Transcript Highlights:

• Prior to medical school, there's guidance, mentorship, and test prep to help people get to the place

Summary: The hearing of the Select Committee on Latina Inequities opened with remarks framing the discussion around reproductive and maternal health disparities affecting Latina, Black, and Indigenous women in California. Members emphasized the need to connect state data with lived experience, and the committee heard historical context on coercive sterilization, language access, and the ways immigration status, poverty, and racism continue to shape reproductive health care. The first panel featured Clarissa Ramirez of California Latinas for Reproductive Justice, Sophia Pedrosa of Planned Parenthood Affiliates of California, and Kim Robinson of Black Women for Wellness, who described reproductive justice principles, the legacy of eugenics and forced sterilization, community education efforts, promotoras, and the importance of culturally and linguistically responsive care. They also raised concerns about federal funding cuts, fear related to ICE and public charge, and the loss of education and outreach programs that support patients and families. The second part of the hearing focused on maternal health. Matt Green of the California Department of Public Health described persistent racial disparities, including Black birthing people being three to four times more likely to die from pregnancy-related causes than white women, and outlined state efforts such as the Black Infant Health Program, the Perinatal Equity Initiative, the Centering Black Mothers in California report, and a new Black birth equity action plan. Chris Esgera of the Department of Health Care Services explained the state’s birthing care pathway, postpartum care pathway, and Transforming Maternal Health model, including policy changes to support doulas, community health workers, transitional care, and postpartum coverage. He said the department is working through policy updates and payment reforms, with Medi-Cal coverage for pregnant people and 12 months postpartum remaining protected. The final panel included Dr. Nicole Economo and Dr. Kelly McHugh of ACOG, who discussed provider education, anti-racism and implicit bias training, and the need for quality improvement projects focused on closing equity gaps at individual hospitals. They highlighted tools such as the CLEAR Initiative, the Elevate Toolkit, and use of CMQCC data to track outcomes by race and ethnicity. Across the hearing, members repeatedly stressed that community-led solutions, sustained funding, better data, and accountability are needed to reduce preventable maternal deaths and improve reproductive health outcomes. No formal votes or bill actions were taken during the hearing, though several policy priorities and ongoing legislative efforts were referenced for future consideration.

Transcript Highlights:

• Prior to medical school, there's guidance, mentorship, and test prep to help people get to the place

Transcript Highlights:

• Area A's roofing is being prepped and is projected to be completed soon.

Summary: The committee was called to order, the roll was taken, and the March 18 minutes were approved. Members then received several project and program updates, beginning with CHI St. Alexius’s behavioral health buildouts in Bismarck, Williston, and Grand Forks. St. Alexius reported that the Bismarck project remains on track for June 2027 completion, with demolition underway and final design work nearing completion. Williston reported construction is progressing, staffing recruitment is underway for psychiatrists and other staff, and an air handler replacement is creating a roughly $750,000 unbudgeted barrier that will slightly delay the timeline. Grand Forks reported its expansion is about 30% complete, with no major barriers beyond weather, and leaders said the project should be substantially complete in the first quarter of 2027. The Department of Health and Human Services then presented a series of budget and program updates. Donna Ockland explained several recent line-item transfers as technical corrections that net to zero and do not require new spending, then reviewed salaries, wages, and FTE counts, noting the department remains within its authorized staffing levels. Pat Rainer followed with an update on the Rural Health Transformation Program, saying 12 opportunities have been posted, 422 applications received, and $8.4 million obligated so far, with a goal of obligating the full $199 million by September. He described grants for workforce retention, rural rotations and housing, community gardens, school wellness, behavioral health promotion, safety net services, equipment, technology, EMS, and other initiatives, emphasizing that the program is intended to be transformational and tied to metrics. Members asked extensive questions about how rural eligibility is defined, how grants will support both rural facilities and hub hospitals, and how future years of funding will build on current awards. The committee also heard an update on certified community behavioral health clinics from Elena Zeller, who said North Dakota has been accepted as a demonstration state, implementation is underway in Williston, North Central/Minot, Fargo, and Dickinson, and care coordination and service counts are increasing. Rebecca Askins then reviewed SNAP payment error rates, saying the 2025 rate was finalized at 9.89%, with the state aiming to get below 6% through policy updates, training, data tools, and a quality assurance team. Members pressed her on the causes of the error rate, the role of the SPACES software system, and the need for accountability and improvements. Finally, Dirk Wilkie reported the state laboratory project reached substantial completion on June 12 and is on budget at about $69.95 million, though a service elevator had to be redesigned because it was too small for equipment.

Transcript Highlights:

• Area A's roofing is being prepped and is projected to be completed soon.

Summary: The committee met with a quorum, approved the March 18 minutes, and then received a series of updates on major health-related projects and programs. CHI St. Alexius representatives reported progress on behavioral health buildouts in Bismarck, Williston, and Grand Forks, including demolition and construction milestones, staffing plans, and timelines. The Bismarck project remains on track for completion in June 2027 with about $346,500 spent to date. Williston reported construction underway, a $750,000 unbudgeted air handler replacement, active recruitment for psychiatrists and other staff, and a projected substantial completion in early 2027. Grand Forks reported about 30% completion, weather-tight status expected in August, and continued staffing ramp-up as the facility expands from its current 24-bed operation. The Department of Health and Human Services then reviewed a set of technical line-item transfers, emphasizing that they were administrative corrections with no net change in funding. The department also walked through the Salaries and Wages Block Grant and FTE counts, noting overall staffing remained within appropriated limits and that behavioral health staffing had increased. Members asked about vacancies, consultant use, and the mix of in-state versus out-of-state expertise for the Rural Health Transformation Program. HHS said it had posted 12 funding opportunities, received 422 applications, obligated $8.4 million so far, hired 26 people, and was preparing additional grant rounds and a CMS budget submission. The department said the program is structured around workforce, prevention/healthy living, care closer to home, and technology/data, with ongoing stakeholder engagement and community forums. The committee also heard on the certified community behavioral health clinic implementation plan, SNAP payment error rates, and the state laboratory project. HHS said CCBHC certification is being implemented in four regions—Williston, Minot/North Central, Fargo/Southeast, and Dickinson/Badlands—with care coordination expanding and baseline data still being collected. On SNAP, the department reported a 2025 payment error rate of 9.89%, acknowledged cost impacts under HR1, and said it is using training, system changes, and pre-authorization quality checks to reduce errors toward a 6% target over the next 6 to 12 months. Finally, Public Health reported the state laboratory reached substantial completion on June 12, with total costs at $69.95 million of the $70 million budget, though a service elevator issue will require a new lift to be added using contingency funds.

Transcript Highlights:

• Area A's roofing is being prepped and is projected to be completed soon.

Summary: The committee met with a quorum, approved the March 18 minutes, and then received a series of updates on health-related projects and Department of Health and Human Services budget matters. Representatives from CHI St. Alexius in Bismarck and Williston, and Altru in Grand Forks, reported progress on behavioral health expansion projects, including demolition and construction milestones, updated timelines, funding status, staffing plans, and barriers such as an unbudgeted air handler replacement in Williston. Members asked about original completion dates, use of telehealth, recruitment of psychiatrists and other staff, and whether the new beds might reduce the need for patients to travel to Jamestown State Hospital. The projects were described as on track overall, with completion expected in 2027 for the larger builds and earlier openings for some phases in Williston. The committee then heard from HHS leadership on technical line-item transfers and the Salaries and Wages Block Grant. Donna Ockland explained that recent transfers were administrative corrections to place spending in the proper budget lines and did not involve new spending, and she reviewed FTE counts and vacancies across the department. Questions focused on behavioral health staffing changes and the use of consultants in the Rural Health Transformation Program. Pat Rainer outlined the rural health program’s first-year grants and priorities, including workforce retention, rural rotations and housing, community wellness initiatives, behavioral health promotion, safety net services, hospital equipment, suicide prevention training, technology, and EMS support. He said North Dakota’s plan was drawing positive national attention, but the department still needed to obligate roughly $199 million by September and was working with CMS on timing and compliance. The committee also received an update on certified community behavioral health clinics from Elena Zeller. She said North Dakota had been accepted as a demonstration state, with certification efforts underway in Williston, North Central, Fargo, and Dickinson. Members asked about care coordination, service growth, staffing, and whether certification would expand to all clinics; the department said it was still collecting baseline data and evaluating impacts before making future recommendations. Finally, Rebecca Askins reviewed SNAP payment error rates, explaining that the 2025 rate was finalized at 9.89 percent and that the department is working on training, system changes, and quality assurance steps to get below 6 percent. Members pressed on the causes of monthly variability, the performance of the SPACES system, and accountability for ongoing errors, and the department said it expects improvement over the next 6 to 12 months.

Transcript Highlights:

• And looking around the state: in Essex County, there’s Seton Hall Prep, $26,800 per student; in Bergen

Committee: Senate Senate Budget and Appropriations

Transcript Highlights:

• , specific recommendations and to have the agency respond to them so that then the Legislature is prepped

Committees: Joint Transportation , Joint Joint Transportation Committee

Transcript Highlights:

• I teach them how to prep the teeth. I watched them do the root canals. I train them.

Committee: Joint Joint Committee on Consumer Protection and Professional Licensure

Summary: The committee opened a hearing of the Joint Committee on Consumer Protection and Professional Licensure focused on health care and human services, reviewed testimony logistics, and then heard a long series of witnesses on several bills. Much of the testimony centered on interstate licensure compacts for dentistry, social work, and occupational therapy, with supporters arguing these compacts would improve workforce mobility, continuity of care, and access while preserving state oversight and public protection. Dental witnesses were split on H.455/S.257, with supporters backing the AADB dental compact for its hands-on exam, background checks, and disciplinary safeguards, while opponents argued a competing compact would better promote portability and avoid conflicts tied to proprietary testing and outside commissions. Social work witnesses strongly supported H.380/S.252, emphasizing continuity of care for clients who move across state lines, reduced costs and delays for practitioners, and the compact’s public-protection features; occupational therapy witnesses similarly supported H.427/S.256, citing access, telehealth, military families, and maintained standards. The committee also heard testimony on S.242, which would expand licensure for lactation care providers. Supporters, including lactation counselors and health center staff, said adding certified lactation counselors and related credentials would expand access, improve breastfeeding support, and allow reimbursement for services now often provided without billing. They described the training required and said the bill would help families, especially in underserved communities. Representative James O’Day also testified in support of the social work compact, and a Council of State Governments witness provided background on compact mechanics and state participation. Another major topic was H.419/S.214 on medical debt. Physicians and researchers testified that cancer patients experience long-lasting medical debt and collections burdens, and they supported limits on the sale and collection of medical debt, bans on reporting it to credit bureaus, and related consumer protections. The hearing also included H.465 on a pathway to special licensure for certain long-term limited-registration dentists serving MassHealth patients, which Representative Senna supported as a way to allow immigrant dentists to practice independently. Finally, the committee heard sharply divided testimony on H.444/S.284, which would allow trained dental hygienists to administer Botox and dermal fillers: supporters framed it as a safe, preventive, and access-expanding tool for TMJ, bruxism, and pain management, while dermatologists opposed it as outside hygienists’ training and a patient-safety risk. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• Those are largely concentrated in the larger schools because those teachers are prepped in the curriculum

Committee: Joint Higher Education Institutions Committee

Transcript Highlights:

• But at least while some folks are prepping for electronic, we can still have the option to go electronic

Committee: House House and Governmental Affairs

Summary: The committee met with a quorum and considered several bills, mostly dealing with open meetings, public records, election administration, and local government notice requirements. Senate Bill 1 by Sen. Jenkins would authorize electronic voting under the Open Meetings Law and apply retroactively to validate prior electronic votes; after brief discussion and support from the Louisiana Municipal Association, it was reported favorably. House Bill 1052 by Rep. Spell would exempt certain child advocacy center and multidisciplinary team work product, forensic interviews, and related sensitive records from public records disclosure to protect child abuse investigations; testimony from child advocacy organizations emphasized the need to prevent misuse of records and preserve court-controlled access, and the bill was reported favorably. Senate Bill 289 by Sen. Abraham, concerning confidentiality of certain university records and negotiations, was amended to clarify protections for proprietary research, donor confidentiality, and limited confidentiality for industry negotiations, then reported favorably as amended. Senate Bill 218 by Sen. Talbot, allowing alternative certification programs for election officials if approved by the State Board of Election Supervisors, and Senate Bill 220, a technical correction regarding the official journal of the state, were both reported favorably. Senate Bill 161 by Sen. Seaball, repealing a requirement that certain high-salary unclassified state employees register vehicles in Louisiana, was also reported favorably after questions about its scope and purpose. The committee then took up House Bill 1193 by Rep. Sawyer, which authorizes the Coastal Protection and Restoration Authority to use indefinite delivery/indefinite quantity construction contracts for maintenance and emergency work. CPRA officials said the model would speed small repairs and pre-construction tasks, improve efficiency, and mirror a similar DOTD approach; an amendment narrowed the public-records language and excluded design-build contracting. Members raised concerns about public records transparency and inclusion of minority and small contractors, but the bill was reported favorably as amended. House Bill 249 by Rep. Green, a constitutional amendment creating an independent compensation commission for elected officials and tying adjustments to CPI, drew extensive debate over removing the legislature from setting salaries, the appointment structure, and whether the state could afford automatic increases. After opposition from several members and a roll-call vote, the bill failed to be reported, 6 yeas to 9 nays. Because HB 249 failed, the companion enabling bill, House Bill 248, was deferred. Finally, the committee heard House Bill 997 by Rep. Edmondson, which would let parishes, municipalities, and school boards use their own websites as an alternative to newspaper publication for public notices. Supporters from the Police Jury Association argued the bill would reduce duplicative costs, preserve all existing notice requirements, and simply add a third option alongside newspaper publication and newspaper-hosted digital publication. An amendment narrowed the bill to parishes, municipalities, and school boards, removing other political subdivisions. Members questioned transparency, enforcement, record retention, and whether the change would undermine newspapers; supporters said courts would still enforce notice requirements and that local governments already maintain the records. The bill remained under discussion at the end of the transcript, with no final action shown in the excerpt.

Transcript Highlights:

• But at least while some folks are prepping for electronic, we can still have the option to go electronic

Bills: HB248 , HB249 , HB997 , HB1052 , HB1193 , SB1 , SB161 , SB218 , SB220 , SB289 , SB435

Committee: House House and Governmental Affairs

Keywords: Compensation Commission, elected officials, salary evaluation, government accountability, Louisiana legislature, compensation, independent commission, salary adjustment, consumer price index, official journal, public notices, government transparency, local government, municipal website, school board notices, parish council, police jury, special districts, levee district, drainage district

Transcript Highlights:

• selected to provide its bookkeeping services, did you not also ask them if they were able to provide tax prep

Transcript Highlights:

• selected to provide its bookkeeping services, did you not also ask them if they were able to provide tax prep

Summary: The follow-up informational hearing focused on the State Library’s oversight of the statewide Imagination Library and the Strong Reader Partnership (SRP), including how the original $68.2 million state investment was spent, why funds were not redirected sooner to the Dollywood Foundation, and whether spending complied with AB 157 and later SB 105. Committee members repeatedly raised concerns that SRP and the State Library had been slow to provide documents, that quarterly reporting and other contract requirements were not met on time, and that the State Library did not escalate issues earlier. State Librarian Greg Lucas said the library sent one demand letter, relied on counsel’s view that SRP could continue spending its $4.8 million so long as it furthered the program, and later redirected about $55 million to the Dollywood Foundation after paperwork was submitted. He also acknowledged the library should have shared SRP’s final report with the committee sooner and said the materials eventually received appeared satisfactory, though the chair and Senator Grove remained concerned that there was still no clear accounting of books delivered by SRP. A major portion of the hearing examined SRP’s expenditures and vendor contracts, including Shipyard for marketing and web services, SAGE Strategies for management consulting, Lotus Financial Solutions and other financial vendors, and United Way California Capital Region for a small marketing grant. Committee members questioned whether some spending, especially Changecraft’s work during the AB 157 period, amounted to lobbying or attempts to influence legislation, which the grant agreement prohibited. SRP representatives said the work was communications and stakeholder outreach, not lobbying, and that invoices reflected the board’s oversight and the nonprofit’s startup and closeout phases. They also said some work continued during the rescission and closeout period to unwind contracts and return funds, and that any reporting delays were due to transition, lack of a reporting mechanism from the State Library, and the need to collect records after vendors were canceled. Members of SRP said the nonprofit was created to build the infrastructure for a self-sustaining statewide program, expand local partnerships, and support multilingual outreach in underserved counties. They described a working board that met regularly, selected vendors collectively, and used multiple financial and administrative contractors to maintain checks and balances. However, committee members pressed them on the lack of detailed invoices, the absence of clear metrics showing how many books SRP actually delivered, and the limited apparent return on spending such as the $581,708 Shipyard contract, the $125,000 website work, and the $5,000 United Way grant. No formal vote or legislative action was taken during the hearing; it was an oversight session aimed at obtaining explanations and additional documentation.

Transcript Highlights:

• selected to provide its bookkeeping services, did you not also ask them if they were able to provide tax prep

Summary: The committee held a follow-up informational hearing on the State Library’s oversight of the statewide Imagination Library program, focusing on how state funds were used by the Strong Reader Partnership (SRP) and whether the program complied with statutory requirements. Chair and Senator Grove repeatedly questioned State Librarian Greg Lucas about delayed document production, the State Library’s decision to allow SRP to continue spending $4.8 million after the 2024 budget changes, and the lack of clear accounting for how many books were actually delivered to children. Lucas said the State Library had sent one demand letter, relied on counsel’s advice, and ultimately received bank statements, invoices, and narrative reports that he said were satisfactory, though he acknowledged the committee should have been given the documents sooner. A major issue was whether SRP and its vendors used state funds for lobbying or influence efforts related to AB 157/SB 157, despite contract language prohibiting lobbying. The committee highlighted invoices and emails involving ChangeCraft and SAGE Strategies that appeared to coincide with legislative activity, while SRP representatives said their work was communications, stakeholder outreach, and board-directed advocacy, not lobbying. Members of SRP also defended their vendor selections and invoicing practices, explaining that the organization was in startup and transition mode, had multiple financial vendors for checks and balances, and was working to build infrastructure, local partnerships, and multilingual outreach capacity rather than directly buying books. The hearing also scrutinized specific expenditures, including roughly $581,000 to Shipyard for marketing and web/digital work, $110,000 to Lotus Financial Solutions, and a $5,000 grant to United Way of the California Capital Region. Senators argued the invoices were vague and the deliverables were not evident, pointing to a simple website, limited social media presence, and no clear evidence that some advertised campaigns ever went live. SRP witnesses said the work was part of a phased plan to establish a statewide foundation and that some assets and documentation had not yet been provided to the committee. No votes were taken, and the hearing ended with the chair emphasizing the need for tighter oversight, clearer documentation, and better accountability for taxpayer funds.

Transcript Highlights:

• To give one example, in CDPH's last round of funding for PrEP navigation, a proven HIV prevention strategy

Transcript Highlights:

• very large cost since DCYF is already required through the market rate survey to do a lot of this prep

Bills: HB2073 , HB2403 , HB2587 , HB2607 , HB1170 , HB1570 , HB1710 , HB1750 , HB1834 , HB2441

Committee: House Appropriations

Keywords: health insurance, premium assistance, funding, healthcare, subsidies, failure to register, criminal justice, registration requirements, public safety, law enforcement, nonprofit, grant funding, pilot program, financial support, community development, child care, childcare, subsidy rates, rate regions, market rate survey

Transcript Highlights:

• help them identify those, help them with things like career counseling, resume writing, interview prep

Bills: SB100

Committee: House House Judiciary

Keywords: burglary, aggravated burglary, dwelling, criminal law, property rights

Transcript Highlights:

• Yeah, I know I'm on to prep and a finance.

Committee: House Budget

Transcript Highlights:

• Our small class sizes, our IB prep, and our reading and math interventions.

Transcript Highlights:

• Every single teacher has a prep period, so they can reach out to the parents during that time as well

Committee: House Public School Capital Outlay Oversight Task Force