Transcript Highlights:

• House Bill 71 ensures emergency readiness, is proactive, operational, and enforceable.
• Our rivers, our land, our health, our community. HB117.
• A campground operator who fails to comply with the flood regulations may face penalties.
• We've heard about operability and interoperability on our radio systems for some time now.
• My son’s brain and Brock Davis were at Camp La Hunta on July 4th.

Bills: HB48, HB 66, HB 68, HB71, HB75, HB164, HB171, HB254, SB 3, SB 18, HB123, HB149, HB117

Keywords: HB 48, Texas alert notification systems, emergency alerts, public warning systems, alert fatigue, notification fatigue, Texas Division of Emergency Management, Department of Public Safety, DPS alerts, emergency management, State of Texas Emergency Assistance Registry, STEAR, disaster notifications, weather alerts, Amber Alert, Silver Alert, Blue Alert, missing persons alerts, accessible alerts, hearing impaired

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.

Transcript Highlights:

• the advantages of early detection and diagnosis, reporting issues with cognition, the importance of brain
• health, recent progress in Alzheimer's research, and availability of clinical trials and minimize health
• The initiative will establish a website, use the Department of Health Alzheimer's and Related Dementia
• It will promote care provider education in partnership with the Department of Health to improve care

Transcript Highlights:

• Armstrong, a joint resolution directing the Department of Libraries and Archives and the Cabinet for Health
• Libraries and Archives and the Cabinet Libraries and Archives and the Cabinet for<00:07:43.440><c> Health
• <c> and</c><00:07:43.840><c> Family</c><00:07:44.240><c> Services</c><00:07:44.800><c> to</c> for Health
• and Family Services to for Health and Family Services to cooperate<00:07:45.759><c> in</c><00:07:46.080
• We are not operating under that statute. We don't have to operate under any statutes.

Keywords: 958, all

Transcript Highlights:

• coalition that brings together community members, public health leaders, health care providers, and
• It improves maternal mental health, and it decreases food insecurity.
• It improves maternal mental health, and it decreases food insecurity.
• caregivers, but it also reduces health care costs.
• We operate a food pantry, We operate a food pantry that serves 10 food distribution sites, as well as

Keywords: 995, all

Summary: The House Committee on Children and Families held a hybrid hearing on a broad set of anti-hunger, family support, and basic-needs bills. Early testimony focused on SNAP and DTA operations: Rep. DeRosa and others urged passage of H. 196/S. 167 to require DTA to identify staffing, technology, funding, and operational needs to improve timeliness and customer service, warning that unanswered calls, delayed recertifications, and federal changes could sharply raise state costs through higher SNAP administrative burdens and payment-error penalties. Speakers from Massachusetts Law Reform Institute and Project Bread said DTA is under-resourced, caseloads have grown, and families are being denied or delayed due to phone and paperwork barriers. Another major SNAP-related bill, H. 254/S. 147, would require the Commonwealth to replace stolen EBT/SNAP benefits; testimony described more than $13 million stolen from about 27,000 households since June 2022 and argued families should not bear losses from organized theft rings. The committee also heard strong support for H. 207/S. 117, which would restore state-funded nutrition assistance for legally present immigrants excluded from federal SNAP under recent federal changes. Advocates from Project Bread, the Massachusetts Law Reform Institute, local immigrant services, and public health groups said the federal cuts would leave thousands of residents, including refugees, asylum seekers, trafficking survivors, and children, without food support, and argued Massachusetts has a history of filling this gap. Testimony also supported H. 222/S. 104 to make the Healthy Incentives Program permanent and year-round; supporters said HIP improves nutrition, boosts local farms and regional economies, and had already served more than 212,000 households in FY25. A related child-support bill, H. 201/S. 110, would increase the amount of child support passed through to TAFDC families and expand good-cause exemptions; witnesses said the change would put more money directly in families’ hands, reduce poverty, and better protect survivors of domestic violence and families with complicated co-parenting situations. A large portion of the hearing was devoted to deep-poverty and diaper-related legislation. Supporters of H. 214/S. 118 said cash assistance grants have lost value over time and should be raised annually until they reach half of the federal poverty level; advocates from Children’s HealthWatch, Hopewell, the Lift Our Kids Coalition, and parents described the links between deep poverty, poor child health, family stress, and child welfare involvement. They argued that higher grants would help families meet basic needs, reduce hospitalizations and neglect reports, and provide stability amid federal cuts. Finally, multiple witnesses backed diaper legislation, including H. 220/S. 151 and related bills, to create a diaper benefits pilot and/or diaper allowance commission. Testimony from the National Diaper Bank Network, MassCAP, Children’s HealthWatch, local diaper banks, and parents said diaper need is widespread, affects parental employment and mental health, and can cause health problems for infants; a federally funded pilot in Massachusetts was cited as showing improved employment, financial stability, reduced stress, and fewer diaper rashes. No votes or final actions were taken during the hearing; the committee heard testimony and asked questions throughout.

Transcript Highlights:

• as the family court judge and operates as the circuit court judge hearing misdemeanors.
• as the family court judge and operates as the circuit court judge hearing misdemeanors.
• as the family court judge and operates as the circuit court judge hearing misdemeanors.
• We also operate four family resource centers.
• We also operate four family resource centers.

Keywords: 1189, house, all

Transcript Highlights:

• It indicates no fiscal impact, operating or capital, to the agencies who received it, and that is Commerce
• I'm sure I heard it wrong in my brain, so thank you. Appreciate the clarification.
• and efficient manner and not have to go through that process for those sorts of day-in, day-out operations
• that the PUDs need to be able to do to serve their customers. ...day-in, day-out operations that the

Summary: The committee first heard Senate Bill 6313, which would create a Capital Centennial Stewardship Account for remodeling, repairs, interpretive and educational facilities, and other improvements to the state Capitol campus ahead of the building’s 100th anniversary in 2028. Staff explained that statewide elected officials and legislators could solicit gifts, grants, and donations for the account, with spending subject to appropriation. Prime sponsor Senator Marco Elias described the bill as a way to enhance the Capitol experience, potentially restore access to the top of the building, and raise private support for upgrades without relying solely on public funds. Members asked questions about the Capitol’s history, tourism potential, and the fundraising authority, and no public testimony was offered. The committee then heard Substitute Senate Bill 6076, which would expand procurement and self-performance authority for public utility districts and other consumer-owned utilities for certain electric generation, storage, transmission, and distribution projects, largely through 2045. Staff said the bill would raise thresholds for self-performed work and allow more flexibility in bidding and contracting, with no fiscal impact to state agencies but an indeterminate local government impact from training and procedure updates. Testifiers from IBEW Local 77 and Grant PUD supported the bill, saying utilities face a backlog of infrastructure work, higher material costs, and long procurement timelines, and that the bill would speed maintenance and construction. Committee members asked about renewable energy uses, examples of qualifying projects, and whether land acquisition was included; testimony clarified that the bill focuses on equipment and project components, not land. In executive session, the committee took up Engrossed Substitute Senate Bill 5901, relating to school construction assistance program facilities reports for on-base schools. Members said the bill would help military-connected school districts address gaps between state and federal funding and support quality facilities for military children. The committee approved the bill on a 16-0 vote, with three excused, and reported it out of committee with a do pass recommendation. The chair also noted that additional bills, including the Capital Centennial Account bill and the utility procurement bill heard that day, could be considered in a later executive session.

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:

• create a safe and least restrictive setting and facilities that have access to education, behavioral health
• those Regents programs are designed and built to address educational services, to address behavioral health
• It's hard to figure out what is the operable way of managing something, an organization like this, but
• you know, Department of Social Services, Department of Children and Families, Department of Mental Health
• Those are the ones whose brains still haven't even developed.

Keywords: 962, all

Summary: The Juvenile Justice Policy and Oversight Committee (JJPOC) met for administrative updates, approved the April meeting minutes, and discussed a proposed shift from monthly full committee meetings to a quarterly schedule beginning later this year. Members generally supported the change, saying it would reduce strain on agency and committee resources and allow more time for work groups to complete implementation tasks. Several members also asked for more flexible agendas and a clearer way to add issues between meetings, with staff suggesting a standardized form for submitting topics in advance. Work group updates covered cross-agency data sharing, diversion, education, incarceration, and community expertise. The data-sharing group reported continued work on the Equity Dashboard 2.0, a statewide expulsions analysis, municipal-level data collaboration with UConn’s IMRP, and a cross-system analysis of crossover youth. The diversion group described work on POST curriculum revisions for juvenile law, a youth-focused law enforcement interaction training, a community-police relationship toolkit, expansion of youth diversion teams, and pre-arrest diversion policy. The education group is reviewing implementation of the law creating educational oversight in juvenile facilities, along with a free public transportation pilot for high school students and truancy cleanup legislation. The incarceration group is tracking conditions of confinement, DOC restraint and chemical agent reports, the DOJ settlement monitoring process, the reentry success plan, and gender-responsive programming. The community expertise group emphasized elevating lived experience, youth voice, prevention, and conditions of confinement, with members urging the committee to focus on stability, infrastructure, and meaningful use of lived-experience perspectives. A major presentation from OPM outlined Connecticut’s effort to re-enter the federal Title II juvenile justice formula grant program. OPM explained the program’s core compliance requirements, including deinstitutionalization of status offenders, adult jail and lockup removal, sight-and-sound separation, and addressing racial and ethnic disparities. Staff said Connecticut is currently not fully compliant because of issues including youth being held in adult facilities and the state’s six-hour detention rule, and that Title II funding is on hold while OPM works toward compliance. OPM is developing a monitoring manual, identifying facilities to be monitored, and forming a state advisory group (SAG) to support the application and compliance process. Members questioned why a separate SAG is needed, whether JJPOC or the community expertise group could serve that role, and how lived-experience members would be selected; OPM said federal rules require the SAG to include youth or parents with lived experience and that the group cannot be composed of state or government employees in the key leadership roles. The committee agreed to circulate the federal parameters and ask members to suggest candidates for the SAG and to help move compliance work forward over the summer.

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:

• 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:

• the Health Committee's website. .ca.gov, choose committees and click on Health Committee from the Health
• 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 visits
• 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

Keywords: 988, house, all

Transcript Highlights:

• Looking a little bit at operating revenues, and you probably know this already, but there are really
• So those three make up the lion's share of the revenues we have for the operating budget.
• So, but those are the main sources of revenues for the operating budget.
• Older people need health.
• For reasons, we can probably imagine a lot of its demographics, older people need health care and need

Summary: The committee first received a presentation from Dr. Reich on the Economic and Revenue Forecast Council (ERFC), including how the council’s joint executive-legislative forecasting process works, the main state revenue sources, and recent economic conditions. He said Washington’s economy is slowing, with weak employment growth, softer taxable sales, and uncertainty from tariffs, federal spending, and the federal shutdown. He also noted that the September forecast was reduced, mainly because of lower sales tax and real estate excise tax collections, and that the state still expects modest growth rather than a recession. Members asked about whether Washington tends to lag national downturns and how forecast information should affect budgeting; Dr. Reich said the forecast is a revenue tool, not a budgeting decision, and that spending choices remain with elected officials. The Department of Revenue then presented on Washington’s sales and use tax structure and the implementation of Senate Bill 5814, which expands retail sales tax to several services effective October 1, 2025. Steve Ewing explained how sales and use tax are sourced, how reseller permits and the multiple points of use exemption work, and how the new law applies to live presentations, temporary staffing, investigations and security services, IT services, custom website development, advertising services, and custom software. He said DOR held listening sessions, issued interim guidance, and set up a centralized landing page and outreach efforts to help taxpayers understand the changes. He also described a six-month grace period for certain pre-existing contracts through March 31, 2026, but said penalties and interest still apply under the statute. Committee members raised concerns about how businesses and individuals will know when a service is taxable, who is responsible for collecting and remitting tax, and how sourcing will work for services delivered across multiple locations or online. DOR staff walked through examples involving accounting services, live lectures, virtual events, advertising campaigns, and search engine marketing, including the use of reasonable allocation and pool codes when exact sourcing data is unavailable. Members also questioned the administrative burden on small businesses and professionals newly subject to tax, and whether additional legislative fixes or relief from penalties and interest may be needed. No votes or formal actions were taken in the work session.

Transcript Highlights:

• There's more than enough evidence that a brain with two languages is much more successful and can thrive
• It has to do with the fact that Test One is operative and the state is paying the maintenance factor,
• In some cases, the local oversight and intervention measures are operating in those areas.
• I will say that the majority of districts are using those for operating costs for retirement.
• In order to protect the health of all members of our community, including those most vulnerable.

Keywords: 988, house, all

Transcript Highlights:

• For local public health agencies. For the community behavioral health disaster program.
• For local public health agencies. For the community behavioral health disaster program.
• For local public health agencies. For the community behavioral health disaster program.
• </c> repeal of certain behavioral health repeal of certain behavioral health resources<03:55:49.040><
• and Environment evaluate the Health and Environment evaluate the Health<04:33:45.039><c> Disparities

Keywords: 981, all

Transcript Highlights:

• As a public defender, I'm deeply invested in the health and safety of all people.
• AB 256 does not contribute to the health and safety of community members.
• there's any common link I see here today, I think we could do much more in building a robust mental health
• in state prison to possess a specified controlled substance while in possession of a loaded and operable
• sentence after properly serving their time and a court finding that they are no longer a danger to the health

Summary: The Assembly Public Safety Committee heard several bills dealing with firearms, hit-and-run penalties, domestic violence, and sexually violent predator placement. AB 256 by Assemblymember DeMaio would add a one-year enhancement for certain firearm felonies involving controlled substances and require toxicology testing; supporters said it would provide transparency about the causes of gun violence, while opponents argued it duplicated existing law, was overbroad, and raised privacy concerns. AB 1281, also by DeMaio, would increase penalties for hit-and-run cases involving death or serious injury; supporters framed it as a response to a fatal case in the author’s district, while opponents said current law already provides strong penalties and the bill would remove judicial flexibility. Both bills drew no formal support beyond the author and were opposed by public defenders, civil liberties groups, and other advocates. AB 292 by Assemblymember Patterson, as amended, would increase punishment for repeat felony domestic violence offenders, including higher prison terms and a longer mandatory jail minimum for probationers with prior domestic violence convictions. The author and a survivor witness argued that early release can endanger victims and children, and the California State Sheriffs’ Association and California District Attorneys Association supported the measure. Opponents, including public defenders and advocacy groups, said existing law already escalates penalties, warned the bill could sweep too broadly or reduce flexibility, and urged more prevention-oriented responses. After discussion, the committee approved AB 292 as amended and sent it to Appropriations. AB 767 by Assemblymember Alanis would clarify that private and home-based schools, as well as daycare facilities, are covered by existing restrictions on conditional release placements for sexually violent predators. Supporters said the bill would better protect children and resolve inconsistent court interpretations, while opponents argued it could effectively bar placement in large parts of the state and undermine rehabilitation and due process. The committee passed AB 767 to Appropriations. The committee also approved the consent item AB 277. AB 1092, a vote-only reconsideration item from the prior year, was brought up without the author present and was defeated. Final reported outcomes were: AB 256 failed, AB 277 passed, AB 292 passed, AB 767 passed, AB 1281 failed, and AB 1092 failed.

Transcript Highlights:

• Or the operation centers that we created just two years ago? The answer is no.
• The bill in this case mirrors the winter storm URI joint operations model.
• We have the Air Force Cyber Operations and Forensic Unit there.
• This approach ensures that AI drives operations... ...operational efficiency, replacing labor-intensive
• This creates logistical operational challenges for fuel suppliers and retailers in Texas.

Bills: HB146, HB150, HB1500, HB1545, HB1562, HB2067, HB2520, HB2818, HB3214, HB3250, HB3466, HB3512, HB3623, HB4063, HB4395, HB4464, HB4668, HB4690, HB5331, HB3833, HB146, HB150

Keywords: HB 146, Texas Capitol, State Capitol, State Preservation Board, Congress Avenue, Travis County, traffic lanes, lane closure, road closure, municipal authority, local control, Capitol area, downtown Austin, special events, construction traffic plan, pedestrian safety, public works, transportation policy, government code chapter 443, cybersecurity

Transcript Highlights:

• operational and intact.
• Health coverage.
• Health insurance and health care because of this.
• Pre-ACA, Tulare County operated two federally qualified health clinics, a pharmacy, and had contracts
• records are driving health care decision-making, and that they're driving the efficiencies in the operations

Keywords: 987, senate, all

Transcript Highlights:

• operational and intact.
• Health insurance and health care because of this.
• Behavioral Health.
• Pre-ACA, Tulare County operated two federally qualified health clinics, a pharmacy, and had contracts
• records are driving health care decision making and that they're driving the efficiencies in the operations

Summary: The joint informational hearing of the Senate and Assembly Health Committees focused on the “cost of uncertainty” in health coverage, access, and affordability amid federal policy changes. Opening remarks from committee leaders and members emphasized that California’s gains under the Affordable Care Act and Health for All policies—high coverage rates, consumer protections, and lower uninsured rates—are now threatened by federal rollbacks, including the expiration of enhanced premium tax credits and H.R. 1. Members repeatedly cited rising premiums, skipped care, medical debt, and the risk of coverage losses, especially for low-income Californians, workers, seniors, and immigrant communities. The first panel featured federal policy and state implementation experts, including Don Joyce, Jessica Altman of Covered California, and Elizabeth Lansberg of HCAI’s Office of Health Care Affordability. Testimony described the ACA’s coverage expansions and the current federal threats: shorter open enrollment, more verification requirements, loss of enhanced subsidies, and changes affecting immigrants and preventive coverage. Covered California reported that average monthly premiums could nearly double without the subsidies, new enrollment is down sharply, and more consumers are shifting into bronze plans with higher deductibles. HCAI explained its affordability strategy through spending targets, consolidation review, and primary care investment, while members asked about the impact of federal cuts on provider taxes, uncompensated care, and whether California can sustain coverage without new revenue. The second panel, with UC Berkeley Labor Center’s Miranda Dietz and California Health Care Foundation’s Christoph Stremikis, broadened the discussion to statewide cost drivers and consumer impacts. They highlighted that more than half of Californians under 65 rely on job-based coverage, yet premiums, deductibles, and out-of-pocket costs have risen faster than wages. They also pointed to medical debt, administrative waste, market consolidation, and underinvestment in primary care as major drivers of unaffordability. Members asked about the 25% of health spending that does not improve patient care, the role of fraud versus administrative friction, the effect of cost growth targets on workers, and the need for preventive care and possible revenue solutions. The hearing then moved to a third panel on human impacts, beginning with testimony from a Central Valley promotora describing how families are choosing lower-tier coverage, struggling with diabetes care, and facing higher premiums after subsidy losses.