Transcript Highlights:

• and the aeronautics program.
• Motion beginning with fiscal year 2027 JFAC program maintenance budget.
• It just basically says that there's rebates available through Idaho Power.
• There are two budgeted programs and one continuously appropriated program in the Office of the Secretary
• The second program is the Commission on Uniform State Laws.

Summary: The committee first considered Idaho Transportation Department budgets. It approved additional dedicated and federal funding for Transportation Services, Division of Motor Vehicles, Highway Operations, and Contract Construction and Right-of-Way Acquisition, including money for deferred maintenance, airfield improvements, replacement items, IT hardware, roadside tree removal, highway operations, and a capital transfer for right-of-way and construction. The committee also adopted several pieces of language, including reappropriation authority and accounting-correction language for ITD, and all of these items received due pass recommendations. The Department of Agriculture budget was then reviewed. The committee approved a FY 2026 supplemental for invasive species/quagga mussel treatment and a separate deficiency appropriation for pest monitoring and control. It also approved FY 2027 enhancement funding for replacement items and IT hardware, along with reappropriation language for the Resilient Food Systems Grant. The State Liquor Division budget followed, and the committee approved funding for inflation adjustments, replacement items, and IT/security equipment, but rejected proposed language directing the division to report on energy and utility rebates after the Senate failed to support it. Next, the committee took up the Secretary of State’s budget. Members debated a substitute motion that would have reduced the office’s base budget and added a voter pamphlet appropriation, but that substitute failed. The original motion then passed, funding a one-time voter pamphlet appropriation and an internal personnel transfer, while leaving out the office’s IT replacement request. The Secretary of State testified that additional cuts would slow business filings and election-related work, noting the office had already absorbed a significant rescission. Finally, the Office of the State Public Defender budget was considered. The committee approved funding for six additional trial attorney positions, data migration and storage, ITS replacement items, and health benefit costs, with the agency explaining that its recent transition and high fill rate made the standard health-benefit calculation inaccurate. The meeting concluded with notice of the next day’s budget-setting agenda and adjournment.

Transcript Highlights:

• Obviously, the 340B program is a federal program, one that's been tremendously successful.
• When a drug is sold under the 340B program, our rebates are effectively blocked.
• While employers lose the rebates that help keep coverage affordable, if this program is working as intended
• As the 340B program expands, rebates available to plan sponsors, including state employee health plans
• California took action on the 340B program and its Medicaid program, which I oversaw for a number of

Bills: SB6294 , SB6211 , SB5650 , SB6033 , SB6297 , SB6343 , SB6067 , SB6082 , SB6323 , SB6324 , SB5862 , SB5923 , SB6151

Committee: Senate Ways & Means

Keywords: local government finance, Washington state, RCW, real estate excise tax, REET, sales and use tax, property tax levy, county tax, city tax, affordable housing, housing services, behavioral health, mental health, developmental disabilities, children and families services, youth services, utility tax, low-income utility assistance, veterans assistance, homelessness

Transcript Highlights:

• The third program is the Capital Infrastructure Program, aiming to enhance the physical and digital security
• The third program is the Capital Infrastructure Program, aiming to enhance the physical and digital security
• At this point, all the funds in this grant program have been awarded, so without renewal, this program
• Also on behalf of On Lok PACE program, the first PACE program in the nation, very proud behind every
• We added the rebate aggregator to collect state rebates for our unsatisfactory immigration population

Summary: The Assembly Budget Subcommittee on Health began with a hearing on the impacts of H.R. 1 on California health programs, focusing first on reproductive health state investments. HCAI outlined five state-funded reproductive health programs created after Dobbs, including uncompensated care, practical support, capital and clinical infrastructure, and workforce programs. Essential Access Health and Planned Parenthood testified that these funds have served hundreds of thousands of patients, but warned that the uncompensated care program is fully awarded and needs renewal, and that Title X and Medicaid-related federal uncertainty continues to threaten access. Members questioned who the uncompensated care program serves, why Medi-Cal covers a large share of abortions, and whether Planned Parenthood could expand prenatal services; public commenters urged continued support for reproductive health access. The committee then took up long-term care services and supports, starting with the HCBA and Assisted Living Waiver programs. DHCS reported large wait lists for both programs and said enrollment is limited by workforce and provider capacity, while LAO noted that increasing slots alone may not increase access without additional programmatic changes. Members pressed the department on whether more slots should be added given the lower cost of home- and community-based care compared with skilled nursing facilities, and public testimony argued that the wait lists should be reduced and that staffing concerns do not fully explain unused capacity. The committee also heard testimony on congregate living health facilities, where providers and a patient family described the homes as critical, lower-cost alternatives to nursing facilities for younger, medically complex people. Witnesses requested short-term bridge funding, while DHCS said it is proposing to transition CLFs into a managed care benefit by January 1, 2028, which would remove caps and expand access statewide. The final long-term care topic was PACE. DHCS explained that it has paused new PACE applications and service expansions for at least two years to reassess oversight capacity and develop a statewide strategic growth framework, while existing programs continue operating. CalPACE supported the pause as a planning measure but asked for four additional state nurse positions to reduce delays in level-of-care determinations and speed enrollment for frail older adults. Members shared personal stories about how PACE has helped family members and asked how the state will meet growing demand; DHCS said stakeholder engagement will begin later in the year and that some existing applications already in process will continue. Public commenters broadly supported PACE, HCBA, and CLF funding requests. The hearing then moved to the Department of Health Care Services’ 2026-27 Medi-Cal budget and related trailer bills. DHCS said Medi-Cal spending has grown due to coverage expansions, higher acuity, rising utilization, and especially pharmacy costs, and it described proposals to extend the current skilled nursing facility financing framework for one year while the state develops a new value-based payment strategy. LAO said most recent Medi-Cal spending growth has been driven more by higher per-enrollee costs than by caseload growth, with pharmacy spending growing especially quickly, and recommended better and more timely data to analyze the drivers. Members expressed concern about the rapid rise in Medi-Cal spending and asked for more detail on the largest cost increases.

Transcript Highlights:

• The third program is the Capital Infrastructure Program, aiming to enhance the physical and digital security
• At this point, all the funds in this grant program have been awarded, so without renewal, this program
• program and the pharmacists, those are ongoing programs through 2028.
• For the HCBA program, it’s 25 days.
• Also on behalf of On Lok PACE program, the first PACE program in the nation, very proud.

Transcript Highlights:

• And let's talk about the rebates. Rebates. If they're not... How are they work right now?
• And let's talk about the rebates. Rebates. If they're not... How are they work right now?
• It's up to the health plan what to do with the rebates at that point.
• What is a rebate?
• , and oftentimes that rebate is tied to their entire portfolio.

Committee: House Insurance

Summary: The House Insurance Committee met on April 1 with a quorum present and first took up House Bill 938 by Rep. Turner, which would overhaul pharmacy benefit manager (PBM) regulation by setting a flat administration fee, requiring dispensing fees and NADAC-based reimbursement, mandating rebate pass-through, giving the Department of Insurance access to PBM data, and creating a reverse-auction process for PBM procurement. Turner said the bill is intended to level the playing field for independent pharmacies, improve transparency, and reduce hidden PBM practices. The committee adopted amendment set 1444 without objection, and Turner said additional conceptual amendments were still being worked on. Supporters included independent pharmacies and the PBM Accountability Project; opponents included union plan representatives, benefits consultants, and PBM/insurance industry witnesses who warned of higher costs, ERISA preemption problems, and likely litigation. After extended questioning on cost, preemption, and vertical integration, the committee reported HB 938 with amendments. The committee then considered House Bill 870, also by Rep. Turner, dealing with formulary placement and cost-sharing for generic drugs and biosimilars and limiting certain utilization management practices. Amendment set 1540 was adopted, revising and tightening technical definitions. Turner and a representative of the Association for Accessible Medicines argued the bill would help lower-cost generics and biosimilars gain market share and reduce patient costs, citing examples such as insulin and Humira biosimilars. Opponents from Louisiana Blue said the bill would force coverage based on wholesale acquisition cost rather than net cost, would raise premiums for fully insured members, and would mandate coverage of drugs that are not always the lowest net-cost option. Rep. Jordan again raised ERISA and preemption concerns, and committee members discussed whether the bill would interfere with tiering and plan design. After closing comments and a motion by Rep. Glorioso, HB 870 was reported with amendments, and the committee adjourned.

Transcript Highlights:

• </c> Energy Technologies with programs Energy Technologies with programs ranging<00:18:15.080><c> from
• </c> new geothermal feasibility study program new geothermal feasibility study program launched<00:18
• 59.080><c> not</c> niche that most other programs do not niche that most other programs do not it's<00
• to the program reviewing and oversight to the program reviewing and approving<00:19:22.440><c> the</
• an</c> approving the program design on an approving the program design on an annual<00:19:23.919><c>

Committee: House Energy Finance and Policy

Transcript Highlights:

• It does not eliminate the current program, which is currently handled through OEMS.
• Banks oftentimes will give rebates to utilizers.
• Currently, OMS is able to take some of that rebate.
• This would allow counties to recoup the full rebate on that.
• Guardrails for the current state ecard program. This program will align with that.

Bills: SB2130 , SB2135

Committee: Senate Local and County Government

Keywords: municipal finance, audit exemption, biennial reporting, local government, transparency, county purchasing, purchase card, government accountability, emergency expenditures

Transcript Highlights:

• And let's talk about the rebates. Rebates. If they're not... How are they work right now?
• And let's talk about the rebates. Rebates. If they're not... How are they work right now?
• And let's talk about the rebates. Rebates. If they're not... How are they work right now?
• What is a rebate?
• , and oftentimes that rebate is tied to their entire portfolio.

Committee: House Insurance

Bills: HB145 , HB279 , HB292 , SB35 , HJM1 , HM7 , HM4 , HM22 , HM23 , HM24 , HM26 , HM32 , HM51 , HM1 , HM39 , HM29 , HM43 , HM30 , HM52 , HM64 , HM65 , HM66 , HM11 , HM14 , HM21 , HM34 , HM50 , HM17 , HM46 , HM13 , HM20 , HM54 , HM31 , HM35 , HM36 , HM59 , HM2 , HM16 , HM47 , HM53

Keywords: high-wage jobs, tax credit, job creation, New Mexico, economic development, healthcare privacy, electronic medical records, reproductive health, gender-affirming care, data protection, location tracking, confidentiality, sexual abuse, prison safety, correctional facilities, inmate rights, investigation procedures, judgeship, judiciary, court system

Transcript Highlights:

• committee on local consent, HR1469 by Hayes commends the Powerhouse Texas Energy Policy Fellowship Program
• The amendments reformatted the bill and allowed the Comptroller more time to implement the program.
• It sunsets the program in September 2031 and ensures students may only substitute.
• The last change in the Senate lifts the cap on the tier two construction reimbursement program from a
• Did that program then result in a loss for the districts?

Bills: HB149 , HB2017 , HB705 , HB223 , HB 1056 , HB2854 , HB4623 , HB3000 , HB46 , HB 117 , HB3619 , HB4464 , HB5646 , HCR84 , HB500 , HB2963 , HB5509 , HB1973 , HB3909 , HB718 , HB252 , HB5666 , HB 119 , HB346 , HB5624 , HB5658 , HB5677 , HB1545 , HB3073 , HB4081 , HB 121 , HB4236 , HB3848 , HB4144 , HB40 , HB5682 , HB3697 , HB3333 , HB3642 , HB20 , HB549 , HB2731 , HB4233 , HB4690 , HB 127 , HB2525 , SB1637 , SB1 , SB1198 , SB509 , SB13 , SB15 , SB30 , SB268 , SB331 , SB441 , SB447 , SB457 , SB568 , SB650 , SB763 , SB1540 , SB1610 , SB1660 , SB2018 , SB2024 , SB2217 , SB2337 , SB2753 , SB2900 , SB2972 , SB3059 , HB14

Keywords: artificial intelligence, regulation, biometric data, ethical AI, consumer protection, AI governance, intoxication manslaughter, criminal penalties, community supervision, mandatory supervision, parole eligibility, Grayson's Law, cosmetology, licensure, interstate compact, state regulations, public safety, workforce mobility, municipality, procurement

Bills: HB149 , HB2017 , HB705 , HB223 , HB 1056 , HB2854 , HB4623 , HB3000 , HB46 , HB 117 , HB3619 , HB4464 , HB5646 , HCR84 , HB500 , HB2963 , HB5509 , HB1973 , HB3909 , HB718 , HB252 , HB5666 , HB 119 , HB346 , HB5624 , HB5658 , HB5677 , HB1545 , HB3073 , HB4081 , HB 121 , HB4236 , HB3848 , HB4144 , HB40 , HB5682 , HB3697 , HB3333 , HB3642 , HB20 , HB549 , HB2731 , HB4233 , HB4690 , HB 127 , HB2525 , SB1637 , SB1 , SB1198 , SB509 , SB13 , SB15 , SB30 , SB268 , SB331 , SB441 , SB447 , SB457 , SB568 , SB650 , SB763 , SB1540 , SB1610 , SB1660 , SB2018 , SB2024 , SB2217 , SB2337 , SB2753 , SB2900 , SB2972 , SB3059 , HB14

Keywords: artificial intelligence, regulation, biometric data, ethical AI, consumer protection, AI governance, intoxication manslaughter, criminal penalties, community supervision, mandatory supervision, parole eligibility, Grayson's Law, cosmetology, licensure, interstate compact, state regulations, public safety, workforce mobility, municipality, procurement

Transcript Highlights:

• The unpredictability of knowing which students from other programs are going to come into a program you've
• only to those who truly need it and are utilizing the program.
• And the Tax Commission currently does this for this program.
• It's a program that is already in place. We've already done it.
• And so, they utilize this program to build tennis courts.

Bills: HB3329 , HR1039 , HR1040 , HB3413 , HB3414 , HB3415 , HB3416 , HB3417 , HB3418 , HB3419 , HB3420 , HB3706 , HB3711 , HB4139 , HB1268 , HB3660 , HJR1023 , HB3298 , HB3056 , HJR1084 , HB3934 , HB3919 , HB4118 , HB4119 , HB3791 , HB4260 , HB4178 , HB4215 , HB4324 , HB3270 , HB4352 , HB4305 , HB2955 , HB3315 , HB3066 , HB1245 , HB4125 , HB3075 , HB3129 , HB3239 , HB4153 , HB3265 , HB4491 , SB680 , HB4263 , HB4268 , HB1675 , HB3885 , HB2984 , HB3697 , HB2959 , HB3671 , HB3852 , HB2933 , HB3057 , HB3802 , HB4294 , HB4285 , HB3708 , HB3979 , HB3977 , HB3986 , HB3985 , HB3588 , HB3742 , HB3845 , HJR1070 , HB3590 , HB3595 , HB3391 , HB3183 , HB3764 , HB3765 , HB1002 , HB4434 , HJR1086 , HB4060 , HB3881 , HB3500 , HB4408 , HB3648 , HB3127 , HB3606

Keywords: long-term care, advisory board, sunset legislation, mental health, psychologists, University of Oklahoma, gymnastics, NCAA, congratulations, sports excellence, recognition, honor, athletics, Joseph Castiglione, leadership, education, sports management, HB3413, public finance, state budget

Transcript Highlights:

• I'm very proud that we've been able to develop our program without putting any burden on our campus,
• We're a self-sustaining program, meaning that we generate every penny that we spend and invest in our
• No other program in the country has won more than one in the past decade.
• This is the 22nd conference title and program history and sixth under head coach KGinler.
• programs last no longer than 12 months.

Bills: HB3329 , HR1039 , HR1040 , HB3413 , HB3414 , HB3415 , HB3416 , HB3417 , HB3418 , HB3419 , HB3420 , HB3706 , HB3711 , HB4139 , HB1268 , HB3660 , HJR1023 , HB3298 , HB3056 , HJR1084 , HB3934 , HB3919 , HB4118 , HB4119 , HB3791 , HB4260 , HB4178 , HB4215 , HB4324 , HB3270 , HB4352 , HB4305 , HB2955 , HB3315 , HB3066 , HB1245 , HB4125 , HB3075 , HB3129 , HB3239 , HB4153 , HB3265 , HB4491 , SB680 , HB4263 , HB4268 , HB1675 , HB3885 , HB2984 , HB3697 , HB2959 , HB3671 , HB3852 , HB2933 , HB3057 , HB3802 , HB4294 , HB4285 , HB3708 , HB3979 , HB3977 , HB3986 , HB3985 , HB3588 , HB3742 , HB3845 , HJR1070 , HB3590 , HB3595 , HB3391 , HB3183 , HB3764 , HB3765 , HB1002 , HB4434 , HJR1086 , HB4060 , HB3881 , HB3500 , HB4408 , HB3648 , HB3127 , HB3606

Keywords: long-term care, advisory board, sunset legislation, mental health, psychologists, University of Oklahoma, gymnastics, NCAA, congratulations, sports excellence, recognition, honor, athletics, Joseph Castiglione, leadership, education, sports management, HB3413, public finance, state budget

Transcript Highlights:

• on implementing both the programs that you all pass as a state legislature plus the programs we run
• They also run the federal Homes Energy Rebates programs that are coming to us thanks to funding from
• We're also standing up an electric resilience grant program as one of those programs.
• state program I talked to you about, the weatherization assistance funding, and rebates that we are
• spent on that program?

Committee: Senate Energy, Utilities, Environment, and Climate

Transcript Highlights:

• This ensures the program growth will only win in demand and performance justifies it.
• or a property tax rebate or must have been some type of tax rebate.
• Tax rebate or property tax rebate or must have been some type of tax rebate.
• Anybody can utilize this program.
• The program intentionally sunsets in 10 years.

Committees: House Commerce , House Commerce, Consumer Protection, Energy and the Environment

Transcript Highlights:

• We're reducing the number of program administrators and increasing program coordination.
• Save program.
• of the program.
• That program is widely acknowledged to be the most successful low-income program in the country.
• When the original programs ended, when the SREC 1 and 2 programs ended, that's when the SMART program

Committee: Joint Joint Committee on Telecommunications, Utilities and Energy

Summary: The committee heard testimony on H. 4144, the Governor’s Energy Affordability, Independence, and Innovation Act, with the administration arguing the bill would lower bills in the short and long term while expanding clean energy supply and innovation. The Governor and Secretary said the bill would reduce or restructure charges on customer bills, reform Mass Save, expand securitization as a financing tool, speed interconnection, create energy-ready zones, strengthen consumer protections in competitive supply, and allow broader state procurement of energy resources. They said the package could save consumers billions over time and would help address high energy costs, especially during extreme heat and winter spikes. Committee members pressed the administration on several provisions, especially securitization, asking whether the bill requires an apples-to-apples comparison of total costs over time, including interest and lost tax revenue, versus paying through rates. Administration witnesses said DPU review and public comment would be required and said they would work to clarify the language if needed. Members also questioned the bill’s solar and procurement provisions, including reduced net metering compensation for some large facilities, the scope of all-resource procurements, and whether hydro, solar, and nuclear would be included; the administration said those resources were contemplated and that procurement would still be reviewed by DPU. Other questions focused on the short-term relief from bill changes, the treatment of low- and moderate-income discounts, and whether the bill’s heat pump and Mass Save reforms would help customers who cannot afford upfront costs. Several witnesses and committee members discussed Mass Save reforms, including securitization of program costs, on-bill financing, pre-approval of rebates, and shifting program administration away from gas utilities. Administration witnesses said the changes were intended to reduce volatility, lower administrative costs, and better align costs with long-term savings. Questions also touched on geothermal permitting, municipal participation in offshore wind procurement, and the proposed repeal of the ballot requirement for nuclear power, which the administration defended as preserving future options under heavy review. No votes were taken during the hearing portion described. Supportive testimony came from labor, environmental, business, planning, and development groups. The AFL-CIO, NECA, and the Environmental League of Massachusetts backed the bill, emphasizing lower bills, job creation, labor standards, just transition protections, and cleaner energy. NAIOP, the Massachusetts Business Roundtable, and MAPC supported provisions on energy-ready zones, interconnection reform, microgrids, extreme-heat shutoff protections, and Mass Save improvements. A HEET representative praised the bill’s use of securitization, geothermal, and utility financing tools but urged guardrails and workforce protections. Overall, testimony was broadly favorable, with most witnesses calling for refinements rather than opposing the bill outright.

Transcript Highlights:

• That is, that the bill makes from current statute, which is the rebate program, to now an exemption.
• It's being rebated. So they're paying about 4.2% instead of. of six and a quarter.
• These programs have been making a meaningful difference.
• The issue is specifically related to our academic programs. our workforce programs, and the needs of
• As part of that program, we entertain a lot of public input.

Bills: HB19 , HB30 , HB851 , HB1663 , HB1681 , HB1769 , HB1937 , HB1979 , HB2428 , HB2433 , HB2825 , HB3159 , HB3424 , HB3486 , HB3487 , HB3504 , HB3605 , HB3879 , HB3994 , HB4382 , HB4752 , HB5444 , HB5446 , HB5447 , HB3199 , HB4847 , HB19

Committee: House Ways & Means

Keywords: local government debt, property tax, ad valorem tax, bond election, certificate of obligation, anticipation note, school district tax rate, voter-approval rate, debt service cap, municipal finance, county bonds, flood control district, hospital district, public works, tax transparency, property tax notice, November uniform election date, general obligation bonds, local debt reform, taxpayer notice

Transcript Highlights:

• </c> management programs. management programs.
• Uh, which as you recall, bucks program.
• Who gets the rebates and the going? Who gets the rebates and the discounts?
• </c><01:37:08.560><c> exist</c> times that, you know, the rebates exist times that, you know, the rebates
• And I think we transformation program.

Committee: Senate Health and Human Services

Transcript Highlights:

• My question is regarding the rebate program. How successful is that program?
• This program became live in February of 2023, and since then we've provided about 500 rebates at a cost
• In the past, the current rebate program was pretty narrow. It allowed for those that were over 18.
• like SNAP or other low-income programs.
• </c><00:29:34.600><c> program</c> in the past the current rebate program in the past the current rebate

Summary: The committee heard testimony on several measures, beginning with SB 48 SD2 HD1 relating to combat sports. The Attorney General offered a technical comment on the bill’s effective date, and several testifiers from the combat sports community strongly supported the measure with amendments. They argued that boxing and MMA should be treated separately, that the current regulatory structure has made events too costly and reduced opportunities, and that more local oversight would help revive the sport and give youth a constructive outlet. Committee members questioned whether the bill’s medical staffing requirements would apply to boxing, MMA, or both, and whether the added requirements would increase costs and reduce access. The witness from the combat sports community said amateur boxing is already regulated through USA Boxing, that the DCCA should focus on professional boxing, and that for safety he would support two physicians and one ambulance for boxing and MMA events. The committee then took up SB 117 SD2 HD1 relating to transportation. The Department of Transportation and the Ulon Initiative testified in support, and the bicycling community was listed as supporting as well. Members focused on the bill’s rebate program for electric transportation devices, asking how successful it had been and whether removing the rebate would affect use. DOT said the program began in February 2023 and had issued about 500 rebates totaling roughly $166,000, aimed at helping people without vehicles access transportation options. The department explained that the bill would broaden access and increase the rebate amount, including additional assistance for low-income applicants. Finally, the committee heard SB 897 SD3 HD1 relating to energy and wildfire liability. The Division of Consumer Advocacy, the Public Utilities Commission, the Attorney General, Clearway Energy Group, Ulon Initiative, Kawai K, IBEW Local 1260, and Hawaiian Electric all testified in support, while the Hawaii Association for Justice was listed as opposed but not present. Supporters said the bill would help finance wildfire mitigation and infrastructure improvements through securitization, reduce wildfire risk, and address utility cost and credit concerns. Hawaiian Electric emphasized that the bill is forward-looking, would help protect customers from future wildfire-related cost increases, and requested amendments including a study on a future wildfire recovery fund. In questioning, members pressed Hawaiian Electric on the liability cap, asking whether it would have applied to the Maui wildfires and whether it would cover personal injury or wrongful death; the witness and company counsel clarified that the aggregate cap applies only to qualifying property damage, not personal injury or wrongful death, and said they would follow up on how the cap would calculate in a Maui-type event. Hawaiian Electric also said it would seek financing under the bill if enacted and updated members on settlement funding efforts, including raising the first $550 million in equity and divesting assets to help meet its obligations.

Transcript Highlights:

• the prenatal screening programs.
• And then finally, program participation is stable.
• The screening program. Yeah, primarily due to caseload.
• The screening program. Yeah, primarily due to caseload.
• Welcome. ...drug assistance program for the 2026-27 estimate.

Summary: The Assembly Subcommittee on Health heard an overview of the California Department of Public Health budget, including a $5.1 billion department budget and 19 non-IT budget change proposals spanning environmental health, healthcare quality, infectious disease, healthy communities, health statistics, preparedness, and laboratory sciences. CDPH also presented estimates for WIC and the Genetic Disease Screening Program, both of which were described as relatively stable, with WIC food costs rising mainly due to inflation and participation holding near 1 million monthly participants. Members and public commenters raised support for several proposals, including funding for the California Reducing Disparities Project, AB 1264 implementation on school food standards, childhood lead poisoning prevention, the hospital bed capacity registry, sickle cell care networks, and WIC protections amid federal policy changes and shutdown-related uncertainty. Dr. Erica Pond then presented the 2026 State of Public Health report, highlighting major gains such as record-low mortality rates, all-time high life expectancy, and the first decline in overdose deaths in 14 years, while warning about persistent disparities in maternal and infant outcomes, rising severe maternal morbidity, and worsening mental and behavioral health trends, especially among younger adults. She emphasized racial and geographic inequities, the role of social drivers like poverty and education, and the importance of prevention investments through the Behavioral Health Services Act. Members discussed the need for upstream public health spending, environmental health preparedness, and how to translate data into action, while public comment largely focused on sustaining community-based prevention and equity programs. In a separate update on federal actions and public health partnerships, Dr. Pond and CDPH staff described California’s response to federal funding threats, vaccine policy changes, and measles outbreaks. They outlined new collaborations such as the West Coast Health Alliance, the Governor’s Public Health Alliance, the WHO outbreak network, and the FACT Coalition, along with CDPH’s process for reviewing and updating immunization and preventive service recommendations under AB 144. Members questioned the rise in measles and declining vaccination coverage, and CDPH said it is using trusted messengers and tailored outreach while continuing to evaluate federal recommendations. The committee then heard an ADAP estimate showing lower projected budget authority needs due to reduced caseload and one-time funding expiring, followed by public support for using ADAP rebate funds to expand HIV prevention, PrEP, testing, and disease intervention staffing. The final issue focused on public health information technology systems, including Sapphire, CalReady, CalConnect, CARE, MyTurn, MyCAVAC, and the digital vaccine record. CDPH explained how these systems support disease reporting, contact tracing, immunization tracking, vaccine ordering, and outbreak response, while the Department of Finance said only Sapphire and CalReady are funded in the Governor’s budget and the rest are under review because of the state’s budget deficit and declining utilization. Local health department representatives strongly opposed losing the systems, arguing that lower usage reflects post-pandemic conditions and that the tools save staff time, improve outbreak response, and prevent a return to manual spreadsheets and phone calls. Members echoed concern that cutting the systems would undermine public health capacity and waste prior state investment, and urged the administration to present a funding plan that matches its stated commitment to public health.