Transcript Highlights:

• So that ballot will count, and that is a practice that we have now, or is this something that's going
• So yes, that was what we required, but I mean in practice, this isn't something new.
• The current practice is for an election official to assist the person at the polls.
• The speaker said the current practice is for an election official to assist the person at the polls.
• So we're just putting what's in practice into the statute now. Correct.

Committee: House House and Governmental Affairs

Summary: The Committee on House and Governmental Affairs met on March 18 and first adopted the minutes from its February 21 meeting. The committee then took up HB 250, which would have narrowed financial disclosure requirements for appointed, unpaid board and commission members by exempting immediate family information. Supporters said the bill would reduce burdens and help recruit volunteers, while opponents argued it would weaken ethics enforcement and create opportunities for undisclosed conflicts of interest. After debate and a roll call, the committee deadlocked and HB 250 failed to advance on a 6-6 vote with one abstention. The committee next considered HB 576, which transfers ownership and maintenance responsibility for the Old Governor’s Mansion to the Department of State and codifies its current operational role. Secretary of State Nancy Landry and mansion staff testified in support, describing expanded programming, increased visitors, and the need to align the statute with current practice. The committee adopted technical amendments and then reported HB 576 favorably without objection. The committee also heard HB 117, which recreates the Department of State and its statutory entities through July 1, 2033, and reported it favorably without objection. The major remaining item was HB 842, the annual omnibus elections bill, which makes numerous technical and substantive changes to election law, including voter assistance for people with disabilities, absentee ballot and petition procedures, inactive voter updates, and election contest deadlines. Several members and public witnesses raised concerns about disability documentation, absentee ballot curing, witness requirements, constitutional amendment challenge deadlines, and the scope of authority given to the Secretary of State, while others said the bill clarified existing practice and improved election administration. After adopting amendments and rejecting a motion to defer, the committee reported HB 842 favorably by an 8-5 vote.

Transcript Highlights:

• It establishes a pilot program for encouraging urban agriculture best practices, encouraging our urban
• Probably one of the best practices that's ever been put in place since I've been in farming my whole
• continue to produce the food, fuel, and fiber for this country that we do if we go back to those practices
• that</c><00:23:59.320><c> we</c><00:23:59.480><c> did</c><00:23:59.760><c> 50</c> back to those practices
• that we did 50 back to those practices that we did 50 years<00:24:00.480><c> ago.

Committee: House Agriculture

Keywords: Meeting Start: 00:00 Attendance Roll Call: 00:15 HB 195 Discussion: 05:22 HB 195 Roll Call Vote: 16:33 SB 199 Discussion: 18:34 SB 199 Roll Call Vote: 41:25 SB 5 Discussion: 43:50 SB 5 Roll Call Vote: 46:35 HB 687 Discussion: 48:10 HB 687 Roll Call Vote: 50:15, 958, all

Transcript Highlights:

• know, there's some efforts right now to even limit people's redress when they are harmed by bad practices
• /c> redress when they are are harmed by redress when they are are harmed by bad<00:42:25.840><c> practices
• on the part of industry by bad practices on the part of industry by making<00:42:28.560><c> it</c><00
• 42:42.880><c> bad</c> remedy if they are harmed by some bad remedy if they are harmed by some bad practices
• on the part of business and practices on the part of business and industry. industry. industry.

Committee: Senate Natural Resources & Energy

Keywords: Meeting Start 00:00 Attendance Roll Call 02:38 SB 178 Discussion 03:36 SB 178 Roll Call Vote 43:10 SCR 66 Discussion 47:55 SCR 66 Roll Call Vote 53:48, 958, all

Transcript Highlights:

• c> wartime</c> education was interrupted due to wartime education was interrupted due to wartime practices
• :46.159><c> World</c><00:26:46.320><c> War</c><00:26:46.559><c> II,</c><00:26:46.960><c> the</c> practices
• during World War II, the practices during World War II, the Korean<00:26:47.600><c> War,</c><00:26:47.840
• Um, you have to practice. You have to do.
• </c> Um, you have to you have to practice. Um, you have to you have to practice.

Committee: Senate Public Safety and Military Affairs

Keywords: 912, senate, all

Summary: The committees heard and then took action on several measures. Senate Bill 3048, relating to the State Building Code Council and the Office of Planning and Sustainable Development, received support from OPSD and the Chamber of Commerce, with OPSD requesting amendments tied to software licensing and a public permitting dashboard. The committees ultimately recommended passing the bill with amendments, including an effective date, and later adopted that recommendation by vote. Senate Bill 3083, relating to protective orders, drew support from the U.S. Defense State Liaison Office, the Military and Community Relations Office, and a member of the public, while the Judiciary asked that the bill be deferred or amended because a prior notification process had lapsed and a new mandate could be difficult to implement. The committees nevertheless recommended passage with amendments and an effective date, noting implementation concerns in the report, and that recommendation was adopted. The committees also considered Senate Bill 3010, which would allow law enforcement, animal control officers, and firefighters to enter unattended vehicles to rescue animals in distress. The Animal Legal Defense Fund supported the measure as a common-sense good Samaritan protection, and the Hawaii Association for Justice recommended a small amendment. The bill was recommended for passage with amendments and later adopted. Senate Bill 3187, relating to off-site construction and SPEED Task Force recommendations, received OPSD testimony in support with comments; the committees recommended passing it with amendments, deleting the dollar amount and adding an effective date, and adopted that recommendation. In a later joint hearing with the Committee on Education, Senate Bill 2138, which would expand the Hawaii National Guard State Tuition Assistance Program to graduate study, received support from the University of Hawaii, the Department of Defense, the Hawaii Army National Guard, and the U.S. Defense State Liaison Office. Members asked whether the current law limited assistance to undergraduate degrees and whether the program would require new funding; witnesses said the bill would simply expand authority and could be implemented within the current budget. Senate Bill 2614, authorizing high school diplomas for certain veterans whose schooling was interrupted by military service or wartime practices, also drew support from DOE and the U.S. Defense State Liaison Office, with DOE explaining it had previously issued diplomas under an earlier version of the law and would verify eligibility through an application process. Senate Bill 2687, requiring a 100th Infantry Battalion history curriculum plan and pilot program, drew mixed testimony: DOE said the topic is already covered in existing social studies standards and the bill was unnecessary, while supporters argued the history is not being consistently taught and should be mandated. The transcript cuts off before final action on the education bills.

Transcript Highlights:

• IJ has put together a model bill based on some best practices from across the country.
• Chairman, Senator Kavanaugh, our work on this is mostly looking at best practices nationwide.
• I don't know what the best practices are on that.
• I don't know what the best practices are on that.
• Chair, if we may, I'd like to yield my time to a local attorney who's had some practice on these issues

Summary: The committee first took up SB 1114, which would appropriate $1 million to the Maricopa County Attorney’s Office to investigate patient brokering in behavioral health and substance abuse treatment. Sponsor Sen. Werner described patient brokering as a continuing abuse tied to the state’s Medicaid fraud crisis, especially affecting Native Americans, and said the county attorney had the capacity to handle statewide oversight. The bill was moved and received a do pass recommendation on a 9-0-1 vote. The committee then considered SB 1111, as amended by a strike-everything amendment, to create statewide rules for automated license plate readers. Supporters from law enforcement said ALPRs are important for investigations, missing persons, stolen vehicles, and violent crimes, and argued the bill adds needed guardrails and training requirements. Opponents, including the ACLU, Institute for Justice, and private citizens, warned the systems enable mass surveillance, can be inaccurate, and raise Fourth Amendment and privacy concerns; they also objected to broad terms like “legitimate” law enforcement purposes and the lack of a clear retention limit. The committee adopted the amendment and then gave SB 1111, as amended, a do pass recommendation by a 7-2-1 vote. Next, SB 1116, as amended, was heard to require behavioral health claim denials and appeals at AHCCCS to be reviewed by someone with relevant clinical experience. Sen. Werner said the bill responds to improper denials and appeals handled by staff without behavioral health expertise; AHCCCS was neutral but said the bill could create compliance and staffing issues because “relevant clinical experience” is not well defined. The committee adopted the amendment and passed the bill 10-0. SB 1122, also as amended, would bar AHCCCS from requiring prior authorization or 100% prepayment review for certain behavioral health services under the American Indian Health Plan unless a provider is on a corrective action plan; Werner said it was aimed at ensuring providers are paid and reducing patient brokering. The committee adopted the amendment and passed SB 1122 10-0. Finally, the committee heard SB 1072, which would appropriate ongoing state and Medicaid funds to DES for rate increases for home- and community-based services and room-and-board services for individuals with intellectual and developmental disabilities, with reporting on workforce outcomes. Supporters from APAD and providers said the direct care workforce is in crisis, with large numbers of vacancies, overtime costs, and unassigned authorizations, and argued the funding is needed to retain staff and maintain care. Members discussed wage disparities, whether funds would reach caregivers, and the limits of legislative control over private provider pay, but no vote on SB 1072 was reached before the transcript ended.

Transcript Highlights:

• This is a standard practice across all markets, including Medi-Cal, CalPERS, and commercial markets.
• SB 596 is a practical step forward, not just for nurses, but for every patient in California.
• What we have seen in some hospitals' practice is just texting a couple people and actually not having
• What we have seen in some hospitals' practice is just texting a couple people and actually not having
• The practice of medicine, unfortunately, is not an exact science.

Summary: The Assembly Health Committee heard several bills focused on health care access, oversight, and affordability. The first major item was SB 306 by Senator Becker, a prior authorization reform bill. Becker and supporters, including the California Medical Association and California Hospital Association, argued that prior authorization delays care, adds administrative burden, and can lead to serious patient harm. The bill was substantially amended late in the process to have DMHC and CDI identify services and drugs to exempt from prior authorization based on utilization data, with safeguards for fraud, waste, abuse, and patient safety. Health plans and insurers opposed the measure as written, saying prior authorization remains an important utilization-management tool and raising concerns about the 90% threshold, drug inclusion, and how modifications are counted. The committee also heard SB 35 by Senator Umberg, which would let cities or counties inspect unlicensed sober living homes if DHCS does not act promptly on complaints. Supporters said the bill would address weak enforcement and protect residents, while one behavioral health directors group opposed it unless amended. Members generally supported the measure, citing problems with unlicensed facilities and the need for local enforcement backup. The committee then heard SB 62, which would codify California’s updated essential health benefits benchmark if approved by the federal government. Senator Wiener said the package would add hearing aids, durable medical equipment, and infertility treatment including IVF, acknowledging that premiums could rise but arguing the benefits were worth it. Health Access California and other advocates supported the bill, while the California Family Council opposed it. The committee also took up SB 596 by Senator Menjivar, which would tighten the rules for hospitals claiming an on-call list as a defense to nurse staffing ratio penalties. Supporters, including nurses and SEIU, said hospitals have used vague or ineffective on-call practices to avoid accountability and that the bill would improve enforcement and patient safety. Hospital groups opposed it, arguing that staffing is highly dynamic, that hospitals need flexibility to manage acuity and emergencies, and that the bill could increase costs and interfere with collective bargaining arrangements. Finally, the committee heard SB 40 by Senator Wiener, the Insulin Affordability Act, which would cap insulin copays at $35 for a 30-day supply and restrict step therapy unless a plan covers at least one insulin in each drug type. Supporters, including physicians, diabetes advocates, nurses, students, and patient groups, said insulin is life-saving and too often unaffordable, forcing patients to ration or choose between medication and basic needs. There was no formal opposition testimony, though one member questioned why insulin remains so expensive. The committee also began discussion of SB 363, but the transcript cuts off before that bill’s full presentation or any action on the measures. No votes are recorded in the portion provided, and several bills were noted as consent items earlier in the hearing.

Transcript Highlights:

• And we may want to be thoughtful about how this prioritization would work in practice.
• </c> prioritization would work in practice. prioritization would work in practice.
• other ways in which numerous housing chairs have tried to encourage Minnesota Housing to consider practices
• encourage uh, Minnesota housing to encourage uh, Minnesota housing to consider<00:07:30.240><c> practices
• that reduce costs and consider practices that reduce costs and encourage<00:07:32.840><c> development

Committee: House Housing Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• This bill expands the scope of the civil practices and remedy code to include definitions for artificial
• More than 313,000 Texans practice Islam, making it the fifth largest religious group in the state.
• Data varies on what percentage practice Hinduism, that population is growing with a strong presence in
• Certainly 15% of the global population, or 1.2 billion people, practice Hinduism.
• Approximately seven percent of the global population or 448 million practice Buddhism by educating Texas

Bills: SJR18 , SCR5 , SCR13 , SCR25 , SB3 , SB6 , SB10 , SB11 , SB12 , SB13 , SB15 , SB17 , SB18 , SB35 , SB388 , SB412 , SB441 , SB495 , SB666 , SB687 , SB706 , SB740 , SB815 , SB842 , SB917 , SB925 , SB995 , SB1006 , SB1281 , SB1300 , SB1379 , SB1451 , SB1902 , SJR36 , SJR18 , SJR12 , SCR13 , SCR25 , SCR5 , SCR22 , SB565 , SB372 , SB495 , SB842 , SB765 , SB62 , SB19 , SB18 , SB666 , SB707 , SB888 , SB687 , SB706 , SB847 , SB290 , SB11 , SB10 , SB13 , SB412 , SB441 , SB1248 , SB740 , SB14 , SB1006 , SB504 , SB917 , SB925 , SB388 , SB1902 , SB1121 , SB995 , SB857 , SB305 , SB296 , SB284 , SB35 , SB6 , SB815 , SB3 , SB1281 , SB1379 , SB1300 , SB1497 , SB1499 , SB1498 , SB1451 , SB1061 , SB15 , SB65 , SB241 , SB304 , SB402 , SB499 , SB621 , SB974 , SB1023 , SB1024 , SB1025 , SB1106 , SB686 , SB112 , SB371 , SB204 , SB400 , SB609 , SB1447 , SB670 , SB502 , SB427 , SB850 , SB854 , SB413 , SB1555 , SB1362 , SB1346 , SB1033 , SB1220 , SB1073 , SB810 , SB987 , SB1539 , SB893 , SB447 , SB875 , SB406 , SB509 , SB985 , SB965 , SB17 , SB1119 , SB1505 , SB12 , SB24 , SB57 , SB1194 , SB1253 , SB1215 , SB1532 , SB1268 , SCR12 , SCR24 , SB1302 , SB856 , SB650 , SB583 , SB673 , SB840

Keywords: capital gains, taxation, constitutional amendment, state revenue, individual investment, SCR 5, Senate Concurrent Resolution 5, Texas School for the Deaf, TSD, Robert Rives, gymnasium naming, building naming, honorary resolution, commemorative resolution, deaf education, hard of hearing, Gallaudet University, alumni hall of fame, football coach, school facility naming

Transcript Highlights:

• thought, you know, in general we've had good discussions on keeping sunsets as a good governance practice
• few terms, so I'd have to defer to Chair Davids about whether, you know, this is kind of a normal practice
• Minnesota should protect Minnesotans from these predatory practices and relieve them of the unnecessary
• This tax bill is supporting more equitable practices and supporting healthy and successful launch into
• </c><00:41:27.280><c> and</c> supporting more equitable practices and supporting more equitable practices

Keywords: 1183, house

Transcript Highlights:

• Over the years and my experience in this body and in the practice of law, these terms sometimes change
• And endanger construction workers when safe excavation practices are not followed.
• What we haven't done is practically going in and dug holes. to identify specific locations to update
• Hopefully I can offer up some things. to consider as far as practical solutions that would help us.
• Those are all normal practices.

Bills: HB206 , HB 1285 , HB1335 , HJR107 , HB206

Committee: House Energy Resources

Keywords: pipeline, construction, cash bond, county authority, local government, HB 1285, Railroad Commission of Texas, RRC, drones, unmanned aircraft, UAS, drone inspections, oil and gas, pipeline inspection, surface mining, well sites, tank batteries, disposal wells, injection sites, natural resources

Transcript Highlights:

• Today I rise to offer an amendment that would establish the best practices in immigration enforcement
• So I just want something that takes a look at what are the best practices.
• As a former teacher and an attorney who practiced immigration for a while, I can say that children are
• As I stated before, I practiced immigration law for approximately six months.
• And that was my first practice area after I left being a public defender.

Summary: The House convened with prayer, a moment of silence for the Parkland shooting victims, quorum call, and the Pledge of Allegiance. The Rules and Ethics Committee special order report for February 13, 2025 was adopted, setting the day’s special order calendar and debate times. The chamber then took up immigration-related special order items, beginning with Senate Memorial 6C, which urged the U.S. Department of Homeland Security to provide guidance and training for 287(g) agreements. Members debated federal immigration policy and state cooperation with DHS, and the memorial passed 85-27. The House next considered Senate Bill 4C, an immigration bill creating new state offenses related to unlawful entry and reentry into Florida and requiring a mandatory death sentence for an unauthorized alien convicted of a capital felony. Members questioned the bill’s constitutionality, including Supremacy Clause, due process, and Eighth Amendment concerns, and several speakers argued it would create separate classes of people and invite litigation. Multiple amendments were offered to narrow or expand exemptions, including protections for Venezuelans on TPS, certain Haitian TPS and humanitarian parole recipients, undocumented people brought to Florida as children working in critical professions, and a proposal to delay action pending court rulings; all of those amendments were rejected. The bill passed 85-29. The chamber then took up Senate Bill 2C, which would create a State Board of Immigration Enforcement led by the Governor and Cabinet, establish a local law enforcement immigration grant program and advisory council, repeal the undocumented-student fee waiver, and appropriate more than $300 million for immigration enforcement. The sponsor described it as supporting cooperation with federal immigration agencies and ending the in-state tuition incentive for undocumented students. Early questioning focused on the impact on “dreamers” and whether the bill would effectively raise their tuition costs; the sponsor said it removed the incentive of in-state tuition but did not bar attendance. The transcript cuts off during that exchange, before final action on SB 2C is shown.

Transcript Highlights:

• It's been in effect for quite a while in practice. It serves the same purpose as a registration.
• on-demand plates and using third-party providers with some of our dealers, this has been common practice

Committee: Senate Transportation

Keywords: 989, all

Transcript Highlights:

• </c><00:15:15.360><c> registered</c> are an advanced practice registered are an advanced practice registered
• </c> required us to look at best practices required us to look at best practices before<00:20:15.760>
• and one of We looked at best practices and one of the<00:20:24.720><c> practices</c><00:20:25.120><c
• we saw was in states like the practices we saw was in states like Oklahoma<00:20:27.840><c> where</c
• We looked at those best practices and we put together what we believe follows not only the letter of

Committee: Joint Agriculture

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:20 Approval of June 4, 2026 Minutes 00:03:09 Prioritizing Kentucky Agriculture: Medical Cannabis 00:03:38 Prioritizing Kentucky Agriculture: Bourbon 01:41:03, 958, all

Transcript Highlights:

• What practical outcome do we expect to see in stores or to farmers in Kentucky? Thank you, Mr.
• That case focused on whether the company's advertising practices violated consumer protection laws.
• That case focused on whether the company's advertising practices violated consumer protection laws.
• That case focused on whether the company's advertising practices violated consumer protection laws.
• /c><02:21:05.760><c> anywhere</c> when negligent practices exist anywhere when negligent practices exist

Keywords: 958, all

Transcript Highlights:

• So let me talk about the way online voter registration works in practice.
• I was a lobbyist up here for about 15 years before starting my political law practice.
• I'm one of the for about 15 years before starting my political law practice.
• Andrew, you mentioned the CPR code, the Civil Practice and Remedies Code, Section 27, connecting it to
• Improving systems, for example, with the DPS, like practical improvements, like enabling citizenship

Committee: House Elections

Keywords: 1184, house, all

Transcript Highlights:

• I’m not sure how much influence we had practically speaking.
• However, you know, this solution is essentially ideological and not practical in nature.
• We need to do more practical problem-solving and less coming up with solutions in Concord.
• </c><01:27:03.320><c> and</c> do more practical problem-solving and do more practical problem-solving
• slip something in on the practically slip something in on the other<01:49:49.920><c> end.

Keywords: 9:00am HB 158 9:10am HB 281 9:20am HB 317 9:30am HB 340 9:40am HB 1062 9:50am HB 1187 10:00am HB 1234 10:10am HB 1300 10:20am HB 1306 10:30am HB 1381 10:40am HB 1541, 928, house, all

Summary: The committee of conference first resolved House Bill 158, which concerns public inspection of absentee ballot lists. The Senate explained a revised approach that removed the broader bill language and instead directed the Secretary of State to review absentee ballot data after each general election for patterns such as common addresses and to report findings to the committees of jurisdiction. The House agreed to the Senate position, and the conference committee voted unanimously to concur. The committee then took up House Bill 281, dealing with a sortable electronic voter checklist. Members debated the Senate’s removal of language that would have included the absentee ballot mailing address when different from the voter’s registration address. Concerns were raised that releasing mailing addresses could expose where voters are not home and could affect overseas and military voters. The committee also discussed a related form for election officials who personally know a voter, including how long the form would be retained and whether it would be subject to public records law. After further discussion, the House agreed to the Senate changes with an additional requirement that the form be signed, and the committee voted to proceed with the amended Senate position. House Bill 317, concerning verification of a person’s identity by a supervisor of the checklist without identification, was also discussed at length. The Senate’s version preserved the ability for election officials to identify people they know, but required a signed form under penalty of perjury and added a nursing home-related provision. Members described the measure as balancing community-based identification with tighter documentation, and a House witness described local problems with inconsistent ID checks and concerns about voting in nursing homes. The House sought one additional change requiring the nursing home verification form to be signed, and the Senate accepted that addition; the committee then voted to move the bill forward on the consent calendar. The conference committee next considered House Bill 340 on electioneering by public employees. The chair presented a replace-all amendment that tied the definition of electioneering to existing law, added a prohibition on expressly or primarily political surveys, and created a civil penalty of up to $1,000 alongside the misdemeanor penalty. Members discussed clarifying when the misdemeanor versus civil penalty would apply and which categories of public employees were covered. After caucus, the Senate agreed to the House’s replace-all approach with the clarifying changes, and the bill was closed. The committee also resolved House Bill 1062 by agreeing to strike a sunset clause from the Senate version authorizing random audits of citizenship qualifications, and it began discussion of House Bill 1187 on the filing window for special-election candidates, where the House proposed requiring local election officials to arrange a filing time on the same day or next business day after being contacted.

Transcript Highlights:

• I practiced juvenile law, CPS, and criminal law across the state of Texas.
• There are three different codes that you have to add when you're practicing juvenile justice law, and
• In the early days of my practice, no one believed we would ever see marijuana as the most dangerous or
• Dixon makes it clear they have a very robust and thorough practice there in the state hospitals.
• So I tell people that mental health sort of permeates all aspects of my practice.

Committee: Senate Criminal Justice

Keywords: 1185, senate, all

Transcript Highlights:

• that it's creating this great growth opportunity economically, but it's also helping us in Pablo: Practical
• From a practical point of view, you know, we are consistently evaluating the infrastructure's ability
• your facilities, I mean, do you consider closed loop to be like the gold standard, like the best practice
• These are best practices. This is what we're doing.
• In practical terms, that could mean infrastructure is moving forward based on Marshall Cooper: expected

Committee: House State Affairs

Summary: The Committee on State Affairs convened to discuss data centers and their impact on Texas's energy infrastructure. The meeting featured testimony from key representatives of the Public Utility Commission (PUC) and ERCOT, who outlined the evolving landscape of energy generation and the challenges posed by the rapid growth of data centers. Notably, ERCOT reported over 450,000 MW of generation resources planned for connection, with a significant portion attributed to data centers, which now represent around 87% of new large load interconnection requests. The committee explored proposed changes to the interconnection process, including a new 'batch study' approach aimed at streamlining the approval of multiple projects simultaneously. This change is intended to address the challenges of managing numerous simultaneous requests and to provide more certainty for developers regarding their energy needs. Testimonies emphasized the importance of ensuring that the costs of infrastructure upgrades are borne by the data centers rather than residential ratepayers, with discussions around the financial commitments required from developers. Several data center developers also provided testimony, highlighting the economic benefits of their projects, including job creation and increased local revenues. They expressed concerns about the potential for a moratorium on future growth due to the new interconnection rules and emphasized the need for a collaborative approach to address water usage and environmental impacts. The committee plans to continue discussions on these topics in future hearings, with a focus on balancing economic growth with energy reliability and resource management.

Transcript Highlights:

• throughout the committee process we realized while publishers certainly do engage in, uh, these practices
• </c><00:02:01.920><c> of</c><00:02:02.159><c> putting</c> engage in uh these practices of putting engage
• in uh these practices of putting our<00:02:02.799><c> publicly</c><00:02:03.200><c> funded</c><00:02
• </c> why individual libraries practically why individual libraries practically can't<00:24:27.760><c>
• It's a place where people practice for their driver's test.

Keywords: 1183, house

Transcript Highlights:

• The second program is the Abortion Practical Support Fund, which provided $20 million for services that
• The second program is the Abortion Practical Support Fund, which provided $20 million for services that
• Together, the LA Safe Haven pilot program, practical supports, and the Uncompensated Care Abortion Access
• Together, the LA Safe Haven pilot program, practical supports, and the Uncompensated Care Abortion Access
• Just for an example, a $39 filling that we get in 1990 pays a private practice. Charges $234.

Summary: The Assembly Budget Subcommittee on Health began with a hearing on the impacts of H.R. 1 on California health programs, focusing first on reproductive health state investments. HCAI outlined five state-funded reproductive health programs created after Dobbs, including uncompensated care, practical support, capital and clinical infrastructure, and workforce programs. Essential Access Health and Planned Parenthood testified that these funds have served hundreds of thousands of patients, but warned that the uncompensated care program is fully awarded and needs renewal, and that Title X and Medicaid-related federal uncertainty continues to threaten access. Members questioned who the uncompensated care program serves, why Medi-Cal covers a large share of abortions, and whether Planned Parenthood could expand prenatal services; public commenters urged continued support for reproductive health access. The committee then took up long-term care services and supports, starting with the HCBA and Assisted Living Waiver programs. DHCS reported large wait lists for both programs and said enrollment is limited by workforce and provider capacity, while LAO noted that increasing slots alone may not increase access without additional programmatic changes. Members pressed the department on whether more slots should be added given the lower cost of home- and community-based care compared with skilled nursing facilities, and public testimony argued that the wait lists should be reduced and that staffing concerns do not fully explain unused capacity. The committee also heard testimony on congregate living health facilities, where providers and a patient family described the homes as critical, lower-cost alternatives to nursing facilities for younger, medically complex people. Witnesses requested short-term bridge funding, while DHCS said it is proposing to transition CLFs into a managed care benefit by January 1, 2028, which would remove caps and expand access statewide. The final long-term care topic was PACE. DHCS explained that it has paused new PACE applications and service expansions for at least two years to reassess oversight capacity and develop a statewide strategic growth framework, while existing programs continue operating. CalPACE supported the pause as a planning measure but asked for four additional state nurse positions to reduce delays in level-of-care determinations and speed enrollment for frail older adults. Members shared personal stories about how PACE has helped family members and asked how the state will meet growing demand; DHCS said stakeholder engagement will begin later in the year and that some existing applications already in process will continue. Public commenters broadly supported PACE, HCBA, and CLF funding requests. The hearing then moved to the Department of Health Care Services’ 2026-27 Medi-Cal budget and related trailer bills. DHCS said Medi-Cal spending has grown due to coverage expansions, higher acuity, rising utilization, and especially pharmacy costs, and it described proposals to extend the current skilled nursing facility financing framework for one year while the state develops a new value-based payment strategy. LAO said most recent Medi-Cal spending growth has been driven more by higher per-enrollee costs than by caseload growth, with pharmacy spending growing especially quickly, and recommended better and more timely data to analyze the drivers. Members expressed concern about the rapid rise in Medi-Cal spending and asked for more detail on the largest cost increases.