Transcript Highlights:

• Without action, we risk destabilizing a critical part of our child care system.
• They show that the child care system California needs is possible.
• I don't care what the system has decided the families need to do.
• It is a critical investment in California's child care system. Thank you.
• In a mixed delivery system, our forms of child care play an important role.

Keywords: 988, house, all

Transcript Highlights:

• long-term and even deadly impacts.
• and long-standing inequities in our health care and social systems.
• providers and really rationalizing what it is that we value in terms of the care and the care process
• that they need from our traditional health care system.
• and investing in long-term solutions.

Summary: The hearing of the Select Committee on Latina Inequities opened with remarks framing the discussion around reproductive and maternal health disparities affecting Latina, Black, and Indigenous women in California. Members emphasized the need to connect state data with lived experience, and the committee heard historical context on coercive sterilization, language access, and the ways immigration status, poverty, and racism continue to shape reproductive health care. The first panel featured Clarissa Ramirez of California Latinas for Reproductive Justice, Sophia Pedrosa of Planned Parenthood Affiliates of California, and Kim Robinson of Black Women for Wellness, who described reproductive justice principles, the legacy of eugenics and forced sterilization, community education efforts, promotoras, and the importance of culturally and linguistically responsive care. They also raised concerns about federal funding cuts, fear related to ICE and public charge, and the loss of education and outreach programs that support patients and families. The second part of the hearing focused on maternal health. Matt Green of the California Department of Public Health described persistent racial disparities, including Black birthing people being three to four times more likely to die from pregnancy-related causes than white women, and outlined state efforts such as the Black Infant Health Program, the Perinatal Equity Initiative, the Centering Black Mothers in California report, and a new Black birth equity action plan. Chris Esgera of the Department of Health Care Services explained the state’s birthing care pathway, postpartum care pathway, and Transforming Maternal Health model, including policy changes to support doulas, community health workers, transitional care, and postpartum coverage. He said the department is working through policy updates and payment reforms, with Medi-Cal coverage for pregnant people and 12 months postpartum remaining protected. The final panel included Dr. Nicole Economo and Dr. Kelly McHugh of ACOG, who discussed provider education, anti-racism and implicit bias training, and the need for quality improvement projects focused on closing equity gaps at individual hospitals. They highlighted tools such as the CLEAR Initiative, the Elevate Toolkit, and use of CMQCC data to track outcomes by race and ethnicity. Across the hearing, members repeatedly stressed that community-led solutions, sustained funding, better data, and accountability are needed to reduce preventable maternal deaths and improve reproductive health outcomes. No formal votes or bill actions were taken during the hearing, though several policy priorities and ongoing legislative efforts were referenced for future consideration.

Transcript Highlights:

• While these partnerships are valuable, continued support remains essential to sustain long-term system
• in the U.S. health care system.
• And that's more long-term, I get it.
• Yet our health care system, broadly speaking, has created long-term users of opioids for many, many years
• Yet our health care system, broadly speaking, has created long-term users of opioids for many, many years

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.

Transcript Highlights:

• In other words, this is a major structural change we are making to a long-existing child care system.
• In other words, this is a major structural change we are making to a long existing child care system.
• for a healthy child care system.
• At a time of tough choices, child care stands apart and it delivers immediate relief and long-term results
• There's the level of care system, right?

Keywords: 987, senate, all

Transcript Highlights:

• Without action, we risk destabilizing a critical part of our child care system.
• They show that the child care system California needs is possible.
• I don't care what the system has decided the families need to do.
• In a mixed delivery system, all forms of child care play an important role.
• In a mixed delivery system, our forms of child care play an important role when we need a balance system

Summary: The hearing was a joint budget discussion focused first on California preschool and child care, then on universal transitional kindergarten (TK), with later movement toward a reading-difficulties screener item. Members emphasized the need for a coordinated early childhood system that better serves families’ real schedules and needs, rather than forcing families to fit existing program structures. The preschool panel reviewed access, quality, workforce, facilities, and information systems, with repeated concern about whether current funding and program design are sufficient for infants, toddlers, three-year-olds, and full-day/full-year care. Witnesses from the Learning Policy Institute, CDSS, CDE, and community providers described major growth in preschool and child care enrollment, especially for two- and three-year-olds, but also noted persistent gaps, waitlists, workforce shortages, low reimbursement rates, and the need for more stable funding. Several witnesses urged expansion or permanence of two-year-old eligibility in CSPP, more support for mixed-delivery systems, facility conversion and renovation grants, better statewide enrollment and referral systems, and continued funding for one-time grants such as UPK coordinators and planning/implementation supports. Provider and parent testimony stressed that rate reform, enrollment-based reimbursement, and continued hold-harmless protections are needed to keep programs open and accessible. The TK panel reviewed the Governor’s budget proposal for full implementation of universal TK, including Proposition 98 funding for expansion and lower adult-to-child ratios, plus a multilingual learner screening implementation budget change proposal. LPI and CDE reported that TK enrollment has grown rapidly but uptake is now a little over half of eligible four-year-olds, with families citing lack of awareness, preference for other care, and logistical barriers such as location and hours. CDE and providers said the UPK planning and implementation grant, mixed-delivery planning grants, and UPK coordinators have been critical, but these one-time funds are set to sunset. Members pressed for more information on eligible population projections, full-day/full-year demand, teacher credential data, and how administrative credential programs are preparing leaders for early childhood settings. The committee held the issues open and requested follow-up data from the departments.

Transcript Highlights:

• We'll have really strict guidelines that will eliminate long-term planning and the long-term investments
• In terms of health care coverage, I mean how much, how many do we anticipate losing health care because
• run and families, counties, health care systems will all be left scrambling.
• Weakening them will deepen inequities, harm child development, and drive up long-term health care costs
• That public hospital system is really key to providing the health care needed by Californians.

Keywords: 988, house, all

Transcript Highlights:

• There are also systematic differences in criminal justice or foster care system involvement that increase
• But I think the long-term trend is simply attributable to the fact that there's more people entering
• So there's variation from one county or managed care plan to the next in terms of exactly what services
• So HMIS is the federally governed system used by all 44 of California's Continuums of Care.
• We risk losing, you know, excuse me, we increase long-term costs, and we risk losing our shared goal

Summary: The Senate Budget and Fiscal Review Subcommittee 4 met to hear an information-only agenda focused on homelessness. The chair and vice chair opened with remarks about affordability, accountability, and the need for flexible but effective state responses. The committee then heard an update from Dr. Ryan Finnegan of UC Berkeley’s Turner Center on homelessness trends, data limitations, and program impacts. He said homelessness remains high, with 2024 point-in-time counts showing about 187,000 people experiencing homelessness statewide, though unsheltered homelessness has declined somewhat as shelter capacity expanded. He emphasized that California’s high housing costs and shortage of affordable housing are the main drivers, while also noting persistent racial disparities, high chronic homelessness, and the importance of coordinated housing, health, and social services. He also warned that cuts or changes to federal programs and state funding streams like HAP could threaten progress. Members questioned Dr. Finnegan about the 9% decline in unsheltered homelessness, the timing and methodology of point-in-time counts, how to interpret trends over time, and the role of policy changes such as Housing First, Proposition 47, and Martin v. Boise. He explained that the 9% figure came from 30 continuums of care that had completed 2025 counts, and that HUD’s eventual statewide number would likely differ because not all regions counted that year. He also discussed how different funding sources are layered in local programs, including HAP, local funds, philanthropic support, federal funds, and CalAIM reimbursements. Several members stressed the need for clearer, more comparable measures of effectiveness and outcomes, including whether programs reduce long-term homelessness and move people toward self-sufficiency. The committee then heard from the California Interagency Council on Homelessness on statewide data systems, especially the Homeless Data Integration System (HDIS). Staff described HDIS as the first state-level integrated homelessness data system, built from local HMIS data and used to track demographics, services, outcomes, and program performance across all 44 continuums of care. They said HDIS has enabled statewide dashboards, system performance measures, and new accountability tools under AB 977 and AB 799. Cal ICH also said HAP Round 4 was highly cost-effective under the State Auditor’s methodology, estimating a cost of about $9,172 per person permanently housed, and that new AB 799 dashboards are intended to provide clearer public reporting on outcomes, fiscal data, and progress toward statewide goals. Members asked about measuring self-sufficiency, identifying the best local partners, detecting fraud, and whether the new dashboards will allow better comparisons among program types and funding uses. No votes were taken, and the one scheduled vote was postponed.

Transcript Highlights:

• Expanding access not only saves lives, but it also reduces long-term health care costs by preventing
• , and also support their long-term...
• , and also it just supports their long-term The complex systems they need to navigate, and also it just
• supports their long-term stability.
• It's not going to fix the long-term issues that we have.

Summary: The Assembly Health Committee heard a long agenda of health-related bills, with most items presented for later vote once quorum was reached. Early in the hearing, the committee adopted a consent calendar of multiple bills with motions for due pass to Appropriations, and it noted that AB 2029 had been pulled from the agenda. The committee also took up AB 1973, a bill by Aguiar-Curry to expand who may provide procedural abortion care. Supporters, including physicians and certified nurse midwives, argued the bill would align law with current training and improve access, while opponents said later-term abortion procedures require physician-level surgical training and raised safety concerns. The author emphasized hands-on training, consultation, and transfer protocols, and the bill was held pending quorum with a motion and second recorded. The committee then heard AB 1558 by Arambula, which would adopt the Uniform Emergency Volunteer Health Practitioners Act to speed the use of out-of-state licensed volunteers during declared disasters. Supporters from the Uniform Law Commission and the Red Cross said the bill would reduce delays and clarify legal authority for volunteer health workers; there was no opposition testimony. AB 2282 by Alanis, a temporary rural emergency stabilization center for Patterson while a permanent hospital is built, drew support from local emergency responders and a late opposition from the California chapter of ACEP. The chair praised the bill as a creative local solution and agreed to coauthor it; a motion and second were recorded, with the vote to occur later. Several public health access bills followed. AB 1843 by El-Hawari would limit prior authorization and align hepatitis C treatment coverage with medical guidelines; supporters said it would remove barriers to a curable disease, while health plans opposed it as a mandate, citing premium impacts and the recent SB 306 prior-authorization process. AB 2247 by El-Hawari would create the THRIVE program for mental health services for youth affected by gun violence; Youth Alive and other supporters described trauma-informed, community-based care, and the chair and another member asked to be added as coauthors. AB 2138 by Krell would expand access to certified peer support specialists in enhanced care management and remove automatic disqualifications based solely on criminal history; supporters said peers are essential to engagement and recovery, and the bill was held with a motion and second. Later, AB 1682 by Hart would require coverage of scalp cooling for chemotherapy patients, with emotional testimony from cancer survivors and clinicians; insurers opposed it as another mandate, but the author stressed the modest per-member cost and the bill was moved with a motion and second. AB 1879 by Dixon would standardize data reporting for alcohol and drug treatment facilities, including private providers, to improve statewide information on outcomes and access; the bill drew broad support from recovery organizations and the prior opposition was withdrawn after amendments. AB 1906 by Aguiar-Curry would require coverage of at-home cervical cancer screening kits without cost sharing; supporters cited improved access for rural and working Californians, insurers opposed it on affordability grounds, and the bill passed on a recorded roll call after quorum was established. Finally, AB 1556 by Haney would clarify and support drug-free recovery housing and return-to-use policies; supporters said it would expand sober housing options, while opponents warned it could allow evictions after relapse and conflict with Housing First principles. The hearing ended with the bill still under discussion and opposition-unless-amended concerns noted.

Transcript Highlights:

• The second is to protect the long-term health of the system; repeated use of investment earnings...
• The second is to protect the long-term health of the system.
• on them raises questions about the long-term sustainability of the program.
• That trend is not sustainable over the long term and spells trouble for the program's solvency in the
• Under the current system, injured workers are not guaranteed care for permanent injuries.

Summary: The committee first held a public hearing on Senate Bill 6136, which would require Labor and Industries to publish actuarial indicated workers’ compensation rates for each risk class and disclose when rate increases are capped below those indicated levels. The sponsor and supporters from the hospitality, retail, business, and construction sectors said the bill would improve transparency about how rates are set and how reserve funds and investment earnings are used to hold down premiums. L&I testified that the bill would require publication of a large amount of rate-setting information, but said it was already developed in the normal process and that the bill had no fiscal impact. Questions focused on reserve use, advisory committee involvement, and how the actuarial calculations interact with investment returns. The committee then moved to executive session and took action on several bills, adopting substitutes or amendments and advancing bills including SB 5292, 6014, 5972, 5869, 5874, 6058, 6039, 5944, and 6180, with most sent to Rules and SB 5292 sent to Ways and Means. The committee then heard Senate Bill 5847, which would expand injured workers’ access to medical care by allowing treatment outside the L&I provider network when no provider is available nearby, limiting employer steering to specific providers, shortening utilization review timelines, allowing provider deviation from L&I guidelines when medically appropriate, and expanding continued treatment and cancer monitoring. Labor and worker advocates argued the bill would better reflect the Murray decision and reduce delays in care, while L&I and employer groups said the current evidence-based guideline system works for most claims and warned the bill could weaken quality controls, create vague standards, and increase costs. Testimony also raised concerns about the 15-mile access rule, the employer communication restrictions, and the appeal process for provider removal. The sponsor said the goal was to improve individualized care and continue working with stakeholders. Finally, the committee heard Senate Bill 6067, which would change workers’ compensation time-loss calculations so that 100% of the employer-paid health insurance contribution is included in the benefit calculation instead of the current partial inclusion. Supporters said the bill would help injured workers keep health coverage during recovery and reduce pressure to choose between medical care and income, while opponents argued it would not guarantee the money is actually used for health insurance, could be diverted to other uses or attorney fees, and would significantly increase costs for employers and the accident fund. L&I said the bill would require IT and administrative changes and estimated substantial ongoing benefit costs. The hearing ended without further action on SB 6067, and the chair closed the session after public testimony concluded.

Transcript Highlights:

• and long-term health care affordability.
• way to maintain a stable health care system.
• Primary care is the foundation of our health care system.
• I urge the Legislature to consider the long-term effects of rolling back coverage or making that care
• Medi-Cal allows my patient to access the kind of complex coordination and long-term care that she needs

Summary: The Assembly Budget Subcommittee on Health held a hearing on the impacts of H.R. 1 and related federal actions on Covered California, Medi-Cal, and immigrant access to care. The chair framed the discussion around three main issues: expected losses in marketplace coverage as enhanced federal premium subsidies expire, new federal work and renewal requirements that would add administrative burden to Medi-Cal, and the loss of eligibility for certain lawfully present immigrants. Covered California testified that H.R. 1 and new federal rules, combined with the end of enhanced premium tax credits, are driving higher premiums, lower new enrollment, and more cancellations, especially among middle-income, Latino, and Black enrollees. The agency said California’s $190 million state subsidy program is helping lower-income enrollees but cannot replace the lost federal assistance, and it noted that roughly 120,000 lawfully present immigrants in Covered California will lose federal tax credits in 2027. On Medi-Cal, the Department of Health Care Services said H.R. 1 will require work and community engagement verification, six-month renewals for certain adults, and other changes that the department expects will reduce enrollment substantially. DHCS estimated 233,000 members could lose coverage by June 2027 from the work requirement and 289,000 from six-month renewals, with losses rising much higher by 2028; it also said it is using automation, outreach, clinic navigators, coverage ambassadors, community health workers, and street medicine providers to reduce procedural disenrollments. The department described a two-phase outreach plan and said it is working with counties on implementation, while the Department of Finance said the Governor’s budget maintains $190 million for the state subsidy program and does not propose additional changes at this time. The LAO said its independent forecast is somewhat higher than the administration’s, estimating about 2.1 million fewer Medi-Cal enrollees by June 2028, and urged the Legislature to review county administrative workload and readiness. Public testimony and member comments focused on the human and fiscal consequences of coverage losses. A representative from the Sacramento Native American Health Center warned that reduced reimbursement and coverage losses would destabilize community health centers, increase uncompensated care, and worsen outcomes by pushing patients into emergency care. Members raised concerns about paperwork burdens, county capacity, outreach effectiveness, and whether the state should do more to preserve coverage, including possible modeling of additional H-CARF spending and support for middle-income consumers and immigrant enrollees. The hearing did not take any votes or formal actions, but it ended with public comment and continued discussion of implementation and budget options.

Transcript Highlights:

• Without our state intervention, on October 1st, 3,000 residents who currently receive long-term care
• When people lose their long-term care services and health care coverage, it not only impacts their health
• For many of us, the fear isn't just the cost of care, it's the instability of the system.
• When I'm going to certify, the service... ...of care, it's the instability of the system.
• 20s and lived most of her life in a long-term care facility.

Summary: The Ways and Means Committee met on January 20, 2026, hearing several bills related to retirement systems, school employee health coverage, port district pensions, environmental fee accounts, developmental disability services, legislative budget transparency, and a new Apple Health employer assessment. Early in the meeting, the committee heard SB 5834, which would make permanent a temporary expansion allowing certain retirement trust fund earnings to pay broader administrative expenses, and SB 5835, which would raise the lump-sum retirement allowance threshold for Plan 2 members from $50 to $250. Both bills were presented by Department of Retirement Systems staff and supported by the department, with questions focused on the scope of the administrative-expense language in SB 5834 and the technical nature of SB 5835. The committee then entered executive session and moved three bills without recommendation to the Rules Committee: Substitute SB 5249, allowing kit homes as emergency housing; Substitute SB 5053, allowing certain counties to include school district boundaries when forming a public facilities district; and Substitute SB 5203, directing state agencies to develop a wildlife habitat connectivity strategy and creating related accounts. After returning to public hearing, members heard SB 5883 on SEBB eligibility for school employees in their second school year of employment. Supporters, including labor representatives and individual school workers, said the bill would reduce coverage gaps and improve recruitment and retention, while school district officials and administrators argued it would create an unfunded mandate, increase costs, and add administrative burden. No action was taken on the bill. The committee also heard SB 5905, which would exclude certain port district employees from PERS if they are covered by the federal Railroad Retirement Plan or a collectively bargained defined benefit pension plan. Port representatives, labor stakeholders, and the Department of Retirement Systems described it as a narrow technical fix to avoid duplicate pension coverage and retroactive liabilities, and the bill drew support. SB 6151 would create dedicated accounts for Ecology fee revenue tied to laboratory accreditation and landfill methane work; Ecology and county representatives supported the measure as a way to reinvest fees in the programs that generate them. SB 6163 would require the Individual and Family Services waiver for developmental disability services to be budgeted at maintenance level; advocates said it would stabilize services and prevent waitlists, and no opposition was heard. The final two bills were SB 6177, which would require LEAP’s budget website to display additional budget detail such as carry-forward data, program and subprogram expenditures, and balance sheets for all public accounts, and SB 6173, which would create an Apple Health employer assessment on larger private employers with workers enrolled in Medicaid expansion coverage. SB 6177 was framed as a transparency measure, while SB 6173 drew extensive testimony both in support and opposition: supporters said it would help offset expected Medicaid losses after federal work requirements take effect and stabilize the health safety net, while opponents argued it would be an unfunded tax, create administrative and legal complications, and could discourage hiring or reduce hours. The committee heard no final votes on the public hearing bills, and staff reminded members that signature sheets would be held for 24 hours under Senate rules.

Transcript Highlights:

• and the state to make both short- and long-term plans.
• When survivors receive comprehensive trauma-informed care early, we reduce long-term health care costs
• The long-term statewide provider will be required to deliver a system that will achieve 99.999% availability
• The long-term statewide provider will be required to deliver a system that will achieve 99.99% percent
• And lastly, looking at the long-term future for these systems, including the potential for nationwide

Keywords: 988, house, all

Transcript Highlights:

• Care and C.M... ...relate back to policies specifically around what the Office of Long-Term Care and
• And so, but yes, I think there are process in place in terms of long-term care comes out.
• So since our age, since the long-term care facility, the Office of Long-Term Care investigates these
• So the Office of Long-Term Care goes into these facilities and audits them.
• Long-Term Care—there's another organization that does an inspection.

Summary: The Joint State Agencies committee met to approve prior minutes and then focused on the death of Zachary Moore at the Southeast Arkansas Human Development Center, later clarified in discussion as the Warren facility. DHS officials described Moore’s background, said he died after a prolonged prone restraint followed by a delayed chemical restraint, and reported that 13 staff were terminated, the superintendent was replaced, a consultant was brought in, and the agency entered a settlement with the family for $725,000. Members pressed DHS on the cause of death, restraint policies, staff training, supervision, family notification, and why the family had not been kept informed; DHS said a family-notification procedure exists but that communications during litigation had been handled through counsel. The committee also heard that six staff had been criminally charged with manslaughter and neglect of a vulnerable person, and that the death certificate listed the manner of death as homicide with cause of death tied to physiologic stress associated with struggle and prone restraint. DHS officials gave broader context on the five human development centers, their licensing and accreditation, resident population, mortality review process, and training programs. They said the centers serve highly medically and behaviorally complex residents, that annual restraint training and CPI-based instruction are required, and that the mortality review committee and Office of Long-Term Care review deaths and make recommendations. Members repeatedly criticized the agency for not having complete information at the meeting and for what they saw as gaps in oversight, staffing, and chain-of-command clarity during emergencies. DHS responded that the Warren facility had not been meeting the same standards as the others, that the consultant’s root-cause analysis identified multiple failures, and that new crisis-team and chain-of-command procedures were being drafted. A second major topic was staffing and recruitment. Members discussed low pay, turnover, use of float and on-call staff, rural staffing shortages, and a waiting list of about 2,000 people for home- and community-based services. DHS said CNAs at the centers start at about $39,000 a year, that a broader retention and recruitment plan is being drafted for all five centers, and that a separate rate study for PASS services will be implemented in January 2027 but does not cover CNA pay. The meeting ended with testimony from Moore’s mother, Angela Stevens, who said money could not replace her son and urged stronger training, background checks, and supervision so other residents would be protected. The committee asked DHS to keep members and Stevens updated on consultant reports, recruitment efforts, and follow-up on the family communication issue, and then adjourned.

Transcript Highlights:

• Care will... ...direction by the end of June, at which time the Office of Long-Term Care will come back
• And so, yes, I think there are processes in place in terms of long-term care coming out.
• So since our age since the long-term care facility, the Office of Long-Term Care investigates these on
• They're directed by Long-Term Care, and there are federal surveyors.
• Long-term care, there's another organization that does an inspection.

Summary: The Joint State Agencies committee met to approve the October 8, 2025 minutes and then held an extended hearing on the death of Zachary Moore at the Southeast Arkansas Human Development Center. DHS officials Lori McDonald, Jennifer Brise, and Melissa Weatherton described the HDC system, staffing and resident needs, and said Moore died after being held in a prone restraint for about 13 minutes, followed by a delayed chemical restraint and delayed CPR. They said the family settled a wrongful death claim for $725,000, 13 staff were terminated, the facility leadership was changed, and at least five staff had been criminally charged, with the death certificate later described as homicide and the cause of death as physiologic stress associated with struggle and prone restraint. Members pressed DHS on why the family was not kept informed, whether there was a written restraint protocol, how staff are trained, and why the agency did not have more complete information ready for the hearing. DHS said staff receive CPI restraint training, annual restraint training is mandatory, and a consultant is reviewing policies, retraining staff, and conducting a root cause analysis under a directed plan of correction from the Office of Long-Term Care. Legislators also raised broader concerns about low pay, staffing shortages, use of float and contract staff, and a waiting list of about 2,000 people for home- and community-based care. DHS said it is working on a retention and recruitment plan and a rate report for certain PASS services, but that the PASS rate study does not cover CNA pay. Several members said the incident reflected both a failure of restraint practice and a broader staffing and oversight problem. DHS acknowledged that prone restraint should not have been used, that the chemical restraint was given at the wrong time, and that multiple breakdowns occurred in supervision, communication, and equipment use. The committee also discussed whether there should be more regular independent audits of HDC policies, and DHS said it does not currently have a separate annual policy audit beyond existing oversight. At the end of the meeting, the committee asked DHS to keep it updated on recruitment, consultant reports, and to contact Moore’s mother about the communication she had been promised. The meeting adjourned without any additional formal action beyond approving the minutes.

Transcript Highlights:

• So that's the goal long-term, and that is supported by the 988 implementation plan that Ms.
• So that's the goal long-term, and that is supported by the 9-8 implementation plan that Ms.
• And I think all of that is actually in the long term positive for the consumer, but in the short term
• care, because obviously 911 is not a perfect resource for long-term care, and we want to get them back
• And then we can provide that follow-up, getting them more resources long-term.

Summary: The hearing focused on California’s 988 suicide and crisis lifeline and the broader crisis response system, with members and witnesses emphasizing both the system’s life-saving role and the risks posed by funding gaps, rising demand, and uneven local implementation. Opening remarks highlighted the personal impact of suicide and the need to strengthen crisis response so calls are answered quickly and linked to appropriate care rather than defaulting to 911, emergency rooms, or law enforcement. State officials described the AB 988 five-year implementation plan, which sets goals around public awareness, equitable access, high-quality call/chat/text response, and better integration with ongoing behavioral health services. State agencies reported progress on infrastructure, coordination, and related behavioral health investments. CalHHS said California has expanded mobile crisis teams, crisis stabilization units, and youth behavioral health supports, and is preparing additional public awareness and grant programs tied to Proposition 1. DHCS explained that 988 is funded through a federal SAMHSA grant and the AB 988 surcharge, while Medi-Cal separately funds mobile crisis services; officials said the mobile crisis benefit is active in 53 counties and that statewide expansion remains a work in progress. Cal OES described the statewide technical buildout, including network infrastructure in all 11 crisis centers, interoperability with 911, and a pilot of next-generation routing and call-handling tools. The 988 California Consortium said call volume continues to rise sharply, missed calls remain a major concern, text/chat capacity is limited, and centers need more stable funding, better reimbursement, and stronger feedback loops with the state. County and community witnesses stressed that local systems need more flexible, sustained support to match the demand. Lake County described a peer-led rural mobile crisis model that has reduced law enforcement holds and increased housing placements, but said county-run mobile crisis teams still cannot reliably access 988 surcharge dollars and face reimbursement problems from Medi-Cal and commercial plans. Santa Clara County reported strong performance metrics, rapid call answer times, and a broad continuum of mobile crisis services, but said staffing and funding are strained and commercial reimbursement remains slow. The Mental Health Association of San Francisco said the peer-run warm line complements 988 by offering non-emergency support and warm handoffs, but recent budget changes forced cuts to Spanish-language service, federation support, and hours. No formal votes or legislative actions were taken during the hearing; members mainly asked questions about surcharge levels, budget timing, coordination among agencies, data collection, and how to improve collaboration with frontline crisis centers.

Transcript Highlights:

• The current system requires multiple trips to the health care provider just for treatment.
• The current system requires multiple trips to the health care provider just for treatment.
• This is a long-term addressing a long-term issue on those folks who are in... because I think when you
• </c> uh of Medicaid. uh this is a long-term uh of Medicaid. uh this is a long-term um um um a<00:54:36.880
• 54:39.040><c> long-term</c> a long-term uh addressing a long-term a long-term uh addressing a long-term

Keywords: 00:00:00 - Call to Order/Roll Call 00:02:20 - Discussion of 26RS HB 689 00:13:13 - Discussion of 26RS SB 201 00:27:45 - Discussion of 26RS HB 583 00:46:37 - Discussion of 26RS HB 488 00:48:13 - Discussion of 26RS HB 2 01:14:34 - Discussion of Kentucky State Plan Amendment (SPA) 26:0001: School-based Medicaid Services Program 01:18:24 - Public Comment, 958, all

Summary: The Medicaid Oversight Board met on March 9 with a quorum present and no minutes to approve. The chair reordered the agenda to hear House Bill 689 first. Representative Amy Neighbors presented HB 689, which would authorize Kentucky to seek CMS approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning January 1, 2026, with retroactive payments for that year. She said the bill is intended to improve access to care in rural and underserved areas, support workforce retention, and generate about $29 million annually in federal Medicaid funds without using general fund dollars. Representatives from Owensboro Health and St. Elizabeth Healthcare testified in support, describing staffing and subsidy pressures, lower Medicaid and Medicare reimbursement, and the importance of the program for maintaining access and quality in rural and safety-net settings. Committee members noted the bill had already passed the House Health Services Committee unanimously and discussed broader concerns about Kentucky’s low reimbursement rates and the need to consider other systems not covered by the proposal. The board then heard Senate Bill 2011 from Senator Donald Douglas and Cody Hunt of the Kentucky Medical Association. The bill would address a Medicaid coding issue by ensuring that coverage limits do not reduce payment to fewer than two evaluation and management service units per provider, per patient, per day. Douglas argued the current one-visit, one-issue limitation forces multiple visits, increases no-shows, and prevents providers from treating the whole patient. Hunt explained that the bill is meant to correct a longstanding regulation that limited E&M services to one per physician per recipient per date of service, which can prevent providers from coding additional medically necessary work during the same visit. He said DMS has already filed a regulatory amendment to fix the problem, but a statutory change is still needed to prevent the issue from returning. He also said the bill is not intended to change reimbursement policy, only coding rules, and that MCO payment practices vary. Members generally supported the concept. Senator Berg asked about fiscal impact and private-payer billing; Hunt said there should be no fiscal impact because the bill does not change payment policy, only coding. Representative Moore said the proposal could reduce costs and improve convenience by avoiding extra visits. Chairman Meredith said the bill illustrated problems with fee-for-service care and supported moving toward a more holistic delivery model. Dr. Schuster raised a drafting concern about the bill summary language, and Hunt responded that the regulatory amendment should address the issue generally for providers. No votes were taken on either bill during this portion of the meeting.

Transcript Highlights:

• care settings or institutional ...and who would otherwise be in long-term care settings or institutional
• So both in our disability services programs for youth and adults and then in our long-term care program
• for elderly and physically disabled adults, In our long-term care program for elderly and physically
• And then on the long-term care side, we actually have a team of nurse reviewers.
• I have staff both in the developmental disabilities programs and on the long-term care side who review

Committee: House Health and Welfare

Keywords: 989, all

Transcript Highlights:

• We're going to move on to aging long-term care department.
• We're going to move on to Asian long-term care department.
• New Mexico Care is a new program in our long-term care division.
• These are the unsung heroes who are the backbone of our long-term care system.
• The long-term care system is even more complicated.

Committee: Senate Senate Finance

Keywords: 996, all

Transcript Highlights:

• Thank you for joining us today for the Assembly Committee on Aging and Long-Term Care hearing to consider
• Karen Jones, Long-Term Care Ombudsman Services of San Luis Obispo County, in support.
• Karen Jones, Long-Term Care Ombudsman...
• And with that, I believe this adjourns the Committee on Aging and Long-Term Care.
• And with that, I believe this adjourns the Committee on Aging and Long-Term Care.

Summary: The Assembly Committee on Aging and Long-Term Care met without an initial quorum and heard four Senate bills focused on older adults and people with disabilities. SB 837 by Senator Reyes would require Aging and Disability Resource Connection programs to provide disaster and emergency preparedness education tailored to older adults and people with disabilities. Supporters, including the California Foundation for Independent Living Centers and the California Commission on Aging, cited recent wildfire deaths and the need for better evacuation planning and preparedness. The bill passed on a due pass motion and was re-referred to the Committee on Emergency Management. SB 971 by Senator Choi would create a Healthy Aging Community Partnerships Program to encourage voluntary local partnerships, including with community colleges and other entities, to support social connection, technology help, caregiver resources, and other healthy aging activities. Supporters said it would promote independence and prevent isolation at no mandated cost, while one member questioned whether the bill addressed a current legal gap and whether public health departments should be involved. The committee approved the bill on a due pass motion and re-referred it to the Committee on Health. SB 1261 by Senator Laird would allow Aging and Disability Resource Connections to continue operating for one to two years during transitions when an area agency on aging or independent living center operator changes, preventing service disruptions. Testimony from Access Central Coast and the California Association of Area Agencies on Aging emphasized the importance of continuity for thousands of clients. The committee passed the bill and re-referred it to the Committee on Appropriations. SB 991 by Senator Menjivar, presented by Assemblymember Gonzalez, would require the Department of Social Services to classify substantiated abuse in residential care facilities for the elderly by specific abuse type rather than a broad residents’ rights category. Ombudsman advocates argued this would improve transparency and accountability; members also discussed whether similar protections should extend to younger adults in other licensed settings. The bill passed on a due pass motion and was re-referred to the Committee on Human Services.

Transcript Highlights:

• planning and the long-term investments that we need.
• Throughout the country, over 15% of persons living with MS are on Medicaid, not including long-term care
• care systems will all be left scrambling.
• Weakening them will deepen inequities, harm child development, and drive up long-term health care costs
• This threat to staffing, service delivery, and long-term sustainability of care is serious.

Summary: The Assembly Budget Subcommittee on Accountability and Oversight held its fifth hearing of the year to examine the newly enacted federal H.R. 1 and its effects on California. Members and the chair described the law as a major threat to state health, food, education, and climate programs, and emphasized that California would not be able to fully backfill the federal cuts. Several members also highlighted the bill’s tax provisions, including temporary deductions for tips, overtime, seniors, and auto loan interest, while warning that the largest benefits flow to higher-income taxpayers and that major cuts to Medi-Cal, CalFresh, and clean-energy incentives are delayed or phased in over time. The Legislative Analyst’s Office and the Department of Finance presented detailed overviews of the bill’s likely impacts and implementation timelines. They identified the main affected areas as health care coverage and financing, food assistance, higher education, personal income taxes, and clean-energy/electric-vehicle credits. They explained that H.R. 1 limits provider taxes used to finance Medi-Cal, adds work and redetermination requirements, restricts CalFresh eligibility and increases state costs, changes student loan and Pell Grant rules, extends and modifies federal tax provisions, and phases out many clean-energy credits. Finance also noted major rescissions of Inflation Reduction Act funds, new border and immigration enforcement spending, and the possibility of PAYGO sequestration if Congress does not act to offset the deficit increase. During member questions, the committee focused on likely enrollment losses, administrative burdens, and fiscal exposure for the state and counties. Witnesses said many details still depend on federal guidance, but they estimated significant impacts on Medi-Cal, CalFresh, and graduate/professional student borrowing, and noted that California’s high CalFresh error rate could increase state costs. UC testified that the elimination of Graduate PLUS loans would affect thousands of professional students, especially in health, law, and other high-cost programs. Members asked for follow-up data on county, health, and tax impacts, and staff agreed to provide additional tables and estimates as implementation guidance becomes clearer. Public commenters from counties, early childhood advocates, health coalitions, disability rights groups, immigrant-rights organizations, and other stakeholders urged the Legislature to mitigate the law’s effects. They warned of higher county costs, reduced access to health care and food assistance, increased administrative burdens, and harm to children, immigrants, people with disabilities, and low-income families. Several urged new state revenue solutions and stronger protections for Medi-Cal, CalFresh, child care, and home- and community-based services. No votes were taken; the hearing was informational and ended with a commitment to continue monitoring federal guidance and to work on state responses in the budget process.