Transcript Highlights:

• HB 2355 is not a permanent expansion of services.
• I know there was a Medicaid 1115 waiver to provide mental health treatment and substance use treatment
• of the service is.
• We didn't say you can't provide the service.
• You had to have the proper treatment, and then the speed of treatment tended to pay a big, big in outcomes

Committee: House Health and Mental Health

Transcript Highlights:

• . treatment. treatment.
• . service. service.
• </c> services. Mhm. services. Mhm.
• . services. services.
• We don't set those rates for those services. services. services.

Summary: The commission met to approve the May 18, 2026 minutes and then focused on how SB 57’s special education cost study should inform HB 1099, which creates a separate study committee on residential placements and related education costs. Members discussed sending the commission’s minutes and findings to that new committee, noting the short timeline for its work and the need to be specific about unresolved issues so the new group does not duplicate the same questions. A major topic was the cost and responsibility for students placed at Spalding and similar residential programs, especially transportation and whether costs are paid through the Department of Education’s episode-of-treatment (EOT) fund, local districts, DHS, or Medicaid. Staff explained that for students with disabilities, EOT funds cover special education and transportation costs tied to the placement, while students without disabilities are handled through DHS care-management and best-interest meetings. Members raised concerns about whether some students at Spalding are receiving no schooling, whether transportation costs are substantial, and whether Medicaid reimbursement could offset some expenses. The commission also discussed confusion over district responsibility when students placed in residential programs attend school in another district, using Winnisquam as an example. Several members said the receiving district was not notified that DHHS-approved programs could bring in additional students and costs, and they suggested DHHS or its care-management entity should notify both the district of residence and the receiving district when a program is approved. The group agreed this notification issue, along with transportation funding, privacy concerns in Medicaid-to-schools billing, and the distinction between special education placements, EOT placements, and other voluntary residential placements, should be passed to the HB 1099 study committee for further work.

Transcript Highlights:

• Grant us wisdom in our deliberations, clarity in our decisions, and humility in our service.
• for certain medically necessary dental procedures as a result of cancer treatment.
• for certain medically necessary dental procedures as a result of cancer treatment.
• Armed Services or a citizen who resides outside the United States.
• What does the Public Service do? Do you, as a representative, serve within the public service?

Bills: HR252 , HR253 , HR254 , HR255 , HR256 , HCR103 , HCR104 , HR244 , HR245 , HR246 , HR247 , HR248 , HR249 , HR250 , HR251 , HCR101 , HCR102 , SCR40 , SCR60 , SB112 , SB131 , SB145 , SB194 , SB268 , SB307 , SB312 , SB319 , SB333 , SB341 , SB346 , SB464 , SB466 , SB488 , SB495 , SB503 , SB507 , SB509 , HR9 , HR196 , HCR27 , HCR28 , HCR50 , HCR62 , HCR67 , HCR71 , HCR78 , HCR81 , SCR20 , HB123 , HB251 , HB625 , HB662 , HB709 , HB769 , HB775 , HB783 , HB895 , HB1011 , HB1057 , HB1155 , HB1186 , HB1224 , HB1245 , HB1247 , HB1253 , HB1254 , HB1255 , HB1256 , SB8 , SB10 , SB11 , SB12 , SB13 , SB14 , SB16 , SB17 , SB18 , SB20 , SB21 , SB22 , SB40 , SB48 , SB55 , SB69 , SB75 , SB77 , SB78 , SB85 , SB102 , SB115 , SB133 , SB140 , SB148 , SB151 , SB165 , SB169 , SB170 , SB185 , SB197 , SB200 , SB217 , SB235 , SB278 , SB280 , SB291 , SB300 , SB303 , SB315 , SB324 , SB330 , SB411 , SB416 , SB420 , SB436 , SB438 , SB449 , SB455 , SB456 , SB477 , SB489 , SB521 , SB97 , SB105 , HR171 , HCR49 , HCR65 , HCR72 , HR37 , HCR64 , HR170 , HR191 , HR206 , HR207 , HR208 , HR217 , HCR11 , HCR53 , HCR60 , HCR66 , HCR68 , SCR19 , SCR3 , SCR6 , SCR18 , SCR11 , SCR22 , SCR2 , HCR6 , HB64 , HB68 , HB92 , HB130 , HB258 , HB633 , HB801 , HB61 , HB98 , HB102 , HB139 , HB142 , HB170 , HB185 , HB194 , HB199 , HB231 , HB247 , HB294 , HB336 , HB474 , HB661 , HB842 , HB852 , HB66 , HB153 , HB165 , HB326 , HB387 , HB455 , HB513 , HB603 , HB660 , HB719 , HB762 , HB766 , HB802 , HB816 , HB833 , HB940 , HB950 , HB975 , HB1028 , HB1039 , HB1051 , HB1053 , HB1080 , HB1201 , HB1215 , HB1228 , HB1251 , HB1252 , SB1 , SB23 , SB32 , SB42 , SB43 , SB46 , SB51 , SB110 , SB113 , SB150 , SB154 , SB161 , SB218 , SB220 , SB221 , SB253 , SB289 , SB310 , SB351 , SB399 , SB404 , SB502 , SB26 , SB28 , SB29 , SB30 , SB41 , SB44 , SB64 , SB84 , SB87 , SB93 , SB98 , SB107 , SB118 , SB142 , SB192 , SB195 , SB199 , SB219 , SB222 , SB234 , SB241 , SB255 , SB275 , SB277 , SB292 , SB294 , SB306 , SB314 , SB482 , HCR32 , HB798 , HB998 , HB1084 , HB1223 , HB59 , HB955 , HB1191 , HB1234 , HB646 , HB824 , HB341 , SB397 , SB442 , HB901 , HB79 , HR20 , HR74 , HB284 , HB306 , HB366 , HB393 , HB458 , HB577 , HB582 , HB605 , HB614 , HB682 , HB733 , HB752 , HB773 , HB911 , HB926 , HB996 , HB1035 , HB1069 , HB1113 , HB1140 , HB1180 , HB1240 , SB47 , SB82 , SB89 , SB149 , SB382

Summary: The House met with a quorum, opened with prayer and the pledge, adopted the journal, and received a large number of Senate messages, committee reports, and bill referrals. Members also introduced several resolutions and recognized guests, including students from Allen Parish, federal appointees Brandon Beach and Paul Hollis, and other visitors. The chamber then moved through a lengthy agenda of House and Senate measures, with many bills and resolutions reported favorably, amended, or referred to committee. Among the notable floor actions, the House adopted H.R. 32 urging the Port of New Orleans to obtain backup motors for the St. Claude Avenue Bridge. It also passed bills on a wide range of topics, including local court and ordinance procedures for Alexandria, prohibiting reporting criminal fines and fees to credit bureaus, veterans’ lottery benefits, police chief residency in Tickfaw, fire marshal plan review authority, expanding the definition of first responder to include public works employees, NIL protections for student athletes, salary increases and additional positions for assistant district attorneys, limiting OMV debt referrals for unpaid reinstatement fees, watershed restoration and flood control funding, a sexual assault survivor task force, elderly consumer protection education, recreation of the Public Service Commission, Medicaid reimbursement for non-emergency medical transportation, local sales tax audit procedures, alcoholic beverage definitions for salons and similar businesses, transfer of removed monuments to state park property, hearing aid dealer regulation updates, a permit fee for small in-state distillers, expanded city court jurisdiction in Avoyelles Parish, and a narrowed version of the Alexandria administrative adjudication bill. Several measures were amended on the floor before passage, including the Alexandria ordinance bill, the sales tax audit bill, the alcohol/beverage bill, and the monument transfer bill. The House also temporarily returned some bills to the calendar for later consideration. Most measures passed overwhelmingly, though House Bill 153 on criminal court debt reporting passed with 67 yeas and 18 nays, House Bill 660 on assistant district attorney salaries passed 94-1, House Bill 719 on additional ADA positions passed 95-0, House Bill 883 on the sexual assault task force passed 86-2, House Bill 1028 on non-emergency medical transportation passed 81-15, and House Bill 1215 on monuments passed 78-14.

Transcript Highlights:

• It does not expand involuntary treatment.
• and support services for their serious mental illnesses involving psychosis.
• However, these are not individuals who are eligible for involuntary treatment.
• , but they're not quite symptomatic enough for involuntary treatment.
• It has to be a service dog or it can be a small dog.

Committee: Senate Judiciary

Transcript Highlights:

• </c> impose sales tax on services. impose sales tax on services.
• </c> such, they have been treated as service such, they have been treated as service providers,<00:43
• </c> use AI to then come up with treatment use AI to then come up with treatment plan<00:48:30.240><c
• </c><01:30:23.360><c> The</c> outpatient therapy services. The outpatient therapy services.
• </c> the state medical assistance and service the state medical assistance and service service<01:32:

Transcript Highlights:

• services.
• they would have this money for that medical service.
• They're never going to use that future medical treatment.
• They're never going to use that future medical treatment.
• I come in for service, but I also have health insurance.

Committee: House Civil Law and Procedure

Summary: The committee first heard Senate Bill 476, which would add clearer warning language for garnishees responding to interrogatories and create a limited procedure for a new trial when a garnishee can show it never held property or owed the debtor during the garnishment period. After brief questions about how garnishment works, the bill was reported favorably without objection. Senate Bill 260, a youth athletics coaches training bill, was then amended to remove language about the department using donated funds to purchase courses and was reported as amended. House Bill 79, by Chairman Carter, would remove the damages cap for carbon capture release claims. Carter argued carbon capture should be treated like other industries and not receive special liability protection, and the committee reported the bill favorably without objection. The committee also took up Senate Bill 424, which clarifies that electronic service applies only to counsel of record representing a party, and Senate Bill 180, a constitutional amendment allowing a surviving spouse of a deceased disabled veteran to make a one-time transfer of an expanded property tax exemption to another qualifying homestead. SB 180 received a ballot-language amendment and a 6.88 report before being reported as amended. The longest discussion centered on House Bill 1089, which creates “care accounts” for future medical damages in delictual actions. Supporters said the bill would ensure future medical awards are used for medical care, reduce abuse, and function like a restricted account with a card or similar payment mechanism; opponents raised concerns about the account being owned by the judgment debtor, possible reversion of unused funds to the wrong party, administrative confusion, and impacts on survivors of trafficking and sexual abuse who may need flexible, trauma-informed care outside standard billing codes. After extensive testimony and debate, the committee adopted an amendment set and reported the bill favorably by a 6-1 vote, with Representative Carter voting no. Finally, House Bill 437 was heard and amended. The bill would prohibit expert witnesses from having a pecuniary interest in the outcome of the case, while still allowing inquiry into an expert’s prior testimony history. An amendment excluded criminal traffic and juvenile proceedings, and the committee continued discussion with testimony from supporters and opponents as the transcript ended.

Transcript Highlights:

• It does not expand involuntary treatment. Thank you.
• It does not expand involuntary treatment or weaken due process protections.
• and support services for their serious mental illnesses involving psychosis.
• However, these are not individuals who are eligible for involuntary treatment.
• , but they're not quite symptomatic enough for involuntary treatment.

Summary: The Senate Judiciary Committee heard several bills focused on health care planning, mental health, housing, homeowners associations, groundwater enforcement, pet-friendly rental disclosures, and post-disaster property protections. SB 1088 would modernize POLST and DNR forms by renaming POLST to “portable orders for life-sustaining treatment,” allowing nurse practitioners and physician assistants to sign, clarifying that the forms are voluntary, recognizing out-of-state forms, and permitting electronic signatures. It drew support from the Coalition for Compassionate Care and related groups and no opposition was presented. SB 1242 would allow family members who originally petitioned in CARE Court to continue participating for care coordination and information-sharing, subject to judicial discretion; supporters said it would improve treatment coordination, while Disability Rights California opposed it as coercive and a threat to confidentiality. The committee voted 7-0 to pass SB 1242, and it was placed on call. The committee also considered SB 1007, which would require more HOA transparency, including clearer budget comparisons and disclosure of evidence for violations, and would lower the threshold for regular assessment increases without a homeowner vote. Supporters argued it would curb steep fee hikes and improve accountability, while HOA industry groups warned it could undermine funding for insurance, maintenance, and other operating costs. Members raised concerns about the cap on assessments, but the bill advanced on a 6-1 vote and was placed on call. SB 1364, as amended, would bar custody or visitation rights for a person who impregnated a survivor through sexual assault, using a clear-and-convincing evidence standard rather than requiring a criminal conviction; supporters said it protects survivors and may increase federal funding, while opponents argued it could deny children a relationship with a parent. The bill passed 8-0 and was placed on call. Additional measures included SB 997, which would give the North Fork Kings Groundwater Sustainability Agency lien authority to enforce fees and sustainability rules; it had support from local water, farm, and county representatives and passed 9-0. SB 1296 would require landlords to disclose pet policies up front in applications, ads, and websites and allow application-fee refunds if disclosure was not made before payment; supporters said it would reduce wasted fees and pet relinquishment, while rental housing groups raised concerns about signage, ADA language, and vaccination disclosures. The bill passed 8-0 and was placed on call. Finally, SB 1090 would prohibit large property owners from making unsolicited purchase offers for five years in wildfire disaster areas, aiming to curb post-disaster speculation; supporters described aggressive investor pressure after the Eaton and Palisades fires, while real estate and title groups raised implementation and enforcement concerns. The committee was still discussing the bill when the transcript ended.

Transcript Highlights:

• </c> you know Department of Human Services you know Department of Human Services and<00:07:47.759><c>
• of services in a consolidated, centralized service center.
• of services in a consolidated, centralized service center.
• of services in a consolidated, centralized service center.
• </c><02:25:27.479><c> Social</c><02:25:27.800><c> Services</c> County Social Services Social Services

Committee: Senate Human Services

Transcript Highlights:

• Article one is the aging services bill. The aging services bill.
• Article two is disability services.
• the program integrity provisions. they can provide services for children they can provide services for
• </c><00:12:08.959><c> It</c> goes to the service providers. It goes to the service providers.
• </c> from the Department of Human Services. from the Department of Human Services.

Bills: HF2433 , HF2434

Committee: House Ways and Means

Transcript Highlights:

• IT WILL BE 14 BED MODULES AND 16 ACCESS SERVICES.
• AS WELL AS TREATMENT PLANS.
• LAST YEAR WE HEARD ON THE MENTAL HEALTH TREATMENTS THE CHILDREN GOT IT WEEKLY.
• TREATMENT PLANS.
• IT WILL ALSO HAVE A MEDICAL CLINIC FOR DIAGNOSTICS AND TREATMENTS OF ACUTE CONDITIONS.

Transcript Highlights:

• </c> health services. health services.
• and training for providing treatment and training for staff. staff. staff.
• ,</c> in the client's treatment, in the client's treatment, and<00:15:19.200><c> paperwork</c><00:15:
• Withdrawal management programs often operate as an emergency service.
• Withdrawal management programs often operate as an emergency service.

Summary: The committee took up House File 729, an omnibus policy bill, and walked through a series of amendments before moving the bill forward. Early amendments addressed adult maltreatment accountability, senior nutrition flexibility, MA provider enrollment and fraud prevention, Direct Care and Treatment data and staffing provisions, disability and aging policy changes, technical corrections from DHS, behavioral health language, and MDH policy updates. Most amendments were adopted without public opposition, and several members and testifiers described them as clarifications or technical fixes to existing policy. Testimony focused on the practical effects of the bill’s provisions. Direct Care and Treatment representatives said the changes would help with data sharing, governance, staffing, patient care, and longer return stays for certain patients. Several witnesses from the substance use disorder and health care provider community supported changes to discharge summary deadlines and claims recoupment rules, arguing that business-day timelines and limits on late clawbacks would reduce administrative burden and financial uncertainty. A disability advocate also urged passage of the bill, saying services for people with disabilities were at risk if it did not advance. After public testimony and member discussion, the committee adopted the DE2 amendment as amended and then approved the bill as amended. Chair Noor renewed the motion to re-refer House File 729 to the Committee on Ways and Means, and that motion passed.

Transcript Highlights:

• service.
• Treatment does not need to Treatment does not need to take place in a hospital, but we do require services
• service.
• service.
• they designate service areas for ambulance services, ensure that a central ambulance service covers

Summary: The committee was called to order, a quorum was established, and the minutes from the prior meeting were approved. The first major presentation came from Montana Public Employees Retirement System executive director William Hollahan, who gave an overview of Montana’s Volunteer Firefighters’ Compensation Act plan. He explained that the plan covers volunteer firefighters in unincorporated areas, is funded by 5% of state fire insurance premium taxes, and currently serves 228 departments with about 2,936 active members and 1,242 retirees. He described eligibility rules, annual training and reporting requirements, benefit levels for partial and full pensions, disability, death, medical, and funeral benefits, and said the plan is actuarially sound with roughly $60 million in assets and a funded ratio slightly above 100%. Committee members asked about prior-service credit, whether EMS personnel are included, the effect on recruitment and retention, and whether expanding coverage would require a funding analysis; Hollahan said prior service is not credited, EMS is not currently included, and any expansion would need financial review. Tim Walleen of Workforce Safety and Insurance then presented a draft North Dakota workers’ compensation solution for volunteer firefighters and volunteer EMS personnel. He explained that volunteer responders are already covered by workers’ comp for medical and wage-loss benefits, but the proposal would set a minimum annual wage of $30,000 for calculating wage-loss benefits for qualifying volunteers, with the benefit paid at two-thirds of that amount. Representative Porter suggested tying the volunteer definition to existing code rather than a fixed dollar amount, and Walleen agreed. Questions focused on whether search and rescue or other volunteer emergency services could be included, whether departments would face new paperwork, and whether volunteer organizations can already elect coverage; Walleen said there would be no additional paperwork and that volunteer coverage is already available. The committee also heard from volunteer fire service representatives and the state fire marshal. An Oakes-area firefighter, Mr. Olson, testified that small departments are struggling with retention, communication, and administrative burdens, especially around separate bookkeeping and funding rules for donated or fundraising money, and he said departments need clearer guidance from the state. State Fire Marshal Dr. Matthew Clark introduced himself and outlined a broader effort to improve education, support, and coordination for fire departments, including a planned 10% audit of certificates of existence beginning in 2027, more outreach through his office, and better assistance with training, reporting, and grant access. He said his office is authorized under current law to provide these services, but the role has been vague and underused. Finally, Arnagard Rural Fire District Chief Rick Schreiber testified in favor of new recruitment and retention ideas, including retirement-style benefits, health insurance, tax incentives, scholarships, grants, and more remote or regional training. He said volunteer departments are losing members, that local tax and donation funds are already stretched, and that any new retirement or incentive program should be sustainable and likely involve a mix of state and local support.

Transcript Highlights:

• health evaluation for diagnosis of PTSD and 11 treatment sessions within the 90 days.
• Once the claim is allowed, the worker must seek treatment from a network provider.
• and treatment, but the note provides that early services and treatment are expected to reduce overall
• So it's at its core investing in treatment in these workers to get better outcomes for them.
• Thank you. behavioral health treatment with these workers who are suffering PTSD claims.

Summary: The committee heard testimony on several bills. Second Substitute House Bill 2479 would create a wage recovery program within L&I to advance part of unpaid wages to low-wage workers facing immediate hardship, funded by civil penalties, while also increasing and restructuring wage theft penalties and complaint prioritization. Supporters, including the prime sponsor, labor advocates, and employer representatives from the work group, said it would help workers get paid faster and was a consensus proposal; questions focused on how the current complaint process works and whether general fund money would be needed. Engrossed House Bill 1941, as amended, would allow licensed cannabis producers to form agricultural cooperatives, with the striking amendment limiting any cooperative to three producer licenses; supporters said cannabis producers should have the same cooperative tools as other agricultural sectors, while some testimony urged future changes for interstate commerce and warned against consolidation. Engrossed Substitute House Bill 2476 would expand the spirits, beer, and wine theater license from 120 to 200 seats per screen and add stronger alcohol-control measures when minors are present; theater operators and LCB supported the change, and committee questions focused on youth access and enforcement. House Bill 1526 would allow snack bar licensees to sell wine by the glass in addition to beer; the sponsor said it simply modernizes the license, and LCB noted a likely fee alignment issue and a small revenue impact. Engrossed Substitute House Bill 1155 would void non-compete agreements and expand related notice and non-solicitation rules, with testimony split between labor and worker advocates supporting broader worker mobility and business and health care groups seeking narrower exemptions for executives, physicians, and financial institutions. Engrossed Substitute House Bill 2303 would prohibit employers from requesting or coercing employees to accept microchip implants, with no testimony offered. Substitute House Bill 2405 would create a three-year pilot for earlier PTSD treatment coverage in workers’ compensation for eligible occupational disease claims, with L&I supporting it as a way to improve outcomes and reduce long-term costs. The committee also took public testimony on these bills, with strong pro and con positions noted on the wage recovery, cannabis cooperative, and non-compete measures. In executive action, the committee adopted a striking amendment and passed House Bill 1069, narrowing it to Department of Corrections employees and making supplemental retirement bargaining mandatory, despite concerns from one member about the change. The committee also adopted a striking amendment on House Bill 1347 concerning cannabis testing labs, then passed it to Rules; passed Second Substitute House Bill 1701 on liquor licensees sharing property; passed House Bill 291 on employee information for public employers to Ways and Means; passed Engrossed Substitute House Bill 2229 updating engineer registration provisions; passed House Bill 2264 on unemployment eligibility for workers in employer-initiated layoffs; passed Substitute House Bill 2472 adding enforcement for sprinkler contractors and fitters; and passed Second Substitute House Bill 2345 on paid family and medical leave premium allocation. A striking amendment to Second Substitute House Bill 1128 creating a child care workforce standards board was not adopted, and the bill then passed to Rules. The committee also announced it would hold House Bill 1066 for later action and planned to return the next day for its final executive session.

Transcript Highlights:

• Following his service, he held several prominent community roles. And the United States.
• Public service is never an individual journey, as we all know. It is a family commitment.
• Hundreds of rare diseases still have no treatment and thousands have no cure.
• We strive to carry forward her commitment to service, justice, and hope.
• John Jackson lived a life guided by faith in people and committed to service to his community.

Transcript Highlights:

• , including treatment.
• Thank you very much. ...to services, including treatment.
• and treatment programs.
• </c><00:50:13.799><c> and</c><00:50:13.960><c> treatment</c> other vital services and treatment other
• vital services and treatment programs<00:50:15.319><c> instead</c><00:50:15.640><c> of</c><00:50:15.839

Committee: House Health

Summary: The Committee on Health heard testimony on several bills. On SB 1441, which would repeal the transfer of the Oahu Regional Health Care System from HHSC to the Department of Health, the Department of Health said it strongly supports the measure and requested clarifying amendments. HHSC/Oahu Region also supported the bill and said it had no objection to the department’s amendments. In response to questions, witnesses said the agencies have been working on an MOU to support transfers of long-term care patients to Leahi, with the current goal being about 10 to 15 patients, but transfers would occur only as space and staffing allow; one patient was reportedly being admitted at the time, and the process was described as slow and case-by-case. The committee then heard SB 1443 on payment rates for state hospital patients and related Department of Health services. The hospital administrator said the bill would allow rates above Medicaid for community or foster-home placements if patients cannot be placed at Leahi or elsewhere, and would set Medicaid-level reimbursement for outside medical services used by state hospital patients. He said at least one provider was interested in offering services at that rate and that the population involved is largely non-ambulatory long-term care patients. Members asked about availability and training, and the witness said special training could be provided. SB 1322, a broad mental health bill, drew mixed testimony. The Department of Law Enforcement supported giving crisis-intervention-trained officers more discretion to transport people to medical care instead of arresting them. The Attorney General supported the bill but recommended revisions to emergency-transport language and restoring liability protections. HHSC and Queens Hospital supported the overall goal but sought amendments to preserve the mental health emergency worker role in decision-making and to avoid negative impacts on emergency departments. The Disability Rights Center and ACLU opposed parts of the bill, arguing that it weakens due process, reduces protections in involuntary treatment and transport, and should retain a three-person treatment panel rather than reduce it to one. A Queens representative said the current program works well and reported that more than 90% of MH1 cases once went to hospitals, but that figure has dropped to about 60-70%, with about 20% now diverted to community settings or the behavioral health crisis center. No votes or final committee actions were taken in the portion provided.

Transcript Highlights:

• If a health plan denies a service or treatment, they must provide a reason for the denial to the member
• gender-affirming care services.
• access to these services.
• different state-only services.
• All of the services from their federal funding streams to be able to offer state-only funded services

Summary: The joint hearing focused on access to gender-affirming care in California, with opening remarks emphasizing the state’s legal protections, the importance of decorum, and the impact of federal actions on transgender, gender-diverse, and intersex Californians. The Department of Justice, Department of Managed Health Care (DMHC), and Department of Health Care Services (DHCS) described current state protections, including nondiscrimination rules, privacy and shield laws, Medi-Cal and commercial coverage requirements for medically necessary care, and ongoing litigation challenging federal executive orders, proposed rules, and HHS actions that could restrict care or threaten provider participation in Medicare and Medicaid. Officials also noted that California continues to oppose federal proposals through lawsuits and public comments, and that the state is preparing strategies if those proposals are finalized. Members asked about hospital closures or pauses in care, continuity of care, provider network adequacy, whether additional legislation or funding is needed, and how the state can better track access and enforce existing protections. DMHC said it monitors complaints and independent medical reviews, but does not have a specific provider category for gender-affirming care and does not collect utilization data by service type; DHCS said Medi-Cal covers medically necessary gender-affirming care and that federal proposals are not yet final. Finance staff said the previously approved $15 million allocation is still being implemented through Covered California. The second panel heard from a physician, clinic leaders, parents, and a transgender youth about how families and providers navigate access to care. Dr. Johanna Olson-Kennedy described the history of transgender medical care, the role of puberty blockers and hormones, and said minors need parental consent for medical interventions, while emphasizing that care should be individualized and that supportive parents improve outcomes. She also described the closure of the Children’s Hospital Los Angeles youth program and the difficulty of rebuilding care in private practice, including insurance contracting barriers and inadequate reimbursement. J.M. Jaffe of Lyon Martin Community Health Services said the clinic has expanded to serve minors after hospital programs closed, but that the shift has created major financial strain and increased demand, and asked for a $26 million state investment to stabilize transgender health services. Parents and youth described delays, cancellations, and uncertainty at Kaiser, Stanford, UCSF, and Rady Children’s, along with the emotional and medical consequences of interrupted care. One parent said TRICARE stopped covering her son’s care after federal changes and that Rady later closed its clinic; her family urged California to backfill lost access and funding. A 16-year-old trans student and other witnesses argued that California should remain a reliable source of care and that current protections are not enough without funding, provider support, and stronger enforcement.

Transcript Highlights:

• are not able to access treatment, and funding is never provided to treatment specifically for either
• , or polygraph services unless the treatment or service conforms to the prescribed guidelines and standards
• Unless the treatment or service conforms to the prescribed guidelines and standards for sex offender-specific
• services must meet.
• These amendments ensure evaluations, treatment, and services are conducted by properly trained and credentialed

Bills: SB1067 , SB1234 , SB1285 , SB1295 , SB1392 , SB1413 , SB1436 , SB1470 , SB1476 , SB1489 , SB1512 , SB1535 , SB1540 , SB1556 , SB1568 , SB1569 , SB1570 , SB1573 , SB1585 , SB1609 , SB1627 , SB1634 , SB1635 , SB1644 , SB1647 , SB1648 , SB1650 , SB1653 , SB1654 , SB1655 , SB1656 , SB1657 , SB1658 , SB1661 , SB1662 , SB1664 , SB1666 , SB1667 , SB1669 , SB1709 , SB1720 , SB1723 , SB1725 , SB1743 , SB1746 , SB1748 , SB1755 , SB1786 , SB1820 , SB1822 , SB1829 , SCR1027 , SCR1040 , SCR1048

Committee: Senate Judiciary and Elections

Transcript Highlights:

• If a health plan denies a service or treatment, they must provide a reason for the denial to the member
• If a health plan denies a service or treatment, they must provide a reason for the denial to the member
• gender-affirming care services.
• access to these services.
• different state-only services.

Summary: The joint hearing focused on access to gender-affirming care in California, with opening remarks from the subcommittee chairs emphasizing the importance of protecting transgender, gender-diverse, and intersex Californians and asking for decorum during public comment. The first panel from the Department of Justice, Department of Managed Health Care, and Department of Health Care Services described existing state protections, including nondiscrimination rules, privacy protections, shield laws, and Medi-Cal and commercial coverage requirements for medically necessary gender-affirming care. State officials also outlined ongoing litigation against federal actions and against hospital decisions to end or restrict care, including the Rady Children’s case and challenges to federal proposed rules and declarations affecting Medicaid, Medicare, and provider participation. Members questioned state agencies about why some hospitals that had stopped providing care had not been sued, how network adequacy is measured, whether the state can track actual access to gender-affirming care, and what legislative changes might strengthen protections. DMHC said it monitors complaints and independent medical reviews but does not track gender-affirming care as a separate provider category or collect utilization data, while DHCS said Medi-Cal continues to cover medically necessary care and that the state is preparing for possible federal rule changes. Finance staff said the previously approved $15 million for gender-affirming care was still being implemented through Covered California. The second panel featured a physician, clinic leaders, a parent, and a transgender teen describing how care is delivered and the effects of hospital closures and federal pressure. Dr. Johanna Olson-Kennedy described the history and medical basis for gender-affirming care, said minors need parental consent for medical interventions, and argued that care should be individualized and supported by families. Providers and families testified that hospital closures and insurance barriers have disrupted continuity of care, forced patients to travel farther, and shifted demand to community clinics that lack sufficient funding and contracting support. Several witnesses asked the Legislature to provide new funding, strengthen insurance enforcement, and stabilize access to care for transgender youth and families.

Transcript Highlights:

• Treatments are available to these patients, even at an early age.
• Each provider creates and maintains a record of that treatment.
• Each provider creates and maintains a record of that treatment.
• It's treatment delays. And to specialists, sometimes it does work.
• I run a lab that investigates treatments for eye cancer.

Summary: The subcommittee met with a quorum present and took up five health-related bills. HB 1089, which would add Duchenne muscular dystrophy to Florida’s newborn screening panel, was presented as a way to enable earlier diagnosis and treatment; a pediatric neurologist from Nemours testified in support, noting existing FDA-approved therapies and ongoing clinical trials. After supportive debate, the bill passed 17-0 and was reported favorably. HB 1083 would standardize patient access to medical records by setting deadlines for providers to produce or allow inspection of records and requiring electronic delivery when available. Supporters said it would reduce delays in care and costs, while two industry groups appeared in opposition. Members from both parties spoke in favor, and the bill passed 17-0 and was reported favorably. HB 1297, which aligns Florida’s electronic prescribing rules more closely with federal law and removes some state exceptions, drew opposition from physicians who argued paper prescriptions are still needed for emergencies, shortages, and price shopping. The sponsor said the bill’s goals were patient safety, fraud prevention, and efficiency; despite concerns, it passed 18-0 and was reported favorably. The committee then considered PCS for HB 1421, the Emily Adkins Family Protection Act, which would create a statewide blood clot and pulmonary embolism registry, require hospital reporting and risk-assessment policies, and expand training requirements in hospitals, nursing homes, and assisted living facilities. The bill was presented with emotional testimony from Emily Adkins’ parents, who urged support and co-sponsorship in her memory. Members from both parties praised the family’s advocacy, and the PCS passed 18-0 and was reported favorably. Finally, HB 449 on optometry would expand optometrists’ authority to prescribe certain medications and perform specified laser and non-laser eye procedures after certification. The bill and amendment drew strong opposition from ophthalmologists and their association, who raised patient-safety, training, and delegation concerns, while optometrists argued the bill would improve access, especially in rural areas and counties without ophthalmologists. The amendment was adopted, and the bill as amended passed on a recorded vote and was reported favorably.

Transcript Highlights:

• The referral could include substance use disorder assessment or treatment, and these services would be
• It provides a consolidated service to help with education, treatment, stable housing.
• We have two concerns: the lack of funding for new services and treatment, and the lack of accountability
• Detention and treatment close to home would also help, but this bill doesn't invest in more treatment
• It is the intensive supervision, treatment, and transition services required after release.

Summary: The Ways and Means Committee met on February 6, 2026, and first voted to suspend the five-day notice rule for all bills on the agenda. Senators Braun and Gildon objected, arguing the bill needed more public review and that the fiscal note had only just been released, but a roll call vote passed 15-9 and the committee proceeded to Senate Bill 6346. Staff briefed SB 6346 as a proposal to create a 9.9% income tax on Washington taxable income above a $1 million per-household standard deduction, with a $50,000 charitable deduction, apportionment rules for nonresidents and certain professions, quarterly estimated payments, and credits for capital gains tax and certain business taxes. Staff said the tax would begin in 2029 and eventually raise about $3.5 billion annually from roughly 30,000 taxpayers. The bill also would expand the Working Families Tax Credit, create a sales tax exemption for grooming and hygiene products, increase the small business B&O tax credit and filing threshold, and end the B&O surcharge on high-grossing businesses one year early. Members questioned the bill’s constitutionality, its exemption from referendum, treatment of student athletes, natural-resource industries, and whether real estate gains would be captured. Public testimony was sharply divided. Supporters, including labor groups, educators, health care advocates, counties, child care workers, and some business owners and high-income individuals, said the bill would make the tax code more progressive and provide stable funding for health care, education, child care, public defense, and other services, while expanding the Working Families Tax Credit. Opponents, including many small business, construction, housing, and taxpayer advocates, argued the measure would function as a tax on pass-through businesses and retained earnings, harm housing production and investment, encourage wealthy residents and businesses to leave the state, and violate the state constitution or the will of voters. No final action on SB 6346 was taken during the hearing.