Video & Transcript : 'level one license' :

Page 58 of 500
NH
Transcript Highlights:
  • He said a veterinarian licensed under RSA 332-B conducts an antemortem inspection of each herd on an
  • What level that would be at, but there would be some sort of licensing or inspection because had we been
  • That is one of the things I mean, without trying to go into the level of oversight that the Department
  • Um, we don't have an entity that self-licenses, self-polices, or provides any sort of level of rules
  • Um, we don't have an entity that self-licenses, self-polices, or provides any sort of level of rules
Summary: The committee first heard Senate Bill 302, which would update New Hampshire’s solid waste facility background-check law so the state can continue to access federal FBI criminal databases for checks on key owners and officers. Senator Howard Pearl and DES Waste Management Director Mike Whimsatt said the bill is the third attempt to correct prior drafting problems that prevented the FBI from accepting the language. They explained that the existing statute has long required background checks for hazardous and solid waste facility applicants because of concerns about organized crime, but the current wording is too ambiguous for federal use. The bill also includes technical corrections, clarifies which company officers must be checked, specifies which DES officials receive the results, and removes the Department of Justice as an unnecessary middleman. Committee members asked about the purpose of the bill, whether family members are covered, who pays the cost, and whether permits have ever been denied; Whimsatt said the applicant still pays, the checks focus on key officers, and at least one permit had been denied in the past due to a felony conviction. The hearing then closed, with one person listed in favor on the blue sheet and no opposition noted online. The committee then opened Senate Bill 229, which would allow retailers to sell uninspected bison, red deer, and elk meat and remove the sunset on the existing program. Senator Pearl said the bill would expand market opportunities for farmers while keeping labeling and traceability requirements in place, including identifying the meat as uninspected and maintaining records of the source farms. Representative Bixby, who had worked on earlier legislation, explained the current framework in detail: the animals are raised on closed farms, must be fenced, cannot be newly imported, and are subject to annual veterinary herd inspections and recordkeeping. He said the prior bison inspection regime was too burdensome for farmers to maintain, and the current law was intended as a workable compromise. Questions from members focused on how many farms participate, how many animals have been sold, and whether the program posed disease risks; the witness said he did not know the exact numbers, and Bixby said the existing import and fencing rules help prevent chronic wasting disease from entering the state. No vote was taken during the hearing, and the bill was left before the committee for further consideration.
NE
Transcript Highlights:
  • have on campus to make sure that it meets that ratio for a PRTF type level of service.
  • The license would have to be obtained on the state level prior to moving youth into a new facility.
  • “The building would first have to be licensed on the state level on the MOU, which I believe can be done
  • Our facilities, even on the YRTC, you saw the older barracks versus a new one.
  • on a stick of dynamite.
Summary: The Health and Human Services Committee held an invited-testimony hearing on LR 425, which examines the Whitehall campus in Lincoln and possible long-term options for youth currently served there. Chair Brian Hardin explained that Whitehall houses two separate programs for adolescent males: a substance use program and a youth-who-sexually-harm program. Testimony from DHHS officials described Whitehall as a Joint Commission-accredited psychiatric residential treatment facility (PRTF) that provides about 40 hours of weekly programming, family involvement, school services, and community reintegration activities. Officials said the department is evaluating whether the programs should remain at Whitehall or move to another state-owned facility, with Hastings described as the department’s preferred alternative because it is more residential in design than a youth rehabilitation treatment center (YRTC).
CA

California 2025-2026 Regular Session

Assembly Transportation Committee Jun 8th, 2026

Transcript Highlights:
  • So I just wanted to understand the position on advocating at the federal level to preempt state regulations
  • It's a little bit more complicated than a yes or no, but I am working on this at the federal level as
  • And we're looking at some additional improvements based on some suggestions about certain decibel levels
  • And we're looking at some additional improvements based on some suggestions about certain decibel levels
  • So what steps do you all ensure that they don't have points or things on their license?
Summary: The Assembly Transportation Committee heard an informational hearing on California’s newly finalized autonomous vehicle regulations, with DMV and CHP officials describing the updated framework and committee members pressing them on safety, enforcement, and first-responder impacts. DMV said the rules, effective April 28, 2026, expand reporting, create a phased permitting system from testing to deployment, add requirements for safety cases, remote operations, and first-responder coordination, and open a path for heavy-duty AV testing and deployment while still prohibiting oversized loads and hazardous materials. CHP said it worked with DMV on enforcement tools, first-responder interaction plans, and training local agencies on the new notice of noncompliance process. Members asked about crash data, immobilizations, freeway and construction-zone safety, weigh-station enforcement, and whether foreign licenses can qualify for remote assistants or drivers; DMV and CHP said the rules are intended to keep AVs accountable and that heavy-duty AVs will be held to the same roadway standards as human-driven commercial vehicles. A second panel focused on data collection and enforcement. Consumer attorneys argued the prior rules were too limited because DMV stopped collecting meaningful data once AVs moved from testing to deployment, making it difficult for the public and litigants to understand incidents; they supported the new regulations but urged that the collected information be made public. The industry association said California now has the nation’s most robust AV oversight, with monthly or quarterly reporting of collisions, system failures, immobilizations, harsh braking, vehicle miles traveled, and notices of noncompliance, plus broad DMV authority to restrict or suspend operations. In response to questions, the industry said it generally supports the new framework, believes the regulations are clear, and does not favor full federal preemption of state AV rules, though it wants federal standards for design, construction, and performance. A third panel addressed first-responder interaction and remote operations. The San Francisco Fire Department described repeated AV interference with emergency scenes and said AVs have generated hundreds of “sleeper calls,” where passengers fall asleep and trigger 911 responses; the department said these incidents consume significant staff time and it wants better protocols to reduce unnecessary dispatches. Waymo said it has trained thousands of public-safety personnel, maintains a 24/7 emergency line, uses geofencing/avoid-the-area messages, and can allow first responders to manually override or move vehicles when needed. Committee members asked about sleeper-call prevention, remote assistant licensing and drug testing, communication redundancies during outages, and how manual overrides work for vehicles without traditional controls; Waymo said it is collaborating with responders and that its vehicles are designed to reach a safe stop if connectivity is lost. The final panel began with testimony on heavy-duty autonomous vehicles. A transportation researcher said freight is essential to California’s economy and that heavy-duty AVs pose distinct safety risks because of their weight, stopping distance, and the potentially severe consequences of crashes or immobilizations on highways. He said the new regulations are important because they create a regulated pathway for heavy-duty AV deployment, require a safety case, set mileage thresholds, and add reporting categories that can serve as leading safety indicators. The hearing was still in progress when the transcript ended, with additional testimony expected from labor and industry witnesses on heavy-duty AV deployment.
TX
Transcript Highlights:
  • I'm trying to get a grasp on the number of this related to driver's license offices.
  • They do publish high value data for driver's license on their website. Yeah.
  • And in driver's license, they can hire on today at $41,000, $42,000.
  • And the driver's license, they can hire on today at $41,000, $42,000.
  • Lieutenant Colonel: How many are on the driver's license side? Chair: 3,100.
Bills: SB 1
Committee: Senate Finance
MN

Minnesota 2025-2026 Regular Session

Committee on Commerce and Consumer Protection - 03/24/26

Commerce and Consumer Protection

Transcript Highlights:
  • , one license to one business model. of the benchmark for what we need.
  • </c> now based on existing license holders. now based on existing license holders.
  • one</c> a sort of one-to-one, one license to one a sort of one-to-one, one license to one business<00
  • He requires one-on-one, 24-hour, hospital-level care provided by either an RN or a parent trained to
  • one-on-one, 24-hour, He requires one-on-one, 24-hour, hospital-level<01:14:13.040><c> care</c><01:14
CA

California 2025-2026 Regular Session

Assembly Banking and Finance Committee Jul 7th, 2025

Banking and Finance

Transcript Highlights:
  • One example is Mr.
  • Those licensing schemes are principally focused on how those businesses are set up, not on how they interact
  • Those licensing schemes do not contain prohibitions on taking unfair advantage of California consumers
  • Licensing law.
  • when we can't rely on what's happening at the federal level.
NH

New Hampshire 2025 Regular Session

House Finance Division II (02/19/2025)

Transcript Highlights:
  • Usually, when we've moved someplace, one of the first things we've done is get our driver's license set
  • you can drive and that's in law, um, but you can drive on your home country license for certain visas
  • Driver's license is being one of them, but does the DMV issue non-driver ID, and is there a mechanism
  • </c><00:33:30.360><c> for</c> drive on your home country license for drive on your home country license
  • title fees and then the big one licenses title fees and then the big one is<03:06:38.279><c> uh</c><
Summary: The committee first took up HB 129, which would redefine “evidence-based” in public education. Department of Education testimony said the bill’s definition would conflict with the federal definition and be unusually restrictive, potentially affecting curriculum, educator training, and many existing state requirements. The department said it could force a broad overhaul of school programs and create a need for at least one new state position, with local districts likely facing significant unbudgeted costs. Members raised concerns about impacts on federal pass-through funding, curriculum materials, and whether the bill was workable at all. Several members said the proposal would be too costly and difficult to implement, especially during a tight budget cycle. Representative Papovich moved to retain HB 129, and the motion passed 7-0. Members who supported retention said they wanted to set the bill aside because of the scale of the concerns, while also stating they did not support the bill as written. The committee then opened HB 133, dealing with DMV follow-up on residency and licensing issues tied to voting and other interactions. Department of Safety/DMV officials said the bill would require a $40,000 technology update plus a full-time position to handle manual correspondence and review of possible matches, and that postage was not included in the fiscal note. They said the bill’s 60-day residency trigger is vague, that the DMV would be acting outside its normal role by investigating status after the fact, and that the measure could create privacy and operational problems. Members questioned whether the bill would effectively force people to buy a driver’s license to vote, whether non-driver and voter ID options would avoid that concern, and whether the Secretary of State rather than DMV would be the more appropriate agency to handle any follow-up.
AR

Arkansas 2026 Regular Session

ALC-ADMINISTRATIVE RULES Mar 19th, 2026

ALC-ADMINISTRATIVE RULES

Transcript Highlights:
  • Existing ones move them into a Class B license, which expands their opportunity to work and on the sides
  • One is, on the licensing, we passed a law a couple of years ago that required four hours continuing education
  • We worked on that two and a half years and could not get Licensing.
  • Well, that should be on their license. All the licenses have their class on them.
  • On item five, it's to clarify the level of financial statements required to obtain an unrestricted license
Summary: The Administrative Rules Subcommittee reviewed several agency rules and most were approved without objection. The Department of Agriculture repealed rules tied to the now-repealed Arkansas Catfish Processors Fair Practice Act. The Department of Human Services updated Medicaid policy to clarify child support enforcement treatment for pregnant women, remove the word “forcible” from rape/incest good-cause language, and eliminate a 90-day waiting period for ARKids B after loss of group coverage; members highlighted the significance of the language change and asked for a quick-reference eligibility chart. DHS Medical Services also received approval for a CMS cell and gene therapy model rule for sickle cell drugs and a technical Medicaid-assisted medication-assisted treatment update that was described as cost-neutral and non-substantive. The Department of Labor and Licensing presented several rules implementing recent acts and internal cleanup changes. These included procedures for local construction plan disputes under Act 591, Contractors Licensing Board amendments raising the restricted commercial license threshold from $750,000 to $1.5 million and allowing deferral of owner-complaint investigations during civil litigation, and a similar residential contractors change. The HVACR Licensing Board presented broader revisions under Act 746, including grammar and cleanup changes, elimination of the Class C license with transfer of existing holders to Class B, expansion of allowable work limits, a change to continuing education from four hours annually to eight hours per three-year code cycle, and clarification on training, child labor, and licensing issues. Several members questioned the practical impact of the HVAC changes, but the rule was approved. The committee also granted the Department of Inspector General’s request for exclusion from rulemaking reporting under Act 473, concluding that no rule was necessary because the act already defines the key terms and review process for foreign-adversary cultural exchange agreements. In addition, the Arkansas State Library’s report recommending continuation of its existing rules was accepted. During the status updates on outstanding 2023-session rulemaking, Education explained delays were due to overlapping 2025 amendments and the large volume of rules, while members expressed concern about the length of time since enactment; staff noted only a small number of 2023 rules remain outstanding. The meeting ended after written 2025-session updates were received with no further questions.
AR
Transcript Highlights:
  • "I will get back in the queue, I will check back on that one.
  • The first one is based on the annual studies.
  • That's the district level, and I'm now on slide 72, so there won't be any more skipping around.
  • But this now shows on slide 72 the average teacher salaries at districts based on various district-level
  • Okay, so the first one is on page 14.
NH
Transcript Highlights:
  • , the board must take a control level, the board must take a vote<00:26:01.600><c> on</c><00:26:01.760
  • Oh, the one you can have the one that, you know, liquor license with no food. No.
  • But he has to do pay the license<03:36:31.359><c> one</c><03:36:31.600><c> time</c><03:36:31.760><c>
  • </c><03:36:32.080><c> It's</c><03:36:32.160><c> a</c><03:36:32.319><c> $100</c> license one time a year
  • It's a $100 license one time a year.
Summary: The subcommittee took up the pooled risk management program bill and reviewed a new amendment drafted with input from the Insurance Department and Legislative Services. Department witnesses explained that the proposal would move oversight of pooled risk management programs from the Secretary of State’s office to the Insurance Department, add a licensure requirement, preserve the programs’ non-insurer status, and exempt them from third-party administrator licensure. They also described a series of solvency tools in the draft, including financial reporting, risk-based capital standards, minimum capitalization, investment limits, commissioner examination and enforcement authority, rulemaking authority, merger and affiliate-transaction review, confidentiality protections, and a separability clause. A major theme of the discussion was that pooled risk management programs differ from commercial insurers because the risk remains with the member local governments rather than being backed by a state guarantee fund. Witnesses said the bill is designed to emphasize solvency over return of premium and to give the Insurance Department a regulatory “toolbox” to prevent insolvency, including a proposed $5 million excess or stop-loss coverage benchmark, optional accessible policies, and a requirement that boards vote on dividends or premium returns when capital exceeds 600% of risk-based capital. Members questioned how this approach differed from the original Secretary of State bill and whether assessments on towns would still be possible; the department responded that the new framework would allow more flexible oversight and alternatives to immediate court action. The committee also discussed why the statute should continue to say the programs are not insurers, with the department explaining that this preserves their autonomy and avoids applying unrelated insurance laws and premium taxes. Members asked about the department’s workload and were told the department believed it could absorb the new duties without additional funding. No vote or final committee action was taken in the portion provided.
CA

California 2025-2026 Regular Session

Assembly Transportation Committee Apr 13th, 2026

Transcript Highlights:
  • By aligning license suspensions with the time when someone is back on our roads, we create real accountability
  • And so only one was experienced. There is no use of a license while incarcerated.
  • We used the bus, and I towed my little son on the bus, and I had a license but didn't have access to
  • And there are top-level crimes within the vehicular space in terms of taking... day one they can get
  • You have 14 on that. And then moving on to item number seven, AB 1874.
Summary: The Assembly Transportation Committee heard several bills, with most of the discussion focused on AB 2672 (Hart), which would require the California Energy Commission to set parameters for using an existing waiver process to allow non-CARBOB gasoline during fuel supply shocks, with fees used to offset emissions and help fund cleaner vehicles. Supporters said the bill would reduce gas price spikes and provide needed flexibility in emergencies; opponents, including the Western States Petroleum Association and union refinery representatives, argued it would function as a tax, create market uncertainty, and could undermine in-state refining and fuel-system compliance. Members raised concerns about affordability, refinery impacts, and delegation of authority to CARB/CEC, while the author said the bill was intended to be cost-neutral and protect consumers. The committee initially held the bill open and later advanced it on a divided vote. AB 2761 (Petrie-Norris) was heard next and would modernize California crash data reporting by creating a single statewide electronic system for fatal and injury crash reports. The author and AAA supported the measure, saying current paper-based reporting is slow, fragmented, and outdated, delaying safety improvements and federal funding opportunities. There was no registered opposition, and the bill moved forward unanimously to Appropriations. AB 1874 (Wilson) would prevent people convicted of certain serious driving offenses from serving a license suspension while incarcerated, so the suspension would begin when they are actually back on the road. Supporters, including law enforcement and roadway safety groups, said current practice makes suspensions meaningless and weakens accountability for dangerous drivers. Some members questioned whether the bill creates a double penalty, but the author argued the measure is limited to the most serious offenses and ensures the suspension has real public safety effect. The committee approved the bill on a strong vote. The committee also passed its consent calendar bills, and several measures were held open for later vote tallying before the meeting adjourned.
MS

Mississippi 2026 Regular Session

Appropriations - Room 409, 22 January, 2026; 1:30 P.M.

Appropriations

Transcript Highlights:
  • One way we are doing that is by... is a licensed professional engineer in is a licensed professional
  • renewals and completing audits on our licenses.
  • on the licensing um and month just on the licensing um and permitting<01:04:33.039><c> fees.
  • One of those key places is licensing software.
  • And so one of that is to move one of the licensing people to a supervisor position.
MN

Minnesota 2025-2026 Regular Session

Committee on Health and Human Services - Part 2 - 03/24/26

Health and Human Services

Transcript Highlights:
  • We respect the work that is required on the state level as well as on the county level, and we're going
  • c> level,</c> level as well as on the county level, level as well as on the county level, and<01:35:11.920
  • level, on a state level, because whatever's needed on those levels, we are looking to benefit families
  • c><01:41:40.640><c> a</c><01:41:40.680><c> state</c><01:41:41.040><c> level</c> on a county level, on
  • a state level on a county level, on a state level because<01:41:42.040><c> whatever's</c><01:41:42.840
MN

Minnesota 2025-2026 Regular Session

Child Committee Meeting - 2025-04-08

Children and Families Finance and Policy

Transcript Highlights:
  • funding to put federal compliance information on the licensing lookup system.
  • Moving on to Article 6, this is the DCYF Licensing and Certification Policy article.
  • This changes requirements for posting licensing actions on the Licensing Information Lookup public website
  • In other words, why would we implement a law for one sector of licensed caregivers without implementing
  • one final one on Zoom later on.
Bills: HF2436
ID

Idaho 2026 Regular Session

Mar 9th, 2026

Health and Welfare

Transcript Highlights:
  • At the bare minimum, this bill should be revised to have a licensed dentist on the Board of Dentistry
  • At the bare minimum, this bill should be revised to have a licensed dentist on the board of dentistry
  • Could you expound on that? Mr. Giovannini. Yes. So licensing is different from state to state.
  • I'll One of the first things those insurance claims have is your license number. Follow up. Yeah.
  • And on line 10, it says an initial licensing fee of not to exceed $600.
AL

Alabama 2025 Regular Session

Alabama House Apr 1st, 2025

Alabama House Floor Meeting

Transcript Highlights:
  • fee, have one license, um that licensing fee, have one license, um that licensing fee, have one license
  • So middle or junior high level on up. So middle or junior high level on up.
  • of the highest level have probably one of the highest level have probably one of the highest level athletic
  • all grade levels and you know with go on all grade levels and you know with go on all grade levels and
  • So, do we science on different levels. So, do we science on different levels.
Bills: HJR 4 , HJR 6 , HB 195 , HB 13 , HB 143 , HB 135
AR

Arkansas 2026 1st Special Session

ALC-ADMINISTRATIVE RULES Mar 19th, 2026

ALC-ADMINISTRATIVE RULES

Transcript Highlights:
  • Existing ones move them into a Class B license, which expands their opportunity to work and on the sides
  • One is, on the licensing, we passed a law a couple...
  • We worked on that two and a half years and could not get... ...licensing.
  • Well, that should be on their license. All the licenses have their class on them.
  • On item five, it's to clarify the level of financial statements required to obtain an unrestricted license
Summary: The Administrative Rules Subcommittee reviewed several agency rules and most were approved without objection. The Department of Agriculture moved to repeal rules tied to the now-repealed Arkansas Catfish Processors Fair Practice Act. The Department of Human Services updated Medicaid policy to clarify that pregnant women may still be referred to child support enforcement but will not be sanctioned during pregnancy and the 60-day postpartum period, removed the word “forcible” from rape/incest good-cause language, and eliminated a 90-day waiting period for ARKids B when group health coverage ends. DHS also received approval for a CMS cell and gene therapy model for sickle cell disease and a technical Medicaid medication-assisted treatment update that does not change coverage. The Department of Labor and Licensing presented several rules. One created procedures for the department to issue interpretations in local construction plan disputes under Act 591 of 2025. The Contractors Licensing Board and Residential Contractors Committee amended rules to raise the restricted commercial license threshold and light building project limit from $750,000 to $1.5 million, and to allow deferral of owner-complaint investigations while related civil litigation is pending. The HVACR Licensing Board presented broader cleanup and policy changes under Act 746 of 2025, including eliminating the Class C license by moving those holders into Class B, expanding work limits for Class A and B licensees, changing continuing education to eight hours per three-year code cycle, and keeping annual license renewal. Members asked detailed questions about impacts on businesses, training, youth working with parents, and whether any unintended burdens were created; the board said it had notified licensees and had received little pushback. The committee also granted the Department of Inspector General’s request for exclusion from rulemaking reporting for Act 473 of 2025, concluding that the statute was sufficiently detailed and did not require additional rules. In addition, the Arkansas State Library’s report was accepted, with the Department of Education stating that the library’s three existing rules should remain in effect. During the update on outstanding 2023-session rulemaking, Education explained that many delayed rules were held back because they were likely to be amended again in 2025, and members expressed concern about the length of time some rules have remained unfinished. The meeting ended after written 2025 rulemaking updates were noted, with no further action taken.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Aging and Independence May 11th, 2026

Joint Committee on Aging and Independence

Transcript Highlights:
  • Massachusetts currently relies on licensed practical nurses, or LPNs, to administer medication in assisted
  • I submit this formal comment on behalf of the Dutch Park Rest Home and the Oasis of Dutch Park, two licensed
  • on a full-time basis.
  • And that would always come under the licensed staff, the oversight of the licensed staff.
  • I'll take that one.
Summary: The Joint Committee on Aging and Independence heard testimony on Senate 3057/House 5376, a bill to create an Assisted Living Residence Trust Fund and implement recommendations from the Assisted Living Residence Commission. Supporters, including AARP and the state long-term care ombudsman, backed the trust fund for certification staffing, compliance reviews, investigations, ombudsman services, public reporting, and appeals. The assisted living industry, represented by MassALA, supported the affordability task force and certified medication aides, but asked for amendments to expand career paths and to remove or limit fines as a funding source, arguing fines should be capped and tied to health or safety risks. The ombudsman emphasized the need for more staffing and resources, noting the current caseload and travel burden across the state. The committee also took testimony on Senate 3056/House 5243 concerning medication administration in rest homes. Rest home operators, MARCH, and LeadingAge Massachusetts opposed proposed Department of Public Health changes that would replace the long-standing responsible person model with a MAP-based framework or require more licensed nursing staff. They argued the current model has been used for decades, is safe and affordable, and is better suited to rest homes than MAP, which they said was designed for different settings. They urged the committee to preserve responsible person medication administration while improving training and oversight, and several witnesses asked for a task force or substitute language to study best practices rather than impose immediate regulatory changes. Committee members asked questions about the history of the responsible person model, how medication administration works in practice, and whether other states use similar systems. Chair Stanley said the committee was still reviewing building code-related recommendations for assisted living and noted that those issues may require more time. No votes were taken during the hearing, and the committee adjourned after testimony concluded.
MN

Minnesota 2025-2026 Regular Session

Committee on Education Finance - 03/12/25

Education Finance

Transcript Highlights:
  • two three grade students come in one two three grade levels<00:08:22.639><c> behind</c><00:08:23.479
  • funding and one FTE to enable BOSA to begin processing and issuing their licenses.
  • <01:42:52.679><c> on</c><01:42:52.880><c> time</c> licenses on time licenses on time it<01:42:54.560>
  • I hold four teacher licenses: one for English as a second language, one for math, one for current language
  • as</c><01:49:33.679><c> a</c> teacher license one for English as a teacher license one for English as
CA
Transcript Highlights:
  • workforces, as well as some work on the non-licensed side.
  • But does it talk about, is it on how to get licensed, the requirements to get licensed, and then also
  • on how to stay licensed?
  • So DHS is more on the billing side. You're the licensing. Who's more on the enforcement side?
  • So that's one of the benefits of... What do you mean? They're practicing without being licensed?
Summary: The hearing began with a stakeholder presentation from Let California Kids Hear urging coverage of pediatric hearing aids for children in the large group market. Advocates described the issue as a long-running developmental emergency, argued that existing state efforts have been inefficient, and said the new proposal would cover about 70% to 80% of affected children without new spending by redirecting existing dollars. Public commenters, including parents, audiologists, and children’s advocates, strongly supported the proposal and emphasized the need for timely access to sound. The chair thanked the group and noted hope for a future fix, including continued work on the exchange market. The Department of Finance then gave a broad budget warning about the state’s more than $20 billion structural deficit and said new investments must be weighed against out-year shortfalls. HCAI followed with an overview of its programs, including CalRx insulin and naloxone, reproductive health grants, the Office of Health Care Affordability, seismic hospital compliance, workforce programs, and the Data Exchange Framework. Members asked about geographic targeting of workforce funds, behavioral health pipeline programs, the status of the 21st Century Nursing Initiative, and future CalRx products such as EpiPens and GLP-1s. HCAI also described its enforcement approach for health care spending targets, saying the board would not change the targets in response to H.R. 1, and outlined the diaper access initiative, which will distribute diapers through hospitals in higher-need areas. Several HCAI budget items were discussed and held open, including additional expenditure authority, the transfer of the Data Exchange Framework and Office of the Patient Advocate, long-term care payment transparency staffing, and reporting on health care worker waiting periods. The department also presented its Behavioral Health Services Act workforce initiative and a proposed $100 million General Fund offset, which both the LAO and the chair questioned as unclear and potentially one-time in nature. HCAI said the final workforce plan would be adjusted after stakeholder consultation if the offset proceeds. The department also described the Rural Health Transformation Program, saying California received $233.6 million in federal funds, had to revise its proposal to satisfy CMS, and must obligate the money by October 30; the program will fund rural care models, workforce development, and technology, with grants rolled out on a phased basis. The Department of Managed Health Care then presented its budget and three legislative implementation requests: SB 41 on PBM reform, SB 306 on prior authorization transparency, and AB 1041 on provider credentialing timelines. Finally, the administration outlined a menopause care proposal requiring coverage and education for menopause-related services, provider training, and an outreach campaign, with DMHC requesting staffing and funding to implement and enforce the new requirements. Throughout the hearing, most items were held open for later action, and no final votes were taken in the portion provided.