Transcript Highlights:

• This may be a long, expensive, drawn-out process, which may also involve internal local politics.
• Some pro your local official. I believe in good government and I love Harris County.
• It simply allows the local government the ability to regulate them.
• It simply just allows the local government the ability to regulate them.
• It is completely supportive of local control. This legislation is more than a policy fix.

Bills: HB240 , HB2097 , HB2731 , HB3087 , HB3234 , HB3319 , HB3394 , HB3687 , HB4105 , HB4205 , HB4350 , HB4462 , HB4642 , HB4801 , HB5403 , HB240

Committee: House S/C on County & Regional Government

Keywords: quorum, tax levy, county governance, local government, population regulations, quorum requirement, Texas counties, population threshold, deputy sheriff, civil service, law enforcement, appeals process, sheriff's department, HB 2731, roadside vendors, solicitors, county regulation, border counties, Mexico border, Transportation Code

Summary: The subcommittee on county and regional government heard a long agenda of county-related bills, with most measures left pending after testimony. HB 2097, by Rep. Martinez, would let counties that opt in use an independent hearing examiner instead of a civil service commission for certain deputy sheriff discipline appeals; the bill drew support from CLEET’s Robert Leonard, who said it would be fairer and faster, and it was left pending. HB 4642, by Rep. Gonzalez, would require counties that contract with out-of-state jail facilities to include Texas jail-standard protections and oversight; Gonzalez, detainee Jess Hampton, his wife, Texas Jail Project’s Krish Kundu, and TCJS director Brandon Wood all discussed deaths and poor conditions in Louisiana facilities, staffing shortages, and the need for guardrails and data collection. The bill was left pending. The committee also heard HB 4350, by Rep. Capriglione, allowing peace officers to request redaction of personal information from online real property records. Supporters said officers face targeted threats and should have protections similar to judges; a title industry witness warned about preserving the integrity of land records. The bill was left pending. HB 3687, by Rep. Harless, would require county fire marshals in counties over 100,000 to meet training and certification standards within set timeframes; Harris County Fire Marshal Laurie Christensen supported professionalization, and the bill was left pending. HB 4105 would let very large counties give a local-bid preference for construction and infrastructure contracts, and HB 4205 would require pay parity for similar law enforcement ranks within large counties; both were supported by Harris County officials and constables and left pending. Later, the committee heard HB 5403, which would repeal a special rule limiting Dallas and Tarrant county sheriffs’ control over commissary funds; the author said it would remove an outdated population bracket, and the bill was left pending. HB 4462 would require large counties to allow elected officials named in civil suits to seek outside counsel and have a role in settlement decisions; supporters argued county attorneys and commissioners court can have conflicts of interest, while questions focused on who qualifies and whether the bill could complicate settlements. The bill was left pending. Finally, HB 240, by Rep. Swanson, would restore a five-member quorum requirement for Harris County tax levies, effectively preventing tax action without all commissioners present and defaulting to the no-new-revenue rate if quorum is not met; urban counties opposed it as a potential budget obstruction, while supporters said it protects taxpayers and representation. That bill was also left pending. The transcript ends as the committee begins HB 3319, which would create a civil service system for constable department employees in large counties, but the discussion is cut off before testimony or action.

Transcript Highlights:

• thing started with me specifically related to the obscene materials that I found in schools in my local
• I think law enforcement isn't going to approach anyone. or at least that's been our experience locally
• This is a cleanup bill for what has It's been characterized as creepy code out in the local areas.
• TDIM who has stated that they can then share with local emergency management.
• And we heard from the utility company via the local media that they didn't know where that community

Bills: HB14 , HB 106 , HB146 , HB267 , HB274 , HB 1127 , HB1359 , HB1393 , HB1584 , HB1640 , HB1710 , HB2152 , HCR101 , HJR8 , HR51

Committee: House State Affairs

Keywords: nuclear energy, advanced reactors, energy security, grant programs, Texas Advanced Nuclear Energy Office, HB 106, oil and gas, Railroad Commission of Texas, overhead electrical lines, electrical distribution system, power line maintenance, administrative penalty, Natural Resources Code, oil and gas lease, well operator, energy safety, utility infrastructure, regulatory compliance, cleanup fund, oil and gas regulation and cleanup fund

Transcript Highlights:

• Now, move on to local bills. Secretary, call the first local bill. >> Page 38 of the calendar.
• in their local bill.
• </c> their local bill. their local bill.
• >> Uh, Senator, is this a local bill? >> Yes, sir. >> How many local bills do we have?
• </c> these local bills. these local bills. &gt;&gt; Yes,<04:23:51.120><c> sir.

Summary: The Senate first recognized the Montgomery Academy boys basketball team for winning the 2026 Class 3A state championship, their second straight title. Senator Barfoot introduced the team and read a resolution commending the players, coaches, and school community for the 66-39 win over Southside Selma, noting standout performances by Braden Gordon, Mason Ellis, and Jarrett Friendley. Coach Jeremy Aant and school head John Williams thanked the Senate and emphasized the team’s selflessness, teamwork, academic standards, service, and leadership development. The Senate applauded the team, added all senators to the resolution, and arranged for a picture and challenge coins for the players. After the recognition, the Senate came to order, established a quorum, excused absent senators, and adopted the previous day’s journal. Committee reports followed. The Committee on State Government Affairs reported House Bill 541 favorably with one amendment; the bill would create the Safeguard Alabama Voter Engagement Act, requiring party registration for primary voting, restricting crossover voting, retaining voter history as a public record, revising voter registration forms, and requiring parties to publish candidate qualifications. The bill was ordered to a second reading and placed on the calendar. The Committee on Local Legislation reported House Bills 630, 631, and 632 favorably, all relating to Etowah County, including changes to tax exemptions and personnel board membership. These bills were also sent to second reading and the calendar. The Senate then took up Senate Joint Resolution 117, commending Dylan Nut for winning the 2026 Bass Pro Shops Bassmaster Classic, and added all members as co-sponsors. During discussion, one senator used the opportunity to speak at length about a separate concern involving alleged unlicensed real estate solicitation and the need for legislation to protect citizens from property-related scams; he also discussed the calendar process and other bills. The floor later included extended informal remarks about fishing and a separate discussion of a proposal to designate Miss America as an official state ambassador, with support expressed for a possible stipend amendment.

Transcript Highlights:

• governments to be involved. local government.
• I rise to present AB 957, tobacco-free pharmacies.
• AB 1503 is the sunset bill for the California State Board of Pharmacy.
• agencies in local responsibility areas.
• AB 996 addresses local coastal programs.

Summary: The Assembly met on May 23, 2025, established a quorum after a roll call, and proceeded through a long House of Origin floor session with prayers, the Pledge of Allegiance, and routine parliamentary actions. Early in the day, a motion by Assembly Member Gallagher to suspend the rules and take up AB 12 immediately failed on a 18-39 vote. The chamber then moved through the daily file, with many measures passing by wide margins, often with bipartisan support and little or no opposition. Among the notable bills discussed were measures on law enforcement oversight and records access (AB 847), CalFresh data-sharing exemptions (AB 593), campus-area housing for students and staff (AB 893), insurance and wildfire hardening updates (AB 1), missing middle housing code changes (AB 6), tribal peace officer status in a pilot program (AB 31), utility bill analysis before new mandates (AB 61), fairgrounds funding (AB 258), Diwali as a state holiday (AB 268), labor and worker organizing rights (AB 288), algorithmic price-fixing and antitrust enforcement (AB 325), elections and jail voter information (AB 331), protections for judges and court personnel (AB 343 and AB 352), school construction procurement (AB 361), school-zone speed limits (AB 382), transit worker protections (AB 394), blue carbon coastal mitigation (AB 399), K-9 standards for law enforcement (AB 400), livestock carcass composting (AB 411), translation of housing materials (AB 413), immigrant educational rights notices (AB 419), gun violence restraining order implementation (AB 451), special education and child care measures (AB 560 and AB 563), cannabis tax relief (AB 564), and disability access protections for businesses (AB 649). Several bills addressed housing, energy, public health, and public safety, and many authors emphasized affordability, transparency, and administrative efficiency. The session also included several ceremonial or recognition items, including ACR 73 declaring Italian American Heritage Month, which was adopted by voice vote after 65 coauthors were added. Most measures were approved overwhelmingly, though a few drew some dissent, including AB 421? no—AB 399 passed 42-30, AB 450 passed 49-6, AB 461 passed 49-8, and AB 621 passed 58-0. The transcript ends partway through AB 772, which was introduced as an educational equity bill addressing cyberbullying after school hours, but the remainder of that item is not included in the provided text.

Transcript Highlights:

• A few years after graduating in 1960, Jim made his way to Richmond and opened McMillan's Pharmacy.
• The establishment became an important community institution as residents relied on the pharmacy not just
• Eduardo Martinez expressed that Jim was, quote, a pillar of our community whose institutions as a local

Transcript Highlights:

• Jordan has asked this committee to consider House Bill 469, which would, upon renewal, require a pharmacy
• My sons, hopefully, hopefully soon, fiancé, just graduated a couple of weeks ago from pharmacy school
• Is there anyone here from the University of Monroe, from the pharmacy school, or from the university
• In other words, the local and state funds, the insertion of the words 'such' on lines 11 and 14 before
• They're extremely lobbyists to push template legislation across the country that preempts local control

Bills: SB237

Committee: Senate Health and Welfare

Summary: The Senate Committee on Health and Welfare met on May 20, 2026, with eight members present and approved the May 13 minutes. The committee quickly reported several bills favorably, including SB 1224, which requires DCFS review when a pregnancy involves a child under 17 and makes children under 12 a child in need of care; SB 1100, which repeals an old statute on unenriched bread; HB 1220, a continuation of prior work to codify certain provisions related to the Louisiana State Board of Medical Examiners; HB 1231, clarifying that continuous glucose monitoring is covered through Medicaid for any insulin-dependent diabetic, including gestational diabetes; and HB 198, setting reimbursement rates for ambulatory surgery centers for certain Medicaid procedures. The committee also adopted a personal privilege welcome for physicians on White Coat Day and repeatedly noted that several bills were being advanced with the understanding that further work might continue before floor debate. A major portion of the meeting focused on HB 1160, which would create a streamlined restricted license pathway for qualified international medical school graduates, especially for rural and shortage areas. Committee members pressed the Board of Medical Examiners about delays in promulgating rules under an earlier 2024 law and objected to rule language they said went beyond the statute. Board representatives acknowledged a misunderstanding about the original bill’s intent and said the program had been operating, but members warned against agencies writing rules that contradict enacted law. Despite the criticism, HB 1160 was reported favorably. The committee also reported favorably HCR 67, which creates a task force to study gaps in acute care for special-needs adults and children, following emotional testimony from the sponsor about her son’s death and the lack of appropriate care options. The committee then approved HCR 27, calling for a coordinated statewide evaluation of autism services by the Department of Health and Department of Education, with testimony emphasizing rising diagnosis rates, rural provider shortages, and the need for better data and coordination between medical and school-based services. HCR 28, which would study school nurse orientation and training, was also reported favorably after school nurses described the lack of standardized onboarding for new graduates and the risks of placing them alone in schools without adequate supervision. HB 469, which would have allowed pharmacy license renewal fees to be directed to Xavier University’s pharmacy school as well as public schools, was deferred after concerns about diverting funds from public institutions and the absence of testimony from affected schools. The committee also took up HB 223, which recreates DCFS, and adopted an amendment shortening the sunset date and requiring law enforcement reports to be accepted through a secure web-based platform; the bill was then reported favorably as amended. Another major discussion centered on HB 457 and HB 616, both tied to homelessness. HB 457, establishing minimum standards for shelters and related facilities, was reported favorably as amended after sponsor testimony and support cards. HB 616, which would allow the legislative auditor and local officials access to records and databases for audits of homelessness initiatives, drew extensive debate over privacy, federal funding, and accountability. Supporters cited a 2025 audit showing more than $216 million in federal homelessness spending in New Orleans and argued that auditors need access to performance data to detect waste and abuse; opponents warned about client privacy and the impact of funding cutoffs. The committee adopted an amendment changing permissive language to mandatory language for enforcement and then continued hearing testimony, with the discussion still centered on balancing oversight with confidentiality.

Transcript Highlights:

• these—as you know, gambling is increasing all across the state in all different types of forms, from a local
• State on all different types of forms, from a local form to internet gambling.
• Each year the state police crime lab and the Board of Pharmacy collaborate to identify the changes needed
• Executive Director of Louisiana Board of Pharmacy and Katie Galley with the Louisiana State Police Crime
• The change gives churches, schools, veterans groups, and other local nonprofits more flexibility in their

Committee: House Administration of Criminal Justice

Summary: The Criminal Justice Committee met on March 24, 2026, and heard a series of bills, with members generally expressing support for measures aimed at public safety, corrections, and criminal procedure. The committee first amended and reported HB 957, which removes the 72-hour advance notice requirement for sheriffs transferring prisoners, while adding notice to the prosecuting authority as well as the court. Testimony from the Louisiana Sheriffs Association said the change would help with overcrowding and security-related inmate moves, and the bill was reported favorably as amended. The committee then heard HB 106, which prohibits giving children non-prescription melatonin without parental consent. After debate over whether consent should be written, the committee rejected an amendment requiring prior written consent, but adopted a broader amendment making the bill apply to any person rather than only child care centers. Testimony from Gretna Police Chief Brett Lawson described a case involving a nanny and a one-year-old child, and child care representatives said licensed centers already require parental consent forms. HB 106 was reported favorably as amended. The committee also reported HB 111, which adds associate’s degrees to the existing sentence-reduction credits for incarcerated people who complete higher education programs; DOC said the programs are accredited and monitored, and supporters framed the bill as part of workforce reentry. Several other bills were advanced. HB 64 clarifies that judges may recall arrest warrants and requires notice to law enforcement when a warrant is recalled; former Rep. Joe Marino testified in support, describing problems with old or mistaken warrants remaining active. HB 53 adds certain gambling offenses as predicate acts under Louisiana’s racketeering law, with the Attorney General’s office citing illegal gambling operations and prison-based gambling rings. HB 152 updates the state controlled dangerous substances schedules to match federal changes, adding 13 opioids. HB 102 creates second-degree cruelty to elderly persons and persons with infirmities, with amendments adding the offense as a predicate felony and refining the penalty and affirmative-defense language; the bill drew emotional testimony from advocates and family members describing abuse and neglect of vulnerable adults, and it was reported favorably as amended. The committee also reported HB 137, which strengthens penalties for threats against schools and adds a civil cost component for false threats; the Speaker Pro Tem said the bill is meant to deter school threats and reduce disruption and emergency response costs. HB 57 was reported favorably to clarify that courts may consider criminal histories in ex parte temporary restraining order proceedings. HB 337 increases from two to four the number of special charitable bingo events allowed each year for licensed nonprofits. Finally, HB 100 was substantially amended so that driving 100 mph or more is treated as reckless operation rather than a new felony speeding offense, and HB 155 expands the prohibition on unlawful drone use to additional Capitol grounds locations; both were reported favorably as amended. The committee adjourned after reporting all measures favorably, with several bills supported by law enforcement, prosecutors, and advocacy groups and a few receiving limited opposition or informational cards.

Transcript Highlights:

• We have lower utilization of fee-for-service pharmacy benefits and inpatient services.
• Okay, issue number three is the November 2025 Family Health Local Assistance Estimate.
• You have to submit through your local social worker and contact them. I'm sorry.
• You have to submit through your local social worker and contact them.
• We're doing all we can locally. We have passed a local sales tax measure.

Transcript Highlights:

• Permitting and rezoning processes, special use requirements, local fees, And local zoning requirements
• Does it supersede local zoning ordinances?
• No, states local control. States local control. Madam Chair, Senator, tell me again.
• How this stays local control, Madam Chair, Senator. It does not. remove local control completely.
• I am the County Chapter Vice President of Local 244.

Bills: SB20 , SB53 , SB86 , SB96 , SB129

Committee: Senate Senate Health & Public Affairs

Keywords: prior authorization, pharmacy benefits manager, PBM, health insurer, prescription drugs, step therapy, formulary, auto-adjudication, electronic portal, appeals, medical necessity, serious mental illness, mental health, schizophrenia, bipolar disorder, major depression, substance use disorder, addiction treatment, cancer, autoimmune disorder

Transcript Highlights:

• We have Ken Nayan, who is a senior, and after graduating plans to attend UNM to study pharmacy.
• We also have Ingrid Vann, who is a senior, and after graduating plans to attend UNM to study pharmacy
• We also have Ingrid Van, who is... ...to attend UNM to study pharmacy.
• I'm one of your local... Thank you, Madam President.
• I'm one of your local legislators, and I just so appreciate the work La Semilla does.

Transcript Highlights:

• What began as a local effort to mentor young men has grown into a national program serving more than
• It creates incentives for local jurisdictions to waive development impact fees on affordable housing
• Local governments and community organizations are being asked to do more with less while the demands
• They affect our workforce, our local economies, and our long-term prosperity.
• Fran has been more than just an active member of the local community.

Summary: The Senate session opened with a roll call, prayer, and Pledge of Allegiance, then moved through a long series of floor recognitions and votes. Members spent substantial time honoring the Los Angeles Dodgers, celebrating their back-to-back World Series championship and highlighting the team’s history, community role, and connections to Jackie Robinson, Fernando Valenzuela, Vin Scully, and Jaime Jarrín. Senators also recognized summer interns and welcomed members of Kappa Alpha Psi’s Kappa League and Guide Right program to the floor. The chamber then took up several measures, beginning with AB 182 on ballot order and proposition numbering for the 2026 statewide ballot, which passed 38-8 after debate over whether placing legislatively referred measures first was fair. SR 113, commemorating the International Day of Peace and honoring Dr. Yongshik Cho’s role in proposing it, passed unanimously after supportive remarks about peace, education, and California’s diversity. The Senate also adopted SJR 16 urging Congress to restore commercial driver’s licenses for affected California truck drivers, and SCR 185 designating Probation Services Week. A major portion of the meeting was devoted to budget trailer bills. The Senate concurred in Assembly amendments to AB 112, AB 150, AB 152, AB 181, and AB 179, covering Medi-Cal, child care, human services, education governance, and housing. It also passed or concurred in SB 168, SB 169, SB 170, SB 171, SB 172, SB 174, SB 177, and SB 180, addressing public resources and energy, transportation, executive branch reorganization, labor, state government, courts, Medi-Cal financing, and taxation. Several of these drew opposition centered on energy costs, transparency, business impacts, or the proposed “fair share” approach to Medi-Cal costs for large corporations, but most measures passed on party-line or near-party-line votes. The Senate also confirmed three California Horse Racing Board appointments and ended with adjournment motions, including a request to adjourn in memory of Francis Lydia Limos of American Canyon.

Transcript Highlights:

• You can also visit a local office or one of those community partner sites.
• Thank you. 17 is an example of some of the misconduct we've seen in the pharmacy area.
• These are our pharmacy Inventory investigations, examples of this include situations where the pharmacy
• , um, non, an entity that is either a local governmental entity or a non nonprofit entity to provide
• of services within their local community so that kids can stay close to home.

Committee: House Human Services

Transcript Highlights:

• This is for pharmacy benefits management services.
• and continuation of the lab's information management system. 78, Department of Health Healthcare Pharmacy
• This is for pharmacy medication services for the Y and White program. 79, Department of Health with Service
• I think it was in in-state contracts, a local contract there at Tucker.
• Local contract there at Tucker was a seven-year contract.

Committee: All ALC-REVIEW

Summary: The committee met to review a supplemental agenda item, procurement rule revisions, methods of finance, discretionary grants, contracts, reports, and a member disclosure. The supplemental agenda was accepted, and the Office of State Procurement’s rule revisions were approved after Jessica Patterson explained they were driven by 2025 legislative changes, including Act 782, CASO Consulting recommendations, and updates to sole source, bid, protest, and debarment provisions. The methods of finance and discretionary grants were also approved, covering a range of university capital projects, health and human services grants, historic preservation awards, and tobacco prevention and cessation programs. The committee then reviewed RFQs and six ratifications. The ratifications included a Workforce Connections payment to ACT WorkKeys for services provided during a contract gap, a Department of Health ratification for water-leak repairs, a large Department of Public Safety ratification for Motorola’s Arkansas Wireless Information Network upgrade, a Veterans Affairs HVAC ratification, an ADFA medical services ratification, and a UA Little Rock painting contract ratification. Members questioned the Public Safety ratification at length about why the expired Motorola contract was not caught sooner and why it took months after discovery to come forward; agency officials said the work was tied to bond funding and was not tracked in ASIS, and the chair urged agencies to develop better monitoring procedures. The committee approved a large slate of construction, intergovernmental, out-of-state, and in-state contracts, including many recurring service agreements for DHS, higher education institutions, corrections, health agencies, and state support functions. Several members asked about specific contracts, including aerial application services for correctional farms and a Southern Arkansas University custodial contract, and staff or agency representatives provided brief explanations. The meeting concluded with review of reports and approval of a member disclosure involving Representative Andrew Collins’ investment interest in a company leasing property to Arkansas Rehabilitation Services.

Transcript Highlights:

• Because aging touches every sector, the AARP Idaho team is working across federal, state, and local levels
• through advocacy, community partnerships, public outreach, and volunteer engagement, and actionable local
• That can be through a pharmacy lock-in, so you can only fill your prescriptions at one... ...pharmacy
• You can't fill them at 10 pharmacies, or we're doing some more intense case or care management to ensure

Committee: Senate Health and Welfare

Transcript Highlights:

• Tammany, you all had a vote locally to try to increase the DAs...
• You all had a vote locally to try to increase the DAs, and it didn't happen? Rep.
• We're going to work on language that would make sure that our local governments are taken care of.
• House Bill 1236 by Representative DeWitt provides relative to pharmacy benefit managers and pharmacy
• Senate Bill 387 by Senator Bass provides relative to pharmacy benefit managers.

Bills: HR310 , HR314 , HR316 , HR317 , HR321 , HR275 , HR276 , HR279 , HR282 , HR286 , HR289 , HR292 , HR295 , HR302 , HR319 , HCR112 , HR307 , SCR59 , SCR61 , SCR62 , SCR68 , SCR69 , SCR70 , SCR54 , SCR55 , SCR64 , SCR75 , HCR79 , HCR104 , HB75 , HB410 , HB719 , HB750 , HB944 , HB1098 , HB1220 , HB1252 , HB359 , HB210 , HB468 , HB1117 , SB382 , HB368 , HB552 , HB732 , HB870 , HB1236 , SB29 , SB42 , SB43 , SB149 , SB208 , SB274 , SB300 , SB312 , SB387 , SB389 , SB401 , HR74 , HB998 , HB901 , HR20 , HCR65 , HCR71 , HCR98 , HB284 , HB306 , HB341 , HB366 , HB393 , HB458 , HB577 , HB603 , HB605 , HB614 , HB625 , HB646 , HB733 , HB752 , HB773 , HB798 , HB911 , HB955 , HB996 , HB1035 , HB1069 , HB1113 , HB1140 , HB1180 , HB1191 , HB1240 , HB1255 , SB82 , SB89 , SB97 , SB123 , SB237 , HB36 , HB42 , HB74 , HB119 , HB159 , HB258 , HB259 , HB302 , HB414 , HB459 , HB848 , HB956 , HB1017 , HB1028 , HB1095 , SB217 , SB283 , SB469

Keywords: oil and gas, orphan wells, inactive wells, shut-in wells, marginal wells, plugging and abandonment, well decommissioning, site remediation, site restoration, Oilfield Site Restoration, OSR program, financial security, bonding, taxpayer liability, public liability, offshore wells, onshore wells, coastal erosion, Department of Conservation and Energy, natural resources

Transcript Highlights:

• When we get to the next two items on the local assistance and family health estimates, I'll go through
• We have lower utilization of fee-for-service pharmacy benefits and inpatient services.
• Okay, issue number three is the November 2025 Family Health Local Assistance Estimate.
• You have to submit through your local social worker and contact them. I'm sorry.
• We're doing all we can locally. We have passed a local sales tax measure.

Summary: The subcommittee heard a lengthy Department of Health Care Services presentation on the governor’s Medi-Cal budget, including a $229.1 billion total-funds proposal, projected Medi-Cal enrollment declines as redeterminations continue, and several major cost drivers such as managed care growth, Medicare-related costs, pharmacy spending, and changes tied to federal policy. Members focused heavily on the elimination of Prop. 56 dental supplemental payments beginning July 1, 2026, questioning the likely impact on provider participation and utilization. DHCS said it is completing the required rate reduction/access analysis for CMS, has been holding stakeholder meetings and issuing provider bulletins, but could not yet quantify the real-world effect. The committee also discussed a $50 million savings proposal tied to new hospice utilization management authority and asked about possible effects on emergency dental care and provider participation. The hearing then moved through the November 2025 family health estimate and several county and program administration issues, including CCS, GHPP, and Every Woman Counts. DHCS said family health costs are rising despite slight caseload declines because of higher utilization and medical costs, and members raised concerns about CCS website accessibility, county administrative funding, and the transition of youth aging out of CCS. The department said most CCS beneficiaries are also on Medi-Cal, that counties have long raised funding concerns, and that it had clarified use of maintenance-and-operations dollars to address some county workload issues. Members also asked about Every Woman Counts potentially seeing higher demand as Medi-Cal changes take effect; DHCS said that is possible and that the program has multiple funding sources including General Fund. A major portion of the hearing focused on provider taxes and federal changes under H.R. 1, especially the Medi-Cal managed care organization tax and the hospital quality assurance fee. DHCS explained that H.R. 1 restricts new or increased health care-related taxes, phases down allowable tax levels over time, and tightens “generally redistributive” rules, which could sharply reduce the state’s ability to use the MCO tax for Medi-Cal financing. Members asked whether the Legislature could amend Prop. 35 or whether voters would need to act; DHCS said a three-fourths legislative amendment may be possible if it aligns with the measure’s purpose, but the department is still evaluating options. The committee also discussed hospital financing, with DHCS describing recent increases in state-directed payments and the effect of H.R. 1 in capping those payments at Medicare levels, and the LAO noting the tradeoff between preserving provider taxes and maintaining Medi-Cal funding. The subcommittee also reviewed a series of DHCS budget change proposals and trailer bill items, including managed care final-rule implementation, managed care operations, a hospital value strategy, a one-year extension of skilled nursing facility financing, long-term care payment transparency, and interoperability/prior authorization requirements. Members repeatedly questioned the use of limited-term versus permanent positions, the overlap among proposals, and the timing of new financing reforms. DHCS said the SNF extension would preserve current workforce standards, sanctions, growth limits, and the SNF quality assurance fee while the department develops a broader 2027-28 redesign. No votes were taken; items were repeatedly held open for later action. Covered California then presented on the expiration of the federal enhanced premium tax credit and the resulting affordability crisis. The agency said Californians will lose about $2.5 billion in premium assistance for 2026, average premiums could nearly double for many enrollees, and as many as 400,000 people could eventually leave marketplace coverage. Open enrollment ended with 1.9 million sign-ups, down 3% from the prior year, with especially steep declines among middle-income consumers and increased movement into bronze plans. Covered California said the state’s $190 million affordability subsidy is helping lower-income enrollees retain coverage, but cannot fully replace the lost federal assistance. Members also asked about the Health Care Affordability Reserve Fund, repayment of loans from that fund, the status of federal review of California’s essential health benefits benchmark, and implementation of the new gender-affirming care benefit under AB 144.

Transcript Highlights:

• for pharmacy licenses and registrations.
• That's the practice of pharmacy, so it references... ...these are included in the practice of pharmacy
• ,</c><01:02:43.840><c> um</c> practice of pharmacy, um practice of pharmacy, um including<01:02:45.600
• </c> practice of pharmacy. practice of pharmacy.
• </c> included in the practice of pharmacy. included in the practice of pharmacy.

Committee: Senate Health and Human Services

Transcript Highlights:

• It requires the executive branch and any local entity receiving funding pursuant to these sections to
• **$17 million** from the enhanced fleet modernization sub-account to provide additional funding to local
• We're seeing higher than expected pharmacy costs, we're seeing higher enrollment, particularly among
• So, technically, this is a good problem to have because we are making sure that local communities are
• And then, as my colleague mentioned, also additional pharmacy costs, which could be quite volatile.

Committee: House Budget

Transcript Highlights:

• </c><01:03:55.359><c> government's</c> really restrict our local government's really restrict our local
• ><01:05:16.720><c> our</c> think about what we're doing to our think about what we're doing to our local
• governments, what we're doing to local governments, what we're doing to our<01:05:18.480><c> property
• To aid the project costs, the city is requesting the option to impose a variety of special local sales
• </c><01:08:11.280><c> sales</c> impose a variety of special local sales impose a variety of special local

Bills: HR1 , HF387

Committee: House Taxes

Keywords: January 6 insurrection, pardon, law enforcement, violent crimes, public safety, justice system, political accountability, Blaine, local sales tax, special tax, restaurant tax, lodging tax, admissions tax, amusement tax, hotel tax, redevelopment, capital improvements, municipal finance, bonding authority, tourism tax

Bills: HR1 , HF387

Committee: Senate Taxes

Keywords: January 6 insurrection, pardon, law enforcement, violent crimes, public safety, justice system, political accountability, Blaine, local sales tax, special tax, restaurant tax, lodging tax, admissions tax, amusement tax, hotel tax, redevelopment, capital improvements, municipal finance, bonding authority, tourism tax