Transcript Highlights:

• The expanded prescribing and procedures will improve eye care for all of your constituents.
• The expanded prescribing and procedures will improve eye care for all of your constituents.
• improve access to care.
• Expanding the scope and provider strain.
• </c><00:11:44.320><c> It's</c> and improve access to care. It's and improve access to care.

Transcript Highlights:

• And that's why, from this panel, looking at mixed delivery, we must focus on expanding access, not replacing
• And that's why, from this panel, looking at mixed delivery, we must focus on expanding access, not replacing
• Our state has begun taking significant and meaningful steps in expanding access to early learning through
• Our state has begun taking significant and meaningful steps in expanding access to early learning through
• TK plays a critical role in that, expanding access for four-year-olds across the state, many of whom

Summary: The California Assembly Select Committee on Child Care Costs held its third hearing focused on transitional kindergarten (TK) and how it fits within the state’s mixed delivery early learning system, with an emphasis on the Central Valley. Opening remarks stressed that TK and community-based child care are both needed to serve families, especially working and low-income households that need full-day, year-round care, transportation, and flexible hours. Committee members said the goal was to understand what is working, where gaps remain, and how to better coordinate TK with other programs to support children, families, and the workforce. The first panel included the Legislative Analyst’s Office, Every Child California, and Early Edge California. Testimony reviewed TK’s expansion to all four-year-olds, growth in enrollment, and changes to program requirements, while also noting related shifts in state preschool eligibility, reimbursement rates, and the option for programs to serve two-year-olds. Witnesses argued that TK should be treated as part of a broader continuum that includes state preschool, Head Start, family child care, and voucher-based care, and they called for easier local partnerships, shared facilities, aligned funding and oversight, better compensation, and permanent support for serving younger children. Committee members and witnesses discussed the strain on home-based providers and centers, the need for more vouchers and higher reimbursement, and the fact that many TK programs are part-day and do not meet full-day family needs. Public comment and the second panel reinforced concerns about affordability, access, and equity. Parents described the benefits of high-quality child care and TK for children’s development and for their own ability to work, while a parent from Oakland said TK was transformative for her child and essential to her career, but that her younger child still faced a wait for a TK spot. Children Now and Stanford researchers presented data showing that awareness of TK is uneven, especially among lower-income families, and that enrollment and access are stronger in more affluent areas. They recommended broader outreach, full-day/full-year options, and a true mixed delivery model that includes community-based providers, family child care homes, and Head Start. The California Department of Education said TK and state preschool work best as a shared opportunity and noted ongoing mixed-delivery grants and local coordination efforts, while public commenters from county offices, providers, and nonprofit organizations emphasized the need for continued funding, stable rates, and protection for community-based programs affected by TK expansion.

Transcript Highlights:

• I'm proud to say that 57% plus of our state parks are under co-management or tribal access, expanded
• Since 2019, the department has made significant investments to expand access to the out-of-doors...
• Since 2019, the department has made significant investments to expand access to the out-of-doors and
• reduced cost barriers and expanded equitable park access across the state, including the California
• access.

Summary: The Senate Budget Subcommittee on Resources, Environmental Protection, and Energy convened for its first hearing and heard an overview from the Legislative Analyst’s Office and the Natural Resources Agency. The LAO emphasized California’s strong current revenues but warned of a structural budget problem, projected out-year deficits, and the need for a high bar on new spending. It generally supported the administration’s Proposition 4 spending plan as reasonable and consistent with bond requirements, while urging legislative oversight and caution about using special funds and adding ongoing commitments. Secretary Wade Crowfoot responded with an overview of climate, wildfire, water, coastal, and conservation challenges and highlighted progress under the Newsom administration, including clean energy growth, wildfire resilience investments, land conservation, tribal co-management, and outdoor access initiatives. He also discussed federal staffing cuts affecting California’s response capacity and said the state has had to fill gaps in flood forecasting, land management, and park access. Members then questioned the secretary about the Delta conveyance tunnel and broader water reliability issues. Crowfoot said the project remains important, is being pursued as a beneficiary-pays project, and is moving through the State Water Resources Control Board’s permitting process, while also stressing that it is only one part of a broader water strategy that includes levee strengthening, subsidence, groundwater storage, recycling, and conservation. Senators also raised concerns about permitting delays, invasive species, and the impact of position cuts on agency capacity; Crowfoot said streamlining is needed but that staffing remains essential. The committee then moved to the Department of Parks and Recreation, where Director Armando Quintero described the state park system, tribal agreements, wildfire and deferred maintenance work, and outdoor access programs such as the State Library Park Pass and Adventure Pass. The LAO recommended rejecting the proposed ongoing $6.75 million General Fund transfer for the library park pass, arguing it did not meet the high bar for new ongoing spending, but several senators strongly supported the program as a low-cost way to expand access. Members also pressed Parks on reservation system problems and campsite no-shows. Department staff said they are updating website guidance, working with the reservation vendor, and implementing new no-show and reservation-modification rules effective July 1, including penalties for repeated no-shows and immediate reopening of vacant sites. The committee then heard a low-cost accommodations proposal, which Parks said would fund planning and construction at several sites using Proposition 68, reimbursements, and donations; the LAO said it had no concerns. Finally, the new director of the Department of Fish and Wildlife, Megan Hurdle, introduced herself and outlined the department’s mission, staffing, service-based budgeting, and Proposition 4 requests, including funding for salmon genetic tagging, hatchery repairs, and public access improvements. She said the department is focused on biodiversity, permitting streamlining, law enforcement, and human-wildlife conflict prevention, and noted that the agency is still updating its service-based budgeting analysis to identify gaps and priorities.

Transcript Highlights:

• They make sure medical care is accessible.
• CalFresh more accessible.
• ...don't have access to it.
• Together, all our immigration services investments reflect a clear priority: expanding access to high-quality
• The Inland Empire, we don't have access to the news.

Transcript Highlights:

• The bill also increases voter access by expanding vote center hours, opening ballot drop-off locations
• One is expanding the... Committee will most likely be an Appropriations Committee.
• With these improvements, voters will get shorter but clearer and more accessible disclosures.
• However, the bill will also expand on Section 203 by expanding the languages covered by state law.
• “We are a proud supporter of SB 1360 because California must expand language access beyond languages

Summary: The Senate Committee on Elections and Constitutional Amendments heard several election-related measures. SB 884 by Senator Umberg would expand electioneering buffer zones around polling places and ballot-processing sites, restrict law enforcement activity near voting locations except for crimes against persons or property, expand ballot drop box and vote center access, and extend the vote-by-mail receipt deadline. Supporters said it would protect voters from intimidation and interference; county election officials opposed it as operationally burdensome and difficult to enforce. The committee discussed amendments narrowing some provisions, and the bill was ultimately advanced on a 4-1 vote, with Senator Choi voting no. The committee also heard SB 1164 by Senator Cervantes, part of the California Voting Rights Act of 2026 package, which would codify and expand state voting-rights protections against vote dilution and voter suppression, add preclearance for certain jurisdictions with recent violations, and direct courts to interpret election laws in favor of voter access. Support came from civil rights and voting rights groups, while one city representative raised concerns about effects on pending litigation. Senator Choi questioned the bill’s concepts, but the measure was moved to Judiciary and later recorded as passing 4-1. SB 900 by Senator McNerney would shorten and streamline campaign-ad disclosure language, allow abbreviations, and increase the number of top funders listed on political mailers from three to five. Outdoor advertising and good-government groups supported the bill as improving readability while preserving transparency. It passed to Appropriations on a 5-0 vote. The committee also considered SB 1225 and SCA 3 by Senator Niello, which would shift responsibility for initiative titles and summaries from the Attorney General to the Legislative Analyst’s Office; supporters argued this would improve neutrality, while labor groups opposed the change as unnecessary and less accountable. Both measures were advanced to Appropriations after divided votes. Finally, SB 1360 by Senator Cervantes would expand election language-access requirements beyond current federal thresholds and add a petition process for undercounted language communities. It drew broad support from civil rights and advocacy organizations, with county election officials seeking amendments over implementation details; the bill passed 5-0 after the committee completed roll calls on the absent members.

Transcript Highlights:

• This change will expand access, reduce costs, and support the development of a robust, sustainable workforce
• Access to Medigap is not a luxury.
• expand access to children who currently face wait lists.
• These changes reduce operational flexibility at a time when providers are trying to expand access and
• access across the Commonwealth.

Committee: Joint Joint Committee on Health Care Financing

Summary: The Joint Committee on Health Care Financing held a public hearing on several health care bills focused primarily on autism services and kidney disease coverage. Committee chairs John Lawn and Cindy Friedman opened by outlining hearing procedures, testimony rules, and filing deadlines, and noted the hearing would be recorded and written testimony accepted. They said the day’s topics included affordability and access to behavioral health services, provider reimbursement, Medicare coverage for vulnerable populations, and MassHealth eligibility asset exemptions. A major portion of the hearing concerned House Bill 4623, which would add board-certified assistant behavior analysts (BCABAs) as a recognized mid-level supervisory role in the MassHealth reimbursement framework to help address long wait lists for autism spectrum disorder services. Representative Lisa Field, actuaries, clinicians, and autism service providers testified that the current two-tier model limits workforce capacity, contributes to long delays, and leaves families waiting months for care. Supporters said the bill could expand access, improve retention, and potentially reduce MassHealth costs, while also helping providers meet growing demand and new administrative requirements. The committee also heard testimony on House Bill 4425 and Senate Bill 2737, which would allow Massachusetts residents under 65 with end-stage renal disease to purchase Medigap coverage. Legislators, dialysis advocates, and patients described high out-of-pocket costs under Medicare, barriers to kidney transplant eligibility without secondary insurance, and the financial strain on patients and families. Testifiers said the change would affect about 846 residents, could modestly increase premiums, and might reduce Medicaid spending by preventing asset spend-downs. Senator Gomez and others spoke from personal experience with dialysis and transplant care. Finally, the committee heard testimony on House Bill 4353 and Senate Bill 2587, which would require regular data-driven review of MassHealth ABA reimbursement rates. Providers and association representatives argued that reimbursement has not kept pace with inflation, workforce shortages, accreditation costs, and new 2026 MassHealth policy requirements, and said the bills would improve transparency and ensure rates reflect the true cost of care. No votes were taken; the hearing concluded with the chairs thanking participants, inviting additional written testimony, and adjourning the meeting.

Transcript Highlights:

• </c><00:03:51.680><c> those</c> barrier um to be able to access those barrier um to be able to access
• folks</c><01:04:14.920><c> is</c> accessible freely accessible to folks is accessible freely accessible
• With expanded funding, we'd love to get into more communities.
• We really want to ensure that everyone has access to those facilities.
• </c><01:48:41.679><c> for</c> them more inviting and accessible for them more inviting and accessible

Committee: Senate Environment, Climate, and Legacy

Transcript Highlights:

• to access to veterinary care.
• of expanding telehealth is that access to vet care would be offered to those who face significant logistical
• It complements it and gives veterinarians the discretion to use professional judgment to expand access
• state, and expand their footprint.
• These updates frequently expand coverage and access to care, adding new medications, new technologies

Bills: HB1904 , HB2106 , HB2211 , HB2247 , HB2329 , HB2339

Committee: House Health Care & Wellness

Keywords: animal welfare, cats, declawing, animal rights, pet care, healthcare, contract modifications, provider notifications, insurance carriers, health facilities, HB 2211, medically tailored meals, medical nutrition therapy, medical assistance, Medicaid, Health Care Authority, Department of Social and Health Services, nutrition support, chronic disease, dietary accommodations

Transcript Highlights:

• In partnership with the administration and the legislature, we've expanded access to reduce fares, With
• the administration and the legislature, we've expanded access to reduced fares for nearly 40,000 income-eligible
• access to parks, beaches, and trails so everyone can enjoy farmland and expanding access to parks, beaches
• So it's restricting access.
• So it's restricting access.

Committee: Joint Joint Committee on Ways and Means

Summary: The Joint Committee on Ways and Means held a hearing at UMass Amherst on Governor Healey’s fiscal year 2027 budget proposal, focusing on energy/environment-related transportation issues and the Massachusetts Department of Transportation. The hearing opened with welcomes from the co-chairs and local legislators, followed by remarks from UMass Amherst Chancellor Javier Reyes, who highlighted the university’s research, sustainability, transportation, and workforce contributions and thanked the administration and legislature for support of public higher education. MassDOT Secretary and MBTA General Manager Phil Eng, along with agency leaders, presented the administration’s transportation budget package. They described a combined funding plan through House 2, a Fair Share supplemental budget, and a Chapter 90 bill, emphasizing investments in MassDOT operations, snow and ice response, regional transit authorities, the MBTA, bridge and pavement repair, housing-related transportation improvements, sustainable aviation fuel, microtransit, and local road programs. Officials also highlighted record highway construction activity, safety initiatives such as work zone speed cameras and pedestrian protections, RMV service and equity improvements, airport and drone technology programs, and MBTA gains in reliability, accessibility, ridership, and service expansion. Committee members asked about Western Massachusetts priorities, especially Chapter 90 funding for rural road mileage, bridge repairs, and the Compass Rail/West-East Rail program. MassDOT officials said pending federal grants were moving forward, with some awards recently obligated and others expected as federal processes advance, and they said Palmer Station remains part of the long-term rail plan. Members also raised the Cape Cod bridges and the need for multi-year Chapter 90 funding. Officials said the Sagamore Bridge procurement would begin soon, with construction targeted for 2027, and reiterated that transportation investments support jobs, local economies, and municipal infrastructure statewide.

Transcript Highlights:

• If anything, we need to be expanding their access to health care, like Assembly Member Shiavo's budget
• to protect and expand access to care for Medi-Cal enrollees statewide.
• and expand access to care for Medi-Cal enrollee statewide.
• We've collaborated with the Department of Health Care Access and Information to expand the allowable
• The goal is to expand access, increase utilization, and scale up the participation of community-based

Summary: The committee heard a budget oversight hearing on the Department of Health Care Services, focusing first on the overall Medi-Cal budget and a March General Fund loan to cover a current-year shortfall. DHCS said the 2025-26 budget proposal totals $193.4 billion, with Medi-Cal projected at $188.1 billion total funds and $42.1 billion General Fund, driven by higher enrollment, pharmacy costs, managed care growth, and costs tied to eligibility expansions and the COVID-era redetermination unwinding. The department said the $3.44 billion loan was needed to manage cash flow and ensure timely payments to providers and plans, while the LAO noted Medi-Cal’s cash-basis budgeting creates volatility and that more detailed estimates would come with the May Revision. Members discussed federal Medicaid threats, the need for transparency on cost drivers, and the impact of pharmacy spending, long-term care, and immigration-related coverage expansions. The second major topic was family health programs, including California Children’s Services, the continuous coverage unwinding, and opioid settlement fund spending. DHCS described CCS funding methodology changes, ongoing county stakeholder work, and a delayed rollout of CCS monitoring and oversight until July 1, 2025, while county representatives and advocates argued the program is underfunded and asked for more technical assistance and a delay in implementation. On the unwinding, the department explained that federal redetermination flexibilities helped maintain coverage after the pandemic, but the Governor’s budget proposes ending them at the end of June 2025; advocates urged making the flexibilities permanent to avoid coverage losses. For opioid settlement funds, DHCS and Finance said the budget increases funding for naloxone distribution while reducing other harm-reduction spending based on updated settlement revenues, prompting criticism from members and public commenters who argued the change would weaken effective harm-reduction programs. The hearing also included an update on Proposition 35 implementation. DHCS said the voter-approved measure continuously appropriates MCO tax revenues beginning in 2025, with up to $4.6 billion annually available for specified Medi-Cal and provider investments in 2025 and 2026, but implementation depends on consultation with the required stakeholder advisory committee. The department and LAO noted uncertainty about future federal rules affecting the MCO tax after 2026. Public testimony largely supported maintaining Medi-Cal expansions, protecting immigrant coverage, preserving harm-reduction funding, and increasing support for community health workers, pediatric dental care, and CCS county administration. No votes were taken during the portion of the hearing provided.

Transcript Highlights:

• access while preserving choice for New Mexico families. access while preserving choice for New Mexico
• Since that time, The state has significantly expanded access to pre-K for three and four-year-olds and
• ECECD could also support expanded access to back office support and technical assistance for smaller
• Primarily, universal access, access, meal quality standards, such as local ingredients, scratch cooking
• That expands.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• the health care workforce pipeline and improving retention; expanding access through community-based
• the health care workforce pipeline and improving retention; expanding access through community-based
• the health care workforce pipeline and improving retention; expanding access through community-based
• frontline care and expand the ways people can find access to both telehealth and also for some of the
• frontline care and expand the ways people can find access to both telehealth and also for some of the

Bills: HF1925

Committee: House Health Finance and Policy

Keywords: nurse licensure, multistate license, healthcare, public safety, interstate compact, nursing regulation

Transcript Highlights:

• In partnership with the administration and the legislature, we've expanded access to reduce fares.
• With the administration and the legislature, we've expanded access to reduced fares for nearly 40,000
• It's wonderful to expand them.
• the expanded service hours.
• So it's restricting access.

Committee: Joint Joint Committee on Ways and Means

Summary: The Joint Committee on Ways and Means held a hearing at UMass Amherst on Governor Healey’s fiscal year 2027 budget, focusing on energy/environment-related transportation issues and the Massachusetts Department of Transportation. The chairs and members opened with thanks to UMass, university leadership, court officers, and legislative staff, and Chancellor Javier Reyes highlighted UMass Amherst’s research, workforce, sustainability, and transportation contributions, including energy research, transit operations, and partnerships with MassDOT. The hearing then moved to MassDOT and MBTA testimony on the administration’s transportation funding package, including House 2, the FY26 Fair Share supplemental, and a proposed four-year Chapter 90 authorization. MassDOT officials described the budget as part of a broader multi-year transportation investment strategy, citing funding for operations, snow and ice removal, regional transit authorities, the MBTA, the Merit Rating Board, sustainable aviation fuel credits, micro-transit and last-mile grants, unpaved road improvements, bridge and pavement work, and housing-related transportation infrastructure. They emphasized workforce expansion, capital delivery capacity, safety improvements, and local aid, including the new lane-mile-based Chapter 90 formula intended to benefit rural communities. Officials also discussed major projects and programs such as Grant Central, culvert and unpaved road grants, work zone speed cameras, congestion hotspot fixes, the Sagamore and Bourne Bridge projects, and MBTA operating support and safety upgrades. Testimony from the MBTA and rail/transit staff focused on improved ridership, service frequency, accessibility, and safety, including progress on the Green Line Train Protection System, reduced delays, expanded bus and commuter rail service, and the South Coast rail extension. Regional transit authorities reported increased ridership and described new fare-free, connectivity, and community transit grants. Aeronautics testimony covered airport capital work, drone and data programs, sustainable aviation fuel efforts, and workforce development in aviation maintenance. Committee members then asked questions, especially about Western Massachusetts priorities, Chapter 90 funding, bridge repairs, snow and ice costs, Cape Cod bridges, Buzzard’s Bay rail, and Compass Rail/West-East Rail. Officials said several federal rail grants were moving forward, that Sagamore Bridge procurement would begin soon, and that the administration remained committed to pursuing federal funding and multi-year transportation investments.

Transcript Highlights:

• There's all hours to expand...
• I will say that access is in jeopardy right now. I will say that access is in jeopardy right now.
• The goal is to expand the UCLA program and, hopefully, expand to at least one more UC campus.
• Thank you. ...and accessing, including access to an affordable public higher education system.
• So it's called rationing access, or referred to as rationing access, because you only have so many course

Summary: The committee heard the May Revision presentation for the Assembly Budget Subcommittee on Education Finance, with public comment focused heavily on K-12 priorities such as universal school meals, kitchen infrastructure, food service and custodial support, youth leadership grants, Special Olympics funding, English learner support, universal pre-K, literacy investments, and concerns about community college funding shifts. Speakers also urged support for expanded learning, teacher recruitment and training, and maintaining or increasing funding for community colleges and student support programs. Finance and the LAO then reviewed the Proposition 98 outlook. Finance said the May Revision lowers the 2025-26 Prop. 98 guarantee to $114.6 billion, about $4.3 billion below January, due mainly to lower revenue estimates, with smaller effects from attendance and property tax changes. The administration also described rebenching for universal transitional kindergarten and a one-time rebench tied to Los Angeles fire-related property tax losses, along with changes to the Public School System Stabilization Account, deferrals, and updated COLA assumptions. The LAO said the budget relies too much on deferrals and one-time funds, creates a structural shortfall, and should instead align ongoing spending with the guarantee and preserve a reserve buffer. Members questioned the TK rebench and the shift of funding from community colleges to K-12, asking why it was being applied retroactively and how colleges would be held harmless. Finance said the changes align funding with where TK costs are being incurred and that reappropriation funding and other adjustments would offset impacts on community colleges. The LAO argued the historical split formula is outdated and should be abandoned in favor of budgeting around current priorities rather than fixed percentages. Members also raised concerns about draining the rainy day reserve and using deferrals, while the LAO said preserving reserves would better protect against future volatility. The committee then moved to specific K-12 and education proposals. Finance outlined May Revision changes including state operations adjustments for the Department of Education, technical trailer bill changes, a $100 million student teacher stipend program administered by Kern County, and updates to the charter school facility grant program. The LAO recommended rejecting the proposed increases for expanded learning, literacy coaches, and the student teacher stipend as currently structured, while supporting the minimum grant increase for expanded learning. Members expressed support for teacher recruitment efforts but questioned whether one-time funding can sustain ongoing programs and whether the student teacher stipend should be targeted to shortage areas or low-income communities.

Transcript Highlights:

• I WILL JUMP QUICKLY TO NONEMERGENT CARE ACCESS PLANS.
• AND REMOVING REGULATIONS TO INCREASE WORKFORCE MOBILITY AND EXPAND ACCESS TO QUALITY EFFICIENT HEALTH
• FOR M QA THIS EXPANDS OPPORTUNITIES FOR EXPERIENCED FOREIGN TRAINED PHYSICIANS AND EXPANDS THE AREA OF
• THE PROGRAM IS NEW AND AIMS TO PROVIDE AN EXPANDED ACCESS TO NO COST HEALTH CARE SCREENINGS SUCH AS VISION
• IT WAS FURTHER EXPANDED TO 23 COUNTIES AND THIS LEGISLATION EXPANDED AT STATEWIDE.

Transcript Highlights:

• We will be introducing a budget ask to expand CFAP to this population.
• And we know that even fewer have access to good fruits and vegetables.
• Accessing food should not require hours on hold or fighting a system alone.
• Accessing food should not require hours on hold or fighting a system alone.
• And so we need to make sure that we are providing sufficient funding to expand access to those resources

Summary: The joint informational hearing focused on CalFresh enrollment, food insecurity in California, the recent federal shutdown’s disruption of SNAP benefits, and the long-term effects of H.R. 1 on eligibility, benefits, and state and county costs. Opening remarks emphasized that millions of Californians rely on CalFresh, that the shutdown briefly delayed benefits for the first time in the program’s history, and that state and local governments, including Alameda County, stepped in with emergency food aid and funding. Members also framed the issue as both a hunger and affordability problem, with several noting that California’s agricultural abundance contrasts sharply with persistent food insecurity. The first panel presented research and advocacy perspectives on food hardship. PPIC’s Tess Thorman described food insecurity rates, disparities affecting households with children and Black and Latino households, and the role of nutrition programs in reducing poverty. Nourish California’s Betzabel Estudio argued that hunger is a policy choice and highlighted campaigns to expand state-funded food assistance for immigrants, support reentry populations, and continue the CalFresh fruit-and-vegetable incentive program. The California Association of Food Banks’ Josh Wright said food banks are seeing sustained high demand, lower federal food supplies, and cannot replace CalFresh, while urging more state support for food purchasing, school meals, and SunBucks. The second panel reviewed CalFresh operations and participation. The California Department of Social Services reported that CalFresh participation has risen over the past decade, with the state closing much of the participation gap through outreach, simplified applications, and demonstration projects such as the Elderly Simplified Application Project and a minimum nutrition benefit pilot. Alameda County Social Services described local caseloads, application trends, and emergency food distributions during the shutdown, while also warning that H.R. 1’s work requirements, immigrant eligibility restrictions, and possible cost-sharing could reduce enrollment. A student CalFresh ambassador testified about the burdensome application and recertification process and urged more funding for campus basic-needs centers and outreach to reduce stigma and administrative friction. In the final panel, county, food bank, and policy witnesses described the shutdown response and the expected impact of H.R. 1. Alameda County Community Food Bank and the County Welfare Directors Association said counties, food banks, and community partners mobilized emergency funds, pop-up pantries, and food purchasing to bridge the shutdown gap, but warned that hundreds of thousands of Californians could lose benefits under the new federal rules. The California Budget and Policy Center began outlining the scale of federal cuts, noting that H.R. 1 will significantly reduce SNAP funding and shift costs to states. No votes or formal committee actions were taken; the hearing was informational and concluded with discussion of possible state responses, including backfilling benefits, preserving outreach funding, and improving administrative systems to protect enrollment.

Transcript Highlights:

• I also wanted to see if you could expand.
• I also wanted to see if you could expand.
• Christine Smith, Health Access California.
• Christine Smith Health Access California.
• We want to reject any new barriers to accessing these programs and accessing life-saving care.

Summary: The Budget Subcommittee on Health and Human Services heard an overview of the expected California budget and program impacts from H.R. 1, including changes to Medi-Cal and CalFresh eligibility, redeterminations, work requirements, immigration-related coverage rules, retroactive coverage limits, and reductions in federal matching for certain services and provider financing mechanisms. DHCS and CDSS described implementation plans focused on automation, data matching, clearer communications, county training, and outreach, while noting that many federal details are still pending. The Legislative Analyst’s Office also reviewed how H.R. 1 could increase pressure on county indigent care systems, explaining the history of county responsibility under Section 17000, 1991 realignment, and AB 85, and warning that counties may face large increases in uninsured residents seeking care without corresponding funding flexibility. An independent policy expert urged consideration of a more standardized statewide approach to indigent care and raised questions about governance, benefits, and financing. Department witnesses estimated substantial coverage losses and fiscal effects: DHCS projected major Medi-Cal disenrollment tied to work requirements, six-month renewals, narrowed immigrant eligibility, and reduced retroactive coverage, while CDSS estimated large CalFresh benefit losses and a significant increase in administrative workload and payment accuracy pressure. Members questioned how exemptions would work for older adults, people experiencing homelessness, undocumented residents, and cash workers, and asked about the effect on the CalFresh Minimum Nutrition Benefit Pilot and on county administrative funding. Officials said they would use available data and self-attestation where possible, but acknowledged that many cases would require manual screening and that the county workload estimates remain in dispute. They also said the state is still evaluating the impact of H.R. 1 on provider taxes and state-directed payments, which could create additional budget pressure. County representatives from Los Angeles, Santa Clara, Tulare, and San Bernardino described major local consequences if H.R. 1 is implemented as written. They warned of higher uninsured rates, more strain on emergency rooms and public hospitals, increased homelessness and food insecurity, and a likely need to rebuild or expand county indigent care programs that were largely scaled back after the ACA. Counties said they are already freezing hiring, cutting positions, reducing overtime, deferring spending, and launching outreach and coordination efforts with managed care plans and community partners, but argued that these steps are not enough without additional state support. Several counties backed the California County Welfare Directors Association’s request for $373 million in General Fund support for eligibility work and asked for a CalFresh match waiver to soften the new county share of administrative costs; Los Angeles and Santa Clara also emphasized that their local revenue measures would not close the projected gaps. No votes or formal actions were taken in the portion provided.

Transcript Highlights:

• You need access to a doctor, to health care.
• We don't want to expand the time.
• Expanding access to victim services is a critical investment in public safety.
• We support House Bill 206 because it expands access to crime victim reparations by including adult criminal
• We've heard a lot about how this—I heard two comments that it will expand access in rural areas, and

Bills: HB99 , HJR5 , HM39 , HB206 , HB213 , SB41 , SB153 , SB165 , SB261 , SB264

Committee: House House Judiciary

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Transcript Highlights:

• It would expand access for them. Senator Lucero, that's all I have.
• access to meals.
• access to meals.
• Modernized kitchens support scratch cooking, expand access to healthier meal options, and continue to
• </c> kitchens support scratch cooking, expand kitchens support scratch cooking, expand access<00:45:59.760

Committee: Senate Education Finance

Transcript Highlights:

• to literacy and education remains accessible to all.
• We expand access to careers and training, home and community life, benefit management, including disability
• We expand access to careers and training, home and community life, benefit management, including disability
• and gives them access to medical appointments, but also gives them access to visit museums and go to
• access to credentials, training programs, and workforce opportunities. ...designed to expand access

Committee: Joint Joint Committee on Ways and Means