Transcript Highlights:

• The more severe cases are bumped to the front.
• It just prohibits them from ...to pay for anesthesia.
• I'm paying for the sandwich. Again, service is rendered.
• Don't they pay higher malpractice insurance rates though?
• pain, moderate to severe acute pain.

Bills: HB2176, HB2333, HB2435, HB2447, HB2617, HB2683, HB2686, HB2725, HB2726, HB2906, HB2953, HB2958

Keywords: health care, licensure, complaints, investigation, safety, patient care, regulatory compliance, prosthetics, orthotics, health insurance, Medicare, medical necessity, disability rights, coverage, reimbursement, internationally trained physicians, medical board, clinical training, provisional license, healthcare workforce

Summary: The committee heard and acted on several health care bills. HB 2726 would require Access contractors to cover diagnosis and treatment of mild obstructive sleep apnea, including a new prescription tongue-stimulation device; supporters said it offers an effective, less burdensome alternative to CPAP and could improve adherence and outcomes, while Access was neutral and raised concerns about cost and bypassing its normal clinical review. The committee adopted the Bliss amendment and then approved HB 2726 as amended on an 8-4 due-pass vote. HB 2435 would create a pathway for internationally trained physicians to receive a provisional Arizona medical license, with a later amendment adding a four-year supervised rural practice requirement and automatic conversion to a full license if criteria are met. Supporters argued it would help address severe physician shortages in rural and underserved areas, especially for cardiology and other specialties, and several doctors testified about their experience and the need for more access. Opponents, including the Arizona Medical Board, said the state already has a case-by-case licensure process for foreign-trained physicians and warned the bill could weaken safeguards and allow insufficiently vetted applicants. After adopting the amendment, the committee approved HB 2435 as amended on a due-pass recommendation. HB 2958 would require Access to cover comprehensive dental care for pregnant women age 21 and older, with a $500,000 pilot program and reporting requirements. The sponsor and public health advocates said preventive dental care during pregnancy can reduce infections and improve maternal and infant outcomes, and the bill drew broad support from health and advocacy groups. The committee passed HB 2958 on an 11-1 due-pass vote. The committee also approved HB 2176, which changes criteria and timelines for health care institution licensing complaints and informal dispute resolution, with supporters saying it would improve transparency and predictability for hospitals while preserving enforcement authority. Finally, the committee heard HB 2447, which would bar insurers from paying certified registered nurse anesthetists less than physicians for the same anesthesia service; opponents argued it would interfere with contract negotiations and raise costs, while supporters said insurer reimbursement cuts are harming rural access and shifting costs to hospitals. The transcript ends during testimony on HB 2447, before any committee vote on that bill.

Transcript Highlights:

• Seeing none, it looks like we do have several appearance forms.
• And that's problematic for several reasons.
• And that's problematic for several reasons.
• We have several speaker cards.
• Seeing none, it looks like we do have several more appearance forms.

Bills: S0600, S0760, S1012, S1326, S1488, S1536, S1544, S1750

Keywords: bail bonds, pretrial release, forfeiture, criminal justice, Florida statutes, bond conditions, surety, violations of release conditions, violent crimes, victim safety, public safety, warrantless arrest, probable cause, pretrial detention, first appearance hearing, law enforcement immunity, domestic violence, stalking, battery, aggravated assault

Summary: The committee took up several criminal justice bills, beginning with SB 760 on violations of pretrial release conditions. A strike-all amendment narrowed the bill to make willful violation of a no-contact order a first-degree misdemeanor, authorize warrantless arrest on probable cause, and require detention until first appearance in certain cases. The amendment and the bill, as amended, were both adopted and reported favorably. The committee then heard SB 1536 on digital voyeurism, which would extend the expectation of privacy to backyards in the surveillance statute; it was reported favorably after brief questions and support from a Florida Smart Justice Alliance witness. Members next considered SB 1012 on inmate services. The bill would expand use of contractor-operated institutions inmate welfare trust funds for reintegration and facility upgrades, and would require reimbursement for inmate emergency and specialty medical services at Medicaid rates, with telehealth and autonomous APRNs included as options. Safety Net Hospital Alliance of Florida opposed the bill as written, warning that tying Medicaid participation to treatment of inmates could reduce reimbursement and discourage provider participation, while the Department of Corrections and Florida Smart Justice Alliance supported it. Senators discussed costs, aging inmates, and possible future changes, and the bill was reported favorably. The committee also passed CS for SB 600 on bail bond and pretrial release laws after adopting a strike-all that aligned it with the House companion and made technical changes to solicitation, training, and bond reinstatement rules. Public testimony raised concerns about who should receive returned bond money and how clerks would process payments, but the sponsor said the bill would continue to be refined. Later, the committee reconsidered and favorably reported SB 1750 on criminal sexual conduct, which increases penalties and mandatory minimums for serious sex crimes, especially those involving children. It also reconsidered and favorably reported SB 1544 on complaints against law enforcement and correctional officers, a bill requiring complainants to provide sworn complaints to officers before interrogation unless corroborating evidence is present; police chiefs and sexual violence advocates opposed parts of the bill, while supporters argued it would protect officers from unfounded complaints. Finally, SB 1488 on booking officer duties regarding minor children of arrested persons was reported favorably, and SB 1326 on prosecution of defamation was taken up for reconsideration with a delete-all amendment that narrowed the insanity defense, limited mitigation for severe mental illness in serious cases, and extended detention periods for incompetent defendants; opposition testimony from defense, public defender, and mental health advocates warned it would worsen treatment and increase costs.

Transcript Highlights:

• It's higher than workers' comp and pays them; it's a lot higher than Medicare would pay them and many
• Any of those will pay them.
• We make them pay money.
• So when you have insurance, the insurance pays some, you pay some.
• I think that's why they have to pay more.

Bills: HB4806

Keywords: civil action, damages, health care services, noneconomic damages, negligence, legal standards, 1184, house, all

Transcript Highlights:

• But then we pay out to our teachers who deliver. We pay out $35 per credit per student.
• We are not paying $35 per credit per student. We're paying $25.
• We're not paying the electric bill. We're not paying the water. We're not paying anything.
• We're not paying the electric bill. We're not paying the water. We're not paying anything.
• That's above my pay grade.

Keywords: 908, all

Transcript Highlights:

• I have several groups here today.
• FFA chapters several groups here today.
• uh would not be subject to paying uh would not be subject to paying property<00:25:20.080> taxes
• tax net taxes that they pay. Right? tax net taxes that they pay. Right?
• what<00:43:27.200> we<00:43:27.359> are Several states are doing what we are Several

Keywords: MS Senate Floor - 25 February, 2026; 10:00 AM, 925, all

Summary: The Senate convened with a quorum, opened with prayer by Reverend Max Smith of Jesus Name Tabernacle in Florence, and then led the Pledge of Allegiance. The chamber quickly dispensed with the reading of the journal and committee reports, and then spent much of the morning recognizing guests, including multiple FFA groups, the Mississippi FFA state officer team, the Mississippi Food Bank Collaborative, optometrists visiting for Optometry Day, and representatives from engineering and fire service organizations. On the calendar, the Senate took up several finance-related bills. Senate Bill 2824, extending deadlines related to renewable energy fee-in-lieu agreements and construction start dates, was explained and adopted, then passed by use of the morning roll call with three no votes and one present. Senate Bill 2867, revising the income tax credit for employer-provided dependent child care or child care stipends, was explained as a targeted, capped credit for actual employer spending on licensed child care; it was adopted and passed by morning roll call. Senate Bill 3109, clarifying that a nonprofit leasing and managing LaFleur’s Bluff State Park land is not subject to ad valorem taxes on state-owned park land, was adopted and passed by morning roll call with one no vote. The Senate also considered Senate Bill 2840, which would provide a 75% rebate or sales tax credit related to inventory taxes and eliminate local privilege taxes. After extended discussion, the committee substitute was adopted, a reverse repealer amendment was added, and the bill passed by morning roll call with one no vote. Senators discussed the burden of inventory taxes on retailers and the need for more data before fully implementing the proposal. Finally, Senate Bill 2868, creating a tax credit tied to employer contributions for individual coverage health reimbursement arrangements (ICHRAs), was introduced and explained as a way to encourage employer-supported health coverage for small and midsize businesses; the transcript cuts off during the explanation before final action on that bill.

Transcript Highlights:

• After they pay them, then ODOT's lawyers sue them in court for landowners to pay back because they paid
• Exponentially over the last several years.
• So there is no deficit as far as their ability to pay for this.
• Yes, like to say there's several other states... Result of this kind of policy?
• Yes, like I say, there's several other states that are doing that.

Keywords: 914, all

Transcript Highlights:

• They're paying us about 0.115 percent in royalty payment.
• The high-paying jobs, all of those things, and we do.
• Most severe of the sphere that used to be reserved for the severe, now it's being kind of broadened to
• However, over the past several years,...
• Several other states are currently considering similar legislation.

Bills: SB623, SB1266, SB1310, SB1373, SB1580, SB1952, SB2032, SB2269, SB2544, SB2653, SB2796

Keywords: pharmacist, vaccine administration, COVID-19, exclusive authority, healthcare, Medicaid, provider enrollment, credentialing, administrative burden, Texas Health and Human Services, senior retirement communities, emergency response, residential safety, contract provisions, health and safety regulations, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges

Transcript Highlights:

• If we were to pay up to $150 an hour, which again is less than what risk management pays even at the
• Their pay is so much better.
• I'm about to pay.
• But rather than pay him $300,000 a year, we pay him $120,000 a year, which is a lot less.
• We work with several partners.

Transcript Highlights:

• And we also have several members of legislative management attending today.
• And we also have several members of legislative management attending today.
• , you appropriated the same dollars to agencies to pay us to collect that money.
• Not every agency pays for our bills. We're not pulling general funds.
• Not every agency pays for our bills from general funds.

Keywords: 908, all

Transcript Highlights:

• for health care. ...those who can least afford to pay for health care.
• our premiums on paying our premiums on our health care.
• That's several cents... That's several cents on the property tax rate.
• we're going to pay 56 miles out of 2,700 this year.
• And there is another concept that has several changes throughout several sections throughout the bill

Keywords: 927, senate, all

Transcript Highlights:

• So we have encounter data because Medicaid itself does not pay those claims.
• A claim that is submitted to the department can have several diagnosis codes on it.
• <00:08:15.199> diagnosis department can have several diagnosis department can have several
• <00:23:18.640> studies know there have been several studies know there have been several studies
• <00:26:02.840> a um the way that works is we pay a um the way that works is we pay a capitated

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services held its first meeting and received an overview from the Department for Medicaid Services on Medicaid’s behavioral health and substance use disorder services. Commissioner Lisa Lee and CFO Steve Beal said Kentucky Medicaid serves about 1.4 million members, including over half of Kentucky children, with 485,000 expansion members, more than 69,000 enrolled providers, and total fiscal year 2024 expenditures of $18.5 billion. They said Kentucky covers a broad range of behavioral health services, and behavioral health provider enrollment has grown from a little over 4,500 in 2019 to nearly 8,000 in 2024. They also described how Medicaid spending and utilization are tracked through claims and encounter data, with most members served through managed care organizations. Members focused on sharp increases in certain behavioral health billing codes, especially peer-to-peer services, and asked about reimbursement, utilization review, and whether the growth reflected increased need or expanded coverage. DMS said the rise was partly tied to combining facility and nonfacility behavioral health fee schedules in 2023, choosing the higher reimbursement rate to avoid cuts, and that the department has seen an uptick in peer-to-peer services. In response to concerns about overutilization, DMS said it mailed a letter to behavioral health providers, is considering limits and prior authorizations for some services, and plans to create a standardized monthly behavioral health report to monitor trends consistently and identify when controls may be needed. Lawmakers also asked whether the provider network is sufficient and whether access is adequate, especially for children. DMS said provider enrollment has expanded because behavioral health services were added to Medicaid in 2014 and because demand increased after COVID, but acknowledged studies showing children have less access than adults and said that would be an area of focus. The department said managed care organizations are required to ensure access to needed services and that current trends indicate access is available, though one member disagreed and said workforce shortages remain a major concern. Another member asked about non-emergency medical transportation spending, and DMS explained that it is handled through a capitated arrangement administered by the Transportation Cabinet rather than directly by the managed care organizations.

Transcript Highlights:

• crisis with her son with IDD's severe behaviors, just like Mark was in with IDD's severe behaviors,
• Our teachers absolutely deserve better pay. But there are unfunded costs.
• Really what we need is the flexible money to provide pay raises to all of our staff.
• for future pay raises.
• So if we're looking for... ...or anything else that we can use to pay for future pay raises.

Bills: HB2

Keywords: disaster preparedness, emergency management, flooding, mass fatality, mass casualty, fatality tracking, body recovery, autopsy, justice of the peace, medical examiner, county judge, sheriff, mayor, emergency coordinator, emergency manager license, volunteer management system, volunteer registration, criminal history check, background check, Texas Division of Emergency Management

Summary: The committee continued public testimony on House Bill 2, which would make major changes to public school funding, teacher pay, special education, early learning, school safety, and related programs. Many superintendents and education advocates supported the bill’s overall direction but urged changes, especially a larger basic allotment and more flexible funding for rural and small districts. Witnesses from Paint Creek, West Hardin, Cushing, Blooming Grove, Mildred, Buffalo, Plano, and rural school groups said the bill’s targeted raises and new requirements would not fully cover inflation, TRS/Medicare costs, transportation, insurance, or support staff salaries, and several asked the committee to restore the House version’s higher basic allotment and small-school allotment. Charter school representatives supported the facilities funding changes and said charter schools need state help because they cannot levy taxes, while also noting the funding gap with ISDs. Fine arts advocates asked the committee to restore the fine arts allotment, arguing arts improve engagement, attendance, and academic outcomes, especially in rural and at-risk communities. Early learning and special education witnesses supported parts of the bill but raised concerns about pre-K restrictions, disability-related pre-K access, and the need to preserve or clarify special education provisions and mental health oversight language. Several witnesses praised the teacher pay raise, teacher incentive allotment expansion, and teacher preparation investments, saying they would help recruit and retain educators and improve student outcomes. Others, including counselors and support staff advocates, argued the bill should also include raises for counselors, nurses, librarians, bus drivers, custodians, aides, and other non-teaching employees who keep schools running. One witness from the Texas Counseling Association opposed the substitute because it removed a counselor pay provision, warning of counselor shortages and inequities. A parent and special education advocate said the bill’s structure creates too many strings attached and asked for a larger basic allotment instead of more targeted funding. Another witness from Mental Health America urged keeping the collaborative task force on public school mental health services through 2031, and a disability rights advocate said the committee substitute appears to omit some special education items that were in the House version. The committee also briefly took up House Bill 6, a school discipline bill. After questions about automatic mandatory expulsion for vape possession and concerns about younger students, the committee adopted the substitute and voted to report HB 6 favorably to the full Senate by a 9-1 vote, with Senator Menendez voting no and Senators West and Menendez expressing reservations but supporting further discussion. After that vote, testimony on HB 2 resumed. Senators used the hearing to ask about the bill’s cost, the difference between the basic allotment and the bill’s targeted funding buckets, and whether the permanent teacher pay increase shifts pressure off districts. The bill’s supporters emphasized that it represents an historic, roughly $8 billion investment and that many of the new funding streams are intended to be permanent or to address specific district needs.

Transcript Highlights:

• So let's talk about a severely burned individual.
• It's higher than workers' comp would pay them.
• If someone pays them.
• We make them pay money.
• So when you have insurance, the insurance pays some, you pay some.

Transcript Highlights:

• Oh, we have several witnesses. OK, right, and I'd like to write to Mr. Chairman. Of course, Mr.
• And so the experience of paying taxes doesn't change a whole lot.
• Well, at the state level, some of those companies are also paying franchise tax.
• Good paying jobs.
• That's what I'm paying attention to quite a bit.

Bills: HB249

Keywords: real property, ad valorem tax, tax appraisal, property value limitation, real estate taxation, property ownership

Transcript Highlights:

• > products We've created several climate products We've created several climate products to<00
• what you have here is uh all the severe what you have here is uh all the severe weather<00:14:32.880
• for several days and say, "Hey, listen. for several days and say, "Hey, listen.
• pay the bills. It doesn't show respect. pay the bills. It doesn't show respect.
• <01:31:58.960> forces This low and unpredictable pay forces This low and unpredictable pay

Keywords: 958, all

Summary: The task force met with a quorum, approved the August meeting minutes, and heard a presentation from Dr. Jerry Brosky of the Kentucky Mesonet and Kentucky Climate Center. He described the Mesonet’s statewide weather network, now with 84 stations in 78 counties, real-time data used by the National Weather Service, mobile apps, and more than a billion observations. He said recent legislative funding has allowed upgrades such as soil temperature and moisture sensors, cameras at every site, and improved communications and power systems, and has enabled expansion into new counties. He also highlighted products used for flooding, drought, and heat safety, including a wet bulb globe temperature tool being developed with the Department of Public Health. In response to questions, he said counties interested in a station should contact his center, that a station typically costs about $50,000, and that the program is already considering a second Pike County site. The committee then heard from Ryan Drain of Blue Skies and Chris McGee of the American Red Cross on long-term disaster recovery and a software platform called Darcy, short for Disaster Aware and Ready Communities Initiative. McGee explained the Red Cross’s long-term recovery work, including support for recovery groups, direct financial assistance, grantmaking, and coordination with local and federal partners. He emphasized that disasters are occurring more frequently and with repeated impacts, and shared examples from Kentucky and other states showing the need for organized recovery and storm shelter support. Drain said Darcy was developed after the 2021 Mayfield-Graves tornado recovery to replace fragmented spreadsheets and PDFs with a centralized, survivor-led system for preparedness, response, and recovery, designed to improve coordination, reduce duplication, and shorten recovery time. No votes or formal actions were taken beyond adoption of the minutes.

Transcript Highlights:

• It was an issue with the town manager residency, compensation, severance pay, and consulting contracts
• And then, severance pay contrary to state law: the town manager's contract provided for 52 weeks of severance
• pay.
• The town did not pay the severance, was sued by the town manager for $150,000.
• or signed for 52 weeks of severance.

Summary: The Joint Legislative Auditing Committee first heard a long-running audit finding involving Daytona Beach’s unexpended building permit funds, which have exceeded the statutory limit for several years and were reported at $10.8 million in the most recent audit. Mayor Derek Henry and city staff said the city has analyzed the fund, adopted a corrective action plan, waived more than $5.5 million in permit and inspection fees over several periods, and used some excess funds for a training facility rehabilitation and a proposed City Hall expansion. Committee members repeatedly questioned whether the city was simply trying to spend down the money, raised concerns about the legality and necessity of proposed expenditures, and asked about interest earnings, truck purchases, and the lack of detailed tracking for training-facility use. The city said an Attorney General opinion allows construction of a new building for building-code functions but not purchase of an existing building, and that if the city cannot comply through permissible construction it would have to return the funds. No vote was taken, but members expressed strong frustration and urged the city to resolve the issue quickly and lawfully. The committee then received the Auditor General’s presentation on the Town of Greenville, which found 31 findings and described pervasive control failures, possible fraud, waste, and abuse. The findings covered elections and quorum issues, conflicts of interest, late or missing financial disclosure forms, related-party transactions, poor meeting notices and minutes, council involvement in day-to-day operations, missing ethics training, budget and accounting deficiencies, weak bank reconciliations, improper utility billing and rates, grant compliance problems tied to a grocery store project, personnel and compensation issues involving the town manager, late vendor payments, weak procurement and P-card controls, vehicle-use and property-control problems, public records issues, and IT/fraud-policy weaknesses. The auditor said the review focused mainly on October 2022 through February 2024 but went back further for some grant-related matters. Greenville’s mayor and staff said the audit reflected actions of a previous administration and that the current council and staff have already adopted seven new policies to improve procurement, financial controls, inventory management, grant oversight, and ethics. They said the town has a new manager and clerk, that the former manager was terminated, and that the town referred matters to FDLE, which is investigating. Committee members asked about the manager’s salary increase, severance, P-card use, and whether the town should consider consolidation or dissolution. The mayor said the town is on a better path, that most of the prior leadership has been voted out, and that the town is working with auditors and an outside accounting firm to correct the problems.

Transcript Highlights:

• Some are giving up their pay to be here at our request.
• And in the last several months, we've had a few negative months.
• I mean because they're not paying personal income tax.
• You still pay the GRT in the area. It gets sourced, you pay. You don't know what happens to it.
• Now, like other taxes, the severance tax conservation tax, it's severed and sold.

Keywords: 996, all

Transcript Highlights:

• a drink, and several have tried it.
• to pay for that comes from the taxpayers also.
• I pay my own gasoline, and I pay my own food. And if I have to stay overnight, I pay my own hotel.
• And I pay his bills as a taxpayer.
• I pay his gas, I pay his food, and I often wonder what would happen if I were to I pay his gas, I pay

Bills: SB 5, SB 11, SB 12

Keywords: disaster relief, flood preparedness, emergency funding, local government support, meteorological forecasting, human trafficking, trafficking victim, compelling prostitution, affirmative defense, criminal defense, coercion, force fraud or coercion, sexual exploitation, victim protection, Penal Code, Texas criminal law, prosecution, party liability, affirmative defense statute, survivor rights

Summary: The Senate Committee on State Affairs took up Senate Bill 5, which Senator Perry described as a ban on intoxicating THC consumer products while preserving legal CBD, CBG, hemp seed, hemp seed protein powder, and hemp seed oil products. Perry argued that most retail THC products are already illegal under federal law, that the industry has used loopholes and misleading labeling to sell high-potency products, and that regulation would be ineffective because chemists can quickly alter formulations. He also said the bill would steer people with medical needs toward the Texas Compassionate Use Program (T-Cup), which he and other supporters described as the proper physician-guided alternative. Committee members and witnesses repeatedly discussed the distinction between legal hemp-derived products and intoxicating THC products, and Perry said the bill would not touch non-consumable hemp uses such as fiber and clothing. Invited testimony came from law enforcement and medical witnesses who supported the bill. Texas Police Chiefs Association representative Steve Dye, Kaufman County District Attorney Early Wiley, and Chambers County Sheriff Brian Hawthorne all said regulation would be too costly, too complex, and ultimately unenforceable, while a ban would be clearer and easier to enforce. They cited overloaded DPS labs, the need for expensive private testing, limited police and prosecutor resources, and the difficulty of keeping up with constantly changing cannabinoids and out-of-state products. Hawthorne and Wiley described raids and investigations involving warehouses, retail stores, cash seizures, and products they said were marketed to young people and often mislabeled or imported from other states. They also said the bill would help law enforcement by creating a clearer legal line and protecting legitimate CBD/CBG businesses. Dr. Lindy McGee, speaking for the Texas Medical Association and Texas Pediatric Society, testified that retail THC products pose serious risks to children and adolescents, including addiction, impaired brain development, psychosis, suicide attempts, self-harm, accidental toddler ingestions, and possible long-term cognitive effects. She said there is no effective medication treatment for THC addiction comparable to nicotine cessation tools, and she supported restrictions such as child-resistant packaging, no marketing to minors, and age limits, while opposing criminal penalties for possession by minors. Senators asked follow-up questions about brain development, memory, dementia risk, pregnancy, and cardiovascular effects. No vote was taken during the portion provided, and the committee continued with invited testimony and questions.

Transcript Highlights:

• And in Mesa County, a family of four will pay on average just more than will pay on average just more
• So, and who's going to pay for it?
• My constituents are struggling to pay their own bills, and now you're mandating them to pay for others
• Because now these letters they say if you don't pay These letters say if you don't pay within 2 weeks
• So we wanted to make sure that crime doesn't pay while ensuring that due... ...crime doesn't pay while

Keywords: 981, all

Transcript Highlights:

• I have several witnesses here with us today. Thank you. Thank you.
• Your several witnesses will have two minutes each.
• Your several witnesses will have two minutes each.
• I'll just make a comment that I know that this committee has heard several bills and moved along several
• I'll just make a comment that I know that this committee has heard several bills and moved along several

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