Transcript Highlights:

• Yeah, that's the act that protects pharmaceutical companies from being sued for adverse... ...that protects
• pharmaceutical companies from being sued for adverse reactions and side effects that should have been

Summary: The Senate convened with prayer, the Pledge of Allegiance, and a recorded roll call showing 28 present, 0 absent, and 2 excused. The chamber approved the journal and then took up several motions to reconsider or return bills, including requests to return HB 2035 and HB 2249 to the House and to reconsider HB 2192. The Senate then moved into Committee of the Whole for calendar items. In Committee of the Whole, members considered HB 2248, a public health mandates bill; HB 2313, concerning school employee/teacher strike and remote instruction issues; HB 2379, relating to school district governing board training; HB 2380, relating to school district board meetings and expenditures; and HB 2720, relating to prostitution assessments and the anti-human trafficking fund. HB 2248 drew the most debate over whether it would prohibit schools, employers, and medical facilities from requiring medical interventions such as vaccines; an amendment narrowing the definition of medical intervention was adopted, and the bill advanced. HB 2379 and HB 2380 both received committee and floor amendments focused on school board training and livestreaming/meeting transparency requirements, and HB 2313 and HB 2720 also advanced. The Committee of the Whole reported all four bills as do pass, with HB 2248, HB 2379, and HB 2380 as amended. The Senate then adopted the Committee of the Whole report after defeating an amendment that would have changed the HB 2248 recommendation to fail. The chamber next considered HCM 2001 and HCM 2002, memorials urging federal terrorist designations for the Muslim Brotherhood and CAIR, and HCR 2047, recognizing Judea and Samaria; all three passed despite strong opposition speeches criticizing them as targeting Muslim communities or advancing religious/political messaging. The Senate also passed HB 2118 on mobile food vendors, HCM 2009 on mineral access and federal land withdrawals, HCR 2015 on school physical activity and dietary guidelines, HCR 2020 on housing outside designated provider service areas with assured water supply, and HCR 2057 supporting next-generation geothermal energy. Finally, the Senate passed HB 2248, HB 2379, and HB 2380 on third reading, approved the House’s request to adjourn, and adjourned until April 21, 2026.

Transcript Highlights:

• Yeah, that's the act that protects pharmaceutical companies from being sued for adverse... ...that protects
• pharmaceutical companies from being sued for adverse reactions and side effects that should have been

Keywords: 1182, all

Transcript Highlights:

• The cost of pharmaceutical drugs alone continues to be one of the largest areas of cost growth, which
• In this particular amendment, Neighbor Health has offered a pharmaceutical tech program for local high

Summary: The Senate considered a supplemental appropriations bill and a series of amendments focused on education, health, transportation, and tax administration. Senator Kennedy spoke in support of increasing funding for DTA caseworkers to improve SNAP access and reduce errors, citing food insecurity and staffing shortages, but then withdrew the amendment by unanimous consent. Senator O’Connor’s amendment providing $500,000 for Free Period to supply menstrual products in public schools was adopted, as was Senator Miranda’s $1 million METCO transportation and student support amendment. Senator Collins withdrew an amendment to extend paid family and medical leave and unemployment insurance to graduate student workers. Other adopted amendments included funding for Bridgewater Middle School water filtration, Randolph High School restroom improvements, Uffum’s Corner Health Center, and NeighborHealth’s student pharmacy technician program. Several amendments were debated and rejected after standing votes. Senator Tarr proposed oversight and reporting requirements for the Group Insurance Commission and the MBTA deficiency fund, as well as a 90-day notice requirement for tax-code decoupling with major fiscal impacts; all were opposed and not adopted. Senator Rodrigues and Senator Crighton argued that the GIC and MBTA already have oversight mechanisms and need flexibility, while Tarr argued the measures would improve transparency and fiscal discipline. Senator DiDomenico withdrew a Chapter 70 education funding amendment after speaking about declining enrollment, school funding losses, and the need to protect gateway city districts; he also used the opportunity to reaffirm support for gender-affirming care funding. Senators Collins and others echoed concerns about school funding inequities and the need for future action. The Senate also adopted a motion to adjourn in memory of Arthur H. Tobin, a former Quincy mayor, state representative, state senator, and longtime clerk magistrate of Quincy District Court, with a detailed tribute to his public service and military record. After all amendments were resolved, the Senate substituted the new draft, ordered the bill to a third reading, and then passed House No. 5280 to be engrossed by a roll call vote of 35-4. The chamber then agreed to adjourn until the following Monday at 11 a.m., with the clerk directed not to print a calendar.

Transcript Highlights:

• Corrections pharmacy intended for purchasing pharmacist... ...pharmacy intended for purchasing pharmaceuticals
• President, that would actually establish a state pharmaceutical distribution facility or state pharmacy

Summary: The Senate opened with roll call, the pledge, prayer, and recognition of guests from the Sikh Coalition and Kalsa Gramath Center. Members then approved the journal and moved through committee reports and resolutions, including Senate Resolution 8678 honoring the Chimicum High School Marching Band for being selected to represent Washington in the 2026 National Independence Day Parade in Washington, D.C. The resolution was adopted unanimously, and the band and its supporters were recognized in the gallery. The chamber then confirmed two gubernatorial appointments to major health agencies. Ryan Moran was confirmed as Director of the Health Care Authority by a 49-0 vote, with supporters citing his Medicaid and health system experience and ability to provide stable leadership. Dennis Worsham was also confirmed as Secretary of Health by a 49-0 vote, with senators highlighting his long public health career, statewide outreach, and work on HIV/AIDS and community health. On legislation, the Senate passed Senate Bill 6011, expanding Court of Appeals bailiff authority to conduct threat assessments, and Senate Bill 5831, creating the Uniform Mortgage Modification Act. Senate Bill 6188, which expands Labor and Industries’ authority to update asbestos training and certification rules, passed 38-19 after an amendment to limit the bill to federal standards was rejected. Substitute Senate Bill 5917, concerning access to abortion medications through the Department of Corrections pharmacy, passed 32-17 after several Republican amendments were defeated. The Senate also passed In Gross Senate Bill 6024 on developmental disability services confidentiality and Substitute Senate Bill 6091 on prohibiting real estate brokers from marketing residential properties in exclusive private listings. Finally, Substitute Senate Bill 5840, adjusting campaign finance expenditure reporting deadlines, passed 46-3. After completing the day’s business, the Senate recessed for caucus and lunch until 1:15 p.m.

Transcript Highlights:

• The USDA has approved two different pharmaceuticals that can be used to treat the screwworm when it comes
• With regards to the pharmaceuticals, the commodities they consume, and even all the way through the packing

Committee: House International Trade

Keywords: 1182, all

Transcript Highlights:

• I am curious, and I just wanted to, before this meeting got over, obviously there's been new pharmaceutical

Committee: All ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE

Summary: The State Insurance Programs Oversight Subcommittee met to review and approve several State Board of Finance actions related to employee benefits and pharmacy coverage. Grant Wallace, Director of the Employee Benefits Division and Office of Property Risk, presented a $280,000 Boston Consulting Group contract to help develop a third-party administration RFP, and the committee approved it. The committee then considered pharmacy formulary recommendations for December 2025, January 2026, and February 2026, along with February 2026 medical drug recommendations. Across the formulary items, Wallace explained that some drugs were being removed from prior authorization requirements, some were being updated to reflect FDA guidance or dosage changes, and others were being left not covered because lower-cost alternatives already exist or clinical evidence was insufficient. Notable changes included removing Skyrizi and Renvoke from the pharmacy formulary in favor of lower-cost biosimilars, adding certain generics, and adding a subcutaneous version of Keytruda for faster administration. The committee approved each set of recommendations by motion and voice vote. Members also raised broader questions about the impact of new drug-pricing programs such as Trump RX, Cost Plus, and other manufacturer discount efforts, as well as concerns about PBM oversight and whether Navitus is complying with state law. Wallace said the department is still studying those issues and working with Navitus to assess pricing opportunities and compliance. Senator Boyd also asked about whether affiliated pharmacies are being paid more than independent pharmacies, noting he had not received a prior response; Wallace was asked to follow up. The meeting concluded with no further business and adjournment.

Transcript Highlights:

• Section 5 revises the Kentucky Medicaid pharmaceutical rebate fund, locating it in the Cabinet for Health

Keywords: Meeting Start 00:00:00 Roll Call 00:00:00 HB 695 Discussion 00:00:25 HB 695 Vote 00:03:50, 958, all

Summary: The Appropriations and Revenue Committee met to consider House Bill 695 and first adopted a committee substitute. The substitute made a number of Medicaid-related changes, including adding the Medicaid Oversight Advisory Board, exempting federally required Medicaid changes from needing separate General Assembly authorization, revising the treatment of University Hospitals payment programs, clarifying that the community engagement program is mandatory, moving the Medicaid pharmaceutical rebate fund to the Cabinet for Health and Family Services, and narrowing reporting requirements. It also removed provisions on Medicaid coverage for psychoeducational services and replaced them with reporting on behavioral health and substance use disorder service utilization and expenditures. The substitute further added language allowing the Medicaid program to be administered through fee-for-service, managed care, or other federally permitted delivery systems, incorporated the Medicaid Oversight and Advisory Bill, authorized a state plan amendment if needed, and made entities that failed to comply with prior Medicaid managed care reporting requirements ineligible for new MCO contracts. It also shifted responsibility for a behavioral health and substance use disorder treatment scorecard from MCOs to the Department for Medicaid Services. The sponsor noted that all language related to long-term managed care in the waiver program had been removed. After the explanation, Senator Richardson moved to adopt the substitute and Senator Nunn seconded. The committee then voted to pass the measure favorably; the transcript reflects a roll call with no nays and the bill reported out with favorable expression.

Transcript Highlights:

• In 2016, I injured recovery from alcohol and prescription pills began to toxify on several pharmaceuticals
• It is because of kratom's ability to take the place of high-profit pharmaceuticals and be used as an
• So beneficial that it cuts into the profits of the pharmaceutical companies, who heavily lobby and influence

Committee: Joint Joint Committee on the Judiciary

Keywords: 995, all

Summary: The hearing covered a wide range of Judiciary Committee bills, with much of the testimony focused on criminal justice, public safety, and civil asset forfeiture reform. Several lawmakers and advocates supported bills to increase penalties or create new offenses related to assaults on sports officials, assaults on transit workers, reckless discharge of firearms, fires and explosives, pill press machines, and drug-induced homicide. Testifiers described rising harassment and violence against youth sports officials and transit workers, as well as the fentanyl overdose crisis and the need for stronger tools to prosecute dealers whose conduct leads to death. Supporters of the sports-official and transit-worker bills emphasized declining referee availability and repeated assaults on commuter rail and MBTA workers. District attorneys also backed bills on reckless firearm discharge and fires/explosives, saying current law does not adequately address dangerous conduct that endangers bystanders. The committee also heard testimony on several proposals related to youth diversion and prison mitigation. Supporters of the youth court justice fund bill said youth courts are peer-led diversion programs with strong compliance and low recidivism, and argued for a stable funding source rather than annual earmarks. A representative from Bridgewater supported a prison mitigation fund for municipalities that host state prisons, saying the costs of public safety and emergency services are not fully covered. On gun policy, testimony split between supporters of a bill to ban in-state manufacture of assault-style rifles for civilian sale and opponents or skeptics of other firearm-related measures, including a bill on collateralizing firearms and a bill to increase penalties for drug trafficking combined with illegal firearm offenses. A major portion of the hearing was devoted to civil asset forfeiture reform. Advocates from the ACLU, CPCS, the Boston Bar Association, the Institute for Justice, and others supported bills to increase the burden of proof, improve transparency and reporting, require counsel, and limit or eliminate the current practice of directing forfeiture proceeds to law enforcement. They argued the current system creates perverse incentives, lacks adequate due process, and is insufficiently transparent. District Attorney Paul Tucker defended current forfeiture practices, saying his office has reporting and oversight, uses the funds for investigations and community programs, and warned that reducing forfeiture revenue would hinder crime fighting. No votes or final committee actions were taken during the hearing; the chairs repeatedly thanked witnesses and indicated the bills would remain under consideration.

Transcript Highlights:

• of Health are implementing some programs they want to put in place on data tracking related to pharmaceutical
• That's especially important, I think, when it comes to pharmaceutical benefits.
• That's especially important, I think, when it comes to pharmaceutical benefits because of the way that

Committee: House Appropriations

Keywords: 965, house, all

Transcript Highlights:

• So my feeling is that they're the big companies, the big pharmaceutical companies, companies that have
• companies do indeed engage in this, and this is a Senate report that’s there in the inset about a pharmaceutical
• One story I heard was about a company that was looking for venture capital to open up a pharmaceutical

Summary: The joint informational hearing examined California’s taxation of multinational corporations, especially the Water’s Edge election versus worldwide combined reporting. Chairs opened by framing the issue as a review of whether current rules fairly and sufficiently tax foreign subsidiary income, given profit shifting concerns, budget pressures, and the long history since Water’s Edge was adopted in the 1980s. The first panel from the Legislative Analyst’s Office and Franchise Tax Board explained the mechanics of unitary taxation, apportionment, and the Water’s Edge election, and provided filing data showing Water’s Edge filers are a small share of returns but account for a large share of corporate tax liability. FTB witnesses said the agency already administers both methods and could handle a shift to mandatory worldwide reporting with education and outreach, though revenue estimates are difficult because foreign affiliate information is not directly available. Committee members asked about foreign government pushback, administrative burden, industries with more profit shifting, revenue uncertainty, and whether companies would leave California. LAO and FTB witnesses said pushback from foreign governments was plausible, but they did not expect major business flight because California’s tax is largely based on sales rather than physical presence. They also said worldwide reporting could reduce profit shifting but might increase revenue volatility and litigation risk. A second panel of academic and tax policy witnesses argued that Water’s Edge is a loophole that rewards aggressive tax planning, that worldwide combined reporting would better capture income tied to California, and that modern federal and international rules such as NCTI/GILTI, CAMT, and Pillar Two reduce compliance concerns and make a return to worldwide reporting more feasible. They also said California’s current system can create selection effects and may under-tax large multinationals. In the next panel, a California Budget and Policy Center witness urged eliminating the Water’s Edge election, calling it a costly loophole that benefits large global corporations over smaller domestic businesses and deprives the state of billions in revenue that could support health care and other services. A Silicon Valley Leadership Group witness gave historical context for why Water’s Edge was adopted and began outlining concerns about compliance, double taxation, and the risk of overreaching beyond income truly connected to California. No bill was voted on or advanced; the hearing was informational only, with members using the testimony to weigh the policy trade-offs and possible transition periods if the Legislature were to change the current rules.

Transcript Highlights:

• So my feeling is that they're the big companies, the big pharmaceutical companies, companies that have
• companies do indeed engage in this, and this is a Senate report that's there in the inset about a pharmaceutical
• One story I heard was about a company that was looking for venture capital to open up a pharmaceutical

Keywords: 988, house, all

Transcript Highlights:

• So my feeling is that they're the big companies, the big pharmaceutical companies, companies that have
• companies do indeed engage in this, and this is a Senate report that's there in the inset about a pharmaceutical
• One story I heard was about a company that was looking for venture capital to open up a pharmaceutical

Summary: The joint informational hearing examined California’s taxation of multinational corporations, especially the state’s water’s-edge election versus worldwide combined reporting. The LAO and Franchise Tax Board explained the basic mechanics of unitary taxation, apportionment, and how water’s-edge generally excludes most foreign subsidiaries while worldwide reporting includes the full unitary group. FTB officials said water’s-edge filers are a small share of corporate filers but account for a large share of tax liability, and they described filing trends, industry mix, and the administrative steps needed to administer either system. Members and witnesses debated the policy trade-offs. Supporters of moving away from water’s-edge argued that it enables profit shifting, especially for large multinational and IP-heavy firms, and that eliminating it could raise significant revenue and improve fairness for smaller domestic businesses. They cited estimates of billions in potential revenue and said California already has the audit and reporting infrastructure to handle worldwide reporting, though some transition time would be needed. Opponents argued that worldwide reporting would tax foreign activity unrelated to California, create double taxation, increase compliance burdens and litigation, and could be difficult for foreign-based multinationals to document. They also warned that some of the revenue estimates are highly uncertain because foreign affiliate income is not directly observable. Committee members asked about foreign government pushback, the risk of companies leaving California, the effect on intellectual property shifting, and whether federal or Supreme Court action could block a change. Witnesses generally said major firms would be unlikely to leave because California taxes sales rather than physical presence, but some costs could be passed on to consumers. The panel also discussed alternatives such as conforming to federal international tax rules like NCTI/GILTI and adding anti-abuse rules. No vote or bill action was taken; the hearing was informational only.

Transcript Highlights:

• I think that they're the big companies, the big pharmaceutical companies, companies that have IP that's
• companies do indeed engage in this, and this is a Senate report that’s there in the inset about a pharmaceutical
• One story I heard was about a company that was looking for venture capital to open up a pharmaceutical

Summary: The joint informational hearing focused on California’s taxation of foreign subsidiaries of U.S. corporations, especially the state’s water’s-edge election versus worldwide combined reporting. Committee members and witnesses discussed how unitary taxation and sales-factor apportionment work, why multinational corporations are a small share of filers but a large share of tax liability, and how foreign income, profit shifting, and double taxation concerns affect policy choices. The Franchise Tax Board explained current filing rules, the seven-year water’s-edge election, and recent filing statistics showing about 21,562 water’s-edge returns in 2023, roughly 6% of C corporation filers but about half of corporate tax liability. The Legislative Analyst’s Office and FTB staff emphasized that revenue effects from eliminating water’s edge are uncertain because foreign affiliate income is not directly observable, and they noted possible revenue volatility and administrative complexity. Several committee members asked about foreign government pushback, the burden on FTB, whether certain industries are more likely to shift profits, and whether companies would leave California; witnesses generally said there was no strong evidence that firms would exit the state because tax liability is driven mainly by California sales. They also discussed how California already administers both methods, how the election can be advantageous or disadvantageous depending on a firm’s facts, and how federal reforms like GILTI/NCTI, CAMT, and OECD Pillar Two may affect the issue. The second panel presented sharply contrasting views. One professor and a tax policy advocate argued that water’s edge creates unfairness, encourages profit shifting, and leaves California with billions in lost revenue, while a Tax Foundation witness argued that mandatory worldwide reporting would tax the wrong income, create double taxation and litigation risk, and impose heavy compliance burdens, especially for foreign-based multinationals. A later panel from the California Budget and Policy Center supported closing the “water’s-edge loophole,” saying it would raise needed revenue for public services and level the playing field between large multinationals and smaller domestic businesses. No vote or formal action was taken; the hearing was informational only.

Transcript Highlights:

• My name is Jeremy Browning, and I represent Otsuka America Pharmaceuticals, and we stand in support of
• And when I mean overall spend, I mean pharmaceutical spend, emergency room, and hospital access.
• zero, what ultimately happens is a large fiscal note that looks at the increase in potential pharmaceutical

Bills: SB1086 , SB1193 , SB1318 , SB1345 , SB1346 , SB1451 , SB1496 , SB1611 , SB1630 , SB1631 , SB1632 , SB1672

Committee: Senate Health and Human Services

Keywords: reimbursement, healthcare, laboratory services, noncontracting providers, Arizona health care cost containment, personal identifying information, PII, privacy, confidential records, public records exemption, commercial disclosure, data privacy, licensure, certification, health professions, health care licensing, Arizona Department of Health Services, ADHS, emergency medical care technician, EMCT

Transcript Highlights:

• Firefighting foam, pharmaceuticals, and paper products have all been proven to be carcinogenic.
• You've got pharmaceutical agents which we know don't break down.
• ...mixed with manufacturing waste, mixed with pharmaceutical waste, mixed with industrial waste.

Bills: HB1341 , HB1674 , HB4028 , SB2321

Committee: House Environmental Regulation

Keywords: hydrogen sulfide, public health, environmental regulation, Texas Commission on Environmental Quality, ground level concentrations, emissions limit, emissions limits, ground-level concentrations, air quality, PFAS, agriculture, environmental protection, health risks, criminal offense, chemical regulation, preproduction plastic, water quality, pollution control, industrial waste, emissions

Transcript Highlights:

• Three hundred and four million dollars for graduate medical education expansion including 71 million.
• The next project is, we call it CPWE, basically it's a community psychiatric workforce expansion basically
• Alito, in relation to the... state hospitals and the expansion of all the various regions and that I
• like the. but the map's very helpful in the expansion versus new.
• And the expansion would cover up to 138% of the federal. poverty level, so again, with this same family

Committee: House Appropriations

Keywords: 1184, house, all

Transcript Highlights:

• accommodate much more than a couple additional beds without considering moving things around or possible expansion
• Many times, though, the pharmaceutical companies will take a product that's a prescription version, go
• Many times, though, the pharmaceutical companies will take a product that's a prescription version, go
• Many times, though, the pharmaceutical companies will take a product that's a prescription version, go
• Many times, though, the pharmaceutical companies will take a product that's a prescription version, go

Committee: House Health, Human Services & Elderly Affairs

Keywords: 1189, house, all

Transcript Highlights:

• point, I just want to say, is there any way we can ask all of our wonderful lobbyists, whether pharmaceutical
• memorial acknowledging the impact of radiation exposure on New Mexico residents, recognizing the expansion
• memorial acknowledging the impact of radiation exposure on New Mexico residents, recognizing the expansion

Bills: HB111 , HJR1 , HB61 , HB8 , HB30 , HB43 , HB156 , HJM2 , HM7 , HM17 , HM4 , HM22 , HM23 , HM24 , HM26 , HM2 , HM16 , HM11 , HM14 , HM21 , HM34 , HM50 , HB70 , SB3 , HJM3

Keywords: water law, state engineer, civil penalty, compliance order, water rights, overdiversion, illegal diversion, groundwater storage and recovery, well license, permit violation, water enforcement, New Mexico water code, irrigation district, conservancy district, water diversion, unauthorized water sales, measuring device, district court appeal, water resources, water compliance

Summary: The House convened for a special American Indian Day celebration, with prayers, flag citations, a Navajo national anthem, and many members introducing tribal leaders, students, veterans, and community guests. Speakers emphasized Native sovereignty, government-to-government relations, cultural preservation, education, and the importance of representation in state government. The Speaker announced plans for a future tribal summit to discuss funding, capital, and policy priorities with tribes and nations. After the celebration, the House received executive messages, including gubernatorial authorization for new bills and notice that House Bill 9 had been signed into law. Committee reports were adopted on several measures, including House Bills 128, 285, 20, 52, 57, 58, 206, 109, 38, 66, 178, 198, 202, 224, 257, 103, and 247, with several health-related bills advanced via committee substitutes and referred onward. The House also adopted House Memorial 32 and enrolled House Bill 50 with a certificate of correction. On the floor, House Joint Resolution 1, as amended, passed 67-0. The resolution would create nominating committees for certain constitutionally named institutions, require no single party majority on those committees, and shift the student regent appointment to an elected student government body; members discussed the one-year party-registration requirement and the timing of implementing legislation. House Bill 8, which creates and funds the Major Capital Projects Fund for higher education projects, was then debated at length over its graduation-rate criteria and waiver provisions, and an amendment was offered to require Higher Education Department waiver findings to be reported to and approved by the State Board of Finance for added oversight.

Transcript Highlights:

• Dawes, relating to developing a strategic plan for the improvement expansion of early learning and educational
• mention that if you are like if there is a direct link and there are examples of those in the pharmaceutical
• And that's part of what you see in California with Proposition 6. is an expansion of plaintiff lawyers

Bills: HB367 , HB497 , HB549 , HB983 , HB 1188 , HB 1290 , HB1368 , HB2243 , HB2310 , HB2849 , HB3099 , HB3546 , HB3629 , HB3627

Committee: House Public Education

Keywords: education, absences, severe illness, life-threatening, school policy, verification, healthcare, insurance, affordability, coverage, patient rights, school health, respiratory distress, airway clearance devices, medication training, public health, HB 983, Texas Education Agency, TEA, educator privacy

Transcript Highlights:

• Let's start with the APS expansion reversal.
• I think this was to expand the expansion of it, which is a great program.
• So the expansion from 2021.
• And so the intention from the administration is to reverse that expansion plan. What?
• On the CFAP Plus expansion to, thank you.

Summary: The committee heard opening budget remarks from the Department of Finance and the Legislative Analyst’s Office on the May Revision for Health and Human Services. Finance said the proposal significantly reduces projected out-year operating deficits through a mix of revenue increases and program cost reductions, while the LAO warned that even with booming revenues the state still faces a structural deficit and should prioritize reserves and avoid new ongoing commitments. The chair and members echoed concern about cuts to vulnerable populations, but also noted the need to maintain the overall level of budget solutions and add to reserves. The hearing then moved through a series of CalHHS and HCAI proposals, mostly held open after presentation. CalHHS requested additional legal support to respond to federal H.R. 1-related issues and a net-zero transfer of positions for a shared eligibility/data-sharing platform. Other items included ongoing funding for the 988 Behavioral Health Crisis Service Fund and a request for EMSA to fund maintenance of its enterprise data management system. HCAI presented proposals for hospital fair pricing implementation, the data exchange framework, the all-payer claims database, CalRx insulin development, the diaper access initiative, distressed hospital grants, opioid settlement fund reversion, and the Rural Health Transformation Program. Members questioned funding sources, special fund use, contracting exemptions, timelines, and whether some proposals should be more targeted or supported by alternative funding. A major discussion centered on HCAI’s diaper access initiative and the use of a Public Contract Code exemption to continue contracting for free diapers distributed through hospitals. The chair and some members criticized the optics of the selected vendor and questioned the lack of an income threshold, while HCAI said the program was designed to be universal and administratively simple, with future phase-two direct-to-consumer purchasing to be handled by a different vendor. Another extended exchange focused on distressed hospital funding, where HCAI said the May Revision would provide up to $50 million for hospitals at immediate risk of closure, but members argued the repeated annual need shows a structural problem and asked for broader reforms to hospital payment and care transitions. The final major topic was the Behavioral Health Services Oversight and Accountability Commission’s budget. The Commission opposed the May Revision’s reduction of the Innovation Partnership Fund from $20 million to $10 million and a $6.7 million cut to community advocacy contracts, arguing both are core Proposition 1 tools for statewide innovation and community engagement. Finance responded that the proposal is within Proposition 1’s allowable maximums and that prior unspent appropriations could be redirected if the Legislature wanted to restore the full amount. No votes were taken; items were generally held open for later action.