Transcript Highlights:

• We went in to clean up the debris, and it was over $50,000 because of the excrement and the needles.
• We went<00:52:42.559><c> in</c><00:52:42.800><c> to</c><00:52:43.040><c> clean</c><00:52:43.280><c> up
• up the debris and it went in to clean up the debris and it was<00:52:44.559><c> over</c><00:52:44.880
• And even though<00:52:58.880><c> we've</c><00:52:59.119><c> cleaned</c><00:52:59.359><c> them</c><00:
• 52:59.599><c> out</c><00:52:59.839><c> twice,</c> though we've cleaned them out twice, though we've cleaned

Committee: Senate Judiciary

Keywords: 1191, senate, all

Transcript Highlights:

• We can potentially go to the cleaning standards report, but to kick things off, this is really important
• ensure that everyone who travels and works on our system deserves to have an experience that is safe, clean
• Metro Transit has also contracted supplemental... safe clean and um and welcoming and uh a safe clean
• </c><00:46:05.359><c> and</c><00:46:05.520><c> welcoming</c><00:46:06.480><c> the</c> that is safe clean
• and welcoming the that is safe clean and welcoming the plan<00:46:06.839><c> was</c><00:46:07.000><c

Committee: Senate Transportation

Keywords: 1187, senate, all

Transcript Highlights:

• include medical and educational appointments as excused absences in CSPP; two, allow a contractor to claim
• It also allows a contractor to claim attendance for days the child is not in attendance.
• It also allows a contractor to claim attendance for days the child is not in attendance during a supervision
• Those include changes to who can claim the standard utility allowance, changes to the ABOD time limit
• down nearly $80 million in General Fund and up almost half a billion dollars in federal funding claiming

Keywords: 988, house, all

Transcript Highlights:

• Those claims may go back a year and a half, as much as two years.
• Then we have to rebuild all those claims, even though it had nothing to do with our services.
• medical record system, what you keep your records in and what you bill out of, we are charged per claim
• what you bill out of we are<00:34:33.359><c> charged</c><00:34:33.760><c> per</c><00:34:34.000><c> claim
• </c> are charged per claim are charged per claim &gt;&gt; to<00:34:35.359><c> bill.

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services heard Senate Bill 18, a bill described by the sponsor and podiatry witnesses as a modernization of Kentucky’s podiatry laws. The bill would recognize and regulate podiatric assistants, podiatric residents, and supervising podiatrists; allow podiatrists to supervise physician assistants in podiatry practices with approval from the relevant licensing boards; require new podiatrists licensed after January 1, 2027 to complete at least two years of residency; and extend disciplinary authority to the new categories. Witnesses said the measure would improve access to foot and ankle care, especially in rural areas, without expanding scope of practice. The Kentucky Medical Association was said to be neutral after working on the language with the sponsors. Committee members raised concerns about the meaning of “supervision,” whether it required direct or indirect oversight, and whether the bill could broaden billing or coding privileges. Dr. Roberts said supervision could mean direct supervision or indirect supervision, including being available by telephone, and noted the bill mirrors language used in allopathic PA supervision. He also said the bill would not change office staff billing roles and that podiatric assistants would not bill separately. Several senators said they supported moving the bill forward but remained concerned about workforce, cost, and scope creep. The committee adopted a committee substitute, then voted on the bill. The motion passed unanimously with favorable expression. After the vote, the committee moved on to a presentation on outpatient pediatric therapies, where providers described Medicaid reimbursement pressures, workforce turnover, and long waiting lists for children’s therapy services, but no action was taken on that presentation in the portion provided.

Transcript Highlights:

• So I am going to claim it. You rock. Thank you to DLS. You are listening. I hope you are.
• So I am going<00:52:52.000><c> to</c><00:52:52.160><c> claim</c><00:52:52.400><c> it.
• Our unemployment claims go up and our revenue collections go down.
• ><c> up</c><00:59:07.280><c> and</c><00:59:07.520><c> our</c> Our unemployment claims goes up and our
• Our unemployment claims goes up and our revenue<00:59:08.160><c> collections</c><00:59:08.799><c> go

Keywords: House streaming session for Wednesday, January 14, 2026, 957, house, all

Transcript Highlights:

• Doctors cleaned and patched me up and sent me back to the same neighborhood where I was stabbed.
• We cannot claim that lifetime parole for juveniles is justified under the theory.
• We cannot claim that lifetime parole for juveniles is justified under the theories of criminal law.

Committee: Joint Joint Committee on the Judiciary

Keywords: 995, all

Summary: The Joint Committee on the Judiciary held a lengthy hearing on several juvenile justice and parole-related bills, with much of the testimony focused on H. 2051/S. 1087 to end lifetime parole for juveniles and emerging adults, and H. 1923 to raise the age of juvenile court jurisdiction to include 18-, 19-, and 20-year-olds. Chairs Brandy Fluker-Reid and Lydia Edwards opened the hearing by noting the large number of bills and witnesses, the need to keep testimony moving, and special procedures for incarcerated witnesses and sensitive testimony. They also acknowledged the historic nature of the hearing being chaired by two Black women attorneys. No votes were taken during the hearing itself. Many incarcerated speakers and advocates supported ending lifetime parole, arguing that young people can change, that lifetime supervision creates constant fear of technical violations, and that it undermines rehabilitation, family stability, employment, and reintegration. Several testified about their own trauma, youth, and growth in prison programs, while others emphasized the costs of decades of supervision and the racial disparities in the system. Support also came from elected officials, UTEC, the Transformational Prison Project, United Way, CPCS’s Youth Advocacy Division, the Massachusetts Coalition to Prevent Gun Violence, and others, who said juvenile systems are better suited to developmentally appropriate treatment and that the bills would improve public safety and reduce recidivism. There was also opposition, including testimony from family members of a murder victim who argued that lifetime parole should remain for serious violent crimes and that some offenders are not sufficiently rehabilitated. One virtual witness described a family tragedy involving the kidnapping and murder of her infant nephew and warned that ending lifetime parole could remove needed long-term supervision for dangerous offenders. In addition to the juvenile justice bills, the committee heard testimony on H. 1867, a bill related to continuing care for severe mental illness, and H. 2063, which would increase penalties for assaults on correction officers and other prison staff; the correction officers’ union supported H. 2063 and related safety bills. The hearing continued with many more witnesses and bill topics, but no final committee action was announced in the portion provided.

Transcript Highlights:

• And we still have period 13, like, seven more days to clean up any of the items that were delivered within
• It's all neatly organized, cleaned, and ready to deploy upon a moment's notice, really.
• </c><00:37:25.560><c> up</c> helping people get the cleaning up helping people get the cleaning up started
• Our state, our federally assisted drinking water and clean water state revolving fund programs, those
• Our state, our federally assisted drinking water and clean water state revolving fund programs, those

Keywords: 958, all

Summary: The committee received a budget and program update from Kentucky Emergency Management on the state’s urban search and rescue buildout. Eric Gibson and Doug Hargrave said the legislature’s funding was used to create FEMA-type urban search and rescue capacity, including Kentucky Task Force 1 and 2, the incident support team, and the helicopter aquatic rescue/hoist team. They emphasized that the effort is not just equipment purchases but also training, credentialing, warehouse and training-facility development, canine program expansion, and coordination with local search and rescue agencies across the Commonwealth. Gibson reported that the agency executed 99.4% of the $16.175 million appropriation by the end of the fiscal year and said the team met its readiness target ahead of schedule, with equipment already being deployed in recent flood response operations. He also said $500,000 per year was set aside for local search and rescue grants, with about $482,000 awarded to 29 teams in one year and $490,000 to 36 teams in the next, averaging about $20,000 per grant. Several members urged the committee to consider increasing support for local responders in future budgets, noting rising equipment costs and the importance of local teams as first on scene. Members asked about staffing, coverage, and benefits. Gibson explained that the task force is a mixed workforce of full-time fire personnel loaned from local departments, professional service staff such as doctors and engineers, and temporary deployment staff, with workers’ compensation coverage provided through KYEM and/or home agencies depending on the arrangement. He also said local search and rescue members are not currently included in line-of-duty death benefits. In response to questions about coverage and deployment, he described the two task force locations as designed to keep resources within roughly 100 miles of every Kentuckian. The discussion also turned to recent flood response and disaster recovery. Gibson said the state had mobilized up to 24 teams over the weekend, documented roughly 60 to 80 water rescues or assisted evacuations, and was seeing significant damage in counties such as Cumberland, Clinton, and Metcalfe, including agricultural losses. He said several counties were meeting FEMA public assistance thresholds and that the state was preparing a broader relief request that could include FEMA, SBA, and USDA assistance. He also updated members on efforts to claw back and reallocate unused “strained fiscal liquidity” funds by the statutory deadline, saying notices were sent and funds were redirected where possible to unmet local needs.

Transcript Highlights:

• Why do we need a cleaned-up P3 bill? As I said, this wasn't my finest work.
• It's clean enough to permit as non-emergency.
• It's clean enough to permit as non-emergency and run that way.
• We can have clean air in this state. We can have clean water.
• And once this grid bureaucracy gets cleaned up, and there's. Also want to bring our own power.

Committee: House State Affairs

Keywords: 1184, house, all

Transcript Highlights:

• This really just clarifies, cleans up the language, makes it correct, and I fully support the transaction
• This really just clarifies, cleans up the language, makes it correct, and I fully support the transaction
• This really just clarifies, cleans up the language, makes it correct, and I fully support the transaction
• It's a clean bill. We've had no shenanigans with this bill.
• It's a clean bill. We've had no bill. It's a clean bill.

Committee: House Ways and Means

Keywords: 1183, house

Transcript Highlights:

• we had the 1 mile of Minnehaha Creek that was the dirtiest along the entire creek, and that we've cleaned
• we had the 1 mile of Minnehaha Creek that was the dirtiest along the entire creek, and that we've cleaned
• We have the 1 mile of Minnehaha Creek that was the dirtiest along the entire creek, and that we've cleaned
• Today, that cleaned-up land has created over 2,000 jobs and is generating the increment we're putting
• Today, that cleaned-up land has created over 2,000 jobs and is generating the increment we're putting

Committee: House Taxes

Keywords: 1183, house

Transcript Highlights:

• So I really appreciate the bill sponsors going through such a technical amendment and cleaning it up
• They cleaned up the language.
• </c><01:04:56.640><c> This</c><01:04:56.800><c> is</c><01:04:56.920><c> a</c> They cleaned up the language
• This is a They cleaned up the language.
• , but she is really trying to provide transparency and accountability to the state of Colorado and clean

Keywords: 981, all

Transcript Highlights:

• to help them take their medication, help them get dressed, help them take showers, help them stay clean
• Where my client was once mostly in their house, they now are clean, dignified, and have a meaningful
• And all I like to do there is I clean the entrance door. I clean the outside and the outside.
• I clean the outside and the outside, and if there's fingerprints or anything, I basically clean them.
• And that way the outside entrance door will stay cleaned. And I also do the windows as well.

Committee: House Budget

Summary: The committee first heard the State Auditor’s fiscal year 2027 budget request. Auditor Scott Fitzpatrick described rebuilding the office after staffing had fallen to a historic low, explaining that the office has grown from 92.5 to 119 FTE but still needs several years to reach full staffing, especially at the manager level. He said most of the budget is payroll, noted the office’s use of lapsing general revenue while staffing is rebuilt, and outlined requests including core operating funds, a small sports betting audit NDI, and a $290,000 increase to the CPA stipend to address recruitment and retention problems. Members also discussed the auditor’s authority to audit state agencies and subrecipients, the office’s role in performance audits, and the meaning of “E” appropriations and the auditor’s recent general revenue conditions report. The committee then moved to public testimony on House Bill 10, focusing on Department of Health and Senior Services and Department of Mental Health issues. One witness from the American Heart Association supported continued funding for cardiac emergency response planning in schools, citing AEDs, CPR training, and about 480 schools served. Another witness from the Alzheimer’s Association urged rejection of a proposed $1 million reduction to the Missouri caregiver program, arguing it supports families caring for people with dementia and helps avoid more expensive institutional care. Most of the testimony concerned proposed cuts to developmental disability services, especially day habilitation and self-directed supports (SDS). Providers, family members, and workers said the proposed reductions would force service cuts, reduce wages, and threaten community-based care that keeps people at home and out of more costly facilities. They argued the cuts would shift costs to emergency, residential, or institutional settings and asked the committee to preserve current funding levels. Several members asked questions about provider rates, the share of services delivered by private providers, and the cost difference between SDS and institutional care. The hearing ended with the chair apologizing for earlier tension, explaining the schedule, and recessing the committee to return later because of House floor obligations.

Transcript Highlights:

• There's no place for them to clean a cut if they get bitten by the slide of a semi-automatic pistol.
• Uh, it would be easier to clean... improvement all told to make the improvement all told to make the
• would</c><00:17:02.320><c> be</c><00:17:02.480><c> easier</c><00:17:02.639><c> to</c><00:17:02.800><c> clean
• Uh, it would be easier to clean brass if it were paved. That said, our ask is not nearly that.
• Then we'll finish it up and it'll be all cleaned up and completed in May or June of next year.

Keywords: 928, house, all

Summary: The committee heard testimony on proposed improvements to the State Police gun range and related Public Works estimates. Department of Safety Commissioner Robert Quinn and Major Brendan Davy explained that the range is used for realistic, scenario-based training that includes vehicle work, movement, cover, elevation, and stress inoculation, and that it also supports requalification and special unit training for state, local, and federal partners. They said the current facility lacks running water, continuous power, and permanent restrooms, and that the PSTC range cannot accommodate rifles because its backstop is handgun-caliber only. Public Works Director Theodore Copper said the project estimate is $2.3 million, including $1.5 million for the building and site work plus soft costs, inflation, and design fees; he described the proposed building as basic, with office space, classrooms, restrooms, and HVAC. Committee members asked about the cost and scope, and Copper provided a breakdown of the estimate. The committee also heard from Commissioner Edelblute and Milford School District Superintendent Christy Misho regarding career and technical education capital funding. Edelblute urged the committee to include $10 million for the Milford CTE project, saying the district had reduced the scope after a prior bond vote and that the project would support high-demand workforce programs. Misho said Milford’s initial bond vote received 42 percent and the revised proposal received 56 percent, short of the 60 percent needed, but that the community still supports the project; she said the district plans to move forward with a CTE-only ballot and a smaller local bond. Committee members expressed concern about holding state funds for a project that has not yet won local approval, but said the request would be taken under advisement. In work session action, the committee corrected a prior vote on the Market Street Marine Terminal warehouse removal and office replacement project, increasing the appropriation by $353,300 to $1,973,300 and raising the agency subtotal to $4,155,300. The committee also accepted a motion to add $1.8 million for the community college system, including $1.3 million for critical maintenance and $500,000 for an energy management system. The committee then discussed a Fish and Game request for a $350,000 backhoe, with members debating whether it should be funded with general funds or other funds and whether the cost was excessive; no final objection was recorded in the portion provided. Later discussion also referenced the new parking garage project, with staff saying it is expected to be operational in March 2026 and fully completed by May or June 2026, with 409 spaces and a mix of assigned and open parking.

Transcript Highlights:

• Mary Hartnett from Clean Elections Minnesota. Either of you can start out. We have Mr.
• 14:16.399><c> from</c> Minnesota and Miss Mary Hartnett from Minnesota and Miss Mary Hartnett from Clean
• Uh and either Clean Elections Minnesota.
• Mary Hartnett from Clean Elections Minnesota. Mr.
• My name is Mary Hartnett, and I'm the executive director of Clean Elections Minnesota, a nonpartisan

Committee: Senate Elections

Keywords: 1187, senate, all

Transcript Highlights:

• get that better language, that would be good because we have a draft of it and, uh, we just need to clean
• It's to clean up any last-minute requests for information that are critical to our budget process.
• It's<01:01:35.760><c> to</c><01:01:36.319><c> uh</c><01:01:36.480><c> clean</c><01:01:36.720><c> up</
• > any</c><01:01:37.760><c> last</c><01:01:38.160><c> minute</c><01:01:38.640><c> uh</c> It's to uh clean
• up any last minute uh It's to uh clean up any last minute uh requests<01:01:39.280><c> for</c><01:01

Keywords: 928, house, all

Summary: The committee met after recess to hear a Department of Health and Human Services overview of its contract structure, with CFO Nathan White explaining that DHS currently has 969 active agreements spanning service contracts, grants, data-sharing agreements, use-of-premises agreements, and MOUs. He said contracts are budgeted across multiple class lines and accounting units, often braided with federal funds, which makes the system complex; he also noted that the department’s top spending list was limited to 18 items rather than 20 and included both individual contracts and grouped regional/provider contracts. White emphasized that many contracts support direct services to residents, while others support departmental operations such as software support and staffing. Commissioner Hardy said the listed contracts are essential to serving vulnerable populations and supporting required administrative infrastructure, and she stressed that the department tries to work with providers and families rather than impose changes on them. In response to questions about area agencies and developmental disability services, DHS officials said the agencies’ duties are spelled out in contract and statute, including family support services, billing-related functions, and services tied to the state’s community-based system; they said some billing duties have already been moved outside the contract. They also explained that the department rejected a previously discussed two-tier waiver concept after stakeholder feedback in October 2023 and instead shifted to rate-based work, including CIS assessments, to better align payment with individual need. Members also raised concerns about possible waste, sole-source contracting, and subcontracting. Hardy said she had not seen specific evidence of waste beyond a whistleblower call mentioned by a member, but acknowledged that inefficient execution can occur in government and said the department is trying to improve management. On procurement, she said sole-source contracts require her approval and that competitive procurement is the default when possible. White added that subcontracting is allowed only with written state permission under the standard P-37 terms, and subcontractors must meet the same obligations as the prime contractor. No votes or formal actions were taken.

Transcript Highlights:

• that passed through the Senate and House last year, but also includes language this year trying to clean
• reckless e-bike usage, people doing wheelies down the middle of streets, that sort of thing, and cleaning
• that passed through the Senate and House last year, but also includes language this year trying to clean
• reckless e-bike usage, people doing wheelies down the middle of streets, that sort of thing, and cleaning
• </c> streets that sort of thing and cleaning streets that sort of thing and cleaning up<01:10:32.199>

Keywords: 912, senate, all

Summary: The committee heard testimony on several transportation-related measures. SB 282 would increase penalties for using an uncrewed aircraft, or drone, in the commission of a felony. The Honolulu Department of the Prosecuting Attorney strongly supported the bill, saying drones are being used to facilitate crimes such as burglaries, sex offender registration violations, and even murders, and that the measure would create a stronger deterrent and address sentencing issues. Members discussed how drone use could be investigated and noted that a prior Uncrewed Aircraft Offenses Act already covers a range of drone-related offenses. Testimony also included support from a Kauaʻi County Council member and the Office of the Public Defender, and the bill was then set aside as the committee moved on. The committee also heard SB 1032 on campaign finance, which would amend restrictions on foreign nationals and foreign corporations making contributions and expenditures. Testimony was listed in support from labor, civic, and advocacy groups, with some opposition, but the measure was not debated further in the portion provided. SB 1160, a consumer protection bill on ticket resale, drew support from venues and event groups and opposition from the Chamber of Progress, which argued the bill should target scalpers and deceptive practices rather than legitimate resale platforms. The Attorney General suggested an amendment to limit the bill’s scope to Hawaiʻi events, citing Commerce Clause concerns. On SB 344, requiring skateboard users under 16 to wear helmets, the Department of Transportation, Honolulu Police Department, and the Kiki Injury Prevention Coalition supported the measure. SB 106, which would let pedestrians cross outside marked crosswalks when a reasonably careful pedestrian would see no immediate danger, drew mixed testimony: public health and equity advocates supported it as a safety and anti-profiling measure, while others opposed it, warning it could increase danger on wider, faster roads. Committee members questioned whether Hawaiʻi’s current law is more dangerous because pedestrians must step into the roadway before drivers are required to stop, and the discussion continued at length without a final vote in the excerpt. The committee also heard SB 10009 on accessible parking fines, with DCAB and DAGS supporting the intent; a member asked that any new fine revenue go to the state parking revolving fund. SB 820, shortening the vehicle title transfer deadline from 30 days to 14 days, drew opposition from the Public Defender and Honolulu Customer Services, who said the current deadline is reasonable and the bill did not clearly solve a problem. Later measures included SB 1095 on license plate decal restrictions, SB 215 on towing and immobilization fees, and SB 1117 on electric mobility rebates and age/helmet rules, which received support from transportation and safety groups, though the transcript cuts off before any final actions or votes on those bills.

Transcript Highlights:

• and some are going to be part, like, individual line items, because then that probably has to get cleaned
• up because I probably has to get cleaned up because I mean<00:50:14.559><c> costs</c><00:50:14.839><
• I don't know, but got to clean it up. It's super frustrating.
• I don't know, but got to clean it up. It's super frustrating.
• Then we have to clean it up. I'm just curious to know if they have a plan. Do you guys have a plan?

Keywords: 912, senate, all

Transcript Highlights:

• They claimed they were not going to get back into their car.
• They claimed they were not going to get back into their car.
• They claimed they were not going to get back into their car.
• They claimed they were not license.
• Claims that Cass's bill reduces crime are not supported by clear evidence.

Committee: House Judiciary & Hawaiian Affairs

Keywords: 910, house, all

Summary: The House Committee on Judiciary and Hawaiian Affairs recessed briefly for a joint hearing, then reconvened and took up House Bill 2494, which would limit warrantless arrests for petty misdemeanors and violations, require officers to document arrest justification, expand citation-in-lieu-of-arrest use, and direct the Judiciary to create a standardized citation form. The chair also outlined hearing procedures and testimony time limits. Committee members later received an overview from the Policing Project about national trends in expanding citation use. Testimony was divided. Supporters, including the Office of Hawaiian Affairs, the Hawaii Correctional System Oversight Commission, the Office of the Public Defender, the ACLU of Hawaii, the Drug Policy Forum of Hawaii, and the Policing Project, argued the bill would reduce unnecessary arrests and pretrial detention, lessen jail overcrowding, save law enforcement time, and reduce harms such as job loss, housing instability, family disruption, and recidivism. They also said the bill preserves officer discretion through public-safety and flight-risk exceptions, and several supporters urged the committee to adopt a standardized citation form despite the Judiciary’s request for a delayed implementation date. Opposition came from the Department of the Attorney General, the Judiciary, county prosecutors, Honolulu Police Department, and other individuals. They argued the bill would unduly restrict law enforcement discretion, create administrative and data-processing problems, and make it harder to identify repeat or habitual offenders because of changes to citation information and fingerprinting. The Judiciary requested implementation no earlier than January 1, 2028 and said the citation form would need major changes. Opponents also warned the bill could increase litigation, suppress evidence, and not meaningfully reduce overcrowding because most jail populations are held on felony matters. The chair reported 14 testimonies in support, 21 in opposition, and one with comments; no vote or final action was taken in the portion provided.

Transcript Highlights:

• So if you'll look, claims 95.1% of this program is beyond our control for what we just talked about,
• that claims 95.1% look that claims 95.1% of<00:18:52.640><c> this</c><00:18:52.880><c> program</c><00
• Those are fraud claims totaling a little over $3 million.
• Those are fraud claims violations.
• </c> also did 31 um trafficking claims also did 31 um trafficking claims totaling<01:37:04.719><c> 25,000

Keywords: 924, joint, all

Transcript Highlights:

• Does it require a doctor's note, a doctor's attestation, or can this be adjudicated only with claims
• physicians, establish eligibility and treatment authorization processes, provide nursing support, process claims
• My point is that we already have a structure where we have claims, we have providers...
• We have claims. We have providers.

Summary: The hearing focused on the expected health coverage losses tied to H.R. 1, the resulting pressure on California’s county indigent care systems, and what data and policy changes the Legislature may need before the next budget cycle. Chair Hart and Assemblymember Addis framed the issue as a major rollback in coverage that could leave more Californians uninsured and push more people into county safety-net programs. Members repeatedly emphasized the need for baseline, county-by-county data on eligibility, benefits, caseloads, and funding before making larger structural decisions. The Legislative Analyst’s Office explained the history of county indigent care under Welfare and Institutions Code 17000, the shift in funding through 1991 realignment, and the later redirection of funds to CalWORKs. LAO said county programs vary widely in scope and eligibility, that current realignment funding does not automatically rise with demand, and that the Legislature faces tradeoffs if it changes the funding structure. Administration witnesses from Finance and DHCS projected large Medi-Cal and Covered California enrollment losses, with DHCS estimating more than 1 million Medi-Cal members could eventually lose coverage under work requirements and redeterminations, and noting that a new federal rule could make exemptions more restrictive. Officials also said there is no single statewide real-time data system for uninsured or indigent care populations, though some hospital and utilization data exists with significant lags. County representatives from Santa Barbara, San Diego, and Tulare described how their indigent care programs are being rebuilt or strained after years of low demand. They warned that many newly uninsured residents will need only basic, emergency-oriented care under county programs, not the preventive and continuous care available through Medi-Cal, and said that without new state support counties may have to divert funds from public health or reduce other services. Several counties asked for bridge funding, technical statutory changes, and flexibility to adjust realignment methodology. The California Health Care Foundation closed by arguing that the problem is statewide and needs a statewide solution rather than a patchwork county response.