDC to attract major technology firms and support cybersecurity and startup growth. Testimony from multiple individuals and organizations was strongly supportive, and members asked about HTDC’s challenges, federal funding, and how to attract more tech investment; no vote was taken in the excerpt. The committee then considered Governor’s Message 529, nominating Fono Cafi Mei to the Hoisting Machine Operators Advisory Board. Mei said he had 20 years of crane-operating experience, including work on rail projects, and union representatives and labor organizations testified in support. Next, Governor’s Message 502 nominated Ken Louie to the Workforce Development Council. Louie highlighted his four years on the council, including two as chair, his family business, and his goal of expanding opportunities for younger and adult workers. DBEDT, council members, and labor representatives supported him, and members questioned him about the council’s priorities, staffing, federal funding uncertainty, apprenticeships, and military-to-private-sector transition programs. The committee also took up Governor’s Messages 581 and 690 together, both relating to Jared Gashi’s nomination to the Workforce Development Council for different terms. Gashi, from the Hawaii Lodging and Tourism Association, said he would bring the tourism industry’s perspective to workforce development, citing workforce shortages, internships, scholarships, and the need for a broader tourism voice on the council. Support testimony came from state officials and community members, who praised his reliability and leadership; a member asked how he would broaden the council beyond tourism, and Gashi said HLTA represents a wide range of tourism-related sectors and partners. The committee then heard Governor’s Message 571 for Eric Noi to the Deferred Compensation Plan Board, with Noi citing his fiscal and budgeting background; DHS, the board chair, and others supported him. Finally, Governor’s Message 667 nominated Ty Noara to the same board, and Keith Regan testified in strong support, citing her public service, intelligence, and ability to handle difficult situations. The excerpt ends as the committee begins Governor’s Message 560, nominating David Louie to the Employees’ Retirement System Board, with Louie, the ERS executive director, the finance director, and former Governor Abercrombie offering strong support.

Transcript Highlights:

• Beyond the vital role in our modern digital landscape, data centers are significant economic engines
• Beyond the vital role in our modern digital landscape, data centers are significant economic engines
• Beyond the vital role in our modern digital landscape, data centers are significant economic engines
• </c> undergoing significant transformation undergoing significant transformation and and and decarbonization
• </c><01:31:17.520><c> changes</c> already driving transformational changes already driving transformational

Committee: Senate Energy, Utilities, Environment, and Climate

Transcript Highlights:

• I consider that they are one of my relatives in that room, and that truly transformed the type of care
• I consider that they are one of my relatives in that room, and that truly transformed the type of care
• I consider that they are one of my relatives in that room, and that truly transformed the type of care
• change I urge you to transformative change I urge you to prioritize<00:16:03.399><c> this</c><00:16:
• </c> were taking there robotics digital were taking there robotics digital health<00:54:13.280><c> is

Committee: Senate Higher Education

Transcript Highlights:

• , school leader, and entrepreneur from Kansas City, Missouri, with over 18 years of experience transforming
• Anybody with the basic tools can create and share harmful digital images that can destroy reputations
• At its core, this legislation protects individuals from non-consensual sharing of digital depictions,
• In a digital world, speed matters. Giving victims a way to act quickly can make all the difference.
• It says a person commits an offensive disclosure of a digital depiction if the person discloses or threatens

Transcript Highlights:

• was a teacher for 21 years and have two kids who are now college age and have really seen this transformation
• They must read the digital course book their instructor selects and answer its digital prompts and questions
• Students and faculty are largely unaware of how their personal information on these digital services
• And so making sure that we're really equipping kids with the digital knowledge that they need to have
• Motion is due pass to the Senate, privacy, digital technologies, and consumer protection.

Summary: The committee heard AB 1159, which would expand and modernize student data privacy protections, extend similar protections to higher education students, and create limited enforcement mechanisms. The author and supporters argued that ed tech now collects far more sensitive information than students and families realize, including health, location, and identity-related data, and said the bill is needed to address AI, subpoenas, data theft, and misuse. Some higher education and bookstore interests raised concerns about definitions and preserving ordinary student communications, but committee members generally supported the bill and emphasized protecting sensitive information; the bill was moved on a due pass motion to the Senate Privacy, Digital Technologies and Consumer Protection Committee and placed on call. The committee also heard AB 1171, which would protect and stabilize the Part-Time Community College Faculty Health Insurance Program by keeping funds dedicated to that purpose and requiring districts to begin negotiations by 2030. The author and supporters said part-time faculty often lack employer-sponsored coverage despite teaching most community college courses, while opponents from the Community College League and administrators argued the measure was premature because participation is growing and the Legislature should retain budget flexibility. Several senators discussed the tension between budget discretion and honoring the state’s commitment to faculty health care; the bill was moved on a due pass motion to Senate Appropriations and placed on call. AB 1581 followed, proposing changes to improve identification and reporting of Native American students in CalPADS through tribal affiliation data. Supporters said current systems severely undercount Native students and that better data would improve resources and accountability, while members raised implementation questions about multi-tribal identities and consultation with tribes. The bill was moved to Appropriations and placed on call. The committee then heard AB 1665, requiring mental health training for school sports coaches. The author and a psychiatrist witness said coaches are trusted adults who already receive training on physical safety and should also be trained to recognize mental health warning signs and connect students to help. Support came from school, health, and sports organizations, with no opposition, and the bill was moved to Appropriations and placed on call. Finally, AB 1766 was heard, expanding human trafficking prevention education from grades 7-12 to K-12 and adding content on online exploitation, grooming, and digital abuse. The author, a survivor witness, and a foundation representative described the need for earlier, age-appropriate prevention education and stronger staff awareness; supporters included educators, school districts, and industry groups, with no opposition. Senators praised the testimony and the bill’s focus on prevention, and a motion was made to move it forward.

Transcript Highlights:

• Jobs First Initiative or from Transformative Climate Communities, we've been making this change for years
• Workforce development is a system that helps transform lives and gets people the skills they need.
• From the parkway to the prisons to the schools, we just recently changed our digital literacy To the
• We just recently changed our digital literacy program, which was previously known as Parent University
• And so the question for the state really is: how does the state want to come in beyond Transformative

Transcript Highlights:

• part... ...of what the sales tax from the digital part and what is the other part, the general sales
• Brass is correct that we did expand the base to certain digital goods and products.
• When you look at the digital sales tax collections and you see sales taxes up, but you also have to be
• One, on digital products in the collection.
• Digital products are going to follow the traditional collection of other tangible personal property,

Summary: The House Ways and Means Committee met on March 10, 2026, for a series of informational presentations rather than bill hearings. House Fiscal Division staff reviewed the state’s tax structure, the 2024 third special session tax reform package, and the Revenue Estimating Conference process. They explained the move to a 3% flat individual income tax, a 5.5% flat corporate income tax, the higher standard deduction and retirement-income exclusion, the repeal of several deductions and credits, the repeal of the corporate franchise tax, and the expansion of the sales tax base to certain digital goods. Staff also walked through tax exemption data, showing the size of exemptions relative to collections, and discussed forecasted revenue gaps in the out years, including the effect of the scheduled sales tax rate reduction and the return of transportation-related revenues to their prior dedication. Members asked about declining mineral revenues, digital sales tax collections, corporate collections, and the impact of tax credits and exemptions. Division of Administration and Legislative Fiscal Office staff said lower oil and gas prices, long-term production declines, and the timing of corporate payments were major factors in revenue trends, and that it will take at least another year or two of tax returns to fully understand the reform’s effects. They emphasized that corporate collections are still below the $600 million threshold that affects the state general fund and Revenue Stabilization Fund, though the forecast remains $900 million. The committee also discussed surplus and excess revenues, the distinction between discretionary and non-discretionary spending, and how current-year and prior-year balances are allocated under the constitution. A significant portion of the meeting focused on the relationship between Ways and Means and Appropriations. Chairman McFarland stressed that new fiscal-note bills can force cuts elsewhere if revenue is not available, and urged members to coordinate early with fiscal staff before advancing costly legislation. Members also asked how pending constitutional amendments on teacher pay and inventory tax might affect the budget; staff said the teacher stipend proposal is not currently funded in the executive budget and that the inventory tax proposal would mainly affect local governments and any reimbursements from the Revenue Stabilization Fund if approved. The committee then heard from Louisiana Economic Development Secretary Susan Bouchoux, who reported strong results from recent reforms, including $92 billion in capital investment, 37,000 new jobs, a record year of announcements, a top-10 corporate tax climate ranking, and a pipeline of 189 active projects representing nearly 42,000 potential jobs and $280 billion in potential investment. Members praised LED’s work and discussed the need to pair economic development with workforce training, infrastructure, and predictable tax policy.

Transcript Highlights:

• It's kind of a byproduct of the digital age that we even have this issue.
• So in closing, I stand before you today in the principal's office with great pride in the transformation
• Direct admissions has the potential to transform college access across the state.
• It's actually transformational, I think, for the students in our state.
• does go to the OHE's report about what this directly is, and so if you have a—if you can get this digitally

Committee: House Education Policy

Transcript Highlights:

• Complex Digital Assets and Green Power Motors are two deals that were announced last year.
• I'm the Chairman and Founder of Borderplex Digital. Let me, we have a few slides for you.
• The observation is, look, I'm 54 years old; I'm a digital immigrant.
• I grew up in an analog age; I now live in a digital one. My children are digital natives.
• To watch how it's being transformed is quite... how to say...

Transcript Highlights:

• department's mission to improve user experience leverage automation, streamline operations and drive digital
• transformation.
• With respect to court reporting, we use digital court reporters for a number of proceedings and there
• Hopefully in this fiscal year that would potentially say it's okay to use digital in these additional
• Any a digital court reporter and it'll court reporter is managed by train personnel.

Transcript Highlights:

• SAG-AFTRA supported California's recent digital... They just used the Blanco, not the brown.
• SAGAPTCHA supported California's recent digital...
• We call it the Digital Single Market Directive, 2019.
• Then legislation becomes a backstop for the rare Control of their digital identity.
• Saw the first creation of the first digital dinosaurs. Those are creative tools.

Summary: The Senate Judiciary Committee and Assembly Privacy and Consumer Protection Committee held an informational hearing at Stanford on the intersection of artificial intelligence, copyright, transparency, and California’s creative economy. Chairs and members emphasized that the hearing was not on a specific bill and would not include a vote, but was intended to gather information ahead of the next legislative session. Opening remarks stressed the tension between protecting artists’ intellectual property and allowing AI innovation to continue in California, with several members noting the state’s outsized role in both the tech and entertainment sectors. The first panel featured Professor Pamela Samuelson and Stanford researcher Rishi Bommasani. Samuelson reviewed the current copyright litigation landscape, including dozens of lawsuits against generative AI companies, and explained that fair use will likely be central, especially the market-effects factor. She said state action is constrained by federal copyright preemption, but transparency, privacy, and deepfake-related regulation may still be possible. Bommasani described widespread opacity around training data among major California AI companies, discussed AB 2013 and the EU AI Act as transparency models, and warned that disclosure rules face enforcement and design challenges. Members asked about market dilution theories, open-source models, user data, machine unlearning, and what California can do without conflicting with federal law. The second panel included SAG-AFTRA board member Jason George, Animation Guild president Danny Lynn, and OpenAI copyright counsel Mark Gray. George and Lynn argued that AI training on performers’ and artists’ work without consent or compensation is already harming careers, devaluing creative labor, and enabling digital replicas and style imitation; both supported stronger transparency so rights holders can identify when their work is used and negotiate licenses. Gray said AI is increasingly being used as a productivity tool and pointed to growing partnerships between AI companies and publishers, studios, and record labels, while acknowledging concerns about deepfakes and specific harmful uses. Committee members pressed him on labeling AI-generated content, training-data disclosure, and how to protect creators while still encouraging innovation. No formal action or vote was taken.

Transcript Highlights:

• to the federal rural health transformation program funds.
• So to the digital side how we find them.
• So there's your digital way of finding it.
• So there's your digital way of finding it.
• So there's your digital like right here.

Transcript Highlights:

• been essential to increasing vaccine uptake in underserved communities, promoting telehealth and digital
• been essential to increasing vaccine uptake and underserved communities promoting telehealth and digital
• literacy and the living rep around services including in-home care care and promoting telehealth and digital
• materials like wood chips, straw, and alfalfa, where microbial activity and controlled conditions transform
• These numbers are even higher today, given the double-digit rate increases we've seen over the past couple

Committee: Joint Joint Committee on Public Health

Summary: The committee hearing covered a wide range of public health bills, with much of the testimony focused on two major themes: expanding access to care and stabilizing health-related workforces and services. On House 2364, an act relative to medical health and fitness facilities, representatives from Dedham Health and Athletic Club argued for a pilot program recognizing supervised exercise as medicine, saying it could improve outcomes for chronic disease, fall prevention, and mental health while reducing costs. On House/Senate bills concerning community health workers (H. 359/S. 251), multiple witnesses from MACHW, Health Care for All, MHA, Cambridge Health Alliance, Mass General Brigham, Boston Children’s Hospital, Asian Women for Health, and the City of Somerville described CHWs as essential for navigation, trust-building, language access, and addressing social needs, and urged reimbursement by MassHealth, the GIC, and private insurers, along with workforce development measures. One pediatric neurologist also told the committee that losing grant-funded CHW support led to more avoidable ER visits and threatened clinic operations. The committee also heard extensive testimony on hospital closures and essential services. Witnesses including Dr. Alan Sager, MNA President Katie Murphy, nurses from Brockton Hospital and Providence Behavioral Health, and local officials and legislators from Norwood described the loss of hospitals and service lines, especially maternity, pediatric, and behavioral health care, and argued current closure processes are too weak to protect communities. They supported bills such as H. 2460/S. 1503 and H. 2534/S. 1574, which would require earlier notice, community input, stronger state oversight, possible receivership, and limits on reopening or expanding after closures. Testimony emphasized the impact of Steward’s bankruptcy, the closures of Carney and Neshoba Valley, and the need to preserve access to essential services in underserved areas. Several end-of-life and professional regulation bills were also discussed. On H. 2436, Representative Omar Gomez and funeral industry witnesses supported eliminating Office of the Chief Medical Examiner fees for the removal of a child’s body in cases involving children five and under, describing the bill as a small but important relief for grieving families. On H. 2444 and related Senate bills, cemetery and consumer advocates supported legalizing alkaline hydrolysis and natural organic reduction as environmentally friendly after-death options, while cemetery representatives opposed H. 2360, which would allow funeral establishments to operate crematories, arguing cemeteries should retain that role. The committee also heard support for H. 2382, which would exempt dentists and oral surgeons from a new office-based surgical center framework, and for H. 2461, which would create hospital efficiency standards; employers and retailers backed that bill as a way to address rising health care costs. Finally, the committee heard testimony on autism services and hospital governance. On S. 1414, behavior analysts and school representatives said Massachusetts already licenses assistant-level ABA providers but MassHealth does not reimburse them, causing long waitlists and limiting school and family access; an actuary testified that a three-tier ABA reimbursement model could reduce MassHealth costs by up to 6% per child served. Senator Lovely also testified in support of S. 1572, which would require at least one registered nurse on each acute care hospital governing board, arguing nurses’ frontline perspective would improve quality and retention. No votes were taken in the hearing excerpt, but many witnesses urged favorable reports on their respective bills.

Transcript Highlights:

• The governor's K-12 education budget proposes an incredible opportunity for sustaining transformative
• and emerging tech support, digital inclusion, would be cut or not happen at all.
• and emerging tech support, digital inclusion, would be cut or not happen at all.
• CLSA also funds the sharing of physical and digital materials statewide.
• They use CLSA funds to address their needs, including shared digital books.

Transcript Highlights:

• Paper from the Senate: The House bill to build resilient infrastructure to generate higher ed transformation
• House Bill 4769, to build resilient infrastructure to generate higher ed transformation, comes from the
• Now, my sons can have access to vast libraries of digital content at any time and any place.
• Maybe one day we adults will get a digital detox as well. But today it's about the children.
• The digital world should be no exception.

Summary: The House first recognized several student athletes and teams, including East Bridgewater cheerleaders, Medway athletes and teams, and the Housatonic Valley basketball team, and adopted a resolution congratulating the William Diamond Jr. Fife and Drum Corps on its 25th anniversary. Members also suspended Joint Rule 12 to advance a petition concerning an extension of a lease authorization for conservation land. The chamber then took up Senate 2581, as amended, a major education and youth technology bill. The bill was rewritten to promote safe technology use and distraction-free education, including restrictions on personal electronic devices in public schools and limits on social media access for children. Members debated whether the policy should be bell-to-bell or allow more local flexibility, and several amendments were offered. An amendment from Attleboro to preserve district-specific policies was rejected, while a consolidated amendment tightening social media restrictions and related protections was adopted. The House also considered and passed several other bills, including measures amending the Sandwich charter, authorizing Springfield to help certain residents with local tax obligations, authorizing charity alcohol auctions, and directing the Boston Police Department to waive the maximum age requirement for a specific police applicant. In addition, the House rejected concurrence on a Senate version of a higher education infrastructure bill and instead appointed a committee of conference. Later, the House accepted a conference report on modernizing cannabis laws after debate focused on regulatory streamlining, equity, ownership caps, and hemp regulation. The report was adopted by roll call, and the House then passed the amended education bill to be engrossed before adjourning to the next day.

Transcript Highlights:

• here — 10% baseline down to a single-digit 6% in just one year.
• </c><00:29:21.399><c> 6%</c> 10% Baseline down to a singled digit 6% 10% Baseline down to a singled digit
• I can't say it enough, but ATRIP has been absolutely transformational for health care in Kentucky, and
• I can't say it enough, but ATRIP has been absolutely transformational for health care in Kentucky, and
• I can't say it enough, but ATRIP has been absolutely transformational for health care in Kentucky, and

Summary: The committee began by reviewing a large slate of administrative regulations and explaining that it does not approve regulations but can find them deficient and send them back for further work. Members then asked questions on several items, including EMS reciprocity, dental hygienist licensure, and interpreter licensure. The EMS board explained that reciprocity would extend to applicants from any state, not just contiguous states, because the underlying statute had been amended. On the dental regulation, staff said the changes mainly clarified licensure requirements, reinstatement fees, and that dental hygienists administering local anesthetic must do so under direct dentist supervision. The most extended discussion involved the Board of Interpreters for the Deaf and Hard of Hearing. The board chair said the main concern was that the EIPA is an educational specialty assessment, not a nationally recognized certification, yet the regulation would allow it to support full licensure. Members discussed whether that could let educational interpreters work outside their intended scope and whether a separate educational license or statutory change would be more appropriate. The board said it did not think the regulation could be fixed further at this point and suggested a statute could create a narrower educational interpreter license. After discussion, the committee voted to defer both related interpreter regulations, 201 KAR 39:030 and the companion regulation, for further work. The committee then took up two community mental health regulations, 907 KAR 1:044 and 907 KAR 5:005, which had been found deficient in Administrative Regulations. Department for Medicaid Services staff said the rules would expand and rename the mental health associate role as a behavioral health associate, making the role available in many more facilities, but would also require additional coursework or progress toward licensure. Some members and providers raised access-to-care concerns, especially for rural areas and unlicensed staff already working in the field. Staff said the proposal had been revised through work with CMHCs and licensing boards, but the committee ultimately voted to defer both regulations as well. After finishing the regulation review, the committee heard a presentation from the Kentucky Hospital Association on the ATRIP hospital rate improvement program. Hospital representatives said ATRIP is a Medicaid state-directed payment program funded through a provider tax and federal matching dollars, allowing hospitals to receive payments tied to quality measures. They reported improvements including lower Medicaid readmissions, high sepsis screening rates, reduced infections and opioid prescribing, expanded postpartum depression and suicide screening, and training for more than 1,000 people. They said the program has helped hospitals invest in staffing and quality improvement and warned that without it, many hospitals would face severe financial strain.

Transcript Highlights:

• Our members are the device, diagnostics, and digital technology manufacturers transforming health care
• And if you think about digital pathology, it's essentially the digital version of anatomic pathology.
• So digital pathology, by digitizing these glass slides, enables them to be moved around and shared very
• So digital pathology, by digitizing these glass slides, enables them to be moved around and shared very
• I just wanted to reiterate that this process of digitization in the field of digital pathology has tremendous

Summary: The Assembly Select Committee on Biotechnology and Medical Technology held a hearing on California’s medical technology landscape, with opening remarks emphasizing the sector’s size, economic impact, and role in jobs and innovation. The first panel contrasted MedTech with biopharma, describing MedTech as hardware- and manufacturing-oriented, more incremental in development, and more dependent on supply chains, land use, and mid-skilled workforce pipelines. Witnesses argued California is the epicenter for MedTech because of its mix of engineering, software, hospitals, and manufacturing ecosystems, and cited clusters in places like Irvine, Fremont, Carlsbad, and the Bay Area. They also highlighted examples such as Penumbra and Vyaire Medical Systems to show how local manufacturing, community college training, and reshoring can support growth. The panel discussed cybersecurity, trade relations, supply chain disruptions, and the need for better coordination with hospitals and regulators, while AdvaMed stressed that medical devices are already heavily regulated by the FDA and should generally be exempt from broader state laws that could create a patchwork of requirements. Members also discussed AI in MedTech, workforce training, and the possible effects of federal NIH funding cuts, with witnesses saying MedTech is less dependent on NIH than biopharma but still benefits from a strong innovation ecosystem. Committee members then asked about AI, affordability, patient satisfaction, women’s health, and the R&D tax credit. Witnesses said AI is helping reduce errors, redundant testing, and imaging time, while keeping clinicians in the loop, and that digital pathology and robotic surgery are improving diagnosis and treatment. They also noted that packaging, plastics, and recycling can affect FDA approvals, and that FemTech is an active and growing area for investment and acquisition. Several members raised concerns about California’s regulatory and incentive environment, including the loss of the R&D tax credit, and witnesses said the absence of tax incentives has made it harder to keep companies and jobs in the state. The second panel featured company representatives from Lyca Biosystems, Intuitive, Saravia Neurosciences, and Newman. Dr. Monroe described digital pathology as a way to digitize tissue slides, improve access to subspecialty review, and enable AI-assisted diagnosis, especially for cancer care and rural areas. Intuitive highlighted robotic-assisted surgery, including the da Vinci system and the Ion bronchoscopy platform, and said its technologies improve precision, reduce complications, and support clinician-led care. Saravia Neurosciences presented an early-stage neurotechnology for dementia that uses MRI-guided transcranial magnetic stimulation and AI-driven personalization, and argued California needs a state translational fund to bridge the gap between discovery and commercialization. Newman, a startup working on home diagnostics, said California’s permitting, zoning, and manufacturing rules make it difficult to scale advanced manufacturing locally and urged streamlining, reduced red tape, and incentives to keep manufacturing jobs in-state. Committee members again focused on tax credits and asked how the state could better support manufacturing, translational funding, and the retention of high-paying MedTech jobs.

Transcript Highlights:

• That has changed dramatically with digitization.
• Same on the digital one that's in the agenda as well.
• The original implementation, like I said, did not transform as expected.
• This is a federal mandated deadline for all digital content needs to be compliant.
• I'd mentioned that digital accessibility coordination with that DAC group. PeopleSoft.

Summary: The Higher Education Institutions Committee met on the Minot State University campus for presentations on campus operations, enrollment, and new academic initiatives. President Shirley reviewed recent audits, noting mostly clean results with only minor technical findings, and highlighted MSU’s broad academic offerings, specialized accreditations, athletics, and partnerships with Minot Air Force Base and the MSU Development Foundation. Members asked about declining interest in teacher education, tuition waivers for athletes, dual credit incentives, and how MSU decides when to launch new programs and avoid duplication within the university system. Shirley also discussed several workforce-focused initiatives supported by the Legislature’s Workforce Education Innovation Funds, including the purchase of the Trinity Health Center West building for a downtown health sciences hub, a new daycare/preschool partnership near campus, the Aspire program to recruit rural students into teaching, and a paraprofessional-to-special-education degree pathway. Enrollment data showed overall headcount was flat at just under 2,750, but full-time equivalent enrollment rose slightly and new student numbers increased, including the largest freshman class in 15 years. The committee also discussed Minot State’s in-state tuition rate for all students, its dual credit “Emerging Scholars” scholarship, and concerns about the share of high school graduates who do not immediately pursue postsecondary education. Faculty then presented two new programs funded in part by WEAF: an Innovation Engineering degree and a master’s program in counseling with an integrated addiction studies focus. The engineering program was described as industry-driven, designed with broad early coursework, hands-on learning, and local employer input to prepare students for western North Dakota workforce needs; officials said it had already drawn more applicants than expected and would use renovated library space and donated or grant-funded equipment. The counseling program will be mostly face-to-face with hybrid options, aims to address shortages in mental health and substance use providers, and is structured to help students meet licensure requirements. Committee members asked about startup costs, licensure supervision hours, and whether the programs would be on campus rather than online, and presenters said both programs had recently received required approvals and were moving forward.