Transcript Highlights:

• Poverty is not just a statistic. It is a weight that distorts every aspect of a person's life.
• All of those, and many of those are federal guidelines, which means there are still guidelines on the
• I'm not talking about the federal level.
• I'm not talking about the federal level. I'm talking about those.
• I was... ...fear with federal immigration action whatsoever. Is that correct? Right.

Summary: The Assembly Human Services Committee met with quorum established after beginning as a subcommittee. The committee heard AB 790, which would require jurisdictions receiving state homelessness funds to develop systems specifically supporting women and children, especially single mothers and survivors of domestic violence. Supporters said current homelessness programs overlook this population; the bill was amended and passed unanimously on a 7-0 vote. The committee also heard ACA 4, the Housing Opportunities Made Equal Act, which would dedicate a minimum share of the state general fund to affordable housing and homelessness programs. Supporters argued more stable funding is needed to address the housing crisis, while opponents questioned whether more spending would help; the measure passed 5-2 to the Assembly Appropriations Committee. Members then heard AB 349, which would index the infant supplement for parenting foster youth to inflation. The author and sponsor described the needs of pregnant and parenting teens in foster care and rising costs for diapers and formula; the bill passed 6-0 to Appropriations. AB 779, which expands a domestic violence consultant pilot in child welfare offices statewide, also passed 6-0 after testimony that it would help keep families together safely and improve trauma-informed responses. AB 1335, which would remove a private CARF accreditation requirement for regional center employment programs and rely on state oversight instead, drew support from disability service providers but opposition from the chair over concerns about weakening quality checks; it failed on a 2-2 vote and reconsideration was denied. The committee also considered AB 1066, a bill to bar state-funded immigration legal services for people unlawfully present in the country who have certain serious felony convictions. Supporters framed it as a public-safety and fiscal-responsibility measure, while opponents said it would restrict due process and align California with mass-deportation policies. The bill failed on a 2-2 vote. Two bills, AB 277 and AB 318, were pulled by the author and not heard. After final roll calls on absent members, the committee adjourned.

Transcript Highlights:

• And even though Californians pay through their federal taxes a billion dollars a month for these federal
• And for the most part, because the federal government, many years past, reduced the number of federal
• Yesenia Robancho, with End Child Poverty in California, in support.
• These federal cuts specifically impact vulnerable veterans.
• Recently, federal alterations to SNAP guidelines stripped away vital protections that accounted for this

Summary: The Assembly Committee on Human Services heard several bills focused on homelessness, child care, food security, public assistance, immigration legal services, and veterans’ benefits. SB 479 would allow city-based local health jurisdictions, including Berkeley and Oakland, to use multidisciplinary homeless response teams and share specified information across departments; supporters said the change would improve coordination and outcomes, and no opposition testified. SB 902 would allow electronic signatures for child care and development services paperwork while preserving paper options; supporters said it would reduce burdens on families and providers, and the bill passed to the Assembly Education Committee 4-0. The committee also heard SB 1025, creating an Office of Food Security and Affordability to coordinate California’s food assistance efforts, and SB 1030, repealing the CalWORKs “man-in-the-house” rule. Supporters of SB 1025 said the state’s food system is fragmented and needs a coordinated strategy; SB 1030 supporters argued the rule is outdated, redundant, and rooted in racist and sexist assumptions. Both bills received no opposition testimony and were approved on 4-0 votes, with SB 1025 sent to the Economic Development, Growth, and Household Impact Committee and SB 1030 to Appropriations. The committee then approved SB 1077, which would require CDSS to create a communications and contingency plan for CalFresh disruptions during federal government shutdowns, including a public webpage and planning for state-funded benefits; it passed 4-0 to Appropriations. SB 1194 would codify the Immigration Legal Fellowship Project to expand immigration legal services in underserved areas, and supporters emphasized the need for legal representation in rural and Central Valley communities; it passed 4-1 to Judiciary. SB 1201 would seek federal waivers to protect veterans from CalFresh time limits, require referrals to county veterans service officers, and adjust treatment of job-search expenses; it passed unanimously 6-0 to Military and Veterans Affairs. The consent calendar, including SB 557 and SB 1051, also passed unanimously. After all items were heard, the committee completed roll calls for absent members and adjourned.

Transcript Highlights:

• The expansion Medicaid plan is for adults with an income level of less than 138% of the federal poverty
• We reference the federal poverty limit fairly often when referring to the expansion population, so I
• of Medicaid expansion as going up to 138% of the federal poverty level.
• So I would say that the 138% of federal poverty level that you're referencing, That the 138% of federal
• I'll say that people who earn less than 26% of the federal poverty level and have children and do not

Summary: The Joint Finance-Appropriations Committee held a budget hearing on the Division of Medicaid within the Department of Health and Welfare. Legislative Services analyst Alex Williamson reviewed Medicaid’s five budgeted programs, enrollment groups, staffing, historic spending growth, and the distinction between ongoing base adjustments and one-time enhancements. She explained that most Medicaid spending is in trust and benefit payments, discussed the large FY 2026 and FY 2027 budget changes, and walked through the governor’s recommendations, including hospital assessment fund alignment, claims forecast updates, MMIS procurement funding, estate recovery, program integrity support, and population forecast adjustments. Members asked extensive questions about the 4% provider rate reduction, the expansion population, federal match rates, and the effect of House Bill 345 and federal changes on Medicaid costs and eligibility. Williamson and Deputy Director Sasha O’Connell said the expansion population has declined, but costs are driven by utilization, provider rates, pharmacy, hospital, developmental disability, behavioral health, and long-term care services. They said the department is pursuing cost containment through prior authorization, redeterminations, higher cost sharing, and program integrity efforts, while noting that expansion is codified in law and any repeal or major eligibility change would require legislative action and could affect hospital assessment revenue and other offsets. The committee also discussed the MMIS replacement project, with lawmakers emphasizing milestone-based funding and risk control. O’Connell explained the estate recovery request as a replacement case management system plus contractor support to help recover Medicaid costs from estates, and said the program is federally required and revenue-generating. Several members raised concerns about backlogs, contractor costs, and whether AI or other technology could improve efficiency in program integrity and estate recovery. No votes were taken during the hearing; the discussion remained informational and focused on the governor’s budget recommendations and possible future reductions or policy changes.

Transcript Highlights:

• a little bit of an issue depending on if the pharmacist is involved or not, because it's against federal
• of the states who have passed it, pharmacists are actually not dispensing it because it's against federal

Bills: HB4336 , HB1818 , HB3194 , HB3538 , HB3682 , HB3762 , HB3793 , HB3930 , HB3931 , HB3934 , HB4124 , HB4200 , HB4410 , HB4457 , HB4473 , HB3884 , HB1912

Committee: House Public Health

Keywords: interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure

Bills: HB4336 , HB1818 , HB3194 , HB3538 , HB3682 , HB3762 , HB3793 , HB3930 , HB3931 , HB3934 , HB4124 , HB4200 , HB4410 , HB4457 , HB4473 , HB3884 , HB1912

Committee: House Public Health

Keywords: interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure

Bills: SB5849 , SB6278 , SB6130 , SB6222 , SB6206 , SB6260 , SB5346 , SB6263 , SB6268 , SB6247

Committee: Senate Early Learning & K-12 Education

Keywords: financial education, graduation requirement, student curriculum, financial literacy, education reform, teacher preparation, principal preparation, educator preparation, alternative route certification, teacher certification, principal certification, Washington Professional Educator Standards Board, PESB, field placement, student teacher, residency, mentoring, school district partnerships, K-12 education, preK-12

Transcript Highlights:

• It reduces jail time for low-income parents, avoids job loss, and deepens poverty.
• Title IV-E, which is federal funding, gives money to the states in foster care cases, and it requires
• That's going to be a difficult thing to prove, but the federal government is trying to figure out other
• Right now, our grant restrictions are at 125% of the Federal Poverty Guidelines or below for the household
• My name is Kathy Green, and I'm the Director of State and Federal Strategy for AARP.

Bills: HB557 , HB732 , HB1892 , HB1954 , HB2301 , HB3180 , HB3405 , HB3650 , HB3758 , HB4035 , HB4621 , HB4795 , HB4870 , HB5069 , HB5137 , HB5149

Committee: House S/C on Family & Fiduciary Relationships

Keywords: child support, arrears, court enforcement, contempt, legal protections, healthcare, insurance, cost reduction, accessibility, regulations, impotency, marriage annulment, Family Code, Texas law, family law, Texas legislation, dissolution of marriage, annulment, marriage, child custody

Transcript Highlights:

• SNAP program in Minnesota, the income limit is, I believe, 165% of the federal poverty guidelines.
• to have an income of less than 200% of the federal poverty guidelines.
• </c> limit is I believe 165% of the federal limit is I believe 165% of the federal poverty poverty poverty
• to have an income of less than 200% of the federal poverty guidelines.
• , um, the state has to comply with the federal guidelines in order to receive the federal funding for

Committee: House Children and Families Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• Because it is federal money, CFR 1308.11 directs that, because federal money is being used, the director
• So if I'm poverty-stricken, I'm living If I'm poverty-stricken, I'm living in my car, and they take my
• That's poverty.
• Poverty is too often mistaken for neglect.
• Poverty is too often mistaken for neglect.

Committee: House Government

Keywords: 1182, all

Transcript Highlights:

• So this is just our figures of child support touching the guidelines.
• There are a lot of child support guidelines being used.
• Our guidelines currently stop at $15,000 combined income.
• That's the federal statute. I'm sorry.
• The DHS child support formula, the guidelines.

Committee: Senate Judiciary

Keywords: 914, all

Transcript Highlights:

• In October 2023, we adopted the guidelines for this program.
• It is sitting in a federal account earmarked for California.
• government, and then dispersing those federal funds.
• For example, ACP, I believe, is 200% of the poverty level versus Lifeline, which is 185% of the poverty
• For example, ACP, I believe, is 200% of poverty level versus lifeline is 185% of the poverty level.

Summary: The hearing was an informational budget session on energy agency proposals, with no votes taken. Early discussion focused on Proposition 4 climate bond implementation, including funding for demand-side grid support, offshore wind development, and transmission financing. The Department of Finance said the budget includes allocations for demand-side grid support and offshore wind, but not yet for the $325 million transmission financing piece pending a required study. The Legislative Analyst’s Office urged the Legislature to consider whether to wait on offshore wind funding, whether to keep shifting funds into demand-side grid support, and how to direct future transmission financing. Members also raised concerns about local technical assistance for offshore wind, Salton Sea priorities, and the need for more information before final decisions. The California Energy Commission and CPUC then reviewed the broader energy package. The CEC highlighted the demand-side grid support program’s growth, distributed energy backup assets, long-duration storage, hydrogen grants, and the SIRP clean energy reliability program. CPUC testimony emphasized affordability, wildfire mitigation costs, rooftop solar cost shifts, and efforts to reduce rates while maintaining reliability and clean energy goals. Members questioned CPUC staffing, delays in proceedings, coordination with the CEC and CAISO, and the impact of rate increases on customers. The agencies also discussed the AB 3264 transmission financing study, with CPUC saying work on the study had already begun and was on track for the July 1 deadline. Several trailer bill and implementation items were also discussed. The committee reviewed a proposal to extend the Deaf and Disabled Telecommunications Program surcharge, with members split over whether it should be handled in budget trailer bill language or policy legislation; the administration said the surcharge supports a critical program serving about three-quarters of a million Californians. The committee also heard a CPUC data-sharing proposal to allow nondisclosure agreements for transmission and reliability data, which members generally supported as a technical fix. DWR explained a proposal to clarify language for the Electricity Supply Strategic Reliability Reserve so it can potentially sell three gas-fired units it owns, and the CEC presented a federal transmission grant proposal tied to grid-enhancing technologies and ratepayer cost recovery. Finally, the committee discussed California Lifeline and possible broadband pilot reforms in light of uncertainty around federal Universal Service Fund support, with CPUC saying it is exploring a statewide standalone broadband option for eligible customers.

Transcript Highlights:

• Disruptive trade relations, corporate layoffs, and deep federal cuts put us at risk.
• Everybody understands this from your federal taxes.
• Everybody understands this from your federal taxes.
• Your oath is not a guideline. It's not a pie crust. It's an oath.
• Your oath is not a guideline. It's not a pie crust. It's an oath.

Summary: House Finance held a public hearing on Gross Substitute Senate Bill 6346, a proposal to impose a 9.9% tax beginning in 2028 on Washington taxable income over $1 million for individuals, with related rules for residents, nonresidents, pass-through entities, estimated payments, penalties, credits, and revenue distribution. Staff explained that the bill would also fund several tax changes, including an expanded Working Families Tax Credit, sales tax exemptions for grooming and hygiene products, higher small business B&O credits, an early end to the B&O surcharge on very large businesses, and repeal of most retail services sales tax changes from last session. The fiscal note projected about $2.53 billion in additional state revenue in FY 2029 and $3.21 billion in FY 2030, with local revenue losses and significant Department of Revenue implementation costs. The chair also announced concerns about apparent fraud and duplicate records in the public sign-in system and set testimony rules limiting questions and shortening testimony time as the hearing progressed. The prime sponsor, Senator Jamie Peterson, said the bill was intended to make Washington’s tax system less regressive and to raise revenue for schools, health care, higher education, and other public needs while reducing the burden on lower- and middle-income residents. Supporters from labor, education, health care, child care, housing, poverty-reduction, and social service organizations argued that the bill would help fund essential services, expand the Working Families Tax Credit, and improve fairness by asking the wealthiest households to contribute more. Several individual supporters, including business owners and workers, said they were willing to pay more and described the need for better-funded schools, health care, child care, and public defense. Opponents, including former Attorney General Rob McKenna, business groups, construction and real estate representatives, and taxpayer advocates, argued the measure would function as an unconstitutional income tax, would be unstable and likely expanded over time, and would harm small businesses organized as pass-through entities. They said the bill would reduce investment, discourage entrepreneurship, and could drive businesses and high earners out of Washington. Some local government representatives supported the public defense funding but asked for more dedicated revenue and protection against local revenue losses from the bill’s sales tax exemptions. No committee vote or final action was taken during the hearing.

Transcript Highlights:

• And this is absolutely a responsibility of the federal government, but I'm not going to blame the federal
• And now we really see that with what's happened with the federal administration.
• I'm Rebecca Gonzalez with the Western Center on Law and Poverty.
• Whitney Francis with the Western Center on Law and Poverty.
• ones that are being proposed by the federal government and Congress.

Committee: House Budget

Keywords: 988, house, all

Transcript Highlights:

• Those attorneys receive federal funds to represent people in court.
• And so we're also seeing some poverty increasing in Arizona.
• So if I'm poverty-stricken, I'm living If I'm poverty-stricken, I'm living in my car and they take my
• That's poverty.
• Poverty is too often mistaken for neglect. a family experiencing a Poverty is too often mistaken for

Committee: House House Government Committee of Reference

Summary: The special committee on government convened to discuss child welfare reform, with members framing the meeting as a response to Arizona Auditor General findings and broader concerns about the Department of Child Safety (DCS). The chair emphasized that the committee’s goal was to improve accountability, oversight, and child-centered practices rather than assign blame, and said bills advanced from the committee would move to the floor. Roll was taken, and the committee then heard testimony on several bills focused on foster care and DCS operations. HB 2611 was heard first. The bill would require termination of a group foster home employee who tests positive on a drug screen, establish screening and safety requirements for group homes, expand foster youth rights, and include designated advocates on family/service teams. An amendment was adopted that changed the drug-testing language to require removal from child contact pending confirmatory review rather than automatic termination, and to require testing after certain incidents. Supporters, including foster youth and former foster youth, described unsafe conditions in group homes, bullying, drug use by staff, inadequate training, and the need for posted rights, mental health services, and stronger accountability. Some members raised questions about the amendment, drug-testing procedures, backup staffing, and contracting authority, but the amendment passed and HB 2611 was given a do pass recommendation by a 5-1-1 vote. The committee next considered HB 2035, which would add extended family members to the search, notification, and placement process when a child enters custody and create a presumption that placement with relatives or significant adults is in the child’s best interest. Testimony strongly favored kinship placement, with speakers arguing that children do better with familiar caregivers and that current practice often fails to locate or prioritize relatives. Several witnesses described tragic cases, including the death of Zariah Finley Dodd, to argue that repeated placements and congregate care increase risk. Some members questioned whether the bill duplicated existing law and asked for clarification on differences from prior legislation; the sponsor said the bill strengthens existing policy and adds written documentation requirements. HB 2035 was ultimately given a do pass recommendation by a 4-2 vote. Finally, the committee heard HB 4049, which would authorize DCS to employ legal counsel and incur legal expenses, along with an amendment that would require independent representation or review in certain cases involving credible allegations against DCS or its agents. The sponsor and several witnesses argued that the Attorney General’s office has a structural conflict when representing DCS, and that independent counsel would better ensure honesty and accountability in court proceedings. Others cautioned that keeping representation within the Attorney General’s office preserves consistency, oversight, and existing checks and balances. Discussion continued on the structure of legal representation for DCS, but the transcript ends before a final vote on HB 4049 is recorded.

Transcript Highlights:

• Madam Chair, Sarah Flox, California Federation of Labor Unions, Madam Chair, Sarah Flock's California
• Federation of Labor Unions, and thank you so much to the committee for your great work on this bill.
• Jennifer Robles, registering support for Western Center on Law and Poverty.
• Jennifer Robles, registering support for Western Center on Law and Poverty. Thank you.
• AB 2531 puts our veterans first where the federal government has failed them.

Committee: Senate Health

Keywords: 987, senate, all

Transcript Highlights:

• MQA collaborates with state and federal law enforcement to ensure compliance, resulting in inspection
• poverty level.
• Further, the council has already approved their conflict-of-interest guidelines.
• So they've already approved those guidelines to follow when they finally get to review the applications
• To do this, the department's newborn hearing screening program updated CMV screening guidelines in its

Summary: The Health Professions and Program Subcommittee met for an introductory and oversight briefing from the Florida Department of Health on implementation of several 2024 laws. The committee heard first from Jennifer Winhold on practitioner-regulation measures, including SB 1716 and SB 1600, which expanded workforce pathways through foreign-trained physician licensure, area-of-critical-need temporary certificates for APRNs and physician assistants, graduate assistant physician licenses, interstate compacts, and a new universal licensure-by-endorsement process. She also reviewed HB 197 on massage therapy enforcement, HB 975 on broader background screening, HB 1561 on office-surgery and liposuction safeguards, HB 159 on pharmacist HIV post-exposure prophylaxis certification, and HB 1063 on chiropractic dry needling and foreign degree licensure. Members asked about compact scope, foreign graduate requirements, massage enforcement overlap with DBPR, and registration thresholds for liposuction procedures. Dr. Emma Spencer then outlined implementation of SB 76 and related programs, including changes to the FRAME and dental loan repayment programs, the volunteer health care provider program, the Casey DeSantis Cancer Research Program, the Health Care Innovation Council and revolving loan program, and the Andrew John Anderson Pediatric Rare Disease Grant Program. She said the department had updated portals, posted forms, launched or was developing public search tools, and submitted required reports and contracts. Members questioned whether loan repayment funds were reaching rural and underserved areas, how nonprofit applicants were being informed about the Alphonse screening grant program, the short application window for that grant, and how the department would evaluate whether the programs were improving recruitment and retention. A third presentation, delivered by Mike Mason standing in for Shea Holloway, covered maternal and child health and other public health initiatives. He reported on the telehealth maternity care program’s expansion from a pilot in Duval and Orange counties to 23 counties, the pregnancy-and-parenting resources website required by HB 415, CMV newborn screening requirements under SB 168, sickle cell registry and research grants under HB 7085, and the swim lessons voucher program under SB 544, which received nearly 10,000 requests for 3,500 vouchers and enrolled 86 facilities. Members asked about utilization, marketing, website launch timing, and how the department was promoting these services. No bills were voted on; the meeting concluded with the chair noting that more committee presentations and bills would follow and that briefing materials would be distributed to members.

Transcript Highlights:

• The federal government will just sort of take control of them.
• They may go to federal custody or they may go straight to being deported. All right, Mr.
• Someone’s indigent if they don’t make more than double the federal poverty guidelines.
• the guidelines, but since about 1998 we've operated under the punishment code.
• Under the guidelines, there were maximums that we could impose.

Summary: The Criminal Justice Subcommittee held its first meeting of 2025, took roll, confirmed a quorum, and heard member introductions before turning to an informational panel on how a criminal case moves through Florida’s system. The chair emphasized respectful committee process and introduced staff, then invited the panel to explain the path from arrest through prosecution, first appearance, arraignment, discovery, trial, plea negotiations, and sentencing. Sheriff Bob Gualtieri described law enforcement discretion, probable cause, misdemeanor and felony arrest rules, pre-arrest diversion, jail operations, and the statewide uniform bond schedule. He also discussed jail overcrowding, supervised release, mental health and substance abuse issues in jails, and the need for better case management and diversion resources. Judge Frank Allman explained first appearance, bond setting, arraignment, trial procedures, plea colloquies, and sentencing under Florida’s punishment code, including downward departures and victim impact statements. State Attorney Jack Campbell outlined charging decisions, the higher proof burden prosecutors must meet, coordination with law enforcement, Baker Act proceedings, victim notification, informations versus grand jury indictments, and the role of diversion and treatment courts. Public Defender Matthew Mets described indigency screening, discovery, the growing volume and technical complexity of evidence, mitigation work, and the importance of treatment-based resolutions. Members asked about time-served credit for supervised release, mental health recidivism, homelessness enforcement, ICE holds, and sentencing discretion; no votes were taken and the meeting ended after the informational presentation and discussion.

Transcript Highlights:

• Rebecca Gonzalez with the Western Center on Law and Poverty in support.
• and Rebecca Gonzalez, Western Center on Law and Poverty, in support.
• national climate, is vulnerable to federal misuse.
• And that's federal. That's not us. Right. Let's stick to C.
• It's not getting them to federal money. No, I got that.

Summary: The Assembly Higher Education Committee heard several Senate measures focused on student access, workforce needs, and institutional stability. Senator Laird presented SJR 4, which urges the federal government to restore NIH funding cuts and protect California’s research universities; UC testified in support and there was no opposition. Senator Ashby presented SB 761, the CalFresh for Students Act, to connect Cal Grant applicants with potential CalFresh eligibility and expand qualifying programs; the bill drew broad support from higher education, student, anti-hunger, and county groups, with members sharing personal experiences with food insecurity and no opposition. Senator Cabaldon presented SB 520 to create a California Nurse Midwifery Education Fund for a new master’s-level nurse midwifery program, citing maternal health disparities and provider shortages, especially in rural and Central Valley communities. Supporters from the California Nurse Midwives Association and the Black Wellness and Prosperity Center emphasized workforce shortages and maternal mortality; one member raised concerns about the bill’s use of inclusive language, but the bill was otherwise well received. Cabaldon also presented SB 640, which would create a statewide direct admissions process to CSU for eligible high school seniors using existing data systems; supporters said it would reduce barriers, improve equity, and help declining-enrollment campuses, while members raised questions about special education students, rural access, dual enrollment, and measuring effectiveness. The committee voted SB 640 out on a 6-0 roll call. Cabaldon’s SB 744 would preserve California students’ access to enrollment and financial aid if a federally recognized accrediting agency loses approval, by treating affected institutions as accredited for state purposes; the bill drew no public testimony and advanced on a 4-2 roll call. Senator Cortese’s SB 494 would require classified school employees’ disciplinary appeals to be heard by an administrative law judge, matching protections already available to teachers and community college faculty; labor groups supported the bill, while school districts and administrators opposed it over cost, local control, and implementation concerns. The committee also heard SB 550, a revised pilot to allow San Jose State and a nonprofit, state-accredited law school to jointly develop a public law school pathway; supporters argued it would expand affordable legal education and public-interest careers, while UC and independent colleges opposed it as inconsistent with the Master Plan. Members debated access, jurisdiction, funding, and bar pass rates, and the bill advanced on a 4-2 roll call to the Judiciary Committee.

Transcript Highlights:

• It's 138% of the federal poverty level. Thank you. Additional question?
• I think the number was 138 percent of the federal poverty line.
• Adults with dependent children, income eligibility rate is about between 26 and 28% of the federal poverty
• Then if you make 26% of the federal poverty level, which is equal to $7,103 a year, if you work 80 hours
• Then if you make 26% of the federal poverty level, you have to make 26% of the federal poverty level,

Bills: S0036 , S0864 , S0268 , S0844 , S0514 , S1404 , S0914 , S1758

Committee: Senate Health Policy

Keywords: nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, uterine fibroids, public records, health privacy, epidemiology, medical information, emergency department, physicians, privacy, personal information, sickle cell disease, sickle cell anemia, pain management, controlled substances, prescribing education, continuing medical education

Summary: The committee first considered SB 268, a public records exemption for emergency physicians. Senator Rodriguez’s strike-all amendment narrowed and clarified the exemption, and testimony from an emergency physician described threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported the bill favorably as a committee substitute. Members then heard SB 514, creating the Dula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women affected by substance use disorder. Senator Osgood explained the pilot would provide non-medical doula support and data collection, and an amendment changed the funding source to specific appropriations in the General Appropriations Act. Supporters said doula care can improve maternal and infant outcomes and complement medical providers. The committee adopted the amendment and reported the bill favorably as a committee substitute. The committee also approved SB 36 on use of professional nursing titles after extensive debate over whether nurses with doctoral degrees should be allowed to use “doctor” in clinical settings, with concerns raised about patient confusion and the need for clearer identification. The bill was amended to align with the House version and then reported favorably as a committee substitute. The committee next approved SB 864, a public records exemption for uterine fibroid research data, after a technical amendment setting a July 1, 2026 effective date; Senator Sharif said the exemption is needed so the Department of Health can collect sensitive data for the related research bill. SB 844, requiring continuing education on sickle cell disease care management for certain licensed physicians and nurses, was also reported favorably after emotional testimony from patients and advocates describing delayed care and bias. Later, the committee approved SB 1404 on memory care, after a strike-all amendment creating a new memory care specialty license for assisted living facilities that advertise or provide specialized memory care services, while allowing optional supportive services without the new license. Supporters from the senior living industry backed the clarification. The committee then passed SB 914, which clarifies that licensed occupational therapists may perform dry needling, after an amendment adjusting supervision and continuing education language. Finally, the committee took up SB 1758, a broad Medicaid and SNAP reform bill that would strengthen fraud enforcement, impose Medicaid work requirements for certain able-bodied adults, expand behavioral health services, modernize drug purchasing and prior authorization, and require SNAP fraud-reduction measures. Several amendments were adopted, and members questioned the work requirement, implementation costs, EBT card photo identification, and due process concerns; debate continued as the transcript ended.

Transcript Highlights:

• It also allows the state to retroactively receive federal funds, federal reimbursements, when recipients
• Families like mine live in poverty. Families like mine live in poverty despite working hard.
• Families like mine already struggle in poverty.
• Banks, and Western Center on Law and Poverty.
• Because of the fact that it's an optional benefit under federal law.

Summary: The joint informational hearing focused on the impact of H.R. 1 on older Californians and related county administration issues. Chair Jackson and Chair Addis opened by emphasizing California’s rapidly aging population and the need to protect seniors’ access to food, health care, housing, and in-home support services. Testimony from the Department of Social Services, Department of Health Care Services, and Department of Aging described how H.R. 1 would expand work and reporting requirements in CalFresh and Medi-Cal, increase redeterminations, and create new eligibility barriers. Witnesses and advocates warned that these changes could lead to large coverage losses, especially for adults ages 55 to 64, people experiencing homelessness, caregivers, and some immigrant groups, while also increasing administrative burden on counties. The LAO noted that many provisions do not directly apply to Californians 65 and older, but highlighted indirect effects and some direct impacts, including a new home equity limit for certain long-term care recipients and narrower immigration eligibility rules. Committee members pressed the administration and counties on how exemptions would be identified and implemented, whether data systems could automatically protect eligible people, and how outreach would reach older adults, women, LGBTQ seniors, and people with limited digital access. DHCS and CDSS said they are working to use existing data, cross-program information sharing, and human-centered communications to maximize exemptions and reduce churn, including text outreach, print and radio campaigns, and navigator support. Members also raised concerns about the need for legal aid and county eligibility workers to help people navigate complex rules, and requested updated analyses on the number of people likely to lose both Medi-Cal and CalFresh and the broader human and system impacts. No votes were taken. The second major topic was the administration’s proposal to shift some future IHSS costs to counties by establishing a statewide baseline for average authorized hours per case. CDSS said the proposal is intended to improve consistency in assessments and not reduce services, while counties and labor groups strongly opposed it, arguing that rising hours reflect real increases in need, an aging and higher-acuity caseload, and state-mandated assessment tools rather than county error. County representatives said the proposal would strain already limited local revenues, worsen the effects of H.R. 1, and could force cuts to other safety-net services. Committee members questioned the proposal’s timing and impact, but the hearing ended without action, with the chairs asking for continued updates, additional analysis, and more information before May Revision.