Transcript Highlights:

• I was diagnosed about four years ago, though it took nearly 10 years for that diagnosis.
• After years of symptoms, I was finally tested. There was so much damage already done.
• Earlier testing means fewer years of suffering.
• Earlier testing means fewer years of suffering.
• I'm a PA with 28 years of clinical experience. The original 20 years were in plastic surgery.

Keywords: 995, all

Summary: The Joint Committee on Public Health heard testimony on four bills: H. 5013 and S. 2928, which would establish a three-year celiac disease screening pilot program for children during routine cholesterol/lipid screening at ages 8 to 12; H. 5087, regulating medical spas; and H. 5115, establishing statewide food truck regulations, though the transcript focused almost entirely on the celiac and medical spa bills. For the celiac proposal, Rep. Badger and Sen. Lovely described long diagnostic delays, the lack of a cure, and the potential for a simple blood test to identify children earlier and reduce long-term harm. Multiple patients, clinicians, and researchers supported the pilot, saying celiac is frequently missed because symptoms vary widely or are absent, and that early detection could prevent malnutrition, growth problems, osteoporosis, and other complications. Testifiers also emphasized that the bill would study feasibility, accuracy, cost, and acceptability, and would include family education and support resources if diagnoses are made through the program. Several experts and advocates backed the celiac screening pilot, including a pediatric gastroenterologist from Italy who described successful national screening efforts there, a Celiac Disease Foundation representative, pediatric gastroenterologists from Massachusetts and Colorado, a pediatric dietitian, and a parent whose child was diagnosed after severe malnutrition. They argued that routine screening alongside existing pediatric bloodwork could identify many undiagnosed children and improve health equity, since celiac disease is often overlooked in people of color and lower-income patients. Committee members asked about how the screening would work, and witnesses explained it could begin with a blood test, followed by confirmatory endoscopy if needed. No vote was taken in the hearing. On H. 5087, witnesses from the medical aesthetics industry largely opposed the bill as written, saying it was outdated, redundant with existing Massachusetts licensing and board oversight, and too restrictive for nurse practitioners, physician assistants, and other licensed providers. Testifiers, including a retired lobbyist, a nurse practitioner, a PA, a plastic surgeon, and a clinic owner, said the bill could reduce access, raise costs, and push care into less regulated settings, while not addressing the real issues of training, compliance, and patient safety. Committee members pressed for more specific feedback on what provisions were unnecessary or duplicative, and witnesses said they had submitted position papers and written testimony identifying conflicts with current law. The hearing ended with the chair noting that all oral and written testimony would be reviewed before any decisions are made.

Transcript Highlights:

• Fitness test.
• Not a fitness test. It had to be the presidential fitness test to get points on this.
• , such as maybe a strep test.
• It's been that way for years.
• Whether we deal with it this year or next year, I think is past us.

Keywords: 908, all

Summary: The committee first took up Senate Bill 2401, which would require physicians to complete continuing education on nutrition and metabolic health as part of the state’s rural health transformation effort. HHS supported the bill, saying it would help physicians better address chronic disease and preserve federal grant points tied to the state’s application. A member of the public also testified in favor, arguing that better nutrition education could improve diabetes outcomes and reduce costs. The committee then adopted an amendment to add the Board of Occupational Therapy Practice to the background-check statute so the occupational therapy compact could proceed, and it passed the bill as amended on a roll call vote. The committee next heard House Bill 1621, which would require the Presidential Fitness Physical Fitness Test in elementary, middle, and high school physical education courses. HHS said the bill was part of the rural health transformation application and could help preserve federal funding, but members raised many questions about the test’s criteria, adaptive options for students with disabilities, equipment needs, and whether the bill should apply to non-public schools. Senator Clemens offered an amendment to limit the requirement to public schools, but it failed. Senator Hogan then offered an amendment to clarify exemptions and allow DPI to align implementation with federal guidance; that amendment passed. A further amendment adding language allowing DPI to establish criteria for and exceptions to the test also passed. The committee then approved the bill as amended on a roll call vote. The committee also considered House Bill 1622, which joins North Dakota to the physician assistant licensure compact. HHS said the compact would improve access to care, especially in rural areas, support military families, and help preserve rural health transformation funding. Members noted the compact had been discussed in a prior session and that many earlier concerns had been resolved. After brief discussion about the compact process and its consistency with other interstate compacts, the committee voted to do pass the bill. Finally, the committee began Senate Bill 2402, which expands pharmacists’ prescriptive authority and therapeutic substitution powers. HHS and the Board of Pharmacy supported the bill as a way to improve access to care and maintain rural health transformation funding. Senator Roers introduced a detailed amendment negotiated with the Board of Medicine and Board of Pharmacy to narrow and clarify the bill, including notification requirements, limits on certain drug categories, and patient-protection language for therapeutic substitution. The Board of Pharmacy then testified in support of the broader bill and explained the CLIA-waived testing provisions and the repeal of the older, narrower pharmacist-testing language. The hearing and amendment discussion were still underway when the transcript ended.

Transcript Highlights:

• And is there any difference from your bill this year from last year? Sponsor: There is none.
• What if you could take the test...
• was only good for a year, and you had to come back within a year and take the test in English?
• I could pass a test in Spanish.
• We just had last week a 28-year-old state trooper who was hit head-on by a 62-year-old driver.

Keywords: 959, house, all

Transcript Highlights:

• after year of 50 in the United States consistently year after year after year.
• year after year.
• The vast majority of Florida's improvement in test scores, which has been dramatic in the last four years
• Number one, our schools have made a tremendous effort over the last four years to improve those test
• Right now, a school has to have two years of low test scores below that 10% threshold, and then they

Summary: The Careers and Workforce Subcommittee heard three bills. HB 919 on nursing education programs would tighten accountability for nursing schools with low NCLEX pass rates by shortening the probation period, requiring remediation plans, mandating free remediation for students who fail, and requiring tuition reimbursement for programs with very low pass rates. The sponsor argued Florida’s nursing pass rates are unacceptably low and that stronger consequences are needed; opponents warned the bill could shut down programs, worsen the nursing shortage, and unfairly target private schools, while supporters said it would protect students and improve outcomes. After debate, the bill was reported favorably by a vote of 18-0. The committee then heard PCS for HB 1261, the “Smart Living Act,” a student-driven proposal from Jefferson High School in Hillsborough County to expand personal financial literacy and practical life-skills instruction in high school. Students and school officials testified that the bill would better prepare graduates for adulthood by covering topics such as budgeting, credit, loans, FAFSA, resumes, interviews, and basic household skills. Members praised the students’ work and the bill’s practical focus, and the PCS was reported favorably 18-0. Finally, the committee considered HB 809, which would exempt school social workers from educator certification requirements for general and subject-area knowledge. Supporters from Lee and Broward counties said the current testing requirement is unrelated to social work, creates financial and recruitment barriers, and has contributed to staffing shortages. Members from both parties supported the measure as a simple way to remove an obstacle to hiring and retaining school social workers. HB 809 was also reported favorably by a vote of 18-0, and the meeting adjourned after all agenda items were completed.

Transcript Highlights:

• Like not even the five-step test.
• So that's half of our 10-year-olds riding in a vehicle are not likely to pass this test and at greater
• after year after year.
• It spoke about 12-year-olds, 12- to 16-year-olds.
• It requires a passenger in the front seat, 13- to 16-year-old to pass the five-step test, or is that

Summary: The Assembly Transportation Committee met and began without a quorum, first hearing AB 612 by Assembly Member Rogers and later AB 435 by Assembly Member Wilson. AB 612 would direct Caltrans to update the highway design manual so local jurisdictions consult with fire departments on major road improvements. Supporters, including the California Professional Firefighters and labor representatives, said the bill would improve emergency response and prevent road designs from hindering fire apparatus. County representatives said they were not opposed but wanted the bill narrowed to avoid mandatory consultation on minor maintenance projects or in areas without a local fire district. Several members praised the bill as common-sense safety legislation, and it was moved forward to Appropriations. The committee then adopted its rules and approved a seven-bill consent calendar. AB 435 would update California child passenger safety law to require children under 10 to be properly restrained in the back seat, require children ages 10 to 13 to remain in the back seat unless they pass the five-step seat belt fit test, and require the five-step test before a child may ride in the front seat. The author and supporters, including Safe Kids Greater Sacramento, Safety Belt Safe USA, AAA, the Automobile Club, and hospitals, argued the bill would align state law with national best practices and improve child safety. Committee members raised concerns about enforceability, implementation timing, pickup trucks, large families, and low-speed vehicles, and the author said he was open to amendments and additional data, including California-specific information. AB 435 was advanced to the Committee on Appropriations after discussion. AB 612 also received a due pass recommendation to Appropriations. The committee held rolls open to allow additional members to add on, then later confirmed the votes and adjourned.

Transcript Highlights:

• Higher in PFOS than your influent testing, 551 times higher than your effluent testing, and 183 times
• , either every year or every other year, and the property across the road on the north side of the road
• We tested it, and it tested at 13,000 parts per trillion of PFOS, as our previous presenter explained
• from years of ...
• Duration were these samples taken and tested, and were they tested at one lab or more than one lab?

Summary: The committee hearing focused on biosolids, sewage sludge, and PFAS contamination, with the opening remarks and first three presenters arguing that land application of municipal sludge poses serious risks to soil, water, livestock, and human health. Representative Shaw cited EPA and state data on detected pollutants and PFAS in biosolids, while Denise Travick Poyer described her background in chemical engineering and PFAS work and said the EPA’s draft sewage sludge risk assessment shows unacceptable risk at very low PFOS/PFOA levels. She urged source reduction, more testing, and consideration of total organic fluorine, and noted examples from Michigan where industrial pretreatment and source reduction reduced PFAS in biosolids. Johnson County, Texas Commissioner Larry Woolley and Investigator Dana Ames presented a case study of alleged runoff from land-applied biosolids affecting a ranch, with high PFAS readings in soil, water, fish, cattle tissue, and a stillborn calf, and said the county and state had pursued investigations, lawsuits, and legislative responses. Sandra Trawick of Save Oklahoma Farms and Ranches argued that Oklahoma’s biosolids program relies heavily on Class B sludge, that current rules are outdated, and that land application exposes farms and rural communities to pathogens, chemicals, odors, flies, and runoff; she cited examples from Maine, Texas, Georgia, Michigan, and Oklahoma to support calls for stronger regulation or a ban. After the testimony, members asked about sampling methods, lab testing, EPA limits, and whether the cited PFAS blood levels were comparable to the soil and sludge measurements. Witnesses said the Johnson County samples were collected by a Texas A&M PhD contractor and tested at a single lab, and they explained that the EPA’s 4 parts per trillion figure applied to municipal drinking water standards. Questions also addressed whether sludge is incorporated into soil; Trawick said it had often been left on the surface, though she had seen better disking after public scrutiny. Members asked how biosolids compare with manure and feedlot waste, and witnesses responded that municipal sludge is more contaminated because it includes industrial, hospital, and household waste streams, unlike animal manure. The committee then moved to alternative solutions, hearing from Doug McKinney of Advanced Microbial Solutions, who promoted biological sludge removal using bacteria to reduce sludge volumes and avoid land application, citing cost savings for wastewater plants and correctional facilities. Jason Jepsen of Eden Energy followed with a pitch for an eight-stage waste-to-energy system that converts mixed waste into clean energy, biochar, and reusable products, framing waste as an asset and presenting his company’s technology as a no-land-application alternative.

Transcript Highlights:

• <00:03:39.120> This one to three-year suspension. This one to three-year suspension.
• This expire on December 31st each year.
• Failure authorization within one year.
• the House on March 25th of this year. the House on March 25th of this year.
• done on those schools that were tested done on those schools that were tested and<00:31:15.919><

Keywords: 926, house, all

Summary: The House took up several Senate proposals of amendment and, by voice vote, concurred in each. On House Bill 928, technical corrections to fish and wildlife statutes, the House suspended the rules, heard a section-by-section explanation of changes to hunting violation points, license expiration dates, license fees, and Champion Lands reporting, and then concurred after both the committee and Ways and Means reported favorable straw polls of 11-0. On House Bill 915, the extended producer responsibility program for beverage containers, the House also suspended the rules and heard a detailed summary of Senate changes affecting handling fees, redemption requirements, PRO administration, collection-site standards, reporting, and effective dates; Environment reported a favorable straw poll and Ways and Means noted a modest fiscal impact from higher liquor bottle handling fees, after which the House concurred. The House then took up Senate Bill 328 on housing and common interest communities. The General and Housing Committee explained the Senate’s further amendments, including changes to the treasurer’s housing credit facility, consultation requirements, VHIP funding provisions, municipal housing planning, duplex and accessory dwelling unit rules, temporary multi-unit provisions, downtown and village center benefits, and common-interest-community reporting on vegetable gardens. Appropriations and Environment both reported no additional fiscal concerns and favorable straw polls, and the House concurred in the Senate proposal of amendment. Finally, the House considered House Bill 542 on PCB testing in Vermont schools. The Senate strike-all amendment would extend the testing deadline to 2035, create a future special fund for testing and remediation, require PCB testing before major renovation projects using state construction dollars, and direct ANR to report on remaining costs and funding options. After questions about how the amendment would affect schools that had already tested or completed remediation, Education explained that existing remediation reimbursements would continue and that the amendment mainly delays the mandate and sets up a future funding mechanism. The House concurred, then recessed until 5:20 p.m. to prepare for additional Senate bills.

Transcript Highlights:

• What type of test besides normal, you know, attention tests, cognitive tests? Is it blood?
• So if you refuse a breath test and you’re found guilty of it, 10 years later, if you’re falsely accused
• of something, you cannot expunge that from your record because of that breath test refusal from 10 years
• ago, 15 years ago, 20 years ago.
• So that breath test refusal is going to prevent…” “...from 10 years ago, 15 years ago, 20 years ago.

Summary: The Appropriations Committee on Criminal and Civil Justice met with a quorum and first approved SPB 7014, which terminates the state court system’s mediation and arbitration trust fund; staff noted the fund has no current balance and that filing fees were already redirected in 2011. The bill was reported favorably as a committee bill without objection. The committee then took up CS/SB 48 on alternative judicial procedures for foreclosure sales. Senator Garcia described it as a response to reported abuses in Miami-Dade County, adding longer sale timeframes, stronger notice requirements, rules for alternative sale methods, online auction authorization, and consumer protections for surplus funds. After adopting a technical amendment, members raised concerns about whether the bill was codifying a process they believed should remain with clerks of court and about the new online auction provisions; Senator Garcia ultimately moved to temporarily postpone the bill. Members also approved CS/SB 322, creating a nonjudicial process for sheriffs to remove unauthorized persons from commercial property, and CS/SB 138, which revises DUI-related language from “intoxicating” to “impairing” and allows judicial circuits to create DUI diversion programs. CS/SB 138 drew opposition from some members and testimony from cannabis advocates and defense lawyers who argued the catch-all language was too broad and could sweep in lawful medications or create testing and expungement issues, but it still passed. The committee further reported favorably SB 130 on wrongful incarceration compensation, extending filing deadlines and removing restrictive bars to compensation, and SB 234, which strengthens penalties for violent resistance against law enforcement officers and clarifies that such resistance can lead to life imprisonment if it results in an officer’s death. Both bills received supportive testimony, though SB 234 also drew concerns from defense lawyers about removing language tied to lawful duty and good faith; the sponsor said the bill preserves defenses while focusing on violent resistance. The meeting then adjourned.

Transcript Highlights:

• And that could...” “...say they extend it for two years or three years or one year.
• It's tested per batch.
• Another example, parents, 16-year-old, 16-year-old daughter goes Parents of a 16-year-old daughter went
• They could not field test it because a field test would come up positive for THC.
• We can’t test it.

Keywords: 959, house, all

Transcript Highlights:

• THIS AMENDMENT CLARIFIES THE TESTING IS TO BE DONE AT THE POINT OF FINAL BATCH TESTING WHICH WOULD BE
• I AM THREE YEARS SOBER AND MY HUSBAND IS FIVE YEARS SOBER.
• THIS YEAR FROM LAST YEAR THC B IS NOT INTOXICATING, IT'S USED FOR HUNGER SUPPRESSION.
• THAT THEN CAN BE ADAPTED YEAR AFTER YEAR.
• PRODUCED IN OTHER STATES AND IF THEY WERE TESTED THEY WERE TESTED BY LABS IN OTHER STATES.

Keywords: 999, senate, all

Transcript Highlights:

• The tests that genetic types of tests.
• additional tests. additional tests.
• I think you had them last year also, but it shows the cost to a Medicaid program on average for testing
• . years. years.
• <01:17:35.120> and<01:17:35.280> years When I was a therapist years and years When

Keywords: 1191, senate, all

Transcript Highlights:

• Uh, that ceremony has been carried out year to year by resolution.
• Uh that ceremony has been carried out year to year by resolution.
• driver's license for five years. driver's license for five years.
• driver's test. driver's test.
• Didn't they pass<00:44:46.400> the<00:44:46.560> test? pass the test? pass the test?

Bills: HB274, HB287, HB301, HB157, HB254, HB88, HB274, HB287, HB301, HB157, HB254, HB88

Keywords: Crenshaw County, county board of education, school board, board of education, term limits, term length, elected officials, local constitutional amendment, Alabama Constitution, education governance, local legislation, November 2026 election, ballot measure, constitutional amendment, school board elections, law enforcement, transparency, reporting, public safety, regulation

Transcript Highlights:

• Well, they're testing relatively over the same standards all these years.
• Well, they're testing relatively over the same standards all these years.
• What year did we test? Was that... I don't think we tested in '21. We did not test in 2020. Okay.
• What year did we test? Was that, I don't think we tested in 21. We did not test in 2020. Okay.
• So these states in 2024 tested between 90 and 100% of high school graduates for the 2024 school year.

Keywords: 1204, all

Summary: The committee received a Bureau of Legislative Research presentation on Arkansas academic standards, accountability, and achievement as part of the adequacy study. Staff reviewed how state curriculum and standards have evolved from the 1997 Public Education Act, the 2003 Quality Education Act, and the 2017 Educational Support and Accountability Act, including required course offerings, graduation requirements, career and technical education pathways, and recent additions such as success-ready pathways, Arkansas history, firearm safety, and fetal growth and development instruction. Members asked for a comparative chart showing how the laws and requirements changed over time, and staff agreed to provide one. The presentation then turned to the federal ESSA plan and Arkansas’s state accountability system. Staff explained the state’s long-term goals for 2030, including 80% proficiency in ELA and math, 52% of English learners on track to English proficiency, and 94%/97% four- and five-year graduation rates. They reviewed 2025 assessment results showing proficiency rates generally in the 30s, with English learners and students with disabilities performing lowest and white students highest. They also discussed school support and improvement categories, equitable access to educators, and report card/public reporting requirements, noting that some ESSA-related measures such as the school index, equity labs, and certain 2024 report card data were not currently available or not being calculated. Members questioned whether those ESSA commitments were being met and asked staff to follow up with DESE, including whether the legislature can revise the ESSA plan. The committee also reviewed the Arkansas Accountability Act and related assessment data. Staff described the Atlas assessment system, alternate assessments for students with significant cognitive disabilities, ELPA 21 for English learners, ACT results, and NAEP comparisons. They reported that no student group met the 80% proficiency goal in 2025, Arkansas’s ACT composite score declined slightly over time, and Arkansas generally trailed national and SREB averages on NAEP. Members asked for additional data, including historical highs and lows, the number of assessments students take by grade, dropout data, and comparisons with other states. The meeting ended with agreement to invite the Department of Education to a future meeting to answer questions about missing data, equity labs, report cards, and ESSA compliance.

Transcript Highlights:

• JULY ONE OF THIS YEAR WAS STARTED.
• SO YOU CAN SEE HOW THEY ARE DOING THIS YEAR.
• THEY ARE CURRENTLY BEING TESTED.
• THAT TESTING IS ALSO ONGOING.
• WE STARTED TESTING WITH THE SYSTEMS READY TO START TESTING IN AUGUST OF THIS YEAR.

Transcript Highlights:

• Well, they're testing relatively over the same standards all these years.
• Well, they're testing relatively over the same standards all these years.
• What year did we test? I don't think we tested in '21. We did not test in 2020.
• These states in 2024 tested between 90% and 100% of high school graduates for the 2024 school year, so
• So these states in 2024 tested between 90 and 100% of high school graduates for the 24 school year.

Summary: The committee received a lengthy Bureau of Legislative Research presentation on Arkansas academic standards, accountability systems, and adequacy requirements. Staff reviewed how state curriculum and standards have evolved from the 1997 Public Education Act through the 2003 Quality Education Act and the 2017 Educational Support and Accountability Act, including required coursework, standards for accreditation, career and technical education, graduation requirements, and recent additions such as computer science, personal finance, firearm safety, and fetal growth and development instruction. Members asked for a chart comparing the major laws and repeals over time, and staff agreed to provide one. The presentation then turned to federal ESSA requirements and Arkansas’s state accountability system. Staff explained Arkansas’s long-term goals for proficiency, English learner progress, and graduation rates, and reported 2025 ATLAS proficiency results, which remained below the 80% goal across student groups. They also reviewed English learner progress, graduation rates, school support and improvement, and equitable access to educators. Data showed gaps by subgroup and by school poverty/minority concentration, with Title I and high-poverty schools more likely to have emergency/provisional teachers and less experienced staff. Members questioned the lack of recent data for some ESSA measures, including equity labs and school index calculations, and asked staff to follow up with the Department of Education. The committee also discussed NAEP results, ACT scores, and teacher quality measures under the state accountability act. Arkansas’s NAEP performance remained below national averages in fourth- and eighth-grade reading and math, and ACT composite scores and benchmark attainment were also reviewed. Members asked for additional information on historical highs and lows, the number of assessments students take by grade, dropout data, and comparisons with other states. No formal votes were taken; the main action was agreement to request additional information from DESE and to schedule department follow-up at a future meeting.

Transcript Highlights:

• California's wildfire reality is now year-round.
• It ensures that genetic testing leads to better health.
• It is no different than a blood test, a cholesterol test, or your heightened weight.
• And so it's something that is definitely different than a blood test, a urine test, all those other tests
• And so it's something that is definitely different than a blood test, a urine test, all those other tests

Keywords: 987, senate, all

Transcript Highlights:

• These are tests from the 90s.
• So did you test for PFOS or anything like that? Did we test? Well, I guess...
• Then came the test results.
• Testing? As far as they, we haven't done our own testing.
• But you didn't test any samples?

Bills: HB1341, HB1674, HB4028, SB2321

Keywords: hydrogen sulfide, public health, environmental regulation, Texas Commission on Environmental Quality, ground level concentrations, emissions limit, emissions limits, ground-level concentrations, air quality, PFAS, agriculture, environmental protection, health risks, criminal offense, chemical regulation, preproduction plastic, water quality, pollution control, industrial waste, emissions

Transcript Highlights:

• Is there a standardized test? What's the process? Some of them have a standardized test.
• gave it certain times of the year.
• There's other municipalities that give their own test. I know St. Joseph, we give our own test.
• And it's not an open-book test.
• And it's not an open book test.

Keywords: 959, house, all

Transcript Highlights:

• and you have to have go through testing and you have to have go through testing and<00:03:10.400
• Um in July 21st, 2023, my 12-year-old Um in July 21st, 2023, my 12-year-old son,<00:04:05.439>
• death, will they automatically then have a drug test, a blood test?
• , a blood<00:20:16.080> test?
• blood test? blood test?

Keywords: Meeting start: 00:00 Roll Call: 00:04 HB 168 discussion: 01:39 HB 168 vote: 21:04, 958, all

Summary: The committee heard House Bill 168, sponsored by Representative Ken Fleming, known as “Keegan’s Law.” The bill was presented with a committee substitute that made a wording change from “is involved” to “causes” in one section, which the sponsor said was intended to better focus on the operator of a motorboat or vessel. The bill was prompted by the death of Heather Yelton’s 12-year-old son, Keegan, in a jet ski accident, and she testified that the investigation was delayed and no blood test was taken, leaving the family without answers about whether alcohol or drugs were involved. Representative Fleming said the bill would do two main things: allow law enforcement to seek a blood test after a serious boating injury or fatality, subject to probable cause and a judge-issued warrant, and require 911 dispatchers to notify State Police so Kentucky Fish and Wildlife can respond more quickly to water-related incidents. Committee members asked about how probable cause would work if field sobriety tests were passed, whether the bill’s penalties align with existing DUI laws, and whether the bill would affect driver’s licenses. Fleming said the bill incorporates DUI-style penalties for boating offenses but would not suspend a driver’s license because boating does not require one. Several members expressed sympathy and support for the goal of the bill, while some raised concerns about the severity of the penalty structure and how it might interact with existing laws. Kentucky Fish and Wildlife Director of Law Enforcement Jeremy McQuary said the agency would enforce the law as written. After discussion, the committee voted to pass House Bill 168 out of committee, making it eligible for consideration on the House floor.

Transcript Highlights:

• of the asset test is estimated to be $94 million in the budget year.
• And next year, Estimated to be above $10 billion as we end the fiscal year, and next year you're going
• I think this is going back to the asset test rules that were in place a few years ago, and so individuals
• to implement the asset test again, or test?
• If there are any differences between the budget year 25-26, budget year one, and budget year plus one

Summary: The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56. DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement. The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.