Transcript Highlights:

• We built ourselves the oral health and maternal health... ...supply-and-demand models.
• We built ourselves the oral health and maternal health supply-and-demand models.
• health care within a stable health care delivery system.
• and local public health, health care, and emergency response officials.
• , mental health, oral health, and social services.

Keywords: 987, senate, all

Transcript Highlights:

• Health care claims are regularly used in health services research and policy analysis.
• They would rely on a mix from the California Health Data and Planning Fund, the Health Plan Improvement
• They would rely on a mix from the California Health Data and Planning Fund, the Health Plan Improvement
• ICDV. 9 for Health Access California.
• SB 306 increases transparency in the prior authorization process by requiring health plans and health

Summary: The Assembly Budget Subcommittee on Health heard updates on five health-related budget items. First, members reviewed state support for distressed hospitals and health facilities. The California Health Facilities Financing Authority and HCAI described the Distressed Hospital Loan Program as a lifeline for 16 hospitals, many of which remain financially strained and are expected to seek loan forgiveness rather than repayment. Speakers cited reduced contract labor, new service lines, strategic partnerships, and the reopening of Madera Hospital as signs of progress, but also warned that federal policy changes under H.R. 1 will likely increase uncompensated care and pressure emergency departments. Public commenters from hospital, dental, and consumer groups supported additional funding, including a request to refresh the program with another $300 million. The committee then heard HCAI’s update on the California Rural Health Transformation Program, a five-year federal initiative funded at $233.6 million for California. HCAI said the program will focus on rural care models, workforce development, and health technology, with grants to be rolled out on a fast timeline and all funds obligated by October 30, 2026. Members raised concerns about rural provider capacity to apply for grants, and HCAI said it will use a third-party administrator, a technical assistance center, webinars, and other supports to help applicants. HCAI also presented its budget request for the health care payments database, seeking ongoing non-General Fund support to continue operations and expand data, including pharmacy benefit manager data. The Emergency Medical Services Authority presented three budget change proposals: funding to replace disaster medical services fleet vehicles, funding for IT security work, and additional positions for HR, enforcement, and legal workload. A member also raised concern that EMSA has not yet completed the annual ambulance rate reporting required by AB 716, and EMSA said it remains committed to the requirement but lost prior funding through later budget reductions. Covered California reported that it is still finalizing its own budget, but expects a lower operating budget due to efforts to reduce baseline costs and align spending with actual expenditures; it also projected enrollment declines tied to the expiration of enhanced premium tax credits, H.R. 1, and federal rule changes, while noting that revenues may still rise because premiums are expected to increase. Finally, the Department of Managed Health Care outlined budget proposals tied to menopause coverage and education, PBM licensure and enforcement under AB 116 and SB 41, credentialing reforms under AB 1041, and prior authorization reporting under SB 306. Public testimony generally supported the menopause and PBM proposals, while also urging clearer language and attention to Medi-Cal parity. The hearing concluded after public comment, including additional advocacy for sickle cell services and rural health workforce funding.

Transcript Highlights:

• Because of that, there's less funding available to cover health care costs in the Health Care Authority
• So just to let you know how to read this report, the first grouping here is health care and public health
• So this is mostly in the Health Care Authority medical and the Department of Health itself.
• health is the number one priority.
• the health professions account.

Bills: SB5998

Committee: Senate Ways & Means

Keywords: fiscal appropriations, budget, state funding, financial management, operating expenses, 904, all

Transcript Highlights:

• Hi, my name is Nancy Freeman, and I'm the Operations Services Chief Operating Officer for Direct Care
• Children's mental health care term.
• </c> Nancy Freeman, and I'm the Operations Nancy Freeman, and I'm the Operations Services<00:03:30.800
• Chief Operating Officer for Services Chief Operating Officer for Direct<00:03:32.600><c> Care</c><00
• </c> 21 with complex mental health 21 with complex mental health conditions.<00:04:24.040><c> Thank</

Keywords: 1183, house

Transcript Highlights:

• As per standard practice, the operating budget usually has maintenance and operation funding for that
• , which As per standard practice, the operating budget usually has maintenance and operation funding
• Foundational Public Health Services were cut by $24 million in last year's operating budget, and the
• Health homes is fully operational across Washington, with over 60 care coordination organizations working
• to public health.

Summary: The Senate Ways and Means Committee heard an overview from OFM Director Katie Chapman See on Governor Ferguson’s 2026 supplemental budget proposal. She said the budget was built in response to higher caseloads and inflation, a roughly $390 million revenue forecast drop, new federal costs tied to H.R. 1, and a relatively small ending fund balance. The proposal would increase near general fund spending by about $1.1 billion and solve an estimated $2.3 billion two-year gap through about $800 million in reductions, revenue shifts and tax preference changes, use of other funds, and about $1 billion from the budget stabilization account. She also noted the budget is balanced over two years but not fully over four years under the state’s outlook rules. Chapman See highlighted reductions in Working Connections Child Care, including a soft cap on enrollment and holding subsidy rates at the 75th percentile, delays to long-term care and developmental disability-related changes, and across-the-board reductions to higher education and administrative spending. She also described investments in wildfire suppression and preparedness, affordability programs like utility rebates and home energy assistance, housing-related planning and permitting support, One Washington IT replacement, behavioral health workforce programs, and continued support for some K-12 initiatives such as ninth grade success and homeless student stability. In response to questions, she said some proposed cuts were based on the governor’s subjective judgment about what was critically necessary, that current child care enrollees would not be cut off immediately, and that the budget would maintain services for about 500 highest-acuity Medicaid clients who lost eligibility under federal changes. Public testimony was largely critical of the proposed cuts in K-12, early learning, and higher education. School officials, educators, nurses, and advocacy groups opposed reductions to Transition to Kindergarten, Local Effort Assistance, Running Start, MSOC, school leadership and support grants, and higher education funding, arguing the cuts would worsen existing funding gaps and harm student outcomes. Several witnesses supported restoring or maintaining funding for ninth grade success, Treehouse’s foster youth graduation program, homeless student stability, and Science on Wheels. In early learning, child care providers and advocates opposed the Working Connections cap and subsidy-rate reduction, warning it would reduce access and destabilize providers. In higher education, campus leaders and labor representatives opposed across-the-board cuts and fund shifts, while some institutions and advocates supported targeted investments such as behavioral health workforce programs and DigiPen aid restoration. In human services, Planned Parenthood advocates praised restored abortion access funding and Medicaid reimbursements. The committee took no votes or final action in the transcript provided.

Transcript Highlights:

• Next, the air quality and health disparities improvement account, sometimes called Aquadilla, is used
• to improve air quality and health in areas that meet certain socioeconomic and environmental criteria
• They would be replaced with two new accounts, the CCA operating account and the CCA capital account,
• Then $144 million goes to the operating account, $10 million goes to Aquadilla, and the rest goes to
• Seattle Children's partners with the state to operate three of the critical programs: fast mental health

Summary: The House Appropriations Committee held public hearings on three bills. House Bill 2251, sponsored by Rep. Fitzgibbon, would reorganize Climate Commitment Act revenue accounts by repealing several existing accounts and creating new operating and capital accounts, changing how auction proceeds are distributed when revenues are above or below a set threshold, broadening some tribal and overburdened-community spending language, adding electric vehicles and certain housing uses, capping Ecology administrative costs, and moving some reporting from annual to every two years. Supporters said the bill would simplify a confusing account structure and improve predictability, while opponents criticized the reduced reporting frequency and said it could weaken accountability. No vote was taken. House Bill 2254 would adjust the funding model for the Partnership Access Line and related behavioral health consultation programs by allowing the cost of the third-party administrator to be included in the carrier assessment rather than paid from general funds. Committee staff said this would produce general fund savings, and testimony from HCA, UW Medicine, Seattle Children’s, and others supported the bill as a technical fix that would stabilize the programs and potentially free up funds to restore service levels. No vote was taken. House Bill 2385 would extend deadlines and the expiration date for the Medicaid Access Program created last session, after federal HR1 restrictions prevented implementation of the original program and provider assessment. The bill would push out CMS submission deadlines, update the rate-setting reference year, and extend the act’s sunset date. The sponsor and the Washington State Medical Association supported the bill as necessary to preserve the option of pursuing the program later. The committee took no action and adjourned after the hearings.

Transcript Highlights:

• </c><00:02:00.039><c> care</c> specialized Behavioral Health care specialized Behavioral Health care
• </c> place in the state's mental health place in the state's mental health Continuum<00:02:10.280><c>
• services our operation support services our Behavioral<00:04:26.680><c> Health</c><00:04:26.960><c>
• And I’d say the third area is really around when you’re operating in 24/7 operation.
• > you</c> you're operating in 24/7 operation you you're operating in 24/7 operation you really<00:23:

Committee: House Human Services Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• >> So right now if a community mental health center is not meeting the operational standards we can put
• center is not meeting the mental health center is not meeting the operational<00:27:08.720><c> standards
• One would be compliance with the operational standards. have a community mental health center have a
• Um, I say again, I don't believe the state should operate the community mental health centers.
• And so to what extent would the contractor be involved in the operations of the community mental health

Committee: Joint Accountability, Efficiency, Transparency

Keywords: Accountability, Efficiency, Transparency - Room 210; 28 January, 2026: 10:30 AM, 925, all

Transcript Highlights:

• of health and mental wellness >> It's slightly outside of my view.
• Um, on line 19, we crossed out district operated open enrollment and changed it to public.
• Um, on line 19, we crossed out district operated open enrollment and changed it to public.
• Um, on line 19, we crossed out district operated open enrollment and changed it to public.
• Um, on line 19, we crossed out district operated open enrollment and changed it to public.

Committee: House Education Policy and Administration

Keywords: 1189, house, all

Transcript Highlights:

• health care costs change.
• It's different on the behavioral health side versus a physical health side.
• health benefits for our employees.
• Services, higher education, K-12, and low-income health care and community behavioral health.
• But the health care inflation, or projected health care inflation, is not included in future outlook

Committee: Joint Joint Legislative-Executive Committee on Budget Transparency and Fiscal Sustainability

Summary: The committee held its first meeting, with co-chairs and members introducing themselves and staff outlining the committee’s statutory charge under the 2026 supplemental operating budget. Staff explained that the committee is tasked with studying budget transparency and fiscal sustainability in two phases: first, revenue growth, spending assumptions, statutory cost drivers, and carryforward/maintenance levels; and later, staffing, overhead, performance management, and public reporting tools. The committee also discussed its goals, with members emphasizing a shared factual understanding of Washington’s fiscal situation, the causes of projected structural deficits, and possible paths to a more sustainable operating budget. Staff then gave a detailed operating budget basics presentation. They reviewed the size and composition of the operating budget, explaining that most spending is concentrated in grants and client services, salaries and benefits, and goods and services, with K-12 education, DSHS, the Health Care Authority, DCYF, corrections, and higher education making up most NGFO spending. They also walked through the distinction between constitutional, federal, statutory, and discretionary spending; the role of caseload and per-capita forecasts; how maintenance level and policy level budgets are built; and how the four-year outlook works, including revenue forecasts, reversions, budget stabilization account reserves, and the official outlook adoption process. Members asked several questions about what is or is not included in the outlook, especially future collective bargaining agreements, health care inflation, court-ordered liabilities, and whether the budget could better separate mandatory from discretionary spending over time. Staff said some of those questions would require follow-up and noted the existence of an outlook accuracy report. The committee then heard from Josh Goodman of the Pew Charitable Trusts, who introduced Pew’s state fiscal work and its role as the nonprofit partner supporting the committee. He said Pew would help analyze long-term fiscal sustainability, reserve policies, recession preparedness, and practices from other states, and would draw on its 50-state data and subject-matter experts. No votes were taken and no formal actions were reported at this meeting.

Transcript Highlights:

• Those apply to all health care entities: hospitals, health plans, physician organizations.
• We built ourselves the oral health and maternal health supply and demand models.
• health care within a stable health care delivery system.
• and local public health, health care, and emergency response officials.
• , mental health, oral health, and social services.

Summary: The hearing began with a stakeholder presentation from Let California Kids Hear urging coverage of pediatric hearing aids for children in the large group market. Advocates described the issue as a long-running developmental emergency, argued that existing state efforts have been inefficient, and said the new proposal would cover about 70% to 80% of affected children without new spending by redirecting existing dollars. Public commenters, including parents, audiologists, and children’s advocates, strongly supported the proposal and emphasized the need for timely access to sound. The chair thanked the group and noted hope for a future fix, including continued work on the exchange market. The Department of Finance then gave a broad budget warning about the state’s more than $20 billion structural deficit and said new investments must be weighed against out-year shortfalls. HCAI followed with an overview of its programs, including CalRx insulin and naloxone, reproductive health grants, the Office of Health Care Affordability, seismic hospital compliance, workforce programs, and the Data Exchange Framework. Members asked about geographic targeting of workforce funds, behavioral health pipeline programs, the status of the 21st Century Nursing Initiative, and future CalRx products such as EpiPens and GLP-1s. HCAI also described its enforcement approach for health care spending targets, saying the board would not change the targets in response to H.R. 1, and outlined the diaper access initiative, which will distribute diapers through hospitals in higher-need areas. Several HCAI budget items were discussed and held open, including additional expenditure authority, the transfer of the Data Exchange Framework and Office of the Patient Advocate, long-term care payment transparency staffing, and reporting on health care worker waiting periods. The department also presented its Behavioral Health Services Act workforce initiative and a proposed $100 million General Fund offset, which both the LAO and the chair questioned as unclear and potentially one-time in nature. HCAI said the final workforce plan would be adjusted after stakeholder consultation if the offset proceeds. The department also described the Rural Health Transformation Program, saying California received $233.6 million in federal funds, had to revise its proposal to satisfy CMS, and must obligate the money by October 30; the program will fund rural care models, workforce development, and technology, with grants rolled out on a phased basis. The Department of Managed Health Care then presented its budget and three legislative implementation requests: SB 41 on PBM reform, SB 306 on prior authorization transparency, and AB 1041 on provider credentialing timelines. Finally, the administration outlined a menopause care proposal requiring coverage and education for menopause-related services, provider training, and an outreach campaign, with DMHC requesting staffing and funding to implement and enforce the new requirements. Throughout the hearing, most items were held open for later action, and no final votes were taken in the portion provided.

Transcript Highlights:

• , oral health, and all of the culturally and behavioral health, oral health, and all of the culturally
• I'm the Chief Operating Officer for the Edward M. Kennedy Community Health Center.
• I'm the Chief Operating Officer for the Edward M. Kennedy Community Health Center.
• Today we operate four full-service health centers.
• Today we operate four full-service health centers and five school-based health centers in Worcester,

Committee: Joint Joint Committee on Financial Services

Keywords: 995, all

Summary: The committee held a lengthy hearing on a large docket of pharmacy and drug-pricing bills, with most testimony focused on PBM reform, 340B drug discount program protections, specialty medication access, and medication adherence. Chair James Murphy and Senator Paul Feeney opened the hearing and took testimony from legislators, patient advocates, pharmacists, health center leaders, industry representatives, and policy groups. Several speakers described delays, denials, high out-of-pocket costs, and pharmacy closures tied to PBM practices, while others emphasized the importance of community health centers and independent pharmacies in serving patients. On the 340B program, supporters including Senator Eldridge, Senator Payano, Community Care Cooperative, Fenway Health, the Massachusetts League of Community Health Centers, and several community health center leaders argued that bills such as H. 1107 and S. 819 would stop discriminatory PBM and manufacturer practices, preserve contract pharmacy access, and protect safety-net providers that say they reinvest savings into care, pharmacy expansion, interpreter services, behavioral health, and other services. Opponents including PhRMA, the Community Liver Alliance, and a public policy analyst argued the program lacks transparency and accountability, has grown beyond its original purpose, and may benefit large hospitals and for-profit entities more than low-income patients. They urged more reporting and oversight rather than expanding protections. On PBM reform, testimony supported bills including H. 1157, H. 1234, S. 724, S. 831, and related measures that would require rebate pass-through, ban spread pricing, limit steering to PBM-owned pharmacies, and improve reimbursement for community pharmacies. Independent pharmacists and patients said current PBM practices raise costs, create administrative burdens, and threaten access to local pharmacies. PCMA, representing PBMs, opposed the reforms, arguing PBMs lower costs, that plan sponsors choose to contract with them, and that the Health Policy Commission and CHIA should complete their ongoing study before new mandates are adopted. The committee also heard support for H. 1322 and S. 734 on specialty medications, and for H. 781 and H. 1305 on medication synchronization to improve adherence. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• I deployed to Afghanistan in support of Operation Freedom Sentinel.
• qualified health centers operating 1,000 clinical sites all directly employ a physician with minimal
• Care District, Palomar Health Care District, El Camino Health Care District, Desert Health Care District
• Care District, Palomar Health Care District, El Camino Health Care District, Desert Health Care District
• There's no cap on the multi-service health clubs.

Committee: Senate Business, Professions and Economic Development

Keywords: 987, senate, all

Transcript Highlights:

• seek behavioral health services with us.
• vision to construction, advancing an integrated model that brings behavioral health and physical health
• vision to construction, advancing an integrated model that brings behavioral health and physical health
• As the name suggests, CCA operating is for the operating budget and CCA capital is for the capital budget
• The operating account, or the operating Ecology administration funds, would be growing by the fiscal

Summary: The committee first heard a briefing on the proposed Senate capital budget, Substitute Senate Bill 6003, which would spend about $723 million total using debt-limit bonds, Climate Commitment Act funds, and other cash resources. Staff described major investments in housing and homelessness, human services, local infrastructure, flood response, water conservation and clean energy, K-12 school modernization and seismic work, and higher education projects. Members then took public testimony from a wide range of advocates and project sponsors, most of whom urged the Senate to preserve or increase funding for specific projects in the final budget, including affordable housing, permanent supportive housing, child care facilities, food banks, behavioral health and substance use treatment centers, tribal courthouse relocation, school modernization, community colleges, university projects, floodplain restoration, community forests, and local civic or cultural facilities. Several witnesses also asked the Senate to match or approach House funding levels on items such as the Housing Trust Fund, permanent supportive housing, the Community Forest Program, Floodplains by Design, and CCA-supported clean energy and water projects. The chair noted that amendments to the capital budget were due the next day at noon. The committee then received a briefing on Engrossed Second Substitute House Bill 2251, which would restructure Climate Commitment Act accounts by repealing three existing accounts and replacing them with two new accounts: a CCA operating account and a CCA capital account. Staff explained that the bill would preserve most existing uses while changing revenue distribution formulas, capping Ecology administrative costs, expanding allowable uses for EV-related costs, housing, and carbon capture/sequestration, and changing reporting and tribal consultation provisions. The bill also shifts some reporting from annual to biannual and modifies the thresholds for tribal-supported and overburdened-community investments. The fiscal note was described as relatively small, with the main impact being the revised revenue allocation structure. Public testimony on the CCA bill was mixed. Supporters, including the League of Women Voters, said the restructuring better aligns spending with the intent of the CCA and could improve investments for tribes and overburdened communities. Critics, including the Washington Policy Center, argued the bill still lacks strong requirements to ensure CCA spending is effective and objected to reducing the frequency of the state’s climate-spending report. No votes were taken during the portion of the meeting provided.

Transcript Highlights:

• health for the people of Hawaii.
• Department of Health already has uh Department of Health already has uh delegation<00:05:08.240><c> Authority
• </c><00:06:47.560><c> higher</c> we are participating in operation higher we are participating in operation
• </c><00:08:40.240><c> of</c><00:08:40.360><c> the</c> protect the health of the protect the health of
• <00:18:28.280><c> for</c><00:18:28.480><c> hire</c> operation for hire operation for hire doesn't<00:

Committee: House Labor

Keywords: 910, house, all

Transcript Highlights:

• . operations outside of New Mexico.
• So under the Rural Health Care Fund that exists today, new health care services have been provided to
• I also, once again, operations talk about operations.
• Operational expenses, and if...
• This also represents state health benefits and the health care affordability fund.

Committee: House House Health & Human Services

Transcript Highlights:

• Participation in Operation Midnight Hammer demonstrated the professionalism and Operation Midnight Hammer
• They have an operating fund that sustains all of their operating approach, so part of that.
• They have an operating fund that sustains all of their operating approach, so part of that.
• The department operates six CSCs.
• The department operates six CSCs.

Committee: House Budget

Keywords: 959, house, all

Transcript Highlights:

• This is to pay salaries and operational expenses for the division, including the operations at the state
• You're operating all over the state, aren't you? Yes, ma'am. We are operating all over the state.
• On the third line of the appropriation summaries, the operation is the operation. Ms.
• Moved to the Department of Health? No, it came from the Department of Health.
• The agency is requesting changes for two appropriations: their health operations paying account and the

Committee: All JOINT BUDGET COMMITTEE

Summary: The committee heard a series of Arkansas Department of Human Services budget presentations and questions, beginning with the Secretary’s Office and then the Division of Aging, Adult and Behavioral Health Services. Staff described the divisions’ appropriations, funding sources, and major programs, including senior centers, Meals on Wheels, mental health grants, substance abuse treatment, community alcohol safety, the Medicaid tobacco settlement program, and crisis stabilization units. Members raised concerns about flat or limited funding for senior services, the use and tracing of federal block grants, the lack of a funding source for the veterans’ mental health grant, and the mechanics of the community alcohol safety and treatment programs. The committee also discussed patient benefits funds at state facilities, transportation for senior center clients, and whether some special-language appropriations or fund balances should be revisited. Executive recommendations were adopted for the divisions considered. The committee then reviewed the Division of Children and Family Services and the Division of County Operations. Questions focused on foster care growth, adoption subsidies, professional fees tied to staff training and onboarding, vacancies, the Children’s Trust Fund, and TANF subgrants. Members asked about the reduction or elimination of TANF funding to child advocacy centers and other subgrantees, and DHS explained that prior reserves had been spent down and that the department was now trying to live within the annual TANF block grant and rebuild reserves. County operations questions also covered summer EBT, SNAP employment and training, the farmers’ market program, and the expected impact of a federal SNAP administrative match change, which DHS estimated would increase state costs by about $24 million annually, with roughly $18 million affecting the current year because the change begins October 1. Executive recommendations were again adopted. Finally, the committee heard from the Division of Developmental Disability Services and the Division of Medical Services. DDS testimony covered vacancies, staffing shortages, human development center construction and repairs, the reopening of the Boonville work training program, and funding for infant infirmary and child/family life programs. Medical Services testimony covered the Medicaid program, the current FMAP rate, the Our Kids B CHIP program, Medicaid payments to schools, nursing home distress funding, and large appropriation lines used to provide flexibility for claims and potential facility closures. Members asked for more detail on school Medicaid payments, reserve balances, and why some appropriations were much larger than actual spending. In each division, the committee moved and adopted Executive REC after questions concluded.

Transcript Highlights:

• So there are just a few academic health systems that provide care and operate in the state of Missouri
• So there are just a few academic health systems that provide care and operate in the state of Missouri
• We're in the black, and we fund our health system operations, including growth, out of what we generate
• So today, we don't get tax dollars that support health system operations.
• So in that 25-county area, MU Health Care is one of 13 operators of hospitals in that area.

Committee: House Special Committee on Rural Issues

Summary: The committee first met in executive session on House Bill 1714, adopting an amendment that clarified the bill would not apply to hunting dogs or animals not under direct control of the hunter and would not affect a specified section of law. The committee then rolled the amendment into a House Committee Substitute and voted the substitute do pass, with the roll call showing passage. The committee then heard House Bill 317, which would authorize MU Health Care to collaborate with hospitals and providers in a 25-county area and seek state-action antitrust immunity for those transactions. The sponsor and MU Health Care testified that the bill is intended to help preserve rural hospitals and keep care local, citing multiple hospital closures in Missouri and examples from Alabama and other states. Supporters from MU Health Care, rural hospitals, and local business and health leaders described the bill as a way to stabilize struggling facilities, maintain emergency access, and protect rural economies. Opponents, including the Missouri Insurance Coalition and the Missouri Health Plan Association, warned that the bill could codify monopoly power, raise prices, and reduce competition, and argued that the language was too broad and not limited to distressed hospitals. Some committee members also raised concerns about antitrust immunity, facility fees, market share, and whether the bill should be tightened to ensure voluntary participation and clearer limits. No vote was taken on House Bill 317 before the hearing adjourned.

Transcript Highlights:

• qualified health centers operating 1,000 clinical sites all directly employ a physician with minimal
• Care District, Palomar Health Care District, El Camino Health Care District, Desert Health Care District
• , Fallbrook Regional Health Care District, and Kaweah Delta.
• , To operate as a sole business and have an accounting firm.
• There's no cap on the multi-service health clubs.

Summary: The committee heard a series of bills on access to care, professional licensing, and consumer protection, beginning as a subcommittee because quorum was initially lacking. AB 1307 would create a pilot program allowing up to 30 qualified dentists from Mexico to work in underserved California areas for up to three years; the author and sponsor framed it as a cost-neutral way to address dental shortages, the California Dental Association moved from opposition to neutral after amendments, and members expressed support. AB 1703 would restrict use of osteopathic titles and osteopathic manipulative treatment to licensed DOs; supporters said it would prevent patient confusion and unlicensed practice, while non-physician osteopaths argued it would criminalize a long-standing, safe practice and reduce access. Members raised concerns about consumer clarity and access, and the author said she would continue working with opponents. AB 2250 made technical cleanup changes to last year’s hemp enforcement law, with support from the cannabis industry and no opposition. AB 1758 would raise the annual seller-of-travel assessment for the Travel Consumer Restitution Fund from $35 to $60, and AB 1794 would allow prescribed enteral nutrition formulas to be drop-shipped directly to patients’ homes with pharmacist oversight; both drew support and no opposition. AB 1775 would expand state licensing priority and related support for veterans discharged because of a federal transgender military policy, with emotional testimony from a transgender Army captain and support from equality and women’s organizations. AB 1939 would allow licensed professional fiduciaries to form corporations, and AB 2477 would create a limited provisional period for new pest control employees to work under supervision while licensing is pending; both were supported, though AB 2477 drew questions about supervision and committee amendments. AB 1999 would address veterinary workforce shortages by creating retired volunteer status, a shelter-veterinarian pathway, changes to VCPR rules, and narrowing the owner exemption to exclude surgical procedures; supporters cited animal welfare concerns, while some opponents warned about overreach. AB 2010 would permit high-quality, high-volume spay/neuter clinics in nontraditional settings to expand access, but the Veterinary Medical Board and some advocates opposed it unless amended over safety and clarity concerns. AB 2311 would let public health care district hospitals directly employ physicians, with supporters saying it would improve recruitment and access and opponents warning about erosion of physician autonomy; the author said the bill included safeguards, a sunset, and reporting requirements, and continued negotiations were ongoing. After quorum was established, the committee took roll-call votes and advanced the bills, generally on party-line or broad bipartisan votes, with several measures placed on call and others sent to Appropriations, Judiciary, Revenue and Taxation, Military and Veterans Affairs, or other committees as noted.