Transcript Highlights:

• So we started stakeholdering this idea. We stakeholdered this bill several times over the summer.
• I think our concern, obviously, is that we've been engaged in a robust stakeholder process for the past
• We'd be happy to meet with members to go over that stakeholder engagement and be happy to answer any
• We'd be happy to meet with members to go over that stakeholder engagement and without it be happy to
• on your own, but not these stakeholders.

Committee: House House Health & Human Services Committee of Reference

Summary: The committee began with a presentation from the Alzheimer’s Association Desert Southwest Chapter and Dr. Anna Burke of Barrow Neurological Institute on the growing impact of Alzheimer’s and dementia in Arizona, the need for earlier diagnosis, better provider education, caregiver support, and continued research funding. They described current gaps in training and access to specialists, but also highlighted new therapies, lifestyle interventions, and Arizona-based research efforts. Members expressed support and optimism, but no action was taken on the presentation. The committee then heard HB 2202, which appropriates $300,000 from the general fund over fiscal years 2027 through 2029 for a dementia care tele-mentoring grant program through the Department of Health Services. Supporters, including the Alzheimer’s Association, a dementia specialist, and a patient advocate, said the program would help primary care providers diagnose dementia earlier and improve care. The bill was passed out of committee on an 11-0 vote. Next, the committee took up HB 2251, the midwifery bill, which would authorize certain licensed midwives to dispense and administer specified medications and devices, require liability insurance disclosure and annual reporting, and create a Midwifery Advisory Committee. A committee amendment removed some medications and renamed the bill the Jordan and MacTerry Act. ACOG and the Arizona Osteopathic Medical Association opposed the bill as drafted, citing concerns about oversight, peer review, and the medication list, while licensed midwives and other supporters argued the bill would improve safety, transparency, and alignment with national standards. The bill was held for further stakeholder work, with members indicating more amendments were likely. The committee then heard HB 2252, which would allow certified nurse midwives, certified professional midwives, or licensed midwives to accompany a patient in a ground ambulance during an out-of-hospital birth if approved by medical direction. Supporters described cases where continued midwife involvement during transport helped newborns and mothers, while firefighters and EMS representatives opposed the bill as written, saying it created ambiguity about command and scene control and could raise safety concerns. The chair said the bill would be held for further stakeholder meetings and possible language changes. After a recess, the committee reconvened for presentations on federal Medicaid and rural health funding impacts, beginning with JLBC’s overview of H.R. 1’s Medicaid provisions and the rural health transformation grant program.

Transcript Highlights:

• Working at a civic engagement table, census and redistricting nearly became a personality trait for me
• Engaging in the process is not so inviting. But we know that independent commissions work.
• They produce high-quality maps that voters, trusts, and residents engage with.
• engagement, remain unchanged.
• engagement, remain unchanged.

Summary: The committee met on June 17, 2026, beginning without a quorum and initially proceeding as a subcommittee. Members heard several Senate bills, with testimony focused mainly on redistricting, Bay Area transit funding, and military/overseas voting access. The chair also announced committee membership changes and that SB 1369 had been pulled by the author. Written testimony was accepted through the committee portal, and public testimony was limited by the chair’s rules. SB 1414 by Senator Reyes would create an independent redistricting commission for San Bernardino County. Supporters, including Inland Empire United, Common Cause, and the League of Women Voters, argued the bill would improve transparency and reduce political influence in map drawing. Opponents, including San Bernardino County and several local government/election groups, said the county’s existing advisory commission already provided substantial public input and raised concerns about cost. The bill was moved do pass as amended and re-referred to Local Government, with one no vote from Assembly Member Lackey; it was later taken off call and passed 6-1. SB 830 by Senator Wiener made technical changes to the administration of the Bay Area regional transit sales tax measure authorized by SB 63, including uniform ballot naming and county-specific ballot arguments. Support came from labor, transit, business, and advocacy groups, who said the bill would help voters understand the measure and protect transit funding. Members emphasized the Bay Area’s transit funding crisis and the need for local action. The bill passed do pass as amended, 5-1, and was later recorded as out 6-0 on call. The committee also approved a consent calendar containing six bills. SB 970 by Senator Cervantes addressed military and overseas voting after the federal discontinuation of the Department of Defense fax service used for ballot return. Supporters, including county election officials and local government organizations, said California needed a secure replacement to avoid disenfranchising service members and overseas voters. The Secretary of State’s office and Verified Voting raised security concerns and suggested a task force or more detailed standards, but the author and supporters argued the bill was urgent and should direct the Secretary of State to develop secure regulations. The bill passed do pass and was re-referred to Military and Veteran Affairs, and the meeting adjourned after all agenda items were completed.

Transcript Highlights:

• Working at a civic engagement table, census and redistricting nearly became a personality trait for me
• They produce high-quality maps that voters, trusts, and residents engage with.
• So we're very lucky in San Bernardino County in that way, that we do have engaged supervisors now and
• engagement, remain unchanged.
• engagement, remain unchanged.

Committee: House Elections

Transcript Highlights:

• , stakeholders, stakeholders, none<00:22:44.440><c> of</c><00:22:44.560><c> whom</c><00:22:44.840><c>
• Yeah, I think on page three, subsection four says engage with government regulators and stakeholders
• regulators and stakeholders government regulators and stakeholders such<00:33:40.880><c> as</c><00:33
• </c><00:33:52.880><c> But</c> them to to engage you though. But them to to engage you though.
• being most impacted kind of forming the core of that task force and then engaging with the other stakeholders

Bills: SCR118 , SCR173

Committee: House Consumer Protection & Commerce

Summary: The Committee on Consumer Protection heard two resolutions. SCR 118 SD1 would urge the Insurance Division and the Attorney General to convene a working group on climate change impacts on insurance availability and affordability. The Insurance Division deferred to written testimony, while the Attorney General opposed the measure because of an ongoing lawsuit, asking that references to legal recovery and the AG’s role in convening the group be removed. Members questioned how the resolution might relate to the state’s climate damages litigation and whether it could inform damages calculations. The committee later recommended passage with amendments, including removing the Attorney General as co-convener and changing certain membership references to board chairs; the motion passed unanimously with one excused member. The committee also heard SCR 173 SD1, which would create a task force on event ticket scalping. The Office of Consumer Protection supported the concept but asked to be added as a task force member and said the draft left its role unclear. Supporters, including the National Independent Venue Association and D-BAT, described high resale prices, fraudulent or speculative tickets, and harm to consumers and local businesses. StubHub and the Ticket Policy Forum supported the task force but urged broader scope to include the primary ticket market and ticket sellers, and StubHub also sought inclusion on the task force. Members discussed whether the task force should focus on the secondary market or the broader ticketing ecosystem, and whether the Office of Consumer Protection should be part of the task force or only consulted. The vice chair recommended passage with amendments adding the Office of Consumer Protection as a member and clarifying the consultation language, and the committee adopted that recommendation unanimously with one excused member.

Transcript Highlights:

• We've had many different stakeholder engagement opportunities and community listening sessions across
• And so it's really, really has been powerful to see how much investment and how much stakeholder engagement
• We also have a link, an area on our website that has all of our stakeholder engagement and our communications
• What I wanted to know is as As far as all the stakeholders go, I didn't see a list of how many stakeholders
• But it's also an opportunity to engage all of those stakeholders and leadership at the local level as

Committee: House House Appropriations & Finance

Transcript Highlights:

• with stakeholders.
• We appreciate the ongoing dialogue and the prime sponsor's willingness to engage with stakeholders.
• We have, I will say that I'm grateful to the stakeholders who've engaged in this.
• I will say that I'm grateful to the stakeholders who've engaged in this.
• We've been talking to stakeholders at Harvard and other places.

Bills: HB2439 , HB2483 , HB2400

Committee: House Consumer Protection & Business

Keywords: public health, tobacco regulation, smoking cessation, vapor products, health policy, youth prevention, data broker, registry, consumer protection, privacy, data regulation, social media, content creation, online platforms, digital marketing, user-generated content

Transcript Highlights:

• Our tribal leaders, everyone showed up and really was engaged throughout the very rigorous stakeholder
• So you all have heard me talk about the very extensive stakeholder process that we engaged in before
• And then as I mentioned we will be continuing this stakeholder engagement process throughout implementation
• We will go through a process in which we engage educators and public. Stakeholders.
• And then we've talked about the engagement, reporting, and transparency with our stakeholders as part

Transcript Highlights:

• DHCS has been consistently engaging with stakeholders over the last couple of years on CCS budget and
• In terms of stakeholder engagement, now that the TBL has been released, we have met with CalPACE associations
• The trailer provides for stakeholder engagement in the development of the hospital value strategy.
• In our accompanying BCP, we requested staff and contract resources to support stakeholder engagement,
• Metrics prescribed in the bill will engage with county and external stakeholders and develop a method

Transcript Highlights:

• with stakeholders.
• We appreciate the ongoing dialogue and the prime sponsor's willingness to engage with stakeholders.
• We have—I will say that I’m grateful to the stakeholders who’ve engaged in this.
• We’ve been talking to stakeholders at Harvard and other places.
• I will say that I'm grateful to the stakeholders who've engaged in this.

Summary: The committee first heard House Bill 2483, which would create an annual data broker registry at the Department of Licensing beginning in 2027. Staff explained that data brokers would have to register, pay a fee, and disclose information about the types of data collected, security measures, opt-out options, and whether precise geolocation or consumer health data is involved. Prime sponsor Rep. Kloba said the bill is intended to make data collection and resale more visible to consumers and to address harms such as scams, tracking, and surveillance pricing. Testimony was mixed: TechNet, the Association of Washington Business, and the Washington Retail Association opposed the bill as drafted, saying the definition of data broker is too broad and could sweep in businesses that are not true data brokers, while the sponsor and committee members discussed possible clarifying amendments and public-data carve-outs. The committee then heard House Bill 2400, which would regulate monetized social media content featuring children. Staff described provisions requiring vloggers above certain revenue thresholds to register with the Department of Revenue, creating trust accounts for minor children appearing in monetized videos, allowing young adults to request deletion of monetized childhood content, requiring reporting by social media services, and establishing civil penalties and statutory damages. Rep. Reeves said the bill is meant to draw a line between ordinary family posting and monetizing children online, citing concerns about child labor protections and exploitation. TechNet and AWB opposed the bill, arguing that social media platforms should not be made the middleman for trust accounts and that the private right of action and enforcement structure should be revisited; they urged further work during the interim. Finally, the committee took testimony on House Bill 2439, an omnibus tobacco and vapor product bill. Staff said it would create a responsible vendor program, raise license fees and penalties, require retailers to buy from licensed wholesalers or distributors, add certification requirements for vapor manufacturers, study extended producer responsibility for vapor waste, expand lab testing authority, tighten age-verification rules, prohibit certain imitation or entertainment vapor products, remove state preemption so local governments could adopt stricter rules, and redirect portions of tobacco tax revenue to public health accounts. Supporters, including public health groups, King County, the American Heart Association, and pediatricians, backed the youth-prevention, local-control, and funding provisions. Industry and retail witnesses opposed the bill, focusing on the loss of preemption, higher fees, compliance burdens, and the risk of pushing sales to the illicit market; some also argued the bill should rely more on state-level uniform regulation and stronger enforcement rather than new restrictions.

Transcript Highlights:

• Stakeholder engagement and education have been prioritized, with the board meeting consumers, licensees
• We've had two stakeholder engagements about dry needling, just for clarity's sake.
• We've had two stakeholder engagements about dry needling, just for clarity's sake, just to make sure
• Stakeholder engagement includes participation in the Federation of State Boards of Physical Therapy,
• Stakeholder engagement includes participation in the Federation of State Boards of Physical Therapy,

Summary: The joint Assembly and Senate Business and Professions sunset oversight hearing focused first on the Board of Registered Nursing (BRN), with chairs emphasizing oversight, consumer protection, workforce access, and the need to evaluate whether licensing boards are functioning efficiently. BRN leadership reported major process improvements since the last sunset review, including faster license processing, streamlined enforcement, improved consumer satisfaction, and growth in nursing education enrollment. Members questioned the board extensively about nurse practitioner scope and supervision, international licensure, online nursing programs and clinical placements, military pathways, the 30-unit LVN-to-RN option, workforce shortages, diversity in nursing, and retention of new graduates. The board explained California’s tiered APRN system, the NCLEX and national certification requirements, clinical hour standards, and its role in approving programs and assigning nursing education consultants. Public testimony on the BRN was mixed: nurse practitioner, nurse midwife, and nurse anesthetist groups largely supported the sunset report and especially the proposed APRN-to-RN delegation language, while physician and hospital stakeholders raised concerns about out-of-state NP practice, specialty delegation, ratios, and the need for regulatory parity and clearer standards. Higher education representatives urged reduced duplication in documentation, more flexible clinical placement rules, and better coordination to address bottlenecks in placements and faculty hiring. The committee did not take a vote during the excerpted BRN discussion. The hearing then moved to the Physical Therapy Board of California, where the board’s president began an overview of the board’s mission, structure, vacancies, and public-protection role under the Physical Therapy Practice Act. The transcript excerpt ends before substantive questioning, testimony, or any action on the physical therapy item is shown.

Transcript Highlights:

• This was sought by stakeholders and aligns the SCS with the state scoping plan.
• So from across the group of stakeholders that the senator mentioned in our now going on seven-month stakeholder
• So from across the group of stakeholders that the senator mentioned in our now going on seven-month stakeholder
• engagement process and appreciate the amendments that were taken in Senate EQ.
• This is probably one of the top, maybe the top three issues in the stakeholder conversation.

Committee: Senate Transportation

Transcript Highlights:

• Is there a plan to engage the public on Is there a plan to engage the public on program development and
• You know, we also did go through quite a robust stakeholder process, and we look forward to re-engaging
• State Parks will engage with the community and stakeholders in a robust planning process to develop a
• with all stakeholders.
• department's needs and programmatic gaps, the 2021 Budget Act allocated funding for an independent, stakeholder-engaged

Summary: The subcommittee heard presentations on the administration’s Proposition 4 spending plans for extreme heat mitigation and outdoor access, then took up SB 54 implementation, SB 707 textile producer responsibility, and recovery needs related to the Los Angeles fires at state parks. For the extreme heat chapter, agencies described funding for the Extreme Heat and Community Resilience Program, urban greening, urban forestry, fairground upgrades, and technical assistance for community-based climate programs. Witnesses emphasized that these are existing programs with strong demand, that technical assistance is important for reaching disadvantaged and tribal communities, and that the proposed funding would expand outreach and implementation capacity. Members asked for more detail on where funds have gone geographically, examples of successful projects, tree-planting totals, and how fairgrounds could better support fire staging and emergency preparedness. The LAO said the timing of the administration’s proposed funding generally made sense because the programs are already established, and no votes were taken. For outdoor access, State Parks, Fish and Wildlife, and Natural Resources described funding for new parks in underserved communities, deferred maintenance, state lands access, and several new or pending programs. State Parks said the park development program would fund roughly 48 projects and that deferred maintenance funding would address high-priority health, safety, and access needs. Fish and Wildlife said its lands program would improve visitor amenities and access on properties that often lack basic facilities. The Natural Resources Agency also outlined three newer outdoor-access proposals: expanding recreation in disadvantaged communities, enhancing natural resource values and trail access, and a nature/climate/education facilities grant program. The LAO distinguished between existing programs, which are ready to move forward, and the newer proposals, where the Legislature may want more input before funds are allocated. Members also raised concerns about park police vacancies, the need to track outcomes for accessibility investments, and whether Prop. 4 could help with wildfire-related recovery at state parks. CalRecycle then presented on SB 54, the plastics and packaging producer responsibility law, and members pressed hard on the delay in regulations. CalRecycle said it has held workshops, formed an advisory committee, selected the producer responsibility organization, and completed required baseline and covered-material reports, but needs more time to address complex comments and novel features such as source reduction and eco-modulated fees. Members expressed frustration that a statutory deadline was missed and asked for a concrete timeline; CalRecycle said it expects regulations in place by 2026, ahead of the PRO’s January 1, 2027 plan deadline. Finance said the Beverage Container Recycling Fund is currently healthy enough to support short-term loans for implementation. The committee also reviewed SB 707, the textile EPR law, which would create the nation’s first textile producer responsibility program; staff said the proposal would add positions and loan authority, and members noted the statutory deadlines for PRO approval, needs assessment, and later regulations. The hearing ended with discussion of the January Los Angeles fires’ damage to Topanga State Park and Will Rogers State Historic Park, where State Parks described extensive losses, emergency response work, and ongoing damage assessment. Members asked about FEMA eligibility, state funding sources, and community engagement in rebuilding, and the department said it is still assessing costs and will work with the public on reimagining the parks.

Transcript Highlights:

• They also noted there was a highly engaged leadership team.
• So thank you very much for everyone being engaged and asking thoughtful questions.
• with hundreds of stakeholders through surveys and focus groups.
• with hundreds of stakeholders through surveys and focus groups.
• Those stakeholders, including caregivers, foster parents, groups.

Summary: The subcommittee heard two Department of Children and Families implementation updates on measures passed in prior sessions. First, DCF reviewed House Bill 633, which increased oversight of behavioral health managing entities through biennial independent audits, standardized claims-based reporting, and new monthly outcome dashboards. The department said it had awarded the inaugural audit to Ernst & Young, found no significant waste, fraud, or abuse, but identified process risks involving financial controls, claims validation, data access, and system access controls. DCF also described its transition to standardized behavioral health coding and said the new public dashboard of 11 measures is posted on its website, though members asked for easier access and for hard copies of the audit report. Members asked about how the department distinguishes Medicaid-covered services from department-funded services, how duplicate payment risks are being addressed, and whether the new reporting and audit requirements would improve oversight without disrupting services. DCF said it is the payer of last resort for uninsured or underinsured individuals, that some overlap with Medicaid is expected because Medicaid does not cover all behavioral health services, and that new claims edits and cross-checks are being built into the system. The department also said it had not found significant negative feedback from providers and that the new requirements are intended to improve transparency and accountability. DCF then updated the committee on Senate Bill 7012, covering human trafficking data collection, domestic violence center certification, limited background-screening exemptions, expanded recruitment for child welfare staff, subcontractor liability protections, a four-year treatment foster care pilot, case management efficiency recommendations, and a statewide study of residential bed capacity for child victims of commercial sexual exploitation. The department said several items are already complete or underway, including limited exemptions in the screening clearinghouse, while others are in procurement or rulemaking. It identified Circuits 4 and 12 as the treatment foster care pilot sites and said the pilot will launch in January 2026. Members questioned recruitment metrics, pilot timing, and report deadlines; the department said final reports are expected by January and that some dates were flexible because of procurement and implementation timelines. The meeting ended after the presentations and questions, and the subcommittee adjourned.

Transcript Highlights:

• You talked about the stakeholder engagement, the agency coordination.
• And stakeholders have every opportunity to grill our SMEs on.
• And then there's a series of stakeholder process where stakeholders can ask questions about all of the
• And a lot of the information that the TED collects through our engagement with stakeholders, a high-level
• developers and stakeholders is provide some accountability.

Committee: House Utilities and Energy

Transcript Highlights:

• It can also be community engagement, education, job training.
• The author and sponsor have worked with industry stakeholders and are continuing to engage with opposition
• Also are engaging in their insurance products differently, right?
• We know that our consumers want to engage.
• The way they’re engaging with their insurance companies is changing.

Summary: The Assembly Insurance Committee heard several bills, with most of the discussion focused on insurance transparency, claims handling, privacy, and regulatory enforcement. SB 877 and SB 878 by Senator Pérez addressed post-disaster claims practices: SB 877 would require insurers to disclose original and revised loss estimates and related claim materials to policyholders, while SB 878 would add automatic interest penalties for delayed claim decisions or payments and require written identification of disputed items. Fire survivors, consumer groups, AARP, the Department of Insurance, and other advocates supported both bills, while insurer groups moved to neutral after amendments. Both bills were voted out on roll call and reported to the Committee on Appropriations. The committee also considered SB 1054 by Senator Cabaldon, which would expand data sharing and reporting to improve workforce program evaluation and help counties verify work requirements for Medi-Cal and CalFresh using employer-reported hours worked. County officials, workforce advocates, and the Department of Insurance supported the measure, and no opposition was heard. The bill passed on a due-pass-as-amended motion to the Committee on Labor and Employment. SB 1209 by Senator Allen, presented with Insurance Commissioner Ricardo Lara, would give the commissioner stronger enforcement tools to require insurers to carry out corrective actions identified in market conduct examinations, including fines and hearings for noncompliance. The commissioner and author said the bill would close an enforcement gap and improve accountability; there was no opposition testimony, but the bill was left on call after the roll. The committee also heard SB 354 on insurance privacy, presented by Senator Padilla on behalf of Pro Tem Limón, which would modernize insurance privacy rules by expanding consumer rights over personal data, limiting sale and use of sensitive information, and increasing disclosure requirements. Supporters said the bill updates outdated 1980s-era rules, while insurers, agents, and business groups raised concerns about scope, compliance burdens, and small-business impacts. Members indicated the bill was still being negotiated and would return in a revised form in the Privacy Committee.

Transcript Highlights:

• So we started stakeholdering this idea. We stakeholdered this bill several times over the summer.
• So, having said that, just talk to the stakeholders.
• I think our concern, obviously, is that we've been engaged in a robust stakeholder process for the past
• We'd be happy to meet with members to go over that stakeholder engagement and be happy to answer any
• on your own, but not these stakeholders.

Bills: HB2190 , HB2202 , HB2233 , HB2251 , HB2252 , HB2396 , HB2437 , HB2689 , HB2796

Committees: House Health & Human Services , House House Health & Human Services Committee of Reference

Keywords: physician assistants, licensure compact, medical services, multistate practice, patient care access, healthcare workforce, military families, adverse actions, dementia care, telementoring, healthcare education, rural communities, grant funding, HB 2233, rural health transformation, rural health transformation program, AHCCCS, Arizona Health Care Cost Containment System, Joint Legislative Budget Committee, JLBC

Transcript Highlights:

• Each group of stakeholders had a different goal in mind.
• We believe in strong civic engagement. We look after the nonprofit workforce.
• My name is Emily Barson, and I serve as Senior Director of Policy and Engagement at GoFundMe.
• And so, you know, we're open to discussing this more with stakeholders such as Cal nonprofits.
• But this has been a huge stakeholder process.

Summary: The Assembly held its first-ever outcome review hearing, focused on AB 488, Assemblymember Irwin’s 2021 law regulating charitable fundraising platforms and platform charities. Chair Bauer-Kahan and Irwin described the hearing as part of a new oversight process meant to evaluate whether enacted laws are working as intended and to identify implementation problems. Irwin reviewed the bill’s purpose: updating California’s charitable solicitation rules for online fundraising, requiring platform registration and reporting, setting disclosure and conduct rules, and creating protections for charities and donors. The Attorney General’s office said the implementing regulations took effect in stages in 2024 and 2025 after extensive rulemaking, and argued the law was needed because online fundraising had outgrown older solicitation laws. The office highlighted enforcement concerns, including unregistered platforms, delayed remittances, and unauthorized fundraising pages, and said the new online filing system should improve processing and compliance. Nonprofit representatives and platforms generally supported the law’s transparency goals but said implementation has created major burdens, especially around “good standing” determinations, slow registry response times, and disruptions to fundraising when charities are flagged as delinquent. PayPal Giving Fund and GoFundMe both said they complied with the law but urged changes to better fit platform operations, reduce delays, and ease requirements for small or micro-donations. Committee members pressed the witnesses on donor protection, due process, and whether California should shorten the time to resolve good-standing issues. Several members said the law has helped stop misleading or unauthorized fundraising practices, while also acknowledging unintended consequences for nonprofits. Irwin said she is preparing follow-up legislation to address implementation problems and balance the interests of charities, platforms, donors, and the Attorney General’s office. During public comment, Candid praised the review and the DOJ’s efforts to improve the process, and a PG&E representative described an unintended consequence in employee giving where donations were redirected because recipient charities were not in good standing.

Transcript Highlights:

• We want to engage the Legislature.
• DHS has been consistently engaging with stakeholders over the last couple of years on CCS budget and
• In terms of stakeholder engagement, now that the TBL has been released, we have met with CalPACE associations
• Our proposed trailer provides for stakeholder engagement in the development of the hospital value strategy
• , and in our accompanying BCP we requested staff and contract resources to support stakeholder engagement

Summary: The committee heard a budget oversight hearing on the Department of Health Care Services, focusing first on the overall Medi-Cal budget and a March General Fund loan to cover a current-year shortfall. DHCS said the 2025-26 budget proposal totals $193.4 billion, with Medi-Cal projected at $188.1 billion total funds and $42.1 billion General Fund, driven by higher enrollment, pharmacy costs, managed care growth, and costs tied to eligibility expansions and the COVID-era redetermination unwinding. The department said the $3.44 billion loan was needed to manage cash flow and ensure timely payments to providers and plans, while the LAO noted Medi-Cal’s cash-basis budgeting creates volatility and that more detailed estimates would come with the May Revision. Members discussed federal Medicaid threats, the need for transparency on cost drivers, and the impact of pharmacy spending, long-term care, and immigration-related coverage expansions. The second major topic was family health programs, including California Children’s Services, the continuous coverage unwinding, and opioid settlement fund spending. DHCS described CCS funding methodology changes, ongoing county stakeholder work, and a delayed rollout of CCS monitoring and oversight until July 1, 2025, while county representatives and advocates argued the program is underfunded and asked for more technical assistance and a delay in implementation. On the unwinding, the department explained that federal redetermination flexibilities helped maintain coverage after the pandemic, but the Governor’s budget proposes ending them at the end of June 2025; advocates urged making the flexibilities permanent to avoid coverage losses. For opioid settlement funds, DHCS and Finance said the budget increases funding for naloxone distribution while reducing other harm-reduction spending based on updated settlement revenues, prompting criticism from members and public commenters who argued the change would weaken effective harm-reduction programs. The hearing also included an update on Proposition 35 implementation. DHCS said the voter-approved measure continuously appropriates MCO tax revenues beginning in 2025, with up to $4.6 billion annually available for specified Medi-Cal and provider investments in 2025 and 2026, but implementation depends on consultation with the required stakeholder advisory committee. The department and LAO noted uncertainty about future federal rules affecting the MCO tax after 2026. Public testimony largely supported maintaining Medi-Cal expansions, protecting immigrant coverage, preserving harm-reduction funding, and increasing support for community health workers, pediatric dental care, and CCS county administration. No votes were taken during the portion of the hearing provided.

Transcript Highlights:

• Stakeholder engagement and education have been prioritized, with the board meeting consumers, licensees
• We've had two stakeholder engagements about dry needling just for clarity's sake.
• We've had two stakeholder engagements about dry needling, just for clarity's sake, just to make sure
• We've had two stakeholder engagements about dry needling, just for clarity's sake, just to make sure
• Stakeholder engagement includes participation in the Federation of State Boards of Physical Therapy,

Transcript Highlights:

• I've personally engaged with families living through the wreckage of nitrous oxide addiction.
• We've even engaged with the stakeholders who work in the counties where there are abandoned cemeteries
• So we're engaged in the process.
• misunderstood that they're engaging with a licensed psychotherapist and they're not.
• The CEC's rulemaking process will incorporate stakeholder input and build on...

Summary: The committee heard several bills, beginning with SB 936 on nitrous oxide sales. Senator Blakespear and supporters, including Orange County and Humboldt County supervisors, described growing misuse of large nitrous canisters, impaired driving, youth access, and waste and safety problems. There was no formal opposition testimony, and multiple organizations and local governments voiced support. Committee members generally supported the bill but raised questions about enforcement and the role of existing licensing agencies; the author said amendments addressed concerns about balloons and bags. The bill was moved on a due-pass recommendation to Senate Appropriations and left on call. The committee also heard SB 1312 on abandoned cemeteries, SB 1340 on small business procurement reporting, and SB 903 on AI in mental health care. SB 1312 would build on last year’s cemetery workgroup to address abandoned private cemeteries; the author and the Cemetery and Mortuary Association said the bill is intended to use forthcoming recommendations to improve maintenance and oversight. It was moved due pass to Senate Appropriations and left on call. SB 1340 would require state agencies to report contract and payment data involving small businesses to the Office of the Small Business Advocate; the Controller’s office supported the measure, and it was moved due pass to Senate Appropriations and left on call. SB 903 drew the most extensive debate. The bill would restrict the public offering of psychotherapy services through AI unless a licensed professional is involved, require disclosure and informed consent, and preserve confidentiality rules. Supporters argued that chatbots and AI therapy tools can mislead consumers and create safety, bias, and privacy risks, while opponents from the California Medical Association and TechNet warned the definitions were too broad and could hinder beneficial clinical tools, triage, research, and FDA-approved applications. Committee members pressed the author on clarity, administrative uses like note-taking, and whether the bill would allow clinician-supervised AI; the author said the intent is to keep a human clinician in the loop and continue refining the language. The bill was moved to the Senate Privacy, Digital Technology, and Consumer Protection Committee and left on call. Finally, the committee heard SB 1271 on midwifery preceptor data and SB 1327 on EV charger accuracy oversight. SB 1271 would collect data on licensed midwives’ capacity to serve as preceptors to strengthen the training pipeline; supporters described workforce shortages, rural access problems, and closures of labor and delivery units. It was moved due pass to the Senate Health Committee and left on call. SB 1327 would shift EV charger accuracy oversight from CDFA’s Division of Measurement Standards to the California Energy Commission; supporters said this would standardize enforcement and better match the agency already regulating EV infrastructure, while county sealers and others opposed the move as unnecessary, costly, and potentially weakening local consumer protection. The bill was moved due pass to the Senate Energy, Utilities, and Communications Committee and left on call.