Transcript Highlights:

• For universal child care.
• As a result of universal child care, child care capacity is growing.
• Care providers what it actually costs to deliver that care.
• They're not in, but they are a temporary guardian through foster care. Care.
• this care.

Transcript Highlights:

• care ecosystem.
• Care that is delayed is care that is denied.
• And the ratios have different requirements, whether it's care in the ER, care in the NICU, or care in
• And the ratios have different requirements, whether it's care in the ER, care in the NICU, or care in
• health care outcomes.

Summary: The Assembly Health Committee heard several bills focused on health care access, oversight, and affordability. The first major item was SB 306 by Senator Becker, a prior authorization reform bill. Becker and supporters, including the California Medical Association and California Hospital Association, argued that prior authorization delays care, adds administrative burden, and can lead to serious patient harm. The bill was substantially amended late in the process to have DMHC and CDI identify services and drugs to exempt from prior authorization based on utilization data, with safeguards for fraud, waste, abuse, and patient safety. Health plans and insurers opposed the measure as written, saying prior authorization remains an important utilization-management tool and raising concerns about the 90% threshold, drug inclusion, and how modifications are counted. The committee also heard SB 35 by Senator Umberg, which would let cities or counties inspect unlicensed sober living homes if DHCS does not act promptly on complaints. Supporters said the bill would address weak enforcement and protect residents, while one behavioral health directors group opposed it unless amended. Members generally supported the measure, citing problems with unlicensed facilities and the need for local enforcement backup. The committee then heard SB 62, which would codify California’s updated essential health benefits benchmark if approved by the federal government. Senator Wiener said the package would add hearing aids, durable medical equipment, and infertility treatment including IVF, acknowledging that premiums could rise but arguing the benefits were worth it. Health Access California and other advocates supported the bill, while the California Family Council opposed it. The committee also took up SB 596 by Senator Menjivar, which would tighten the rules for hospitals claiming an on-call list as a defense to nurse staffing ratio penalties. Supporters, including nurses and SEIU, said hospitals have used vague or ineffective on-call practices to avoid accountability and that the bill would improve enforcement and patient safety. Hospital groups opposed it, arguing that staffing is highly dynamic, that hospitals need flexibility to manage acuity and emergencies, and that the bill could increase costs and interfere with collective bargaining arrangements. Finally, the committee heard SB 40 by Senator Wiener, the Insulin Affordability Act, which would cap insulin copays at $35 for a 30-day supply and restrict step therapy unless a plan covers at least one insulin in each drug type. Supporters, including physicians, diabetes advocates, nurses, students, and patient groups, said insulin is life-saving and too often unaffordable, forcing patients to ration or choose between medication and basic needs. There was no formal opposition testimony, though one member questioned why insulin remains so expensive. The committee also began discussion of SB 363, but the transcript cuts off before that bill’s full presentation or any action on the measures. No votes are recorded in the portion provided, and several bills were noted as consent items earlier in the hearing.

Transcript Highlights:

• care ecosystem.
• Care that is delayed is care that is denied.
• And the ratios have different requirements, whether it's care in the ER, care in the NICU, or care in
• And the ratios have different requirements, whether it's care in the ER, care in the NICU, care in different
• health care outcomes.

Committee: House Health

Summary: The Assembly Health Committee heard several bills focused on health care access, staffing, and coverage. A major special order was SB 306 by Senator Becker, which would reduce prior authorization requirements for services and drugs that are routinely approved. Becker and supporters, including the California Medical Association, California Hospital Association, Health Access, Planned Parenthood, and others, argued prior authorization delays care, adds administrative burden, and can lead to serious patient harm. Opponents from health plans, insurers, the Chamber of Commerce, and physician groups raised concerns about preserving utilization management, the bill’s 90% approval threshold, drug coverage, and how “modifications” are counted. After late amendments and discussion with the Department of Managed Health Care, Local Health Plans of California withdrew opposition, while the bill remained opposed by some groups. Committee members discussed patient stories, cost concerns, and the bill’s amended structure, and the author asked for an aye vote. The committee also heard SB 35 by Senator Umberg, which would let cities and counties inspect unlicensed sober living homes if the Department of Health Care Services does not act on complaints within set timelines. Supporters, including the League of California Cities and several local governments, said the bill responds to inadequate state enforcement and growing problems with unlicensed facilities. One county behavioral health group opposed unless amended. Members largely supported the bill, citing community impacts and the need for stronger oversight. SB 62, also by Senator Becker, would codify California’s proposed essential health benefits update if approved federally, adding hearing aids, durable medical equipment, and infertility/IVF coverage. Health Access California and several advocacy groups supported the measure, while the California Family Council opposed. The committee then heard SB 596 by Senator Menjivar, which would tighten the definition and use of hospital on-call lists in the nurse staffing ratio enforcement process. Nurses and labor groups supported the bill as closing a loophole, while the California Hospital Association and other hospital groups opposed, arguing it would reduce staffing flexibility and increase costs. Finally, SB 40 by Senator Wiener would cap insulin copays at $35 per month and limit step therapy for insulin; it drew broad support from medical, patient, labor, and student witnesses, with no opposition testimony heard. The committee ended with discussion of SB 363, which would address health care coverage and independent medical reviews, but the transcript cuts off before that item was fully taken up.

Transcript Highlights:

• from maternal care to geriatrics, creating a Health care, from maternal care to geriatrics, creating
• a hybrid virtual care model.
• care.
• specialty care needs, is not robust enough to manage quality of care for everyone.
• and be denied that care.

Summary: The Assembly Health Committee met on March 25, 2025, with Chair Mia Bonta presiding and initially operating as a subcommittee until quorum was established. The committee heard several health-related bills, including AB 73 on creating a Black Mental Health Navigator certification, AB 499 on lowering the state reimbursement trigger for the Robert F. Kennedy Farm Workers Medical Plan, AB 843 on aligning California health insurance language-access rules with federal standards, AB 257 on a specialty care network using telehealth and virtual services for Medi-Cal and underserved communities, AB 64 on allowing diacritical marks on vital records, AB 315 on the Home and Community-Based Alternatives waiver, and AB 40 on clarifying that emergency services include reproductive health services such as abortion. Testimony generally emphasized disparities in access, culturally competent care, language access, rural provider shortages, and the importance of preserving or expanding programs that help vulnerable populations. Supporters included authors, state and local health organizations, advocacy groups, and affected individuals. AB 73 was backed as a way to address stigma, mistrust, and culturally competent mental health access for Black Californians. AB 499 was described as helping keep a self-insured farmworker health plan operational while maintaining a low-cost, labor-management model. AB 843 was supported as a way to prevent children and families from having to translate sensitive medical and insurance information and to protect limited-English-proficient Californians. AB 257 drew support as a demonstration project to improve specialty care access through California-based clinicians and virtual care, with examples of reduced wait times and costs. AB 64 received emotional testimony from the author, a child and his family, and others about the importance of accurately recording names with accents and other marks. AB 315 was presented as a cost-neutral or cost-saving way to expand home- and community-based care for medically fragile people, with strong support from disability, health, and provider groups. AB 40 drew support from reproductive health and medical organizations, while one opposition witness argued it could conflict with emergency care standards and overburden emergency departments. The committee took roll-call votes and advanced AB 499, AB 73, AB 843, AB 257, AB 64, AB 315, and AB 40 to Appropriations, with AB 40 receiving some no votes. The committee also adopted its 2025-26 rules and approved a consent calendar that included AB 225, AB 304, AB 403, AB 688, and AB 951. Several measures were initially placed on call and later lifted and recorded as passing out of committee before adjournment.

Transcript Highlights:

• Care Information Act.
• And so I understand that we all care about the price of health care insurance.
• , or preventive care.
• delivery care.
• care.

Summary: The committee heard testimony on three health care bills. HB 1496 would cap charges for electronically stored medical records at $50 for patients and certain authorized recipients, while removing a free-copy provision tied to SSI/SSDI appeals and changing attorney fee language to “prevailing patient.” Supporters, including patient advocates, attorneys, and injured workers, said current record fees can reach thousands of dollars and block access to justice; opponents, including hospitals, home care providers, and records vendors, argued the bill would not cover the labor and HIPAA compliance work involved in large third-party requests and could shift costs to providers and patients. The bill remained in hearing with testimony continuing after the committee moved through other bills. HB 2182 would change how the Department of Corrections distributes its stockpile of mifepristone and misoprostol, removing the requirement that the medications be sold at cost plus a $5 fee and instead allowing, but not requiring, payment while directing DOC and the Department of Health to coordinate distribution to providers and facilities. The prime sponsor and supporters said the bill is needed so the state’s stockpile does not go unused or expire and to remove barriers to access for abortion and miscarriage care; opponents argued the bill subsidizes abortion, raises legal and taxpayer concerns, and should be rejected. Public testimony on HB 2182 was closed after hearing from both supporters and opponents. HB 2196 would require certain fully insured health plans to cover IVIG for PANS and PANDAS, with initial and medically necessary follow-up courses, and would bar denials based on prior treatment, age, out-of-state care when unavailable in Washington, or treatment guidelines that only address psychiatric symptoms. The sponsor, families, and physicians described severe, sudden-onset symptoms in children and said IVIG can be life-changing after other treatments fail, while insurers warned the mandate could add to already rising premiums and noted the treatment can be very expensive. HB 2242 would shift vaccine and preventive-service recommendation authority from federal bodies to the Department of Health, while preserving no-cost coverage for preventive services and updating the reference date for protected services; the governor, insurance commissioner, public health officials, and many physicians supported it as a way to preserve access amid federal instability and rising vaccine-preventable disease, while questions focused on whether the bill would change school or daycare requirements, which staff said it would not.

Transcript Highlights:

• Bill Magcguire, and myself. creation of Minnesota Care. creation of Minnesota Care.
• for community-based care.
• </c> take care of these patients long term. take care of these patients long term.
• so</c> innovations in care, not just care, so innovations in care, not just care, so that<00:52:20.559
• care and seeking care delays in reaching care and seeking care and<00:58:45.599><c> more.

Committee: Senate Higher Education

Transcript Highlights:

• It is life-saving medical care.
• </c> away health care for 17,000 people. away health care for 17,000 people.
• </c><00:03:23.440><c> costs</c> health care costs health care costs uh<00:03:25.280><c> because</c><00
• care through Minnesota Care life-saving care through Minnesota Care does<00:09:43.839><c> not</c><00
• Providing health care to suffer.

Summary: Minnesota lawmakers and advocates held a press event focused on a special-session budget agreement that would repeal health coverage for undocumented immigrants. Speakers, including Rep. María Isa Pérez-Vega, Sen. Lieman, labor leaders, immigrant advocates, faith leaders, and other DFL/POCI caucus members, argued the repeal would harm about 17,000 people, increase uncompensated care costs, worsen ER and clinic wait times, reduce productivity, and ultimately raise costs for taxpayers and employers. They also said undocumented immigrants contribute significant tax revenue and that the measure was motivated by cruelty and scapegoating rather than fiscal responsibility. Testimony emphasized moral, public health, labor, and faith-based objections. Unidos Minnesota, SEIU Local 26, the Minnesota AFL-CIO, and Pastor Ingred Ramson all framed health care as a human right and said the policy would punish working families, immigrants, and communities of color. Several speakers linked the repeal to broader attacks on immigrants, labor rights, and other social protections, and warned that the compromise budget framework included a “poison pill” tying the health bill to the repeal. POCI caucus members said they had tried unsuccessfully to negotiate alternatives, including changes to paid leave, earned sick and safe time, non-compete bans, premiums, enrollment caps, and protections for children, elders, and people with chronic conditions. They said leadership was not part of the negotiations and expressed disappointment with DFL and governor-level decisions, while also saying they would continue to fight the policy and hold leaders accountable. No vote was taken in the event itself, but speakers repeatedly said the repeal was expected to pass and that they would oppose it and continue organizing in future sessions.

Transcript Highlights:

• through managed care plans.
• Medicaid managed care or some.
• Humana repeat cares.
• Up until recently, a Florida community care serve the long-term care population.
• So its value based care?

Transcript Highlights:

• Our team cares deeply about the early development that kids get from high-quality child care programs
• A high-quality child care facility.
• who provide direct care.
• And compliance for home care agency workers who provide direct care.
• It ensures that Medicaid home care funds are used exactly as you intend to compensate direct care workers

Summary: The Appropriations Committee held a public hearing on several bills. Senate Bill 5109 would raise the mortgage lending fraud prosecution surcharge on recorded deeds of trust from $1 to $5 and remove the 2027 sunset on the surcharge and account. Committee staff said the change would generate additional revenue for county auditors and the Department of Financial Institutions to contract with prosecutors; King County and the Washington Association of Prosecuting Attorneys testified in strong support, saying the current funding has eroded and the bill would better sustain mortgage fraud prosecutions. A question was raised about whether other budget funding could serve a similar purpose, but supporters said the dedicated surcharge/account structure was the best fit. No vote was taken. The committee also heard Engrossed Substitute Senate Bill 5500, which would require DCYF’s biennial child care report to include a current cost-of-quality study in addition to the market rate survey. Testifiers from Child Care Aware of Washington, child care providers, and the early education design team supported the bill, saying the market rate survey alone does not capture the true cost of providing quality care. Staff said the bill would have a small fiscal impact for DCYF. The committee then heard Substitute Senate Bill 5834 and Senate Bill 5835, both Department of Retirement Systems request bills: one would broaden use of pension fund interest earnings for fund-protection expenses beyond the 2025-27 biennium, and the other would raise the threshold for lump-sum payment of small monthly benefits from $50 to $250. Neither bill drew public testimony, and staff said the fiscal impacts were minimal. Later, the committee heard Engrossed Senate Bill 5872, which would create the Pre-K Promise Account for ECAP funding and allow gifts, grants, and donations to be used solely to expand the program. Supporters including rural health coalitions, the Balmer Group, and Snohomish County said the account would help expand access to early learning, especially in child care deserts; DCYF estimated staffing costs to administer the account. Substitute Senate Bill 6007 would direct WSIPP to study DCYF’s child welfare screening tools and their effects on outcomes, with a reported cost of about $234,000; there was no public testimony. Engrossed Substitute Senate Bill 6019 would clarify home care agency rate-setting and require that no more than 20% of Medicaid home care rates go to administrative costs, with DSHS saying there would be no fiscal impact. Labor and caregiver witnesses supported it as a parity and accountability measure. Finally, Senate Bill 6065 would allow school districts in binding conditions or enhanced financial oversight to use transportation vehicle funds more flexibly, including temporary loans or permanent transfers with approval; a rural education representative supported the bill, and staff said OSPI would incur only modest administrative costs. The committee took no final action and adjourned after the hearings.

Transcript Highlights:

• </c> uncompensated care. uncompensated care.
• Effectively, the care hospitals care.
• </c> burn care, and more. burn care, and more.
• </c> to care for. to care for.
• </c> care plan. care plan.

Committee: Senate Taxes

Transcript Highlights:

• , in the state's care, safe.
• for children in foster care.
• own care.
• Most serve children in foster care, and many were once in foster care themselves.
• and foster care settings.

Committee: Joint Joint Committee on Children, Families and Persons with Disabilities

Summary: The Joint Committee on Children, Families, and Persons with Disabilities held a hybrid hearing on a series of child welfare bills focused on DCF, foster care, mandated reporting, educational records, and family support. Chair Kennedy and Chair Livingstone opened with accessibility and testimony rules, then heard testimony on bills including S.127 on expanding mandated reporters, S.107/H.235 on a Foster Children’s Bill of Rights, S.106/H.228 on transferring foster care review from DCF to the Office of the Child Advocate, H.258/S.125 on an electronic backpack for foster children’s educational records, H.205 on kinship foster care background checks, H.246/H.266 on minimizing trauma in care and protection cases, and S.159 on support for families after sudden unexpected infant death. Supporters of the mandated reporter bill, led by Sen. Feeney and Foxborough advocates, described a local model that trains all adults who work with children and argued the state should scale that approach statewide to improve recognition and reporting of abuse. Testimony on the foster care bills emphasized the need for clearer rights, better notice to children and attorneys, stronger remedies, and independent oversight. Advocates, youth with lived experience, and legal organizations described placement instability, delayed notifications, abuse in care, poor educational continuity, and the need for rights around safety, family contact, culture, language, and access to records. Several witnesses urged that the Foster Children’s Bill of Rights include enforceable court remedies, not just reporting requirements. On the oversight bill, supporters argued DCF should not review its own foster care system and pointed to poor outcomes, high placement instability, and recent investigative reporting as evidence for moving review responsibilities to the Office of the Child Advocate. On the electronic backpack bill, testimony focused on the need for real-time data sharing and a centralized system so schools can receive foster students’ records quickly and support continuity. On the trauma-minimization bill, Rep. Miskin framed the proposal as a set of practical changes to reduce harm during removals and court involvement. On the SUID bill, Sen. Lovely said families should be given information about available grief and support resources after an infant death. No votes were taken during the hearing; the committee primarily received testimony and questions.

Transcript Highlights:

• care plan.
• care plan.
• We should also be including child care. Child care needs work as a region.
• care.
• care.

Committee: House Human Services

Transcript Highlights:

• The most expensive care we give is bad care.
• Second, we should incentivize doctors and all health care providers. to optimize care, but we have to
• On rural health care, I expect you to protect and support access to rural health care to help achieve
• CMS can take care of some of them this committee has to be able to take care of as well as we've got
• delayed is care denied.

Committee: Senate Finance Committee

Keywords: Michael Falkender, Deputy Secretary of the Treasury, IRS, taxpayer privacy, nomination process, committee hearing

Summary: The committee convened to discuss critical issues surrounding the nomination of Michael Falkender for the position of Deputy Secretary of the Treasury. This meeting included a series of remarks from committee members who expressed divergent views on Falkender's qualifications and the implications of his appointment. Senator Wyden voiced strong opposition, arguing that Falkender represents harmful policies expected to be perpetuated under the current administration, especially concerning taxpayer privacy and IRS tactics. Meanwhile, other members defended Falkender, noting his extensive experience, including a commitment to transparency in government operations if confirmed.

Transcript Highlights:

• This matters because podiatrists play a key role in diabetes care, wound care, and preventing amputations
• We pride ourselves in California on working to address the cost of health care, and health care districts
• As mentioned, Imperial Valley Health Care District serves a community with significant health care needs
• So this is the challenge in health care, a challenge in health care.
• access to prenatal care. Thank you.

Committee: House Health

Transcript Highlights:

• Chris Colville said that gender-affirming care is health care and that health care is a human right.
• It does also protect contraception care, abortion care.
• That's all in this pregnancy care, miscarriage care.
• That's all in this uh pregnancy care, care, care, miscarriage<00:41:34.520><c> care.
• </c> gender-affirming care. gender-affirming care.

Bills: HB1573 , HB1645 , HB1875 , HB1898 , HB2121

Committee: Senate Commerce and Consumer Protection

Summary: The committee heard testimony on HB 1573, which would create state enforcement authority over unauthorized e-cigarette products and related tobacco enforcement. Supporters including SHPDA, the Department of Health, the Attorney General’s office, Hawaii Public Health Institute, and others said the bill would help protect youth from unauthorized vaping products, give the state tools to enforce an FDA-authorized product list, and add penalties and inspection authority. A committee member asked whether enforcement staff were available and what penalties would apply; the response was that existing tobacco investigators would take on the work, and the bill includes civil penalties, seizure authority, and possible license revocation referrals. The measure drew both support and opposition testimony, but no vote was taken in the portion provided. The committee then took up HB 1645, relating to liability for child welfare service providers. The Insurance Division said it was aware of the insurance-cost problem, had raised the issue with the NAIC, and was exploring a captive insurance option, while suggesting the legislature consider additional appropriations to DHS to cover higher contract costs. Supporters, including Parents and Children Together and Hawaii Insurance Council, argued the bill would help child welfare providers obtain insurance and continue critical services. Opponents, including the Hawaii Association for Justice, warned that removing joint and several liability could leave victims undercompensated and might not actually lower premiums. The insurance commissioner said other states have done tort reform in this area, but the committee was told it is not clear the bill would reduce insurance costs. Finally, the committee heard extensive testimony on HB 1875, which would protect access to gender-affirming care in Hawaii and shield patients and providers from out-of-state legal actions. Support came from the Hawaii State Youth Commission, LGBTQ+ and public health groups, medical professionals, ACLU Hawaii, Planned Parenthood, and others, who said gender-affirming care is evidence-based, medically necessary, and important for patient privacy, provider stability, and continuity of care. Several witnesses asked for amendments to the bill’s definition language. Opposition testimony came from individuals and groups including Hawaii Christian Coalition, Leeward Republican Women’s Club, and others, who argued the bill could expose children to irreversible decisions and that more research is needed. The chair noted roughly 176 supporters and about 40 opponents testified. No final action or vote was reported in the excerpt.

Transcript Highlights:

• $47 million in charity care.
• State versus private long-term care facilities are held to a different standard of care.
• care, pay less in co-pays than families who require full-day care.
• income, rather than the 7% for full-day care.”
• Providing quality care for school-age children means opportunities for summer camps and before- and after-care

Bills: SB313 , SB296

Committee: House Health & Human Development

Summary: The House Health and Human Development Committee met and considered a series of health, human services, and related bills. The committee heard and advanced House Substitute 1 for Senate Bill 13, which standardizes hospital charity care and financial assistance statewide, and Senate Bill 296 with Senate Amendment 1, which restructures the Delaware Health Fund grant process with a more formal, transparent competitive rubric. Both measures received supportive testimony from DHSS, the Delaware Healthcare Association, and the Delaware Nurses Association, and both were released by committee on roll-call votes. The committee also released Senate Bill 313 with Senate Amendment 1, which places a temporary moratorium on acquisitions of nonprofit acute care hospitals by for-profit entities and expands notice/review requirements for sales of hospital real estate; Senate Bill 340 with Senate Amendment 1, which requires long-term care facilities to carry specified liability insurance, with questions raised about the exemption for state-owned facilities; Senate Joint Resolution 20, which directs DHSS to study independent assessment tools for Medicaid home- and community-based services; and Senate Bill 341, which updates Delaware Health Information Network law and formally recognizes DIN as the state’s health data utility. Testimony on these bills was generally supportive, with some discussion on constitutional concerns, insurance coverage, and the rationale for the state exemption in SB 340. Later, the committee advanced Senate Bill 257, which requires new animal shelters to be licensed and inspected before operating and removes a prior exception for certain rescue organizations; and Senate Substitute 1 for Senate Bill 278 with House Amendment 1, which allows earlier pre-authorization for summer child care enrollment and lowers copays for half-day care. Public testimony on these measures came from animal welfare advocates, YMCA representatives, and other stakeholders, all largely in support. Each bill was released by committee, with several votes walked for absent members, and the meeting adjourned after all agenda items were addressed.

Transcript Highlights:

• You mentioned Medicaid managed care and of course, as we know, Medicaid managed care started small.
• Remove sanctions related to hospice care teams and plan of care responsibilities and updates.
• managed care structure.
• We're very careful careful. This became a problem.
• Then the managed care plan.

Transcript Highlights:

• care workers can continue.
• dental care in a year.
• Care.
• Care, that very small, 44%.
• . health care.

Transcript Highlights:

• services, primary health care services, For contracted health care services, primary health care services
• to be doing for primary care.
• to primary care.
• This amendment makes a narrow The share of health care spending devoted to primary care.
• in primary care.

Summary: The Senate first considered several amendments to a primary care/health care bill. Amendment 1, on artificial intelligence in health care and mental health services, was withdrawn by unanimous consent. Amendment 37, which would have required a rate band for outpatient primary care reimbursement, was debated and then defeated on a roll call, 5-33. Amendment 39, on direct primary care arrangements and deductible credits, was also defeated 5-33. The chamber then took up and passed the conference report for An Act Relative to Teachers Preparation and Student Literacy (H. 5511), with senators emphasizing the need for evidence-based literacy instruction, universal screening, dyslexia screening, teacher training, and implementation funding; the bill was enacted and sent to the Governor after a 39-0 roll call. The Senate then returned to Amendment 60 on the primary care bill, which would have created a “safety valve” allowing alternative payment systems to be proposed to the Health Policy Commission. After debate over whether the bill already allowed flexibility, the amendment was defeated 5-33. Amendment 50, requiring stronger health equity reporting, was adopted. Amendment 66, a technical fix setting commercial payment rates for community health centers at the MassHealth PPS rate, was adopted. Amendment 24, excluding pharmaceutical spending from the primary care spending baseline and target, was adopted. Amendment 45, a study on expanding the role of allied health professionals, was withdrawn. Amendment 48, a group purchasing cooperative pilot, and amendments 53, 61, and 63 were also withdrawn. The Senate adopted Amendment 64, which prohibits prior authorization from delaying FDA-approved medications for serious mental illness, and rejected Amendment 68 on reporting private equity investment in primary and specialty care, as well as Amendments 71 and 72 on scope of practice and ownership disclosure. Amendment 62, a technical change modernizing the definition of primary care and clarifying the care team, was adopted. Amendment 21, the Senate Ways and Means amendment, was then adopted, the bill was ordered to a third reading, and the Senate passed An Act relative to primary care for you (S. 3116) to be engrossed on a 35-4 roll call. The Senate then adjourned to a later date, with memorial references at adjournment.

Transcript Highlights:

• Specialized certifications are standard practice throughout health care, from maternal care to geriatrics
• , creating a Health care, from maternal care to geriatrics, creating a specialty focus on the specific
• a hybrid virtual care model.
• care.
• and be denied that care.

Committee: House Health

Summary: The Assembly Health Committee met on March 25, 2025, with Chair Mia Bonta presiding. The committee heard several bills focused on health access and equity, including AB 73 to create a Black Mental Health Navigator certification, AB 499 to lower the state reimbursement trigger for the Robert F. Kennedy Farm Workers Medical Plan, AB 843 to strengthen language access protections in health coverage, AB 257 to pilot a specialty care network using telehealth and virtual services, AB 64 to allow diacritical marks on vital records, AB 315 to expand the Home and Community-Based Alternatives waiver, and AB 40 to clarify that emergency services include reproductive health care, including abortion. Supporters emphasized disparities in care, workforce shortages, cultural and language barriers, and the need to preserve or expand access for Black Californians, farmworkers, people with disabilities, and limited-English-proficient patients. Opposition to AB 40 argued that abortion should not be defined as emergency care and raised concerns about fetal considerations and ER burden. The committee took testimony on each measure, with many bills drawing broad support from advocacy groups, medical organizations, disability rights groups, and affected individuals. AB 257’s author and witnesses said the proposal would use California-based clinicians and improve specialty access in underserved areas; AB 315’s supporters described it as a cost-saving, dignity-preserving program for medically fragile Californians, with more than 5,400 people on a waiting list. AB 64’s witnesses described personal harm caused by the inability to record names accurately on state documents. AB 843 was presented as aligning state law with federal language access rules to protect patients with limited English proficiency. Votes were taken after quorum was established, and the committee advanced the measures, generally on party-line or near-unanimous votes. AB 499, AB 73, AB 843, AB 257, AB 64, AB 315, and the committee rules were all reported out, many to Appropriations, and the consent calendar was also approved. AB 40 was approved despite one no vote from Vice Chair Chen. Several items were initially placed on call and later lifted as members added their votes before adjournment.