Transcript Highlights:

• changes related to the new agency.
• They also make technical changes. Section 26 is also from the DHS policy bill.
• They also make conforming technical changes, and that concludes the walkthrough for Article 3.
• <00:08:29.520> the technical changes and that concludes the technical changes and that concludes
• <00:11:26.200> so slightly more substantive changes so slightly more substantive changes so

Keywords: 1183, house

Transcript Highlights:

• It's a technical... Oh, I'm sorry. It was a technical amendment on the dates. Yes.
• And so basically, it moves the date up and does some technical changes.
• This amendment changes some of the numbers that Representative Moore just mentioned, changing the original
• bill changed from 40% to 20%.
• This amendment changes it to 30%. Um, as this amendment changes it to 30%.

Bills: HB46, HB379, SB22, HB487, HB273, HB525

Keywords: rural physician, tax credit, healthcare access, physician recruitment, Alabama, HB379, Alabama income tax, nonresident exemption, remote workers, traveling employees, mobile workforce, withholding tax, state tax reciprocity, multistate employees, temporary work, work location tracking, time and attendance system, remote work taxation, professional athlete, professional entertainer

Transcript Highlights:

• Change from comments to support. That's great. Thanks, DBEDT. Moving on to our next testifier.
• the of the committee Chung Chang the Strategic<00:22:19.080> brand<00:22:19.480> coordinator
• technical technical um<00:33:05.120> and<00:33:05.240> are<00:33:05.440> contained<
• We have primarily technical comments, but the one substantive comment that we wanted to highlight was
• Our comments are again primarily technical.

Keywords: 910, house, all

Summary: The Committee on Economic Development and Technology met on February 5, 2025, and heard testimony on several bills related to economic development, broadband, tax policy, and family support. HB 455 drew support for a startup-business loan program, with DBEDT, the Hawaii Food Industry Association, the Chamber of Commerce of Hawaii, and Hmua Collective among those in favor; Tax Foundation Hawaii questioned the need for a special fund. HB 437, concerning Hawaii trade/investment offices, received support from DBEDT and Hawaii Friends for Civil Rights, and members asked DBEDT about how to measure return on investment from the overseas offices. HB 650, dealing with broadband-related administration, was supported by DBEDT, the Department of Agriculture, the Hawaii Food Industry Association, and others, while committee discussion focused on the role of the state’s trade and investment offices and broadband administration. HB 935, on digital navigator support, received testimony in favor from DBEDT, the Hawaii State Council on Developmental Disabilities, the University of Hawaii system, and others, but also drew comments about consumer representation and the need for service on neighbor islands. The committee also heard strong testimony on tax and family-related measures. HB 572, which would remove the grocery tax, received overwhelming support from groups including the Hawaii Food Industry Association, AARP Hawaii, and others, with testimony emphasizing food insecurity and cost-of-living relief; Tax Foundation Hawaii offered technical comments. HB 701, a caregiver tax credit bill, was supported by AARP Hawaii, Hawaii Children’s Action Network Speaks, and others, with AARP stressing the burden on family caregivers and Tax Foundation Hawaii suggesting the credit percentage be reduced to preserve price-shopping incentives. HB 753, another child and dependent care tax credit measure, drew support from AARP Hawaii, Catholic Charities Hawaii, Hawaii Children’s Action Network Speaks, and others; Tax Foundation Hawaii again raised technical concerns, this time about the complexity of the formula. After testimony, the committee took up decision-making. HB 455 was passed with amendments, including transferring administrative responsibility from the Hawaii Technology Development Corporation to the Community-Based Economic Development Program, blanking out the appropriation, adding one business loan officer FTE, and noting a $95,000 cost. HB 437, HB 650, HB 934, HB 442, and HB 572 were all advanced with amendments, generally involving blanking out appropriations, moving amounts into committee notes, technical cleanup, and setting effective dates to July 1, 3000. HB 935 was deferred because of overlap with public library programs and uncertainty about federal funding for digital navigator positions. The chair also indicated HB 7 would be amended to add a nonrefundable family caregiver tax credit and related technical changes, but the transcript cuts off before final action on that bill.

Transcript Highlights:

• In that moment, I pushed two of them out of the way, and that has changed my life.
• Technically, if you could, if there's a job That you really want, what would that be?
• Thank you for letting us get through those technical difficulties.
• You talked about the national technical assistance Where is that located federally?
• But that does take policy changes, that does really take looking at that funding.

Keywords: 914, all

Transcript Highlights:

• the<00:02:12.879> uh is just change the uh is just change the uh order<00:02:14.720> of
• or may not change.
• Uh we are not changing eligibility. We are not changing benefits.
• Uh we are not changing eligibility. We are not changing benefits.
• retail worker, hours change weekly. retail worker, hours change weekly.

Keywords: 00:00:00 - Call to Order/Roll Call 00:02:20 - Discussion of 26RS HB 689 00:13:13 - Discussion of 26RS SB 201 00:27:45 - Discussion of 26RS HB 583 00:46:37 - Discussion of 26RS HB 488 00:48:13 - Discussion of 26RS HB 2 01:14:34 - Discussion of Kentucky State Plan Amendment (SPA) 26:0001: School-based Medicaid Services Program 01:18:24 - Public Comment, 958, all

Summary: The Medicaid Oversight Board met on March 9 with a quorum present and no minutes to approve. The chair reordered the agenda to hear House Bill 689 first. Representative Amy Neighbors presented HB 689, which would authorize Kentucky to seek CMS approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning January 1, 2026, with retroactive payments for that year. She said the bill is intended to improve access to care in rural and underserved areas, support workforce retention, and generate about $29 million annually in federal Medicaid funds without using general fund dollars. Representatives from Owensboro Health and St. Elizabeth Healthcare testified in support, describing staffing and subsidy pressures, lower Medicaid and Medicare reimbursement, and the importance of the program for maintaining access and quality in rural and safety-net settings. Committee members noted the bill had already passed the House Health Services Committee unanimously and discussed broader concerns about Kentucky’s low reimbursement rates and the need to consider other systems not covered by the proposal. The board then heard Senate Bill 2011 from Senator Donald Douglas and Cody Hunt of the Kentucky Medical Association. The bill would address a Medicaid coding issue by ensuring that coverage limits do not reduce payment to fewer than two evaluation and management service units per provider, per patient, per day. Douglas argued the current one-visit, one-issue limitation forces multiple visits, increases no-shows, and prevents providers from treating the whole patient. Hunt explained that the bill is meant to correct a longstanding regulation that limited E&M services to one per physician per recipient per date of service, which can prevent providers from coding additional medically necessary work during the same visit. He said DMS has already filed a regulatory amendment to fix the problem, but a statutory change is still needed to prevent the issue from returning. He also said the bill is not intended to change reimbursement policy, only coding rules, and that MCO payment practices vary. Members generally supported the concept. Senator Berg asked about fiscal impact and private-payer billing; Hunt said there should be no fiscal impact because the bill does not change payment policy, only coding. Representative Moore said the proposal could reduce costs and improve convenience by avoiding extra visits. Chairman Meredith said the bill illustrated problems with fee-for-service care and supported moving toward a more holistic delivery model. Dr. Schuster raised a drafting concern about the bill summary language, and Hunt responded that the regulatory amendment should address the issue generally for providers. No votes were taken on either bill during this portion of the meeting.

Transcript Highlights:

• ,<00:10:38.079> but um could be just a minimal change, but um could be just a minimal change
• the public on the change. the public on the change.
• So the needs have necessarily changed So the needs have necessarily changed better<00:26:18.240>
• technical to 2050 and any technical technical to 2050 and any technical non-s<00:53:26.960> substantive
• thank you for your changes. thank you for your changes.

Keywords: 912, senate, all

Summary: The Committee on Health and Human Services opened its first hearing of the 2026 session and heard testimony on several bills, with the chair emphasizing one-minute testimony, written submissions, and live streaming. For SB 768, relating to an alternative water source income tax credit, the Department of Taxation said a drafting issue needed clarification on the $500 cap and estimated a revenue loss of $6.8 million per year beginning in fiscal year 2028. The Tax Foundation of Hawaii and the Libertarian Party opposed the bill as an unnecessary subsidy and tax-code complication, while one supporter was noted. A member questioned the size of the projected loss and suggested future analysis of net fiscal impacts and methodology. The committee then heard SB 389, which expands a general excise tax exemption to additional health-related providers and purchases. The Department of Taxation said the change would be a minimal code adjustment but would require public education; the Tax Foundation said the bill should be framed in light of the original physician-shortage rationale for the exemption. The Hawaii National Guard and Aloha Care supported the measure, along with several other organizations and individuals, while the Libertarian Party opposed it as favoritism and tax-code complexity. A member asked about administrative burden and potential tax impact, and the department said it did not yet have a calculation but was working on one. The committee also heard SB 877, which would appropriate funds to increase Medicaid in-home services if federal matching funds are maximized, and SB 1139, which would direct DHS to expand Medicaid eligibility for children from birth to age five regardless of household income. DHS stood on written testimony for both bills, and Aloha Care, the Hawaii Medical Association, disability advocates, children’s advocates, and CARES testified in support, arguing the measures would improve access and family stability. The Libertarian Party opposed both bills, warning of higher long-term costs, entitlement growth, and reduced private-sector options. Members questioned the fiscal and programmatic differences between crisis and warm-line services during discussion of SB 787, a bill to fund a Department of Health warm line; the department said the warm line would serve noncrisis callers more cheaply than crisis staffing, and that about 34.7% of 2024 Hawaii CARES contacts were mild issues that could have been routed to a warm line. Supporters cited mental health needs after the Lahaina wildfire and the affordability crisis, while opponents argued the service duplicated existing resources and expanded government involvement.

Transcript Highlights:

• It's more of a technical question, or more of a technical amendment.
• I think the issue is whether we'd be able to spend that based on this change.
• We've made many changes on the House floor. We've got time to fix this.
• I've had changes along the way in a lot of my bills in my 10 years here.
• house floor as the if if there's changes house floor as the if if there's changes that<00:29:56.120

Bills: HF11

Keywords: Minnesota Paid Leave, paid family and medical leave, family leave, medical leave, implementation delay, premium collection, employer premiums, state payroll tax, workforce, labor, benefits administration, DEED, Department of Employment and Economic Development, employer notice, seasonal employees, private plans, actuarial study, outreach and education, employee rights, reinstatement

Transcript Highlights:

• We know that that can actually change the experience quite a bit.
• And so AI is constantly changing.
• Next one is our Tribal Technical Assistance Centers.
• Tribal Technical Assistance Centers.
• Does access to the arts and the libraries change attendance?

Transcript Highlights:

• system, if we want them to change system, if we want them to change recidivism<00:51:40.319>
• changing the language doesn't change changing the language doesn't change what<00:56:54.079>
• <00:56:59.760> An this is the the language change. An this is the the language change.
• Curious, we're not changing the system. Curious, we're not changing the YOS as a name.
• All changes are technical or minor in scope and are intended to reduce confusion, reaffirm original legislative

Keywords: 981, all

Summary: The House convened with a quorum, approved the journal from February 13, 2026, and heard several announcements and introductions, including recognition of student guests and notices about upcoming committee meetings. Members also shared informal remarks tied to Lunar New Year celebrations, a water policy breakfast, and other caucus or committee updates. The chamber then took up special orders for several bills, including House Bill 1013 and House Bill 1064. House Bill 1013, concerning ratio utility billing systems used by landlords to allocate utility charges to tenants, was presented as a technical cleanup to last year’s House Bill 1090. Supporters said it was intended to clarify that such billing practices remain allowable and to align the statute with legislative intent. Amendment L002, offered to state that the bill created no private right of action and to limit litigation, was debated at length but defeated. Opponents argued it would restrict existing rights under consumer protection law, while supporters said it would reduce unnecessary lawsuits. The bill then passed the committee. House Bill 1064, concerning modifications to the youthful offender system, was also heard. Supporters said the bill codifies existing Department of Corrections practices, updates language to promote effective communication, and reflects evidence-informed, trauma-informed rehabilitation aimed at reducing recidivism. Amendment L003, which adjusted language to be more inclusive of the YOS community, was adopted. Several members opposed the bill, arguing it codified practices already in place, lacked clarity on evaluators and costs, and did not sufficiently account for victims’ perspectives. Despite that opposition, the committee report was adopted and the bill advanced with the amendment.

Transcript Highlights:

• code, why don't we change the code? code, why don't we change the code?
• In 1991, there was a change.
• was there was a change.
• And that change was there was a change.
• change the circumstances on any of this. change the circumstances on any of this.

Keywords: 1189, house, all

Transcript Highlights:

• There's an issue that we need to change the access to it.
• That's the career and technical education classes. The other GPA is the same.
• That's why I wanted to make these changes. So I am all about listening to anyone.
• And I think we need to change that. And that's what we've done in this bill.
• That's why I wanted to make these changes. So I am all about listening to anyone.

Summary: The Higher Education Budget Subcommittee met with two bills on the agenda. HB 1055, by Rep. Albert, would make permanent the Center for the Study of Election Law at Florida State University’s College of Law, which was created temporarily in 2023. The sponsor described the center as successful and tied to Florida’s election reputation. There was brief public testimony, including support from FSU-affiliated witnesses, and no debate or amendments. The bill passed unanimously. The committee then heard HB 1105, by Rep. Kinghart-Johnson, a broader education bill affecting Bright Futures and related programs. As explained by the sponsor, the bill would change the Gold Seal Vocational Scholarship requirement from three full credits in one program to three full credits total, align the CTE diploma with scholarship eligibility, add the AP Capstone Diploma as an automatic Bright Futures Academic Scholarship qualifier, and remove barriers for some students whose parents are retired military or public service employees stationed out of state. An amendment was adopted that revised AP Capstone requirements, kept the Gold Seal GPA requirement unchanged, and added the ACE diploma as a qualifier for the Florida Seal of Fine Arts. Public testimony on HB 1105 included two social work students who supported expanding opportunities but warned that the bill could steer students into vocational tracks without enough safeguards, transparency, or access to transportation, internships, and counseling. Several members spoke in support of the bill’s goal of recognizing multiple paths to success, while also acknowledging concerns raised by speakers. In closing, the sponsor said the bill was intended to improve access and correct language that treated vocational pathways as lesser options. HB 1105 passed unanimously as amended, and the meeting adjourned afterward.

Transcript Highlights:

• The amendment is a technical change to delete section 10 of the bill as it incorrectly subjects access
• The amendment is a technical change to delete section 10 of the bill as it incorrectly subjects access
• The definition of vaccine was changed.
• That's not really changing anything at all.
• That's not really changing anything at all.

Summary: The Health Policy Committee met with a quorum and took up a long agenda of health care, Medicaid, and patient-access measures, along with confirmation votes. The committee first reconsidered and amended SB 1606 on patient access to records, clarifying portal obligations, deleting a section affecting nursing home facility records, and setting a January 1, 2026 effective date; the bill then passed favorably as a committee substitute. The committee also recommended confirmation of a block of appointees and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after Harris testified about priorities including financial accountability, managed care oversight, transparency, and quality improvement. Senators asked about audit findings and Medicaid managed care performance, and several witnesses and committee members voiced support for her appointment. The committee then advanced a series of bills, most of them with amendments, including claims bills SB 28 and SB 22 for South Broward Hospital District settlements, SB 772 on undesignated glucagon in schools, SB 998 on death certification by physician assistants and APRNs, SB 1412 on home health administration flexibility, SB 1800 creating a Parkinson’s disease research consortium at USF, SB 306 on managed care network access during holidays and after hours, SB 1768 on stem cell therapies by physicians, SB 1602 on pediatric readiness in emergency departments, SB 1156 on the home health aide program for medically fragile children, SB 1490 on Children’s Medical Services and managed care administration, and SB 1182 on Medicaid coverage of continuous glucose monitors. Most of these bills received support from industry, advocacy, or provider groups and were reported favorably as committee substitutes. The most debated measure was SB 1270, a broad strike-all amendment combining provisions on mRNA vaccine documentation, vaccination-status protections in the Patient Bill of Rights, medical marijuana reporting and background-screening definitions, compact language, and volunteer immunity. The committee heard extensive testimony both for and against the vaccine-related provisions, including concerns about discrimination, patient safety, provider discretion, and medical liability. After additional technical amendments and a time-certain motion, the bill passed favorably as a committee substitute, with Senators Davis and Osgood voting no and Senator Harrell expressing a weak yes. At the end of the meeting, senators recorded their votes on selected tabs, and the committee adjourned.

Transcript Highlights:

• The current $250,000 cap has remained unchanged since 2009 despite significant economic changes.
• Small Business Technology Assistance Program, SVTAP, needs more robust protections in the wake of changes
• And four, creates temporary relief for the state's largest small business technical assistance program
• In addition, I'm just here for technical support. Thank you. This is Fritz. Thank you.
• In addition, just here for technical support. Okay, thank you.

Summary: The Assembly Committee on Economic Development, Growth, and Household Impact met on July 11, 2025, and heard six measures focused on small business contracting, ports and trade, local economic development, clean energy transition, tariff impacts, and infrastructure finance. SB 70 would raise the Small Business Procurement and Contract Act contract cap from $250,000 to $350,000 and index it to inflation; supporters said it would reflect current economic conditions, while opponents argued it could reduce transparency, favor larger firms, and strain small businesses’ ability to carry inventory and wait for payment. The bill was approved 7-0 to Appropriations. AJR 14 urged federal agencies to consider the effects of tariff policy on California ports, with testimony emphasizing impacts on cargo volumes, jobs, supply chains, and infrastructure needs; it passed 7-0. SB 781 would require cities and counties to adopt small business utilization plans and strengthen the California Small Business Technical Assistance Program; chambers of commerce and committee members supported it as a way to expand procurement opportunities and technical assistance, and it passed 7-0 to Local Government. SB 227 would extend and expand the Green Empowerment Zone in Contra Costa County, add environmental justice representatives, and extend authorization to 2040; it passed 7-0 to the floor. SB 263 would direct the California Transportation Agency to study the statewide impacts of tariffs, with supporters from the ports, retail, and trucking sectors arguing that better data is needed to guide budgeting and policy responses; it passed 7-0 to Appropriations. SB 769 would create the Golden State Infrastructure Fund to finance major infrastructure projects through a revolving public-private investment model; supporters said it would help address long-term infrastructure needs and prepare for major events, and the bill passed 6-0 to Appropriations after opposition was withdrawn. All measures were reported out of committee, and the meeting adjourned at 10:39 a.m.

Transcript Highlights:

• We just don't change it for one party.
• So that is fluid and ever changing.
• So because we're not changing any changes to the licensure requirements, it would be up to them if they
• So the changes that we're making in this bill do not have any effect on the job... ...the changes that
• This is just a technical change to clarify some language.

Summary: The committee first took up a local beverage-license bill for the World Equestrian Center in Marion County. The sponsor described the facility’s size, economic impact, and rapid expansion, and explained that the bill would direct DBPR to issue a special license for qualifying equestrian sports facilities. After questions about whether the carve-out would set a precedent for other businesses, the sponsor said the unique facts of the facility justified the bill. An amendment narrowed the off-premises alcohol authority so the license would allow beer and wine only for off-premises sales, while still allowing on-premises sales of all alcoholic beverages and a standalone bar on the premises. The amendment was adopted, and the bill passed 16-1, with Representative Rayner voting no. The committee then heard PCS for HB 1461, a broad regulatory-reform bill that would repeal continuing education requirements for certain licensed professionals, eliminate several boards/councils/commissions at DBPR and DACS, remove some secondary licenses, and expand licensure pathways. The sponsors argued that most complaints are already handled administratively, that the boards create bureaucracy and cost, and that the bill would improve efficiency without changing initial licensure standards. Members raised concerns about whether DBPR has the subject-matter expertise to replace professional boards, especially for engineering, harbor pilots, electrical work, home inspection, architecture, interior design, and related fields, and about whether removing continuing education could weaken public safety and code compliance. Public testimony on the PCS was mixed but leaned strongly against the bill from affected professions. Opponents from architecture, electrical contracting, home inspection, geology, interior design, real estate, and related groups argued that the boards provide technical expertise, discipline, and updated knowledge tied to changing building codes and safety standards, and that continuing education is important for public protection. Some supporters, including representatives of CPAs and landscape architects, said they appreciated efforts to streamline licensing and reduce anti-competitive barriers but still had concerns about specific provisions. The committee adopted two amendments: one requiring 30 days’ notice for an address change for a prescription sales business, and a second technical amendment. No final vote on the PCS was taken in the portion provided.

Transcript Highlights:

• Next up, Haley Chang. Uh >> Thank you. Next up, Haley Chang.
• I'm the first name is Haley Chang.
• >> So, technically I think we're looking at >> So, technically I think we're looking at the
• All that's changed.
• , But the position is ever changing, But the position is ever changing, right?

Keywords: 912, senate, all

Summary: The committee first took up Senate Bill 2693 relating to capital improvement projects for aerospace infrastructure. Members had no questions, and the recommendation to pass the bill with a defective date of July 1, 2050 was adopted unanimously. The committee then deferred decision making on Senate Bill 26980 relating to transportation and Senate Bill 2374 relating to the blue economy until Thursday, February 19, 2026, in Room 229, pending additional information. In the joint hearing on Senate Bill 2816 relating to state enterprise zones, agencies and organizations including DBEDT, HTDC, Taxation, the University of Hawaii Cancer Center, Oceanit, the Hawaii Medical Association, and the Queen’s Health System testified in support or submitted written comments. One public testifier urged expanding enterprise zones around the Kakaako/Cancer Center area and combining them with the foreign trade zone to reduce taxes and attract business. A senator questioned whether the enterprise zone program had ever been comprehensively evaluated, noting DBEDT said it had not done a full study in recent years and cited annual report figures including about $221 million in company revenues and $460,000 in foregone state revenue in 2022. The discussion focused on whether the bill would subsidize existing activity or support new economic development, and on the broader policy question of whether enterprise zones should be used to revitalize depressed areas or to target strategic sectors like health care technology. The committee then heard Senate Bill 2900 relating to sports officials. The Department of Education supported the measure, saying the Attorney General is best positioned to represent employees in temporary restraining order matters and that elevating intentional bodily injury of a sports official to a class B felony would improve safety. The Office of the Public Defender opposed the bill, arguing it would escalate conduct already covered by existing assault statutes and go beyond other protected classes. The Department of the Attorney General recommended narrowing the bill by inserting “substantial” before bodily injury in the criminal section and deleting a section that would make the AG’s office act like plaintiff’s counsel in civil matters, suggesting instead that departments adopt policies to help employees obtain TROs without creating an open-ended civil representation role. Several sports and school-related organizations testified in support, and members discussed whether the bill should be narrowed or coordinated with other measures before further action.

Transcript Highlights:

• Makes some technical conforming changes.
• Again, more technical conforming changes throughout the bill.
• /c><00:56:46.480> there<00:56:46.640> as technical changes that are in there as technical
• Section two makes conforming and technical changes related to the changes in section one.
• <01:09:16.960> changes technical changes related to the changes technical changes related

Keywords: 1187, senate, all

Transcript Highlights:

• <01:25:50.800> education policym career in technical education policym career in technical
• :33:12.920> is advisory as the laws change and this is advisory as the laws change and this is
• We also have technical advisories.
• We always issue technical advisories on any changes to RSA 189:11, the civics and government law.
• So, well, thank you very much. that anyone would like a technical that anyone would like a technical

Keywords: 928, house, all

Summary: The House Education Committee held its organizational meeting for the new term, with members introducing themselves and describing their backgrounds in teaching, school boards, special education, administration, law, and related fields. Chair Glenn Cordelli outlined the committee’s goals and procedures, emphasizing civility, professionalism, and respectful treatment of witnesses and members. He also noted that the committee has been split into two this year because of the large volume of bills, and said the committee had already sent three bills to the other education committee, with 36 bills currently assigned and more expected. The chair reviewed committee rules and logistics: hearings should start on time, members should minimize cell phone use and avoid searching during testimony, and questioning of witnesses is limited to one question at a time unless the chair allows a follow-up. Members were told to use the title “Representative,” to sign up on pink cards to testify, and to submit written testimony to the clerk. He also explained that hearings are for listening rather than debating, while executive sessions are where debate and motions occur. Possible motions include ought to pass, inexpedient to legislate, and retain in committee for further work, including subcommittees. Additional procedures covered scheduling, with the committee expected to meet Wednesday and Thursday the following week because of a holiday, and regular meetings generally planned for Monday and Wednesday. The chair also discussed the consent calendar, reports from majority and minority positions, and the expectation that members who testify on a bill should not then question other witnesses on that same bill. No legislation was voted on at this meeting; it was a procedural and orientation session for the committee.

Transcript Highlights:

• What is your assessment of that particular change?
• In the decade since, the rules have changed.
• I would also like the technical aspect. Yeah, thank you very much.
• Our lives are forever changed when we get pregnant.
• For SB 363, vote change for Sanchez, from aye to not voting.

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.

Transcript Highlights:

• This technical this technical amendment. This technical this technical amendment.
• I'd move to concur with that change. The change was merely that change.
• The change was merely that change.
• The change was merely changing the effective date to be changing the effective date to be changing the
• Uh they were made couple of changes. Uh they were technical in nature.

Bills: HB 1535, HB 123, HB 111, HB 180, HB 342, HB 1027, HB 1178, HB 610, HB 1277, HB 1615, HB 1620, HB 5342, HB 4885, HB 4751, HB 4689, HB 4530, HB 4488, HB 2149, HB 2041, HB 2071, HB 1813, HB 2282, HB 2248, HB 2243, HB 2522, HB 2310, HB 2513, HB 2300, HB 1902, HB 3719, HB 4284, HB 4327, HB 3743, HB 3778, HB 3801, HB 5153, HB 5147, HB 4877, HB 4850, HB 3158, HB 3261, HB 3005, HB 3033, HB 3138, HB 3099, HB 2849, HB 2967, HB 3488, HB 3477, HB 3466, HB 3396, HB 3469, HB 2594, HB 2776, HB 2564, HB 2298, HB 5331, HB 5646, HB 5247, HB 5323, HB 2015, HB 4384, HB 3896, HB 4014, HB 3627, HB 3594, HB 2524, HB 510, HB 561, HB 5111, HB 5446, HB 1181, HB 3963, HB 2785, HB 1661, HB 2460, HB 24, HJR 138, HB 3800, HB 42, HB 129, HB 677, HB 668, HB 2128, HB 2038, HB 2316, HB 3686, HB 2563, HB 1160, HB 3883, HB 2788, HB 2663, HB 3305, HB 3474, HB 1105, HB 3490, HB 3597, HB 1295, HB 3512, HB 3783, HB 2017, HB 3010, HB 3112, HB 4215, HB 3223, HB 3464, HB 3120, HB 4214, HB 4081, HB 4783, HB 4063, HB 2783, HB 5085, HB 2510, HB 3426, HB 4361, HB 1169, HB 2516, HB 4700, HB 3560, HB 3860, HB 3146, HB 184, HB 198, HB 247, HB 367, HB 449, HB 1778, HB 514, HB 632, HB 2582, HB 766, HB 2715, HB 2712, HB 3069, HB 3505, HB 1269, HB 4224, HB 5032, HB 2240, HB 5180, HB 3348, HB 4668, HB 4665, HB 3395, HB 3157, HB 4395, HB 4325, HB 4386, HB 4273, HB 2760, HB 2820, HB 1828, HB 1579, SB 2349, SB 1268, SB 610, SB 1577, SB 1369, SB 2032, SB 2034, SB 1057, SB 1044, SB 922, SB 1759, SB 1143, SB 1506, SB 1403, SB 2361, SB 870, SB 372, SB 72, SB 1583, SB 2314, SB 1267, SB 1273, SB 765, SB 552, HB 2145, HJR 112, HB 1804, HJR 110, HB 1194, HB 1531, HB 5008, HB 3421, SCR 27, HB 5398, HB 1407, HB 426, HB 1535, HB 123, HB 1773, HB 1871, HB 2035, HB 2448, HB 2492, HB 1411, HB 4753, HB 4666, HB 4529, HB 1499, HB 1610, HB 2028, HB 1506, HB 886, HB 3546, HB 796, HB 223, HB 1475, HB 3556, HB 4638, HB 111, HB 180, HB 342, HB 1027, HB 1178, HB 610, HB 1277, HB 1615, HB 1620, HB 5342, HB 4885, HB 4751, HB 4689, HB 4530, HB 4488, HB 2149, HB 2041, HB 2071, HB 1813, HB 2282, HB 2248, HB 2243, HB 2522, HB 2310, HB 2513, HB 2300, HB 1902, HB 3719, HB 4284, HB 4327, HB 3743, HB 3778, HB 3801, HB 5153, HB 5147, HB 4877, HB 4850, HB 3158, HB 3261, HB 3005, HB 3033, HB 3138, HB 3099, HB 2849, HB 2967, HB 3488, HB 3477, HB 3466, HB 3396, HB 3469, HB 2594, HB 2776, HB 2564, HB 2298, HB 5331, HB 5646, HB 5247, HB 5323, HB 2015, HB 4384, HB 3896, HB 4014, HB 3627, HB 3594, HB 2524, HB 510, HB 561, HB 5111, HB 5446, HB 1181, HB 3963, HB 2785, HB 1661, HB 2460, HCR 98, HCR 92, HCR 126

Keywords: Trinity River Authority, river authority, Sunset Advisory Commission, Texas Sunset Act, board of directors, governor appointment, public water authority, regional water authority, water resources, local government, natural resources, board training, ethics, open meetings, public information, conflict of interest, complaint procedures, public comment, director removal, governance reform

Transcript Highlights:

• until the statute is changed. Thank you. until the statute is changed. Thank you.
• But how would that change happen?
• So, our hope is that this change doesn't change anything.
• those changes.
• this forward with those changes. this forward with those changes.

Bills: SB2275, SB2390, SB2540, SB3142, SB2414, SB2340, SB2848

Keywords: Medicaid, disability, buy-in program, workers with disabilities, income eligibility, premium structure, biomarker testing, health insurance, medical coverage, state law, health maintenance organization, juvenile justice, youth penalties, minors, court fees, court costs, fines, surcharges, restitution, fee waiver

Summary: The House Committee on Health heard testimony on a series of bills related to public health, pharmacy regulation, disability access, and health care infrastructure. HB 1535, creating an income tax credit for automated external defibrillator installations, drew support from the Department of Health, tax department comments, and public testimony emphasizing AED access in community and transit settings. HB 1765, requiring safety warnings for spear fishing gear, received comments from DLNR and strong support from a free-diving safety advocate who described blackout risks and argued for point-of-sale warnings. HB 1549, which would repeal the law prohibiting drug paraphernalia, drew mixed testimony: the Department of Health, the Public Defender, and harm-reduction advocates supported repeal as a public health measure, while HPD and a county prosecutor opposed it, warning it could encourage drug use and create public safety issues. The committee also heard HB 1550, which would exclude drug testing products from the definition of drug paraphernalia. The Department of Health and harm-reduction advocates supported the bill, saying drug checking tools save lives and help prevent overdoses, while one written opponent was noted. HB 1995, allowing people who are blind or deaf to receive disabled parking permits, drew opposition from the State Council on Developmental Disabilities, the Disability and Communication Access Board, and other opponents, while a few written supporters were also noted. HB 1671, allowing licensed dental hygienists to place interim therapeutic restorations in public health settings, received support from the Department of Health and several oral health organizations, with the Board of Dentistry offering comments. HB 1643, establishing a framework for pharmacy audits and record retrieval, prompted the most extended discussion. The Board of Pharmacy and independent pharmacy representatives supported the bill as a needed framework to limit burdensome audits and protect patient care, while HMSA raised concerns about possible conflicts with upcoming federal PBM reforms and potential unintended consequences. Committee members questioned both sides about timing and workload, and supporters argued the bill was needed now to protect rural and independent pharmacies. Finally, HB 1978, appropriating funds for a new outpatient care center in North Kona, received strong support from Hawaii Health Systems Corporation, Queen’s Health Systems, the Kona-Kohala Chamber, and others, who described it as a long-term investment in West Hawaii’s health care capacity and economy. No votes or final actions were taken in the portion of the hearing provided.