Transcript Highlights:

• These programs can operate in two ways.
• This is not an emerging technology.
• But emergency preparedness in the EV sector during an active emergency remains unexplored, underscoring
• emergency.
• and standards governing operations.

Summary: The Assembly Committee on Utilities and Energy heard several bills focused on clean energy, electrification, and grid planning. AB 1813 (Ward) would revise California’s community renewable energy program to better support community solar and storage, especially for renters and low-income customers, by tying credits to avoided costs and requiring at least 51% low-income participation. Supporters said the current CPUC program is unworkable and has stalled development; utilities raised concerns about cost shifts, CCA impacts, and the bill’s late substantive amendments. The bill was discussed but no vote was recorded in the excerpt. AB 2313 (Berman) would create a gas service line replacement alternative program allowing customers facing planned gas line replacement to instead choose electrification and receive an incentive. Supporters argued it would reduce long-term gas infrastructure costs and give customers more choice, while opponents warned it could divert money from safety-related gas replacement work, create affordability issues, and conflict with the recently approved SB 1221 pilot. Committee members pressed the author on safety, funding sources, and renter impacts; the author said the bill includes emergency replacement exemptions and is intended to lower costs for remaining ratepayers. AB 1975 (Schultz) would require the CPUC to develop a grid utilization metric and consider expanded grid management programs to better use existing distribution infrastructure and reduce the need for costly upgrades. Supporters said better utilization could save ratepayers billions and help integrate batteries and flexible load; utilities generally opposed rigid utilization targets but were open to further discussion. The committee passed AB 1975 on a 7-0 vote to Appropriations. AB 2612, on plug-in photovoltaic systems, passed 9-0 to Appropriations after supporters said it would expand access to low-cost solar and utilities requested clarification that they would participate in the standards process. AB 1849 (Pappin) would direct CARB to study the need for decarbonized gaseous fuels in hard-to-electrify sectors and for grid reliability. Supporters framed it as a technology-neutral assessment for sectors like industrial heat and backup power; opponents argued it was biased toward a preferred fuel pathway and duplicated existing state studies. After a lengthy exchange over the lack of a statutory definition for “decarbonized gaseous fuels,” the bill passed 10-0 to Appropriations. AB 2088 (Pappin) would authorize investor-owned utilities to own and operate thermal energy networks, with safeguards for safety, workforce, and ratepayers. Supporters described TENs as efficient, low-emission heating and cooling systems that can use geothermal energy or waste heat; the bill passed 9-0 to Appropriations.

Transcript Highlights:

• The auditor's office is presenting its recent reports on reducing non-emergency use of emergency systems
• So with that, we will go to reducing non-emergency use of emergency systems.
• For the audit on reducing non-emergency use of emergency systems, Lori Raymond Garrison and Michelle
• In response, some fire agencies have established CARES programs to reduce non-emergency use of emergency
• And to further reduce non-emergency use of emergency systems, insurers, hospitals, and fire agencies

Committee: Joint JLARC I-900 Subcommittee for SAO Performance Audits

Summary: The Joint Legislative Audit and Review Committee’s Initiative 900 subcommittee held a hybrid public hearing on two State Auditor performance audits. The first audit examined efforts to reduce non-emergency use of emergency systems through CARES programs. Auditors reported that Washington has 52 fire-agency-led CARES programs in 26 counties, but many communities without programs said they need one. Major barriers included unstable funding, difficulty hiring qualified staff, volunteer-based rural departments, and lack of statewide guidance. The audit also found that only about half of programs tracked both required performance measures, and it recommended that the legislature consider private insurance reimbursement options and convene a statewide work group to develop guidance, standards, and possible changes to the role of the Department of Health. Agency representatives and fire officials largely supported the findings and emphasized that short-term grants and one-year contracts make programs hard to sustain. Committee discussion focused heavily on financing, especially Medicaid reimbursement and accountable communities of health (ACHs). Auditors clarified that the 10% figure cited in the report referred to direct Medicaid reimbursement for treat-and-refer services, which some agencies do not pursue because the $115 rate is too low relative to the administrative effort. Several fire officials testified that their programs rely on grants and ACH support, but that funding is often year-to-year and uncertain. They also described the value of CARES programs in reducing emergency room use, jail detentions, and long ambulance wait times, while noting barriers to sharing patient records across systems. Members asked whether the new public safety sales tax authority could help, but fire district representatives said it is not a direct funding option for them. The second audit reviewed performance management in the Department of Commerce’s Office of Economic Development and Competitiveness. Auditors found that the division does not yet have a statewide economic development strategic plan and that performance management is inconsistent across its 16 programs. In a limited review, all six sampled programs had goals, but only half clearly identified performance measures and targets, and only three tracked outcomes and published results. The audit highlighted leading practices from other states, including strategic planning, regular progress reporting, aligning program goals with agency goals, and using performance-based contracts and grant monitoring. Recommendations urged Commerce to seek stakeholder input, assess internal and external conditions, set goals and measures, align programs with the strategy, and strengthen monitoring and evaluation. Commerce officials agreed with the audit and said the division is already working toward a strategic plan, with a new assistant director to be hired and a target of completing the work by mid-next year. Members pressed the department on how the plan would connect to workforce, higher education, housing, and other economic development systems, and asked Commerce to return to JLARC next year with progress updates. The meeting ended with instructions for submitting written public comments and notice of the next JLARC meeting schedule.

Transcript Highlights:

• So Natasha Seals, LDH Emergency Preparedness Team.
• So Natasha Seals, LDH Emergency Preparedness Team.
• It gives LDH the exception for emergency services.
• similar to that of an emergency room in a hospital.
• This is a public health emergency.

Committee: House Health and Welfare

Summary: The committee first heard SB 145, which would require adult residential care providers, especially assisted living centers, to have generators or other backup power arrangements and to submit preparedness plans to LDH. After technical amendments and testimony from the sponsor, LDH, and the assisted living industry clarifying the bill’s scope and cost concerns, the committee adopted the amendments and reported the bill favorably. It then took up SB 433, which would require Medicaid coverage of medically necessary FDA-approved weight loss drugs, including GLP-1 medications, subject to appropriations and fiscally sustainable coverage criteria; the bill was reported favorably after discussion of current Medicaid coverage and costs. The committee also approved SB 52, which requires better coordination between DCFS and LDH so SNAP and Medicaid benefits can follow children more quickly when they are removed from or returned to a home. Technical amendments changed reporting deadlines and required written notice, and the bill was reported favorably. SB 4 on public water fluoridation was amended to allow local governments or voters to opt out through a petition and election process, with support from the Louisiana Dental Association and others after compromise language was adopted; it was reported favorably with amendments. SB 152, which would prohibit the sale of cultured or lab-grown food products for human consumption, was also reported favorably with amendments after brief testimony in support and opposition. The committee next approved SCR 37, which asks the Surgeon General to review Louisiana’s informed consent laws and report back on any gaps, after discussion that the existing medical disclosure panel had not met since 2018. It then considered SB 194, a public assistance bill aligning Louisiana Medicaid and SNAP rules with recent federal changes on non-citizen eligibility and tightening Medicaid’s reasonable opportunity period for citizenship verification. After extensive debate over immigration, emergency care, and whether the bill could harm eligible applicants or rural hospitals, the committee adopted an amendment allowing LDH discretion for emergency health care services and reported the bill favorably by an 8-3 vote. Finally, HCR 113 created a task force to study gestational carrier agreements and assisted reproductive regulation; after debate over surrogacy, ethics, and referral to Civil Law, the committee rejected the referral motion and then reported the resolution favorably, and the meeting moved on to SB 333 on child-in-need-of-care proceedings and legal representation funding.

Transcript Highlights:

• Man-made emergencies are emergencies caused by an attack against Yes, ma'am.
• It would remove man-made emergencies and require natural emergencies to be put back in, and it would
• And a man-made emergency means an emergency caused by an action against persons or society, including
• for emergencies.
• that were not real emergencies.

Keywords: 998, house, all

Transcript Highlights:

• It reflects the balance I'll discuss during questions today: preparing for emerging AI cyber-enabled
• For us, this is our own security operations centers.
• Every day, our security operations centers, we're seeing 90 billion events.
• We have 12 or 14 folks who are in our security operations center. They work 8 to 3, 9 to 4.
• This is our current operational reality.

Summary: The joint informational hearing focused on how frontier AI is changing cybersecurity, with testimony from OpenAI, Anthropic, Palo Alto Networks, California OES/Cal-CSIC, and Lawrence Livermore National Laboratory. Witnesses said AI is making attacks faster, cheaper, and more scalable, while also giving defenders new tools for vulnerability discovery, incident response, and patching. Several recent incidents were discussed, including AI systems autonomously reaching real production systems during testing, and AI-assisted cyber activity against critical infrastructure, especially water systems and operational technology. OpenAI and Anthropic described their internal safety and evaluation processes, including pre-release testing, layered safeguards, monitoring, and restricted access programs for vetted defenders. They discussed the recent Hugging Face and related incidents as lessons in safer testing, stronger isolation, and the need for independent review. Both companies emphasized that the same capabilities that can find vulnerabilities can also be used offensively, and said they are working to put advanced cyber tools into the hands of trusted defenders, including California agencies and utilities. State officials from Cal OES said California is expanding its cyber posture through CalSecure 2.0, the California Cybersecurity Collaboration Playbook, MS-ISAC membership, and a secure portal for reporting under SB 53. They said the state is working with CDT, local governments, and critical infrastructure partners to improve cyber hygiene, information sharing, and incident response, especially for water districts and other resource-strapped entities. Palo Alto Networks described the scale of current threats and the value of machine-speed defense, virtual patching, and attack-surface monitoring. Lawrence Livermore warned that open-weight models pose distinct risks because they can be downloaded, modified, and used without developer oversight, and argued that the U.S. should not cede leadership in that space to China. No formal votes were taken; the hearing was informational and ended with calls for continued collaboration and follow-up briefings.

Transcript Highlights:

• Instead, it creates a central coordinating hub so state departments can operate...
• Instead, it creates a central coordinating hub so state departments can operate in alignment.
• We operate a 211 and do connect neighbors to other resources, and it's very, very effective.
• agency on aging or independent living center can no longer serve in its operator role.
• Once a new partner is in place, full joint operation of the ADRC will be reestablished.

Committee: Senate Human Services

Summary: The Senate Human Services Committee heard several bills focused on developmental disabilities, food security, veterans, aging services, child care, and elder abuse reporting. SB 969 by Senator Reyes would make remote services for people with intellectual and developmental disabilities a permanent option; supporters said virtual programming improves access, continuity, and choice, and there was no opposition. SB 1025 by Senator Hurtado would create an Office of Food Security and Affordability to coordinate state food programs, improve CalFresh enrollment, and develop a 24-hour hotline; committee members raised questions about duplication, metrics, and oversight, but the bill advanced after discussion. SB 1052 by Senator Gonzalez would allow the State Council on Developmental Disabilities to appoint contingent authorized representatives so people with disabilities are not left without support if a family member becomes unavailable; supporters described immigration enforcement, illness, and family separation as reasons for the bill, and members discussed administrative burden and renewal procedures before the bill passed. SB 1077 by Senator Gonzalez would require CDSS to prepare for future federal shutdowns by creating a communications and contingency plan for CalFresh disruptions and a state-backed emergency food assistance mechanism; members discussed how it would work with existing CalFresh administration, and the bill passed. SB 1201 by Senator McNerney would seek federal waivers to protect vulnerable veterans from new SNAP work requirements and require referrals to county veterans service officers; supporters said the federal cuts would harm homeless, newly discharged, and disabled veterans, and the bill passed. SB 1261 by Senator Laird would let aging and disability resource centers continue operating through partner transitions so services would not be interrupted; supporters emphasized continuity of care and the bill passed. SB 1110 by Senator Becker would revise child care subsidy funding and stabilization rules for alternative payment programs and community providers; supporters said the current reimbursement structure is outdated, and the bill passed after the author said a budget-related provision would be removed. The committee also later voted SB 969, SB 1052, SB 1077, SB 1201, SB 1261, and SB 1110 out of committee, with the bills kept on call for absent members, and began hearing SB 991 on elder abuse reporting, where supporters argued that licensing records should distinguish abuse from lesser resident-rights violations so families and policymakers can better understand facility conduct.

Transcript Highlights:

• a program to support recipients when emergencies arise.
• I just wanted to say we gave him emergency shelter for four months, and as we gave him... ...the emergency
• So I've brought for you copies of our emergency preparedness guide.
• it in time for future emergencies.
• IHSS relies on county social Funding and program operations.

Summary: The joint Assembly Budget Subcommittee hearing focused first on long-term services and supports for older adults, especially the “forgotten/overlooked middle” who earn too much for Medi-Cal but cannot afford private long-term care. Administration witnesses from DHCS, the Department of Aging, and Social Services described Medicare’s limited long-term care coverage, Medi-Cal’s role, the elimination of the Medi-Cal asset test, and ongoing state studies and listening sessions on financing options. Testimony from advocates and researchers emphasized rising homelessness among older adults, the need for better navigation and coordination across health, aging, housing, and social service systems, and short-term policy steps such as share-of-cost reform, housing stability supports, and protecting home- and community-based services. Members highlighted the need for a coordinated, no-wrong-door approach and asked for the most impactful budget investments to address affordability and homelessness risk. The second major topic was the Community-Based Adult Services (CBAS) program. CDA reported that CBAS helps participants remain in the community, that 304 centers operate statewide serving about 42,000 people, and that demand is stable but access gaps remain in some regions. DHCS explained that a 2024 rate increase authorized by SB 159 became inoperative after Proposition 35, and that a separate 10% rate change on the fee schedule was the result of a DHCS system error; the department said it would not require recoupment, though managed care plans may act under their contracts. CBAS providers and advocates warned that reimbursement rates have not kept pace with costs, that several centers have closed, and that clawbacks could trigger more closures. They requested $74.8 million ongoing General Fund to close part of the rate gap and preserve the program, while members expressed concern about closures and the cost savings of keeping people out of more expensive institutional care. The hearing then moved to In-Home Supportive Services (IHSS) and statewide collective bargaining. CDSS reviewed provider recruitment and retention efforts, including electronic timesheets, direct deposit, and the now-completed IHSS Career Pathways program, which trained more than 59,000 providers. CDSS also summarized its AB 102 workgroup report on statewide versus regional bargaining, saying the final report would be sent to the Legislature soon and that statewide bargaining appeared more viable than regional bargaining, though it would require clear statutory scope and major fiscal changes. The department estimated that each $1 per hour statewide wage increase would cost at least $1.3 billion to $1.5 billion annually. Labor advocates argued that IHSS wages, benefits, and training are too inconsistent across counties and called for statewide bargaining, consumer participation, and ongoing state funding. County representatives supported stronger wages but cautioned that counties need protection from new costs and administrative burdens, and consumer advocates warned that moving bargaining to the state could weaken local consumer control and the program’s consumer-driven structure.

Transcript Highlights:

• medical services and their operations here.
• medical services and their operations here.
• There, we have, you know, from a critical access standpoint, a fairly robust operating room or operating
• The rural emergency hospital is a new designation that the feds have.
• They'll have an emergency department.

Committee: Joint Health Care Committee

Summary: The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important. The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further. Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach. After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.

Transcript Highlights:

• SB 1550 is an operational capability bill, which... Investigative capacity.
• And it will expand ICE operations into our communities.
• But that's... ...emergency; we've got to pass the cell phones out.
• So the change is to say “in the case of an emergency.”
• Transit operations as a whole are a local issue.

Bills: SB1088 , SB1156 , SB1157 , SB1169 , SB1245 , SB1273 , SB1330 , SB1332 , SB1391 , SB1498 , SB1531 , SB1550 , SB1598 , SB1677 , SB1707 , SB1811 , SB1818

Committee: Senate Appropriations, Transportation and Technology

Keywords: cybersecurity, homeland security, artificial intelligence, state appropriation, VPN security, zero trust, appropriation, public safety, detention, unauthorized aliens, local government funding, border security, fencing, appropriations, southern border, local government, medical education, physician shortage, healthcare funding, Arizona health care

Transcript Highlights:

• Just like any other operation.
• 470, emergency 510, and emergency 530.
• </c> Emergency 460 emergency 470 emergency Emergency 460 emergency 470 emergency 510<02:01:48.719><c>
• emergency</c><02:01:49.599><c> and</c><02:01:50.000><c> 530</c><02:01:51.119><c> emergency.
• </c> 510 emergency and 530 emergency. 510 emergency and 530 emergency.

Keywords: 0:00 – Meeting start/roll call 0:10 - Roll call/approval of minutes 1:43 - Cabinet for Health and Family Services (CHFS), Department for Medicaid Services 27:40 - Department of Alcoholic Beverage Control 55:54 - Board of Veterinary Examiners 1:33:15 - Testimony in support of 804 KAR 13:010E, 020E, 030E and 040E. 1:49:04 - Education Professional Standards Board 1:49:58 - Attorney General, Office of Regulatory Relief 1:52:18 - Kentucky Public Pensions Authority (KPPA) 1:54:28 - Board of Nursing 1:56:44 - Board of Occupational Therapy 1:57:37 - Board of Medical Imaging and Radiation Therapy 1:58:58 - Department of Fish and Wildlife Resources 1:59:50 - Economic Development Finance Authority 2:01:34 - Department of Corrections 2:02:37 - Department of Juvenile Justice 2:04:02 - Department for Employment Services, Unemployment Insurance 2:04:57 - Cabinet for Health and Family Services (CHFS), Department for Public Health, 958, all

Summary: The committee first approved the minutes and then took up Department for Medicaid Services regulations 907 KAR 23:010 and related rules. DMS explained that one regulation would establish a beneficiary advisory council and another would remove language barring coverage of GLP-1 drugs for obesity-related use. The department said coverage would still be limited by prior authorization and clinical criteria, with use tied to underlying chronic conditions such as diabetes or cardiovascular disease, and that the pharmacy and therapeutics committee would help set the detailed standards. Members discussed the potential health benefits, but several raised concerns about cost, timing, and whether the legislature and the Medicaid Oversight and Advisory Board should review the policy first. DMS said the drugs are already on the formulary, that current Medicaid users with diabetes are already covered, and that the fiscal impact was estimated using current utilization, rebates, and expected savings; the department also said it would only cover the drugs if subject to rebates. The committee then voted 5-1 to find 907 KAR 23:010 deficient. The committee next considered several emergency regulations from the Public Protection Cabinet’s Department of Alcoholic Beverage Control implementing SB 100. The rules covered tobacco, nicotine, and vapor product licensing, including the application form, denial standards, and transitional licensing. ABC counsel said the department had received about 5,500 applications and issued nearly 5,000 licenses, with additional provisional licenses issued to avoid interruption in sales after the law’s effective date. He said some applications remained pending because inspections and photographs revealed possible unauthorized nicotine vapor products, and the department was seeking documentation before approval. A staff amendment was adopted without objection before the ABC presentation continued.

Transcript Highlights:

• For example, absent the required operational plans, schools may not be aware of and therefore able to
• With regard to emergency operation plans, the Auditor General staff did an emergency operation plan audit
• Also, with regard to the emergency operation plans, which are... Attestations, written policies.
• Also, with regard to the emergency operation plans, which are so critically important, we now have an
• The auditor general or the auditor mentioned operation plans.

Committee: Senate Senate Education Committee of Reference

Summary: The Senate Education Committee of Reference first heard a sunset review of the Credit Enhancement Eligibility Board. Governor’s Office staff explained that the board was created in 2016 to lower borrowing costs for qualifying schools by providing a state guarantee that improves credit ratings, but the board has no dedicated staff or budget and is now largely in a monitoring role because it has reached its statutory leverage cap. Members discussed the long maturities of the approved financings, whether rural districts might benefit from additional capacity, and why a 10-year continuation was being requested. The committee voted to recommend continuing the board for 10 years until July 1, 2036. The committee then heard a sunset review of the Western Interstate Commission for Higher Education (WICHE). WICHE’s president described the interstate compact, its regional student access programs—WUE, WRGP, and PSEP—along with behavioral health fidelity reviews and cooperative purchasing savings. Testimony emphasized tuition savings for Arizona students, the return of health care graduates to Arizona, and the value of regional collaboration. The committee voted to recommend continuing WICHE for 10 years until July 1, 2036. Finally, the committee reviewed the Arizona Department of Education School Safety Program performance audit. The Auditor General reported that the program has grown substantially, but many sampled schools were not fully complying with requirements such as operational plans, safety teams, training, activity logs, and reimbursement documentation. The department agreed with the finding and said it would implement the recommendations. The school safety director responded that the department has already begun tightening monitoring, training, and documentation procedures, and he answered questions about emergency plans and campus safety. No further action was taken on the audit, and the meeting adjourned.

Transcript Highlights:

• Only an emergency, some situations. So Medicaid pays for just emergencies. And what about Medicare?
• Does that include just walking in the emergency room or actual emergencies?
• Only an emergency, some situations. So Medicaid pays for just emergencies. And what about Medicare?
• Does that include just walking in the emergency room or actual emergencies?
• Does that include just walking in the emergency room or actual emergencies?

Bills: HB216

Committee: House Public Health

Keywords: HB216, Texas abortion law, abortion-inducing drug, medication abortion, mifepristone, misoprostol, telemedicine, in-person exam, physician presence, out-of-state physician, reproductive healthcare, abortion regulation, Health and Safety Code, Occupations Code, consultation services, remote prescribing, pro-life, pro-choice

Summary: The Committee on Public Health met with a quorum and heard public testimony on a long agenda, with members repeatedly reminded of a two-minute limit for witnesses. Several bills were voted out favorably, including HB 2588 on cottage food, HB 1639 on cancer incidence and female firefighters, HB 2581 on a reporting form for contracted services for pregnant women, and SB 922 on electronic disclosure of certain sensitive medical information. Those measures generally passed on party-line or near-unanimous votes, while HB 216 on itemized medical statements was left pending after the committee substitute was withdrawn. The committee also left pending HB 5141, HB 4638, HB 2035, HB 4813, HB 2264, HB 4014, and HB 3829 after hearing testimony and questions. The final item introduced in the excerpt was HB 4408 on health care market transparency and corporate consolidation, but the discussion was cut off before testimony or action was completed. A major theme of the hearing was mental health diversion and access to treatment. HB 5141, by Rep. Howard, would allow Travis County to use vacated Austin State Hospital property for a local mental health jail diversion center; law enforcement, the Travis County sheriff, county judge, and urban counties group all testified in support, describing the lack of alternatives for people in crisis and the burden on jails and emergency rooms. Members asked about eligible offenses, bed capacity, and whether the facility would serve only Travis County, and the bill was left pending. HB 2264, by Rep. Schoolcraft, would create a friends-and-family form for loved ones to provide information to providers during emergency mental health treatment; NAMI and hospital groups supported it, while one neutral witness and several members raised concerns about patient control, credibility of information, and liability protections. The bill was also left pending. The committee also heard multiple psychedelic-therapy and drug-policy bills. HB 4813 would speed Texas rescheduling of Schedule I substances if the FDA reclassifies them, with testimony focused on psilocybin and MDMA and their potential use for PTSD and depression; members questioned whether the bill was too broad and how state rescheduling works, and it was left pending. HB 4014 would direct HHSC to study psychedelic therapies, building on prior state research, and witnesses said Texas should prepare regulatory and clinical infrastructure before FDA approval; it too was left pending. HB 2035 would require parents to be informed that they may seek substance-use treatment for a child even if one facility turns them away, prompted by a constituent’s account of a fatal fentanyl overdose after receiving incorrect advice; it was left pending. HB 4638 would extend and expand the Texas Pharmaceutical Initiative board and timeline, with the author saying the program is still in early implementation and needs more time, and it was left pending as well. Other bills addressed public health administration and animal welfare. HB 3829 would require a study of the animal-friendly account and its grant process for spay/neuter funding, with the author arguing that the current application and reimbursement process is too burdensome for shelters and nonprofits; no opposition was heard and the bill was left pending. HB 2581 and HB 1639 were reported favorably, while HB 216 drew discussion about enforcement of itemized medical billing and was held after the committee substitute was withdrawn. Throughout the hearing, members also discussed broader concerns about homelessness, competency restoration waitlists, jail overcrowding, and the need for more treatment options outside the criminal justice system.

Transcript Highlights:

• We empower and address social determinants of health, which decreases emergency room visits, hospital
• Emergency room visits piled up, and no one really offered real answers.
• And 37 of our 61 hospitals had negative operating margins.
• We didn't just lose emergency care. We lost specialists.
• Working with the prior administration, we were grateful that an emergency D.O.N. was issued.

Committee: Joint Joint Committee on Public Health

Keywords: 995, all

Summary: The committee hearing covered a wide range of public health bills, with much of the testimony focused on two major themes: expanding access to care and stabilizing health-related workforces and services. On House 2364, an act relative to medical health and fitness facilities, representatives from Dedham Health and Athletic Club argued for a pilot program recognizing supervised exercise as medicine, saying it could improve outcomes for chronic disease, fall prevention, and mental health while reducing costs. On House/Senate bills concerning community health workers (H. 359/S. 251), multiple witnesses from MACHW, Health Care for All, MHA, Cambridge Health Alliance, Mass General Brigham, Boston Children’s Hospital, Asian Women for Health, and the City of Somerville described CHWs as essential for navigation, trust-building, language access, and addressing social needs, and urged reimbursement by MassHealth, the GIC, and private insurers, along with workforce development measures. One pediatric neurologist also told the committee that losing grant-funded CHW support led to more avoidable ER visits and threatened clinic operations. The committee also heard extensive testimony on hospital closures and essential services. Witnesses including Dr. Alan Sager, MNA President Katie Murphy, nurses from Brockton Hospital and Providence Behavioral Health, and local officials and legislators from Norwood described the loss of hospitals and service lines, especially maternity, pediatric, and behavioral health care, and argued current closure processes are too weak to protect communities. They supported bills such as H. 2460/S. 1503 and H. 2534/S. 1574, which would require earlier notice, community input, stronger state oversight, possible receivership, and limits on reopening or expanding after closures. Testimony emphasized the impact of Steward’s bankruptcy, the closures of Carney and Neshoba Valley, and the need to preserve access to essential services in underserved areas. Several end-of-life and professional regulation bills were also discussed. On H. 2436, Representative Omar Gomez and funeral industry witnesses supported eliminating Office of the Chief Medical Examiner fees for the removal of a child’s body in cases involving children five and under, describing the bill as a small but important relief for grieving families. On H. 2444 and related Senate bills, cemetery and consumer advocates supported legalizing alkaline hydrolysis and natural organic reduction as environmentally friendly after-death options, while cemetery representatives opposed H. 2360, which would allow funeral establishments to operate crematories, arguing cemeteries should retain that role. The committee also heard support for H. 2382, which would exempt dentists and oral surgeons from a new office-based surgical center framework, and for H. 2461, which would create hospital efficiency standards; employers and retailers backed that bill as a way to address rising health care costs. Finally, the committee heard testimony on autism services and hospital governance. On S. 1414, behavior analysts and school representatives said Massachusetts already licenses assistant-level ABA providers but MassHealth does not reimburse them, causing long waitlists and limiting school and family access; an actuary testified that a three-tier ABA reimbursement model could reduce MassHealth costs by up to 6% per child served. Senator Lovely also testified in support of S. 1572, which would require at least one registered nurse on each acute care hospital governing board, arguing nurses’ frontline perspective would improve quality and retention. No votes were taken in the hearing excerpt, but many witnesses urged favorable reports on their respective bills.

Transcript Highlights:

• This incident has been widely known as Operation Trojan Horse, an operation that was carried out while
• Jeff Gonzalez, entitled Vessel's Operation Registration.
• Jeff Gonzalez, entitled Vessel's Operation Registration.
• The sheriff would operate the jail, and whatever the costs were that came from that operation were passed
• A bill related to the Emergency Medical Services Act.

Committee: House Public Safety

Keywords: 988, house, all

Transcript Highlights:

• We must measure emerging capabilities honestly.
• For us, this is our own security operations centers.
• Every day, our security operations centers, we're seeing 90 billion events.
• We have 12 or 14 folks who are in our security operations center. They work 8 to 3, 9 to 4.
• This is our current operational reality.

Keywords: 988, house, all

Transcript Highlights:

• Senators, we are debating Senate Bill 3 with the emergency clause.
• We also indicated that grants shall not be used for operations outside of New Mexico.
• When they apply for one of these grants, it's to pay for those operating losses.
• Reminder, this does have an emergency clause. It needs a two-thirds majority.
• They are supporting operations.

Transcript Highlights:

• , If they're otherwise operating there, we could use this criteria to say, if you're operating in that
• She went to the emergency room and was diagnosed with an arrhythmia.
• We operate an emergency department, EMS program, primary urgent care, acute care, and labor and delivery
• In 2024, we had a negative 1.5% operating margin.
• This amendment removes the bill's emergency clause. Okay, on the next.

Bills: SB5877 , SB5904 , SB5988

Committee: House Health Care & Wellness

Keywords: anesthesiology, medical personnel, surcharges, licensing, healthcare regulations, nursing titles, licensure, healthcare professionals, patient safety, professional standards, opioid treatment, accreditation, health department, fee authority, substance abuse, 904, all

Transcript Highlights:

• If they're otherwise operating there, we could use this criteria to say, if you're operating in that
• She went to the emergency room and was diagnosed with an arrhythmia.
• We operate an emergency department, EMS program, primary urgent care, acute care, and labor and delivery
• In 2024, we had a negative 1.5% operating margin.
• It proved there was no emergency in the first place.

Summary: The committee heard public testimony on several health-related bills. SB 5904 would restrict nursing titles such as RN, NP/ARNP, and LPN to licensed human people and prohibit non-human entities, including AI chatbots, from using those titles. The sponsor and nursing advocates said the bill is meant to prevent confusion and protect public trust, while preserving the use of AI as a support tool. SB 5877 would add a $70 surcharge for certified anesthesiologist assistants so they can participate in the Washington Physicians Health Program and access HealWA resources; supporters said it closes a technical gap and aligns CAAs with other medical professions. SB 5185 would create a pilot pathway for certain international medical graduates with clinical experience licenses to obtain full primary care licensure; supporters from the medical commission, physicians, and IMG advocates said the program has worked well, has shown no patient safety issues, and could help address workforce shortages. The committee also heard extensive testimony on ESSB 6210, which would let the Health Benefit Exchange adopt additional market-factor certification criteria for exchange plans, including standards aimed at preserving access and affordability in underserved counties. Supporters, including the exchange, OIC, consumer advocates, tribal representatives, and patient groups, said the bill is needed to respond to federal policy changes, rising premiums, and disappearing coverage in places like San Juan County. Opponents from carriers and employer groups argued the timeline is too fast, the criteria are too discretionary, and the bill could reduce competition and raise costs. The committee then heard SB 5981, which would strengthen protections and reporting requirements for the federal 340B drug pricing program and limit manufacturer restrictions on contract pharmacies and data requests. Hospitals, clinics, and patient advocates said the bill protects safety-net care and rural access, while manufacturers, employers, and business groups argued it would expand a program that already raises costs and lacks transparency. In executive session, the committee took action on SB 5917, related to Department of Corrections distribution of abortion medications, rejecting five proposed amendments and then advancing the bill on a 10-6 vote with three excused. The committee also advanced SB 5988, which concerns Department of Health opioid treatment program accrediting activities, on a do-pass recommendation after brief discussion.

Transcript Highlights:

• Moving on to the next department: Emergency Medical Services Authority.
• Gabrielle Santoro with the Emergency Medical Services Authority, or EMSA.
• Our emergency response center was activated for over 32 different and overlapping emergencies over the
• To state operations expenditures.
• We also support the emergency response budget request, as emergency medical services are a central part

Keywords: 987, senate, all

Transcript Highlights:

• Stacy's managing this portion of it in conjunction with the operations committee.
• And then House Bill 2110 is the Oklahoma Emergency Communications Authority.
• I got to take a look at just the operations and see the technology for myself.
• Item is the operations committee, Chrissy, so...
• Oh, I'm sorry, TIR is the Emergency Telecommunicator Emergency Response Team.

Keywords: 914, all