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:

• 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:

• 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:

• 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:

• “And is that, in conjunction closely together, an indirect appeal?
• Maybe it's the primary.
• So then once you—oh, the August primary. So it's always the August primary.
• This is a primary example.
• I'd be fine with what we talked about with the primary date.

Summary: The meeting focused on whether legislators and legislative staff may use official resources, including newsletters and social media, to comment on a bill that has since become a ballot measure. Members discussed older ethics guidance allowing comments on legislation previously before the legislature, but questioned whether that rule still applies to modern social media posts and to ballot measures, especially when the language is strong or could be seen as an indirect appeal to voters. Several members argued that once a bill becomes a ballot measure, using state resources to advocate for or against it is prohibited, while others emphasized the importance of allowing officials to explain their votes and speak to their legislative record. The group debated possible guardrails, including whether comments should be limited to the bill itself, whether tone and timing should matter, and whether the rule should apply only to members not subject to election-year restrictions. One motion proposed extending the prior ethics guidance from the immediately preceding legislative session to the full biennium and applying it to social media, but that motion failed. Members then shifted toward a brighter-line approach tied to the primary election date, with discussion that after the primary officials should not use state resources to talk about a bill that became a ballot measure or is subject to ballot challenge. A second motion to use the primary date as the cutoff for monitoring these discussions was made, seconded, and passed. The chair then noted that officials are still free to speak on personal or campaign accounts, and to respond to questions, but the board’s guidance would help distinguish permissible official communications from campaign-like advocacy. The meeting then moved toward adjournment of the public portion, with no public testimony offered.

Transcript Highlights:

• I get it, OK, because it is subject to a conflict of primaries and primary, so the county gets to set
• We'll recognize your right to close. We'll proceed to testimony.
• Or is my right to close, Chairman, we'll call you up to close in a minute. And Johnson.
• Not your calls, Chairman Shaheen, closing the bill. Thank you, Mr. Chairman. Members, I close.
• Recognize Chairman to close. Thank you, Mr. Chairman. I close. Thank you, members. Thank you, Mr.

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:

• 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.

Transcript Highlights:

• Now, open enrollment did close on January 31st, and we are very closely tracking the impacts and what
• Recently, a Rite Aid in King City closed.
• We also do not operate primary care clinics. Program. 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 uncertainty” in health coverage, access, and affordability amid federal policy changes. Opening remarks from committee leaders and members emphasized that California’s gains under the Affordable Care Act and Health for All policies—high coverage rates, consumer protections, and lower uninsured rates—are now threatened by federal rollbacks, including the expiration of enhanced premium tax credits and H.R. 1. Members repeatedly cited rising premiums, skipped care, medical debt, and the risk of coverage losses, especially for low-income Californians, workers, seniors, and immigrant communities. The first panel featured federal policy and state implementation experts, including Don Joyce, Jessica Altman of Covered California, and Elizabeth Lansberg of HCAI’s Office of Health Care Affordability. Testimony described the ACA’s coverage expansions and the current federal threats: shorter open enrollment, more verification requirements, loss of enhanced subsidies, and changes affecting immigrants and preventive coverage. Covered California reported that average monthly premiums could nearly double without the subsidies, new enrollment is down sharply, and more consumers are shifting into bronze plans with higher deductibles. HCAI explained its affordability strategy through spending targets, consolidation review, and primary care investment, while members asked about the impact of federal cuts on provider taxes, uncompensated care, and whether California can sustain coverage without new revenue. The second panel, with UC Berkeley Labor Center’s Miranda Dietz and California Health Care Foundation’s Christoph Stremikis, broadened the discussion to statewide cost drivers and consumer impacts. They highlighted that more than half of Californians under 65 rely on job-based coverage, yet premiums, deductibles, and out-of-pocket costs have risen faster than wages. They also pointed to medical debt, administrative waste, market consolidation, and underinvestment in primary care as major drivers of unaffordability. Members asked about the 25% of health spending that does not improve patient care, the role of fraud versus administrative friction, the effect of cost growth targets on workers, and the need for preventive care and possible revenue solutions. The hearing then moved to a third panel on human impacts, beginning with testimony from a Central Valley promotora describing how families are choosing lower-tier coverage, struggling with diabetes care, and facing higher premiums after subsidy losses.

Transcript Highlights:

• But would you like to close?
• Would you like to close, or would that be your close? I would still like to close. Absolutely.
• Would you like to close, or would that be your close? I would still like to close. Absolutely.
• Speaker, would you like to close?
• Are there any primary witnesses in opposition?

Summary: The Assembly Health Committee heard several bills focused on workforce access, consumer protection, behavioral health parity, and public health safety. AB 1591 by Assembly Member Michelle Rodriguez would create a podiatric medicine pipeline program to address shortages of podiatrists, especially in rural and underserved counties; it drew strong support from podiatrists and medical groups and no opposition. AB 2011 by Assembly Member Hart would codify federal mental health and substance use disorder parity standards into state law; supporters argued it would preserve access if federal enforcement weakens, while health plans and insurers opposed it as premature and potentially confusing. The bill was moved on a due pass motion to Appropriations and remained on call after a roll vote with several ayes and some noes. The committee also considered AB 2311 by Assembly Member Chiavo, which would allow public health care district hospitals to directly employ physicians. Supporters said the change would help district hospitals recruit and retain doctors and stabilize care in underserved communities, while CMA and emergency physicians warned it could weaken the corporate practice of medicine protections and physician autonomy. Members raised concerns about guardrails, but the author said the bill would continue to be refined; it passed on a due pass motion to the Business and Professions Committee. AB 2030 by Assembly Member Lowenthal would prohibit sales of over-the-counter diet pills and weight-loss or muscle-building supplements to minors, with supporters citing eating disorder risks and opponents objecting to scope, age-verification, and retail requirements. The bill passed on a due pass motion to the Judiciary Committee. AB 1864 by Assembly Member Berman would require screening of gene synthesis orders to prevent misuse for bioterrorism and would authorize enforcement penalties for noncompliance. Supporters from Stanford, Encode, and the medical community said the measure would align California with federal best practices and address growing biosecurity risks, while life sciences representatives raised concerns about operational burdens and supply-chain impacts. Members discussed whether the bill should include an urgency clause and how to keep the standards current; it passed to the Judiciary Committee. AB 2457 by Assembly Member Connolly would standardize and speed up Medi-Cal managed care credentialing for physicians, and it passed to Appropriations with broad support. Finally, AB 2302, presented on behalf of Assembly Member Celeste Rodriguez, would require infant formula manufacturers to test for toxic elements such as lead and arsenic and post results publicly; pediatric and disability advocates supported the measure as a transparency and infant safety bill.

Transcript Highlights:

• That is a gap we can and must close.
• Would you like to close? Thank you.
• There will be, but that has nothing to do with the primary.
• The primary market is highly dysfunctional.
• So what we have in the primary market are ticket shortages.

Summary: The committee heard several bills focused on youth health, sports, and entertainment access. AB 1626 would require mental health training for youth sports coaches and create a model training for recreational and club coaches; supporters said coaches are often the first adults to notice mental health struggles, and the bill passed 6-0 to the Assembly Education Committee. AB 1884, as amended, would allow school districts that already use athletic drug-testing programs to add nicotine testing, with safeguards limiting disclosure and removing earlier punitive provisions; supporters framed it as a response to youth vaping, while opponents warned it could stigmatize students, discourage participation in extracurriculars, and burden schools. The bill passed 3-2 to the Assembly Education Committee, with some members still expressing reservations but supporting it after amendments. AB 2503 addressed heat guidelines for desert school athletics, seeking flexibility in wet-bulb temperature rules so practices and games would not be pushed so heavily into evening hours. The author and a desert athletic trainer argued current standards do not reflect local acclimatization and create scheduling burdens; the bill passed 5-0 to the Assembly Education Committee. AB 1954, the PAR Act, would require third-party golf reservation platforms to have written authorization from municipal golf course operators before listing or reselling tee times, aimed at stopping inflated resale of public golf reservations. Supporters from city and golf organizations said the bill would protect affordable access to public courses; it passed 5-0 to the Assembly Privacy and Consumer Protection Committee. The committee also heard AB 2319, which would create a standalone California post-production tax credit to keep editorial, sound, visual effects, and finishing work in-state even when principal photography occurs elsewhere. Labor and industry witnesses said California is losing post-production jobs to other jurisdictions and urged the bill be amended to include stronger labor standards; the bill passed to the Assembly Revenue and Taxation Committee. Finally, AB 1720, the California Fans First Act, would cap resale prices for concert and live entertainment tickets at no more than 10% above face value, excluding sporting events and certain season-ticket arrangements. The author argued the bill would curb scalping and make live events more affordable for fans.

Transcript Highlights:

• AB 1825 closes one of those gaps.
• Charity Leader, you can close.
• Charity Leader, you can close.
• AB 2082 helps close that gap.
• Gonzalez, would you like to close? a second. Mr. Gonzalez, would you like to close?

Summary: The committee heard several health-related bills. AB 1825 by Krell would clarify California’s offenders with mental health disorders program by tightening the standard for determining “substantial danger of physical harm,” improving exit planning, and expanding Medi-Cal access for people released after a successful challenge. Supporters, including psychiatrists, prosecutors, and medical groups, said the bill would close gaps in care and protect public safety; county behavioral health directors and Disability Rights California registered concerns. AB 1696 by Stephanie would state that nurse midwives do not need physician supervision when providing care within their existing scope, including EMTALA-related evaluation in labor and delivery settings. Nurse midwives and nursing groups supported the bill, while emergency physicians opposed it unless amended, arguing emergency department screening should remain under physician supervision; the author said she would keep working on the issue. AB 1949 by Lee would make acupuncture a separate Medi-Cal benefit and allow up to 24 visits per year. The author and supporters from acupuncture, health access, and integrative medicine groups said the current monthly cap is too restrictive and that acupuncture is an effective, cost-saving alternative for pain management and other conditions. There was no opposition. AB 2330 by Patterson would create a distinct regulatory category for cold spas, with standards for construction, operation, and disinfection. Fitness and wellness groups supported the bill, environmental health administrators had no formal position but thanked the author for amendments, and a committee member raised concerns about local officials interpreting the bill to require separate enclosures from saunas; the author said she would continue working on the language. AB 2000 by Aguirre-Curry would limit mid-year changes to prescription drug formularies and add notice, exceptions, reporting, and enforcement provisions. Family physicians, chronic care advocates, nurses, pharmacists, and patient groups supported the bill, citing non-medical switching and treatment disruptions; health plans and insurers opposed it, warning of higher costs, reduced flexibility, and premium increases. AB 1929 by Ortega would require health plans to disclose investments, including in private prisons and immigrant detention centers. Supporters framed it as a transparency measure tied to patient premiums and public values, while opponents argued the bill was duplicative, burdensome, and potentially harmful to investment confidentiality. AB 2746 by Schiavo would classify medical credit card debt as medical debt so it would not appear on credit reports. Consumer advocates and legal aid groups supported the bill, describing abusive marketing and housing harms; banks, debt collectors, and industry groups opposed it as unworkable and privacy-invasive. The committee took roll on AB 2746 and passed it on a due pass motion to Banking and Finance, with several members voting aye and a few no votes recorded.

Transcript Highlights:

• Any additional primary witnesses in support? Seeing none.
• Senator, would you like to close?
• So maybe you could speak to that in your closing.
• Any primary witnesses in opposition?
• Any primary witnesses in opposition to the bill? Seeing none.

Summary: The Assembly Business and Professions Committee heard a long agenda of licensing, consumer protection, and sunset-review bills. Early items included SB 1148, which would let aspiring security guards complete all required training before a guard card is issued; SB 342, which would soften the penalty for contractors who were licensed during part of a project but had a brief lapse; and several sunset bills for boards and bureaus, including the Board of Registered Nursing (SB 1302), the Board of Naturopathic Medicine (SB 1303), the Respiratory Care Board (SB 1304), the Board of Barbering and Cosmetology (SB 1363), and the Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board (SB 1368). The committee also heard SB 1311, which makes various updates to DCA boards and programs, and SB 1314, which restricts new tobacco retailers from locating within 600 feet of schools or daycare centers and bans nitrous oxide sales and related paraphernalia. Testimony was generally supportive on the training, sunset, and licensing cleanup bills, though several measures drew “opposed unless amended” or neutral positions over scope and implementation details. On SB 1314, supporters including prosecutors and school administrators argued it would reduce youth exposure to tobacco, while gas station, convenience store, cigar lounge, pharmacy, and business groups raised concerns about impacts on existing businesses, transferability of tobacco licenses, and possible de facto limits on future stations; some public health groups shifted to neutral after amendments. On SB 1302, nursing groups supported the board sunset bill, while the California Medical Association objected to allowing out-of-state nurse practitioner transition-to-practice experience to count without a California attestation process. On SB 1304, health facilities and long-term care groups supported the board extension but sought broader clarification so LVNs could perform respiratory tasks consistently across settings. After quorum was finally established, the committee voted to send the consent calendar bills SB 1376, SB 1391, SB 1416, and SB 1315 to Appropriations, and then approved SB 342, SB 1148, SB 1302, SB 1303, SB 1304, SB 1311, SB 1314, SB 1363, and SB 1368, all moving forward to the Committee on Appropriations. SB 1314 passed with some no votes, while the other measures advanced with broad support. The hearing ended after additional members were added on the record and the committee adjourned.

Transcript Highlights:

• This concludes testimony and closes the hearing on Senate Bill 6258.
• Everyone's primary concern in life is to be alive tomorrow.
• This then concludes testimony and closes a hearing on Senate Bill 5947.
• That should be the job of the primary care provider.
• This then concludes testimony and closes a hearing on Senate Bill 6292.

Bills: SB6258, SB6182, SB5947, SJR8206, SB5823, SB6292

Keywords: Washington Medical Commission, medical license, license relinquishment, voluntary surrender, nondisciplinary pathway, physician regulation, health professional licensing, disciplinary database, National Practitioner Data Bank, license renewal, license reinstatement, medical board, professional discipline, credential surrender, healthcare regulation, abortion, reproductive health, pregnancy termination, clinic access, abortion access fund

Transcript Highlights:

• I have no other primary witnesses. Okay, then seeing opposition witnesses?
• Do you have another primary witness? So the opposition, I presume? No?
• 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.

Summary: The Senate Business, Professions and Economic Development Committee met first without quorum and heard several bills in subcommittee before later reconvening and taking formal votes. The consent calendar included SB 1263, SB 1148, SB 1376, and SB 1391. The committee also heard SB 1002, SB 1311, and SB 1416, all of which were ultimately advanced to the Senate Appropriations Committee, with SB 1311 amended. After quorum was reached, the committee later ratified the earlier actions and adjourned. SB 1002 by Senator Niello would expand the David Hall Act to allow certain patients who were originally eligible for out-of-state telehealth care because of an immediately life-threatening diagnosis to continue receiving that care after entering remission. Supporters, including a cancer survivor, said the bill would preserve continuity of care for patients who still need specialist monitoring. The Medical Board of California and the California Medical Association opposed the bill, arguing that licensure is an important consumer protection and that the bill would weaken oversight and standards of care. Senator Caballero supported the measure, emphasizing access to care, especially for rural patients. SB 1311, presented by the chair, updates the Dental Practice Act so unlicensed dental assistants can satisfy infection control training requirements either through the Dental Assisting National Board exam or approved courses. The California Dental Association and California Association of Orthodontists supported the bill, saying it would help strengthen the dental workforce and improve patient access. The California Academy of General Dentistry raised concerns that the exam option lacked hands-on training and should be limited unless amended. The committee approved the bill as amended. SB 1416 by Senator Wahab would shorten from 30 days to 21 days the time a physician or dentist has to refund duplicate payments to consumers. Support was brief and largely focused on the bill’s consumer affordability benefits, and no opposition was voiced. The committee passed the bill to Appropriations.

Transcript Highlights:

• Seralto, would you care to close?
• Seeing no one else, any primary opposition to this measure?
• Would you like to have any closing remarks? As I remember, Ms. McKenna gave a great close.
• I think Assemblymember McKinner made my closing. To close, well, thank you, Mr.
• Senator, do you wish to close?

Summary: The Assembly Revenue and Taxation Committee heard several bills, mostly related to Proposition 19, voluntary tax checkoffs, and local tax authority. SB 288 would clarify that the one-year residency and exemption deadline for inherited homes held in probate begins when legal ownership is established; it received support from the Howard Jarvis Taxpayers Association and others, no opposition, and was referred to suspense. SB 974 would explicitly include special needs trusts in Prop. 19-related inheritance rules; it had support from the Riverside County Board of Supervisors and Howard Jarvis Taxpayers Association and passed 5-0 to Appropriations as amended. The committee also heard SB 575, which would restore the Sea Otter Voluntary Contribution Fund for voluntary tax return donations to sea otter conservation. Supporters cited sea otter recovery, research, and habitat protection needs; there was no opposition, and the bill passed 5-0 to Appropriations. SB 999 would delay the Franchise Tax Board’s annual report on the health care individual mandate from March 1 to June 1 to allow more complete data; Health Access California supported it, and it passed 5-1 to Appropriations. SB 762 would authorize certain cities and counties, including Hercules, Santa Cruz, and Santa Barbara, to seek voter approval for local transaction and use taxes to address budget pressures, public safety, infrastructure, and safety-net service cuts. Local officials, labor groups, and health advocates supported it, while the Howard Jarvis Taxpayers Association opposed it; the committee adopted the urgency clause and then passed the bill to Local Government with urgency, with some no votes. SB 1073 would create a voluntary tax contribution fund to support the Historic South Los Angeles Black Cultural District; arts advocates and community supporters backed it, and the bill passed unanimously to the Arts, Entertainment, Sports, and Tourism Committee as amended.

Transcript Highlights:

• SINCE 2010 WE HAVE HAD THREE HOSPITALS CLOSE. THREE RURAL HOSPITALS CLOSE.
• AS WELL AS THE TRIAGE AND TREATMENT AT THE IF THEY LACK THE REGULAR CARE AND SERVICES FOR THE PRIMARY
• BETWEEN SUCH PATIENTS AND COLLABORATIVE PARTNERS OR OTHER PRIMARY CARE SETTINGS.
• FOR MEDICAID PATIENTS LACKING THE PRIMARY CARE PHYSICIAN THE HOSPITAL WILL ALSO INDICATE AND CONTACT
• BUT THEY WERE CLOSE TO 100 MORE FACILITIES ACROSS THE STATE.

Keywords: 999, senate, all

Transcript Highlights:

• </c> to the committee of primary to the committee of primary jurisdiction,<00:07:41.160><c> and</c><00
• </c> closing remarks after. closing remarks after.
• </c> Housechild has made his closing remarks. Housechild has made his closing remarks.
• I think we're really close.
• I think we're really close. it. I think we're really close.

Keywords: 918, senate, all

Summary: The Rules and Administration Committee met on March 19, 2026, to consider the referral path for Senate File 4139, the sports betting bill, rather than the substance of the proposal. Senator Franzen, the bill’s chief author, asked that the bill be referred first to the Commerce Committee, saying he had discussed the matter with the relevant committee chairs and that Commerce was the best place to address the bill’s consumer protection provisions. He emphasized that any final path to passage would still require the bill to go through State and Local Government as well. Senator Rasmusson objected and argued the bill should go first to State and Local Government, citing Senate jurisdiction rules, which he said assign gambling bills to that committee. He noted that prior sports betting bills had been referred there first and said a predictable referral process is important. Senator Maye Quade, Senator Dibble, Senator Bar, and Senator Jasinski also supported sending the bill to State and Local Government first, arguing that the committee has primary jurisdiction over gambling and that the bill’s consumer protection language does not change that basic referral. Senator Champion and Senator Miller supported the Commerce referral, saying authors may request an initial committee and that the bill’s consumer protection sections fit Commerce jurisdiction. Senator Marty moved to re-refer Senate File 4139 to the Committee on State and Local Government. Before the vote, members continued debating whether the bill’s structure and prior referral history justified Commerce or whether committee jurisdiction rules required State and Local Government first. The transcript ends with the motion pending and no final vote or disposition shown.

Transcript Highlights:

• With that, do you have any closing remarks?
• We have two primary concerns with the bill as drafted.
• And for SB 646, Senator, would you like to close?
• With that, would you like to close?
• With that, Senator, would you like to close?

Summary: The committee heard several health-related bills, with extensive testimony on maternal health, prenatal safety, privacy, valley fever, Medi-Cal contracting, anti-discrimination protections, and health data sharing. SB 32 would require time-and-distance standards for labor and delivery units in health plan networks; the author and supporters said it would address maternity care deserts and improve access, while health plans opposed. SB 646 would require testing and public disclosure for toxic elements in prenatal vitamins; supporters emphasized fetal and maternal safety and transparency, while industry opponents warned it could confuse consumers or lead to reduced nutrient content. Both bills drew broad support from medical and public health groups, and both were advanced on party-line or near-unanimous votes after committee discussion. The committee also approved SB 313, which moves a parent’s birthplace on birth certificates into the confidential section to protect privacy, and SB 297, which directs CDPH to identify high-incidence valley fever regions and publish them for screening and awareness; valley fever experts and supporters stressed rising cases and the need for earlier diagnosis, while local health jurisdictions raised concerns about mandates. SB 324, dealing with Medi-Cal enhanced care management and community supports, would prioritize local community-based organizations and clarify contracting and data practices; it received strong support from nonprofits and community health advocates, with children’s hospitals and health plans seeking amendments, and it was sent forward after amendments were discussed. The committee then considered SB 418, which would codify ACA nondiscrimination protections in state law and allow up to a 12-month prescription supply for hormone therapy when medically necessary. Supporters framed it as protecting continuity of care for transgender patients and others using hormone therapy, including IVF and menopause patients, while opponents argued it would conflict with federal policy and promote harmful treatments. The bill passed to the next committee. Finally, SB 660 would strengthen the California Health and Human Services data exchange framework by creating governance and accountability for data sharing across health and social service entities; supporters said it would reduce duplication and improve care coordination, while some providers and hospital groups raised concerns. It was approved and sent to the Privacy and Consumer Protection Committee. The consent calendar and the other measures were also voted out, with the committee recording the required roll-call votes and sending the bills onward.

Transcript Highlights:

• The Louisiana Crisis Hub has answered close to 6,000 calls. BHCC has helped.
• Hub has answered close to 6,000 calls.
• “We are working closely together.” “Sure. Thank you very much.
• I've been told that Medicare is second, is never primary in this matter.
• primary.

Summary: The House Insurance Committee met on April 15 and first considered HB 909, which would require commercial health insurance coverage for behavioral health crisis services. Representative Spell and Office of Behavioral Health interim assistant secretary Dr. Holly Howitt described the Louisiana crisis response system, the goal of reducing emergency room and 911 use, and the need to expand provider participation beyond Medicaid. A technical amendment and a stakeholder-driven amendment allowing insurers to require documentation of crisis, medical necessity, and follow-up plan were adopted, and the bill was reported as amended with support cards from several health care and local government entities. The committee then advanced HB 1151, which changes investment limits for domestic insurers, especially life insurers, by capping equity holdings and aligning the rules with solvency concerns. After questions about whether the bill would increase profits at consumers’ expense, the author and Department of Insurance staff explained it was intended to provide guardrails and keep insurers solvent; the bill was reported favorably. HB 1154, dealing with prior authorization for certain generic medications, also received technical and substantive amendments. The bill would generally eliminate prior authorization for non-opioid generics, with a $250 wholesale acquisition cost cap and physician-specialty exceptions; it was reported as amended after support testimony from the Louisiana Dermatological Society and other health groups. HB 869, which sought coverage for injectable drugs used for glucose control or weight loss, prompted extended debate over cost, obesity, and long-term savings. Several members raised concerns about premium increases and the large fiscal note, while the author argued the bill was preventive and could save money over time. Representative Jordan proposed a 25% coverage amendment, but the committee declined to take up the substantive amendment that day, and the bill was voluntarily deferred to the next meeting. Later, the committee reported HB 1196 favorably, clarifying that screening colonoscopies remain screening even if polyps are found, and HB 1176 favorably, restoring Medicare Advantage coverage for certain integrative cancer care services. The committee also heard HB 771, which would have changed Medicare coordination rules for retirees who return to state employment, but staff explained the issue is governed by federal CMS rules and preemption concerns; the bill was voluntarily deferred so the author could review the governing law. HB 751, dealing with term life insurance disclosures, was likewise voluntarily deferred after the author said more work was needed and noted concerns about existing law and consumer understanding. At the end of the meeting, the committee also deferred HB 920 and HB 1199 to the following week and briefly stood at ease before moving on to other business.