Transcript Highlights:

• Reform advocates agree. We agree. The question Lee puts to us here in the legislature... We agree.
• We want a culpability assessment in second-degree murder, not addressing retroactivity.
• It addresses those concerns because there are factors that are built in for culpability assessment.
• This amendment would modernize the Tax Reform Code by taxing digital ads.
• Combined reporting is a common-sense reform already used in many states across the country that closes

Summary: The Senate returned from recess and first handled routine calendar matters, laying several bills on the table or over in their order without objection. The chamber then took up Senate Bill 1400, which addresses sentencing for second-degree murder in response to the Pennsylvania Supreme Court’s Commonwealth v. Lee decision. Senator Street offered an amendment to replace mandatory life without parole with parole eligibility after 25 years and individualized review, but the Senate tabled the amendment by a 26-24 roll call. The bill then advanced to final passage after extended debate over whether it adequately met the court’s constitutional ruling and how it would affect victims, culpability, and retroactivity. It initially passed 31-19, then after reconsideration and a correction to one member’s vote, passed 30-20 and was sent to the House. The Senate next considered Senate Bill 1212, which tightens the handling of sexual assault evidence kits by removing discretionary language that had contributed to inconsistent testing practices. Supporters said it would improve statewide consistency, preserve a survivor’s right to decline testing, and help reduce the rape kit backlog. The bill passed unanimously, 50-0, and was sent to the House. The chamber then moved through additional calendar items, including re-referrals of several House bills to Appropriations and multiple bills being passed over. Later, the Senate took up House Bill 1667 on a supplemental calendar after suspending the rules. The bill became the vehicle for several amendments tied to affordability and tax policy. Senators adopted a back-to-school sales tax holiday amendment, a data-center tax exemption repeal amendment, and a school-choice-related amendment transferring EITC provisions and increasing scholarships by $25 million. Other proposed amendments, including a digital advertising tax and a combined reporting corporate tax reform, were tabled. After further debate on the bill’s impact on electric bills, data centers, and the state budget, House Bill 1667 was agreed to as amended and the Senate recessed.

Transcript Highlights:

• It's freezing the ad valorem, what it's assessed at. Yes.
• It's freezing the ad valorem, what it's assessed at.
• And as to the assessor coming in and raising your assessed value, the same thing that keeps them from
• You could protest those if you could come in and show comps where it's significantly over-assessed.
• This is the continuing negotiation on criminal justice reform.

Bills: HB3407 , HB1242 , HJR1081 , HB3443 , HB3781 , HB1939 , HB4237 , HB3430 , HB3321 , HB3905 , HB3329 , HB4253 , HB4421 , HB4311 , HJR1046 , HB2015 , HB3244 , HB4265 , HB3941 , HB4203 , HB2941 , HB3695 , HB3380 , HB3132 , HB3673 , HB3134 , HB3383 , HB4490 , HB4058

Summary: The House convened, heard an invocation from Rep. Kendrix, and recognized Dr. Jason Reagan as doctor of the day. Members then took up a long series of bills, with most moving through amendment, third reading, and final passage. Early measures included HB 3407 on abandoned personal property/manufactured homes, HB 1242 expanding agricultural sales tax exemptions to deer and elk, and HJR 1081 proposing a constitutional property-tax freeze for certain seniors; the senior tax resolution drew extended debate over valuation thresholds, renters, and county fiscal effects before passing. HB 3443 redirected funding for the Way Station Revolving Fund, HB 3781 changed insurance rate filing timing, and HB 1939 addressed Turnpike Authority notice procedures and landowner notification, including certified mail and a one-mile notification area. All three passed. The chamber also approved several criminal justice and public safety measures. HB 4237 and HB 3430, both part of a negotiated criminal-justice package, passed after title-only amendments; HB 3321 shifted to reporting on cost arrest warrants and passed with an emergency clause; HB 3905 clarified GPS monitoring for certain domestic-violence and stalking defendants; HB 2941 required first responders to notify law enforcement about suspected overdoses and created immunity for good-faith reporting; and HB 3695 refined the definition of great bodily injury in DUI cases. HB 3329 repealed the long-term care facility advisory board, and HB 4421, “Leo’s Law,” aimed at protecting children from fentanyl exposure in homes, was amended to address residue cleanup and reporting concerns before passage. Other notable actions included HB 4253, which would give teachers access to professional educator groups; it passed the House but the emergency clause failed. The bill prompted substantial debate over teacher choice, bargaining units, and whether the measure would create multiple representation arrangements. The House also passed HB 4311 increasing the Treasurer’s share of the unclaimed property administration fee, HJR 1046 providing a one-year ad valorem tax break for homes destroyed by disaster, HB 2015 on landlord-tenant issues, HB 3244 strengthening fraud and identity-theft laws, HB 4265 naming memorial roads and bridges, HB 3941 raising secretary/bailiff pay, HB 4203 allowing single-stair small multifamily units, HB 3380 on foster care transparency and outcomes, HB 3132 and HB 3134 on higher-education accreditation and DEI-related standards, and HB 3673 allowing certain expired electrical licenses to be reinstated. Most measures passed with broad support, while a few drew opposition over fiscal impact, legal concerns, or policy implications.

Transcript Highlights:

• The board is also, the office is also assessing market consolidation.
• The board is also, the office is also assessing market consolidation.
• What message we gave to Congress is that there are four important pillars to reform.
• Together, those reforms are the things that California has done. We need to see those through.
• In the early 1980s, it was reformed to go to this fee-for-service system.

Transcript Highlights:

• The board is also, the office is also, assessing market consolidation.
• The board is also, the office is also assessing market consolidation.
• What message we gave to Congress is that there are four important pillars to reform.
• Together, those reforms are the things that California has done. We need to see those through.
• In the early 1980s, it was reformed to go to this fee-for-service system.

Transcript Highlights:

• The board is also, the office is also assessing market consolidation.
• The board is also, the office is also assessing market consolidation.
• What message we gave to Congress is that there are four important pillars to reform.
• Together, those reforms are the things that California has done. We need to see those through.
• In the early 1980s, it was reformed to go to this fee-for-service system.

Summary: The joint informational hearing of the Senate and Assembly Health Committees focused on the “cost of uncertainty” in health coverage, access, and affordability amid federal policy changes. Opening remarks from committee leaders and members emphasized that California’s gains under the Affordable Care Act and Health for All policies—high coverage rates, consumer protections, and lower uninsured rates—are now threatened by federal rollbacks, including the expiration of enhanced premium tax credits and H.R. 1. Members repeatedly cited rising premiums, skipped care, medical debt, and the risk of coverage losses, especially for low-income Californians, workers, seniors, and immigrant communities. The first panel featured federal policy and state implementation experts, including Don Joyce, Jessica Altman of Covered California, and Elizabeth Lansberg of HCAI’s Office of Health Care Affordability. Testimony described the ACA’s coverage expansions and the current federal threats: shorter open enrollment, more verification requirements, loss of enhanced subsidies, and changes affecting immigrants and preventive coverage. Covered California reported that average monthly premiums could nearly double without the subsidies, new enrollment is down sharply, and more consumers are shifting into bronze plans with higher deductibles. HCAI explained its affordability strategy through spending targets, consolidation review, and primary care investment, while members asked about the impact of federal cuts on provider taxes, uncompensated care, and whether California can sustain coverage without new revenue. The second panel, with UC Berkeley Labor Center’s Miranda Dietz and California Health Care Foundation’s Christoph Stremikis, broadened the discussion to statewide cost drivers and consumer impacts. They highlighted that more than half of Californians under 65 rely on job-based coverage, yet premiums, deductibles, and out-of-pocket costs have risen faster than wages. They also pointed to medical debt, administrative waste, market consolidation, and underinvestment in primary care as major drivers of unaffordability. Members asked about the 25% of health spending that does not improve patient care, the role of fraud versus administrative friction, the effect of cost growth targets on workers, and the need for preventive care and possible revenue solutions. The hearing then moved to a third panel on human impacts, beginning with testimony from a Central Valley promotora describing how families are choosing lower-tier coverage, struggling with diabetes care, and facing higher premiums after subsidy losses.

Transcript Highlights:

• 350.4 million in non-recurring appropriations to the authority, um, enacted the Behavioral Health Reform
• Act, but there's a lot of pieces in here to that um SB 3 bill that we passed to reform the behavioral
• For different pieces within the Behavioral Health Reform and Investment Act.
• We still have a lot of quality assessment that we need to continue because um early childhood is all
• Oh, so this is the Behavioral Health Reform and Investment Act.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• attention, but it is really useful. ...tool for you all as appropriators as we look at potential reforms
• What this would allow is, as these ideas for reforming our state benefit plans come up, a proposal can
• employees as well as the changes to potential health outcomes can be evaluated and we can... ...and reform
• The needs assessment will apply to opiate antagonist programs established at state agencies and higher
• Most of those recommendations from this assessment are already implemented, but some recommendations

Bills: HB35 , HB138 , HB754 , HB1314 , HB1612 , HB2254 , HB2510 , HB2789 , HB3560 , HB3597 , HB4224 , HB4273 , HB4643 , HB4783 , HB138

Committee: Senate Health & Human Services

Transcript Highlights:

• Service recipients who are assessed to need 10 or more hours of care a day are eligible for the current
• and implement person- centered to assess and implement person- centered planning<00:58:57.839><c> if
• We believe it can be done with data-based system reform.
• We believe it can be done with data-based system reform.
• That's really where the reform activities go.

Committee: Senate Human Services

Transcript Highlights:

• I'm here to present AB 1751, which builds on recent housing reforms To present AB 1751, which builds
• on recent housing reforms by expanding access to one of the most attainable pathways to homeownership
• We believe targeted reforms to affidavit requirements, verification procedures, and filing timelines
• AB 2089 is a perfect way of doing that in advance of some critical reforms.
• And the special assessments that we have seen... ...55 client associations, and the special assessments

Summary: The Assembly Housing and Community Development Committee heard a long agenda of housing-related bills, beginning with AB 1892 on HOA/Davis-Stirling Act cleanup provisions. The author and sponsor said the bill would clarify HOA responsibilities for utility service repairs in common areas, align election notice timelines, and require electronic voting ballots to be sent at least 30 days before an election. No opposition was presented, and the bill was set aside to be taken up later when a quorum was available. The committee then heard AB 1708, which would revise the Homeless Housing, Assistance and Prevention (HHAP) program to give smaller cities a clearer role in regional homelessness planning and access to funding. Mayors and city representatives from Bellflower, Paramount, and other cities testified that smaller jurisdictions are spending significant local funds on shelters and services but lack direct access to HHAP dollars. Some larger-city and housing advocates opposed or were opposed unless amended, arguing the bill could add administrative burden, but committee members broadly supported the goal of including smaller cities in regional responses. Members also heard AB 2058 on factory-built housing, AB 2576 on historic-resource protections under SB 79, AB 1751 on missing-middle townhomes, AB 1924 on homelessness prevention, AB 2626 on waiving certain monitoring fees for at-risk affordable housing developments, and AB 2089 on welfare-exemption and recertification procedures for affordable housing. Testimony generally emphasized reducing duplicative local permitting for factory-built housing, protecting state and national historic resources while still allowing housing near transit, expanding ministerial approval for townhomes, creating a statewide homelessness-prevention strategy with accountability measures, giving HCD flexibility to waive fees to preserve financially stressed affordable housing, and streamlining property-tax exemption recertification. Several bills were voted out of committee, including AB 1751 and AB 2626, both passing on 8-0 and 7-0 votes respectively, while other measures were discussed with motions pending or held open for absent members.

Transcript Highlights:

• So what I can tell you is the tort reform effort actually began in about 2020.
• The most significant tort reforms, again, were last year.
• Get us the reform.
• But why don't we wait to see what happens at all this reform we've done?
• I want that person to then be assessed court costs if I win on that motion again.

Committee: House Civil Law and Procedure

Summary: The committee first took up HB 51 by Rep. Villio, a constitutional amendment to prohibit post-conviction bail for people convicted of aggravated offenses against minors. Members adopted a technical amendment to simplify the ballot language, heard a 6.8A report explaining the committee’s authority over constitutional amendments, and then adopted the report and passed HB 51 with amendments. Support was noted from law enforcement and district attorney groups. The main item was HB 526 by Rep. Dickerson, which would cap general damages in civil cases at $500,000 in most cases and $1 million for severe permanent injury, while leaving economic damages uncapped. The bill drew extensive testimony from trucking, logging, business, and insurance-reform advocates who argued that unpredictable verdicts and “nuclear verdicts” drive up commercial insurance costs and push businesses out of Louisiana. Opponents, including attorneys and victims’ advocates, argued the bill would unfairly limit recovery for seriously injured people and could harm sexual assault survivors and families in wrongful death cases. After debate, the committee adopted an amendment clarifying the cap applies per individual plaintiff rather than to the action as a whole, but then rejected a motion to report the bill; the roll call was 4 yeas and 5 nays, so HB 526 remained in committee. The committee then heard HB 173 by Rep. Bamberg, which would bar recovery for bodily injury or property damage by a driver who had failed to maintain required auto insurance for at least 30 days before the crash. Supporters said uninsured motorists contribute to higher premiums and should not recover large awards, while opponents warned the bill would punish innocent spouses, children, and other people who may be unaware coverage lapsed. An amendment was adopted to add the 30-day uninsured requirement, and the bill moved to opposition testimony, but the transcript cuts off before any final vote on HB 173.

Transcript Highlights:

• What are the reforms that we need to do? What are programs that we need to shy away from?
• We are an assessed account, so we are actually assessed to the industry.
• Our line item is assessed to hospitals, health plans, and pharmacy benefit managers.
• amount assessed to hospitals and health plans.
• I think it's important that everyone participate in part of that assessment.

Committee: Joint Joint Committee on Ways and Means

Summary: The hearing was a Joint Committee on Ways and Means budget session on health and human services, held in Clinton and opened with remarks from the House and Senate co-chairs, local officials, and committee members. The chairs emphasized the importance of hearing directly from agencies about the Commonwealth’s health care and human services budget needs, thanked Clinton for hosting, and introduced the day’s panels, beginning with the Executive Office of Health and Human Services (EOHHS) and then MassHealth. Secretary Kiame Mahania presented Governor Healey’s FY27 EOHHS budget, describing a $33.7 billion request driven largely by non-discretionary cost growth, caseload increases, and federal uncertainty. He highlighted targeted investments in foster parent reimbursement, family resource centers, maternal health, food assistance, immigrant legal services, and workforce rates, while warning that federal cuts and the Trump administration’s One Big Beautiful Bill Act could strip billions from state health funding. Members questioned him about primary care shortages, federal program integrity audits, ConnectorCare, regional health disparities, and the proposed cap on adult dental coverage; he defended the cap as a difficult but necessary cost-control measure and said the administration would continue cooperating with federal partners. Undersecretary Michael Levine then testified for MassHealth, saying the agency faces two major challenges: rapid cost growth and looming federal changes. He outlined a $22.7 billion gross MassHealth budget and proposed actions including a moratorium on new expansions, capping adult dental benefits at $1,000, ending GLP-1 coverage for weight loss only, reducing care management spending to peer-state levels, and convening work groups to slow growth in personal care attendant, adult foster care, and adult day health programs. He also warned that federal policy changes could cause about 300,000 residents to lose coverage by 2030 and reduce federal revenue by about $3.5 billion, and said MassHealth would use outreach and systems changes to help eligible members stay covered. Members raised concerns about the impact of these cuts on homeless care, preventive services, dental access, GLP-1s, and regional hospital and specialist shortages, while Levine argued the proposals were aimed at preserving core coverage and sustainability.

Transcript Highlights:

• But in order to make it happen, legislation needs to pass to turn the Public Education Reform Fund into
• The reform fund is now going to switch to the Public Education Growth Fund.
• Anytime you see in Section Nine, it'll specify that it's coming out of the Public Education Reform Fund
• Chair, the legislation is reforming the reform fund. Okay. Very good. Thank you all. Thank you.
• Unless we deal with medical malpractice and tort reform, we're not going to have them.

Committee: Senate Senate Finance

Transcript Highlights:

• Even the Governor calls for reform of Florida's book band policies.
• Even the Governor calls for reform of Florida's book band policies.
• Even the Governor calls for reform of Florida's book band policies.
• Even the Governor calls for reform of Florida's book band policies.
• Reform takes us dangerously backwards.

Bills: HB29 , HB 125 , HB145 , HB171 , HB255 , HB50 , HB796 , HB363 , HB 116 , HB491 , HB589 , HB1495 , HB368 , HB 1285 , HB1905 , HB1360 , HB2002 , HB917 , HB2723 , HB2067 , HB 1238 , HB2337 , HB745 , HB 1188 , HB1606 , HB2003 , HB2147 , HB2391 , HB2355 , HB2546 , HB2495 , HB2818 , HB2249 , HB1749 , HB3109 , HB3228 , HB3240 , HB1507 , HB658 , HB1748 , HB1851 , HB1922 , HB2001 , HB2798 , HB 107 , HCR29 , SB5 , SB262 , HB 11 , HJR72 , HB 106 , HB18 , HB48 , HB27 , HB37 , HB1481 , HB581 , HB1696 , HB2216 , HB 1035 , HB1633 , HB742 , HB754 , HB1689 , HB1690 , HB2669 , HB391 , HB517 , HB 1024 , HB1607 , HB252 , HB1716 , HB1562 , HB4116 , HB1866 , HB1741 , HB2103 , HB2637 , HB2884 , HB503 , HB 1089 , HB2986 , HB972 , HB502 , HB29 , HB 125 , HB145 , HB171 , HB255 , HB50 , HB796 , HB363 , HB 116 , HB491 , HB589 , HB1495 , HB368 , HB 1285 , HB1905 , HB1360 , HB2002 , HB917 , HB2723 , HB2067 , HB 1238 , HB2337 , HB745 , HB 1188 , HB1606 , HB2003 , HB2147 , HB2391 , HB2355 , HB2546 , HB2495 , HB2818 , HB2249 , HB1749 , HB3109 , HB3228 , HB3240 , HB1507 , HB658 , HB1748 , HB1851 , HB1922 , HB2001 , HB2798 , HB 107 , HCR29

Keywords: water audit, water loss, water loss mitigation plan, municipally owned utility, municipal utility, water conservation, Texas Water Development Board, TCEQ, Texas Commission on Environmental Quality, water leakage, leak detection, billing data accuracy, utility validation, water audit validation, water scarcity, water management, infrastructure, public utility, conservation plan, administrative penalty

Summary: The Florida House of Representatives conducted legislative business including prayer, pledge, and voting on multiple bills. Key legislation included HB 1105 expanding Florida Bright Futures Scholarship eligibility, HB 443 on charter school regulations (passed 83-23), and HB 1539 on materials harmful to minors (passed 81-29) after extensive debate about book challenges in schools. Other bills addressed education funding, law enforcement benefits, parole guidelines, and various local issues. The Speaker announced budget negotiations with the Senate have stalled, with disagreements over spending levels and tax cuts. The House will not meet this weekend as originally planned. Session adjourned until tomorrow at 10 AM.

Transcript Highlights:

• That has another material impact on how we're assessing risk, but more importantly, how we're pricing
• That has another material impact on how we're assessing risk, but more importantly, how we're pricing
• the reforms have been implemented and the direction we are moving is the right approach to stabilize
• But the FAIR Plan reform ideas in here, did you look through some of those? Any comments?
• There's a number of ideas here around clearinghouse reforms, allowing producer-administered access to

Committee: Senate Insurance

Transcript Highlights:

• Question, it also lists the ingredients, the environmental assessments, those things.
• I might assess that differently. I'm just going to say, that doesn't sound like age 12 to me.
• I'm here on behalf of Texans for Lawsuit Reform in support of Senate Bill 30.
• That's not reform; that's an... unconstitutional intrusion on the jury's core function.
• That same risk assessment is occurring throughout countless other companies.

Bills: SB30 , SB517 , SB1313 , SB1314 , SB1316 , SB1541 , SB1698 , SB1845 , SB1860 , SB2420 , SB2429 , SB 30

Committee: Senate State Affairs

Transcript Highlights:

• The bill continues to set the regulatory racing assessment at 0.5% for fiscal year 2027.
• It extends by four years, until 2030, the moratorium on assessing and collecting annual groundwater withdrawal
• It extends by four years, until 2030, the moratorium on assessing and collecting annual groundwater withdrawal
• signed a big tax bill, and part of it... ...that President Trump signed a big tax bill, and SNAP reforms
• and access reforms were part of that.

Transcript Highlights:

• </c> feels is in desperate need of reform. feels is in desperate need of reform.
• One of the centerpieces is reforming the purpose and need process that's some statement that is made
• </c><01:01:15.200><c> the</c> One of the centerpieces is reforming the One of the centerpieces is reforming
• similar to what I just described reform similar to what I just described a<01:04:23.720><c> full</c>
• the design for opportunity to reform the design for those<01:07:57.280><c> roadways</c><01:07:57.880

Committee: Senate Transportation

Transcript Highlights:

• Going back to the Lifeline funding and USF reform, in California, we have grappled with the question
• What's happening in D.C. is there is a congressional working group on universal service reform.
• They are working on both contribution reform to make it more equitable who puts into the fund, which
• I do know also that the FCC chair is working on something with respect to distribution reform on the
• Something with respect to distribution reform on the USF, so we will likely see something this year,

Summary: The Assembly Communications and Conveyance Committee held an informational hearing on the state of broadband affordability in California. Chair Tasha Berner said the committee was examining how broadband prices, access, and affordability are affecting households, especially after the end of the federal Affordable Connectivity Program and amid concerns about federal resistance to state broadband regulation. She noted the committee’s continued interest in policy options for 2026 and referenced prior legislation, including AB 353, that would have required affordable home internet as a condition of doing business in California. Industry witnesses from U.S. Telecom and CTIA argued that broadband and wireless prices have generally fallen in real terms even as inflation and other household costs have risen, citing competition, infrastructure investment, and faster speeds as the main drivers. They said California’s higher costs are tied to permitting delays, taxes, copper theft, and legacy obligations such as COLR requirements, and they urged the Legislature to preserve market incentives, reduce fees and regulatory burdens, and support infrastructure deployment. They also discussed fixed wireless access, federal BEAD funding, and Universal Service Fund reform, arguing that more entities benefiting from networks, including tech platforms, should contribute to support programs. Consumer and public-interest witnesses presented a different view, saying California still has a serious affordability and adoption problem, especially for low-income households. Sunny McPhee of the California Emerging Technology Fund said broadband adoption has improved dramatically over time, but about 500,000 households remain offline or underconnected and many low-income households still pay above the FCC affordability benchmark. Ernesto Falcon of the CPUC Public Advocates Office said California’s market is losing its competitive edge, with prices higher than in other states and meaningful price pressure coming mainly from fiber competition at the gigabit tier. He said roughly 4.8 million Californians are limited to one gigabit option and estimated that more competition could save consumers more than $1 billion annually. Both witnesses emphasized the need for stronger transparency, targeted subsidies, and a permanent affordability solution, including extending and refining the CPUC broadband Lifeline pilot and advancing SB 716. Public commenters, including representatives from cable providers, nonprofits, and digital equity organizations, largely supported SB 716 and a permanent broadband affordability program. Several urged the committee to remove a cap on the Lifeline program, expand the CPUC pilot, and invest in digital navigators, outreach, and enrollment assistance. The hearing ended without a vote or formal action, after the chair thanked the witnesses and public commenters for their testimony.

Transcript Highlights:

• Institutions collect those assessments and then provide those assessments to the Bureau's Student Tuition
• What that rate of assessment is varies. It is set by the Bureau.
• What that rate of assessment is varies.
• It is a pretty streamlined process in terms of those assessments and the submittal of those assessments
• now, the assessments work based on $1,000 of tuition.

Summary: The joint Sunset Review Oversight Hearing focused on the Bureau for Private Postsecondary Education (BPPE) and its reauthorization, operations, enforcement, fiscal condition, and student protections. Committee leaders and DCA officials praised the Bureau’s recent improvements in data systems, licensing, inspections, and enforcement, while noting the Bureau’s role has become more important as federal higher education oversight weakens. Bureau Chief Deborah Cochran said the agency has met its inspection mandate for the first time since the law was enacted, increased citations and disciplinary actions, reduced pending complaints, and used data tools to identify risk and monitor institutions more effectively. A major portion of the hearing centered on student harm, especially school closures, transcript access, predatory recruiting, and the Student Tuition Recovery Fund (STRF). Members asked how the Bureau protects students when schools close, whether bad actors can reopen under new entities, and whether enforcement tools are strong enough. Cochran said the Bureau can cite, fine, place schools on probation, revoke licenses, and order refunds, but it is seeking new authority to deny approval to operators who previously closed schools improperly or failed to refund students. She also said the Bureau is tracking ownership data and is concerned about institutions targeting immigrant and visa students. On STRF, Cochran explained that the fund is currently healthy, assessments are at zero because the balance is above the statutory target, and the Bureau paid about 1,100 claims totaling roughly $17 million over the last four years. Several members questioned the fairness of the assessment structure and discussed alternatives such as surety bonds, but the Bureau said STRF is working well and no change is needed at this time. Fee increases and the Bureau’s structural deficit were another major topic. Cochran said the Bureau reduced costs by eliminating positions, streamlining inspections, improving data analysis, and shifting some student-relief costs to STRF, but that legislative action is still needed to address the deficit. She said the proposed fees were based on workload analyses and that application fees generally match service costs, while annual fees are designed to cover most of the Bureau’s revenue needs. Some members and stakeholders criticized the proposed increases as too high, especially for out-of-state registration and campus fees, while others argued the Bureau needs sufficient resources to regulate effectively. Public commenters from private schools, Northeastern University, San Joaquin Valley College/Carrington College, and TICAS generally supported the Bureau’s mission and reauthorization, but urged changes such as risk-based oversight, better transcript protections, stronger limits on repeated provisional approvals, and more targeted fee and STRF reforms. No votes were taken, and the hearing ended with no formal action beyond discussion and receipt of testimony.

Transcript Highlights:

• This bill represents reasonable prior authorization reform and will help ease administrative burdens,
• We also looked at other reforms on prior authorization in other states.
• That fundamentally, what is your assessment of that particular change?
• We also looked at other reforms on prior authorization and other states.
• That fundamentally, what is your assessment of that particular change?

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.