Transcript Highlights:

• This has been done for decades in physicians’ offices.
• drugs by a pharmacist without prior physician authorization.
• This has been done for decades in physicians' offices.
• prescribed drugs by a pharmacist without prior from physician off. physician-prescribed drugs by a pharmacist
• without prior physician authorization.

Summary: The joint Assembly and Senate business committees held a sunset review hearing on the California State Board of Pharmacy, with board leadership describing the board’s consumer-protection role and its priorities around access, enforcement, and updating pharmacy law. The board emphasized a proposed shift toward a standard-of-care model for pharmacists, arguing it would reduce rigid protocol requirements and improve access to services such as HIV PrEP/PEP, contraception, and naloxone. Board representatives also discussed pharmacy deserts, possible fee waivers for pharmacies in underserved areas, concerns about payer practices contributing to closures, continuing education audits, and a request to restore more flexibility in licensure decisions and probationary monitoring for applicants with certain criminal histories. A major focus of the hearing was the board’s ongoing compounding regulations, especially the treatment of sterile versus nonsterile compounding and substances such as glutathione and methylcobalamin. The board said the proposal was not a ban on those substances and described the rulemaking as grounded in federal law, USP standards, and public comment, noting the process had gone through multiple modified texts and hearings. Testimony from stakeholders was sharply divided: pharmacists, veterinarians, firefighters, naturopathic doctors, and patient advocates warned the rules were restricting access to compounded medications and harming patients and first responders, while the California Medical Association, psychiatric physicians, and PhRMA raised concerns that the board’s proposals could expand pharmacist authority beyond training, affect physician practice, or create safety risks. Other public comments addressed pharmacy technician ratios, remote processing, flavoring medications, hospital-specific regulation, budget and enforcement transparency, and whether the board should add members with community compounding or pharmacy technician expertise. Committee members also asked about the board’s oversight priorities and the rationale for its standard-of-care proposal. Board staff explained that consumer protection includes education, licensing, policy, and enforcement, with the highest-priority enforcement cases being those posing imminent public harm. After public testimony concluded, the chairs thanked participants and adjourned the sunset review hearing, announcing an immediate transition to the joint informational hearing on the Department of Cannabis Control.

Transcript Highlights:

• UNDER MEDICAID WE HAVE A TEAM OF PHARMACISTS AND PHYSICIANS WHO SET THE PREFERRED DRUG LIST AND WE GET
• IT WOULD REQUIRE THAT YOU DID NOT HAVE TO, THE PHYSICIAN DID NOT HAVE TO ORDER A DRUG ON THE PREFERRED
• AND PHARMACISTS AND UNDER THAT BILL WE ALLOWED A PHYSICIAN OR OSTEOPATHIC PHYSICIAN TO COLLABORATE WITH
• , THE EXAMINATION BY THE PHYSICIAN OF THE PATIENT SO WE ARE EXCLUDING THOSE FROM THESE CONDITIONS THAT
• THESE CONDITIONS WERE DEEMED TO BE SIMPLE ENOUGH TO ALLOW PHARMACISTS IN COLLABORATION WITH PHYSICIANS

Keywords: 999, senate, all

Transcript Highlights:

• But this relates to expanding pathways for licensure of physicians.
• For that type of physician, that is what we are looking at to license.
• I'm a family physician and the chief medical officer for the Department of Health.
• I'm a physician and board certified in addiction medicine. I'm in support of HB 137.
• I'm a family physician. I trained at UNM.

Committee: House House Health & Human Services

Keywords: 996, all

Transcript Highlights:

• are encouraged to see physicians because of their stress.
• Next we're going to move to the Physician Assistant Board.
• It's important to preserve an explicit physician-to-physician assistant ratio in state law to ensure
• It's important to preserve an explicit physician-to-physician assistant ratio in state law to ensure
• You've got to see a physician.

Summary: The joint sunset oversight hearing reviewed five regulatory entities: the Board of Behavioral Sciences, the Board of Psychology, the Physician Assistant Board, the Podiatric Medical Board, and the California Massage Therapy Council. Across the hearing, each entity described recent accomplishments, licensing and enforcement workload, workforce shortages, and efforts to modernize processes. Common themes included streamlining licensure, expanding access to care, addressing telehealth or emerging technology, and balancing consumer protection with workforce needs. For the Board of Behavioral Sciences, members discussed workforce shortages in mental health, supervision barriers, telehealth confidentiality, AI in therapy, interstate compacts, school-based services, and military spouse licensure. The board said it has expanded outreach, improved licensing processes, and created temporary practice authority tracking, while also expressing concern about counseling compacts and emphasizing California-specific law, ethics, and cultural competency. Public commenters supported the board’s work and the possible move to a national MFT exam, while also urging more resources. The Board of Psychology highlighted fee adjustments, streamlined licensure pathways, enforcement process improvements, new CPD requirements, and proposed changes including a psychotherapist-client privilege exception for investigations. Committee members and public witnesses focused heavily on that privilege proposal, with some members opposing it as too broad and privacy-invasive, while the board argued it is needed to obtain records in bias and sexual misconduct cases. The board also discussed workforce shortages, processing improvements, and the use of inactive status for psychological associates. The Physician Assistant Board reported growth in the PA workforce and education programs, SB 697 implementation, and financial pressure from rising enforcement costs. The main policy debate centered on physician-to-PA ratios and practice agreements, with board representatives and many public commenters arguing that current restrictions limit access to care, especially in rural areas, while the California Medical Association defended the need for explicit ratios and agreements. The board also discussed AI, fee increases, and tracking temporary practice authority. The Podiatric Medical Board described licensing and renewal reforms, residency expansion, enforcement support, and budget constraints, while public testimony raised concerns about a proposed fee increase and about reimbursement parity and practice recognition for podiatrists. Finally, the California Massage Therapy Council defended the certification model over licensure, citing lower costs, local government collaboration, anti-trafficking work, and its role in vetting applications and disciplining bad actors; no formal votes or final actions were taken during this portion of the hearing.

Transcript Highlights:

• , optometrists, osteopathic physicians, medical physicians, physician assistants, podiatrists, and psychologists
• I assessed him and thought he had bursitis, so I sent him to a sports medicine physician the next day
• The physician drained his bursa, so the symptoms resolved immediately and completely.
• The physician drained his bursa, so the symptoms resolved immediately and completely.
• and physician assistants across the state, here today in respectful opposition to House Bill 2243.

Summary: The Labor and Workplace Standards Committee held its first meeting of the session and heard four bills. HB 2107 would make permanent and slightly narrow a temporary L&I requirement that, after an on-site safety inspection at a building construction site, the agency make a good-faith effort to notify the owner or employer within 10 working days if an immediately identified hazard could injure a worker. Construction industry groups and L&I supported the bill and said the pilot had worked well, with L&I reporting it had been able to notify owners almost 96% of the time during about 1,400 inspections. HB 2137 would remove the population threshold for binding interest arbitration for correctional employees in city and county jails. Teamsters representatives said the change would give corrections officers in smaller jurisdictions the same bargaining rights as other uniformed personnel and help address safety, staffing, and wage inequities. County representatives opposed the bill, saying it would increase bargaining and compensation costs for many counties, and asked for amendments requiring arbitrators to consider county finances and making awards nonbinding on county legislative authorities. HB 2264 would clarify unemployment insurance eligibility for workers who opt into an employer-initiated layoff or reduction-in-force plan, even if they can rescind their decision, so long as the termination results from the employer’s plan. Supporters said current court rulings create confusing and unfair denials of benefits for workers who leave in good faith during layoffs; NFIB raised questions about severance, retirement, and UI solvency. HB 2243 would allow physical therapists and occupational therapists to serve as attending providers in the workers’ compensation system. Physical therapy and occupational therapy advocates said this would speed care and return workers to work sooner, while retailers, food industry representatives, NFIB, the Washington State Medical Association, and L&I raised concerns about diagnosis, scope of practice, added costs, and the possibility that all PTs and OTs would have to join the provider network. No votes were taken; the committee heard testimony and then adjourned.

Transcript Highlights:

• I'm a general surgery resident physician at UC San Diego.
• That is a requirement that's already on the books for facilities and physicians.
• Single physician would have to be held accountable.
• Aguil on behalf of the California Academy of Family Physicians, in support.
• Matt Back, representing the osteopathic physicians, in opposition.

Committee: Senate Health

Summary: The committee heard several health-related bills, beginning with SB 1124 on lung cancer screening awareness. The author and supporters said the bill would require CDPH signage about lung cancer screening eligibility at tobacco point-of-sale locations to address low awareness and low screening rates. Support came from medical students, physicians, and the California Academy of Family Physicians, while retailers raised concerns about sign size, retailer notification, and implementation. Committee members generally supported the bill and noted the need to work through those concerns. SB 1150 sought to require clearer patient notice when cancer cases are reported to the California Cancer Registry. The author described the bill as a response to inconsistent notification practices and privacy concerns, and the chair and other members shared personal stories about learning they or family members were in the registry without knowing it. Cancer registry and university stakeholders expressed appreciation for amendments but continued to have concerns or wanted more time to review the language. The bill was discussed as a patient-awareness measure rather than a change to reporting requirements. The committee also heard SB 1400 on Alameda Health System governance, SB 1094 on biosimilar substitution and health plan policies, SB 1314 on smoke shop regulation and nitrous oxide restrictions, and SB 1309 on eliminating cost-sharing for medically necessary follow-up after lung cancer screening. SB 1400 and SB 1314 drew support from local officials, labor, and public health advocates, with members emphasizing youth protection and local oversight. SB 1094 passed after extensive debate over pharmacist substitution authority and notification requirements, with a 6-0 vote and opposition from biotechnology and physician groups. SB 1309 also passed after members discussed the cost of follow-up care and the value of early detection, despite opposition from health plans over premium impacts; it received a 7-0 vote and was placed on call.

Transcript Highlights:

• I'm a general surgery resident physician at UC San Diego.
• That is a requirement that's already on the books for facilities and physicians.
• are an oncologist... ...single physician would have to be held accountable.
• These administrative hurdles take physicians away from their patients.
• Matt Back, representing the osteopathic physicians, in opposition.

Summary: The committee heard several health-related bills, beginning with SB 1124, which would require the California Department of Public Health to create and post lung cancer screening eligibility signage at tobacco point-of-sale locations. The author and supporters said the bill is intended to raise awareness of a screening that many eligible Californians do not know exists; retailers raised concerns about signage size, distribution, and notice to stores. The bill was presented while the committee lacked quorum, so no vote was taken at that time. Members then heard SB 1150, which would require clearer patient notice when cancer cases are reported to the California Cancer Registry. The author and committee chair emphasized patient awareness and privacy, while registry and university stakeholders said they appreciated the amendments and would continue working on the language. SB 1400 followed, proposing changes to Alameda Health System governance to give Alameda County more flexibility and direct oversight; county and labor supporters said the current structure is too rigid for today’s health care environment, and no opposition was heard. The committee also heard SB 1094, which would expand substitution of biosimilars and generics to lower prescription drug costs. Supporters, including health plans and Sharp Health Care, said the bill would reduce premiums and out-of-pocket costs, while opponents from biotechnology and rheumatology groups raised concerns about pharmacist substitution, patient switching, and therapeutic equivalence. After quorum was established, SB 1094 passed 6-0 and was re-referred to Appropriations. The committee then heard SB 1314, which would create a statewide definition for smoke shops, impose a 600-foot buffer from sensitive sites, and restrict nitrous oxide sales; it drew broad support from local government, pediatric, and law enforcement groups and passed 6-0 on call. SB 1309, which would eliminate cost-sharing for medically appropriate lung cancer screening follow-up care, also passed 7-0 and was re-referred to Appropriations after testimony from clinicians, advocates, and insurers. Finally, SB 1199 was introduced to ban copay accumulators, with the sponsor and author arguing it would ensure patient assistance counts toward out-of-pocket maximums and improve medication access.

Transcript Highlights:

• I think, you know, that might come down to where a physician is being—we get a complaint about a physician
• I think, you know, that might come down to where a physician is being, we get a complaint about a physician
• Physicians are protocol-driven, AI-driven.
• They said, ‘You family physicians aren’t even needed anymore.
• over years as an Army physician, as a physician serving poor people in rural Montana, as a physician

Summary: The committee first considered the confirmation of Dr. John Lattell to the Board of Medicine. In questioning, senators focused heavily on his views about abortion, vaccines, ivermectin, and the role of CDC/FDA guidance in board discipline cases. Dr. Lattell said the board applies Florida statutes and works through probable cause panels and legal counsel, but he also expressed strong pro-life views, skepticism of federal health guidance, and criticism of vaccines and some medical practices. Supporters praised his long medical career, military service, and family medicine background, while opponents argued his views could prevent him from being objective in disciplinary matters. The committee voted to recommend him for confirmation to the full Senate, with Senators Polsky and Ruson voting no. The committee then took up the confirmation of Taylor Hatch as Secretary of the Department of Children and Families. Hatch described her background in state human services and outlined priorities centered on accountability, data, lived experience, and improving service delivery. Senators asked about SNAP error rates, Hope Florida, legislative analyses, staffing, and the department’s handling of child welfare and medically complex cases. Hatch said the department was reducing SNAP error rates, that Hope Florida uses navigators to connect people with community resources and self-sufficiency supports, and that DCF is working with the Department of Health and other partners to improve investigations and accountability in child welfare. She also said the agency is reviewing medically complex cases and strengthening oversight of community-based care providers through contracts, audits, and proposed funding-model changes. A substantial portion of the Hatch discussion centered on whether the department had been responsive to legislative requests and whether it had provided timely bill analyses. Senators also pressed her on Hope Florida staffing, the number of participants served, and the Hope Florida Foundation’s compliance and legal oversight. Hatch said the foundation is undergoing a financial audit and that the department is relying on required reports and ongoing investigations. The transcript ends amid continued questioning about a community-based care contractor’s finances, related-party transactions, and whether further forensic audits or repayments are needed.

Transcript Highlights:

• I'm also the president-elect of the Florida College of Emergency Physicians, and we support this bill
• These physicians practiced under a limited license here in Florida.
• And these physicians are important community members and serve an important need here in Florida.
• I'm a family physician in Jacksonville and the current president of the Florida Academy of Family Physicians
• I'm a family physician in Jacksonville. on. Thank you, Chair Burton and committee members.

Summary: The committee heard several health-related bills. SB 1082 would let providers or insurers in state-regulated commercial plans opt into the federal independent dispute resolution process for emergency out-of-network claims, with a late-filed amendment clarifying access to the state program in certain circumstances. The bill sponsor and emergency physicians said the measure would reduce litigation and improve payment resolution; the committee adopted the amendment and reported the bill favorably as a committee substitute. SB 1168 would centralize background screening work for the care provider clearinghouse at the Agency for Health Care Administration and update related screening rules, including sealed and expunged records for qualified entities. The sponsor said the change would speed turnaround and reduce duplication; an amendment was adopted, and the bill was reported favorably as a committee substitute. SB 1156 would move ambulatory surgical center regulation out of Chapter 395 into a standalone section of law, and it was reported favorably without amendment. SB 1480, as amended by a strike-all, would grandfather certain temporary certificate holders practicing in areas of critical need if federal designations change, allowing them to continue seeing current patients and potentially new patients in their existing area subject to board oversight. The committee heard support from health system representatives and reported the bill favorably. The final and most debated measure, SB 1756 on medical freedom, would require vaccine education materials and alternative schedules, expand school immunization exemptions to conscience-based objections, clarify limits on emergency vaccination orders, and allow pharmacists to dispense ivermectin behind the counter with written information. The sponsor and supporters framed it as parental choice and access, while physicians, public health advocates, cancer advocates, and parents of immunocompromised children warned it would lower vaccination rates and increase disease risk. The committee adopted a liability-related amendment, rejected a substitute amendment that would have required consultation for exemptions, and continued hearing public testimony opposing the bill; the transcript ends before final action on SB 1756.

Transcript Highlights:

• Under Medicaid, we have a team of pharmacists and physicians who set the preferred drug list, and we
• And then we may put you on the one that the physician actually prescribed or wanted to start with.
• And under that bill, we allowed a physician or an osteopathic physician to collaborate with a pharmacist
• , the examination by the physician of the patient.
• The heart failure question... by the physician of the patient.

Committee: Senate Health Policy

Summary: The Senate Committee on Health Policy met with a quorum and heard five bills. SB 126, on prescription hearing aids, would remove Florida’s prohibition on mailing hearing aids when required tele-audiology testing and procedures are completed before sale. The sponsor said the bill would improve access, especially for people with travel or geographic barriers. The Florida Academy of Audiologists expressed support in concept but said it was still working with the sponsor on an amendment for consumer safety. The committee voted the bill favorably. SB 152 would require hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during certain surgical procedures. Supporters, including the Florida Nurses Association and several nurses, described surgical smoke as a workplace and patient safety hazard containing harmful chemicals, viruses, bacteria, and other contaminants, and said evacuation technology is available and already required in some settings. The committee voted the bill favorably. SB 264 would expand step-therapy exemptions for severe mental illness, including certain postpartum and pregnancy-related mental health conditions, so physicians would not have to require patients to fail preferred drugs in specified circumstances. Support came from Otsuka Pharmaceuticals, NAMI Florida, and several medical and pharmacy groups, who argued that delays in effective treatment can worsen crises and increase hospital and crisis-care costs. The committee voted the bill favorably. SB 342 would create a public-records exemption for current and former AHCA employees and certain family information, citing threats and harassment directed at inspectors and regulators. President Gaetz said he generally opposes such exemptions but supported this one because the employees are not elected officials and face real safety risks. The committee voted the bill favorably. SB 294 would limit the Board of Pharmacy’s ability to add heart failure, coronary heart disease, and cardiac rhythm disorders to the list of chronic conditions eligible for collaborative pharmacy practice, keeping those conditions under direct physician management. The Florida Society of Thoracic and Cardiovascular Surgeons, Florida Medical Association, and the Florida chapter of the American College of Cardiology supported the bill, while the Florida Society of Health System Pharmacists opposed it. The committee voted the bill favorably. Senator Trumbull asked to be recorded in support of SB 126 and SB 152, and the meeting adjourned without further business.

Transcript Highlights:

• So I do think that this, you know, by going after physicians, by attacking physicians and adding liability
• going after physicians, by attacking physicians and adding liability here, we're both attacking physicians
• Don't mean to be repetitive, but when it comes to physicians, we're losing physicians, and we need more
• But when it comes to physicians, we're losing physicians and we need more physicians.
• It's going to add cost to physicians' insurance, and it will drive physicians out of the practice of

Keywords: 1182, all

Transcript Highlights:

• </c> serve as our primary physician serve as our primary physician recruiter.<00:21:05.920><c> We</c>
• </c> recruiting and retaining physicians. recruiting and retaining physicians.
• As a PPS facility with one physicians.
• I'm internal medicine physician. physician. physician.
• Do you have any physicians? Have you talked to physicians?

Bills: HF4493 , HF3133 , HF4595 , HF4143 , HF4142 , HF3756 , HF4289 , HF1724 , HF2291 , HF4568 , HF4547

Committee: House Health Finance and Policy

Keywords: opioid use disorder, OUD, medication-assisted treatment, MAT, pharmacist prescribing, pharmacy practice, controlled substances, Schedule III, Schedule IV, Schedule V, DEA registration, Board of Pharmacy, substance use disorder, addiction treatment, buprenorphine, naltrexone, harm reduction, prescription authority, pharmacist intern, Minnesota pharmacy law

Transcript Highlights:

• </c><00:03:53.599><c> And</c> And we're finding fewer and fewer physicians.
• </c> page two and a licensed physician page two and a licensed physician assistant<00:05:28.560><c> with
• </c> practitioner, a licensed physician practitioner, a licensed physician assistant<00:20:36.799><c>
• ,</c><00:29:57.919><c> a</c><00:29:58.159><c> licensed</c> licensed physician, a licensed licensed physician
• </c> court shall appoint a licensed physician court shall appoint a licensed physician a<00:32:11.200

Bills: SF0023 , SF0057

Committee: House Labor, Health & Social Services

Keywords: mental health, involuntary hospitalization, examiners, public safety, Wyoming legislature, hospital pricing, healthcare transparency, public health, civil penalties, shoppable services, 916, all

Transcript Highlights:

• I'm a retired physician and also a retired state representative.
• We need to be thinking about patients and physicians and how do we get physicians in the North Country
• We need to be thinking about patients and physicians and how do we get physicians in the North Country
• </c><02:04:56.400><c> The</c><02:04:56.559><c> Physician</c> reviewed by The Physician The Physician
• reviewed by The Physician The Physician the<02:04:57.040><c> prescribing</c><02:04:57.639><c> physician

Committee: Senate Health and Human Services

Keywords: 1191, senate, all

Transcript Highlights:

• It is a team-based approach that allows primary care physicians or providers to see a patient for a mental
• the outcomes for patients. approach that allows primary care approach that allows primary care physicians
• or providers to see a patient physicians or providers to see a patient for<00:01:38.560><c> a</c><00
• So this bill, what this bill does is takes it, removes the emergency medicine physician and the acute
• </c><00:13:08.520><c> in</c> payment parity for physicians in payment parity for physicians in underserved

Keywords: 958, all

Summary: The committee met with a quorum and took up a series of health-related measures. House Bill 178, on the psychiatric collaborative care model, was presented by Rep. Kim Mosher and psychiatrist Arthur Oliva. They said the bill would let primary care providers address mental health needs more quickly with psychiatrist consultation, reduce long wait times, and save money. Members voiced support, and the bill passed 7-0 with favorable expression and consent. House Bill 387, presented by Speaker Pro Tem David Meade, would keep veterinarians excluded from KASPER reporting requirements and instead add two veterinarians to the Controlled Substance Council. Meade argued that veterinary prescribing is difficult to track by animal, that prior efforts created complications, and that rural Kentucky needs the flexibility. A senator asked about possible diversion of veterinary opioids to humans; Meade said there was no substantial evidence of widespread abuse. The bill passed 9-0 with favorable expression and consent. House Bill 676, by Rep. Rebecca Raymer, was amended from creating a health data utility to directing LRC to study best practices for one during the interim, with a report due December 1, 2026. Members said the state needs a coordinated way to use health data. The amended bill passed 9-0 with favorable expression and consent. House Bill 689, presented by Rep. Amy Neighbors and Dr. Heidi Marley, would authorize a Medicaid state-directed payment program for qualifying hospital-affiliated physician and non-physician services, pending federal approval, with supporters saying it would improve access in underserved areas, support provider retention, and bring in about $29 million annually in federal funds without using state dollars. It also passed 9-0 with favorable expression and consent. Finally, House Joint Resolution 24, presented by Rep. Kim Fleming, would direct the administration to withdraw a previously required community engagement waiver request because it is no longer needed. The resolution passed 9-0 with favorable expression and consent. The chair noted the next meeting might be April 1, though no bills were currently scheduled, and the committee adjourned.

Transcript Highlights:

• These unfair insurance practices seek to use the hospital as the conduit to pressure physicians.
• There’s a physician shortage in the state, which is especially dire in our rural communities.
• With or without House Bill 291, physicians can still use the IDR process.
• These employed physicians do not engage in independent out-of-network billing disputes.
• How many different reasons can a physician leave the network? I don't know.

Bills: HB12 , HB145 , HB222 , HB291 , HB430 , HB821 , HB874 , HB909 , HB951 , HB979 , HB1193

Committee: Senate Finance

Keywords: survivor benefits, law enforcement, reserve officer, auxiliary officer, public safety, firefighters, medical expenses, dental expenses, disability benefits, Medicaid, dental coverage, healthcare access, medical necessity, Louisiana Department of Health, health insurance, provider agreements, contracting actions, participating facilities, network status, survivors benefits

Transcript Highlights:

• His physician agreed to facilitate what is known as a physician-directed donation due to these beliefs
• And so you bring your order from your physician that it's safe.
• And so you bring your order from your physician that it's safe.
• This is all physicians.
• We would see that physician order.

Committee: House Health and Welfare

Keywords: 989, all

Transcript Highlights:

• It's like a hammer against us in recruiting and retaining physicians in our state.
• We have physicians that have open practices in Farmington, Portales, and Roswell.
• And perhaps keep physicians here.
• My personal story: my brother-in-law is an osteopathic physician.
• Because when, regardless, if you look at the physicians in our state.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• An AMA survey found physicians complete 43 prior authorizations per week.
• Jennifer Rowe on behalf of the Physicians Association of California, in support.
• physicians managing physicians—which leads and promotes accountability, clinical appropriateness, and
• Tim Cole with the California Academy of Family Physicians, in support.
• Cassidy Heckman, on behalf of America's physician groups, in opposition.

Summary: The Assembly Health Committee heard several bills focused on health care access, oversight, and affordability. The first major item was SB 306 by Senator Becker, a prior authorization reform bill. Becker and supporters, including the California Medical Association and California Hospital Association, argued that prior authorization delays care, adds administrative burden, and can lead to serious patient harm. The bill was substantially amended late in the process to have DMHC and CDI identify services and drugs to exempt from prior authorization based on utilization data, with safeguards for fraud, waste, abuse, and patient safety. Health plans and insurers opposed the measure as written, saying prior authorization remains an important utilization-management tool and raising concerns about the 90% threshold, drug inclusion, and how modifications are counted. The committee also heard SB 35 by Senator Umberg, which would let cities or counties inspect unlicensed sober living homes if DHCS does not act promptly on complaints. Supporters said the bill would address weak enforcement and protect residents, while one behavioral health directors group opposed it unless amended. Members generally supported the measure, citing problems with unlicensed facilities and the need for local enforcement backup. The committee then heard SB 62, which would codify California’s updated essential health benefits benchmark if approved by the federal government. Senator Wiener said the package would add hearing aids, durable medical equipment, and infertility treatment including IVF, acknowledging that premiums could rise but arguing the benefits were worth it. Health Access California and other advocates supported the bill, while the California Family Council opposed it. The committee also took up SB 596 by Senator Menjivar, which would tighten the rules for hospitals claiming an on-call list as a defense to nurse staffing ratio penalties. Supporters, including nurses and SEIU, said hospitals have used vague or ineffective on-call practices to avoid accountability and that the bill would improve enforcement and patient safety. Hospital groups opposed it, arguing that staffing is highly dynamic, that hospitals need flexibility to manage acuity and emergencies, and that the bill could increase costs and interfere with collective bargaining arrangements. Finally, the committee heard SB 40 by Senator Wiener, the Insulin Affordability Act, which would cap insulin copays at $35 for a 30-day supply and restrict step therapy unless a plan covers at least one insulin in each drug type. Supporters, including physicians, diabetes advocates, nurses, students, and patient groups, said insulin is life-saving and too often unaffordable, forcing patients to ration or choose between medication and basic needs. There was no formal opposition testimony, though one member questioned why insulin remains so expensive. The committee also began discussion of SB 363, but the transcript cuts off before that bill’s full presentation or any action on the measures. No votes are recorded in the portion provided, and several bills were noted as consent items earlier in the hearing.

Transcript Highlights:

• </c> Medical Association and the Physicians Medical Association and the Physicians Assistants<00:41:20.360
• And it's a simple thing that allows PAs to perform driver's license vision testing. physicians. physicians
• </c> from supervising physicians. from supervising physicians.
• Now, if you're a physician, you don't have to work with them.
• PAs are required to work with a physician collaborator.

Keywords: 958, all