Transcript Highlights:

• And then to this bill, this is an effort to address foster care and to try to improve it.
• care.
• care.
• Most of the time, we're talking about foster care and children going into care.
• But this isn't going to take care of that problem. It's just going to take care of the legal...

Bills: HB4248 , HB3194 , HB3849 , HB4095 , HB4302 , HB3342 , HB3344 , HB3287 , HB3645 , HB3647 , HB3930 , HB3931 , HB1818 , HB4454 , HB4336

Committee: House Health and Human Services Oversight

Summary: The committee took up a series of health and human services bills, beginning with House Bill 4248, which was reported due pass on a 9-0 vote after an unclear procedural vote call. The next major item was House Bill 3194, a bill to prevent pregnancy resource centers from being singled out for discrimination. The author said the measure was intended to protect private nonprofit pregnancy centers from lawsuits and government interference, including in staffing and mission-related decisions. Members questioned the bill’s impact on counseling, contraception referrals, ectopic pregnancy treatment, employment practices, and whether it was necessary given existing law. The bill was reported due pass on a 10-2 vote. The committee then advanced House Bill 3849, a request bill from the Oklahoma Commission on Children and Youth to update language and broaden mentoring program credentialing, and House Bill 4095, which reaffirms the state role in the 211 collaborative and clarifies that it applies to hotline services for needs such as food, housing, clothing, transportation, and medical assistance. House Bill 4302 would allow the Office of Juvenile System Oversight to disclose a complainant’s identity to law enforcement if the complainant threatens harm. All three were reported due pass unanimously. Members also approved House Bill 3342, described as a Medicaid audit reform bill intended to curb punitive audits of providers; the author said the bill arose from cases where providers were penalized over reporting issues rather than fraud. House Bill 3344, aimed at improving foster care standards and home placements, passed 10-2 after questions about income thresholds, letters of recommendation, and whether the bill would apply to guardianship placements; the author said the goal was to raise standards and improve outcomes for children. House Bill 3287, requiring hospitals to post information and develop protocols for domestic violence and human trafficking victims, passed 12-0. House Bill 3645 created an alternate pathway for hospice referrals when a patient lacks next of kin or power of attorney, and House Bill 3647 established an all-payer claims database while emphasizing that the data could not be sold; both passed 12-0 after members raised concerns about federal consistency and privacy. Later, House Bill 3930, which defines “service animal” and requires sellers of emotional support animals to disclose that they are not service animals, passed 10-2. House Bill 3931 corrected a prior death-certificate change deadline and was reported due pass unanimously. House Bill 1818, a social work licensing cleanup bill, was amended to extend a sunset date to 2028 and then reported due pass 12-0. House Bill 4336 clarified pain-management definitions, including acute pain, and was reported due pass 12-0 after questions about labor and epidural care. House Bill 4454, an untimely PCS on medical marijuana edibles, would require clearer THC labeling and prohibit child-attractive shapes; the author cited pediatric ingestion incidents, and the bill passed 11-1. The committee then revisited House Bill 1818 to change the effective date to November 1, 2026, by unanimous consent.

Transcript Highlights:

• We care for patients.
• Patients do not stop seeking care when regulations force compliant licensed providers to change how care
• diagnosis and care of families with celiac disease.
• With the expertise of my primary care doctor, Dr.
• And if the goal is to substantially improve diagnosis and improve public health, then population screening

Committee: Joint Joint Committee on Public Health

Summary: The Joint Committee on Public Health heard testimony on four bills: H. 5013 and S. 2928, which would establish a three-year celiac disease screening pilot program for children during routine cholesterol/lipid screening around ages 8 to 12; H. 5087, regulating the operation of medical spas; and H. 5115, establishing statewide food truck regulations, though the hearing focused almost entirely on the celiac and medical spa bills. Committee chairs outlined three-minute testimony limits and noted members present in person and online. Supporters of the celiac screening bills, including Rep. Badger, Sen. Lovely, patients, clinicians, and researchers, described long delays in diagnosis, the lack of a cure beyond a gluten-free diet, and the potential for early screening to prevent years of damage, missed school and work, and long-term complications. Testifiers said celiac disease is common but frequently undiagnosed, that a simple blood test can identify many cases, and that a pilot would help assess feasibility, cost, accuracy, and family acceptance. Several witnesses emphasized that the proposal includes education and support for families after diagnosis, and some cited international screening efforts, especially in Italy, as evidence that population screening can work. Testimony on H. 5087 was largely opposed by medical spa owners, nurse practitioners, physician assistants, and a plastic surgeon. Witnesses argued the bill is outdated, duplicative of existing Massachusetts licensing and public health rules, and inconsistent with current scopes of practice and team-based care. They said the proposal could restrict access, burden small and women-owned practices, and fail to address the real issues of training, compliance, and patient safety. Some said they support regulation in principle but want the bill revised to reflect current law and modern practice. Committee members asked a few clarifying questions, including about celiac testing methods and the relationship between the medical spa bill and current state law, but no votes or formal actions were taken during the hearing.

Transcript Highlights:

• of the state foster care system or juvenile justice system.
• Care for those people.
• The bill amends Government Code 540 to allow Medicaid-managed care organizations to provide medical care
• This bill can improve health outcomes for those in need.
• They help patients achieve significantly improved outcomes with lower total costs of care.

Bills: HB136 , HB451 , SB425 , SB466 , SB905 , SB1986 , SB2311 , SB2450 , SB2805 , SB2826 , SB2919 , SB3001 , HB136

Committee: Senate Health & Human Services

Transcript Highlights:

• It helps reduce unnecessary health care utilization while improving patient outcomes.
• Ensuring fair and consistent coverage will improve care, reduce reliance on more costly or risky treatment
• We need that emergency, indigent care reality, but also that preventative care.
• of health care mandates.
• The issue wasn't the care. It was a payment demand. The issue wasn't the care.

Committee: Senate Health

Summary: The Senate Health Committee heard several bills focused on health care access, research funding, consumer protection, and insurance administration. SB 895 by Sen. Wiener would create the California Foundation for Science and Health Research and place a bond measure on the November 2026 ballot to support scientific and health research in California; supporters from UC, labor, and patient groups said it would protect jobs, public health, and the state’s research leadership amid federal funding cuts, while the committee later voted 6-0 to pass it as amended and re-refer it to Natural Resources and Water. SB 944 would make acupuncture a permanent Medi-Cal benefit regardless of federal matching funds; acupuncture providers, patients, health systems, and API community advocates testified in strong support, and the committee voted 6-0 to pass it as amended and re-refer it to Appropriations. The committee also considered SB 987, which would create a California Health Access Fund to capture state savings if federal Medicaid changes under H.R. 1 reduce Medi-Cal enrollment and redirect those funds to care for people who lose coverage and to reimburse safety-net providers. Support came from disability, consumer, family physician, emergency physician, hospital, and reproductive health groups; members discussed prioritizing indigent care, prevention, and safety-net needs, and the bill was moved on a unanimous vote to Appropriations. SB 964 would let a licensed provider adjust the dose or frequency of an already covered medication up to two times without prior authorization when clinically appropriate, with Crohn’s and Colitis advocates describing delays that harmed patients and insurers warning about safety and cost concerns; after committee discussion about off-label use and clinical safeguards, the bill passed 11-0 and was sent to Appropriations. Later, SB 1099 clarified local governments’ authority to provide state or local public benefits to all residents under PRWORA, with city and county counsel and local officials saying it would preserve flexibility for homeless outreach, street medicine, crisis lines, and other low-barrier services; it passed 11-0 and was re-referred to Human Services. SB 1033 would require protein product manufacturers to test for heavy metals and disclose results, prompted by Consumer Reports findings and supported by consumer, health, and women’s health groups; industry witnesses asked for narrower scope and source-level testing, and the committee voted 11-0 to pass it as amended and send it to Environmental Quality. The committee then began SB 1049, which would give providers a 90-day window after a plan’s latest action to correct certain claim errors and prevent denials based solely on missed filing deadlines; the author said it would address honest billing mistakes and recoupments, and the bill was introduced with support from medical groups and ongoing discussions with health plans.

Transcript Highlights:

• AI is now broadly used in health care to support providers and health care facilities, and its deployment
• SB 503 affirms California as a leader in innovation and quality health care.
• The Office of Health Care Affordability, or OHCA, is looking closely at health care market cost drivers
• The Preventative Treatment Health Care Act. This is about GLP-1s.
• The Preventative Treatment Health Care Act, this is about GLP-1s.

Summary: The Assembly convened, established a quorum, offered a prayer and pledge, and then moved through a long daily file and concurrence agenda. Early procedural actions included withdrawing AB 1555 and AB 2221 from engrossing and enrolling, suspending rules to move SB 813 to second reading, re-referring several bills to committees, and approving committee meeting notices. The chamber also adopted a rules waiver for chaptering-out amendments and handled several other procedural motions before turning to floor votes. On the Senate third reading file, members approved a wide range of bills covering housing, health care, education, transportation, energy, public safety, taxation, and local government. Measures discussed included EV charger liability in HOAs (SB 1267), local public benefits authority (SB 1099), special needs trusts under Proposition 19 (SB 974), infant formula tax treatment (SB 1151), mutual water company rate transparency (SB 1417), Alzheimer’s treatment coverage (SB 950), protections for mental health professionals in correctional settings (SB 993), development fee transparency (SB 1014), climate literacy in schools (SB 1048), illegal dumping enforcement (SB 1218), homeowner repair timelines for unpermitted work (SB 1272), EV charging station permitting (SB 1283), nonprobate asset distribution (SB 1288), DCA sunset cleanup (SB 1311), wildfire and disaster-related measures (SB 742, SB 904), nitrous oxide sales restrictions (SB 936), PrEP access (SB 1023), early math assessments (SB 1067), firearm restrictions for certain serial-number offenses (SB 1220), and several licensing, education, and health-related bills. Most measures passed with strong margins; a few drew notable opposition, including SB 993, which failed, while SB 222, SB 1037, SB 1220, SB 1255, and SB 1279 passed with narrower votes. The Assembly then took up concurrence on numerous Assembly bills with Senate amendments. Among the bills concurred in were AB 2075, AB 431, AB 1153, AB 1328, AB 1486, AB 1573, AB 1591, AB 1617, AB 1738, AB 1749, AB 1789, AB 1802, AB 1818, AB 1820, AB 1829, AB 1877, AB 2010, AB 2011, AB 2160, AB 2178, AB 2262, AB 2310, AB 2349, AB 2422, AB 2481, AB 2504, AB 2580, AB 2640, AB 1705, and AB 1793. These concurrence items covered forestry, aviation, illegal dumping, Medi-Cal, climate resiliency, housing, health professions, hazardous waste reporting, domestic violence protections, mental health parity, lactation support, community college programs, air quality response, student aid, beverage containers, teacher credentialing, state mandates, privacy, cash payments, and more. The transcript ended while the Assembly was beginning consideration of SB 1412 on remote parent-teacher conference participation.

Transcript Highlights:

• Kaiser agreed to improve its behavioral health quality assurance program and take action to improve care
• To improve care related to the deficiencies.
• delivery system to improve member experience, access to care, and quality oversight.
• care.
• Action Work Plan to make significant changes to improve the delivery of behavioral health care services

Committee: House Health

Summary: The Assembly Health Committee held an informational hearing on Kaiser Permanente’s behavioral health care system, focusing on Department of Managed Health Care (DMHC) enforcement actions, Kaiser’s corrective action work plan, and member access to timely behavioral health services. DMHC officials reviewed a long history of deficiencies and enforcement, including a 2012 survey and fine, a 2017 settlement, a 2022 non-routine survey that found multiple deficiencies in Northern and Southern California, and a 2023 settlement that included a $50 million penalty and $150 million in required community investments over five years. Officials said Kaiser’s corrective action work plan was initially too vague, was revised after extensive meetings, and will be monitored through quarterly reports, ongoing surveys, complaint review, and possible additional enforcement if Kaiser fails to comply. Committee members pressed DMHC on what “timely access” means, how continuity of care should work in behavioral health, and how the department evaluates whether treatment is clinically appropriate. DMHC explained that appointments generally should be available within about two weeks for initial care, within days for urgent needs, and within 10 days for follow-up, with out-of-network care required when in-network access is unavailable. Officials also said the department looks at complaints, medical records, surveys, and annual timely-access reporting, and that the help center can assist enrollees in real time. Members raised concerns that the corrective action plan lacked specific dates and metrics, and DMHC said the quarterly reporting process is intended to provide more detail and flexibility as implementation continues. In the second panel, a Kaiser enrollee described delayed and inadequate care for his daughter after a suicide attempt, including long waits for follow-up, intensive outpatient treatment, and dialectical behavior therapy. A Kennedy Forum representative argued that stronger transparency, standardized reporting, and more aggressive corrective enforcement are needed, including out-of-network reimbursement when networks are inadequate. A Kaiser therapist and NUHW member testified that short appointment times, heavy caseloads, inappropriate referrals, and pressure to use group therapy or webinars undermine clinical care, while NUHW’s president said Kaiser systematically undervalues behavioral health compared with medical-surgical care, especially in Southern California, and urged legislative action. Several lawmakers echoed concerns about Kaiser’s absence from the hearing and asked about workforce shortages, regional disparities, and whether the state’s remedies are arriving too slowly to protect patients in real time.

Transcript Highlights:

• It's essential to improving safety, stability, and well-being for the children in foster care.
• , in the state's care, safe.
• 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:

• We've been working to improve the dental care that is available to folks under our public programs.
• Care.
• to care, with DHS monitoring how well they were doing and negotiating improvement plans if they didn't
• improve.
• . health care.

Transcript Highlights:

• House Bill 789 and Senate Bill 470, improving Massachusetts home care, will ensure that dignity and respect
• Personal care attendant and the difference between a personal care attendant and a home care worker.
• We believe swift passage of an act to improve Massachusetts home care will raise the standards for those
• We believe swift passage of an act to improve Massachusetts home care will raise the standards for those
• care.

Summary: The Joint Committee on Aging and Independence held a hearing on several bills, led by Chair Tom Stanley and Senate Chair Patricia Jehlen. The committee first heard testimony on H. 765/S. 487, an act relative to councils on aging, which would update outdated statutory language and allow directors of councils on aging to make staffing decisions when a council is structured as an advisory body. Representative Donahue and Betsy Connell of the Massachusetts Association of Councils on Aging said the change reflects how most councils now operate and would resolve conflicts like the one that arose in Sherborn. Members asked about whether the bill would affect town managers, volunteer roles, and whether the language should more clearly exempt informal volunteer help; supporters said the bill is aimed at municipal staffing structures, not unpaid volunteer assistance. The committee then took extensive testimony on H. 789/S. 470, an act to improve Massachusetts home care, which would create a statewide licensure system for non-medical home care agencies and entities. Julie Watt, Jay Krillovich, Betsy Krimmins, Lisa Gargoni, Tim Foley, and several providers and advocates supported the bill, arguing that licensure would establish baseline standards for background checks, training, service plans, insurance, complaint procedures, and labor-law compliance, while helping consumers identify legitimate providers and reducing fraud and abuse. Several witnesses described problems with unlicensed or poorly supervised providers, and family members and dementia advocates emphasized the need for dementia-specific training and better oversight for vulnerable clients. Tim Foley also raised concerns about private equity’s growing role in home care and said stronger regulation is needed to protect consumers and workers. Committee members focused on practical questions about the bill’s scope, including whether it would reach informal paid helpers, volunteers, or people doing occasional household tasks, and what agency would enforce the rules. Supporters said the bill is intended to cover entities advertising home care services, not unpaid volunteer help, though they acknowledged regulators would need to work out details. John Sneeth of Tribute Home Care offered a more cautious view, saying licensure should not unduly burden smaller providers or reduce competition, and that enforcement would be key. The hearing also included testimony from the Alzheimer’s Association and family caregivers, who strongly supported the bill’s dementia-training provisions and described how trained caregivers improved safety and quality of life for people living with Alzheimer’s and dementia. At the end of the hearing, the committee also heard support for H. 778/S. 473, regarding the Commission on LGBTQ Aging, with Lisa Krinsky urging funding for a full-time director and continued support for the commission’s strategic plan. After public testimony concluded, the committee adjourned the hearing by motion and voice vote.

Transcript Highlights:

• and opportunity they deserve, all while strengthening systems of care that improve the lives of all
• Next, Senator Chair Trumbull, health care. Chair Trumbull, health care.
• Senator Trumbull, health care. For that silo. Senator Trumbull, health care?
• The Community Care for the Elderly serves 637 new folks, and then the Home Care for the Elderly, $3.5
• The community care for the elderly serves 637 new folks, and then the home care for the elderly, $3.5

Transcript Highlights:

• Studies show that culturally centered care models can improve health outcomes and reduce disparities
• Research shows that culturally congruent care models can reduce these health disparities and improve
• facilities, ultimately improving access to high-quality maternity care across the state of Minnesota
• facilities, ultimately improving access to high-quality maternity care across the state of Minnesota
• my care.

Committee: Senate Health and Human Services

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:

• </c> allows for the substantial Improvement allows for the substantial Improvement or<00:38:39.119><c
• </c> reforestation and other land Improvement reforestation and other land Improvement efforts<00:41:
• These types of improvements may include improving the accessibility of bathroom rooms, parking areas,
• These types of improvements may include improving the accessibility of bathroom rooms, parking areas,
• improvements may include improving<00:48:25.400><c> the</c><00:48:25.559><c> accessibility</c><00:48

Committee: Senate Capital Investment

Transcript Highlights:

• care credential during patient care encounters.
• workforce to always improve the care that we deliver.
• This does not improve clarity in health care settings.
• premiums collected on medical care or quality improvement initiatives, commonly referred to as the minimum
• Additionally, providers of community-based care and in-home care, From liability.

Summary: The committee held public hearings on House Bill 2261, which would require health care providers to wear badges showing name, credential, and relevant degrees, require similar disclosure in advertising, and restrict use of the title “physician surgeon” to certain physicians and osteopathic physicians. Supporters, including the Washington State Medical Association and patient advocates, said the bill would improve transparency and informed consent. Opponents from nurse, naturopathic, and adult family home groups argued it was overly broad, burdensome, confusing, and could harm access to care or residential home settings; several also said existing disciplinary laws already address misrepresentation. No vote was taken on HB 2261 during the hearing. The committee also heard House Bill 2283, which would raise the medical loss ratio for fully insured individual, small group, and large group health plans to 90 percent. Supporters, including small business, patient, and physician groups, said the bill would push more premium dollars toward patient care and lower costs or increase rebates. Insurers and the Office of the Insurance Commissioner warned it could destabilize the market, reduce flexibility for administrative services, and lead to carrier exits, though OIC said it was working on amendments. The bill was not voted on in the hearing. House Bill 2425, an agency-request bill on nurse delegation, would broaden what tasks registered nurses may delegate, remove some setting and training restrictions, expand emergency medication authority, and adjust liability and retaliation protections. The Board of Nursing, long-term care providers, and skilled nursing/assisted living representatives supported the bill as a modernization that could ease workforce shortages and improve care access, while the Washington State Association for Justice opposed the immunity provisions and raised patient safety concerns. The hearing ended without a vote on HB 2425. In executive session, the committee advanced several bills. HB 2110, with an amendment clarifying ambulance staffing and RN scope, passed 18-0 with one excused. HB 2113 passed 18-0 with one excused. HB 2122, as amended to require hospitals to offer flu vaccines with several flexibility and critical-access-hospital exemptions, passed 15-3 with one excused. HB 2152, as amended to require certain facilities to allow medical cannabis use for qualifying terminal patients and to add related exemptions and protections, passed 17-1 with one excused. The meeting then adjourned.

Transcript Highlights:

• By improving communication, HB 2194 helps resolve issues faster, supports timely patient care, and maintains
• By improving communication, HB2194 helps resolve issues faster, supports timely patient care, and maintains
• Under the state's care.
• care?”
• care delivery, and supporting innovations that can reduce long-term health care costs.

Committee: House House Health & Human Services Committee of Reference

Summary: The committee heard a JLBC presentation on H.R. 1’s SNAP impacts, including expanded work requirements, higher state administrative costs, and a potential state share of benefits if Arizona’s payment error rate remains above 6%. JLBC estimated the administrative cost increase at about $33 million in FY 2027 and $44 million in FY 2028, and said a 2024 error rate of 8.8% could expose the state to about $139 million in benefit costs starting in FY 2028. The chair also opened the meeting by asking members and speakers to keep remarks shorter to improve efficiency. The committee then considered several SNAP-related bills. HB 2797, which requires DES to more frequently verify eligibility through data matching, post fraud/noncompliance data, and address out-of-state EBT purchases, passed 7-5. HB 2442, requiring certain able-bodied SNAP adults with school-age children to participate in employment and training unless exempt, also passed 7-5. HB 2448, which limits DES’s ability to seek work-requirement waivers or discretionary exemptions without legislative authorization, passed 7-5. HB 2206, which sets a goal of reducing the SNAP payment error rate to 3% by 2030 and adds reporting and corrective-action requirements, passed 7-5 after debate over staffing, technology, and whether the target was realistic. The committee also advanced HB 2180, appropriating $2.5 million to the University of Arizona for AZ REACH, a hospital transfer coordination program serving rural facilities. Supporters said it improves patient transfers and reduces burdens on rural hospitals; some health system representatives were neutral but asked for operational improvements. HB 2180 passed 11-1. HB 2184, as amended, passed 7-4-1; it would extend fetal death certificate filing and require patients to be informed of the option to transfer fetal remains to a funeral home, with supporters describing it as a matter of parental dignity and closure. HB 2188, as amended, creating a Language Acquisition Grant Program for deaf or hard-of-hearing infants and toddlers, passed unanimously after testimony about balancing spoken-language and ASL options. The committee then began hearing HB 2194, a bill requiring insurers to provide a contact for detailed explanations after claim or prior-authorization denials, but the transcript ends before action on that bill.

Transcript Highlights:

• We should also be including child care. Child care needs work as a region.
• Data shows that being enrolled in CalFresh improves health outcomes and reduces health care costs for
• By improving access to reliable child care, AB 2314 supports working parents, strengthens providers,
• care.
• We believe that AB 2314 improves alignment, protects continuity of care, and increases transparency.

Summary: The committee heard a series of child and family services bills, with testimony from authors, county officials, advocates, and members of the public. AB 2083 would authorize a regional child care special district for Marina Valley and Paris; there was no public opposition, but a vice chair raised concerns about lack of outreach to Riverside County and possible added fees for residents. The bill was held pending quorum and later noted as enjoying a due pass recommendation, though no final roll was taken in the excerpt. AB 1579, which expands the Children’s Crisis Continuum Pilot Program to allow additional CDSS-approved residential models, drew strong support from San Francisco County, Seneca Family of Agencies, and several counties and advocacy groups, who argued the current crisis residential model is financially and operationally unworkable and leaves youth in hospitals or emergency departments. The Youth Law Center and allied organizations opposed the bill, saying it departs from the original small, community-based crisis model and could lead to more institutional care. The committee passed the bill 6-0 to Appropriations. AB 1628 would extend California’s safe surrender window for newborns from 72 hours to 30 days. The author and fire service supporters said the change would better reflect postpartum recovery and help prevent unsafe abandonment; there was no opposition, and the bill passed 6-0. AB 1634, dealing with the “Kids” specialty license plate program, sought to raise plate fees and revise distribution formulas to generate more revenue for child safety and child care programs. Supporters said the update would modernize outdated 1992 pricing and expand county access, while a committee member objected that the bill would reallocate funds away from state agencies and private nonprofits; the bill was moved on a 5-0 vote with some members not voting. AB 1643 would streamline child support enrollment by having courts transmit support orders directly to child support agencies unless a custodial parent opts out. Supporters said automatic enrollment would reduce poverty and remove paperwork barriers, while opponents warned it could undermine parent choice and create problems for families with sensitive circumstances. The committee passed the bill 6-0. AB 1708 would require regions receiving HHAP homelessness funds to more meaningfully engage smaller cities; many city officials supported it as a way to include jurisdictions that are doing local homelessness work, while Los Angeles’ mayor’s office opposed it. The bill passed 5-0. AB 2395 would standardize access to the child support debt reduction program; supporters described it as a way to help low-income obligors escape uncollectible government-owed debt, while receiving parents and child support agencies warned it could reduce money owed to families and needs more work. The bill passed 4-0. The committee then began AB 1914, which would require local governments to plan for child care in general plans; supporters framed child care as essential infrastructure, while at least one member raised concerns about state mandates on local jurisdictions, and the excerpt ends before any vote.

Transcript Highlights:

• H. 726 and S. 409 are the other key school improvement bills.
• H. 726 and S. 409 are the other key school improvement bills.
• Extensive research shows that community schools improve student attendance, improve grades, and improve
• We therefore hope that you can join us in improving and passing this bill.
• Another aspect this could improve is what we do in math classes.

Committee: Joint Joint Committee on Education

Summary: The Joint Committee on Education heard testimony on several bills centered on school accountability, receivership, graduation requirements, charter school access, community schools, school libraries, and student voting rights. Much of the discussion focused on the Thrive Act, S. 374, which would end state receivership and change the state’s accountability approach. Supporters, including educators, parents, advocacy groups, and students, argued that receivership has not improved outcomes in districts such as Lawrence, Holyoke, Southbridge, Boston, and the Dever, and that local communities should have more control, with greater emphasis on community schools, wraparound services, and broader measures of school quality. They also supported related bills on community schools and school library standards, and several witnesses backed a bill to expand student representative voting rights on school committees. Opponents of S. 374, especially charter school leaders, parents, students, and some education advocates, focused on Section 4 of the bill, which would change the charter school net school spending cap in the lowest-performing districts. They argued that the provision would reduce access to charter seats in communities where families are seeking more options, and that schools such as Roxbury Prep, Excel Academy, Brook, Veritas Prep, and Libertas Academy have produced strong results for students, including students of color, low-income students, and students with special needs. Several witnesses said the section would force schools to shrink or close and would remove opportunities for families in districts with long waitlists. Committee members questioned witnesses on both the effectiveness of receivership and the charter school cap language. Chair Lewis and Chair Gordon emphasized the need for a better accountability system and noted concerns about whether current measures, including MCAS-based designations, accurately reflect school quality. Some witnesses said they had discussed the possibility of removing Section 4 from the Thrive Act and suggested it might be addressed in separate charter reform legislation. No votes were taken during the hearing; testimony was received and the committee later closed testimony on S. 374 and several related bills before moving on to the student voting rights bill, S. 367.

Transcript Highlights:

• and our health care assets.
• the quality of care for our elderly.
• the quality of care for our elderly.
• HB 584 is about our children in foster care.
• H.P. 584 is about our children in foster care.

Committee: Senate Health and Welfare

Summary: The Senate Committee on Health and Welfare met on May 6, 2026, with five members present and adopted the April 28 minutes. The committee first heard a presentation on the new Leadership Louisiana Health Fellows Program, a leadership and networking initiative focused on Louisiana health care challenges such as workforce shortages, rural access, chronic disease, and the economic impact of health care. Speakers described it as a cross-sector program intended to build informed leaders and support collaboration with health systems, insurers, providers, LDH, and the Louisiana Hospital Association. The committee then moved through a series of bills, generally adopting amendments and reporting measures favorably. SB 57, a nutrition/labeling bill, was amended to delay the effective date for the labeling provision until December 31, 2028, and was reported as amended. HB 62 increased membership of the Louisiana Women’s Policy and Research Commission and was reported as amended, and HB 193 adjusted membership rules for the Sickle Cell Commission foundations and was also reported as amended. HB 815 would allow financial institutions to receive death certificates to help close accounts and avoid problems with automatic payments and federal benefit clawbacks; it was reported favorably. SB 405, which had been heard earlier, was reworked to codify LDH’s new Ascend nursing home quality initiative, including short- and long-term quality oversight goals, stakeholder involvement, internal expertise, and reporting requirements; after reconsidering prior amendments, the committee adopted the new amendment and reported the bill as amended. The committee also advanced several health and human services bills. HB 222 would allow Medicaid dental coverage when needed to clear a patient for another covered medical procedure, and it was reported as amended after LDH said the cost could be absorbed. HB 420 expanded DCFS background-check requirements to cover staff with access to sensitive records, and HB 475 required verbal consent before AI is used to record or transcribe a medical visit; both were reported favorably. HB 246 updated membership of the Children’s Cabinet Advisory Board and the council for grandparents raising grandchildren, including replacing an inactive coalition seat with the state police, and was reported as amended. HB 486 joined Louisiana to the psychology interjurisdictional compact to expand access to psychologists through telepsychology and temporary practice across state lines, and HB 574 updated outdated board names in the Mental Health Advisory Services Board statute; both were reported favorably. Later, the committee heard HB 949, which would create a licensure framework for radiologist assistants to help address radiologist shortages and improve imaging access, especially in rural areas. Testimony emphasized that RAs work under radiologist supervision and would extend capacity without replacing physicians; the bill was reported favorably. HB 584 required foster children to be provided luggage or similar items instead of trash bags when moving placements, and also corrected language in the Foster Youth Bill of Rights from “privileges” back to “rights” while extending the bill’s applicability to children from birth to age 18; it was reported as amended. The committee also reported HB 1214, which restructures certain LDH state facilities into a more unified system, and HB 1092, a technical renaming/terminology cleanup bill, both favorably. Finally, HB 203 added members from Christus Health System and Xavier University’s College of Medicine to the uterine fibroids commission and was reported favorably before the committee adjourned.

Transcript Highlights:

• Our home care services are not the same that I think other people think about home care.
• Holyoke continues to exceed national long-term care benchmarks and direct care staffing.
• Number two, taking care of the people that take care of veterans, that's all of us.
• quality and improve care and make sure we've got care at the right time, at the right place, at the
• , improving access to care in familiar environments, strengthening interagency coordination, and gathering

Committee: Joint Joint Committee on Ways and Means

Transcript Highlights:

• </c> case review data to inform clinical Care case review data to inform clinical Care Quality<00:05:
• </c> evidence-based quality improvement evidence-based quality improvement programs<00:05:36.120><c>
• It's working to make improvements.
• It's working to make improvements.
• Care Workforce.

Committee: Senate Executive Departments and Administration