Transcript Highlights:

• This is the Senate Human Services Committee, and today we're hearing three bills.
• I can't even guarantee an ambulance could arrive in time.
• I can't even guarantee an ambulance could arrive in time.
• I'm Chair Wilson and members of the Senate Human Services Committee.
• Good afternoon, Chair Wilson and members of the Human Services Committee.

Bills: SB6007 , SB6186 , SB6212

Committee: Senate Human Services

Keywords: assessment practices, public policy, children, youth, families, evaluation, outcomes, SNAP, nutrition, public health, food access, unhealthy foods, benefit program, assistance, pilot program, state support, public welfare

Transcript Highlights:

• Also noticed Hossa by implementing the recommendations proposed by the Public Service Commission as part
• We arrive shortly after the ambulance.
• And when they did, the ambulance could not get through the locked gates to the field.
• It had taken about 18 minutes for an ambulance arrive. The ad wasn't brought out.
• And you can only imagine what it would be on the high end at this service.

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• For years, we've seen ambulances getting to NWIPC at least three times per week, and on some occasions
• For years, we've been seeing ambulances coming to NWIPC, sometimes up to three times per week.
• In fact, we've seen ambulances responding to emergencies there more than once a day.
• The Office of Crime Victims Advocacy and local victim services providers The Office of Crime Victims
• Advocacy and local victim services providers are best suited to inform crime survivors of the process

Bills: HB1228 , HB1239 , HB2310 , HB2464

Committee: House Community Safety

Keywords: DUI, driving under the influence, impaired driving, toxicology, forensic toxicology, breath test, blood test, THC, marijuana, cannabis, alcohol concentration, state toxicologist, implied consent, evidence admissibility, venous blood draw, forensic phlebotomist, certified laboratory, accredited laboratory, law enforcement, DWI

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• Obviously, ambulance service is incredibly important in Fremont County. Can you talk to that?
• Is there some potential for a cooperative provision of ambulance services by pooling all the entities
• Now, a lot of places, hospitals provide ambulance service.
• >> We, uh, before the Fremont County ambulance service was managed by the county. >> Yeah. >> Um, we
• critical</c> Yeah, ambulance service is very critical Yeah, ambulance service is very critical for<01

Committee: Joint Select Committee on Tribal Relations

Transcript Highlights:

• It drives up the cost of products, services, and insurance.
• </c><00:10:56.519><c> and</c> products services and products services and Insurance<00:10:58.560><c>
• </c><00:27:19.320><c> that</c> Innovative products or services that Innovative products or services that
• </c><00:48:51.559><c> and</c> especially in a financial services and especially in a financial services
• So John Deere has a service contract with a third party, or this is their service contract on their products

Summary: The committee heard testimony on HB 733-FN, a bill concerning third-party litigation financing (TPLF). Representative Cole, the prime sponsor, described TPLF as outside investors funding lawsuits in which they have no personal stake, arguing that the practice is largely unregulated, can involve foreign entities, increases litigation abuse, and contributes to higher insurance and consumer costs. He said the bill is modeled on an NCOIL proposal and would require disclosure of TPLF agreements, with guardrails and reporting requirements on specified pages of the bill. He also noted a couple of drafting fixes, including adding the word “knowingly” and incorporating a missing section later. Members raised questions about the bill’s foreign-entity language, especially the provision allowing a governor or the Department of Safety to designate a country as a threat to critical infrastructure. Representative Cole said he would have lawyers review that issue. Another member asked whether the bill would prohibit a party from obtaining outside funding for a lawsuit; Cole clarified that the bill is intended as a reporting measure, not a ban, and that disclosure would be required. He also said the bill is aimed at American citizens rather than foreign-backed financing, and that some states had considered caps on such arrangements, though this bill does not. Brandon Gratz of the Attorney General’s office testified that the enforcement language appears too limited, because it would allow only civil penalties and not broader Consumer Protection Act remedies such as injunctions or restitution. He suggested the Attorney General may not have meaningful authority under the bill as written and raised possible insurance-law issues. Commissioner D.J. Benton-Court of the Insurance Department said the disclosure could help insurers better assess risk and potentially soften the hard insurance market by improving transparency, competition, underwriting, innovation, and claims management. He also said the bill likely needs further work on jurisdiction and enforcement, and that the committee may need to coordinate with the Attorney General, Insurance Department, and possibly banking regulators. No vote was taken in the portion provided.

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• You know, $1,800 for ambulance... ...don't want, you know, $1,800 for ambulance rides from the schools
• students being, you know, I'll use the word traumatized while they take the other student out on the ambulance

Bills: HB194 , SB87 , SB237

Committee: Senate Healthcare

Keywords: healthcare, advanced practice nursing, nurse collaboration, medical board, nursing board, committee structure, midwifery, licensed midwives, State Board of Midwifery, licensure fees, professional liability insurance, complaints investigation, emergency care plan, out-of-hospital care, hemp, hemp beverages, psychoactive cannabinoids, psychoactive hemp products, delta-8 THC, delta-9 THC

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• White Earth Nation has two ambulance services and two fire departments.
• departments and the ambulance service.
• White Earth Nation has two ambulance services and two fire departments.
• departments and the ambulance service.
• and the ambulance fire departments and the ambulance service.<02:36:46.960><c> Our</c><02:36:47.200>

Committee: Senate Judiciary and Public Safety

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• That itself will keep the roundabout at the Y in a level of service of C or B.
• Thank you again for all your time and your service. No worries. Thank you so much.
• Ambulance was on its way.
• ambulance.
• I am also a sitting member of the Health, Education and Human Services Committee.

Bills: HB2067 , HB2068 , HB2127 , HB2164 , HB2200 , HB2201 , HB2242 , HB2283 , HB2284 , HB2285 , HB2286 , HB2287 , HB2304 , HB2306 , HB2399 , HB2601 , HB2609 , HB2760 , HB2761 , HB2859 , HB2887 , HB2892 , HB2893 , HB2894 , HB2978 , HB4027 , HCM2012 , HCM2016

Committee: House Transportation & Infrastructure

Keywords: appropriation, transportation, infrastructure, Apache Junction, funding, Show Low, road extension, special license plates, nonprofits, charitable contributions, Reay Lane, Graham County, HB 2200, State Route 89, SR 89, Chino Valley, Arizona Department of Transportation, ADOT, road widening, highway expansion

Transcript Highlights:

• of Managed Health Care Services, and the Emergency Medical Services Authority.
• Managed Healthcare Services, and the Emergency Medical Services Authority.
• We have two crisis services.
• , child welfare services, and adult protective services, and with our local hospitals.
• losing funding for these vital services, and the services are being cut.

Summary: The Assembly Select Committee on California’s Mental Health Crisis held an informational hearing focused on the 988 suicide and crisis lifeline and the broader crisis response system around it. Chair Pellerin and Assembly Member Schiavo opened with personal remarks about the importance of the issue and the need to strengthen California’s crisis infrastructure, especially as federal actions and funding uncertainty threaten services for youth and LGBTQ+ callers. The hearing was organized into panels covering state implementation, county coordination, and community crisis services, with public comment to follow. State officials from CalHHS, DHCS, Cal OES, and the 988 California Consortium described progress since AB 988 and the five-year implementation plan, including governance structures, statewide network buildout, call-routing technology, public awareness campaigns, and integration with Medi-Cal mobile crisis services. They said California has created or enhanced more than 485 mobile crisis teams, built crisis stabilization and residential facilities, and expanded youth behavioral health supports such as BrightLife Kids and Soluna. They also noted ongoing work to replace lost Trevor Project support with enhanced LGBTQ+ youth training, and to develop a 988 resource directory and future public awareness campaign. Cal OES explained that the 988 surcharge is recalculated annually based on budgeted needs and fund balance, and that text-to-911 and next-gen 911 interoperability are being expanded. County and community witnesses emphasized that the system is still strained by rising demand and uneven local integration. Lake County described a peer-led rural mobile crisis model that has reduced law-enforcement holds and helped place residents into housing, but said 988 calls still do not reliably route to the county’s mobile crisis team and that rural counties need more flexible funding, vehicles, technology, and reimbursement support. Santa Clara County reported strong performance metrics and major growth in 988 call and text volume, but said sustained funding is needed to support staffing, text/chat expansion, and commercial payer reimbursement. The Mental Health Association of San Francisco said the California Peer Run Warm Line is a key part of the continuum of care, but recent budget changes forced cuts to Spanish-language services, federation support, and hours, despite high demand. Across the hearing, members and witnesses agreed that 988 is saving lives but still misses thousands of calls each month and needs more stable, multi-year funding, better coordination, and clearer roles among state agencies, counties, and crisis centers. Witnesses repeatedly called for stronger feedback loops, better integration between 988 and mobile crisis dispatch, and more investment in staffing, technology, and outreach so Californians can be connected to the right help without unnecessary law enforcement or emergency room involvement.

Transcript Highlights:

• We thank you for this moment of service, and we pray for your guidance, O God, in all they do.
• HB 2342, Ambulance Association Shade Structures, Certificate of Necessity.
• HB 2402, Ambulance Services Certificate of Necessity.
• heritage have contributed to the growth and vitality of our community through leadership and public service
• HB 2620, appropriation: homeless veteran shelter services. MABS and ATT.

Transcript Highlights:

• at a higher rate than non-Medicaid units of services.
• There are some services, depending on the hospital type and the service delivered, some services are
• or Medicaid services?
• We provide services for our multilingual patients.
• care and some services for undocumented immigrants.

Summary: The joint informational hearing focused first on the impacts of H.R. 1 on Medi-Cal and California’s health care system. Department of Health Care Services Director Michelle Bass outlined provisions including work requirements, semiannual redeterminations, reduced retroactive coverage, new cost-sharing, limits on provider taxes and state-directed payments, reduced federal matching for emergency services for some immigrants, restrictions on lawful immigrant coverage, and a one-year ban on Medicaid funding for certain abortion providers. She said the law could put tens of billions of federal dollars at risk, with estimates of up to 3 million members losing coverage from work requirements, about 400,000 from more frequent redeterminations, and major pressure on hospitals, clinics, and rural providers. She also noted the state is considering implementation timelines, possible delays, and planning for communications, county systems, and a rural health transformation fund. Testimony from Planned Parenthood Affiliates of California, the California Hospital Association, and the Western Center on Law and Poverty echoed those concerns. Planned Parenthood said the federal defunding provision would immediately threaten access to reproductive health care, with possible clinic closures, reduced hours, and workforce cuts if injunctions are lifted; it estimated about $305 million in annual federal matching funds are at stake in California. The hospital association warned that reduced provider taxes and state-directed payments could cut hospital revenue by an estimated $66 billion to $128 billion over 10 years, risking service reductions and closures, especially in rural areas. The Western Center argued the changes would reverse ACA-era coverage gains, increase churn and administrative burden, and disproportionately harm working poor people and those experiencing homelessness. Committee members asked about implementation, notification, state mitigation options, and the effect on hospitals and patients; no votes were taken. The second panel addressed community health impacts of recent immigration enforcement actions. CHIRLA described raids as a public health crisis that creates fear, trauma, family separation, and avoidance of health care. Los Angeles County Department of Health Services reported declines in emergency, urgent care, and clinic visits in immigrant-heavy areas after enforcement actions, and said it has responded with multilingual outreach, patient navigation, telehealth, and assurances that patient information remains protected. The Children’s Partnership said enforcement also disrupts children’s access to early childhood education and schools, citing increased absences and fear among families, and urged stronger protections, legal services, and funding for child care and school-based supports. Members asked for more data on visit declines, the effects on children and families, and how to reduce the chilling effect on care-seeking and benefit enrollment.

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• I've serviced all those people.
• Family Services Association, our senior services provider, instituted a grab-and-go meal program where
• Evacuations can disrupt these services and shelters.
• Services can include medically tailored nutrition, legal services, critical ombudsman services, access
• getting access takes time and effort during the recent our services.

Summary: The Assembly Aging and Long-Term Care Committee met on April 22, established a quorum, and adopted its 2023-24 committee rules. The hearing then considered five bills focused on aging, long-term care, immigrant seniors, nutrition, and emergency preparedness. AB 450 would create a task force to study the needs of undocumented Californians age 55 and older; supporters from CHIRLA and other advocates described barriers to housing, health care, retirement, and digital access, while members raised questions about eligibility and process. The bill was approved on a due pass motion and re-referred to the Committee on Human Services. AB 508 would require residential care facilities for the elderly to disclose staffing information upon request at admission and when rates increase. The author and supporters argued that staffing levels are closely tied to quality of care and that families need transparency to make informed choices; a witness described her father’s death in an understaffed facility. Assisted living industry representatives opposed the bill as burdensome but said they were continuing discussions with the author. The committee adopted amendments and passed the bill to Appropriations. AB 1476 would allow senior congregate meal programs to continue offering to-go meals, a practice expanded during the pandemic. Supporters said the option improved access for homebound and food-insecure seniors and helped bring people into senior centers; there was no opposition, and the bill passed to Appropriations. AB 1068 would create a working group on evacuation and sheltering needs for older adults and people with disabilities in long-term care during disasters, and AB 1069 would ensure area agencies on aging and aging/disability resource programs have access to emergency shelters to provide services. Both measures drew broad support from aging, disability, and advocacy groups, with testimony citing recent fires and evacuations, and both were approved and re-referred to the Committee on Emergency Management. The committee also left rolls open for additional members to add votes before adjournment.

Transcript Highlights:

• In health and human services, House Bill 1584.
• </c><00:25:29.640><c> The</c> support services available to them.
• The support services available to them.
• ,</c> Committee on Health and Human Services, Committee on Health and Human Services, to<00:33:23.920
• :26:23.480><c> him,</c> An ambulance arrived, defibrillated him, An ambulance arrived, defibrillated

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• coming to us in receiving multilingual coming to us in receiving multilingual uh<00:07:17.720><c> services
• and then 10% of our students uh services and then 10% of our students which<00:07:20.520><c> is</c><
• We also, again thanks to many of you, were able to get a start on building an ambulance bay.
• Bay um I believe building an ambulance Bay um I believe very<00:15:29.560><c> strongly</c><00:15:29.880
• </c> put uh to begin two full service put uh to begin two full service Community<00:16:12.160><c> Schools

Committee: Senate Education Policy

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• So necessary to continue services.
• So they're plugged into services.
• these are these are contracted services these are these are contracted services to<01:21:07.320><c>
• </c> Health Service Health Service div<02:05:22.599><c> um</c><02:05:22.719><c> for</c><02:05:23.199>
• yeah ambulance the last one Senator oh yeah ambulance for<02:22:09.160><c> recurring</c><02:22:09.600

Summary: The joint Ways and Means and Health and Human Services committees heard Hawaii Health Systems Corporation’s biennium budget request, with testimony from HHSC leadership on the Hilo/Big Island region (HTH 212) and the Oahu region (HTH 215), plus discussion of capital improvement projects and systemwide partnerships. HHSC described its role as the rural healthcare safety net, serving a high share of Medicare, Medicaid/Quest, and uninsured patients, and said its costs are elevated by state employee fringe benefits, which it said are about 64% compared with roughly 30% in the private sector. HHSC also said pandemic-era federal aid, including relief funds and PPP loans totaling about $100 million, reduced the need for general fund support in prior years. For HTH 212, HHSC said its general fund request for fiscal years 2026 and 2027 was higher than the governor’s recommendation because of rising insurance, pharmaceutical, and contractor labor costs, and because it includes $13.2 million in FY 2026 and $2.3 million in FY 2027 for Epic electronic medical record implementation in East Hawaii. For HTH 215, HHSC said the requested general funds were aligned with the governor’s recommendation, in part because of increased Medicaid reimbursement rates for long-term care facilities under prior legislation. HHSC also said it was restoring a special fund ceiling so the region could spend its cash collections on operations. Members asked about the 64% fringe rate, and HHSC explained the difference was mainly due to defined-benefit pension and retiree health insurance costs, which private hospitals generally do not bear at the same level. Members also asked about the Daniel K. Akaka State Veterans Home, and HHSC said operations would be funded through the general fund corporation for the home when it opens, with management by Ohana Pacific, but no additional legislative operating funds were being requested at that time. Other questions focused on staffing and vacancies, including an abolished procurement position and an ongoing IT help desk recruitment need. HHSC highlighted several capital and partnership projects, including a $25 million state CIP request matched by $25 million from the Benioff family for the Benioff Health Center, an ER expansion and reconfiguration at Corner Community Hospital, and $7.5 million in each fiscal year for Kauai EMR capital funds to join the Epic platform. Testimony also described collaborations with Queen’s, the University of California San Francisco, Hawaii Pacific Health, the Hawaii Cancer Consortium, the Department of Health, and the state hospital to improve specialty access, clinical trials, behavioral health, and patient placement across the system.

Transcript Highlights:

• Thank you for your service. No, that's it. Is that it? Okay. Mr. Chair? Yes, Senator Sundareshan.
• Thank you for your service. No, that's it. Is that it? Okay. Mr. Chair? Yes, Senator.
• First of all, to the gentleman, and I cannot see sitting behind the post, thank you for your service
• Thank you for your service to our country, and thank you for coming down to speak.
• This bill actually supports new housing outside of established water service areas.

Bills: HB2014 , HB2055 , HB2145 , HB2150 , HB2696 , HB2755 , HB2763 , HB2781 , HB2782 , HB2787 , HB2795 , HB2889 , HB2975 , HB2985 , HB2986 , HCM2009 , HCR2020 , HCR2038

Committees: Senate Natural Resources , Senate Senate Natural Resources Committee of Reference

Keywords: air emissions, fuel blends, environmental quality, feasibility study, Arizona Department of Agriculture, brackish groundwater, water supply development, desalination, Arizona Revised Statutes, water infrastructure, financial assistance, environmental reviews, fuel reformulation, gasoline standards, environmental regulations, ethanol supply, Air Quality, state land department, mineral lease, renewals

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• Upon enrollment, the student must receive appropriate services and accommodations consistent with their
• And we know that military service just doesn't end with active duty.
• Upon enrollment, the student must receive appropriate services and accommodations consistent with their
• And we know that the military service just doesn't end with active duty.
• I'm the director of student services, and we also serve our military families at Fairchild Air Force

Bills: SB6277 , SB5992 , SB6078 , SB6089 , SB5918 , SB5861 , SB6118 , SB6065 , SB6052

Committee: Senate Early Learning & K-12 Education

Keywords: military families, military children, school enrollment, residency requirements, public schools, school districts, educational stability, student mobility, interstate compact, military relocation, active duty, military orders, special education, IEP, Section 504, records transfer, conditional enrollment, Washington schools, RCW 28A.225.215, military installation

Bills: HB130 , HB190 , HB123 , HB250 , HB130 , HB190 , HB123 , HB250

Committee: House Ways and Means Education

Keywords: HB130, Alabama Board of Licensure for Professional Geologists, Sunset Law, sunset review, licensure board, professional geologists, geology, geologist licensing, board appointments, congressional district representation, gubernatorial appointments, state boards and commissions, professional licensing, regulatory board, Alabama Code 34-41-4, environmental engineering, geotechnical engineering, mining industry, petroleum industry, geological sciences

Transcript Highlights:

• For services or provider types where L&I has established the network, the injured worker must select
• PT and OT services.
• We are trained to diagnose injuries and to refer patients who need other health care services.
• Sending patients back and forth when they don't need other services critically delays treatment, delays
• , and require workers without tech skills to figure out how to opt out of email service.

Bills: SB5437 , SB6152 , SB6058 , SB5944 , SB6039 , SB6117

Committee: Senate Labor & Commerce

Keywords: noncompete, noncompetition agreement, restrictive covenant, nonsolicitation, employment contract, worker mobility, labor law, wage suppression, trade secrets, confidentiality agreement, franchise, independent contractor, employee mobility, economic growth, entrepreneurship, job mobility, restraint of trade, customer solicitation, post-employment restrictions, FTC noncompete rule

Transcript Highlights:

• publicly so people… Publicize and put out publicly so people will be aware of where and what the services
• , that's actually what it was set up for—was economic development, and it mainly is used for debt service

Bills: SB107 , HB158 , HB353 , HB354 , HB357 , HB181 , HB465 , HB526

Committee: Senate Finance and Taxation General Fund

Keywords: SSUT, simplified sellers use tax, sales tax distribution, municipal revenue, municipal population, annexation, deannexation, incorporation, boundary change, federal census, decennial census, Department of Revenue, local government finance, revenue sharing, municipal boundaries, population recalculation, probate judge, Boundary and Annexation Survey, Alabama municipalities, HB158