Transcript Highlights:

• Ryan to get deeper into the well processing process.
• So, how does that application process differ if you are in a management area or you're...
• So that's one of the things that we can use to process applications that are instream first. Um...
• The first step is what we call a pre-application process.
• process, but also from another process.

Keywords: 910, house, all

Transcript Highlights:

• <00:03:57.720> other application process in most cases other application process in most cases
• application was processed in our system.
• application was processed in our system.
• application was processed in our system.
• application was processed in our system.

Keywords: 919, house, all

Summary: The committee took up House File 1378, an elections administration bill, and first adopted the DE5 amendment. The author described DE5 as a negotiated package combining provisions from several bills on election administration, including notice of temporary polling locations, residence standards for people under civil commitment orders, polling place closure/change notices, absentee voting provisions, special election filing periods, and timelines for filing statements of economic interest. The committee then adopted two additional amendments, A6 and A8, both presented as technical or corrective changes; A8 restored language on off-reservation temporary polling that had been inadvertently left out. Testimony from county election officials and the Secretary of State’s office was generally supportive of the bill’s election-administration changes. Blue Earth County’s Michael Stalberger said the bill would streamline election-day work, improve absentee ballot deadlines, clarify ballot correction procedures, formalize chain-of-custody plans, and speed out-of-court remedies for ballot errors. He also raised concerns about implementation details, including the timing for first chain-of-custody plans, applying candidate filing changes to townships and school districts as well as cities, the short turnaround for college student housing lists, and whether the statewide system could handle new absentee-ballot data fields. Nicole Freeman of the Secretary of State’s office echoed support for the technical cleanup and several policy changes, including removing the permanent absentee application box from voter registration forms, clarifying ballot-board procedures, chain-of-custody planning, and the out-of-court remedy, while also flagging concerns about the absentee application cutoff, city opt-outs from absentee voting, and staffing requirements for absentee locations. Later in the hearing, members discussed a separate proposed amendment, A4/A3, dealing with prohibitions on inducements to vote or register, including lotteries or other chances to win money or goods. The author explained it was intended to clarify existing law and respond to recent examples of large-money election-related giveaways, but after discussion the chair declined to offer the amendment in committee, saying it would likely not have enough support and could be taken up later on the floor. The hearing ended with the technical amendments adopted and the bill advanced with the committee continuing broader discussions on the remaining issues.

Transcript Highlights:

• STEP UP DID NOT TIMELY PROCESS FPS EO EDUCATIONAL TUITION PAYMENTS FOR STEP UP DID NOT TIMELY PROCESS
• THAT IS CONTRARY TO STATE LAW STEP UP DID NOT PRIORITIZED STUDENT APPLICATION PROCESSING BY RENEWAL STATUS
• FOR THE 24 25 SCHOOL YEAR THE FIRST THING THAT PRIMARILY DROVE THIS PROCESS WAS IN FEBRUARY OF 2024 APPLICATIONS
• IS THAT THE PROCESS GOING FORWARD?
• I WOULD LIKE FOR YOU TO EXPOUND ON THE PORTION OF YOUR PRESENTATION REGARDING APPLICATION TIMELINE PROCESS

Transcript Highlights:

• When they go through the application process, they do need to set up an account in SWIFT in order to
• It is grant funding, so there is a robust process around evaluating the applications. >> Senator Nelson
• Um, how long does it take to process an application for paid leave? >> Uh, Mr.
• But again, I'd say we are processing most applications within a couple weeks.
• about 25% of the mean that we processed about 25% of the applications<00:48:15.520> or<00:48:

Keywords: 1187, senate, all

Transcript Highlights:

• end to end and having the ability to process the application from end to end.
• from end to end and having the ability to process the application from end.
• So we have the flexibility of debate. process from end to end and having the ability to process the application
• Once we receive that application now, there's several parts of the process in which we go about to process
• The other area is mainly on the application processing side.

Summary: The Committee on Children, Families, and Elder Affairs received a Department of Children and Families update from CIO Cole Sousa on three major technology modernization efforts: ACCESS, CWIS, and FASMS. For ACCESS, he described the six-year, $205 million project to replace the aging eligibility system used for SNAP, TANF, and Medicaid applications, noting completed releases such as the MyACCESS portal, document management, partner portal, workload management, and client registration modules. He said the system now supports mobile applications, multi-factor authentication, and bot detection, and that the next budget request is $36.625 million to continue moving workers off the mainframe, modernize notices, and complete more worker-portal functions. Members asked about performance data, interoperability with other systems, and the relationship to the FX project and APD; Sousa said API-based real-time exchanges are the goal and that current average case processing time is about 30 days, though he would provide a more exact figure later. The committee then heard about CWIS, a four-year, $75 million child welfare modernization project. Sousa said phase one is complete, including hotline intake, investigations, mandatory reporter, youth, parent, and mobile portals, along with mobile field tools, e-signatures, and customizable dashboards. Current work is focused on case management, assessment and safety planning, licensure, and placement modules, with collaboration from community-based care providers through advisory sessions. For the next fiscal year, DCF is requesting $28 million and expects to finish development by summer and launch in September, while continuing change management and training. Senators pressed on interoperability with ACCESS, FX, and FASMS, the use of a single unique identifier, and whether CBCs would be required to use the statewide system; Sousa said the department’s goal is one statewide system, with licensing costs absorbed by the state and no plan for dual systems after go-live. Finally, Sousa gave a brief update on FASMS, the financial and services accountability system used by managing entities. He said it remains in maintenance mode while DCF prioritizes ACCESS and CWIS, and that modernization of FASMS is still being planned with partner agencies. He estimated current maintenance costs at about $1.3 million and suggested a future modernization could cost roughly $5 million to $7 million, though no firm timeline has been set. The committee expressed support for using data and interoperable systems to improve decision-making, and the meeting adjourned without any votes or formal actions beyond adjournment.

Transcript Highlights:

• Versus the city's time, maybe processing a good application is probably consistent, but the applicant
• What does that application process look like? How can they get through that process?
• process?
• Why aren’t they progressing through the application process? What are the barriers?
• As soon as we get that, then we can move forward with their application process.

Summary: The committee held a work session on form-based codes, child care facility siting, and street standards/frontage improvements. On form-based codes, Commerce’s Dave Anderson explained that these codes emphasize building form, orientation, and the public realm more than traditional use and density tables, and that they are typically applied in specific districts rather than citywide or statewide. Lacey’s Vanessa Dolby described the city’s Woodland District code, developed through community charrettes, fiscal and market analysis, and subdistrict-specific standards to create a walkable downtown. She said the approach has helped produce a more desirable built environment and more flexibility in permitted uses, but also noted it can be less user-friendly for applicants and still requires some use restrictions; both presenters said a hybrid approach is often best. The committee then heard from DCYF and multiple providers about barriers to opening child care facilities. DCYF officials said Washington has more than 6,500 licensed providers and that a new pre-licensing support team is helping applicants navigate licensing, but local zoning, building, fire, parking, utility, and occupancy requirements still create delays and confusion. Testifiers described long permitting timelines, inconsistent local interpretations, costly upgrades, and utility hookup delays; one Yakima provider said county requirements, a floodplain-related elevation certificate, and a private well issue stopped her in-home child care proposal, while others described traffic impact fees, parking mandates, and zoning barriers that made projects infeasible. Enterprise Community Partners highlighted examples of successful local reforms, including fee waivers, expedited permitting, and zoning changes in several cities, and DCYF said it is working toward a 2026 action plan and a resource guide for providers. In the final section, planners and developers discussed how street standards and frontage improvement requirements can undermine infill and middle housing. Poulsbo’s planning manager said current standards were designed for greenfield subdivisions and often force costly curb, gutter, sidewalk, stormwater, and utility upgrades on small infill sites, sometimes adding tens of thousands of dollars and causing projects to be abandoned. A Seattle-based developer made similar points about small middle-housing projects being burdened by frontage work, curb ramps, buried standards, and EV-ready parking requirements that can trigger expensive undergrounding. Committee members asked about possible state-level changes, including whether child care should be treated as an essential public facility and whether parking requirements had already been reduced; one senator noted that minimum parking requirements for child care facilities were eliminated in prior legislation, with implementation phased in over the next few years.

Transcript Highlights:

• Should that be more transparent in a grant application process about why we chose, this is our list of
• Should that be more transparent in a grant application process about why we chose, this is our list of
• application that has these deficient—” “Good application.
• And so my question is, in this application process, is there any method where the BDO attempts to really
• And even in our applications, like we are not—we were bad applicants.

Keywords: 1185, senate, all

Transcript Highlights:

• to further evaluation or process any application.
• <00:05:09.120> any further evaluation or process any further evaluation or process any application
• process.
• looks like the what that process looks like the applicant<00:18:50.280> shall<00:18:50.559>
• /c> process or phase process um process or phase process um so<00:33:29.720> which<00:33:29.919

Keywords: 928, house, all

Summary: The Solid Waste Subcommittee met to discuss proposed amendments to HB 171 and HB 215. For HB 171, Representative Gerna outlined technical changes to a landfill moratorium bill: DES would be allowed to accept applications only to review them for completeness, a notwithstanding clause would override automatic approval timing rules, the word “fully” would be removed, and an unnecessary reference to perennial water bodies would be deleted. Members raised concern about whether applications deemed complete during the moratorium would still have to comply with later changes in law or rule. Director Mike Whap of DES said applicants would likely need to amend applications if policy changes occurred, and suggested the bill could explicitly state that later changes apply to pending applications. The subcommittee generally supported the revised language and agreed the amended bill could go directly to executive session, though one member said the underlying legislation was ill-advised but preferred the amended version over the original. The committee then turned to HB 215, which would create a two-stage landfill siting review centered on a “net public benefit” determination before full technical review. Representative Gerna explained that the amendment would define net public benefit, require an independent third-party assessment paid for by the applicant, and set up a process for selecting the contractor from a list submitted by the applicant, with DES and the host community involved and the commissioner choosing if no agreement is reached within 60 days. Members asked how “host community” would be defined; DES said it would generally mean the municipal governing body, though that body could appoint others. The amendment also broadened the factors considered in both harms and benefits, including human health, property values, tourism, recreation, wildlife, local economic benefits, and infrastructure improvements. The discussion also added a provision directing DES to consult with the Department of Transportation, the Department of Business and Economic Affairs, and the Department of Natural and Cultural Resources as needed when reviewing the third-party assessment. Director Whap said interdepartmental consultation is normal and that DES would likely adopt rules to guide the process. Members questioned whether the new framework would be too vague or burdensome for applicants, but Whap said it would not be designed to stack the deck against applicants and that the process should provide clearer, more balanced criteria. No votes were taken during the meeting, and the subcommittee appeared to continue refining the amendment language before further action.

Transcript Highlights:

• The license application process— a lot of families are wanting to make plans, and we're getting a lot
• And how... ...if you have this application process, how long does it normally take?
• Yes, we do background checks, and we do an interview process, and I review the application. Okay.
• We do have a process. We have a process to pursue.” “Right. We do have a process.
• In general, a renewal application is separate from a new license application, but a renewal application

Keywords: 1185, senate, all

Transcript Highlights:

• So this is a major step forward for the department as we work to streamline applications and processes
• How we are running our programs, how they are being distributed, how the applications are being processed
• process rather than through separate application processes.
• What is the collaboration happening on the front end of these application processes?
• processes so I think this is another area that we have to of these application processes.

Summary: The Assembly Budget Subcommittee on Education Finance heard an overview of the governor’s new Career Education Master Plan and related budget items. Labor Secretary Knox described the plan as an effort to reduce fragmentation across K-12, community colleges, workforce boards, and other systems by improving statewide and regional coordination, data sharing, skills-based hiring, career pathways, and wraparound supports such as child care, housing, food, and transportation. Members asked how success would be measured, how the plan would serve disconnected youth and adults, and whether the proposed data integration would rely on Cradle to Career; the secretary said it would. The Department of Finance said it was available to answer questions on the education side. The committee then reviewed existing CTE funding and oversight. The LAO, CDE, and Community Colleges Chancellor’s Office described the major ongoing programs, including CTIG, Perkins, K-12 Strong Workforce, and Community College Strong Workforce, and noted that many programs overlap in purpose and administration. Members repeatedly raised concerns about duplication, annual applications and reporting burdens, lack of clear outcome metrics, and whether funding incentives should be better aligned to regional collaboration. CDE and the Chancellor’s Office said they support alignment and dual enrollment, and Finance and CDE said LCFF/local match dollars are part of the funding structure. The committee also discussed child care as a barrier to participation and the need for better tracking of enrollment, completion, and job outcomes. On the consolidated application proposal, Finance proposed a study directing CDE to examine whether three long-standing CTE grant programs—Specialized Secondary Programs, CTIG, and California Partnership Academies—could be streamlined into a single application and reporting process. The LAO supported reducing administrative burden but noted that the largest programs, CTIG and K-12 Strong Workforce, were excluded from the proposal even though districts most often cite them as burdensome. CDE said it did not oppose the study but warned that statutory differences may limit consolidation. Members said the proposal should better address regional coordination, multi-year funding stability, and outcome measures rather than only simplifying paperwork. Finally, the committee heard a proposal for a $5 million ongoing California Education Interagency Council. GovOps said the council would provide a neutral venue for statewide coordination across education and workforce systems. The LAO opposed the proposal, arguing that existing bodies already provide coordination, the proposal does not change agency incentives, and the council would lack authority to implement decisions. Members expressed mixed views, with some supporting a coordinating body and others questioning whether it would differ from past efforts. No votes were taken during the portions summarized here, and the committee indicated it would hold some items open for further discussion.

Transcript Highlights:

• First and foremost is the application process. How do people know they can come to us for funding?
• Those 450 individuals last year contributed more than 9,000 hours to our process, reading the applications
• We believe that streamlining the application process networks, including our connections through NEA,
• The first step in the review process is that once an application is submitted, the grants team completes
• of the applicant.

Transcript Highlights:

• And this is that House Bill 1103 directed us to basically create an online application for crisis applications
• And so what this guide is, this is step by step how to go through the crisis application process, what
• I see we have two applicants.
• Madam Chair, are we talking about the crisis application?
• Or we talk about the eligibility application? Yes.

Summary: The Human Services Subcommittee met to receive an update from the new director of the Agency for Persons with Disabilities on implementation of House Bill 1103. The director said APD is working to update the funding algorithm through a contracted study due November 15, 2025, expand transparency on its website, launch an online crisis application by the end of 2025, improve client choice in qualified organizations and waiver support coordinators, and coordinate with AHCA on the managed care pilot and Florida HealthFinder listings for APD providers. He also said APD is working on family resource materials, a monthly newsletter, and stronger transition planning with DCF. Members asked about whether the new algorithm would include transportation and what services might change, but the director said the replacement model is still being developed and any new methodology would be implemented through rulemaking. Questions also focused on Family Care Councils, including the statewide council’s membership and appointment process; the director said the statute sets the process and APD is helping councils recruit and organize. On transparency, members praised the website improvements and asked for more interactive data tools. The director said APD would consider suggestions and continue expanding public reporting. The committee also discussed eligibility and waiver notices, including concerns about outdated language in APD letters and how autism cases are reviewed. The director said clinicians and behavioral analysts review cases and asked to see the specific letter. On the pre-enrollment list, the chair asked about the wait list, and the director said APD recently sent 5,612 service offers to people on the list and is working to better distinguish those who truly need services from those who do not. No votes were taken, and the meeting adjourned after the presentation and questions.

Transcript Highlights:

• All right, so let's get into the application scoring process.
• All right, so let's get into the application scoring process. Would you translate the CAP acronym?
• So in terms of our application and scoring process, here's kind of a flow chart of some of the key...
• The application process: a municipality, or a representative of a municipality, would see one of those
• The application process: a municipality, or a representative of a municipality, would see one of those

Summary: The task force met to focus on funding systems and incentive structures for a proposed regional waste infrastructure effort, including how a future WIPA framework might support solid waste planning in the Willamette Valley. Staff and members heard presentations from DEQ on the Clean Water State Revolving Fund, from Business Oregon on the Special Public Works Fund, and from Oregon State Treasury on state bonding capacity and the bond issuance process. Presenters explained how their programs are structured, how projects are scored or approved, what kinds of public entities and projects are eligible, and how interagency coordination and co-funding can work. DEQ emphasized that its revolving loan fund is driven by water-quality benefits and public-health criteria, while Business Oregon described a broader infrastructure loan program for public entities with no scoring system, and Treasury outlined the state’s debt-capacity process and the differences between general obligation and lottery bonds. Members used the presentations to discuss whether similar funding tools could support solid waste infrastructure, especially for transfer stations, regional hubs, and related facilities that may need to be built before Coffin Butte reaches the end of its lifespan. Several questions centered on whether public-private partnerships could qualify, whether equipment inside facilities could be financed, how repayment would work, and whether planning costs could be covered. DEQ and Business Oregon both said they could potentially collaborate on scoring or co-funding, but noted eligibility limits and the need for public ownership in many cases. Treasury said bond capacity is limited and competitive, especially for lottery bonds, and that project authorization generally runs on a two-year cycle, though unused authority can sometimes be reauthorized. In task force discussion, members debated whether the group should pursue a dedicated funding lane for the seven-county region rather than having local governments compete with other statewide needs. Some members stressed the importance of criteria to avoid stranded assets and to ensure funding is available when projects are ready, while others raised concerns about how cities and counties would generate revenue to repay debt during construction and early operations. The group also discussed flow control, system fees, and the need for regional collaboration among counties, cities, and haulers to create enough waste volume to support new infrastructure. Staff noted that pre-session filing materials for the legislature are due September 11, and the chair said the August meeting will focus on organizational structure and identifying partners. During public comment, Representative Kevin Mannix submitted written testimony supporting the WIPA concept and urging the task force to endorse it. Commissioner Bubba King of Yamhill County urged the task force to compare alternatives objectively and warned against adding bureaucracy before evaluating existing infrastructure and costs. Commissioners Kevin Cameron and Roger Nyquist of Marion and Linn counties described regional hub-and-spoke concepts, transfer stations, and intermodal options, emphasizing the need for planning, strategic siting, and collaboration with haulers and local governments.

Transcript Highlights:

• I want to clarify, it's not in statute; it is part of the request for application process.
• We have received close to $8 billion worth of applications. Applications.
• We found that the process had been challenging for some applicants.
• Yes, there are many processes in place for accountability, not only through the construction process,
• Us in delays in the process.

Keywords: 988, house, all

Transcript Highlights:

• HB 2785 strengthens the voter registration process in Texas by ensuring prospective applicants clearly
• HB 2785 strengthens the voter registration process in Texas by ensuring prospective applicants clearly
• HB 2785 strengthens the voter registration process in Texas by ensuring prospective applicants clearly
• confirms their understanding of the application process.
• confirms their understanding of the application process.

Summary: The committee heard House Bill 3709, which would change the partial manual audit process so early voting could be audited by voting location rather than by randomly selected precincts. The author and several supporters said the current precinct-based process is antiquated, labor-intensive, and especially difficult in countywide voting systems and large counties. Opponents and some neutral witnesses raised concerns about whether the change would still allow an apples-to-apples audit against official precinct results, whether random selection procedures should be more clearly defined, and how ballot secrecy and mail ballots would be handled. The Secretary of State’s office said counties already use random selection methods and that the bill would largely standardize early voting audits with election-day procedures, while also noting ballot privacy issues can arise in public records requests. After testimony, the bill was left pending. The committee then took up House Bill 766, as substituted, which would require precinct chair applicants to provide an email address, phone number, or both, while making that contact information confidential. Supporters said the change would help parties and local officials contact applicants more efficiently. Opponents argued it could expose personal contact information to public records requests and harassment, and some suggested the information should instead be handled through party rules. The bill was left pending after the committee substitute was withdrawn. House Bill 3775 followed and would set clearer timelines for when early voting ballot boards may begin opening carrier envelopes, with different start times based on county size. Supporters said the bill would address counties opening ballots too early and improve ballot security, while opponents warned it could delay defect notices and cure opportunities for mail voters and create problems in large counties that process high volumes of ballots. Testimony also focused on whether the bill referred to carrier envelopes or secrecy envelopes and on how counties like Harris County currently image and secure ballot materials. The bill was left pending. Finally, the committee heard House Bill 4275, which would require countywide polling systems to have polling places in each election precinct, intended to address uneven distribution of polling locations across county commissioner precincts. Supporters said the bill would make polling place distribution fairer and more consistent, especially in Harris County, while opponents said it would undermine countywide voting, increase costs, require more equipment and staff, and reduce local flexibility. Several witnesses also raised concerns about ballot secrecy and the practical burden on large and rural counties. The bill remained under discussion as testimony continued.

Transcript Highlights:

• We would do that through our application process.
• We would do that through our application process.
• When we receive a licensure application, we have 30 days to review it since this is part of that process
• Our county health departments are continuing to process applications, reviewing them for eligibility,
• Once all of these applications are processed, the voucher application system will be reopened to allow

Summary: The committee met to receive implementation updates on recently enacted health care laws from AHCA and the Department of Health. AHCA reported on rural emergency hospitals, explaining the new Class 4 hospital designation, rule changes completed June 1, 2025, and that no Florida hospitals have yet converted, though one North Walton/DeFuniak Springs-area hospital has expressed interest. AHCA also reviewed the non-emergent care access plan requirement for hospitals with emergency departments, saying 83 plans had been received since July 1 and 63 approved, with plans emphasizing patient education, referrals to primary care or urgent care, and coordination for Medicaid managed care enrollees through the Florida HIE/ENS system. Members asked about HIE capacity, data collection, and whether the plans would identify shortages or trigger accountability measures; AHCA said it had moved to a new HIE vendor and would continue gathering data. AHCA also updated the committee on the TEACH workforce program, reporting $6.8 million in FY 2024-25 spending across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed, and said a federal 1115 workforce waiver was unlikely to move forward under CMS. On KidCare, AHCA said House Bill 121’s expansion to 300% of the federal poverty level remains blocked by federal litigation and CMS action tied to premium nonpayment rules, and members and public witnesses urged prompt implementation and asked for enrollment/disenrollment data and the rural health transformation funding outlook. Public testimony largely supported the NCAP and TEACH programs and pressed for action on KidCare. Representatives from health centers said NCAP has strengthened hospital-health center relationships and improved care coordination, including reduced recidivism in some hospitals. A Bond Community Health Center physician said TEACH is helping offset the burden of training students and could help address workforce shortages, especially in rural and underserved areas. Advocacy groups urged the committee to push for implementation of the KidCare expansion, citing children in the coverage gap and rising uninsured rates. The Department of Health then presented on several programs from the 2024-25 session. It reported on the Florida Reimbursement Assistance for Medical Education (FRAME) program, including 78 dentists and 15 dental hygienists funded under the dental track and nearly 1,300 medical professionals funded overall, with 123 dental applications and 71 funded dentists in the most recent cycle. DOH also updated the Screening and Services Grant Program, the Health Care Innovation Revolving Loan Program, the statewide telehealth maternity care program, and the swimming lesson voucher program, noting strong participation and outcomes such as reduced ER visits and improved postpartum follow-up in the maternity program. Finally, DOH said implementation of the HIV prevention drug/pharmacist dispensing law is underway, with three certification courses approved and five certifications issued. Members asked about barriers to wider use of HIV prevention drugs, more detailed maternal outcome data, and the dental workforce program report; DOH said more detailed reports would follow.

Transcript Highlights:

• We would do that through our application process.
• process.
• When we receive a licensure application, we have 30 days to review it since this is part of that process
• Our county health departments are continuing to process applications, reviewing for eligibility, providing
• Once all of these applications are processed, the voucher application system will be reopened to allow

Summary: The committee opened with roll call, welcomed members back for the first committee weeks, and heard brief personal updates from several senators before moving into agency implementation updates on recently enacted health care laws. The Agency for Health Care Administration reported on Senate Bill 64 creating rural emergency hospitals, explaining that AHCA adopted the required rules effective June 1, 2025, but that no hospitals have yet been designated. Members asked about possible hospital conversions, accreditation and survey responsibilities, and whether Florida would apply for federal rural health transformation funding; AHCA said it intends to apply and has already been working on the issue with federal officials. AHCA also reviewed the non-emergent care access plan requirement under Senate Bill 7016. The agency said hospitals with emergency departments must submit plans that help redirect non-emergent patients to appropriate care settings while complying with EMTALA, and that 83 plans had been received and 63 approved as of September 30. Members asked about data collection, managed care coordination, and the state’s health information exchange; AHCA said it has moved to a new HIE vendor and will continue monitoring implementation and possible care gaps. AHCA then updated the committee on the TEACH program, saying $6.8 million was spent in 2024-25 across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed. The agency said rulemaking is nearly complete, a new nursing student category and expanded facility eligibility were added, and a federal 1115 workforce waiver remains stalled after CMS signaled it will not approve new workforce demonstrations. AHCA also reviewed House Bill 121 on KidCare eligibility, explaining that implementation of the 300% poverty-level expansion remains blocked by federal litigation and waiver issues tied to premium nonpayment rules; members and public speakers urged action to close the coverage gap. Public testimony on AHCA’s presentation came from representatives of health centers and advocacy groups, who said the non-emergent care access plan has improved hospital-health center coordination and reduced repeat emergency use, and who urged implementation of KidCare expansion for children in the coverage gap. The Department of Health then presented updates on FRAM, the Sanadi screening grant program, the Health Care Innovation Revolving Loan Program, telehealth maternity care, swimming lesson vouchers, and House Bill 159 on pharmacist dispensing of HIV post-exposure prophylaxis. DOH reported strong participation in FRAM and the telehealth maternity program, 24 Sanadi grant awards in 42 counties, 4,945 swimming lesson vouchers issued last year and 2,371 so far this year, and three approved certification courses with five pharmacist certifications issued under HB 159. Committee members asked about recruitment of dentists and other providers, telehealth maternity outcomes, and why participation in the maternity program remains below expected levels; DOH said outreach and regional referral networks are expanding and more detailed outcome data will be included in the upcoming legislative report.

Transcript Highlights:

• So how long does the average screening process take for applicants? DHRD: It can take...
• So how long does the average screening process take for applicants? DHRD: It can take...
• So how long does the average screening process take for applicants? DHRD: It can take...
• So how long does the average screening process take for applicants? DHRD: It can take...
• So how long does the average screening process take for applicants? DHRD: It can take...

Keywords: 910, house, all

Summary: The committee first took up SB 1494 on hearing aids. Testimony was generally supportive of expanding hearing-aid coverage, with the Insurance Division raising concern about possible federal defrayment issues, SHPDA supporting the goal of hearing augmentation, DCAB strongly supporting the bill as an important access issue, and health plans and insurers asking for amendments. Kaiser Permanente and the Hawaii Association of Health Plans requested changes to add a medical-necessity standard and clarify annual notice language, while HMSA suggested the proposal should be studied by the auditor. The chair noted concerns about federal preemption and the lack of an audit, and deferred the bill in favor of a related resolution calling for a study. The committee then heard SB 1448, an emergency appropriation for the Hawaii State Hospital. DAGS and the Department of Health supported the measure, with the hospital administrator saying the funding would improve the environment of care, support cleaning, and allow a third-party review of the building. Committee members questioned the size of the request and the status of litigation against the design-builder. Administration witnesses said they were pursuing a comprehensive study involving destructive testing, had made a demand on the design-builder to fund the study, and were using different processes than before. They also said the roof work would be handled through a separate CIP request. No final action was taken in the portion provided. The committee next heard SB 1432, relating to the future responsibilities of the Department of Health and land issues at Kalaupapa after the last patient dies. DOH supported the bill in part but said its long-term role would be limited mainly to environmental cleanup, with operations expected to continue under the National Park Service and land-use decisions left to DHHL and beneficiary consultation. DHHL asked that the measure reflect that any land-use or zoning changes on homeland lands require commission approval and beneficiary consultation. Testifiers from Kalaupapa and Maui County, including Degra Vanderbilt-Papa and Council Member Keani Rollins-Fernandez, supported deferring the bill, saying there had been no meaningful community discussion about provisions affecting Kalaupapa’s future management and possible transfer of responsibilities to Maui County. The committee also read into the record written testimony from Gloria Marks emphasizing that Kalaupapa stakeholders must be included in future discussions. Finally, the committee heard SB 955 on fitness-to-proceed examinations. The Judiciary and the Public Defender’s Office both supported raising pay and standardizing expectations for private examiners, but opposed reducing felony fitness evaluations from three examiners to one and opposed expanding use of expedited reports. They argued that a single examiner would reduce reliability, create a more adversarial process, and likely increase costs and contested hearings, while expedited reports do not contain enough information for a proper fitness determination. The Department of Health also supported the bill’s intent but asked to preserve a three-examiner framework and said the goal was to reduce the number of people sent to the State Hospital, where admissions have reportedly risen about 20% year over year since Act 26. The bill remained under discussion in the excerpt, with no final vote shown.

Transcript Highlights:

• So it is, I want to clarify, it's not in statute; it is part of the request for application process.
• We have received close to eight billion dollars worth of applications, almost 300 applications, so we're
• ... ...billion dollars worth of applications, almost 300 applications, and we're in the process of whittling
• We've received 18 applications.
• in the process. ...program.

Summary: The hearing opened with remarks from the chair and members about recent federal cuts to public health, mental health, family planning, and Title X funding, with strong concern about the impact on California programs and providers. The committee then turned to the Department of State Hospitals, which presented its 2025-26 budget proposal of $3.4 billion, including new positions, capital improvements, and funding tied to increased patient costs and incompetent-to-stand-trial services. DSH reported major progress in reducing the IST waitlist and wait times, said it had met the court’s 28-day treatment benchmark for those without extenuating circumstances, and described workforce recruitment and retention efforts such as residency programs, fellowships, outreach, and hiring streamlining. Members asked about future IST referral trends, SB 1323’s effect on diversion and community treatment, and workforce lessons in high-cost regions; public comment urged reconsideration of county IST growth cap methodology in light of new criminal justice initiatives. The committee next received an informational overview of Proposition 1 and its changes to behavioral health funding and governance. The Legislative Analyst’s Office explained that Prop. 1 restructured county MHSA funding buckets, expanded the Commission for Behavioral Health, shifted prevention and early intervention responsibilities, and authorized a $6.4 billion bond, including $4.4 billion for behavioral health facilities through BHCIP. DHCS said it had released guidance for county integrated plans and was receiving extensive public comment. Members focused on BHCIP application requirements, especially letters of support and tribal projects, and raised concerns about whether DHCS’s implementation matched statutory intent. DHCS said it had authority to set application requirements and that tribal entities were treated differently because of sovereignty and funding structure. DHCS then updated the committee on BHCIP, the Behavioral Health Bridge Housing Program, and related bond implementation. The department said BHCIP had awarded about $1.7 billion across five rounds, with more than 130 projects and 223 distinct facilities funded, and that it was preparing to award the new bond funds after receiving nearly $8 billion in applications. The LAO’s assessment found that more than half of awards served at least 80% Medi-Cal enrollees, but also raised concerns that the regional allocation model could reinforce inequities, that the program had not sufficiently addressed the highest-need regions such as the southern San Joaquin Valley, and that smaller counties and less launch-ready applicants faced barriers. For bridge housing, DHCS said more than $1.1 billion had been awarded, serving over 5,000 people and supporting more than 2,000 operational beds, but the Governor’s budget proposes to eliminate Round 4 funding as the administration weighs other statewide investments and Proposition 1 implementation workload. Public commenters and members urged more accountability, better regional equity, stronger labor and community involvement, and caution about funding for for-profit psychiatric facilities. Finally, the committee heard on the Children and Youth Behavioral Health Initiative. CalHHS and DHCS described CYBHI as a broad prevention- and equity-focused effort with more than 1,300 organizations funded, over $2.1 billion awarded, and multiple work streams spanning schools, community programs, workforce, and digital supports. DHCS highlighted school-based services, the fee schedule rollout, and digital platforms BrightLife Kids and Soluna, which it said are reaching users statewide and providing low-barrier access to coaching and support. Members and public commenters raised concerns about delays in school fee schedule implementation, the large share of funding going to digital tools, the need for more in-person services, and whether the initiative is sufficiently tracking outcomes and equity impacts. No formal votes were taken during the hearing.

Transcript Highlights:

• , while even more are in the process of completing their applications.
• process.
• However, the current application process is extremely rigorous, although the EPA has done some work to
• It's an efficient process.
• There are states that have been in the pre-application process to apply for primacy.