Transcript Highlights:

• significant barriers to time-sensitive health care services, threatening overall well-being and economic security
• For each module that we've released, we've received over close to 800 comments, so it really varies what

Summary: The hearing opened with remarks from the chair and members about recent federal cuts to public health, mental health, family planning, and Title X funding, with strong concern about the impact on California programs and providers. The committee then turned to the Department of State Hospitals, which presented its 2025-26 budget proposal of $3.4 billion, including new positions, capital improvements, and funding tied to increased patient costs and incompetent-to-stand-trial services. DSH reported major progress in reducing the IST waitlist and wait times, said it had met the court’s 28-day treatment benchmark for those without extenuating circumstances, and described workforce recruitment and retention efforts such as residency programs, fellowships, outreach, and hiring streamlining. Members asked about future IST referral trends, SB 1323’s effect on diversion and community treatment, and workforce lessons in high-cost regions; public comment urged reconsideration of county IST growth cap methodology in light of new criminal justice initiatives. The committee next received an informational overview of Proposition 1 and its changes to behavioral health funding and governance. The Legislative Analyst’s Office explained that Prop. 1 restructured county MHSA funding buckets, expanded the Commission for Behavioral Health, shifted prevention and early intervention responsibilities, and authorized a $6.4 billion bond, including $4.4 billion for behavioral health facilities through BHCIP. DHCS said it had released guidance for county integrated plans and was receiving extensive public comment. Members focused on BHCIP application requirements, especially letters of support and tribal projects, and raised concerns about whether DHCS’s implementation matched statutory intent. DHCS said it had authority to set application requirements and that tribal entities were treated differently because of sovereignty and funding structure. DHCS then updated the committee on BHCIP, the Behavioral Health Bridge Housing Program, and related bond implementation. The department said BHCIP had awarded about $1.7 billion across five rounds, with more than 130 projects and 223 distinct facilities funded, and that it was preparing to award the new bond funds after receiving nearly $8 billion in applications. The LAO’s assessment found that more than half of awards served at least 80% Medi-Cal enrollees, but also raised concerns that the regional allocation model could reinforce inequities, that the program had not sufficiently addressed the highest-need regions such as the southern San Joaquin Valley, and that smaller counties and less launch-ready applicants faced barriers. For bridge housing, DHCS said more than $1.1 billion had been awarded, serving over 5,000 people and supporting more than 2,000 operational beds, but the Governor’s budget proposes to eliminate Round 4 funding as the administration weighs other statewide investments and Proposition 1 implementation workload. Public commenters and members urged more accountability, better regional equity, stronger labor and community involvement, and caution about funding for for-profit psychiatric facilities. Finally, the committee heard on the Children and Youth Behavioral Health Initiative. CalHHS and DHCS described CYBHI as a broad prevention- and equity-focused effort with more than 1,300 organizations funded, over $2.1 billion awarded, and multiple work streams spanning schools, community programs, workforce, and digital supports. DHCS highlighted school-based services, the fee schedule rollout, and digital platforms BrightLife Kids and Soluna, which it said are reaching users statewide and providing low-barrier access to coaching and support. Members and public commenters raised concerns about delays in school fee schedule implementation, the large share of funding going to digital tools, the need for more in-person services, and whether the initiative is sufficiently tracking outcomes and equity impacts. No formal votes were taken during the hearing.

Transcript Highlights:

• This investment would fund the development of free, accessible training modules, tools for tracking and
• Please go ahead for the record. free accessible training modules tools free accessible training modules

Bills: HF2367, HF2319, HF2523, HF1742, HF671, HF2331, HF2722, HF2406, HF1674

Keywords: HF2367, Community First Services and Supports, CFSS, personal care assistance, PCA, consumer-directed community supports, CDCS, home and community-based services, HCBS, direct support professionals, direct care workers, caregivers, support workers, SEIU Healthcare Minnesota & Iowa, collective bargaining agreement, retention stipend, health care cost stipend, training stipend, orientation program, retirement trust

Transcript Highlights:

• personal work in following the results of my initial 2023 survey has been to develop an online learning module
• for clinicians that covers all... ...initial 2023 survey has been to develop an online learning module

Keywords: 995, all

Summary: The Joint Committee on Public Health heard testimony on a wide range of bills focused on children’s health, tobacco control, newborn screening, pediatric cancer, palliative care, and professional licensure. Early testimony highlighted Senate bills to expand newborn screening for pyruvate dehydrogenase complex deficiency, lysosomal storage disorders, and congenital CMV, with families and clinicians describing severe diagnostic delays, missed treatment windows, and the benefits of early detection. Speakers also supported a bill to improve pediatric cancer research through a dedicated trust fund, and a bill to extend pediatric palliative care services to age 22, with parents and providers emphasizing continuity of care for seriously ill young people. Several witnesses gave personal accounts in support of the newborn screening measures. Families described children who endured years of misdiagnosis before receiving diagnoses such as Gaucher disease, Fabry disease, Pompe disease, Niemann-Pick disease, and CMV, often after irreversible damage had already occurred. Medical and advocacy witnesses said Massachusetts already collects some of the relevant screening data and argued that results should be reported to families, while others urged the committee to add conditions to the state panel because effective treatments already exist. The committee also heard support for a bill to establish a fetal alcohol spectrum disorder program and training for providers. On tobacco and youth health, testimony supported bills to ban internet tobacco sales, strengthen youth protections, and reduce lung cancer deaths through point-of-sale information and quit-line access. A student testified about easily purchasing flavored nicotine products online without meaningful age verification, and public health advocates backed measures to keep tobacco out of children’s environments. The committee also heard testimony on a bill to ensure parents have access to their children’s medical records through age 16, with exceptions for sensitive services already protected by law. The committee additionally took testimony on an optometry licensure bill, where ophthalmologists opposed language they said could broaden scope of practice and allow optometrists to use the title “optometric physician,” while optometry educators and students supported the bill as a modernization measure with no scope expansion. No votes were taken during the hearing; the chair repeatedly reminded speakers of time limits and noted that written testimony could be submitted for additional comments.

Transcript Highlights:

• From a trend standpoint, I don't see that security level going up. I could be wrong.
• You talked about Senator, about the security issue. I was a county commissioner when 9/11 hit.
• You know, you talked about Senator about the security issue.
• So there are some attendance and security items and then some logistical items.
• There are some attendance and security items and then some logistical items.

Summary: The Advanced Nuclear Energy Committee met to hear a series of presentations on the economics, financing, workforce, and community impacts of advanced nuclear deployment in North Dakota. William Bridge of Nucleon Energy presented the committee’s economic impacts and private-sector financing report, estimating construction and operating job impacts, local spending, and state/local tax effects for hypothetical SMR projects. He said the report assumes first-of-a-kind costs are still high, used a $6 million per megawatt nth-of-a-kind proxy, and estimated peak construction workforces of about 500 for a 200-MW plant and 1,000 for a larger facility, with roughly 100 operating jobs for a 200-MW plant. Committee members questioned security costs, capital cost assumptions, water and transmission siting constraints, and whether the model included fuel and waste; Bridge said the report included initial fuel in capital cost and that waste disposal is funded through existing federal mechanisms. Lori Brady of the Nuclear Energy Institute then outlined national nuclear workforce needs and NEI’s strategic workforce planning efforts. She described declining labor-force participation, retirements, and the need for a much larger future workforce, and said NEI has organized recommendations around career awareness, pipelines, training and qualification, policy support, retention, and nontraditional recruitment. She highlighted tools such as the Nuclear Works career website, the Nuclear Energy Academic Roadmap, the new federal Energy and Natural Resources career cluster, and the Nuclear Uniform Curriculum Program for community colleges. Members asked about AI, timing for training relative to plant development, and whether advanced manufacturing would reduce staffing needs; Brady said AI is not expected to replace workers and that training timelines depend on the specific project and staffing plan. The committee also heard from Gary Yaco, mayor of Red Wing, Minnesota, who described Prairie Island’s role in his community. He said the plant provides a large share of local property tax revenue, supports well-paid jobs, contributes to emergency preparedness funding and training, and is broadly supported by the city despite periodic protests and public concerns. He emphasized the plant’s security, regular drills with local and federal responders, and the absence of problems with dry cask storage. Later, Benton Arnett of NEI discussed the current financing landscape for advanced nuclear, explaining how tax credits, federal loan support, off-take agreements, and new business models are helping projects move forward. He said early projects face high upfront costs and long lead-time procurement, but that investor confidence is improving as federal policy and regulatory streamlining continue. The committee asked about waste funding, comparisons with natural gas, the effect of political shifts on investor confidence, and whether the market will narrow to a few winning technologies; Arnett said the industry is still sorting that out, but expects clearer winners in the late 2020s and early 2030s. The meeting concluded with an introductory presentation from Julie Kazeraki of DOE’s Office of Energy Dominance Financing, who said the office is focused on accelerating nuclear deployment through financing support.

Transcript Highlights:

• We proposed to have financial security against both the direct costs to interconnect, as well as those
• But is the goal of that security, does it have a secondary purpose? It absolutely does, sir.
• There are other advantages to our security than just trying to allocate transmission costs fairly.
• Maybe that's the time to give back most or all, less any actual cost of that financial security.
• So now you've got financial security amounts and site control requirements that are much tighter.

Keywords: 1184, house, all

Transcript Highlights:

• I move to recommit SB 17 to the Committee on Homeland Security, Public Safety, and Veterans Affairs.
• Roughly a little less than a fifth of the Rainy Day Fund will be invested in some form of securities,
• To invest 17.5% of the state's Rainy Day Fund in securities of its choice, it could do so.
• I mean, as someone who’s done securities litigation for 20 years, this is a private equity fund.
• ,” “Or $40 or $50 billion over time in securities, equities, and other assets.

Summary: The House convened with a quorum, offered an invocation, led the pledges, and approved a series of routine motions, including excusing absent members and granting permission for several committees to meet while the House was in session. Members also adopted several memorial and recognition resolutions, including H.R. 1023 honoring Christian Beerbill, H.R. 1033 recognizing International Bereaved Mother’s Day, and H.R. 877 recognizing Urban League Advocates Day. The House also recommitted SB 17 and HB 4211 to committee and postponed SCR 27 and HB 2145 for later consideration. The chamber then took up a long third-reading calendar of bills covering a wide range of topics, including Sunset review measures, health care workforce and pricing, child custody and family law, Medicaid, rural ambulance grants, energy reporting, public information requests, trail development, virtual meeting disruptions, occupational licensing, protective orders, county leave pools, animal cruelty, infrastructure, and higher education. Most bills were explained briefly by their authors and passed with broad support, though several drew notable opposition, including HB 5265, HB 2402, HB 3000, HB 3237, HB 3326, HB 1056, HB 281, HB 3308, HB 1043, HB 1234, HB 1193, HB 294, HB 809, HB 334, HB 2037, HB 285, HB 1353, HB 3960, HB 4044, HB 4264, HB 2807, HB 3349, HB 4406, HB 1593, HB 1899, HB 1201, and others. Several bills prompted extended debate or amendments. HB 3237, extending public energy-use reporting for state and higher-education buildings, passed after questions about its public-sector-only scope and energy savings. HB 3326, addressing public service loan forgiveness credit for adjunct professors, initially failed on a 69-70 vote but later passed after verification and machine corrections. HB 3211, concerning optometrists in managed care plans, adopted a Buckley amendment before passing. HB 2213 on Texas Windstorm Insurance Association board composition adopted a Metcalf amendment requiring certain board members to be Texas residents. HB 412, dealing with harmful materials and sexual performance of a child, generated extensive questioning about its scope, existing legal standards, and effects on educators and medical professionals; the excerpt ends during that debate.

Transcript Highlights:

• Our agency created an inclusivity training module for our teams, including volunteers.

Keywords: 995, all

Summary: The Massachusetts Commission on LGBTQ Aging opened its March quarterly meeting by welcoming Alison Bauer as its first full-time director, effective March 30. Bauer briefly introduced her background in law, social work, public health, state government, philanthropy, and teaching, and said she planned to meet one-on-one with each commissioner. The commission then approved the December quarterly meeting minutes by motion and vote. The main portion of the meeting was a workshop led by Adriana Boulin on diversity, equity, inclusion, power, belonging, and intersectionality. Boulin defined key terms, guided participants through reflection exercises on personal values and conditions that support or undermine power, and discussed the history of intersectionality. Commissioners and guests shared examples of DEI work, including listening sessions, inclusive trainings, equitable hiring, LGBTQ+ aging advocacy, and community programs. Participants also reflected on how the commission has felt powerful, citing the strategic plan, the hiring of an executive director, the website, listening sessions, and passage of the LGBTQI+ and HIV long-term care bill of rights. The group then focused on how to apply an equity lens to the commission’s strategic priorities, especially improving representation and inclusion. Commissioners discussed the need for more racial, ethnic, trans, immigrant, and other marginalized representation, as well as barriers such as recruitment challenges, the size of the commission, and CORI/background-check concerns for some governor-appointed seats. They also explored whether an advisory board or expanded outreach to community organizations could help broaden participation. No formal votes or final actions were taken beyond approving the minutes, but the meeting ended with agreement to continue the equity work and with the next quarterly meeting scheduled for June.

Transcript Highlights:

• I think you misunderstood my question, which is not the creation of the training modules, but having

Summary: The Joint Legislative Audit and Review Committee subcommittee heard three State Auditor’s Office performance audits: implementation of the Law Enforcement Training and Community Safety Act, Washington’s digital equity planning, and the Department of Commerce’s Digital Navigator Program. In the law enforcement training audit, the State Auditor found the Criminal Justice Training Commission had developed most required training content but had not developed all required topics, lacked a systematic project management approach, and had weak tools to ensure participation and compliance. Auditors said most officers had not completed the required 40 hours, patrol tactics training was a major bottleneck, and the Commission’s reporting did not clearly show statewide compliance. The Commission said it generally agreed with the recommendations and had begun implementing some changes. Committee members raised concerns about staffing, liability, incentives, and whether the law had enough enforcement “teeth.” In the digital equity audit, auditors said Washington lacked a comprehensive, unified statewide plan, a designated leader, and reliable funding for digital equity efforts. They said existing plans were fragmented, with the NTIA-approved plan the most complete but no longer fully funded after federal changes. The State Auditor recommended the legislature establish oversight authority and require a lead organization to coordinate and evaluate statewide digital equity efforts and develop a unified plan. The Department of Commerce and Office of Equity agreed with the need for clearer leadership and coordination, and a public witness described ongoing coalition and local planning work. Committee members asked about best practices from other states and whether the auditor could provide additional research on coordination models. In the Digital Navigator Program audit, the State Auditor concluded Commerce did not consistently follow core grant-management practices, including competitive award processes, vetting of grantees, clear contracts, performance monitoring, and reimbursement controls. Auditors said Commerce expanded grants without a new competition, lacked adequate documentation and reporting, and paid out millions without sufficient support; they also cited management decisions that overrode staff concerns. Commerce said it had already begun major contract-management reforms, created a new contracts and compliance structure, and was working on risk assessments, documentation standards, and staff training. Members pressed Commerce on accountability, possible recoupment of improper payments, ethics issues, and whether the agency had clear performance metrics for the program. No votes were taken, and the hearing ended after public testimony and committee discussion.

Transcript Highlights:

• who suggested it, but we should just bump it out two years to not mess with the current two-year module

Bills: SB30, SB43, SB50, SB136

Keywords: SB30, induced abortion, abortion reporting, vital statistics, public health reporting, medical records, health care providers, repeal, New Mexico, pregnancy termination, abortion data, state reporting requirements, confidentiality, reproductive health, parole, life imprisonment, rehabilitation, criminal justice, victim rights, law enforcement

Transcript Highlights:

• I think that's fair so that it modulates with markets.

Transcript Highlights:

• EI index, some minimum amount, I think that's fair, so that it modulates with markets.

Bills: HB854, HB 1052, HB1642, HB2076, HB3042, HB3695, HB3787, HB4062, HB4092, SB213, SB493, SB896, HB5519, HB4635

Keywords: insurance, replacement cost, homeowner's policy, renter's policy, condominium insurance, property damage, claims process, telemedicine, teledentistry, telehealth, health benefit plan, insurance coverage, out-of-state services, anxiety, pain management, contraceptive devices, women's health, medical procedures, healthcare, laboratory

Transcript Highlights:

• currently working to implement a systems integrator right now and would intend to move towards our first module

Keywords: 908, all

Summary: The Senate Appropriations HR Division met with all members present to review the medical services portion of the HHS budget. Sarah Aker, Executive Director of Medical Services, walked the committee through several budget items, including HCBS cost-to-continue adjustments, the DD bed assessment, expansion of value-based purchasing, targeted rate increases for home health and QSP services, and the cross-disability waiver. Members generally supported the targeted increases for home health and QSP, and Aker explained that the cross-disability waiver funding would support startup work, service design, and infrastructure ahead of a planned July 1, 2028 implementation. The committee spent significant time on rate-setting and provider payment issues. Members discussed ambulance rate rebasing, with several senators expressing concern that the proposed increase was too high relative to peer states; the committee ultimately moved toward reducing that item to $1 million rather than zero so it could be revisited in conference committee. They also discussed a House-added critical access hospital networking grant and similarly leaned toward reducing it to $1 million. Aker explained the department’s value-based purchasing plans, including use of a vendor selected through RFP, and clarified how the department’s existing Medicaid managed care and hospital value-based programs work. A major portion of the meeting focused on long-term care and basic care payments, including a House-added extension of the $5 per day basic care add-on and a proposed shift in nursing facility incentive grants toward a withhold-based model. Senator Mathern indicated he would bring an amendment to delay or modify the withhold change, and Aker said the department would prefer language that directly addresses whether a withhold may be implemented. Members also discussed 1915(i) services, FMAP changes, the Medicaid legacy system modernization carryover, and a House-added legislative intent section on medical assistance. The committee adjourned for the morning with plans to return later to continue Human Services budget work and revisit unresolved items in conference committee.

Transcript Highlights:

• But now a lot of these programs are, you know, on some type of a module application.

Bills: HB1519, HB1541, HB1737, HB1782, HB1854, HB1860, HB2023, HB2104, HB2276, HB2335, HB2455, HB2468, HB2551, SB177, SB411, SB874, SB2053, SB2069, SB2108, SB2268, SB2360, SB2363, SB2405, SB2407, SB2530, SB2543, SB2568, SB2803, SB2818, SB2851, SB2907, SB2934, SB2969, SB2999, SB3097, SB3103, SB3233, SB3238, SB3245, SB3001, SB3138, HB1946, HB389, HB1510, HB469, HB1573, HB1705, HB1858, HB1875, HB1961, HB1962, HB2001, HB2093, HB2096, HB2097, SB888, SB2169, SB2367, SB2557, SB2575, SB2698, SB3082, HB344, HB939, HB1688, HB1853, HB2443, HCR103, HCR117, HCR180, HCR112, HCR18, HCR105, HCR173, HCR35, HCR98, HCR42, HCR53, HCR181, HCR101, HCR179

Keywords: campaign contributions, lobbyists, transparency, election funding, ethical regulations, HB1541, Act 057, Department of Health, Hawaii State Hospital, Developmental Disabilities Division, civil service, civil service exemption, HRS 76-16, HRS 334-4, mental health program, state hospital, secure psychiatric rehabilitation facility, associate administrator, project manager, security manager

Transcript Highlights:

• Along with area support modules, uh, the exclusive contracting for aviation, as you heard Chief Kidd
• Um, better for smoke and, uh, and implement new practices when it comes to securing their lines.
• We have aircraft in France that are operated by the French Security civilization.
• an air tanker, and those are the variants of airplane that the French fly for French, the French security

Transcript Highlights:

• single engines, single engine scoopers, air tanks. and multi-mission aircraft, along with area support modules
• the utility companies to better look for smoke and and implement new practices when it comes to securing
• We have aircraft in France that are operated by the French Security Civil Order. organization.
• The French Fly for the French Security Seville in Saskatchewan just purchased two of those multi-roofs

Keywords: 1184, house, all

Transcript Highlights:

• could have security implications and we could have security implications and we have<00:09:46.080>
• It's not like we're sacrificing our freedoms in exchange for security.
• It's not like we're sacrificing our freedoms in exchange for security.
• I can understand where issues of personal safety, security, whether it's security financially or physically
• can identify names social security can identify names social security numbers<01:54:12.800> I

Keywords: 1183, house

Transcript Highlights:

• 01:13:27.960> testing The agencies, as well as Minnesota state, are required to complete AI modules
• 13:46.280> around state law and best practices around state law and best practices around security
• 13:48.480> as<01:13:48.600> it<01:13:48.719> relates<01:13:49.080> to security
• but to as it relates to security but to as it relates to accessibility<01:13:50.080> and<01:13
• We should be developing far more training modules on identifying and detecting, as well as addressing

Keywords: 1187, senate, all

Transcript Highlights:

• Minnesota, in this bill, would create a voluntary health curriculum module on healthy aging and Alzheimer's
• 28.440> curriculum create a voluntary health curriculum create a voluntary health curriculum module
• healthy<00:55:30.079> aging<00:55:30.520> and<00:55:30.680> alterous module
• on healthy aging and alterous module on healthy aging and alterous disease<00:55:31.839> for<

Keywords: 1187, senate, all

Transcript Highlights:

• <01:38:57.679> and document or is it all all on modules and document or is it all all on modules
• that is not safely stored or secured. that is not safely stored or secured.
• For those reasons, we want to securely.
• SMART stands for secure, model, ask, recognize, and tell. The model is good behavior for your kids.
• secure, model, ask, recognize,<04:32:55.600> and<04:32:55.840> tell.

Keywords: 1189, house, all