Transcript Highlights:

• Lee Juan Can Say Holcomb to talk about the Home Run program.
• Lee Juan Can Say Holcomb to talk about the Home Run program.
• , they can do it from home.
• , they can do know, and drive back home, they can do it<00:54:48.040><c> from</c><00:54:48.200><c> home
• So there's some of those it from home.

Bills: HB2246 , HB2119 , HB1929 , HB1953 , HB1572 , HB2549 , HB2594 , HB2551 , HB2595 , HB2548 , HB2459 , HB1931 , HB1604 , HB1616 , HB1736 , HB2233 , HB2241 , HB1891 , HB1803 , HB2567 , HB2534 , HB2399 , HB2172 , HB1595 , HB1811 , HB2168 , HB1780 , HB1781 , HB1785 , HB2122 , HB2012 , HB2398 , HB1779 , HB2296 , HB1894 , HB1925 , HB2019 , HB1896 , HB2294 , HB2298 , HB2300 , HB2344 , HB2345 , HB2391 , HB2037 , HB2201 , HB1941 , HB1635 , HB1943 , HB2325 , HB1926 , HB2490 , HB1710 , HB2545 , HB1976 , HB2173 , HB1804 , HB1563 , HB2015 , HB1619 , HB2475 , HB1889 , HB2367 , HB2187 , HB1765 , HB1452 , HB2231 , HB1700 , HB1705 , HB1626 , HB1897 , HB1642 , HB1523 , HB2593 , HB815 , HB1655 , HB1596 , HB1732 , HB1842 , HB2476 , HB2478 , HB2022 , HB1588 , HB2575 , HB1163 , HB2153 , HB772 , HB1519 , HB2050 , HB2309 , HB2147 , HB2329 , HB2274 , HB2280 , HB2547 , HB2275 , HB2452 , HB2306 , HB2148 , HB2088 , HB1764 , HB2438 , HB2117 , HB1860 , HB2604 , HB2118 , HB2017 , HB2155 , HB1832 , HB2216 , HB1601 , HB1934 , HB2297 , HB2397 , HB1893 , HB2533 , HB1890 , HB2454 , HB2004 , HB2427 , HB2207 , HB1810 , HB1840 , HB1644 , HB1645 , HB1946 , HB1648 , HB2324 , HB2323 , HB1509 , HB1514 , HB1515 , HB2164 , HB2165 , HB2283 , HB1691 , HB2386 , HB2423 , HB2121 , HB1984 , HB1593 , HB1671 , HB2619 , HB1481 , HB2314 , HB2319 , HB1643 , HB2558 , HB1864 , HB1898 , HB2214 , HB2167 , HB2488 , HB2009 , HB2007 , HB322 , HB1964 , HB2218 , HB2616 , HB1535 , HB1574 , HB1977 , HB2054 , HB2046 , HB146 , HB2094 , HB2181 , HB2250 , HB2515 , HB2444 , HB2385 , HB1740 , HB1724 , HB1733 , HB1799 , HB1725 , HB2049 , HB2161 , HB1970 , HB2519 , HB1790 , HB2416 , HB1873 , HB2001 , HB2151 , HB1603 , HB1880 , HB1753 , HB2198 , HB1511 , HB1991 , HB2546 , HB1615 , HB1939 , HB2140 , HB2429 , HB1870 , HB1850 , HB1782 , HB2137

Transcript Highlights:

• And we've seen Senate Democrats and Governor Walz have about a billion dollars in cuts to nursing homes
• homes are disability services or nursing homes are seeing<00:09:25.760><c> cuts.
• </c> a billion dollars in cuts to nursing a billion dollars in cuts to nursing homes<00:09:41.600><c>
• </c> that they need like for the nursing that they need like for the nursing homes.<00:10:18.399><c>
• </c><00:10:29.279><c> services</c> nursing homes close or reduce services nursing homes close or reduce

Transcript Highlights:

• It's non-skilled, what they call non-skilled in-home care. So there is skilled home care.
• Home health is different. This is non-skilled in-home care. That's one of Medicaid's services.
• But it's going into an elderly person's home and providing that type of non-skilled care in their home
• home.
• So it's very... ...with dignity in their own homes and keeping them at home instead of having to be in

Summary: The committee met, approved the March 5, 2026 minutes, and then took up several health- and human-services-related bills. House Bill 5086, concerning peer support programs for covered caregivers, was explained as creating training and testimonial privilege protections; the committee adopted an amendment clarifying that boards may still require participation in a board-designated professional health program, and then reported the bill to the full Senate with the recommendation that it do pass. House Bill 5004, an educational bill on PANS and PANDAS, was supported by the sponsor, who described his family’s experience and the importance of earlier diagnosis; it was reported to the Senate without amendment. House Bill 5327, which would require the Department of Human Services to create an ALS services program, also received supportive testimony from the sponsor and members, but the transcript reflects the bill being reported as House Bill 537; it was moved forward without amendment. The committee then considered House Bill 5096, which would remove personal care and intellectual/developmental disability waiver services from certificate-of-need review. The sponsor argued the change would reduce regulatory burden and expand access, while a county aging-program director testified that certificate-of-need revenues help fund senior meals and services and that eliminating the requirement would reduce important support for aging providers. After a division vote, the motion to report the bill failed 3-9. House Bill 4695, allowing PEIA patients to switch to an alternative medically appropriate covered treatment without new prior authorization if it costs no more than the original treatment, was explained as carrying an estimated $13 million annual cost to PEIA and was reported to the Senate. The committee also advanced House Bill 5582, enacting the Respiratory Care Interstate Compact, after discussion of a committee amendment removing a new-background-check-at-initial-licensure provision; the amendment was adopted and the bill was reported. Another House Bill 5582, concerning the TANF drug screening program, was described as removing the sunset date and allowing oral fluid testing in addition to urine samples; it too was reported. Finally, House Bill 5466 renamed the batterer intervention program as an abuse intervention program and allowed live synchronous virtual delivery with an in-person option; the sponsor said the change would expand access statewide, and the bill was reported to the Senate. The committee then adjourned.

Transcript Highlights:

• Somebody that would be in a nursing home with complete care.
• We needed a nursing home and, really, because of some parole requirements, you know, that require GPS
• Nursing homes don't like people with GPS monitors, even if they're bedridden.
• Nursing homes don't like people with GPS monitors, even if they're bedridden.
• Our prisons are becoming nursing homes, burning precious taxpayer resources without any public safety

Transcript Highlights:

• </c><03:27:43.560><c> some</c><03:27:43.800><c> there</c> nursing homes in our counties some there nursing
• </c><03:34:59.160><c> because</c><03:34:59.439><c> we</c> nursing homes not close them because we nursing
• <03:35:55.840><c> years</c><03:35:56.760><c> that</c> nursing home uh for some years that nursing home
• They think that they're actually working for, say, Hillsboro County Nursing Home.
• Thank you. ...employees makes them believe they're working for that nursing home.

Committee: House Labor, Industrial and Rehabilitative Services

Transcript Highlights:

• they are delivering at home.
• Through stakeholder meetings and input from physicians and nurse midwives, nurses, and other colleagues
• I am a certified nurse midwife, which means I hold degrees both in nursing and midwifery.
• Home delivery, Walmart, Target, all those folks will deliver into your home.
• into your home.

Committee: House House Health & Human Services Committee of Reference

Summary: The committee began with a presentation from the Alzheimer’s Association Desert Southwest Chapter and Dr. Anna Burke of Barrow Neurological Institute on the growing impact of Alzheimer’s and dementia in Arizona, the need for earlier diagnosis, better provider education, caregiver support, and continued research funding. They described current gaps in training and access to specialists, but also highlighted new therapies, lifestyle interventions, and Arizona-based research efforts. Members expressed support and optimism, but no action was taken on the presentation. The committee then heard HB 2202, which appropriates $300,000 from the general fund over fiscal years 2027 through 2029 for a dementia care tele-mentoring grant program through the Department of Health Services. Supporters, including the Alzheimer’s Association, a dementia specialist, and a patient advocate, said the program would help primary care providers diagnose dementia earlier and improve care. The bill was passed out of committee on an 11-0 vote. Next, the committee took up HB 2251, the midwifery bill, which would authorize certain licensed midwives to dispense and administer specified medications and devices, require liability insurance disclosure and annual reporting, and create a Midwifery Advisory Committee. A committee amendment removed some medications and renamed the bill the Jordan and MacTerry Act. ACOG and the Arizona Osteopathic Medical Association opposed the bill as drafted, citing concerns about oversight, peer review, and the medication list, while licensed midwives and other supporters argued the bill would improve safety, transparency, and alignment with national standards. The bill was held for further stakeholder work, with members indicating more amendments were likely. The committee then heard HB 2252, which would allow certified nurse midwives, certified professional midwives, or licensed midwives to accompany a patient in a ground ambulance during an out-of-hospital birth if approved by medical direction. Supporters described cases where continued midwife involvement during transport helped newborns and mothers, while firefighters and EMS representatives opposed the bill as written, saying it created ambiguity about command and scene control and could raise safety concerns. The chair said the bill would be held for further stakeholder meetings and possible language changes. After a recess, the committee reconvened for presentations on federal Medicaid and rural health funding impacts, beginning with JLBC’s overview of H.R. 1’s Medicaid provisions and the rural health transformation grant program.

Transcript Highlights:

• We have had interim chief nursing officers.
• We recently brought on an interim chief nursing officer that Dr.
• It is on the clinical teams, nursing, physicians, nurse practitioners, to really assess clinically when
• And they are being evicted from their treatment homes.
• And they are being evicted from their treatment homes.

Summary: The joint Senate and House Behavioral Health committee met for informational presentations on the Oregon State Hospital and civil commitment, followed by a planned tour of the hospital. Oregon Health Authority and Oregon State Hospital leaders reported that Sean Murphy will become the next permanent superintendent on July 13, with Sarah Castle to follow as permanent chief nursing officer on July 20. They described recent leadership turnover, a major organizational restructure, and efforts to build a culture of safety, transparency, and accountability. Officials said the hospital regained Joint Commission accreditation and CMS compliance, and they highlighted daily safety huddles, incident review processes, stronger escalation procedures, and improved management of seclusion and restraint. Committee members pressed hospital leaders on past prolonged seclusion practices, falls, staffing, and the need for better public reporting; OHA said it is building a public dashboard of key safety and workforce metrics. The committee then heard a civil commitment overview from the Oregon Judicial Department. The presenter explained that civil commitment is a separate legal process from criminal cases, usually beginning with a hospital hold, investigation, court review, appointed counsel, and a hearing within five days. She summarized changes made in House Bill 2005, including revised standards for danger to self, danger to others, and basic-needs commitments, plus a second 14-day diversion option. She cautioned that the new law has only been in effect since January and that it is too early to draw firm conclusions from the data, though there has been a recent uptick in commitments and a decrease in diversions. Testimony from NAMI Oregon and a forensic psychiatrist emphasized that Oregon still relies too heavily on jails and state hospitals because community services, housing, and outpatient supports are insufficient. They argued that the state needs more less-restrictive alternatives, including better use of assisted outpatient treatment or outpatient civil commitment, and more supported housing so people do not cycle between homelessness, incarceration, and hospitalization. A family member described a relative remaining psychotic in jail for more than 120 days before ending up back at the state hospital, urging faster intervention and better collaboration among courts, counties, hospitals, and state agencies. Committee members and witnesses also discussed workforce shortages, the expansion of secure residential treatment beds, and the need for broader system reforms beyond the hospital itself.

Transcript Highlights:

• here as a school nurse in the state of Idaho.
• I'm a G.G. to five, and a pediatric nurse for over 30 years.
• We made Idaho our home.
• I'm another school nurse. So I work here in Boise.
• I'm another school nurse. So I work here in Boise.

Committee: House Health and Welfare

Transcript Highlights:

• home engagement, That they continue to grapple with, and then to some extent, and the nursing home example
• Home Residents, and it took a while for every section to be upheld by the court. ...for nursing home
• home rights for people.
• In addition, CHCQ oversees the certification of nurse assistants, home health aides, hemodialysis technicians
• , and the licensing of nursing home administrators.

Summary: The committee held an inaugural hearing on the health care and support needs of older LGBTQ Californians, with members and witnesses emphasizing that this population has made major gains in rights and longevity but still faces discrimination, isolation, economic insecurity, and gaps in services. Opening remarks highlighted concerns about older LGBTQ people entering nursing homes and feeling forced back into the closet, as well as the growing number of Californians aging with HIV. The hearing was structured into three panels, with public testimony considered if time allowed. The first panel focused on the overall health and support landscape. Justice in Aging described survey findings showing discrimination, poor health, difficulty with errands, and economic insecurity among older LGBTQ Californians, and warned that federal Medicaid cuts and broader federal actions could worsen access to home- and community-based services and culturally competent care. CalHHS and the Department of Aging described the Master Plan for Aging, the first statewide LGBTQIA older adult survey, and efforts to support gender-affirming care, PACE, care management, and community supports. Witnesses stressed the need for better outreach, data collection, and a “no wrong door” approach so people can more easily find and access services. The chair and senators pressed the departments on how survey findings are being translated into concrete action and how state agencies are coordinating across silos. The second panel addressed health care for seniors living with HIV. A longtime survivor described severe financial and benefits consequences from a federal clawback and argued that California needs stronger legal, navigation, and housing supports, including HIV-specific housing funding. The Department of Aging reported on implementation of SB 258, saying it has educated area agencies on aging, added HIV data to planning tools, and found that 20 of 33 area agencies identified HIV as a target population, with 16 including specific strategies. The Office of AIDS outlined Project Cornerstone, Ryan White, ADAP, HOPWA, a Medi-Cal waiver, and PrEP-AP, noting these programs serve thousands of older clients and that local case managers are expected to coordinate whole-person care. Case managers and advocates said housing, food, transportation, mental health, and premium assistance remain major needs, and senators asked whether future ADAP rebate funds could support navigation, housing, and other gap-filling services. The final panel turned to transgender, gender nonconforming, and intersex seniors. The Department of Social Services described protections under SB 219, including nondiscrimination notices, resident rights postings, required records for preferred names and pronouns, and annual inspections of licensed facilities. The Department of Public Health and a TransLatin Coalition leader were introduced to discuss additional supports for TGI seniors. Across the hearing, members repeatedly returned to the themes of visibility, coordination, and implementation, asking departments to follow up on how they will better connect services, improve outreach, and ensure that existing laws and programs are actually reaching the people they are meant to serve.

Transcript Highlights:

• home line item due to increasing costs.
• And a transfer of $17.5 million from the hospital medical line item to the public nursing home line.
• And a transfer of $17.5 million from the hospital medical line item to the public nursing home line.
• This is due to an increase in the from the hospital medical line item to the public nursing home line
• homes.

Committee: All JOINT BUDGET COMMITTEE

Transcript Highlights:

• So right now, a nurse graduates. That in our nursing programs.
• So right now, a nurse graduates from nursing school, hopefully passes the NCLEX, and then goes to practice
• So this bill simply requires that nursing, that nursing, that, So this bill simply requires that nursing
• , that individual nursing students in a nursing program must have two hours of identification specifically
• So with that, we want to make sure that all our nurses, all our nurses from day one can identify the

Committee: Senate Fiscal Policy

Transcript Highlights:

• I'm a registered nurse, and I work for the state of California.
• Hanna with the California Nurses Association, in strong support. J.B.
• Hanna with the California Nurses Association in strong support.
• Hanna with the California Nurses Association in Strong Support.
• JPM Hanna with the California Nurses Association in strong support.

Summary: The committee heard a series of bills focused largely on labor, education, workforce, and public employment issues. AB 65 would provide public school employees up to 14 weeks of leave with full benefits for pregnancy and pregnancy-related health issues; supporters said current rules force educators to exhaust sick leave and suffer long-term retirement penalties, while the bill’s author noted it mirrors budget trailer language. AB 1818 would change HEERA procedures for CSU bargaining by shifting certain renegotiation disputes to PERB; Teamsters and other labor groups supported it as a way to stop CSU from unilaterally refusing agreed raises, while CSU moved from opposed to neutral after amendments. AB 1940 would explicitly reference menopause, perimenopause, and postmenopause in workplace protections; supporters said it would clarify rights and improve awareness, while business opposition argued existing reasonable-accommodation law already covers these issues and warned of expanded liability. AB 1534 would add guardrails for new short-term Workforce Pell programs, including tuition caps, limits on income-share agreements, and transparency around partnerships with unaccredited entities; the author later said the bill would be amended to include private institutions. AB 1896 would bar people who participated in immigration enforcement from holding California public jobs during a specified period; supporters framed it as a public-trust measure, while police and public-safety groups opposed categorical exclusion and urged a more individualized vetting approach. AB 2300 would streamline distribution of WIOA workforce funds and reduce delays in local workforce board contracting, with supporters emphasizing faster service delivery and no reduction in accountability. AB 2223 would require CDCR to report standardized data on contracted medical and mental health staffing, vacancies, and costs, following an audit that found heavy reliance on contractors and poor transparency. AB 2483 would create a pathway and certification for formerly incarcerated firefighters to move into firefighting careers after release, with strong support from the author and witnesses who described the work as a real career path and reentry opportunity. AB 2142 would require temporary classified school employees working more than 75% of the school year to receive permanent-employee benefits and protections; school administrators and community college groups opposed it as too rigid for grant-funded and fluctuating positions. AB 2367 would require quarterly reporting from state-run health care facilities on vacancies, overtime, registry/contract staffing, and missed staffing minimums, building on state auditor recommendations; health care workers supported it as a transparency and accountability measure. Several measures were voted out of committee or placed on call. AB 1818, AB 1534, AB 2300, AB 2483, and AB 2223 all received do-pass votes to the Senate Appropriations Committee, though each was placed on call after roll call. AB 65 and AB 1940 also advanced on do-pass motions but were placed on call. AB 2142 received a do-pass vote with opposition and was placed on call. S.J.R. 15, a resolution urging Congress to protect California employers from higher federal unemployment taxes tied to the state’s UI debt, drew divided testimony: business groups supported it, while labor and some members argued California should solve the problem itself and keep the unemployment system solvent; the resolution was also placed on call. The transcript also included committee discussion about working with authors on amendments, especially for AB 1940 and AB 1534, and several members noted support or co-authorship while raising concerns about implementation details and fiscal impacts.

Transcript Highlights:

• back home in two ways.
• ECNS, which uses Emergency Communications Nurse System, ECNS, which uses nurses to triage 9-1-1 calls
• Emergency Communications Nurse System, EC&S, which uses nurses to triage 9-11 calls to reduce unnecessary
• We need to evacuate that nursing home, for example.
• We need to evacuate that nursing home, for example.

Summary: The Senate Committee on Rules convened, established quorum, and first approved several governor’s appointments not required to appear: Courtney Welsh to the California Housing Partnership Corporation Board, Janessa Goldbeck to the California Veterans Board, and Tom Huntington to the State Parks and Recreation Commission, each by 3-0 vote. The committee also approved reference of bills to committees, the 2026 committee chair/member assignments, the 2026 session schedule, the 2026 holiday schedule, and floor acknowledgments, all by unanimous votes. The committee then heard and advanced two appointments requiring testimony. Dr. Hernando Garzon, nominated as chief medical officer for the Emergency Medical Services Authority, discussed his background in emergency medicine, disaster response, EMS data modernization, local flexibility within statewide standards, ambulance offload time regulations, stakeholder engagement, and alternatives to emergency transport such as community paramedicine and telehealth. Members pressed him on strategic planning, rural and climate-related disaster response, ambulance rate reporting, and how EMSA can better protect vulnerable people during evacuations; his appointment was approved 4-0 and sent to the Senate floor. Stephanie Weldon, nominated as Deputy Director of the Office of Health Equity at the Department of Public Health, described her tribal background, prior public service, and focus on health equity, behavioral health, tribal consultation, data, and community-led programs. Senators asked about measuring outcomes, serving rural communities, balancing equity work amid federal DEI opposition, youth mental health, and preventing fraud or waste through transparency. Public commenters, including tribal, health, and community advocates, strongly supported her nomination. Her appointment was also approved 4-0 and forwarded to the full Senate.

Transcript Highlights:

• nursing slots.
• nursing slots.
• And they can't afford to leave home.
• and our nursing students than what we have at Evergreen.
• home if it was an RV, to make sure that folks are made whole.

Bills: SB6061 , SB6234 , SB6170 , SB6176 , SB6182 , SB6335 , SB5647 , SB6047 , HB2367 , HB2606 , SB5998 , SB6005 , SB6003 , SB6129 , SB6225 , SB6228 , SB6231

Summary: The Senate convened with roll call, prayer, and approval of the previous day’s journal, then moved to a resolution honoring piano teachers. Senate Resolution 8698 was adopted after remarks from Senator Conway and others describing the role of piano teachers in music education, family life, and community service. Members of the Washington State Music Teachers Association and the National Guild of Piano Teachers were recognized in the gallery. The chamber then took up the operating budget and considered a long series of amendments. Several amendments focused on housing costs and local planning, utility and energy policy, ballot measure costs, state spending growth, tort liability, and paid family and medical leave. Some amendments were adopted, including a study of utility cost impacts from climate laws, a grid-related funding amendment, a tort liability oversight/reporting amendment, and a workgroup on services for people with intellectual and developmental disabilities. Others were rejected, including proposals to create a housing task force, cap state spending growth, fund ballot initiative costs, restore local planning grants, and change paid family and medical leave usage rules. Debate on the budget amendments was often partisan and detailed, with supporters arguing for fiscal restraint, cost transparency, and relief for taxpayers and local governments, while opponents emphasized existing work, program solvency, and the need to preserve services. The Senate also heard amendments on zero-based budgeting, federal education tax credit opt-in language, reproductive health funding, food assistance work requirements, and support for the Pediatric Interim Care Center; some were defeated and some were adopted. Roll-call votes were taken on certain amendments, and the transcript ends during consideration of Amendment 0787, which would restore funding for the Pediatric Interim Care Center.

Transcript Highlights:

• homes.
• home admission.
• I remember my dad lived at home with my mom.
• Let's help you get supported in your home.'
• So, for example, the Bureau of Health Care Safety and Quality does investigate issues in nursing homes

Summary: The Aging and Independence/Elder Affairs Committee heard testimony on several bills, with the main focus on H.769/S.468, an act to improve care and prepare for the new era of Alzheimer’s and dementia. Legislators and advocates described the bill’s provisions, including expanded dementia training for first responders, a dementia services coordinator/director in state government, improved hospital discharge and caregiver access protections, dementia care coordination benefits for certain MassHealth members, public awareness and data collection requirements, and expanded support for geriatric workforce recruitment. Representative Danielle Gregoire and Senator Gomez framed the measure as a zero-cost, bipartisan continuation of the 2018 Alzheimer’s and Dementia Act, while the Alzheimer’s Association, Boston Public Health Commission, police representatives, clinicians, and family caregivers all testified in support, emphasizing public health needs, early diagnosis, caregiver involvement, and safer emergency and hospital care. The committee also heard testimony on H.796/S.476, which would establish an Office of Older Adult Advocate and a special commission on a statewide long-term services and supports benefit program. Representative Steve Ultrino supported an independent older adult advocate to help navigate fragmented state services and improve constituent services, while committee members asked about funding and the office’s relationship to existing secretariats. On the long-term care commission bill, NAFA Massachusetts and LeadingAge Massachusetts supported creating a stakeholder commission to review actuarial findings and explore public-private financing options for long-term care, stressing that neither public nor private coverage alone is sufficient and that middle-income families need more planning tools and options. The committee also took testimony on H.786/S.466, a bill to protect vulnerable elders by expanding the Executive Office of Elder Affairs’ authority to investigate abuse or neglect in non-traditional custodial settings such as prisons, jails, shelters, group homes, and certain treatment facilities. Prisoners Legal Services said the bill would close a jurisdictional gap that leaves some older adults without an investigative agency once they age out of DPPC coverage. No votes were taken during the hearing, and the meeting ended with a motion to adjourn.

Transcript Highlights:

• Can you tell me why are we using an out-of-state company to contract for nurses here locally?
• The company actually has in-state contractors who do the nursing service for us.
• contract nurses and not nurses that are hired by you directly?
• This is for highly qualified skilled nursing and medical personnel at the Arkansas Health Center and
• This is for highly qualified skilled nursing and medical personnel at the Arkansas Health Center and

Committee: All ALC-REVIEW

Summary: The subcommittee first considered a used tire program contract for Arkansas District 4, an $88,000 one-year contract with LTR Intermediate Holdings. Senators raised concerns that the tire district’s revised business plan had not yet been approved and that the contract could leave the district unable to pay. Questions also focused on solicitation language that excluded bidders under corrective action plans. On motion, the committee held the contract until next month and encouraged the tire board to appear. Members then reviewed and, without objection, moved forward a series of methods of finance, alternative delivery projects, and discretionary grants. These included multiple university and college projects such as renovations, roof replacements, a new UCA multipurpose arena, and a revised financing package for UA Fayetteville’s Maple Hill residence hall. The committee also reviewed DHS and Department of Health grants for aging services, substance abuse prevention, mental health, nutrition outreach, hearing-loss follow-up, HIV services, maternal health, and rural hospital quality improvement. The committee next handled contract items, including a UAMS ratification for FMLA Source after an amendment was not submitted for review and payments continued past expiration; UAMS said it had retrained staff and would review for other missed contracts. Members also reviewed numerous construction, intergovernmental, out-of-state, and in-state contracts across state agencies and universities. Questions were raised about an out-of-state aeronautics study, a U of A Fayetteville parking guidance system, and a Veterans Affairs nursing contract. Most items were reviewed without objection, and the meeting adjourned after informational reports on contract amendments and minor contracts.

Transcript Highlights:

• Somebody that would be in a nursing home with complete care.
• We needed a nursing home and, really because of some parole requirements, you know, that require GPS
• Nursing homes don't like people with GPS monitors, even if they're bedridden.
• Nursing homes don't like people with GPS monitors, even if they're bedridden.
• Our prisons are becoming nursing homes, burning precious taxpayer resources without any public safety

Summary: The committee heard an overview from the Office of the Inspector General and California Correctional Health Care Services on prison oversight, medical care, reentry, and related budget requests. The OIG requested $275,000 General Fund for two additional intake analysts, citing a sharp rise in complaints from 3,200 in 2022 to 7,860 in 2025 and explaining that the unit reviews and routes complaints, including PREA and staff misconduct allegations, within 30 days. Its medical inspection unit reported on cycle seven prison health inspections, noting generally adequate case-review performance but weak policy-compliance results, especially in medication management and health care environment indicators, and said it was beginning cycle eight with revised inspection methods. Members questioned the OIG about what kinds of complaints were driving the increase, whether the office tracks validity or systemic patterns, and how it distinguishes duplicative complaints from those already handled by CDCR. OIG said the largest categories were prison conditions and staff misconduct, that it does not determine whether complaints are “valid” in a statistical sense, and that it forwards issues to CDCR or other entities as appropriate. Senators also asked about the medical inspection findings, the remaining prisons not yet delegated back from federal receivership, and whether more detail should be provided in future reports. LAO and Department of Finance staff said they had no concerns with the OIG proposal. The committee then reviewed the correctional health care budget, including staffing, pharmacy, contract medical costs, and the state’s progress toward ending the Plata medical receivership. CDCR said it is trying to reduce vacancies through hiring events, social media outreach, new classifications, and more on-site care, while also using CalAIM to improve reentry services; CalAIM officials reported 89% Medi-Cal activation at release, 87% managed care assignment, 88% reentry care plans, and 59% warm handoffs, with about $14.7 million in reimbursements to date. Members pressed staff on the cost of receivership, the pace of delegation, whether more care could be consolidated into fewer facilities, and whether the state should seek more federal reimbursement or alternative staffing models. Finally, the committee discussed the new mental health receivership and a telemental health staffing proposal. The receiver’s office requested $33.9 million from the Mental Health Special Deposit Fund, including $8.2 million for the receiver’s office and $25.3 million to make court-ordered bonus payments permanent; CDCR also sought about $8.9 million for telemental health staffing, growing to $13 million ongoing. LAO recommended approving the action plan and portions of the telehealth request, but urged the Legislature to monitor progress, consider out-of-state recruitment and expanded telehealth, and avoid across-the-board salary increases; Finance cautioned that out-of-state licensure would require major statutory changes and that staffing-ratio changes would need receiver approval. Senators raised concerns about the high cost of receiverships, vacancy-driven fines, the need for more detailed benchmarks, and whether the state should consolidate mental health populations and better target recruitment to fill hard-to-staff positions.

Transcript Highlights:

• We're making excellent progress on the new skilled nursing facility at our Yountville home.
• at the Veterans Home.
• the Veterans Home.
• [Speaker continues] Skilled nursing facility at the Veterans Home.
• certified nursing assistants, or CNA positions.

Transcript Highlights:

• We're making excellent progress on the new skilled nursing facility at our Yountville home.
• at the Veterans Home.
• the Veterans Home.
• Skilled nursing facility at the Veterans Home.
• Nursing and memory care facility.

Summary: The subcommittee first heard an item on the vehicle license fee backfill for counties, focused largely on San Mateo County and the related excess ERAF calculation. Department of Finance staff said the administration does not propose the requested $119 million backfill, arguing the payment is discretionary and that the existing statutory formula should continue to operate as written. Senators and public witnesses, including Senator Becker and former Senator Jackie Speier, argued the state has a longstanding obligation to local governments and that San Mateo County faces severe service cuts without the funds; they also discussed whether the issue could be solved through local school district boundary changes or other structural fixes. The chair held the item open after testimony. The committee then reviewed Secretary of State budget proposals. The department presented SB 851 implementation funding of $1.1 million General Fund in 2026-27 and $807,000 ongoing for four positions and software to track election-related litigation, update voting system standards, and expand vendor notice requirements. Members asked about election security, the impact of recent federal court decisions, the end of federal HAVA funds in 2027-28, and the staffing and timeline needed to implement the law. The committee also heard a $11.8 million General Fund request for the Cal Access Replacement System, intended to replace the outdated campaign finance and lobbying disclosure platform; staff said the project is on track for a November 2026 go-live with a stabilization period afterward. A separate item sought $9.795 million Business Fees Fund for the Notary Automation Program replacement, with the department explaining delays were due to more planning, a 2025 special election, and the need to secure a contractor, with go-live now projected for 2029. All three items were held open. The Department of Veterans Affairs presented its overall status and then its Yountville skilled nursing facility project. CalVet described progress on veterans homes, home loans, housing programs, and mental health initiatives, while noting higher-acuity needs among older veterans and continued support for underserved groups. For Yountville, the department said the new 240-bed skilled nursing facility is nearing completion and will replace the aging Holderman Hospital building, though some functions will remain in the old building and other campus projects, including roof and steam system work, are still underway. Members also raised concerns about retroactive tax liabilities for employees whose housing fringe benefits had not been reported, and CalVet said it has corrected the reporting, retrained staff, and is working with employees on repayment and lease adjustments. The committee also discussed a proposal to eliminate vacant positions under Control Section 4.12; CalVet said the positions were long vacant and could be given back without harming operations, while the LAO noted the Legislature had not concurred and keeping them would increase General Fund costs. The item was held open. Finally, the California Arts Council gave an informational update on its work and the cultural districts program. The director described the council’s grantmaking, technical assistance, and support for 24 cultural districts statewide, while members emphasized the economic and preservation value of arts funding and urged more investment, including a proposed $50 million General Fund augmentation and a $10 million carve-out for cultural districts. Staff explained that the original cultural district funding was reduced and that the program is currently unfunded and lacks dedicated staff, limiting its ability to expand beyond a small share of applications. Members from different regions noted that many parts of the state still lack cultural district designations and pressed the council to broaden access beyond major urban areas. The item was informational only, with no vote taken.

Transcript Highlights:

• It's coming from nursing homes and people with disabilities.
• </c><00:30:19.880><c> and</c> forgiveness program and the home and forgiveness program and the home and
• </c> work in high-need settings and in home work in high-need settings and in home and<00:30:32.640><
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• I am a psychiatric nurse practitioner and member of the Minnesota Nurse Practitioners Association.

Committee: Senate Health and Human Services