Transcript Highlights:

• So keep that in mind during this presentation because that is a core function of this.
• The administrative function of each child.
• And maybe it's just a function of business, but they are treated like a commodity.
• Every time that referral is done, the administrative function gets $325 for that placement.
• The last organization that functions that way is human trafficking and exploitation networks.

Keywords: 1182, all

Summary: The committee met for a presentation-only hearing on the Arizona Department of Child Safety, with no bills on the agenda. Chair Blackman opened by emphasizing that the hearing was intended to be data-focused and respectful, and that personal attacks or false accusations would not be tolerated. Director Catherine Patak then presented DCS data on hotline volume, investigations, reunifications, adoptions, guardianships, foster care entries and exits, kinship placement, congregate care, missing youth, and extended foster care. She said the department investigated more than 43,000 cases in 2025, kept the out-of-home care population relatively steady, and had reunified about 3,000 children with parents, while also noting that older youth and behavioral-health-driven removals are creating a mismatch with available foster homes. She also described kinship supports, foster parent recruitment, and the impact of Family First on funding, saying DCS lost federal drawdown for congregate care while waiting on approval for prevention programs. Members questioned the director about kinship caregivers, behavioral health access, reunification services, parental rights terminations, notice and documentation practices, and the effect of increased reimbursement rates. Patak said unlicensed kin can receive support through the kinship supports contract, that behavioral health assessments are done quickly at the welcome center or within 24 hours for kin placements, and that provider capacity remains a major constraint outside DCS control. She explained reunification conditions and services, said the department is working on documentation and notice issues flagged by the Auditor General, and noted that kinship reimbursement increases have helped some families step forward. She also said DCS procurement for group homes is handled internally through an RFP process and that about 10% of kinship caregivers become licensed. Representative Gillette then delivered a lengthy presentation arguing that the child welfare, Medicaid, and disability systems are structurally intertwined and that procurement and funding rules create incentives for volume and congregate care use. He criticized DCS, DES, and AHCCCS/Access oversight structures, argued that the system diffuses accountability, and said the committee’s work and related materials would be referred to special counsel. He also raised concerns about documentation, placement decisions, and the cost of congregate care, while asserting that the system over-relies on large providers and that reforms should focus on structural and financial incentives. Vice Chair Fink followed with a brief slide noting that congregate care costs far more per child than foster or kinship care, reinforcing the committee’s concern about placement costs and the need to shift children toward family-based care when possible.

Transcript Highlights:

• Section 16 from the DHS policy bill adds a written functional assessment to the duties of a children's
• <00:12:27.279> adds<00:12:27.600> a<00:12:27.839> written<00:12:28.160> functional
• bill adds a written functional bill adds a written functional assessment<00:12:28.959> to
• other dementias, promote the benefits of screening for early identification, increase the rate of cognitive
• other dementias, promote the benefits of screening for early identification, increase the rate of cognitive

Bills: HF2115, HF2276, HF1644, HF99, HF2068, HF2707, HF2704, HF2406, HF1674, HF1579

Keywords: human services, aging services, disability services, behavioral health, long-term care, nursing home, nursing facility, assisted living, waiver services, medical assistance, Medicaid, case mix reimbursement, PDPM, RUG, direct care and treatment, developmental disabilities, day services, positive support, guardian, conservator

Transcript Highlights:

• Without room and board rate protections, program participants, older adults, often with cognitive impairments

Summary: The Assembly Aging and Long-Term Care Committee met on June 24 with a substitute chair presiding and considered three measures. SB 352 by Senator Reyes was placed on the consent calendar and approved unanimously, 7-0, to be re-referred to the Committee on Emergency Management. SB 433 by Senator Wahab, presented on behalf of Senator Stern, was heard next and focused on room-and-board protections for participants in the assisted living waiver and CalAIM assisted living transition community support programs. Supporters, including Justice in Aging, CANHR, the Western Center on Law and Poverty, the California Commission on Aging, and the Long-Term Care Ombudsman Association, argued the bill would prevent low-income Medi-Cal residents from being charged unaffordable rates and losing their housing. Opponents, including the California Assisted Living Association, LeadingAge California, and Six B’s, said they remained concerned about the bill’s rent-control implications and statutory scope, though they acknowledged recent amendments addressed some eligibility issues. After committee discussion, SB 433 was approved 5-1 with one abstention and re-referred to the Committee on Human Services. The committee also heard SB 582 by Senator Stern, presented by Senator Wahab, which would allow state departments to issue disaster suspensions of active licenses for facilities rendered inoperable by declared emergencies, waive some licensing fees, and provide temporary flexibility for community-based adult services, child care, and evacuation planning requirements for skilled nursing and residential care facilities. Support came from the California Assisted Living Association, LeadingAge California, the California Commission on Aging, the Long-Term Care Ombudsman Association, CANHR, and a child care resource center, all describing the bill as helpful for rebuilding and continuity of services after disasters. There was no recorded opposition, and SB 582 passed unanimously, 7-0, to the Committee on Health. The meeting then adjourned.

Transcript Highlights:

• JUST WONDERING, WITH THE SURVEY BE ADAPTED FOR RESIDENTS WITH COGNITIVE IMPAIRMENTS SUCH AS DEMENTIA?

Keywords: 999, senate, all

Transcript Highlights:

• Cognition. Thank You mr. Speaker, I will take this moment to score some brownie points for me.

Transcript Highlights:

• Cognition. Thank You mr. Speaker, I will take this moment to score some brownie points for me.

Keywords: 1184, house, all

Transcript Highlights:

• But we are a program that couples an education continuum with a care continuum to create a cognitive
• <01:02:34.480> to<01:02:34.720> create<01:02:35.040> a<01:02:35.359> cognitive
• care continuum to create a cognitive care continuum to create a cognitive transformational<01:02

Keywords: 0:00:04 Call to Order 0:00:50 Dept for Public Advocacy 0:51:31 Life Learning Center 1:21:06 Adjournment, 958, all

Summary: The Budget Review Subcommittee on Justice and Judiciary heard testimony from the Department of Public Advocacy (DPA) on attorney compensation and alternatives to incarceration. Because the committee lacked a quorum, the chair skipped formal roll call and minutes approval, then invited DPA Public Advocate Damon Preston, Deputy Public Advocate Melanie Lowe, and alternative sentencing worker Cena/Tina Mills to present. Preston said DPA is fully state-funded, has 698 funded positions, and was near full staffing with 673 filled positions and 42 new law graduates expected to join in August. He argued that DPA’s resources lag behind those of prosecutors, noting that local prosecutorial offices receive substantially more total funding and have additional revenue sources beyond the state budget. Preston focused on salary disparities and turnover. He said DPA trial-office attorneys total about $26 million in salaries, compared with about $41.9 million for prosecutors on publicly listed state funding, and estimated that more than 100 additional prosecutors are paid through other sources, bringing total prosecutor compensation to a little over $50 million versus DPA’s $26 million. He said starting DPA attorney pay is $58,200, experienced attorney pay averages about $73,000, and that these levels are too low given law school debt and the state’s constitutional obligation to provide defense counsel. He also said DPA attorney turnover is about 20%, median service time before separation was 15 months in 2024, and exit interviews often cite salary as the main reason for leaving. He gave examples of former DPA attorneys moving to prosecutor offices for raises ranging from 12% to 50%. Committee members asked about how often defendants are represented by private counsel versus DPA and how that affects workload. Preston said a 2017 study found about 50% of misdemeanor cases and about 75% of circuit court cases were handled by DPA, with DPA handling most of the most labor-intensive cases. He said DPA will step aside when a defendant hires private counsel or is found ineligible, and he acknowledged the system historically erred by denying counsel in some cases, though he said the current concern is whether DPA is now appointed too broadly. Members requested updated trend data on appointments over the past decade. Preston also described DPA’s pay scale and said the agency’s compensation structure makes retention difficult. Mills then described DPA’s alternative sentencing worker program, which she said has operated for about 20 years and has received national recognition. She shared a case example involving a client named Patrick, who faced a prison sentence on a possession charge and was referred to a horse-based treatment and certification program in Shelbyville. She said the client wanted treatment and a fresh start, a bed became available, and she and the client’s attorney presented an alternative sentencing plan to the court. The presentation was interrupted briefly by a technical issue, but the testimony continued.

Transcript Highlights:

• We're also doing a lot of creative work around cognitive behavioral interventions training, which have
• ><01:03:18.760> now<01:03:19.000> been<01:03:19.160> doing<01:03:19.440> cognitive
• um we are have now been doing cognitive um we are have now been doing cognitive behavioral<01:03

Keywords: 1187, senate, all

Summary: The committee heard testimony on several bills and a Department of Corrections budget overview. On Senate File 9, Senator Rest explained a bipartisan campaign finance refund bill that had previously moved through the Elections Committee and the tax bill process. Members asked about the $10 minimum contribution threshold for reporting and refund eligibility, and Rest said it was a reasonable number suggested by Senator Karan to make the system more efficient. The bill also included data practices language classifying certain refund-related information as private data, with a separate nonpublic classification noted for receipt validation reports. The committee voted to recommend the bill to pass and re-refer it to the Taxes Committee. The committee then took up Senate File 11, a sales tax exemption for firearm safety devices such as trigger locks and gun safes. Rest described the bill as an extension of prior tax exemptions and clarified that it does not apply to the firearm itself. An A1 clarifying amendment defining “government entity” by reference to statute was adopted. Members discussed the bill’s scope and data privacy language, including a provision making purchase or transfer information private if collected by a government entity. The committee then voted to recommend the amended bill to pass and re-refer it to the Taxes Committee. Next, the committee heard Senate File 456, a bill to update Minnesota’s drug statutes to address fentanyl more directly. Anoka County Assistant County Attorney Sebastian Mesa and Senator Oumou Verbeten testified in support, arguing that fentanyl has become more dangerous than methamphetamine and that the law needs to be updated to give prosecutors a better tool. Members discussed overdose trends and whether more recent statistics were available; one member noted 2023 fentanyl deaths exceeded 1,000, while another said national fatal overdoses had declined since mid-2023. The bill was laid over, with the committee noting it would wait for fiscal analysis before further action. Finally, Commissioner Paul Schnell gave an overview of the Department of Corrections, describing its mission, staffing, prison population, community supervision responsibilities, and budget context. He emphasized rehabilitation, evidence-based practices, reentry support, and the public safety benefits of reducing recidivism. No vote was taken on the department presentation.

Transcript Highlights:

• I don't think that's the function of it.
• I don't think that's the function of it.
• it's not supposed to be, and it has high levels of a substance called ketones that is affecting cognition
• it's not supposed to be, and it has high levels of a substance called ketones that is affecting cognition

Keywords: 1191, senate, all

Transcript Highlights:

• PFOS, and other chemicals and heavy metals that disrupt hormones, interfere with children's normal cognitive
• Functionality and access to the benefits of synthetic turf are imperative to maintaining and sustaining
• Functionality and access to the benefits of synthetic turf are imperative to maintaining and sustaining

Keywords: 995, all

Summary: The Joint Committee on State Administration and Regulatory Oversight heard testimony on several procurement-related bills. Senator Lovely and steel industry witnesses supported S. 2167/H. 3411, which would require preference for U.S. manufacturers on public construction projects using steel and other materials. They argued that Canadian and other foreign fabricators underbid Massachusetts firms because of exchange rates, subsidies, and different labor-cost structures, causing local job losses and economic leakage. Committee members asked about tariffs, market share, and whether the bill should be folded into broader municipal legislation; the witnesses said public work should stay in Massachusetts and that the bill would help preserve local industry and jobs. The committee also heard strong support for S. 2107, a bill to increase employment opportunities for people with disabilities in state and municipal contracting. Work Inc. testified that a preference for contractors employing people with disabilities would expand competitive employment, reduce reliance on public assistance, and generate net savings for taxpayers. Members asked about the estimated savings and whether recent federal changes to benefits would affect the numbers; the witness said the figures may need updating but that the underlying employment opportunity remains important. Another bill, H. 3339/S. 2187, would prohibit state and municipal contracts for new artificial turf fields containing zinc, plastic, or intentionally added PFAS. Sponsors and supporters cited health risks, heat retention, injuries, and PFAS contamination, while committee members discussed local bans, disposal problems, and whether indoor facilities or alternative materials could be used. Inspector General Jeffrey Shapiro testified in favor of H. 12 and H. 13, which would update Chapter 30B procurement thresholds and allow municipalities to bundle snow hauling and removal with plowing contracts. He said the changes would give local governments more flexibility, reduce confusion between school and municipal procurement rules, and make snow contracts more attractive to vendors. Members questioned whether quasi-public agencies and state entities should also be subject to 30B, and Shapiro said many public entities have their own procedures but that transparency and fairness should apply across the board. The committee also heard support for S. 2150, a software licensing bill aimed at preventing vendor lock-in by ensuring state agencies can run purchased software in the infrastructure that best fits their needs; the witness said restrictive licensing can drive up costs and create cybersecurity and modernization problems, and that similar laws have already passed in several other states.

Transcript Highlights:

• language will authorize an amount specified in the annual Budget Act for transparency for these functions
• And so this project was attentive to that on the free side, but we all pay a cognitive and attention
• reasons, but more principally for the larger policy reason that, you know, for a free society to function

Keywords: 987, senate, all

Summary: The subcommittee heard several May Revision proposals, primarily from the Department of Food and Agriculture, the Government Operations Agency, the Department of Technology, and the Franchise Tax Board. CDFA presented funding for the animal care program under Proposition 12, a transition away from the state hemp program to USDA oversight by January 1, 2028, ongoing support for agricultural statistics reporting after USDA reorganization, and trailer bill changes to the department’s indirect cost cap. The LAO generally supported the animal care, hemp transition, and statistics proposals, while also urging future review of the Prop 12 funding once litigation is resolved. The indirect-cost-cap language was described as technical and not increasing charges to programs, and it was held open with no objections from the LAO or Finance. The committee also discussed the new federal Workforce Pell program and related Cradle to Career funding and trailer bill language. Finance said the state is still reviewing federal rules and is focusing on basic implementation steps, with the trailer bill assigning eligibility determinations to the California Student Aid Commission, requiring data sharing through Cradle to Career, and prioritizing public institutions first. The LAO urged caution because the federal rules were just finalized and said the Legislature should better define the process and costs before appropriating the $1.3 million requested for Cradle to Career. Members raised policy concerns about limiting the program to certain institutions and about aligning the proposal with pending legislation and broader workforce policy. The Department of Technology presented a $1 million request for Poppy, the state’s digital assistant, to expand a secure GenAI platform for state employees. Members asked detailed questions about data security, model training, bias controls, and whether the system could eventually support local governments; CDT said the system uses state-controlled cloud infrastructure, does not use user data for training, and quarantines new models for review. CDT also sought provisional authority for the Middle Mile Broadband Initiative to cover possible operating shortfalls while the network is still being built; the LAO remained concerned about broad spending authority, and several members questioned the revenue assumptions and oversight. FTB then proposed retaining a smaller set of CalFile resources after the federal Direct File program was discontinued, with the LAO saying the reduced staffing level was broadly reasonable but still worth legislative scrutiny. The committee also began hearing the administration’s revenue proposals, including a permanent limitation on business tax credits and a tax on electronically delivered prewritten software, with the LAO generally supporting the goal of raising ongoing revenue but recommending changes to the software proposal’s exemptions and business-use treatment.

Transcript Highlights:

• Another initiative coming out of my office is cognitive coaching, and this is an 8-day intensive training
• coaching<01:30:47.600> and<01:30:47.840> this<01:30:48.080> is office is cognitive
• coaching and this is office is cognitive coaching and this is an<01:30:48.320> 8-day<01:30:48.880
• They've previously performed that function for many years pursuant to statute, but it wasn't formally
• an administrative regulation, and this sets forth the process that they will use to perform those functions

Keywords: Meeting Start: 00:00:12 Attendance Roll Call: 00:00:33 Kentucky’s New Assessment and Accountability Model Update: 00:03:50 Federal Education Policy and Its Impact on States: 01:00:55 Educational Leadership Training Opportunities in Kentucky: 01:26:44 Consideration of Referred Administrative Regulations: 02:10:38 Adjournment: 02:13:57, 958, all

Summary: The Interim Joint Committee on Education met for its first interim meeting and established a quorum before taking up its first topic, Kentucky’s new assessment and accountability model. Commissioner Robbie Fletcher, joined by KDE staff and superintendents, described a multi-year effort involving the Kentucky “Now We Learn” Council, more than 50 educators and stakeholders, at least 18 pilot districts, surveys, focus groups, town halls, and four prototype frameworks. He emphasized three priorities for the new model: vibrant learning experiences, innovation in assessment, and collaboration with communities. Fletcher said the state accountability portion would continue to meet federal requirements and identify CSI/TSI/ATSI schools, while shifting toward more emphasis on individual student growth, grade-level equivalency in reading and math, career and technical education, graduation rate, and English language proficiency. He also said science would remain a required assessment but be reported separately rather than counted in the CSI/TSI calculation. He stressed that the model should focus on growth, local flexibility, and meaningful measures that reflect community expectations, while still preserving a statewide framework. The committee also heard from Bullitt County superintendent Jesse Bacon, who described his district’s local accountability work. He said Bullitt County formed a community coalition with broad representation from across the district, business leaders, and community members, met six times during the school year, and worked toward a public-facing dashboard that would show community expectations, evidence of accountability, and areas for improvement. Bacon said the district identified six community-defined pillars, beginning with student learning and foundational academic knowledge, as part of a system intended to communicate strengths and improvement areas to the public.

Transcript Highlights:

• though CMS found against the hospital, and now was Jojo's plenary guardian, and he was legally and functionally
• He has autism and cognitive delay.

Summary: The Committee on Rules met with a quorum and heard extensive debate on SB 734, which would repeal Florida’s wrongful-death medical malpractice exception that bars certain adult children and parents from recovering noneconomic damages. Senator Yarborough presented the bill as a fairness and accountability measure, while many family members testified in support, describing deaths they believed were caused by medical negligence and arguing the current law denies equal justice. Opponents, including physician and insurer representatives, warned the bill could increase malpractice exposure, premiums, defensive medicine, and physician shortages. The committee also considered two late-filed amendments: Senator Burton’s amendment would make Department of Health investigative findings admissible in court, and Senator Martin’s amendment to that amendment would broaden admissibility/discoverability to additional disciplinary and prior-adverse-incident records and insurance coverage facts. After debate, the Martin amendment was adopted, but the Burton amendment as amended failed on a roll call vote. The committee then reported SB 734 favorably without the amendment. The committee next unanimously reported CS for SB 86 favorably. That bill, by Senator Burgess, expands peer support protections for first responders to include support personnel; there was little debate and several law-enforcement-related organizations indicated support. The committee also took up SB 316 on series limited liability companies. Senator Berman explained that the bill creates rules for series LLCs in Florida, and a late-filed amendment, requested by the Secretary of State, delayed implementation by one year. The amendment was adopted and the bill was reported favorably. Finally, the committee considered CS for CS for SB 384, which requires municipalities seeking to annex state-owned land to notify the relevant county legislative delegation when the first public hearing is advertised. Senator Burton presented the bill briefly, there was no opposition or debate, and the committee proceeded to vote on the measure.

Transcript Highlights:

• FSU's value proposition for students, families, and citizens of the state drive their overseeing function
• not out of their reach. ...to them that it is achievable and it is not out of their reach, either cognitively

Summary: The subcommittee began with an informal “college day” exercise in which members described what careers and colleges they would choose if starting over, often citing factors such as program reputation, location, cost, graduation rates, employment outcomes, and family or personal interests. Members mentioned a range of possible paths including law, aviation, education, construction management, psychology, social work, criminal justice, nursing, intelligence studies, and the arts. Several also highlighted the value of historically Black colleges and universities, dual enrollment, and career/technical education. The chair used the exercise to frame the meeting’s broader focus on Florida’s higher education pathways and student outcomes. Dr. Kathleen Plinsky of Valencia College then gave an overview of the Florida College System and Valencia’s role in it, emphasizing Florida’s statewide articulation and transfer framework, open-access mission, affordability, and workforce alignment. She described Valencia’s record enrollment, high retention, large share of first-generation and working students, and partnerships such as Direct Connect to UCF, Osceola Prosper, and Open Door grants for short-term training. Members asked about guaranteed transfer, apprenticeships, enrollment trends, student demographics, out-of-state residency, county scholarship costs, dual enrollment outcomes, and barriers to expanding career dual enrollment. Dr. Plinsky said the system supports transfer and acceleration well, but funding constraints limit growth in some areas; she also noted that dual enrollment participation is high and that Valencia’s affordability and student support efforts have driven recent enrollment gains. Dr. Jim Clark of Florida State University followed with an overview of the State University System, describing its governance, performance-based funding, low tuition, and strong graduation and research outcomes. He highlighted FSU’s enrollment, research profile, transfer student success, FSU Health, the National High Magnetic Field Laboratory, partnerships with K-12 schools and Tallahassee State College, and efforts to expand nursing and medical education to address workforce shortages. After the presentations, the committee heard from a panel on student acceleration and mobility: Shannon Mercer of the Department of Education explained the Office of Articulation, the statewide course numbering system, FASTER records, the 2+2 transfer model, specialized AA transfer degrees, and credit for industry certifications, military, medical, and law-enforcement training. Panelists from Kaiser University, Florida State University, and Pinellas County Schools described their institutions’ roles in transfer, advising, career pathways, apprenticeships, and dual enrollment. No formal votes or bills were taken up in the portion provided.

Transcript Highlights:

• we doing the best for them in protecting their brains and in promoting their neurodevelopment and cognitive
• we doing the best for them in protecting their brains and in promoting their neurodevelopment and cognitive
• we doing the best for them in protecting their brains and in promoting their neurodevelopment and cognitive
• perspective to know that the governance of that hospital system and that medical care system is functional
• Beyond supporting individuals, 2-1-1 functions as critical community infrastructure.

Keywords: 1187, senate, all

Transcript Highlights:

• It simply allows Medicaid to be reimbursed like Medicare is already allowed to do for cognitive assessment

Bills: HB1979, HB1225, HB3931, HB4454, HB3849, HB1746, HB3720, HB4275, HB4300, HB3586, HB2268, HB3755, HB4117, HB4294, HB3650, HB4298

Keywords: early childhood education, task force, governance structure, healthcare access, stakeholder engagement, quality services, vital records, birth certificate, birth registration, biological sex, sex designation, male, female, nonbinary, gender identity, X marker, transgender, vital statistics, State Department of Health, State Commissioner of Health

Transcript Highlights:

• fires, earthquakes, heat waves, tornadoes, hurricanes, and a pandemic. such as hearing, visual, or cognitive

Keywords: 988, house, all

Transcript Highlights:

• 8 will provide the how: the behaviors and abilities that students need by applying functional health
• students need by applying functional students need by applying functional health<00:28:09.760>
• This is the functional health knowledge.
• everything else hangs on the functional everything else hangs on the functional health<00:51:39.200
• <00:51:50.240> It's functional health knowledge is. It's functional health knowledge is.

Bills: HF3489, HF3550

Keywords: grooming, child protection, student safety, sexual exploitation, educator licensing, teacher discipline, mandatory reporting, mandated reporter training, school misconduct, predatory offender, child abuse, sexual abuse, sex trafficking, child sexual abuse material, child pornography, position of authority, school employee, school administrator, license revocation, license suspension

Transcript Highlights:

• The complexity of the function of the senior staff, including the CEO, is so vastly different from the
• , their job functions, and compensation compare.
• Their job functions and compensation compare. I would thank you for that.
• the council, and why do you not believe that the Legislature intended for you to serve a public function
• Prior to CMTC adopting the function of school approval, we had graduates being denied licensure in the

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:

• Minnesota seniors living with Alzheimer's has increased by 20%, and the rates of adults experiencing cognitive

Keywords: 1183, house