Transcript Highlights:

• I want to say one thing about harm reduction, which is the transition from smoking to the use of other
• It is marketed as a safer alternative to smoking, and they've been pushed as a harm reduction tool.
• The truth is, the FDA has not approved this as a harm reduction tool.
• When the industry that profits from addiction claims to be leading harm reduction, we should all be deeply
• You can't champion bodily autonomy and harm reduction on one side and then turn around and criminalize

Keywords: 995, all

Summary: The Joint Committee on Public Health heard testimony on a wide range of bills focused on children’s health, tobacco control, newborn screening, pediatric cancer, palliative care, and professional licensure. Early testimony highlighted Senate bills to expand newborn screening for pyruvate dehydrogenase complex deficiency, lysosomal storage disorders, and congenital CMV, with families and clinicians describing severe diagnostic delays, missed treatment windows, and the benefits of early detection. Speakers also supported a bill to improve pediatric cancer research through a dedicated trust fund, and a bill to extend pediatric palliative care services to age 22, with parents and providers emphasizing continuity of care for seriously ill young people. Several witnesses gave personal accounts in support of the newborn screening measures. Families described children who endured years of misdiagnosis before receiving diagnoses such as Gaucher disease, Fabry disease, Pompe disease, Niemann-Pick disease, and CMV, often after irreversible damage had already occurred. Medical and advocacy witnesses said Massachusetts already collects some of the relevant screening data and argued that results should be reported to families, while others urged the committee to add conditions to the state panel because effective treatments already exist. The committee also heard support for a bill to establish a fetal alcohol spectrum disorder program and training for providers. On tobacco and youth health, testimony supported bills to ban internet tobacco sales, strengthen youth protections, and reduce lung cancer deaths through point-of-sale information and quit-line access. A student testified about easily purchasing flavored nicotine products online without meaningful age verification, and public health advocates backed measures to keep tobacco out of children’s environments. The committee also heard testimony on a bill to ensure parents have access to their children’s medical records through age 16, with exceptions for sensitive services already protected by law. The committee additionally took testimony on an optometry licensure bill, where ophthalmologists opposed language they said could broaden scope of practice and allow optometrists to use the title “optometric physician,” while optometry educators and students supported the bill as a modernization measure with no scope expansion. No votes were taken during the hearing; the chair repeatedly reminded speakers of time limits and noted that written testimony could be submitted for additional comments.

Transcript Highlights:

• The reduction in positions is in...
• We're not here to do harm to anyone.
• As humans, we're here to work, not to harm others.
• How do we make that work to prevent service reductions?
• We should not be complicit in such harms.

Keywords: 987, senate, all

Summary: The committee held an informational hearing on the Governor’s May Revision proposals for labor, public safety/judiciary, and transportation, and no votes were taken. In Part A on labor, the Employment Development Department reviewed proposals for EDD Next document management system funding, updated UI loan interest costs, disability insurance and paid family leave benefit and administration adjustments, WIOA funding changes, UI administrative and benefit changes, school employee benefit adjustments, an EMT training reappropriation, and a technical correction tied to EDD Next. PERB discussed funding tied to AB 28 and AB 1, including litigation-related workload and new jurisdiction over legislative employees. DIR presented proposals for legal unit reclassifications, two major IT modernization projects, a new Cal/OSHA emerging technologies unit, a COIA reappropriation, and trailer bill language on electronic assessment payments and the DWC director salary cap. CalHR proposed additional funding for a consolidated employee assistance program contract, and CalPERS and CalSTRS presented budget adjustments tied to investment costs and state contribution changes. Members focused heavily on UI debt and interest payments, asking the administration for a plan to reduce the outstanding loan and relieve employers. Finance said no specific repayment plan was included in the May Revision, while LAO said the state’s UI tax structure is structurally insufficient and that any debt payoff should be paired with tax-system reform. Senators also questioned EDD Next costs and timelines, PERB’s caseload and staffing needs, and DIR’s emerging technologies unit, with LAO noting that the unit would appear focused on physical workplace safety rather than broader AI labor issues. CalHR said the new EAP contract would consolidate services, improve access to clinicians, and lower costs relative to the current model. CalPERS defended higher external management fees as part of a strategy to pursue higher net returns, while some members pressed for more transparency about private investments; CalSTRS said it was not prepared to address investment-strategy questions at this hearing. Public comment in Part A was dominated by advocates urging support for an immigration enforcement emergency relief fund, along with comments supporting the Jails to Jobs proposal, the Apprenticeship Innovation Fund, and additional PERB funding. The chair noted that many of the immigration-related requests might fall under other committees and said staff would follow up. In Part B, Finance and LAO outlined judicial branch and DOJ May Revision items, including funding for court interpreter services, appellate court security, lactation room implementation delays, courthouse construction reappropriations, and DOJ budget increases. LAO recommended approving the language-access proposal with a report on reducing interpreter cost growth and reducing the General Fund backfill for state court facilities by $10 million on an ongoing basis.

Transcript Highlights:

• ’re not in a position to fully backfill those federal cuts, we have done a lot of work to mitigate harm
• Instead, this budget represents a balance of program reductions and increased revenues to address both
• Negotiations rejected many of the most harmful cuts in order to protect our safety programs.
• You can't criticize us for spending too much and then criticize us in areas where there are reductions
• Also appreciate that the reduction of the Medi-Cal asset test to such an unrealistically low level was

Summary: The Assembly Budget Committee met to consider the final three-party agreement for the 2026-27 state budget and 19 implementing bills, including two budget bill juniors and 17 trailer bills. Committee leadership and administration officials described the budget as a balanced plan that reduces out-year structural deficits, maintains large reserves, and makes major investments in health care, education, housing, child care, public safety, and other core services while also responding to expected federal cuts and fiscal uncertainty. The Department of Finance outlined the package’s major components, including Medi-Cal adjustments, education funding increases, higher education changes, child care and human services updates, housing and homelessness funding, energy and transportation provisions, and tax and general government changes. Members asked questions about several provisions, including CSU enrollment targets and turnaround plans, the Prop. 98 settle-up mechanism, the plastics market development payment program, housing accountability measures, NextGen 9-1-1 implementation, and veteran services. Staff and administration witnesses explained that the higher education language is intended to improve campus-by-campus reporting and oversight, that Prop. 98 settle-up would be finalized later through the statutory certification process, and that NextGen 9-1-1 now includes one-time funding, quarterly reporting, an independent technical review, and a state audit. Members also discussed the HAP homelessness funding increase to $900 million and the balance between accountability and timely distribution of funds. The most extended exchange centered on comparisons between funding for veterans and Medi-Cal/immigrant health coverage. Republican members argued the budget spends far more on undocumented immigrant services than on veterans, while Democratic members and Finance staff responded that the comparison was misleading because many veterans’ services are federally funded and the state budget also includes dedicated veteran support. The chair and other members emphasized that the budget reflects difficult tradeoffs and that the package protects vulnerable populations, preserves health care access, and advances affordability. No final vote was described in the excerpt, but members indicated support for the overall package and said they would support it on the floor.

Transcript Highlights:

• The campaign will focus on early detection, brain health, risk reduction, clinical trial access, and
• Then that is just a normal reduction. Then bring it down.
• So there is a normal reduction. So there is a normal reduction, then bring it down.
• of the bill, and of course, we're supposed to do no harm.
• There are bad, unfortunate outcomes. ...not want harm to come to a patient.

Summary: The committee met with a quorum and considered several health-related bills. SB 398, by Senator Burgess, would create a statewide Alzheimer’s and dementia awareness campaign through the Department of Elder Affairs, focused on early detection, brain health, risk reduction, clinical trial access, and community resources. Supporters said Florida has a large and growing Alzheimer’s population and that the campaign would help families and vulnerable communities; the bill was reported favorably after a roll call vote. The committee also adopted an amendment to SB 714, by Senator Burton, which would create non-opioid advanced directives and add liability protections for providers in medical emergencies involving opioids. Supporters framed it as a patient-choice measure, while opponents argued it was vague and could interfere with appropriate pain treatment; the amended bill was then reported favorably. The committee also approved CS/SB 756, which removes the current age-eight diagnosis requirement for autism-related insurance coverage and extends coverage beyond age 18 for those diagnosed with autism. Senator Burton said the bill would help families whose children are diagnosed later or whose needs continue into adulthood. There was brief discussion about existing lifetime benefit caps, but the sponsor said the bill did not change those limits. The committee then took up SB 734, a proposal by Senator Yarbrough to repeal Florida’s wrongful death exception that bars certain parents and adult children from recovering non-economic damages in medical negligence cases. The sponsor and supporters described the current law as discriminatory and unjust, especially for families of older adults and disabled individuals, while opponents warned it would raise malpractice costs, increase premiums, and worsen provider shortages. The bill drew extensive public testimony from both grieving family members and health care/insurance representatives, and members debated whether caps or other safeguards should be added. No final action on SB 734 is reflected in the transcript excerpt.

Transcript Highlights:

• We want to be partners in VMT reductions and GHG and EMT.
• We want to be partners in VMT reductions and GHG and EMT.
• We in Saint Peter do support reductions in greenhouse gases.
• We've taken a proactive approach toward carbon reduction.
• The requirements for both greenhouse gas emission reductions and offsets, as well as VMT reductions and

Bills: HF4807

Keywords: overweight vehicles, aggregate mining, local ordinance restrictions, legislative audit, transportation, resource inventory

Transcript Highlights:

• President, there's abstinence versus harm reduction.
• President, there's abstinence versus harm reduction.
• President, there's absinence<00:34:27.760> versus<00:34:28.079> harm<00:34:28.399> reduction
• <00:34:29.119> There's absinence versus harm reduction.
• There's absinence versus harm reduction.

Keywords: 1187, senate, all

Transcript Highlights:

• Again, there's lots of different mechanisms to create these reductions.
• And then water use reductions in the upper basin to stabilize the system.
• But they've got to cobble together a lot of smaller reductions.
• What about the wells and the homes that will be harmed?
• This is how harmful activities become permanent programs.

Bills: HB2042, HB2052, HB2055, HB2056, HB2094, HB2098, HB2185, HB2328, HB2758, HB2798

Keywords: solar radiation management, environment, prohibition, Arizona Revised Statutes, public health, complaint process, Attorney General, groundwater management, water conservation, irrigation, water supply, brackish groundwater, water supply development, desalination, water infrastructure, financial assistance, environmental reviews, brackish water, groundwater, water resources

Summary: The committee first received an update from Arizona Department of Water Resources Director Tom Buschatzky on Colorado River negotiations and post-2026 operating rules. He described the legal framework governing Arizona’s allocation, argued that Arizona and the lower basin have already made substantial conservation cuts, and said the upper basin is pressing positions Arizona views as inconsistent with prior Supreme Court rulings. He emphasized the need to move water from upstream reservoirs to Lake Mead, warned of continued shortage risk, and said the state is seeking an equitable deal through ongoing federal and interstate negotiations. Members asked about outside water use, tourism and recreation impacts, and tribal water rights, including the Navajo-Hopi-San Juan Southern Paiute settlement. Buschatzky said the state’s delegation and bipartisan support have been helpful and urged continued public and legislative backing. The committee then heard House Bill 2758, which would expand McMullen Valley groundwater transportation authority and add related requirements and guardrails, including an amendment increasing the La Paz County transportation cap from 10% to 50% of the annual volume and adding conditions for sales or leases from historically irrigated acres. Supporters, including bill sponsor advocates, the Arizona Municipal Water Users Association, and the Home Builders Association, said the bill would create a lawful, regulated transfer option similar to the Harquahala model, support housing growth, and include oversight through hydrologic studies, pumping limits, and monthly reporting to ADWR. Opponents, including La Paz County Supervisor Holly Irwin’s statement, local residents, Sierra Club, and rural advocates, argued the bill would accelerate aquifer depletion, harm private wells and subsidence conditions, and benefit a New York hedge fund at the expense of rural communities. After debate, the committee adopted the Griffin amendment and then passed HB 2758 as amended on a 6-4 due-pass vote. The committee next took up House Bill 2098, which would modify bonding authority and public hearing notice requirements for county water augmentation authorities and allow local repayment agreements with WIFA. Pinal County Supervisor Stephen Miller and other supporters said the bill would clean up statutory language so the Pinal County Water Augmentation Authority can finance future water augmentation and infrastructure projects, including potential Bartlett Dam-related work, and better prepare for future Colorado River uncertainty. The Home Builders Association also supported the bill, saying it included proportionality protections for private utility water charges. The bill was moved for a due-pass recommendation and the committee proceeded to a roll call vote, with the transcript ending before the final vote result was shown.

Transcript Highlights:

• There is bill is the tab fee reduction.
• <00:24:59.200> We we could make a permanent reduction.
• We we could make a permanent reduction.
• This one on natural organic reduction. Rep.
• This one on natural organic reduction. This one on natural organic reduction.

Keywords: 919, house, all

Summary: The House took up House File 719, the capital investment/bonding bill, and members spent much of the debate praising committee staff and describing the bill as a bipartisan product shaped by statewide bonding tours and negotiations. Supporters highlighted major infrastructure and public facility projects, including water and sewer work, transportation projects, housing, natural resources, and specific local needs such as Grand Marais, the Manomomen County hospital/nursing home, and airport tower funding. Several members emphasized that the bill was a “Team House” effort and argued that infrastructure funding should not be treated as partisan. During debate, members also focused on the bill’s water infrastructure investments and the need for broader, dedicated funding to address lead pipes, PFAS contamination, and rising wastewater costs. Representative Lee noted that more than $400 million in the package went to water infrastructure, while other speakers pointed to transportation funding and a one-time reduction in tab fees as important elements of the bill. Representative Franson and others urged support, saying the package reflected statewide needs and was a down payment on larger asset-preservation needs. The House adopted three technical amendments to House File 719, then gave the bill its third reading. After floor discussion, Representative Niska moved to lay House File 719 on the table, and the motion prevailed, tabling the bill. The chamber then moved on to House File 2484, the cash portion of the infrastructure package, where members again described the measure as a small but important funding bill and discussed a Lower Sioux Indian Community Dakota language item and the limited size of each caucus’s cash allocation.

Transcript Highlights:

• Outreach programs such as the harmed.
• > New<01:33:55.120> Hampshire The House budget harms New Hampshire The House budget harms
• Unfortunately, there was real harm that came to my community last week.
• mitigate the most detrimental reductions mitigate the most detrimental reductions enacted<05:05:
• <05:12:05.240> message It would send a very harmful message It would send a very harmful message

Keywords: 1191, senate, all

Transcript Highlights:

• So that's the reduction you see on line five.
• So that's the reduction you see on line five.
• In the 2028-29 biennium, it's a net reduction of $47,392,000.
• payment schedule, you see the reductions payment schedule, you see the reductions across<00:15:51.199
• that's being contemplated for reduction that's being contemplated for reduction in<00:21:46.960>

Keywords: 1187, senate, all

Transcript Highlights:

• We just want to voice our opposition to the reduction of the Innovation Partnership Fund and the reductions
• reduction projects.
• This is a very simple reduction.
• to IHSS funding, and the reductions for community support, as the reductions to many of these programs
• funding, and the reductions for community support, as the reductions to many of these programs will

Keywords: 987, senate, all

Summary: The hearing opened with Department of Finance and Legislative Analyst’s Office remarks on the May Revision, which both described efforts to reduce large out-year operating deficits through a mix of revenue increases, spending reductions, and reserve use. Finance said the May Revision more than halves projected deficits in later years, while LAO stressed that revenues are at unprecedented levels yet the state still faces a significant structural deficit and is drawing down reserves; LAO urged maintaining at least the administration’s level of budget solutions and adding to reserves rather than new ongoing commitments. The chair echoed concern about cuts to vulnerable populations and noted the tension between service reductions and requests for additional administrative positions. The committee then heard a series of California Health and Human Services and HCAI proposals, including additional legal support for CalHHS to respond to federal HR1 changes; a net-zero transfer of positions for a centralized eligibility/data-sharing platform; 988 crisis line implementation funding and continued work with the Trevor Project to train crisis centers to better serve LGBTQ youth; EMS data system maintenance funding; HCAI implementation of AB 1312 hospital charity care screening; SB 660 data exchange framework funding; CalRx biosimilar insulin reappropriation; and a diaper access initiative that would provide free diapers to newborns in participating hospitals and support a future direct-to-consumer purchasing option. Members questioned the diaper program’s universal design, the use of a Public Contract Code exemption, and the selection of Baby2Baby, with the chair expressing concern about optics and the lack of an income threshold. The committee also discussed distressed hospital funding, with HCAI requesting up to $50 million for another round of grants to hospitals in immediate financial distress. HCAI said it receives annual and quarterly financial reports but the data lag limits real-time monitoring, and the LAO recommended stronger program parameters and turnaround plans. Members argued the repeated need for distressed hospital aid reflects a structural problem, not a short-term gap, and raised broader concerns about hospital reimbursement and patient flow. Other items included reverting $19.6 million in unused opioid settlement funds from HCAI to DHCS for General Fund offset, and a Rural Health Transformation Program request to increase HCAI spending authority to cover the full federal award. Later, DMHC presented funding requests to implement PBM licensing and financial review requirements under AB 116, modernize the managed care complaint system, and build an electronic claims settlement data system under AB 3275. The final major discussion focused on the Behavioral Health Services Oversight and Accountability Commission, which opposed the May Revision’s proposed reduction of its Innovation Partnership Fund from $20 million to $10 million and a $6.7 million cut to community advocacy grants. The Commission argued these programs are core to Proposition 1’s goals of statewide innovation and community accountability, while Finance said the proposal is consistent with Proposition 1’s maximum funding levels and reflects a broader effort to prioritize direct services and use unspent prior-year funds; members pressed for more information and questioned whether the cuts would undermine the new behavioral health framework.

Transcript Highlights:

• you to act boldly to raise the revenue necessary to prevent cuts to health care that will do lasting harm
• It's about protecting working families from harmful budget cuts, and it's about confronting the actual
• I want to hand things off to talk about the real impacts and harms that folks are going to face: threats
• We're also looking at reduction.
• When that underfunding is felt in harm to children, When that underfunding is felt in harm to children

Keywords: 995, all

Summary: The Joint Committee on Revenue, chaired by Senator James Eldridge and Representative Adrian Madaro, opened its hearing with a moment of silence for the late Lowell State Senator Ed Kennedy and reviewed hearing procedures and deadlines. The committee then took testimony on several corporate tax bills, including S. 2033/H. 3110 on offshore tax avoidance, H. 3248 on a manufacturing tax exemption, H. 3057 on a tiered corporate minimum tax, and S. 2041 on a corporate tax haven blacklist, along with a separate business interest deduction bill. No votes were taken during the hearing. Supporters of S. 2033/H. 3110, including labor unions, health care workers, educators, public health advocates, seniors, and several legislators, argued that Massachusetts needs new revenue to offset federal cuts to Medicaid, SNAP, health care, education, and other services. They said the bill would raise roughly $400 million annually by increasing the share of offshore profits included in the state tax base from 5% to 50%, and they framed it as a fairness measure that would require large multinational corporations to pay more while leaving most local businesses and workers unaffected. Testimony emphasized risks to MassHealth, PCA services, adult dental care, hospitals, schools, and public health programs if new revenue is not raised. Opponents, including the Mass Taxpayers Foundation and the Council on State Taxation, argued the proposal is poor tax policy and likely unconstitutional because it would tax foreign-source income without allowing foreign tax credits or a comparable apportionment method. They said Massachusetts should take a broader, coordinated approach to federal tax changes rather than a standalone bill, and warned of litigation risk and possible double taxation. Supporters such as MassBudget and former tax counsel Don Griswold countered that the bill is a reasonable rough-justice approach, consistent with federal and neighboring-state treatment, and that it would primarily affect a small number of very large multinationals. On S. 2041, the Global Business Alliance opposed the proposed tax haven blacklist, while supporting a separate bill allowing business interest deductibility.

Transcript Highlights:

• We could use it to help offset our sales tax reduction.
• A sales tax reduction offers minimal relief. About $0.50 a day.
• You get a tax reduction today. They want it today, not two years from now.
• This causes great harm.
• That will miss very real harms caused by bad ones.

Bills: HB 118, HB 388, HB 114, HB 205, HB 2789, HB 2791, HB 499, HB 2960, HB 3163, HB 3135, HB 2427, HB 1618, HB 1672, HB 1722, HB 1338, HB 787, HB 2618, HB 879, HB 1126, HB 4134, HB 3513, HB 718, HB 1536, HB 1445, HB 1640, HB 1893, HB 1734, HB 3229, HB 3306, HB 1276, HB 3272, HB 3276, HB 3516, HB 4145, HB 1585, HB 4810, HB 2989, HB 2558, HB 3014, HB 2742, HB 1695, HB 29, HB 125, HB 145, HB 171, HB 255, HB 50, HB 363, HB 116, HB 491, HB 1495, HB 368, HB 1285, HB 1905, HB 2002, HB 917, HB 2723, HB 2067, HB 1238, HB 745, HB 1188, HB 1606, HB 2003, HB 2147, HB 2355, HB 2546, HB 2495, HB 2818, HB 2249, HB 3228, HB 3240, HB 1507, HB 658, HB 1748, HB 1851, HB 1922, HB 2798, HB 107, HB 1587, HB 3684, HB 118, HB 388, HB 114, HB 205, HB 2789, HB 2791, HB 499, HB 2960, HB 3163, HB 3135, HB 2427, HB 1618, HB 1672, HB 1722, HB 1338, HB 787, HB 2618, HB 879, HB 1126, HB 4134, HB 3513, HB 718, HB 1536, HB 1445, HB 1640, HB 1893, HB 1734, HB 3229, HB 3306, HB 1276, HB 3272, HB 3276, HB 3516, HB 4145, HB 1585, HB 4810, HB 2989, HB 2558, HB 3014, HB 2742, HB 1695, HB 609, HB 630, HB 420, HB 767, HB 1708, HB 1404, HB 2457, HB 140, HB 227, HB 913, HB 2198, HB 2763, HB 1261, HB 1135, HB 1318, HB 2358, HB 2765, HB 2735, HB 3307, HB 1242, HB 2842, HB 333, HB 201, HB 694, HB 2415, HB 155, HB 272, HB 405, HB 519, HB 1136, HB 1275, HB 1437, HB 1532, HB 1675, HB 1868, HB 1888, HB 1990, HB 2286, HB 2523, HB 3129, HB 3251, HB 3354, HB 3479, HB 3803, HB 3804, HB 3805, HB 3806, HB 3887, HB 4163, HB 4238, HB 1240, HB 1842, HB 2029, HB 2622, HB 3255, HB 654, HB 4643, HB 4945, HB 3611, HB 3724, HB 3623, HB 3810, HB 4127, HCR 78, HCR 12, SB 767

Keywords: HB 388, HB388, coordination of benefits, COB questionnaire, health benefit plan, health insurance, insurance commissioner, Texas Department of Insurance, uniform form, primary payer, secondary payer, multiple coverage, dual coverage, Medicaid, CHIP, managed care, HMO, small employer health plan, school district health coverage, self-funded plan

Transcript Highlights:

• But the reality is that Republican policies are harming the manufacturing sector.
• harming the manufacturing sector. harming the manufacturing sector.
• A self-congratulatory shield built to cover up the harm Republicans have created in rural America.
• up the harm Republicans have created<02:31:58.080> in<02:31:58.479> rural<02:31:58.960
• would harm our federal facilities. would harm our federal facilities.

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, April 22, 2026, 1012, house, all

Transcript Highlights:

• This is a one-time reduction of $1.7 million in fiscal year 2025.
• Over the past six years, we've protected the state of Minnesota and its residents from harm.
• Over the past six years, we've protected the state of Minnesota and its residents from harm.
• reduction for smokers, but it's all bad for kids.
• arguments that be used is is a harm arguments that be used is is a harm reduction<00:54:05.000><

Keywords: 1187, senate, all

Transcript Highlights:

• So when I hear politicians talk about cutting Medicaid and gutting SAMA and slashing harm reduction and
• <00:30:20.320> reduction<00:30:20.799> and<00:30:21.039> treatment slashing
• harm reduction and treatment slashing harm reduction and treatment programs,<00:30:22.399> I<00
• I work with the American Medical Association, the Kentucky Harm Reduction Coalition, and other groups
• Harm Reduction Coalition, and Kentucky Harm Reduction Coalition, and other<00:47:56.720> groups

Keywords: 958, all

Summary: The subcommittee met on October 14, approved the minutes, and then took up a large group of staff-suggested amendments to multiple regulations. Those staff amendments were approved without objection and were described as technical changes needed to comply with KRS Chapter 13A and other governing law. The committee then moved out of order to consider Kentucky Board of Medical Licensure regulation 2011 KAR 9:270, which governs buprenorphine prescribing and related standards. Board representatives said the regulation has been updated over time since 2015 and that the current amendments are intended to streamline the rule, remove outdated federal references such as the X-waiver, narrow education requirements to addiction-related topics, and create exceptions for settings like emergency rooms and certain pain treatment situations. The agency amendment would also allow buprenorphine monoproduct for up to 30 days when a patient is transitioning from a full opioid agonist, and would add physicians certified in addiction medicine as eligible specialty consultants. Board officials said the regulation was developed through a two-year process with a work group, informal outreach to medical organizations, and multiple comment periods, and they argued the rule is working because overdose deaths have declined and provider numbers have increased. Several witnesses and committee members raised concerns that the regulation remains too restrictive. Senator Rocky Adams noted that major medical organizations had said the proposed language could restrict access and worsen overdose risk, and he questioned whether the committee was being asked to choose between conflicting expert views. Opponents, including a medical student, a recovery advocate, and Dr. Colleen Ryan of the Kentucky Society of Addiction Medicine, argued the rule is outdated, creates unnecessary barriers to buprenorphine treatment, and should be repealed or substantially revised to align with federal guidance and evidence-based care. They said rigid requirements can discourage treatment and that addiction should be treated like other chronic illnesses. No final vote on the medical licensure regulation is reflected in the transcript excerpt, and the discussion ended with the chair preparing to hear from additional opponents.

Transcript Highlights:

• These states have demonstrated dramatic reduction in injuries and death after their bans.
• Guns are mean and harmful. Proposals that fail to address access to weapons are Band-Aids at best.
• Saw a reduction in shootings, which is true; that is a correlation, but it's not a causation.
• What we Know is when we have a holistic approach on all of these topics, we're engaging in harm reduction
• We are engaging in the reduction of risk, and that is what we should be about. Sen.

Keywords: 1187, senate, all

Transcript Highlights:

• 2023 were supposed not to have this what we're hearing from people that there was not going to be harm
• and I just I don't I I'm what harm and I just I don't I I'm what Senator<00:15:15.640> Liskie
• <00:15:40.760> to that the new rate is without harm to that the new rate is without harm to
• But, it'd be somebody's big reduction.
• So, if there is understanding the harm.

Keywords: 1187, senate, all

Transcript Highlights:

• statewide reductions intended to address ongoing statewide budget pressures.
• , and this equates to a $2.4 million reduction in state operations support.
• This equates to a $2.4 million reduction in state operations support.
• This equates to a 2.4 million reduction in state operations support.
• I'm being asked to project up to a 20% reduction, which will... ...to project up to a 20% reduction,

Summary: The Assembly Budget Subcommittee on Education Finance met to review CSU and State Library budget issues, enrollment trends, the Capital Fellows program, and a Title IX update. Chair David Alvarez opened by stressing that CSU faces serious financial pressure, including a systemwide deficit and proposed cuts that he and several members said were too large and likely to harm access, course offerings, and student services. Public comment focused heavily on the Braille Institute Library, with patrons, staff, veterans, and advocates urging restoration of funding and warning that the proposed cut would severely affect blind and visually impaired Californians across Southern California. Several CSU faculty, staff, and union representatives also opposed the proposed reductions and warned of larger class sizes, fewer sections, and layoffs. On the CSU core operations item, the Department of Finance explained the Governor’s proposal to reduce ongoing General Fund support by about $375 million and defer a 5% base increase, while the LAO said CSU core funding would be roughly flat once tuition and targeted augmentations were considered, but warned that rising costs and prior shortfalls would still force campuses to cut spending. CSU’s Chancellor’s Office said the proposed cut would deepen existing problems, citing prior-year budget gaps, job losses, reduced course sections, and student-service reductions. Members pressed Finance and the LAO on whether cuts could be made more surgically, especially at the Chancellor’s Office or in institutional support rather than in instruction, and the LAO said the Legislature has flexibility to target cuts more specifically. CSU also described ongoing consolidation efforts, including shared services among campuses and the planned Cal Maritime/Cal Poly San Luis Obispo integration, while cautioning that savings are not yet fully known. The committee then discussed CSU enrollment. The LAO recommended holding enrollment targets flat because the budget does not add new funding, while CSU reported strong recent growth, including more California residents, record first-year enrollment, and expanded direct admissions and transfer pathways. Members questioned why some campuses with high demand turn away many applicants while others continue to lose enrollment, and CSU said it is shifting resources from campuses with sustained declines to those with demand, using a 10% below-target threshold. The committee also discussed whether enrollment declines mirror local population trends, how to improve marketing and program alignment, and whether lessons from Cal Poly Humboldt’s conversion could inform other campuses such as Sonoma State. The Capital Fellows item drew a Finance proposal for a salary increase and an LAO counterproposal for a smaller raise plus future COLA language; the committee kept the item open. Finally, CSU reported progress on Title IX compliance, saying it has completed most State Auditor recommendations, expanded civil rights staffing, and increased training, prevention, and case-management efforts, though members asked how proposed budget cuts might affect those services.

Transcript Highlights:

• the ability to issue a cease and desist immediately. for patient protection and to minimize patient harm
• They either agree to unknown charges up front or be refused medical care, and this is causing harm.
• Harmful e-cigarette and tobacco company marketing practices, such as promoting appealing flavors and
• It’s protecting youth from harmful products that are far too easy to access.
• You will see that there is a reduction in suicide since prescriptive authority has been granted.

Bills: SB2024, SB227, SB268, SB1467, SB1580, HB5537, SB1313, SB1677, SB918, SB331, SB2207, SB2721

Keywords: e-cigarettes, marketing prohibition, youth protection, criminal penalties, public health, school funding, education reform, state budget, property taxes, equity in education, health care, licensing, complaint procedure, disciplinary action, law enforcement, death records, vital statistics, healthcare, trauma facility, Medicaid