Transcript Highlights:

• I want to help the person.
• I want to help the person.
• The current ban limits... a time when health care decisions are more complex and personal than ever.
• So if an insurance agent was promoting one of these health care ministry plans, then the person on the
• Why it needs to be something in the... including one of these health care ministry plans, then the person

Bills: S0052 , S0502 , S0624 , S0758 , S0834 , S0840

Committee: Senate Judiciary

Summary: The committee considered several bills and reported each favorably. SB 624, by Senator Yarborough, would allow batterers intervention programs to offer optional supplemental faith-based activities, with no participant required to take part. Supporters said it would expand provider options and help address a shortage of certified programs; opponents raised concerns about mixing government-ordered programming with religion and about the state’s prior rule change. The bill passed 7-2. The committee also approved CS/SB 834, which repeals a 2022 restriction barring licensed insurance agents from partnering with health care sharing ministries to market or sell their programs. The sponsor and supporters argued the bill restores free speech, consumer choice, and access to faith-based alternatives, while opponents warned about consumer confusion, higher commissions, and weak protections because these ministries are not insurance. After extended debate, the measure passed 8-2. Other measures advanced unanimously or near-unanimously. CS/SB 502, as amended, would give Florida concurrent jurisdiction over certain juvenile offenses on military installations so juveniles can be handled in the state system; it passed 9-0. CS/SB 52 would exempt volunteer armed security for houses of worship from Class D or G licensing requirements, and supporters cited rising threats to churches and the need for organized volunteer security; it passed 9-0. SB 840, a cleanup bill to narrow and clarify last year’s emergency-related land-use restrictions after hurricanes, also passed 9-0, and CS/SB 758, which updates the membership of the Justice Administration Commission, passed 9-0 after an amendment restoring two public defenders to the commission.

Transcript Highlights:

• of Managed Health Care.
• care.
• surgical care.
• Part of that is mental care, mental health care services.
• They can only offer virtual care. So we have members in these areas who want to be seen in person.

Summary: The Assembly Health Committee held an informational hearing on Kaiser Permanente’s behavioral health care system, focusing on Department of Managed Health Care enforcement actions, Kaiser’s corrective action work plan, and testimony from patients, advocates, and union representatives. DMHC officials reviewed a long history of complaints, surveys, fines, and settlements involving Kaiser’s access to behavioral health services, including deficiencies found in 2012 and 2016, a 2022 non-routine survey, and a 2023 settlement that imposed a $50 million penalty and required $150 million in community investments over five years. DMHC said it continues to monitor Kaiser through quarterly meetings, complaint review, follow-up surveys, and a reimbursement process for members who could not obtain timely in-network care. Committee members pressed DMHC on what “timely access” and continuity of care mean in practice, how virtual care and group therapy fit into the standards, and what triggers a non-routine survey. DMHC said initial behavioral health appointments generally should not take more than two weeks, urgent care should be within days, and follow-up care within 10 days, with out-of-network care required when plans cannot meet standards. Officials also said Kaiser’s initial corrective action work plan lacked detail, but the revised plan was accepted and will be tracked through quarterly reporting and possible additional enforcement if Kaiser fails to comply. The second panel featured testimony from a Kaiser enrollee, a behavioral health policy expert, a Kaiser therapist, and the NUHW president. The enrollee described serious delays and inadequate treatment for his daughter after a suicide attempt, while the therapist and union leader said Kaiser’s behavioral health system is understaffed, relies too heavily on short appointments, group therapy, and webinars, and treats behavioral health as less important than medical-surgical care. They argued Kaiser’s one-appointment-at-a-time scheduling rule and limited treatment time violate parity requirements and harm continuity of care. Several members criticized Kaiser for not appearing at the hearing and said the testimony underscored the need for stronger oversight, clearer metrics, and faster remedies for patients.

Transcript Highlights:

• advance living wages for child care workers and affordable access to child care for families.
• A person is indigent if the person is receiving certain types of public assistance, is involuntarily
• health care and 16 times higher for inpatient care.
• privacy and personal data.
• The person is prohibited from living within 500 yards of a school, child care facility, public park,

Bills: HB1316 , HB2401 , HB2557 , HB2720 , HB1073 , HB2685 , HB2640 , HB2403

Committee: House Appropriations

Keywords: postsecondary education, homelessness, foster youth, education access, support programs, commission, gender equity, boys, men, advocacy, state policy, special education, parental rights, educational access, evaluation reports, disability services, behavioral health, emergency services, health insurance, provider access

Transcript Highlights:

• Medi-Cal is the primary funder for home and community-based services ranging from personal care aides
• When I was first navigating care as a person living with HIV, I found myself moving between different
• The Medi-Cal waiver program provides comprehensive case management and direct care services to persons
• Does it have to be a person that's in care? Can it be a witness? Can it be another worker?
• Does it have to be a person that's in a care? Can it be a witness? Can it be another worker?

Summary: The Select Committee on Older LGBTQ Californians held an inaugural hearing focused on the health care and support landscape for older LGBTQ Californians, including people aging with HIV and transgender, gender non-conforming, and intersex seniors. Opening remarks emphasized the long history of discrimination faced by older LGBTQ adults, the growth of the aging LGBTQ population, and the need to translate existing state commitments into concrete services. Senators highlighted concerns about nursing home vulnerability, the aging of people living with HIV, and the impact of federal actions and Medicaid cuts on California’s safety net. The first panel featured Justice in Aging, CalHHS, the Department of Aging, and the Aging and HIV Institute. Testimony described widespread inequities, including discrimination, social isolation, economic insecurity, and gaps in culturally competent care. State officials outlined the Master Plan for Aging, the first statewide survey of LGBTQIA older adults, gender-affirming care protections in Medi-Cal, and efforts to improve coordination across departments. Advocates argued the state has been too slow to respond to federal threats and that services are often hard to find or fragmented. Committee members pressed the departments on how survey findings are being turned into action, how rural and underserved communities are being reached, and whether more formal stakeholder coordination or “no wrong door” access systems are needed. The second panel focused on seniors living with HIV. A long-term survivor gave emotional testimony about the “survivorship penalty,” loss of benefits, housing insecurity, and the need for legal and navigation support, housing assistance, and protection from outdated disability standards. The Department of Aging reported on implementation of SB 258, which added HIV status to the definition of greatest social need for area agencies on aging; it said 20 of 33 area plans now identify HIV as a target population and many include specific strategies, such as LGBTQIA mental health connections programs. The Office of AIDS described Project Cornerstone, Ryan White, ADAP, HOPWA, the Medi-Cal waiver, and PrEP-AP, noting these programs serve thousands of older clients and rely on whole-person case management. Case management testimony underscored persistent needs for medication subsidies, transportation, food, and housing. Committee members questioned how ADAP rebate funds might be used, how SB 258 is enforced across local agencies, and how to reduce administrative barriers and auto-connect eligible people to benefits. The final panel began with the Department of Social Services outlining protections for TGI seniors in licensed care facilities, including SB 219’s nondiscrimination requirements and related provider notices and resident rights materials. The hearing remained focused on identifying service gaps, improving coordination across aging, health, and social service systems, and ensuring state programs better reflect the lived experience of older LGBTQ Californians.

Transcript Highlights:

• And health care providers.
• It means a person. And then on the... ...saying things. It means a person.
• or persons.”
• care of my family.
• The goal is to get care.

Committee: House House Health & Human Services

Transcript Highlights:

• about the continuous care, the delivery of care.
• Continuous care, the delivery of care. We are in no way mandating you have to change that person.
• </c> permanent care. permanent care.
• </c> seen this person." seen this person."
• who</c><01:10:54.600><c> makes</c> we don't care about the person who makes we don't care about the

Summary: The committee first approved the minutes and consent calendar, then moved through several Department of Health and Human Services Medicaid-related rules. Rule 25-220 from the Department of Energy was postponed until June so stakeholders would have more time to review revised language. Rule 25-240, involving Medicaid income verification and deductible provisions for medically needy applicants, was adopted after staff noted the cited sections had expired but the agency said it had continued operating under federal law and the state plan; the agency also said it had begun rulemaking on the cited provision. Rules 25-265 and 2633 were also adopted, with staff explaining that although parts of the rules had expired, the agency had continued implementing the policies through the Medicaid state plan, billing manuals, and related rules. The most extended discussion centered on rule 25-304 from the Bureau of Aging and Adult Services, which covers case management services for the CFI program. Staff and the agency explained that the amended conditional approval request clarified how case management agencies indicate staffing capacity, how telehealth decisions are evaluated, and that the department—not the case management agencies—sets the timeline for accepting or denying cases. The agency said the rule is intended to ensure participants are not pushed into telehealth when they do not want it or cannot use it, while leaving technical and clinical telehealth decisions to the provider. A case management provider testified in opposition to parts of the rule, arguing that the committee should not require agencies to admit unverified patients, that reimbursement-rate issues belong in legislation, that the quality-management section duplicates existing licensure oversight, and that the telehealth language improperly gives case managers authority over how other licensed providers deliver services. Committee members questioned whether the telehealth language was simply allowing case managers to determine whether telehealth fits a person’s care plan, and agency representatives responded that this was the intent. No final vote on rule 25-304 is shown in the transcript excerpt.

Transcript Highlights:

• Where do the rights of one person end? Where do the rights of one person end?
• before the person is sued?
• prenatal care—this is the group of persons that you're talking about that there seems to be a high rate
• There was a lack of persons who may have been pregnant who did not access prenatal care.
• I would, personally.

Bills: HB7 , SB 8 , HB7 , SB 8

Committee: House State Affairs

Transcript Highlights:

• The personal care. Do you go into personal care? Yeah, why don't you? The personal care.
• Do you go into personal care?
• The personal care. Do you go into personal care? Yeah, why don't you? The personal care.
• Do you go into personal care?
• care for an elderly person or disabled person.

Committee: House House Appropriations & Finance

Transcript Highlights:

• What is not recorded are the medical needs of the person held in custody, the care they asked for, and
• to persons in custody, with a specific focus on the delivery of emergency medical care.
• We believe that this new law and the accompanying bill to study the delivery of care to persons in custody
• will save lives and provide... ...the delivery of care to persons in custody will save lives and provide
• H. 1745, the Act to Study the Delivery of Medical Care to Persons Who Are Held in Custody, the Medical

Committee: Joint Joint Committee on the Judiciary

Summary: The Judiciary Committee heard testimony on a wide range of criminal justice, victim services, and records-sealing bills. Early testimony focused on H.1811, the Clean Slate automated record-sealing bill, with supporters arguing that automatic sealing after existing waiting periods would remove barriers to jobs, housing, and education without changing eligibility rules. Advocates from legal aid, business, and housing organizations said the current petition-based system is underused, burdensome, and costly, while opponents of expanding surveillance-related laws urged the committee to preserve privacy protections. The committee also heard testimony on H.1693, which would immediately seal records in cases ending without conviction and clarify the presumption of innocence, with speakers describing how dismissed cases still create lasting collateral consequences and prevent people from moving forward. No votes were taken during the hearing. Several bills centered on victim safety and domestic violence. Senator Michael Moore testified for S.1201, which would keep child-protective orders in effect even if the parent or guardian who filed them dies, and for S.1204, which would update the wiretap statute. Multiple survivors and advocates supported S.1215 and S.1222, arguing for a narrow wiretap defense for recordings made to document threats or abuse and for making GPS tampering a separate felony offense. Testifiers described situations in which GPS devices were cut off or disabled and said current law leaves victims at risk and gives abusers too much leeway. The committee also heard emotional testimony on H.1685/S.1238, a bill prompted by the suicide of Stavri Yanka in custody, with the sponsor, his mother, and the sheriff describing the need for better information-sharing so suicide-risk information follows a person into custody. Law enforcement and prosecutors supported several due-process and dangerousness-related bills. MassCOP, the Boston Police Patrolmen’s Association, and the State Police Association backed H.1828/S.1039/S.1235, which would require de novo Superior Court review for POST Commission suspensions over two weeks or decertifications, arguing officers need a meaningful appeal beyond administrative review. The committee also heard support for H.1691, expanding the dangerousness statute to additional offenses; Bristol County District Attorney Quinn said the changes would let prosecutors seek detention in serious cases such as child rape and manslaughter when facts warrant it. In contrast, the Committee for Public Counsel Services opposed expanding dangerousness detention, warning that pretrial detention causes serious harms and disproportionately affects Black and Hispanic defendants. The hearing also included testimony on H.1654/S.1063 to enhance victims’ rights and H.1525, which would rename and expand community corrections into community justice programs, with supporters emphasizing reentry, reduced stigma, and broader service access.

Transcript Highlights:

• by traffickers seeking to influence care for their personal gain.
• So when you think about the realm of trafficking, when a trafficking person comes in for medical care
• that trust for that person.
• And what I'm alluding to is don't feel that health care doesn't care, or something happening along the
• We have one person, I believe.

Summary: The first meeting of the Human Trafficking and Emergency Department Task Force focused on implementing Act 267, which created the body to develop a statewide human trafficking protocol to be incorporated into Louisiana’s sexual assault response plans. Chair Rep. Kelly Hennessy Dickerson and Office of Human Trafficking Prevention Director Mary Kate Andropont emphasized that the goal is a practical, transferable, survivor-centered protocol that can be adapted across regions and health systems. The task force also noted its timeline: use today’s presentations and member feedback to draft a protocol before the next meeting, then refine it into a final version. Presenters from hospitals, SANE programs, and advocacy organizations described current practices and gaps. Ochsner LSU Health Shreveport’s Operation Rahab and FMOLHS’s human trafficking policies highlighted staff education, badge buddies, anonymous admissions, hotline and law enforcement reporting, and coordination with community partners. SANE and forensic nursing presenters described red-dot privacy alerts, trauma-informed interviewing, and the need to train all hospital staff, not just ED clinicians, because trafficking victims may present repeatedly or in non-ED settings. LaFASA described statewide advocacy and legal support, while Unbound Now and BCFS/Common Thread explained Louisiana’s juvenile trafficking response under Act 662, including 24/7 crisis response, relational advocacy, and care coordination for minors. Members repeatedly raised the lack of safe housing, transportation, and placement options after identification, especially for adults, male survivors, and adults with special needs. Several presenters said that identifying victims is only the first step and that Louisiana still lacks enough resources for discharge and long-term stabilization. The task force also discussed the need for broader training across emergency departments, residency programs, nursing, housekeeping, maintenance, student health, mental health, and law enforcement, with members stressing that protocols should be clear, trauma-informed, and usable statewide. No votes were taken; the main action was to gather testimony, identify gaps, and begin drafting the statewide protocol.

Transcript Highlights:

• care on a Sunday night.
• care statute.
• for charity care?
• And I see all four are in person.
• Some delay or forgo care entirely because they fear their personal data could be used against them.

Summary: The committee heard several bills, with the most extensive discussion focused on civil investigative demands for the Attorney General (ESSB 5925), automated license plate readers (ESSB 6002/6702), medical debt interest limits (ESSB 5993), default judgments in consumer debt cases (SSB 5720), adult guardianship technical changes (ESSB 5837), and Court of Appeals bailiff authority (SB 6011). Sponsors and agency staff generally framed the bills as targeted tools or clarifications, while opponents raised concerns about privacy, due process, overreach, and unintended consequences. The AG’s office supported 5925 as a way to investigate civil rights, wage theft, and related laws more efficiently; opponents argued it gave too much pre-suit power and lacked sufficient judicial safeguards. The Court of Appeals bailiff bill was presented as a near-identical extension of authority already given to Supreme Court bailiffs, with no major controversy beyond questions about training. The ALPR bill drew the sharpest policy split. Supporters, including the prime sponsor and civil rights advocates, argued Washington lacks meaningful regulation of license plate readers and needs limits on retention, sharing, and vendor access to protect privacy and prevent misuse. Law enforcement, cities, and some parking-related users said the bill was necessary but too restrictive or technically flawed, warning it could effectively shut down the technology or prevent use in serious cases; they asked for broader crime coverage, clearer definitions, and longer retention. Privacy and civil liberties groups supported regulation but urged stronger protections, especially shorter retention periods and tighter limits on third-party access. On medical debt, the sponsor and supporters argued that capping interest at 1% would reduce financial harm to patients, especially those facing serious illness, and would still allow administrative costs to be covered. They cited bankruptcy risk, chronic illness, and the burden on families, while noting the bill was narrowed from an earlier version and made prospective. Hospitals, collectors, dentists, and physician groups opposed the bill, saying it would not solve broader affordability problems, could reduce repayment incentives, and might push providers toward cash-only models or credit cards, especially harming small and rural practices. The committee also heard support for the consumer debt default judgment bill as a negotiated compromise that improves notice and preserves existing debt-buyer protections, and for the guardianship bill as a technical cleanup of adult guardianship and supported decision-making provisions. No votes or final actions were taken in the hearing excerpts provided.

Transcript Highlights:

• Next person to testify is Beth Gutierrez from the Mass Council for Adult Foster Care.
• House Bill 3159 gives both the person who needs care as well as the caregiver more freedom.
• health aides, personal care attendants, transportation, and legal and financial services.
• require care.
• And as a health policy person, I certainly do not purport to be a... ...areas of our health care workforce

Committee: Joint Joint Committee on Revenue

Summary: The Joint Committee on Revenue held a public hearing focused largely on tax-credit proposals tied to children, families, caregivers, child care, health care workforce development, and public health. A major portion of the hearing concerned bills to expand the state earned income tax credit and child and family tax credit, including H. 3073/S. 1957 and S. 1975. Testimony from advocacy groups, legal services, tax assistance organizations, and health providers supported increasing the EITC match from 40% to 50% of the federal credit, expanding eligibility to immigrant and mixed-status ITIN filers, larger families, younger and older workers, and SSI recipients, and raising the child and family tax credit to $600 per child with inflation adjustments and possible advance payments. Witnesses said these changes would reduce poverty, improve health and educational outcomes, and help families meet basic expenses; committee members asked questions about ITIN filers and expressed support for the policy goals. The committee also heard extensive testimony on S. 1938/H. 3159, An Act Supporting Family Caregivers. Speakers described the scale of unpaid caregiving in Massachusetts and supported a package that would create a refundable tax credit, respite vouchers, workplace and housing protections, unemployment insurance access for those who leave work to care for relatives, a permanent advisory council, and a provision allowing spouses to be paid caregivers under MassHealth. Several witnesses shared personal caregiving experiences, and committee members responded favorably, noting the emotional and financial strain on caregivers and the importance of supporting them as Medicaid and long-term care systems face pressure. Additional bills discussed included H. 3174 on a child and dependent care tax credit, which was presented as a way to offset the high cost of child care; H. 3197/S. 2019 to improve the financial security of family child care providers through a tax credit; H. 3218/S. 1960 to create tax credits for health care preceptors to address workforce shortages; S. 2064 to establish a living organ donor tax credit; S. 2034 to promote healthy alternatives to sugary drinks through a tiered tax; H. 3015 to create a tax-return checkoff for the YMCA Youth and Government Program; and several public testimony ideas including vaccination, literacy, and grade-improvement tax credits. No votes or formal committee actions were taken during the hearing, which ended after all testimony was heard.

Transcript Highlights:

• By ensuring the state's responsibility to care for persons with developmental disabilities, the act changed
• It was about putting the person before the disability. Putting the person before the disability.
• When you're talking about me, please call me a person. I want to be treated like a person.
• He needed care.
• So I'm proud of our child care. And ultimately, the children that they're caring for.

Summary: The Assembly Committee on Human Services heard testimony on a series of bills affecting disability services, child welfare, foster youth, domestic violence survivors, guaranteed income pilots, crisis response, and child care providers. AB 1575 would update the Lanterman Act to use person-first language and broaden respite services to allow safe community access; supporters said it would improve dignity and consistency in services, and there was no opposition. AB 2470 would create a statewide one-stop reentry program for survivors of intimate partner violence to replace documents, repair credit, and access housing supports, while also giving CalWORKs emergency housing funds more flexibility; the Little Hoover Commission backed the bill based on its prior recommendations. AB 2510 would clarify and expand CalWORKs family reunification aid so parents can keep receiving support during reunification even if not all children are removed, and supporters said it would reduce barriers and better align with reunification goals. AB 2585 would expand guaranteed income pilot funding to rural and underserved counties, with testimony emphasizing the need for geographic diversity and data from places like the Central Valley. AB 1932, the Crisis Act 2.0, would continue and strengthen community-based mental health crisis response programs; testimony from family members and advocates strongly favored non-law-enforcement responses, and the bill drew broad support. AB 1925 would direct a feasibility study on a statewide permanent disability certification process to reduce repeated verification burdens; the committee approved it 4-0 and sent it to Appropriations. AB 2189 would fund a statewide special education parent action network to train and connect parents for systemic advocacy; after some opposition over the use of state funds for advocacy, it passed as amended and was referred to Education. AB 2684 would allow out-of-state nonminor dependents to do monthly social worker visits virtually, with in-person visits still required quarterly; it passed to Judiciary. AB 1967 would improve pathways for older youth experiencing homelessness or failed adoptions to enter or reenter foster care, and it passed to Appropriations. AB 2126 would create a targeted background-check exemption for certain former foster youth hired as peer partners, and it passed as amended to Public Safety. AB 2379 would require DSS to notify family child care providers of Fourth Amendment rights and provide multilingual know-your-rights training regarding immigration enforcement; it passed to Judiciary after some members questioned whether DSS was the right agency to administer the training.

Transcript Highlights:

• RECEIVE PERSONAL CARE FROM THE STATE AS WELL.
• CHAIR, PERSONAL CARE FOR FAMILY MEMBERS. >> Mr.
• THE LEGISLATION IMPLEMENTED THE $25 HEALTH AIDE PERSONAL CARE, BETWEEN PD PRIVATE DUTY NURSING AND PERSONAL
• CARE, PERSONAL CARE IS THE LOWER LEVEL OF SERVICE THAN IT IS ON THE PRIVATE DUTY NURSING SIDE WHICH
• MORE PEOPLE ARE LEAVING THE PERSONAL CARE WORKFORCE.

Transcript Highlights:

• So who would that person be learning from? Yeah. Yeah.
• For me, personally, at this point, the majority of my life, my primary care has been done by somebody
• If that person becomes unstable, we then would transfer that person to the intensive care unit.
• You point to one person and say, call 911, because there's a direct link between that person.
• You point to one person and say, call 911, because there's a direct link between that person.

Committee: House General Laws

Summary: The General Laws Committee met without a quorum and heard House Bill 2749, sponsored by Rep. Davidson. The bill would allow hospital systems, rather than only individual physicians, to sign and maintain collaborative practice agreements for physician assistants in hospital settings. The sponsor said the measure is intended to reduce administrative burden and paperwork without changing scope of practice, supervision requirements, or liability, and noted it has a $0 fiscal note. Committee members asked about how the bill would work in practice, including what happens when physicians leave a hospital system, whether the collaborating physician relationship would still be meaningful, and whether the bill could affect liability or accountability. Supporters, including a long-time PA with BJC and the Missouri Hospital Association, said large hospital systems already use credentialing and chart-review processes, and that centralizing the paperwork would help hospitals, physicians, and the Board of Healing Arts while freeing physician time for patient care. They emphasized that the bill would not change clinical oversight or reimbursement arrangements. Opposition came from the Missouri State Medical Association and the Missouri Association of Osteopathic Physicians and Surgeons. Their witness argued that collaborative practice agreements are personal physician agreements, not mere paperwork, and warned that shifting them to a hospital-level document could weaken physician accountability and potentially increase liability. The hearing concluded after testimony, with no vote taken.

Transcript Highlights:

• Well, I have a personal experience.
• I can tell you personally, in 14 years as a business person, that that company still gets paid because
• That either makes me a terrible business person or a fairly transparent ethical person.
• sees health care workers.
• I'm here on behalf of BJC Health Care, Mosaic Life Care, which is a hospital in St.

Committee: House Health and Mental Health

Summary: The House Committee on Health and Mental Health met in executive session and advanced several bills. HB 1881 was voted do pass without discussion. HB 3010 was amended with a committee substitute that removed a subsection allowing payers to remove “gold carding” based on procedure volume changes, then passed 10-0. HB 2355, the “Food is Medicine” bill, received a committee amendment to align terminology with other partnerships and then passed 11-0. HB 1855, dealing with alpha-gal reporting, was substantially revised: the substitute narrowed the bill to alpha-gal, removed Lyme disease, changed a department duty from mandatory to discretionary in one section, and delayed reporting implementation; it then passed 14-0 after members discussed the need for better disease tracking and the department’s workload. The committee then heard testimony on HB 2034, which would require insurance coverage for activity-based prostheses, orthotics, and high-performance or mobility-supportive wheelchairs. Sponsor Representative Carolyn Caton said the bill is intended to cover devices that help people live, exercise, and avoid secondary health problems, while preserving prior authorization and medical-necessity review. Supporters included clinicians, parents, amputees, and athletes who described being denied running blades, water-safe prostheses, or durable wheelchairs and said the devices are essential for health, independence, mental well-being, and participation in school, work, and sports. Several witnesses said the bill would reduce long-term costs and reliance on charity. Opponents, including the Missouri Insurance Coalition and America’s Health Insurance Plans, argued the bill is an expansion of coverage with unclear definitions and potentially significant costs, especially for Medicaid and other state-regulated plans. They cited the fiscal note, warned about possible federal ACA rule changes that could shift costs to states, and questioned whether the bill’s language on Medicare supplemental coverage and “perceived disability” was workable or preempted. Committee members pressed both sides on cost savings, definitions of “normal” activity, and whether the bill could be narrowed or otherwise revised, and several said they were willing to keep working on the issue. The hearing on HB 2034 was left open and then recessed after testimony, with no vote taken in the portion provided.

Transcript Highlights:

• Senate Bill 104 by Hall relating to the availability of paper ballots for a person voting by personal
• care facilities to Health and Human Services.
• Senate Bill 619 by Sparks relating to protection of persons from participation in the health care service
• their capacity to care for children, to finance.
• Relating to itemized billing for health care services and supplies provided by health care providers

Bills: SJR36 , SB2 , SJR6 , SJR7 , SJR8 , SJR9 , SJR10 , SJR11 , SJR12 , SJR13 , SJR14 , SJR15 , SJR16 , SJR17 , SJR18 , SJR19 , SJR20 , SJR21 , SJR22 , SJR23 , SJR24 , SJR25 , SJR26 , SJR27 , SJR28 , SJR29 , SJR30 , SJR31 , SJR32 , SJR49 , SCR1 , SCR2 , SCR3 , SCR4 , SCR5 , SCR6 , SCR8 , SCR9 , SB9 , SB41 , SB42 , SB43 , SB44 , SB45 , SB46 , SB47 , SB48 , SB49 , SB50 , SB51 , SB52 , SB53 , SB54 , SB55 , SB56 , SB57 , SB58 , SB59 , SB60 , SB61 , SB62 , SB63 , SB64 , SB65 , SB66 , SB67 , SB68 , SB69 , SB70 , SB71 , SB72 , SB73 , SB74 , SB75 , SB76 , SB77 , SB78 , SB79 , SB80 , SB81 , SB82 , SB83 , SB84 , SB85 , SB86 , SB87 , SB88 , SB89 , SB90 , SB91 , SB92 , SB93 , SB94 , SB95 , SB96 , SB97 , SB98 , SB99 , SB100 , SB101 , SB102 , SB103 , SB104 , SB105 , SB106 , SB107 , SB108 , SB109 , SB110 , SB111 , SB112 , SB113 , SB114 , SB115 , SB116 , SB117 , SB118 , SB119 , SB120 , SB121 , SB122 , SB123 , SB124 , SB125 , SB126 , SB127 , SB128 , SB129 , SB130 , SB131 , SB132 , SB133 , SB134 , SB135 , SB136 , SB137 , SB138 , SB139 , SB140 , SB141 , SB142 , SB143 , SB144 , SB145 , SB146 , SB147 , SB148 , SB149 , SB150 , SB151 , SB152 , SB153 , SB154 , SB155 , SB156 , SB157 , SB158 , SB159 , SB160 , SB161 , SB162 , SB163 , SB164 , SB165 , SB166 , SB167 , SB168 , SB169 , SB170 , SB171 , SB172 , SB173 , SB174 , SB175 , SB176 , SB177 , SB178 , SB179 , SB180 , SB181 , SB182 , SB183 , SB184 , SB185 , SB186 , SB187 , SB188 , SB189 , SB190 , SB191 , SB192 , SB193 , SB194 , SB195 , SB196 , SB197 , SB198 , SB199 , SB200 , SB201 , SB202 , SB203 , SB204 , SB205 , SB206 , SB207 , SB208 , SB209 , SB210 , SB211 , SB212 , SB213 , SB214 , SB215 , SB216 , SB217 , SB218 , SB219 , SB220 , SB221 , SB222 , SB223 , SB224 , SB225 , SB226 , SB227 , SB228 , SB229 , SB230 , SB231 , SB232 , SB233 , SB234 , SB235 , SB236 , SB237 , SB238 , SB239 , SB240 , SB241 , SB242 , SB243 , SB244 , SB245 , SB246 , SB247 , SB248 , SB249 , SB250 , SB251 , SB252 , SB253 , SB254 , SB255 , SB256 , SB257 , SB258 , SB259 , SB260 , SB261 , SB262 , SB263 , SB264 , SB265 , SB266 , SB267 , SB268 , SB269 , SB270 , SB271 , SB272 , SB273 , SB274 , SB275 , SB276 , SB277 , SB278 , SB279 , SB280 , SB281 , SB282 , SB283 , SB284 , SB285 , SB286 , SB287 , SB288 , SB289 , SB290 , SB291 , SB292 , SB293 , SB294 , SB295 , SB296 , SB297 , SB298 , SB299 , SB300 , SB301 , SB302 , SB303 , SB304 , SB305 , SB306 , SB307 , SB308 , SB309 , SB310 , SB311 , SB312 , SB313 , SB314 , SB315 , SB316 , SB317 , SB318 , SB319 , SB320 , SB321 , SB322 , SB323 , SB324 , SB325 , SB326 , SB327 , SB328 , SB329 , SB330 , SB331 , SB332 , SB333 , SB334 , SB335 , SB336 , SB337 , SB338 , SB339 , SB340 , SB341 , SB342 , SB343 , SB344 , SB345 , SB346 , SB347 , SB348 , SB349 , SB350 , SB351 , SB352 , SB353 , SB354 , SB355 , SB356 , SB357 , SB358 , SB359 , SB360 , SB361 , SB362 , SB363 , SB364 , SB365 , SB366 , SB367 , SB368 , SB369 , SB370 , SB371 , SB372 , SB373 , SB374 , SB375 , SB376 , SB377 , SB378 , SB379 , SB380 , SB381 , SB382 , SB383 , SB384 , 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SB510 , SB511 , SB512 , SB513 , SB514 , SB515 , SB516 , SB517 , SB518 , SB519 , SB520 , SB521 , SB522 , SB523 , SB524 , SB525 , SB526 , SB527 , SB528 , SB529 , SB530 , SB531 , SB532 , SB533 , SB534 , SB535 , SB536 , SB537 , SB538 , SB539 , SB540 , SB541 , SB542 , SB543 , SB544 , SB545 , SB546 , SB547 , SB548 , SB549 , SB550 , SB551 , SB552 , SB553 , SB554 , SB555 , SB556 , SB557 , SB558 , SB559 , SB560 , SB561 , SB562 , SB563 , SB564 , SB565 , SB566 , SB567 , SB568 , SB569 , SB570 , SB571 , SB572 , SB573 , SB574 , SB575 , SB576 , SB577 , SB578 , SB579 , SB580 , SB581 , SB582 , SB583 , SB584 , SB585 , SB586 , SB587 , SB588 , SB589 , SB590 , SB591 , SB592 , SB593 , SB594 , SB595 , SB596 , SB597 , SB598 , SB599 , SB600 , SB601 , SB602 , SB603 , SB604 , SB605 , SB606 , SB607 , SB608 , SB609 , SB610 , SB611 , SB612 , SB613 , SB614 , SB615 , SB616 , SB617 , SB618 , SB619 , SB620 , SB621 , SB622 , SB623 , SB624 , SB625 , SB626 , SB627 , SB628 , SB629 , SB630 , SB631 , SB632 , SB633 , SB634 , 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SB321 , SB322 , SB323 , SB324 , SB325 , SB326 , SB327 , SB328 , SB329 , SB330 , SB331 , SB332 , SB333 , SB334 , SB335 , SB336 , SB337 , SB338 , SB339 , SB340 , SB341 , SB342 , SB343 , SB344 , SB345 , SB346 , SB347 , SB348 , SB349 , SB350 , SB351 , SB352 , SB353 , SB354 , SB355 , SB356 , SB357 , SB358 , SB359 , SB360 , SB361 , SB362 , SB363 , SB364 , SB365 , SB366 , SB367 , SB368 , SB369 , SB370 , SB371 , SB372 , SB373 , SB374 , SB375 , SB376 , SB377 , SB378 , SB379 , SB380 , SB381 , SB382 , SB383 , SB384 , SB385 , SB386 , SB387 , SB388 , SB389 , SB390 , SB391 , SB392 , SB393 , SB394 , SB395 , SB396 , SB397 , SB398 , SB399 , SB400 , SB401 , SB402 , SB403 , SB404 , SB405 , SB406 , SB407 , SB408 , SB409 , SB410 , SB411 , SB412 , SB413 , SB414 , SB415 , SB416 , SB417 , SB418 , SB419 , SB420 , SB421 , SB422 , SB423 , SB424 , SB425 , SB426 , SB427 , SB428 , SB429 , SB430 , SB431 , SB432 , SB433 , SB434 , SB435 , SB436 , SB437 , SB438 , SB439 , SB440 , SB441 , SB442 , SB443 , SB444 , SB445 , SB446 , SB447 , SB448 , SB449 , SB450 , SB451 , SB452 , SB453 , SB454 , SB455 , SB456 , SB457 , SB458 , SB459 , SB460 , SB461 , SB462 , SB463 , SB464 , SB465 , SB466 , SB467 , SB468 , SB469 , SB470 , SB471 , SB472 , SB473 , SB474 , SB475 , SB476 , SB477 , SB478 , SB479 , SB480 , SB481 , SB482 , SB483 , SB484 , SB485 , SB486 , SB487 , SB488 , SB489 , SB490 , SB491 , SB492 , SB493 , SB494 , SB495 , SB496 , SB497 , SB498 , SB499 , SB500 , SB501 , SB502 , SB503 , SB504 , SB505 , SB506 , SB507 , SB508 , SB509 , SB510 , SB511 , SB512 , SB513 , SB514 , SB515 , SB516 , SB517 , SB518 , SB519 , SB520 , SB521 , SB522 , SB523 , SB524 , SB525 , SB526 , SB527 , SB528 , SB529 , SB530 , SB531 , SB532 , SB533 , SB534 , SB535 , SB536 , SB537 , SB538 , SB539 , SB540 , SB541 , SB542 , SB543 , SB544 , SB545 , SB546 , SB547 , SB548 , SB549 , SB550 , SB551 , SB552 , SB553 , SB554 , SB555 , SB556 , SB557 , SB558 , SB559 , SB560 , SB561 , SB562 , SB563 , SB564 , SB565 , SB566 , SB567 , SB568 , SB569 , SB570 , 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SB696 , SB697 , SB699 , SB700 , SB1047 , SB1048

Transcript Highlights:

• But when it comes to health care, when you are talking to, When it comes to health care, when you are
• and care among other things.
• Panel 1 in person will be Jared Mason-Jer.
• They're dismantling the community trust that allows clinics like ours to provide whole-person care in
• Our care management program staff coordinate services.

Summary: The Senate Health and Long-Term Care Committee held a hearing on several bills. SB 5904 would prohibit non-human entities from using nursing titles; the sponsor and nursing groups said it is meant to increase transparency around AI and ensure patients know when they are interacting with a real nurse. SB 5915 would change Health Technology Assessment Program review criteria and timelines, with supporters arguing it would better account for Medicare coverage and national guidelines, especially for rare and life-threatening conditions. SB 6025 would update the definition of fetal death to allow gestational age to be determined by the best clinically accurate method rather than last menstrual period, and medical professionals and the sponsor said this would reduce emotional, financial, and legal burdens on grieving families. SB 5933 would require near real-time sharing of overdose data into ODMAP; public health, local government, and recovery advocates said it would improve overdose response, while one witness asked that poison center data be included and clarified separately. SB 5990 would allow APRNs and physician assistants to serve as local health officers in counties under 100,000 population; rural county officials supported the added flexibility, while public health groups and naturopathic physicians raised concerns about qualifications and asked that naturopathic doctors be included as well. SB 5981 would restrict drug manufacturers from limiting 340B drug access through contract pharmacies or requiring data as a condition of discounts; safety-net hospitals, community health centers, pharmacies, and patients said it protects access and reinvestment in care, while manufacturers, employer groups, and industry representatives argued it increases costs, lacks transparency, and may not ensure savings reach patients. No votes or final committee actions were taken in the transcript; each bill was heard and testimony was closed. Sign-in counts were reported for several bills, including strong pro support for SB 5904, SB 5915, SB 5933, and SB 5981, and mixed or substantial opposition on SB 6025 and SB 5990.

Transcript Highlights:

• We are in a health care crisis and a mental health care crisis, especially in the veteran and first responder
• health care crisis and a mental health care crisis, especially in the veteran and first responder community
• So this is a very personal issue.
• So this is very personal, this is a very personal issue, both as a professional clinician and as an individual
• I think SB 5921 is a necessary evolution of health care, mental health care.

Summary: The Senate Health and Long-Term Care Committee met on January 27 and heard extensive public testimony on several bills before moving into executive session. Senate Bill 5921 would create a Department of Health medical psilocybin program for adults with qualifying conditions, with licensed producers and clinician participation requirements, training, background checks, and program standards. Supporters, including the sponsor and many clinicians, veterans, first responders, and patients, described psilocybin as promising for treatment-resistant depression, PTSD, trauma, and end-of-life anxiety, while opponents and some medical groups raised concerns about missing safeguards, contraindications, monitoring, cost, and the bill’s narrow medical model. Testimony was split sharply, with many also urging broader decriminalization or community-use protections. The committee later heard Senate Bill 6115, which would have the Department of Health contract for age-appropriate cancer education for grades 6-12; supporters from Cancer Pathways, educators, and families said it would improve prevention and risk awareness, while the bill drew substantial opposition in sign-in counts, and the hearing was ultimately closed without action that day. The committee also heard Senate Bill 5185, a pilot pathway for international medical graduates to obtain full unrestricted primary care licensure after supervised clinical practice, completion of exam and competency requirements, and annual reporting. The sponsor, Washington Medical Association, the Medical Commission, and IMG advocates said the proposal would expand access to primary care while maintaining patient safety, and the bill received supportive testimony. In executive session, the committee adopted proposed substitutes and advanced Senate Bill 5916 on non-opioid pain drugs, Senate Bill 5985 on endometriosis, Senate Bill 6019 on home care rate statutes, Senate Bill 6161 on dementia information, and Senate Bill 6183 on HIV antiviral drug coverage. For Senate Bill 5981 on the 340B drug pricing program, the committee adopted an amendment adding reporting and transparency requirements before moving the bill forward. The committee then adjourned, and the remaining hearing items were rescheduled for a later date.

Transcript Highlights:

• The system didn't fail because people did not care.
• An authorized representative stands beside the person, not in place of them, and that person always has
• An authorized representative stands beside the person, not in place of them, and that person always has
• by the Department of Social Services' Community Care Licensing Division, a facility staff person walked
• Long-Term Care Ombudsman Association.

Summary: The committee heard several bills focused on disability services, food security, veterans, aging services, and child care. SB 969 by Senator Reyes would make permanent the option for Californians with intellectual and developmental disabilities to receive certain regional center services remotely; supporters said remote services improve access, continuity, safety, and choice, and there was no opposition. The committee initially lacked a quorum, so action on the bill was delayed until later in the hearing, when it was moved on a 4-0 vote to Appropriations. SB 1025 by Senator Hurtado would create an Office of Food Security and Affordability to coordinate state food programs, improve CalFresh enrollment, reduce duplication, and support a 24-hour hunger hotline; supporters framed it as a coordination and strategic-planning measure, while some members questioned whether existing programs should be evaluated first and whether the bill needed stronger reporting and accountability. It passed 3-0 to Governmental Organization. The committee also heard SB 1052 by Senator Gonzalez, which would allow the State Council on Developmental Disabilities to appoint contingent authorized representatives so people with developmental disabilities are not left without support if a parent or other primary helper becomes unavailable. Supporters, including families and disability advocates, described emergencies, immigration enforcement fears, and service interruptions as reasons for the bill; members asked about the current approval and renewal process and whether the annual renewal requirement could be streamlined. The bill passed 3-0 to Appropriations. SB 1077, also by Senator Gonzalez, would require the Department of Social Services to prepare for future federal shutdowns by creating a communications and contingency plan for CalFresh disruptions and a state-backed emergency benefits mechanism; supporters cited the 43-day federal shutdown and delays in benefits, and the bill passed 4-0 to Appropriations. Other measures discussed included SB 1201 by Senator McNerney, the No Hungry Heroes Act, which would seek waivers and direct referrals to protect veterans from federal SNAP changes and job-search-related income calculations; it passed 3-0 to Military and Veterans Affairs. SB 1261 by Senator Laird would let aging and disability resource connections continue operating during partner transitions so people do not lose access to “no wrong door” services; it passed 3-0 to Appropriations. SB 1110 by Senator Becker would update child care subsidy funding and reimbursement structures to better reflect direct family services and stabilize providers; the author said a provision tied to the budget would be removed, and the bill passed 4-0 to Education. Finally, SB 991 by Senator Menjivar was presented to improve how abuse and neglect findings in residential care facilities for the elderly are categorized in the licensing database, so serious abuse is not lumped together with lesser violations; testimony described examples of sexual assault and restraint being recorded as generic residents’ rights violations.