Bills: SJR12 , SJR81 , SCR39 , SB22 , SB32 , SB241 , SB393 , SB414 , SB458 , SB464 , SB568 , SB583 , SB609 , SB660 , SB693 , SB731 , SB732 , SB746 , SB783 , SB785 , SB897 , SB993 , SB996 , SB1008 , SB1029 , SB1035 , SB1036 , SB1120 , SB1122 , SB1147 , SB1163 , SB1188 , SB1197 , SB1209 , SB1227 , SB1245 , SB1267 , SB1307 , SB1321 , SB1332 , SB1386 , SB1394 , SB1396 , SB1470 , SB1494 , SB1537 , SB1596 , SB1598 , SB1610 , SB1664 , SB1814 , SB1822 , SB1841 , SB1948 , SB2065 , SB2155 , SB2406 , SB2407 , SJR12 , SJR36 , SJR81 , SJR50 , SJR4 , SCR22 , SCR12 , SCR39 , SB765 , SB62 , SB666 , SB888 , SB687 , SB847 , SB1248 , SB504 , SB305 , SB296 , SB284 , SB241 , SB304 , SB1023 , SB204 , SB609 , SB670 , SB850 , SB854 , SB413 , SB1346 , SB1033 , SB1220 , SB1073 , SB810 , SB1539 , SB447 , SB1119 , SB1505 , SB1215 , SB1302 , SB583 , SB673 , SB681 , SB1172 , SB955 , SB957 , SB1120 , SB541 , SB266 , SB1415 , SB53 , SB1352 , SB785 , SB1450 , SB1502 , SB1566 , SB414 , SB1062 , SB711 , SB746 , SB1404 , SB1448 , SB507 , SB1026 , SB1349 , SB1355 , SB1433 , SB1434 , SB1596 , SB1403 , SB667 , SB1059 , SB1567 , SB310 , SB311 , SB505 , SB1209 , SB1210 , SB1470 , SB264 , SB1029 , SB1358 , SB1364 , SB1569 , SB1376 , SB1228 , SB519 , SB1350 , SB462 , SB827 , SB1585 , SB1396 , SB1484 , SB1273 , SB927 , SB1227 , SB1229 , SB1353 , SB1464 , SB1709 , SB1729 , SB1733 , SB1744 , SB1772 , SB1841 , SB1147 , SB1008 , SB2016 , SB1173 , SB1163 , SB996 , SB568 , SB1370 , SB1321 , SB1101 , SB860 , SB993 , SB693 , SB1610 , SB1537 , SB1332 , SB1307 , SB963 , SB493 , SB984 , SB619 , SB1122 , SB455 , SB522 , SB1057 , SB1239 , SB1254 , SB1255 , SB1259 , SB1341 , SB1664 , SB1877 , SB464 , SB1277 , SB32 , SB732 , SB660 , SB731 , SB921 , SB268 , SB1822 , SB1188 , SB1589 , SB397 , SB1058 , SB1036 , SB1267 , SB2112 , SB1930 , SB532 , SB1035 , SB2155 , SB508 , SB292 , SB291 , SB901 , SB1333 , SB1436 , SB1494 , SB964 , SB779 , SB1378 , SB2312 , SB1719 , SB1386 , SB287 , SB2143 , SB1245 , SB261 , SB1247 , SB1948 , SB2406 , SB2407 , SB1882 , SB1197 , SB1814 , SB618 , SB38 , SB393 , SB2065 , SB1371 , SB1394 , SB1365 , SB2243 , SB2226 , SB2039 , SB1919 , SB1895 , SB1598 , SB1493 , SB1810 , SB1791 , SB1706 , SB1644 , SB1238 , SB783 , SB458 , SB22 , SB651 , SB897 , SB1809 , SB1080 , SB745 , SB826 , SB989 , SB1320 , SB1437 , SB2320 , SB2289 , SB1171 , SB664 , SB1637 , SB2064 , SB868 , SJR40 , SJR27 , SCR38 , SCR37 , SB1079 , SB1243 , SB1504 , SB1851 , SB1879 , SB2237 , SB1257 , SB2034 , SB1522 , SB883 , SB249 , SB1318 , SB1151 , SB596 , SB1191 , SB226 , SB570 , SB870 , SB991 , SB60 , SB365 , SB1067 , SB1786 , SB326 , SB1401 , SB1592 , SB1728 , SB1265 , SB586 , SB529 , SB217 , SB209 , SB1923 , SB1559 , SB1839 , SB387 , SB1874 , SB1872 , SB1873 , SB1921 , SB1883 , SB1677 , SB95 , SB1620 , SB1838 , SB2024 , SB2429 , SB1999 , SB511 , SB2309 , SB2166 , SB871 , SB510 , SB33 , SB2420 , SB1860 , SB1541 , SB1316 , SB1314 , SB1313 , SB1426 , SB1398 , SB1869 , SB1750 , SB1871 , SB36 , SB855 , SB1233 , SB760 , SB2425 , SB2037 , SB1758 , SB1759 , SB2365 , SB1924 , SB762 , SB1271 , SB1818 , SB605 , SB1405 , SB1762 , SB1968 , SB1977 , SB2077 , SB2148 , SB2321 , SB1967 , SB1662 , SB1663 , SB2124 , SB2204

Keywords: parental rights, education, constitutional amendment, school choice, child education, tax exemption, ad valorem, tangible personal property, income production, border security, southern border, federal immigration policy, illegal immigration, cartels, transnational cartels, fentanyl, drug trafficking, human trafficking, Operation Lone Star, Texas border

Summary: The meeting primarily focused on educational reforms, particularly in special education funding. Notably, Senator Bettencourt laid out the transformative impacts of Senate Bill 568, which aims to lift a historical cap on special education funding that affected approximately 775,000 students. The discussions included plans for an intensity-based funding model that could ensure fair distribution of resources depending on individual needs, thereby enhancing educational support for diverse learning requirements. Senators acknowledged past failures in the special education framework, emphasizing the necessity of moving towards a system that is transparent and focused on delivering adequate services.

Transcript Highlights:

• So I am a licensed behavioral health therapist. I practiced for a number of years.
• They go to school to teach, not to be a therapist for somebody.
• For those that are watching, that are therapists, I want them to know we're not just turning it over.

Committee: All PUBLIC HEALTH- HOUSE HEALTH SERVICES SUBCOMMITTEE

Summary: The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to a broad discussion of behavioral health policy, taking up work previously handled by a behavioral health working group. Representatives Wooldridge and Vaught described major gaps in Arkansas behavioral health care, emphasizing access problems, workforce shortages, rural service barriers, low reimbursement, and the need to move from a reactive crisis system to more proactive community-based care. Members discussed possible 2027-session priorities such as reducing red tape, improving provider licensing and supervision pathways, expanding billing codes and reimbursement structures, and considering interstate compacts and other workforce fixes. A major focus was the state’s crisis and forensic system, including long waits for competency evaluations, the backlog at the Arkansas State Hospital, and the use of county jails for people awaiting treatment. DHS Director Paula Stone explained that Medicaid pays for most behavioral health services, but cannot pay for services in jails or state hospitals because those individuals are treated as inmates of public institutions, leaving state general revenue to cover much of that cost. She outlined DHS efforts including secured restoration beds, therapeutic communities, community mental health center contracts for jail-based services, and plans for an institution-for-mental-disease waiver that could allow Medicaid payment for certain hospital-based services. Members also discussed crisis stabilization units, with DHS noting that Fort Smith and Jonesboro have been more successful than Fayetteville and Little Rock, largely because of location, partnerships, and law enforcement coordination. Questions covered reimbursement for county jails, step-down facilities, civil commitment options, non-emergency behavioral health transportation, and whether DHS should create a bed-availability dashboard similar to hospital systems. DHS said it does not currently have such a dashboard but is exploring the idea. The meeting ended with a commitment to continue the work, with more detailed discussion planned for August, and the subcommittee adjourned.

Transcript Highlights:

• Our technical employees are rad techs, radiology technologists, CT techs, and respiratory therapists.
• In my hospital, particularly, we have a shortage of respiratory therapists.
• In our technical group, we have our paramedics, EMTs, we have respiratory therapists, we have medical

Committee: Senate Labor

Summary: The Senate Committee on Labor met with a quorum, adopted the June 4 minutes, and then took up Senate Bill 948, the Workplace Employees Boundaries Act (WEB Act), after adopting an S-1 substitute by a 4-1 vote. Senator Geis presented the bill as a Michigan “right to disconnect” measure that would generally bar employers from requiring employees to access or respond to work communications outside usual work hours, allow employees to set availability hours, prohibit retaliation, direct LEO to write rules, and provide complaint and enforcement procedures with exceptions for emergencies and existing collective bargaining agreements. In questioning, Senator Albert raised concerns about how the bill would apply in small businesses and practical situations like staffing calls, school notifications, and emergency-like circumstances; Geis said the bill was meant to protect non-work time while preserving emergency carve-outs and informational messages. NFIB’s Amanda Fisher opposed the bill, arguing it was too broad, difficult to define across industries and schedules, potentially duplicative of existing wage-and-hour law, and likely to create confusion and reduce flexibility, especially for small employers. The committee then shifted to testimony on health care workforce and labor disputes. Nurses from Teamsters Local 332 described a 291-day strike at Henry Ford/Genesis over safe staffing, return-to-work terms, and alleged union-busting, saying the hospital’s staffing levels and use of replacement workers threatened patient safety and could displace experienced specialty nurses. Michigan Nurses Association president Aaron McCormick and Marquette RN union president Christina Hanson said Michigan’s problem is not a shortage of licensed nurses but of nurses willing to stay in overworked, hostile workplaces; they cited retaliation, slow grievance/arbitration processes, hospital consolidation, rural OB closures, and unsafe staffing ratios as drivers of burnout and departures. They urged stronger protections and faster dispute resolution, especially given the limited effectiveness of the NLRB and delays in labor processes. Additional testimony came from UAW Local 4911’s Kim Wheeler, who said UMH Sparrow was outsourcing two low-paid support groups—patient transport/housekeeping and food and nutrition—despite their importance to hospital operations and despite a recently ratified contract, and asked for transparency and limits on corporate outsourcing. Don Hill of SEIU Health Care Michigan described chronic understaffing in nursing homes, mandatory overtime, burnout, retaliation fears, and the need for enforceable patient-to-staff ratios and stronger wage support; he also noted that home care workers are negotiating first contracts after restored bargaining rights. The committee took no vote on SB 948 beyond adopting the substitute, heard extensive testimony, and adjourned without further business.

Transcript Highlights:

• I was fortunate to see a psychiatrist relatively quickly, but it took over a year to see a therapist.
• I want the physical therapist nearby. I want the staff that does this.
• their community, but it may be your local hospital where the family can be present, the physical therapist

Committee: Senate Senate Veterans' Affairs

Transcript Highlights:

• chaplains can hone their counseling skills in collaboration with traditionally licensed counselors, therapists
• The Board of Professional Counselors and Marriage and Family Therapists under IDOPL is tasked with determining
• The Board of Professional Counselors and Married and Family Therapists under IDOP is tasked with determining
• Now, Idaho state law allows that because I do not call myself a therapist or a licensed counselor.

Committee: House Business

Transcript Highlights:

• universal licensing statute to give the psychology board and the board of licensed marriage and family therapists
• c><00:07:16.720><c> family</c> licensed and marriage and family licensed and marriage and family therapist
• 07:18.800><c> 30</c><00:07:19.199><c> days</c><00:07:19.680><c> from</c><00:07:19.919><c> the</c> therapist
• an additional 30 days from the therapist an additional 30 days from the current<00:07:20.479><c> 30<

Committee: Joint Public Health and Welfare

Transcript Highlights:

• adherence with their medical treatment, whether that means taking a long-acting injectable or seeing a therapist
• AOT, assisted outpatient treatment, and... ...seeing a therapist.
• They are 24/7 community centers, staffed by therapists, nursing staff, and peer counselors.
• They are 24/7 community centers, staffed by therapists, nursing staff, and peer counselors, and they

Committee: Joint Health and Human Services Interim Committee

Transcript Highlights:

• location, they may be connected with the Community Mental Health Center, reminded about an existing therapist
• ><00:25:11.679><c> already</c><00:25:12.000><c> have</c><00:25:12.159><c> a</c><00:25:12.399><c> therapist
• </c><00:25:12.840><c> or</c><00:25:13.000><c> a</c> they have already have a therapist or a they have
• already have a therapist or a counselor<00:25:13.640><c> that</c><00:25:13.760><c> they're</c><00:25

Summary: The subcommittee heard an update from the Kentucky Horse Racing and Gaming Corporation on sports wagering revenue allocations and problem gaming funding. KHRGC reported that in fiscal year 2024, about $34.4 million was deposited to the pension fund and about $931,000 to the problem gaming assistance fund; fiscal year 2025 to date, the totals were about $18.5 million and $556,000, respectively, bringing all-time problem gaming funding to about $1.48 million. Members also discussed wagering volume, with KHRGC stating Kentucky had about $3.5 billion in wagers from September 2023 through December 2024 and about $1.4 billion in fiscal year 2025 to date. KHRGC explained that it tracks the funds sent to CHFS and the self-exclusion list, but does not track the number of people seeking help or the outcomes of those calls. The Division of Mental Health then described how the problem gambling assistance account is used. Patty Clark and Sarah Cooper said the fund supports education, counseling, public awareness, counselor certification, and treatment-related costs, with $50,000 reserved for administrative expenses. They said the department has spent the last 18 months establishing criteria, funding standards, performance measures, monitoring, and application procedures, and that it issued notices of funding opportunity in October. They reported about 1.49 million in the fund through the end of January, with awards including support for the Kentucky Council on Problem Gambling conference, a public awareness campaign by Project Ricochet, and a youth-focused campaign by Shaunie Transformation Youth Coalition. Testimony also focused on the scope of problem gambling in Kentucky and how the helpline works. The department said fewer than 10 clinicians in Kentucky are specifically certified in problem gambling, though all addiction clinicians can provide services, and estimated about 165,000 adults show problem gambling behaviors, with 47,000 to 64,000 potentially meeting criteria for a gambling disorder. They said helpline calls rose to about 3,240 in 2024, but only about 25% were from people seeking help, with most callers seeking information about online wagering. Members asked about anonymity, follow-up, co-occurring alcohol or drug issues, and whether the fund should reimburse Medicaid or directly cover treatment costs. The presenters said calls are anonymous, outcomes are not tracked unless callers follow up, and the program is currently focused on building provider capacity and targeted outreach rather than direct reimbursement or a statewide campaign.

Transcript Highlights:

• Speech therapy services and OT services are often the first on the list to be cut in times of difficult
• Speech therapy services and OT services are often the first on the list to be cut in times of difficult
• to invest more school-linked mental health services, multi-tiered levels of support, counselors, therapists
• to invest more school-linked mental health services, multi-tiered levels of support, counselors, therapists
• to invest more school-linked mental health services, multi-tiered levels of support, counselors, therapists

Transcript Highlights:

• This bill will authorize occupational and physical therapists to obtain an administrative services credential
• The First Amendment is not just about speech that you can speak physically.
• contributions, grassroots campaign contributions, and yes, sadly, large contributions are protected speech
• AB 154 is a support bill without a three-minute speech.

Summary: The Assembly convened after a quorum call, prayer, and Pledge of Allegiance, then moved through a long floor session focused largely on concurrence votes on Senate amendments and a few budget-related motions. Early procedural actions included a failed motion to send AB 1207 to the inactive file, approval of motions to take up Senate amendments without reference to file, and recesses for dinner and committee meetings. The chamber also heard several guest introductions and brief ceremonial remarks, including birthday acknowledgments and recognition of interns and visitors. Members then considered and passed a series of measures on topics including armory property transfers (SB 855), data center electricity impacts (SB 57), carbon capture pipeline transport (SB 614), health budget trailer bills (AB 144 and AB 149), and a Black Caucus higher-education bill allowing institutions to consider descendants of enslaved people in admissions (AB 7). The Assembly also concurred in numerous Senate amendments on bills covering community college nursing programs (AB 1400), public health, signage for the Los Angeles Convention Center, gambling, social media warning labels for children, housing plan-check timelines, small business disaster recovery, wildfire mental health services, antitrust enforcement, foster care kinship placements, housing stability, AI cybersecurity, emergency services, and school nutrition standards. Most of these measures passed with little or no opposition, though a few drew dissenting votes or brief debate over policy details. The most extended debate came on SB 274, which would limit retention of automated license plate reader data to 60 days unless tied to an investigation. Supporters argued it was needed to protect privacy and prevent misuse of sensitive location data, while opponents said it would hinder law enforcement and crime-solving. The transcript cuts off during that debate, so no final vote is shown for SB 274 in the provided text. Earlier and later votes recorded in the session showed broad support for many bills, with several measures passing unanimously and others receiving modest no votes, and some urgency measures being sent immediately to the Governor or the Senate after concurrence.

Transcript Highlights:

• struggle and inconvenience, bringing my son to school in Somerville, to his doctor's appointments, therapists
• Housing. struggle, inconvenience, bringing my son to school in Somerville, his doctor's appointment, therapists
• Housing is a fundamental human right, and without it, people cannot readily exercise their freedoms of speech

Committee: Joint Joint Committee on Housing

Summary: The Joint Committee on Housing held a hybrid hearing on a broad slate of landlord-tenant and home rule bills, with most testimony focused on rent stabilization, tenant opportunity to purchase (TOPA), tenant fees, access to counsel, algorithmic rent fixing, and tenant protections in subsidized housing. Chairs Cyr and Haggerty outlined the hearing procedures and noted that written testimony could also be submitted. Several members and invited speakers emphasized that the committee was hearing from both local officials and residents affected by housing instability, especially in Somerville and other communities facing high rents and displacement. Supporters of rent stabilization and local-option rent control argued that Massachusetts needs tools to prevent displacement while new housing is built. Senator Eldridge, Senator Jalen, Somerville officials, tenant organizers, and residents described steep rent increases, no-fault evictions, and the loss of naturally occurring affordable housing. Somerville’s home rule petition was described as allowing annual increases tied to CPI plus 2%, capped at 5%, with exemptions for owner-occupied two- and three-family homes and a 15-year exemption for new construction. TOPA supporters said it would let tenants or their designees buy buildings before speculative buyers, preserving affordable housing stock; opponents, including small landlords and property managers, argued rent control would reduce supply, discourage investment, and that TOPA could delay sales and harm properties. The committee also heard testimony on bills to curb junk fees and regulate tenant charges, including limits on late fees, lease renewal fees, payment portal fees, attorney’s fees, and other add-on charges. Advocates said these fees can add hundreds of dollars a month and disproportionately harm low-income renters and renters of color. Another major topic was algorithmic rent fixing: Senator Moore and Representative Sabadoza said landlords should not use software such as RealPage to coordinate pricing, citing federal antitrust actions and arguing that competition is essential to lowering rents. Additional testimony supported a statewide right to counsel in eviction cases, with legal services providers saying representation dramatically improves outcomes and can save the state money, and a bill to create an office of tenant protections to better enforce sanitary code violations. No votes or final actions were taken during the hearing.

Transcript Highlights:

• professional nursing services, personal care services, social services, physical, occupational, and speech
• I'm also a person with a disability, and I also am an occupational therapist, but I have a lot of friends
• I'm also a person with a disability, and I also am an occupational therapist, but I have a lot of friends

Summary: The Assembly Budget Subcommittees held a joint hearing on older adults and long-term care supports and services, with members and witnesses focusing on the growing “forgotten/overlooked middle” of Californians who are too wealthy for Medi-Cal but unable to afford long-term services and supports (LTSS). Administration witnesses from DHCS and the Department of Aging described Medicare’s limited long-term care coverage, Medi-Cal’s role for low-income residents, and ongoing state work on LTSS financing, including a 2024 financing initiative and a final report due in 2026. Testimony emphasized rising costs, caregiver shortages, homelessness among older adults, and the need to preserve home- and community-based services to avoid more expensive institutional care. Several advocates urged immediate action, especially Medi-Cal share-of-cost reform, housing supports, and protection of HCBS funding. Members asked for the most urgent budget priorities and were told to focus on share-of-cost reform and assisted-living rate protections, along with broader system navigation and caregiver support. The committee also heard testimony on the Community-Based Adult Services (CBAS) program. CDA reported that CBAS serves about 42,000 participants through 304 centers, with demand generally stable but geographic gaps in some regions and staffing challenges after the pandemic. DHCS explained a rate-setting issue: a 10% CBAS rate increase had been mistakenly posted on the Medi-Cal fee schedule in 2024, and while Proposition 35 later made the targeted SB 159 rate increase inoperative, DHCS said any repayment by managed care plans would depend on contract terms and the department would not require clawbacks. CBAS providers and advocates warned that the program is in a financial crisis, with six center closures since June 2024, and requested $74.8 million ongoing General Fund to close about half the gap between current reimbursement and costs. Members expressed concern that clawbacks could accelerate closures and noted the program’s role in preventing institutionalization and supporting family caregivers. In the final panel, CDSS presented on In-Home Supportive Services (IHSS) provider recruitment and retention and on the AB 102 statewide bargaining report. CDSS said the IHSS Career Pathways program has concluded successfully, with more than 59,000 providers completing training, and that the AB 102 report—based on workgroup meetings and consultant analysis—will be sent to the Legislature shortly. The department said the workgroup viewed statewide bargaining as more viable than regional bargaining, but identified major issues around consumer participation, county fiscal impacts, administrative responsibilities, and the need to define bargaining scope in statute. CDSS estimated that each $1 per hour statewide wage increase would cost at least $1.3 billion to $1.5 billion annually. Provider unions supported statewide bargaining, arguing it would improve wages, benefits, and workforce stability, while county representatives said any statewide model should preserve consumer focus, protect county finances and realignment funds, and keep core administrative functions with local public authorities. The hearing concluded without votes, with members requesting additional follow-up information and urging continued engagement ahead of the May revise.

Bills: SB5223 , SB5831 , SB5928 , SB6183 , SB6071 , SB5995 , SB5966 , SB5841 , SB5840 , SB6061 , SB6058 , SB5931 , SB5944 , SB5520 , SB6011 , SB6087 , SB6076 , SB5916 , SB6016 , SB5936 , SB6137 , SB5956 , SB6025 , SB6009 , SB5833 , SB6161 , SB6188 , SB5890 , SB5917 , SB5820 , SB5973 , SJM8015 , SB5816 , SB6136 , SB6091 , SB6024 , SB5053 , SB5249 , SB5536 , SB5834 , SB5837 , SB5872 , SB5879 , SB5899 , SB5925 , SB6019 , SB6148 , SB6184 , SB6190 , SB6237 , SB6086 , SB5574 , SB5873 , SB5992 , SB5924 , SB6134 , SB6263 , SB5395 , SB6282 , SB5905 , SB6302 , SB5950 , SB6074 , SB6226 , SB6096 , SB5970 , SB6269

Keywords: criminal offense, fingerprinting, law enforcement, state regulations, public safety, mortgage modification, uniform regulations, homeowners, financial stability, foreclosure prevention, wildfire risk, disclosure, safety, environmental policy, risk assessment, SB 6183, HIV, antiviral drugs, antiretroviral therapy, AIDS

Transcript Highlights:

• Um, there's an equine therapist that we didn't necessarily agree to both sides, but, um, I met with Dr
• Essentially, we put up some guardrails that in order to receive the equine therapist licensure through
• Essentially, we put up some guardrails that in order to receive the equine therapist licensure through

Summary: The committee met with a quorum, approved the prior meeting’s minutes, and then reviewed a series of administrative regulations from multiple agencies. Most of the regulations were presented as technical updates or policy clarifications, and in each case the committee approved staff-suggested amendments without objection. The Department of Revenue regulation would delete a section on tax credits for trusts and estates to align with statute. The Kentucky Public Pensions Authority package updated definitions, sick leave credit rules, hazardous/non-hazardous employment participation, refund procedures, contribution limits, mortality table references, and incorporated federal tax references. The Board of Medical Licensure regulations addressed renewal and activation of inactive physician-assistant licenses and renewal/reinstatement timelines for athletic trainer licenses. The Fish and Wildlife regulations revised rules for Otter Creek and Peabody areas by deleting definitions and creating shooting-range permit exemptions. The committee also heard emergency vocational rehabilitation regulations that would clarify definitions, due process rights, federal compliance, service fees, in-state service preferences, and service-specific requirements; a workforce insurance regulation updating contribution/reporting rules for professional employer organizations; and a horse racing regulation adding license categories for allied animal health professionals, animal chiropractors, and equine dental providers, while updating fees, application timing, and special events licensing. Members asked questions about the horse racing licensure changes, and the agency explained they were responding to prior session changes and adding guardrails, including veterinarian sign-off for equine therapist licensure on the back side of a racetrack. The Department for Public Health package made several personnel and salary-related changes for local health departments, including salary ranges for new hires, probation and evaluation rules, salary increases after probation, and limits on certain leave payouts for employees who separate without proper notice or are dismissed for cause. The Office of Inspector General regulation added electronic prescription references and removed authority to create a new prescription number for partial dispensing of Schedule II prescriptions. The Department for Medicaid Services regulations updated provider group definitions, removed some service limits, required prior authorization for all genetic testing for non-MCO recipients, changed physician fee schedule updates from quarterly to annually, and added reimbursement for department-approved vaccines. Members asked detailed questions about genetic testing prior authorization and sleep disorder coverage; the agency said prior authorization is intended to take two to five days and that sleep disorder services generally involve sleep apnea-related treatments such as CPAP machines and sleep studies. The committee then adjourned and announced its next meeting for Tuesday, May 12 at 1:00 p.m.

Transcript Highlights:

• care professionals, including physicians, nurses, dentists, pharmacists, psychologists, physical therapists
• interwoven with the work of physicians, nurse practitioners, mental health professionals, physical therapists
• issues, internalized homophobia, and insecurities, finding transgenderism online, being affirmed by therapists

Summary: The Assembly Health Committee met on March 17 and first approved a consent calendar of several bills, then heard AB 1540 by Assemblymember Mark Gonzalez, which would restore the 988 “Press 3” LGBTQ youth crisis line. Supporters, including suicide prevention advocates, behavioral health groups, and local governments, argued the service is a vital, identity-affirming suicide prevention tool for LGBTQ youth. Opponents, including detransitioners and conservative advocacy groups, argued it would steer vulnerable youth toward organizations they viewed as harmful. The committee approved the bill on a due-pass-as-amended motion to the Communications and Conveyance Committee, with several no votes; the bill was later held on call and then advanced. The committee next heard AB 1671 by Assemblymember Tangipa, creating a Rural Medical Provider Grant Program to help providers serving rural communities with operational costs, equipment, workforce needs, and related expenses. Supporters said the bill would help retain providers and improve access in areas where patients travel long distances for care; committee members also discussed telehealth as an important rural access tool. The bill passed on a due-pass-as-amended motion to Appropriations. The committee then took up AB 1876 by Assemblymember Addis, the Fair Care for All Act, which would codify federal health care nondiscrimination protections into California law, including protections related to race, color, national origin, age, disability, sex, and gender identity. Supporters said the bill is needed because federal protections are vulnerable to rollback and because patients, especially transgender and intersex Californians, face coverage denials and care disruptions. Opponents argued the bill would force coverage of gender-affirming care and raised concerns about detransitioning. The committee approved the bill on a due-pass motion to Judiciary, with some no votes, and later held it on call before it advanced. Finally, the committee heard AB 1629 by Assemblymember Haney, which would require dental plans to honor assignment-of-benefits requests and improve reporting on network adequacy. Supporters said the bill would reduce upfront costs for patients and improve transparency, while opponents, including Delta Dental and dental plan groups, warned it could weaken networks and increase out-of-pocket costs. After discussion about network participation and patient access, the committee passed the bill on a due-pass motion to Appropriations. The committee then completed the remaining votes, including the consent items, and adjourned.

Transcript Highlights:

• We're not just talking about physicians; we're talking about dentists, pharmacists, physical therapists
• support. of Senate Bill 14, and thank the sponsors for the addition of physical and occupational therapists
• Chiropractors, pharmacists, massage therapists, and acupuncture.

Bills: SB101 , SB21 , HM52 , HB132 , SB14 , SB20

Committee: House House Health & Human Services

Keywords: SB 101, Health Care Delivery and Access Act, repeal of repeal, sunset repeal, delayed repeal, health care, healthcare, access to care, medical services, provider regulation, state health law, New Mexico, SB 21, Medicare supplement, Medigap, open enrollment, guaranteed issue, birthday month enrollment, health insurance, insurance regulation

Transcript Highlights:

• The bill also brings us closer to join the National Physical Therapist Compact by adding the term part
• The bill also brings us closer to join the National Physical Therapist Compact by adding the term part
• Also brings us closer to joining the National Physician-Physical Therapist Compact by adding the term

Summary: The committee met to consider a large agenda of health and human services bills, moving quickly because of a two-hour time limit. Early measures reported favorably included SB 976 on challenges to court-appointed psychologists in family law cases, SB 306 on Medicaid provider network access and after-hours availability, and SB 584 on housing supports for college students and youth in extended foster care. SB 1412 on home health regulation modernization also passed, with one support appearance from the Home Care Association. Members then approved several bills focused on research and care delivery, including SB 1800 creating a Parkinson’s disease research consortium at USF with an adopted amendment adding academic medical centers, SB 524 adding Duchenne muscular dystrophy to newborn screening, SB 1156 revising a Medicaid home health aide program for medically fragile children, and SB 1490 transferring and redesigning the managed care program for critically ill children. SB 1174 on foster home licensure transfers, SB 1620 implementing mental health and substance use commission recommendations, SB 1568 revising e-prescribing exemptions, and SB 788 on veterans nursing home beds were also reported favorably. The committee had more extensive debate on SB 1270, the Department of Health agency package, which included provisions on vaccination status, medical marijuana background screening, licensing and compact issues, and sovereign immunity for volunteer dental workers; it passed after an amendment and several members voiced concerns about patient treatment and “voting power” language. SB 1606 on patient access to records drew strong opposition from providers and health information professionals over privacy, HIPAA, and administrative burdens; it was initially reported unfavorably, then reconsidered and ultimately passed after a motion to reconsider. Other bills reported favorably included SB 1736 on insulin administration by direct support professionals and relatives, SB 1808 on patient refunds from providers, SB 1842 on referral disclosure of network status, SB 1354 on behavioral health managing entity oversight, SB 1768 on stem cell therapies with informed consent requirements, and SPB 7032 on presumptive Medicaid eligibility for permanently disabled individuals, which was submitted and reported as a committee bill. The meeting ended after all agenda items were handled and the committee adjourned.

Transcript Highlights:

• The bill also brings us closer to joining the National Physical Therapist Compact by adding the term
• The bill also brings us closer to join the National Physical Therapist Compact by adding the term part
• Also brings us closer to joining the National Physician Physical Therapist Compact by adding the term

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Appropriations Committee on Health and Human Services met to consider a full agenda of bills, moving quickly through 20 measures and several amendments. Early bills reported favorably included SB 976 on procedures for challenging court-appointed psychologists in family law cases, SB 306 on Medicaid managed care provider access outside regular business hours, and SB 584 on housing supports for foster youth and college students, which drew supportive testimony from former foster youth and was backed by members as a way to improve stability and educational opportunity. The committee also approved SB 1412 to modernize home health regulations and SB 1800 to create a Parkinson’s research consortium at USF, with members citing the need for more research and future funding opportunities. The committee adopted amendments on several bills, including technical and conforming changes to the Parkinson’s bill and other measures. The committee then advanced a series of health care and child welfare bills. SB 524 added Duchenne muscular dystrophy to newborn screening; SB 1156 revised the Home Health Aide Program for medically fragile children, including training, reimbursement, and work-hour flexibility; and SB 1490 reorganized services for medically fragile children by shifting program administration to AHCA and requiring a redesign plan for the Medicaid waiver. SB 1174 allowed foster home and child-caring agency licenses to be amended when a foster parent relocates, and SB 1620 implemented selected recommendations from the Commission on Mental Health and Substance Use Disorders, including a new research center at USF and school-based behavioral health review requirements. SB 1568 revised e-prescribing exemptions, and SB 78 authorized certain veterans’ nursing home beds and related certificate-of-need transfers. All of these measures were reported favorably after brief debate or supportive testimony. Several bills prompted more extensive discussion and some opposition. CS for CS SB 1270, the Department of Health agency package, included provisions on vaccination-related patient rights, medical marijuana reporting, background screening, temporary licensure, compact participation, and sovereign immunity for volunteer dentists; it passed despite concerns from Senators Berman, Brodeur, and Harrell about vaccination language and board/voting-power provisions. CS for SB 1606 on patient access to records drew strong opposition from physicians and health information professionals over privacy, security, fines, and portal access; it was initially reported unfavorably, then reconsidered and ultimately reported favorably as a committee bill. CS for SB 1736, allowing insulin administration by direct support professionals and relatives for individuals with developmental disabilities, and SB 1808, requiring timely refunds to patients, both passed. CS for SB 1842, requiring referring providers to help patients determine whether referred providers are in-network, also passed over concerns about burden on small practices. The committee also advanced SB 1354, a behavioral health oversight bill requiring audits, performance reporting, and system transparency measures for managing entities, and SB 1768, which authorizes physicians to perform certain stem cell therapies using specified products and requires informed consent; both drew supportive comments but also concerns about patient understanding and oversight. Finally, the committee approved SPB 7032 as a committee bill to create presumptive Medicaid eligibility for permanently disabled individuals during redetermination, and after reconsideration it reported SB 1606 favorably as a committee bill. The meeting ended with members noting their recorded votes on select tabs and adjourning after completing the agenda.

Transcript Highlights:

• for that is because if you are not independently wealthy or able to rely on your spouse, my own therapist
• I was involved in this because I had started my graduate program to become a therapist at New Mexico
• process because they want to. provide this service in their community, as addiction counselors, as therapists

Committee: House House Health & Human Services

Transcript Highlights:

• And so it's really important for therapists to have access to all of that information.
• And so by having all of that information there, the therapist can say, 'I think that you are depressed

Committee: House House Science & Technology Committee of Reference

Summary: The Committee on Science and Technology met to hear a presentation from Ananya Lakaraju, a Hamilton High School junior, on her research into the biology of major depressive disorder. She described a project using saliva metabolomics and machine learning to identify potential biomarkers of depression from a UCSD dataset of 261 patient samples, explaining that the goal was to move beyond subjective screening toward more objective, biology-based diagnosis. She also discussed using multiple statistical methods and an ensemble AI model, along with SHAP and permutation importance, to identify top metabolites and related pathways, and said her work suggested some novel biomarkers and possible links to depression-related pathways. Lakaraju further explained a drug-discovery component of the project, in which she used pathway analysis and molecular docking software to identify a potential target protein and test candidate compounds, saying flupinazine showed the best binding energy in her simulations. She noted that the model achieved about 90% accuracy and a 97% AUC, and said she also built an app to collect mood and activity information to complement the biological data. Members asked questions about the metabolites, whether the findings were novel, how the saliva data were obtained, and how the app and future at-home testing might work. She said the biomarkers were computationally identified, the saliva data came from an online UCSD dataset rather than direct collection, and the app was intended to support more holistic diagnosis rather than replace clinicians. Committee members praised the presentation as impressive and timely, especially in light of the growing role of AI in medicine and the need for AI regulation. Lakaraju also spoke about her interest in coding and biology, her experience in robotics, and receiving the Governor’s Future Innovator of the Year Award. No formal votes or legislative actions were taken, and the meeting adjourned after the presentation and discussion.