Transcript Highlights:

• </c> time-consuming for the person enduring time-consuming for the person enduring it,<00:52:32.960><
• How will this affect the operations of your court?” And they just had little tiny tweaks.
• </c> How will this affect your the operations How will this affect your the operations of<00:56:32.560
• That's how he operates.
• That's how he operates.<03:02:26.720><c> And</c> operates. And operates.

Keywords: 916, all

Transcript Highlights:

• But it's focused on physical health.
• John's Community Health Center, David received emergency services from a hospital as well as mental health
• My name is Kain Hing, and I serve as the president at Sierra Health Foundation's Center for Health Program
• My name is Ben Wong with Agent Health Services.
• mental health services.

Keywords: 988, house, all

Transcript Highlights:

• any grape producer from either planting new grapes or establishing a winery or expanding their operations
• hopefully resolve some of the issues that our folks have, the way they can continue to grow their operations
• This is just a quick overview of our budget, so 51% is devoted to operations.
• This is just a quick overview of our budget: 51% is devoted to operations, 38% to marketing, and 11%
• That was an idea that our stakeholders put into our brains that they wanted to show how prideful we are

Summary: The committee first approved the minutes from Tuesday, February 24, 2026, by motion and voice vote, with no opposition. Members then heard an annual update from the Idaho Grape Growers and Wine Producers Commission and the Idaho Wine Commission on the state’s wine industry. Presenters described the history and growth of Idaho wine, noting the first grapes planted in Lewiston in 1864, the industry’s decline during prohibition, and its revival beginning in the 1970s. They said Idaho now has about 1,300 to 1,400 acres of wine grapes, 65-plus wineries and cideries, and three federally designated AVAs. The commissions emphasized marketing, education, and grant-funded outreach, including seminars, social media promotion, and a recent grant for an Idaho-made wine campaign. They also highlighted industry growth in economic impact and jobs, and said many wineries are women-owned. Key challenges discussed were land-use restrictions, water supply, and labor. Roger Batt said some county zoning rules, especially in Ada County, make it difficult to plant, expand, or establish wineries without neighborhood approval, and he suggested legislation may be drafted for a future session. James Netteran explained that wine grapes are a high-value but labor-intensive crop, requiring significant hand work and upfront investment, while also using relatively little water. He also described agritourism and farm diversification as important parts of the industry’s business model. Members asked questions about industry growth, women-owned wineries, and tasting room traffic. Netteran explained that economic growth has outpaced tonnage because the industry has shifted from one dominant producer to many smaller family operations, and he said weekend visitation at his winery can range from about 100 to 500 people. The meeting concluded with thanks and adjournment.

Transcript Highlights:

• </c><00:18:33.200><c> care</c> up our home health care up our home health care assistance<00:18:35.080
• </c> Registries or collecting health Registries or collecting health information<00:22:48.640><c> but
• </c> Hammond from the Department of Health Hammond from the Department of Health and<00:32:39.720><c>
• health problem term.
• I have been working for 15 years in both maternal child health as well as health equity and mental health

Keywords: 1189, house, all

Transcript Highlights:

• John's Community Health Center, David received emergency services from a hospital as well as mental health
• My name is Kain Hing, and I serve as the president of Sierra Health Foundation's Center for Health Program
• My name is Ben Wong with Agent Health Services.
• My name is Ben Wong with Agent Health Services.
• mental health services.

Summary: The Assembly Human Services Committee held an informational hearing with members of the API Legislative Caucus on California’s Stop the Hate Program and broader efforts to address hate incidents. Opening remarks emphasized the rise in hate during and after the COVID-19 pandemic, the importance of culturally and linguistically competent services, and the program’s role in serving not only AAPI communities but also Latino, Black, Jewish, Muslim, LGBTQ+, immigrant, and other impacted communities. Legislators and presenters repeatedly highlighted the value of trusted community-based organizations (CBOs) in reaching people who may not report to law enforcement or seek traditional services. The first panel included the California Commission on Asian and Pacific Islander American Affairs, the Department of Social Services (CDSS), and the Commission on the State of Hate. They described the program’s origins in the state’s equity budget, its funding structure, and its service model: direct victim services, prevention, and intervention. CDSS said 180 organizations statewide have participated, with grantees selected based on experience, capacity, and service to priority populations. The Commission on the State of Hate reported that hate remains widespread and underreported, citing survey data showing about 3.1 million Californians experienced at least one hate act in a year and that many victims need mental health, legal, and other supports beyond police response. Members asked about best practices, youth impacts, administrative costs, and the role of regional leads; CDSS said it would provide more detail on funding distribution and that the final evaluation is still in progress. The second panel featured grantees from Jewish Family Service San Diego, Inland Chinese American Association, Center for Empowering Refugees and Immigrants, and Equality California. They gave examples of how Stop the Hate funding supported culturally specific response teams, counseling, language-access services, self-defense and safety workshops, youth and elder programming, legal navigation, and reporting tools. Several speakers said the program helped build trust, reduce isolation, and connect people to services they otherwise would not use. Legislators pressed the panel on lessons learned, whether the model should be reauthorized, and what would be lost if funding ends. Panelists emphasized that the program’s flexibility, regional convenings, and support for small, trusted organizations were key strengths, while also noting the need for more direct funding to frontline providers and more data on what interventions work best.

Transcript Highlights:

• And then you add health care, $73 million a year.
• And so now we put the funding there so they can operate within CYFD.
• And Senator, I'm just curious, because I'm just curious to pick your brain.
• The more positive effect on a person's paycheck is health care.
• So are we duplicating by sending money to the Department of Health this year?

Summary: The committee first heard Senate Bill 152, which would create a low-income telecommunications assistance program and continue support for rural broadband operations and maintenance through the State Rural Universal Service Fund. Senator Padilla and Office of Broadband Access and Expansion Director Jeff Lopez said the bill responds to the loss of federal affordability support and would help low-income households pay for broadband, while also preserving funding for rural carriers and maintenance. Supporters included the Greater Albuquerque Chamber of Commerce, the New Mexico Exchange Carrier Group, tribal telecom representatives, and several rural providers, who said affordability is the main barrier to service and that the bill would help families, students, and rural communities. A few witnesses opposed parts of the bill, arguing that the ARS funding should be redirected entirely to broadband affordability and that legacy POTS-line support should sunset. Committee members asked about ETC requirements, satellite and wireless options, rural density, and the sunset provision; the sponsor said the sunset on ARS would be removed and that stakeholder discussions would continue in the interim. The committee voted due pass on the Senate Finance Committee substitute for SB 152. The committee then took up Senate Rules Committee substitute for Senate Bill 132, which would add software planning and replacement to the state’s equipment replacement fund. The sponsor and expert said state agencies now rely heavily on software for core services and that planning for software alongside hardware would improve efficiency, security, and long-term sustainability. There was no opposition, and the committee voted due pass on the substitute. The meeting then shifted to a lengthy discussion of Senate changes to House Bill 2, the budget bill. Senate Finance staff described roughly 300 changes, including additional funding for fire response, early childhood, housing, health care, quantum initiatives, public safety, courts, transportation, education, and several social service programs. Members questioned cuts or reallocations affecting state employee pay, public school capital outlay, the state fair redevelopment, CARA, personal care services, the Office of Child Advocate, and other items. The presenters repeatedly defended the Senate’s use of funds as a way to preserve reserves while prioritizing health care, housing, education, and other recurring needs, and said reserves would remain above the target level even with the changes discussed.

Transcript Highlights:

• There's a little over 1,800 licensed providers, and they are going to be looking primarily at health
• We're looking primarily at health and safety when our new licensing standards come out.
• So market rate survey— Market rate survey looks at an overall picture of the health and expense of child
• You know, zero to three years old, that's when your brain expands the most, and we need to put that investment
• The other amount there is operational and some grants for professional development and support.

Summary: The Early Childhood Committee met for an update from the Office of Early Childhood within the Department of Education. Members heard that the office’s goals under the LEARNS Act are to improve kindergarten readiness, support families, ensure quality providers, and expand affordable, accessible child care. Staff reviewed the local lead system, licensing, quality efforts such as CLASS and QRIS, and the two main funding streams: School Readiness Assistance (SRA), a federal CCDF-funded voucher program serving about 14,600 children with a wait list of a little over 3,000, and Arkansas Better Chance (ABC), a state-funded program serving about 21,000 children with authority recently increased to 24,000 slots. A major topic was the difference between market rate surveys and cost analysis studies. Officials said the department is procuring both through an RFP, hoping to begin by August and have results by late in the year. Members pressed for current reimbursement levels, the gap between ABC and SRA funding, and whether ABC funding should be increased to better match costs. Staff explained that SRA rates are set at 75% of the market rate, while ABC per-child funding is much lower, and that ABC slots are limited by the overall allocation. They also explained that some ABC slots were increased by moving children from a discontinued federal pre-K arrangement into ABC to preserve continuity of care. Committee members raised concerns about rural access, infant and toddler shortages, provider stability, workforce pay, and communication with families and providers. Officials said local leads are now helping identify underserved areas, that no county with absolutely no care is known, and that the department is trying to get a truer statewide count of children and providers. They also described efforts to improve communication through monthly provider calls, website postings, and direct case contacts with families. Members discussed possible funding increases, including ideas to reduce the SRA wait list and raise ABC funding, but no formal vote or action was taken beyond approving prior meeting minutes and receiving the update.

Transcript Highlights:

• Sal is no longer here in the physical sense, we know most certainly his spirit lives on and will endure
• Again, they design and build, but we've also protected -- we've entrusted them with protecting public health
• Again, they design and build, but we've also protected -- we've entrusted them with protecting public health
• bill is passed. >> Calendar 809, Senate Print 3838A, Senator Hinchey, an act to amend the Public Health
• &gt;&gt; CALENDAR 809, SENATE PRINT 3838A SENATOR HINCHEY, AN ACT TO AMEND THE PUBLIC HEALTH LAW.

Keywords: 993, senate, all

Summary: The Senate convened with prayer, approved the journal, and welcomed several guest groups, including Saugerties student government officers, the Marlboro High School boys bowling state champions, a civics group, a National Guard/9-11 responder advocate, family members honoring Salvador Vizcarrondo Jr., architecture professionals, correctional officers and employees, and small business representatives. Members also offered resolutions recognizing Architecture Week, Correctional Officers and Employees Week, and Small Business Week, along with tributes to community leaders and student achievements. The chamber then took up a series of bills on the non-controversial calendar, passing measures on education leave for incarcerated people, utility interconnection study, property tax exemption, alcohol regulation, executive law, school drill requirements, victim sentencing rights, public health, public officers, public authorities, election law, environmental conservation, veterans/homeland security, labor, and other topics. Several bills were laid aside. Some measures drew brief explanations of vote, including concerns about school safety drills, correctional staffing and safety, and a victims’ rights bill that one senator said mirrored an earlier version he had carried. The most extended debate centered on the 21st Century Antitrust Act (Calendar 879), with supporters arguing it would modernize antitrust enforcement against dominant firms, especially big tech, and opponents warning it would create vague standards, invite private lawsuits, and harm small and rural businesses. Another debated bill (Calendar 818) would restrict sharing of utility consumption data with police; supporters framed it as a privacy measure requiring normal legal process, while opponents said it would hinder law enforcement while still allowing state regulators access. Both bills were ultimately restored to the non-controversial calendar and passed, and the Senate adjourned until the next day.

Transcript Highlights:

• I'm honored to chair the Assembly Health Committee and have a counterpart in the Senate Health, Dr.
• Every facet of our state and this nation, from science and the economy to public health and education
• I watched my sister lose her health and ultimately her life due to ALS as well.
• Let's rise up to make sure that people get the right health care.
• Chenea Coats with So Visible and George Cruz with the California Behavioral Health Association.

Summary: The Assembly met with a quorum call at the start, then proceeded with Black History Month observances, including a libation ceremony, the Pledge of Allegiance, and remarks emphasizing remembrance, ancestry, and the importance of honoring Black history. The chamber also handled routine procedural matters, including dispensing with the journal, re-referring certain Senate budget items to the Budget Committee, and allowing guest introductions and other unanimous-consent requests. The main floor action was on Assembly Concurrent Resolution 134, recognizing Black History Month. Members from multiple caucuses spoke in support, highlighting the historical contributions of Black Americans, the ongoing effects of slavery and segregation, the need to protect voting rights and education, and the importance of solidarity across communities. The resolution was adopted by voice vote after 74 co-authors were added. The Assembly also adopted Assembly Concurrent Resolution 132, declaring February 28 as Rare Disease Day. Members shared personal stories about ALS and other rare diseases, described barriers to diagnosis, treatment, and insurance coverage, and called for more research and support. The resolution received broad bipartisan support, with 71 co-authors added before adoption by voice vote. The chamber then recognized a series of Black History Month Unsung Heroes honorees, including community leaders, health professionals, advocates, and public servants, and later heard additional guest introductions. The meeting concluded with adjournments in memory of Peyton Trilling and John Jackson, followed by announcements and adjournment until February 26 at 9 a.m.

Transcript Highlights:

• Second, it allows the PRC to operate as a self-funded agency while fully preserving legislative and executive
• And that's how the Open Meetings Act is operating."
• And people are coming in and out and... ...to oil and gas and to cannabis grow operations, and people
• The commission would consist of three members... ...agencies, leadership, and operations.
• And I see on page 1, line 22, 'make policy for and direct the operations of the state agency.'

Keywords: 996, all

Transcript Highlights:

• The project, known as Project Leo, was originally created in 2016 and operated through the Centers for
• My parents operated a small business, so I certainly learned a lot about hard work growing up.
• From an early age, I was fascinated by battery-operated devices.”
• South Santa Rosa County, which will strengthen the health care workforce in our region.
• The operative word during COVID. Turn down on a few times. Please turn on your mic. Ms.

Bills: S1570, S1376

Keywords: missing persons, special needs, autism, search-and-rescue, Florida, voluntary program, funding, genetic counseling, education grants, state universities, faculty recruitment, student financial assistance

Summary: The committee heard and approved two bills before moving to a long confirmation agenda. SB 1570, by Sen. Gates, would restore Project Leo, a previously sunset program that helps locate missing persons with special needs through voluntary tracking devices and coordination between CARD centers and local sheriffs; it was praised as a proven tool for families and first responders and was reported favorably. CS/SB 1376, by Sen. Burgess, would create grants to support genetic counseling education and help address Florida’s shortage of genetic counselors; testimony noted the state’s limited supply of licensed counselors and the need to expand clinical training, and the bill also passed favorably. The committee then considered a block of reappointments to university and college boards of trustees, including institutions such as UWF, Broward College, Chipola College, FIU, Pasco-Hernando, Polk State, St. Petersburg, Valencia, FAMU, FAU, UCF, FSU, New College, UNF, USF, and others. No one requested separate votes on the reappointments, and the block was confirmed unanimously for recommendation to the next committee. A series of new appointees then appeared and largely emphasized workforce training, nursing, military support, and local economic development at their institutions. Witnesses included appointees to Pensacola State, Polk State, St. Petersburg College, UNF, FIU, UWF, Valencia, the College of the Florida Keys, and others; several highlighted strong NCLEX pass rates, dual enrollment, and partnerships with employers or military communities. One nominee, Florida Poly reappointment Ilya Shapiro, faced pointed questioning from Sen. Bracey Davis about past comments regarding race and the Supreme Court; he said his remarks were about hiring criteria, not a specific justice, and reiterated opposition to race- or sex-based selection. The committee also briefly struggled to reach Sherry Young by phone before hearing her testimony for Chipola College, where she said she wanted to give back as an alumna and nurse practitioner. Most new appointees were recommended for confirmation in a block, while Thomas Zachary Smith of UWF was pulled for separate consideration.

Transcript Highlights:

• So that's kind of what I'm trying to wrap my brain around in a time when, you know, getting into a house
• or ...wrap my brain around in a time when, you know, getting into a house or rent, these things are
• And so they are actually operating under a different, lower amount that was assessed in 2018 rather than
• And the way it is now, where every entity operates at a different level, different time, they're not
• You know, the cost of operating fire departments has increased astronomically in the last few years.

Summary: The committee heard four bills, all related to fire district governance and funding. House Bill 797, brought by Rep. Dygert, would require fire district and sub-district commissioners to be electors residing in the sub-district for at least 90 days before appointment or election. Members raised concerns about possible difficulty finding qualified candidates and about overlap with other residency rules, but the bill was moved to the floor with a do pass recommendation. Rep. Sauter presented House Bill 765, which would allow fire districts, and in some cases library districts, to adjust boundaries through a public process without being constrained by the effects of prior law limiting annexation value. Testimony from an Eagle Fire District representative and others described the bill as a way to better match service areas with district boundaries and avoid tax and service mismatches. The committee sent the bill to the floor with a due pass recommendation. House Bill 766 would let fire and ambulance districts administer their own development impact fee schedules across multiple jurisdictions, rather than relying on separate approvals from each city or county they cover. Fire chiefs and the Association of Idaho Cities supported the bill as an efficiency measure, while some members questioned whether it would increase fees or reduce local oversight. The committee advanced it to the floor with a due pass recommendation. House Bill 767 would allow fire district impact fee revenue to be used for up to 50% of the replacement cost of fire apparatus. Fire chiefs argued that growth has increased wear on equipment and that the bill would help districts keep up without raising fees, while the Idaho Home Builders Association opposed it, warning of a slippery slope and potential housing cost impacts. After debate, the committee approved the bill on an 8-6 roll call vote and sent it to the floor with a due pass recommendation.

Transcript Highlights:

• So that's kind of what I'm trying to wrap my brain around in a time when, you know, getting into a house
• or wrap my brain around in a time when, you know, getting into a house or rent, these things are hard
• And so they are actually operating under a different, lower amount that was assessed in 2018 rather than
• And the way it is now, where every entity operates at a different level, different time, they're not
• You know, the cost of operating fire departments has increased astronomically in the last few years.

Keywords: 989, all

Transcript Highlights:

• registered nurse with the Bachelor's of Science in Nursing and 27 years of experience in trauma, home health
• Families in our community often lack access to basic health care, including vision services.
• I am thankful that his brain still recognizes input from both of his eyes.

Transcript Highlights:

• Senators, as you all think about the Agency for Health Care Administration, most of us think of it as
• Let's not let those individuals who work for the Agency for Health Care Administration be threatened
• The statute states that a municipality operating a water and/or sewer utility plant can charge up to
• He modernized state government, reformed civil service, and invested in public health.
• He modernized state government, reformed civil service, and invested in public health.

Summary: The Senate opened with prayer, the Pledge of Allegiance, and several introductions recognizing guests, students, advocates, and a resolution honoring the late USF men’s basketball coach Amir Abdur-Rahim. Senators also observed moments of silence for victims of recent campus violence and for former FSU President John Thrasher. The chamber then moved to special order bills, with several members explaining measures and, in some cases, substituting House companions before final passage. Among the bills passed were measures updating child care and early learning provider regulation; strengthening penalties and cost recovery for false reporting and swatting; extending protections against extraordinary medical debt collection; expanding hazardous walking condition criteria for schoolchildren; creating young adult housing support for foster and homeless students; and requiring private schools participating in the Family Empowerment Scholarship Program to disclose which accommodations they will provide. The Senate also passed a bill adjusting interest rules for trust accounts funding legal aid, after extended debate over the impact on legal aid funding and banking practices, and a transportation package that was heavily amended to address issues such as school bus camera hearings, beach vehicle use for equipment removal, flooded-street wake restrictions, expectant mother parking permits, micromobility regulation, and traffic signal modernization. The chamber also approved public-records exemptions for Agency for Health Care Administration investigators, Judicial Qualifications Commission employees, and appellate court clerks; a municipal water and sewer rate bill affecting Miami-Dade residents near a plant; motor vehicle offenses involving impersonating law enforcement and obscured license plates; trespass penalties at law-enforcement-controlled locations and large ticketed venues; refund requirements for patient overpayments; stem cell therapy authorization with source and consent limits; and insulin administration authority for direct support professionals and relatives in group homes. Several bills were temporarily postponed, including cardiac emergencies, chemicals and consumer products, and motor vehicle manufacturer/franchise dealer legislation. Most measures passed with strong bipartisan support, though the trust fund interest bill drew notable opposition and passed 28-10, and the Family Empowerment Scholarship bill passed 37-1.

Transcript Highlights:

• woman whose kindness, strength, and dedication to family and community service is a testament to her enduring

Keywords: 995, all

Summary: The Senate session was largely ceremonial and began with the Pledge of Allegiance and recognition of the Wellesley swim team for winning its fifth straight state championship. Members praised the team’s consistency and accomplishment, but no formal action was taken on that recognition. The chamber then adopted a motion that the Senate adjourn in memory of Marie Nancy Azor of Harwich, honoring her life, community service, work as a nursing assistant and later licensed practical nurse, and her support of family and local youth sports. The motion prevailed, followed by a moment of silence. The Senate also welcomed and honored two championship athletic teams: the Tri-County High School football team for winning the MIAA small school state vocational Super Bowl, their first such title, and the Westborough girls varsity volleyball team for winning its third consecutive MIAA Division II state championship. Members and guests congratulated the students, coaches, and families. Finally, the Senate adopted an adjournment order and adjourned to meet again Monday at 11:00 a.m., again in memory of Marie Nancy Azor.

Transcript Highlights:

• rights... ...fight injustice and his belief in the power of love, peace, and human rights serve as an enduring

Keywords: 989, all

Transcript Highlights:

• Those were the Medicaid Trust Fund and the Behavioral Health Trust Fund.
• However, we are operating in the same ecosystem, and we sometimes want to pick each other's brains about
• And our economic health.
• Operating as it was designed, where we will feed the program fund.
• So that's their operating model.

Transcript Highlights:

• Yet many feel like the quality of their health care is also decreasing.
• and enforces spending targets set by a health care affordability board.
• acquisitions of health care providers in California totaled $4.31 billion, which is a third of all health
• health benefits of developing active habits.
• , dedicated to promoting health and wellness through physical activity.

Summary: The Assembly convened after a quorum call, prayer, and pledge, then moved through a long Daily File with several major policy bills and multiple commemorative resolutions. The most debated measure was AB 379 on human trafficking and child exploitation. The bill was presented as a stronger, more comprehensive version that increases penalties for adults soliciting minors, adds a loitering offense tied to purchasing commercial sex, raises fines for businesses that facilitate trafficking, creates a Survivor Support Fund, and establishes grants for victim services and vertical prosecution. Several members spoke in support, while Assemblymember Sharp-Collins raised concerns that the loitering provision could be vague and disproportionately enforced against Black, Brown, and LGBTQIA+ people. The bill passed after debate, with the clerk reporting 72 noes and the measure still passing. The Assembly also passed AB 1415, which expands the Office of Health Care Affordability’s authority to review more health systems, private equity and hedge fund acquisitions, and managed service organizations in order to better track cost drivers and medical debt. Other policy bills approved included AB 711 on coordinating court reporters for motion hearings, AB 1142 on horse event entry fees, AB 309 on preserving access to sterile syringes for HIV and hepatitis prevention, AB 358 on allowing victims to consent to searches of hidden surveillance devices like AirTags and spy cameras, AB 592 on outdoor dining for restaurants, AB 1341 on clarifying contractor licensing violations, AB 752 on easing child care center siting, AB 1166 on extending debt-settlement rules to commercial financing, AB 806 on mobile home resident cooling rights, AB 972 on explicit sex discrimination protections in higher education, AB 416 on emergency room 5150 authority, AB 632 on expedited collection of penalties for serious local code violations, AB 672 on PERB notification and intervention rights, AB 876 on CRNA scope of practice, and AB 760 on temporary mobile home housing after disasters. Most of these measures passed with broad bipartisan support, though AB 672 drew sharp opposition from Assemblymember DeMaio over concerns about PERB and state bureaucracy. The chamber also adopted several resolutions recognizing May observances and public service groups. These included ACR 63 designating May as California Fairgrounds Appreciation Month, ACR 69 for California Physical Fitness and Mental Well-Being Month, ACR 76 for California Small Business Month, ACR 77 for Drowning Awareness and Prevention Month, HR 36 for Lung Cancer Action Week, HR 39 for National Public Works Week, and HR 41 for National Hospital Week. Members used the resolutions to highlight local institutions, public health, and community services, and each was adopted after co-author rolls and voice votes. The session ended after the Assembly completed the day’s file and moved through a series of routine procedural motions and adjournment-related business.

Transcript Highlights:

• Care is the largest publicly operated health plan in the nation, serving over 2.2 million enrollees in
• Care is the largest publicly operated health plan in the nation, serving over 2.2 million enrollees in
• We operate 30 health centers across mid-California and Nevada and provide over 300,000...” “...patient
• Our county operates four hospitals and 15 health centers, two of the three trauma centers in the region
• Finally, on behalf of Ventura County, which operates two hospitals and 18 federally qualified health

Summary: The Assembly Health Committee held an informational hearing on the impact of federal H.R. 1 and related state budget actions on California’s health care system. Opening remarks framed the federal changes as a major threat to Medi-Cal, Covered California, hospitals, clinics, and the broader safety net, with warnings that millions could lose coverage and that costs would shift to providers, counties, and consumers. Testimony from the California Health Care Foundation and the Legislative Analyst’s Office focused on implementation challenges, the administrative burden of work requirements and more frequent renewals, the loss of federal funding, and the need for California to consider long-term structural changes to Medi-Cal, county safety-net programs, and cost containment. A Covered California enrollee, Chas Franklin, described sharply rising premiums for his family after losing subsidies, illustrating the personal impact of federal policy changes. Committee members raised concerns about whether premium increases were driven by H.R. 1 or insurer pricing, the cost of rebuilding county-based indigent care systems, and the need to account for the cost of inaction. Dr. Hernandez pointed to pre-ACA models such as Healthy San Francisco as examples of coordinated local safety-net care, while also emphasizing the importance of primary care, data interoperability, and the Office of Health Care Affordability in reducing waste and improving access. Department of Health Care Services officials then outlined the state’s implementation plan for H.R. 1, including work requirements, six-month redeterminations, reduced retroactive coverage, cost-sharing, and immigration-related eligibility changes. They said the department would try to automate eligibility checks, expand outreach, and train counties and partners, but estimated up to 2 million Californians could lose coverage over time. Covered California reported that the expiration of enhanced federal premium tax credits and new federal marketplace rules are already raising costs and reducing enrollment, with an estimated 400,000 enrollees at risk of dropping coverage. County, hospital, and safety-net representatives warned that coverage losses will increase uncompensated care and strain local systems, while one coalition proposed a temporary state-funded coverage option as a bridge if full-scope Medi-Cal cannot be maintained. The hearing concluded with a policy analyst urging stakeholder engagement, immigrant protections, and new state revenue options to preserve coverage and offset federal cuts.