Transcript Highlights:

• I would move for adoption. Motions for the adoption of House Floor Amendment 1.
• </c> I would move for adoption. I would move for adoption.
• I move for colleagues to vote yes. I move for passage. passage. passage.
• The reason that I've been championing this bill for 3 years, along with Kira Dunk, a high schooler from
• For what purpose, sir? 66. For what purpose, sir?

Transcript Highlights:

• And the brick and mortar for that, you don't have much left for training.
• And fish for them while they're in the net instead of letting kids sort of aimlessly go through high
• It's not going to work for everybody, but it's a good option for some.
• So are you really saying that we could apply for a waiver for some of these programs, for those eligibility
• it for this job.

Committee: All ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Summary: The committee heard a presentation from Nick Moore, Acting Assistant Secretary of the Office of Career and Technical Education, focused on integrating workforce, education, training, and human services systems. Moore argued that WIOA, Perkins, and ESSA should be aligned more closely, with fewer federal and state bureaucratic layers, more state flexibility, and a stronger emphasis on labor force participation, postsecondary attainment, and training tied to in-demand jobs. He said the federal agencies are moving toward combined plan timelines for 2026, encouraged states to pursue combined plans and waivers, and described efforts to streamline reporting, reduce administrative overhead, and expand tools such as integrated intake, cross-training, virtual and mobile service delivery, apprenticeship, and talent marketplaces. Moore also emphasized accountability and outcomes, saying states should measure training-related employment, retention, and the share of funds going to direct services rather than administration. He criticized the current workforce system as too costly and ineffective, and said states should use primary labor market information, better wage records, and employer input to align training with actual job demand. Members asked about balancing flexibility with accountability, the role of employers versus postsecondary institutions, serving rural “training deserts,” state waivers, and data-sharing systems such as Mississippi’s workforce technology efforts. Moore said states can use waivers and technology to create common intake and co-enrollment across programs, and that enhanced wage records are key to better workforce planning. The committee then received a separate update from DHS Secretary Janet Mann and Director Jay Hill on reimbursement rates for aging and adult behavioral health services. They said DHS had compiled more than 100 public comments, submitted a recommendation to the governor to hold current rates, and was awaiting executive review, which they estimated could take 30 to 60 days. Members asked about the timeline and the scope of the legislation requiring monthly reports. The meeting ended with notice of a later audit presentation scheduled for 1:00 p.m. at the Big Mac building.

Transcript Highlights:

• And for that, we pause to say thank you. Thank you for our governor.
• I'd ask for adoption.
• Senator Talbot moves for suspension of the rules for the purpose of...
• Senator Barrow for a question on the bill. Senator Barrow for a question on the bill.
• for each region of the state. ...broadly allows for representation for each region of the state, and

Bills: SCR12 , HB221 , HB509 , HCR58 , HB75 , HB1222 , SB121 , SB312 , SB348 , SB485 , SCR9 , SCR58 , SB65 , SB215 , SB249 , SB269 , SB282 , SB296 , SB323 , SB363 , SB369 , SB474 , SB490 , SB492 , SB500 , SB514 , HCR54 , HCR79 , HCR87 , HCR94 , HCR104 , HCR32 , HB944 , HB17 , HB41 , HB73 , HB223 , HB244 , HB410 , HB750 , HB759 , HB906 , HB966 , HB1006 , HB1009 , HB1086 , HB1107 , HB1112 , HB1215 , HB1242 , SB208 , SB217 , SB283 , SB387 , SB389 , SB401 , SB408 , SB469 , HB74 , HB119 , HB368 , HB414 , HB552 , HB732 , HB776 , HB848 , HB870 , HB953 , HB956 , HB1236 , SB29 , SB42 , SB43 , SB78 , SB149 , SB274 , SB300 , SB341 , SB382 , SB441 , SB449 , HB134 , HB210 , HB258 , HB359 , HB468 , HB784 , HB1117

Summary: The Senate convened with a quorum, received a prayer and pledge, adopted the journal, and heard messages from the House reporting final passage of several Senate bills and concurrence in SCR 86 and 87. The chamber also observed personal privileges honoring the lives of Edith K. Kirkpatrick and Susan Ann Traylor Bidick, with family members present and a moment of silence held for Bidick. The House later refused concurrence on Senate amendments to HB 42 and HB 159. The Senate then took up a series of resolutions, most of which were adopted without objection. These included studies on energy infrastructure and modernization (SR 174, amended to add an alternative energy industry representative and a consumer advocate), breast pump Medicaid reimbursement (SR 175), digital student IDs (SR 176), lethality assessment protocols in domestic violence cases (SR 177), problem gambling prevention (SR 178), community water system grading (SR 179), condolences for Sharon Courtney (SR 180), and expansion of the Louisiana Tumor Registry (SR 181). The chamber also adopted SCR 85 honoring the Sam Houston High School Broncos baseball team after a recorded vote of 36 yeas and 8 nays. On bills returned from the House, HB 1222 on grocery initiative grants failed on final passage by a vote of 18 yeas and 19 nays. SB 312 had House amendments rejected, SB 348 and SB 485 had House amendments concurred in, and SB 121 on congressional redistricting was the subject of extensive debate over racial gerrymandering, district configuration, and expected litigation before the Senate concurred in the House amendments by 28 yeas and 10 nays. The Senate also concurred in several House concurrent resolutions, including studies or reports on flooded corn and migratory waterfowl, deer hunting with dogs in Kisatchie National Forest, support for a Senator Kennedy letter to the Fish and Wildlife Service, boating safety reporting, and subsurface data review. Finally, HB 944 creating a Women’s Health Consortium within the Department of Health was amended to address funding concerns and convert it into a more task-force-like structure, then passed 37-0 with nine coauthors. The Senate then recessed until 1:30 p.m. to continue work, including conference committee reports.

Transcript Highlights:

• so safely for over a decade.
• We care for patients.
• Fewer qualified clinicians mean reduced access, longer waiting time, and high costs for patients.
• Thank you for your consideration. Thank you very much for your testimony.
• Thank you for your... Thank you for your time. Thank you very much for your testimony.

Committee: Joint Joint Committee on Public Health

Summary: The Joint Committee on Public Health heard testimony on four bills: H. 5013 and S. 2928, which would establish a three-year celiac disease screening pilot program for children during routine cholesterol/lipid screening around ages 8 to 12; H. 5087, regulating the operation of medical spas; and H. 5115, establishing statewide food truck regulations, though the hearing focused almost entirely on the celiac and medical spa bills. Committee chairs outlined three-minute testimony limits and noted members present in person and online. Supporters of the celiac screening bills, including Rep. Badger, Sen. Lovely, patients, clinicians, and researchers, described long delays in diagnosis, the lack of a cure beyond a gluten-free diet, and the potential for early screening to prevent years of damage, missed school and work, and long-term complications. Testifiers said celiac disease is common but frequently undiagnosed, that a simple blood test can identify many cases, and that a pilot would help assess feasibility, cost, accuracy, and family acceptance. Several witnesses emphasized that the proposal includes education and support for families after diagnosis, and some cited international screening efforts, especially in Italy, as evidence that population screening can work. Testimony on H. 5087 was largely opposed by medical spa owners, nurse practitioners, physician assistants, and a plastic surgeon. Witnesses argued the bill is outdated, duplicative of existing Massachusetts licensing and public health rules, and inconsistent with current scopes of practice and team-based care. They said the proposal could restrict access, burden small and women-owned practices, and fail to address the real issues of training, compliance, and patient safety. Some said they support regulation in principle but want the bill revised to reflect current law and modern practice. Committee members asked a few clarifying questions, including about celiac testing methods and the relationship between the medical spa bill and current state law, but no votes or formal actions were taken during the hearing.

Transcript Highlights:

• 2 You Thanks for watching!
• Not for anyone's personal gain, but for the gain of the people of Texas.
• for all.
• I hope you join me in adopting H.R. 325 and extending our sincerest best wishes for a meaningful life
• We would love for you to join us for lunch and for a good time of fellowship.

Transcript Highlights:

• My mother, as a teacher, set very high expectations for me and for her students.
• We hope to see FAMU continue to be the number one HBCU in the country, and thank you for your willingness
• For welcoming me and for your service to the people of Florida.
• And that alignment obviously is good for students, but it's also good for our region and for Florida's
• And that's very important, obviously, in this time of very high costs for higher education.

Committee: Senate Appropriations Committee on Higher Education

Transcript Highlights:

• for us to get where we are.
• For our CLA, Elijah Henderson, for the help that they did. putting the policy together.
• </c> uh Marley Peterson for the work for our uh Marley Peterson for the work for our CLA<00:04:13.680
• They're asking us for help. They're looking for pathways that will address their needs.
• was put into this bill, but for your leadership on this committee for this session.

Bills: HF2434

Committee: House Human Services Finance and Policy

Transcript Highlights:

• Thank you for that.
• For Part of it, Mr.
• for bringing it up as well.
• Thank you for that.
• Roos, for that.

Transcript Highlights:

• So you either have four minutes for one person or two minutes for each of you. You decide.
• And I am so sorry for your loss, but thank you for being here.
• Rubio, for your word today.
• This is for AB 1540, Mark Gonzalez, for due pass and refer to the Committee.
• This is for AB 1832.

Summary: The Communications and Conveyance Committee heard several bills focused on telecommunications, emergency response, and digital access. AB 1540 by Assemblymember Mark Gonzalez would restore the 988 “press 3” option for LGBTQ+ youth crisis support, with strong support from suicide prevention advocates, mental health organizations, local governments, and family groups, and opposition from groups arguing it politicizes crisis services and raises safety concerns. Members emphasized the bill’s life-saving purpose and noted it would depend on federal approval. The committee voted AB 1540 out on a due pass recommendation to Appropriations. The committee also approved the consent calendar, including AB 2093 and AB 2193, both sent to Appropriations. AB 1832 by Assemblymember Ransom, as amended, would expand and stabilize statewide 211 services through a state fund, a community needs dashboard, and integration into emergency planning; supporters described 211’s role during disasters and service gaps in many counties, and the bill passed unanimously as amended to Appropriations. AB 2289, the chair’s bill, would create an Office of Broadband and Digital Equity, consolidate broadband programs, and narrow CPUC jurisdiction to voice communications; TURN and CWA District 9 opposed the regulatory changes but acknowledged shared goals, and the bill passed to Appropriations. AB 2424 by Assemblymember Carrillo would create a new low-income telecommunications advisory board to oversee California Lifeline and address fraud and oversight concerns. Supporters said the board would add needed telecommunications expertise and improve access for low-income and immigrant communities, while opponents argued an existing advisory structure already serves that role and warned of added costs and surcharges. After discussion, the committee voted AB 2424 out on a 7-2 vote to Appropriations. The meeting concluded after all listed bills were reported out.

Transcript Highlights:

• </c> justice for all. justice for all.
• </c> &gt;&gt; Appreciate filling in for us. &gt;&gt; Appreciate filling in for us.
• </c> one and ask for that adoption. one and ask for that adoption.
• Food is medicine interventions like produce prescriptions, medically tailored meals for high-risk populations
• Food is medicine interventions like produce prescriptions, medically tailored meals for high-risk populations

Summary: The Senate convened with an invocation and Pledge of Allegiance, then established a quorum and approved the journal. The House clerk communicated that the House had passed House Bills 34 and 306 and requested concurrence. The State and Local Government Committee reported Senate Bills 20 and 68 favorably, and several new bills and resolutions were introduced, including measures on Kentucky-grown agricultural procurement, an endowed research fund, unemployment insurance, postsecondary education, wrongful conviction compensation, massage therapy, local fiscal reporting, and a resolution honoring John and Debbie Rogers. The main floor action was on Senate Joint Resolution 23, as amended by Senate Committee Substitute 1, declaring Kentucky a “food is medicine” state and directing state agencies to advance food-as-medicine initiatives. The sponsor described the resolution as a statewide framework to connect nutrition, health care, agriculture, and local food systems, emphasizing partnerships with the Kentucky Hospital Association and the Kentucky Department of Agriculture, better health outcomes, and support for Kentucky farmers and rural communities. Senators from Taylor and Callaway spoke in support, citing local examples and the goal of building Kentucky-based solutions rather than importing them. The committee substitute was adopted by voice vote, and the resolution then passed 35-0. The Senate also adopted Senate Resolution 56 honoring Elder Nathan Craig and Sister Amy Craig, and Senate Resolution 33 honoring Robert E. “Bob” Pernell, Sr. Senate Resolution 22, honoring Brian J. Hat, was likewise adopted. After the day’s business, the Senate recessed for meetings of the Rules Committee and the Committee on Committees. Later, the Committee on Committees referred Senate Bills 1-4 to Education, Senate Bill 48 to Judiciary, and Senate Bills 84 and 102 to Veterans, Military Affairs, and Public Protection. Several members made announcements about upcoming committee meetings and events, including the VMAP committee, Judiciary, the Kentucky Japan Caucus, the Kentucky Israel Caucus, and an American Cancer Society action day.

Transcript Highlights:

• for zoning at all.
• Thanks for the clarification. Representative Mansor, you are recognized for inquiry.
• Let me interrupt for a second.
• We thank you for that. And for the committee, do we have any questions, concerns, comments for Mr.
• We thank you for that. And for the committee, do we have any questions, concerns, comments for Mr.

Summary: The Commerce Committee reconvened and continued its hearing on House Bill 2085, a measure to establish statewide preemption over the sale of tobacco, vape, and nicotine products. Supporters, including representatives of vape stores, grocers, convenience stores, and petroleum marketers, argued the bill would prevent a patchwork of local ordinances, protect small businesses, and create consistent statewide rules for retailers. Several supporters said federal Tobacco 21 rules already control underage sales, and that local bans or flavor restrictions would hurt businesses and push sales to neighboring jurisdictions. Opponents, including the Missouri Public Health Association and the Springfield-Greene County Health Department, said local tobacco regulation has helped prevent youth smoking and that the bill could invite litigation over existing ordinances and limit future public health regulation. Committee members repeatedly questioned whether the bill would affect zoning authority or local decisions about where vape shops can locate, especially near schools and child care facilities. The sponsor, Representative Keithley, said the bill was intended to preempt only state standards on the sale and retail regulation of tobacco products, not local zoning, and emphasized that local governments would remain free to regulate zoning. Much of the hearing focused on the bill’s language, especially whether it required a 21-and-over purchase age or merely allowed local jurisdictions that already use 21 to keep doing so. The sponsor explained that the bill was designed to preserve local 21 ordinances without forcing all localities to change from 18 to 21, while still setting statewide standards for sale-related rules. An informational witness from MOST Policy Initiative described health risks of vaping, including nicotine addiction and youth appeal from flavored products, and noted that Missouri does not currently impose a special tax on vapor products. The committee took no vote and adjourned after concluding testimony on HB 2085.

Transcript Highlights:

• That's a little bit misleading because for me, high hazard means it's about to fail.
• That's a little bit misleading because for me, high hazard means it's about to fail.
• So we really don't have any additional funding set aside for those high hazards.
• That's a little bit misleading because for me, high hazard means it's about to fail.
• So we really don't have any additional funding set aside for those high hazards.

Committee: House A&B Natural Resources Subcommittee

Summary: The meeting began with a budget presentation from the Oklahoma Department of Agriculture, Food and Forestry. Secretary Blaine Arthur and Deputy Commissioner Jan Lee described the agency’s divisions and recent efforts to improve efficiency, including expanded online licensing, electronic veterinary inspection certificates, and a new laboratory information system. They highlighted youth and workforce programs, local food initiatives for schools, market development efforts, and ongoing animal health concerns such as avian influenza, equine herpesvirus, and the threat of New World screwworm. They also discussed staffing, turnover, and uncertainty around federal cooperative agreement funding, while noting they were not requesting new or additional appropriations for the upcoming fiscal year. Members asked about meat inspection staffing, the use of one-time forestry firefighting funds, biosecurity and national security coordination, and agency staffing levels. The department said meat inspection was currently in good shape but dependent on federal funding stability, and explained that prior firefighting dollars had been used for equipment purchases. They also said they work with state and federal partners, including DHS and FBI, on threat preparedness and have reduced turnover by adjusting salaries and maintaining staffing at or below prior levels. The Oklahoma Conservation Commission then presented its budget and program overview. Staff described the agency’s long history and current work in water quality, flood control, soil health, unpaved roads, wetlands, and woody species control, especially eastern red cedar removal. They emphasized data-driven, voluntary conservation practices, citing stream cleanups, flood-control dam benefits, pond cleanouts during drought, and the Cherry-Peach watershed project as examples of programs that improve water resources and reduce wildfire risk. The agency said its workload has grown significantly and requested funding for critical dam repairs, local conservation district staffing, continued unpaved roads work, and expansion of woody species control statewide. Members asked about county matching for road and dam projects, who to contact about flooding roads, sediment removal from pond cleanouts, and the effectiveness of county training programs. Commission staff explained that county in-kind work can count as match, local conservation districts are the first point of contact, and the road training has produced measurable savings and better maintenance practices. They also clarified that “high hazard” dams are those where failure could threaten people or infrastructure downstream, not necessarily dams that are structurally failing.

Transcript Highlights:

• That's enough for a quorum, so we are going to move into executive session for House Bill 2874.
• If there’s no need for it, why don’t we... And you need to keep it for a little while for any...
• You know, and you need to keep it for a little while for any back for the 10 years, but what happens
• But we’re spending $150,000 a year for nothing. Well, for literally nothing.
• So with that, I ask for your support for HB 902.

Committee: House Insurance

Transcript Highlights:

• And Rob, thank you so much for your interpretation services, as well as Tracy for CART captioning.
• Thank you for coming. Thank you for having us.
• to start at a really high level with a search for housing and, in particular, affordable housing.
• But for now, we have that as a reason for not knowing, for instance, how many people are on a wait list
• Some of the goals, for instance, for our next meeting: Charlie's going to reach out to MassHealth for

Summary: The Long-Term Services and Supports and Health Equity Subcommittee met with a presentation from Housing Navigator Massachusetts. Staff described the nonprofit’s mission to improve access to affordable housing through a free, 24/7 search tool and public data dashboards. They explained how the site distinguishes between rent-based-on-income units and fixed below-market rent units, how mobile vouchers such as AHVP and Section 8 interact with those listings, and what types of housing are included or excluded from the database. They also reviewed accessibility filters, supportive housing resources, and related state programs such as EOHLC resources and RAFT. Committee members asked about the organization’s funding, the availability of voucher programs, and whether the site tracks demand for accessible units or wait lists over time. Housing Navigator said it is primarily supported through the state, works closely with the Executive Office of Housing and Livable Communities, and does not collect personal application data because it is not part of the application process. Staff said accessible units appear to be in high demand, but they do not have direct data on how many people are waiting or how many applications result from site visits. They also said they are working to improve data sharing, more frequent updates, and future research tools. Members discussed ways to increase public awareness of Housing Navigator, including sharing a one-page fact sheet or infographic through disability organizations, local disability commissions, independent living centers, and the Massachusetts Office on Disability. The subcommittee also briefly discussed future goals, including inviting MassHealth to a January meeting, seeking regular updates on federal Medicare and Medicaid developments, reviewing the annual report’s recommendations, and possibly planning a future health equity event. The meeting ended with the introduction of new commission member Victoria Gill and a motion to adjourn, which was approved unanimously.

Transcript Highlights:

• So first off, just to kind of go through real high level, what the regulatory structure is for dealing
• Recognize for follow-up.
• Recognize for follow-up.
• So for this year, for example, we received about $35 million in planning requests.
• For example, you mentioned the NOAA data for sea level rise.

Summary: The Natural Resources and Disaster Subcommittee heard two informational presentations. First, the Department of Environmental Protection gave an overview of Florida’s water quality framework, explaining how numeric nutrient criteria, monitoring, TMDLs, and Basin Management Action Plans (BMAPs) are used to address impaired waters. DEP described recent changes intended to increase accountability, including five-year milestones in BMAPs, requirements for advanced wastewater treatment by 2033 in certain cases, limits on new conventional septic systems where sewer is available, enhanced nutrient-reducing septic requirements where sewer is not available, and a new agricultural regional water quality improvement element. The department also highlighted the Water Quality Improvement Grant Program, which has received nearly $1.4 billion over four years and funded more than 300 projects, as well as a public dashboard showing funded projects and a forthcoming trend-analysis dashboard for monitoring data. Members asked about enforcement of BMAP milestones, septic-to-sewer coordination with local governments, PFAS and microplastics monitoring, septic system performance standards, wastewater facility compliance, and how many facilities remain below advanced wastewater treatment standards. DEP said it can enforce BMAP obligations through administrative orders, consent orders, court action, fines, and permit conditions, and that it inspects and verifies wastewater facilities while relying on reporting and site inspections for sewer infrastructure. The department also said nutrient-reducing septic systems must achieve a 65 percent reduction in nitrogen and phosphorus, with verification required when projects seek BMAP credit. The committee then heard from the chief resilience officer on the Resilient Florida program, created in 2021 to address sea-level rise and coastal flooding. The presentation reviewed planning grants, vulnerability assessments, and the statewide critical-asset assessment, noting that all counties and most municipalities are expected to complete assessments by the end of 2026 and that vulnerability is now an eligibility requirement for future project funding. The program reported major statewide outcomes, including stormwater storage, miles of infrastructure and roadway protection, acres restored, and coastal protection projects, and highlighted examples such as breakwater improvements and lift-station elevation. Members asked about project delays, funding totals, overlap with other funding sources, and project prioritization; the program said delays often stem from design and permitting after award, that its reported totals reflect only grants it administers, and that projects are scored under the same criteria rather than being prioritized by asset type. The meeting ended with no further business and adjournment.

Transcript Highlights:

• WE ADVOCATE FOR HEALTHCARE FOR LOW INCOME AND UNDERSERVED PEOPLE.
• SO IMPORTANT FOR CONSUMERS.
• THANK YOU TO ALL OF YOU FOR YOUR PRESENTATION. MY FIRST QUESTION IS FOR DOCTOR.
• THANK YOU FOR BEING HERE TODAY.
• MY QUESTION IS FOR MR. SOUCEK.

Transcript Highlights:

• There is a provision for that in the bill, but just the width requirements alone would not allow for
• Thank you for the opportunity for us to present on behalf of the Kentucky League of Cities regarding
• </c> representative Whitten uh both for representative Whitten uh both for having<00:39:57.480><c> a<
• </c><00:46:46.359><c> to</c> include the following which we hope to include the following which we hope
• </c> we'll stop there and thank you for we'll stop there and thank you for having<00:48:01.400><c> us

Summary: The House Standing Committee on Local Government met for its first meeting of the year, established a quorum, and heard two bills. House Bill 211, sponsored by Representative Chris Lewis, would create a definition for cigar bars and allow indoor cigar smoking in qualifying establishments if they meet criteria such as deriving at least 15% of gross income from cigar-related sales, restricting entry to those 21 and older, prohibiting cigarettes and vaping, and requiring a smoke-free area for deliveries. Lewis and Louisville Metro Council member Anthony Pantini described the bill as a small-business and tourism measure modeled on Tennessee law, while the American Cancer Society Cancer Action Network and a St. Elizabeth physician opposed it, arguing it would undermine local smoke-free ordinances and expose patrons and workers to harmful secondhand smoke. Several members raised local-control concerns, and Lewis said he was open to local governments making decisions on less restrictive approaches. The committee adopted a committee substitute and then approved HB 211 on a roll call vote, with multiple members voting yes and several no votes, sending the bill forward as amended. The committee then heard House Bill 160 from Representative Susan Whitten, with Logan Haynes of the Kentucky Manufactured Housing Institute. They said Kentucky faces a housing shortage of roughly 200,000 units and that starter homes are increasingly unaffordable, making manufactured housing an important part of the solution. Whitten said the bill would treat manufactured housing more like site-built housing while still allowing local governments to enforce cosmetic standards such as roof pitch, exterior facade, and foundation material, and she emphasized that HOA, deed, and historical preservation restrictions would remain in place. Haynes argued that modern manufactured homes are federally and state inspected, more energy efficient, faster to build, and more affordable than site-built homes, and he said the bill would not open the door to older-style mobile homes or single-wides except in limited narrow-lot situations. Representatives from the Kentucky League of Cities and the Kentucky Association of Counties expressed concerns about the bill’s current language, saying land-use decisions should remain local and warning that the definition of qualified manufactured home and the bill’s treatment of local standards could have unintended consequences. They said they appreciated Whitten’s willingness to work with them and indicated they hoped to continue negotiating amendments as the bill moved forward. No vote on HB 160 was taken during the portion of the meeting provided.

Transcript Highlights:

• The timeline for the list is moved up by one month to allow for additional time for the process to be
• The hope and the goal for municipalities and these other jurisdictions is to be able to hold their canvassing
• uh the The Hope and the goal<00:19:26.760><c> uh</c><00:19:26.880><c> for</c><00:19:27.159><c> municipalities
• Self-attestation isn't good enough, and I think we can have a high bar for a candidacy that's not that
• </c><00:47:57.800><c> a</c> can have a high bar for a candidate a can have a high bar for a candidate

Committee: Senate Elections

Transcript Highlights:

• That was a big institution for us. So we have three more to go, and we're hoping...
• We do provide services at the other institutions for these high-risk patients.”
• What additional, you know, how we do for high-speed rail—how much is it costing us up until now?
• In regards to this proposal, we wanted to provide some high-level viewpoints for the Legislature as it
• The request was to provide a high-level overview for the SB 108 report that we submitted last month to

Summary: The Senate Budget Subcommittee heard presentations from the Office of the Inspector General (OIG), California Correctional Health Care Services (CCHCS), the California Advancing and Innovating Medi-Cal (CalAIM) program, and the Coleman mental health receivership. The hearing focused on correctional health care, reentry, aging incarcerated populations, and the state’s progress toward compliance in the Plata and Coleman receiverships. Members also discussed the OIG’s intake complaint workload and medical inspection findings, as well as broader questions about staffing, vacancies, and the cost of court oversight. The OIG requested $275,000 General Fund for two permanent positions in its intake processing unit, citing a sharp rise in complaints from 3,200 in 2022 to 7,860 in 2025. OIG officials said complaints are categorized by issue and prison, prioritized by urgency, and generally responded to within 30 days, but they do not track complaint “validity” rates. The medical inspection unit reported that in cycle seven, case review performance was generally adequate while policy compliance was often inadequate; the lowest-scoring areas included emergency services, medication management, and health care environment. Members asked for more detailed reporting on complaint types, priority levels, and systemic issues. CCHCS described rising health care costs driven by an aging prison population, staffing vacancies, and contract medical expenses. Officials said more than 80% of the budget is personal services, and they are using hiring events, social media outreach, and expanded classifications to reduce vacancies. CalAIM officials reported early implementation success in pre-release and reentry services, including 89% Medi-Cal activation at release, 87% assigned managed care plans, 88% reentry care plans, and 59% warm handoffs, with about 169,000 claims submitted and $14.7 million reimbursed. The LAO noted that the Plata medical receivership has increased per-person costs and that the state should continue oversight while seeking ways to reduce vacancies and expand federal reimbursement opportunities. For the Coleman mental health receivership, the receiver’s office requested $33.9 million from the Mental Health Special Deposit Fund, including $8.2 million for receiver office staffing and $25.3 million to make court-ordered bonus payments permanent. The LAO supported continued oversight but recommended additional steps to address vacancies, including greater out-of-state recruitment, expanded telemental health, and possible consolidation of mental health services. The LAO also recommended reducing the telemental health staffing request and monitoring its effects. Members questioned the long-term cost of receiverships, the pace of compliance, and whether more detailed benchmarks and staffing data should be provided. No formal votes were taken during the portion of the hearing provided.

Transcript Highlights:

• Just a little background: I actually was a supervisor and high-risk nutritionist for WIC, which is for
• I actually was a supervisor and high-risk nutritionist for WIC, which is for women, infants, and children
• high-cost conditions for Medicaid systems.
• So I hope for total involvement. Other questions? Seeing none, it appears we have three signed in.
• If this passes, you're taking away these youths' hope for a better, brighter future. I vote no.

Committee: House House Health & Human Services Committee of Reference

Summary: The committee began with two radiology-related bills focused on rural access and workforce shortages. HB 2049 would allow particle accelerators for cancer treatment in critical access hospitals and counties under 400,000 population under general supervision, with rural providers testifying that the change would let patients receive care closer to home while maintaining safety protocols. The bill passed on an 11-0 vote. HB 2050 updated outdated radiologic technologist statutes, revised school accreditation and clinical-hour standards, and allowed radiologist assistants to work under supervision rather than direct supervision; an amendment also added registered nurses to the list of professionals not needing an additional license to use diagnostic X-ray machines. Testimony centered on staffing shortages, national standards, and whether the change would preserve oversight. The committee adopted the amendment and passed the bill 10-2, with some members citing the need for more vetting and concern about oversight of dangerous equipment. The committee then heard HB 2082, which creates a Childhood Cancer and Rare Childhood Disease Research Commission to award grants for phase-one pediatric cancer and rare disease trials using existing license-plate funds and other sources. Parents and patients gave emotional testimony about pediatric brain cancer diagnoses, the lack of effective treatments, and the need for Arizona to support local research; the bill passed unanimously 12-0. HB 2015 required Access to cover breastfeeding and lactation services, and an amendment made the coverage subject to CMS approval. Supporters described breastfeeding as preventive care with benefits for infants and mothers, while Access said it was neutral but appreciated the amendment’s fiscal safeguard. The bill passed 12-0 as amended. Next, HB 2177 directed Access to seek CMS waivers to restore Medicaid payments for certain services provided to American Indian and Alaska Native members by IHS and tribal facilities, including dental, diagnostic, therapeutic, and preventive services. The sponsor and a Sage Memorial Hospital witness said the bill would help tribal facilities draw down federal funds and keep services local; it passed 12-0 as amended. HB 2178 required state agency chief medical officers to hold an active medical or osteopathic license and passed without opposition. HB 2179 clarified statutory definitions separating air ambulance from ground ambulance regulation, with industry testimony saying it was a cleanup measure that would avoid unintended consequences; it also passed 12-0. Finally, HB 2183 created an 11-member emergency medicine study committee to examine EMS system sustainability, rural and urban capacity, workforce burnout, and uncompensated care. Firefighters, health care advocates, and an emergency nurse practitioner supported the study as a way to gather data and make recommendations; it passed 12-0. The committee then returned to HB 2072, which establishes an optional state certification for lactation care providers under ADHS, along with rulemaking, fees, discipline, and an advisory committee; the sponsor said the credential was needed so Access could reimburse the service, and the bill was introduced for further consideration.