Transcript Highlights:

• We don't have a budget yet.
• the budget done.
• the budget done.
• That's what the budget should... ...be to me, and then these other gimmicks in the budget we need to
• But it takes 31, 16, and 1 to do a budget, and we will have a budget, and we will have those votes are

Committee: House House Appropriations Committee of Reference

Summary: The committee first heard HB 2584, which would prohibit public monies from being used for genetic sequencing procedures involving devices made by companies owned or substantially controlled by entities domiciled in a foreign adversary. The sponsor said the bill is intended to protect genetic data from being sold or used against the United States. There was no public testimony, and the committee approved the bill on a 13-5 vote for a do pass recommendation. The committee then took up HB 2804, which creates a rural development and housing tax credit capped at $2 million per year and tied to federal low-income housing tax credit projects in counties under 800,000 population. Supporters, including the sponsor, the Flagstaff mayor, and housing investors/developers, argued it would leverage private capital to address rural affordable housing shortages, especially for seniors, veterans, and low-income residents. Opponents, including the Arizona Free Enterprise Club, argued state LIHTC programs are inefficient, costly, hard to oversee, and can add complexity and higher per-unit costs. The bill passed 13-4 with one not voting. HB 2388, as amended, appropriates $100,000 for the Arizona Commerce Authority to study the economic benefits of small modular reactors and data centers, with a report due June 30, 2027. Supporters said the study would help Arizona plan for energy demand and data center growth, while opponents argued the agency should use existing funds instead of a new appropriation. The committee adopted the amendment and then approved the bill 10-7 with one not voting. The committee also received a presentation from the Auditor General on county treasurer procedural reviews, including the response to the Santa Cruz County treasurer embezzlement case and the office’s ramp-up plan for reviews and staffing. Later, the committee approved HB 2352, which appropriates $2,385,900 in FY2029 to make the Auditor General’s county treasurer review funding ongoing. Members supporting the bill said the office needs certainty to plan audits and retain staff, while opponents objected to funding it so far in advance during budget uncertainty. The bill passed 11-7. The committee also approved HB 2418, as amended, which directs $600,000 to be evenly distributed among five county sheriff task forces in Cochise, Coconino, Navajo, Pinal, and Yuma counties; supporters said it codifies the long-standing distribution practice, and it passed 17-1. Finally, the committee heard HB 2499, which would provide $2.6 million and 12 FTEs to the Department of Education for ESA administration; supporters argued the program’s rapid growth requires more staff for enrollment, reviews, and accountability, while members questioned the lack of standardized testing data and how to measure student outcomes. The transcript ends during that discussion, before a final vote on HB 2499.

Transcript Highlights:

• Has this kind of anomalous six-month cap made it hard to budget?
• I don't know that it has made it hard to budget.
• I don't know that it has made it hard to budget. I think at this.
• I don't know that it has made it hard to budget.
• The board currently oversees a budget of over $3 million and has five months in reserve.

Summary: The joint Assembly and Senate business committees held a sunset review hearing for five California regulatory entities: the Respiratory Care Board, the California Council for Interior Design Certification, the Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board, the Board of Occupational Therapy, and the Board of Naturopathic Medicine. Each board or council described its licensing, enforcement, modernization, and consumer-protection work since the last review, and committee members focused on workforce access, transparency, fee authority, and whether current regulatory structures are appropriately tailored to public safety. For the Respiratory Care Board, the main issue was a proposal to move toward a bachelor’s degree requirement for licensure. Board representatives said the change would better align education with the complexity of care and could help the profession’s long-term status and reimbursement prospects, but Assembly Member Addis and others raised concerns about rural access, staffing shortages, and added barriers to entry. Public commenters, including respiratory therapists, families, and congregate living health facility operators, strongly opposed the degree mandate and urged continued use of LVNs for certain respiratory tasks in community settings. The board also discussed its ongoing work on LVN respiratory care issues, updated suctioning guidance, digitized licensing and enforcement systems, and fee cleanup language. The interior design item drew the most debate. CCIDC leaders defended the current title-act certification model, arguing it establishes competency without evidence of public harm and avoids the disruption a full licensure system could cause. Several committee members questioned the lack of enforcement authority, the private nonprofit structure, Bagley-Keene compliance, and whether certification meaningfully improves plan acceptance or public safety. Public testimony was split: supporters said the system works and preserves flexibility, while opponents argued the model lacks accountability, creates confusion, and does not reliably prevent plan-check denials or protect the public. The speech-language pathology/audiology board reported major modernization gains, including a new online licensure system, faster processing, continuing education audits, and updated supervision and advertising rules; it also received support for creating a new audiology assistant license category, while a consumer group urged more public members, proactive inspections, and faster discipline. The occupational therapy board reported growth, improved enforcement and licensing performance, and a need for additional fee authority to address rising costs, while public testimony supported reducing advanced practice hand therapy training hours. The final naturopathic medicine item began at the end of the transcript, but no substantive discussion was captured before the excerpt ended.

Transcript Highlights:

• </c> we're going to do some prison oversight we're going to do some prison oversight for<00:20:59.360
• Now, we haven't cut their budget. The budget is the same that came over from the governor's budget.
• really read the budget.
• Sometimes we'll be more budget.
• for next budget cycle.

Summary: The Senate convened with prayer, the pledge, and a roll call establishing a quorum. It adopted motions to excuse absent senators, dispense with reading the prior journal, and allow bills and committee reports to be taken up throughout the day. The chamber received multiple House messages and a gubernatorial confirmation, including House Bill 1 on motor vehicles, Senate Bill 170 on health insurance, and Senate confirmation 90 for Chenica Johnson Anom to the Alabama Cickle Cell Oversight and Regulatory Commission, all of which were referred to the appropriate committees. The Senate later concurred in the House amendment to Senate Bill 170 by a 29-0-1 vote. Committee reports covered a wide range of measures, with favorable reports and, in several cases, amendments or substitutes. Judiciary reported favorably on House Bills 228, 132, 347, 405, 86, 263, and 302, and on Senate Bills 318 and 260; State Government Affairs reported favorably on House Bills 435, 97, and 407 and Senate Bill 361; Education Policy reported favorably on Senate Bills 337 and House Bills 520 and 75; Fiscal Responsibility and Economic Development reported favorably on House Bills 303 and 477 and Senate Bills 360, 325, 329, and 330; Transportation and Energy reported favorably on Senate Bills 341, 354, and 340; Veterans and Military Affairs reported favorably on House Bills 465 and 307 and Senate Bills 338 and 359; and Local Legislation reported favorably on Jefferson County Senate Bill 243 and Shelby County House Bill 532. These reports generally advanced the bills to second reading and placement on the next legislative day’s calendar. The Senate also confirmed George Pierce to the Alabama Ethics Commission by a 33-0 vote after a favorable committee report, with several senators offering brief remarks of congratulations. In motions and resolutions, the chamber adopted Senate Joint Resolution 77 honoring the Section boys basketball team and Senate Joint Resolution 78 honoring the North Sand Mountain girls basketball team for state championships. It also adopted Senate Joint Resolution 79 establishing a legislative study commission on child sexual abuse laws and policies. A senator additionally urged colleagues to support broadband expansion efforts in rural Alabama and to ask the education chair to place HB 4 on the agenda. The most substantial floor discussion concerned Senate Bill 146, the state general fund budget substitute. The sponsor explained several budget provisions, including a $12 million transfer and an additional $5 million for the judiciary to address funding for newly created judgeships, a conditional $40 million for the Department of Corrections tied to progress on the Elmore and Escambia prison projects, conditional funding for DHR tied to reducing its federal error rate and developing a SNAP-related plan, conditional mental health funding tied to reporting and data requirements, and language preserving legislative control over certain federal rural health care funds. The Senate adopted the committee substitute for SB 146 by a 32-0-1 vote and then continued with the budget explanation as the transcript ended.

Transcript Highlights:

• </c> on the budget. on the budget.
• This is just a budget question. So, we had a budget entity that it was Ice Miller.
• So, we had a budget<00:26:39.080><c> entity</c> budget entity budget entity that<00:26:41.080><c> it<
• It also altered the oversight of COT. We were notwithstanding COT oversight.
• </c> policy oversight as they always have. policy oversight as they always have.

Summary: The Information Technology Oversight Committee met, approved the January 12, 2026 minutes, and then heard testimony from KCNA Chair David Couch, KCNA Director Jim Barnhart, and KCNA General Counsel Adam Adkins about the ongoing dispute involving KCNA, Excelacom, and the implementation of House Bill 314. Couch said the board and vendor had recently shown some willingness to work toward a settlement, and he emphasized the importance of KCNA’s broadband service to K-12 schools, noting that litigation had already cost about $1.4 million and could cost another $1.4 million if it continued. He also said the board had identified five immediate goals, including reconnecting 38 K-12 sites, de-escalating disputes, better understanding KCNA finances, protecting the state’s bonding rating, and examining whether duplicate networking hardware could be consolidated. A major portion of the discussion focused on whether House Bill 314 changed KCNA’s authority and how much control the Finance and Administration Cabinet and KCNA’s legal counsel have over operations and contracts. Senator Williams argued that the board now has authority to set policy, implement policy, and approve budgets, and questioned why the cabinet appeared to be exercising operational control. Adkins responded that HB 314 changed the reporting chain from the general government cabinet to the finance cabinet but did not alter the board’s authority, and said budget work on the Ice Miller contract predated HB 314. Couch and other members disputed that interpretation, saying the board had not been properly informed about a recent extension or increase in legal spending and that the board’s directives were not being followed. Representative Hodgson asked why the board could not terminate a contractor if it was not carrying out the board’s wishes, and Adkins replied that Ice Miller was not a party to the board’s contract and that the Finance and Administration Cabinet signs such agreements. The exchange ended with committee members and KCNA representatives agreeing to disagree on the meaning of the statute and the extent of board authority. No formal action was taken beyond approving the minutes and receiving testimony.

Transcript Highlights:

• So, this is not the discretionary funding budget line item that we see on the portal.
• the fiscal impact says that the measure's not expected to have a direct fiscal impact on the state budget
• It doesn't change ODOT's authority and just adds a layer of oversight to claims. Move for adoption.
• Senate Bill 122 withdrawn from appropriations and budget, assigned direct calendar. Mr.
• There are appropriations and budget meetings this evening, Mr. Chairman. No call.

Bills: SB1687 , HB1687 , HB4431 , HB2894 , HB2979 , HB3262 , HB3298 , HB3369 , HB3431 , HB3462 , SB1226 , SB1876 , SB1916 , SB1920 , HB3467 , HB3498 , HB3500 , HB3521 , HB3581 , HB3650 , HB3673 , HB3764 , HB3767 , HB3781 , HB3800 , HB3831 , HB3834 , HB3941 , HB2749 , HB3970 , HB3972 , HB3979 , HB3980 , HB3981 , HB3996 , HB4095 , HB4104 , HB4191 , HB4248 , HB4298 , HB4338 , HB4427 , HB4428 , HJR1023 , HB3660 , HB3718 , HB4326 , HB3443 , HB3880 , HB3649 , HB3000 , SB1651 , SB504 , SB372 , SB1326 , SB1633 , SB248 , SB1242 , SB1238 , SB423 , SB1989 , SB1286 , SB904 , SB1213 , SB1216 , SB1827 , SB65 , SB1390 , SB259 , SB1944 , SB540 , SB2139 , SB346 , SB1595 , SB1400 , SB1555 , SB1209 , SB2110 , SB1670 , SB1061 , SB2104 , HR1057 , SB1946 , SB1734 , SB1316 , SB1360 , SB1557 , SB1684 , SB2049 , SB1410 , SB2011 , SB1437 , SB1204 , SB1732 , SB1775 , SB2084 , SB1380 , SB1572 , SB1772 , SB1224 , SB710 , SB1338 , SB1266 , SB1303 , SB1307 , SB1562 , SB1794 , SB1191 , SB1983 , SB1832 , SB1448 , SB1534 , SB1593 , SB1597 , SB1630 , SB1489 , SB1726 , SB1796 , SB1806 , SB1877 , SB1451 , SB1553 , SB1632 , SB1423 , SB1425 , SB1502 , SB2180 , SB1725 , SB2182 , HB3003 , HB3004 , HB4434 , HB4324 , HB4342 , HB2137 , HB4432 , SJR50 , SJR52 , SJR53

Keywords: driver licenses, exam proctor, Service Oklahoma, commercial training, background checks, advance directive, advance health care directive, health care proxy, medical power of attorney, durable power of attorney for health care, living will, surrogate decision-maker, default surrogate, health care agent, capacity determination, supported decision making, mental health directive, psychiatric advance directive, end-of-life care, life-sustaining treatment

Bills: SB1687 , HB1687 , HB4431 , HB2894 , HB2979 , HB3262 , HB3298 , HB3369 , HB3431 , HB3462 , SB1226 , SB1876 , SB1916 , SB1920 , HB3467 , HB3498 , HB3500 , HB3521 , HB3581 , HB3650 , HB3673 , HB3764 , HB3767 , HB3781 , HB3800 , HB3831 , HB3834 , HB3941 , HB2749 , HB3970 , HB3972 , HB3979 , HB3980 , HB3981 , HB3996 , HB4095 , HB4104 , HB4191 , HB4248 , HB4298 , HB4338 , HB4427 , HB4428 , HJR1023 , HB3660 , HB3718 , HB4326 , HB3443 , HB3880 , HB3649 , HB3000 , SB1651 , SB504 , SB372 , SB1326 , SB1633 , SB248 , SB1242 , SB1238 , SB423 , SB1989 , SB1286 , SB904 , SB1213 , SB1216 , SB1827 , SB65 , SB1390 , SB259 , SB1944 , SB540 , SB2139 , SB346 , SB1595 , SB1400 , SB1555 , SB1209 , SB2110 , SB1670 , SB1061 , SB2104 , HR1057 , SB1946 , SB1734 , SB1316 , SB1360 , SB1557 , SB1684 , SB2049 , SB1410 , SB2011 , SB1437 , SB1204 , SB1732 , SB1775 , SB2084 , SB1380 , SB1572 , SB1772 , SB1224 , SB710 , SB1338 , SB1266 , SB1303 , SB1307 , SB1562 , SB1794 , SB1191 , SB1983 , SB1832 , SB1448 , SB1534 , SB1593 , SB1597 , SB1630 , SB1489 , SB1726 , SB1796 , SB1806 , SB1877 , SB1451 , SB1553 , SB1632 , SB1423 , SB1425 , SB1502 , SB2180 , SB1725 , SB2182 , HB3003 , HB3004 , HB4434 , HB4324 , HB4342 , HB2137 , HB4432 , SJR50 , SJR52 , SJR53

Keywords: driver licenses, exam proctor, Service Oklahoma, commercial training, background checks, advance directive, advance health care directive, health care proxy, medical power of attorney, durable power of attorney for health care, living will, surrogate decision-maker, default surrogate, health care agent, capacity determination, supported decision making, mental health directive, psychiatric advance directive, end-of-life care, life-sustaining treatment

Transcript Highlights:

• It allows providers to reasonably plan their annual budget.
• Unpredicted clawbacks or for payments over one year undermine budget planning.
• It allows providers to reasonably plan their annual budget.
• Unpredicted clawbacks or for payments over one year undermine budget planning.
• oversight are entirely achievable. achievable. achievable.

Summary: The committee took up House File 729, an omnibus policy bill, and walked through a series of amendments before moving the bill forward. Early amendments addressed adult maltreatment accountability, senior nutrition flexibility, MA provider enrollment and fraud prevention, Direct Care and Treatment data and staffing provisions, disability and aging policy changes, technical corrections from DHS, behavioral health language, and MDH policy updates. Most amendments were adopted without public opposition, and several members and testifiers described them as clarifications or technical fixes to existing policy. Testimony focused on the practical effects of the bill’s provisions. Direct Care and Treatment representatives said the changes would help with data sharing, governance, staffing, patient care, and longer return stays for certain patients. Several witnesses from the substance use disorder and health care provider community supported changes to discharge summary deadlines and claims recoupment rules, arguing that business-day timelines and limits on late clawbacks would reduce administrative burden and financial uncertainty. A disability advocate also urged passage of the bill, saying services for people with disabilities were at risk if it did not advance. After public testimony and member discussion, the committee adopted the DE2 amendment as amended and then approved the bill as amended. Chair Noor renewed the motion to re-refer House File 729 to the Committee on Ways and Means, and that motion passed.

Transcript Highlights:

• This is OHA's budget request, and it really reflects our strong commitment and confidence in our strategic
• This is OHA's budget request, and it really reflects our strong commitment and confidence in our strategic
• This is OHA's budget<00:03:59.720><c> request</c><00:04:00.720><c> and</c><00:04:01.040><c> it</c><00
• :04:01.280><c> really</c><00:04:01.599><c> reflects</c> budget request and it really reflects budget
• of are we making progress that oversight of are we making progress towards<00:05:02.320><c> our</c><

Committee: Senate Hawaiian Affairs

Summary: The Committee on Hawaiian Affairs met in decision-making sessions on March 18 and considered several House bills. On HB 576 HD2, the chair proposed an amendment clarifying that the bill would not apply to transfers of Hawaiian Homes lands under the Hawaiian Homes Commission Act of 1920, including lease conditions for 99-year terms; the committee adopted the recommendation to pass with amendments, with one no vote. On HB 606, the chair recommended passing the bill with amendments and a committee report requesting a $50 million appropriation; that recommendation was also adopted, again with one no vote. HB 1408 was recommended for indefinite deferral, and no discussion was recorded before adjournment. In a later portion of the meeting, the committee heard testimony on HB 410, which was described by the Office of Hawaiian Affairs as its budget request. OHA testified in strong support, saying the measure would help advance its strategic plan, reduce disparities affecting Native Hawaiians in health, housing, economic development, and education, and improve transparency and data-driven oversight. The committee noted additional support and opposition testimony counts on other measures, including HB 871 and HB 1091, and then moved into decision-making. The committee ultimately adopted the chair’s recommendations to pass HB 410 HD1 unamended, HB 871 HD1 unamended, and HB 1091 HD1 as is. Senator Ihara was noted as excused for part of the later voting. The meeting concluded with no further testimony or discussion and the committee adjourned.

Transcript Highlights:

• So that's included in this budget, budget, budget. Um, on page seven.
• So that's included in this budget budget budget um<00:55:02.880><c> on</c><00:55:03.119><c> page</c><
• </c> budget.
• And um one is um our budget budget.
• </c> wasn't originally part of the budget. wasn't originally part of the budget.

Committee: Senate Finance

Transcript Highlights:

• you for having DPS here today to discuss Governor Wallace and Lieutenant Governor Flanigan's 2025 budget
• </c> and I know um the governor is budgeting and I know um the governor is budgeting about<00:41:57.520
• oversight.
• 10% May uh require more oversight 10% May uh require more oversight<00:53:54.359><c> um</c><00:53:54.599
• So can you talk about what the impact of those cuts is to your budget?

Committee: Senate Judiciary and Public Safety

Transcript Highlights:

• </c> Hawaii Correctional System Oversight Hawaii Correctional System Oversight Commission.<00:17:18.480
• </c> Hawaii Correctional System Oversight Hawaii Correctional System Oversight Commission,<00:17:51.840
• </c> As I explained to the oversight As I explained to the oversight commission<00:49:50.319><c> coordinator
• Mahalo, Chair, and mahalo to the oversight commission for the presentation.
• to the oversight commission for that great<00:57:33.599><c> presentation.

Transcript Highlights:

• Secondly, the line-item budget. A budget that cannot be understood cannot be audited by the public.
• Secondly, the line item budget. A budget that cannot be understood cannot be audited by the public.
• , meaningful oversight is impossible.
• So we really need to have access to the line-item budget. Thank you.
• So we really need to have access to the line-item budget.

Committee: Senate Education Pre-K - 12

Summary: The Education Pre-K-12 Committee met and took up several education bills. It first heard SJR 1104 on religious expression in public schools, which would place a proposed constitutional amendment on the ballot to protect voluntary religious expression by students and school personnel. The sponsor said it would codify existing protections and not require prayer or religious activity, while opponents argued it was unnecessary, could be used to advance Christian nationalism, and could make minority-faith students uncomfortable. The committee reported the resolution favorably. The committee then approved SB 1738 on educational facilities, as amended, to require the Department of Education to review school facility requirements and recommend design and construction practices intended to improve safety and accountability. It also approved SB 824 on charter schools, as amended, which shifts the bill to a transparency-focused strike-all requiring districts to submit annual reports on unimproved land holdings to the Department of Education. The committee also confirmed appointees on Tabs 7 and 8. A major portion of the meeting focused on SB 1620 on public education, described by the sponsor as a “school board members’ bill of rights.” The bill would give board members broader access to district documents and staff, limit nondisclosure agreements, clarify attorney representation, and strengthen budget transparency and nepotism rules. Supporters said it would help board members do their oversight jobs, while opponents warned it could undermine superintendents, expose confidential student or employee information, and create confusion in district governance. The committee reported the bill favorably. Finally, the committee heard SB 1170 on education, as amended, which would allow parents of students with disabilities to request cameras in self-contained classrooms and set district procedures for reviewing those requests. Supporters, including parents and disability advocates, testified that cameras would protect non-speaking and vulnerable students and provide accountability, while one opponent argued the measure should be funded if adopted. The committee reported the bill favorably. The committee also adopted a committee-bill motion for SPB 7036, a broad education package covering school turnaround, literacy, safety, early learning, instruction, and educator pipeline issues, though members raised concerns about a possible state role in producing instructional materials; the bill was reported favorably as a committee bill.

Transcript Highlights:

• Next, the Hawaii Correctional System Oversight Commission.
• oversight oversight commission<00:12:40.320><c> uh</c><00:12:40.560><c> decision-making</c><00:12:41.240
• </c> when they created the oversight when they created the oversight commission<00:12:53.760><c> which
• </c> you also did say that um the oversight you also did say that um the oversight commission<00:37:36.680
• </c> although the board has more oversight although the board has more oversight than<00:56:58.000><c

Committee: House Judiciary & Hawaiian Affairs

Summary: The House Committee on Judiciary and Hawaiian Affairs heard SB 104, which would restrict the use of restrictive housing or solitary confinement in state-operated and state-contracted correctional facilities, with specified exceptions. The Department of Corrections and Rehabilitation strongly opposed the bill, saying its existing policy already meets or exceeds ACA and National Institute of Corrections standards, and objecting to language they said would give the oversight commission operational decision-making authority. The Hawaii Correctional System Oversight Commission supported the bill, but also said it was not intended to run operations and described concerns about restrictive housing practices, including CoreCivic’s SHIP program at Saguaro. Supporters included the Office of Hawaiian Affairs, the Office of the Public Defender, the Disability Rights Center, ACLU Hawaii, Easter Seals Hawaii, and individual testifiers. They argued that Native Hawaiians are disproportionately impacted by incarceration, that solitary confinement is harmful and linked to depression, anxiety, suicidality, and poor reentry outcomes, and that confinement beyond 15 days is widely condemned under international standards. Several testifiers cited suicides and deaths in custody as reasons to codify limits in statute rather than rely on policy alone. The department responded that it already has 24/7 medical care, though not 24/7 mental health coverage at one facility, and explained that it uses four custody categories: disciplinary segregation, administrative segregation, protective custody, and placements for inmates seeking separation for safety reasons. Members questioned the department and commission about the SHIP program, whether the bill was based on other states’ laws, and how current policies compare with national standards. The director said the bill was too ambiguous in places and that the department was willing to work with the commission on policy changes, but still opposed the measure as written. The committee took testimony and questions; no vote or final action was taken in the portion provided.

Transcript Highlights:

• The Health Care Budget Subcommittee will come to order. Sarah, please call the roll.
• I want to welcome everyone to the Health Care Budget Subcommittee.
• This is our last meeting as a Budget Subcommittee in this capacity, so with that in mind, we're here
• I want to take a moment to thank the committee staff and the Healthcare Budget Subcommittee: Sean Smith
• This is true for the language we pass in bills and in the budget, as well as the dollars we appropriate

Transcript Highlights:

• These just move money around from one budget activity to the DHS budget after the various changes that
• Section 15 is from the governor's budget bill.
• Section 3 is from the Governor's Budget Bill.
• Section 2 is also a governor's budget proposal.
• budget bill includes responsible reforms to address the projected budget shortfall and investments to

Bills: HF2434

Committee: House Human Services Finance and Policy

Transcript Highlights:

• on oversight fees.
• That we are looking on some of the scope of oversight requirements. Yes, we need more oversight.
• This is not just a problem about our budget.
• This is pure and simple about oversight.
• Oversight is about responsibility and accountability.

Transcript Highlights:

• We are here to present the final report on the Department of Health's oversight of hospital data reporting
• Because I'm assuming that's going to be attached to a budget and probably staffing and everything else
• For the record, my name is Rermito Cantu, director for the Office of Health Systems Oversight with the
• The new licensing system brings increased functionality to the oversight process and data management,
• We recognize the tough budget conversations that are happening here at the state.

Summary: The committee heard a JLARC presentation on the Department of Health’s oversight of hospital inspections, complaints, and reporting. JLARC said DOH was late on 72% of acute care hospital inspections as of December 2024, had not verified that third-party accrediting standards were substantially equivalent to state standards, did not consistently require proof of those inspections, did not review adverse health event corrective plans, and could make hospital data more accessible. JLARC also raised a possible language-access barrier in the complaint system. Members asked about complaint filing by staff, the meaning of adverse health events, inspection outcomes, and whether the audit compared DOH to other agencies. JLARC said it had not reviewed inspection results or cross-agency comparisons, but noted inspectors were dedicated and working long hours. DOH later said it concurred with the recommendations and outlined a strategic plan with target dates for improving timeliness, verifying accreditation standards, expanding language access, reviewing adverse event laws, and improving public data access, with annual reporting to the Legislature expected. The committee then heard a Department of Health presentation on certificate of need modernization. DOH described the current certificate of need process, which reviews need, financial feasibility, quality, and cost containment for certain facility changes and new services, and said the program has not been modernized since the 1980s. DOH proposed 10 statutory modernization recommendations, including clarifying the program’s purpose, creating a planning entity, adding flexibility, reducing legal costs, updating access-to-care standards, expanding oversight to freestanding emergency departments and urgent care, addressing equity, improving cost control coordination, strengthening long-term funding, and using better data systems. Members asked about oversight of freestanding urgent care and EDs, funding sources, and whether the process could be streamlined or made more responsive to complaints or other triggers. A third panel discussed artificial intelligence in health care. Lucy O’Rourke of the Coalition for Health AI described CHAI’s work on responsible AI principles, technical standards, model cards or “nutrition labels,” testing and governance tools, and educational resources for providers. She said the group is focused on trust, transparency, fairness, safety, security, and privacy, and noted Washington’s AI-related policy work as among the more progressive in the country. No questions were asked. The final portion focused on the financial impact of federal and state health care policy changes. The Washington State Hospital Association said hospitals are facing low or negative operating margins, service reductions, layoffs, and closures, and that state cuts and taxes enacted in 2025, combined with federal HR1 changes, will significantly worsen finances. Providence Swedish leaders described staffing reductions, service cuts, delayed capital investments, and pressure from denials, tariffs, and reimbursement changes, while emphasizing that frontline staffing cuts are tied to service reductions rather than nurse-to-patient ratio changes. The Washington Health Benefit Exchange then began a presentation on expiring federal ACA premium tax credits, state Cascade Care Savings assistance, and eligibility changes affecting lawfully present non-citizens, with examples showing large premium increases for customers if federal subsidies expire.

Transcript Highlights:

• CPAC has no opposition to authority and oversight.
• It is not a question of oversight and accountability.
• This bill is not something that is adding additional oversight.
• This bill is not something that is adding additional oversight.
• And the public depends on that particular oversight.

Committee: Senate Local Government

Transcript Highlights:

• Education Committee and the Senate Budget Committee to come to order.
• First is preserving legislative oversight.
• Last year we had the same proposal on our budget, other budgets of committee on the housing agency, same
• , in those budget negotiations... ...with you and your colleagues around issues around budget.
• Because budget, we heard... ...we heard about it.

Summary: The joint Senate Education and Budget Committee hearing focused on the Governor’s proposed education governance overhaul, which would shift day-to-day management of the California Department of Education from the elected Superintendent of Public Instruction to a new appointed education commissioner, while giving the Superintendent new voting roles on the State Board of Education and the Community College Board of Governors. Chair Perez opened by stressing that the proposal raises major policy questions beyond the budget process and should be evaluated for its effect on students, local control, and accountability. Brooks Allen of the State Board of Education argued the change would unify policymaking and implementation, reduce fragmented authority, and create clearer accountability, citing decades of reports criticizing California’s “crazy quilt” governance structure and noting the proposal is timed for the 2026 transition. Amber Alexander of the Department of Finance outlined the fiscal and staffing transfers, describing the plan as largely cost-neutral and explaining how positions would shift between the State Board, the Department, and the new Superintendent’s office over 2026-27 and 2027-28. Sarah Cortez of the Legislative Analyst’s Office said the LAO supports shifting management to an appointed commissioner but recommended several refinements: preserving legislative oversight, requiring Senate confirmation of the commissioner, clearly defining the Superintendent’s duties as a public representative/advisor/evaluator, and refining the State Board’s role to focus on major policies requiring public input. She also said the fiscal plan should be cost-neutral and more fully specified. Senators raised concerns about the timing during an election year, the constitutional status of the Superintendent, whether the proposal should instead be a constitutional amendment, and whether governance changes actually improve student outcomes or simply rearrange the org chart. Some members questioned whether the proposal would confuse voters and undermine democratic accountability, while others said the current structure is already confusing and that the reform could improve clarity for districts and local boards. The discussion also covered how curriculum is set, with LAO explaining that the Legislature has broad authority but has delegated much curriculum work to the State Board and the Instructional Quality Commission. Members asked how the new structure would affect local districts, who they would call for guidance, and whether the commissioner would have authority over policy; the presenters said policy authority would remain with the State Board, while the commissioner would handle administration and implementation. No votes were taken during the panel discussion, and the hearing was organized to continue with additional panels and public comment later in the meeting.

Transcript Highlights:

• Welcome to the third and final sunset review oversight hearing, which is once again being held jointly
• Has this kind of anomalous six-month cap made it hard to budget?
• I don't know that it has made it hard to budget.
• Factors contributing to the demand include special education services in California's budget.
• The board currently oversees a budget of over $3 million and has five months in reserve.

Summary: The joint sunset oversight hearing reviewed five California regulatory entities: the Respiratory Care Board, the California Council for Interior Design Certification, the Speech-Language Pathology, Audiology, and Hearing Aid Dispensers Board, the Board of Occupational Therapy, and the Board of Naturopathic Medicine. Each agency described its licensing, enforcement, modernization, and consumer-protection work since the last review, and committee members focused heavily on workforce access, public safety, transparency, and fee authority. For the Respiratory Care Board, the main issues were a possible move from an associate’s degree to a bachelor’s degree for licensure, fee structure changes, and ongoing work on LVNs performing respiratory tasks. Board representatives said the degree proposal was intended to strengthen competency and could be phased in without harming access, but several public commenters—especially respiratory therapists and families of medically fragile children—argued it would worsen shortages, particularly in rural and low-income areas. Other stakeholders supported clarifying LVN authority in congregate living health facilities, while the California Medical Association flagged the proposed Advanced Practice Respiratory Therapist classification as having limited current workforce impact. The interior design segment drew the most debate. CCIDC leaders defended the current voluntary certification/title-act model, saying it establishes competency, has produced minimal complaints, and that licensure would unnecessarily disrupt the workforce and create barriers without demonstrated public harm. Committee members questioned the lack of state-style enforcement authority, transparency, and Bagley-Keene compliance, and some public commenters criticized the private structure and inconsistent plan acceptance in local jurisdictions. Supporters of the current system said the certification and commercial designation help educate building officials and allow qualified designers to work safely, while opponents argued licensure would provide clearer accountability and reduce confusion. The speech-language pathology, audiology, and hearing aid dispensers board reported major modernization gains, including online licensure processing, faster turnaround times, and new continuing education audits and advertising rules. The board supported creating a licensed audiology assistant category to improve access to care, and public commenters generally backed the board while urging continued modernization. The occupational therapy board described steady growth, improved enforcement and licensing performance, and requested additional fee authority to address rising costs; the main public comment supported the sunset extension and a reduction in advanced practice hand therapy training hours. The naturopathic medicine board emphasized consumer protection, enforcement against unlicensed practice, and the need to clarify statutes; it said most licensed naturopathic doctors practice in underserved areas and welcomed legislative collaboration on scope and enforcement issues.