Transcript Highlights:

• Is there more information about the cost impacts to the patient?
• Is there more information about the cost impacts to the patient or the payer?
• The way that that can happen is because that calculation is tied to inflation.
• The fiscal impact is really significant.
• The fiscal impact is really significant.

Summary: The committee first heard House Bill 2437, which would put the Department of Health’s authority to accredit opioid treatment programs into statute and allow the department to set a fee to cover the cost of those services. The prime sponsor and DOH said the bill would preserve a service that is especially important to tribal and rural providers and would be self-sustaining rather than supported by the general fund. Members asked about the relationship between DOH and HCA and whether the bill would duplicate existing authority; staff and the department said DOH already performs the accrediting role and the bill mainly formalizes that authority and fee-setting power. Public testimony on the bill was then closed. The committee then held an extensive work session on the federal 340B drug pricing program and later opened public testimony on House Bill 2145, which would prohibit manufacturers, distributors, and third-party logistics providers from restricting 340B drug acquisition or delivery and from requiring claims or utilization data as a condition of access. Committee staff and NCSL gave background on how 340B works, recent growth in the program, contract pharmacy issues, and state efforts in other jurisdictions. Testimony on HB 2145 was sharply divided: hospitals, community health centers, tribal representatives, contract pharmacies, and labor groups said the bill would protect safety-net providers, rural access, HIV and behavioral health services, and tribal programs from manufacturer restrictions; business groups, pharmaceutical companies, and employer coalitions argued the program has expanded beyond its original intent, lacks transparency, shifts costs to employers and taxpayers, and should be addressed through federal reform instead. No vote was taken in the excerpt. Finally, the committee heard House Bill 2155, which would bar non-human entities from using nursing titles such as RN, APRN, or LPN or otherwise implying they are licensed nurses. The prime sponsor said the bill is intended to protect patients from being misled by AI systems and to preserve transparency and public safety as health care technology expands. The Washington State Nurses Association testified in support, saying AI can be useful but should not replace nurses or be presented as a licensed professional. A member asked about enforcement and liability, and staff said they would follow up on those details.

Transcript Highlights:

• </c> would impact and how we would do this. would impact and how we would do this.
• Um and inflation built in there as well.
• </c> projects to uh develop that inflation projects to uh develop that inflation rate.<03:18:40.160><
• </c> Manchester's economy directly impacts Manchester's economy directly impacts the<04:25:52.080><c>
• Um SP 367 um indexing it to inflation.

Committee: House Public Works and Highways

Transcript Highlights:

• But we quickly realized that we could not value engineer our way out of current market inflation that
• By the summer of 2023, By the summer of 2023, inflation was still having a significant impact in the
• How does that impact the consent decree? Chair, you're recognized. Thank you, sir. Ma'am.
• How does that impact the consent decree? Chair. You're recognized. Thank you, sir. Ma'am.
• There have been, but they've been impacted in different years.

Summary: The committee first heard an update from the Florida Department of Corrections on the proposed Lake Correctional Institution mental health project in Clermont. Tim Fitzgerald explained the project’s history, including the 2016 Disability Rights Florida litigation, the 2018 consent decree, and the original plan for a 550-bed inpatient mental health facility. He said inflation and design changes pushed the project above the bond amount, leading the department to shift to a “continuum of care” alternative with 572 beds total: 92 inpatient beds and 480 residential treatment beds in three special housing units. Fitzgerald said the project is currently paused pending House concurrence, while the Senate has already agreed to the alternate plan, and noted the bond balance, prior expenditures, and the need to spend down the tax-exempt bond by August 2026. Members questioned how the new plan differs from the original facility, whether it satisfies the consent decree, and what caused the cost increases. Fitzgerald said the department believes it has already met the consent decree through systemwide improvements to housing, staffing, programming, and out-of-cell time, though he said he would confirm the court documentation. He also said the original scope grew from 275,000 to 350,000 square feet as treatment, nursing, security, and programming needs were refined, and that inflation, fees, permitting, and contingencies contributed to the higher cost. Several members asked for follow-up information on Senate approval, consent decree documentation, and the project’s impact on crisis-stabilization capacity. The committee then received a joint court-system presentation from State Courts Administrator Eric McClure and Clerks Corporation Executive Director Jason Welty on caseload trends, case tracking, and staffing. McClure described statewide filing trends, the use of weighted caseload studies to certify judicial need, and recent Supreme Court rule changes aimed at active civil case management, including differentiated case tracks, stricter deadlines, and proportional discovery. He said the latest workload study led the Supreme Court to certify a need for 23 circuit judges and 25 county judges. Welty reviewed clerk workload trends, the statewide case maintenance and CCIS systems, and declining clerk FTE despite rising case volumes, and said clerks are seeking additional funding for injunctions, Baker Act/Marchman Act/sexually violent predator work, and juror management. In questions, members pressed both presenters on data quality, case-weight calculations, filing fees, and whether current resources are enough to reduce delays. McClure clarified that the workload weights are based on judge time studies and that a capital murder case averaged 3,177 minutes, while other examples such as auto negligence and dissolution cases were much lower. Welty said the Legislature could help by increasing funding or potentially revisiting filing fees, and noted that many clerk services are unfunded or underfunded, especially indigent and protective filings. The chair and members also raised concerns about backlog, inconsistent case reporting across circuits, and enforcement of judicial time standards; McClure said there is no direct sanction in the rules, and compliance is largely managed through chief judges and the Supreme Court. The meeting ended with no votes taken and adjournment by motion.

Transcript Highlights:

• Again, you've heard in testimony today that this is not going to impact the banks.
• Banks of all sizes, this will actually have an impact. The banks and credit...
• Unions are completely united in saying that it will have an impact.
• But inflation—think about what we've seen inflation do to this economy, increasing prices for goods and
• Every time inflation hits, what does it do? It raises prices.

Bills: HB245 , HB245 , HB700 , HB2783 , HB3526 , HB3900 , HB4061 , HB4124 , HB4166 , HB4395 , HB4534 , HB4609 , HB4641 , HB4736 , HB4738 , HB4739 , HB4945 , HB5015 , HJR175

Committee: House Pensions, Investments & Financial Services

Keywords: property tax, delinquent taxes, ad valorem, penalties, interest cap, military service, retirement, law enforcement, custodial officer, Employees Retirement System, commercial financing, brokers, registration, disclosures, finance, consumer protection, fees, deferred compensation, automatic participation, county employees

Transcript Highlights:

• Most telling, 43% reported no positive impact at all.
• It would be impactful. I don't think we'll be out of business.
• That will also have an impact on small businesses, won't it? Absolutely.
• How does that impact, I'll start with you Mr. Click.
• credits will impact small businesses? Yes, thank you. It will definitely impact small businesses.

Committee: Senate Small Business and Entrepreneurship Committee

Keywords: joint hearing, small business, Tax Cuts and Jobs Act, economic recovery, tax relief, job creation

Summary: In this joint hearing of the House Committee on Small Business and the Senate Committee on Small Business and Entrepreneurship, the primary focus was on the importance of making the Tax Cuts and Jobs Act of 2017 (TCJA) permanent. The chair emphasized that small businesses are crucial for the nation's economic recovery, especially in the wake of current federal policies perceived as detrimental. Witnesses shared their experiences and highlighted how the tax cuts facilitated job creation and business expansion, stressing the need for continued support through ongoing tax relief measures. The meeting included discussions about the economic implications of the TCJA's potential expiration, with members voicing their concerns regarding how this could impact small businesses and the broader economy.

Transcript Highlights:

• and inflation volatility, raising its costs.
• ...for inflation. Do you have the exact amount?
• Let me tell you how this really impacts rural Arizona when we're talking dollars. Direct impact.
• We're talking about economic impacts.
• I have a list of 17 rural hospitals that will be impacted.

Transcript Highlights:

• Here's the fiscal impact this year.
• Or it impacts a lot of programs.
• Next, you see contract inflation, for any inflation built into contracts, statewide cost allocation,
• And I do want to point out that these numbers aren't adjusted for inflation.
• But legally, it has no impact.

Summary: The meeting focused first on a legislative working group report created under House Bill 368 from the prior session on medical education in Idaho. The presenter described Idaho’s physician shortage, noting the state ranks 50th per capita in physicians and would need roughly 1,400 additional physicians to reach the national average. The group’s unanimous recommendations included maintaining current state-supported medical school seats, adding 10 new non-WAMI seats this year, expanding graduate medical education by 15 seats, prioritizing in-state training, and creating a dedicated health education coordination role to manage undergraduate and graduate placements, clinical sites, and data. Members discussed whether WAMI should also expand, the quality of WAMI graduates, the need for more clinical preceptors and residency sites, rural recruitment incentives, and whether the plan should include other health professions such as nurse practitioners and physician assistants. The presenter said the plan includes benchmarks and timelines, and estimated costs of about $350,000 for coordination, $350,000 to $485,000 for 10 new UME seats depending on placement, and $900,000 for the GME request. The committee then heard from Legislative Audit Division Manager April Renfro on the state’s 2024 single audit and related accountability work. She reported $5.4 billion in federal assistance audited, 21 major federal programs across 15 agencies, 45 findings, seven repeat findings, $2.4 million in known questioned costs, and $2 million in projected questioned costs. Major issues were concentrated at the Department of Health and Welfare, including Medicaid findings involving delayed health and safety surveys, managed care provider eligibility and roster controls, and capitation payments tied to ineligible members; Child Care and Development Fund reporting and cost-allocation errors; and repeat issues in vocational rehabilitation and low-income home energy programs. She also noted Department of Environmental Quality problems with indirect cost proposals and a duplicate grant draw, while Transportation had no findings. Members asked about accountability for repeat findings, the role of Luma in reporting errors, fraud detection, and how to prioritize corrective action; Renfro said agencies, federal management decisions, and legislative oversight all play a role, and she planned to send a prioritized list of key findings to the co-chairs. A later presentation by budget analyst Brooke Dupree introduced front-end reports in the legislative budget book, explaining state government structure, the constitutional limit of 20 executive departments, and how the Legislature uses decision units to build appropriations. She walked through the original appropriation, reappropriations, supplemental appropriations, and how those pieces roll into the current-year total appropriation, with members asking brief questions about departmental divisions and the budget model.

Transcript Highlights:

• The rest reinforces an inflated pricing structure.
• </c><00:37:29.040><c> pricing</c> The rest reinforces an inflated pricing The rest reinforces an inflated
• You've used words like inflated and all that. Those are arbitrary words, we don't know that.
• You've used words like inflated and all that. Those are arbitrary words, we don't know that.
• You've used words like inflated and all that. Those are arbitrary words, we don't know that.

Bills: HF4456 , HF4544 , HF3698

Committee: House Commerce Finance and Policy

Transcript Highlights:

• Is there more information about the cost impacts to the patient?
• Is there more information about the cost impacts to the patient or the payer?
• The way that that can happen is because that calculation is tied to inflation.
• The fiscal impact is really significant.
• The fiscal impact is really significant.

Bills: HB2145 , HB1828 , HB2155 , HB2437

Committee: House Health Care & Wellness

Keywords: 340B drug pricing, healthcare access, patient rights, discounted medications, manufacturer limitations, health professions, plasma donation, physician substitutes, medical regulation, nursing titles, healthcare, regulation, professional standards, licensure, accreditation, opioid treatment, health services, fee authority, public health

Transcript Highlights:

• In summary, bills with a revenue impact of more than $150,000 will not be eligible for a vote immediately
• Bills with the revenue impact of more than $150,000 will not be eligible for a vote immediately after
• Bills with a revenue impact of more than $150,000 will be automatically referred to our suspense file
• This support is essential to protecting sea otters on California coasts from the impacts that deal with
• , deferred maintenance. pressures, driven by inflation, aging infrastructure, deferred maintenance, and

Summary: The Assembly Revenue and Taxation Committee heard several bills, mostly related to Proposition 19, voluntary tax checkoffs, and local tax authority. SB 288 would clarify that the one-year residency and exemption deadline for inherited homes held in probate begins when legal ownership is established; it received support from the Howard Jarvis Taxpayers Association and others, no opposition, and was referred to suspense. SB 974 would explicitly include special needs trusts in Prop. 19-related inheritance rules; it had support from the Riverside County Board of Supervisors and Howard Jarvis Taxpayers Association and passed 5-0 to Appropriations as amended. The committee also heard SB 575, which would restore the Sea Otter Voluntary Contribution Fund for voluntary tax return donations to sea otter conservation. Supporters cited sea otter recovery, research, and habitat protection needs; there was no opposition, and the bill passed 5-0 to Appropriations. SB 999 would delay the Franchise Tax Board’s annual report on the health care individual mandate from March 1 to June 1 to allow more complete data; Health Access California supported it, and it passed 5-1 to Appropriations. SB 762 would authorize certain cities and counties, including Hercules, Santa Cruz, and Santa Barbara, to seek voter approval for local transaction and use taxes to address budget pressures, public safety, infrastructure, and safety-net service cuts. Local officials, labor groups, and health advocates supported it, while the Howard Jarvis Taxpayers Association opposed it; the committee adopted the urgency clause and then passed the bill to Local Government with urgency, with some no votes. SB 1073 would create a voluntary tax contribution fund to support the Historic South Los Angeles Black Cultural District; arts advocates and community supporters backed it, and the bill passed unanimously to the Arts, Entertainment, Sports, and Tourism Committee as amended.

Transcript Highlights:

• </c><00:01:31.079><c> the</c> and how it may or may not impact the and how it may or may not impact the
• </c><01:05:13.599><c> of</c><01:05:14.119><c> this</c> 5.625% so the impacts of this 5.625% so the impacts
• </c><01:10:27.080><c> state</c> this benefit will not only impact state this benefit will not only impact
• </c><01:10:32.000><c> and</c> state will be similarly impacted and state will be similarly impacted and
• </c> this committee and potential impacts to this committee and potential impacts to the<01:12:15.320

Committee: House Capital Investment

Transcript Highlights:

• </c> impact accurate recount efforts. impact accurate recount efforts.
• Uh there's no impact voter confidence.
• So if my annual statistic for inflation.
• </c><00:56:34.319><c> Not</c> artificially inflate it. Not artificially inflate it.
• it with artificially but inflate it with it with inflation<00:56:37.680><c> statistics</c><00:56:38.319

Committee: Senate Election Law and Municipal Affairs

Transcript Highlights:

• , and will continue to cause an impact throughout the state of California.
• and already impacted constituency.
• As many of you know, the impact that noxious weeds have on our agricultural lands is devastating.
• They are absolutely an environmental impact.
• They are absolutely an environmental impact.

Summary: The Committee on Agriculture met and heard a full agenda of bills, beginning with AB 1674, which would create a Food Desert Elimination Grant Program and require grocery-store capacity to be preserved or mitigated in certain housing developments. The author and local residents from Sunnyvale testified in support, describing the loss of neighborhood grocery stores and the impact on seniors and low-income families. Business and building groups opposed or opposed unless amended, arguing the bill could add costs and create housing barriers, especially in Section 3. The committee discussed rural and urban food-access differences, and the bill passed the committee 5-0 and was re-referred to Housing and Community Development, with members noting continued work on amendments. The committee then approved several consent items and heard AB 2264, which would allow district agricultural associations to use fairgrounds property for affordable housing by extending lease terms from 55 to 99 years. Supporters said it would unlock underused public land without displacing neighborhoods, and the bill passed to Housing and Community Development. AB 269, the “Fair Act,” would provide a targeted sales and use tax exemption to spur development projects on fairgrounds; it drew broad support from members and fair association testimony and passed to Revenue and Taxation. AB 2143, which would prohibit online marketplaces from accepting payment for noxious weeds shipped into California, received strong support from academic and agricultural witnesses and passed to Privacy and Consumer Protection. The committee also heard AB 1731, creating the California Healthy Food Procurement Fund and an approved-vendor program to connect schools with California farmers. School nutrition, farm, and food-policy advocates supported the bill as a way to reduce procurement barriers and expand local food in school meals; it passed to Appropriations. Finally, AB 1848 would raise seed-law fees to fund inspection and enforcement of California’s seed regulations; the California Seed Association supported the increase, and the bill passed to Appropriations. The meeting concluded with roll calls on absent members and adjournment at 2:53 p.m.

Transcript Highlights:

• , and will continue to cause an impact throughout the state of California.
• and already impacted constituency.
• So it does no negative impact on your already underserved community.
• They are absolutely an environmental impact.
• They are absolutely an environmental impact.

Committee: House Agriculture

Transcript Highlights:

• And then, very critically, it would index that wage to inflation.
• Inflation moves things too, but this is going to be forced inflation by forcing the minimum wage up.
• It does not actually really create real inflation.
• and the most impact on upward mobility for our people.
• There is a harmful impact.

Committee: House Labor & Industrial Relations

Summary: The House Labor and Industrial Relations Committee met on April 9 and first took up Senate Bill 162, which would change the workers’ compensation medical treatment schedule appeal process. The bill, presented as a collaboration between the Attorney General’s office and trial lawyers, would require additional medical evidence submitted on appeal to be sent back to the medical director for review before court review continues. Members discussed the 30-day turnaround for the medical director and whether the process would delay injured workers’ cases. After testimony from injured workers’ representatives and support cards from several business and labor groups, the committee adopted the technical amendments and reported SB 162 favorably. The committee then heard House Bill 353, which would establish a state minimum wage beginning at $12 per hour in 2027, rising to $15 in 2029 and then indexed to inflation. Supporters, including the sponsor, Invest in Louisiana, the Workplace Justice Project, 10,000 Women Louisiana, the AFL-CIO, and a young witness from People’s Promise, argued that Louisiana’s wages have lagged behind costs of living, that many workers remain in poverty, and that the bill would help families, reduce reliance on public benefits, and improve economic stability. Opponents, including NFIB and small-business advocates, argued that the market should set wages, that the bill would raise labor costs, compress pay scales, reduce hours or hiring, and potentially increase prices. After extended debate, the committee voted and HB 353 failed. The committee next considered Senate Bill 383 on the incumbent worker training program. Senator Bass and Louisiana Works officials said the bill would expand and make the existing program more flexible, increase available funding, shorten the business eligibility period from three years to two, and allow unused funds to roll over. Members focused on how the program would reach workers, how businesses and employees would learn about training opportunities, and how it would support workforce development in growing regions. Support came from business and economic development groups, and the committee reported SB 383 favorably with amendments. Finally, the committee began Senate Bill 382, which would repeal the Workers’ Compensation Advisory Council, described as the Senate version of a bill the committee had already considered. The transcript cuts off during discussion of the prior vote on the similar House version, and no final action on SB 382 is shown in the excerpt.

Transcript Highlights:

• Cleorne and Chair Nash, for including these two small provisions, but they're going to have a big impact
• , and it's going to be a big impact for students and astronomy lovers in my district and across the state
• </c> but they're going to have a big impact but they're going to have a big impact and<00:02:08.319><
• </c><00:02:09.520><c> for</c> and it's going to be a big impact for and it's going to be a big impact
• </c><00:04:35.840><c> that's</c> $350,000 and uh with inflation that's $350,000 and uh with inflation

Transcript Highlights:

• The worst inflation in 40 years.
• The worst inflation in 40 years.
• The worst inflation in 40 years.
• The worst inflation in 40 years.
• </c> over in January, inflation was at 1.4%. over in January, inflation was at 1.4%.

Transcript Highlights:

• The ratepayers are paying for that have zero or minimal impact on the delivery of quality of service
• How is this going to impact our overall needs and our resources?
• I mean, it, it's going to impact areas where there are, there's already, It's going to impact areas where
• It's really been about the cost of inflation.
• So if you want to have an impact on future rates, reduce the amount of spending that's allowed.

Summary: The Senate Committee on Energy, Utilities and Communications held an oversight hearing focused on electric rates, utility regulation, affordability, reliability, and wildfire-related costs. The chair framed the discussion around the challenge of transitioning to a cleaner grid while keeping bills affordable and the system reliable, and noted the hearing also served as the annual update from the CPUC and Public Advocates Office. Professor Severin Borenstein gave a primer on utility regulation, explaining the split between deregulated generation and regulated transmission/distribution, the basics of cost-of-service regulation, and the role of return on equity. He argued that high allowed returns can encourage capital-intensive spending and that many public policy costs now embedded in rates would be better funded through the state budget, while warning that price caps or performance-based regulation are not silver bullets. CPUC President-designate Alice Reynolds described the commission’s role as economic regulator of investor-owned utilities and said affordability is being addressed through rate case scrutiny, reasonableness reviews, and legislative direction. She said wildfire mitigation and insurance costs have been major drivers of rate increases, but some wildfire-related costs are time-limited and will roll off rates over time. She also highlighted progress on clean energy procurement, battery storage growth, and integrated resource planning to meet climate goals while maintaining reliability. Reynolds said the CPUC is reviewing utility spending, disallowing imprudent costs where appropriate, and litigating at FERC to challenge transmission costs. Members pressed both witnesses on several issues, including whether rates are being inflated by legislative mandates and balancing accounts, whether utility returns are too high, and whether the state should shift more public-policy costs off electric bills and into the General Fund. Senators also raised concerns about load growth from data centers and ports, gas-system stranded assets as electrification advances, and whether the CPUC is over-regulating or discouraging innovation. Reynolds said the CPUC is working with the Energy Commission, CAISO, and the Air Resources Board on a holistic planning process, and pointed to tools such as interconnection reforms and demand flexibility. No votes were taken; the hearing was informational, with several follow-up requests for reports and data.

Transcript Highlights:

• The other thing is it's a great hedge against inflation for home ownership.
• And you don't have that same hedge against inflation with rent.
• So moving people out of Same hedge against inflation with rent.
• and you're unable to pay your rent, if you are renting and you have an unforeseen situation that impacts
• That will impact your ability to eventually buy a home.

Bills: HB2720 , HB2073 , HB2487 , SB5816 , SB5919 , SB5995 , SB5831 , SB6134 , SB6136 , SB6137 , HB2689 , SB5922 , SB5944 , SB5957 , SB5988 , SB5994 , SB6011 , SB6065 , SB6103 , SB6151 , SB6244 , SB5420 , SB5868 , SB6044 , SB6132 , SJM8002 , HB2720 , HB2073 , HB2487 , SB5816 , SB5919 , SB5831 , SB6137 , SB6244 , SB5420 , SB5868 , SB6044 , SB6132 , SJM8002

Keywords: behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, insurance tax, state regulation, insurers, taxation, budget impact, juice grapes, agriculture, commerce, market access, fire safety, insurance incentives

Transcript Highlights:

• This bill is going to have probably the greatest impact on senior property taxpayers and disabled property
• The amount of money that seniors see increasing in Social Security does follow inflation, but also...
• The amount of money that seniors see increasing in Social Security does follow inflation, but also, Seniors
• ' increases in Social Security do follow inflation, but a whole lot of that is eaten up by increases
• So I'm really excited about this bill because it is probably singularly the most impactful bill that

Bills: SB23 , SJR85 , SB 23

Committee: Senate Local Government

Summary: The Senate Committee on Local Government heard testimony on Senate Bill 23 and its companion constitutional amendment, Senate Joint Resolution 85, both by Senator Bettencourt. The bills would increase the additional homestead exemption for elderly and disabled homeowners from $10,000 to $60,000, which proponents said would significantly reduce property taxes and help seniors and disabled Texans age in place. Bettencourt and supporters described the measure as part of a broader property tax relief package, estimating combined savings of about $950 for over-65 and disabled homeowners when paired with other recent homestead exemption changes. Witnesses largely supported the proposal. Testimony in favor came from a lawyer, a private citizen, Texas Realtors, the Texas Silver-Haired Legislature, and the Texas Association of Builders, all emphasizing relief for fixed-income seniors, housing stability, and the ability to remain in their homes. Several witnesses noted rising property taxes, medical costs, and the challenges seniors face in moving or affording home modifications. One witness from Every Texan said a flat homestead exemption is the most equitable way to cut property taxes, but argued against additional tax cuts generally, favoring a circuit-breaker approach and warning that permanent tax cuts could reduce funding for schools and other needs. The committee also discussed data showing many over-65 homeowners already pay no school property taxes in some counties and that the proposed changes would increase that share. After closing public testimony, the committee voted on the measures. Senate Bill 23 was reported favorably to the full Senate by a 7-0 vote, and S.J.R. 85 was also reported favorably by a 7-0 vote. The transcript also shows Senate Bill 898 being laid out and passed unanimously earlier in the meeting, with a recommendation for the local and uncontested calendar.