Transcript Highlights:

• SB1373 does not expand provider scope of practice or limit hospitals' ability to set high standards or
• This is not an expansion of our scope of practice. That ship has sailed. It has been settled.
• Scope of practice is a settled matter.
• Some personal issues may adversely impact their ability to practice medicine.
• This bill endangers civil liberties and expands coercive practices under the guise of care.

Bills: SB1117 , SB1373 , SB672 , SB1986 , SB1098 , SB626 , SB1784 , SB2480 , SB2487 , SB437 , SB660

Committee: House Public Health

Keywords: dentistry, botulinum toxin, aesthetic treatments, dental regulation, training, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges, SB 672, Texas hospital emergency operations plan, hospital diversion, emergency department, cyberattack, cyber security, power outage, electrical outage, patient diversion, hospital preparedness

Transcript Highlights:

• , as well as reflect the full practice authority of not only advanced practice registered nurses, but
• SB 320 provides a necessary modernization of our scope of practice.
• It takes practice. It takes support. It takes accountability.
• It takes practice. It takes support. It takes accountability.
• It takes practice. It takes support. It takes accountability.

Bills: SB274 , SB301 , SB249

Committee: House Health & Human Development

Summary: The committee heard and advanced several measures related to health care, public health, and patient protections. House Concurrent Resolution 148, urging a statewide educational strategy on menopause, was presented as a workplace awareness measure and received supportive comments from members before being released. Senate Bill 274, updating Delaware’s MOST program to POLST and clarifying capacity determinations and documentation for end-of-life orders, also drew supportive testimony from medical and nursing groups and was released. House Bill 458, limiting local backflow preventer requirements for certain low-hazard buildings, was presented as a cost-relief measure for homeowners and small businesses; DHSS expressed concerns but said it was willing to work on amendments and a sunset provision, and the bill was released. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and ordering flags at half-staff, was released after brief supportive remarks. The committee then considered Senate Bill 339, a technical correction to the advance health care directive form clarifying that an agent’s authority for voluntary mental health admission cannot exceed 72 hours, consistent with existing law. Members asked detailed questions about how the 72-hour limit works and whether it applies to voluntary directives; the sponsor and a Disability Rights Delaware witness explained that the bill only aligns the form with current statute and does not expand authority. The bill was released. House Bill 301, requiring hospitals to create discharge plans for pregnant patients discharged while showing signs of labor, prompted extensive discussion. The sponsor and supporters said it would improve safety, transportation planning, and aftercare, while some members noted Delaware hospitals already do much of this work and questioned whether codifying it was necessary; supporters emphasized maternal mortality disparities and the need for guardrails. The bill was released. Senate Bill 196, creating ownership disclosure requirements for long-term care facilities and resident notice rules after ownership transfers, was presented as a transparency measure for seniors and families and was released after supportive testimony from the Delaware Nurses Association and elder-care advocates. Senate Bill 320, expanding pharmacists’ independent prescriptive authority for certain non-controlled medications and allowing opioid use disorder medications under standing order, with added malpractice reporting requirements in Senate Amendment 2, was supported by pharmacists and nurse practitioners as an access-to-care measure and was released. Senate Substitute 1 for Senate Bill 161, establishing a unified licensing and oversight framework for adult behavioral health providers under DSAM, was presented as a patient-protection measure; providers supported the goal but cautioned that regulations must be workable, and the substitute was released. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was released with a note reflecting concerns about broadening the analysis to include additional cost drivers and alternatives. Finally, Senate Bill 249 with Senate Amendment 2, modernizing harm-reduction programs and paraphernalia laws, generated the most extended debate: supporters framed it as life-saving public health policy, while opponents raised concerns about needle litter, community impacts, and whether the approach facilitates addiction. Despite the objections, the bill was released.

Transcript Highlights:

• This is a chance to take action that's practical, that's cost-effective, and grounded in dignity.
• In 1999, the legislature enacted the Massachusetts Dietetics and Nutrition Practice Act, establishing
• of dietetics and the practice of nutrition based on education, supervised practice, and demonstrated
• This bill offers a practical and needed solution. It would require age... ...supplements.
• This bill offers a practical and needed solution.

Committee: Joint Joint Committee on Public Health

Summary: The Joint Committee on Public Health heard testimony on a wide range of bills focused on environmental health, disease prevention, and access to care. Major topics included restricting polystyrene use, creating a pancreatic cancer awareness and early-detection initiative, improving indoor air quality through a task force and new regulations, expanding access to epinephrine in public places, improving access to health care for people with long COVID, creating an OBGYN loan repayment program for underserved areas, expanding access to hygiene products, modernizing licensure for dietitians and nutritionists, updating school postural screening requirements, and restricting harmful diet pills and muscle-building supplements. Several legislators also testified in support of their own bills, including measures on menstrual product access and ingredient disclosure, and surgical smoke protections. Testimony on the polystyrene bill emphasized local municipal bans and the need to reduce plastic pollution. Pancreatic cancer advocates and patients described the disease’s low survival rate, the difficulty of early diagnosis, and the need for an awareness campaign and implementation of commission recommendations. Indoor air quality supporters from environmental justice groups, public health organizations, and residents described asthma, mold, pollution, and the need for a task force with technical expertise; some witnesses urged adding remediation professionals to the task force. On epinephrine access, family members of a man who died after a bee sting and an allergy organization stressed that anaphylaxis can be sudden and fatal and that stock epinephrine in public venues could save lives. Long COVID advocates said the condition affects hundreds of thousands of residents and called for better surveillance and access to care, with a request to include MECFS in the bills’ scope. Other testimony focused on workforce and equity issues. Supporters of the OBGYN loan repayment bill said it would help address maternal health disparities and provider shortages, especially in rural and underserved communities. Hope and Comfort described widespread hygiene insecurity and a long waiting list for basic products, urging a task force to study statewide solutions. Dietitians and nutritionists supported modernization of licensure to clarify standards for medical nutrition therapy while allowing broader wellness counseling. School nurses backed reducing mandatory postural screenings, arguing the current law is not evidence-based, is not reimbursed by MassHealth, and takes time from other student health needs. On the supplement bill, the industry trade group opposed restrictions as overbroad and burdensome, while a public health expert cited research linking weight-loss and muscle-building supplements to serious harms and urged passage. The committee also heard support for menstrual product access and surgical smoke protections, with legislators and advocates describing those bills as longstanding priorities.

Transcript Highlights:

• We're only about a week away from the end for practical purposes.
• And it says within the scope of their practice, they can practice in a health care facility, but then
• And so we are expanding their scope of practice within the facility, right? Mr.
• Stated in a way that makes it clear what that scope of practice actually is.
• I mean, where you see this, the practice in a health care facility, emergency practice in a medical offices

Bills: SB40 , SB104 , SB136 , SB164 , HB99 , HB38 , HB165 , HB127 , HB72 , HB151 , SB40 , SB104 , SB136 , SB164

Committees: Senate Senate Judiciary , Senate House Judiciary

Keywords: SB40, Driver Privacy and Safety Act, automated license plate reader, ALPR, license plate reader, vehicle surveillance, privacy, data sharing, law enforcement data, immigration enforcement, reproductive health care, gender-affirming care, civil liberties, surveillance, public records, Inspection of Public Records Act, New Mexico State Police, Department of Public Safety, data sovereignty, vehicle tracking

Transcript Highlights:

• I have practiced for 40 years. I am a certified criminal law specialist.
• If you are placed on probation, you are still able to practice law.
• But they are allowed to practice law.
• But if you’re on probation, you can practice. Yes. Madam Chair, if I may.
• Attorneys get to practice law until the case is fully adjudicated.

Summary: The committee began with lengthy testimony and affidavits criticizing the Arizona State Bar, with speakers alleging selective discipline, due process problems, and retaliation against attorneys who take controversial cases. Committee members questioned the witnesses and discussed whether the bar and court system properly oversee attorney discipline, but no action was taken on that testimony. The committee then considered several election-related bills. SB 1037 would impose stricter security requirements on voting and tabulating equipment, including no internet access, tamper-proof seals, chain-of-custody documentation, nonstop video at accounting centers, and criminal penalties for violations; it passed 4-2 with one not voting. SB 1038 would require rapid public release of cast vote records, but an amendment changed the timing and transmission process; the amended bill passed 4-2 with one not voting. SB 1040 would expand public access to voter registration rolls through an internet portal and a read-only format; it also passed 4-2 with one not voting. The committee next approved SB 1039, which would allow attorneys who prevail in bar discipline matters to seek damages for reputational harm and lost earnings; it passed 4-2 with one not voting after extensive discussion about bar procedures, interim suspension, and whether attorneys can practice while under investigation. SB 1053, reducing concealed carry permit fees for Arizona residents, passed 4-2 with one not voting. SB 1057, requiring ballot paper fraud-countermeasure features, also passed 4-2 with one not voting. SB 1060, removing a voting exemption for U.S. citizens who have never resided in the United States, passed 3-2 with two not voting. The committee then heard SB 1061, which would lower the fentanyl threshold for enhanced sentencing from 200 grams to 9 grams; testimony focused on whether the bill would sweep in users as well as dealers, but the transcript ends before a vote is taken.

Transcript Highlights:

• Lastly, the act establishes prohibited practices and gives the Department of Agriculture authority to
• Lastly, the act establishes prohibited practices and gives the Department of Agriculture authority to
• Prohibited practices include refusal to negotiate, coercion, or knowingly making false reports.
• protection of cultural resources, tribal treaty rights, and adaptive management practices.
• The tribes currently and rightly share information about forest practices and the best forest practices

Bills: SB5919 , SB5816 , SJM8015 , HB2737

Committee: House Agriculture & Natural Resources

Keywords: fire safety, insurance incentives, best practices, community protection, voluntary measures, juice grapes, agriculture, commerce, state regulation, market access, federal response, wildfire protection, community safety, infrastructure, natural resources, commercial shellfish, shellfish fees, Department of Health, biotoxin testing, export certificate

Transcript Highlights:

• For practical purposes only, this bill defines an infant as a child younger than 18 months.
• elements and then develop a program improvement plan to improve all of that practice.
• AB 2247 represented an important shift toward trauma-informed child welfare practice.
• I think everything that we strive to do is our best practices.
• But best practices run into resources and limitations on time and facilities.

Committee: House Human Services

Transcript Highlights:

• Yeah, it's a practice. Thank you. Thank you. Okay. Thank you. Thank you. Thank you. Thank you.
• I missed so out of practice because we haven't, this is our first committee.
• So again, our kind of focus is kind of turning away from requirement into the best practice.
• We'd want it to work in practice. You have my commitment. Thank you. Thank you.
• It was just common practice.

Summary: The Assembly Transportation Committee met and began without a quorum, first hearing AB 612 by Assembly Member Rogers and later AB 435 by Assembly Member Wilson. AB 612 would direct Caltrans to update the highway design manual so local jurisdictions consult with fire departments on major road improvements. Supporters, including the California Professional Firefighters and labor representatives, said the bill would improve emergency response and prevent road designs from hindering fire apparatus. County representatives said they were not opposed but wanted the bill narrowed to avoid mandatory consultation on minor maintenance projects or in areas without a local fire district. Several members praised the bill as common-sense safety legislation, and it was moved forward to Appropriations. The committee then adopted its rules and approved a seven-bill consent calendar. AB 435 would update California child passenger safety law to require children under 10 to be properly restrained in the back seat, require children ages 10 to 13 to remain in the back seat unless they pass the five-step seat belt fit test, and require the five-step test before a child may ride in the front seat. The author and supporters, including Safe Kids Greater Sacramento, Safety Belt Safe USA, AAA, the Automobile Club, and hospitals, argued the bill would align state law with national best practices and improve child safety. Committee members raised concerns about enforceability, implementation timing, pickup trucks, large families, and low-speed vehicles, and the author said he was open to amendments and additional data, including California-specific information. AB 435 was advanced to the Committee on Appropriations after discussion. AB 612 also received a due pass recommendation to Appropriations. The committee held rolls open to allow additional members to add on, then later confirmed the votes and adjourned.

Transcript Highlights:

• And do teacher candidates get the same clinical practice experience at all EPPs?
• With clinical practice and considerations for the committee. Thank you. Thank you, Evan.
• and clinical practice hours observing instruction in a classroom that includes diverse learners.
• I don't deal with kids Why the huge discrepancy in hours when preclinical practice is a best practice
• And something our teachers who are already teaching lack best practices.

Transcript Highlights:

• So it doesn't change or affect the practice.
• So it doesn't change or affect the practice.
• </c><00:20:24.400><c> for</c> is modeling uh the best practices for is modeling uh the best practices
• This section codifies that prior practice permanently.
• </c> section codifies that prior practice section codifies that prior practice permanently.<00:24:46.880

Transcript Highlights:

• Areas as their practice destination.
• I am a practicing primary care physician trained in internal medicine.
• A typical concierge practice, someone who goes into concierge practice has been practicing for a few
• Yeah, and I think just also where people are practicing, right?
• Like I said, I also practice in an urgent care setting.

Summary: The Assembly Budget Subcommittee on Health held a hearing focused first on the impact of H.R. 1 on medical student financing and physician access, then on state residency-support programs. The chair framed the discussion around expected federal Medicaid and student loan changes, warning that higher borrowing barriers could reduce access to medical school for lower-income students and worsen physician shortages, especially in underserved regions. The LAO explained that H.R. 1 would cap federal loans for professional students, eliminate Grad PLUS for new borrowers, and likely shift more students toward private loans with less favorable terms; it said the bigger concern may be who can afford to attend medical school rather than a sharp drop in enrollment. HCAI described three physician loan repayment programs—the State Loan Repayment Program, the Stephen M. Thompson Physician Corps Loan Repayment Program, and the County Medical Services Program loan repayment program—and said retention data show many awardees remain in California and in underserved or safety-net settings after service obligations end. University of California and UCSF witnesses described California’s physician workforce shortages, especially on the Central Coast and in rural and agricultural communities, and said affordability, limited medical school capacity, and burnout are pushing some doctors into concierge practice or out of underserved areas. They emphasized that students from low-income backgrounds and underrepresented communities are more likely to be affected by loan limits and that residency location strongly influences where physicians ultimately practice. Members asked about medical school capacity, out-of-state students, residency retention, and whether the state could expand slots or better target aid to keep physicians in California and in high-need communities. Public commenters urged the Legislature to consider shortages in anesthesia, pediatric subspecialties, midwifery, and culturally concordant care, and to support broader workforce pathways and public-service loan programs. The second panel reviewed graduate medical education programs, especially CalMedForce, CalMedForce Plus, and Song-Brown. UC and HCAI said CalMedForce has supported new residency slots since 2018, while Song-Brown funds primary care residency training and has recently supported new programs in rural areas such as Del Norte County. The LAO said the state should decide whether residency support should remain a budget priority, whether these competitive grant programs are the best mechanism, and whether their structures are too rigid or duplicative. It noted that most awardees receive funding more than once and that the programs overlap substantially, suggesting possible coordination or consolidation. A family physician from the California Academy of Family Physicians argued that stable funding for primary care residencies is essential, that many California-trained physicians stay where they train, and that future funding should be more deliberately directed to primary care and high-need communities. The hearing ended with discussion of emergency room crowding, geographic inequities in residency distribution, and HCAI’s plan to develop supply-and-demand models to guide future funding decisions.

Transcript Highlights:

• Again, we're trying to maintain their scope of practice, not open up their scope of practice.
• practices there are.
• And we want to maintain that they still have that practice, but not open up the scope.
• to maintain that scope of practice.
• Recently, the FTC and Congressional House Judiciary studies have warned about these practices.

Summary: The Public Health Committee heard several bills, beginning with HB 4336, which updates definitions of acute and chronic pain to align with the Uniform Controlled Dangerous Substances Act and adds certain violations as unprofessional conduct. The committee adopted a PCS as the working draft, took no questions, and passed the bill 7-0. HB 3194, which would prevent pregnancy centers from being singled out for discrimination or censorship based on pro-life principles, drew questions about oversight, medical staffing, ultrasound interpretation, and contraceptive counseling; after discussion, it passed 6-1. The committee then passed HB 3934, described as a measure to help rural Oklahoma children get dental care through dental hygienists, with a question confirming parents could opt in or out. HB 3762, dealing with chiropractic practice and defining “serum” to cover vitamins, minerals, and nutrients while excluding blood products, was amended in committee but did not receive a motion and remained in committee. HB 1818, clarifying licensed social workers as licensed bachelor social workers and aligning Oklahoma with neighboring states, passed 6-0. Later, HB 3538 on pharmacy benefit manager vertical integration and community pharmacy reimbursement passed 7-0 after extensive discussion about independent pharmacy closures, mail-order pharmacy issues, specialty drugs, and network access. HB 3682, the Oklahoma Clean Indoor Air Act, would prohibit smoking in most public gathering places while allowing certain exceptions and local governments to adopt stricter rules; it passed 7-0. The committee also heard HB 3793, a placeholder bill on nursing education and diploma programs intended to address workforce shortages, but no motion was made and it remained in committee. The meeting ended with a short recess for the swearing-in of a new representative-elect.

Transcript Highlights:

• So, it basically makes the practice of medicine kind of nationwide, instead of just each little state
• I understand that we're kind of out of practice, and so thank you for being the first.
• I have nurses crossing the border, our New Mexico border, to practice here.
• The network is comprised of 30 independent private practices throughout the state.
• Well, the state licensing board is responsible for PTs or whoever practicing in New Mexico.

Committee: House House Health & Human Services

Transcript Highlights:

• . practice. practice.
• </c> ethical practice in the profession. ethical practice in the profession.
• </c> left practice for a variety of reasons. left practice for a variety of reasons.
• </c> are seeking to return to practice. are seeking to return to practice.
• </c> codify this practice. codify this practice.

Committee: Senate Health and Human Services

Transcript Highlights:

• I'm here to present AB 1349, a bill that, among other things, ends the practice of speculative ticketing
• There are many examples of fans getting price gouged by the practice of spec-ticketing.
• , particularly the harmful and deceptive practice of spec ticketing.
• There are thousands and thousands of other people who are impacted by this type of practice.
• Also, as a performer... ...are impacted by this type of practice.

Committee: House Judiciary

Summary: The California Assembly Judiciary Committee heard AB 1349, authored by Assembly Member Bryan, which would prohibit speculative ticketing by requiring ticket sellers to own, possess, or have a contractual right to sell tickets before listing them for resale. The bill also aimed to increase transparency by requiring disclosure of seat locations, recordkeeping and refund capabilities for secondary platforms, and banning fake websites that mimic official event pages or mislead consumers. Bryan argued the practice is anti-consumer and leaves fans paying marked-up prices for tickets sellers may never obtain. Supporters included California Arts Advocates, artist James Fauntleroy, the Music Artist Coalition, the National Independent Venue Association, Live Nation, and several sports and entertainment organizations. They said speculative ticketing harms fans, artists, venues, and nonprofit arts groups by driving up prices, causing fraud, and diverting revenue. Some supporters, including sports teams and venue groups, noted they had implementation concerns and were working with the author on amendments. Opposition came from the Consumer Federation of California, StubHub, SeatGeek, TickPick, and Vivid Seats, which said they opposed the bill in its current form but supported the goal of stopping speculative ticketing. They argued the bill could create problems around consumer transfer rights, terms and conditions, and market structure, and pointed to the federal Ticket Act and ongoing antitrust litigation involving Ticketmaster as relevant context. Committee members generally expressed support for the bill’s consumer-protection goals while urging continued work on the implementation issues raised by opponents. Several members said they would vote for the bill and emphasized the need to protect consumers, artists, and small venues without strengthening existing monopolies or limiting legitimate ticket transfers. The author said he was committed to working with all sides and that the bill was not intended to affect the larger federal litigation. The committee then voted do pass as amended to Appropriations, with the bill passing on recorded votes and later an additional aye from Vice Chair Dixon added to the record.

Transcript Highlights:

• This systemic effort will ensure best practices which allow for engagement in high-quality math learning
• This work has included on-site professional development, communities of practice, and classroom visits
• We focus on helping educators Both their knowledge and their practical application in the classroom.
• , inclusive practices, and behavior interventions.
• Less seclusionary practices.

Transcript Highlights:

• We have practice-based evidence, you know.
• So can we include best practices or, you know, some...” “...best practices or, you know, something along
• I just...” “...promising and evidence-based practices.
• best, promising best practices or something?
• Practices from below. Okay. Okay. Okay. Anyone else have thoughts on this one?

Summary: The committee met for its final session before submitting a report to the governor and legislature, with introductions from state officials, legislators, advocates, providers, and facilitators. Staff explained that the meeting would focus on finalizing the committee’s strategic priorities and recommendations for a five-year behavioral health plan centered on prevention, early intervention, and community-based services. Members reviewed the draft overarching priorities, including the need for a statewide behavioral health vision and an executive-level role to coordinate behavioral health across agencies, and discussed how those priorities should reflect people with lived experience, families, and community voice. A substantial portion of the meeting focused on the draft recommendations and how they should be organized and worded. Members raised concerns that the document was too aspirational and not specific enough, and several suggested moving more detailed actions under the broader priorities rather than leaving them in a separate section. There was also discussion about the use of the term “evidence-based,” with tribal representatives and others asking for language that also recognizes practice-based evidence, promising practices, cultural specificity, and flexibility in funding and implementation. Members also discussed clarifying “early intervention,” adding examples such as universal screening, outpatient access, primary care integration, and home visiting, and ensuring the plan reflects accountability and community feedback. Other edits included clarifying credentialing recommendations to distinguish between licensure and payer credentialing, adding mentorship as a workforce retention strategy, and broadening Medicaid-centric language to include carriers and insurers more generally. Staff noted the report would be revised and sent back out for review by May 22, with comments due by May 27, in order to meet the June 1 submission deadline. No public comment was offered, and the meeting ended with thanks to members and facilitators for their work.

Transcript Highlights:

• I've practiced acupuncture for almost 40 years.
• I've practiced acupuncture for almost 39 years.
• That instability if Especially for small independent practices.
• Angelica Fasio, office manager at a private practice, in support.
• Haley McNair, private practice OB-GYN, in support.

Committee: Senate Health

Summary: The Senate Health Committee heard several bills focused on health care access, research funding, consumer protection, and insurance administration. SB 895 by Sen. Wiener would create the California Foundation for Science and Health Research and place a bond measure on the November 2026 ballot to support scientific and health research in California; supporters from UC, labor, and patient groups said it would protect jobs, public health, and the state’s research leadership amid federal funding cuts, while the committee later voted 6-0 to pass it as amended and re-refer it to Natural Resources and Water. SB 944 would make acupuncture a permanent Medi-Cal benefit regardless of federal matching funds; acupuncture providers, patients, health systems, and API community advocates testified in strong support, and the committee voted 6-0 to pass it as amended and re-refer it to Appropriations. The committee also considered SB 987, which would create a California Health Access Fund to capture state savings if federal Medicaid changes under H.R. 1 reduce Medi-Cal enrollment and redirect those funds to care for people who lose coverage and to reimburse safety-net providers. Support came from disability, consumer, family physician, emergency physician, hospital, and reproductive health groups; members discussed prioritizing indigent care, prevention, and safety-net needs, and the bill was moved on a unanimous vote to Appropriations. SB 964 would let a licensed provider adjust the dose or frequency of an already covered medication up to two times without prior authorization when clinically appropriate, with Crohn’s and Colitis advocates describing delays that harmed patients and insurers warning about safety and cost concerns; after committee discussion about off-label use and clinical safeguards, the bill passed 11-0 and was sent to Appropriations. Later, SB 1099 clarified local governments’ authority to provide state or local public benefits to all residents under PRWORA, with city and county counsel and local officials saying it would preserve flexibility for homeless outreach, street medicine, crisis lines, and other low-barrier services; it passed 11-0 and was re-referred to Human Services. SB 1033 would require protein product manufacturers to test for heavy metals and disclose results, prompted by Consumer Reports findings and supported by consumer, health, and women’s health groups; industry witnesses asked for narrower scope and source-level testing, and the committee voted 11-0 to pass it as amended and send it to Environmental Quality. The committee then began SB 1049, which would give providers a 90-day window after a plan’s latest action to correct certain claim errors and prevent denials based solely on missed filing deadlines; the author said it would address honest billing mistakes and recoupments, and the bill was introduced with support from medical groups and ongoing discussions with health plans.

Transcript Highlights:

• Especially for small independent practices.
• Angelica Fasio, office manager at a private practice, in support.
• Angelica Fasio, office manager at a private practice, in support. Dr.
• Haley McNair, private practice OBGYN, in support.
• those, especially in smaller private practices.

Summary: The Senate Committee on Health heard several health-related bills, with extensive public testimony and multiple roll-call votes. SB 895, by Senator Wiener, would create the California Foundation for Science and Health Research and place a bond measure on the November 2026 ballot to support science and health research in California amid federal funding cuts. The author and UC researchers argued the measure would protect jobs, public health, and the state’s research leadership; many universities, labor groups, and patient advocates testified in support, and there was no opposition. The committee members praised the bill, and it passed 6-0 to the Committee on Natural Resources and Water. SB 944, also by Senator Wiener, would make acupuncture a permanent Medi-Cal benefit regardless of federal matching funds. Supporters, including acupuncturists, patients, community organizations, and health access advocates, described acupuncture as effective, low-cost, and culturally important care; there was no opposition. The committee discussed access for API communities and Medi-Cal patients, and the bill passed 6-0 to the Committee on Appropriations. SB 987, by Senator Wiener, would create a California Health Access Fund to capture state savings if federal Medicaid changes cause Medi-Cal enrollment losses, with the goal of redirecting those savings to care for affected patients and providers. Support came from disability, consumer, family physician, emergency physician, psychiatric, medical, and safety-net hospital groups. Committee members discussed prioritizing indigent care, prevention, and other vulnerable populations if savings materialize. The bill passed 8-0 to Appropriations. SB 964, by Senator Smallwood-Cuevas, would limit prior authorization barriers by allowing certain dose or frequency adjustments for covered medications without repeated authorization, up to two clinically appropriate changes. The bill was supported by a Crohn’s and colitis patient and sponsor testimony describing delays in care, while health plans and insurers opposed it over safety, FDA-labeling, and cost concerns. Committee members raised questions about off-label use and clinical standards, but the author said the bill was intended to reduce delays and avoid emergency care; it passed 11-0 to Appropriations. SB 1099, by Senator Reyes, would clarify local governments’ authority to provide state and local public benefits to all residents under PRWORA-related exemptions, to reduce legal uncertainty for local safety-net programs. County counsel and city attorney representatives said the bill would preserve local flexibility to provide services such as health care, shelter, crisis response, and food distribution without unnecessary eligibility barriers; there was no opposition, and the bill passed 11-0 to the Committee on Human Services. SB 1033, by Senator Padilla, would require manufacturers of protein products to test for heavy metals and disclose results. Supporters cited Consumer Reports findings of lead, cadmium, arsenic, and mercury in protein powders and beverages, while opponents asked for narrower scope and raised concerns about naturally occurring metals and over-warning consumers. The committee discussed narrowing the bill and the need for transparency, and it passed 11-0 to the Committee on Environmental Quality. Finally, SB 1049, by Senator Weber-Pearson, would give providers a fair opportunity to correct certain claim errors after a health plan action, rather than being barred by original filing deadlines. An OBGYN testified that a missing diagnostic code led to large clawbacks and delayed payments despite appropriate care; the bill was presented as a limited fix for honest mistakes. The transcript ends during testimony on SB 1049, before a final vote is shown.

Transcript Highlights:

• in practices that are...
• Working in independent practices or in practices that are stand-alone with, say, a physical therapist
• So there is a broad area that athletic trainers practice in.
• I've practiced rheumatology for 35 years.
• And so what happens practically is if I'm on a $2,000 a month medication that I need for a year to Practically

Committee: House Health and Mental Health

Summary: The committee first heard House Bills 2365, 2490, and 2249, a bipartisan version of Elijah’s Law, which would require child care facilities to receive training and guidance on recognizing and responding to food allergies and anaphylaxis. Sponsors described the bill as a response to the death of Elijah, whose daycare did not administer epinephrine quickly enough after a food exposure. Witnesses in support, including a parent and food allergy advocate, said the measure would improve preparedness and save lives. Committee members asked about whether the bill should use broader epinephrine terminology, whether the requirements could also be handled through child care licensing rules, and whether the bill was already included in a larger measure. No opposition was presented, and the hearing on those bills was closed. The committee then heard House Bill 1965, which would require insurers to reimburse athletic trainers for covered services and add athletic trainers to the practitioner definition for billing purposes. The sponsor and athletic training witnesses said the bill would recognize athletic trainers as licensed health care providers, improve access in rural and underserved areas, and allow reimbursement when trainers work in clinics, hospitals, or other non-school settings. Committee members raised repeated questions about the difference between athletic trainers and physical therapists, whether school-based services were already paid through contracts, whether the bill would increase costs or create double payment, and how diagnosis and billing would work under the current scope of practice. Opponents from Blue Cross and Blue Shield of Kansas City and the Missouri Insurance Coalition argued the bill would create a mandate, increase costs, and expand billing before clarifying the underlying scope of practice. No vote was taken in public hearing. The committee then moved into executive session and voted several bills do pass. A substitute was adopted for House Bill 1826 and the committee substitute for House Bills 1826, 2560, 2349, and 2194 passed 17-0. House Bill 1783 also passed 17-0. House Bill 2372, which incorporated multiple related provisions including changes to epinephrine terminology and other committee items, passed 17-1 after a substitute and amendment were adopted. House Bill 1827, the occupational therapy bill related to disabled placards and license plates, passed 18-0. The committee then returned to public hearing and heard House Bills 1941 and 2279, which would prohibit copay accumulator programs for fully insured plans so that third-party assistance counts toward a patient’s deductible and out-of-pocket maximum. Sponsors and a rheumatologist testified that the bills would prevent patients with serious illnesses from being forced to pay the same deductible twice and said similar laws have been enacted in many other states. Opponents from America’s Health Insurance Plans argued the measure would affect only a minority of plans, raise costs in the individual and small-group market, and could worsen affordability for remaining enrollees. The hearing ended without a vote on those bills.