Transcript Highlights:

• Since Larry's death, I've been working to eliminate barriers and expand access to biomarker testing.
• The emergency order significantly expanded access for patients.
• This session, S. 789, expands doula service access through MassHealth coverage by now requiring private
• Expanding doula coverage isn't just about access; it's about building a more equitable system.
• It expands access, it protects birthing people's rights, and it ensures that doulas, the real boots on

Committee: Joint Joint Committee on Financial Services

Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.

Transcript Highlights:

• behavioral health benefits for Chapter 115 recipients, expanded access to RMV benefits, and other critical
• Some refer to it as the Waze of accessibility.
• This will give MCDH more access to This will give MCDH more access to serve our constituents and our
• constituents more access to utilize our web-based services.
• Do you like to expand on that?

Committee: Joint Joint Committee on Ways and Means

Summary: The hearing opened with remarks from Senate Chair Robyn Kennedy and House Chair Chynah Tyler, who emphasized that the fiscal year 2026 hearing was focused on the Health and Human Services budget, asked members to keep questions budget-related, and noted that no public testimony would be taken. They also highlighted the choice of Doherty Memorial High School as the venue to showcase Worcester’s investment in career and technical education. Committee members then introduced themselves before the first panel, the Executive Office of Veterans Services and the state veterans homes, began testimony. Secretary John Santiago said the governor’s FY26 proposal would support implementation of the HERO Act, which he said is now about 95% implemented, including higher disabled veteran annuities, expanded behavioral health benefits, and other service expansions. He described efforts to reduce veteran homelessness, including nearly $20 million in ARPA-funded housing and outreach initiatives, and said the agency has delivered more than 100,000 supportive services to nearly 8,500 veterans. Leaders from the Chelsea and Holyoke veterans homes reported on staffing, quality measures, electronic medical records, and major construction projects at both facilities, including a new Chelsea campus and the new Holyoke home. Members asked about funding transfers, geographic equity in access to the homes, outreach to women veterans and veterans of color, suicide prevention, Gold Star family support, and the impact of federal uncertainty; Santiago said the homes are now licensed and certified, that the current budget is sufficient, and that the agency is expanding engagement and data collection. The second panel, the Office of the Veteran Advocate, testified that its FY26 request is about $3.3 million, up from the current $2 million, to cover staffing, a larger office, and higher technology costs. Veteran Advocate Bob Notch said the office is a new independent oversight agency created in 2022 to examine systems, coordinate with local veteran service officers, and investigate fatalities or serious harm involving veterans in state care. He said the office’s work depends on research, data, and collaboration with other agencies, and that current funding is only enough for minimum operations. In response to questions, Notch and Deputy Commissioner David O’Callaghan discussed the difficulty of tracking veteran suicides, the need for better data across agencies, and the office’s role as an oversight body rather than a direct service provider. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• Statewide organizations across California, reflecting strong system-wide support for expanding access
• AB 2540 will expand equitable access to medication abortion services for students attending community
• This bill expands access to medication abortion at community college health centers and ensures that
• And yet, we are hearing opposition that raises concerns about discomfort with expanding access.
• I do appreciate the goal of the work you're trying to do to expand access and workforce alignment for

Committee: House Higher Education

Transcript Highlights:

• These fall under expanding access to care for where the patients are.
• So, we'll expand on that.
• So having a medical van that would go around to expand access to care again on those neighbor islands
• </c> access to services. access to services.
• </c><00:48:21.120><c> the</c> we will be looking at expanding the we will be looking at expanding the

Bills: HB2246 , HB2119 , HB1929 , HB1953 , HB1572 , HB2549 , HB2594 , HB2551 , HB2595 , HB2548 , HB2459 , HB1931 , HB1604 , HB1616 , HB1736 , HB2233 , HB2241 , HB1891 , HB1803 , HB2567 , HB2534 , HB2399 , HB2172 , HB1595 , HB1811 , HB2168 , HB1780 , HB1781 , HB1785 , HB2122 , HB2012 , HB2398 , HB1779 , HB2296 , HB1894 , HB1925 , HB2019 , HB1896 , HB2294 , HB2298 , HB2300 , HB2344 , HB2345 , HB2391 , HB2037 , HB2201 , HB1941 , HB1635 , HB1943 , HB2325 , HB1926 , HB2490 , HB1710 , HB2545 , HB1976 , HB2173 , HB1804 , HB1563 , HB2015 , HB1619 , HB2475 , HB1889 , HB2367 , HB2187 , HB1765 , HB1452 , HB2231 , HB1700 , HB1705 , HB1626 , HB1897 , HB1642 , HB1523 , HB2593 , HB815 , HB1655 , HB1596 , HB1732 , HB1842 , HB2476 , HB2478 , HB2022 , HB1588 , HB2575 , HB1163 , HB2153 , HB772 , HB1519 , HB2050 , HB2309 , HB2147 , HB2329 , HB2274 , HB2280 , HB2547 , HB2275 , HB2452 , HB2306 , HB2148 , HB2088 , HB1764 , HB2438 , HB2117 , HB1860 , HB2604 , HB2118 , HB2017 , HB2155 , HB1832 , HB2216 , HB1601 , HB1934 , HB2297 , HB2397 , HB1893 , HB2533 , HB1890 , HB2454 , HB2004 , HB2427 , HB2207 , HB1810 , HB1840 , HB1644 , HB1645 , HB1946 , HB1648 , HB2324 , HB2323 , HB1509 , HB1514 , HB1515 , HB2164 , HB2165 , HB2283 , HB1691 , HB2386 , HB2423 , HB2121 , HB1984 , HB1593 , HB1671 , HB2619 , HB1481 , HB2314 , HB2319 , HB1643 , HB2558 , HB1864 , HB1898 , HB2214 , HB2167 , HB2488 , HB2009 , HB2007 , HB322 , HB1964 , HB2218 , HB2616 , HB1535 , HB1574 , HB1977 , HB2054 , HB2046 , HB146 , HB2094 , HB2181 , HB2250 , HB2515 , HB2444 , HB2385 , HB1740 , HB1724 , HB1733 , HB1799 , HB1725 , HB2049 , HB2161 , HB1970 , HB2519 , HB1790 , HB2416 , HB1873 , HB2001 , HB2151 , HB1603 , HB1880 , HB1753 , HB2198 , HB1511 , HB1991 , HB2546 , HB1615 , HB1939 , HB2140 , HB2429 , HB1870 , HB1850 , HB1782 , HB2137

Transcript Highlights:

• </c> treatment the main barrier to accessing treatment the main barrier to accessing this<00:10:25.480
• </c><00:10:45.639><c> to</c> believe that Financial access to believe that Financial access to financial
• </c><00:15:48.120><c> SNAP</c> testifying s sp53 expanding SNAP testifying s sp53 expanding SNAP benefits
• </c><00:26:06.399><c> for</c> and increase immediate food access for and increase immediate food access
• access to our SNAP benefits.

Summary: The Committee on Health and Human Services began by explaining strict one-minute testimony limits, reliance on written testimony, and that it had quorum and would move directly to decision making on deferred measures. It first adopted the chair’s recommendation to pass SB 8 with amendments, creating a five-year trial period for a jury-duty exemption for actively practicing APRNs, delaying implementation to January 1, 2027, and adding a defective date. It then adopted amendments to SB 189 on breast cancer screening, replacing references to “woman” with “patient,” clarifying that supplemental imaging and mammograms must be medically necessary and ordered by the patient’s provider, deleting one subsection, and adding a defective date. The committee then heard testimony on several bills. SB 46 on insurance/mental health coverage drew support from a member of the public and others, but later the chair said it would be deferred indefinitely pending a required sunrise analysis and a concurrent resolution. SB 642 on fertility preservation services received broad support from providers, advocacy groups, and an individual who described facing cancer treatment and high out-of-pocket costs; the chair later amended it to make coverage optional, limit it to those over 26, and add a defective date. SB 49 on terminal illness had limited testimony and was later passed with amendments incorporating agency and professional association changes plus a defective date. The committee also heard strong support for SNAP-related bills. SB 53, expanding SNAP eligibility to 300% of poverty, drew testimony about the “benefits cliff,” but the chair later deferred it indefinitely, citing uncertainty about costs and system issues. SB 58 on public assistance had no testimony. SB 960 and SB 961, both SNAP-related, drew extensive support from nonprofits, health groups, and others; DHS said its modernization work would not be ready until fall 2026 and that current systems could not automatically extend certification periods. SB 963 on SNAP also received support, including testimony from a volunteer reentry advocate and a public health advocate, but the chair later said it would be deferred indefinitely because the committee could not determine the fiscal impact and wanted to wait until next year. Finally, the committee heard SB 798 on child welfare and SB 974 on foster care. Testimony on SB 798 included support from child welfare and advocacy organizations, but also criticism from a witness who said the bill lacked voices of those harmed by the system and another who emphasized the need for independence, implementation, and accountability. The committee then recessed to regain quorum and later returned to decision making, where it deferred SB 46 indefinitely, passed SB 642 with amendments, passed SB 49 with amendments, and deferred SB 53 indefinitely. The transcript ends while the chair is continuing through the remaining measures.

Transcript Highlights:

• And we tried to influence the mission such that students are at the center, helping streamline access
• These resources will expand service opportunities. ...through 2026.
• This expanded program. to launch this expanded program on an ongoing basis.
• Expanding the College Corps means expanding access, not just for students, but for the communities they
• Yeah, I can expand upon what will happen if it doesn't finish right now.

Summary: The subcommittee held an informational budget hearing covering several GovOps, CDT, CPPA, and DGS items. GovOps reported that most deliverables under the Governor’s generative AI executive order have been completed, including guidelines, procurement tools, community-impact guidance, and a new project delivery lifecycle for Gen AI projects; one workforce-related deliverable remains. Members and public commenters raised concerns about privacy, labor impacts, and how the state will explain and oversee Gen AI use. The committee also heard a proposal to create a California Education Interagency Council with $5 million ongoing and 16 positions to coordinate workforce and education systems; LAO questioned duplication and recommended limited-term funding, while supporters said a neutral convening body is needed to improve coordination and student outcomes. GoServe presented the College Corps budget proposals, describing the program as a paid service and career-development opportunity for undergraduate students that helps reduce college costs while supporting communities through tutoring, food insecurity work, climate and disaster response, and other service. The administration sought one-time and ongoing funding to expand the program to more campuses and students, while LAO objected to the high administrative costs and recommended rejection. Several students and alumni testified that College Corps provided financial support, professional experience, and career pathways. The committee also heard a $5 million proposal for a Belonging Campaign to address loneliness and social isolation through research, outreach, and local grants; LAO said the proposal lacked clear goals and measures, while supporters said the effort is needed for youth, seniors, and community resilience. The Department of Technology updated the Middle Mile Broadband Initiative, saying construction is underway on the statewide open-access network and the project remains on track for the 2026 deadline, though LAO noted a required business plan had not yet been submitted. The California Privacy Protection Agency presented its Delete Act implementation request for the DROP platform, which will let consumers request deletion of personal information held by data brokers; LAO flagged oversight concerns because CDT is both developing the system and involved in project support. Public commenters from business groups urged caution on CPPA’s rulemakings, warning of compliance costs and job impacts. The Department of General Services then discussed implementation of Proposition 2 school facilities bonds, requesting staffing and administrative funding to manage the new bond program and continue school facility work. Officials said the program can also help districts affected by the January wildfires, including interim site funding and expedited assistance. Finally, DGS requested authority and positions to operate Building 18 for labor-agency tenants relocating from older Capitol Mall space; SEIU Local 1000 criticized the state’s four-day return-to-office policy and said telework has improved productivity and retention. No formal votes were taken; the hearing concluded after public testimony and member questions on each item.

Transcript Highlights:

• They're not able to access. So it's not a real, it's not access to a real program. for four years.
• They're not able to access.
• We share the author's priority in expanding access to higher education.
• We share the author's priority in expanding access to higher education.
• Young people have to have somewhere to go to access information, to be able to expand their horizons,

Committee: Senate Education

Summary: The committee first heard SB 998, which would clarify and expand school discrimination prevention coordinator roles, including new coordinators focused on disability and anti-AAPI discrimination. The author and supporters said the bill would strengthen school climate, provide clearer guidance and training, and help schools address discrimination before it escalates. Support came from education, civil rights, and LGBTQ+ groups, while some witnesses expressed support if amended but raised concerns about gubernatorial appointments and preferred civil service hiring. Several senators debated whether the bill duplicated existing protections and whether it diverted attention from academic priorities, but the chair and coauthors emphasized it as follow-up legislation tied to prior civil rights commitments. The committee voted SB 998 out on a due pass motion to the Senate Judiciary Committee, and the bill was placed on call. The committee then took up SB 1082, which would streamline inter-district transfer appeals by requiring faster district action, concurrent review, and clearer notice when applications are incomplete. The author and sponsor said families often face long delays and inconsistent practices, and supporters argued the bill would improve fairness and reduce administrative burden without changing local approval authority. The California School Boards Association had an oppose-unless-amended position but said it was re-evaluating after amendments, and some other groups said they were removing opposition. The committee approved the bill on a due pass as amended motion to the Senate Appropriations Committee and placed it on call. Next, the committee heard SB 960 on community college baccalaureate degrees. The author argued the bill would create a statewide framework allowing community colleges to offer bachelor’s degrees in unmet workforce areas when CSU programs are unavailable or effectively inaccessible because of impaction, while also limiting growth so community colleges do not drift from their core mission. Supporters said the bill would expand access for place-bound students and align with workforce needs, while CSU and faculty opponents warned it could duplicate programs, affect faculty jobs, and worsen pressure on the CSU system. Members debated the master plan, impaction, funding inequities, and whether the bill would siphon students from CSU. The committee ultimately moved SB 960 out on a due pass as amended motion to the Senate Appropriations Committee, and the bill was placed on call. Finally, Senator Blakespear presented SB 965, which would make it easier for 16- and 17-year-olds to obtain public library cards without a parent or guardian physically present. The author and her son described inconsistent local rules and said the bill would reduce barriers while preserving local library policies on checkout and liability. The transcript ended during testimony on SB 965, before any committee vote or further action was recorded.

Transcript Highlights:

• Third, expanded home- and community-based care for mental illness.
• Why should we expand Medicaid, why not expand Medicaid, which I would love to do, why should we require
• They can determine whether a family has access to health care, stability, and dignity.
• And as we look at the access program in DCF, and the for that.
• The SNAP program... money to work and trying to expand mental health.

Bills: S0036 , S0864 , S0268 , S0844 , S0514 , S1404 , S0914 , S1758

Committee: Senate Health Policy

Summary: The committee first considered SB 268, a public records exemption for emergency physicians. Senator Rodriguez’s strike-all amendment narrowed and clarified the exemption, and testimony from an emergency physician described threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported the bill favorably as a committee substitute. Members then heard SB 514, creating the Dula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women affected by substance use disorder. Senator Osgood explained the pilot would provide non-medical doula support and data collection, and an amendment changed the funding source to specific appropriations in the General Appropriations Act. Supporters said doula care can improve maternal and infant outcomes and complement medical providers. The committee adopted the amendment and reported the bill favorably as a committee substitute. The committee also approved SB 36 on use of professional nursing titles after extensive debate over whether nurses with doctoral degrees should be allowed to use “doctor” in clinical settings, with concerns raised about patient confusion and the need for clearer identification. The bill was amended to align with the House version and then reported favorably as a committee substitute. The committee next approved SB 864, a public records exemption for uterine fibroid research data, after a technical amendment setting a July 1, 2026 effective date; Senator Sharif said the exemption is needed so the Department of Health can collect sensitive data for the related research bill. SB 844, requiring continuing education on sickle cell disease care management for certain licensed physicians and nurses, was also reported favorably after emotional testimony from patients and advocates describing delayed care and bias. Later, the committee approved SB 1404 on memory care, after a strike-all amendment creating a new memory care specialty license for assisted living facilities that advertise or provide specialized memory care services, while allowing optional supportive services without the new license. Supporters from the senior living industry backed the clarification. The committee then passed SB 914, which clarifies that licensed occupational therapists may perform dry needling, after an amendment adjusting supervision and continuing education language. Finally, the committee took up SB 1758, a broad Medicaid and SNAP reform bill that would strengthen fraud enforcement, impose Medicaid work requirements for certain able-bodied adults, expand behavioral health services, modernize drug purchasing and prior authorization, and require SNAP fraud-reduction measures. Several amendments were adopted, and members questioned the work requirement, implementation costs, EBT card photo identification, and due process concerns; debate continued as the transcript ended.

Transcript Highlights:

• and toddlers like us without access to sound.
• Katie Van Dyne is with Health Access California and is in strong support of ensuring there's timely access
• Our mission is to expand access to quality, equitable, affordable health care for all Californians by
• Rule, often known as the access rule.
• and limits access.

Summary: The hearing began with a stakeholder presentation from Let California Kids Hear urging coverage of pediatric hearing aids for children in the large group market. Advocates described the issue as a long-running developmental emergency, argued that existing state efforts have been inefficient, and said the new proposal would cover about 70% to 80% of affected children without new spending by redirecting existing dollars. Public commenters, including parents, audiologists, and children’s advocates, strongly supported the proposal and emphasized the need for timely access to sound. The chair thanked the group and noted hope for a future fix, including continued work on the exchange market. The Department of Finance then gave a broad budget warning about the state’s more than $20 billion structural deficit and said new investments must be weighed against out-year shortfalls. HCAI followed with an overview of its programs, including CalRx insulin and naloxone, reproductive health grants, the Office of Health Care Affordability, seismic hospital compliance, workforce programs, and the Data Exchange Framework. Members asked about geographic targeting of workforce funds, behavioral health pipeline programs, the status of the 21st Century Nursing Initiative, and future CalRx products such as EpiPens and GLP-1s. HCAI also described its enforcement approach for health care spending targets, saying the board would not change the targets in response to H.R. 1, and outlined the diaper access initiative, which will distribute diapers through hospitals in higher-need areas. Several HCAI budget items were discussed and held open, including additional expenditure authority, the transfer of the Data Exchange Framework and Office of the Patient Advocate, long-term care payment transparency staffing, and reporting on health care worker waiting periods. The department also presented its Behavioral Health Services Act workforce initiative and a proposed $100 million General Fund offset, which both the LAO and the chair questioned as unclear and potentially one-time in nature. HCAI said the final workforce plan would be adjusted after stakeholder consultation if the offset proceeds. The department also described the Rural Health Transformation Program, saying California received $233.6 million in federal funds, had to revise its proposal to satisfy CMS, and must obligate the money by October 30; the program will fund rural care models, workforce development, and technology, with grants rolled out on a phased basis. The Department of Managed Health Care then presented its budget and three legislative implementation requests: SB 41 on PBM reform, SB 306 on prior authorization transparency, and AB 1041 on provider credentialing timelines. Finally, the administration outlined a menopause care proposal requiring coverage and education for menopause-related services, provider training, and an outreach campaign, with DMHC requesting staffing and funding to implement and enforce the new requirements. Throughout the hearing, most items were held open for later action, and no final votes were taken in the portion provided.

Transcript Highlights:

• So SB 960 is an attempt to move the ball forward and expand the accessibility of these programs statewide
• We share the author's priority in expanding access to higher education.
• We share the author's priority in expanding access to higher education.
• access, We should be expanding the role that libraries have in students' lives, not adding barriers
• Young people have to have somewhere to go to access information, to be able to expand their horizons,

Summary: The committee heard SB 998, which would define and expand the roles of discrimination prevention coordinators in the Office of Civil Rights, including a new disability-focused coordinator and a deputy coordinator on anti-AAPI discrimination. The authors and supporters, including representatives from LGBTQ, Black, Latino, and AAPI caucuses, argued the bill would help schools proactively address discrimination, improve student safety and belonging, and support learning. Opposition from the California Faculty Association and SEIU California focused on the appointment structure and preference for regular civil service hiring, while some members questioned whether the bill duplicated existing anti-discrimination law and whether it would add government bloat. The committee ultimately voted SB 998 out on a due pass basis to the Senate Judiciary Committee and placed it on call. SB 1082 was then presented as a measure to streamline inter-district transfer appeals by requiring more timely district action, allowing concurrent review, and clarifying that a district’s failure to respond is not treated as a denial. The sponsor, the Association of California County Boards of Education, and supporters from Families in Action for Quality Education said the bill would reduce delays, improve fairness, and help families make timely educational decisions without changing districts’ authority to approve or deny transfers. The California School Boards Association had previously been opposed unless amended and said it would re-evaluate after the committee changes. The committee supported the measure, and SB 1082 was voted out as amended to the Senate Appropriations Committee and placed on call. The committee also took up SB 960, which would revise the rules for community college baccalaureate degrees by tying authorization to local access gaps and impacted CSU programs rather than a blanket statewide prohibition. Supporters, including the Campaign for College Opportunity and several community college and education groups, argued the bill would expand access for place-bound and adult learners and better align programs with workforce needs. CSU representatives and the California Faculty Association opposed the bill, warning it could duplicate CSU offerings, worsen enrollment and funding pressures, and affect faculty jobs. Members debated the Master Plan for Higher Education, impaction, and whether the state should instead fully fund CSU capacity; the committee nevertheless recommended SB 960 for passage as amended to Appropriations and placed it on call. Finally, SB 965 was heard, a bill to make it easier for 16- and 17-year-olds to obtain public library cards without a parent or guardian physically present. The author and supporters said the bill would remove an unnecessary barrier to educational resources while preserving local library control over checkout policies and liability rules. The California Library Association expressed support for the goal but said details matter and urged language that preserves local discretion while encouraging reduced in-person requirements where feasible. The transcript ended during that testimony, before any committee vote on SB 965.

Transcript Highlights:

• These resources will expand access to education opportunities, strengthen economic pathways, and empower
• road and parking to ensure safe and equitable access for our beneficiaries.
• These resources will expand access to education opportunities, strengthen economic pathways, and empower
• road and parking to ensure safe and equitable access for our beneficiaries.
• road and parking to ensure safe and equitable access for our beneficiaries.

Summary: The Committee on Hawaiian Affairs heard several Department of Hawaiian Home Lands measures. SB 2635 would appropriate funds for DHHL land development, land purchases, and mortgage or rental subsidies to address the wait list; DHHL and five supporters testified in favor, and the committee later recommended passage with amendments, including a date defect, with the measure adopted as amended. SB 2924 would authorize funding for a capital improvement project for the Kaneili Community Hall, access road, and parking lot; DHHL stood on testimony in support, Randall Ao and another online testifier spoke in favor, and the committee later amended the bill to shift the funding structure from general obligation bonds to general funds before passing it. SB 3127 would raise the state liability cap for DHHL-related borrowing and guaranteed loans from $100 million to $500 million; DHHL testified, no other testimony was offered, and the committee passed it with amendments, including a date defect. The committee also heard SB 3248, which establishes labor requirements for Aleha Products. No testifier from the Department of Hawaiian Home Lands Board was present, and there was no additional testimony or questions during the hearing. During decision-making, the chair noted there was both support and some opposition but recommended passage with amendments, including a date defect, and the committee adopted the recommendation unanimously. The meeting concluded after all three decision-making votes were completed and the committee adjourned.

Transcript Highlights:

• And this bill builds on existing efforts to expand and improve access to reproductive health care and
• And this bill builds on existing efforts to expand and improve access to reproductive health care and
• This bill also expands access to telehealth services, making sure that more people have access to safe
• AB 260 protects patients, providers, and facilities while expanding access through telehealth.
• It does not expand access.

Summary: The Assembly Health Committee met on April 8 and heard a long series of bills, beginning with AB 54 on medication abortion access. The author and supporters, including the Attorney General’s office and reproductive justice advocates, said the bill would protect California’s medication abortion supply chain and shield providers and manufacturers from civil, criminal, and professional liability. Opponents from the California Family Council argued the bill removes safeguards and increases risks. The bill was moved forward on a committee motion. The committee then heard several reproductive and public health measures, including AB 551 to create a pilot program supporting emergency departments in providing reproductive health services, AB 260 to protect medication abortion access and telehealth, AB 309 to remove sunset dates on laws allowing pharmacy syringe sales and lawful possession of sterile syringes, AB 536 to preserve colorectal cancer screening coverage if federal guidelines are challenged, AB 804 to make housing support services a Medi-Cal benefit, AB 594 to address student health insurance billing and transparency, AB 836 to study and expand the midwifery workforce, AB 1418 to collect data on health coverage for eligible employees, and AB 1500 to maintain and expand the abortion.ca.gov information site. Supporters emphasized access, preventive care, workforce shortages, and public health benefits, while opponents raised concerns about abortion, syringe distribution, and the focus of state resources. Most measures were advanced by committee vote, with roll calls showing broad support and a few no votes from members on some bills. The final bill discussed in the transcript was AB 1037, which would update substance use disorder laws to reflect evidence-based, harm-reduction approaches and remove barriers to treatment. The author and supporters described it as a compassionate response to overdose and treatment access problems, while law enforcement opposition argued it would encourage drug use and endanger communities. The transcript cuts off during testimony on AB 1037, so no final committee action on that bill is shown in the provided text.

Transcript Highlights:

• They're not able to access it.
• And so SB 960 is an attempt to move the ball forward and expand the accessibility of these programs statewide
• We share the author's priority in expanding access to higher education.
• We share the author's priority in expanding access to higher education.
• Young people have to have somewhere to go to access information, to be able to expand their horizons,

Committee: Senate Education

Transcript Highlights:

• The CDI has ordered us to expand our coverages to do a full...
• Member companies can get access to it. E&S, access and surplus lines carriers can get access to it.
• Member companies can get access to it. E&S, access and surplus lines carriers can get access to it.
• We expanded our claim staff by more than 200 desk examiners.
• We expanded our customer service hours and the days.

Committee: House Insurance

Transcript Highlights:

• access to open space.
• So today, the best way to enhance public access to the coast includes supporting To enhance public access
• Often, though, like in a city like Santa Monica, which I represent, that city has expanded public access
• Coastal Commission policy equates automobile access to public access, and prioritizes parking above
• While we share the bill's stated goals—expanding coastal access, supporting affordable housing, and keeping

Summary: The committee heard a series of bills focused on environmental policy, public infrastructure, housing, and energy. AB 1812, dealing with compostable plastics and compost contamination, drew strong support from farmers, composters, counties, cities, and waste companies, while manufacturers and compostable-product companies opposed it unless amended, arguing it would undermine compostable packaging and SB 54 goals. AB 2216 to expand the Delta Conservancy’s service area also received broad support and no opposition. AB 2481, which would allow leftover glass quality incentive funds to support recycled glass used in fiberglass insulation and other products, was supported by insulation manufacturers, recyclers, and waste advocates and passed with no opposition. AB 2152, streamlining fire station construction and tying CEQA relief to project labor agreement requirements, was supported by firefighters and construction trades but opposed by contractors and wildlife groups over the PLA mandate and environmental review provisions; the committee discussed amendments and sent it forward. AB 1536, the Save Our Shores Act, aimed at offshore oil and gas safety and decommissioning, was supported by coastal and environmental groups and opposed by the petroleum industry, with members debating pipeline safety, drilling risks, and carbon intensity before advancing the bill. AB 1849, a study bill on decarbonized gaseous fuels, split supporters from hydrogen, bioenergy, and propane interests against environmental and justice groups who said it favored biomethane and hydrogen without clear definitions; the author said it was only a study measure, and it moved ahead. AB 1732, which would expand CEQA streamlining for public university and community college housing projects, was backed by students, UC representatives, housing advocates, and labor, with no opposition heard; members raised concerns about environmental impacts and evacuation planning, but the bill was approved. Several measures were taken on consent and others were held open for absent members or quorum issues, with multiple bills receiving due pass recommendations as amended.

Transcript Highlights:

• We enhanced courtroom technology to expand access to justice through the use of remote and hybrid court
• We sustained four recently launched treatment courts to expand access to these vital and very successful
• We enhanced courtroom technology to expand access to justice through the use of remote and hybrid court
• We enhanced courtroom technology to expand access to justice through the use of remote and hybrid court
• We enhanced courtroom technology to expand access to justice through the use of remote and hybrid court

Transcript Highlights:

• This expands the scope Senate Bill 2246.
• access access it's<00:59:32.559><c> like</c><00:59:33.359><c> it's</c><00:59:33.599><c> like</c><00:
• :11.839><c> allowing</c> 2480 expands participation by allowing 2480 expands participation by allowing
• </c><01:07:24.240><c> Expanding</c> those who advance. Expanding those who advance.
• And when access improves, citizen. And when access improves, participation<01:48:53.760><c> grows.

Summary: The Judiciary Committee heard testimony on Senate Bill 2246, which would expand public financial disclosure requirements. The State Ethics Commission strongly supported the bill, saying broader disclosure could help restore public trust and potentially deter corruption, and it offered a clarifying amendment to make clear the requirement applies to board and commission members rather than all employees of listed agencies. Several organizations and individuals also testified in support. A committee member asked about the amendment, and the commission explained it was intended as a clarification rather than a substantive change. The committee then took up Senate Bill 2250, which would add homeless facilities to the locations covered by the drug-free-zone offense for promoting controlled substances. The Public Defender opposed the measure, arguing that many homeless facilities are unmarked and not easily identifiable, creating notice, fairness, and due process concerns and risking arbitrary enforcement. The Honolulu Prosecutor’s Office and Honolulu Police Department supported the bill, saying it targets distributors rather than users, that notice can be proven through evidence, and that the law is aimed at protecting vulnerable people in shelters and similar facilities. In questioning, senators asked how homeless facilities would be identified and whether the bill would cover all shelter models; the prosecutor said the definition is cross-referenced in statute and must be proven beyond a reasonable doubt. The Drug Policy Forum of Hawaii and other groups testified in opposition, while several service and advocacy groups testified in support. Finally, the committee heard Senate Bill 2325, which would allow courts to review and potentially reduce sentences for certain juvenile offenders after 15 years if the person is not a danger to the community. Judiciary staff said the court supports the bill’s intent but noted Hawaii’s indeterminate sentencing structure leaves no alternative sentence for a court to reduce to, suggesting the measure may need structural sentencing changes or could instead be directed to the Hawaii Paroling Authority. Public defender representatives and youth-justice advocates supported the bill, emphasizing rehabilitation, adolescent brain development, trauma, and the need for a meaningful opportunity for release. No votes or final committee actions were taken during the portion of the hearing provided.

Transcript Highlights:

• Expanding the good cause exception expands protections for survivors of domestic violence and their children
• Have you, as MAPC, done any analysis similar to that or on how language access has impacted access to
• access to health care.
• We have funding to expand it.
• access services equitably.

Bills: H5085 , H5286

Committee: Joint Joint Committee on Children, Families and Persons with Disabilities

Keywords: poverty alleviation, family support, economic mobility, youth transition, financial education, matched savings, community programs, Department of Children and Families, DCF, child abuse investigation, child neglect, pediatrician, advanced practice registered nurse, medical misdiagnosis, rickets, Ehlers-Danlos syndrome, osteogenesis imperfecta, vitamin D deficiency, bone fragility, child welfare

Transcript Highlights:

• They now don't have access or restricted access to care.
• Access to health care and food.
• Christine Smith with Health Access California.
• They're not going to not need access to care.
• Fullwell is a Bay Area-rooted nonprofit public policy organization focused on expanding access to healthy

Summary: The Senate Budget and Fiscal Review Subcommittee held an oversight hearing on the impacts of H.R. 1 on California’s safety net, focusing on Medi-Cal and CalFresh. The chair and vice chair framed the issue as a major federal disruption that would reduce benefits and shift costs to the state, counties, hospitals, and other local systems. The first panel included the Legislative Analyst’s Office, the Department of Finance, the UC Berkeley Labor Center, and the Food Research and Action Center, each describing projected enrollment losses, higher state and county costs, and implementation challenges. The LAO outlined H.R. 1’s main changes: new and expanded work requirements, more frequent eligibility redeterminations, restrictions on certain non-citizen eligibility, and financing changes affecting provider taxes and federal matching rates. The LAO estimated that 1 to 2 million people could be disenrolled from Medi-Cal and more than 600,000 could lose CalFresh, with additional costs from reduced federal support and possible state and county administrative burdens. The Department of Finance said the Governor’s budget includes about $1.4 billion General Fund in 2026-27 to respond to H.R. 1, with larger out-year reductions in federal funds and projected Medi-Cal caseload losses of up to 2 million by 2029-30. The UC Berkeley Labor Center projected up to 3 million Californians could lose full-scope Medi-Cal by 2028 when H.R. 1 is combined with state budget changes, while noting the state could choose policies that would reduce some of those losses. The Food Research and Action Center warned that CalFresh cuts and time limits would increase hunger, worsen health outcomes, and strain local economies and emergency systems. Members questioned the witnesses about procedural disenrollments, regional variation, the overall growth in Medi-Cal spending, the future of the MCO tax, the CalFresh error rate, and the downstream effects on hospitals and county indigent care. Several senators argued that the federal law was driven by tax cuts for high-income earners and would disproportionately harm low-income Californians, immigrants, and communities of color. Administration witnesses said some impacts are still being analyzed, that counties and departments are working on implementation, and that the Legislature may need to use statute, reporting, and oversight tools as federal guidance develops. No votes or formal actions were taken during this portion of the hearing.

Transcript Highlights:

• We appreciate the goal of expanding timely access to behavioral health care for individuals suffering
• California expanded coverage; we've not done a great job at expanding access, and I think when we look
• California expanded coverage; we've not done a great job at expanding access, and I think when we look
• But our approach must be a balanced one, expanding access to vital medication with responsible oversight
• While we appreciate the intent of the bill and share the chair's interest in expanding access to fluoride

Committee: House Health

Summary: The Assembly Health Committee heard a special order of bills focused largely on utilization management and prior authorization in health care. Chair Bonta opened by explaining the committee’s rules and noting several consent items, then moved into bills aimed at reducing delays and barriers in coverage decisions for mental health, substance use disorder treatment, chronic care, and rehabilitation services. The committee also noted AB 1429 had been pulled from the agenda. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and for physician care delivered during those inpatient stays. Supporters, including behavioral health groups, hospitals, emergency physicians, and patient advocates, argued that prior authorization delays crisis care and can worsen outcomes. Opponents, including health plans and insurers, warned about fraud, waste, abuse, and ambiguity around residential treatment facilities and review processes. The bill passed the committee on a do pass as amended vote and was sent to Appropriations, though it was placed on call. AB 510 by Assembly Member Addis would require health plans to provide a peer of the same or similar specialty when a treating provider appeals a prior authorization decision. Supporters said this would make appeals fairer and more clinically informed; opponents said the specialty-matching requirement and timelines were unworkable and could strain the system. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the prescribed treatment, with supporters citing chronic illness and cancer care delays and opponents arguing the bill was too broad. AB 669 by Assembly Member Haney would bar certain utilization reviews for the first 28 days of in-network substance use disorder treatment and limit prior authorization for related outpatient medications; it drew strong emotional support from a parent who lost her son after treatment was cut short, while insurers and health plans opposed it as too restrictive. AB 512 by Assembly Member Harabedian would shorten prior authorization turnaround times to 24 hours for urgent requests and 48 hours for non-urgent requests, and AB 574 by Assembly Member Mark González would allow up to 12 physical therapy sessions for a new episode of care without prior authorization. Across these bills, supporters emphasized timely access and patient harm from delays, while opponents repeatedly raised concerns about oversight, medical necessity review, and cost. Several measures were voted out on call or held on call for later action.