Transcript Highlights:

• HIV antiviral drugs are used for the treatment of HIV to suppress the virus and for the prevention of
• HIV.
• HIV.
• This is part of our continuing work to end AIDS and HIV in Washington State.
• One of three of these new cases is diagnosed late because of the stigma associated with HIV and AIDS.

Bills: SB5915 , SB6025 , SJM8002

Committee: House Health Care & Wellness

Keywords: SB 5915, health technology assessment, HTA, clinical committee, medical technology review, coverage determination, state-purchased health care, Washington health care, RCW, evidence-based medicine, cost-effectiveness, safety and efficacy, Medicare coverage, national coverage determination, clinical guidelines, patient advocacy, public comment, medical necessity, rare disease, life-threatening disease

Transcript Highlights:

• for receiving cash aid.
• 60% of all those living with HIV in our state.
• I'm Andy Stone with the HIV Advocacy Network.
• We're a group of HIV and LGBTQ activists fighting to end the HIV epidemic and to improve the lives of
• funding would not only address California's HIV epidemic but leverage HIV funding to address the state's

Transcript Highlights:

• HIV antiviral drugs are used for the treatment of HIV to suppress the virus and for the prevention of
• HIV.
• HIV.
• And this is part of our continuing work to end AIDS and HIV in Washington State.
• One of three of these new cases is diagnosed late because of the stigma associated with HIV and AIDS.

Summary: The committee held public hearings on Substitute Senate Bill 6183, which would require health plans to cover all FDA-approved HIV antiviral drugs without prior authorization, step therapy, or other utilization management, with only one therapeutically equivalent option required if equivalents exist. The prime sponsor said the bill is part of Washington’s effort to end HIV/AIDS, citing ongoing new diagnoses and the need for immediate access to treatment, especially for late-stage cases. No one testified in person or remotely, and public testimony was closed with written comments invited. The committee also heard Substitute Senate Bill 6226, which limits the Board of Hearing and Speech from adopting rules that would prevent licensed audiologists, speech-language pathologists, and hearing aid specialists from using clinical judgment to choose telehealth or in-person care. Supporters said teleaudiology improves access, especially in rural areas and for patients with mobility barriers, and that the bill preserves professional autonomy. Some testifiers raised patient-safety concerns about first-time hearing aid fittings and asked for amendments or more time to study safeguards, while others said the bill should move forward to protect access. In executive session, the committee advanced several measures. It adopted amendments and reported out Substitute Senate Bill 5185 on international medical school graduate physician licensing, Engrossed Substitute Senate Bill 5845 on claims payment timing and refund requests, Senate Bill 5915 on the health technology assessment program, Senate Bill 6025 on the definition of fetal death, and Senate Joint Memorial 8802 requesting federal Medicare changes. The committee recessed briefly for caucus before taking final votes, and each bill or memorial was reported out with a do pass recommendation; 5845 and 5185 were reported out as amended.

Transcript Highlights:

• for receiving cash aid.
• We're a group of HIV and LGBTQ activists fighting to end the HIV epidemic and to improve the lives of
• funding would not only address California's HIV epidemic, but leverage HIV funding to address the state's
• We're a group of HIV and LGBTQ activists fighting to end the HIV epidemic and to improve the lives of
• funding would not only address California's HIV epidemic, but leverage HIV funding to address the state's

Summary: The committee heard a series of budget and oversight presentations from CalHHS-related departments and agencies. CalHHS opened with a broad overview of its 2026-27 budget and priorities, including behavioral health, housing and human services integration, children and youth services, and aging/disability supports. OICR then presented its budget and its SB 823 realignment report on youth formerly committed to DJJ, saying county implementation varies widely but that the state has not seen evidence of net widening in the available data. OICR recommended climate surveys, youth advisory councils, stronger behavioral health and education programming in secure youth treatment facilities, better transitional planning, and improved longitudinal data systems. The agency also described a Title II federal grant transition problem, saying it cannot yet pay some subrecipients for prior work and is awaiting federal action on retroactive spending authority and an administrative funding adjustment. The Ombudsperson division requested two additional positions to address a growing complaint workload and access issues with counties over youth meetings, records, and grievance files; LAO raised no policy objection but noted the ongoing General Fund cost. The State Council on Developmental Disabilities requested $730,000 General Fund ongoing to cover the gap between federal limits on administrative overhead and the actual cost of an interagency agreement with the Department of Social Services. EMSA presented its department overview and several proposals, including a delayed AB 716 ambulance rate report, a $2.6 million request to replace aging disaster-response vehicles, a $250,000 security architecture assessment, and four positions plus ongoing General Fund for HR, enforcement, and legal workload. Members questioned the delay in the AB 716 report, the optics and timing of the vehicle replacement request, and whether EMSA was doing enough to prevent future staffing and enforcement problems. LAO repeatedly noted the ongoing General Fund implications of EMSA’s requests. The Department of Community Services and Development sought reappropriation of unspent Greenhouse Gas Reduction Fund money for the Low-Income Weatherization Program and described a Proposition 4-funded continuation of the farmworker housing component, which would require a new statewide administrator and program design process. The Department of Rehabilitation requested authority to draw an additional $60 million in federal funds annually and add 54 positions to meet sharply increased Vocational Rehabilitation caseloads; LAO had no concerns. Child Support Services proposed restoring a prior reduction to local child support agency funding and reported higher federal performance incentives, while also presenting a supplemental report on full pass-through of child support collections to CalWORKs families, estimating about $150 million annually for full pass-through or about $80 million for a state/county-only approach, plus automation costs. Members questioned why funding should rise when caseloads are declining, and whether the policy could be made cost-neutral. CDPH closed the hearing with an overview of its $5.1 billion budget and its state of public health report, highlighting record-low mortality and higher life expectancy, but also rising overdose deaths among ages 25-44, persistent maternal and infant mortality disparities, and the need for stable public health and emergency-response capacity; no votes were taken during the hearing.

Transcript Highlights:

• And these medications to treat HIV...
• /AIDS program for 18 years.
• , as this is likely to lead to increasing cases of HIV and AIDS, with all the suffering and additional
• What is urgent, Most impacted by the HIV epidemic in the United States.
• There was even the South Florida AIDS Network wrote back to Dr.

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Appropriations Committee on Health and Human Services heard presentations on the governor’s proposed FY 26-27 budget for the health and human services silo, which totals $48.5 billion within a $117.4 billion state budget. Agency leaders outlined major spending priorities, including AHCA’s behavioral health redesign, APD waiver enrollment and facility needs, DCF’s integrity and self-sufficiency systems, opioid response, community-based care and mental health bed expansion, DOEA’s Alzheimer’s, home care, and community care programs, DOH’s cancer research, public health, EMS blood-transfusion initiative, and lab feasibility study, and the Department of Veterans’ Affairs’ facility, cybersecurity, and medication-management investments. Members generally praised several proposals, especially increased reimbursement for private duty nursing, behavioral health funding, Alzheimer’s support, and the EMS blood program. Senator Sharief raised concerns about the AIDS Drug Assistance Program (ADAP), warning that changes could leave many Floridians without coverage for HIV medications and asking whether manufacturers could provide rebates directly to patients. Surgeon General Ladapo said the issue was driven largely by funding and federal changes, not a legal barrier, and said the department had explored alternatives but could not fill the gap with current resources. Senator Rouson asked about the Office of Minority Health and Health Equity, and DCF said its budget includes about $7 million for the substance abuse and mental health data dashboard required by prior legislation. Public testimony focused heavily on ADAP. Former program leaders and advocates said the proposed changes would reduce enrollment and remove key drugs and insurance-premium support, calling the situation a crisis and criticizing the department for lack of transparency and stakeholder engagement. They urged a pause and collaborative review of the program’s finances. The committee also discussed KidsCare implementation, with AHCA saying federal conditions and litigation have delayed the expansion. The meeting ended after the chair noted the budget would still need to be adjusted for updated Medicaid caseload estimates, and the committee adjourned without taking any formal votes or other action on the budget items.

Transcript Highlights:

• That's the AIDS Drug Assistance Program that helps many people living with HIV not only be able to get
• I'm one of those 130,000 Floridians living with HIV/AIDS.
• One of those 130,000 Floridians living with HIV/AIDS and the estimated 30,000 that will be impacted by
• And if you know the disease model of HIV/AIDS, you know there's a lot of co-occurring conditions.
• HIV/AIDS has never been a partisan issue since the enactment of the Ryan White Care Act.

Bills: S7010

Committee: Senate Appropriations

Keywords: Roth contributions, deferred compensation, retirement savings, Florida Statutes, tax benefits

Summary: The committee first took up SB 7010, which would authorize post-tax Roth contributions in state and local deferred compensation plans, instead of limiting them to pre-tax contributions. After a brief presentation and one waived appearance in support, the bill was rolled and reported favorably. Later, members also recorded affirmative votes on SB 7010 before adjournment. The bulk of the meeting was devoted to the Governor’s proposed “Floridians First” budget, presented by Lita Kelly of the Office of Policy and Budget. She outlined a $117.4 billion spending plan with $53.2 billion in general revenue, emphasizing reserves, debt reduction, trust fund sweeps, and targeted reductions in agency positions. Major priorities included K-12 and higher education funding, teacher salary support, school hardening, Everglades and water-quality projects, cancer and behavioral health initiatives, emergency preparedness, law enforcement, corrections staffing and facilities, cybersecurity, transportation, affordable housing, and economic development. Members asked extensive questions about teacher pay, corrections staffing, emergency response reserves, the proposed federal reimbursement for the Everglades detention facility, the Second Amendment sales tax holiday, the animal abuse hotline, and the absence of a specific Hope Florida line item. A major portion of the discussion focused on the Department of Health’s planned changes to the ADAP HIV/AIDS drug assistance program, with public testimony warning that the changes could cut off access to medications for thousands of Floridians and alleging misuse of federal funds. Kelly said she would follow up on several details, including litigation costs, teacher pay comparisons, and ADAP funding questions.

Transcript Highlights:

• That's the AIDS Drug Assistance Program that helps many people living with HIV not only be able to get
• Michael Rainer, I'm a person living with HIV/AIDS since 1995 from Broward County.
• I'm one of those 130,000 Floridians living with HIV/AIDS.
• And if you know the disease model of HIV/AIDS, you know there's a lot of co-occurring conditions.
• HIV/AIDS has never been a partisan issue since the enactment of the Ryan White Care Act.

Summary: The Appropriations Committee first took up SB 7010, which would authorize Roth contributions in state and local deferred compensation plans. Senator Mayfield explained that current law only allows pre-tax contributions, and the bill would let the Department of Financial Services and local governments offer post-tax Roth options. The bill had one support appearance card, no debate, and was reported favorably by roll call vote. The committee then received a lengthy presentation from the Governor’s Office of Policy and Budget on the governor’s recommended “Floridians First” budget, totaling $117.4 billion and $53.2 billion in general revenue. The presentation highlighted reserves, debt paydown, tax relief, and proposed reductions and efficiencies, along with major spending areas in education, health care, public safety, corrections, transportation, and economic development. Key proposals included higher K-12 funding, teacher salary increases, funding for Everglades and water quality projects, emergency preparedness, corrections staffing and facility funding, cybersecurity, law enforcement recruitment bonuses, and affordable housing and infrastructure investments. Members asked extensive questions about property tax reserves, litigation funding, emergency response fund balances and spending, the Alligator Alcatraz detention facility and federal reimbursement, the Second Amendment sales tax holiday, animal abuse hotline funding, Hope Florida, corrections staffing, and teacher pay. A major portion of the discussion focused on the Department of Health’s planned changes to the ADAP HIV medication program, with senators and a public witness expressing concern about access to life-saving medications and possible misuse or redirection of funds. The committee did not take further action on the budget presentation, and the meeting ended after additional comments supporting the budget and the corrections funding, with SB 7010 already approved.

Transcript Highlights:

• And these medications to treat HIV...
• We do have relationships with some drug manufacturers for HIV medication.
• , as this is likely to lead to increasing cases of HIV and AIDS, with all the suffering and additional
• What is urgent, Most impacted by the HIV epidemic in the United States.
• There was even the South Florida AIDS Network wrote back to Dr.

Summary: The Appropriations Committee on Health and Human Services heard a presentation on the governor’s proposed fiscal year 2026-27 budget for the health and human services silo, which totals $48.5 billion. Agency leaders outlined major requests for AHCA, APD, DCF, DOEA, DOH, and the Department of Veterans’ Affairs, including behavioral health redesign, Medicaid rate changes, developmental disability services, child welfare and opioid programs, senior services, cancer research, public health initiatives, and veterans’ facility and technology needs. The committee also received an overview of the overall state budget, which was described as $117.4 billion, up 1.1% from the current year. AHCA’s presentation focused on $71.6 million for a Medicaid behavioral health redesign, including funding for residential treatment, a serious mental illness waiver, and higher inpatient psychiatric rates for youth, plus $7.1 million to raise private duty nursing reimbursement in fee-for-service Medicaid, $2.5 million for the background screening clearinghouse, and $124.4 million for the Health Care Connection System (FX). APD requested funding to continue moving people off the pre-enrollment list and to support developmental disability centers, a new forensic facility, an electronic health record system, and higher operating costs. DCF highlighted $81.9 million for eligibility and system integrity, $187.5 million for opioid prevention and treatment, $35.5 million for community-based care lead agencies, and $72.7 million to expand behavioral health bed capacity, including 474 new beds at state hospitals. DOEA sought additional funding for Alzheimer’s services, home care, and community care for the elderly. DOH emphasized $278 million for cancer research and innovation, $5 million for food and product safety testing, $5 million for the Florida FIRST blood-on-ambulance initiative, and $5.7 million for a public lab feasibility study. Veterans Affairs requested funds for facility improvements, cybersecurity, and medication management equipment. Members asked detailed questions about several items, especially the proposed changes to the AIDS Drug Assistance Program (ADAP), which would reduce eligibility and the number of people served. Senators and public witnesses criticized the lack of transparency and urged the department to pause the changes and work with stakeholders; the Surgeon General said the issue was driven by funding constraints and federal changes, not a legal barrier, and that the agency was exploring alternatives. Questions also addressed the Office of Minority Health and Health Equity, the Kids Care/CHIP expansion implementation, the cancer research funding structure, and the timeline and cost of the FX system. Public testimony focused heavily on ADAP, with speakers warning that thousands could lose medication access and calling for community involvement and a review of the program’s finances. The committee adjourned after the presentations and questions, with no votes taken on the budget items during this meeting.

Transcript Highlights:

• That's the AIDS Drug Assistance Program that helps many people living with HIV not only be able to get
• I'm one of those 130,000 Floridians living with HIV/AIDS.
• One of those 130,000 Floridians living with HIV/AIDS and the estimated 30,000 that will be impacted by
• And if you know the disease model of HIV/AIDS, you know there's a lot of co-occurring conditions.
• HIV/AIDS has never been a partisan issue since the enactment of the Ryan White Care Act.

Bills: S7010

Committee: Senate Appropriations

Summary: The Senate Committee on Appropriations met to take up SB 7010 by Senator Mayfield, which would authorize Roth post-tax contribution options in state and local deferred compensation plans. The bill was briefly explained, received one appearance in support, had no debate, and was reported favorably by roll call vote. The committee then heard a lengthy presentation from the Governor’s Office of Policy and Budget on the governor’s recommended $117.4 billion “Floridians’ First Budget.” The presentation highlighted major spending areas including education, health care, public safety, transportation, environmental restoration, and economic development. Key proposals included increased FEFP funding for K-12 schools, teacher salary funding, higher education support, Everglades and water quality funding, emergency preparedness reserves, corrections staffing and pay increases, law enforcement recruitment bonuses, cybersecurity, and affordable housing and infrastructure investments. Members asked extensive questions about property tax reserve planning, litigation funding, emergency response fund balances and expenditures, the use of federal reimbursement for the Everglades detention facilities, the animal abuse hotline, Hope Florida, corrections staffing, and the proposed reduction in ADAP eligibility for HIV/AIDS medication assistance. A member of the public also testified at length about concerns that the ADAP changes would harm access to life-saving medications and alleged improper shifting of program funds. Committee members and the presenter acknowledged follow-up questions on several items, but no additional votes or formal actions were taken beyond the favorable report on SB 7010 and adjournment.

Transcript Highlights:

• And these medications to treat HIV...
• /AIDS program for 18 years.
• , as this is likely to lead to increasing cases of HIV and AIDS, with all the suffering and additional
• /AIDS, the funding partners, so that we can collaboratively come up with solutions.
• There was even the South Florida AIDS Network wrote back to Dr.

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Appropriations Committee on Health and Human Services heard presentations on the governor’s proposed fiscal year 2026-2027 budget for the health and human services agencies. Kendall Kelly outlined the overall HHS budget at $48.5 billion, with AHCA accounting for the largest share, and agency heads then highlighted major proposals for Medicaid behavioral health redesign, APD waiver enrollment and facility needs, DCF child welfare, opioid, and mental health investments, DOEA funding for Alzheimer’s, home care, and community services, DOH funding for cancer research, public health initiatives, and lab capacity, and VA funding for facility improvements, cybersecurity, and medication management. Several members praised specific proposals, including increased reimbursement for private duty nursing, Alzheimer’s supports, and the Florida FIRST blood-in-ambulance initiative. Senators also questioned the proposed changes to the AIDS Drug Assistance Program (ADAP), with the Surgeon General explaining that the department expects a reduction in covered patients from about 30,000 to about 20,000 because of funding pressures tied to rebates, federal changes, and premium tax credit issues. Public testimony strongly criticized the ADAP changes, citing lack of transparency and warning that many patients could lose access to medications. Other questions focused on the Office of Minority Health and Health Equity, DCF’s substance abuse and mental health data dashboard, Kids Care/CHIP expansion implementation, APD bed and facility planning, and the FX Medicaid technology project. DCF said about $7 million is set aside for the dashboard system, and AHCA said the governor’s budget includes $124.4 million for FX maintenance and continued module development, with $13.5 million to begin claims processing work. The committee did not take a substantive vote on the budget presentations and adjourned after questions and public testimony.

Transcript Highlights:

• Michael Emanuel Rainer, a person living with HIV/AIDS and also a client of the AIDS Drug Assistance Program
• /AIDS do not go without their medication.
• We realize that if a person is able to suppress the HIV virus by remaining on their HIV medications,
• HIV is not transmissible from that individual.
• I can't tell you the number of social media messages and how other people living with HIV/AIDS are reaching

Bills: S0042 , S0196 , S0878 , S0902 , S0914 , S1092 , S1168 , S1340 , S1404 , S1414 , S1684 , S1686

Committee: Senate Appropriations Committee on Health and Human Services

Keywords: child protection, medical records, investigation, abuse, neglect, healthcare, Child Protection Team, diagnosis, uterine fibroids, health database, medical research, personal data protection, women's health, clinical laboratory, licensure, healthcare personnel, technologist, technician, medical marijuana, low-THC cannabis

Transcript Highlights:

• It prevents HIV transmission.
• So, unfortunately, our state's progress on reducing new HIV infections is stalling out.
• The estimated per-patient lifetime costs associated with HIV is more than $850,000.
• Forty-five million people globally have died of HIV.
• Martin, on behalf of the AIDS Health Care Foundation, in strong support.

Summary: The Assembly Health Committee heard several bills on June 9. SB 1023 by Senator Laird would require insurers that cover injectable HIV PrEP under the medical benefit to also cover it through the pharmacy benefit, with supporters saying the change would reduce reimbursement delays and expand access, while health plans opposed it as an unnecessary mandate that interferes with benefit design. SB 964 by Senator Smallwood-Quivas would limit prior authorization for certain dose or frequency adjustments to covered medications, especially for chronic complex conditions; medical supporters said it would prevent harmful delays in care, while insurers argued it weakens safety and utilization controls. SB 1323 by Senator Rubio, as amended, would strengthen protections for people in immigration custody receiving medical care by requiring hospitals and facilities to inform staff how to respond to requests and allowing patients to notify family members of their location; it passed with one no vote. SB 1099 by Senator Reyes would clarify local governments’ authority to provide state and local public benefits to all residents under federal PRWORA rules, with supporters saying it would reduce legal uncertainty for safety-net services; it passed, though one member later changed a vote to no on the add-on roll call. The committee also took up SB 895 by Senator Wiener, a proposed $12 billion science research bond for the November ballot that would create a California scientific research funding institute. Supporters from UC, UAW, hospitals, and advocacy groups said the measure would help offset federal cuts, protect research jobs, and sustain California’s leadership in biomedical and other research; there was no opposition, and the bill passed on a party-line style vote with two no votes. SB 944, also by Senator Wiener, would stabilize Medi-Cal coverage for acupuncture, which supporters described as a cost-effective, non-pharmacological treatment for pain and other conditions that has repeatedly been threatened in the budget process; it passed unanimously. The committee also approved consent items SB 918 and SB 1202, and later cleared the remaining measures on call after roll votes and add-on votes were taken.

Transcript Highlights:

• Michael Emanuel Rainer, a person living with HIV/AIDS and also a client of the AIDS Drug Assistance Program
• /AIDS do not go without their medication.
• We realize that if a person is able to suppress the HIV virus by remaining on their HIV medications,
• HIV is not transmissible from that individual.
• I can't tell you the number of social media messages and how other people living with HIV/AIDS are reaching

Bills: S0042 , S0196 , S0878 , S0902 , S0914 , S1092 , S1168 , S1340 , S1404 , S1414 , S1684 , S1686

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Appropriations Committee on Health and Human Services met to hear and vote on a series of health, human services, and education-related bills, along with a presentation of the committee’s proposed HHS budget. The budget was described as increasing by more than $2.1 billion over the current base, with major funding highlighted for Medicaid and KidCare, rural health, provider rate increases, child welfare, mental health and substance use, opioid treatment, Alzheimer’s initiatives, cancer research, ADAP, veterans’ services, and IT modernization. Public testimony on the budget focused heavily on AIDS Drug Assistance Program funding and concerns about Department of Health changes affecting access, premium assistance, notice, and continuity of care for people living with HIV/AIDS. Among the bills reported favorably were measures on podiatric medicine and tissue-based products (SB 1092), background screening and clearinghouse procedures (SB 1168), child protective investigations involving specific medical diagnoses and second opinions (SB 42), clinical laboratory personnel licensure standards (SB 878), uterine fibroid data tracking and research (SB 196), medical marijuana treatment center oversight and related health provisions (SB 902), dyslexia and dyscalculia screening and intervention in schools (SB 1340), memory care licensure for assisted living facilities (SB 1404), congenital CMV education materials (SB 1414), Parkinson’s disease registry and related public records exemption bills (SB 1684 and SB 1686), and occupational therapy dry needling licensure standards (SB 914). Several bills were amended before passage, including SB 1092, SB 42, SB 902, SB 1684, and SB 1404. Testimony generally came from professional associations, advocacy groups, and affected stakeholders, with support voiced for most measures. The committee adopted amendments on the floor, heard no opposition during debate on the bills described, and then voted to report each measure favorably. At the end of the meeting, senators requested to be recorded in the affirmative on selected bills, and the committee adjourned.

Transcript Highlights:

• It prevents HIV transmission.
• So, unfortunately, our state's progress on reducing new HIV infections is stalling out.
• The estimated per-patient lifetime cost associated with HIV is more than $850,000.
• and AIDS.
• We are at the height of prevention for HIV and AIDS, and I want you to speak to some of the opposition's

Committee: House Health

Transcript Highlights:

• In fact, he said, ‘I have AIDS.’
• Subsequently, he was convicted of rape 1, and the judge did make him get an AIDS test, a test for HIV
• He is, in fact, positive for HIV and AIDS. So currently, Mr.
• Subsequently, he was convicted of rape 1, and the judge did make him get an AIDS test, a test for HIV
• He is, in fact, positive for HIV and AIDS.” “So currently, Mr.

Summary: The Senate opened with the Pledge of Allegiance and an invocation, then approved the prior day’s journal and proceeded to a lengthy third-reading calendar. Early business included several motions to discharge Assembly bills from committees and substitute identical Senate bills, along with a few bills laid aside for the day. The chamber also recalled two bills from the Assembly, restored one bill to the Third Reading Calendar after reconsideration, and received amendments on two other bills without changing their calendar status. The Senate then took up a large number of bills across topics including labor, energy, insurance, consumer protection, environmental conservation, health, banking, elections, public service, education, workers’ compensation, criminal justice, local government, and tax law. Most measures passed with broad support, though several drew recorded opposition. Notable debate included Senator Mayer’s explanation for a bill intended to prevent treatment-court participants, including veterans, from losing their driver’s licenses twice after completing diversion programs; Senator Ryan’s support for a bill expanding prosecutors’ ability to treat repeat sexual abuse as persistent abuse; and a sharp exchange on a bill repealing New York’s HIV/STI criminalization law, with Senators Borrello and Chan opposing it and Senator Salazar defending the repeal as necessary to reduce stigma and protect survivors. The chamber also adopted and recognized several resolutions and guest presentations. Members welcomed the Tri-Valley Secondary School girls cross country champions, Miss America Cassie Donagan and Miss New York Teen Nadia Anwar, and the Hudson High School varsity boys basketball team. Later, the Senate took up a resolution proclaiming May 2026 as Maternal Mental Health Month, with multiple senators speaking in support of greater awareness, reduced stigma, and improved care for pregnant and postpartum New Yorkers. At the end of the session, the sponsors opened the day’s resolutions for co-sponsorship, and the Senate adjourned until Monday, June 1 at 12 noon, with intervening days designated as legislative days.

Transcript Highlights:

• Title X provides free or low-cost access to essential health care, including contraception, STI and HIV
• We tested and treated on site, and also identified hepatitis C, HIV, and pregnancy among the unhoused
• I'm the director of community engagement for Cylbers Projects, which is a local HIV AIDS service provider
• In 2010, we had 5,288 new cases of HIV. In 2022, the last year we have data for, 4,856.
• In 2010, we had 5,288 new cases of HIV. In 2022, the last year we have data for those 4,000. HIV.

Summary: The subcommittee held an oversight hearing on federal actions affecting California’s public health and family planning systems, focusing first on the freeze to Title X family planning funds and then on broader CDC/public health grant terminations. Chair and members described the cuts as abrupt, harmful, and likely to create major gaps in disease surveillance, vaccination, contraception, STI testing, and other preventive services, while also criticizing the federal administration’s explanation that the actions were tied to DEI or civil-rights compliance. The chair thanked Attorney General Bonta for legal action and said the hearing was intended to document the real-world impacts and inform state budget responses. Witnesses from Essential Access Health, Planned Parenthood Affiliates of California, a Central Coast clinic, and other providers said California’s Title X network serves more than half a million low-income patients annually and relies on the funds for staffing, outreach, training, mobile and school-based clinics, and confidential care. They warned that the freeze has already forced reserve spending, delayed services, and could lead to layoffs, reduced hours, longer waits, and fewer appointments, especially for sexual and reproductive health care. Public comment included support for a proposed state backfill of Title X losses, with advocates emphasizing impacts on low-income, LGBTQ+, and communities of color. On the public health side, CDPH, county health officials, and local health officers testified that the CDC’s rescission of $11.4 billion in grants would affect California by an estimated $840 million and threaten lab capacity, immunization programs, health disparities work, and data systems such as CalConnect and vaccine registries. Sacramento County and others described how the grants supported outbreak response, sequencing, community vaccination clinics, and equity-focused partnerships, and said terminations had already led to canceled appointments, stopped contracts, and layoffs. Several speakers urged the Legislature to preserve and expand state “future of public health” funding and to backfill federal losses, while public commenters from HIV, immunization, labor, and county organizations echoed concerns about workforce losses and worsening health outcomes.

Transcript Highlights:

• Ryan Sousa on behalf of APLA Health and San Francisco AIDS Foundation in support.
• Rand Martin, on behalf of the AIDS Health Care Foundation, in strong support of this bill.
• Ryan Sousa on behalf of APLA Health and San Francisco AIDS Foundation in support.
• The San Francisco AIDS Foundation, a co-sponsor, in support. Thank you.
• Chair and members, Kathy Mossberg with the San Francisco AIDS Foundation, in support.

Committee: House Health

Summary: The Assembly Health Committee met on April 8 and heard a long series of bills focused largely on reproductive health, public health, housing, and health workforce issues. Early items included AB 54 and AB 260, both aimed at protecting access to medication abortion in California by shielding providers, manufacturers, pharmacies, and others from liability and by preserving access through telehealth and other delivery methods. Supporters, including the Attorney General’s office, Planned Parenthood, Black Women for Wellness, and other reproductive justice groups, argued the bills were needed to preserve access after Dobbs and amid federal threats. Opponents from the California Family Council and California Catholic Conference argued the measures removed safeguards and promoted unsafe abortion access. Both bills were moved forward on committee votes. The committee also heard AB 551, which would create a pilot program to help emergency departments provide evidence-based reproductive health services, and AB 309, which would remove sunset dates on laws allowing pharmacists to sell syringes without a prescription and clarifying that possession of sterile syringes for personal use is not a crime. AB 551 drew support from emergency physicians and reproductive health organizations, while opponents said it would expand abortion access without adequate safeguards. AB 309 was supported by public health, pharmacy, and harm-reduction groups as a proven HIV and hepatitis prevention tool; the California Narcotic Officers Association opposed it. AB 309 was approved, while AB 551 was also advanced. Other measures advanced included AB 536, which would preserve colorectal cancer screening coverage if federal preventive-care rules are disrupted; AB 804, which would make housing support services a Medi-Cal benefit and seek federal matching funds; AB 594, which would protect students from being charged for school health insurance after they withdraw and require notice of premium increases; AB 836, which would study and expand California’s midwifery education pipeline; AB 1418, which would require reporting on health coverage trends for eligible employees; and AB 1500, which would expand and preserve abortion.ca.gov as a trusted reproductive health information resource. Each drew supportive testimony from sponsors, health care providers, and advocacy groups, with some opposition to AB 1500 arguing the state should provide broader women’s health information rather than an abortion-focused site. Most of these bills were moved out of committee on party-line or near-party-line votes, and several measures were placed on call before final roll calls.

Transcript Highlights:

• As some background, HIV antiviral drugs are used for the treatment of those with HIV to suppress the
• virus and for prevention by HIV-negative individuals at risk of contracting HIV.
• Just a few data points about HIV/AIDS in Washington: despite the fact that we can prevent this disease
• , we still see 550 to 600 new people diagnosed with HIV every year.
• The challenge with those 550 to 600 people is that, because of the stigma associated with HIV and AIDS

Summary: The committee first met in executive session and advanced Senate Bills 6102 and 6103 with due-pass recommendations to the Rules Committee, and referred Senate Bill 6194 to the Ways and Means Committee without recommendation. SB 6102 would align the Ambulance Transport Fund quality assurance fee with federal regulations, SB 6103 would make payments for rural emergency hospital services subject to appropriation, and SB 6194 would allow cost-based Medicaid payments for rural hospitals on federally recognized Indian reservations under specified conditions. The committee then held public hearings on several bills. SB 6183 would require health plans, beginning in 2027, to cover FDA-approved HIV antiviral drugs without prior authorization, step therapy, or other utilization management, with one therapeutic-equivalent exception for prevention drugs. The prime sponsor and one testifier supported the bill as a way to reduce barriers to timely HIV treatment and prevention; sign-in testimony showed 53 pro, 58 con, and one other. SB 5985 would create an online endometriosis resource center, require Department of Health training modules, and direct OSPI to include menstrual health and endometriosis awareness in school standards. The sponsor and multiple patients and clinicians testified in support, emphasizing long diagnostic delays and the need for earlier education; sign-in testimony showed 36 pro, 56 con, and 92 not testifying. SB 6019 would revise home care rate statutes to clarify how Medicaid home care agency rates are set, cap administrative portions at 20%, and require verification that funds are spent as required. The sponsor, labor, and provider representatives supported it as a technical fix to preserve pay parity, while sign-in testimony showed 46 pro and 57 con. SB 6161 would direct the Department of Health to include dementia risk-reduction information in public and provider materials when appropriate and to consult experts; supporters said it could help reduce cognitive decline and align with the state Alzheimer’s plan, while sign-in testimony showed 61 pro and 62 con. Finally, SB 6210 would authorize the Health Benefit Exchange to add a new certification criterion for marketplace plans to address affordability and access, including possible requirements tied to county availability, plan differentiation, and metal-level offerings. The prime sponsor, the Exchange, AARP, and patient advocates supported it as a response to rising premiums and limited choices, especially in rural or single-carrier counties; insurers, brokers, and some carriers opposed it, warning it could reduce competition, create uncertainty, and raise costs. The Office of the Insurance Commissioner supported the bill with a requested amendment to avoid premature disclosure of proposed rates.

Transcript Highlights:

• Speaker, members, in recognition of your National Black HIV-AIDS Awareness Day on February the 7th, I
• securing health and human services funding for cities and minority communities most impacted by the HIV-AIDS
• . through the establishment of National HIV Testing Day.
• outspoken and impactful career, he served on the boards of many groups committed to addressing the HIV-AIDS
• humbly ask that it does so in memory of Antonio Cornelius Baker and in recognition of National Black HIV-AIDS

Transcript Highlights:

• The HIV community in Minnesota is anxious. 2024 saw multiple HIV/AIDS service organizations close, leaving
• The HIV community in Minnesota is anxious. 2024 saw multiple HIV/AIDS service organizations close, leaving
• The HIV community in Minnesota is anxious. 2024 saw multiple HIV/AIDS service organizations close, leaving
• The HIV community in Minnesota is anxious. 2024 saw multiple HIV/AIDS service organizations close, leaving
• The HIV community in Minnesota is anxious. 2024 saw multiple HIV/AIDS service organizations close, leaving

Committees: Senate Health and Human Services , Senate Human Services