Transcript Highlights:

• offenders to be released from probation if and when they meet certain conditions, and it clarifies procedures
• state, or local department or agency where the folks are actually certified to do that work and commissioned
• Speaker, gentlemen, there is an exemption for certified commissioned law enforcement officers which would
• Representative Gurrola: Madam Speaker, gentleman, the Public Regulation Commission.

Transcript Highlights:

• I think this might again be an issue that the upcoming gaming commission would look at.
• I think this might again be an issue that the upcoming gaming commission would look at.
• And those requirements are both in statute and in rules from the Lottery Commission. Thank you.
• Chairman, procedurally, there was a motion and a second. Do we have to remove that?

Keywords: 928, house, all

Summary: The committee first held a public hearing on HB 660, which would require historic horse racing facilities to provide 10% of HHR winnings to host municipalities as mitigation. Representative Om said the bill was intended to offset local costs associated with large gaming facilities, noting that prior gaming measures included opt-in provisions and that this proposal would leave charities and the state whole while taking the 10% from the operator’s share. Members questioned why 10% was chosen and whether municipalities were currently experiencing added costs; Om said the amount was meant to address projected future impacts, not broader municipal budget issues, and cited a study on casino-related community costs. Opponents from the New Hampshire Charitable Gaming Operators Association argued the bill unfairly singled out one industry and said gaming facilities do not impose more municipal burden than other entertainment venues. The hearing closed without a vote, and a member clarified the bill would apply to existing and future casinos/facilities. The committee then opened a hearing on HB 658-FN, which raises the cap on reimbursements from the Oil Discharge and Disposal Cleanup Fund and makes related changes to the Oil Pollution Control Fund. Representative Malloy introduced the bill, and Representative Aly described the funds as an insurance backstop for oil spill cleanup and low-income tank replacement, saying the program helps prevent environmental hazards and satisfies financial responsibility requirements. Bob Scully of the Energy Marketers Association supported the bill but noted that fee changes are ultimately passed on to consumers. Department of Environmental Services officials Robert Bishop and Jennifer Marts explained that the bill would change reporting deadlines, raise the reimbursement cap for low-income homeowners, extend the fee collection period for 10 years, and adjust petroleum import fees based on an actuarial review. They said the funds cover spill response, prevention, and tank replacement, and that the fee structure was designed to keep the funds solvent while balancing costs across fuel categories. Committee members asked about the actuarial basis for the fee changes, why some fees would rise while others would fall, and how the funds are used. DES said the review used 10 years of claims and exposure data and that the fuel oil fee would otherwise need to rise sharply, so the board proposed a smaller increase and rebalanced other fees. Members also asked about the scope of covered oil imports, and DES explained that the fee applies to oil destined for use in New Hampshire, not merely passing through the state. The discussion also covered home heating oil spills, which DES said are often discovered by homeowners or fire departments and are usually caused by tank corrosion, piping, or overfills. No votes were taken during the hearing, and the chair noted that the policy committee had already approved the bill before the finance-focused review.

Transcript Highlights:

• A lot of that is procedure.
• These states have very different election technology, procedures, and timelines.
• These states have very different election technology, procedures, and timelines, and the audits are adapted
• relative handful that consistently audits state legislative contests, so even though there are some procedural

Committee: Joint Joint Committee on Election Laws

Keywords: 995, all

Summary: The Committee on Election Laws held a hearing on election security bills, focusing first on S. 517 and H. 876, which would strengthen Massachusetts’ post-election audit process. Testimony from the Brennan Center, Common Cause Massachusetts, Verified Voting, and the League of Women Voters supported expanding audits to include all ballot types, increasing audit frequency from every four years to every two years, requiring statewide audit reports to be posted within 30 days and kept online for six years, and allowing municipalities to conduct audits under state standards. Witnesses also praised the bill’s creation of a work group to study risk-limiting audits and other improvements, emphasizing public confidence, transparency, and the ability of audits to detect errors or deter fraud. Committee members asked detailed questions about how Massachusetts compares with other states, how risk-limiting audits differ from current tabulation audits, how audits are selected and expanded if discrepancies appear, and what the costs and mechanics of different audit methods would be. Witnesses explained that current audits are typically random, hand-count-based checks of selected contests and batches of ballots, that risk-limiting audits use statistical sampling and can escalate to a full recount if needed, and that Massachusetts’ local-control structure makes a collaborative work group useful. They also noted that audits generally confirm results but can uncover errors that do not change outcomes, and occasionally more serious problems. The committee then heard testimony on H. 832, which would authorize the Secretary of the Commonwealth to take emergency actions affecting elections during declared emergencies. Supporters said the bill would create a clear statutory process for rescheduling or adjusting elections during severe weather or other crises, including allowing emergency absentee ballot accommodations for civilian responders, and would reduce the need for court intervention. No votes were taken on the bills during the hearing, and the meeting ended with adjournment after no additional testimony was offered.

Transcript Highlights:

• nicotine products regulation; HB 4018, sheriff exclusive authority auxiliary; HB 4109, safety school procedures
• nicotine products regulation HB 4018 sheriff exclusive authority auxiliary HB 4109 safety school procedures
• such an interesting selection of bills that seem to have a fixation on controlling the medical procedures
• we have Senate Bill 1177 that's particularly dangerous because there are any number of medical procedures

Summary: The Senate opened with prayer, the Pledge of Allegiance, approval of the journal, electronic roll call, and several guest introductions, including recognition of Health Workforce Wellbeing Day of Awareness, the Doctor of the Day, educators visiting the Capitol, and student guests. The President also made temporary committee appointments for the day and announced the day’s calendar of bills and committee referrals. The chamber then took up third-reading votes on several measures. Senate Bill 1014, relating to health insurance, passed 17-9. Senate Bill 1016, on employment practices and religious exemptions, also passed 17-9 after debate about workplace safety and public health. Senate Bill 1050, concerning state parks and veteran access, passed 19-9, with supporters citing benefits for disabled and retired veterans and opponents warning about impacts on park fees. Senate Bill 1054, relating to referendum power and emergency measures, passed 16-10 amid debate over local emergency authority. Senate Bill 1177, relating to public monies and health care services, passed 17-9 after sharp partisan debate over transgender-related medical restrictions. Senate Bill 1194, also on health care services and vaccination-related medical decisions, passed 17-9. Senate Bill 1398, relating to AHCCCS, passed 17-9. Senate Bill 1751, relating to capital punishment, passed 16-9. The Senate also passed SCR 1049, a concurrent resolution proposing a constitutional amendment on capital punishment, by a 16-9 vote. Throughout the floor debate, members offered explanations of vote focused on public health, religious liberty, veterans’ benefits, emergency powers, transgender rights, vaccination policy, and the death penalty. The Senate then announced a Health and Human Services Committee meeting for the following day and adjourned until Thursday, March 19, 2026, at 10 a.m.

Transcript Highlights:

• HEARING AIDS THROUGH THE MAIL PROVIDED THAT BEFORE THE SALE REQUIRED TELE AUDIOLOGY TESTING AND PROCEDURES
• ADOPT AND IMPLEMENT POLICIES REQUIRING THE USE OF SMOKE EVACUATION SYSTEMS DURING CERTAIN SURGICAL PROCEDURES
• BACTERIA ADMITTED INTO THE AIR WHEN HE GENERATED INSTRUMENTS ARE USED TO CUT TISSUE DURING SURGICAL PROCEDURES
• STAY UP-TO-DATE WITH THE UNFOLDING ADVANCES IN TREATMENT MODEL THAT MODALITIES INCLUDING DRUGS AND PROCEDURAL

Keywords: 999, senate, all

Transcript Highlights:

• For example, in the policies and procedures area, these are things that have been completed.
• I think all their policies and procedures, and when I say all policies and procedures, I mean everything
• All the policies and procedures are included in this, salary ranges.
• and procedures I mean all policy and procedures I mean everything<00:55:29.760><c> across</c><00:55:
• Those are the internal control procedures.

Keywords: 958, all

Summary: The committee met with a full quorum and approved the prior minutes. Members offered introductions of guests and family members, then heard a presentation from University of Louisville President Thomas Jared Bradley, who was sworn in before testifying. He described his background and outlined U of L’s strategic priorities: student success, access and affordability, workforce development, community engagement, and research. Bradley highlighted enrollment growth, increases in first-generation and Pell-eligible students, strong transfer pathways with KCTCS, and support programs such as the Cardinal Commitment Grant, 15-to-Finish, Comeback Cards, tutoring, mentoring, and mental health services. Bradley also emphasized U of L’s statewide and regional impact through UofL Health, rural outreach, the Bullitt County rural cancer education and research center, nursing expansion, and the Kentucky Manufacturing Extension Partnership program. He noted major institutional distinctions, including R1 status, a new Carnegie Opportunity College and University designation, and community-engaged classification. He said the university is one of only 10 public universities nationwide with all three designations and reported record enrollment, improved retention, and strong research expenditures. He also thanked lawmakers for significant capital and operating support, including funding for the simulation center, health science center, asset preservation, and the MEP program. During questions, members praised the university’s public service role and asked about first-generation enrollment, retention, graduation rates, and post-graduation outcomes. Bradley said the university is working to improve completion by expanding academic support, early alerts, incentives for tutoring, and faculty/advisor mentoring, especially for first-generation and high-need students. He acknowledged that post-graduation employment data is difficult to collect but said the new Carnegie classification reflects positive outcomes. No votes were taken beyond approving the minutes, and no formal actions were taken on legislation in this portion of the meeting.

Transcript Highlights:

• have rules that are passed through the rulemaking process, which are both deliberative and public procedures
• And so if an agency's exempt from all or part of the Administrative Procedures Act, then they publish
• And then if they are subject to the Administrative Procedures Act, then yes, they send it to the Secretary

Committee: House Administrative Rules

Keywords: 914, all

Transcript Highlights:

• Department of Agriculture, and we also have regular procedural reviews.
• We've had some issues, obviously, with our sign-in procedures here.
• In fact, I can't Our sign-in procedures here.

Committee: Senate Senate Natural Resources Committee of Reference

Summary: The Senate Natural Resources Committee of Reference met to conduct a sunset review of the Arizona Beef Council. Lauren Mailing, the council’s executive director, presented the council’s role in promoting, educating, and researching on behalf of Arizona beef producers, explaining that it is an industry-financed, governor-appointed board funded through the federal beef checkoff program. She described its consumer education, classroom materials, gate-to-plate tours, and social media outreach, and noted that checkoff funds may be used only for promotion, education, and research, not lobbying. Members asked about whether growers can request refunds of checkoff dollars, and she said they cannot under the federal program; one member also recognized the recent passing of former board member Andrew Grissetta and his service to the industry. Committee members spoke in support of the council, emphasizing its educational value, local control of checkoff dollars, and benefits to ranchers, feeders, dairy producers, youth programs, and consumers. The vice chair moved to continue the Arizona Beef Council for eight years, until July 1, 2034. The motion passed on a roll call vote of 7 ayes, 0 nays, with the recommendation to continue the council approved. The committee then adjourned.

Transcript Highlights:

• It's, I think, as close as possible based on the list maintenance procedures that counties are doing
• It's, I think, as close as possible based on the list maintenance procedures that counties are doing
• It's, I think, as close as possible based on the list maintenance procedures that counties are doing
• . regular list maintenance procedures.
• </c> applicable state laws and procedures applicable state laws and procedures that<00:58:02.480><c>

Committee: House Fraud Prevention and State Agency Oversight Policy

Keywords: 1183, house

Transcript Highlights:

• First, we recommended the office establish a grants monitoring policy and procedure.
• First, we recommended the office establish a grants monitoring policy and procedure.
• First, we recommended the office establish a grants monitoring policy and procedure.
• The statutes and I think the procedures are fairly clear that there are steps along the way for both
• are fairly clear that the procedures are fairly clear that have<01:36:44.280><c> uh</c><01:36:44.400

Committee: House Elections Finance and Government Operations

Keywords: 1183, house

Transcript Highlights:

• Um, the work of the commission is simple.
• Um the commission is currently in work.
• So the commission, the statutory commission, operates independently. >> Yes, we are totally independent
• commission.
• It's we have a one of the commission.

Committee: Senate Executive Departments and Administration

Keywords: 1191, senate, all

Transcript Highlights:

• The second part was a procedural aspect, which said that the president did not notify Governor Newsom
• The second part was a procedural<00:33:14.080><c> aspect</c><00:33:14.559><c> which</c><00:33:14.799>
• </c> likely satisfied the procedural likely satisfied the procedural requirements requirements requirements
• Um can you speak to what the outlines of what those policies and procedures are?
• Um I I'm just interested procedures are? Um I I'm just interested actually. actually. actually.

Keywords: 910, house, all

Summary: The committee held an informational briefing on federal and state authority over National Guard deployment in response to civil protest or unrest, prompted by recent federal actions and the California litigation in Newsom v. Trump. The chair explained the purpose was to help lawmakers and the public understand the legal background, the status of the California case, and possible Hawaii policy responses. David Day of the Attorney General’s office outlined several recent federal immigration-related executive actions and enforcement directives, then described Hawaii’s participation in multiple lawsuits challenging federal funding conditions, data-sharing demands, and the birthright citizenship order. A major portion of the briefing focused on Newsom v. Trump. Day summarized the June 2025 Los Angeles protests and the president’s memorandum federalizing National Guard units under 10 U.S.C. 12406, which California challenged as ultra vires, procedurally improper, and violative of the Posse Comitatus Act, the Tenth Amendment, and the APA. He said the district court initially granted relief, but the Ninth Circuit stayed the TRO and held, in a published decision, that review under section 12406 is highly deferential and that the president lawfully exercised authority under paragraph 3. He also noted California-law issues about orders being issued through the governor, and said Hawaii had supported California through amicus briefs and would continue to do so; the bench trial was scheduled for August 11-13. Members then asked how Hawaii law differs from California’s and whether the Ninth Circuit ruling would control here. Day said the standard-of-review aspects would likely apply, but the California-specific procedural language about orders issued in the governor’s name does not appear in Hawaii law. The committee also heard from Colonel Lloyd C. Phelps of the Hawaii Department of Defense, who explained that National Guard activations generally occur under Title 10 federal orders, state orders, or other statuses, and said the June 2025 federalization mechanism was a Title 10 call-up. He began addressing the president’s authority, the Posse Comitatus Act, and Hawaii’s own preparedness, but the discussion was cut short and members indicated they would return to the topic later. No votes were taken.

Transcript Highlights:

• The bill also standardizes voir dire procedures statewide.
• Finally, the bill clarifies procedures when there are not enough qualified jurors available, allowing
• ,</c> selection pro uh procedures, selection pro uh procedures, particularly<01:05:14.720><c> in</c><
• It requires that procedures statewide.
• Finally, the bill clarifies<01:06:24.079><c> procedures</c><01:06:24.960><c> when</c><01:06:25.200><c

Committee: House Judiciary

Keywords: 1136, house, all

Transcript Highlights:

• Um, we are a manufacturing skills standards commission training site.
• </c><00:03:18.640><c> We</c><00:03:18.879><c> also</c> commission training site.
• We also commission training site.
• </c><00:09:57.839><c> Um</c><00:09:58.320><c> it</c> skill skills standards commission.
• Um it skill skills standards commission.

Keywords: Meeting Start 00:00:00 Call to Order and Roll Call 00:00:28 Kentucky Recovery Vocational: Workforce Reimagined 00:01:31 Update on College Athletics and 25RS SB 3 00:24:39 Goodwill Kentucky Excel Center 01:09:53, 958, all

Summary: The committee first heard a presentation from Kentucky Recovery Vocational Workforce and Re-entry Incorporated, led by Executive Director Jerick D'vor, on its vocational training model for people in recovery and formerly incarcerated individuals. He said the nonprofit operates in Russell Springs and serves students from across Kentucky, offering manufacturing and welding training tied to recovery services through Spark Recovery. D'vor emphasized that the program combines treatment, soft-skills coaching, job placement, and continued support after employment, arguing that training should begin around 90 days into recovery rather than earlier. He reported strong outcomes, including 292 students served, 259 certificates earned, and 250 job placements, with many participants placed in manufacturing jobs and 17 welders trained and placed through the new welding academy. Members praised the program but asked about funding, retention, and employability barriers. D'vor said the pilot was supported by opioid abatement grant funding, and the program now relies mainly on donor contributions and Spark Recovery’s investment in clients, with possible future support from additional opioid abatement funds or 1915(i) mechanisms. He said participants are not charged tuition and that the organization provides soft-skills training and job coaches. In response to questions about long-term outcomes, he said the program does not yet have a full alumni tracking system but is exploring technology options and continues to provide post-employment support for 90 days. After approving the committee minutes, members received an update on college athletics and Senate Bill 3 from University of Louisville Athletic Director Josh Heird and University of Kentucky Athletic Director Mitch Barnhart. They said Kentucky’s NIL framework and reporting requirements are working reasonably well and praised the state for not trying to create a competitive advantage in the evolving college sports environment. Heird reported that 521 student-athletes have signed up for NILGO and about 240 deals have been approved through the system, while noting the need to ensure NIL agreements are legitimate marketplace deals rather than artificial payments. The discussion also touched on the House settlement, the $600 approval threshold, and broader federal changes affecting college athletics.

Transcript Highlights:

• good job, and I encourage us to do a better job of making it clear what the law is and what the procedure
• is. ...and I encourage us to do a better job of making it clear what the law is and what the procedure
• your pur... and I encourage us to do a better job of making it clear what the law is and what the procedure

Committee: House Ways and Means

Keywords: 989, all

Transcript Highlights:

• is that the current policies in place—this bill doesn't change any of the current policies and procedures
• this is good feedback, although it's current and can be allowed under current code administrative procedures
• They have great policy procedures. We'll make sure that legal counsel cannot hinder that.

Bills: HB340

Committee: House Children and Senior Advocacy

Keywords: child protection, due process, family preservation, child custody, human resources, 1136, house, all

Transcript Highlights:

• That this bill on page 22 subsection C supplements court decisions and rules of procedure inconsistent
• doesn't mean that that is a reasonable amount for that given procedure.
• In order for a jury to fully assess what is reasonable for that procedure.
• What have you been paid for these same procedures in the past? And when we get into trial.
• It's a 10 minute procedure, $500 charge. He gets paid half that.

Committee: House Judiciary & Civil Jurisprudence

Transcript Highlights:

• health benefit to the state of Hawaii, and one report said it's probably the most effective cost procedure
• health benefit to the State of Hawaii, and one report said it's probably the most effective cost procedure
• that can reduce the uh procedure that can reduce the incidents<00:06:35.720><c> of</c> incidents of
• the way you folks have it is procedure the way you folks have it is it<00:26:33.520><c> just</c><00:
• </c><00:27:47.240><c> for</c> and educate them on their procedures for and educate them on their procedures

Committee: Senate Health and Human Services

Keywords: 912, senate, all

Summary: The Health and Human Services Committee heard testimony on several health-related measures, with most of the discussion focused on SB 1419, SB 1494, and SB 1495, which were taken out of order to accommodate ASL/Death Blind Task Force testimony. SB 1419, relating to Act 253 (Session Laws of Hawaii 2023), drew support from the Department of Human Services and the National Federation of the Blind of Hawaii, with testimony emphasizing use of the term “low vision” and support for the program timeline. The committee later recommended passage with amendments, including technical changes and updated appropriation fiscal years, and the motion was adopted unanimously by the members present. SB 1494, concerning hearing aids, drew broad support from disability advocates and others who argued that hearing aids improve health, reduce accidents, and may help reduce dementia risk. Testifiers also urged that the bill define hearing aids as prescription hearing aids rather than including over-the-counter devices, and the Department of the Auditor and Insurance Division raised cost and coverage questions. The committee recommended passage with amendments, changing the coverage approach to optional coverage similar to vision and dental and requesting a sunrise analysis for prescription hearing aids; that recommendation was adopted. SB 1495, which exempts hearing aids from the general excise tax, also received support, while the Attorney General flagged a possible single-subject issue and the Tax Department estimated a potential $1.1 million revenue impact. The committee recommended passage with amendments, including deletion of the challenged language, technical fixes, and noting the revenue estimate; that recommendation was adopted. The committee then moved through additional measures with mostly supportive testimony. SB 1421 on medical records prompted questions about what happens when a solo practitioner dies or closes practice, and the discussion centered on ensuring patients can obtain records, including a proposed amendment requiring a successor provider to send records to the patient’s last known address. SB 1422, dealing with a special fund and vital statistics funding, was supported by the Department of Health, which said the special fund did not meet criteria and that deposits should instead go to the Vital Statistics Improvement Special Fund. SB 1423 on certificate of need exemptions for Department of Health facilities drew support, with discussion of possibly extending exemptions to dialysis and behavioral health/psychiatric services; the Department indicated it would not oppose that change. SB 1424 on credentialing of health care providers also received support, and SB 1425 on the State Emergency Medical Services Committee focused on reducing quorum requirements because many members are active first responders and cannot always attend meetings. The committee also heard support for SB 1426 on emergency medical services, SB 1431 on viral hepatitis, and SB 1433 on harm reduction, with testimony on hepatitis outreach funding and syringe access best practices; for SB 1433, the Department of Health identified a blank in the bill and recommended a six-month period for the syringe-possession exception.

Transcript Highlights:

• That includes agencies like Cal Fire, the California Coastal Commission, the California Energy Commission
• That includes agencies like Cal Fire, the California Coastal Commission, the California Energy Commission
• If the California Energy Commission needs to issue a permit for a renewable energy facility, how does
• beneficial projects should have in terms of public process, environmental process, and general procedural
• A recent study commissioned by the San Francisco Environment Department shows this.

Summary: The committee heard extensive testimony on AB 2218, which would declare state policy to recognize and address water-related inequities affecting California Native American tribes and require several state agencies to incorporate that policy into water-related decisions. The author and tribal witnesses said the bill would codify a seat at the table for tribes and build on existing consultation and equity commitments, while supporters from environmental and tribal organizations backed the measure. Opponents from municipal utilities, water agencies, cities, counties, agriculture, and business groups argued the bill was too vague, could create uncertainty for water supply and project approvals, and might invite litigation. The chair signaled support, and the author said the bill was intended as a consultation measure rather than one that would usurp agency authority. The committee then took up AB 1795, a wildfire smoke-damage bill that would establish statewide standards for inspecting, testing, and remediating smoke-damaged homes and create clearer insurance claim handling rules. The Department of Insurance supported the bill, saying it would bring consistency and accountability after major urban-interface fires, while wildfire survivors and advocates said current insurer practices leave families unable to safely return home. Insurance and local government groups opposed unless amended, warning about cost, implementation uncertainty, and the bill’s scope. Members discussed unresolved issues, including how the bill would interact with a separate wildfire health-and-safety bill, whether it would apply to existing policies, and how presumptions and testing standards should work. The committee voted AB 1795 out on a due pass as amended motion to Appropriations. AB 1642, another wildfire-related bill, was also heard and focused on setting science-based testing and clearance standards for homes, schools, and businesses after urban and wildland-urban interface fires. The author and a Caltech scientist described contamination from lead and other heavy metals in fire-affected homes and argued for a presumption that certain contaminants found after a fire came from the wildfire, to reduce costly disputes. Survivors and many advocacy groups supported the bill, while insurers and other industry groups opposed, saying the testing regime was too broad, the geographic scope was unclear, and the presumptions could function like strict liability and raise insurance costs. Senators pressed both sides on how AB 1642 would overlap with the CDI smoke-claims task force and with AB 1795, and the author said the two bills were intended to be complementary and would continue to be reconciled. The committee also briefly heard AB 1976, which would create a CEQA exemption for pedestrian malls and limit certain local procedural delays for pedestrian and traffic-calming projects. Supporters said it would make it easier to create safer, more walkable, and more livable streets, and there was no opposition testimony. The chair described it as a narrow CEQA exemption for active transportation-related projects and indicated support. The committee then moved on to AB 2026, a groundwater recharge permitting bill, with the author explaining that it would streamline permitting so more recharge projects can capture floodwater and store it for drought years; testimony on that bill began as the transcript ended.

Transcript Highlights:

• Based on the literature, both states experienced high procedural disenrollment rates for individuals
• Some of it may be procedural disenrollment because they were not able to complete the paperwork.
• We urge the Legislature to minimize procedural disenrollments and invest in the safety net systems that
• We urge the Legislature to minimize procedural disenrollment and invest in the safety net systems that
• First, on the work and community engagement requirements in biannual renewals, these will procedurally

Summary: The Assembly Budget Subcommittee on Health held a hearing on the impacts of H.R. 1 and related federal actions on Covered California, Medi-Cal, and immigrant access to care. The chair framed the discussion around three main issues: expected losses in marketplace coverage as enhanced federal premium subsidies expire, new federal work and renewal requirements that would add administrative burden to Medi-Cal, and the loss of eligibility for certain lawfully present immigrants. Covered California testified that H.R. 1 and new federal rules, combined with the end of enhanced premium tax credits, are driving higher premiums, lower new enrollment, and more cancellations, especially among middle-income, Latino, and Black enrollees. The agency said California’s $190 million state subsidy program is helping lower-income enrollees but cannot replace the lost federal assistance, and it noted that roughly 120,000 lawfully present immigrants in Covered California will lose federal tax credits in 2027. On Medi-Cal, the Department of Health Care Services said H.R. 1 will require work and community engagement verification, six-month renewals for certain adults, and other changes that the department expects will reduce enrollment substantially. DHCS estimated 233,000 members could lose coverage by June 2027 from the work requirement and 289,000 from six-month renewals, with losses rising much higher by 2028; it also said it is using automation, outreach, clinic navigators, coverage ambassadors, community health workers, and street medicine providers to reduce procedural disenrollments. The department described a two-phase outreach plan and said it is working with counties on implementation, while the Department of Finance said the Governor’s budget maintains $190 million for the state subsidy program and does not propose additional changes at this time. The LAO said its independent forecast is somewhat higher than the administration’s, estimating about 2.1 million fewer Medi-Cal enrollees by June 2028, and urged the Legislature to review county administrative workload and readiness. Public testimony and member comments focused on the human and fiscal consequences of coverage losses. A representative from the Sacramento Native American Health Center warned that reduced reimbursement and coverage losses would destabilize community health centers, increase uncompensated care, and worsen outcomes by pushing patients into emergency care. Members raised concerns about paperwork burdens, county capacity, outreach effectiveness, and whether the state should do more to preserve coverage, including possible modeling of additional H-CARF spending and support for middle-income consumers and immigrant enrollees. The hearing did not take any votes or formal actions, but it ended with public comment and continued discussion of implementation and budget options.