Transcript Highlights:

• I joined the department coming from the private sector—22 years in health care public affairs, working
• I joined the department coming from the private sector—22 years in health care public affairs, working
• sector 22 years in healthc<00:05:00.199><c> care</c><00:05:00.479><c> public</c><00:05:00.880><c> affairs
• </c><00:05:01.600><c> working</c><00:05:01.960><c> for</c> healthc care public affairs working for healthc
• care public affairs working for hospitals<00:05:03.240><c> nursing</c><00:05:03.759><c> homes</c><00

Committee: Senate Human Services

Transcript Highlights:

• And so the elderly woman came in and she said, you know, I don't mind having devoted my life to looking
• And so the elderly woman came in and she said, you know, I don't mind having devoted my life to looking
• </c><00:43:41.200><c> chair</c><00:43:41.680><c> of</c> am also the government Affairs chair of am also
• the government Affairs chair of more<00:43:42.960><c> uh</c><00:43:43.240><c> an</c><00:43:43.400><c
• </c><00:59:31.240><c> waiver</c> seniors you know those on elderly waiver seniors you know those on elderly

Committee: Senate Human Services

Transcript Highlights:

• And actually, we have not been talking about the elderly as well, but we're seeing early results that
• elderly people are disadvantaged by the execution of age-assurance measures.
• Kesh of Kumar, with Lighthouse Public Affairs, on behalf of Reproductive Freedom for All.
• We are with Lighthouse Public Affairs on behalf of Reproductive Freedom for All. Thank you.
• Keshav Kumar with Lighthouse Public Affairs on behalf of Reproductive Freedom for All, and also giving

Summary: The committee heard AB 1988, which would require AI companion chatbots to respond to credible self-harm or violence-related crisis expressions by displaying the 988 Suicide and Crisis Lifeline, warning users, and pausing the chat for human review after repeated crisis signals. The author and supporters said the bill is a measured safety standard to redirect vulnerable users to human help, citing research and cases where chatbots worsened suicidal ideation or violent behavior. Support came from crisis and medical advocates, while no opposition testimony was offered. The chair and members expressed strong support, and the bill was held pending quorum before later action on the agenda. The committee then took up AB 1709, which would set a minimum age of 16 for users to create or maintain accounts on social media platforms with harmful addictive features and would create an E-Safety Advisory Commission in the Attorney General’s office. The author argued the bill targets product design, not speech, and is intended to curb compulsive features such as infinite scroll, autoplay, and algorithmic feeds while allowing safer or non-addictive platforms to remain available. Supporters, including a psychologist and the Organization for Social Media Safety, described cyberbullying, predation, compulsive use, and mental health harms; opponents, including EFF, ACLU-Cal Action, TechNet, and youth advocacy groups, warned about privacy, First Amendment, and access-to-community concerns, especially for LGBTQ youth and other marginalized groups. Committee members debated whether the bill is a ban or a delay, how age assurance would work, and whether the proposal would be effective or could push youth to less safe spaces. Several members said they would support the bill as a first step, while others raised concerns about enforceability, privacy, and constitutional issues. The author emphasized that the bill is limited to specific harmful design features, not content or general internet access, and that the new commission would monitor evolving technology and recommend future updates. No final vote was taken during the portion of the hearing provided.

Transcript Highlights:

• When an elderly or disabled Missourian is exploited, delays benefit the abuser, not the victim.
• A real-world example, if I can talk: You have an elderly adult.
• question is: you're talking about public safety and law enforcement, and oftentimes when there's elderly
• Oftentimes when there's elderly abuse or some sort of abuse going on within areas of my community, I
• adult definition, we would have the other... ...way to crime against the elderly disabled that would

Committee: House Corrections and Public Institutions

Transcript Highlights:

• When an elderly or disabled Missourian is exploited, delays benefit the abuser, not the victim.
• A real-world example, if I can talk: you have an elderly adult.
• question is: you're talking about public safety and law enforcement, and oftentimes when there's elderly
• Oftentimes when there's elderly abuse or some sort of abuse going on within areas of my community, I
• So, yeah, ...involve crimes perpetrated against elderly and disabled.

Committee: House Corrections and Public Institutions

Summary: The committee first heard House Bill 2708, which would increase penalties for bringing or possessing unauthorized electronic communication devices in prisons and jails, raising the offense from a misdemeanor to a Class D felony and clarifying the statutory language. Representative Hovis said the bill is intended to deter contraband cell phones and similar devices that can be used to coordinate criminal activity, threaten victims, or continue gang operations from inside facilities. Department of Corrections staff supported the bill, saying cell phones are dangerous contraband and that current administrative sanctions are not always enough. Members asked about notice to visitors, current DOC discipline, whether the bill applies to inmates, staff, and visitors, and whether the language should be tightened to cover devices “capable of” communication; the sponsor agreed to have House Research review the wording and potentially offer a committee substitute. No opposition testimony was presented. The committee then heard House Bill 3038, which would place the Department of Health and Senior Services’ Office of Special Investigations into statute and give it limited authority to assist investigations of abuse, neglect, and exploitation of eligible adults. Representative Cook said the office already exists and the bill mainly codifies its role, allowing limited subpoena and search warrant authority to speed investigations, especially financial exploitation cases, while preserving local law enforcement and prosecutorial control. DHSS witnesses supported the bill, explaining that their investigators have long worked on vulnerable-adult cases and often need quicker access to records; they said the office has law enforcement experience and coordinates with Adult Protective Services and public safety agencies. Committee members asked about the fiscal note, vacancies, the definition of exploitation, whether the office can investigate public administrators or guardianship cases, and whether investigators have arrest authority; witnesses said the bill is not intended to create a new police force or expand arrest powers, but to formalize existing functions and improve access to records. No witnesses testified in opposition, and the hearing concluded without a vote.

Transcript Highlights:

• Think about it as you go into different places; you see elderly people working at counters and CVSs and
• I didn't see any carve-out or any attention given to the elderly population.
• The elderly remembered when the bridge was first built.
• The elderly felt it first. Each step across the bridge became slower, more painful, more uncertain.
• But the elderly knew it better.

Committee: Senate Fiscal Policy

Summary: The Committee on Fiscal Policy heard and advanced a series of bills covering transportation, unemployment benefits, public records, education, law enforcement, and health. Senator Massullo’s SB 488, the DHSMV agency package, would update fuel tax and motor carrier definitions, raise the crash-reporting damage threshold from $500 to $2,000, expand email use for certain DHSMV transactions, and align tank vehicle definitions with federal rules; SB 490 would create a related public records exemption for certain email records. Both bills were reported favorably. The committee also approved SB 892, revising enhanced sentencing procedures for repeat offenders, and SB 124, which cleans up and clarifies Florida Virtual School statutes without changing day-to-day operations. The most debated measure was SB 216, which would tighten reemployment assistance eligibility by adding work-search and interview requirements, requiring more frequent identity and eligibility verification, and expanding fraud reporting and information sharing. Supporters said the bill targets fraud and improves program integrity; opponents, including labor advocates and several senators, argued it would create burdens for legitimate claimants, especially rural residents, seniors, and workers facing layoffs, and could sharply reduce access to benefits. Despite those concerns, the bill was reported favorably. The committee also approved CS/SB 382 on e-bike safety, requiring riders to yield to pedestrians, sound an audible signal before passing, and limit speed near pedestrians, while creating a task force to study broader regulation. Testimony from a parent who lost her son in an e-scooter crash prompted discussion about whether scooters should be included in the bill. Additional bills advanced included SB 584, strengthening oversight of commercial driving schools and giving DHSMV and county tax collectors more enforcement tools; CS/SB 656, formally codifying the Internet Crimes Against Children Task Force within FDLE and renaming the related grant program; and SB 816, establishing the University of Florida Diabetes Institute in statute to support research, treatment, education, and outreach. All were reported favorably with support from law enforcement, advocacy groups, and institutional representatives. At the end of the meeting, senators requested to be recorded on specific bills, and the committee adjourned without further business.

Transcript Highlights:

• And I've used the term elderly. I think aging population is the correct terminology? Okay.
• elderly elderly uh<00:29:45.200><c> developmentally</c><00:29:46.000><c> disabled</c><00:29:46.480><
• </c><00:29:53.520><c> I</c> I I have I've used the term elderly.
• I I I have I've used the term elderly.
• </c> adding the word shift, changing elderly adding the word shift, changing elderly to<00:41:31.920>

Summary: The committee approved the previous meeting minutes and then reviewed a draft preliminary report on long-term managed care. The chair explained the report is intended to frame issues and outline legislative options, not make a final recommendation, especially given unresolved questions about the federal One Big Beautiful Bill (OB3). The report’s key issues included the current financing of county and private nursing homes through Medicaid rates, ProShare, MQUIP, and related funding mechanisms, and the concern that those payments could be affected or eliminated under a managed care model. Members also discussed managed care organizations’ role in Medicaid and cited other states’ experiences, noting examples of savings in Florida and Tennessee but higher costs in California. One member raised Indiana as another important comparison, and the committee agreed to add it to the report’s state examples. The committee also reviewed sections on dual eligibility, D-SNP, PACE, and CFI waivers. The chair raised concerns about whether OB3 creates incentives for states to move toward D-SNP and whether federal changes could affect provider taxes, state-directed payments, and intergovernmental transfers. Henry Litman, the state Medicaid director, said he would confirm details on D-SNP incentives and explained that ProShare is based on certified public expenditure rather than an IGT, while county cap financing is the relevant intergovernmental transfer issue. He said IGTs are not going away and that the main risk is whether current financing mechanisms could be preserved if the state later changed course. Members discussed the possibility of a waiver not being granted or renewed and the high fiscal impact that could have on counties and property taxes. The committee then discussed the population that any long-term managed care model should cover. Members agreed that there is no appetite to move developmental disability or acquired brain disorder populations into long-term managed care at this time, and the chair changed the report’s terminology from “elderly” to “aging population.” The chair also noted that the status quo option should reflect the recent shift toward home and community-based services and reduced nursing home utilization since earlier county reports. The report’s four policy options were summarized as: maintain the status quo; pursue D-SNP for dual eligibles, with DHHS potentially submitting an application as early as 2027; adopt an HCBS carveout; or move fully to managed care for the aging population. No final policy recommendation was made, and the committee discussed making edits to the draft before circulation, including adding Indiana, clarifying OB3-related issues, and changing the report title from “final” to “preliminary” or “interim.”

Transcript Highlights:

• and Community Relations, who The Dodgers Vice President of Government Affairs and Community Relations
• , Senior Vice President and General Counsel, who oversees all aspects of the organization's legal affairs
• Weissman, Public Relations, Los Angeles Dodgers, and Lisbeth Luna, Senior Coordinator for Government Affairs
• years, when I was a commissioner for the County of Los Angeles and handling military and veterans affairs
• It exempts age-restricted units, such as residential care facilities for the elderly, from the general

Summary: The Senate session opened with a roll call, prayer, and Pledge of Allegiance, then moved through a long series of floor recognitions and votes. Members spent substantial time honoring the Los Angeles Dodgers, celebrating their back-to-back World Series championship and highlighting the team’s history, community role, and connections to Jackie Robinson, Fernando Valenzuela, Vin Scully, and Jaime Jarrín. Senators also recognized summer interns and welcomed members of Kappa Alpha Psi’s Kappa League and Guide Right program to the floor. The chamber then took up several measures, beginning with AB 182 on ballot order and proposition numbering for the 2026 statewide ballot, which passed 38-8 after debate over whether placing legislatively referred measures first was fair. SR 113, commemorating the International Day of Peace and honoring Dr. Yongshik Cho’s role in proposing it, passed unanimously after supportive remarks about peace, education, and California’s diversity. The Senate also adopted SJR 16 urging Congress to restore commercial driver’s licenses for affected California truck drivers, and SCR 185 designating Probation Services Week. A major portion of the meeting was devoted to budget trailer bills. The Senate concurred in Assembly amendments to AB 112, AB 150, AB 152, AB 181, and AB 179, covering Medi-Cal, child care, human services, education governance, and housing. It also passed or concurred in SB 168, SB 169, SB 170, SB 171, SB 172, SB 174, SB 177, and SB 180, addressing public resources and energy, transportation, executive branch reorganization, labor, state government, courts, Medi-Cal financing, and taxation. Several of these drew opposition centered on energy costs, transparency, business impacts, or the proposed “fair share” approach to Medi-Cal costs for large corporations, but most measures passed on party-line or near-party-line votes. The Senate also confirmed three California Horse Racing Board appointments and ended with adjournment motions, including a request to adjourn in memory of Francis Lydia Limos of American Canyon.

Transcript Highlights:

• Senate Bill 643 in election law and municipal affairs by Senator Avard from the Committee on Finance,
• Senate Bill 643 in election law and municipal affairs by Senator Avard from the Committee on Finance,
• For those reasons, the Election Law and Municipal Affairs Committee recommends ought to pass on House
• to which was referred to House Affairs to which was referred to House Bill<00:37:02.880><c> 323,</c>
• </c><05:24:46.958><c> person</c> an elderly person an elderly person collapsed. collapsed. collapsed.

Transcript Highlights:

• you're right, I have Assembly Chair Savo, who is the chair of the Assembly Military and Veterans Affairs
• Department of Veterans Affairs.
• I'm the Deputy Secretary of Veteran Services at the California Department of Veteran Affairs.
• Department of Veterans Affairs regional offices.
• We're the committee to handle military and veterans affairs with the Assembly and the Senate.

Summary: The joint informational hearing focused on the role of County Veterans Service Officers (CVSOs), CalVet’s support for them, and the growing problem of for-profit, unaccredited claims companies. Committee leaders and witnesses emphasized that CVSOs are often the first point of contact for veterans and their families, helping with disability claims, education benefits, survivor benefits, housing, health care, and other wraparound services. Testimony highlighted the return on investment from CVSO work, with witnesses citing hundreds of millions in new federal benefits secured for California veterans and arguing that current state funding is too low relative to the workload and need. County representatives from Nevada, Los Angeles, and San Luis Obispo described local models of service. Los Angeles County highlighted a “no wrong door” approach, peer navigators, suicide review work, justice-involved veteran services, and homelessness coordination, while San Luis Obispo described rural outreach, mental health partnerships, and high suicide rates in its county. Nevada County stressed that smaller counties can be disadvantaged by workload-based formulas and that additional funding would expand access, especially in rural areas. Several witnesses said veterans often need more than claims help and should be connected to mental health, employment, food, and family supports. Much of the discussion centered on predatory claims consultants, which witnesses said charge veterans for services that accredited CVSOs provide free. Members and witnesses described cases involving requests for VA and banking logins, misleading advertising, and contracts that can take a percentage of veterans’ benefits. Committee members expressed support for legislation to curb these practices and for increased funding for CVSOs, including the Legislature’s intent to fund 50% of county veterans’ services operations. A CalVet deputy secretary also testified that California’s accreditation and training system improves claim quality and appeal outcomes, and that CalVet works with CVSOs through training, district offices, and appeals representation.

Transcript Highlights:

• It strengthens the Department of Elderly Affairs oversight of AAAs, including corrective action, monitoring

Transcript Highlights:

• In other words, are the elderly folks and those with disabilities who are in long-term care receiving
• I highlight Scott Nelson, who is the director of our legislative and policy affairs office.

Summary: The committee meeting began with a brief explanation of the renamed Joint Legislative Audit Review Committee subcommittee, now called the Committee to Hear SAO Performance Audits, and a presentation from the State Auditor’s Office on its current biennium performance audit work plan. The auditor described how topics are selected from a large pool of potential audits and highlighted several ongoing or planned audits, including the Liquor and Cannabis Board, oversight of authorized entities serving students with disabilities, the Quality Home Care Initiative, Medicaid managed care versus fee-for-service costs, the Housing Commission tenant ownership follow-up, DSHS vendor payment patterns, implementation of the Since Time Memorial curriculum, and the Washington State ferry system. Members asked about coordination with JLARC to avoid duplication, and the auditor said the offices exchange work plans, monthly updates, and quarterly coordination meetings. The committee then heard the State Auditor’s performance audit on how charter schools identify and support at-risk students. Auditors reviewed four charter schools—Catalyst Public Schools, Innovation High School, Pinnacles Prep, and Rainier Prep—and focused on English language learners, homeless students, and special education students. The audit found the schools met nearly all legal requirements reviewed, with only one area where two schools partially met a language-access requirement. The schools also used several promising practices, including small-group instruction, culturally responsive environments, and multi-tiered systems of support, though the auditors recommended better documentation of procedures to improve consistency. Families interviewed generally reported positive experiences, while noting resource constraints. Committee members asked about how the four schools were selected, whether the audit compared charter populations to home districts, and how MTSS requirements applied to the schools reviewed. The State Auditor’s Office said the sample was chosen for geographic diversity, student population characteristics, and representation from both authorizers, and that K-2 MTSS requirements were not evaluated because they applied to only one school. Representatives from the Charter School Commission and charter school advocates responded positively, emphasizing technical assistance, collaboration, and sharing best practices across schools. Two public testifiers also supported the report and said it highlighted effective practices that could be expanded across charter and traditional public schools.

Transcript Highlights:

• Scammers targeting the elderly and vulnerable often instruct victims... ...victims to send money through
• My question is, there were several bills that were before the Affairs Committee that were moving and

Bills: HB 11 , HB 12 , HB21 , HB26 , HB30 , HB33 , HB37 , HB45 , HB210 , HB303 , HB630 , HB879 , HB 1041 , HB 1188 , HB 1261 , HB1318 , HB1465 , HB1535 , HB1593 , HB1778 , HB2559 , HB2596 , HB2692 , HB2703 , HB2712 , HB2742 , HB2809 , HB2890 , HB3012 , HB3526 , HB5061 , HB5092 , HB5238 , HCR92 , SB203 , SB317 , SB393 , SB397 , SB644 , SB731 , SB801 , SB867 , SB913 , SB1071 , SB1073 , SB1086 , SB1087 , SB1250 , SB1310 , SB1359 , SB1444 , SB1483 , SB1705 , SB1782 , SB1861 , SB1897 , SB1944 , SB2023 , SB2043 , SB2082 , SB2133 , SB2215 , SB2309 , SB2497 , SB2532 , SB2549 , SB2566 , SB2617 , SB2639 , SB2696 , SB2717 , SB2747 , SB2751 , SB2790 , SB2797 , SB2799 , SB2841 , SB2850 , SB2857 , SB2891 , SB2919 , SB2928 , SB2994 , SB3051 , SJR34 , SB529 , SB541 , SB693 , SB963 , SB1968 , SB2308 , SB2544 , SB1173 , SB1646 , SB1734 , SB1833 , SB1 , SB17 , SB260 , SB509 , SB1506 , SB1637 , HB1393 , HB2559 , HB26 , HB3012 , HB1593 , HB2607 , HB3526 , HB3810 , HB388 , HB879 , HB 12 , HB2703 , HB30 , HB2712 , HB2692 , HB1633 , HB1318 , HB685 , HB630 , HB4753 , HB2742 , HB303 , HB198 , HB1535 , HB762 , HB148 , HB1520 , HB5061 , HB2286 , HB1606 , HB 1041 , HB132 , HB 11 , HB45 , HB48 , HB 1261 , HB1465 , HB1778 , HB2596 , HB5238 , HB33 , HB 1188 , HB210 , HB 1022 , HB1458 , HB5560 , HB 1240 , HB1950 , HB2027 , HB2768 , HB2788 , HB2791 , HB3146 , HB3698 , HB3699 , HB1893 , HB3700 , HB4850 , HB4187 , HB1397 , HB4885 , HB4804 , HB3751 , HB3611 , HB2775 , HB2061 , HB2003 , HB1729 , HB 1242 , HB791 , HB2029 , HB647 , HB2522 , HB4738 , HB3033 , HB3594 , HB3474 , HB2563 , HB2802 , HCR90 , SJR36 , SJR50 , SJR63 , SCR12 , SCR39 , SB2023 , SB128 , SB2043 , SB62 , SB666 , SB847 , SB284 , SB854 , SB810 , SB1505 , SB583 , SB507 , SB1434 , SB1772 , SB2016 , SB1122 , SB731 , SB397 , SB508 , SB1436 , SB287 , SB1882 , SB393 , SB1791 , SB209 , SB2429 , SB511 , SB2309 , SB1085 , SB1975 , SB2717 , SB1262 , SB636 , SB2056 , SB884 , SB1200 , SB1845 , SB2458 , SB801 , SB3014 , SB3013 , SB758 , SB2797 , SB2076 , SB2876 , SB1640 , SB1449 , SB1181 , SB1234 , SB2926 , SB2841 , SB1528 , SB2891 , SB1854 , SB317 , SB1250 , SB2082 , SB1237 , SB2819 , SB629 , SB2608 , SB1602 , SB2009 , SB867 , SB640 , SB1698 , SB2680 , SB2994 , SB913 , SB1071 , SB1086 , SB1087 , SB1483 , SB1444 , SB1553 , SB1556 , SB1703 , SB2133 , SB2297 , SB2298 , SB2622 , SB2955 , SB2334 , SB1861 , SB1367 , SB2044 , SB2363 , SB2565 , SB1888 , SB3036 , SB3057 , SB3043 , SB3063 , SB3035 , SB203 , SB2799 , SB2688 , SB2522 , SB2639 , SB2459 , SB2655 , SB2251 , SB1884 , SB2617 , SB2928 , SB2566 , SB1897 , SB1749 , SB2549 , SB2553 , SB2919 , SB1782 , SB1705 , SB2696 , SB1944 , SB2215 , SB1232 , SB2850 , SB2969 , SB2497 , SB1798 , SB2603 , SB2607 , SB781 , HB34 , HB 128 , HB 130 , HB581 , HB668 , HB677 , HB766 , HB2259 , HB2960 , HB2358 , HB2894 , HB4384 , HB2663 , HB748 , HB793 , HB 1193 , HB1734 , HB2340 , HB2350 , HB3104 , HB5180 , HB4739 , HB1584 , HB4344 , HB4238 , HB4219 , HB3806 , HB3805 , HB3804 , HB3803 , HB3229 , HB3228 , HB1922 , HB1522 , HB431 , HB3597 , HB1612 , HB4224 , HB754 , HB1314 , HB2254 , HB2789 , HB3560 , HB4643 , HB 1237 , HCR98 , SB3070 , SB835 , SB524 , SB2233 , SB2683

Transcript Highlights:

• GOOD MORNING MEMBERS AND WELCOME EVERYONE TO THE FIRST MEETING OF THE COMMITTEE ON COMMUNITY AFFAIRS.
• THE ELDERLY COMPONENTS.

Transcript Highlights:

• The main purpose of this bill is to encourage cross-reporting where elderly, child, and/or companion
• I share all of that with you to say there's a direct correlation between child abuse and elderly abuse
• animal cruelty as well, as well as animal abuse investigators the knowledge to understand child and elderly
• On children and elderly, which I like, I like that too.
• know, going to houses with elderly who've taken in large number of cats.

Committee: House Special Committee on Urban Issues

Summary: The Special Committee on Urban Issues held a public hearing on House Bill 2292, sponsored by Rep. Holly Jones, which would require cross-reporting and training between child/elder abuse systems and animal welfare personnel. Jones said the bill is intended to help identify abuse earlier by training investigators to recognize signs of abuse in both people and companion animals, and she announced planned amendments to narrow the definition of animal to dogs, cats, rabbits, and birds and to extend training time from one hour to one and a half hours. She emphasized the bill is focused on companion animals, not livestock, and said it would use existing agencies rather than create a new department. The committee heard questions about the definition of companion animal and the scope of the bill. Supporters included Humane World for Animals, the Jackson County Prosecutor’s Office, the Missouri Alliance for Animal Legislation, the Missouri Animal Control Association, the Animal Legal Defense Fund, Wayside Waifs, and the St. Louis County Police Association. They argued that animal abuse is closely linked to child, elder, and domestic abuse, that animal control officers and humane investigators often see warning signs first, and that cross-reporting would improve early intervention and save lives. Several witnesses described cases where animal abuse coincided with child abuse or other violence, and some said current reporting systems are inconsistent or delayed. One witness also said the training could be provided at low cost through existing mechanisms. Opponents, including the Missouri Pet Breeders Association, Missouri Cattleman’s Association, Missouri Federation of Animal Owners, and Missouri Animal Husbandry Association, raised concerns about the bill’s wording, possible inclusion of commercial breeders or livestock-related issues, and the role of humane investigators. They argued that animal abuse is already reported to law enforcement, that the bill could create confusion about authority or access to private property, and that it could impose costs and training burdens on agencies already stretched thin. Some rural witnesses said they wanted any investigations to remain with law enforcement and the Department of Agriculture, not animal welfare groups. The hearing ended without a vote or other action on the bill.

Transcript Highlights:

• years, delivering primary care, home health, and, through our Program of All-Inclusive Care for the Elderly
• As a nurse, I've seen how critical this is, especially for elderly or homebound patients.
• My name is Adam Delmolino, and I am the Senior Director of Virtual Care and Clinical Affairs here at
• My name is Adam Del Molino, and I am the Senior Director of Virtual Care and Clinical Affairs here at

Committee: Joint Joint Committee on Financial Services

Summary: The committee held a public hearing with testimony on several health care bills, with most of the discussion focused on primary care access, community health center reimbursement, midwifery and birth centers, telehealth, hospital-at-home, direct primary care, and trans-inclusive health care access. Chair Feeney and Chair Murphy opened by noting the large number of signups and asking testifiers to keep remarks brief because of time constraints. Legislators and witnesses repeatedly emphasized that Massachusetts’ primary care system is under strain and that federal policy changes and reimbursement gaps are worsening financial pressure on providers. On community health centers, Representative Blay, Senator Lovely, Michael Curry, Bethany Keeley, Jag Deep Trevetti, Sean Cahill, and Christina Severin all supported H. 1096/S. 711, which would require commercial insurers to pay federally qualified health centers at least the MassHealth prospective payment system rate. They argued that commercial plans currently reimburse health centers below Medicaid rates, threatening sustainability, staffing, and access, especially as federal cuts and coverage losses could increase uncompensated care. Testifiers said the bill would stabilize health centers, protect primary care access, and not cost the state money. A second major topic was H. 1117/S. 784 on sustaining birth centers and the midwifery workforce. Senator Lovely, Senator Miranda, Emily Anesta, Rebecca Orden, Catherine Rushworth, Nishira Burrill, Joel Sutherland, Rachel Blessington, Joelle Ward, and others described the 2024 maternal health omnibus as an important first step, but said birth centers and midwives still face low reimbursement, workforce shortages, and financial instability. They urged reimbursement parity, a workforce development fund, and support for freestanding birth centers, citing improved outcomes, lower C-section rates, better patient experience, and racial equity in maternal health. Several speakers shared personal birth stories and said the bill would help preserve and expand birth options in communities like Roxbury, Worcester, and the North Shore. The committee also heard support for H. 1343 on direct primary care from Dr. Garofalo, Dr. Altman, Dr. Nair, Stephanie Cameron, Dr. Haley Moke-Blessed, and others, who said current insurance rules force patients to use a separate in-network primary care doctor for referrals and sometimes prevent physicians from dispensing medications. They argued the bill would reduce delays, administrative burden, and costs while improving continuity of care. In addition, Dr. Miklides and Sue Stempeck supported H. 1141 on hospital-at-home parity, saying the model has strong outcomes and should be reimbursed at the same rate as brick-and-mortar hospital care. Heather Myers and Katrina Cook testified on telehealth and digital health equity, urging broader coverage for asynchronous care, remote monitoring, interpreter services, and digital literacy supports. SEIU Local 509 supported H. 1188/S. 681 on trans-inclusive health care access, saying it would remove arbitrary insurance barriers to gender-affirming care. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• They're injuring elderly people that we all, our colleagues, also see in the emergency room, so I just
• other people on these devices as well their level of awareness is decreased too they're injuring elderly
• I'm senior manager of government affairs at AAA Northeast, and I'm here to speak in support of Senate
• We strongly recommend that the legislature consider working with the Office of Consumer Affairs and Business

Committee: Joint Joint Committee on Transportation

Summary: The Joint Committee on Transportation held a hearing on the governor’s Ride Safe Act (S 3077), a micromobility bill based on recommendations from last year’s Special Commission on Micromobility. Administration witnesses from MassDOT and the MBTA said the bill is needed because current laws are outdated and inconsistent, and they emphasized a new speed-based framework that would classify devices by maximum speed rather than by device name. They said the bill would set statewide rules, clarify enforcement, require safety equipment and age limits, restrict unsafe modifications, improve crash-data collection, and create a working group to address future issues such as registration, licensure, insurance, and emerging technologies. Committee members asked about crash reporting, battery safety, enforcement on shared-use paths, commuter rail access, and how the bill would apply to off-road vehicles. Several witnesses and legislators supported the bill’s general approach but raised concerns about whether the speed tiers should be tied more directly to actual operating speed on paths, whether higher-speed devices should be registered, and how police would distinguish between similar-looking devices. Representative and commission witnesses also urged more funding for Complete Streets and Shared Streets and Spaces, and some suggested adding default speed limits on shared-use paths and automated enforcement tools. Public testimony was mixed. Pediatric emergency physicians strongly supported the bill but urged amendments for a minimum age to operate powered devices and a universal helmet requirement, citing rising severe injuries and deaths among children. A police chief and other safety advocates backed clearer rules and better data collection, while some moped riders objected that the bill would treat low-speed gas mopeds too harshly and should better account for mopeds as vulnerable road users. UL Standards and AAA supported the bill’s safety and clarity goals, with UL recommending tighter language on battery certification and equivalent standards. No vote was taken at the hearing.

Transcript Highlights:

• Like many island families, I have elderly loved ones who require regular off-island medical care.
• Like many island families, I have elderly loved ones who require regular off-island medical care.
• Chair Liias, members of the committee, John Trinner, Government Affairs Director, Washington State Labor
• My name is Seamus Nolan, Director of Commercial and Government Affairs at Switch Maritime.

Bills: HB2604 , HB2436 , SB6354 , SB6352

Committee: Senate Transportation

Keywords: vehicle ownership, insurance, title transfer, consumer protection, motor vehicle, oil tanker, tank vessel, restricted waters, Puget Sound, San Juan Islands, Rosario Strait, Admiralty Inlet, Discovery Island, New Dungeness, tug escort, pilotage, marine safety, spill prevention, oil transport, petroleum shipment

Transcript Highlights:

• I'm a part of our undergraduate student government as the Director of Government Affairs.
• For the record, Brandy Patron with Gibbon Schwartz Public Affairs on behalf of the Arizona Association
• It provides enriched oxygen to the brain to help the elderly overcome problems they may be having.
• It provides enriched oxygen to the brain to help the elderly overcome problems they may be having.

Committee: Senate Senate Health and Human Services COR

Summary: The committee heard a series of bills and public testimony, beginning with introductions and then taking up several health and human services measures. A major focus was SB 1120 and SB 1121, which address radiation protection in cardiac catheterization and other ionizing-radiation procedure rooms. SB 1120 would require health care facilities to equip at least 50% of procedure rooms with radiation protection systems by July 1, 2027, while SB 1121 would prohibit requiring lead aprons in rooms with such systems and instead require real-time dosimeters for staff who opt out of lead aprons. Physicians, nurses, and a hospital executive testified that enhanced radiation protection systems can dramatically reduce occupational exposure, lower cancer and orthopedic risks, and help with workforce recruitment and retention; a hospital alliance remained neutral pending further stakeholder discussions. Both bills were amended and passed out of committee on 7-0 votes, and SB 1118, which appropriates state funds for a rural hospital grant program to install radiation protection systems, also passed 7-0. The committee also approved SB 1001, which appropriates $1 million to the Department of Economic Security for the Older Individuals Who Are Blind program, after testimony from blind and low-vision Arizonans and advocates describing long waitlists, the need for independent living training, and the program’s role in preventing unnecessary dependence. SB 1072, a major funding bill for home- and community-based services and room-and-board rate increases for individuals with intellectual and developmental disabilities, drew testimony from providers about severe staffing shortages, overtime, turnover, and underfunding; it passed 6-0 with one not voting. SB 1125, requiring DCS to pursue MOUs with tribes and improve tribal communication and access to licensing and enforcement information, also passed 6-0 with one not voting. The committee then considered SB 1123, which removes a board-certification requirement so trained forensic pathologists can supervise autopsy training for residents and fellows; Maricopa County supported it as a workforce and training fix, and it passed 6-0 with one not voting. SB 1052, allowing mild hyperbaric oxygen therapy in assisted living facilities under physician order and DHS rules, generated mixed testimony: supporters argued it could improve health and independence for residents, while opponents raised concerns about off-label treatment in nonmedical settings. The bill passed 5-2. SB 1112, which reduces the number of acquaintance witnesses required in court-ordered treatment proceedings from two to one and allows the court to waive the witness requirement under certain conditions, drew strong testimony from families and mental health advocates on both sides; it passed 5-2. The committee also began hearing SB 1113, which would allow certain service of process in court-ordered evaluation and treatment cases by evaluation-agency employees or other court-authorized persons, but the transcript cuts off before final action on that bill.

Transcript Highlights:

• Southern California, and that includes the Spanish-speaking community as well as blind children, the elderly
• Southern California and that includes the Spanish speaking community as well as blind children, the elderly
• My name is Nathan Evans, and I serve as the Deputy Vice Chancellor for Academic and Student Affairs and
• I serve as the Deputy Vice Chancellor for Academic and Student Affairs and Chief Academic Officer at

Summary: The Assembly Budget Subcommittee on Education Finance met to review CSU and State Library budget issues, enrollment trends, the Capital Fellows program, and a Title IX update. Chair David Alvarez opened by stressing that CSU faces serious financial pressure, including a systemwide deficit and proposed cuts that he and several members said were too large and likely to harm access, course offerings, and student services. Public comment focused heavily on the Braille Institute Library, with patrons, staff, veterans, and advocates urging restoration of funding and warning that the proposed cut would severely affect blind and visually impaired Californians across Southern California. Several CSU faculty, staff, and union representatives also opposed the proposed reductions and warned of larger class sizes, fewer sections, and layoffs. On the CSU core operations item, the Department of Finance explained the Governor’s proposal to reduce ongoing General Fund support by about $375 million and defer a 5% base increase, while the LAO said CSU core funding would be roughly flat once tuition and targeted augmentations were considered, but warned that rising costs and prior shortfalls would still force campuses to cut spending. CSU’s Chancellor’s Office said the proposed cut would deepen existing problems, citing prior-year budget gaps, job losses, reduced course sections, and student-service reductions. Members pressed Finance and the LAO on whether cuts could be made more surgically, especially at the Chancellor’s Office or in institutional support rather than in instruction, and the LAO said the Legislature has flexibility to target cuts more specifically. CSU also described ongoing consolidation efforts, including shared services among campuses and the planned Cal Maritime/Cal Poly San Luis Obispo integration, while cautioning that savings are not yet fully known. The committee then discussed CSU enrollment. The LAO recommended holding enrollment targets flat because the budget does not add new funding, while CSU reported strong recent growth, including more California residents, record first-year enrollment, and expanded direct admissions and transfer pathways. Members questioned why some campuses with high demand turn away many applicants while others continue to lose enrollment, and CSU said it is shifting resources from campuses with sustained declines to those with demand, using a 10% below-target threshold. The committee also discussed whether enrollment declines mirror local population trends, how to improve marketing and program alignment, and whether lessons from Cal Poly Humboldt’s conversion could inform other campuses such as Sonoma State. The Capital Fellows item drew a Finance proposal for a salary increase and an LAO counterproposal for a smaller raise plus future COLA language; the committee kept the item open. Finally, CSU reported progress on Title IX compliance, saying it has completed most State Auditor recommendations, expanded civil rights staffing, and increased training, prevention, and case-management efforts, though members asked how proposed budget cuts might affect those services.