Transcript Highlights:

• At that point, he declared a state of emergency. On the fourth floor to come up with a plan.
• At that point, he declared a state of emergency. GoSEP came in, hired a contractor.
• The water systems consistently operate at a loss, with expenditures exceeding revenues.
• That's when I believe the governor declared the emergency right after that. Okay. Thank you.
• Our system, we have a full system, a system that's been operating for 30, 60 years.

Keywords: 974, senate, all

Summary: The committee heard testimony on the troubled water system in Tallulah and whether to appoint a limited fiscal administrator for the water utility. Senator Jackson described the system’s long-running failures, the need to expand repairs beyond the treatment plant to the distribution network, and the growing project cost, which he said had risen to roughly $26 million. Legislative Auditor’s Office staff explained that the system had received failing grades from LDH for several years, had entered joint receivership in 2024, and was placed under a public health emergency in 2025; they said the city’s adoption of limited fiscal administration in April 2026 made it eligible for additional state funding. Governor’s staff said the state, GOSEP, Magnolia, and the city had worked together to restore service and that the limited fiscal administrator would help unlock an emergency subfund and other financing sources. The mayor of Tallulah supported the appointment, saying the state’s work had improved water quality and that the limited role would focus only on the water system rather than the whole city. She said the city was preparing an RFQ to move the project toward bidding. Two residents spoke in opposition. One argued that the city had recently elected a new council and should wait for new local leadership before proceeding. Another questioned the need for the appointment, criticized past management and contract arrangements, and objected to using emergency funds to pay prior project costs. State officials responded that the F grade and public health concerns justified the action, that the administrator would control water-system finances, and that the distribution system needed repairs to address leaks and water quality issues. After discussion, a committee member moved to appoint a limited fiscal administrator for the Tallulah water system. The motion was seconded and passed without opposition. The committee then moved to public comment and adjourned.

Transcript Highlights:

• </c> public health emergency, Congress public health emergency, Congress extended<00:04:56.240><c> this
• departments</c> is unavailable, emergency departments is unavailable, emergency departments become<01
• </c> We play a vital role in emergency We play a vital role in emergency preparedness.<01:30:44.719><
• Uh big loss operating loss this year.
• :46:29.600><c> operations.

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• emergency capital outlay?
• It comes out of the operating contingency fund.
• Emergency, we have so many funds at DFA.
• As you can imagine, the emergency orders are difficult because they respond to emergencies where people
• Operating for community-based services and education.

Transcript Highlights:

• Number one is with the Division of County Operations.
• This is for emergency property damage mitigation.
• This is for emergency property damage mitigation.
• This is for emergency property damage mitigation.
• Gary, Director of the Arkansas Division of Emergency Management.

Committee: All ALC-REVIEW

Summary: The committee met to review a supplemental agenda, procurement rule revisions, methods of finance, discretionary grants, contracts, and a member disclosure. The Office of State Procurement presented rule changes tied to 2025 legislative changes, including Act 782, with updates to sole-source definitions, unrealistic bids, protest requirements, debarment procedures, and recodification references; the committee voted to accept the supplemental agenda and approve the rules. Members also approved eight methods of finance covering university repairs, equipment replacement, property purchase, and capital projects, along with a large slate of discretionary grants for courts, health, DHS, historic preservation, and tobacco prevention programs. The committee then reviewed RFQs and six ratifications. The ratifications included a Workforce Connections payment to ACT WorkKeys, Department of Health costs from an ice-storm-related water leak, a large Department of Public Safety ratification for Motorola’s Arkansas Wireless Information Network upgrade, Veterans Affairs HVAC and medical-service payments, and a UA Little Rock painting contract. The Department of Public Safety ratification drew extended questioning about why the expired Motorola contract had not been renewed sooner and why the issue took months to reach the committee; agency officials said the project was bond-funded, had not been tracked in ASIS, and involved ongoing negotiations and system updates. Despite concerns, the committee approved the ratifications. Members also reviewed a long list of construction, intergovernmental, out-of-state, and in-state contracts, including numerous university, DHS, health, corrections, and state agency agreements. Several contracts were discussed in more detail, including an SAU custodial contract question about sales tax and transparency reporting, and Department of Corrections aerial application contracts for Tucker and Cummins farms, which officials said served separate facilities in different parts of the state. The committee approved the contract lists, reviewed reports, and accepted a disclosure from Representative Andrew Collins regarding his investment interest in a company leasing property to Arkansas Rehabilitation Services before adjourning.

Transcript Highlights:

• This incident has been widely known as Operation Trojan Horse, an operation that was carried out while
• Jeff Gonzalez, entitled Vessels Operation Registration.
• The sheriff would operate the jail, and whatever the costs were that came from that operation were passed
• A bill related to Emergency Medical, the Medical Service Act.
• These agencies have operated with impunity, violating due process.

Summary: The committee heard testimony on several public safety bills, with most of the discussion focused on AB 1650, AB 2014, AB 1886, AB 2126, AB 2624, and AB 2257. AB 1650 would require clearer identification on privately owned vehicles rented or leased to government agencies for enforcement operations; supporters framed it as a transparency and safety measure in response to ICE activity, while no opposition testified. AB 2014 would allow post-conviction habeas relief where gender bias or stereotypes were used at trial and may have affected the outcome; supporters described cases involving sexist and anti-LGBTQ stereotypes, while the California District Attorneys Association opposed the bill as overbroad and likely to restrict relevant evidence, though the author said recent amendments removed the evidence-code provisions and left only the habeas remedy. AB 1886 would extend a 12-month probation presumption to youth in out-of-home placements and those discharged from secure youth treatment facilities; youth advocates supported it as a fairness and rehabilitation measure, while judges, probation officials, and district attorneys opposed it as undoing a recent compromise and limiting individualized decisions. AB 2126 would speed hiring of peer partners in child welfare by creating a narrow exemption process for certain foster-youth-related offenses; it drew broad support and no opposition. AB 2624 would expand the Safe at Home address-confidentiality program to immigrant service providers, employees, and volunteers; supporters cited threats, doxing, and harassment, while one journalist opposed it over possible effects on reporting, and the author and committee members said the bill preserves press protections and is narrowly aimed at threats and harassment. AB 2257 would restore county authority to create a separate corrections department to run jails instead of the sheriff; supporters argued it would improve accountability and address jail deaths and fiscal problems, while sheriffs opposed it as unnecessary and said sheriffs are already subject to oversight. The committee also noted several bills pulled by their authors and adopted a consent calendar of unrelated measures. Votes were not always taken immediately because the committee was waiting for a quorum, but AB 2624 was moved on a do-pass-as-amended motion to Appropriations and left on call, and the chair indicated support or favorable recommendations on several of the other measures.

Transcript Highlights:

• When we have those events like severe weather and infrastructure failures, we stand up emergency operations
• from emergencies without its emergency<01:10:00.880><c> managers.
• Why is emergency management essential and emergency response?
• <01:13:24.400><c> operations</c><01:13:24.960><c> centers</c><01:13:25.440><c> immediately</c> Emergency
• </c> union emergency manager? union emergency manager?

Committee: Senate Judiciary and Public Safety

Keywords: 1187, senate, all

Transcript Highlights:

• emergency department shifts in Northern California, primarily in Sacramento.
• So the AB 40 legislation called for EMSA to produce emergency regulations...
• So there's an emergency operations center where you have all sorts of people there communicating.
• And so we have staff members that are in the Emergency Operations Center and things like that.
• funding that you all have provided and given us to operate.

Committee: Senate Rules

Summary: The Senate Committee on Rules convened with quorum and first approved several governor’s appointments not required to appear, including Courtney Welsh to the California Housing Partnership Corporation Board, Janessa Goldbeck to the California Veterans Board, and Tom Huntington to the State Parks and Recreation Commission, each by 3-0 vote. The committee also approved reference of bills to committees, the 2026 committee chair and membership appointments, the 2026 session schedule, the 2026 Senate holiday schedule, and floor acknowledgments, all by 4-0 votes. The committee then heard confirmation testimony from Hernando Garzon, M.D., nominated as Chief Medical Officer of the Emergency Medical Services Authority. Senators asked about EMSA’s strategic plan, data integration, local flexibility in statewide standards, ambulance patient offload regulations, stakeholder engagement, disaster response, rural access, and alternatives to transporting 9-1-1 callers to emergency departments. Garzon emphasized data-driven decision-making, technical assistance to local EMS agencies, collaboration with hospitals and providers, and the use of community paramedicine, telehealth, and pre-positioned resources in disasters. Public commenters and members supported his confirmation, and the committee approved the appointment 4-0 for referral to the full Senate. The committee also heard from Stephanie Weldon, nominated as Deputy Director of the Office of Health Equity at the Department of Public Health. She described her tribal background, prior state, county, tribal, and nonprofit experience, and her focus on serving communities facing health disparities. Senators questioned her about how the office sets priorities, measures outcomes, balances equity work amid political opposition to DEI language, and tailors technical assistance to rural and tribal communities. Weldon pointed to work on tribal consultation, behavioral health, youth mental health, the California Reducing Disparities Project, gender-affirming care, reproductive health, housing and climate-related supports, and community advisory boards. Numerous public witnesses, including tribal and health equity advocates, spoke in strong support, and the committee approved her appointment 4-0 for the full Senate.

Transcript Highlights:

• Liable persons include the current owner, operator of the site, and the owner or operator at the time
• Substitute House Bill 2203, creating the offense of reckless interference with emergency operations,
• Substitute House Bill 2203 creates the offense of reckless interference with emergency operations.
• operations liable for the expenses of emergency response related to the incident.
• And it requires the offense to be reckless interference with active emergency operations.

Summary: The Senate Transportation Committee held a work session on two major corridor projects before moving to public hearing and executive session. In the Yakima area, WSDOT, Yakima County, and Ecology described the Interstate 82/east-west connector work as a coordinated effort to add capacity, improve interchanges, and address the Boise Cascade mill site contamination that sits in the project footprint. County and Ecology witnesses said the county is ready to remove wood waste and contaminated material, but the project is stalled pending a draft work plan and a de minimis consent decree; several senators pressed for faster action and clearer direction from Ecology. The committee then heard an update on the SR 3 Belfair freight corridor, where WSDOT said environmental review is complete and the next major step is an access hearing this summer, followed by right-of-way acquisition and construction likely in late 2027 or early 2028. Local and tribal partners emphasized the project’s importance for freight mobility, housing growth, emergency access, and regional economic development. The public hearing was on engrossed substitute House Bill 2711, a transportation resources bill that largely tracks provisions from prior legislation but also adds or changes several tax and account provisions. Staff explained that the bill clarifies fuel tax and peer-to-peer tax distributions, treats trade-in value differently for recreational vessel and luxury vehicle taxes, provides a six-month motor home exemption and penalty waiver for the luxury vehicle tax, allows lease payments to be made over time, exempts tribal members and nonresidents, creates a Preserve Washington account, changes some transfer timing, and repeals the luxury aircraft tax. Testimony was mixed: aviation groups supported repealing the luxury aircraft tax; trucking and some citizens opposed fuel tax and diesel tax increases; Sound Transit, transit advocates, labor, and ferry interests asked for amendments such as 75-year bonding authority, mobile driver’s licenses, ferry funding, and bike education funding. Alaska Airlines and Delta also supported adding mobile ID language. In executive session, the committee advanced several bills, including SHB 1823, SHB 2114, E2SHB 2251, SHB 2323, SHB 2410, EHB 2588, 2SHB 1923, and HB 2495, all with due pass recommendations after adopting amendments where applicable. The committee adopted a striking amendment to E2SHB 2251 adjusting Climate Commitment Act account distributions and a striking amendment to EHB 2588 limiting the ferry district changes to Whatcom County and removing the voter-approval tax provision. It also adopted an amendment to 2SHB 1923 that added further conditions for passenger-only ferry districts, including whale-protection and fare-related provisions. Senator King voted no on E2SHB 2251, objecting that the bill reduced the transportation share of Climate Commitment Act revenues. The chair announced one more executive action meeting would be held Wednesday morning, with amendment requests due the prior day.

Transcript Highlights:

• E-Rock, as a microgrid developer-owner operator, has over a gigawatt of operational capacity across 400
• It's clean enough to permit as non-emergency.
• about 24/7/365 operating in a microgrid?
• We are a money-saving operation.
• those outside of a declared emergency event.

Committee: House State Affairs

Keywords: 1184, house, all

Transcript Highlights:

• Dollars for local emergency preparedness and response projects. Mr.
• So can you explain to us where we are on the Emergency Management Trust Fund?
• The operating expenses at New College per student are $83,000.
• Just normal operating costs for that $35,000? Chair Brodeur, thank you, Mr. President.
• It's just operating costs. Okay, thank you. Senator Brodeur, one last question.

Summary: The Senate began with prayer and the Pledge of Allegiance, then moved into floor consideration of the 2026-2027 budget. Appropriations Chair Hooper presented Senate Bill 2500, describing a $115 billion budget that reduces overall spending from the prior year, maintains reserves, and includes a 3% pay raise for state employees and 5% raises for state law enforcement, firefighters, correctional officers, and park rangers. Committee chairs then outlined major spending in their areas, including K-12 education, higher education, health and human services, criminal and civil justice, transportation/tourism/economic development, and environmental and agricultural programs. Highlights included increased funding for school scholarships and safety, workforce and university programs, Medicaid and child welfare, corrections operations, affordable housing, rural communities, Everglades and water quality projects, and infrastructure. Members then asked detailed questions about several budget items. Senators sought clarification on the Emergency Management Trust Fund, arts and cultural grants, Florida Forever land acquisition versus conservation easements, teacher salaries, charter school capital outlay funding, EASE grants, New College funding, DOC inmate counts and reimbursement, lottery staffing, concealed weapons licensing positions, election security funding, iBudget waiver support, ADAP funding, Medicaid hospital rate reductions, and scholarship and enrollment supplements in K-12 education. Chairs explained that some reductions reflected technical shifts or right-sizing, that some funds were being moved below the line for better tracking, and that several items—such as ADAP and corrections operations—would likely remain conference issues with the House. After questions, the Senate substituted House bills for the budget and implementing measures and adopted amendments placing the Senate language onto the House vehicles to prepare for conference. The chamber passed the budget-related bills and several conforming measures, including bills on retirement, fuel taxes, the state agency law enforcement radio system, court trust funds, judgeships, and K-12 and higher education conforming changes. Votes on the major bills were overwhelmingly unanimous or near-unanimous, and the Senate repeatedly voted to accede to the House’s request for conference on the substituted bills.

Transcript Highlights:

• Number one is with the Division of County Operations.
• Number one is with the Division of County Operations.
• Gary, Director of the Arkansas Division of Emergency Management.
• This is emergency shelter services, temporary shelter for DCFS clients.
• Contract 155 is with the Division of Emergency Management and Motorola Solutions.

Committee: All ALC-REVIEW

Keywords: 1204, all

Transcript Highlights:

• At the very least, I believe we should require state agencies that are operating game farms to operate
• of livestock operations do.
• operations.
• This bill doesn't shut down operations.
• This bill doesn't shut down operations. It doesn't ban agriculture.

Bills: HB2515 , HB2343 , HB2301 , HB2272 , HB2367

Committee: House Environment & Energy

Keywords: energy facilities, large energy use, regulation, state oversight, infrastructure, water quality, game farms, public health, environmental protection, regulatory oversight, extended producer responsibility, paint waste management, environmental regulations, sustainability, recycling, ski areas, winter sports, terminology update, recreation, regulatory changes

Transcript Highlights:

• </c><00:26:42.400><c> Midnight</c> successful outcome of Operation Midnight successful outcome of Operation
• ,</c> its 120th continuous year of operation, its 120th continuous year of operation, the<00:27:36.720
• </c><05:21:57.920><c> with</c> ensure these programs operate with ensure these programs operate with
• And yes, I did say Trump and Netanyahu's military operations.
• </c> lit specific Israeli military operations lit specific Israeli military operations in<09:28:22.480

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, June 3, 2026, 1012, house, all

Transcript Highlights:

• emergency services.
• The project improves emergency response time.
• emergency services.
• Rivian welcomes the opportunity to operate within a clear regulatory framework.
• We are fully committed to meeting ...to operate within a clear regulatory framework.

Summary: The Senate Transportation Committee held public hearings on three bills: SB 6225, a proposed substitute bond bill authorizing transportation funding bonds; SB 6005, the proposed substitute supplemental transportation budget; and SB 6354, a bill to expand access to electric vehicles through limited direct sales by qualifying EV-only manufacturers and changes to the documentary service fee. Staff explained that SB 6225 would authorize $1.1 billion in general obligation bonds, an additional $400 million for selected Move Ahead Washington highway projects, a $500 million increase in SR 520 bond authority, and the expiration of some older unused bond authorizations. For SB 6005, staff described a $17.5 billion supplemental budget with $1.5 billion in new funding, including reappropriations, preservation and maintenance spending, ferry investments, Climate Commitment Act-related adjustments, and a six-year balanced plan through 2031. For SB 6354, staff outlined the direct-sales framework for qualifying EV manufacturers, dealer licensing requirements, penalties for violations, and a fee increase that would direct revenue to EV rebates and multimodal transportation. Testimony on the budget and bond bills was broadly supportive from transit, local government, labor, construction, ports, and climate advocates, who praised preservation funding, ferry investments, safety programs, EV charging, rail electrification, and flood-response or local project funding. Several witnesses asked for specific project or account changes, including support for Skagit Transit, Day Road and Poplar Way bridge-related funding, Spokane TMC operating support, Kent corridor funding, and additional rail capital projects. Some speakers also urged more Climate Commitment Act funding for EV rebates, charging, and rail electrification, while others warned against deeper cuts to local programs and stressed the need for long-term preservation and bonding to stabilize the system. Testimony on SB 6354 was sharply divided. Rivian, Lucid, and several Washington auto dealers supported the bill as a compromise that would allow limited direct sales for EV-only manufacturers while preserving franchise protections and generating revenue for EV rebates. Climate advocates supported the bill as a way to accelerate EV adoption and asked that more of the fee revenue go to instant rebates for low-income buyers. In opposition, the Alliance for Automotive Innovation and Honda argued the bill creates unequal rules, weakens the franchise system, and was not the product of a true compromise. The committee announced that SB 6225 and SB 6005 would be in executive session Thursday at 8 a.m., with amendments due by noon the prior day, while SB 6354 would be scheduled for executive action later.

Transcript Highlights:

• You have the American Board of Emergency Medicine.
• emergency room nurse not being able to focus on their task to treat emergency medicine, but also having
• Now, I'm a retired emergency physician.
• Now, I'm a retired emergency physician.
• There's 107 emergency departments in Louisiana.

Committee: House Health and Welfare

Summary: The committee first adopted the minutes from several prior 2025 meetings, then took up HB 574 by Rep. Spell, which updates the names of two organizations on the Mental Health Advocacy Service Board of Trustees. Rep. Spell explained it as a technical cleanup bill to correct the names of the Louisiana Mental Health Association and the Louisiana State Medical Society so the board’s membership records match current organization names. With no objections, HB 574 was reported favorably. The committee then heard HB 486, also by Rep. Spell, to join the Psychology Interjurisdictional Compact (PsyPact) and allow Louisiana psychologists to provide telepsychology and temporary in-person services across state lines. Rep. Spell and PsyPact representatives said the compact would expand access to mental health care, especially in rural areas, while maintaining standards and disciplinary oversight. The committee adopted amendments on fees and the effective date, and HB 486 was reported favorably with amendments. HB 198 by Rep. Eccles proposed a Medicaid reimbursement methodology for ambulatory surgical centers, using a Medicare-based rate to improve access for Medicaid patients needing specialty procedures. Amendments were adopted to add ophthalmology-related services and to cap reimbursement at the lesser of the outpatient hospital rate or 100% of the Medicaid rate, along with a technical amendment to address the fiscal note. Supporters from GI and ASC groups said the bill would improve access and lower long-term costs, and the bill was reported favorably with amendments. The committee spent the most time on HB 182 by Rep. Travis Johnson, which would require hospitals to ensure access to sexual assault forensic exams and related training. Johnson, law enforcement witnesses, and the Attorney General’s office emphasized the need for timely evidence collection, especially in rural areas, and said the current system leaves victims traveling long distances or losing evidence. Hospital and coroner witnesses supported the goal but opposed the bill as written, arguing it could impose duties on hospitals without enough trained personnel, funding, or a workable statewide training and coordination system; they urged a statewide coordinator, mobile SANE units, and clearer implementation. The bill was not finally disposed of in the portion of the meeting provided, and members discussed continuing to work on amendments and timing before floor consideration.

Transcript Highlights:

• ; 804 KAR 130:03, emergency; and 804 KAR 130:04, emergency. 804 KAR 130:01, emergency, establishes the
• 02 emergency 030 emergency and emergency 02 emergency 030 emergency and 040<00:15:25.040><c> emergency
• </c> 040 emergency. 040 emergency. 8041301 8041301 8041301 emergency<00:15:29.120><c> establishes</c>
• </c> existing emergency rags. existing emergency rags.
• Requires completion of driver's training prior to operating a board-licensed vehicle during an emergency

Keywords: 958, all

Summary: The committee first approved the minutes and then recognized a staff member’s birthday and a guest shadowing Senator Adams. It then moved into informational review of Education and Labor Cabinet, Department of Education regulation 702 KAR 3:30, which sets insurance coverage requirements for school district buildings and structures. Department of Education officials explained that districts are expected to carry coverage at replacement cost and said they understand some districts participate in self-insurance pools with backup policies, but they deferred detailed insurance questions to the Department of Insurance. Senators raised concerns that pooled coverage could leave districts exposed if claims exceed pool limits, and the chair asked KDE to follow up with DOI to confirm districts are adequately covered, especially for bondholders. No vote was taken on the informational review. The committee then reviewed emergency ABC regulations 804 KAR 130:01 through 130:04 implementing Senate Bill 100’s new licensing requirements for tobacco, nicotine, and vapor product businesses. ABC and Public Protection Cabinet representatives outlined the emergency rules governing enforcement, license applications, denial criteria, and transitional licenses. Retail industry witnesses Shannon Stiglet and Brian Clark said they support licensure in principle but argued the rules add duplicative requirements borrowed from alcohol licensing, create confusion about transitional licenses, and may be too burdensome for the roughly 7,000 affected businesses to meet by the January 1 deadline. They also said guidance has been inconsistent and requested the agency revise the regulations, remove requirements not grounded in law, and provide clearer, separate processes for new and existing businesses. Committee members asked whether the industry had worked directly with ABC and noted the public comment period was still open. Witnesses said they had communicated with ABC and the Public Protection Cabinet, but responses had been uneven and they wanted written guidance. Members expressed concern about the short timeline and the need to avoid disruption so businesses can operate legally on January 1. Representative Marzian asked for clarification that the discussion concerned emergency regulations already in effect while ordinary regulations remain in process. No formal action was taken beyond receiving the informational testimony and discussion.

Transcript Highlights:

• ,</c><00:01:26.480><c> they</c> But once they get up and operating, they But once they get up and operating
• </c> our communities referred to as Operation our communities referred to as Operation Metro<00:18:45.000
• </c><00:20:11.040><c> management,</c> police overtime, emergency management, police overtime, emergency
• </c> strains on our city operations. strains on our city operations.
• ,</c><00:37:09.840><c> the</c> the fallout of federal operations, the the fallout of federal operations

Committee: Senate Taxes

Keywords: 1187, senate, all

Transcript Highlights:

• So they would still be able to continue operating.
• So they would still be able to continue operating.
• And in the emergency regs, you know, I apologize.
• during public health and medical emergencies.
• Emergency department data.

Summary: The hearing began with testimony from Let California Kids Hear and supporters urging action on pediatric hearing aid coverage. Advocates said California has repeatedly failed to enact a workable solution over the past eight years and argued that children need early access to sound to support development. The proposal discussed would limit the coverage mandate to the large-group market, which advocates said would cover roughly 70% to 80% of affected children and avoid the exchange-related cost issue that contributed to prior vetoes. Supporters, including parents, audiologists, and children’s health groups, backed the proposal, and the chair expressed sympathy and support while noting hope for a federal solution for exchange plans. The Department of Finance then gave opening remarks about the state’s structural deficit and the need to balance new investments against projected out-year shortfalls. HCAI followed with a broad overview of its programs, including CalRx insulin and naloxone initiatives, reproductive health grants, the Office of Health Care Affordability, hospital seismic compliance, workforce programs, and the diaper access initiative. Members asked about geographic targeting of workforce funds, the behavioral health workforce pipeline, and the status of the 21st Century Nursing Initiative, which HCAI said had reverted funds. The committee also discussed a proposed transfer of the Data Exchange Framework and Office of the Patient Advocate to HCAI, new reporting on long-term care staffing and health coverage waiting periods, and a Behavioral Health Services Act workforce proposal that would use BHSA funds to support training, stipends, and technical assistance while offsetting $100 million in General Fund spending; members and LAO questioned the offset and asked for more detail, and the item was held open. HCAI also presented the Rural Health Transformation Program, explaining that California received $233.6 million in federal funds for the first year and had to revise its proposal so that $35 million in provider payments would be tied to specific transformative activities rather than general financial relief. The program will fund rural care model redesign, workforce development, and technology/infrastructure improvements, with grants to be rolled out on a tight timeline and subject to CMS approval. Members asked about the size of California’s award, the use of funds for maternity care, labor and delivery access, dialysis, tribal set-asides, and the role of a technical assistance contractor. The department said the program will use supply-and-demand workforce modeling to target funding and that all funds must be obligated by October 30. Finally, the Department of Managed Health Care outlined its budget and two major bill-related proposals: SB 41 on PBM reform and SB 306 on prior authorization transparency. DMHC said SB 41 would require PBM licensure, ban spread pricing, require rebate pass-through, and regulate pharmacy network practices, while SB 306 would require reporting on prior authorization and create a list of services exempt from prior authorization. DMHC requested additional positions and funding to implement both measures.

Transcript Highlights:

• So they would still be able to continue operating.
• So they would still be able to continue operating.
• To address emerging issues such as this, and there are other, the many new emerging substances that we
• And in the emergency wrecks, you know, I apologize.
• during public health and medical emergencies.

Summary: The hearing began with a stakeholder presentation from Let California Kids Hear urging coverage of pediatric hearing aids for children in the large group market. Advocates described the issue as a long-running developmental emergency, argued that existing state efforts have been inefficient, and said the new proposal would cover about 70% to 80% of affected children without new spending by redirecting existing dollars. Public commenters, including parents, audiologists, and children’s advocates, strongly supported the proposal and emphasized the need for timely access to sound. The chair thanked the group and noted hope for a future fix, including continued work on the exchange market. The Department of Finance then gave a broad budget warning about the state’s more than $20 billion structural deficit and said new investments must be weighed against out-year shortfalls. HCAI followed with an overview of its programs, including CalRx insulin and naloxone, reproductive health grants, the Office of Health Care Affordability, seismic hospital compliance, workforce programs, and the Data Exchange Framework. Members asked about geographic targeting of workforce funds, behavioral health pipeline programs, the status of the 21st Century Nursing Initiative, and future CalRx products such as EpiPens and GLP-1s. HCAI also described its enforcement approach for health care spending targets, saying the board would not change the targets in response to H.R. 1, and outlined the diaper access initiative, which will distribute diapers through hospitals in higher-need areas. Several HCAI budget items were discussed and held open, including additional expenditure authority, the transfer of the Data Exchange Framework and Office of the Patient Advocate, long-term care payment transparency staffing, and reporting on health care worker waiting periods. The department also presented its Behavioral Health Services Act workforce initiative and a proposed $100 million General Fund offset, which both the LAO and the chair questioned as unclear and potentially one-time in nature. HCAI said the final workforce plan would be adjusted after stakeholder consultation if the offset proceeds. The department also described the Rural Health Transformation Program, saying California received $233.6 million in federal funds, had to revise its proposal to satisfy CMS, and must obligate the money by October 30; the program will fund rural care models, workforce development, and technology, with grants rolled out on a phased basis. The Department of Managed Health Care then presented its budget and three legislative implementation requests: SB 41 on PBM reform, SB 306 on prior authorization transparency, and AB 1041 on provider credentialing timelines. Finally, the administration outlined a menopause care proposal requiring coverage and education for menopause-related services, provider training, and an outreach campaign, with DMHC requesting staffing and funding to implement and enforce the new requirements. Throughout the hearing, most items were held open for later action, and no final votes were taken in the portion provided.

Transcript Highlights:

• They have to raise their operations above that inadequate...
• Canaan is over the clinical operations.
• She's the director of clinical operations, so we'll let...” “...clinical operations.
• And we provide emergency response and hospitalizations as needed.
• And then CDCR is operating hundreds more inpatient mental health...

Keywords: 987, senate, all