Transcript Highlights:

• exemptions, children who are disabled or medically fragile students.
• Medical exemptions, children who are disabled or medically fragile students.
• In some instances, yes, but in others, you know, medical providers and professionally trained medical
• Yes, but in others, you know, medical providers and professionally trained medical decisions are making
• It's numbers that have come forward from medical numbers. And so I just...

Summary: The Assembly Education Committee heard a lengthy agenda of education-related bills, with quorum established at the start and several measures taken up on consent or special order. The committee also announced that AB 1644, AB 2362, and later AB 2197 were pulled from the hearing. Members reminded the public of hearing rules and limited testimony to two witnesses each in support and opposition. AB 2651, by Assemblymember Bonta, would require schools to notify parents when school vaccination rates fall below herd-immunity thresholds. Supporters, including physicians, the California State PTA, public health groups, and school employee organizations, argued that families need timely, school-specific information to protect children and vulnerable community members. Opponents raised concerns about privacy, stigma, and whether school-level snapshots could be misleading. The bill passed the committee 5-1 and later 7-1 on the roll call. AB 2509, by Assemblymember Schultz, would allow districts to use a five-year rolling average for ADA funding calculations; supporters said it would stabilize funding amid attendance declines, while one member noted concerns about masking long-term enrollment problems. It passed 5-1 and later 7-2. The committee also approved AB 2430, which would expand after-school access, especially for high school students, improve funding and transparency, and create a work group on program quality. Testimony emphasized the value of expanded learning for youth development and working families, and members discussed the need to address middle school access as well. AB 2526, focused on special education funding, would expand the low-incidence fund to include students qualifying for the California alternate assessment; supporters said it would better align funding with student need, while some concerns remained about over-identification. AB 2325, the Pathways to Bilingual Teaching Act, would create a grant program to build bilingual teacher pipelines through partnerships among schools, community colleges, and universities; it received strong support and passed unanimously. AB 2460, presented by Assemblymember Pellerin for Assemblymember Celeste Rodriguez, would update school mental-health referral protocols to address trauma related to immigration enforcement; it also passed unanimously. AB 2404, which sought to require Central Valley representation on several governor-appointed bodies, drew debate over geographic representation and board composition and ultimately failed on a 2-5 vote.

Transcript Highlights:

• And that patients have access to needed medication.
• We deemed that this was something that was necessary.
• Most of the people, there's medications that need to be cooled, insulin, there's other types of medications
• These medications get the oxygen that was needed.
• They set me up with $5,000. of medical bills.

Bills: SB502 , SB513 , SB622 , SB670 , SB731 , SB732 , SB916 , SB961 , SB1122

Committee: Senate Health & Human Services

Transcript Highlights:

• dozen disease organizations and medical societies to make sure we are building out the medically frail
• Counties are required to provide subsistence medical care, meaning basic, medically necessary services
• necessary medications or that clinics will be forced to shut down essential services.
• I serve as the medical officer for ambulatory care and graduate medical education in Central California
• Every at all classifications including medical doctors, physicians, PAs, I don't know. including medical

Summary: The Assembly Health Committee held an informational hearing on the impact of federal H.R. 1 and related state budget actions on California’s health care system. Opening remarks framed the federal changes as a major threat to Medi-Cal, Covered California, hospitals, clinics, and the broader safety net, with warnings that millions could lose coverage and that costs would shift to providers, counties, and consumers. Testimony from the California Health Care Foundation and the Legislative Analyst’s Office focused on implementation challenges, the administrative burden of work requirements and more frequent renewals, the loss of federal funding, and the need for California to consider long-term structural changes to Medi-Cal, county safety-net programs, and cost containment. A Covered California enrollee, Chas Franklin, described sharply rising premiums for his family after losing subsidies, illustrating the personal impact of federal policy changes. Committee members raised concerns about whether premium increases were driven by H.R. 1 or insurer pricing, the cost of rebuilding county-based indigent care systems, and the need to account for the cost of inaction. Dr. Hernandez pointed to pre-ACA models such as Healthy San Francisco as examples of coordinated local safety-net care, while also emphasizing the importance of primary care, data interoperability, and the Office of Health Care Affordability in reducing waste and improving access. Department of Health Care Services officials then outlined the state’s implementation plan for H.R. 1, including work requirements, six-month redeterminations, reduced retroactive coverage, cost-sharing, and immigration-related eligibility changes. They said the department would try to automate eligibility checks, expand outreach, and train counties and partners, but estimated up to 2 million Californians could lose coverage over time. Covered California reported that the expiration of enhanced federal premium tax credits and new federal marketplace rules are already raising costs and reducing enrollment, with an estimated 400,000 enrollees at risk of dropping coverage. County, hospital, and safety-net representatives warned that coverage losses will increase uncompensated care and strain local systems, while one coalition proposed a temporary state-funded coverage option as a bridge if full-scope Medi-Cal cannot be maintained. The hearing concluded with a policy analyst urging stakeholder engagement, immigrant protections, and new state revenue options to preserve coverage and offset federal cuts.

Transcript Highlights:

• Today, Jim Deagle and our chief medical officer, Dr.
• I am the chief medical officer at the Oregon State Hospital.
• We hired a new chief medical officer, my partner here, Dr.
• They're going to talk to the medical providers.
• They're going to talk to the medical providers.

Summary: The joint Senate and House Behavioral Health committees held an informational meeting focused first on the Oregon State Hospital (OSH). OHA Director Sajal Hathi introduced the hospital’s incoming permanent superintendent, Sean Murphy, and praised interim superintendent Jim Deagle for stabilizing operations, restoring CMS compliance, and helping drive a culture change centered on safety, accountability, and transparency. Deagle and Chief Medical Officer Dr. Amit Bavon described OSH’s role as the state’s highest-level forensic psychiatric hospital, the patient populations it serves, its partnerships with courts, counties, jails, hospitals, and advocates, and recent leadership changes across the hospital. They also reported improved accreditation and regulatory status, including Joint Commission accreditation and CMS compliance, and said the hospital is now using daily safety huddles, incident review meetings, stronger escalation procedures, and revised seclusion/restraint practices to reduce risk and improve oversight. Members pressed hospital leaders on past seclusion practices, asking how prolonged seclusions could have occurred under federal standards. Leaders said they could not explain past decisions but emphasized that current leadership has changed processes, training, reporting, and oversight so that seclusion and restraint are reviewed in real time and cannot be normalized. Questions also covered staffing, falls, and future planning. OSH said it is generally staffed to budget, though it still has RN and mental health technician vacancies and is working on recruitment, training, and better staffing distribution. Hathi said the hospital is building a public dashboard with key performance and safety metrics, including workforce data, and described the long-term goal as a consistently safe, disciplined, high-functioning institution that responds quickly to mistakes and remains accountable to the public. The committee then shifted to an informational overview of civil commitment. Oregon Judicial Department representative Chanah Newell explained the civil commitment process, including who can initiate it, the role of community mental health providers and courts, the five-day timeline to hearing, and the standards for danger to self, danger to others, and inability to meet basic needs. She summarized changes made in House Bill 2005, including revised statutory language and new provisions allowing a second diversion period, but cautioned that the data are too early to show clear trends. Testimony from NAMI Oregon’s Chris Bonif and psychiatrist Dr. Stephanie Lopez argued that Oregon still relies too heavily on jails and state hospital commitments because the broader community system lacks enough treatment, housing, and less restrictive alternatives. They urged the legislature to focus on upstream services, supported housing, and possible outpatient commitment tools so people can receive treatment before reaching crisis. The meeting ended with acknowledgment that additional reports and follow-up discussions are expected, including on residential treatment capacity and related behavioral health system reforms.

Transcript Highlights:

• What kind of projects outside the state would be necessary for taxpayer dollars?
• What amount of debt are we talking about that would be necessary for the state or local entities?
• I have been involved in medical research of pancreatic cancer at the Sheba Medical Center. in Israel.
• Sheba Medical Center is recognized as one of the top hospitals in the world for six consecutive years
• Sheba Medical is collaborating with MDI. understand that Houston has been a center for medical research

Bills: HB 1240 , HB1353 , HCR76 , HCR90

Committee: House S/C on International Relations

Keywords: border region, infrastructure, economic development, government operations, education, international cooperation, infrastructure investment, bond issuance, state agencies, shrimp industry, federal regulations, foreign imports, economic impact, public health, Gulf Coast communities, Texas-Israel relations, Israel, Jerusalem, trade office, foreign relations

Transcript Highlights:

• medication.
• medication.
• </c> necessary for that patient. necessary for that patient.
• necessary.
• </c> brand name drug is medically necessary. brand name drug is medically necessary.

Committee: House Health, Human Services & Elderly Affairs

Transcript Highlights:

• The medical and behavioral health providers were more aware, but they weren't sure what criteria to use
• We see a little bit more awareness up with the medical, behavioral health, and the school staff.
• , but we do kind of capture the full range of medication for addiction treatment services kind of in
• Medication for addiction treatment services, kind of in this slide here.
• They provide drug testing at the evaluation and randomly throughout treatment if it's necessary.

Summary: The meeting opened with approval of the April minutes and brief administrative updates, including notice that House Bill 5447 had passed both chambers of the General Assembly. Speakers reflected on the bill’s key provisions, which include eating-disorder working groups, an evidence-based screening requirement for school-based health centers beginning July 1, 2027, and a DSS-led feasibility process to explore an inpatient psychiatric facility for young adults ages 14 to 21. New staff introductions were also made for the Behavioral Health Advocate’s office and the TCB team. A major portion of the meeting focused on marketing and outreach for urgent crisis centers (UCCs) and the broader youth crisis continuum. Daydream Communications presented research showing low public awareness of UCCs but strong interest once families learn about them, with parents wanting specialized, compassionate care, clear expectations, insurance clarity, and bilingual support. United Way described its parallel work on a statewide crisis continuum marketing toolkit, using the SAMHSA framework of “someone to talk to, someone to respond, and somewhere safe to go,” and outlined plans to distribute consistent messaging through websites, social media, flyers, and community venues. Members emphasized coordinating with existing platforms and ensuring the marketing reflects the actual experience at UCC sites. DCF then presented on adolescent substance use services, citing data showing high need and low treatment access among Connecticut youth. The department reviewed its ASAM-based continuum, SBIRT efforts in outpatient psychiatric clinics, medication-assisted treatment access, and statewide services such as MST, MST emerging adults, STRIDE, multidimensional family therapy, youth recovery supports, and the AIM matching tool. A new young people peer support program was highlighted, with referrals accepted from families, hospitals, community providers, DCF, youth diversion, and the judicial branch. Questions addressed parent consent, peer matching, and whether the AIM tool could be linked through 211. The meeting concluded with an update from the Connecticut Suicide Advisory Board and its regional boards and grant-funded initiatives. Presenters reviewed the state suicide prevention plan, regional coalition work, postvention response, lethal means safety efforts, and the 988 capacity improvement grant that supports Connecticut’s centralized 988 contact center at United Way. They also shared youth suicide risk data from the Connecticut Youth Risk Behavior Survey, noting recent declines in reported suicidal ideation and attempts, and provided resources for training and materials. No formal votes were taken beyond the approval of the April minutes.

Transcript Highlights:

• that generally means a provider who can diagnose an illness, manage chronic diseases, prescribe medications
• Concerns involving physical and sexual abuse disclosures, credible threats, and medical issues were not
• I guess my concern is that we look at states that have codified such rights to medical treatment like
• Chairman, my motion would be to send to general orders this particular bill so we could make necessary
• However, as the bill is written, it lacks the details necessary to successfully complete surveys and

Committee: House Health and Welfare

Transcript Highlights:

• It is not the final answer, but it is a necessary first step.
• I also lost access to my psychiatrist and the medication I was taking for my ADHD.
• care is not available due to their medical or behavioral profile.
• While we recognize the intent behind this bill, we are uncertain if it is truly necessary.
• While we recognize the intent behind this bill, we are uncertain if it is truly necessary.

Bills: HB2429 , HB2171 , HB2314 , HB2364 , HB2415

Committee: House Early Learning & Human Services

Keywords: behavioral health, youth support, mental health services, children's health, support services, foster youth, child welfare, education, mental health, dental care, habilitation centers, residential services, healthcare access, patient rights, poverty, task force, legislative, executive, social programs, fatalities

Transcript Highlights:

• medical contract for the department...
• Do you all have a—have you renewed a medical contract?
• Senator, this is the medical contract that was discussed a couple of years ago.
• That check goes into this fund, the medical monetary sanctions fund.
• And we'll utilize medical sanctions for the rest of it.

Committee: All JOINT BUDGET COMMITTEE

Summary: The committee first considered revisions to the JBC rules, which staff said were all prompted by acts passed in the 2025 legislative session. The rules were adopted without objection. Members then received a balanced budget presentation from DFA Secretary Jim Hudson on the governor’s FY27 proposal, which he said was built around three priorities: limiting state government growth, continuing investments in education, and advancing income tax cuts. He highlighted major additions for education funding, EFA growth, pay plan costs, higher education productivity funding, drug task forces, corrections medical costs, the governor’s 1033 initiative, SNAP error-rate reduction, and Medicaid sustainability, while also explaining a new A/B funding category structure intended to prioritize recurring costs and preserve room for tax cuts. Members questioned Hudson about the cost of income tax reductions, the constitutional balanced-budget requirement, education funding, the Educational Adequacy Fund, Medicaid trust fund balances, and the impact of federal changes on Medicaid and SNAP. Hudson said each tenth of a percent income tax cut would cost about $58 million, the budget remained balanced, public education would still receive historic increases, and the Medicaid trust fund would be monitored closely with additional set-asides proposed. He also said the FY27 SNAP administrative cost increase would be about $18 million. The committee then heard from the Division of Higher Education, which reported institutions were 2.61% more productive overall and that the budget recommendation followed the statutory productivity formula. Questions focused on why some institutions were receiving decreases or large increases, how the formula works, and how the new return-on-investment metric and committee composition would affect future funding. The committee approved several higher education-related actions, including personnel changes for nine institutions and special language for North Arkansas College’s move into the University of Arkansas system. Staff then walked members through the higher education appropriation summary, explaining large percentage increases at several institutions were tied to federal funds or corrected carry-forward issues, including the U of A School of Mathematical, Sciences and the Arts, South Arkansas College, SAU Tech, ASU Mountain Home, and ASU Newport. Members also discussed UAPB’s 1890 extension program and the University of Arkansas Division of Agriculture’s land-grant matching funds; officials said UAPB’s recommendation was being aligned with actual spending and that the Division of Agriculture’s Smith-Lever and Hatch matches were included within its overall appropriation. The committee ultimately adopted the Higher Education Coordinating Board’s recommendations for all institutions and then moved on to the Department of Corrections section, with the chair outlining how the committee would proceed through those appropriations by section.

Transcript Highlights:

• George Sorries with the California Medical Association.
• Medical professionals can and should use their professional judgment when using AI tools.
• George Sorries with the California Medical Association, in support.
• Kevin Guzman with the California Medical Association in support. Thank you.
• Kevin Musman of the California Medical Association, in support. Thank you.

Committee: Senate Health

Transcript Highlights:

• Medical decision-making is one of the most important duties of a parent.
• I read medical. studies as if my child's life depended on it because it did.
• So, especially when we're dealing with medications.
• A lot of times what happens with these kids is it's one medication after another.
• And then the OCD, you know, call it medication. causes weight gain.

Bills: HB451 , HB645 , HB 1041 , HB 1151 , HB 1155 , HB1536 , HCR12 , HCR12

Committee: House Human Services

Keywords: commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening, validated screening tool, evidence-informed tool, conservatorship, juvenile justice, at-risk youth, trafficking prevention, Child Sex Trafficking Prevention Unit

Transcript Highlights:

• However, all further medical evaluation...
• The context of a medical home. Dr.
• My question then would be, why is it necessary for us to do this?
• The suicide rates have been so high, and we have a lot of medical...
• I understand the concerns of all these medical professionals, and while I may... medical professionals

Bills: SB87 , HB491 , SB43 , SB101

Committee: House Health

Keywords: midwifery, licensed midwives, State Board of Midwifery, licensure fees, professional liability insurance, complaints investigation, emergency care plan, out-of-hospital care, HB491, public schools, K-12, school nutrition, school lunch, cafeteria, artificial dyes, food additives, food coloring, synthetic dyes, Red Dye No. 3, Red Dye No. 40

Transcript Highlights:

• They are doing exactly what the law and medical ethics require.
• A doctor insists on medication with the FDA black box warning, even though those medications contain
• Despite children being stable, treated, and medically supervised, DCF removes them.
• A medical diagnosis is hastily made by a Child Protection Team doctor.
• They can apply to take the medical provider exam to obtain that certification.

Transcript Highlights:

• we don't recover all of the medication costs.
• So they are getting medication, medication, medication, medication.
• Okay, so we're medicating them. Yes. Do we know what our cost is just to medicate? Yes. On average?
• I don't think it is appropriate, necessary, or fair.
• This is a medication cost increase.

Summary: The Budget Committee heard the Department of Mental Health’s FY 2027 budget presentation, with Director Valerie Hoon outlining a $4.4 billion department budget, including $1.7 billion in general revenue, and describing the department’s roles in substance use, behavioral health, and developmental disabilities services. Early questioning focused on marijuana-related mental health impacts, but the main discussion centered on the department’s new decision items, funding sources, and expected wait lists. The director explained several increases tied to Medicaid growth, mental health youth services, outpatient competency restoration, crisis residential services, developmental disability waivers, and provider tax adjustments, along with offsets such as reduced wraparound funding at the Kansas City Assessment and Triage Center and cuts to some youth and self-directed DD services. A major portion of the hearing focused on competency restoration for people found unfit to stand trial and currently held in county jails. Members pressed the department on the cost, effectiveness, and legal implications of keeping people in jail while awaiting services, noting a reported wait list of roughly 524 to 538 individuals and average holds of about 14 months. The department said it currently has eight outpatient competency restoration beds in the community, is seeking funding for 50 additional outpatient slots, and also operates jail-based restoration for about 40 people at a time. Members repeatedly asked for breakdowns of violent versus nonviolent cases, success rates, cost per person, and the split between state and federal funding, while the department explained that Medicaid can cover only the treatment portion, not residential housing or other non-billable costs. The committee also discussed broader capacity constraints in state hospitals and developmental disability services. Hoon said Fulton, Center for Behavioral Medicine, and FTC North are full, with 183 vacancies across the department, and that the department is working on a new Kansas City hospital that would add 150 beds, though completion is now expected closer to 2029 or 2030. In the developmental disabilities section, the department warned that the governor’s recommendation would create wait lists for in-home waiver services and crisis residential services, and members questioned proposed reductions to self-directed services rates and other provider payments. No votes were taken, and the committee recessed before finishing the presentation.

Transcript Highlights:

• The hope was that a medical in January.
• To put it in a nutshell, the definition of medical frailty is no longer a medical diagnosis by a doctor
• medications, wound care supplies, veterinary medications, long-term care and hospice services, and much
• A graduate of Morehouse College and an SUY Upstate Medical College and an SUY Upstate Medical University
• And if necessary, we'll die for it because too necessary, we'll die for it because too many people did

Bills: HCR108 , HB3300 , HB7128 , HB7757 , HB7305 , HB7266 , HB7258 , HB7257 , HB3350 , HB4662 , HB5347 , HB8873

Keywords: HCR108, H. Con. Res. 108, War Powers Resolution, Lebanon, Lebanese Armed Forces, U.S. Armed Forces, hostilities, military withdrawal, troop removal, concurrent resolution, Congressional war powers, executive war powers, foreign policy, Middle East, diplomatic facilities, security cooperation, cease hostilities, military engagement, war authorization, non-authorization of force

Transcript Highlights:

• No medical records or PII are shared.
• </c> working as an associate Deputy medical working as an associate Deputy medical examiner<00:21:41.760
• </c><00:48:16.000><c> control</c> working through the medical control working through the medical control
• </c> put a seat on this for mergency medical put a seat on this for mergency medical services<00:49:22.119
• Services Med the the Emergency Medical Services Med the Emergency<00:49:43.119><c> Medical</c><00:49

Committee: Senate Executive Departments and Administration

Transcript Highlights:

• </c><00:46:24.319><c> necessary</c><00:46:24.960><c> services</c><00:46:25.440><c> in</c> getting medically
• necessary services in getting medically necessary services in the<00:46:25.839><c> school</c><00:46:
• Occupational therapy also happens to be a medically necessary service.
• Occupational therapy also happens to be a medically necessary service.
• </c> child might be getting a medically child might be getting a medically necessary<00:57:53.680><c>

Summary: The committee heard testimony on Senate Bill 34, which would require parental consent for each new service provided to a student through the Medicaid to Schools program and require reports to legislative policy committees. Senator Ruth Ward said the bill was intended to increase transparency, protect parental involvement, and ensure continuity of care, especially for students with disabilities. She also noted a proposed amendment she received shortly before the hearing that would change the bill’s focus from a “new service” to a “new care plan.” Representatives from the New Hampshire Primary Care Association and Amoscake Health testified that they opposed the bill as written but would support it with the amendment. They explained that tying consent to individual diagnosis codes or services could be burdensome, could delay care, and could create compliance problems if a diagnosis changes during a visit. They said the amendment would better align consent with the overall care plan and avoid interrupting treatment mid-appointment. Committee members raised questions about how the bill would interact with IEPs, individualized health plans, homebound services, telehealth, billing, and whether the amendment would still require parental involvement after a care plan changes. The deputy Medicaid director from the Department of Health and Human Services testified that the amendment was more operationally feasible because Medicaid billing involves many ICD-10 codes that can change or overlap, and consent should be tied to the care plan rather than to each code. He said the current law already requires parental consent for participation in the Medicaid to Schools program and annual consent for billing, but the bill would make explicit consent for care-plan changes. No vote was taken during the portion of the hearing provided, and the committee appeared to continue discussion with DHHS after the testimony.

Transcript Highlights:

• the tools to make sure that people have the certification they need, especially around things like medical
• Second Substitute Senate Bill 5292 relates to premiums for the state paid family and medical leave program
• the PFML program provides partial wage replacement benefits to employees on leave for family and medical
• That report must include the lowest premium rates necessary to maintain solvency of the PFML account
• When paid family and medical leave was originally negotiated, I was on the negotiation team representing

Bills: SB6134 , SB6136 , SB6188

Committee: House Labor & Workplace Standards

Keywords: unemployment insurance, UI benefits, striking workers, strike, labor dispute, retroactive wages, overpayment assessment, overpayment recovery, Employment Security Department, ESD, claimant notice, benefit recoupment, Washington unemployment law, worker notice, federal unemployment tax credit, state unemployment fund, workers' compensation, industrial insurance, premium rates, rate transparency

Transcript Highlights:

• And by turning this bill into a study, we can gather the information necessary.
• I'm here representing the Texas Medical Association, the Texas Pediatric Society.
• Representing the Texas Medical Association.
• We've gone through medical school. We've seen what lung cancer looks up up close and personal.
• Does Rice offer on-campus medical provisions?

Bills: HB173 , HB184 , HB484 , HB678 , HB 1211 , HB1507 , HB1705 , HB1868 , HB2290 , HB2851 , HB2856 , HB3041 , HB3204 , HB173 , HB184

Committee: House Higher Education

Keywords: foreign donations, higher education, public institutions, national security, funding, prohibition, Texas law, healthcare, insurance, affordability, access, public health, foreign influence, education policy, student loan repayment, prosecuting attorneys, border prosecution unit, financial assistance, tobacco, cigarettes